JP2000222503A - Diagnosis and medical treatment record electronic recorder - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a diagnosis and medical treatment record electronic recorder which easily performs editing accompanied with operation such as change, movement, or deletion of contents represented by characters and graphics inputted to a schema in a medical record. SOLUTION: Data of plural kinds of constituents constituting the schema are individually stored in plural kinds of data holding areas. An editing part 11-1 edits these data of plural kinds of constituents in accordance with operation from an input part 15, and a display part 16 combines these data and displays the result on a schema input picture as a picture of the integrated schema.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

[0001] The present invention relates to a medical record (medical record).
In particular, the present invention relates to a method of recording a schema (a figure showing a part of a human body having a disease together with a comment on the disease) to be inserted into the medical record.

[0002]

2. Description of the Related Art In recent years, various document preparation devices and information processing devices have become widespread even in medical institutions, and one of them is a medical record in which a medical record conventionally created by a doctor by hand is created in an electronic document. There is an electronic recording device.

[0003] In creating a medical chart, not only a medical record as text information but also, for example, on a figure (original image) representing a diseased part of the patient, what kind of lesion is located at which part of the part It is necessary to create a schema in which a comment such as whether or not it exists is written. In order to fulfill this request, the medical record electronic recording device prepares a figure (a diseased part designation figure) for designating a partial area on the original image and an editor for writing a comment corresponding to the designated area, This editor creates a schema.

[0004]

However, in the conventional medical record electronic recording device, a cumbersome operation is required to correct the once created schema. For example, when a graphic is written over the original image of a schema, and the user wants to change only the written graphic, the user must re-input not only the graphic but also the original image. . Also, if an arrow indicating the lesion is written from the comment on the lesion of the human body in the schema, when moving the position of the comment, the arrow is erased and a new position is moved from the new position of the moved comment. The arrow must be rewritten in As described above, the conventional medical record electronic recording device has a problem that a troublesome operation must be performed to correct the schema. Further, once a figure or a comment is once input, subsequent correction is troublesome. Therefore, the user is required to pay attention when initially inputting the figure and the comment, and an extra burden is imposed.

[0005] In view of the above circumstances, the present invention facilitates editing involving changes, movements, deletions, and the like on the contents represented by the characters and figures input to the schema in the medical record. It is an object of the present invention to provide a medical record electronic recording device capable of performing medical treatment.

[0006]

According to the present invention, there is provided a medical record electronic recording apparatus for achieving the above object, which comprises at least an original image representing a part of a human body, a diseased part designating graphic designating a diseased part on the original image, and a finding. And a medical record including a schema having as its constituent elements a connected figure for associating an affected part designation graphic with a finding. (1) A plurality of constituent elements constituting the schema An editing unit that individually edits each component. (2) A first unit that individually stores a plurality of components constituting the schema edited by the editing unit for each component.
(3) A display unit for displaying a schema by combining a plurality of constituent elements that constitute one schema and stored in the storage unit.

[0007] The medical record electronic recording apparatus of the present invention has a first
Storage unit individually stores a plurality of constituent elements constituting the schema. Such individual storage allows the plurality of components to be individually changed. As described above, since the individual changes of the plurality of components are permitted, the editing unit can individually edit each of the plurality of components. As described above, each of the plurality of components is individually stored and edited individually.
It is displayed in a natural form as a combined schema.

As described above, since the editing unit edits each of the plurality of constituent elements of the schema individually, a user such as a physician changes each of the constituent elements of the schema in editing the schema. When performing an operation such as moving, deleting, or the like, it is less likely to encounter a situation in which a component other than the component to be operated is erroneously or unavoidably changed, moved, or deleted. Therefore, with the medical record electronic recording device of the present invention, the user can easily edit the schema without being bothered by extra operations.

(4) The medical record electronic recording device includes: (4) a second storage unit in which a plurality of types of original images representing each part of the human body and a plurality of types of findings are stored; In accordance with the above, an original image constituting a schema is selected from the plurality of types of original images, and a finding constituting a schema is selected from the plurality of types of findings. Preferably, the information is stored in the first storage unit.

When creating a schema, the same type of finding is often input on the original image. For this reason, it is desired to simplify this input operation by registering a plurality of types of findings in advance. In the medical record electronic recording device having the second storage unit, since a plurality of types of findings are stored in the second storage unit, those findings are selected through the editing unit, and the first storage unit is selected. Is replaced with an input.
Therefore, this medical record electronic recording device can easily and quickly input.

[0011] In the medical record electronic recording device, the first storage unit may be one of a plurality of constituent elements constituting a schema.
For each component other than the original image, it is preferable to store display position information of each component relative to the original image.

The relative display position information defines the positional relationship between the original image and the components other than the original image in the schema, so that the display unit always displays those components at appropriate positions. Is done.
Further, when the original image is reduced and displayed by the display unit, each of the constituent elements is naturally reduced and displayed according to the display position information.

Further, the display position information of each of the above components is also individually stored in the first storage unit together with information on the contents of each of the components. Therefore, based on the individually stored display position information, the display unit displays each component in a state in which characters can be read by reducing each component at a reduction ratio specified for each component, or displaying other components. After the image is reduced, it is possible to redraw the image so that the lines of the figure are clearly displayed.

Further, in the medical record electronic recording device, when the display unit displays a schema, the display unit may display a plurality of components constituting the schema in a superimposed manner in a predetermined superimposition order. preferable.

Various figures and sentences are input to the schema, and when the schema is displayed on the display unit, a plurality of components constituting the schema are often displayed in an overlapping manner. In this case, for example, if it is considered important to always display the findings clearly, the order of the superimposition is set so that the findings are always displayed at the top,
By superimposing the constituent elements according to the set order of superposition, the display section displays a schema whose findings are clearly shown. As described above, the medical record electronic recording apparatus having the prescribed superposition order for a plurality of components constituting the schema clearly displays information necessary for the user.

In the medical record electronic recording device having the second storage unit of the above (4), the second storage unit is classified according to the original image and further according to the position of the affected part on the original image. The display unit has a second storage unit that receives the fact that the editing unit has selected the original image and specified the affected part position on the original image using the affected part designating graphic. And displaying a list of findings corresponding to the selected original image and the designated affected part position among the plurality of types of findings stored in the section.The editing section displays the list of findings displayed in response to an operation. It is preferable to select a desired finding from the list.

When a medical doctor or other user uses this medical record electronic recording device to create a schema including findings of an affected part of a patient, first, a plurality of original images stored in the second storage unit are used. , One original image including the affected part is selected and displayed on the display unit. The user
The affected part is designated on the selected original image by the affected part designating graphic. A list of findings relating to the designated diseased part designation graphic is displayed on the display unit, and a desired finding is selected from the list of findings. As described above, in the medical record electronic recording device that displays a list of findings, the procedure for filling in the findings regarding the affected part at the time of creating the schema is automated, and the user can:
You can concentrate solely on choosing that finding.

