KR20060045039A - Electronic karte device - Google Patents

Abstract

This invention makes it easy to input an illness.

According to the present invention, the electronic Carte is displayed on the display means 2, the input data is reflected on the displayed electronic cart based on the input operation by the input means 1, and the electronic Carte is reflected. The control means 4 which stores in the memory means 3 is provided. The input means 1 is arranged in a predetermined area and correlates a plurality of input keys in which any one of a code number relating to a selectable corporal name or a character string relating to a corporal name is displayed, and an entire item displayed on the input key. And a touch panel having a switch button for switching to either a code number relating to a name or a character string relating to a corporal name.

Sick name, e-carte, enter key, toggle button, medical information

Description

Electronic Carte device {ELECTRONIC KARTE DEVICE}

1 is a block diagram showing an outline of an electronic carte system according to the present embodiment.

FIG. 2A is a diagram showing an initial screen of a tenkey area displayed on the display device of FIG.

FIG. 2B is a view showing an electronic carte of a patient who is going to start medical examination from now on displayed on the display device of FIG.

Fig. 3 is a diagram showing an input field (keypad screen) indicating a state in which the "S" key is operated.

4 is a keyboard input screen displayed by manipulating 1 "major disease" in the input box of FIG.

Fig. 5 is a paperweight screen displayed by manipulating 2 " paperweight " in the input box of Fig.3.

FIG. 6 is a diagram showing a text box displayed by operating 2 "Confirmations" in the text box of FIG.

FIG. 7 is a diagram showing an input box displayed by operating one "heating" in FIG. 6; FIG.

Fig. 8A is a diagram showing a state in which display items have been changed by operating the " O " key in the ten-key area.

FIG. 8B is a "image diagnosis result input" screen displayed by operating the "image diagnosis" key in the input box of FIG. 8A;

Fig. 8C is a "test execution day selection" screen displayed when the image diagnosis is 2 or more.

FIG. 8D is a view showing a state in which a display item has been changed by operating the " remark " key in the input box of FIG. 8A;

Fig. 8E is a diagram showing a state in which display items have been changed by operating the " individual opinion " key in the input box of Fig. 8A;

FIG. 9A is a "vitamin sign" screen by operating the "systemic finding" key in the input box of FIG. 8D; FIG.

Fig. 9B is a "neck" screen displayed by operating a "neck" key in the input box of Fig. 8E;

Fig. 10 is a view showing a state in which a display item is changed by operating the "A" key in the ten key area;

Fig. 11 is a " patient name management " screen displayed by operating the " A " key in the ten key area;

FIG. 12 is a view showing a state in which display contents are switched by operating "sickness name" in the input box of FIG. 10; FIG.

FIG. 13A is a diagram showing a state in which display contents are switched by operating one " free search " in the input box of FIG.

Fig. 13B is a diagram showing a keyword input search screen popped up by operating a keyword in the input box shown in Fig. 13A;

Fig. 14A is a diagram showing a state in which display contents are switched by operating any of the tenkeys in the input box of Fig. 13;

FIG. 14B is a final decision screen showing display contents of a ten key changed by completion of input of a sickness name from the input field shown in FIG. 14A; FIG.

FIG. 14C is a diagram showing a state in which the display content of the tenkey is converted into a character string corresponding to the major classification of ICD 10 by operating 2 "classification search" in the input box shown in FIG. 14A;

FIG. 14D is a diagram showing a state in which the display content of the tenkey is switched to the code number corresponding to the major classification of ICD 10 by operating F1 in the input field shown in FIG. 14C;

Fig. 14E is a view showing a state in which the display content of the tenkey is converted into a character string corresponding to the middle classification of ICD 10 by operating 9 "circulation machines" in the input box shown in Fig. 14C;

Fig. 14F is a diagram showing a state in which the display content of the tenkey is switched to the code number corresponding to the middle classification of ICD 10 by operating F1 in the input box shown in Fig. 14E.

Fig. 14G is a view showing a state in which the display content of Tenkey is converted into a character string corresponding to a subclass of ICD 10 by operating 2 "chronic rheumatic heart disease" in the input box shown in Fig. 14E.

Fig. 14H is a diagram showing a state in which the display content of the tenkey is switched to the code number corresponding to the subclass of ICD 10 by operating F1 in the input field shown in Fig. 14G.

Fig. 14I shows a state in which the display content of Tenkey is converted into a character string corresponding to the name of a disease in ICD 10 by manipulating 2 "rheumatic mitral valve disease" in the input field shown in Fig. 14G.

Fig. 14J is a diagram showing a state in which the display content of Tenkey is switched to the code number corresponding to the name of the sickness of ICD 10 by operating F1 in the input box shown in Fig. 14I.

Fig. 14K is a diagram showing a state in which 4 "acute diseases" are automatically entered into the electronic cart by the screen shown in Fig. 12;

Fig. 14L is a diagram showing a warning dialog displayed when the scheduled date of termination has elapsed with respect to the name of a sick in which the scheduled date of termination has been entered on the screen shown in Fig. 14K;

Fig. 14M is a diagram showing the contents displayed on the electronic cart by selecting three "bottle names" on the screen shown in Fig. 14A.

FIG. 15 is a view showing a state in which display contents are switched by operating a " formula " key in the input box of FIG.

FIG. 16 is a view showing a state in which display contents are switched by selecting 1 " 50 sounds " in the input box of FIG.

FIG. 17 is a view showing a state in which display contents are switched by selecting 1 "prefix" in the input box of FIG.

FIG. 18 is a view showing a state in which display contents are switched by selecting "row" in the input box of FIG.

Fig. 19 is a diagram showing a state in which display contents are switched by selecting " A " in the input box of Fig. 18;

FIG. 20 is a view showing a state of being switched by selecting the "return" key of FIG.

Fig. 21 is a diagram showing a state in which the display contents are switched by operating the "P" key in the ten key;

FIG. 22 is a screen for selecting a “drug” displayed by operating the “inner clothing”, “pig suit”, “foreign use”, and “main” keys in the input box of FIG. 21;

FIG. 23 is a view showing a state switched to be selected for each drug in the input box of FIG. 22; FIG.

Fig. 24 is a diagram showing a state in which a drug name can finally be selected from the display contents of the input box in Fig. 22;

FIG. 25 is a view showing a state of switching from display contents of the input box of FIG. 24 to contents relating to the taking time; FIG.

FIG. 26 is a "DO risk" screen displayed by operating a "DO" key in the "drug selection screen" in FIG.

Fig. 27A is a "drug prescription set" screen displayed by operating the "drug appointment" key in the "drug selection screen" in Fig. 22;

Fig. 27B is a screen for registering an appointment prescription.

Fig. 27C is a screen for inputting an appointment prescription.

Fig. 28 is a "fingerprint list" screen displayed on the initial screen;

Fig. 29 is a calendar screen displayed at the time of date input of an electronic carte.

30 is a "patient search" screen displayed by operating the "patient search" key in the screen of FIG.

Fig. 31 is a schematic diagram showing an examination state in a state where an electronic cart is displayed on a display device;

32 is a "treat slip" screen displayed by operating the "treat" key on the screen of FIG.

33 is a "surgical slip" screen displayed by operating the "surgical" key on the screen of FIG.

FIG. 34 is a "image diagnosis set list" screen displayed by operating the "image" key in the input box of FIG.

35 is a screen for registering an image diagnosis set.

36 is a screen for inputting an image diagnosis set.

Fig. 37 is a diagram showing a ten-key area in which the display contents of numeric keys are changed by operating the " create new " and " modify " buttons on the " image diagnosis set registration " screen of Fig. 35;

Fig. 38 is a screen showing a state in which display items have been changed by operating the " part " key in the screen of Fig. 37;

Fig. 39 is a screen showing a state in which display items have been changed by operating the " direction " key in the screen of Fig. 37;

Fig. 40 is a screen showing a state in which display items have been changed by operating the " film " key in the screen of Fig. 37;

Fig. 41 is a screen showing a state in which display items have been changed by operating the "drug" key in the screen of Fig. 37;

Fig. 42 is a screen showing a state in which display items have been changed by operating the " material " key in the screen of Fig. 37;

FIG. 43 is a screen showing a state in which display items have been changed by operating the " map " key in the input box shown in FIG.

FIG. 44 is a screen showing a state in which a display item is changed by operating any of keys 1 to 8 in the input box shown in FIG. 21;

FIG. 45 is a list of map portions displayed by operating the "nutrition map" key in the input field shown in FIG.

Figure 46 is a "sema" screen displayed by operating a "sema" key in an input field displayed by operating "O" key in the ten-key area.

Fig. 47 is a flowchart showing the process in the case of selecting a medicine to be administered to a patient in the treatment;

48 is a flowchart showing inspection result display processing;

Fig. 49 is a screen displaying the inspection results in a table in time series.

50 is a flowchart showing graph display processing;

FIG. 51 is a graph obtained by the graph display process shown in FIG. 50;

52 is a flowchart showing prescription check processing.

Fig. 53A is a screen showing the display contents when it is determined that there is a problem with interaction and indications.

Fig. 53B is a diagram showing a drug information screen.

