JP2011005293A - Medical support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To obtain which region is the object of rehabilitation at a glance as well as to easily specify the item of the rehabilitation.SOLUTION: A medical examination terminal 3, a rehabilitation terminal 2 and a server 1 are connected to a network. The medial examination terminal 3 includes a display means 44 provided with a rehabilitation plan input part 53 and a schema part 52; an input means 46 for displaying a desired schema in the schema part 52 while patient information is displayed in the display means 44 and making a note in the schema to specify the region; and a control means 43 for displaying the note in the schema to specify the region on the item of rehabilitation selected by the rehabilitation plan input part 53 in such a way as distinguishable from other items of rehabilitation while the information on the patient is displayed in the display means 44 and the desired schema is displayed in the schema part 52 by the input means 46.

Description

  The present invention relates to a medical support system.

  Conventionally, there is a technique in which a schema is displayed on a display, and a corresponding part can be specified by writing directly on the schema using a pen (for example, see Patent Document 1).

JP 2002-304467 A

  However, in the conventional configuration, it is only possible to input a graphic or the like for specifying a part in the schema. In the case of rehabilitation (hereinafter abbreviated as “rehabilitation”), it is often required to rehabilitate a plurality of parts depending on the patient, but what rehabilitation they fall into when entering the same schema? There is a problem that it cannot be determined.

  Therefore, an object of the present invention is to provide a medical support system that not only can easily specify the type of rehabilitation but also can grasp at a glance which part is related to which rehabilitation.

  As a means for solving the problems, the present invention connects a diagnosis terminal, a rehabilitation terminal, and a server to the network, and the diagnosis terminal displays a rehabilitation plan input unit and a schema for selecting a rehabilitation item. Display means having a schema part to be displayed, input means for displaying a desired schema on the schema part in a state where patient information is displayed on the display means, and performing writing for specifying a part on the schema, and In the state where patient information is displayed on the display unit and a desired schema is displayed on the schema unit by the input unit, when writing to specify a site for the rehabilitation item selected by the rehabilitation plan input unit, between rehabilitation items And control means for displaying the rehabilitation site in the patient information displayed on the examination terminal. It is obtained by a configuration having a storage unit that stores in association with schema that incorporated come.

  With the above configuration, a desired schema can be displayed on the display means, a rehabilitation item can be selected, and a rehabilitation site can be directly written on the schema. When there are a plurality of rehabilitation items, the same schema can be written, and the number of schemas is not increased. For this reason, the data capacity does not increase and it is not necessary to determine which rehabilitation schema is used. And since the site | part corresponding to each rehabilitation item is displayed so that identification is mutually possible, even if it is a single schema, visibility is not impaired.

  The control unit of the examination terminal includes an instruction unit that displays the content of the instruction corresponding to the rehabilitation item when the rehabilitation item is selected in the rehabilitation plan input unit displayed on the display unit. Is preferably displayed.

  With this configuration, it is possible not only to display a list of rehabilitation patients on the rehabilitation terminal, but also to display the schema of each patient in which the rehabilitation site is written on the examination terminal.

  The selection of the rehabilitation item in the rehabilitation plan input unit in the display unit of the examination terminal is performed by displaying a part-selection humanoid panel divided into a plurality of areas on the screen and selecting any one of the areas. When it does, it can input, recognizing the rehabilitation part to input visually, and it is preferable at the point which operativity improves.

  When the control unit of the examination terminal selects any region of the part-selecting humanoid panel and specifies the rehabilitation part, and reflects the contents on the schema displayed on the schema part, This is preferable in that the labor of inputting can be saved.

  The display means of the examination terminal indicates that the rehabilitation item is selected by the rehabilitation plan input unit, and the instruction part for displaying the content of the instruction sheet corresponding to the rehabilitation item is displayed. This is preferable in that a note can be created.

  The rehabilitation terminal reads patient information stored in the storage unit of the server, displays a list of patient names and rehabilitation items, an input unit for displaying a schema on the display unit, and the input unit Control means for reading a schema, in which a rehabilitation site is written in correspondence with the rehabilitation item, from the storage unit of the server and displaying it on the display means for the patient selected by the display means. preferable.

  With this configuration, a list of rehabilitation items of a plurality of patients can be displayed and grasped at a glance. In this case, if a line to be displayed for each rehabilitation item is determined, it is possible to grasp which rehabilitation is performed by which patient. And it becomes possible to allocate a patient to each rehabilitation apparatus simply and appropriately.

  The display means of the rehabilitation terminal displays a check column together with the rehabilitation items displayed in a list, and the control means reversely displays the corresponding rehabilitation item when the check column is checked by the input means. It is preferable to determine that the rehabilitation is completed by checking all the rehabilitation items.

  With this configuration, the patient may be rehabilitated while checking the rehabilitation items listed on the display unit of the rehabilitation terminal. And it becomes possible to grasp | ascertain that all the rehabilitation about the patient was completed only by checking a check column whenever it completes rehabilitation.

  It further includes priority determining means for determining the priority of each action to be performed by the patient including rehabilitation, and the control means performs the action with the second highest priority after rehabilitation according to the order determined by the priority determining means. It is preferable to display on the display means as the destination of

  With this configuration, if the priority order of each action to be performed by the patient is determined in advance, when rehabilitation is completed, it is possible to easily and reliably instruct where the patient should go next. In this case, if the patient's destination is displayed in a preset identifiable state, it is excellent in that the destination can be instructed more easily.

