JP2008250749A - Electronic medical chart apparatus, method, program, and recording medium - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To efficiently input by keeping the edition work for chart information within a necessary minimum range. <P>SOLUTION: An electronic medical chart apparatus comprises: a display means 1 for displaying a chart screen 7 including a past chart field 8 and a present chart field 9; and a chart edition means for editing the present chart field 9 displayed on the display means 1. The chart edition means comprises: an operation area determination means for determining which of the areas in the chart screen 7 is operated; and an edition content execution means for selecting a corresponding item from previously registered edition contents and executing it according to an area determined with the operation area determination means. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to an electronic medical chart apparatus, a method, a program, and a recording medium.

  Conventionally, as a device capable of editing the contents of a prescription, a device that specifies an object to be edited by pointing an object button and performs editing in units of the same usage classification group is known (for example, see Patent Document 1). .

Japanese Patent Laid-Open No. 6-223089

  However, in the conventional apparatus, editing is performed in units of the same usage classification group regardless of the location where editing is desired, and efficient editing work is impossible.

  SUMMARY OF THE INVENTION An object of the present invention is to provide an electronic medical chart apparatus, method, program, and recording medium capable of performing efficient input by keeping the editing work of medical chart information within a necessary minimum range. To do.

As a means for solving the above problems, the present invention provides:
Electronic medical record device
Display means for displaying a medical chart screen including a past medical chart field and a current medical chart field;
A medical record editing means for editing the current medical record column displayed on the display means;
With
The medical chart editing means
Operation area determination means for determining which area of the medical chart screen is operated;
In accordance with the area determined by the operation area determining means, an edit content executing means for selecting and executing a corresponding one from pre-registered edit contents;
It is set as the structure provided with.

  With this configuration, the editing content can be automatically selected and executed simply by operating the area to be edited, so that the operability is good and the editing work can be performed efficiently.

  It is preferable that the editing content execution means changes the editing content to be selected depending on the operation method.

  With this configuration, it is possible to increase variations when editing only by the difference in operation method, and it is possible to further improve operability.

  If it is determined that the area determined by the operation area determination means is a past medical record field, the edited content execution means may change the content operated in the past medical record field by dragging and dropping the current medical record field. It is preferable to be able to copy to.

  With this configuration, past data can be easily reused on the same screen, and editing operations can be performed more quickly.

  If it is determined that the region determined by the operation region determination unit is a dose in the current medical record column, the edited content execution unit can input in units corresponding to the dosage form of the medicine indicating the dose. It is preferable that the keypad is composed of a plurality of displayed keys.

  With this configuration, only the dose can be changed easily. In particular, when necessary data is reused from the past medical record column, editing can be performed more quickly.

  If it is determined that the area discriminated by the operation area discriminating means is a usage in the current chart column, the editing content executing means is composed of a plurality of keys each displaying each usage that is a candidate for changing the usage. It is preferably composed of a keypad.

  With this configuration, it is possible to easily and quickly change the usage as well as change the dose.

  It is preferable that the edited content execution means includes a dose / usage display unit that displays switchable detailed dosage and dosage data for each drug when the prescription data to which the usage is applied includes a plurality of drugs.

  With this configuration, sufficient information can be displayed even in a limited display area, so that it is possible to effectively use the displayed detailed data for editing doses and usages.

Further, the present invention provides a means for solving the above-described problems,
How to edit the chart
A display step for displaying a medical chart screen including a past medical chart field and a current medical chart field;
A medical record editing step for editing the current medical record column displayed in the display step;
Done in
The chart editing step includes
An operation area determination step for determining which area of the medical chart screen is operated;
In accordance with the area determined in the operation area determination step, the corresponding editing contents are selected from the editing contents registered in advance and executed.
It is something that is done in.

  In the editing content execution step, it is preferable that the editing content to be selected is changed depending on the operation method.

  If it is determined that the area determined in the operation area determination step is a past medical record field, in the editing content execution step, the content operated in the past medical record field is dragged and dropped to the current medical record field. It is preferable to copy to.

  Further, according to the present invention, as means for solving the above-described problem, a program includes each step of the chart editing method.

  Further, according to the present invention, as a means for solving the above-described problems, a recording medium is recorded with the program and can be read by a computer.

  According to the present invention, it is possible to automatically select and execute editing contents only by operating a region to be edited in the chart screen displayed on the display means. Therefore, very efficient input can be performed, and editing processing can be performed quickly.

  Embodiments according to the present invention will be described below with reference to the accompanying drawings.