Fig. 54 is a list of inspection sets displayed on the screen shown in Fig. 21 by populating 8 " inspection "keys;

Fig. 55 is a test item display screen switched by operating a numeric key while displaying the test set list screen shown in Fig. 54;

FIG. 56 is an image diagnosis set list screen pop-up displayed by operating 9 " image " keys on the screen shown in FIG.

57 is an image diagnosis item display screen switched by operating a numeric key in a state where the image diagnosis set list screen shown in FIG. 56 is displayed;

Fig. 58 is a view showing a binder screen displayed in a window separate from the electronic carte.

Fig. 59 is a patient search screen displayed by operating the " patient search " key in the binder screen shown in Fig. 58;

Fig. 60 is a transfer destination selection screen displayed by operating a " Carte transfer " button in the binder screen shown in Fig. 581;

Fig. 61 is a diagram showing a ten-key area in a state where a print instruction and a print dialog are displayed;

Fig. 62 is a diagram showing a printing screen displayed by operating the " printing range " displayed on the screen of Fig. 61 by selecting a medical document of numeric keys;

Fig. 63 is a diagram showing a medical document selection screen displayed by operating the " printing " key on the screen of Fig. 61;

FIG. 64 shows a wizard screen displayed by selecting a medical document on the screen of FIG. 63; FIG.

FIG. 65 shows a Carte information screen displayed by operating the "Carte" button on the screen of FIG.

<Explanation of symbols for the main parts of the drawings>

1: input device

2: display device

3: storage device

4: control device

5: History column

6: patient

7: field

8: input check box

9: input confirmation column (confirmation display)

10: Tenkey area

11: menu area

[Document 1] Japanese Patent Laid-Open No. 2000-298693

TECHNICAL FIELD The present invention relates to an electronic carte device, particularly an electronic carte device which is characterized by the display content of an input key when inputting an illness name into the electronic carte.

Conventionally, as an electronic Carte device, medical information inputted in an input field of a medical information input screen is stored in correspondence with medical information names corresponding to the input fields, and the medical information is displayed on the Carte screen in a display mode that defines the medical information information. There are some (for example, patent document 1). According to this electronic carte device, when the treatment information name is selected in the treatment information input screen, the input field of the treatment information name is set in the treatment information input screen. In addition, when the treatment information is inputted in the set input field, the treatment information is displayed on the treatment information input screen in a doctor Carte form determined by the treatment information name.

[Patent Document 1] Japanese Patent Application Laid-Open No. 2000-298693

However, in the conventional electronic carte apparatus, when inputting medical information, the range is narrowed down to the contents which are desired to be input sequentially by clicking the left side in the corresponding column and selecting the displayed item. For this reason, when it is necessary to narrow down an item several times, such as when specifying an illness name, it becomes very troublesome. In addition, in general, ICD codes relating to corporal names are used more and more, and there is a need for a structure for effectively using these codes.

Then, an object of this invention is to provide the electronic carte device which can input an illness name easily.

The present invention is a means for solving the above problems, an electronic cart which displays an electronic carte on the display means, reflects an input data on the displayed electronic cartel based on an input operation by the input means, and reflects the input data. An electronic carte device comprising control means for storing a memory in a storage means,

The input means is arranged in a predetermined area and includes a plurality of input keys in which any one of a code number relating to a selectable corporal name or a character string relating to a corporal name is displayed, and an entire item displayed on the input key. Comprising a touch panel having a switch button for switching to any one of the code number related to or the string associated with the name of the sickness,

When the corpus name is input on the touch panel, the control means sequentially selects an item displayed on the input key, thereby sequentially converting the displayed item to a lower item, while an item of any hierarchy displayed on the input key. By operating the switch button in this displayed state, the display content on the input key can be switched to either a code number relating to a sickness name or a character string about a sickness name.

With this configuration, the name of the illness can be narrowed down from any item of the code number or the character string related to the trade name. In addition, since the display can be switched to any display format in the narrowing process, it is possible to efficiently specify the name of the illness.

Here, the code number for the sickness name is the ICD-10 code ("The 10th Amendment of the International Statistical Classification of Diseases and Related Health Problems" set by the World Health Organization (WHO)). Tenth Revison), etc. In addition, the string for the corporal name must correspond to the code number for the corporal name.

The input means is provided with a search means for narrowing the scope of the illness;

The control means displays the search screen by operating the search key, and makes it possible to search any of the code number relating to the sickness name or the character string related to the sickness name, and even if the code number or the character string to be input is partial. It is preferable to make it searchable in the range.

This configuration makes it possible to narrow the name of sickness with partial memory as a clue, and it is possible to greatly improve the efficiency of the search as well as the effect of changing the display item in the input key.

EMBODIMENT OF THE INVENTION Hereinafter, embodiment which concerns on this invention is described according to an accompanying drawing.

1 shows an electronic carte system according to the present embodiment. This electronic carte system is composed of an input device 1, a display device 2, a storage device 3, and a control device 4.

The input device 1 is composed of a keyboard, a mouse, a keypad, a touch panel, and the like. However, all input devices can be performed using only the input box 7 mentioned later, and a keyboard, a mouse, a touch panel, etc. may be selected arbitrarily by a user. A keyboard, a mouse, and the like are not particularly required, and operations can be concentrated using a keypad displayed on a touch panel.

The display device 2 is made of a liquid crystal monitor or the like, and part or all of the display device is made of a touch panel. On the display device 2, the keypad screen (tenkey area 10) shown in Fig. 2A is displayed on the lower right side as the initial screen as the input field 7, and the "resin list" screen (Fig. 28) is automatically displayed. The input field 7 is displayed on the lower right side so that the doctor can easily input with one hand while facing the patient, and both the patient and the doctor easily see different fields. However, the display position of the input field 7 can be set to an arbitrary position, assuming that the doctor is left-handed, and displayed on the lower left side of the screen. Number key, dot key ".", "UNDO" key, cancel key "C", scroll key "UP", "DOWN", "ENTER" key, function keys (F1 to F4), "S" key, " O "key," A "key and" P "key. In the initial screen, 1 "←" key, 2 "Carte display" key, 3 "→" key, UP key and DOWN key of the numeric keys can be operated. In addition, in the following description, the key means the operable area displayed on the ten key area 10, and the button means the operable area in other dialogs.

In the input field 7, when the 2 " carte display " keys are operated, the electronic carte of the patient who wishes to start the treatment from now on 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 in regions other than the input field 7 respectively. In addition, an input check box 8 is displayed by the input in the input field 7. The history column 5, the patient column 6 is displayed on the left side of the screen, the input check box 8, the input confirmation column 9 is displayed on the right side of the screen, and above the input field 7, respectively. At this time, by operating the 5 " Clinic " key, the displayed electronic cart is saved in a state in which it can be input.

In the history column (5), the contents of treatment, test results, prescriptions, etc. at the previous treatment are displayed. In Fig. 2B, a photographic image of the chest roentgen, contents of examination, examination results, prescription contents, and the like are displayed. The doctor can proceed to the examination while referring to this history column (5). Further, arrow keys (" " " and " &quot; &quot;) are displayed at the bottom of the history field 5, and it is possible to change the display by turning pages in the history column from side to side. In this case, it is preferable to make the display such as actually turning a page. By providing the page turning function in this way, it becomes much easier to see compared to using a conventional scroll bar.

In the patient column 6, information about the patient, that is, the name, date of birth, age, sex, address, medical history, etc. of the patient is displayed.

The input field 7 is composed of a ten key area 10 and a menu area 11. The menu area 11 displays corresponding contents in accordance with the operation in the ten key area 10.

In the ten-key area 10, when the "S" key is operated, the examination contents to be heard from the patient at the time of examination are divided into a plurality of items and displayed sequentially. The items to be displayed are the order in which the contents stored in the mice described later are stored in order of the related groups in a predetermined order.

Specifically, the display item of the input box 7 is shown in FIG. Here, 1 "major disease" key, 2 "check-up" key, "UNDO" key, cancel key "C", function key (F1 to F4: question mark), "S" key, "O" key, " Only A "key and" P "key can be operated.

Here, when one "major disease" is operated from the numeric keys of the input field 7 shown in FIG. 3, the keyboard input screen shown in FIG. 4 is displayed in a separate window, and the symptoms or the like (major disease) that the patient complains of are displayed. You can type directly on the keyboard. If the contents of the questionnaire already filled out by the patient before the examination have been entered at the reception, it is possible to call up and copy the contents of the questionnaire by operating the "question mark" key. The data input by the keyboard can be registered by operating the "register" key, and the registered contents can be called out by operating the "call" key.

When two "Contacts" are operated with the numeric keys of the input field 7 shown in FIG. 3, the "Contacts" screen shown in FIG. 5 is displayed in a separate window. In the input field 7, an item relating to a symptom is displayed on each numeric key as shown in FIG. Also, keys that cannot be operated are displayed in dim color (meshed on the screen). For example, when one " fever " is operated, as shown in Fig. 7, the display content on each numeric key is changed to the content indicating when the selected symptom starts. In addition, the "SKIP" key is displayed, and the entry determined as unnecessary can be omitted. At this time, the "Paper" screen displays the items required when selecting "Fever", that is, "from when", "to some extent", "with or without chills", and the current item is highlighted. Is displayed. Therefore, what can be input at a glance can be seen at a glance, and it becomes possible to judge unnecessary items on the spot.

