JPWO2005022432A1 - Electronic medical record system - Google Patents

Abstract

Based on the input operation by the input means 1, the control means 4 causes the display means 2 to display the electronic medical chart. The input means 1 is composed of a plurality of input keys arranged in a predetermined area. The display unit 2 can display an input item selection column that can be selected by operating at least one of the input keys of the input unit 1. The control means 4 selects items displayed in the input item selection field of the display means 2 by operating the input keys of the input means 1, and sequentially sets items necessary for the next input in the input item selection field. It can be displayed.

Description

  The present invention relates to an electronic medical chart system.

  Conventionally, as an electronic medical record system, when entering examination data on the day of the examination, not only the data on the day of the examination, but also data such as referral data from other hospitals, past test result data, and future instruction data are examined. A device that can be input in the same manner as the input of data of the day is known (for example, see Patent Document 1).

JP 2003-85279 A

  However, the electronic medical record system only distinguishes the attributes of the input frame to be displayed, and the input itself has to rely on a keyboard or the like. For this reason, there is a problem that the input operation takes time, and the time that can be spent for the actual medical examination is further compressed within the limited medical examination time.

  The display screen is divided into a plurality of areas, and it is necessary to perform an input operation in each area using a keyboard, a mouse, or the like. That is, since the input work area moves, it takes time to get used to it. Further, since the line of sight is frequently moved, it is easy to get tired and is not suitable for long-time work.

  Then, this invention makes it a subject to provide the electronic medical chart system which can simplify the input operation | work at the time of a medical examination and can enrich medical treatment content.

As a means for solving the above problems, the present invention displays an electronic medical record on the display means, reflects the input data on the displayed electronic medical record based on an input operation by the input means, and reflects the input data In an electronic medical chart system having a control means for storing the electronic medical chart in a storage means,
The input means comprises a plurality of input keys arranged in a predetermined area,
The display means displays an input item selection field in which a plurality of items that can be selected by operating at least one of the input keys of the input means are listed,
The control means selects an item displayed in the input item selection field of the display means by operating an input key of the input means, and sequentially displays items necessary for the next input in the input item selection field. It is a thing.

  With this configuration, it is possible to always input all input items by key operations in the same area. Therefore, it is possible to shorten the input time and enrich the examination contents.

  The display means selects an item displayed in the input item selection field by the input means, and thereby temporarily displays the selected items sequentially and the contents displayed on the temporary display section are determined. It is preferable that the confirmation display unit displayed by the display can be performed while confirming the input items, and an input mistake can be prevented.

  The control means divides the required input content into a plurality of items, and sequentially selects the input items by selecting each item from the input item selection field of the display means based on the operation of the input key. Changing the display content in the selection field to the next item is preferable in that it is possible to reliably prevent input leakage with good operability.

The storage means stores prescription data input in advance,
It is preferable that the control means can increase input efficiency by reading the prescription data from the storage means and reflecting it in the electronic medical chart displayed on the display means by operating the input means. In this case, the prescription data corresponds to a promise prescription for prescribing a predetermined medicine, a DO prescription using the same prescription data remaining as a history, or the like.

  When creating the electronic medical record, if the number of selectable drugs exceeds a predetermined number, it is only necessary to narrow down drugs by using a plurality of search methods. In this case, examples of the search method include a search by Japanese syllabary, a search by effect, and a search by component.

  When the electronic medical record is created, a calendar including the absence information is displayed on the display means, and the number of days taken can be directly input by the calendar. preferable.

As a means for solving the above problems, the present invention displays an electronic medical record on the display means, reflects the input data on the displayed electronic medical record based on an input operation by the input means, and reflects the input data In an electronic medical chart system having a control means for storing the electronic medical chart in a storage means,
The input means comprises a plurality of operable input keys displayed on the display means and arranged in a predetermined area,
The control means sequentially displays necessary input items on the input keys.

  The input means may be configured with a touch panel.

  When inputting the contents of the inquiry by the input means, the control means causes the display means to display an inquiry screen and an input key, causes the inquiry screen to list items required for the inquiry, and items to be input And the item contents corresponding to the input key are displayed, the item selected by the operation of the input key is reflected on the inquiry screen, and the input key is displayed for the next input. If the item to be highlighted on the inquiry screen is changed to the next item, the items to be entered can be displayed in a list in advance and the required items can be interviewed without omission. This is preferable in that the labor of input can be greatly reduced.

  What is necessary is just to make it possible to select whether or not to reflect the inquiry data input in advance in the electronic medical record by the input means.

  Each input key of the input means can smoothly shift from the handwritten chart to the electronic chart if the symbols used in the handwritten chart are displayed when inputting the dosing time on the electronic chart. This is preferable.

Each input key of the input means is displayed for each row of 50 tones, and further, the display switches from the row to the row of each row based on the operation of the input key.
When the control means searches for items necessary for inputting the electronic medical record by selecting any one of the fifty-sound characters displayed on the input key, the control means within a limited area. In spite of this operation, the first character input can be performed by only two operations, which is preferable in that the search time can be shortened.

The storage means stores image data indicating a body part,
When the findings are input, the control means reads the corresponding image data from the storage means based on the input signal at the input means, and displays it on the display means. It is preferable in that it can be shown in a form and can function as a visual tool useful for informed consent.

Further, the present invention provides a means for solving the above-described problems,
An electronic device comprising a control means for displaying an electronic medical record on the display means, reflecting input data on the displayed electronic medical chart based on an input operation by the input means, and storing the electronic medical record reflecting the input data in the storage means In the chart system,
The input means includes a plurality of input keys displayed in a predetermined area of the display means, and input items are respectively displayed on the input keys.
When each of the input items is displayed on the input key, if the input item includes a plurality of similar words, the control means displays a common character among the similar words as a primary selection word, and the primary selection word is After the selection, similar words are displayed on the respective input keys.

  With this configuration, only the primary selection word is displayed on the input key for common characters, so that even a limited space can be displayed large.

  In this case, it is preferable to display the number of similar words together with the primary selection word on the input key.

  In addition, when each of the input items is displayed on the input key, if the input item includes a plurality of similar words, the control means includes a portion that is likely to be mistaken from the first character among the similar words, for example, at least one different character. Displaying up to the part as the primary selection word is preferable in that it makes it easy to recognize an erroneous part similar to the user and to prevent an input error.

  According to the present invention, an item displayed in the input item selection column of the display unit is selected by operating the input key of the input unit, and items necessary for the next input can be sequentially displayed in the input item selection column. Therefore, the input work can be simplified, and the examination content can be enhanced by reducing the input time.