  FIG. 1 shows an electronic medical chart apparatus according to this embodiment. This apparatus includes a display device 1 such as a liquid crystal display, an input device 2 such as a keyboard / mouse, a storage device 3 such as a hard disk, and a control device 4 that controls the entire electronic medical record device. These devices may be constituted by a personal computer. Note that a printing apparatus 5, such as a laser printer, a host computer 6, an imaging apparatus 100 (for example, an MRI apparatus, a CT apparatus), and the like are connected as necessary.

  For example, a chart screen 7 shown in FIG. 13 is displayed on the display device 1. The medical chart screen 7 mainly includes a past medical chart field 8, a current medical chart field 9, a patient information field 10, and a keypad 11. Both the past medical record column 8 and the current medical record column 9 are displayed in the format of No. 2 paper similar to the actual paper medical record.

  The input device 2 may include a touch panel when using the touch panel as the display device 1 in addition to a keyboard, a mouse, and the like.

  The storage device 3 stores a transaction table (medical record table) 101 in which medical record information is recorded, in addition to various masters such as a drug master 12, a disease name master 13, a medical practice master 14, and a search menu master 15.

  In addition to the central processing unit 16 (CPU), the control device 4 includes a ROM 17 that stores programs such as BIOS and a RAM 18 that temporarily stores data necessary for processing. Various storage areas are secured in the RAM 18. CPU16 performs the process mentioned later based on prescription data.

  The host computer 6 has a function of transmitting prescription data. Here, the host computer 6 may be a hospital host on which a hospital prescription ordering system or the like operates, a medical office (receipt) computer of a dispensing pharmacy, a pharmacy dispensing system control device 4 (built-in computer), or the like. .

  Next, an operation (processing contents of the CPU) of the electronic medical chart apparatus will be described. That is, as shown in the flowchart of FIG. 2, the electronic medical chart apparatus includes a subjective information input process (step S1), an objective information input process (step S2), an evaluation information input process (step S3), and a plan information input process ( Step S4) is executed.

(1. Subjective information (S) input processing)
In the subjective information input process, the patient's subjective information is input based on the questionnaire filled in by the patient in advance. Here, of the input items at the reception terminal, the items checked in the check column 21 are reflected in the electronic medical record. 10 to 12 show examples of inputting questionnaires. FIG. 10 shows an inquiry basic input field 19 displayed by a tab key. Here, basic items of symptoms that the patient complains of are entered. FIG. 11 shows an inquiry detail input field 20 displayed by a tab key. Detailed information unique to the patient, such as the patient's height, weight, and body temperature, is input here. A check field 21 is provided for each item of the basic inquiry input field 19 and the detailed inquiry input field 20, and is clicked to switch on / off. FIG. 12 shows the vital sign field 22 displayed by the tab key. In the bi-tile sign column, measurement data such as height and weight among the items input in the inquiry detail input column 20 are plotted and displayed on a graph.

(2. Objective information (O) input processing)
In the objective information input process, only the facts indicating the state of each part of the patient's body are input to the chart screen 7 shown in FIG. If there is registered image data such as a radiograph or CT image, it is pasted into the current chart column 9. The image data can be easily pasted in the current chart column 9 by executing an image filing process as will be described later.

(2.1. Image filing process)
In the image filing process, as shown in the flowchart of FIG. 3, when the image management button 23 displayed on the keypad 11 is clicked (step S11), the image management screen 24 shown in FIG. 14 is displayed (step S11). Step S12). The image management screen 24 includes an operation command unit 25, a management list unit 26, and a selected image display unit 27.

  The operation command unit 25 includes a keypad 11 including buttons for import, external output, deletion, chart attachment, binder storage, group, print, and display number. Then, it is determined what the operated button is (step S13), and each of the following processes is executed. That is, when the capture button 28 is operated, as will be described later, data corresponding to the patient image data displayed on the medical chart screen 7 is stored in another network-connected terminal (for example, the imaging apparatus 100). From the corresponding folder stored in the copy. When the external output button 29 is operated, the captured image is registered in any area (folder) of the storage device 3. If the delete button 30 is operated, the selected image is deleted. When the medical chart pasting button 31 is operated, the selected image is pasted on the current medical chart column 9 of the medical chart screen 7. When the binder button 32 is operated, the image data is saved as a PDF (Portable Document Format) file in the corresponding patient. When the group button 33 is operated, the images to be captured are grouped. When the group button 33 is operated, the display of the keypad 11 is displayed in a list according to a preset classification, for example, for each image type (CT, MRI, etc.). When the print button 34 is operated, a plurality of selected images displayed on the selected image display unit 27 are printed at a time. When the display number button 35 is operated, an image selected in the management list unit 26 is set to a format for displaying on the selected image display unit 27.