In this way, whenever the input of the symptom appealed by the patient is finished, the "ENTER" key is operated to display in the input confirmation column 9. If an input is missed, the "UNDO" key can be used to return to the state before the input. For example, when a major disease is input by operating the "S" key, any input step can be sequentially returned by operating the "UNDO" key. In addition, even when the "O" key is operated after completing the input of the main disease and operating the "ENTER" key, it is possible to return to the main disease input state by operating the "UNDO" key. However, if the input is started after the operation of the "O" key, it is possible to return from the input only by operating the "UNDO" key, and does not return to the main disease input.

When the "O" key is operated in the ten key area 10, the display item of the input box 7 is changed as shown in Fig. 8A.

As a result, when there is an image diagnosis with no input, the " image " key is displayed in an operable state as a valid key. If there is only one image diagnosis without input, the " image diagnosis result input " screen shown in Fig. 8B is displayed in a separate window. In addition, if the result of non-input image diagnosis is 2 or more, the "Inspection execution date selection" screen shown in FIG. 8C is displayed, and when either is selected, the "Image diagnosis result input" screen shown in FIG. 8B is similarly displayed in a separate window. . By operating the "Image acquisition" button on the "Image diagnosis result input" screen, the "Image acquisition" screen is displayed, and the film of an image is read (however, it is also possible to acquire an image using a film scanner). Then, when the "image acquisition" screen is closed, the acquired image is displayed on the "image diagnosis result input" screen. The doctor can view the displayed image and enter the findings. It is possible to use a keyboard for input.

In the input field 7 shown in Fig. 8A, by operating the 1 " remark " key to switch the item display as shown in Fig.8D, and operating the " free word " key, the " keyboard input " It is displayed in the window, and the character input by the keyboard becomes possible. In this case, if the same findings (no patient distinction) have been input in the past, the call can be made by operating the "call" key in the learning field. It is also possible to register data input via the keyboard by operating the "register" key.

When the " systemic 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 each item for inputting opinions regarding the whole body can be entered.

Each input item is provided with a check box, and the input is completed simply by checking the corresponding side with a pen or a mouse.

In addition, when the "individual finding" 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 "neck" key is operated on this screen, the "neck" screen is displayed as shown in Fig. 9B, so that the check boxes of each displayed item may be checked.

In addition, as an input system pattern, numerical input etc. besides the said check box are mentioned. In addition, the name and number of selection items of a check box can be set freely.

When the "A" key is operated in the ten key area 10, the display of the numeric keys is switched as shown in FIG. In addition, the " patient name management " screen shown in Fig. 11 is displayed in another window. When one of the " corruption name " keys is operated in the input field 7, the numeric keys are switched as shown in Fig. 12, and the corporal name can be searched by five different methods. That is, the numeric keys are represented by 1 "Frequency Search", 2 "Classification Search", 3 "Keywords", 4 "Acute Diseases" and 5 "Chronic Diseases". have.

Although details will be described later, when the " free search " key is operated, as shown in Fig. 13A, the numeric keys are switched to the poor hospital name, and if the corresponding sick name is selected here, the name of the sick person selected from FIG. Is displayed on the screen. 2 By operating the "Category search" key, the name of the illness can be narrowed down in the order of the major, medium, and small classifications specified in ICD 10. Even if it is displayed in any hierarchy, it is possible to switch to either the code number of ICD 10 and the corresponding Japanese display (string) by operating ICD 10 (corruption name) displayed in F1. When the " keyword " key is operated, the keyword input search screen shown in Fig. 13B is popped up, so that it is possible to specify the name of the sickness by inputting a keyword or the like on this screen. When operating the "acute disease" key, the name of the sickness classified as an acute disease is indicated by each numeric key. When operating the "chronic disease" key, the name of the sickness classified as a chronic disease is displayed by each numeric key.

In this way, when the name of the illness is selected, and the input to the "management of illness name" screen is completed, the input field 7 is switched as shown in Fig. 14A, and one "relapse" or two "suspect" keys can be selected. . For example, in the "Relapse" column of the "Portrait Disease Management" screen, the initial value is blank, and by operating the "Relapse" key, the recurrence character is displayed, and the operation is returned to the blank.

In addition, when the " modifier word " key is operated in the input field 7 shown in FIG. 14A, the displayed items are switched as shown in FIG. 15, and the modifiers can be searched by one " 50 tone " key or 2 " keyword " keys. Become. When one of the "50 tone" keys or the "keyword" key is selected, the input field 7 is switched as shown in Fig. 16, and the insertion position (1 "prefix" or 2 ") of the modifier to be input is selected. Suffix ") becomes selectable. In this case, when the insertion position of the modifier is selected, the display of the input field 7 is converted as shown in FIG. Therefore, as shown in Fig. 19, by selecting one "row" in Fig. 17 and one "a" in Fig. 18, a list of modifiers is displayed. The modifier is inserted at a selected location before or after the already entered sickness name. In the case of incorrect input of a modifier, the selected modifier can be displayed by operating the " delete " key shown in FIG. 15, and the modifier can be deleted by operating the key on which the modifier is displayed.

When the "determination" key shown in FIG. 14A is operated after the input regarding the illness name, the observation date is automatically input at the start date of the illness name, and the display of the ten key area 10 is switched to the contents shown in FIG. If it is necessary to enter the previous command, it is possible to operate the 3 "backward" keys. As a result, as shown in Fig. 20, the display of each key in the input field 7 is switched to the item relating to the previous step, so that any item may be selected and entered.

In this way, the doctor's consultation input can be completed by the input processing in the input field 7 starting from the illness name and ending with the final ear.

When the "P" key is operated in the ten key area 10, the display items are switched as shown in Fig. 21, and each item relating to the future treatment plan of medication, treatment plan, treatment, instruction (education to the patient, etc.). Can be input.

In the input field 7 shown in Fig. 21, when any key relating to the dosage of 1 to 3 and the injection of 4 is operated, the 50 tone selection key indicated by " a row " to " wa row ", " DO " key, " The screen is switched to the "Drug selection" screen, such as an appointment "key. If the drug name is known, it can be selected by the 50 tone selection key. However, it is possible to select by drug efficacy, not the name of the drug. In this case, what is necessary is just to change the display content of a numeric key as shown in FIG.

By the key operation, the range of the medicine can be narrowed, and as a result, as shown in Fig. 24, the medicine name can be displayed and the corresponding one can be selected. After drug selection, the dose is entered by operation of the numeric keys and the "ENTER" key. At this time, since the dose is displayed for each medicine in advance in the input check box 8 shown in Fig. 2B, only the " ENTER " When the dose is input and the " ENTER usage " key shown in Fig. 22 is selected, the displayed contents of the numeric keys are converted into the contents regarding the taking period as shown in FIG. In an initial display, the symbol which is conventionally used for description of Carte by the doctor conventionally is displayed. On this screen, the display contents can be changed sequentially by the operation of the arrow keys. Once the usage is chosen, the display is converted back to the number of days administered. By selecting the dosing days, the usage input is completed and the display contents of the numeric keys are converted into a final decision screen (not shown), not shown.

If there is no mistake in the input prescription, the contents are confirmed by operating the "ENTER" key in the final decision screen. If you need to modify or delete it, you can operate the "Modify" key and "Delete" key. Since the medicine name already entered by the key operation is displayed by the numeric keys, the contents can be corrected and deleted by manipulating the corresponding medicine name. In addition, when adding a new medicine, the "Add" key can be operated.

In the case where the same prescription data as the history has already been used, the corresponding data (DO list) can be called as shown in FIG. 26 by operating the "DO" key shown in FIG. This data is automatically registered as history data when a new input is made.

In addition, when prescribing a predetermined medicine, such as a cold, for example, it is possible to register the medicine prescribed in advance and operate the "promise" key to call up the registered data. That is, by operating the "appointment" key, the "appointment prescription set" screen shown in Fig. 27A is displayed. By selecting the appointment prescription set (here, the prescription for hypertension and cold) is displayed on this screen, the prescription prepared in advance can be called up. The prescription set is created from the "appointment prescription set registration" screen shown in FIG. 27B. In this screen, an "underwear" key, a "pistol" key, and the like are provided at the top, and a list of the corresponding prescriptions is displayed at the bottom by selecting either. When the "New" button or the "Modify" button is operated in the "Register appointment set" screen, as shown in Fig. 27C, the "Promise prescription set input" screen integrated with the input box 7 is displayed. New input or correction is performed.

In the input check box 8 shown in Fig. 2B, the medical contents, the prescription contents, etc. inputted in the input field 7 are displayed, and it is possible to confirm the input contents once.

The input check box 9 shown in Fig. 2B is input at this time of treatment, and the result of the examination and the like are displayed in addition to the confirmation of the treatment contents and the prescription contents displayed on the input check box 8.

