JP2003225209A - Electronic information recording system and control program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an electronic information recording system which accomplishes generation of records of electronic information as easily as if it did by writing on papers by eliminating complicated operations using menus displayed on screens, buttons and the like. <P>SOLUTION: In the system which is provided with an input/output integration device 4 that allows directly writing with a pen on a display and a control/ computing unit 3 which is connected to the input/output integration device 4 to reflect information on a display as inputted thereon, an endless belt-like sheet extending in a specified direction of a screen is shown on the display and segments presenting partition lines with the pen and stroke data are inputted sequentially. When the segments presenting the partition lines are inputted, the stroke data are held as recording information and the electronic information record is generated while they can be converted to character data using a character recognition engine. The character data can be utilized secondly in the retrieval or the like of data. <P>COPYRIGHT: (C)2003,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic information recording system provided with a pen type input device and an output device for displaying recorded electronic information (that is, electronic information recording),
More specifically, the present invention relates to an electronic information recording system with improved input / output operations and a control program therefor. An electronic medical record system that processes an electronic medical record as electronic information recording will be described below as an example of the electronic information recording system.

[0002]

2. Description of the Related Art A technical chart has been used for a long time in a medical field to record the patient's medical condition and progress in chronological order.

Since this chart uses "paper" as a recording medium, "handwriting" is of course the basis, and drawings and graphs relating to medical treatment such as routine drawings such as the lungs and the heart, if necessary, Alternatively, it is possible to perform highly visual management such as attaching a printed matter on which medical data is printed, attaching tags to the described paper, and storing the files in different colors. Moreover, it is easy to read the contents of the chart, which is really flexible.

However, there is a problem with this "paper" chart. That is, it is not easy to secure a storage place. Medical records require that medical records be stored for 5 years, but depending on the case, there are many cases that cannot be stored for 5 years, and it is not easy to dispose of them after 5 years. Moreover,
Even if there is a point to be corrected in the medical care information (that is, record information) recorded in this medical record, from the viewpoint of prohibiting tampering with the medical record, a record indicating that the medical record has been corrected and the information before correction are also left. There is an obligation and the amount of information tends to be large.

In this way, in addition to the obligation to preserve medical records, the storage space becomes tight due to the mixture of "a large number of medical records" such as long-term hospitalized patients and long-term outpatients.
There was a problem of securing more storage space. Of course, the cost of using this "paper" chart is high, and in addition, it takes time to find a desired chart.

Therefore, with the recent development of electronic technology,
An electronic information recording system has emerged as a system for storing medical information that can be referred to and modified at any time.

This system is an electronic version of a conventional "paper" medical record. In April 1999, the Ministry of Health and Welfare sent a notification that the electronic medical record was accepted as an official medical record to medical institutions throughout Japan through each prefecture. With that as a starting point, it is rapidly spreading in the current medical field.

By digitizing the medical record in this way, storage and management are unified and shared, and a large amount of data can be searched for a keyword. In addition, storage of information about medical treatment (paper chart, etc.) requires enormous cost and space, and these problems are also improved, which is an excellent characteristic of computerization.

On the other hand, however, there are new problems caused by computerization. That is, the conventional electronic information recording system includes a calculation / control device, a keyboard,
It is composed of an input device composed of a mouse and an output device composed of a display and a printer, which makes it difficult to input medical care information and imposes a heavy burden on the doctor.

The doctor concentrates on the difficult input operation, and as a result, his thoughts about medical treatment are interrupted, and
Since the patient is desperately operating the keyboard and mouse etc. in front of the patient, will the patient naturally see the doctor and see if he really cares about his body? However, it may agitate the patient's anxiety.

Therefore, in order to reduce the burden of inputting medical information, a method of using a "pen tablet" as an input device has been devised, which allows inputting with the same feeling as recording on a paper medium.

Prior Art As a system using this pen tablet, for example, there is an electronic medical chart recording apparatus and its method disclosed in Japanese Patent Laid-Open No. 2000-325314.

This device is basically based on a screen on which a predetermined content is displayed in a limited area, and uses a liquid crystal pen tablet to input data by operating a menu or selecting a button.

That is, the operator, while looking at the screen displayed on the output device, selects the items corresponding to the input contents one after another from the menus and buttons on the screen to input the data. In addition, the input of a comment or the like that cannot be selected from the items is performed by using the keyboard, or in Japanese Patent Laid-Open No. 2000-
Characters are drawn with a pen in a determined frame as shown in the drawing (disclosed in FIG. 26) disclosed in Japanese Patent No. 325314, character recognition is performed, and character data is converted and input.

[0015]

[Patent Document 1] Japanese Patent Laid-Open No. 2000-325314

[0016]

However, this conventional technique has the following problems.

The first problem is that the device is based on the selection of menus and buttons, so it is necessary to grasp the complicated specifications of the menus and buttons, and there is a risk that the hospital side will be reluctant to introduce the device. .

The second problem is that even if a pen tablet is used, as a result, it is not possible to input freely as described on the paper, and it becomes a task of selecting arranged menus and buttons, and it takes a lot of time to get used to the operation. It takes a lot of time.

The third problem is that most of the operations are to select menus, buttons, etc. arranged on the screen, and it is impossible to instantly input the thoughts. May be interrupted, which may hinder the diagnosis.

A fourth problem is that the input items are predetermined and the function for inputting other items is not provided, so that the input items are limited.

As a fifth problem, in order to refer to the past medical chart, the screens must be switched and displayed, and the past medical chart and the current medical chart to be input cannot be displayed at the same time. I cannot do input work while doing.

A sixth problem is that when recognizing a character, the character must be input within a predetermined frame, so that the handwritten character written in a free position cannot be recognized.

As a seventh problem, since it is necessary to input characters into a handwritten character input sheet for character recognition in order to perform character recognition, the input handwritten characters cannot be recognized later.

Therefore, an object of the present invention is to provide a user-friendly electronic information recording system and a control program, which enables free writing input by using a pen type input device to reduce the stress caused by the input operation. Although the following embodiments will be described only with respect to an electronic medical record system, the present invention is not limited to the case of simply creating and constructing an electronic medical record, and is not limited to the creation of a document that requires various handwriting inputs. The system for handling documents including an electronic medical record is generically called an electronic information recording system here.

[0025]

In order to solve the above problems, the electronic information recording system and control program of the present invention take the following technical means.

A tablet function is added to the display, and an input / output integrated device capable of writing and inputting directly from the display with a pen; and a control connected to the input / output integrated device to reflect information input on the display on the display・ A computing device is provided, and the control / computing device displays an intuitive handwriting input chart screen on the display and electronic information recording based on the input information handwritten on the displayed screen. Configured to be created.

