JP2001344346A - Electronic medical record processing device having audio input - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an electronic medical record processing device, having audio input by which input is facilitated and contents can be grasped immediately, regarding information about a patient who is the object of diagnosis, etc. SOLUTION: This electronic medical record processing device includes a diagnosis output incorporating means 102; an examination result incorporating means; an examination result receiving means 110 that receives the examination result from an external institution; a medical examination information storing means 112 that relates incorporated output and result with medical chart identification information and a data to store; a medical record inputting and editing means 114 that inputs and edits the medical chart and stores the result; a medical accounting dealing means 120 that conducts medical accounting; and a window displaying means 124. This system distinctively includes a speech recognition means 202 that transforms inputted speech into character information or command information, and executes, by means of voice, inputting and editing in the medical record inputting and editing means, and inputting of the name of disease, prescription and patient information in the medical accounting processing means, respectively.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a processor for digitizing and managing medical records, and more particularly to an electronic medical record processor with voice input suitable for clinics and small and medium-sized hospitals.

2. Description of the Related Art In clinics and small- and medium-sized hospitals that rely on human resources for patient reception, medical treatment, accounting, and the like, a great deal of time and labor is required, and it is difficult to reduce operating costs.

[0002] Therefore, high-performance diagnostic devices and examination devices are introduced, and dedicated machines for medical accounting processing are used for patient reception and accounting operations.

[0003] In addition, utilization of a processing device for digitizing and managing medical records is being studied, and it is expected that in-hospital operations for handling medical records will be more efficient.

In the conventional electronic medical record processing device, only the medical record is simply digitized and managed, so that the contents obtained by the diagnosis device, the inspection device, and the dedicated machine for the medical accounting process are stored in a film. However, all the information on the patients to be examined and treated could not be immediately grasped.

[0004] As a result, the efficiency of medical examination and treatment cannot be improved satisfactorily, and it has also been difficult to reliably prevent a simple mistake of changing a medium such as a film or a paper sheet. In a conventional electronic medical record processing apparatus, input / output and processing operations of information related to diagnosis and treatment are performed by a keyboard and a mouse. For this reason, it is difficult for a user who is unfamiliar with the operation of the keyboard and the mouse to input information, and there is a case where necessary information cannot be immediately taken out, thereby hindering business. In addition, in conventional devices that require the operation of a chart, keyboard, and mouse on a conventional paper, when performing chart entry or input / output operation of an electronic chart during diagnosis or treatment, diagnosis work and treatment work are temporarily performed. It was requested to stop and perform entry and keyboard operation. For this reason, the danger of losing concentration during diagnosis and treatment and disturbing the work could not be denied.

[0005] The present invention has been devised to address the above-mentioned conventional problems, and makes it possible to easily input such information on patients to be examined or treated. It is an object of the present invention to provide an electronic medical record processing apparatus with a voice input that enables all of this information to be grasped immediately and easily.

In FIG. 1, an electronic medical record processing apparatus with a voice input according to a first aspect of the present invention includes a diagnostic output capturing means 102 for capturing an output of a diagnostic apparatus 100.
A test result capturing unit 106 that captures the results of the testing device 104, a test result receiving unit 110 that receives test results from an institution 108 outside the hospital, a captured diagnostic output,
Examination information storage means 112 for accumulating the test results and the received test results in association with the chart identification information and the date;
A chart input editing unit 114 that performs chart input editing and saves the edited result, a medical accounting processing unit 120 that performs medical accounting processing, and records an input of a disease name from the medical accounting processing unit 120 in correspondence with a reception date. Medical history recording means 1
16 and a drug history recording means 118 which records the input of a prescription from the medical accounting processing means 120 in correspondence with the reception date.
And patient information acquisition means 122 for acquiring patient identification information, name, and visit history from medical accounting processing means 120, and examination information, medical record input / edit result, medical history record, drug history record, and patient Voice information input means 154 for inputting voice information relating to the information, voice information recording means 156 for recording the input voice information, and identification information, name, visit history, diagnosis output history, and examination result of any patient. Window display means 1 for arranging and displaying a history, a medical record editing result, a medical history and a drug history in a single window
And audio information output means 160 for reproducing and outputting audio information recorded with the display of the single window as audio.
An electronic medical record processing device, comprising: a voice information recognition unit 202 that recognizes voice information input from the voice input unit 200 and converts the voice information into character information or command information.
The voice information recognizing means 2 according to an operator's request.
02 using the character information and command information converted from the voice information by the medical record input / editing means 114 and the medical accounting processing means 12
0, the input of the disease name, the prescription, and the patient information are respectively performed.