When the initial screen shown in Fig. 2A is displayed, the " determination list " screen shown in Fig. 28 is automatically displayed. The "Recipient List" screen is displayed automatically. The "List of Patients" screen includes "No", "Reception Time", "Standby (Standby Time)", "Patient ID", "Name", "Age", "Status", "Confirmation", "Second / Refresh", A list of banks consisting of columns of "Payment" is displayed. "No" represents a number assigned in the order of receiving the information from the reception. "Reception time" indicates the time when the patient has completed the reception. In addition, "wait (wait time)" shows the elapsed time from "reception time" to the present. Your doctor may use this time as a reference to worry about not getting too long. "Status" displays the current status of each patient, such as waiting for a consultation. In the "Contact Questionnaire", each patient's questionnaire is made before the examination, and whether or not the input to the present system is completed is indicated by "○" (input completion) or "×" (not input). "Seconds / Ashes" indicates whether each patient is first visited (seconds) or whether he or she has been consulted before (seconds).

In addition to the items such as "Date", "Today", "Standby End", and "Stop", the "Calendar" button, "Patient Search" button, "Carte Display" button, and "End of Care" Button, "log off" button, "configuration" button and "binder" button are displayed. By operating the " calendar " button, the calendar shown in Fig. 29 can be displayed in a separate window. By selecting the desired date in the calendar, a list of the numbers of the selected days can be displayed. This calendar is available in all cases where date input is required. In addition, when the electronic Carte of the patient displayed on the "list of reception" screen is displayed, it is sufficient to select the row in which the corresponding patient name is displayed and operate the "Carte display" key. In addition, by operating the "Patient Search" button, the "Patient List" screen is closed, and the "Patient Search" screen shown in FIG. 30 is displayed, and the patient's name, patient ID, etc. can be inputted, and the "Search" By operating the button, the corresponding patient list can be displayed. In the case where the electronic Carte of the patient displayed in the list of search results is displayed, the row of the corresponding patient name is selected in the same manner as above, and the "Carte display" button may be operated. In addition, Carte's display can be performed by operation in the tenkey area | region 10. FIG.

When the 1 " " key shown in Fig. 2A is operated, the contents of the displayed cartes are switched to those of the patient before one from the cartes currently displayed. Selecting the 3 "" keys also switches to the patient's back from the currently displayed Carte. As a result, it is possible to move to the next patient's examination when the contents of the patient's care are reviewed again, or when it takes time by taking a roentgen, a score, or the like.

In the input field 7 shown in Fig. 21, when one " treatment " key is operated, the " treat slip " screen shown in Fig. 32 is displayed, and the medical actions related to the treatment can be listed. In the medical activity list, the contents of treatment from the first visit are displayed in time series. In this screen, you can select the contents of the treatment, the medicines and ingredients used in the treatment.

In addition, when seven "operation" keys are operated in the input field 7 shown in FIG. 21, the "surgical slip" screen shown in FIG. 33 is displayed, and a list of medical activities related to the operation is displayed, and the medicines, injections and materials used in the operation are shown. Can be selected.

In the case of inspecting a plurality of predetermined items, it is possible to call up the registered data by registering the inspection item to be performed in advance and operating the "inspection" key. When the 9 " inspection " key is operated in the input field 7 shown in Fig.21, the " inspection set list " By selecting the corresponding set name in the "Inspection set list" screen, the selected contents can be reflected in the electronic cart. The display contents in the "test set list" screen may be newly entered or modified in the "test set registration" screen (not shown) which is the same as the "medical prescription set registration" screen.

In the input field 7 shown in FIG. 21, when the "image" key is operated, the "image diagnosis set list" screen shown in FIG. 34 is displayed. In the "Image diagnosis set list" screen, by selecting the corresponding set name, the selected contents are reflected in the electronic cart. The display contents on the "image diagnosis set list" screen can be newly entered or corrected on the "image diagnosis set registration" screen shown in FIG. The "image diagnosis set registration" screen is composed of a classification button, a list and other buttons. The classification button is composed of a plurality of buttons according to the type of shooting, such as an "X-ray simple" button and an "X-ray contrast" button. For example, when operating the "X-ray simple" button, a list of set names already registered for X-ray simple shooting is displayed, and contents can be modified by selecting a set to be modified and operating the "edit" button. Become. The other buttons are composed of a "new creation" button, a "modification" button and the like. For example, when there is nothing corresponding to the list, when registering newly, and when changing registered contents, by operating any of the other buttons, the screen is switched to the "image diagnosis set input" screen shown in FIG. Input can be performed.

In the " image diagnosis set registration " screen, when the " new creation " button is operated, the display of each key in the input field 7 is changed to each item necessary for image diagnosis input as shown in FIG. Operation of the " part " key changes contents indicating the parts of the body as shown in FIG. The operation of the two " direction " keys is changed to the contents indicating the shooting direction as shown in FIG. In addition, when the 3 " film " key is operated, it changes to an item indicating the size of the film as shown in Fig. 40. Therefore, the format of the film can be selected by selecting the size, entering the number of sheets with the tenkey, and then entering the number of fractions. After inputting the fraction number, it is possible to continuously input a plurality of films without operating the "ENTER" key. When the 4 " pharmaceutical " key is operated, the displayed content of the ten key is changed to an item which can select the type of drug, as shown in FIG. Therefore, the type of the medicine can be selected by selecting the type of the medicine, selecting the medicine on the changed screen, and inputting the dose again on the changed screen. After inputting the capacity, the point which can be continuously inputted without operating an "ENTER" key is the same as that of the said film. In addition, when the 5 " material " key is operated, the content is changed to the content composed of a material (mechanism) used for image diagnosis as shown in FIG. By selecting a material and inputting the quantity, it is possible to select the type and quantity of the material used for the image diagnosis. In this case, as in the above, continuous input can be performed without operating the "ENTER" key. In addition, when there is a correction or the like, new creation, addition, and deletion are possible by operating a "new creation" button, an "add" button, and a "delete" button.

In the input field 7 shown in FIG. 21, when the 9 " map " key is operated, the display of each key of the input field 7 is changed to the contents indicating the classification of the map as shown in FIG. The classification of the map consists of, for example, medication, nutrition, life, exercise, public health and infection prevention, home care, pharmaceutical management, and the like. Here, when any of the displayed keys 1 to 8 is operated, the display of each key of the input field 7 is changed again as shown in FIG. By operating the "map door" key here, the tenkey can be operated. When a certain tenkey is operated, a list of map statements is displayed in another window. 45 shows an example of the map text displayed by operating the "nutrition map" key. Thereby, the registered map text can be selected by Tenkey. In Fig. 21, when the " Care Plan " key is operated, the " keyboard input " screen shown in Fig. 4 is displayed, so that it is possible to input the treatment screen using the keyboard.

As shown in Fig. 1, the memory device 3 stores data as shown below in various tables such as a medicine mask, a sickness mask, a medical action mask, a search menu master, and a table of medical examination tables. .

The medicine master stores data on the medicine (pharmaceutical), for example, the name of the medicine, the drug code number, and the medicine. By the way, do you have different medicines depending on the hospital? Therefore, the medicine master plugs the medicine to be handled to narrow down the medicine for reference. As a result, a common drug master can be used to build a database of drugs for each hospital. Further, by narrowing the data, it is possible to search and display at high speed.

In the disease master, items related to symptoms (symptom items) are stored.

The medical practice master stores the contents necessary for medical practice, such as items related to the method (time of administration, number of doses) and sites of each medicine, that is, items indicating the symptoms of the body (site items).

The search menu master stores data for selecting a type of search such as 50 sound selection and Aiueo selection.

The information confirmed in the input confirmation column 9 of Fig. 2B is stored in the medical examination table.

In the result table, inspection results from an inspection consignor (inspection company) and the like are obtained via electronic media such as the Internet, ED (floppy disk), CD-ROM, and the like.

As shown in FIG. 1, the control apparatus 4 is comprised from an input keypad acceptance control part, an input keypad display control part, etc. As shown in FIG.

The input keypad receiving unit controls the display of the display device 2 on the input buffer screen (temporary display unit) while leaving a progress log on the basis of the input signal from the touch panel or the keypad.

The input pad display control unit controls the display of the input box 7 and the menu window screen based on the progress log. Input field (7) captures the progress log and displays context menu contents in a menu configuration table.

In the menu structure table, since the items inputted in the input field 7 are multifaceted such as usage, drug name, site, etc., various types of masters are not directly accessed, but are called once in this table and used for display processing. The menu configuration table includes, for example, the corresponding master file name, the use of keys, the number of menu items, the presence or absence of display of the menu area 11, and the like.

Next, operation | movement of the electronic carte system which consists of the said structure is demonstrated.

In the initial screen shown in Fig. 2A, the input field 7 is displayed at the lower right of the display area 2, so that in the case of the examination, the operation number 5 of the patients whose examination has not been completed is operated by operating the 5 " diagnosis " key. Mark the electronic carte of a small patient. If it is not the patient to be examined from now on, the electronic key to be displayed is changed as shown in Fig. 28 by operating the arrow keys. In addition, since the list is automatically displayed, it is also possible to select the corresponding patient from the list of visits. In the displayed electronic carte, the patient column 6 displays personal information such as the date of birth and the address of the patient, and if there is a past carte, the contents thereof are displayed in the history column 5. However, it is preferable not to initially display the item etc. which are not desirable to show to a patient. For example, a tab key may be separately provided for an item whose initial display is not desirable (cancer, infectious disease, sexually transmitted diseases, etc.) and may be displayed only when this tab key is operated.

