JP2003296446A - Medical care supporting device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To solve problems by dispensing with the operation of scrolling and detailed knowledge of a hierarchical structure in a medical care supporting device wherein medical care information to be inputted are diversified so as not to simultaneously display all the input area, the input operation is required for the scrolling, and detailed knowledge of the hierarchical structure is required for displaying the medical care information with the hierarchical structure in order according to its classification information so as to lower the efficiency of inputting the medical care information. <P>SOLUTION: This medical care supporting device is disposed with the medical care information in a prescribed order by dividing it into groups, stores it along with a form defining an input field of an item included in the medical care information, registers and stores keyword information linked with respective medical care information corresponding to the input field, imports dialogues with a patient in the medical examination as voice information, compares the voice information with the keyword information, displays the input field linked with the keyword information, and inputs the medical care information thereon. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention uses an input template in which required medical information determined by a medical department and / or medical treatment time is divided into groups and arranged in a predetermined order, and each medical information has an input area. The present invention relates to a medical care support device for inputting medical care information.

[0002]

2. Description of the Related Art Required medical information determined by medical department and time of medical treatment is divided into groups and arranged in a predetermined order, and each medical information is displayed as an input field on a monitor using an input template having an input area. There is provided a medical care support device for inputting medical care information.

For example, there is provided a medical care support device having an input template in which a subject and / or medical treatment time is given as a name and an applicable object is instructed in an easy-to-understand manner, such as a set at the time of first visit to obstetrics (for a doctor). ing.

By selecting an appropriate input template according to the application target, the user can efficiently perform input even when there is much medical information to be input.

The input fields in which the input templates are displayed on the monitor are hierarchically classified, and patient information such as patient basic information, progress input information, prescription input information, injury / disease name input information, etc. are positioned in the highest hierarchy. Has been. In these layers, there is generally no input information, and the information following the layers below is simply classified. Classification information as a lower layer is provided for each layer. For example, under the classification item such as the above-mentioned input information such as progress information, there are classification items such as a medical treatment data set, chief complaint / current medical history, basic medical listing, information specific to the first visit, lifestyle information, findings, and assessment. . Further, for example, under the classification item of the main complaint / current medical history, as subordinate classification items belonging to the classification item, inquiry, symptoms, gastrointestinal symptoms, cold symptoms and the like are provided.

In the classification items of the hierarchical structure provided in this way, for the classification items having no further lower classification items, an input template is prepared for inputting the contents of the classification item, and based on this input template. A unique input field is displayed on the monitor.

Therefore, when inputting the medical care information, the target medical care information is designated by following the hierarchical structure thus classified, and the patient is designated on the input field displayed by the designation. The content of unique medical care information will be input.

[0008]

Since the medical information to be input is diversified as described above, it is not possible to display all the input areas in the screen area at the same time. Conventionally, in such a case, the input area for medical information outside the screen area is sequentially displayed by scroll control, or the medical information is classified into a plurality of layers as described in the related art, and the layers are ordered. The input template corresponding to the medical information of the designated layer is displayed using the input field specific to the medical information.

Therefore, in the conventional input method, in addition to the input operation of the medical care information, an input operation for scrolling is required, and the medical information having a hierarchical structure is sequentially displayed by the classification information for the purpose. In order to specify the medical care information, it is necessary to be familiar with the hierarchical structure, and in any case, this was one of the causes of lowering the efficiency of inputting the medical care information.

The present invention eliminates the trouble of inputting an operation for scrolling when inputting medical information, and is familiar with the hierarchical structure in order to display the input template of the desired medical information by following the hierarchical structure. The purpose is to improve the efficiency of medical information input by eliminating the need.

[0011]

The invention according to claim 1 is a medical treatment support apparatus for inputting each medical treatment information determined by a medical department and medical treatment contents by using an input field which is a unique format corresponding to the medical treatment information. The medical information is divided into groups and arranged in a predetermined order, and a hierarchical structure of the arranged medical information and a format in which input fields of items included in each medical information are defined are stored. The medical care information master storage unit, the keyword information master storage unit that registers and stores a plurality of keyword information associated with each medical care information corresponding to the input field, and the dialogue with the patient at the time of medical treatment is captured and recognized as voice information. Comparing the voice information recognized by the voice information recognition means, the voice information recognized by the voice information recognition means, and the keyword information stored in the keyword information storage section. Information comparison means, if the corresponding voice information is detected by the information comparison means, and having a first field control means for displaying an input field associated with the keyword information.

Further, in the invention of claim 2, when the input in the current input field is completed in claim 1, the next input field is displayed according to a predetermined order arranged from the medical care information. It is characterized in that it has a second field control means for moving the cursor to the field and a field control switching means for selectively switching between the first field control means and the second field control means.