It is a block diagram which shows the outline of the electronic medical chart system which concerns on this embodiment. It is a figure which shows the initial screen of the ten key area | region displayed on the display apparatus of FIG. It is a figure which shows the electronic medical chart of the patient who is going to start a medical examination displayed on the display apparatus of FIG. It is a figure which shows the input column (keypad screen) which shows the state by which the "S" key was operated. It is a keyboard input screen displayed by operating 1 "main complaint" in the input column of FIG. FIG. 4 is an inquiry screen displayed by operating 2 “inquiry” in the input field of FIG. 3. It is a figure which shows the input column displayed by operating 2 "question" in the input column of FIG. FIG. 7 is a diagram illustrating an input field displayed by operating 1 “fever” in FIG. 6. It is a figure which shows the state by which the display item was changed by operating the "O" key in a ten key area | region. 8B is an “image diagnosis result input” screen displayed by operating an “image diagnosis” key in the input field of FIG. 8A. It is an “examination execution date selection” screen displayed when the image diagnosis is 2 or more. FIG. 8B is a diagram showing a state where display items are changed by operating a “finding” key in the input field of FIG. 8A. It is a figure which shows the state by which the display item was changed by operating the "individual finding" key in the input column of FIG. 8D. FIG. 8D is a “vital sign” screen displayed by operating the “systemic findings” key in the input field of FIG. 8D. 8E is a “neck” screen displayed by operating the “neck” key in the input field of FIG. 8E. It is a figure which shows the state by which the display item was changed by operating the "A" key in a ten key area | region. It is an “injury name management” screen that is displayed by operating the “A” key in the numeric keypad area. FIG. 11 is a diagram showing a state in which the display contents are switched by operating 1 “injury name” in the input field of FIG. 10. FIG. 13 is a diagram showing a state in which display contents are switched by operating 1 “frequent search” in the input field of FIG. 12. FIG. 14 is a diagram showing a state in which display contents are switched by operating any of the numeric keys in the input field of FIG. 13. FIG. 15 is a diagram showing a state where display contents are switched by operating a “modifier” key in the input field of FIG. 14. FIG. 16 is a diagram illustrating a state in which display contents are switched by selecting 1 “50 sounds” in the input field of FIG. 15. FIG. 17 is a diagram illustrating a state in which display contents are switched by selecting 1 “prefix” in the input field of FIG. 16. It is a figure which shows the state which selected the content of the display by selecting "A line" in the input column of FIG. It is a figure which shows the state which selected 1 "a" and switched the display content in the input column of FIG. It is a figure which shows the state which selected and changed the "outcome" key of FIG. It is a figure which shows the state which switched the display content by operating the "P" key in the ten key area | region. 21 is a “medicine selection” screen that is displayed by operating the “internal medicine”, “unsuitable”, “external use”, and “injection” keys in the input field of FIG. It is a figure which shows the state switched so that it could select according to a medicinal effect in the input column of FIG. It is a figure which shows the state which finally became able to select a pharmaceutical name from the display content of the input column of FIG. It is a figure which shows the state switched from the display content of the input column of FIG. 24 to the content regarding a dosing time. 23 is a “DO list” screen displayed by operating the “DO” key on the “pharmaceutical drug selection” screen of FIG. 23 is a “promise prescription set” screen displayed by operating a “promise” key on the “pharmaceutical selection” screen of FIG. This is a screen for registering promised prescriptions. This is a screen for entering the promised prescription. It is a “visit list” screen displayed on the initial screen. It is a calendar screen displayed when inputting the date of the electronic medical record. 28 is a “patient search” screen displayed by operating a “patient search” key on the screen of FIG. 28. It is the schematic which shows the medical examination state in the state which displayed the electronic medical chart on the display apparatus. 22 is a “treatment slip” screen displayed by operating the “treatment” key on the screen of FIG. 21. 22 is a “surgery slip” screen displayed by operating the “surgery” key on the screen of FIG. 21. 21 is an “image diagnosis set list screen” displayed by operating the “image” key in the input field of FIG. It is a screen for registering a diagnostic imaging set. It is a screen for inputting a diagnostic imaging set. It is a figure which shows the numeric keypad area | region where the display content of the number key was changed by operating a "new creation" and a "correction" button on the "image diagnostic set registration" screen of FIG. FIG. 38 is a diagram showing a state where display items are changed by operating a “part” key on the screen of FIG. 37. FIG. 38 is a diagram showing a state where display items are changed by operating a “direction” key on the screen of FIG. 37. It is a figure which shows the state by which the display item was changed by operating a "film" key on the screen of FIG. It is a figure which shows the state by which the display item was changed by operating the "medicine" key on the screen of FIG. It is a figure which shows the state by which the display item was changed by operating the "material" key on the screen of FIG. FIG. 22 is a diagram showing a state in which display items are changed by operating a “guidance” key in the input field shown in FIG. 21. It is a figure which shows the state by which the display item was changed by operating any key of 1-8 in the input column shown in FIG. FIG. 22 is a list of instructions displayed by operating a “nutrition instruction” key in the input field shown in FIG. 21. This is a “Schema” screen displayed by operating the “Schema” key in the input field displayed by operating the “O” key in the numeric keypad area. It is a flowchart which shows the process in the case of selecting the pharmaceutical to administer to a patient by treatment. It is a flowchart which shows a test result display process. The screen which displayed the inspection result as a time-sequential list is shown. It is a flowchart which shows a graph display process. The graph obtained by the graph display process shown in FIG. 50 is shown. It is a flowchart which shows prescription check processing. It is a screen which shows the display content when it is judged that there is a problem about interaction and indication. 21 is an inspection set list screen that pops up when an 8 “inspection” key is operated on the screen shown in FIG. 21. It is the inspection item display screen switched by operating the number keys in the state where the inspection set list screen shown in FIG. 54 is displayed. FIG. 22 is an image diagnostic set list screen displayed in a pop-up by operating a 9 “image” key on the screen shown in FIG. 21. 57 is an image diagnosis item display screen that is switched by operating a numeric key in a state where the image diagnosis set list screen shown in FIG. 56 is displayed.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Input device 2 ... Display apparatus 3 ... Memory | storage device 4 ... Control apparatus 5 ... History column 6 ... Patient column 7 ... Input column 8 ... Input confirmation column 9 ... Input confirmation column (confirmation display part)
10 ... Numeric keypad area 11 ... Menu area

  Embodiments according to the present invention will be described below with reference to the accompanying drawings.

  FIG. 1 shows an electronic medical chart system according to this embodiment. This electronic medical record system includes an input device 1, a display device 2, a storage device 3, and a control device 4.

  The input device 1 includes a keyboard, a mouse, a keypad, a touch panel, and the like. However, all input operations can be performed using only the input column 7 described later, and the user can arbitrarily select and use the keyboard, mouse, touch panel, and the like. A keyboard, mouse, and the like are not particularly necessary, and operations can be concentrated on a keypad displayed on the touch panel.

  The display device 2 includes a liquid crystal monitor or the like, and a part or all of the display device 2 includes a touch panel. On the display device 2, as an initial screen, the keypad screen (numerical key area 10) shown in FIG. 2A is displayed as the input field 7 in the lower right column, and the “diagnosis list screen (FIG. 28) is automatically displayed. 7 is displayed in the lower right, the doctor can easily input with one hand while facing the patient, and both the patient and the doctor can easily see the other columns. The display position can be set to an arbitrary position, for example, displayed in the lower left of the screen assuming that the doctor is left-handed, etc. As shown in FIG. Numeric keys, dot key “.”, “UNDO” key, cancel key “C”, scroll keys “UP”, “DOWN”, “ENTER” key, function keys (F1 to F4), “S” key, “O” ”Key,“ A ”key,“ P ”key It is included. On the initial screen, only the numeric key 1 “←” key, 2 “chart display” key, 3 “→”, UP key, and DOWN key can be operated. In the following description, a key means an operable area displayed in the numeric keypad area 10, and a button means an operable area in other dialogs.

  When the 2 “medical chart display” key is operated in the input field 7, an electronic medical record of a patient who is about to start a diagnosis is displayed. That is, as shown in FIG. 2B, the history column 5, the patient column 6, and the input confirmation column 9 are displayed on the display screen in areas other than the input column 7. Further, an input confirmation field 8 is displayed by an input in the input field 7. The history column 5 and the patient column 6 are displayed on the left side of the screen, the input confirmation column 8 and the input confirmation column 9 are displayed on the right side of the screen and above the input column 7, respectively. At this time, if the 5 “diagnosis” key is operated, the displayed electronic medical record is switched to a state where it can be input.

  In the history column 5, the contents of examination in the previous examination, test results, prescription drugs, and the like are displayed. In FIG. 2B, a radiograph of a chest X-ray, examination contents, test results, prescription contents, and the like are displayed. The doctor can proceed with the examination while referring to the history column 5. In addition, arrow keys (“←”, “→”) are displayed below the history column 5, and the display can be changed by turning the history column left and right. In this case, it is preferable to display such that the page is actually turned. Thus, by providing the page turning function, it becomes possible to make it much easier to see than the conventional scroll bar.

  The patient column 6 displays information about the patient, that is, the patient's name, date of birth, age, sex, address, medical history, and the like.

  The input field 7 includes a numeric keypad area 10 and a menu area 11. In the menu area 11, corresponding contents are displayed according to the operation in the numeric keypad area 10.

  When the “S” key is operated in the numeric keypad area 10, the examination contents to be heard from the patient at the examination are divided into a plurality of items and sequentially displayed. The displayed items are obtained by rearranging the contents stored in advance in each master, which will be described later, for each related group according to a predetermined order.