If there is a test result other than the past Carte, the test result is automatically popped up to perform the test result display process shown in FIG.

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

Moreover, the reference value regarding the inspection item corresponding to the said inspection result is read from an inspection master (step S101). Then, the read test result is compared with the reference value (upper limit value and lower limit value) (step S102). Then, the result of the comparison is popped up on the screen (step S103). In this case, if the inspection result is out of the reference value, it is judged to be abnormal, and only the abnormality is highlighted (for example, red). When the upper limit value is exceeded, "↑" is displayed and when the lower limit value is lowered, "↓" is displayed respectively. Here, an item to be posted to Carte is selected (step S104). The inspection result about the item is posted to Carte (step S105). As for the electric item of Cartero, for example, a check box is provided in each of the inspection items, and only the checked items need to be posted. In this case, the initial setting may be selected from, for example, "checking only an abnormal value", "checking all", and "not checking". Moreover, even if it is a normal value, even if the change from a previous test result is large and an abnormal value does not need to worry so much, it is possible to select an electric item.

(Medical input)

When the electronic Carte of the patient to be examined is displayed, as shown in Fig. 31, the examination can be proceeded while referring to the electronic Carte which the doctor and the patient faced and displayed with the display device 2 interposed therebetween. In this case, since the input field 7 is displayed on the lower right side of the screen, the patient can also proceed to the examination while viewing the displayed contents so that the contents of the electronic cart can be easily seen.

In the input of the examination contents, the "S" key of the input field 7 is operated to switch the input field 7 to the content shown in FIG. If the contents of the questionnaire are already registered, the corresponding questionnaire contents are copied to the electronic cart by operating the "question mark" key. If the contents of the questionnaire are not registered, 1 the "major disease" key is operated, and the "keyboard input" screen shown in Fig. 4 is displayed to input the main disease (patient appeal) by the keyboard.

When the input of major diseases is finished, the "OK" key is operated to close the "Keyboard input" screen. Then, the 2 "Contact" key is operated to display the "Contact" screen which is the input check box 8. At this time, the display of the numeric keys of the input field 7 is changed to the content for symptom input shown in FIG. Thus, the corresponding one is selected from each symptom displayed in the input box (7). If none exist, change the display with the arrow keys.

When the symptom is input, the "Contact Us" screen displays the contents and all necessary questionnaire contents for the entered symptom are displayed. For example, if "fever" is selected as a symptom, "fever", "from when", "to some extent" and "with or without chills" are displayed on the "Confirmation" screen. The entry "from when" is required for input is highlighted. Therefore, you can see at a glance what to enter. In addition, the display content of the input field 7 changes from symptom to time. In addition, if input of the item is not necessary, the "SKIP" key can be operated to move to the next item. At this time, the highlighted item is changed. Input is made according to the display content of the input field 7 which is changed sequentially after that. As a result, all the items required for medical examination can be entered.

When all the input of the examination result is completed, check the display on the "Contact Us" screen and correct as necessary. When the correction and confirmation are finished, the "ENTER" key is operated. Thereby, the display contents on the "Contact Us" screen are erased and displayed in the input confirmation column 9, and the input contents are reflected in the carte.

(Input comment)

When the input of the examination contents is completed, the finding, that is, the symptom recognized by the doctor is input by operating the "O" key of the input field 7. By operating the "O" key, the display items in the input field 7 are switched for input of opinions, and in the input field 7 shown in Fig. 8A, 1 "research", 2 "inspection", 3 "image", 4 "sema" 5 Each key of "Testing force" is displayed.

1 When the "remarks" key is selected, the display items in the input field 7 are changed to "systemic remarks" keys and "individual remarks" keys as shown in Fig. 8D.

By operating the "systemic findings" key, 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 can be sequentially checked with a pen or a mouse.

In addition, when the "individual opinion" key is operated, each numeric key in the input field 7 is changed to a display indicating a part of the body, so that the corresponding input is operated to display the "input input" screen, and as shown above, Just check the checkbox. For example, when the "neck" is operated, the "neck" screen shown in Fig. 9B is displayed as another window as the "remark input" screen. In the "cervical" screen, there is a cervical examination column and a cervical palpation column, each of which consists of thyroid hypertrophy, cervical lymphoma hypertrophy, parotid hypertrophy (consists of check boxes of "Yes", "None", etc.). It is. The doctor can check any of the check boxes of each item with a pen or a mouse.

2 Select the "Inspection" key to display a list of the completed inspection results. And the displayed test result is reflected in the corresponding location (input check box) of an electronic cart by manual input or automatic input.

3 When the "Image Diagnosis" key is operated, if there is an image taken by Roentgen or the like, a separate window is displayed. The doctor judges the symptoms on the basis of the displayed image and displays the next semaphore screen as needed for use as an explanation for the patient.

4 When the "sema" key is operated, the "sema" screen shown in FIG. 46 is displayed. Since a plurality of body part images registered in advance are displayed on the "sema" screen, when an image of a disease part of a patient is selected from among them, the image is enlarged and displayed in an edit field. When a part, symptom, etc. are written in an image using a pen, a mouse, or the like, and an “Attach to Carte” button is operated, the image is displayed in a reduced size on the electronic cart. If the "image" key is operated, the "image diagnosis result input" screen is displayed. By operating the "Acquire Image" button on the "Image Diagnostic Result Input" screen, the "Acquire Image" screen is displayed and the image file is read. However, image data can also be acquired using a film scanner. When the "Image acquisition" screen is closed, the acquired image is displayed on the "Image diagnosis result input" screen, and the image diagnosis result can be input while referring to this image. After inputting the image diagnosis result, when the "Close" button of the "Image diagnosis result input" screen is operated, the input content is displayed on the electronic cart. When the image displayed on the electronic cart is double-clicked, the image is enlarged and displayed in the edit field of the "sema" screen. Accordingly, an image can be instructed using a pen, a mouse, or the like, and the disease site can be easily explained to the patient.

5 When the "Test Force" key is operated, the last test result is displayed. In this case, the inspection item can be selected from the displayed list (up to five items can be selected here), and the inspection result can be displayed in time series or graph display. That is, by selecting the test result desired for display and operating "time series display" or "graph display" displayed on the numeric keys, the format can be changed and displayed as follows.

When " time series display " is operated, the numerical value of the inspection result is displayed in a list consisting of dates for each selected inspection item as shown in FIG. By operating "graph display", the graph display processing shown in FIG. 50 is started.

In the graph display process, first, the reference value of the corresponding inspection item is narrowed from the inspection mouse (step S110), and the scale display value is calculated (step S111). Then, the 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 the same position despite the difference between the inspection items. And 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 inspection item can be matched and displayed. Subsequently, the inspection result is displayed on the graph (step S113).

Fig. 51 shows an example in which the test results are graphically displayed. In this graph, the inspection items A and B are shown by 2 columns of the left column, and the upper limit value and the lower limit value of the inspection reference value of each audit item are displayed in the same position. And the test result over four times is shown by the broken line graph. The inspection item and the broken line graph are color-coded for each inspection item, and it is possible to know at a glance which results are due to which inspection. In this way, even if there are a plurality of test items, the width of the normal range is matched and displayed, and the test results are displayed in a line graph or the like, so that the tendency of change of each test result can be easily identified. It is possible to easily determine whether or not. Therefore, explaining the graph to the patient with reference to the graph makes it an effective tool for informed outlets because it is visually understandable.

Moreover, when a mouse is moved to the part which shows the name of the test | inspection item corresponding to each broken line graph, the consultation criteria etc. corresponding to this test | inspection item are popped up. 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, and thus a display indicating that is made. Therefore, the doctor can display information to be careful in determining the examination result, such as the examination criteria of each inspection item, if necessary, and thus it is very convenient that the user does not deliberately examine the book or make an incorrect advice.

(Insert input)

When the input of the findings is completed, by inputting the "A" key in the input field 7, the input of the assessment, that is, the diagnosis content for the symptom is input.

As shown in Fig. 10, as shown in Fig. 10, 1 " sickness name " key, 2 " feedback " key, 3 " electric " key, 4 " modify " key and 5 " delete " key are selected. To operate.

When operating the "Sickness" key, the numeric keys display 1 "Frequency Search", 2 "Classification Search", 3 "Keywords", 4 "Acute Diseases", 5 "Chronic Diseases", and 6 "Candidate Diseases". Is changed to If a search method is selected, it is searched according to the selected method.

1 When the "Frequency Search" key is operated, the display of the numeric keys is changed to the common sickness name (Frequency sickness name). That is, 1 "feel", 2 "type 2 diabetes"... And the like is selected from among them. In addition, the poor sickness name counts the sickness name determined by the doctor in the past, and the order of the frequent sickness names is displayed in order from one of the numeric keys.