  In the management list unit 26, as shown in the flowchart of FIG. 4, data corresponding to the patient image data displayed on the medical chart screen 7 is captured (step S21). Then, the thumbnails of the automatically captured images are displayed as a list together with the capture date and time (step S22). Also, a part of the comment inputted as described later is displayed together with the capture date and time. When a desired line is clicked from the list displayed in the management list section 26 (step S23), the background color of the line is changed (step S24), and the image is displayed as a selected image on the image management screen 24. This is displayed on the unit 27 (step S25). The number of images to be displayed on the selected image display unit 27 can be freely set. In the example of FIG. 14, a total of 12 (= 2 × 3) images can be displayed at one time, but various display forms such as 2 × 2, 3 × 3 can be set. When the image selected in the management list section 26 is clicked again, the background color returns to the original state, the selection is canceled, and the selected image display section 27 is not displayed.

  As described above, the selected image display unit 27 displays the image (selected image) selected by the management list unit 26. The patient's name, ID (identification) number, etc. are displayed on the upper part of the selected image so that the display data can be discriminated at a glance. When the image displayed on the image management screen 24 is clicked (other operation methods may be used) (step S26), the individual image window 36 is displayed in a pop-up (step S27). In the example of FIG. 15, a comment input field 37 is provided in the individual image window 36, and it is possible to input a finding or the like directly with a keyboard or the like. When a comment is input (step S28), the content is reflected on each line displayed on the management list unit 26 (step S29: However, the number of characters displayed on each line is limited). Further, when the display effect command is operated (step S30), the individual image 38 is freely changed in its display form, such as changing the color image to a black and white image, changing the shading, or rotating it (step S31). . In this case, as will be described later, if there is a standard image that is registered in advance and that is to be compared, it is preferable that the standard image is automatically adjusted so that the standard image is displayed. For example, when registering a standard image, the change processing of the operated display form may be stored, and the same change processing may be executed by displaying the individual image window 36.

  In the individual image window 36, a mini image 39 is displayed on a side portion of the individual image 38. Then, the entire image is displayed on the mini image 39, and an enlarged area to be enlarged and displayed on the individual image 38 is displayed with a square frame. The enlarged image displayed on the individual image 38 can be displayed and registered on the image management screen 24 as it is. The enlarged image can be pasted on the current chart column 9 by drag and drop. It can also be pasted by selecting an image (in the selected state, the color of the edge changes so that it can be distinguished from others) and clicking the chart pasting button 31. However, in this case, it is a condition that the chart screen 7 is opened. In addition, when pasting an image on the chart screen 7, a chart pasting dialog is displayed, and either an original image (entire) or a display image (with partial enlargement, rotation, etc.) can be selected. Good.

  It is preferable that the image pasted in the current chart column 9 is clicked to cause the individual image window 36 to pop up. FIG. 16 shows a state where the selection dialog 40 is displayed when the image in the current chart column 9 is clicked, and the individual image window 36 is displayed when the image button 41 is clicked. In the selection dialog 40, in addition to the image button 41, an image schema button 42 (draws a part of the patient's body on a picture and writes the symptom location and state with a colored pencil), a delete button 30, Is provided so that the schema screen can be displayed and the pasted image can be deleted.

  When the individual image window 36 is displayed, it is preferable to display the patient individual image 38 and a standard image (not shown) side by side. Here, the standard image means a photographed image (X-ray photograph, CT, MRI, etc.) of each part determined to be healthy.

  The standard image is registered in the data table with an identification number assigned in accordance with a previously imaged part. On the other hand, when an individual image 38 of a patient is obtained, an identification number is assigned automatically or manually depending on the imaging region. When the individual image 38 is captured, the corresponding standard image is read from the data table based on the identification number, and the individual image 38 of the patient and the standard image are displayed side by side in the individual image window 36. Thereby, when a doctor explains to a patient, it is possible to easily understand where and how with respect to the standard image visually. In this case, it is preferable to extract the target of the standard image from the person of the same gender or the closest to the age of the patient. Thereby, an appropriate image can be presented as an image to be compared, and can be further easily understood by the patient.

  In addition to the standard image, if there is past image data of the patient for the same part (affected part), they may be displayed in time series. Accordingly, it is convenient because the change of the affected area can be understood at a glance, and it can be easily determined whether or not the symptom is moving toward ease.