The gist of the invention of claim 1 is to identify the medical information that is a topic in the dialogue with the patient from the keyword information specific to the medical information, and display the input field of the medical information. Then, it tries to input the related medical information.

The medical care information to be input is stored in the medical care support apparatus according to the present invention by dividing it into groups and arranged in a predetermined order. The purpose is to display the necessary input fields according to the dialogue by using the sound generated in.

The second aspect of the present invention is a second field control for displaying medical information stored by grouping and arranging them in a predetermined order and displaying corresponding input fields in the arranging order. The means is provided separately from the first field control means, and the field switching means for selectively switching these two field control means is provided so that the input order of the medical care items can be controlled. It is a thing.

[0016]

1 is a block diagram showing the configuration of a medical examination support device as an example of an embodiment of the present invention.

As shown in FIG. 1, the present medical care support device is C
A control device 20 including a PU and a ROM, a RAM 16 as a memory that can be accessed at any time, a pointing device such as a keyboard 13 and a mouse 15, and a microphone 11.
An input device such as a voice input device, a monitor 14, an output device such as a printing device 12, various storage units displayed in the lower part of FIG. 1, and a hard disk storing various control means. Etc. and the storage device 30.

Application software for the medical care support device is installed on the hard disk 30, and these software are stored in the RAM 16 of the medical care support device.
Is used to move the program to a ROM (not shown) for execution. In the present invention, the first field control means 37, the second field control means 35, the field control switching means 36, the voice information recognition means 38, and the information comparison means 39.
Application software such as is stored.

The hard disk 30 divides the medical care information into groups and arranges them in a predetermined order, and stores the medical care information together with its hierarchical structure and a format in which input fields of items included in each medical care information are defined. A master storage unit 31 and a keyword information master storage unit 32 for registering and storing a plurality of keyword information associated with each medical care information corresponding to the input field are stored as masters to be referred to. Further, the patient medical care information data storage unit 33, which is information that is added for each patient when the patient is treated and has the character as transaction data, is also stored.

When a patient is treated, the medical care information according to the medical care content is input using an input field using a template specific to the content of each medical care information and stored in the patient medical care information data storage unit 33. To be done.

Conventionally, the following method is used to input the medical care information generated by treating a patient as an electronic medical record into the medical care support apparatus. The most common practice is handwritten notes such as paper charts. This is a method in which the contents of medical care are recorded in a memorandum during or immediately after the medical treatment of the patient, and the medical contents are input to the medical treatment support device while referring to the memo after the medical treatment. What's happening next is
This is a method of inputting the contents of medical care information during medical care. In this method, the contents of the medical care information are input while tracking the medical care information arranged in a predetermined order by grouping, so that the medical care for patients is arranged in the predetermined order. Must be done in the order of. Moreover, since the medical care information cannot be appropriately selected according to the symptom of the patient, there is a risk that the information to be treated will be postponed and forgotten. And since the patient does not have to provide medical treatment, the "previous DO" function, which is often said, and the enhancement of fixed texts according to the medical treatment content are fully utilized, and the medical treatment support device is further devised for input. Therefore, it is necessary to be able to quickly make the necessary input.

FIG. 2 shows the keyword information master storage unit 3
3 is a schematic diagram showing the contents stored in FIG. It is the information collected from the information unique to each medical care information extracted from the dialogue with the patient and the nurse at the time of medical care of the patient, and is the keyword of each medical care information. The dialogue content 3201 in FIG. 2 is a keyword, but it is information extracted from the content of the dialogue, which is unique to the medical information.
Not only are they composed of one short word, but they are often keywords with a length comparable to one sentence. A field 3202 for designating a field of medical care information is provided for the dialogue content 3201.

The dialogue between the patient and the doctor, or the dialogue between the nurse and the doctor, which is passed during the medical treatment, is taken by the voice information recognition means 38 from the microphone 11 provided in the medical treatment support device into the control device as voice information and voiced. It is replaced with code information by a conversion technique, and a voice conversion technique (the technique is W
Dialogs replaced with code information by WINDOWS (registered trademark of Microsoft Corporation), which is a well-known technology that is incorporated in an OS and is in a generally usable environment, and which is not explained in essence of the present invention. Are sequentially stored in the input buffer (input buffer 34) provided in the hard disk 30. The input buffer 34 is a cyclic buffer having a current pointer.

The dialogue information in the input buffer 34 is constantly monitored in real time by the information comparison means 39 with reference to the pointer, and the word corresponding to the dialogue content 3201 in the keyword information master storage unit 32 is in the input buffer 34. To see if they exist. When it is determined that there is a word corresponding to the dialogue content 3201 existing during the monitoring, the content of the field 3202 for designating the field of the medical care information corresponding to the dialogue content 3201 is provided from the information comparison means 39 to the RAM 16. It is returned as new medical care information 1601.