Thus, not only the medical record but also the diagnosis history,
Test history, medical history, drug history, and even visit history are arranged in a single window, so you can quickly see at a glance how much image and document information has been collected for patients to be examined and treated. it can. In addition, when inputting medical charts and inputting medical accounting information, in addition to the keyboard and mouse, voice input is also possible, so it is easy to use even for users who are unfamiliar with keyboards, etc. It is possible to input and output medical chart information without stopping the process.

[0007] The electronic medical record processing apparatus with voice input according to the second invention comprises a diagnostic output capturing means 102 for capturing the output of the diagnostic apparatus 100, a test result capturing means 106 for capturing the result of the test apparatus 104, and an institution 108 outside the hospital. An examination result receiving means 110 for receiving examination results, examination information accumulating means 112 for accumulating the acquired diagnostic output, examination results and received examination results in association with the chart identification information and date, and a scanner 126 for handwritten charts. A chart input unit 128 for inputting and editing the chart, and a chart input editing unit 114 for storing the read image and the date of reading of the handwritten chart in association with the edited result, and performing medical accounting processing The medical accounting processing means 120 and the medical accounting processing means 120 Medical history recording means 116 for recording the force in correspondence with the reception date, medicine history recording means 118 for recording the prescription input from the medical accounting processing means 120 in correspondence with the reception date, and identification of the patient from the medical accounting processing means 120 Patient information acquisition means 122 for acquiring information, name, and visit history, and identification information, name,
Window display means 124 for arranging and displaying a visit history, a diagnostic output history, a test result history, a medical record editing result, a medical history, a medical history and a handwritten medical record reading history in a single window, and a diagnostic output history A medical examination image display means 130 for displaying the image selected from the medical record on a dedicated window, a medical record image display means 132 for displaying the image selected from the history of the handwritten medical record in a dedicated window, a diagnostic output history, Display automatic updating means 134 for immediately rewriting the history, medical history, medicine history, visit history and reading history of the handwritten medical record to the latest display contents
When an explanation button is selected, an explanation material list presenting means 136 for presenting a list of explanation materials by disease name, and when any of the explanation materials is selected, a presentation application is started. Disease explanation means 138 for opening a file corresponding to the explanation material, examination item list presenting means 140 for presenting a list of examination items when an examination button is selected, and when any examination item is selected. A test value visual display means 142 for visually displaying the test value and drug history of the item in a time-series manner.
When a button of a standard document is selected, a standard document access guide means 144 for starting a file management program to open a specific folder when a button of a standard document is selected, and a list of disease names when a button of medical care input is selected. A problem list display means 146 to be displayed, a medical care menu display means 148 for displaying a medical care action menu when any one is selected from a list of disease names, and a medical treatment action corresponding to an item selected from the medical care action menu Medical practice requesting means 15 for issuing requests
An electronic medical record processing apparatus, comprising: an electronic medical record processing device that prints a character string specifying a patient on a new sheet and creates a medical record read by the scanner 126 after handwriting. A voice information recognition means for recognizing voice information input from the voice information and converting the voice information into character information or command information; and converting the voice information from the voice information by the voice information recognition means in response to an operator's request. And inputting the medical record in the medical chart input / editing means 114 and inputting the disease name, prescription and patient information in the medical accounting processing means 120 using the medical record processing means 120 and the command information. Using the command information converted from the voice information by the information recognizing means 202, the diagnostic output capturing means 102 A capturing operation, a capturing operation in the test result capturing means 106, a receiving operation in the test result receiving means 110, an image selecting operation in the examination image displaying means 130, an image selecting operation in the medical chart image displaying means 132, Selection operation of the explanation button in the list presentation means 136, selection operation of the explanation material in the disease explanation means 138, selection operation of the examination button in the examination item list presentation means 140, and selection operation of the examination item in the examination value visual display means 142 And fixed form document access guide means 1
A standard document button selection operation at 44, a medical care input button selection operation at the problem list display means 146, and a disease name selection operation at the medical care menu display means 148;
And selecting operation of a medical treatment item in the medical treatment requesting means 150.