(3. Evaluation information (A) input processing)
In the evaluation information input process, a doctor determines what kind of medical condition the patient is in while referring to the subjective information and objective information at the time of examination (items related to opinions and diagnosis). At this time, a chart search process to be described later is executed to use past chart information.

(3.1. Medical chart search processing)
In the chart search process, as shown in the flowchart of FIG. 5, the chart information is searched based on each search condition such as background color, character color, keyword, etc., and the search result is displayed.

  When a color button is operated on a chart 7 (see FIG. 13) of a patient on which the past chart column 8, the current chart column 9, the patient information column 10, and the keypad 11 are displayed (step S41), FIG. Is displayed (step S42). The search screen includes a simple patient information column 43 in which a part of patient information such as the patient ID and name displayed on the medical record screen 7 is extracted, a search column 44, and a search result column 45 indicating a search result. Has been.

  The search field 44 includes areas of background color, character color, keyword, search condition, and a search button 46. As for the background color and the character color, a list of set colors is displayed in a pull-down manner by operating the arrow key “▼”. In the initial display, both are set to “all”. The keyword is used to input a phrase desired by the user using a keyboard or the like. It is also possible to input a part of the character string. The search condition is composed of “AND” and “OR”, which of the background color, the character color, and the keyword satisfies all the conditions (AND) or any one of the conditions (OR) Either one can be selected.

  The search result column 45 includes buttons “all”, “S”, “O”, “A”, “P”, and “finger” at the left end. When any of the buttons is operated, the display is highlighted, and the corresponding contents of the search results are displayed in a list in the search result column 45. Specifically, subjective information is described when the “S” button is operated, objective information is displayed when the “O” button is operated, and evaluation information is displayed when the “A” button is operated. When the “P” button is operated, the plan information is displayed. When the “finger” button is operated, only the specified information is displayed.

  The background color that can be set in the search field 44 can be a different color depending on the input person and the difference in the description. When setting different colors according to the input person, when the electronic medical chart apparatus is started, an input screen for an input person ID and password (not shown) may be displayed, and the input person may be specified by the input. . For example, doctor A may be set to green, and laboratory technician B may be set to yellow. Moreover, when color-coding for every description content, what is necessary is just to change a color by the difference in subjective information (S), objective information (O), evaluation information (A), and plan information (P), for example.

  Further, the background color may be changed or the character color itself may be changed depending on the difference in input words (keywords). For example, when changing the color according to a phrase, it is preferable that the important description regarding sudden change or the like is red and the description regarding the stable state is blue, because it is possible to grasp at a glance matters to be aware of . These color settings may be set by the user each time they are input, or may be automatically set according to the input items. When the user sets, it is only necessary to select a background area or a character string for which the color change is desired and to instruct the color change by right-clicking or the like. The color may be changed to a specific color set in advance as a default and separately displayed by displaying a color palette or the like. Alternatively, the shade of the color may be adjusted by displaying the slider and moving the slider with a mouse or the like. For example, when the color of the input character “eczema” is changed, it is displayed in yellow according to the color change instruction, and the shade is changed by adjusting the slider. When eczema occurs in a part of the body, it is possible to judge the severity of eczema by color by making it bright (light) color, and when it occurs throughout the body, it is dark (dark) color. it can.

  When the input of the search item in the search field 44 is completed and the search button 46 is operated (step S43), the patient's chart information displayed on the chart screen 7 is searched (step S44), and the corresponding information is searched. It is displayed in the column 45 (step S45). In this case, it is preferable that the search results be displayed in time series in units of receipts. And if it is an old receipt, what is necessary is just to display with a light shade (gradation display), such as lightening a color. As a result, it is possible to easily grasp the old and new visual information of a plurality of chart information displayed, and it is possible to improve convenience. Moreover, if the method of adding shading is changed based on the date and time when the chart information was created, it becomes easier to perceive. For example, a plurality of display states with different shades may be set on a monthly basis, and the shade may be set based on the date and time of past chart information based on the date and time when the latest chart information was created. Thereby, it can be expected that it is possible to instantaneously determine whether or not the displayed past medical chart information can be used. Furthermore, if the common contents are displayed in similar colors, it is easier to see.

  Alternatively, the background color may be automatically determined by operating the keypad 11. That is, a specific color may be automatically associated by operating a specific key on the keypad 11 at a specific time. For example, when inputting a finding in the plan information input mode (after operating the “P” button), it is automatically displayed in red by operating a specific key (drug name with a large side effect) on the keypad 11. By doing so, it is possible to inform doctors and patients that it is necessary to pay attention to the medicine to be prescribed.