In the medical record electronic recording apparatus according to the present invention, the editing unit receives the operation of erasing the affected part designating graphic on the schema and erases the affected part designating graphic, and also deletes the affected part designating graphic on the schema. It is preferable that the finding corresponding to the designated figure is also deleted.

A finding is a comment on a certain affected area,
When the diseased part designation graphic designating the position of the diseased part is erased, the findings regarding the erased diseased part designation graphic no longer have any meaning. Since the medical record electronic recording device automatically deletes the findings related to the affected part designating graphic when the affected part designating graphic is erased, the user can quickly and easily perform the operation of deleting the affected part designating graphic. .

In the medical record electronic recording apparatus of the present invention, the editing unit receives the operation of moving the finding on the schema or the display position of the affected part designating graphic on the schema, and associates the finding with the affected part designating graphic. It is preferable that the connected graphic to be added is moved in accordance with the finding or the movement of the affected part designation graphic.

When the finding or the affected part designating graphic which is the object of the finding is moved, the connected figure which associates the finding with the affected part designating graphic always changes. The medical record electronic recording device automatically changes the connected figure when the finding or the affected part designating figure moves, so that the user can quickly and easily perform the operation of moving the finding or the affected part designating figure.

Further, in the medical record electronic recording apparatus, the editing unit receives the operation of deleting the finding on the schema, deletes the finding, and associates the finding with the affected part designation figure of the schema. Preferably, the figure is also erased.

When erasing a finding, a connected figure that associates the finding with a diseased part designating graphic indicating the position of the object of the finding is always erased. In this preferred medical record electronic recording device, when the finding is deleted, the connected figure is automatically deleted, so that the user can quickly and easily delete the finding.

[0024] In the medical record electronic recording device provided with the second storage unit of the above (4), the editing unit may perform an operation of inputting a new finding to the schema other than the finding stored in the second storage unit. Accordingly, it is preferable that the findings input to the schema are additionally stored in the second storage unit.

In this way, by adding a new finding to the second storage unit and storing it, it is possible to create a finding according to the actual situation of the medical site for each doctor and reuse the finding.

In the medical record electronic recording device having the second storage unit of the above (4), the second storage unit stores the initial registration data including a plurality of types of original images and a plurality of types of findings in an ID. The editing unit receives the designation of the ID and refers to the initial registration data corresponding to the specified ID among the plurality of the initial registration data. preferable.

The individual data of the initial registration data may be frequently used or different depending on the department or individual. A user such as a doctor can customize the initial registration data to his / her favorite data configuration by, for example, specifying a doctor ID, avoiding infrequently used data, and registering frequently used data. .

[0028]

Embodiments of the present invention will be described below.

FIG. 1 is an external view (A) and an internal configuration diagram (B) showing an embodiment of a medical record electronic recording apparatus according to the present invention.

As shown in FIGS. 1A and 1B, this computer 10 has a CPU 11, a CD-RO
M drive 12, memory 13, hard disk 14, mouse 15_1, keyboard 15_2, and display unit 16
Is a computer having a normal GUI (graphic user interface) function, which is connected by a system bus 17 to the CD-ROM drive 12 of the computer 10 and used in the medical record electronic recording device of the present invention. CD-R storing the program
By inserting the OM 18 and installing the program on the magnetic disk 14, the medical record electronic recording device becomes operable, and when the installed program is started, the computer system becomes:
It operates as one embodiment of the medical record recording device of the present invention.

Although the computer 10 shown in FIG. 1 uses the CD-ROM 18 as a program storage medium for storing the above-mentioned program, the medium for storing the program used in the medical record electronic recording apparatus of the present invention is ,
The program is not limited to a CD-ROM, but may be any other program storage medium such as an optical disk, a magneto-optical disk, a floppy (registered trademark) disk, or a magnetic tape, and an internal storage such as a hard disk device in which the above-described program is installed. It also includes a device.

Although the computer 10 shown in FIG. 1 shows a configuration in the case of a stand-alone operation, the medical record electronic recording apparatus of the present invention may have a client / server system.

In the present embodiment, the CPU 11 plays a role of an editing unit according to the present invention. The memory 13 corresponds to a first storage unit according to the present invention, and the hard disk 14 corresponds to a second storage unit according to the present invention. The display unit 16
Displays an electronic medical chart screen and a schema input screen, and displays input information from the mouse 15_1 and the keyboard 15_2.

The schema input screen is a screen on which the schema is enlarged and displayed on the display unit 16 in order to newly input and change the schema. While an example of the schema displayed on the schema input screen is described with reference to FIG. 2, the internal configuration of the medical record electronic recording apparatus of the present embodiment described with reference to FIG. 1 will be described in further detail with reference to FIG. In addition, the structure of the data constituting the schema will be described with reference to FIGS.

FIG. 2 is a diagram showing an example of a schema displayed on a schema input screen of the medical record electronic recording device, each component constituting the schema, and a data structure of each component.

FIG. 3 is a diagram showing details of the internal configuration of one embodiment of the medical record electronic recording device of the present invention.

The schema input screen 1 shown in FIG.
Above, a schema including a graphic representing a certain part of the patient's body and a sentence explaining the affected part in the graphic is displayed. This schema relates to an original image 2 showing a certain part of a patient's body, an affected part designating graphic 3 showing a part having a lesion in the part, an affected part designating graphic 3 and the affected part shown in FIG. It is composed of four components, a connected figure 4 connecting the comments, and a finding 5 representing the comments. Actually, a specific comment such as "there is swelling" explaining the symptom of the affected area is displayed in the finding 5, but in FIG. 2 (A) and FIG. Specific comments are indicated by the letters "findings". In addition to FIG. 2, when characters such as “findings” or “findings A” are displayed in the schema input screen in the illustration of the present embodiment, each of those characters is “swelling” or the like. Represents a specific comment.
In addition, characters that are not included in the schema but are not associated with the diseased part designation graphic, or freehand images that the user inputs by handwriting can also be input to the schema.

The data of these components are individually stored in the memory 13 of the medical record electronic recording device of the present embodiment.
The memory 13 has six types of data holding areas shown in FIG. The six types of data holding areas are an original image data holding area 13_1 for holding data of the original image 2, an affected area designating area 13_2 for holding data of the affected area specifying figure 3, and finding data for holding data of the finding 5. A holding area 13_3, a connected figure holding area 13_4 for holding data of the connected figure 4, a character data holding area 13_5 for holding the character data, and a freehand image data holding area 13_6 for holding the handwritten image data.