The electronic information record described above is digitized into an infinitely long strip-shaped sheet extending in the vertical direction of the display, and the control / arithmetic unit can scroll the electronic information record displayed on the display. Is preferably configured.

On the above-mentioned screen, a reduced display section in which past record information associated with date information is reduced and displayed in the vertical direction, and detailed record information is input by handwriting and the current record information is displayed in the vertical direction. It is preferable to further include a date display section in which continuous dates are displayed in the vertical direction.

In the control / calculation device described above, each of the date display section, the reduced display section, and the actual size display section is configured to be vertically scrollable.

The control / arithmetic apparatus is constructed such that by vertically drawing on the date display portion or the reduced display portion, both are scrolled in conjunction with each other, and the reduced display portion is displayed. A desired area of the displayed past recorded information is drawn so as to enclose it in a circle, and by drawing from inside the drawn approximate circle to the outside, the desired past recorded information is copied to the actual size display section. Preferably.

The input information is composed of write information and information processing information, and the input / output integrated device is
It is preferable that either writing or information processing can be selected according to the way of input operation with the pen.

The above-mentioned writing information includes writing information for recording information and partition line information for linearly drawing in the left-right direction of the display and inputted to end the writing of recording information. The computing device is
The first to judge whether it is the writing information of the recording information or the partition line information
A judgment means may be provided, and when it is judged to be the partition line information, the drawn line segment is not treated as stroke data and the partition line is displayed on the screen to save the written record information. preferable.

The above-mentioned first judging means has a relationship between the drawn total length and the straight line distance formed by connecting the drawing start point and the drawing end point, the width of the line segment formed by drawing, and the screen width. It is preferable to determine whether the writing information of the recording information or the partition line information is based on the relationship and the vertical distance of the line segment formed by drawing.

The above-mentioned information processing information includes area selection information that is drawn by enclosing a desired area in a circle, and pie menu processing information that is drawn linearly and that executes pre-registered processing. In addition to the above, the control / arithmetic apparatus is provided with a second judging means for judging whether it is area selection information or pie menu processing information.
It is preferable that when the area selection information is determined, image processing can be performed on the area, and when the pie menu processing information is determined, data input support processing or application start processing can be performed.

The above-mentioned image processing includes enlargement, reduction, rotation,
It is preferable to have movement, copying, deletion, and character data conversion.

The control / calculation device described above draws in any direction from the drawn line segment so as to cover the selected area, and the different image processing is selected according to the drawn direction. Is preferably configured.

The above-described data input support processing includes undo, redo, and schema processing for instructing processing of graphic information, and when the schema is selected, the control / arithmetic apparatus displays a schema image list. It is preferable that a desired schema image is displayed and copied in the electronic information record by the pen operation.

It is preferable that the above-mentioned application has a computer function using handwritten character recognition, a two-dimensional handwritten input or a three-dimensional figure generation function for converting a schema image into a three-dimensional image. .

The control / arithmetic unit may be constructed so as to draw in any direction so as not to cover the selection area, and to select different pie menu processing information in accordance with the drawn direction. preferable.

When it is judged by the second judging means that the area is the area selection information, the control / arithmetic unit gives a semi-transparent coloring to the area surrounded by the substantially circle to display that the selected area is decided. It is preferable that it is configured as follows.

The above-mentioned application is constructed so as to be operated by forming a semitransparent window on the electronic information recording, and the application is terminated by pen-inputting outside the window. It is preferable.

The control / arithmetic unit displays the request content column in the screen and operates the pen on the request content column to display an index column and a product name column assigned to each index column. It is preferable that the list of products that are configured to be displayed is displayed, and the product is displayed in the request content column by operating the pen on the desired product.

The control / arithmetic device described above sorts the display order of each product name column according to the selection frequency of the product, and increases or decreases the display number of each product name column to dynamically change the product list. preferable.

In the above-mentioned product list, by operating the pen on each of the index columns, all the product names for the corresponding index are displayed, and by operating the pen on the desired product, it is displayed in the request content column and It is preferable to register in the product name column.

Further, a tablet function is added to the display and an input / output integrated device capable of writing and inputting directly with a pen from the display, and information input on the display connected to the input / output integrated device are reflected on the display. A control program used in an electronic information recording system configured to include a control / arithmetic device for displaying a screen on which intuitive handwriting input is possible on the display, and the screen displayed by the display device. A construction means for constructing an electronic medical record based on the input information handwritten above is provided, and the electronic information recording system is made to function as a display means and a construction means.

The electronic information record described above is digitized into an infinitely long strip-shaped sheet extending in the vertical direction of the display, and the control / arithmetic unit can scroll the electronic information record displayed on the display. Is preferably configured.

On the screen, a reduced display section in which past record information associated with date information is reduced and displayed in the vertical direction, and detailed record information is handwritten and the current medical care information is displayed in the vertical direction. It is preferable that it is configured to include an actual size display unit that displays an actual size.

It is preferable that a date display portion in which continuous dates are displayed in the vertical direction is further added.

It is preferable that each of the date display portion, the reduced display portion, and the actual size display portion is configured to be vertically scrollable.

By vertically drawing on the date display section or the reduced display section, both are scrolled in conjunction with each other, and the past record information displayed on the reduced display section is displayed. A desired area is drawn so as to be surrounded by a circle, and the drawing is performed from the inside of the drawn substantially circle to the outside so that desired past record information is copied to the actual size display section. It is preferable.

The input information is composed of write information and information processing information, and the input / output integrated device is
It is preferable that either writing or information processing can be selected according to the way of input operation with the pen.

The above-mentioned write information is composed of write information of record information and partition line information which is inputted by linearly drawing in the left-right direction of the display and ends writing of the record information. A record which is provided with a first judging means for judging whether it is writing information or partition line information, and displays the partition line in the screen without treating the drawn line segment as stroke data when it is judged as the partition line information It is preferably configured to store information.

The above-mentioned first judging means relates the relationship between the drawn total length and the straight line distance formed by connecting the drawing start point and the drawing end point, the width of the line segment formed by drawing, and the screen width. It is preferable to determine whether the writing information of the recording information or the partition line information is based on the relationship and the vertical distance of the line segment formed by drawing.

The above-mentioned information processing information includes area selection information which is drawn by enclosing a desired area in a circle and input, and pie menu processing information which is drawn linearly and executes pre-registered processing. And a second judging means for judging whether it is the area selection information or the pie menu processing information, and when it is judged to be the area selection information, the image processing can be performed on the area and the pie menu processing is performed. It is preferable that the data input support process or the application start process can be performed when the information is determined.

The above-mentioned image processing includes enlargement, reduction, rotation,
It preferably comprises steps for carrying out movement, copying, deletion and character data conversion.