(4. Plan Information (P: Plan Information) input processing)
In the plan information input process, items relating to a future treatment plan such as medication, medical treatment plan, treatment, and guidance (education to patients, etc.) are input.

(4.1. Dosing treatment)
First, the medication process will be described. In the medication process, as shown in the flowchart of FIG. 6, a prescription drug search process for searching for a drug to be prescribed from now on is executed (step S51). As shown in the flowchart of FIG. 7, the prescription drug search process includes a method of narrowing down to a corresponding drug in sequence with the keypad 11 and a method of searching by inputting a keyword. Therefore, it is determined which operation has been performed (step S71).

  When it is determined that the former operation is performed, for example, the following operation is performed. That is, when the medication button 47 is operated on the keypad 11 shown in FIG. 18A, the display of each column of the keypad 11 is switched to the medication method shown in FIG. 18B (step S72). Then, when any medication method is clicked (step S73), the content is switched to a display showing each line of 50 sounds shown in FIG. 18C (step S74). Furthermore, when any line is selected (step S75), the medicine name starting from the character of that line is displayed on each key (step S76). If the display cannot be completed, the display contents may be switched by page turning. Thereafter, when the corresponding drug name is clicked (step S77), the receipt column 48 shown in FIG. 19 is displayed between the keypad 11 and the patient information column 10, and the selected drug name or the like is displayed in the receipt column 48. Is displayed (step S78).

  On the other hand, if it is determined that the operation is the latter, when the search bar 49 is clicked, the background color of the area is changed (in this case, light blue), and the input is displayed with the cursor blinking. A preparation state is set (step S79). In this state, if a word is input using a keyboard or the like and the “search” button is clicked (step S80), the corresponding drug is extracted from the drug master 12, and the similar word search field 50 shown in FIG. Is displayed (step S81). The word to be input may be a drug name or a part of the drug name, and further, in the drug information registered in the drug master 12 (extracted from the information attached to the drug). It may be an included phrase. Further, it may be possible to set whether the search target is in the same category or the entire search target. Here, within the same category, for example, when the category is “internal use”, it corresponds to internal medicines and non-compliance medicines. When “external use”, external medicines are applicable. .

  The similar word search field 50 of FIG. 20 shows an example in which medicine names including the input word / phrase are displayed as a list, and a registration flag is displayed for medicines in stock. Since the serial number assigned to each medicine corresponds to the number of each key on the keypad 11, if the corresponding key is operated, the medicine (name) corresponding to the key is selected and the receipt column is displayed. 48.

  At this time, based on the selected medicine (name), information on the dosage and administration is extracted from the package insert registered in the medicine master 12 (step S52), and the medicine having the same medicinal effect, that is, an alternative medicine is extracted from the medicine master 12. (Step S53). Then, both are displayed so as to be switchable by the tab key (step S54). In the initial display, a usage / dose column 51 is displayed as shown in FIG. In this case, it is preferable to alert the doctor by highlighting the daily dose, precautions, and the like. When the tab is switched to the alternative medicine screen 52 shown in FIG. 21, if there are a plurality of alternative medicines to be displayed, a list is displayed. The display contents include a registration flag, a drug name, an attached document display, a drug price score, whether or not it is a generic product (a black circle is displayed for generic products), and the manufacturer's name. These pieces of information are all extracted from the attached document of each medicine registered in the medicine master 12 and displayed. The registration flag indicates whether prescription is possible (whether there is a stock). When a location where no registration flag is displayed is clicked, a new registration screen (not shown) is displayed, and a new medicine can be registered. If “Append” is clicked, the attached document is popped up.

  Then, it is decided to prescribe either the medicine or the alternative medicine initially displayed in the reception column 48, and if the “ENTER” key is clicked to complete the selection of the medicine (step S55), the reception column 48 The input mode is changed to a dose (step S56: Here, the background color of the dose input area is set to light blue). Subsequently, the dose is input by operating the keys on the keypad 11, and if the “ENTER” key is clicked to complete the input of the dose (step S57), then the display of each key on the keypad 11 is entered for usage. (Step S58). Specifically, since “1 after each meal”, “2 before each meal”,... Are displayed on each key, a corresponding operation is clicked. This establishes the usage. Further, if there is a medicine to be prescribed, if the “ENTER” key is clicked to complete the usage input (step S59), the keypad 11 is switched to the dosage method shown in FIG. 18B (step S60). As described above, the drug name, dose, and usage are input by key operation on the keypad 11 or keyword search.

