JP2004062484A - Medical examination support system - Google Patents

Medical examination support system Download PDF

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Publication number
JP2004062484A
JP2004062484A JP2002219192A JP2002219192A JP2004062484A JP 2004062484 A JP2004062484 A JP 2004062484A JP 2002219192 A JP2002219192 A JP 2002219192A JP 2002219192 A JP2002219192 A JP 2002219192A JP 2004062484 A JP2004062484 A JP 2004062484A
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JP
Japan
Prior art keywords
doctor
medical
input
display
patient
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JP2002219192A
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Japanese (ja)
Inventor
Tadahiko Ozawa
小澤 忠彦
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KOZAWA GANKA NAIKA BYOIN
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KOZAWA GANKA NAIKA BYOIN
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Priority to JP2002219192A priority Critical patent/JP2004062484A/en
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  • Medical Treatment And Welfare Office Work (AREA)
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical examination support system capable of effectively utilizing medical examination time for each patient, enriching practical medical examinations, inputting the medical practice of a doctor to an electronic chart without omissions, and preventing the calculation omission of treatment items. <P>SOLUTION: Input conditions by a keyboard 2 and a mouse 3 operable by the doctor B, and the keyboard 5 and the mouse 6 operable by a clerk C are linked and displayed on the display 4 of the doctor B and the display 7 of the clerk C. <P>COPYRIGHT: (C)2004,JPO