It is constructed such that the drawing is performed in any direction from the line segment drawn on the selected region or on the drawn line segment, and the different image processing is selected according to the drawn direction. preferable.

The above-mentioned data input support process has a step of realizing a schema process for instructing the undo, redo, and process of the graphic information, and when the schema process is selected, a schema image list is displayed. At the same time, it is preferable that a desired schema image is copied in the electronic information record by the pen operation.

The above-mentioned application has a computer function using handwritten character recognition, a two-dimensionally expressed handwriting input or a three-dimensional figure generation function for converting a schema image into a three-dimensional image, and is associated with each function. Preferably.

It is preferable that the pie menu processing information is drawn in an arbitrary direction so as not to cover the selection area and different pie menu processing information is selected according to the drawing direction.

When it is determined by the second determining means that the area is the area selection information, the area surrounded by the circle is semi-transparently colored to display that the selected area is determined. Is preferred.

The above-described application is configured to operate by forming a semitransparent window on the electronic information record, and is configured to end by pen-inputting outside the window. It is preferable.

The request content column is displayed on the screen described above, and the prescription request content column is operated by the pen to have an index column and a product name column assigned to each index column. It is preferable that the list of products is displayed and the request content column is displayed by operating the pen on the desired product.

It is preferable that the display order of the product name columns is sorted according to the frequency of selection of products, and the number of displayed product name columns is increased or decreased to dynamically change the product list.

In the above-mentioned product list, all the product names for the corresponding index are displayed by operating the pen on each index column, and the desired product is displayed in the request content column by operating the pen. It is preferable to register in the product name column.

[0065]

BEST MODE FOR CARRYING OUT THE INVENTION Next, an embodiment of an electronic information recording system according to the present invention will be described with reference to the accompanying drawings. 1 to 12 illustrate Embodiment 1, FIGS. 13 and 14 illustrate Embodiment 2, and FIGS. 15 and 16 illustrate Embodiment 3. In the following description, only the case where the present invention is applied to an electronic medical record system will be described, but the present invention is not limited to this and can be applied to a general electronic information recording system.

(Embodiment 1) As shown in FIG. 1, an electronic information recording system 1 according to Embodiment 1 has an input / output integrated device 4 and a control connected to the input / output integrated device 4 so as to be capable of bidirectional communication. A basic system is constructed by the arithmetic unit 3 and the storage unit 2 connected to the control / arithmetic unit 3 so as to be capable of bidirectional communication. In addition to the basic system, an output unit 6 such as a printer, Input device 5 such as mouse and keyboard
And a storage device 2 ′ connected to the network via the communication device 7. Since the output device 6, the input device 5, and the storage device 2'over the network are not indispensable components, detailed description thereof will be omitted.

An input device 5 such as a mouse or a keyboard
However, this is only used when the patient number is input, and is not used in the actual input work.

The input / output integrated device 4 is a display with a tablet function, which is a pointing device, and is a well-known device in which data can be input by directly writing on the display screen with a pen.

The storage device 2 is a hard disk in which a predetermined control program for realizing the functions of the first embodiment and a past electronic medical record are stored, memories used when the system operates, CD-R, CD. -RW, DVD-R
It is composed of a readable / writable removable media device such as an optical write-once disc and a magnetic disc.

The control / arithmetic unit 3 is connected to the input / output unit 4 and the storage unit 2 so as to be capable of bidirectional communication, and is configured to operate in accordance with a predetermined control program. The information is reflected on the display.

The operation of the electronic information recording system 1 in the first embodiment configured as above will be briefly described as follows.
Data is taken out from the storage device 2, a screen is generated, and the screen is displayed or printed out on the input / output integrated device 4 or the output device 6. The doctor inputs data through the input / output integrated device 4 while looking at the screen. The control / arithmetic unit 3 updates the screen based on the input data and redisplays it on the input / output integrated unit 4. When the doctor selects the end processing, the control / calculation device 3 records the created medical information in the storage device 2. The details will be described below.

As shown in FIG. 2, the screen (display screen) of the electronic information recording system in the first embodiment comprises a date display section 21, a reduction display section 22, and an actual size display section 23, and the screen is divided into three parts. Then, the granularity of information is displayed in three steps.

The date display section 21 has continuous dates displayed vertically on the left end, and is automatically based on the date and time when the chart is created in conjunction with the clock function provided in the system. It is supposed to be given to.

The reduced display section 22 includes a scroll bar 22a.
And a reduced past sheet 24s composed of past medical information (recorded information) displayed in a reduced manner in the vertical direction and associated with the date information, and a reduced current sheet 25s,
It is arranged adjacent to the date display portion 21.

The actual size display section 23 includes a scroll bar 23a.
And the past sheet 24 displayed in the actual size in the vertical direction,
The current sheet 25 that is displayed in actual size in the vertical direction, the sheet creation date / time column 26, the sheet creation end date / time column 27, the medical history column 28, and the treatment columns 29 and 30 (in the present embodiment, the treatment column is the prescription request content). Column 29, treated as inspection request content column 30), and is arranged adjacent to the reduced display portion.

The actual size display section 23 is a section where a doctor directly writes detailed medical care information (that is, record information) with a pen, and the operation of inputting and changing the medical care record is performed by this part.

Now, the type of pen input which is a tablet function will be described.

There are two types of data input operations, a write (input) operation and an information processing (control) operation.
Writing or information processing is selected according to the input operation method with the pen.

The writing operation is an operation of simply drawing on the actual size display portion as if writing a piece of paper, but depending on the way of drawing and the drawn portion, the writing information of the medical record, It is divided into scroll (moving the display part in the vertical direction) and partition line information (ruled lines are drawn) for recognizing the end of writing the medical record.

When it is desired to end the writing of the medical record, it is necessary to input the partition line information, and the operation is simply drawing linearly in the width direction of the screen. The drawn straight line is not displayed on the screen but the partition line (ruled line) is displayed so that the writing of one medical record can be completed. For other operations, characters and figures are written as stroke data and the drawn characters and figures are displayed on the screen.

The problem here is that it is not known from the system side whether the figure or the character was simply written or the partition line was written. The countermeasure will be described later.

The information processing operation is, for example, an operation mode in which a button provided on the pen is pushed and pressed, and is divided into area selection information or pie menu processing according to the drawn shape or order. Has become.

The area selection is, for example, an operation mode of drawing without pressing a button provided on the pen.
If you want to select this area, enclose the desired area in a circle with the pen without pressing the button.
The enclosed area is colored with a semi-transparent color to select the area. With respect to the stroke data selected in the area, it becomes possible to perform processing such as enlargement, reduction, rotation, movement, etc., image processing such as deletion, and convert the stroke data into character data by a built-in character recognition engine. By converting to this character data, it is possible to perform a keyword search from a large amount of accumulated medical data (character data).