  When the input for all the drugs to be prescribed is completed, the medication completion button 53 is clicked again on the keypad 11 shown in FIG. 18B (step S61), and the selection is made in each step. A prescription check (check of interaction, contraindication, etc.) is performed on the drug that has been made (step S62). It is determined whether or not the combination is appropriate for prescription (step S63). If the combination is inappropriate, a warning is given by displaying the problematic drug in red (step S64). . If there is no problem, the inputted drug name, usage, and dose are reflected in the current chart column 9 (step S65).

(4.2. Editing)
By the way, as shown in the flowchart of FIG. 8, when it is necessary to edit the content currently displayed in the medical chart and the edit button 54 is clicked (step S91), the keypad 11 is not displayed (step S92). ). Then, each process is executed as follows according to the area operated on the screen (step S93). When the mouse is moved to the area where the drug name is displayed (drug display area) and right-clicked, the drug information display part (extracted attached data or part thereof) of the drug is displayed in a pop-up display. preferable. As a result, it is possible to easily check the detailed information of the drug on both the patient and the doctor on the current chart column 9.

(4.2.1. Reuse of past medical record information)
When the medicine displayed in the past medical record column 8 is prescribed again, if the medicine is dragged, the name of the medicine is displayed together with the mouse to be moved (step S94). As a result, it can be understood at a glance which medicine is to be copied, and mistakes can be eliminated. Then, if it is dropped at the corresponding location in the current medical record column 9 to be copied (step S95), drug data (drug name, usage, dose, etc.) is added to the receipt of the dropped area (step S96). As described above, it is preferable that the detailed information of the drug can be displayed in a pop-up manner by right-clicking, etc., because the contents can be confirmed and a prescription error can be reliably prevented.

  When copying data from the past medical record column 8 to the current medical record column 9, rules may be determined in advance to limit the copy location. That is, the drug dropped at the end of the displayed drug name may be displayed regardless of where the dropped area is in the current chart column 9. Moreover, if it is between the dropped positions, for example, a plurality of medicines, it may be displayed at that position.

(4.2.2. Simple dose change)
Furthermore, when changing the dosage currently displayed in the medical chart column 9, it can carry out as follows. That is, when a region (dose display region 55) in which the dose shown in FIG. 22 is clicked, the keypad 11 for changing and inputting the dose, and a region (including the usage and dose information of the corresponding drug) The usage / dose display area 56) is displayed (step S97). In the usage / dose display area 56, prescription doses according to age differences and prescription doses according to the patient's constitution (allergy information, etc.) are displayed for reference when changing the usage. It is possible. When changing the dose, the numeric keypad 55 (which displays each key on the keypad 11 as a number) is operated, and if a desired numerical value is input (step S98), the displayed usage is changed (step S99). ).

(4.2.3. Simple usage change)
Furthermore, when changing the usage currently displayed on the medical chart column 9, it can carry out as follows. That is, when a portion (usage display section 57) displaying the usage shown in FIG. 23 is clicked, the keypad 11 for changing and inputting the usage and the usage and dose (including precautions and the like) of the corresponding drug are displayed. ) Is displayed (step S100). Each key of the keypad 11 displays the time of taking such as “after every meal”, “before every meal”, and the like. In the usage / dose column 51, when a plurality of drugs are included in the same receipt, the drug name can be switched to each drug by the displayed tab key. When changing the usage, the corresponding key on the keypad 11 is clicked (step S101), thereby changing the display of the corresponding part of the current chart column 9 (step S102).

(4.3. Set management processing)
Moreover, in the plan information input process, it is possible to simplify the input work by using the set information registered in advance, and to execute the set management process to be reflected in the current chart column 9 to quickly process the input work. It is.

  That is, in the set management process, as shown in the flowchart of FIG. 9, the edit button 54 below the current medical record column 9 is clicked with the medical record screen 7 including the past medical record column 8 and the current medical record column 9 displayed. When done (step S111), the mode is switched to the edit mode (step S112). At this time, the set button 58 below the past medical record column 8 is made operable (step S113).

  Subsequently, when the set button 58 is clicked (step S114), the past chart column 8 is switched to the set management column 59 as shown in FIG. 24 (step S115). In the set management column 59, a keypad folder is displayed in the left column 59a in addition to the examination set folder. The examination set folder includes a predetermined set of medical practices (treatment, medication, examination) such as a cold set, a hypertension set, and a diabetes set. When a cold set is selected, the content (set item) of the treatment included in the cold set is displayed in the right column 59b of the set management column 59 together with an icon. The same icon is used for the same type so that the type of medical practice can be easily identified.