  Specifically, the display items in the input field 7 are shown in FIG. Here, the numeric key 1 “main complaint” key, 2 “interview” key, “UNDO” key, cancel key “C”, function key (F1: interview sheet), “S” key, “O” key, “A” Only the "" key and the "P" key can be operated.

  Here, if you operate 1 “primary complaint” with the numeric keys in the input field 7 shown in FIG. 3, the keyboard input screen shown in FIG. 4 is displayed in a separate window, and the patient's complaint symptoms (primary complaint) are entered directly on the keyboard. It becomes possible. If the contents of the questionnaire filled in by the patient before the examination have already been entered at the reception, it is possible to call and copy the contents of the questionnaire by operating the “Questionnaire” key. Further, the data input with the keyboard can be registered by operating the “Register” key, and the registered contents can be called by operating the “Call” key.

  When 2 “interview” is operated with the numeric keys in the input field 7 shown in FIG. 3, the “interview” screen shown in FIG. 5 is displayed in a separate window. In the input field 7, as shown in FIG. 6, items related to symptoms are displayed in each numeric key. Keys that cannot be operated are displayed in a light color (shaded display in the drawing). Here, for example, when 1 “fever” is operated, as shown in FIG. 7, the display content of each numeric key changes to the content indicating when the selected symptom is from. In addition, the “SKIP” key is displayed, and it is possible to omit the input of items determined to be unnecessary. At this time, on the “Question” screen, each item is displayed, such as “What time”, “How much”, “Existence of chills”, which is required when “Fever” is selected. The item being entered is highlighted. Therefore, what can be input can be understood at a glance, and unnecessary items can be immediately determined.

  In this way, every time the input of the symptoms complained by the patient is completed, the “ENTER” key is operated and displayed in the input confirmation column 9. When an input error occurs, the state before input can be restored by operating the “UNDO” key. For example, when the main complaint is input by operating the “S” key, it is possible to return to any of the input stages in sequence by operating the “UNDO” key. Even if the “O” key is operated after the input of the main complaint is completed and the “ENTER” key is operated, the state of the main complaint can be restored by operating the “UNDO” key. . However, if the input is started after the operation of the “O” key, even if the “UNDO” key is operated, it is possible to return only by finding input and not return to the main complaint input.

  When the “O” key is operated in the numeric keypad area 10, the display items in the input field 7 are changed as shown in FIG. 8A.

  When there is an image diagnosis with no result input, the “image” key is displayed in an operable state as an effective key. If there is one result-uninputted image diagnosis, the “image diagnosis result input” screen shown in FIG. 8B is displayed in a separate window. Further, if there are two or more image diagnoses for which no result has been input, an “Examination date selection” screen shown in FIG. 8C is displayed. If any one is selected, the “image diagnosis result input” shown in FIG. "The screen is displayed in a separate window. When the “image capture” button is operated on the “image diagnosis result input” screen, an “image capture” screen is displayed and an image file is read (however, an image can be captured using a film scanner). ). When the “image capture” screen is closed, the captured image is displayed on the “image diagnosis result input” screen. The doctor can input the findings by viewing the displayed image. A keyboard can be used for input.

  In the input field 7 shown in FIG. 8A, 1 “finding” key is operated to switch display items as shown in FIG. 8D, and when the “free word” key is operated, the “keyboard input” screen shown in FIG. The characters can be entered using the keyboard. In this case, if a similar finding (regardless of the patient) has been input in the past, it can be called by operating the “call” key in the learning column. Also, data input with the keyboard can be registered by operating the “Register” key.

  When the “whole body finding” key displayed in the input field 7 shown in FIG. 8D is operated, the “vital sign” screen shown in FIG. 9A is displayed, and it is possible to input each item for finding input relating to the whole body. Each input item is provided with a check box, and input is completed simply by checking the corresponding one with a pen, a mouse, or the like.

  Further, when the “individual findings” key displayed in the input field 7 shown in FIG. 8D is operated, the displayed items are switched to the contents indicating the respective parts of the body as shown in FIG. 8E. For example, when the “cervical” key is operated on this screen, a “cervical” screen is displayed as shown in FIG. 9B, and the check boxes of the displayed items may be checked.

  The input method pattern includes numerical input and the like in addition to the check box. Further, the name and number of selection items of the check box can be freely set.

  When the “A” key is operated in the numeric keypad area 10, the numeric key display is switched as shown in FIG. In addition, the “Injury and Disease Name Management” screen shown in FIG. 11 is displayed in a separate window. When the 1 “injury name” key is operated in the input field 7, the numeric keys are switched as shown in FIG. 12, and the injuries name can be searched by three different methods. 1 When the “frequent search” key is operated, as shown in FIG. 13, the numeric key is switched to the frequent wound name, and when the corresponding wound name is selected, the wound name selected from FIG. 13 is “wound name management”. Displayed on the screen.

  When an injury name is selected and the input to the “injury name management” screen is completed, the input field 7 is switched as shown in FIG. 14, and it becomes possible to select 1 “relapse” key or 2 “suspect” key. . For example, the initial value is blank in the “Relapse” column of the “Injury and Disease Name Management” screen, and when the “Relapse” key is operated, the relapse character is displayed, and when it is operated again, it returns to the blank.

  In addition, when the “modifier” key is operated in the input field 7 shown in FIG. 14, the displayed items are switched as shown in FIG. 15, and the modifier is changed by the 1 “50 sound” key or the 2 “keyword” key. Search is possible. When the “50-sound” key is selected from the 1 “50-sound” key or the 2 “keyword” key, the input field 7 is switched as shown in FIG. 16, and the insertion position (1 “prefix” or 2 “suffix”) can be selected. In this case, when the insertion position of the modifier is selected, the display of the input field 7 is switched as shown in FIG. Therefore, by selecting 1 “A” in FIG. 17 and 1 “A” in FIG. 18, modifiers are displayed as a list as shown in FIG. 19. . The modifier is inserted at a selected location either before or after the name of injury already entered. If a modifier is entered by mistake, the “deletion” key shown in FIG. 15 is operated to display the selected modifier, and if the corresponding modifier is displayed, the modifier is displayed. Can be erased.

  When the “Determination” key shown in FIG. 14 is operated after the input relating to the name of the wound, the examination date is automatically input as the start date of the wound name, and the display of the numeric keypad area 10 is switched to the content shown in FIG. If it is necessary to input an outcome, the 3 “outcome” key may be operated. As a result, the display of each key in the input field 7 is switched to an item relating to the outcome, as shown in FIG. 20, and any item may be selected and input.

  In this way, the doctor's examination input can be completed by the input process in the input field 7 from the wound name to the final outcome.

  When the “P” key is operated in the numeric keypad area 10, the display items are switched as shown in FIG. 21, and items relating to future treatment plans such as medication, medical treatment plan, treatment, and guidance (education to patients, etc.) can be input. It becomes.

  When any one of keys 1 to 3 and 4 injections is operated in the input field 7 shown in FIG. 21, a 50-sound selection key “DO” shown by “A” to “WA” shown in FIG. The screen is switched to a “pharmaceutical drug selection” screen including “key”, “promise” key, and the like. If the drug name is known, it can be selected with the 50-sound selection key. However, it is also possible to select according to the medicinal effect rather than the drug name. In this case, the display contents of the numeric keys may be changed as shown in FIG.

  It is possible to narrow down the drugs by key operation, finally display the drug names as shown in FIG. 24, and select the corresponding ones. After selecting the drug, the dose is input by operating the numeric keys and the “ENTER” key. At this time, since the dose for each medicine is displayed in advance in the input confirmation column 8 shown in FIG. 2B, only the “ENTER” key is operated if there is no change. When the dose is input and the “ENTER usage” key shown in FIG. 22 is selected, the display contents of the numeric keys are switched to the contents related to the dosing time as shown in FIG. In the initial display, symbols conventionally used by doctors to describe medical charts are shown. On this screen, the display contents can be sequentially changed by operating the arrow keys. When the usage is selected, the display content is further switched to the number of administration days. By selecting the number of administration days, the usage input is completed, and the display content of the numeric keys is switched to a final decision screen (not shown).