2 When the "Classification Search" key is operated, the display item of the numeric keys is switched to a character string (or ICD 10 code number shown in Fig. 14D) corresponding to the major classification of ICD 10 shown in Fig. 14C. When the numeric keys (9 " circulators ") in which the character string corresponding to the corresponding major classification (here, the word corresponding to the major classification represented by Japanese) are displayed are operated, the display contents of each numeric key are selected as shown in Fig. 14E. The character string (or ICD 10 code number shown in Fig. 14F) corresponding to the subclass belonging to the major category is switched. When the corresponding numeric key (2 "chronic rheumatic renal disease") is selected from the displayed character string, the display contents of each numeric key are displayed in the character string corresponding to the subclass belonging to the selected subclass as shown in Fig. 14G (or as shown in Fig. 14H). ICD 10 code number). In this manner, the name of the illness can be narrowed, and finally, as shown in FIG. 14I (or ICD 10 code number shown in FIG. 14J), the illness name can be switched to a selectable display so that the illness name can be specified. That is, the doctor can easily specify the name of the illness while making a general expectation. In addition, ICD 10 (classification) is displayed on the F1 key, and by operating this key, it is possible to switch the display contents of each numeric key to either a character string or a code number. This key can be operated even when any of the major, medium, and minor categories is displayed, and can be changed to the corresponding notation. In the case of the code number, the number of display characters is small, so that even if the number keys are used, the entire characters can be displayed in a size sufficient to be recognized. Therefore, when a code number is stored up to a certain hierarchy, narrowing of the name of the illness is performed according to the code number, and after that, it is possible to input a very efficient input such as switching to a character string and specifying the name of the illness. .

When the " keyword " key is operated, the keyword input search screen shown in Fig. 13B is popped up. By inputting a keyword or ICD 10 code and operating a search button, a list of sicknesses containing the entered keyword or ICD 10 code is displayed. That is, you can search for a wound disease name that contains only keywords, only ICD 10 codes, or both keywords and ICD 10 codes. Fig. 13B shows an example in which only hypertension is entered and searched as a keyword.

When the "acute disease" key is operated, the item displayed on the numeric keys becomes a disease name for an acute disease, and when the 5 "chronic disease" key is operated, it becomes a disease name for a chronic disease. Incidentally, the displayed sickness name is displayed in order from the 1st number key in order in the poor sickness name in the same manner as in the case of operating the "Facility search" key. In this way, since it is divided into acute disease and chronic disease, it can be collectively classified into a common disease name that can be easily judged by a doctor, and it becomes possible to narrow the number of disease names that can be displayed. In addition, since the numeric keys are displayed in order from the highest frequency of use, the name of the illness can be easily specified.

In addition, the 6 "candidate sickness" key is for displaying a list of indication sicknesses for prescribed medications. If it is not prescribed or if the prescribed drug does not have an indication disease, it is grayed out and becomes inoperable.

In this way, when a corridor name is specified by operating each key, the display contents of the numeric keys are switched to "recurrence", "replay", and "suspect".

If the disease is one of recurrence, recurrence, or suspicion, it is reflected in the Carte content by manipulating "relapse", "replay", or "doubt". Then, a modifier is input as necessary. Even if the same disease name is chronic or acute difference because the treatment method is different.

In the input of the modifier, the input field 7 selects either a "50 tone" key or a "keyword" key.

When the "50 tone" key is operated, the display contents of the numeric keys are switched to 1 "prefix" and 2 "suffix". When either one is selected, the display contents of the numeric keys are switched to the rows of each 50 consonants (a line, a line…). When either is selected, the display contents of the numeric keys are switched to the stages of each vowel (a, e, right, e, o). If any one is selected, the first character is specified, and a list of modifiers starting with the specific character is displayed. Select one of the displayed modifiers. As a list, only nine modifiers corresponding to the numeric keys 1 to 9 can be displayed here. When there are more than nine modifiers, the display contents are switched by operating the "UP" key or the "DOWN" key. Can be selected.

In the operation of the " 50 tone " key, the number of lists to be displayed on the numeric keys is limited to nine, and the space (display field) to be displayed is preferably minimized so that the content portion of the electronic cart can be displayed large.

When the "Keyword" key is operated, the keyword selection screen is displayed. When a character or the like is input by the keyboard and the "Search" key or the "ENTER" key is operated, the corresponding modifier is displayed (when the keyword is entered halfway). , The corresponding modifier is displayed as a list), and the desired modifier can be selected.

In addition, by operating the "alphanumeric" key in the input box, it is possible to search by number or alphabet. In this case, the numbers and the alphabet may be displayed and selected on the numeric keys as in the case of the operation of the above-described "50 notes" key.

In this manner, according to the above-described input method, it is possible to easily select a common disease name mainly on the operation of the numeric keys.

In addition, when the "classification search" key is operated, the name of the illness can be selected by narrowing down the order of large, medium and small. Each classification corresponds to each classification in the International Statistical Classification of Deseases and Related Health Problems, Tenth Revison (ICD-10), as defined by the World Health Organization (WHO). I shall do it. Then, the above-described input is performed, such as input of suspicion of recurrence and input of a modifier.

In FIG. 14I, when the input (selection) of the sickness name is completed, the screen is switched to the final decision screen shown in FIG. 14B, so that the sickness name entered here corresponds to any one of 1 "major disease name", 2 "minor disease names", and 3 "disease names". Choose whether or not. Here, 1 "main disease name" refers to a condition diagnosed at the end of the episode of insurance care mainly based on the need for treatment or examination of the patient, the name of the disease that caused the hospitalization, the name of the hospital most committed to medical care, and discharge from hospital. For example, at the head of the summit. In addition, 2 "side disease names" correspond to the onset at the time of hospitalization and the onset of after hospitalization. In addition, 3 "a disease name" does not correspond to either a main disease name or a secondary disease name.

In this way, when the main disease name or the like is selected, the start date of treatment is automatically input to the entered disease name. In the case of correcting the date automatically input, it is possible to change the start date by operating the "modify start date" key.

In addition, if one "suspect" key is selected in the screen shown in Fig. 14A, three "disease names" are selected in the range shown in Fig. 14B, or four "acute diseases" are selected in the screen shown in Fig. 12, In Carte, the scheduled end date and electricity are automatically input as shown in Fig. 14K. The reason for automatically entering the end date is that, in the case of doubt, the name of the illness is specified in subsequent medical examinations, and it does not remain as a doubt. This is because, in the case of a disease name, it is an auxiliary which does not correspond to any of the main disease name and the secondary disease name. This is because, in the case of an acute disease, it is appropriate to be treated chronically rather than acutely after a certain period of time. In the case of the sickness name in which the scheduled end date has been input in this manner, a warning dialog shown in FIG. 14L is displayed when the scheduled end date has not yet been determined or has not been entered. As a result, the doctor can confirm without leaving the device unattended. Moreover, it becomes possible to reliably perform pseudo accounting. In the case where the disease name is selected, as shown in Fig. 14M, the electronic cart is lightly displayed so as to be inconspicuous. As a result, when the electronic carte is later seen, the main or secondary names can be distinguished, and there is no mistake in what the treatment is mainly for.

In addition, the front ear is input when a symptom changes. The input items are displayed on the numeric keys of the input box 7 and reflected in the cartes by manipulating the corresponding items. In the input of the end date, the calendar can be displayed to easily specify the date by operating the "Calendar" key.

(Enter treatment plan)

When the input of the assay is completed, the "P" key of the input field 7 is operated to input the treatment plan, such as treatment plan input, treatment, and education to the patient. Here, each numeric key contains 1 "underwear", 2 "piggy", 3 "outer", 4 "injection", 5 "self-injection", 6 "treatment", 7 "surgery", 8 "inspection", 9 "images" 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 (any one of 1 " inner ", 2 " money ", 3 " outer ", 4 " injection ", 5 " self-scanning " Narrow your choices. This key operation changes to the screen shown in Fig. 22, so it is determined whether the DO prescription or the appointment prescription is made (step S2). In the case of prescribing the same prescription as the one left in the history data, the "DO" key is operated, and in the case of prescribing a determined medicine such as a cold, the "promise" key is operated. The list of medicines prescribed by this is displayed as a menu area 11 (step S12). Therefore, if a corresponding medicine is selected from the displayed list (step S13), input operation can be performed simply. In addition, it is determined whether 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.

In addition, if neither DO prescription nor appointment prescription is used, a general search is performed. Here, the corresponding medicine is specified by operating the 50 tone selection key (step S3). For example, in the case of selecting the letter "Y", "O" is operated in Fig. 22, and the display contents are switched from "A" to "O" to select "Y". When the first letter is specified by the operation of the 50 tone selection key, the drug names starting from the letter are displayed as a list, for example, as shown in Fig. 8 (step S4). (Step S5). If there are many medicines on the displayed list, the number displayed on the list can be narrowed by entering the second character.

When the medicine to be prescribed is specified, the dose is input (step S6). The input of the capacitance is performed by numerical input using the tenkey. If the dose is determined, it is determined whether there is an addition of the medicine to be selected (step S7). If there is an addition, the flow returns to the step S1 and the above process is repeated, and if no addition is made, the usage is input (step S8).