The medical record electronic recording device of the present embodiment has an editing unit 11_1 for editing data stored in the six types of data holding areas, and an input unit 15 for inputting the data. Details of the functions of these units when actually inputting and editing the data will be described later. The medical record electronic recording device also has a display unit 16 that combines the plurality of types of data and displays it on the schema input screen as an image of one schema as shown in FIG. In addition, the hard disk 14 of the medical record electronic recording device stores chart data 14_1 which is data of the contents of the chart. The editing unit 11_1 converts the six types of data constituting the schema into the chart data 1
4_1 are individually stored, and at the time of editing, the data is read out and stored in a data holding area corresponding to the type of the data.

FIG. 2 (B) shows the data structure of the diseased part designating graphic data among the data of the constituent elements of the schema, which are individually stored in the six types of data holding areas described above.
FIG. 2C shows the data structure of the linked graphic data, and FIG. 2D shows the data structure of the finding data.
The data of the original image data not shown in FIG. 2 includes only the data of the image itself.

The diseased part designation graphic data in FIG. 2B is composed of data items such as an area ID, a priority, a display position, a size, and a shape. First, the area ID is an identifier of the affected part designating graphic, and the affected part designating graphic 3 in FIG.
Is designated by an area ID of 1. When a plurality of affected part designation graphics are displayed in one schema, different numbers that are uniquely determined are given to the respective affected part designation graphics.

Next, when the components of the schema are superimposed and displayed on the screen when the components of the schema are combined and displayed by the display unit 16, which component is to be displayed with priority on the front. Represents the order for determining The priority is set such that the smaller the numerical value is, the more the component having the priority is displayed on the front of the screen. The data of the original image 2 has no priority, and the original image 2 is always displayed as a background. Therefore, the diseased part designation graphic 3 also has a low priority of ninth, but is displayed in front of the original image. This priority is determined for each type of a plurality of components of the schema, and the priority for each type of the components is included in the hard disk 14 and is included in the synthetic standard priority information 14_2 shown in FIG. It is registered as. The contents of the synthesis standard priority information 14_2 are shown below.

FIG. 4 is a diagram showing an example of the combined standard priority information.

The left list shows the types of data of a plurality of constituent elements of the schema, and the right list shows the priority of each of the constituent elements. The priority of each of the finding data, affected part designation figure data, connected figure data, character data, and freehand data is 1,
9, 5, 3, and 7. Here, since the finding data has the priority 1, the finding is displayed at the top of the screen without being hidden by other components. In this way, the schema is automatically formatted into a form that is accessible to the physician, such that the findings are clearly displayed on the front of the screen.

Next, the display position indicates the position of the above component on the schema input screen. However, this display position is
Represents the relative position from the original image 2. The origin (0, 0) of the coordinates of the relative position is a point a1 at the upper left corner of the original image 2, the x coordinate extends rightward from the point a1 indicating the origin, and the y coordinate extends downward from the point a1. extend. The position of the affected part designation graphic 3 is defined by the position of the point a2 in the figure, and the point a2
Is specified by the display position (x = 400, y = 500). In addition, besides the display position of the affected part designation figure 3,
The position at which the connected graphic 4, the finding 5, and the characters other than the finding constituting the schema are displayed on the schema input screen is also specified by the relative position from the original image 2.

Next, the size represents the width and height of the affected part designation figure 3. The affected part designation figure is a scale of the coordinates described above and has a width of 2
00, the height takes a value of 200. Finally, the shape defines the general features of the affected part designation graphic 3. Here, it is specified that the affected part designation graphic 3 is an ellipse and is displayed in a shaded manner.

The connected graphic data shown in FIG.
Region I, which was also included in the affected part designation graphic data in (B),
It has data items of D and priority, and also has data items of a start position and an end position. First, the area ID is 1. This value matches the value of the area ID of the affected part designation graphic 3. This coincidence indicates that the connected graphic is a graphic relating to the diseased part designation graphic 3. Next, the priority is 5. This value is smaller than the priority value 9 of the affected part designation graphic 3. This means that the connected graphic 4 is displayed on the upper side of the screen than the diseased part designation graphic 3. Finally, the start position is the position of one end a3 of the connected graphic 4 (x = 5
00, y = 500), and the end position indicates the position of the other end a4 (x = 700, y = 100) of the connected figure 4.

The finding data shown in FIG. 2D includes data items such as an area ID, a priority, and a display position, which are also included in the affected part designation graphic data shown in FIG. 2B. And data type. The region ID of the finding data also has a value of 1 like the region ID of the affected part designation graphic 3. Therefore, the finding 5 represented by the finding data is a finding relating to the affected part designation graphic 3. Next, the priority is 1
, Which indicates the highest priority among all the components constituting the schema as described above. Next, the display position is (x = 700, y = 100), which represents one point a4 on the left side of the finding 5. This point is also the end position of the connection graphic 4 described above.

Next, the finding character string represents a character string representing finding 5. Here, this character string is “find”, and is displayed as a character string “find” in the finding 5 on the schema input screen. Actually, the finding character string data expresses a specific comment such as "swelling",
Here, for the sake of simplicity, a character string “find” is used instead. Thereafter, when characters such as “finding” or “finding A” appear in the finding data in the diagram of the finding data of the present embodiment, a specific comment such as “swelling” is given to each of those characters. Shall be represented. Although only one finding is displayed here, a plurality of findings may be displayed. Finally, the type indicates whether or not this finding character string is displayed on the schema input screen. If the type is display, this finding character string is displayed on the schema input screen, and if the type is not displayed, it is not displayed.

Next, character data and freehand image data not included in the schema of FIG. 2 are shown in FIG.
This will be described with reference to FIG.

FIG. 5 is a diagram showing the data structure of each component constituting the schema.

FIG. 5 also shows, for reference, data structures of original image data, finding data, affected part designation figure data, and linked figure data, in addition to the data structures of character data and freehand image data. . The original image data is data of only the image body data as described above. The data structures of the finding data, affected part designation figure data, and connected figure data are the same as the data structures described above with reference to FIG. The character data is composed of data items of priority, display position, and character string. The meaning of the priority and the display position has been described above.
A character string data item represents the contents of the character string as the item name. However, since the character data does not have the area ID, the character string is different from the finding character string of the finding data and is independent of the affected part designation figure. Next, the freehand image data includes data items of the priority and the image body data. The meaning of the priority has been described above. This freehand image data does not include not only the area ID but also the data item of the display position. This indicates that the freehand image represented by the freehand image data is not an image whose display position can be freely moved, but is an image fixed on the schema input screen like an original image.

In this embodiment, the data of a plurality of components of these schemas can be directly input by the user by drawing a figure and typing characters using the input unit 15 in FIG. The user can also register data that is expected to be frequently used in advance and store it in the hard disk 14, and select and input necessary data from the data. In the present embodiment, original image selection data 14_ including multiple original image data is stored in the hard disk 14.
3. finding selection data 14_4 including a plurality of finding data;
And three types of initial registration data of diseased part designation graphic selection data 14_5 including a plurality of diseased part designation graphic data. Here, the data structure of these initial registration data will be described, and details of the selection operation will be described later.