Description

【0001】
【発明の属する技術分野】
本発明は、患者と医師とクラークとが臨席して診療を行う際の診療支援システムに関するものである。
【0002】
【従来の技術】
近年、医療機関においては、従来の紙のカルテに代えてコンピュータシステムを利用した電子カルテの導入が進められており、医療事務作業の効率化や迅速化を図ることで、患者の待ち時間の短縮が出来、個々の患者に対する実質的な診療時間を確保して充実した診療が提供されつつある。
【0003】
例えば、眼科診療においては、患者と医師との間に眼の検査を行う眼科診療機器が配置され、医師の机上に置かれたパーソナルコンピュータ(以下、「パソコン」という)に接続されたキーボードやマウス等を利用して電子カルテを作成するのが一般であった。
【0004】
【発明が解決しようとする課題】
しかしながら、前述の従来例では、医師が患者に対面して眼科診療機器等を利用して患者の眼を診療する一方で、その医師の机上に置かれたパソコンを利用して電子カルテを作成するという作業を行う必要があり、▲1▼患者に対面しつつ電子カルテの入力作業を行うため患者にしてみれば、せっかくの診療時間に医師が下を向いている時間の方が多いという不満感が多くなり、▲2▼医師が医療行為をもれなく電子カルテに入力する必要があるため電子カルテの入力作業に時間がかかり、処置項目の算定漏れが発生し易いという問題があった。
【0005】
本発明は前記課題を解決するものであり、その目的とするところは、個々の患者に対する診療時間を有効に利用して実質的な診療を充実させることが出来、医師の医療行為を漏れなく電子カルテに入力して処置項目の算定漏れを防止することが出来る診療支援システムを提供せんとするものである。
【0006】
【課題を解決するための手段】
前記目的を達成するための本発明に係る診療支援システムは、患者と医師とクラークとが臨席して診療を行う際の診療支援システムであって、医師が操作し得る第1の入力手段と、医師が視認し得る第1の表示手段と、クラークが操作し得る第2の入力手段と、クラークが視認し得る第2の表示手段と、前記第1、第2の入力手段により入力された診療情報を記憶する診療情報データベースと、前記第1、第2の入力手段による入力状況を、前記第1及び第2の表示手段に連動して表示する制御手段とを有することを特徴とする。
【0007】
本発明は、上述の如く構成したので、医師の医療行為をクラーク(医療秘書)が観察しながら第2の入力手段により電子カルテに処置項目を入力することが出来、制御手段によって第2の入力手段による入力状況が連動して表示される第1の表示手段により、その内容を医師が視認することが出来る。
【0008】
また、医師とクラークとの間で、入力状況が連動して表示される第1及び第2の表示手段を夫々同時に視認しながら夫々の第1、第2の入力手段を用いて会話形式で指示することが出来る。
【0009】
【発明の実施の形態】
図により本発明に係る診療支援システムの一例として眼科診療に適用した場合の一実施形態を具体的に説明する。図1は本発明に係る診療支援システムを眼科診療に適用した様子を示す患者と医師とクラークの配置構成を示す図、図2は本発明に係る診療支援システムの制御系の構成を示すブロック図である。
【0010】
本発明は、図1に示すように、患者Aと、医師Bと、クラーク(医療秘書)Cとが一同に臨席して診療を行う際の診療支援システムである。ここで、3者が臨席するとは、患者Aと医師BとクラークCとが図1に示すように同じ診療室内に同席しても良いし、例えば、クラークCが別室でガラス越しに診療の様子を観察したり、或いはモニタ、カメラ、マイク、スピーカ等を介して別室で診療の様子を観察する場合も含まれる。
【0011】
本実施形態では、図1に示すように、対面する患者Aと医師Bとの間に眼科診療機器1が配置されており、該眼科診療機器1の一方から患者Aが覗き、他方から医師Bが覗くか、或いは種々の操作を行うことで患者Aの眼の診療が出来るようになっている。
【0012】
医師Bの机上には、該医師Bが操作し得る第1の入力手段となるキーボード2及びマウス3と、該医師Bが視認し得る第1の表示手段となるディスプレイ4とが設置されている。
【0013】
クラークCは医師Bが患者Aに施す医療行為を視認出来る位置にあって、本実施形態では、患者Aと医師BとクラークCとが略正三角形で結ばれる位置に各座席が配置されている。クラークCの机上には、該クラークCが操作し得る第2の入力手段となるキーボード5及びマウス6と、該クラークCが視認し得る第2の表示手段となるディスプレイ7とが設置されている。
【0014】
第1の入力手段となるキーボード2とマウス3、及び第2の入力手段となるキーボード5とマウス6を利用して電子カルテに入力された診療情報は、図2に示すコンピュータ8の制御手段となるCPU(中央演算装置)を介して診療情報データベース9に記憶して格納される。
【0015】
コンピュータ8にはインターフェースを介して、医師B側のキーボード2が標準接続端子に接続され、マウス3がUSB接続端子に接続され、ディスプレイ4が標準接続端子に接続される。また、クラークC側のキーボード5及びマウス3がUSB接続端子に接続され、ディスプレイ7が外部ポート接続端子に接続される。
【0016】
このような接続によりコンピュータ8の制御手段となるCPUにより第1、第2の入力手段となるキーボード2,5及びマウス3,6による入力状況を、第1及び第2の表示手段となるディスプレイ4,7に連動して表示することが出来るようになっている。
【0017】
図1では、クラークCのディスプレイ7に表示された画面と同じ画面が医師Bのディスプレイ4に表示され、更にクラークCがマウス6を操作して移動したディスプレイ7上のマウスポインタの軌跡と同様に、医師Bのディスプレイ4上でもマウスポインタが連動して移動して同じ軌跡を描く様子を示す。
【0018】
上記構成によれば、医師Bの医療行為をクラークCが観察しながら第2の入力手段となるキーボード5やマウス6により電子カルテに処置項目を入力することが出来、制御手段となるコンピュータ8のCPUによって第2の入力手段となるキーボード5やマウス6による入力状況が連動して表示される第1の表示手段となるディスプレイ4により、その内容を医師Bが視認することが出来る。また、逆に医師Bがキーボード2やマウス3を利用して電子カルテに入力する状況をクラークCがディスプレイ7により視認することも出来る。
【0019】
また、医師BとクラークCとの間で、入力状況が連動して表示される第1及び第2の表示手段となるディスプレイ4,7を夫々同時に視認しながら夫々の第1、第2の入力手段となるマウス3,6やキーボード2,5を用いて会話形式で指示したり確認することが出来る。
【0020】
これにより、個々の患者Aに対する診療時間を有効に利用して実質的な診療を充実させることが出来、医師Bの医療行為を漏れなく電子カルテに入力して処置項目の算定漏れを防止することが出来る。
【0021】
【発明の効果】
本発明は、上述の如き構成と作用とを有するので、医師の医療行為をクラークが観察しながら第2の入力手段により電子カルテに処置項目を入力することが出来、制御手段によって第2の入力手段による入力状況が連動して表示される第1の表示手段により、その内容を医師が視認することが出来る。
【0022】
また、医師とクラークとの間で、入力状況が連動して表示される第1及び第2の表示手段を夫々同時に視認しながら夫々の第1、第2の入力手段を用いて会話形式で指示することが出来る。
【0023】
従って、個々の患者に対する診療時間を有効に利用して実質的な診療を充実させることが出来、医師の医療行為を漏れなく電子カルテに入力して処置項目の算定漏れを防止することが出来る。
【図面の簡単な説明】
【図1】本発明に係る診療支援システムを眼科診療に適用した様子を示す患者と医師とクラークの配置構成を示す図である。
【図2】本発明に係る診療支援システムの制御系の構成を示すブロック図である。
【符号の説明】
A…患者
B…医師
C…クラーク
1…眼科診療機器
2…キーボード
3…マウス
4…ディスプレイ
5…キーボード
6…マウス
7…ディスプレイ
8…コンピュータ
9…診療情報データベース
[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical treatment support system when a patient, a doctor, and Clark are present and perform medical treatment.
[0002]
[Prior art]
In recent years, medical institutions have been introducing electronic medical records using computer systems instead of conventional paper medical records, and by improving the efficiency and speed of medical clerical work, reducing the waiting time for patients As a result, substantial medical treatment hours have been secured for individual patients, and substantial medical care has been provided.
[0003]
For example, in ophthalmic medical care, an ophthalmic medical care device that performs an eye examination is arranged between a patient and a doctor, and a keyboard and a mouse connected to a personal computer (hereinafter, referred to as “PC”) placed on a doctor's desk. It was common to create an electronic medical record using such methods.
[0004]
[Problems to be solved by the invention]
However, in the above-described conventional example, a doctor treats a patient's eyes using an ophthalmic medical device or the like while facing the patient, and creates an electronic medical record using a personal computer placed on the doctor's desk. (1) Dissatisfaction that if a patient tries to enter an electronic medical record while facing the patient, the doctor is more likely to be facing down during the pregnancy hours (2) It is necessary for the doctor to enter the medical record without any medical action, so that the input operation of the electronic medical record takes a long time, and there is a problem that the calculation of the treatment item is likely to be omitted.
[0005]
The present invention has been made to solve the above-mentioned problem, and an object of the present invention is to effectively utilize the medical treatment time for each patient to enhance substantial medical treatment, and to provide medical doctors with full medical care. It is an object of the present invention to provide a medical care support system capable of preventing omission of calculation of a treatment item by inputting into a medical chart.
[0006]
[Means for Solving the Problems]
The medical care support system according to the present invention for achieving the above object is a medical care support system in which a patient, a doctor, and Clark are present and perform medical care, and a first input unit that can be operated by a doctor, First display means that can be visually recognized by a doctor, second input means that can be operated by Clark, second display means that can be visually recognized by Clark, and medical treatment input by the first and second input means. A medical information database for storing information, and control means for displaying the input status of the first and second input means in conjunction with the first and second display means.
[0007]
Since the present invention is configured as described above, a treatment item can be input to the electronic medical record by the second input unit while the medical practice of the doctor is observed by the clerk (medical secretary), and the second input unit is controlled by the control unit. The contents can be visually recognized by the doctor by the first display means in which the input status by the means is displayed in conjunction.
[0008]