  If there is no mistake in the input prescription, the content is determined by operating the “ENTER” key on the final decision screen. If correction and deletion are necessary, the “correction” key and “delete” key may be operated. By these key operations, the already input medicine names are displayed on the numeric keys, so that the contents can be corrected and deleted by operating the corresponding medicine names. When a new medicine is added, the “add” key may be operated.

  When using the same prescription data that remains in the history, if the “DO” key shown in FIG. 22 is operated, the corresponding data (DO list) can be called as shown in FIG. It is. This data is automatically registered as history data when newly entered.

  In addition, for example, when prescribing pre-determined medicines such as colds that are prevalent, it is possible to register the prescription medicines and call the registered data by operating the “Promise” key. Is possible. That is, when the “promise” key is operated, a “promise prescription set” screen shown in FIG. 27A is displayed. On this screen, by selecting a promised prescription set (here, a promised prescription related to high blood pressure and casein is displayed), a pre-created prescription can be called. The prescription set is created from the “Promised Prescription Set Registration” screen shown in FIG. 27B. In this screen, an “internal medicine” key, an “undressing” key, and the like are provided at the top, and a list of corresponding prescriptions is displayed below by operating one of them. When the “new” button, the “correct” button, or the like is operated on the “promise prescription set registration” screen, as shown in FIG. 27C, an “promise prescription set input” screen integrated with the input field 7 is displayed. Therefore, new input or correction of the promised prescription is performed here.

  In the input confirmation column 8 shown in FIG. 2B, the contents of examination, prescription content, and the like input in the input column 7 are displayed, and the input content can be confirmed once.

  In the input confirmation column 9 shown in FIG. 2B, the finalized examination contents and prescription contents entered in the current examination and displayed in the input confirmation field 8 are displayed, as well as examination results and the like. The

  When the initial screen shown in FIG. 2A is displayed, the “visit list” screen shown in FIG. 28 is automatically displayed. On the “Checklist” screen, “No”, “Reception time”, “Waiting (waiting time)”, “Patient ID”, “Name”, “Age”, “Gender”, “State”, “Question”, A list of consultations made up of “First / Re” and “Payment” columns is displayed. “No” indicates a number assigned in the order in which information is received from the reception. “Reception time” displays the time at which the patient has completed reception. In “wait (waiting time)”, an elapsed time from “reception time” to the present is displayed. The doctor can take care that the waiting time is not too long with reference to this time. In “Status”, the current status of each patient such as waiting for a medical examination is displayed. In the “question”, each patient is interviewed before the examination, and whether or not the input to this system is completed is indicated by “○” (input completed) or “×” (not input). . In “First / Re”, it is displayed whether each patient is the first visit (first) or whether the patient has been examined before (re).

  In addition to the “Date”, “Today”, “Waiting End Total”, “Suspend” items, the “Calendar” button, “Patient Search” button, “Medical Chart Display” button, A “end of medical care” button, a “log off” button, an “environment setting” button, and a “binder” button are displayed. By operating the “calendar” button, the calendar shown in FIG. 29 can be displayed in a separate window. By selecting a desired date on the calendar, a consultation list on the selected date can be displayed. This calendar can be used in all cases where date entry is required. In addition, when displaying the patient's electronic medical record displayed on the “reception list” screen, the line on which the corresponding patient name is displayed may be selected and the “record display” key may be operated. In addition, the “patient search” button is operated to close the “visit list” screen, the “patient search” screen shown in FIG. 30 is displayed, and data that can specify the patient such as the patient name and patient ID is input. By operating the “search” button, a list of corresponding patients can be displayed. When displaying the electronic medical record of a patient displayed in the list of search results, the row displaying the corresponding patient name may be selected and the “display medical record” button may be operated as described above. Note that the chart display can also be performed by an operation in the numeric keypad area 10.

  When the 1 “←” key shown in FIG. 2A is operated, the contents of the chart displayed are switched from the chart currently being displayed to that of the previous patient. Further, if the 3 “→” key is operated, the currently displayed medical chart is switched to that of the next patient. As a result, it is possible to review the medical record contents of a patient who has already been examined, or to move to the next patient's examination if it takes time due to X-ray imaging, infusion, or the like.

  When 1 “treatment” key is operated in the input field 7 shown in FIG. 21, a “treatment slip” screen shown in FIG. 32 is displayed, and medical actions related to treatment can be listed. In the medical practice list, treatment contents from the first visit are displayed in time series. In addition, on this screen, it is possible to select the treatment contents and the medicines and materials used in the treatment.

  In addition, if the “Surgery” key 7 is operated in the input field 7 shown in FIG. 21, the “Surgery slip” screen shown in FIG. 33 is displayed, and a list of medical practices related to the surgery is displayed. And materials can be selected.

  When performing a plurality of predetermined inspections, it is possible to register the inspection items to be executed in advance and call the registered data by operating the “inspection” key. When the 9 “inspection” key is operated in the input field 7 shown in FIG. 21, a “inspection set list screen (not shown) similar to the“ prescribed prescription set list screen ”is displayed. By selecting the corresponding set name, the selected content can be reflected in the electronic medical record. The display contents on the “inspection set list screen” can be newly input or corrected on the “inspection set registration” screen (not shown) similar to the “promise prescription set registration” screen.

  When the 9 “image” key is operated in the input field 7 shown in FIG. 21, an “image diagnosis set list” screen shown in FIG. 34 is displayed. By selecting a corresponding set name on the “image diagnosis set list” screen, the selected content is reflected in the electronic medical record. The display contents on the “image diagnosis set list” screen can be newly input or corrected on the “image diagnosis set registration” screen shown in FIG. The “image diagnostic set registration” screen includes a classification button, a list, and other buttons. The classification button includes a plurality of buttons corresponding to the type of imaging, such as an “X-ray simple” button and an “X-ray contrast” button. For example, when the “X-ray simple” button is operated, a list of set names already registered for X-ray simple imaging is displayed, and the content can be corrected by selecting the set to be corrected and operating the “correct” button. It becomes possible. The other buttons include a “new” button, a “modify” button, and the like. For example, when there is no corresponding item in the list, when newly registering, when changing the registered content, etc., by operating any of the other buttons, the “image diagnosis set input” shown in FIG. The screen can be switched to a predetermined input.

  When the “Create New” button is operated on the “Register Image Diagnostic Set” screen, the display of each key in the input field 7 is changed to each item required for inputting image diagnosis, as shown in FIG. . When the 1 “part” key is operated, as shown in FIG. Further, when the 2 “direction” key is operated, as shown in FIG. Further, when the 3 “film” key is operated, the item is changed to an item indicating the size of the film as shown in FIG. 40. Therefore, by selecting the size and inputting the number of sheets using the numeric keypad, the number of fractions is input. The film format can be selected. If the “ENTER” key is not operated after inputting the number of fractions, it is possible to continuously input a plurality of films. Further, when the 4 “medicine” key is operated, the display content of the numeric keypad is changed to an item in which the type of medicine can be selected as shown in FIG. Therefore, by selecting a drug type, selecting a drug on the changed screen, and inputting a dose on the changed screen, the drug type and the like can be selected. After inputting the dose, if the “ENTER” key is not operated, continuous input is possible as in the case of the film. Further, when the 5 “material” key is operated, as shown in FIG. 42, the content is changed to a material (instrument) used for image diagnosis. By selecting any material and inputting the quantity, the type and quantity of the material used for diagnostic imaging can be selected. In this case as well, continuous input is possible unless the “ENTER” key is operated. When there is a correction, new creation, addition, and deletion can be performed by operating the “new creation” button, the “addition” button, and the “deletion” button.