FIG. 6 is a diagram showing the data structure of the initial registration data.

Here, the data structure of data representing one original image of the original image selection data,
A data structure of data representing one affected part designation graphic in the affected part designation figure selection data and a data structure of data representing one finding of the finding selection data are shown.

The original image selection data includes an image ID,
It has data items of doctor ID and image body data.
The data item of the original image selection data differs from the data item of the original image data of FIG. 5 only in that the data item includes an image ID and a doctor ID. The image ID is an ID for authenticating the original image by the medical record electronic recording apparatus of the present embodiment, and is represented by a unique number different for each original image data. The present medical record electronic recording device can be used by a plurality of doctors simultaneously, and the doctor ID is an ID for the present medical record electronic record device to authenticate each doctor. The doctor ID is represented by a unique character string that differs for each doctor. The medical record electronic recording apparatus can provide the original image selection data composed of the data of the original image required for each doctor by using the doctor ID.

The diseased part designation figure selection data has data items such as an image ID, a doctor ID, an area ID, a priority, a display position, a size, and a shape. The affected part designation figure selection data is also
The data item of the diseased part designation graphic data in FIG.
And a doctor ID. When the data of the diseased part designation figure includes the data of the diseased part designation figure having the same image ID as the image ID of one original image, the data of the diseased part designation figure is the data of the figure belonging to the original image of this image ID. It indicates that there is. Further, even for the same original image, the affected part can be designated with a different affected part designation graphic having a different doctor ID for each doctor for the original image.

The finding selection data includes an image ID, a doctor ID,
It has data items of area ID, priority, display position, and finding character string data. The data item of the finding selection data differs from the finding data item of FIG. 5 in that it includes an image ID and a doctor ID. If the finding selection data includes finding data having the same image ID as the image ID of one original image, it indicates that the finding data belongs to the original image with this image ID. Even for the same diseased part designation graphic, different findings having different doctor IDs can be selected for each doctor for the diseased part designation graphic. The finding character string in the finding selection data does not represent data of one finding, but represents data including a plurality of findings. These plurality of findings represent registered finding data relating to the diseased part designation graphic indicated by the area ID of the finding selection data.

In the prior art, there is no data in which only the data of the diseased part designating graphic is collected like the above-mentioned diseased part designating graphic selection data, or there is no data in which only the finding data is collected like the above-mentioned finding selection data. . That is, in the prior art, the affected part designation figure and finding of the schema are stored in an inseparable form with the original image, and are not edited independently of the original image.
Therefore, in the case of initial registration of a diseased part designation figure or finding in advance in the prior art, it is necessary to prepare a collection of data of the diseased part designation figure integrated with the original image or a collection of data of the finding integrated with the original image. Because there is. Achieving these initial registrations with the prior art is difficult because a large-capacity hard disk for storing a large number of original images is required. However, as described above, in the medical record electronic recording device of the present embodiment, the affected part designation graphic data 14_5 and the finding selection data 14_4 are stored in one area of the hard disk 14 corresponding to the second storage unit according to the present invention. The user can select necessary data from these data and specify a diseased part or input a finding.

The configuration of the medical record electronic recording device of the present embodiment and the data of a plurality of constituent elements of the schema used in the medical record electronic recording device and the initial registration data will be described with reference to FIGS. The data structure has been described. The process in which the editing unit 11_1 processes the data when the medical record electronic recording apparatus creates a schema will be described below with reference to the flowcharts in FIGS. In addition, a description of the transition of the data of the above components and the initial registration data in the process will be given. FIG.
Reference is also made to the configuration diagram of the present medical record electronic recording device.

FIG. 7 is a flowchart of the main routine of the editing unit when a new schema is created.

In step S1 of the main routine, the doctor issues an instruction to select one original image by operating the input unit 15 in FIG. This doctor has a doctor ID of AAA. The instruction is transmitted to the editing unit 11_1, and the editing unit 11_1 selects the data of the original image selected by the doctor from the original image selection data 14_3. This original image selection data is shown in FIG.

FIG. 8 is a diagram showing an example (A) of the original image selection data, an example (B) of the affected part designation figure selection data, and an example (C) of the finding selection data.

FIG. 8A shows the original image selection data in the form of a table. At the top of the table, data items such as the image ID, the doctor ID, and the image body data described with reference to FIG. 6 are described. Image IDs are 1, 2, and 1
It takes a number such as 00, and doctor IDs include "AAA" and "common". Here, the doctor ID “common” indicates that the original image having this doctor ID is an image registered so as to be usable by all doctors who use the present medical record electronic recording device.

Now, consider a case where the doctor selects the original image whose image ID is 2. The selection is made by the input unit 15
Is transmitted to the editing unit 11_1 through the operation of the editing unit 11_1.
_1 receives the selection and, from the original image selection data, the image ID 2
Is recognized and selected. When the editing unit 11_1 selects the original image, the process exits from step S1 of the main routine in FIG. 7 and proceeds to step S2.

In step S2, the editing unit 11_1 reads the main image data of the selected original image data and stores the main image data in the original image data holding area 13_1. Thereafter, the process proceeds to step S3.

In step S3, first, the editing unit 11_1
Searches for data of an affected part designating figure having an image ID of 2 in the affected part designating figure selection data 14_5. FIG. 8B shows the contents of the diseased part designation figure selection data. As described with reference to FIG. 6, the diseased part designation figure selection data includes data items such as an image ID, a doctor ID, an area ID, a priority, a display position, a size, and a shape.
The diseased part designation figure selection data in FIG. 8B includes two pieces of diseased part designation figure data having an image ID of 2 highlighted by oblique lines. One of the data has a doctor ID of AAA and an area ID of 1, and the other data has a doctor ID of AAA and an area ID of 2.

Next, the editing unit 11_1 searches for data having the image ID of 2 from the finding selection data 14_4. The contents of the finding selection data are shown in FIG. As described with reference to FIG. 6, the finding selection data has data items such as an image ID, a doctor ID, an area ID, a priority, a display position, and a finding character string. FIG.
(C) The finding selection data includes data of the diseased part designation graphic having two image IDs of 2 highlighted by oblique lines. One of those data is that the doctor ID is A
In AA, the area ID is 1 and the finding character string is “finding a”,
“Findings b” and the like. Another data is doctor ID
Is AAA, the area ID is 2, and the finding character string has "finding A", "finding B", and the like.

As described above, the diseased part designation figure selection data 14
When the data of image ID 2 is included in _5, the editing unit 11
_1 searches for the data having the image ID of 2 from the finding selection data 14_4. Then, step S
Proceed to 4. If the diseased part designation figure selection data 14_5 does not include the data with the image ID of 2, the process proceeds to step S5.
Will go to.