In the processing after selecting these areas, information processing is drawn in any direction from the drawn line segment so as to cover the selected area, and different image processing is selected depending on the drawn direction. It is supposed to be done.

In the case of drawing by this information processing (control) operation so as to form a substantially circle, it is not always necessary to connect the drawing start point and the end point, and if it is determined that the area is selected, it is automatically It is designed to be interpolated.

In the pie menu processing, different information registered in advance according to the drawing direction is selected and executed by simply drawing for information processing linearly in an arbitrary direction without performing area selection. It is like this.

This pie menu is made up of input support such as undo, redo, and schema selection, and various pre-registered applications. Here, the undo and the redo respectively instruct the redo process and the redo process of the redo, while the schema instructs the display process of the affected part image, that is, the process of the graphic information.

As shown in FIG. 2, the date display portion 21, the reduced display portion 22 and the actual size display portion 23 are electronically displayed so as to be a strip-shaped sheet extending in the vertical direction of the display. By vertically drawing on the date display portion 21 for writing (inputting), both the date display portion 21 and the reduced display portion 22 can be scrolled in conjunction with each other. In, for example, when the drawing operation 201 is performed, the past sheets 24s are continuously displayed on the reduced display portion 22 from the top to the bottom.

Further, the writing (input) drawing operation 202 enables vertical scrolling of the reduced display section 22, and the drawing operation 203 enables vertical scrolling of the actual size display section 23, independently of each other.

A desired area of the past medical information (sheet) displayed on the reduced display section 22 is drawn for information processing (for control) so that a desired area is surrounded by a circle, and the drawing is drawn from inside the drawn circle to the outside. The area is instantly displayed on the actual size display portion 23 by drawing. By this operation, a large amount of past sheets can be quickly browsed, and necessary data can be easily searched.

As described above, the doctor can easily perform the input work while confirming the past medical care information and easily copy the necessary information on the actual size display section 23 in which the current information is written.

Only the present sheet 25 of the actual size display section 23 can be added or modified with data, and past medical information cannot be changed. However, as described above, an area 205 is selected by drawing 204 for information processing (control) on the past sheet 24 or the reduced past sheet 24s, and a line 205 is drawn from the inside of the selected area to the outside of the selected area. The data stored therein can be copied onto the present sheet 25, and the past data can be effectively used.

Further, in the present sheet 25 illustrated in FIG. 3, when the input is made in the drawing for writing (input), it is displayed as stroke data and instantly reflected in the present sheet 25s provided in the reduced display portion 22. It The current date and time is acquired from the system when the data is first input to the current sheet 25, and is displayed in the sheet creation date and time column 26.

When the operation 301 is performed on a desired range for information processing (control), it is made clear that the enclosed area is semi-transparently colored and selected, and then the lower right portion of the actual size display section 23. A recognition button 31 is displayed on the display so that image processing or character data conversion can be selected.

To convert the stroke data in the selected area into character data, touch the recognition button with the pen touch 30.
By doing so, the stroke data in the selected area are collectively converted into character data by the installed character recognition engine.

When it is desired to perform image processing, drawing is performed for information processing (control) in any direction from above the line segment so as to cover the selected area that is semi-transparently colored, and depending on the drawing direction. The different image processing is selected.

Note that this recognition button is one mode, and it may be configured so that it is converted according to the drawing direction as described above.

This image processing described above is performed, for example, in FIG.
As shown in, drawing 302 from the inside to the outside of the area, movement processing, drawing from the top of the line segment (boundary area) to the outside of the area 303 enlarge processing, from the top of the line segment to the selection area from (boundary area) If you draw 304 toward the inside, you will see the reduction processing, from above the line segment (boundary area)
The drawing process 305 in the desired rotation direction causes the rotation process, the drawing process 306 from the outside of the selected region to the inside of the selected region deletes the selected region, and any other operation cancels the selected region. Of course, the present invention is not limited to this aspect, and it is arbitrary to change the direction and the starting point appropriately. When the drawing operation is stopped, the image within the area is fixed at that position.

In addition, without performing the area selection, drawing for information processing (control) in a total of eight directions of up / down / left / right directions, upper right / lower right directions, and upper left / lower left directions makes it possible to obtain a pie menu (see FIG. 12). The process registered in) is performed.

Eight functions can be registered in the illustrated pie menu, and which function is to be processed is determined depending on the direction of the operation 307. Process a in direction a, direction b
Processing b (schema (illustrated information of affected area) in this embodiment)
Display h), ..., Process h is selected in the direction h.

That is, it is possible to select the function corresponding to the direction arranged in the pie menu.

As described above, the pie menu includes input support such as undo, redo, and schema selection, and various applications registered in advance.
Further, in the illustrated example, as the latter application, a computer function using handwritten character recognition and a three-dimensional figure generation function from handwriting are implemented.
It is represented as a semi-transparent window placed on the chart sheet, and the pen-touch on the outside of the window terminates the launched application.

In FIG. 4, an operation 40 for drawing a long straight line for writing (for inputting) on the sheet 25 at present.
Reference numeral 1 is an explicit operation for ending the writing of the medical care information. The present time is acquired from the system as the medical care end time, the creation end date / time column 27 is created, and the acquired time is displayed. Further, the data input up to that point is blocked so that it cannot be changed (corrected), and the sheet is divided by partition lines (ruled lines). The portion that has been input so far becomes the past sheet 24, and the newly created portion becomes the current sheet 25. In the newly created current sheet 25, a medical history column 28 ', a prescription request content column 29',
The inspection request content column 30 'is automatically generated. The medical record will repeat this.

FIG. 5 shows a drug list selection screen as an example of a product list selection screen. The current sheet 2 in FIG.
It is displayed by performing a pen touch 308 on the “new order” in the prescription request content column 29 of item 5. This medicine list selection screen is displayed on the index 51 as shown in FIG.
, Drug name column (individual drug name) 52, and previous selection column 53
, Selection field 54, calendar 55, and completion button 56
And is configured.

The calendar 55 displays the month including the current day and the next two months.

It is impossible to display all medicines on the medicine list selection screen because there are so many kinds of medicines.

Therefore, only the quantity in which the ratio of each index to the whole is constant is displayed on the initial screen. The chemicals displayed on the initial screen are sorted in descending order of frequency of use in each index.

Since it is highly conceivable to select the one input in the previous medical treatment, the previous selection column 5
By expanding the medicine name 52 ′ input in the previous medical examination in 3, it is possible to input promptly. In addition, the medicine name 52 and the pen touch operation 5 by the pen touch operation 501.
When the drug name 52 ′ is selected by 02, the selected drug name is added to the selection field 54 and the prescription request content field 2
9 is displayed.