  When the 9 “Teaching” key is operated in the input field 7 shown in FIG. 21, the display of each key in the input field 7 is changed to the content indicating the classification of guidance as shown in FIG. 43. The classification of instruction includes, for example, medication, nutrition, life, exercise, public health / infection prevention, home, pharmaceutical management, and others. Here, when any one of the displayed keys 1 to 8 is operated, the display of each key in the input field 7 is further changed as shown in FIG. Here, when the “instruction text” key is operated, the numeric keypad can be operated. When any of the numeric keys is operated, a list of guidance sentences is displayed in a separate window. FIG. 45 shows an example of a guidance sentence displayed by operating the “nutrition guidance” key. Thereby, the registered instruction sentence can be selected with the numeric keypad. In FIG. 21, when the “medical plan” key is operated, the “keyboard input” screen shown in FIG. 4 is displayed, so that it is possible to input the clinical plan using the keyboard.

  As shown in FIG. 1, the storage device 3 stores the following data in various tables such as a pharmaceutical master, a disease name master, a medical practice master, a search menu master, and a medical record table. Yes.

  The drug master stores data related to drugs (drugs), such as drug names, drug code numbers, drug effects, and the like. By the way, the medicines handled vary depending on the hospital. Therefore, the medicine master narrows down the medicines that can be referred to by flagging the medicines to be handled. Thereby, a database of medicines can be constructed for each hospital using a common medicine master. In addition, by narrowing down the data, it becomes possible to search and display at high speed.

  The disease name master stores items related to symptoms (symptom items).

  The medical practice master stores information necessary for medical practice, such as how to take each medicine (time of taking, number of doses, etc.) and items related to the part, that is, items indicating the symptom of the body (partial item). ing.

  The search menu master stores data for selecting a search type such as 50-sound selection and eye-weo selection.

  The information confirmed in the input confirmation column 9 in FIG. 2B is stored in the medical record table.

  In the result table, the inspection result at the inspection consignee (inspection company) or the like is taken in via an electronic medium such as the Internet, FD (floppy disk), CD-ROM or the like.

  As shown in FIG. 1, the control device 4 includes an input keypad reception control unit, an input keypad display control unit, and the like.

  The input keypad reception control unit leaves a progress status log and controls display on the input buffer screen (temporary display unit) of the display device 2 based on input signals from the touch panel and the keypad.

  The input keypad display control unit performs display control of the input field 7 and the menu window screen based on the progress status log. In the input column 7, the progress status log is grasped, and the menu contents corresponding to the situation are displayed from the menu configuration table.

  In the menu configuration table, there are a wide variety of items to be entered from the input field 7 such as usage, drug names, and parts, so that the various masters are not directly accessed but are called once to be used for display processing. The menu configuration table includes, for example, a corresponding master file name, presence / absence of key use, number of menu items, presence / absence of display of the menu area 11, and the like.

  Next, the operation of the electronic medical chart system having the above configuration will be described.

  In the initial screen shown in FIG. 2A, the input field 7 is displayed in the lower right field of the display device 2. Therefore, when performing a medical examination, by operating the 5 “medical examination” key, The electronic medical record of the patient with the smallest receipt number (No) is displayed. If it is not from the patient to be examined now, the arrow keys are operated to change the electronic medical chart to be displayed as shown in FIG. Further, since the consultation list is automatically displayed as a list, it is possible to select a corresponding patient from this consultation list. In the displayed electronic medical record, personal information such as the date of birth and address of the patient is displayed in the patient column 6, and if there is a past medical record, the contents are displayed in the history column 5. However, it is preferable not to initially display items or the like that are not desired to be shown to the patient. For example, an item that is not desired to be initially displayed (cancer, infectious disease, sexually transmitted disease, etc.) may be displayed separately only when a tab key is provided and this tab key is operated.

  If there is an examination result other than the past chart, the examination result is automatically displayed in a pop-up, and the examination result display process shown in FIG. 48 is performed.

  In the inspection result display process, first, an inspection result that is transmitted from the inspection consignee (inspection company) via the Internet or the like and automatically taken into the result table of the storage device 3 is read (step S100). However, the inspection result may be taken into the result table from an electronic medium such as a floppy disk (FD) or CD-ROM.

  Further, a reference value related to the inspection item corresponding to the inspection result is read from the inspection master (step S101). Then, the read inspection result and the reference value (upper limit value and lower limit value) are compared (step S102). Then, the comparison result is displayed in a pop-up on the screen (step S103). In this case, if the inspection result deviates from the reference value, it is determined that there is an abnormality, and only the abnormal value is highlighted (for example, red). “↑” is displayed when the upper limit is exceeded, and “↓” is displayed when the lower limit is exceeded. Here, when an item to be transferred to the medical record is selected (step S104), the inspection result for the item is transferred to the medical record (step S105). For the items to be transferred to the medical record, for example, a check box may be provided for each inspection item, and only the checked items may be transferred. In this case, the initial setting may be selectable from, for example, “check only abnormal values”, “check all”, and “do not check”. In addition, even if it is a normal value, there is a change that is large from the previous inspection result, and even if it is an abnormal value, there is a thing that does not need to worry so much, so that a transfer item can be selected.

  (Consultation input) When the electronic medical record of the patient to be examined is displayed, as shown in FIG. 31, the doctor and the patient face each other with the display device 2 interposed therebetween, and the medical examination is advanced while referring to the displayed electronic medical record. Can do. In this case, since the input field 7 is displayed at the lower right of the screen, the patient can easily see the contents of the electronic medical record and can proceed with the examination while viewing the displayed contents.

  When inputting the contents of examination, the “S” key in the input field 7 is operated to switch the input field 7 to the content shown in FIG. If the contents of the medical questionnaire are already registered, the relevant medical questionnaire is copied to the electronic medical record by operating the “medical questionnaire” key. If the contents of the inquiry are not registered, 1 “main complaint” key is operated to display the “keyboard input” screen shown in FIG. 4, and the main complaint (patient complaint) is input by the keyboard.

  When the input of the chief complaint is completed, the “OK” key is operated to close the “keyboard input” screen. Subsequently, the “question” screen which is the input confirmation column 8 is displayed by operating the 2 “question” key. At this time, the display of the numeric keys in the input field 7 is changed to the contents for symptom input shown in FIG. Therefore, the corresponding symptom displayed in the input field 7 is selected. If there is no corresponding item, use the arrow keys to change the display contents.

  When the symptom is input, the contents of the inquiry are displayed on the “inquiry” screen, and all the inquiry contents necessary for the input symptom are displayed. For example, if “fever” is selected as the symptom, “fever”, “from when”, “how much”, “presence of chills” are displayed on the “question” screen, and the input of “fever” is completed As a result, the item “From” which needs to be input next is highlighted. Therefore, you can see at a glance what to enter. In addition, the display content of the input field 7 is changed from a symptom to a time-related one. If it is not necessary to input the item, the “SKIP” key can be operated to move to the next item. At this time, the highlighted item is changed. Thereafter, the input is sequentially made in accordance with the display contents of the input field 7 to be changed. Thereby, all items required for the examination can be input without omission.

  Once all the examination results have been entered, the displayed contents on the “Question” screen are confirmed and corrected as necessary. When correction and confirmation are completed, the “ENTER” key is operated. Thereby, the display content on the “question” screen is erased and displayed in the input confirmation column 9, and the input content is reflected in the medical chart.

  (Input of Findings) When the input of the examination details is completed, the “O” key in the input field 7 is operated to input the findings, that is, the symptoms recognized by the doctor. When the “O” key is operated, the display items in the input field 7 are switched to the input of findings, and in the input field 7 shown in FIG. 8A, 1 “finding”, 2 “examination”, 3 “image”, 4 “schema” are displayed. 5 “Inspection history” keys are displayed.

  1 When the “finding” key is selected, the display items in the input field 7 are changed to a “whole body finding” key and an “individual finding” key as shown in FIG. 8D.

  When the “systemic findings” key is operated, the “vital sign dialog” screen shown in FIG. 9A is displayed in a separate window, so that any one of the check boxes of each item may be sequentially checked with a pen or a mouse.

  In addition, when the “individual findings” key is operated, each numeric key in the input field 7 is changed to a display indicating the body part, so that the corresponding part is operated to display the “finding input” screen. Check the check box of each displayed item. For example, when “neck” is operated, the “neck” screen shown in FIG. 9B is displayed in a separate window as the “finding input” screen. On the “Neck” screen, there are a neck inspection column and a neck palpation column, which are composed of thyroid hypertrophy, cervical lymphoma hypertrophy, parotid gland hypertrophy (“Yes”, “No” check boxes, etc., respectively. .)). The doctor may check any of the check boxes for each item with a pen or a mouse.