In step S 4, the editing unit 11 _ 1 reads all the data of the affected part designation graphic whose image ID is 2, and stores the data in the affected part designation graphic data holding area 13.
_3. The editing unit 11_1 reads all the finding data with the image ID of 2, and stores the data in the finding data holding area 13_2. next,
Proceed to step S5.

In step S5, the editing unit 11_1 reads the original image data stored in the original image data holding area 13_1 and reads all the affected part designated graphic data stored in the affected part designated graphic data holding area 13_3. Further, the observation data holding area 13_
2, the finding data for each of all the affected part designation figures is read. FIG. 9 shows the contents of the affected part designation figure data and the finding data read here.
Is shown in

FIG. 9 is a diagram showing an example (A) of the schema input screen, the finding data (B) of the schema, and the affected part designation graphic data (C) of the schema in step S5 of the main routine of the editing unit.

First, the affected part designation graphic data of FIG. 9C will be described. There are two types of the diseased part designation graphic data, one having an area ID of 1 and the other having an area ID of 2. Each has a priority of 9, a size of width = 200, and a height = 200. Their shape is also characterized by ellipses and shading. The only difference is the display position. The display position of the affected part designation graphic data having the area ID of 1 is (x = 200, y = 300), and the display position of the affected part designation graphic data having the area ID of 2 is (x = 400, y = 500). Next, FIG.
However, this figure shows two finding data of area IDs 1 and 2. The finding data with the region IDs 1 and 2 have a plurality of findings on the diseased part designation graphic designated by the region IDs 1 and 2, respectively. These findings have a priority of 1 and a type of non-display. The finding data whose area ID is 1 has a display position of (x = −300, y = 100) and has “finding a”, “finding b”, and the like as finding character string data. The finding data with an area ID of 2 has a display position of (x = 700, y = 100) and has “finding A”, “finding B”, and the like as finding character string data.

The editing unit 11_1 combines the two affected part designation graphic data and the original image data read as described above, and as shown in FIG.
Is displayed on the schema input screen. In the schema input screen of FIG. 9A, the original image of the human figure is displayed
An affected part designation figure 3_1 designated by an area ID of 1;
The affected part designation figure 3_2 designated by the area ID of 2 is displayed. The display of two individuals, one of the constituent elements of the schema, such as the diseased part designation graphic 3_1 and the diseased part designation graphic 3_2, is based on the fact that there are two diseased part designation graphic data. Further, the two finding data are not displayed because the types are not displayed. After this, step S
Proceed to 6.

In step S6, a processing method in the subsequent steps is selected. If you want to end as it is,
Proceed to step S8. Alternatively, select one of the affected part designation graphics from the schema input screen and select a finding for the selected affected part designation graphic, or select any of the constituent elements of the schema from the schema input screen If the selected component is to be moved, deleted, or corrected, the process proceeds to subroutine SB1. Alternatively, the process proceeds to the subroutine SB2 when the affected part designating graphic is newly input instead of being selected from the affected part designating graphic selection data 14_5. Alternatively, if character data or freehand image data is newly input, the process proceeds to step S7.

First, the process proceeds to subroutine SB1, and
The case where one of the three diseased part designation figures is selected will be described. When proceeding to subroutine SB2, step S
The case of proceeding to 7 will be described later.

FIG. 10 is a flowchart of a subroutine in which the editing unit selects an affected part designation graphic and a finding, and corrects, moves, and deletes constituent elements constituting a schema.

In subroutine SB1, first, step S
In 6_1, the editing unit 11_1 converts one of a plurality of constituent elements constituting a schema in accordance with a user operation through the input unit 15 into one.
One individual of one component is selected. Here, the data having the area ID of 2 is selected from the diseased part designation graphic data. Next, the process proceeds to step S6_2.

In step S6_2, the editing unit 11_1
Determines whether or not the component selected in step S6_1 is an affected part designating graphic, and if the component is an affected part designating graphic, a finding on the affected part designating graphic is already selected and displayed on the schema input screen. It is determined whether or not it is displayed. If the selected component is the affected part designating graphic and the finding on the affected part indicated by the affected part designating graphic is not displayed, the process proceeds to step S6_3 to select the finding on the affected part. Here, step S
The diseased part designating graphic having an area ID of 2 is selected in 6_1, and the type of finding data having an area ID of 2 relating to the diseased part designating graphic is “non-display” as shown in FIG. 9B. Since no findings are displayed on the schema input screen, the process proceeds to step S6_3. If the selected component is other than the affected part designating graphic, or if no finding is selected even if the selected component is the affected part designating graphic, step S6_9 is performed.
Proceed to. The case where the process proceeds to step S6_9 will be described later.

At step S6_3, the editing unit 11_1
Is the finding data related to the affected part designation figure selected in step S6_1, that is, the image ID is 2 and the area ID is 2.
Is read, and a list of a plurality of findings included in the finding character string data is displayed on the schema input screen of the display unit 16. Thereafter, the process proceeds to step S6_4.

At step S6_4, the editing unit 11_1
Creates connected graphic data of a connected graphic that connects the selected diseased part graphic and the list of findings on the schema input screen, and stores the data in the connected graphic holding area 13_5 in FIG.
To memorize. Finding data in this step S6_4,
The diseased part designation data and the connected graphic data are shown in FIG.

FIG. 11 shows an example (A) of the schema input screen and the finding data (B) of the schema in step S6_4 of the subroutine SB1 of the editing unit, the affected part designation graphic data (C) of the schema, and the connection of the schema. It is a figure showing graphic data (D).

First, the finding data of FIG.
Unlike the finding data shown in (B), the type of the finding data whose area ID is 2 is “display”. For this reason,
The editing unit 11_1 sends this “display” information to the display unit 16, and displays the character string data of the finding character string data in the finding data with the area ID of 2 on the schema input screen of the display unit 16 as shown in FIG. The observation list 5_1 including a plurality of observations is displayed. Next, since the affected part designation graphic data of FIG. 11C is not different from the affected part designation graphic data shown in FIG. 9C, the affected part designation graphic data is displayed on the schema screen of FIG. 11A similarly to FIG. 9A. Also the affected part designation figure 3_1 and the affected part designation figure 3_
2 is displayed. Next, as described above, the editing unit 11
FIG. 11D shows the connected graphic data created by _1. The linked figure data has an area ID of 2, a priority of 5,
The start position is (x = 500, y = 500) and the end position is (x = 700, y = 100). The start position indicates the diseased part designation graphic 3_2, and the end position indicates the finding list 5_1. The editing unit 11_1 displays the connected graphic 4_1 on the schema input screen of the display unit 16 according to the data of the connected graphic data.

After displaying the connected graphic, step S6_
Go to 5.

In step S6_5, in response to the user's operation from the input unit 15, the editing unit 11_1
It is determined whether to select one or more findings from the plurality of findings shown in the findings list 5_1 in (A) or to input a new finding. If you decide to make a finding,
Proceed to step S6_6. Here, it is assumed that the finding desired by the user is “finding C” and that the finding is included in the finding list 5_1. The case where a new finding is input will be described later.