In the second invention, the handwritten chart and the electronic chart are managed in correspondence with each other, and the image of the handwritten chart can be confirmed on the spot. Can be eliminated. In addition, when inputting medical information, inputting and editing electronic medical records, and inputting medical accounting information, in addition to a keyboard and a mouse, voice operations and inputs are also possible, so that even a user who is unfamiliar with a keyboard or the like can use it easily. In addition, even during diagnosis or treatment, it is possible to take in and input medical record information without stopping the diagnosis work or the like. Then, even if the information being displayed is updated or new information is added, the content is automatically and immediately reflected, so that the accuracy of the information can be secured. Further, a plurality of buttons are arranged in an initial window in which all information regarding the patient can be grasped at a glance. Of these, select the button for explanation and select one from the list of presented explanatory materials (by disease name), a presentation explaining the relevant disease will be started, and it will be useful to let the patient understand the disease Information is provided. If you select the inspection button further,
A list of inspection items is presented. Next, when one of the test items is selected, the test value and drug history of the item are visually displayed in chronological order. For this reason, a medical condition change etc. can be grasped easily and immediately. Moreover, by selecting one of the images from the history of the diagnostic output, the image is displayed in a dedicated window. For this reason, the state of the body tissue can be checked on the spot without preparing a film or a photograph. By combining the presentation of the disease explanation with the visual display of the test values and the medical history and the display of the diagnostic image, it becomes possible for the patient to fully understand the disease. When the user selects a standard document button, a file management program is started and a specific folder is opened.
Therefore, if a template file of a standard document is prepared in the folder in advance, a document such as an introduction letter or a medical certificate can be created immediately. This document is preferably printed, read by the scanner 126, and handled as a handwritten chart. The handwritten medical record is, for example, printing only the patient's name on a blank sheet, and a doctor fills out the sheet, and after filling in the form, the scanner 1
26 reads. When a button for medical care input is selected, a list of disease names is displayed. When any one of these disease names is selected, a menu of medical treatment is displayed. When an item is selected from the menu of the medical practice, a request for a treatment corresponding to the item is issued. It is assumed that treatment includes issuing an examination request form or prescription, printing out a reservation table or precautionary notes, and starting presentation of disease explanations.The doctor repeats the operation according to the screen display to perform a series of operations efficiently and easily. Do. Also, on this screen, you can add a medical practice,
Correction and deletion are also possible. Further, when selecting a button in the initial window which allows the user to grasp all information on the patient at a glance, it is possible to make a voice or voice selection in addition to the keyboard and mouse. Therefore, it is easy to use even for a user who is unfamiliar with the keyboard and the mouse, and it is possible to perform the operation of displaying the medical record information without stopping the diagnosis work or the like during the diagnosis or the treatment. In addition, it is possible to obtain electronic medical record information necessary for a patient who has difficulty operating a keyboard and a mouse due to physical inconvenience and the like.

FIG. 2 shows a system configuration in a clinic. A plurality of diagnostic apparatuses (radiography, endoscope, ultrasonic echo, echocardiography, fundus camera, flexible endoscope, rigid endoscope) are shown in FIG. The image data obtained by the mirrors (such as mirrors) 100-1, 100-2,..., 100-i is taken into the electronic medical record processing device 10 via the medical image taking device 102 and the private network.

Also, various analyzers 104-1 and 104-1
.. 104-j are connected to the analysis processing device 106, and the analysis devices 104-1, 104-2.
Is processed by the analysis processing device 106.

The analysis processor 106 operates a general-purpose SQL relational database management system, and is connected to the electronic medical record processor 10 and the medical accounting processor 120 via a private network.

The electronic medical record processing apparatus 10 and the medical accounting processing apparatus 120 also operate an SQL relational database management system, and the database on the medical accounting processing apparatus 120 side uses the electronic medical record processing apparatus 1
Shared from the 0 side.

At the time of sharing, the table value of the database of the medical accounting processor 120 is MML (Medical M).
arkup Language) format or XML (Ext
The data is converted to an Essible Markup Language (encryption markup language) format and then delivered to the electronic medical record processing device 10. On the electronic medical record processing apparatus 10 side, the delivered MML format or XM
The value in the L format is converted to the internal format and then written to the table. Even when the table value is transferred in the opposite direction, the value is temporarily converted to the MML format or the XML format.