Further, while the first and second display means, in which the input status is displayed in conjunction with each other, are simultaneously visually recognized between the doctor and the clerk, instructions are given in a conversational manner using the first and second input means. You can do it.
[0009]
BEST MODE FOR CARRYING OUT THE INVENTION
One embodiment of a case where the present invention is applied to ophthalmic medical care as an example of a medical care support system according to the present invention will be specifically described with reference to the drawings. FIG. 1 is a diagram showing an arrangement configuration of a patient, a doctor, and a clerk showing a state in which a medical support system according to the present invention is applied to ophthalmic medical care. FIG. 2 is a block diagram showing a configuration of a control system of the medical support system according to the present invention. It is.
[0010]
As shown in FIG. 1, the present invention is a medical treatment support system when a patient A, a doctor B, and a clerk (medical secretary) C perform medical treatment in the presence of all of them. Here, that three persons are present may mean that the patient A, the doctor B, and the clerk C may be present in the same examination room as shown in FIG. Or the state of medical treatment in another room via a monitor, a camera, a microphone, a speaker, or the like.
[0011]
In the present embodiment, as shown in FIG. 1, an ophthalmic medical care device 1 is arranged between a patient A and a doctor B facing each other, and a patient A looks through one of the ophthalmic medical care devices 1 and a doctor B from the other. The eye of the patient A can be examined by looking into the camera or performing various operations.
[0012]
On the desk of the doctor B, a keyboard 2 and a mouse 3 as first input means that can be operated by the doctor B, and a display 4 as first display means that can be visually recognized by the doctor B are installed. .
[0013]
Clark C is located at a position where doctor B can visually recognize the medical action performed on patient A, and in the present embodiment, each seat is arranged at a position where patient A, doctor B and Clark C are connected by a substantially equilateral triangle. . On the desk of the clerk C, a keyboard 5 and a mouse 6 serving as second input means that can be operated by the clerk C, and a display 7 serving as second display means that the clerk C can visually recognize are provided. .
[0014]
The medical information input to the electronic medical record using the keyboard 2 and the mouse 3 as the first input means and the keyboard 5 and the mouse 6 as the second input means are transmitted to the control unit of the computer 8 shown in FIG. And stored in the medical care information database 9 via a central processing unit (CPU).
[0015]
To the computer 8, the keyboard 2 of the doctor B is connected to the standard connection terminal, the mouse 3 is connected to the USB connection terminal, and the display 4 is connected to the standard connection terminal via an interface. Further, the keyboard 5 and the mouse 3 on the Clark C side are connected to the USB connection terminal, and the display 7 is connected to the external port connection terminal.
[0016]
With such a connection, the CPU serving as the control means of the computer 8 displays the input status of the keyboards 2 and 5 and the mice 3 and 6 serving as the first and second input means on the display 4 serving as the first and second display means. , 7 can be displayed.
[0017]
In FIG. 1, the same screen as the screen displayed on the display 7 of Clark C is displayed on the display 4 of the doctor B, and further, similarly to the locus of the mouse pointer on the display 7 to which Clark C has moved by operating the mouse 6. Shows a state in which the mouse pointer moves on the display 4 of the doctor B to draw the same trajectory.
[0018]
According to the above configuration, while the clerk C observes the medical practice of the doctor B, the treatment items can be input to the electronic medical record by the keyboard 5 and the mouse 6 as the second input means. The contents can be visually recognized by the doctor B on the display 4 serving as the first display means in which the input state of the keyboard 5 or the mouse 6 serving as the second input means is displayed in conjunction with the CPU. Conversely, the situation where the doctor B uses the keyboard 2 or the mouse 3 to input an electronic medical record can be visually recognized by the clerk C on the display 7.
[0019]
Further, the first and second input are performed while simultaneously viewing the displays 4 and 7 as the first and second display means in which the input status is displayed in conjunction with the doctor B and the clerk C. Instructions and confirmation can be made in a conversational manner by using the mice 3 and 6 and the keyboards 2 and 5 as means.
[0020]
As a result, it is possible to effectively use the medical treatment time for each patient A to enhance the substantial medical treatment, and to input the medical practice of the doctor B to the electronic medical record without omission, thereby preventing the omission of the calculation of the treatment item. Can be done.
[0021]
【The invention's effect】
Since the present invention has the above-described configuration and operation, a treatment item can be input to the electronic medical record by the second input unit while the medical treatment of the doctor is observed by Clark, and the second input unit is controlled by the control unit. The contents can be visually recognized by the doctor by the first display means in which the input status by the means is displayed in conjunction.
[0022]
Further, while the first and second display means, in which the input status is displayed in conjunction with each other, are simultaneously visually recognized between the doctor and the clerk, instructions are given in a conversational manner using the first and second input means. You can do it.
[0023]
Therefore, it is possible to effectively use the medical treatment time for each patient to enhance the substantial medical treatment, and to prevent the omission of the calculation of the treatment item by inputting the medical practice of the doctor to the electronic medical record without omission.
[Brief description of the drawings]
FIG. 1 is a diagram showing an arrangement configuration of a patient, a doctor, and a clerk showing a state in which a medical care support system according to the present invention is applied to ophthalmic medical care.
FIG. 2 is a block diagram showing a configuration of a control system of the medical care support system according to the present invention.
[Explanation of symbols]
A ... Patient B ... Doctor C ... Clark 1 ... Ophthalmology medical equipment 2 ... Keyboard 3 ... Mouse 4 ... Display 5 ... Key board 6 ... Mouse 7 ... Display 8 ... Computer 9 ... Medical information database