Furthermore, when deleting the once selected drug name 52 ″, the selection field 54 is selected by the pen touch operation 502.
By selecting the drug name 52 ″ in the selected item, the selected drug name 52 ″ is deleted from the selection field 54.

When selecting a drug name 52 which is not displayed on the initial screen, all the drugs 52 for the selected index 51 are selectably displayed by touching the index 51 with a pen 504, and the desired drug name is displayed. select. Then, the prescription request content column 29, the selection column 54, and the drug name column 52
Registered and displayed on. Then, the display order of each drug name column 52 is sorted according to the selection frequency of the drug, and the display number of each drug name column 52 is increased or decreased to the number that can be displayed on the screen at one time.

The prescription period is designated by using the calendar 55, and in the case of the period designation, it is selected by drawing 505 from the corresponding date to the end date of the prescription period for information processing (control), and only an arbitrary day is selected. When designating, it is selected by the pen touch operation 506.

When finishing the selection of the medicine to be prescribed,
By selecting the completion button 56 with the pen touch by the operation 507, the screen returns to the screen of FIG. The drug 52 ″ added to the selection field is reflected in the prescription request content field 29 of FIG.

The schema list selection screen illustrated in FIG.
In FIG. 3, the information is displayed (for control) by drawing 307b in the upper right direction (direction b). The schema selection is registered in the process b of the pie menu, as described above.

Then, by selecting (pen-touching) the required image, the selected schema is displayed on the chart screen. Since the selected image is automatically in the area selected state, it is possible to continuously perform the processing of enlargement, reduction, rotation, movement, and three-dimensional operation. It can be pasted in any position.

Although the schema is registered as two-dimensional data, it can be handled as three-dimensional data by interlocking with this three-dimensional generation function.

It is also possible for a doctor to register an image drawn for writing (input) on the actual size display section as a schema.

Next, the first embodiment configured as described above
7 illustrates a series of operations of the electronic information recording system in FIG.
~ It demonstrates using FIG. First, the operation of the entire system will be described in detail with reference to the flowchart of FIG.

First, the system is started up, and by inputting the patient number, the electronic medical chart of the desired patient is read from the storage device (step 1), a screen is created and displayed on the display (step 2). In this case, in the case of the first-visit patient, a screen is immediately created by displaying a new patient number and displayed on the display (step 2).

The doctor starts the input of medical information (step 3). The process of inputting this medical information depends on whether the input data is for writing (for input) or for information processing (for control) because the processing flow varies depending on the type of pen input. Is determined (step 4).

If it is for writing (input) (step 4: Yes), it is determined whether the input data is a horizontally long straight line (step 5). That is, it is determined whether the data is to be regarded as normal stroke data or to be regarded as a partition line. The algorithm in this determination is the relationship between the drawn total length, the linear distance formed by connecting the drawing start point and the drawing end point, the relationship between the width of the line segment formed by drawing and the screen width, and the drawing width. Based on the vertical distance of the formed line segment in the vertical direction, it is determined whether the medical information is the writing information or the partition line information. For example, if an image drawn by drawing satisfies the following three conditions, it is determined to be a partition line.

(Condition 1) The total length of the drawn stroke is 1.2 times or less than the linear distance formed by connecting the start point and the end point of the stroke.

(Condition 2) The lateral width of the circumscribed rectangle in the drawn stroke is 0.5 times or more the lateral width of the input screen.

(Condition 3) The vertical width of the circumscribed rectangle in the drawn stroke is 100 pixels or less.

When it does not become a partition line (step 5: N
o), the input data is treated as stroke data, input processing is performed (step 6), and displayed on the screen.

When it becomes a partition line (step 5: Ye
s), medical treatment end processing is performed (step 7). That is,
A partition line (ruled line) is displayed without displaying the drawn image on the screen, and the medical information described up to that point is stored in the storage device as a polyline (a set of point sequences) together with position information and date information ( Step 8) The process ends.

In step 4 for information processing (control)
In the case of (step 4: No), it is determined whether the drawn line segment is for selecting a region.

The following algorithm is used to determine whether or not to select a region.

When the total length of the drawn stroke is more than twice the linear distance formed by connecting the start point and the end point of the stroke, the drawn stroke selects a region.

When it is determined that the area is selected (step 9: Yes), the area processing is performed on the data existing in the area, that is, the enclosed area is colored with a semitransparent color. Region selection is clearly indicated (Step 1
0), pen input through desired image processing (step 3)
Return to.

When it is not determined that the area is selected (step 9: No), the desired pie menu process is performed based on the drawn direction (step 11), and when the process is completed, the pen input (step Return to 3).

Further, the operation of the four processing parts of this embodiment will be described in detail with reference to the flowcharts of FIGS. 8, 9, 10 and 11.

FIG. 8 exemplifies the flowchart of the input process (step 6) in FIG. 7, in which the input image is displayed on the screen (step 6a) and the stroke data is stored (step 6b) to perform the input process. Ends.

FIG. 9 exemplifies the flowchart of the medical care end process (step 7) in FIG. 7, and the present time is acquired from the system and displayed on the screen as the medical care end time (completion of writing medical care information). (Step 7
a). Further, a partition line is displayed as a sheet delimiter (step 7b), and the input data cannot be changed (step 7c). In addition, a new sheet is created as a preparation for the next medical treatment (step 7d), and the medical treatment ending process ends.

FIG. 10 is a flow chart in the area processing (step 10) in FIG. 7, connecting the starting point and the ending point drawn for information processing (control) (step 10a) and semi-transparent in the closed area. Then, the selected area is selected. It should be noted that the drawn start point and end point are not necessarily closed in this way, but an interpolation is performed between them, and if they are closed, interpolation processing is not performed.

Then, the data in the selected area is acquired (step 10b), and various processing can be performed on the acquired data as described above, and information processing (control) is performed so that desired image processing is performed. It is determined by drawing (for step 10c).

First, it is determined whether or not the recognition button has been pressed (pen touch) (step 10d). When pressed (step 10d: Yes), the stroke data in the selected area is converted into character data using the character recognition engine (step 10e).

Next, the stroke data in the selected area is deleted, and the converted character data is displayed on the screen (step 10f) and recorded (step 10g).

If the character recognition button is not pressed (step 10d: No), image processing corresponding to the drawing direction for information processing (control) is performed on the data in the selected area (step 10h). ).

As described above, this image processing is enlargement,
It is processing such as reduction, rotation, movement and deletion. When this image processing is performed, the unprocessed data is deleted, the processed image is displayed (step 10i), and the processed data is recorded (step 10j). This completes the area processing.