The chart number registered in the database of the medical accounting processor 120 is referred to by the analyzer 106. The electronic medical record processing apparatus 10 issues an inspection request including the chart number and the code of the inspection item to the analysis processing apparatus 106, and the analysis processing apparatus 106 processes the data of the inspection result including the medical chart number and the inspection item in the electronic medical record processing. Return to device 10.

The electronic medical record processing apparatus 10 includes a printer 15
2, the scanner 126 and the voice input means (microphone) 200 are connected. The printer 152 prints the name of the patient on a blank sheet at the time of receiving the patient to create a medical chart, and the doctor writes the medical chart by hand. The scanner 126 reads the set handwritten medical record or introduction letter, and the read image is taken into the electronic medical record processing device 10. When reading a handwritten chart, a chart number is specified, and the electronic chart processing apparatus 10 reads the read image, the chart number,
Save the date in correspondence.

In addition to inputting and creating the medical record, not only the above-mentioned scanner 126 input but also direct input using a keyboard or a mouse, or voice input using the voice input means 200 and the voice information recognizing means 202. It is configured so that it can also be performed.

In the case of directly inputting a medical chart, it is also possible to input while looking at the image of the handwritten medical chart captured by the scanner 126.
An image screen and a direct input screen using a keyboard or the like are simultaneously displayed on the screen.

Therefore, the chart information to be directly input is
The input information has the same contents as the handwritten medical record information. Further, if the code is standardized in the directly input medical record information, it can be input as code-added information. Further, the text portion of the image of the handwritten medical chart captured by the scanner 126 can be converted into character information by character recognition means (not shown), and can be treated as directly input medical chart information.

The electronic medical record processing device 10 on the private network is connected to the Internet via an internet server 12, a global network, and a router 14.

FIG. 3 illustrates a connection partner of the electronic medical record processing apparatus 10. The electronic medical record processing apparatus 10 (see FIG. 2) installed in the clinic 30 is maintained by the system support center 32 via the Internet. The data of the electronic medical record processing apparatus 10 is backed up at the system support center 32.

The electronic medical record processing device 10 issues an electronic prescription, and the prescription is converted into the MML format or the XML format and then delivered to the pharmacy 34 via the Internet.

For tests that cannot be performed in the clinic 30, a request is made to the testing company 108 of an out-of-hospital institution via the Internet.
The inspection company 108 converts the inspection result data into MML format or X
The data is transmitted in the ML format to the requesting clinic 30 via the Internet similarly, and the data is received by the electronic medical record processing device 10 of the clinic 30.

Furthermore, for patients who cannot be handled at the clinic, a letter of introduction is sent from the electronic medical record processing apparatus 10 of the clinic 30 to the regional support or hospital 36 of a specific function via the Internet. At that time, the reservation request table and the contents of the electronic medical record are also sent.

Thereafter, the doctors at the clinic 30 and the hospital 36 are referred to as We
b. Exchange information and opinions using the service and the video conference system via the Internet.

In the case of a patient who needs home medical care, an instruction for home-visit nursing is given from the electronic medical record processing device 10 to the nursing station 38 via the Internet, and the patient is sent to the patient's home 39. The chart processing device 10 receives it.

When a vital sign terminal is installed in the patient's home 39, vital sign information is collected by a vital sign collection server on the Internet via the Internet network. The clinic refers to it.

When an Internet connection terminal is prepared in the patient's house 39, a video conference is held with the patient's house 39 via the Internet using the electronic medical record processing device 10.

FIG. 4 shows an initial window of the electronic medical record processing apparatus 10. When a patient number is entered in the input box 40 at the upper center, the date and the name of the department in charge are displayed on the left side, and the name of the patient is displayed on the right side. Is done. The department name and the patient name are obtained by accessing the database of the medical accounting processor 120 using the input patient number. In the medical accounting processing device 120, the patient information such as the patient number and the patient name can be input by voice input means (200) other than direct input using a keyboard or a mouse.