Claims (1)

患者と医師とクラークとが臨席して診療を行う際の診療支援システムであって、
医師が操作し得る第1の入力手段と、
医師が視認し得る第1の表示手段と、
クラークが操作し得る第2の入力手段と、
クラークが視認し得る第2の表示手段と、
前記第1、第2の入力手段により入力された診療情報を記憶する診療情報データベースと、
前記第1、第2の入力手段による入力状況を、前記第1及び第2の表示手段に連動して表示する制御手段と、
を有することを特徴とする診療支援システム。
A medical care support system in which a patient, a doctor, and Clark are present and perform medical care,
First input means that can be operated by a doctor;
First display means that can be visually recognized by a doctor;
Second input means operable by Clark;
Second display means visible to Clark;
A medical information database storing medical information input by the first and second input means,
Control means for displaying the input status of the first and second input means in conjunction with the first and second display means;
A medical care support system comprising:
JP2002219192A 2002-07-29 2002-07-29 Medical examination support system Pending JP2004062484A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2002219192A JP2004062484A (en) 2002-07-29 2002-07-29 Medical examination support system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2002219192A JP2004062484A (en) 2002-07-29 2002-07-29 Medical examination support system

Publications (1)

Publication Number Publication Date
JP2004062484A true JP2004062484A (en) 2004-02-26

Family

ID=31940154

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2002219192A Pending JP2004062484A (en) 2002-07-29 2002-07-29 Medical examination support system

Country Status (1)

Country Link
JP (1) JP2004062484A (en)

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