  2 When the “inspection” key is selected, a list of inspection results that have been performed is displayed. Then, the displayed inspection result is reflected in a corresponding portion (input confirmation column) of the electronic medical record by manual input or automatic input.

  3. When the “diagnosis” key is operated, if there is an image taken by X-ray or the like, it is displayed in a separate window. The doctor makes a symptom determination based on the displayed image, and displays the next schema screen as necessary for use as an explanation for the patient.

  4. When the “Schema” key is operated, a “Schema” screen shown in FIG. 46 is displayed. Since a plurality of body part images registered in advance are displayed on the “schemer” screen, when an image of a diseased part of a patient is selected from the images, the image is enlarged and displayed in the edit column. When a part, symptom, or the like is written on the image using a pen, mouse, etc., and the “Paste to chart” button is operated, the image is displayed in a reduced size on the electronic chart. When the “image” key is operated, an “image diagnosis result input” screen is displayed. When the “image capture” button on the “image diagnosis result input” screen is operated, the “image capture” screen is displayed and the image file is read. However, the image data can also be captured using a film scanner. When the “image capture” screen is closed, the captured image is displayed on the “image diagnosis result input” screen, and the image diagnosis result can be input while referring to this image. When the “close” button on the “image diagnosis result input” screen is operated after inputting the image diagnosis result, the input content is displayed on the electronic medical record. When the image displayed on the electronic medical record is double-clicked, the corresponding image is enlarged and displayed in the edit column of the “Schema” screen. Thereby, an image is pointed using a pen, a mouse, etc., and a disease site can be explained to a patient in an easy-to-understand manner.

  5 When the “inspection history” key is operated, a list of previous inspection results is displayed. In this case, inspection items are selected from the displayed list (here, up to five items can be selected), and the inspection results can be displayed in time series or graph. That is, by selecting the inspection result desired to be displayed and operating the “time series display” or “graph display” displayed on the numeric keys, the format can be changed as follows.

  When “time series display” is operated, as shown in FIG. 49, the numerical value of the inspection result is displayed in a list composed of dates for each selected inspection item. When the “graph display” is operated, the graph display process shown in FIG. 50 is started.

  In the graph display process, first, the reference value of the corresponding inspection item is read from the inspection master (step S110), and the scale display value is calculated (step S111). Then, a scale is displayed on the graph based on the calculated scale display value (step S112). In this case, the display position of the upper limit value and the lower limit value of the inspection reference value is set to the same position regardless of the difference in the inspection items. If there are a plurality of inspection items, the upper limit value and the lower limit value of the inspection reference value of each inspection item are displayed in parallel. Thereby, the width | variety of the normal range of a some test | inspection item can be arrange | equalized and displayed. Subsequently, the inspection result is displayed on the graph (step S113).

  FIG. 51 shows an example in which the inspection result is displayed in a graph. In this graph, inspection items A and B are displayed in two columns in the left column, and the upper limit value and lower limit value of the inspection reference value of each inspection item are displayed at the same position. The inspection results over four times are displayed as a line graph. The inspection items and the line graph are color-coded for each inspection item so that it can be seen at a glance which result is due to which inspection. In this way, even if there are multiple inspection items, the normal range is displayed with the same width, and the inspection results are displayed in a line graph, etc., so it is easy to grasp the changing trend of each inspection result. In addition, it is possible to easily determine whether or not the inspection value is in the normal range. Therefore, it is an effective tool for informed consent because it is easy to understand visually if it is explained to the patient with reference to this graph.

  In addition, when the mouse is moved to a portion where the name of the inspection item corresponding to each line graph is displayed, a diagnosis criterion corresponding to the inspection item is displayed in a pop-up manner. For example, when left-clicking on hemoglobin HbAlc, even if blood sugar is normalized, there is a time lag until HbAlc reaches a normal value, so a display indicating that is made. Therefore, doctors can display information that should be noted when judging the examination results, such as the examination criteria for each examination item, if necessary, so it is bothered to examine it with books or give erroneous advice. This is very convenient.

  (Assessment Input) When the finding input is completed, the “A” key in the input field 7 is operated to input the assessment input, that is, the diagnosis contents for the symptom.

  In the assessment input, as shown in FIG. 10, 1 “injury name” key, 2 “opinion / diagnosis” key, 3 “transfer” key, 4 “correction” key, and 5 “delete” key are displayed. Select and operate the correct item.

  When the “Injury name” key is operated, the numeric keys are changed to 1 “Frequent search”, 2 “Classification search”, and 3 “Keyword”. When the search method is selected, the search is performed according to the selected method.

  When the “frequent search” key is operated, the numeric key display is changed to a frequently used name. That is, 1 “cold”, 2 “type 2 diabetes”, etc. are displayed, and the corresponding one is selected from them. As a result, the display contents of the numeric keys are switched to “Relapse”, “Relapse”, and “Suspect”.

  If the injury is a recurrence, relapse, or suspicion, the “relapse”, “relapse” or “suspicion” is manipulated to reflect it in the medical record. Then, a modifier is input as necessary. This is because even with the same injury and illness name, there are differences such as acute and chronic, and treatment methods are different.

  In inputting the modifier, either the “50 sound” key or the “keyword” key is selected in the input field 7.

  When the “50 sound” key is operated, the display contents of the numeric keys are switched to 1 “prefix” and 2 “suffix”. If either one is selected, the display contents of the numeric keys are switched to a row of 50 consonants (A row, K row ...). If any one is selected, the display contents of the numeric keys are switched to each vowel stage (a, i, c, e, o). Furthermore, if any one is selected, the first character is specified, and a list of modifiers starting with the specified character is displayed. Select the appropriate modifier from the displayed modifiers. As a list, here, only nine modifiers corresponding to the numeric keys 1 to 9 can be displayed. Therefore, if there are more than nine modifiers, the "UP" key or the "DOWN" key is operated. Thus, the display contents can be switched and selected.

  With the operation of the “50-sound” key, the number displayed on the number key is limited to nine, and the display space (display field) is the minimum necessary so that the contents of the electronic medical chart can be displayed in a large size. Is desirable.

  When the “keyword” key is operated, a keyword selection screen is displayed. When a character or the like is input with the keyboard and the “search” key or the “ENTER” key is operated, the corresponding modifier is displayed ( If you enter a keyword halfway, the appropriate modifiers are displayed as a list), so you can select the modifier you want.

  In addition, if the “alphanumeric character” key is operated in the input field, it is possible to perform a search using numbers or alphabets. In this case, as in the case of operating the “50 sound” key described above, numbers and alphabets may be displayed on the number keys so that they can be selected.

  As described above, according to the input method, it is possible to easily select a name of a wound or disease that is frequently used around the operation of the numeric keys.

  In addition, when the “category search” key is operated, it is possible to select names of wounds by narrowing down in order of large, medium, and small categories. Each classification is defined by the World Health Organization (WHO) “International Statistical Classification of Diseases and Related Health Problems, Tenth Revision: ICD-10”. It shall correspond to. Then, the same input as described above, such as an input of a suspected recurrence and an input of a modifier is performed.

  When the input of the injury and illness name is completed, the treatment start date is automatically input. When the automatically input date is corrected, the “start date correction” key can be operated to change the start date.

  The outcome is entered when symptoms change. The input items are displayed on the numeric keys in the input field 7 and are reflected in the medical record by operating the corresponding items. In addition, when inputting the end date, it is possible to easily specify the date by displaying the calendar by operating the “calendar” key.

  (Treatment plan input) When the assessment input is completed, by operating the “P” key in the input field 7, the treatment plan input, that is, the input regarding the future treatment plan such as the diagnosis plan, the treatment, the patient education, etc. Do. Here, each numeric key has 1 “internal use”, 2 “internal use”, 3 “external use”, 4 “injection”, 5 “self-injection”, 6 “treatment”, 7 “operation”, 8 “examination”, 9 “Image” is displayed.