A visit history column 42 is provided on the left side of the window. The visit history column 42 sorts and displays the dates on which the patients arrived. The date is obtained by accessing the database of the medical accounting processor 120 using the patient number, and when the accounting process is completed by the medical accounting processor 120, the date is added to the visit history column 42 and the list is automatically displayed. Will be updated to

A disease history column 44 is provided on the upper right side of the window, and a disease name list having a date and a disease name as one line is sorted and displayed in chronological order. Disease name is medical accounting processor 1
When the disease name is updated in the medical accounting processor 120, the updated content is immediately reflected in the disease name in the medical history column 44.

A medicine history column 46 is provided below the medical history column 44. In the medicine history column 46, a list including a medicine name, an amount, the number of days, and a date as one line is displayed in a sorted order, and when a prescription is input, the line is automatically added and displayed.

Below the medicine history column 46, an in-hospital inspection history column 48 is provided.
And an out-of-hospital examination history column 50 are provided side by side. In the in-hospital examination history column 48, images transferred from the analysis processing device 106 are displayed in a list in order of date, and in the out-of-hospital examination history column 50, examination results received by e-mail or the like from the inspection company 108 are listed and displayed in order of date. You. When a new test result is obtained, the line is displayed in the in-hospital test history column 48 and the out-of-hospital test history column 50 as a land price.

In-hospital test history column 48 and out-of-hospital test history column 50
A diagnostic image history column 52 is provided below, and a list including the diagnostic image name, date and time, and number of sheets as one line is displayed sorted by date and time. On the left side of these, image display columns 54 and 56
Is provided, and when any line in the list of the diagnostic image history column 52 is selected by a mouse, a keyboard, or voice input, a corresponding image (an image such as an ultrasonic echo) is displayed in the image display columns 54 and 56. Is done. The image is the image capture device 1
02 and a new image is transferred, the line is added to the diagnostic image history column 52.

An electronic medical record display field 58 is provided at the center of the window. The electronic medical record display column 58 displays the contents of the medical record, and the electronic medical record display column 58 includes a chief complaint part 58.
0, finding part 581, finding image part 582, consideration part 5
83, a policy part 584, and a handwritten medical record history part 585.

In the handwritten medical record history section 585 of the electronic medical record display section 58, medical record lists are sorted and displayed in chronological order. Each row shows an image of a handwritten medical chart captured from the scanner 126.

As described above, not only the contents of the electronic medical record but also the visit history, medical history, medical history, examination history inside and outside the hospital, and image diagnosis history are displayed in a single window. For this reason, it can be immediately grasped from the display of the window how much information about the patient is collected outside the medical record. Moreover,
Since the content displayed in the window is automatically updated in real time, there is no omission or mistake.

It is also possible to check the details of the window display, and this display can be used for explaining the disease to the patient.
When explaining a disease to a patient, first, an explanation button 60 in the window is selected by a mouse, a keyboard, or voice input.

FIG. 5 shows an example of explaining the disease to a patient with bronchial asthma. When the explanation button is clicked (step 600), a list of disease names is displayed, and a line for bronchial asthma is selected (step 602). ).

The presentation application is activated by selecting a line for bronchial asthma (step 604), and a normal bronchi cross section, a bronchi cross section when asthma occurs, and a schematic structure when asthma occurs are displayed in a realistic and easy-to-understand manner (step 606, 608, 610).

When explaining the state of the internal tissue to the patient, an appropriate line is selected from the diagnostic image history column 52 by a mouse, a keyboard, or voice input.

FIG. 6 shows a procedure for displaying a CT image. When a line of the CT image is selected in the diagnostic image history column 52 by a mouse, a keyboard, or voice input (step 62).
0), the four images assigned to the row are displayed in another window (step 622), and by selecting one of them, only that image is enlarged and displayed (step 624). FIG. 7 shows a procedure for possessing an endoscope image. When the line of the CT image is selected in the diagnostic image history column 52 by a mouse, a keyboard, or voice input (step 63)
0) Since four images are displayed in separate windows (step 632), one of them is selected and only that image is enlarged and displayed (step 634).

It is also preferable to show the change of the test result to the patient to explain the change of the medical condition and the like. In this case, the inspection result button 62 arranged in the window of FIG. 4 is selected by a mouse, a keyboard, or voice input.