In the input of the usage, the display content of the input field 7 is changed as shown in Fig. 25, and the symbol used for the input in the paper cart is conventionally available.

Specifically, the symbol shown by the numeric key 1 means that the meal should be taken after "minute 3 meals", that is, after every meal in the morning, lunch and dinner. The symbol shown in the numeric keys 2 means that "must be taken immediately after 3 minutes", that is, within 30 minutes after each meal in the morning, lunch and evening. The symbol shown by the number key 3 means "minute 2 morning and evening", ie, it should be taken after breakfast and evening meals. The symbol indicated by the numeric key 4 means "to take a minute before going to bed", that is, to be taken before bedtime. The symbol shown by the number key 5 means "minute 3 meals", ie, between meals between breakfast and lunch, between lunch and dinner, and between dinner and breakfast. The symbol shown in the numeric key 6 means "minute 1 morning", that is, to be taken after waking up.

As described above, since the symbol used in the input of the conventional paper cart is used, it is possible to smoothly transition from the paper cart to the electronic cart. In addition, when the usage is input, the number of administration days is input (step S9). In addition to inputting numerical values using the ten keys, the calendar can be displayed separately and inputted by directly operating the displayed date. If you register a holiday on the calendar, you can prevent the problem of falling medicine during the holiday. Moreover, it becomes easy to confirm the schedule which a patient visits.

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

*Classification Information Information Disease Disease Diagnosis Past illness case history condition Past prescription case history Current medication case history Corporal name contraindications (allergies, etc.) Questionnaire part opinion Symptom paperweight limit Pregnancy, lactation Questionnaire Infant Questionnaire

As a result of the inference search, if the range of medicines can be narrowed down to 30 or less, it is determined that the quantity is selectable, and a list is displayed for selection. In addition, when the medicine cannot be narrowed down to 30 or less types, it takes time to select. Therefore, the medicine is searched again to narrow the medicine. Then, the corresponding one is selected from the list of the narrowed medicines.

In the general search, it is also possible to perform the search by drug effect and the search by ingredient in addition to the 50 sounds.

When the medicine is determined in this way, the medicine is ordered according to the content of the decision. At that time, prescription check processing such as drug contraindication is performed.

That is, based on the prescription data of the ordered medicine, the interaction (the medicine that should not be prescribed at the same time), the sickness taboo (the medicine that should not be prescribed for the sickness name), the age restriction (at which age Check all items such as whether or not you can prescribe. As a result, alternative medicines are searched for in question.

In detail, as shown in FIG. 52, an indication (step S120), an illness name contraindication (step S121), an upper dose (step S122), an age restriction (step S123), a pregnant lactating woman (step S124), and interaction ( Step S125), the compounding change (step S126), the dose application method (step S127), and the drug type (step S128) are sequentially checked. Check effects are displayed by color classification at levels 0 to 3. Here, if there is no problem, level 0, attention, that is, contraindication, level 1 (red), attention, level 2 (blue), other, that is, not careful, but level 3 (child) if there is a problem. .

The indication check checks whether the patient's disease name matches the efficacy and effect of the prescribed medication.

The contraindications for disease name checks are to ensure that the prescribed medication does not adversely affect the patient's symptoms. If the prescribed medication is in contraindication to current illness and cavalry, it is administered at level 1, and at attention, level 2 is indicated. This prevents, for example, administration of a hypertensive drug (a drug for lowering blood pressure) to a patient with hypotension.

The normal dose check checks whether the prescribed dose is the usual dose. In other words, the dose of the drug is determined as the insured dose, and if not within the range of the insured dose, the medication is indicated as level 1. If there is a constant dose data that matches the adaptive disease name, it is also determined by the data, and if it is within the range, the medication is displayed at level 2. However, it is also possible to set so that the upper dose check is not performed in the patient unit or the doctor unit. In addition, the normal dose is determined to be one day in internal medicine, and in one dose in pig medicine (약 服藥), injection. However, since it cannot be judged by external medicine, it is indicated as no information. In addition, when there is a restriction by the difference in weight in the medicine to prescribe, it is determined by the value divided by the prescription amount. For children, it is calculated from the normal adult dose. Thus, for example, an accident such as "10 times administration by mistake of input" is prevented.

The age limit check determines whether a prescribed drug meets the age limit. If the age limit is not met, the dose is indicated as level 1. In addition, it is judged whether it can be administered to infants, infants, children or the elderly, and the dosage is indicated as level 2 when the drug is not administered to newborns or when administered to children or high fever.

Pregnant and lactating mothers check to see if the prescribed medications can be administered to pregnant and lactating mothers. Drugs that cannot be administered to pregnant or lactating women are checked.

The interaction check checks that the prescribed medications do not cause problems at the same time. In this case, medicines that are currently being included in the past cartes will also be checked. If there is a contraindication between the drug the patient is currently taking and the drug he or she is now prescribing, dose is indicated at level 1, and if there is a caution relationship, dose is indicated at level 2. Thereby, the combination which cannot be used together can be checked for the reason that an effect antagonizes, opposes, etc. among drugs.

The formulation change check checks to see if the prescribed injection medication can be mixed. Injectable drugs may be used in combination of plural kinds, and the combination causing problems such as precipitation and discoloration at that time can be checked. In this case, as in the interaction check, the medication is displayed at level 1 if there is a contraindication, or at level 2 if there is an attention relationship.

The dose usage check checks whether the doses and dosages of the oral and anti-drug drugs are consistent at the time of disparity. If the dosage and usage do not match within the internal or anti-drug drug, the dosage is indicated at level 1. In addition, even if the dosage does not match because of uneven packaging in the oral medicine, the dosage is displayed at level 1. In addition, the number of divisions per day is checked and the medication is displayed at level 1 even if it is not within the range. Thereby, input misses, such as "after tableting 1 tablet 3 times a day", can be prevented.

The drug classification check checks whether the prescribed drug is not a drug, poison, or psychotropic drug. Drugs, poisons, and psychotropic drugs will be marked at level 3. Also, marks such as hemp, poison, pole, and incense are output to the detailed display.

Various checks are made on the medicines ordered as described above. If it is determined that there is a problem as a result of such checks, it is displayed in a separate window. 53A shows the display contents when it is judged that there is a problem with the interaction and the indication. In this case, there is an interaction between the lismode capsule and the sparse tablet, and it is popped up because there is a problem in the indication because the sparse tablet does not contain infectious enteritis. In addition, alternative medicines are searched for sparse tablets and the selected rear part is displayed.

In addition, the information of each medicine can be displayed on the medicine information screen shown in FIG. 53B. In the medicine information screen, a picture and information of the selected medicine is displayed, and a button corresponding to each of the aforementioned check items is displayed below. Each button is colored according to each level described above, and the doctor can determine the check result at a glance.

Specifically, when the normal dose button is operated, the indications, symptoms, usage, (prescribed) minimum (quantity), maximum (quantity), unit, lower age limit, and upper age limit for the selected drug are displayed as a list. In units of indications and symptoms (cheek items), a check is made in the exception column in the left two columns so as to escape from the object of check. If the check box on the left is checked, the doctor will remove the drug from any patient. On the other hand, if the check box on the right is checked, the medicine is only checked for the patient. As such, the check can be excluded from the physician unit or the patient unit, so that appropriate responses can be made according to the situation. For example, if it is determined that a patient is unlikely to cause side effects, it is possible to prescribe even a drug that cannot be prescribed. In addition, the check removal of the doctor can be performed only when it is confirmed as a doctor by fingerprint authentication or the like. It is recorded that the check is excluded and can be confirmed later.

If the physician determines that it is not appropriate to administer the drug based on the results of the check, the physician may select an alternative drug as follows.

That is, in the search for an alternative medicine, the candidate for change is selected based on the name, dose, and usage of the ordered medicine. The candidate for change has previously accumulated the name, dose, and usage of a drug that can be replaced in correspondence with three items of the name, dosage, and usage of the medicine as a database. When it is determined that the medicine cannot be prescribed by the prescription checking method, it is possible to display a medicine which can be replaced by not only its name but also a dose and a usage. For this reason, it can be set as the suitable thing which responded to the medicine before replacement, without mistakeping the dose or usage of the replacement medicine. In the case where there are a plurality of alternative drugs, they may be displayed as a list and may be selected from among them. The conditions for the alternative medicine may be the same, and the values set in advance at the normal dose may be used.

In the selection of an alternative medicine, a list may be displayed by operating the "Alternative medicine" button on the drug information screen, and may be selected from among them. In this case, it is invalidated that the "alternative drug" button cannot be operated unless an alternative drug exists.

In the input field 7 shown in Fig. 21, when the 8 " search " key is operated, as shown in Fig. 54, a set menu of the registered inspection items, that is, a test set list screen is displayed. Here, when the inspection set is selected by operating the numeric keys, the inspection set list screen is switched to the inspection item display screen shown in FIG. On the test item display screen, necessary test items are displayed for each classification of biochemistry, hematology, urine, feces, etc., and basic test items are checked in advance according to the selected test set. It is possible to select inspection items by subtracting or subtracting. When the inspection item is confirmed, the inspection item to be performed by operating the "OK" button is described in Carte.