  In addition, when any set item included in the set content is selected in a state where any one of the set contents is displayed (step S116), the detailed content of the set item is displayed in the lower column 59c (step S116). S117). In the example of FIG. 19, by selecting a cold prescription from the treatment contents included in the cold set in a state where the cold set is displayed, a list of prescription drugs and doses is displayed in the lower column 59c.

  By the way, the set contents displayed in the set management column 59 can be reflected (copied) in the current chart column 9 by dragging and dropping. That is, when a desired set content (set folder) is dragged (step S118) and moved in that state, the dragged content is moved while being displayed separately (step S119). If it is dropped in the current chart column (step S120), the contents are written in the medical record table 101 (step S121). That is, the set-managed information can be directly reflected in the current chart column 9 by a known simple operation called drag and drop. The copied set contents may be appropriately deleted, added, or changed using a keyboard or the like (these corrections can be made in the same manner as the editing process described above). Thereby, the input operation to the current chart column 9 can be greatly simplified, and the contents of the examination within a limited time can be further enhanced. In addition to dragging and dropping the set-managed information to the current medical record column 9, a new set can be created by dragging and dropping from the current medical record column 9 to any folder that is set-managed. Can also be created. For example, a new set can be created by dragging and dropping a medical action repeatedly given to multiple patients to an arbitrary folder of set management information when a specific disease is prevalent, It can greatly reduce the effort described in the medical record for patients who come with similar diseases.

  In addition, the created set contents can be deleted by dragging and dropping into the trash box, as described above. In this case, the trash box is deleted in the form displayed in the set contents (in the case of hierarchization, the state). Therefore, even if it becomes necessary to restore the contents deleted in the past and reuse them, they can be easily found. Here, it is set so that complete erasure from the trash can not be performed.

  In addition, when changing the contents (selection items) to be displayed on the keypad 11, using a keyboard or the like, each folder registered in the keypad folder (or a folder further hierarchized than that) Enter the selection item directly. The data registered in the folder corresponds to the contents to be sequentially displayed on the keypad 11. For example, each key includes various sets (treatments), “findings”, “disease names”, “promise prescriptions”. Sets, surgical sets, etc.) are automatically assigned from the top. Therefore, if the display order of each key on the keypad 11 is to be changed, the position may be changed by dragging the folder and dropping it at a desired position.

  In the above-described embodiment, the mouse is used for specifying a medicine on the screen. However, the mouse may be directly operated. When using a pen, instead of right-clicking with the mouse, when performing a touch operation with the pen, it may be possible to distinguish the normal touch operation by operating the “Alt” key of the keyboard.

It is a block diagram of the electronic medical chart apparatus concerning this embodiment. It is a flowchart figure which shows the processing content of the electronic medical record which concerns on this embodiment. It is a flowchart figure which shows the content of the image filing process included in the objective input process of FIG. It is a flowchart figure which shows the processing content when the acquisition button is operated by the image filing process of FIG. It is a flowchart figure which shows the content of the medical chart search process included in the evaluation information input process of FIG. It is a flowchart figure which shows the content of the medication process included in the plan information input process of FIG. It is a flowchart figure which shows the content of the prescription medicine search process of FIG. It is a flowchart figure which shows the content of the edit process contained in the plan information input process of FIG. It is a flowchart figure which shows the content of the set management process included in the plan information input process of FIG. It is a figure which shows the state which displayed the inquiry basic input column on the input screen of the inquiry form on the display apparatus of FIG. It is a figure which shows the state which displayed the inquiry detail input column on the input screen of the inquiry form on the display apparatus of FIG. It is a figure which shows the state which displayed the vital sign column on the input screen of the inquiry form on the display apparatus of FIG. It is a figure which shows the state which displayed the electronic medical chart screen on the display apparatus of FIG. It is a figure which shows the state which displayed the image management screen on the display apparatus of FIG. FIG. 15 is a diagram illustrating a state where an image is operated and an individual image window is popped up on the image management screen of FIG. 14. FIG. 14 is a diagram showing a state in which a selection dialog is displayed on the medical record screen of FIG. 13, an image button is operated, and an individual image window is displayed. FIG. 14 is a diagram showing a state in which a color button is operated and a search screen is displayed on the medical record screen of FIG. 13. It is a figure which shows the state from which the display content of each key changes by operating a keypad on the medical chart screen of FIG. It is a figure which shows the state which displayed the receipt column between the keypad and the patient information column on the medical chart screen of FIG. It is a figure which shows the state which displayed the similar word search column on the medical chart screen of FIG. It is a figure which shows the state which switched the usage / dose column displayed on the receipt column of FIG. 19 to the alternative prescription column. It is a figure which shows the display state in the case of correcting the dose currently displayed on the medical chart column on the medical chart screen of FIG. It is a figure which shows the display state in the case of correcting the usage currently displayed on the medical chart column on the medical chart screen of FIG. It is a figure which shows the state which displayed the set column by operating a set button on the medical chart screen of FIG.