FIG. 8 shows a display example when the inspection result button 62 is selected. When the inspection result button 62 is selected by a mouse, a keyboard, or voice input (step 640), a list of inspection items is presented. Therefore, one of the inspection items is selected (step 642). As a result, the test value and the medication history of the item are displayed in a time-series visual manner (step 644), so that the patient can easily and immediately grasp the change in the medical condition. At that time, the medication history is displayed as a graph, and the effect of the medication can be confirmed at the same time.

When the doctor wants to obtain new information, he purchases a CD-ROM in which such information is stored, sets it in the electronic medical record processing apparatus 10, and presses the today's medical care button 64 in FIG. A selection is made by a mouse, a keyboard, or voice input, and the contents of the CD-ROM are referred to.

In addition to the explanation for the patient and the acquisition of new information, powerful functions for assisting the doctor are provided as follows.

When a patient is accepted, only the name of the patient is printed on a blank sheet by the printer 152, and a medical chart is created. The doctor writes on the chart, and the written chart is set on the scanner 126 and read. The read image is dated and displayed in column 585. The introduction letter and the like are handled in the same manner as the handwritten medical chart, and are displayed in the column 585.

When one of the history lists in the partial column 585 is selected by a mouse, a keyboard, or voice input, an application for displaying an image is started, and an image of a handwritten medical record or an introduction letter is displayed. Therefore, there is no need to prepare such documents, and the work can be made more efficient and errors can be prevented.

For creating an electronic medical record, a template or the like is also prepared. For example, when filling in the subsection 580 of the chief complaint, if the button is selected by mouse, keyboard or voice input, the template window of FIG. 9 is opened, and the finding image is selected from the opened window as shown in FIG. 582.

As described above, the creation of an electronic medical record can be performed not only by input from the scanner 126 but also by direct input from a keyboard or the like.

The user can directly input a medical chart while viewing the image of the handwritten medical chart captured by the scanner 126. At this time, an image screen and a direct input screen using a keyboard or the like are simultaneously displayed on one screen.

The chart information to be directly input is input information having the same contents as the handwritten chart information. Further, if the chart information to be directly input is standardized, it can be input as code-added information. it can.

At the time of medical treatment, the medical treatment input button 6 shown in FIG.
6 is selected by mouse, keyboard or voice input. Thereby, the question list window of FIG. 11 is displayed.
The question list window is prepared for each subject,
When hypertension is selected in the internal medicine, the medical care template in FIG. 12 is displayed in a window. The template is a standard one, and an appropriate action is selected in advance from a patient explanation, an examination request, issuance of a prescription and a letter of introduction, reservation, and the like.

FIG. 13 shows a template for the initial diagnosis of hypertension, and FIG. 14 shows a template for the re-examination of hypertension. Select by mouse, keyboard or voice input.
If correction is necessary, add or modify. The physician can efficiently and easily perform a series of operations only by correcting necessary parts by repeating selections using a mouse, a keyboard, and voice input according to the screen display.

To create a standard document such as a letter of introduction or a medical certificate, the user selects the standard document button 68 in FIG. 4 with a mouse, a keyboard, or voice input. As a result, the file management program is started, and the specific folder
It is opened like. In FIG. 15, a fixed form document of an introduction letter is prepared in advance. That is, if a template file is prepared in the folder in advance, the file can be opened only by selecting the template file with a mouse, a keyboard, or voice input. Therefore, a letter of introduction and a medical certificate can be created quickly, saving time and effort.

When the medical history is to be edited, the disease name edit button 70 in FIG. 4 is selected by a mouse, a keyboard, or voice input. By this selection, the window of FIG. 16 is displayed, and the medical history column 44 is edited (the medical history is added).

When the window shown in FIG. 16 is displayed, the electronic medical record processing device 10 sends a medical accounting processing device 120
Databases are shared. At the time of sharing, the date and the chart number are delivered from the electronic chart processing apparatus 10 to the medical accounting processing apparatus 120.

According to the first aspect of the present invention, all the information of the patient is collected in a single window, so that they can be grasped instantaneously. Therefore, there is no need to prepare documents for grasping the patient information. Therefore, it is possible to eliminate errors such as replacing documents while improving the efficiency of in-hospital operations.
In addition, when inputting medical charts and inputting medical accounting information, in addition to the keyboard and mouse, voice input is also possible, so it is easy to use even for users who are unfamiliar with keyboards, etc. It is possible to input and output medical chart information without stopping the process.