In step S6_6, first, the editing unit 11
_1 is stored in the finding data holding area 13_2. This finding data is shown in FIG.

FIG. 12 shows an example (A) of the schema input screen and the finding data (B) of the schema in step S6_6 of the subroutine SB1 of the editing unit, the affected part designation graphic data (C) of the schema, and the connection of the schema. It is a figure showing graphic data (D).

The finding data shown in FIG.
Unlike the finding data shown in (B), the finding character string data of the finding data whose area ID is 2 is “finding C”. In response to this, the editing unit 11_1 transmits this display information to the display unit 16, and causes the schema input screen of the display unit 16 to display the finding 5_2 of "finding C" as shown in FIG. . The affected part designation graphic data of FIG. 12C and the connected graphic data of FIG. 12D are exactly the same as those described with reference to FIG.
The diseased part designation graphic 3_1, diseased part designation graphic 3_2, and connected graphic 4_1 in (A) are the same as those shown in FIG.

Thereafter, the process proceeds to point P3_1 and exits from subroutine SB1.

The point P3_1 corresponds to the point P3 in FIG.
To the step S via the point P3.
Proceed to 6.

In step S6, the above selection is performed again. Here, assuming that the end is selected, step S8
Proceed to.

FIG. 13 shows the input screen of the schema at this final stage and the data of each component of the schema.

FIG. 13 shows an example (A) of the schema input screen, the finding data (B) of the schema, the affected part designation graphic data (C) of the schema, and the connection of the schema in step S8 of the main routine of the editing unit. It is a figure showing graphic data (D).

Since the end is selected in step S6, in FIG. 13B, of the finding data shown in FIG. 12B, only the finding data whose area ID is 2 remains in the finding data holding area 13_2. The finding data with the area ID of 1 that has not been selected by step S8 has been discarded. Further, in FIG. 13 (C), of the affected part designation graphic data shown in FIG. 12 (C), only the affected part designation graphic data having the area ID of 2 remains in the affected part designation graphic data holding area 13_3, and the affected part having the area ID of 1 The specified figure data has been discarded. The connected graphic data of FIG. 13D is the same as the connected graphic data of FIG. Due to these data changes, the schema input screen shown in FIG.
The diseased part designation graphic 3_1 displayed on the schema input screen 2A is not displayed as an unnecessary element. Thus, finally, the step S6_1 of the subroutine SB1 is performed on the original image selected in the main routine step S1 shown in FIG. 13A without any troublesome operation of typing a character or drawing a figure. The position of the diseased part is indicated by the diseased part designation graphic 3_2 selected in step S6_5, the finding 5_2 selected in step S6_5 is displayed, and the diseased part designation graphic 3_2 is automatically displayed in step S6_4 by the connected figure. And the schema in which the findings 5_2 are associated with each other.

At the end of the main routine, the editing unit 11
_1 reads the data of each component of the schema edited on the schema input screen from the six data holding areas and individually stores them in the chart data 14_1.
Thereafter, the process exits from step S8 and ends the main routine for creating a new schema.

Next, a case of editing a schema will be described. In the above-described process of newly creating a schema, the process starts from the state where the step S6 of the main routine shown in FIG. 7 is visited for the second time. In this state, the input screen of the schema and the data of the components of the schema are shown in FIG.
Shown in

FIG. 14 is an example (A1) of the schema input screen before and after the affected part designation graphic moves on the schema.
(A2), and the finding data of the schema (B1),
(B2), the affected part designation graphic data (C
It is a figure which shows 1), (C2), and the connection figure data (D1) and (D2) of the schema.

In the state in step S6 described above,
FIG. 14A shows the schema input screen, FIG. 14B shows the finding data, and FIG.
(C1), and the connected figure data is shown in FIG.
Shown in 1). The schema input screen and these data are the same as those shown in FIG.

Here, a case is considered in which the affected part designation graphic 3_2 in FIG. 14A1 is moved to another position on the schema. In that case, the process proceeds to the subroutine SB1 again. In step S6_1 of the subroutine SB1, the affected part designation figure 3_2 is selected, and the process proceeds to step S6_2. This time, in step S6_2, the affected part designation figure is moved instead of selecting a finding.
Go to _9.

In step S6_9, move / delete is selected, and the flow advances to step S6_11. Step S6_11
Then, the user inputs the movement of the affected part designation figure 3_2 into the input unit 15.
And the editing unit 11_1 according to the operation.
Changes one individual component designated to move, in this case, the diseased part designation figure 3_2. The changed diseased part designation graphic data is shown in FIG. 14 (C2). The affected part designation graphic data after the change is compared with the diseased part designation graphic data before the change shown in FIG.
400, y = 500) to (x = 200, y = 500)
Has been changed to FIG. 14 (A2) according to the change
As shown in the figure, the affected part designation figure 3 is displayed on the schema input screen.
The diseased part designation figure 3_3 obtained by moving _2 is displayed. Next, the process proceeds to step S6_12.

In this step S6_12, it is determined whether or not there is a schema component related to the moved affected part designation graphic 3_3. 2 same as this affected part designation figure
There are observation data and connected figure data as data of constituent elements of a schema having an area ID of "1". Therefore, the process proceeds to step S6_13. If there is no related component, the process proceeds to point P3_1 and the subroutine SB
1 is ended.

In step S6_13, the editing unit 11_1
Rewrites data accompanying the movement from the affected part designating graphic 3_2 to the affected part designating graphic 3_3. FIG. 14 (D2)
As shown in the figure, the connected figure data
Only the start position changes from (x = 500, y = 500) to (x =
300, y = 500). By this data change, the connected graphic changes from the connected graphic 4_1 in FIG. 14 (A1) to the connected graphic 4_2 shown in FIG. 14 (A2) in accordance with the movement of the affected part designation graphic. The finding data is, as shown in FIG.
There is no difference from the observation data before the change in 1). for that reason,
The finding shown in FIG. 14 (A2) is at the same position as the finding 5_2 shown in FIG. 14 (A1). When the affected part designating graphic is deleted instead of moving, the findings related to the affected part designating graphic are also erased. After finishing step S6_13, the process proceeds to point P3_1 and the subroutine SB
1 is ended.

In step S6_9, step S6
If one of the components of the schema selected in 6_1 is to be corrected, the process proceeds to S6_10, and the editing unit 11_1
One of the constituent elements is corrected, the data of the corrected one of the constituent elements is stored in the data holding area corresponding to the constituent element, and displayed on the schema input screen of the display unit 6 according to the data. Thereafter, the process proceeds to point P3_1 and ends the subroutine SB1.

As described above, since the medical record electronic recording apparatus can individually move, delete, and correct each component of the schema, it is impossible to delete other components erroneously or unavoidably by performing these operations. Absent.