Explanation of symbols

1. Display device (display means)
2 ... Input device (input means)
3. Storage device (storage means)
4. Control device (display control means)
5 ... Printing device 6 ... Host computer 7 ... Medical record screen 8 ... Past medical record column 9 ... Current medical record column 10 ... Patient information column 11 ... Keypad 12 ... Drug master 13 ... Disease name master 14 ... Medical practice master 15 ... Search menu master 16 ... Central processing unit 17 ... ROM
18 ... RAM
19 ... Interrogation basic input field 20 ... Interrogation detail input field 21 ... Check field 22 ... Vital sign field 23 ... Image management button 24 ... Image management screen 25 ... Operation command part 26 ... Management list part 27 ... Selected image display part 28 ... Take Insert button 29 ... External output button 30 ... Delete button 31 ... Paste chart button 32 ... Binder button 33 ... Group button 34 ... Print button 35 ... Number of displayed buttons 36 ... Individual image window 37 ... Comment input field 38 ... Individual image 39 ... Mini Image 40 ... selection dialog 41 ... image button 42 ... image schema button 43 ... simple patient information column 44 ... search column 45 ... search result column 46 ... search button 47 ... medication button 48 ... receipt column 49 ... search bar 50 ... Similar word search column 51... Usage / dose column 52 ... alternative medicine screen 53 ... medication completion button 54 ... edit button 55 ... The amount display area 56 ... Dosage display area 57 ... usage display unit 58 ... Set button 59 ... set management column 100 ... imaging device 101 ... medical record table

Claims (11)

Display means for displaying a medical chart screen including a past medical chart field and a current medical chart field;
A medical record editing means for editing the current medical record column displayed on the display means;
With
The medical chart editing means
Operation area determination means for determining which area of the medical chart screen is operated;
In accordance with the area determined by the operation area determining means, an edit content executing means for selecting and executing a corresponding one from pre-registered edit contents;
An electronic medical chart device characterized by comprising:   2. The electronic medical chart apparatus according to claim 1, wherein the editing content execution unit changes the editing content to be selected depending on a difference in operation method.   If it is determined that the area discriminated by the operation area discriminating means is a past medical chart field, the edited content executing means may select the contents operated in the past medical chart field by dragging and dropping the current medical chart field. The electronic medical chart device according to claim 1, wherein the electronic medical record device can be copied.   If it is determined that the region determined by the operation region determination unit is a dose in the current medical record column, the edited content execution unit can input in units corresponding to the dosage form of the medicine indicating the dose. The electronic medical chart apparatus according to any one of claims 1 to 3, wherein the electronic medical chart apparatus is constituted by a keypad including a plurality of displayed keys.   If it is determined that the area discriminated by the operation area discriminating means is a usage in the current chart column, the editing content executing means is composed of a plurality of keys each displaying each usage that is a candidate for changing the usage. The electronic medical chart apparatus according to any one of claims 1 to 4, wherein the electronic medical chart apparatus is configured with a keypad.   The edited content execution means includes a dose / usage display unit that displays switchable detailed data of dosage and dosage for each drug when the prescription data to which the usage is applied includes a plurality of drugs. The electronic medical chart apparatus according to claim 5. A display step for displaying a medical chart screen including a past medical chart field and a current medical chart field;
A medical record editing step for editing the current medical record column displayed in the display step;
Including
The chart editing step includes
An operation area determination step for determining which area of the medical chart screen is operated;
In accordance with the area determined in the operation area determination step, the corresponding edit contents are selected from the pre-registered edit contents and executed,
The medical chart editing method characterized by including.   8. The method according to claim 7, wherein in the editing content execution step, the editing content to be selected is changed depending on a difference in operation method.   If it is determined that the region determined in the operation region determination step is a past medical record column, in the editing content execution step, the content operated in the past medical record column is dragged and dropped to the current medical record column. The method according to claim 7, wherein the method is copied to a computer.   A program comprising the steps of the method according to any one of claims 7 to 9.   A computer-readable recording medium on which the program according to claim 10 is recorded.