According to the second aspect, the handwritten medical record and the electronic medical record are managed in correspondence with each other, and the image of the handwritten medical record can be confirmed on the spot. And waste of time can be eliminated. Furthermore, even if the information being displayed is updated or new information is added, the content is automatically and immediately reflected, so that the accuracy of the information can be secured.
In this case, in addition to keyboard and mouse, voice operation and input are also possible when inputting medical information, inputting and editing electronic medical records, and inputting medical accounting information. This makes it easy to take in and input medical chart information without interrupting the diagnosis work or the like even during diagnosis or treatment. Furthermore, without preparing books, films, photographs, etc., it is possible to explain the medical condition etc. to the patient in an easy-to-understand manner, simplify the task of creating standard documents, and automate the work during medical treatment according to the menu. With strong support, it can reduce the burden, increase efficiency, eliminate simple mistakes of replacing documents and checking omissions, maintain the level of medical treatment, streamline and significantly reduce operating costs. Become. In this case, when selecting a button in the initial window in which all information regarding the patient can be grasped at a glance, it is possible to make a voice or voice selection in addition to the keyboard and mouse. Therefore, it is easy to use even for a user who is unfamiliar with the keyboard and the mouse, and it is possible to perform the operation of displaying the medical record information without stopping the diagnosis work or the like during the diagnosis or the treatment. In addition, it is possible to obtain electronic medical record information necessary for a patient who has difficulty operating a keyboard and a mouse due to physical inconvenience and the like.

[Brief description of the drawings]

FIG. 1 is a diagram illustrating the configuration of the present invention.

FIG. 2 is an explanatory diagram of a system configuration in a hospital.

FIG. 3 is an explanatory diagram of an Internet connection.

FIG. 4 is an explanatory diagram of a window configuration of an initial display.

FIG. 5 is an explanatory diagram of a procedure for explaining bronchial asthma.

FIG. 6 is an explanatory view showing display of a CT image.

FIG. 7 is an explanatory view showing display of an endoscope image.

FIG. 8 is an explanatory diagram showing display of inspection results.

FIG. 9 is an explanatory diagram of a chief complaint template.

FIG. 10 is an explanatory diagram of a finding image template.

FIG. 11 is an explanatory diagram of a problem list window.

FIG. 12 is an explanatory diagram of a medical treatment template.

FIG. 13 is an explanatory diagram of an algorithm of a medical treatment template.

FIG. 14 is an explanatory diagram of an algorithm of a medical treatment template.

FIG. 15 is an explanatory diagram of a folder for storing a standard document.

FIG. 16 is an explanatory diagram of a disease name editing window.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 10 Electronic medical record processing apparatus 12 Internet server 14 Router 30 Clinic 32 System support center 34 Pharmacy 36 Hospital 38 Nursing station 39 Patient home 40 Patient number input column 42 Visit history column 44 Medical history column 46 Drug history column 48 In-hospital inspection history column 50 Outside the hospital Inspection history field 52 Diagnostic image history field 54 Image display field 56 Image display field 58 Electronic medical record display field 60, 62, 66, 68, 70 Button 100 Diagnostic device 102 Image capture device 104 Analysis device 106 Analysis processing device 108 Inspection company 120 Medical accounting processor 126 Scanner 152 Printer 200 Voice input means 202 Voice information recognition means 585 History display part of handwritten medical record image

Claims (2)