3 to 10, the contents of the medical information classified by the hierarchical structure (FIGS. 3 to 8 and (b) of FIG. 10) and the input related to the medical information that can be input. FIG. 9 is a schematic diagram exemplifying fields ((a) and FIG. 9 of FIGS. 3 to 8). In FIG. 3B, the medical information of the lower hierarchy belonging to the upper hierarchy of “main complaint / current medical history” is displayed in the right frame. FIG. 3A is a schematic diagram exemplarily showing an input field unique to the medical care information of “main complaint” which is the medical care information of the lower hierarchy.

FIG. 4 shows a case where the medical information in the lower hierarchy belonging to the upper hierarchy of "main complaint / current medical history" is "Question", and FIG. 5 shows a lower hierarchy belonging to the upper hierarchy of "main complaint / current medical history". When the medical information is “current medical history”, FIG. 6 belongs to the upper layer “finding”, and when the medical information in the lower layer is “finding”, FIG. If both the blood pressure and the pulse are specified as the medical information of the hierarchy,
FIG. 8 shows the case where the medical treatment information of the hierarchy further below that belonging to the medical treatment information of “cold” in the hierarchy below the medical treatment data set is “cold set 1”, and FIGS. 8 (a) schematically illustrates each unique input field as in the case of FIG.

9 and 10 are schematic diagrams showing a process of actually inputting the contents of the medical care information using the input fields for each medical care information. As shown in (b) of FIG. 10, it is an input field for "cold set 1" belonging to a lower hierarchy of "cold" which is provided as medical information belonging to a hierarchy below the medical information called "medical data set". Input the contents of the medical care information using the input fields of FIG. The actual input is one character by one word as a word processor from the keyboard 13, but there is also a method of inputting in phrase units using the fixed sentence peculiar to each medical care information illustrated in (a) of FIG. It is possible. The fixed phrase is
Since it can be edited by preparing it in advance or by changing it by the operator or newly registering it, prepare fixed phrases that match the medical care information at any time, and quickly communicate with the patient. With, it is possible to input the medical care contents. In Fig. 9, using the second fixed phrase "From a few days ago" shown in the right column in Fig. 10 (a), enter 5 characters, and then enter ",". Shows.

According to the flow charts of FIGS. 11 to 12, the dialogue between the patient and the doctor or the nurse and the doctor is recognized as the voice information by the voice recognition means 38 at the time of medical treatment, and the voice information is searched by the information comparison means 39 by the keyword. By comparing with the keyword stored in the information master storage unit 32, the first field control means, the first field control means, and the field control switching means 36, which is a switching means of these control means, are used to respond to the corresponding medical information. A procedure for displaying the input field on the screen and registering and storing the content of the input medical care information in the patient medical care information data storage unit 33 will be described.

The procedure of the flowchart of FIG. 11 will be described. Input buffer 3 for voice in voice information recognition means 38
4 stores a dialogue with a doctor, and the content of the buffer is monitored in real time by the information comparison means 39 by using the pointer at the present time of the input buffer 34 (S01). When it is determined that there is a word corresponding to the keyword (corresponding to the dialogue content 3201 in FIG. 2) stored in the keyword information master storage unit 32 (S01; Yes), a field of medical information corresponding to the dialogue content 3201. The content of the field 3202 designating "NO" is returned from the information comparing means 39 as new medical care information 1601 provided in the RAM 16 (S03). New medical information 16
After returning as 01, it returns to the monitoring system again.

The procedure of the flowchart of FIG. 12 will be described. Here, in the field control switching means 36, the first field control means 37 and the second field control means 3 described above are used.
7 and which field control to use (first or second
Is designated, and it is determined whether the designation is the first field control means 37 (S05). This designation is performed, for example, by providing a software switch to be switched on the screen and switching with the mouse 15 or the keyboard 13 and saving the result in a designated key in the RAM 16.

When the field control is performed by the first field control means 37 (S05; first), it is judged whether or not there is medical information specified in the new medical information 1601 (S07). When there is designated medical care information (S07; Yes), the input field corresponding to the medical care information is acquired from the input fields stored in the medical care information master storage unit 31 (S09), and the input field is displayed. Then, the content of the medical care information is input from the keyboard (S11). If there is no designated medical care information, the first step S05 in the flowchart of FIG.
Return to.

When the field control is performed by the second field control means 37 (S05; second), in accordance with the order of classification of the hierarchically structured medical care information,
An input field corresponding to the next medical care information of the medical care information is acquired from the input fields stored in the medical care information master storage unit 31 (S13), and the content of the medical care information is input from the keyboard (S15).