If the diseased part designation graphic 3_2 is deleted instead of being moved in step S6_11,
In step S6_13, the finding 5_2 is deleted by the editing unit 11_1 as described above, and the connected graphic 4_1 is also deleted. Further, in step S6_11, if the finding 5_2 is moved instead of the diseased part designating graphic 3_2, the connecting graphic 4_1 is moved by the editing unit 11_1 in step S6_13. Step S6_
If the finding 5_2 is deleted at step 11,
In 6_13, the connected graphic 4_1 is deleted by the editing unit 11_1.

As described above, when one component is deleted or moved by associating the components of the schema, other components related to the component can be automatically changed. This saves a great deal of editing of the schema.

[0107] Here, the description has been given of the editing as one process in the case of a new input. However, the medical record electronic recording apparatus of the present invention naturally also edits the already input schema. be able to.

Next, a case where a finding of a schema is newly registered instead of being selected from a list of findings will be described. Step S6_5 of subroutine SB1 described above
Start from. Here, a case is considered where the finding desired by the user is “finding X” and the finding is not included in the finding list 5_1. FIG. 15 shows the input screen of the schema and the data of the constituent elements of the schema in the state just entered in step S6_5.

FIG. 15 shows schema input screens (A1) and (A2) before and after an unregistered finding is registered, and finding data (B).
1) (B2) and finding selection data (C1) (C2)
12 is a diagram showing a schema input screen (D) displaying a list of findings after registration. FIG.

The data shown in FIG. 15 (C1) is data in which the image ID is 2 and the area ID is 2 in the initially registered finding selection data also shown in FIG. The finding data read from the finding selection data by the editing unit 11_1 and stored in the finding data holding area 13_2 is shown in FIG.
It is the finding data of (B1). Fig. 1 Schematic input screen
5 (A1). FIG. 15 (A1) is the same as FIG.
This is the same as the diagram shown in FIG. 9A, and a finding list 5_1 is displayed.

Here, a case will be considered in which “finding X” not registered in the finding list 5_1 is input as a finding. Therefore, the editing unit 11_1 newly adds a finding in response to a user operation from the input unit 15. Judge to enter.
Proceed to step S6_7.

In step S6_7, the user operates the input unit 1
5, the input operation of the character string "finding X" of the finding is performed.
In response to the operation, the editing unit 11_1 changes the state shown in FIG.
As shown in, the finding character string data of the finding selection data is
The inputted "finding X" is automatically added to the finding selection data 14_4 so that "finding A", "finding B", ... "finding X". Whether the above addition is performed automatically can be changed by setting. It is also possible to determine whether or not to additionally register the unregistered data in the initial registration data based on the determination when the user inputs the unregistered data. Next, step S
Go to 6_8.

In step S6_8, as shown in FIG. 15 (B2), the finding character string data of the finding data in the finding data holding area 13_2 is replaced with the character string "finding X".
As a result, the editing unit 11_1 causes the schema input screen of the display unit 16 to display a finding 5_3 called "finding X", as shown in FIG. And point P3_2
The subroutine SB2 is terminated.

Then, from the point P3 to the step S6,
The main routine ends via step S8. Next time, when a new schema is input to another patient, the main routine and the subroutine SB1 are again executed.
When the same diseased part designation figure as described above is selected, a finding 5_4 in which "finding X" is added to the schema input screen as shown in FIG. 15D in step S6_3.
Is displayed.

As described above, data that is not registered in the initial registration data of each component of the schema is automatically added to the initial registration data every time the user newly inputs. Therefore, as the present medical record electronic recording device is operated, the contents of the initial registration data are gradually enhanced, and the input operation of the user is further simplified.

Next, the case of newly registering the affected part designation graphic and the finding of the schema will be described. In step S3 of the main routine shown in FIG. 7 in the above-described process of creating a new schema, if the affected part designation graphic for the original image has not been initially registered, the process directly proceeds to step S5. In this case, only the original image is displayed on the schema input screen. Next, the process proceeds to step S6, but since there is no affected part designation graphic in the schema, the process proceeds to the subroutine SB2 next so that the affected part designation graphic is newly registered.

FIG. 16 is a flowchart of a subroutine in which the editing unit newly registers an affected part designating graphic and a finding constituting a schema.

Step S6_14 of subroutine SB2
Then, the user operates the input unit 15 to newly register and enter an affected part designation figure by directly designating its position, size, and shape. When newly registering the affected part designating graphic, the editing unit 11_1 stores the diseased part designating graphic input in this way in the diseased part designating graphic data holding area 13_3, and displays it on the schema input screen of the display unit 16. Then, the process proceeds to the next step S6_15.

In step S6_15, a display position of the finding data is designated. According to the operation of the input unit 15 by the user,
The editing unit 11_1 displays the finding input area on the schema input screen of the display unit 16. When the display position is designated, the data of the linked figure that automatically associates the display position with the affected part designation figure associated with the finding data is automatically generated. That is,
The editing unit 11_1 stores the connected figure data in the connected figure data holding area 13_4, and displays the connected figure on the schema input screen of the display unit 16. Then, the process proceeds to the next step S6_16.

In step S6_16, the user operates the input unit 15 to input a finding character string in the finding input area. In response to the operation, the editing unit 11_1 writes the character string input by the input operation as finding character string data of the finding data in the finding data holding area 13_2. As a result, the editing unit 11_1 displays the character string on the schema input screen of the display unit 16. Then, after finishing Step S6_16, the process proceeds to P3_2, where the subroutine S
B2 is ended. Thereafter, the process proceeds from P3_2 to P3 of the main routine, and returns to step S6.

As described above, even when the original image of the schema does not have the affected part designation graphic and the finding related to the original image, the user can input the affected part designation graphic and the finding through the input unit 15. . Then, also in this case, a connected figure connecting them is automatically generated by the editing unit 11_1.
The user's input operation is simplified.

Finally, in step S6, if it is selected to add a simple character or a hand-drawn figure to the schema in response to an instruction from the user, the process proceeds to step S7, and in response to an operation on the input unit 15, The editing unit 11_1 stores the input character data and freehand image data in the character data holding area 13_5 and the freehand image holding area 13_6, respectively. Editing unit 11
_1 sends the data to the display unit 16 and the display unit 1
6 is displayed on the schema input screen.

In the chart input screen in which the schema is displayed small as a part of the chart, the original image, the diseased part designating graphic, and the freehand image constituting the schema are displayed at a reduced scale at a certain common reduction ratio. . Each component of the schema is individually stored in the data holding area, and the editing unit 11_1 can individually edit the data of each component. For this reason, the medical record electronic recording apparatus can display findings and characters on the chart input screen at a reduction rate different from the above-described reduction rate in a size that allows the user to clearly read those characters. At this time, the minimum character size may be set. Further, if a connected graphic represented by a line or the like is reduced and displayed on the chart input screen at the above-mentioned common reduction ratio, the line may be broken and become invisible. It can be displayed clearly by redrawing it on the screen.