  When selecting a medicine to be administered to a patient, it can be performed according to the flowchart shown in FIG.

  First, on the screen shown in FIG. 21, a corresponding key (one of 1 “internal use”, 2 “internal use”, 3 “external use”, 4 “injection”, and “self injection”) is selected ( Step S1), narrowing down the selection targets. Since the screen changes to the screen shown in FIG. 22 by this key operation, it is determined whether or not it is a DO prescription or a promise prescription (step S2). When the same prescription as the prescription remaining in the history data is performed, the “DO” key is operated, and when prescribing a predetermined medicine such as a common cold, the “promise” key is operated. As a result, a list of prescription drugs is displayed as a menu area 11 (step S12). Therefore, if a corresponding medicine is selected from the displayed list (step S13), the input operation can be easily performed. Further, it is determined whether or not there is a change in the number of medication days (step S14). If there is a change, the process proceeds to step S9, and if there is no change, the process proceeds to step S10.

  Moreover, when it is neither a DO prescription nor a promise prescription, a general search is performed. Here, the corresponding medicine is specified by operating the 50-sound selection key (step S3). For example, when the character “I” is selected, “A” is operated in FIG. 22, the display content is switched from “A” to “O”, and “I” is selected. Then, when the first character is specified by the operation of the 50-sound selection key, since the medicine name starting from the character is displayed in a list as shown in FIG. 9 (step S4), it corresponds from the displayed one. A thing is selected (step S5). If there are many medicines in the displayed list, the number displayed in the list can be narrowed down by inputting the second character.

  If the prescription medicine is specified, a dose is input (step S6). The dose is entered by entering numerical values with the numeric keypad. When the dose is determined, it is determined whether or not there is an additional drug to be selected (step S7). If there is an addition, the process returns to step S1 and the above process is repeated. (Step S8).

  In the input of usage, the display content of the input field 7 is changed as shown in FIG. 25, and the symbols conventionally used for the input in the paper chart can be used.

  Specifically, the symbol shown on the numeric key 1 means “after 3 meals”, that is, should be taken after every meal in the morning, noon, and evening. The symbol shown on the numeric key 2 means “3 minutes immediately after a meal”, that is, should be taken within 30 minutes after each meal in the morning, noon and evening. The symbol shown on the numeric key 3 means “minute 2 morning / evening”, that is, should be taken after morning / evening meals. The symbol shown on the numeric key 4 means “minute 1 before going to sleep”, that is, should be taken before going to bed. The symbol shown on the numeric key 5 means “minute 3 meals”, that is, should be taken between each meal between morning / daytime, daytime / evening, and evening / morning. The symbol shown on the numeric key 6 means “minute 1 morning”, that is, should be taken after waking up.

  As described above, since the symbols used for inputting the conventional paper chart are used, it is possible to smoothly shift from the paper chart to the electronic chart. Furthermore, if a usage is input, the number of administration days is input (step S9). In inputting the number of administration days, it is possible to enter a numerical value with a numeric keypad, or by separately displaying a calendar and directly operating the displayed date. If a calendar day is registered in the calendar, it is possible to prevent such a problem that the medicine is cut off during the doctor's holiday. It also makes it easier to check the schedule for patients to visit.

  Thereafter, the selected content is displayed in the input confirmation column 9 (step S10), and the content is determined (step S11).

  In the selection of the medicine, it is possible to automatically narrow down the medicine by inference search. Based on information such as disease name, condition, restrictions, etc., narrow down the drugs to be automatically prescribed based on the package inserts of medicines and the statistical values based on the prescription data so far. For example, it searches for drugs that are effective based on the disease name. The following table shows examples of data and data sources that can be used for inference search.

  As a result of the inference search, if the number of drugs can be narrowed down to 30 types or less, it is determined that the quantity is selectable, and a list is displayed for selection. In addition, when it is not possible to narrow down the number of medicines to 30 or less, since it takes time to select, a general search is further performed to narrow down the medicines. Then, the corresponding one is selected from the narrowed list of medicines.

  In the general search, in addition to the selection of the 50 sounds, it is also possible to perform a search by medicinal effect and a search by component.

  If the drug is determined in this way, the drug is ordered according to the determined content, and at that time, prescription check processing such as drug contraindication is performed.

  That is, based on the prescription data of ordered medicines, refer to the prescription check database, interact (drugs that should not be prescribed at the same time), disease name contraindications (drugs that should not be prescribed for disease names), age restrictions Check all items such as (medicine that should not be prescribed at a certain age) whether or not to prescribe. As a result, search for alternative medicines for problematic drugs.

  Specifically, as shown in FIG. 52, indication (step S120), contraindication of disease name (step S121), normal dose (step S122), age restriction (step S123), pregnant lactating woman (step S124), interaction (step S125), formulation change (step S126), dose usage (step S127), and drug type (step S128) are checked sequentially.

  In the indication check, it is checked whether the efficacy and effectiveness of the prescribed drug match the patient's disease name. The name contraindication check checks to see if the prescribed medication has an adverse effect on the patient's symptoms. For example, administration of a hypertensive drug (a drug that lowers blood pressure) to a patient with hypotension is prevented. In the regular dose check, the prescribed drug dose is checked for normal dose. For example, accidents such as “10 times administration due to input error” are prevented. The age restriction check checks if the prescribed medication can be administered to infants, toddlers, children or the elderly. Care must be taken when taking drugs that cannot be administered to newborns, or for children or the elderly. Pregnant lactation check checks whether prescribed medicines can be administered to pregnant and lactating women. Drugs that cannot be administered to pregnant and lactating women are checked. In the interaction check, it is checked whether there is no problem even if the prescribed medicine is taken at the same time. In this case, the medicine currently in the past in the medical chart is also checked. It is possible to check combinations that cannot be used together because the effects are antagonistic or conflicting. In the combination change check, it is checked whether or not the prescribed injection medicine can be mixed. There are cases where multiple types of injections are used in combination, but combinations that cause problems such as precipitation and discoloration can be checked. In the dosage and usage check, the dosage and usage of internal medicine and oral medicine are checked, and whether the dosage matches when unequal. Input mistakes such as “after taking 1 tablet 3 times a day” can be prevented. In the drug type check, it is checked whether the prescribed medicine is a narcotic, poison or psychotropic drug.

  Various checks are performed on the medicine ordered as described above. If it is determined that there is a problem as a result of these checks, this is displayed in a separate window. FIG. 53 shows the display contents when it is determined that there is a problem with the interaction and the indication. Here, there is an interaction (contraindication) between Lismodern Capsules and Spara Tablets, and infectious enteritis is not included in indications such as secondary infection of trauma with Spara Tablets, and there are problems with indications, A popup to that effect is displayed. In addition, with regard to Spara tablets, alternative medicines are searched and selected candidates are displayed.

  In the search for alternative medicines, change candidates are selected based on the name, dosage, and usage of the ordered medicine. In the candidate for change, the names, doses, and usages of medicines that can be substituted corresponding to the three items of the names, dosages, and usages of the medicines are stored in advance as a database. When it is determined in the prescription check process that the drug cannot be prescribed, it is possible to display not only the name but also the replaceable drug corresponding to the dose and usage. For this reason, it can be made suitable for the medicine before substitution without error in the dosage and usage of the substitution medicine. In addition, when there are a plurality of alternative medicines, they are displayed as a list and may be selected from the list.

  8. When the “inspection” key is operated, as shown in FIG. 54, a set menu of registered inspection items, that is, an inspection set list screen is displayed. Here, when the examination set is selected by operating the numeric keys, the examination set list screen is switched to the examination item display screen shown in FIG. On the test item display screen, necessary test items are listed for each classification such as biochemistry, hematology, urine / feces, etc., and basic test items are checked in advance according to the selected test set. Yes. Then, it is possible to select an inspection item by adding or removing a check as necessary. If the inspection item is confirmed, the “OK” button is operated to describe the inspection item to be performed in the medical chart.