When the content input of the medical care information in the displayed input field is completed (S11 or S15)
12), the first step S in the flowchart of FIG.
Return to 05.

The contents of the medical care information input by the procedure of the flow charts of FIGS. 11 to 12 are stored in a predetermined portion of the patient medical care information data storage unit 33 according to an instruction to end the medical care information input from the mouse 15 or the keyboard 13. All are registered and stored in.

As described above, the medical care information is the contents of the dialogue with the patient recognized by the microphone without being aware of the input field to be input, and without searching and designating the corresponding medical care information. Target medical information is determined, and the corresponding input field is displayed and input.

[0036]

According to the first aspect of the present invention, in inputting each medical care information determined by the medical department and the medical care content by using the input field which is a unique format corresponding to the medical care information,
The medical care information is divided into groups and arranged in a predetermined order, the input field of the items included in each medical care information is stored together with the defined format, and the medical care information is associated with each medical care information corresponding to the input field. By registering and storing a plurality of keyword information, capturing the dialogue with the patient at the time of medical treatment as voice information, comparing it with the stored keyword information, and displaying the input field associated with the detected keyword information. , Eliminating the need to familiarize yourself with the hierarchical structure in order to display the input template for the desired medical care information by eliminating the trouble of inputting the operation for scrolling when entering the medical care information and by following the hierarchical structure. The efficiency of inputting medical information can be improved.

According to the second aspect of the present invention, when the input in the current input field is completed, a means for displaying the next input field according to a predetermined order arranged in the medical information and moving the cursor to the field. By providing the above, it is possible to selectively switch the control of the input field in addition to the control of the input field of claim 1.

[Brief description of drawings]

FIG. 1 is a block diagram showing a configuration of a medical treatment support device according to an embodiment.

FIG. 2 is a schematic diagram showing contents stored in a keyword information master storage unit 32.

FIG. 3 is a schematic diagram exemplifying the content of “main complaint” as medical information classified with a hierarchical structure and an input field relating to medical information that can be input.

FIG. 4 is a schematic diagram exemplifying the content of “questioning” as medical information classified with a hierarchical structure and an input field related to medical information that can be input.

FIG. 5 is a schematic diagram exemplifying the contents of “current medical history” as medical information classified with a hierarchical structure and input fields related to medical information that can be input.

FIG. 6 is a schematic diagram exemplifying the contents of “findings” as medical information classified with a hierarchical structure and an input field related to medical information that can be input.

FIG. 7 is a schematic diagram exemplifying the contents of “blood pressure” and “pulse” as medical information classified with a hierarchical structure, and input fields related to medical information that can be input.

FIG. 8 is a schematic diagram exemplifying the contents of “cold set” as medical information classified with a hierarchical structure and an input field related to medical information that can be input.

FIG. 9 is a schematic diagram showing a process of actually inputting the contents of the medical care information by using a fixed phrase by using an input field for each medical care information.

FIG. 10 is a schematic diagram showing a fixed sentence for inputting the contents of the medical care information using an input field for each medical care information.

FIG. 11 is a flowchart showing a procedure for monitoring whether an interaction including a predetermined keyword exists in an input buffer in which an interaction with a doctor is stored.

12 is a flowchart showing a processing procedure when it is determined that there is a word corresponding to a keyword stored in a keyword information master storage unit in the procedure shown in the flowchart of FIG.

[Explanation of symbols]

31 Medical Information Master Memory 32 keyword information master storage 33 Patient medical care information data storage Input buffer for 34 audio 35 Second field control means 36 Field control switching means 37 First Field Control Means 38 voice information recognition means 39 Information comparison means

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Claims (2)

[Claims] 1. A medical care support device for inputting each medical care information determined by a medical department and medical care contents by using an input field having a unique format according to the medical care information, wherein the medical care information is divided into groups and predetermined. Arranged in the order of
A medical information master storage unit that stores a hierarchical structure of the arranged medical information and a format in which input fields of items included in each medical information are defined, and medical information corresponding to the input fields. A keyword information master storage unit for registering and storing a plurality of associated keyword information, a voice information recognition unit for recognizing a dialogue with a patient at the time of medical treatment as voice information, and voice information recognized by the voice information recognition unit. And an information comparing unit for comparing the keyword information stored in the keyword information storage unit with each other, and an input field associated with the keyword information when the corresponding voice information is detected by the information comparing unit. And a first field control means for controlling the medical treatment support device. 2. The method according to claim 1, wherein when the input in the current input field is completed, the next input field is displayed according to a predetermined order arranged from the medical information, and the cursor is moved to the field. A medical assistance device comprising: two-field control means; and field control switching means for selectively switching between the first field control means and the second field control means.