[0124]

As described above, according to the present invention,
Provided is a medical record electronic recording device capable of easily performing editing accompanied by operations such as change, move, or delete for contents represented by characters and graphics input to a schema in a medical record. .

[Brief description of the drawings]

FIG. 1 is an external view (A) and an internal configuration diagram (B) showing an embodiment of a medical record electronic recording device of the present invention.

FIG. 2 is a diagram showing an example of a schema displayed on a schema input screen of the medical record electronic recording device, each component constituting the schema, and a data structure of each component.

FIG. 3 is a diagram showing details of an internal configuration of an embodiment of a medical record electronic recording device of the present invention.

FIG. 4 is a diagram showing an example of synthetic standard priority information.

FIG. 5 is a diagram showing a data structure of each component constituting a schema.

FIG. 6 is a diagram illustrating a data structure of initial registration data.

FIG. 7 is a flowchart of a main routine of an editing unit when a schema is newly created.

FIG. 8 is a diagram illustrating an example of original image selection data (A), an example of diseased part designation figure selection graphic data (B), and an example of finding selection data (C).

FIG. 9 is a diagram showing an example (A) of a schema input screen, finding data (B) of the schema, and affected part designation graphic data (C) of the schema in step S5 of the main routine of the editing unit.

FIG. 10 is a diagram showing an example in which the editing unit selects an affected part designation figure and a finding;
10 is a flowchart of a subroutine for correcting, moving, and deleting components constituting a schema.

FIG. 11 is a step S6 of a subroutine SB1 of the editing unit;
_4 is a diagram showing an example (A) of a schema input screen, finding data (B) of the schema, affected part designation graphic data (C) of the schema, and connected graphic data (D) of the schema;

FIG. 12 is a step S6 of a subroutine SB1 of the editing unit;
FIG. 9B is a diagram showing an example (A) of a schema input screen, finding data (B) of the schema, affected part designation graphic data (C) of the schema, and connected graphic data (D) of the schema in _6.

FIG. 13 shows an example (A) of a schema input screen in step S8 of the main routine of the editing unit, finding data (B) of the schema, affected part designation graphic data (C) of the schema, and linked graphic data of the schema ( D)
FIG.

FIG. 14 is an example (A1) and (A2) of a schema input screen before and after a diseased part designation graphic moves on a schema, and finding data (B1) and (B2) of the schema, and a diseased part designation graphic of the schema. Data (C1), (C2) and linked figure data (D1), (D2) of the schema
FIG.

FIG. 15 shows a schema input screen (A1) and (A2) before and after an unregistered finding is registered, finding data (B1) and (B2),
FIG. 9 is a diagram showing a schema input screen (D) for displaying finding selection data (C1) and (C2) and a list of findings after registration.

FIG. 16 is a flowchart of a subroutine in which an editing unit newly registers an affected part designation graphic and a finding constituting a schema.

[Explanation of symbols]

 Reference Signs List 1 Schema input screen 2 Original image 3 Affected part designation figure 4 Connected figure 5 Findings 10 Medical record electronic recording device 11 CPU 12 CD-ROM drive 13 Memory 13_1 Original image data holding area 13_2 Finding data holding area 13_3 Affected part designation figure data holding area 13_4 Linked figure data holding area 13_5 Character data holding area 13_6 Freehand image data holding area 14 Hard disk 14_1 Medical chart data 14_2 Synthetic standard priority information 14_3 Original image selection data 14_4 Finding selection data 14_5 Diseased part designation figure selection data 15 Input unit 15_1 Mouse 15_2 Keyboard 16 Display 17 System bus 18 CD-ROM

Continued on front page F-term (reference)

Claims (10)

[Claims] At least an original image representing a part of a human body, an affected part designating graphic designating an affected part on the original image, a finding, and a connected figure for associating the affected part designating figure with the finding are included as constituent elements. In a medical record electronic recording device that electronically records a medical record including a schema, an editing unit that individually edits the schema for each of a plurality of constituent elements configuring the schema, and a schema edited by the editing unit. A first storage unit for individually storing a plurality of constituent elements for each constituent element, and a display for combining the plurality of constituent elements constituting one schema and displaying the schema stored in the storage unit And a medical record electronic recording device. A second storage unit that stores a plurality of types of original images representing each part of a human body and a plurality of types of findings, wherein the editing unit is configured to change the plurality of types of the original images in response to an operation. And selecting the findings constituting the schema from the plurality of types of findings, and storing the selected original images and findings in the first storage unit. 2. The medical record electronic recording device according to claim 1, wherein: 3. The first storage unit stores, for a plurality of constituent elements constituting a schema except for an original image, information on a relative display position of each of the constituent elements with respect to the original image. The medical record electronic recording device according to claim 1, wherein the medical record is electronically recorded. 4. The display unit according to claim 1, wherein the display unit superimposes a plurality of constituent elements of the schema in a predetermined superimposition order when displaying the schema. Medical record electronic recording device. 5. The second storage unit stores a plurality of types of findings classified according to an affected part position on the original image and further according to an original image, and the display unit includes: In response to the editing unit selecting the original image and specifying the affected part position on the original image by the affected part designating graphic, the original image selected from the plurality of types of findings stored in the second storage unit and A list of findings according to the designated affected part position is displayed, wherein the editing unit selects a desired finding from the displayed list of findings according to an operation. The medical record electronic recording device according to claim 2, wherein 6. The editing unit erases the affected part designating graphic in response to an operation of erasing the affected part designating graphic on the schema, and also erases a finding on the schema corresponding to the affected part designating graphic to be erased. The medical record electronic recording device according to claim 1, wherein the medical record is electronically recorded. 7. The editing unit receives an operation to move a finding on the schema or a display position of the affected part designation graphic on the schema, and converts the connected figure that associates the finding with the affected part designating graphic. 2. The medical record electronic recording device according to claim 1, wherein the medical record is moved in accordance with the movement of the affected part designation graphic. 8. The editing unit, in response to an operation of deleting a finding on a schema, deletes the finding and also deletes a connected figure that associates the finding with the affected part designation figure of the schema. 2. The medical record electronic recording device according to claim 1, wherein: 9. The method according to claim 9, wherein the editing unit sends the second
Receiving an input operation of a new finding other than the finding stored in the storage unit, and additionally storing the finding input to the schema in the second storage unit. The medical record electronic recording device according to claim 2. 10. The second storage unit is configured to store a plurality of initial registration data including a plurality of types of original images and a plurality of types of findings in association with IDs, and the editing unit includes: 3. The medical record electronic recording device according to claim 2, wherein, upon receipt of the designation of the ID, the initial registration data corresponding to the designated ID among the plurality of initial registration data is referred to.