FIG. 11 is a flowchart of the pie menu process (step 11) in FIG. 7. As described above, various applications can be registered in the pie menu, and each function can be performed by a simple operation. Can be used. The direction from the start point to the end point of the input control stroke is acquired (step 11a),
The function of the pie menu corresponding to that direction is processed (step 11b). The processed data is displayed (step 11c) and stored (step 11d). This completes the pie menu process.

(Second Embodiment) Next, a second embodiment will be described with reference to FIG.
14 and FIG. 14, this embodiment has a plurality of operators (doctors) for the input / output integrated device, and each operator uses an input means having a unique ID, that is, an ID-equipped pen. This is an example of having security in mind. The same components as those in the first embodiment are designated by the same reference numerals and the description thereof will be omitted.

As shown in FIG. 13, the input / output integrated device 4'is a display to which a tablet function as a pointing device is added, and a pen directly writing from the display screen has an ID function. 8n is prepared for each doctor 81, 82 ...
Each pen has a different ID. It should be noted that this system is set so as not to accept operations other than the permitted pen with ID.

Next, the operation of the electronic information recording system according to the second embodiment will be described with reference to FIG. It should be noted that steps 1 to 3 (see FIG. 7) exemplified in the first embodiment are simply replaced with steps 201 to 204, and the operations in the other steps are the same, so description thereof will be omitted.

First, the system is started up, and by inputting the patient number, the electronic chart of the desired patient is read from the storage device (step 201), a screen is created and displayed on the display (step 202). In this case, in the case of the first-visit patient, a screen is immediately created and displayed on the display by inputting a new patient number.

The doctor starts inputting with the pen to which his / her ID is added (step 203). The system acquires the ID of the input data (step 204),
Distinguish between doctors. The subsequent steps are the same as step 4 and subsequent steps in FIG. 7, except that the color corresponding to the acquired ID is used to display the data, and the ID information is also added when the data is saved. It is possible to instantly identify whether the image is drawn by a doctor.

(Third Embodiment) Next, a third embodiment will be described with reference to FIG.
Further, with reference to FIG. 16, this embodiment is obtained by adding information display (sub-screen) about time series information such as temperature measurement result, prescription, and inspection item to the first embodiment. When it is desired to display this screen, it is displayed by, for example, being registered in advance in the pie menu and performing a start operation.

The display of time series data on the sub screen will be described below.

As shown in FIG. 15, the sub screen is an image of a horizontally long scroll, and displays time series information such as temperature measurement results, prescriptions, and inspection items. The sub screen scrolls in the drawing direction (horizontal direction) when the drawing 701 is used for control from within the scroll box 71.

Further, as shown in FIG. 16, the zoom level (display level) can be adjusted by positioning the pen at the end of the scroll box 71 and then drawing 801 for control, so that the zoom is reduced in the horizontal direction. It is also possible to display an overview of long-term information.

Further, on the sub-screen, the prescription can be selected, and the prescription period can be designated by an operation of coloring the square of the prescription portion. By this operation, it is possible to change the period of existing prescriptions and copy past prescriptions. When a new period is designated, the drug list selection screen shown in FIG. 5 is displayed so that the drug to be prescribed can be selected.

As another sub-screen, it is possible to output a screen of a patient with the same symptom.

The electronic information recording system according to the present embodiment has been described above, but the present invention is not limited to this. For example, the three set values for the respective conditions for determining the partition line (long horizontal line) are as follows. You may change it freely.
The three set values are the ratio of the total length to the linear distance of the stroke (1.2 times in this embodiment), and the ratio of the stroke circumscribed rectangle to the lateral width of the drawing area (in this embodiment, 0.
5 times), and the maximum value of the vertical width of the stroke circumscribing rectangle (100 pixels in this embodiment). It is also possible to determine a straight line in every direction by applying this algorithm.

Similarly, the set value of the condition for judging the area selection can be changed. The set value in the area selection means the ratio of the total length to the linear distance of the stroke (2 in this embodiment).
Times).

Further, although the electronic information recording system is exemplified in the present embodiment, a control program which realizes the same operation as above by combining a general-purpose computer and a display with a tablet function may be used. . Further, in the above-described embodiment, only the electronic information recording system for creating an electronic medical record has been described.
The same can be applied to the creation of electronic information records other than electronic medical records. In this way, when creating a general electronic information record, general handwritten electronic information is input instead of the medical care information, while graphic information is displayed instead of the schema. Further, the general request content is displayed instead of the prescription request content, and the general product / part name is displayed instead of the drug name.

[0155]

As described above, the present invention has the following advantageous effects.

The first effect is that the medical record is expressed as a scroll extending in the longitudinal direction and having an infinite length, so that the work of inputting medical information can be performed easily without worrying about the work area.

The second effect is that most of the operations can be input by the operation of drawing with a pen, which is the same as the case of writing on paper. Therefore, it is possible to easily shift from the conventional medical treatment by writing on paper.

The third effect is that the reduced display portion and the actual size display portion are simultaneously displayed and can be scrolled independently of each other, so that input work can be performed while referring to past data.

The fourth effect is that the date display portion, the reduced display portion, and the actual size display portion coexist on the screen, and the function of continuously displaying past data is provided. Data can be discovered easily and quickly.

The fifth effect is that past data is pasted on the current sheet only by selecting past data and drawing a line, so that past information can be easily diverted.

The sixth effect is that since the effective arrangement is made for selecting the drug to be prescribed, the necessary drug can be easily and quickly selected from the large amount of drugs.

The seventh effect is that the function registered in the pie menu is selected by a simple pen operation, so that a convenient function can be selected quickly.

The eighth effect is that the character written by handwriting can be treated as character data by recognizing the character.
You can search by key input at high speed.

The ninth effect is that it can be used as a three-dimensional schema by preparing a large number of schema images and further combining the three-dimensional figure generation function, so that it is possible to easily attach or draw the affected part image in the findings. it can.

The tenth effect is that since the semitransparent color is used to display the selected area portion, the selected area portion can be easily discriminated.

The effects of the electronic medical record system described above are the same in other general electronic information recording systems and their control programs.

As described above, the present invention enables free writing input to reduce the stress caused by the input operation,
A user-friendly electronic information recording system and control program can be provided.

[Brief description of drawings]

FIG. 1 is a system configuration diagram of an electronic information recording system in a first embodiment.

FIG. 2 is an explanatory diagram showing a screen configuration of the same.

FIG. 3 is an explanatory diagram showing an operation on the current seat following FIG.

FIG. 4 is an explanatory diagram showing an operation at the end of medical treatment.

FIG. 5 is an explanatory diagram showing a drug list selection screen of the same.

FIG. 6 is an explanatory diagram showing a schema selection screen of the same.