  9 When the “image” key is operated, as shown in FIG. 56, a set menu of registered image diagnosis items, that is, an image diagnosis set list screen is displayed. Here, when an image diagnosis set is selected by operating the numeric keys, the image diagnosis set list screen is switched to the image diagnosis item display screen shown in FIG. The image diagnosis item display screen displays a list of necessary image diagnosis items for each classification of imaging method, imaging region, imaging direction, film, etc., and basic image diagnosis items according to the selected image diagnosis set in advance. Is checked. An image diagnostic item can be selected by checking or unchecking as necessary. When the image diagnosis item is confirmed, the “OK” button is operated to describe the image diagnosis item to be performed in the medical chart. In FIG. 57, an item is selected in which the chest is imaged using one large angle from the front to the rear as simple X-ray imaging. Then, an order is made with the contents selected on the image diagnosis set list screen, and photographing is performed.

  By operating the “S” to “P” keys as described above, all items required for creating a chart can be input quickly without omission.

  Note that frequently used sentences and prescriptions can be registered in advance (learning function). For example, prescription contents are stored as a learning buffer, and displayed on the screen and used as necessary. In this case, if nine keys are provided so as to correspond to the numeric keys in the input field 7, only the input field 7 can be operated at the time of input. It is possible to display a part of the registered contents on each key, or to reflect the contents of the learning buffer in the electronic medical record by directly operating the contents of the learning buffer in another window.

  In addition, when it is necessary to display similar words in the items to be displayed with the numeric keys, the names to be selected are grouped with common characters, and the numeric keys have the common characters and the number of grouped words. You may make it display the primary selection word which consists of. Then, by selecting a corresponding primary selection word, each grouped word may be displayed on each numeric key as a secondary selection word. Moreover, you may make it provide a tertiary selection word etc. as needed.

  For example, many drugs are very similar as shown in the following table. Therefore, “Colt (2)”, “Cordo (3)”, and “Kolch (4)” are displayed on the numeric keys as primary selection words. Then, by selecting one of them, the official name is displayed on each numeric key. Specifically, when “Corddo (3)” is selected, the numeric keys are displayed as secondary selection words “Cordnin tablet”, “Cordlin tablet”, “Cordolin granule”, Let them be selected.

  Thus, since the primary selection word is provided and similar words are grouped and displayed, similar error-prone portions can be displayed in large characters. Therefore, when making a selection, it is possible to make a selection while paying attention to the most prone to errors. In this case, if there is a similar part in the secondary selection word, the primary selection word is displayed separately, and only the part excluding the primary selection word (“nin tablet”, “ring tablet”, “ring granule”) is displayed. You may make it display on each number key.

  In the case of medicines, most of the first three letters can be grouped by an appropriate number (9 or less that can be displayed with a numeric key). For this reason, the size of each numeric key may be displayed so as to be easily visible by displaying about three characters. Therefore, the numeric keypad area 10 can be configured compactly.

  In addition, since the total of the grouped words is displayed in parentheses (), it is possible to understand at a glance that there are other similar words.

  In particular, the display method by grouping is effective in the case of a 50-sound search. In other words, when searching for 50 medicines, there are many similar names that are difficult to select, but by grouping, even if only the first letter is entered on the keyboard, many medicine names are displayed on the numeric keys. Can do. In addition, as described above, the name of the desired medicine can be obtained simply by displaying a row of 50 consonants (A row, K row ...) on the numeric keys and selecting one to specify the row of the consonant. Can be displayed. Subsequently, if each vowel stage (a, i, c, e, o) is input, the same effect as when the first character is input with the keyboard can be obtained. That is, it becomes possible to select a desired medicine only by an operation with a numeric key.

  Thus, by grouping medicines, it becomes possible to easily and quickly select a desired medicine.

Claims (16)

An electronic device comprising a control means for displaying an electronic medical record on the display means, reflecting input data on the displayed electronic medical chart based on an input operation by the input means, and storing the electronic medical record reflecting the input data in the storage means In the chart system,
The input means comprises a plurality of input keys arranged in a predetermined area,
The display means displays an input item selection field in which a plurality of items that can be selected by operating at least one of the input keys of the input means are listed,
The control means selects an item displayed in the input item selection field of the display means by operating an input key of the input means, and sequentially displays items necessary for the next input in the input item selection field. An electronic medical chart system characterized by The display means selects an item displayed in the input item selection field by the input means, and thereby temporarily displays the selected items sequentially and the contents displayed on the temporary display section are determined. The electronic medical chart system according to claim 1, further comprising a confirmation display unit displayed by The control means causes the input keys displayed on the display means to display input items by operating the input keys of the input means, and sequentially changes the display contents to items necessary for the next input. The electronic medical chart system according to claim 1 or 2, characterized in that. The storage means stores prescription data input in advance,
The said control means reads prescription data from the said memory | storage means by operation of the said input means, and makes it reflect in the electronic medical chart displayed on the said display means, The one of Claim 1 thru | or 3 characterized by the above-mentioned. Electronic medical record system. 5. The method according to claim 1, wherein when the electronic medical record is created, if a predetermined number of drugs exceed a predetermined number, the drugs can be narrowed down by a plurality of types of search methods. 6. Electronic medical record system. 6. The electronic medical chart according to claim 1, wherein a calendar including medical information is displayed on the display means, and the number of days taken can be directly input by the calendar. The electronic medical record system described. An electronic device comprising a control means for displaying an electronic medical record on the display means, reflecting input data on the displayed electronic medical chart based on an input operation by the input means, and storing the electronic medical record reflecting the input data in the storage means In the chart system,
The input means comprises a plurality of operable input keys displayed on the display means and arranged in a predetermined area,
The electronic medical chart system, wherein the control means causes each input key to sequentially display required input items. The electronic medical record system according to claim 7, wherein the input unit includes a touch panel. When inputting the contents of the inquiry by the input means, the control means causes the display means to display an inquiry screen and an input key, causes the inquiry screen to list items required for the inquiry, and items to be input And the item contents corresponding to the input key are displayed, the item selected by the operation of the input key is reflected on the inquiry screen, and the input key is displayed for the next input. The electronic medical record system according to any one of claims 1 to 8, wherein the item to be highlighted on the inquiry screen is changed to the next item. The electronic medical chart system according to any one of claims 1 to 9, wherein it is possible to select whether or not to reflect the medical data input in advance in the electronic medical chart by the input means. The electronic medical record according to any one of claims 7 to 10, wherein each input key of the input means displays a symbol used in a handwritten medical record when inputting a dose time to the electronic medical record. system. Each input key of the input means is displayed for each row of 50 tones, and further, the display switches from the row to the row of each row based on the operation of the input key.
12. The control means performs a search for an item required for inputting an electronic medical record by selecting any one of 50 characters displayed on the input key. The electronic medical chart system according to any one of the above. The storage means stores image data indicating a body part,
13. The control device according to any one of claims 7 to 12, wherein, when inputting a finding, the control device reads corresponding image data from the storage device based on an input signal from the input device and displays the image data on the display device. The electronic medical chart system according to claim 1. An electronic device comprising a control means for displaying an electronic medical record on the display means, reflecting input data on the displayed electronic medical chart based on an input operation by the input means, and storing the electronic medical record reflecting the input data in the storage means In the chart system,
The input means includes a plurality of input keys displayed in a predetermined area of the display means, and input items are respectively displayed on the input keys.
When each of the input items is displayed on the input key, if the input item includes a plurality of similar words, the control means displays a common character among the similar words as a primary selection word, and the primary selection word is An electronic medical record system wherein similar words are displayed on each input key after being selected. The electronic medical record system according to claim 14, wherein the number of similar words is displayed together with the primary selection word on the input key. An electronic device comprising a control means for displaying an electronic medical record on the display means, reflecting input data on the displayed electronic medical chart based on an input operation by the input means, and storing the electronic medical record reflecting the input data in the storage means In the chart system,
The input means includes a plurality of input keys displayed in a predetermined area of the display means, and input items are respectively displayed on the input keys.
When the control unit displays each input item on the input key, if there are a plurality of similar words in the input item, the control unit displays a character including the first character to the erroneous part as a primary selection word. An electronic medical chart system characterized by the fact that

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