In the input field 7 shown in FIG. 21, when the "image" key is operated, a set menu of registered image diagnosis items, that is, an image diagnosis set list screen, is displayed as shown in FIG. Here, when the 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. On the image diagnosis item display screen, image diagnosis items necessary for each classification such as a photographing method, a photographing site, a photographing direction, and a film are displayed in a list, and a basic image diagnosis item is checked in advance according to the selected image diagnosis set. It is possible to select an image diagnosis item by checking or subtracting as necessary. When the image diagnosis item is confirmed, the image diagnosis item to be performed by operating the "OK" button is described in Carte. In Fig. 57, an item of photographing the chest using one diagonal diagonally from the front to the rear is selected as X-ray simple imaging. Then, the image is ordered from the contents selected on the image diagnosis set list screen and photographing is performed.

By operating the "S " to " P " keys as described above, it is possible to quickly input all the items required for the creation of the cartes.

If necessary, the binder screen shown in the electronic cart can be operated to display the binder screen shown in Fig. 58, and acquired data such as data read by a scanner can be associated with each other. Further, the acquired data is once stored in a binder shared folder in the cartes database.

In associating the acquired data, first, the patient search screen shown in Fig. 59 is displayed by operating the "patient search" key on the binder screen to perform patient search to specify the registration destination. In the patient search screen, a search can be performed by examination date, patient ID, name, date of birth, and sex. In addition, in the initial state of the binder screen, the patient of the electronic Carte that is currently open is displayed, so that the patient search is unnecessary if the electronic Cartero is related.

When the patient is specified, the patient ID and name are displayed on the binder screen, so that the data acquisition screen is displayed by operating the "add" button. The data can be acquired by either a file or a scanner. Here, only text data and image data are handled, and the acquired data can be confirmed on a content reference screen (not shown).

When data is acquired, it is displayed as a list of recording dates and contents in the order of acquisition. The acquired data can be displayed by operating the " reference " button while the corresponding row is clicked and inverted, and can be deleted by operating the " delete " button.

In addition, the acquired data can be set to a hyperlink to the electronic Carte of the patient by operating the "reverse Carte" button. That is, when the "Carte transfer" button is operated, the transfer destination selection screen shown in Fig. 60 is displayed, and any of S (doctor input), O (remark input), A (assessment input), and P (treatment plan input) is displayed. It is possible to set even the screen. In this way, the acquired data is attached as hypertext in the corresponding item of the electronic carte, and it becomes possible to refer to the acquired data only by clicking this hypertext.

In addition, the deletion of the acquired data and the transfer to Cartero are authorized only by the doctor. In other words, this process can be performed only when it is confirmed that the intention is determined by fingerprint authentication or the like. However, the addition can be performed not only by the doctor but also by other staff members.

Moreover, among the acquired data, the "transfer" button is set to be invalid, i.e., incapable of operation. As a result, for example, it is possible to prevent a problem that an X-ray image data of one patient is wrongly associated with an electronic carte of another patient. In this case, the data stored in the file as the acquired data is stored with the patient ID for the patient-specific data such as the test result at the time of the storage. What is necessary is just to determine whether the patient ID of the acquisition data to be matched.

Frequently used sentences and prescriptions can be registered in advance (learning function). For example, the prescription contents are stored as a learning buffer and displayed on the screen as needed for use. In this case, by setting nine pieces so as to correspond to the respective numeric keys of the input field 7, the operation of only the input field 7 can be completed at the time of input. It is also possible to reflect a portion of the registered contents on each key or to display the contents of the learning buffer in a separate window and directly reflect the contents to the electronic cart.

When it is necessary to display similar words in an item to be displayed by a numeric key, the names to be selected are grouped into a common number, and the numeric key displays a primary acidic word composed of common characters and the number of grouped words. You may make it allow. Then, by selecting the corresponding primary selection word, each grouped word may be displayed on each numeric key as the secondary selection word. Moreover, you may provide a 3rd selective word etc. as needed.

For example, many drugs are very similar as shown in the following table. Thus, as the primary selection word, each numeric key is " colt 2 ", " cold 3 ", " Korch 4 ". And, by selecting either one, the official name is displayed on each numeric key. Specifically, when "cold (3)" is selected, each numeric key is designated as "cold nitrile tablet", "cold tablet", "cold grain" as a secondary selection word, and is selected from them.

In this way, the primary acidic language is provided so that similar bullets are grouped and displayed, so that similar false parts can be displayed in large letters. Therefore, when it selects, it becomes possible to select carefully by the part which is easy to be wrong. In this case, if there are similar parts in the secondary selection word, the primary selection word is displayed separately, and only the portions except for the first picked word ("Ninjeong", "Linjung", "Granule") are displayed on each numeric key. You may do so.

In the case of medicines, most of the first three characters can be grouped into appropriate numbers (9 or less that can be displayed by the numeric keys). For this reason, it is good to display about three letters in size of each numeric key and to make it easy to see. Accordingly, the ten key region 10 can be compactly configured.

In addition, since the sum of the grouped words is displayed in parentheses, it is possible to understand that other similar words exist at a glance.

In particular, the grouping display method is effective in the case of a 50-tone search. In other words, when searching 50 medicines, there are many similar names and it is difficult to select them. However, by grouping, the names of many medicines can be displayed on the numeric keys only by inputting the first character on the keyboard. In addition, as described above, each of the 50 consonant lines (a line, a line ...) is displayed on the numeric keys, and the name of the desired medicine can be displayed simply by selecting any of them to specify the lines of the consonants. Subsequently, inputting the stages (a, y, right, e, o) of each consonant produces the same effect as when the first character is input from the keyboard. In other words, it is possible to select a desired medicine only by operation on the numeric keys.

In this way, by grouping medicines, it is possible to easily and quickly select a desired medicine.

In addition, when printing a document such as a medical certificate or a letter of introduction, a desired document can be easily created by operating the "document creation" key shown in FIG.

That is, the printable medical document name is displayed on each numeric key by the operation of the "document creation" key. If a corresponding one is selected, "printing range", 1 "today" and 2 "previous day + today" are displayed on each numeric key to specify the printing range. When either operation is performed, the print screen shown in Fig. 62 is displayed, and the item corresponding to the selected key is selected in the date designation column. In the case of date designation, a start date and an end date can be input while displaying a calendar by operating a calendar button. Moreover, it is also possible to select the range to print in the printing range column.

As described above, when the printing range is specified, the screen returns to the screen of FIG. 61, and the "Print" key is operated. This time, the medical document selection screen shown in FIG. 63 is displayed. Printing is possible.

At this time, when the "Carte" button is operated on the displayed wizard screen (refer to Fig. 64), as shown in Fig. 65, the items described in the corresponding electronic cart are listed as time-sensitive Carte information windows (screens). (In FIG. 65, the latest Carte information is displayed at the top). Therefore, it is possible to easily obtain Carte information in the created document by using the copy function. In other words, when a row to be copied is selected by clicking on the Carte information screen, the selected row is flashed and text is input in the corresponding column of the wizard screen.

The newly created data on the wizard screen can be registered by operating the "register" button in the learning field. The registered data is stored in association with the wizard screen opened at the time of registration, and the associated data can be opened only in the wizard screen. In addition, the registered data is displayed in a list by operating the "call" button in the learning field, and a corresponding one can be selected and reused.

In addition, when the "Print" key is operated, the medical document selection screen is displayed. Alternatively, the medical document name selected directly by the numeric keys may be displayed. In this case, page sending or the like is responded by changing the display of the numeric keys. According to this, all input work can be performed with a numeric key, and it becomes possible to create a medical document efficiently.

According to the present invention, since the items selected by the input keys are displayed sequentially, it is possible to effectively and quickly specify the name of the illness using the limited space. In addition, the item displayed on the input key can be selected from either a code number or a character string, and can be changed to the other side leaving the display contents in the process of narrowing the name of the illness, so that the illness can be identified very efficiently. .

Claims (2)

The electronic carte device provided with the control means which displays an imputation carte on a display means, reflects input data to the displayed electronic carte based on the input operation by an input means, and stores the electronic carte which reflected the input carte in a storage means. To The input means is arranged in a predetermined area and includes a plurality of input keys in which any one of a code number relating to a selectable corporal name or a character string relating to a corporal name is displayed, and an entire item displayed on the input key. A touch panel having a switch button for switching to either a code number relating to a character string or a character string relating to a corporal name, When the corpus name is input on the touch panel, the control means selects an item displayed on the input key to switch sequentially displayed items to lower items, while an item of a hierarchy displayed on the input key The electronic carte device which can switch the display content in the said input key to either the code number regarding a sickness name, or the character string about a sickness name by operating the said switch button in the displayed state. An input device according to claim 1, wherein said input means comprises a search key for narrowing the scope of the illness. The control means displays the search screen by operating the search key, enables not only to search for any of the code number relating to the sickness name or the character string related to the sickness name, but also if the code number or the character string to be input is partial, Electronic Carte device that makes it searchable in that range.

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