FIG. 7 is a flowchart of the entire system of the same.

FIG. 8 is a flowchart of the input processing of the same.

FIG. 9 is a flowchart of the medical care end process of the same.

FIG. 10 is a flowchart of the area processing of the same.

FIG. 11 is a flowchart of the pie menu of the same.

FIG. 12 is an explanatory diagram of a pie menu of the same.

FIG. 13 is a system configuration diagram of an electronic information recording system according to a second embodiment.

FIG. 14 is a flowchart of the process up to acquiring the pen ID.

FIG. 15 is an explanatory diagram of a sub-screen of the electronic information recording system in the third embodiment.

FIG. 16 is an explanatory diagram showing a zoom level changing operation on the sub screen.

[Explanation of symbols]

1 Electronic information recording system 2 storage devices 3 control and arithmetic unit 4 I / O integrated device 5 Input device 6 Output device 7 Communication device 8 operator (doctor) 21 Date display 22 Reduced display area 22a scroll bar 23 Actual size display 23a scroll bar 24 past sheets 24s Reduction past sheet 25 present seat 25s reduced current sheet 26 Sheet creation date / time column 27 Sheet creation end date / time column 28 Medical history column 29 Prescription request details column 30 Inspection request content column 31 recognition button 51 Index 52 drug name column (individual drug name) 53 Previous selection field 54 selection field 55 calendar 56 Finish button 71 scroll box

   ─────────────────────────────────────────────────── ─── Continued front page    (71) Applicant 500421978             Takeo Igarashi             2-5-11 Matsugaoka, Chigasaki City, Kanagawa Prefecture (71) Applicant 502384738             Nakazawa Kazuo             3-50-D10-104 Aoyamadai, Suita City, Osaka Prefecture (72) Inventor Hiroshi Yokota             1-4-24 Jomi, Chuo-ku, Osaka-shi, Osaka Prefecture             NC System Technology Stock Association             In-house (72) Inventor Takeo Igarashi             2-5-11 Matsugaoka, Chigasaki City, Kanagawa Prefecture (72) Inventor Kazuo Nakazawa             3-50-D10-104 Aoyamadai, Suita City, Osaka Prefecture (72) Inventor Takashi Ashihara             2-15-13-207 Ichiriyama, Otsu, Shiga Prefecture (72) Inventor Takenori Yao             2-3-6-212 Kasayama, Kusatsu City, Shiga Prefecture (72) Inventor Hiroyuki Sakaji             1-4-24 Jomi, Chuo-ku, Osaka-shi, Osaka Prefecture             NC System Technology Stock Association             In-house F term (reference) 5B068 AA05 AA22 BD02 BD17 CC13                       CC17 CC19 CD04 CD06                 5E501 AA04 BA05 CA04 CB05 CB11                       EA02 EA14 FA14 FB32

Claims (45)