[Claims] 1. A diagnostic output capturing means (102) for capturing an output of a diagnostic device (100); a test result capturing means (106) for capturing a result of a testing device (104); Test result receiving means (110) for receiving medical record information; medical examination information storing means (112) for storing the captured diagnostic output, test result, and received test result in association with the chart identification information and date; A chart input editing means (114) for performing editing and storing the edited result, a medical accounting processing means (120) for performing medical accounting processing, and inputting a disease name input from the medical accounting processing means (120) to a reception date. Medical history recording means (116) for recording and recording prescriptions from the medical accounting processing means (120) in correspondence with the date received; and medical accounting processing means (120) From the patient's identity, name,
Patient information acquiring means (122) for acquiring a visit history; identifying information, a name, a visit history, a diagnostic output history, a test result history, a medical record editing result, a medical history and a medical history of any one of the patients as a single An electronic medical record processing apparatus having a window display means (124) for arranging and displaying in a window, wherein the electronic medical record processing apparatus recognizes voice information input from the voice input means (200) and converts it into character information or command information. Voice information recognizing means (202) for performing the above-mentioned voice information recognizing means (202) in response to an operator's request.
Using the character information and command information converted from the voice information by the medical record input / editing means (114), the medical record input / editing means (114) and the medical accounting processing means (1)
20. An electronic medical record processing apparatus, wherein the input of the disease name, the prescription, and the patient information in 20) is performed. 2. A diagnostic output capturing means (102) for capturing an output of the diagnostic device (100), a test result capturing means (106) for capturing a result of the testing device (104), and a test result from an out-of-hospital institution (108). A test result receiving means (110) for receiving the received diagnostic output, the test result, and the received test result in association with the chart identification information and the date; and a scanner (126). ) Is a chart image capturing means (128) for capturing the result of reading from the handwritten chart, and a chart input editing means (114) for inputting and editing the chart and storing the read image of the handwritten chart and the date of reading in association with the edited result. And a medical accounting processing means (120) for performing medical accounting processing; and accepting an input of a disease name from the medical accounting processing means (120) and corresponding to a date. Medical history recording means (116) for recording and receiving prescriptions from the medical accounting processing means (120), and recording the medical history recording means (118) in correspondence with the date; Patient information acquisition means (122) for acquiring identification information, name, and visit history, and identification information, name, visit history, diagnosis output history, test result history, medical record editing result, medical history, medicine for any patient Window display means (12) for arranging and displaying the reading history of the history and the handwritten medical record in a single window.
4), an examination image display means (130) for displaying an image selected from the history of diagnostic output in a dedicated window, and a chart image display means for displaying the image selected from the history of handwritten medical records in a dedicated window ( 132)
Display automatic updating means (134) for immediately rewriting the diagnostic output history, test result history, medical history, medicine history, visit history and reading history of the handwritten medical record to the latest display contents, and when an explanation button is selected In addition, an explanation material list presenting means (136) for presenting a list of explanation materials by disease name, and when any one of the explanation materials is selected, a presentation application is started and a file corresponding to the explanation material is opened. A disease explanation means (138) to be opened; an examination item list presenting means (140) for presenting a list of examination items when an examination button is selected; and an item when any one of the examination items is selected. A test value visual display means (142) for visually displaying the test values and drug history in a time series, and a file management program when a button of a standard document is selected. A fixed form document access guide means (144) for starting up and opening a specific folder, a problem list display means (146) for displaying a list of disease names when a medical care input button is selected, and a list of disease names. Medical care menu display means (148) for displaying a menu of medical care actions when (1) is selected
Medical treatment request means (150) for issuing a request for treatment in accordance with the item selected from the medical treatment menu; and a scanner (126) after printing a character string specifying a patient on a new sheet and handwriting. An electronic medical record processing apparatus having a blank medical record printing means (152) for creating a medical record read by the electronic medical record processing apparatus, wherein the audio information input from the audio input means (200) is recognized and converted into character information or command information. Voice information recognizing means (202) for performing the above-mentioned voice information recognizing means (202) in response to an operator's request.
Using the character information and command information converted from the voice information by the medical record input / editing means (114), the medical record input / editing means (114) and the medical accounting processing means (1)
20) inputting the disease name, prescription, and patient information, respectively, and in response to an operator's request, the voice information recognition means (202)
Using the command information converted from the voice information by the above, the capturing operation in the diagnostic output capturing means (102), the capturing operation in the test result capturing means (106), and the test result receiving means (110)
Receiving operation, medical examination image display means (130), image selection operation, and chart image display means
An image selection operation in (132), an explanation button selection operation in the explanation material list presentation means (136), an explanation material selection operation in the disease explanation means (138), and an examination button in the examination item list presentation means (140) Selection operation, inspection item selection operation in the inspection value visual display means (142), and standard document access guide means (14
A selection operation of a standard document button in 4), a selection operation of a medical care input button in the problem list display means (146),
An electronic medical record processing apparatus characterized by performing an operation of selecting a disease name in the medical treatment menu display means (148) and an operation of selecting a medical care action item in the medical care action requesting means (150).