[Claims] 1. An input / output integrated device having a tablet function added to the display and capable of writing and inputting directly from the display with a pen, and information input on the display connected to the input / output integrated device is reflected on the display. A control / arithmetic unit for displaying the intuitive handwriting-input screen on the display, and electronic information based on the input information handwritten on the displayed screen. An electronic information recording system, characterized in that the recording is constructed. 2. The electronic information record is digitized so as to be an infinitely long strip-shaped sheet extending in the vertical direction of the display, and the control / arithmetic unit scrolls the electronic information record displayed on the display. The electronic information recording system according to claim 1, wherein the electronic information recording system is configured to be possible. 3. A reduced display section on the screen, in which past record information associated with date information is reduced and displayed in the vertical direction, and detailed record information is input by handwriting and the current record information is displayed in the vertical direction. The electronic information recording system according to claim 2, wherein the electronic information recording system is configured to include an actual size display section for displaying an actual size over the entire area. 4. The electronic information recording system according to claim 3, further comprising a date display section in which continuous dates are displayed in a vertical direction. 5. The control / calculation device according to claim 4, wherein each of the date display section, the reduced display section and the actual size display section is configured to be vertically scrollable. Electronic information recording system. 6. The control / arithmetic apparatus is configured such that when the date display unit or the reduced display unit is vertically drawn, both are scrolled in an interlocking manner, and the reduced display unit is also provided. Draw a circle in the desired area of the past recorded information displayed in,
6. The electronic information recording system according to claim 5, wherein desired past record information is copied on the actual size display portion by drawing outward from within the drawn substantially circle. 7. The input information is composed of writing information and information processing information, and the input / output integrated device is configured such that writing or information processing can be selected according to a way of input operation by the pen. The electronic information recording system according to claim 6, wherein the electronic information recording system is provided. 8. The write information comprises write information of record information and partition line information which is linearly drawn in the left-right direction of the display and inputted to end the write of the record information. The arithmetic device has a first judging means for judging whether it is the writing information of the recording information or the partition line information, and when the drawing line information is judged, the drawn line segment is not treated as stroke data and is displayed in the chart screen The electronic information recording system according to claim 7, wherein the partition line is displayed and the recorded information that has been written is stored. 9. The first determining means, the relationship between the drawn total length and the straight line distance formed by connecting the drawing start point and the drawing end point, the width of the line segment formed by drawing, and the screen width. 9. The electronic information recording according to claim 8, wherein the writing information of the recording information or the partition line information is determined based on the relationship between the above and the linear distance in the vertical direction of the line segment formed by drawing. system. 10. The pie menu processing information, wherein the information processing information is drawn so as to enclose a desired area in a circle, and area selection information is input linearly, and linearly drawn to execute pre-registered processing. And the control / arithmetic device further includes a second determination unit that determines whether the information is area selection information or pie menu processing information.
When the area selection information is determined, image processing can be performed on the area, and when the pie menu processing information is determined, data input support processing or application start processing can be performed. The electronic information recording system according to claim 9. 11. The image processing includes enlargement, reduction, rotation,
11. The electronic information recording system according to claim 10, comprising moving, copying, deleting, and character data conversion. 12. The control / arithmetic apparatus draws in an arbitrary direction from a line segment drawn on the selected area or on the drawn line segment, and different image processing is selected according to the drawn direction. The electronic information recording system according to claim 11, wherein the electronic information recording system is configured as described above. 13. The data input support process includes an undo, a redo, and a schema for instructing a process of graphic information, and when the schema is selected, the control / arithmetic unit causes the graphic information to be processed. 13. The electronic information recording system according to claim 12, wherein a schema image list representing "" is displayed and a desired schema image is copied in the electronic information record by the pen operation. 14. The application has a computer function using handwritten character recognition, a two-dimensionally expressed handwriting input or a three-dimensional figure generation function for converting a schema image into a three-dimensional image. Claim 13
Electronic information recording system described. 15. The control / arithmetic unit is configured to draw in an arbitrary direction so as not to cover the selection area, and to select different pie menu processing information according to the drawn direction. The electronic information recording system according to claim 14, wherein 16. When the second judgment means judges that it is area selection information, the control / arithmetic unit displays the area surrounded by a circle by semi-transparent coloring to indicate that the selected area has been decided. 16. The electronic information recording system according to claim 15, wherein the electronic information recording system is configured to perform. 17. The application is configured to operate by forming a translucent window on an electronic information record, and the application is configured to terminate by pen-inputting outside the window. The electronic information recording system according to claim 16, wherein the electronic information recording system comprises: 18. The control / arithmetic apparatus displays a request content column in the screen, and an index column and a product name column assigned to each index column by operating the request content column with the pen. 18. The electronic information according to claim 17, characterized in that a list of products configured with is displayed and is displayed in the request content field by operating the desired product with the pen. Recording system. 19. The control / arithmetic apparatus sorts the display order of each product name column according to the selection frequency of products, and increases or decreases the number of display of each product name column to dynamically change the product list. 19. The electronic information recording system according to claim 18, wherein: 20. The product list displays all product names for the corresponding index by operating the pen on each index column, and displays the product name on the desired product in the request content column by operating the pen. 20. The electronic information recording system according to claim 19, wherein the system is registered in the product name column. 21. A tablet function is added to the display and an input / output integrated device capable of writing and inputting directly from the display with a pen; and information input on the display connected to the input / output integrated device is reflected on the display. A control program used in an electronic information recording system configured to include a control / arithmetic unit for displaying, a display unit for displaying an intuitive handwriting input screen on the display, and a display unit displayed by the display unit. A construction program for constructing an electronic information record based on input information handwritten on the screen, and a control program for causing the electronic information recording system to function as a display means and a construction means. 22. The electronic information record is digitized so as to be an infinitely long strip-shaped sheet extending in the vertical direction of the display, and the control / arithmetic unit scrolls the electronic information record displayed on the display. 22. The control program according to claim 21, wherein the control program is configured to be possible. 23. On the screen, a reduced display section in which past medical information associated with date information is displayed in a reduced manner in the vertical direction, and detailed record information is input by handwriting and the current recorded information is displayed in the vertical direction. 23. The control program according to claim 22, wherein the control program is configured to include an actual size display section for displaying an actual size over the entire length. 24. The control program according to claim 23, further comprising a date display section in which continuous dates are displayed in a vertical direction. 25. The control program according to claim 24, wherein each of the date display portion, the reduced display portion, and the actual size display portion is configured to be vertically scrollable. 26. By vertically drawing on the date display unit or the reduced display unit, both are scrolled in an interlocking manner, and the past record displayed on the reduced display unit. A desired area of the information is drawn so that it is surrounded by a circle, and by drawing from within the drawn approximate circle to the outside, the desired past record information is copied to the actual size display section. 26. The control program according to claim 25, wherein: 27. The input information comprises write information and information processing information, and the input / output integrated device comprises:
27. The control program according to claim 26, wherein writing or information processing is selectable in accordance with a way of input operation with the pen. 28. The write information comprises write information of record information and partition line information which is inputted by linearly drawing in the horizontal direction of the display and ends the write of the record information. And a partition line information is written without displaying the drawn line segment as stroke data when it is judged as the partition line information. The control program according to claim 27, wherein the control program is configured to store the record information. 29. The first determining means has a relationship between a drawn total length, a straight line distance formed by connecting a drawing start point and a drawing end point, a width of a line segment formed by drawing, and the screen width. 29. The control program according to claim 28, wherein the writing information of the recording information or the partition line information is determined based on the relationship between the above and the vertical distance of the line segment formed by drawing. 30. The pie menu processing information for executing the pre-registered processing by linearly drawing and inputting the area selection information drawn by enclosing a desired area in a circle And a second judging means for judging whether it is area selection information or pie menu processing information, and when it is judged to be area selection information, image processing can be performed on the area and pie menu 30. The control program according to claim 29, which is configured to enable a data input support process or an application start process when it is determined to be process information. 31. The image processing includes enlargement, reduction, rotation,
31. The control program according to claim 30, further comprising steps of realizing movement, copying, deletion, and character data conversion. 32. It is configured to draw in any direction from a line segment drawn so as to cover the selected area or to draw, and to select different image processing depending on the drawn direction. 32. The control program according to claim 31, wherein: 33. The data input support process has a step of realizing a schema process for instructing an undo, a redo, and a process of graphic information, and when the schema is selected, a schema image list is displayed. 33. The control program according to claim 32, wherein a desired schema image is also copied into the electronic information record by the pen operation. 34. The application has a computer function using handwritten character recognition, a two-dimensionally expressed handwriting input or a three-dimensional figure generation function for converting a schema image into a three-dimensional image. 34. The control program according to claim 33, wherein the control program is linked. 35. The drawing is performed in any direction so as not to cover the selection area, and different pie menu processing information is selected according to the drawing direction. The described control program. 36. When the second judging means judges that the area is the area selection information, the area surrounded by the circle is semi-transparently colored to display that the selected area is determined. 36. The control program according to claim 35, wherein: 37. The application is configured to operate by forming a translucent window on the electronic information record, and the application is configured to be terminated by pen input outside the window. 37. The control program according to claim 36, wherein: 38. A request content column is displayed on the screen, and an index column and a product name column assigned to each index column are formed by operating the request content column with the pen. 38. The control program according to claim 37, wherein the control program is configured to be displayed in the request content column by displaying a product list and operating the pen on a desired product. 39. The product list is dynamically changed by sorting the display order of each product name column according to the selection frequency of products and increasing or decreasing the number of display of each product name column. 38. A control program according to item 38. 40. The product list displays all product names for the corresponding index by operating the pen on each of the index columns, and displays the product name on the desired product in the request content column by operating the pen. 40. The control program according to claim 39, wherein the control program is registered in the product name column. 41. The electronic information recording system according to claim 1, wherein the electronic information record is an electronic medical record. 42. The control program according to claim 21, wherein the electronic information record is an electronic medical record. 43. An image control method in an input / output integrated device comprising a display, wherein writing and input is possible directly with a pen on the display, wherein an image of the display extends infinitely in a predetermined direction, and the predetermined direction Display a scrollable sheet on the display,
An image control method, wherein when a partition line intersecting with the predetermined direction is input, a process of dividing the sheet into individual areas is executed. 44. The image control method according to claim 43, wherein an electronic information record is created based on input information input using the pen in individual areas divided by the partition line. . 45. The image control method according to claim 43 or 44, wherein the electronic information record is an electronic medical record.