  Preferably, the display means of the rehabilitation terminal displays an execution record display screen for rehabilitation performed by the patient, and the control means displays the contents of the designated patient's rehabilitation in time series on the execution record display screen. .

  In the state where the implementation record display screen is displayed on the display unit of the rehabilitation terminal, the control unit further includes an input unit for changing the rehabilitation item, and the control unit changes the rehabilitation item by the input unit, It is preferable to display the display content on the display means so as to be distinguishable from others.

  With this configuration, it is possible to prevent an accidental change while flexibly responding to a change in a rehabilitation item. In this case, the location of the responsibility can be clarified by storing the person who changed the rehabilitation item in association with the change item.

  According to the present invention, when rehabilitation sites for a plurality of rehabilitation items are written on the schema, they can be displayed so as to be distinguishable from each other. Therefore, only a single schema needs to be prepared, and the data capacity can be suppressed. Further, in the display means in which the displayable area is limited, since only a single schema is displayed, there is no need to switch screens, and visibility is not impaired.

It is a block diagram which shows the outline | summary of the medical assistance system which concerns on this embodiment. It is a transition flow figure of each screen displayed on a rehabilitation terminal and a medical examination terminal shown in FIG. It is a figure which shows the login screen displayed on the examination terminal of FIG. It is a figure which shows the rehabilitation management menu screen displayed on the examination terminal of FIG. It is a figure which shows the rehabilitation implementation input list screen displayed on the examination terminal of FIG. It is a figure which shows the rehabilitation completion screen displayed on the examination terminal of FIG. It is a figure which shows the patient detailed information screen displayed on the examination terminal of FIG. It is a figure which shows the implementation record display screen displayed on the examination terminal of FIG. It is a figure which shows the SOAP display screen displayed on the examination terminal of FIG. It is a figure which shows the medical chart information screen displayed on the examination terminal of FIG. It is a figure which shows the patient designation | designated dialog screen displayed on the examination terminal of FIG. It is a figure which shows the rehabilitation plan creation screen displayed on the rehabilitation terminal of FIG. It is a figure which shows the input screen displayed on the rehabilitation terminal of FIG. It is a figure which shows the humanoid panel for site | part selection displayed from the input screen of FIG. 13A. It is a figure which shows the state by which the site | part selection dialog screen was displayed by selecting either division | segmentation area with the humanoid panel for site | part selection of FIG. 13B. It is a figure which shows the examination information registration screen displayed on the display means of the accounting (reception) terminal of FIG. It is a flowchart figure which shows the whole outline | summary of the processing content of the medical assistance system which concerns on this embodiment. It is a flowchart figure which shows the content of the rehabilitation plan process performed with the examination terminal of FIG. It is a flowchart figure which shows the content of the rehabilitation process performed with the rehabilitation terminal of FIG. It is a flowchart figure which shows the content of the rehabilitation process performed with the rehabilitation terminal of FIG. It is a figure which shows the patient detail screen displayed on the rehabilitation terminal of FIG. It is a figure which shows the completion | finish process screen displayed on the rehabilitation terminal of FIG.

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

  FIG. 1 shows an outline of a medical support system according to the present embodiment. In this medical support system, a rehabilitation terminal 2, a medical examination terminal 3, and an accounting (acceptance) terminal 4 are connected to a server 1 via a network. These terminals 2, 3, and 4 are not limited to one place, and other terminals (for example, terminals installed in a treatment room or the like) may be connected. Further, the server 1 may be incorporated in any one of the terminals 2, 3, and 4.

  The storage unit of the server 1 stores a rehabilitation plan file, a rehabilitation result file, a reception information file, a medical record information file, and other master files.

  The rehabilitation plan file stores contents created on the rehabilitation plan creation screen of the examination terminal 3, such as rehabilitation action contents and rehabilitation parts. The rehabilitation result file stores rehabilitation information input at the rehabilitation terminal 2. The reception information file stores an inquiry or the like input at the reception terminal 4. The medical chart information file stores the contents of the medical chart input at the examination terminal 3. The master file includes a rehabilitation master file in which a series of rehabilitation contents (scores, training, parts, etc.) are registered for each rehabilitation action. This rehabilitation master file can be saved by inputting and using it when creating a rehabilitation plan at the examination terminal 3.

<Rehabilitation terminal>
The rehabilitation terminal 2 includes an input / output unit 11, a storage unit 12, and a control unit 13.

  The input / output unit 11 includes a display unit 14 such as a liquid crystal display and an output unit 15 including notification means such as a buzzer, and an input unit 16 such as a keyboard, a mouse, and a keypad.

  The display screen transitions to the display unit 14 according to the screen transition flow shown in FIG.

  As an initial screen, a login screen shown in FIG. 3 is displayed. When the user name and password are entered, the screen switches to the rehabilitation management menu screen shown in FIG. On the rehabilitation management menu screen, a rehabilitation button and an environment setting button are displayed. When the rehabilitation button is operated, the screen switches to the rehabilitation execution input list screen.

  As shown in FIG. 5, the rehabilitation execution input list screen displays the rehabilitation plan information and the name of the patient to be rehabilitated in the header (top row and second row) of each column. As the rehabilitation plan information, when a new patient arrives (when a patient name is newly added to the list display), a asterisk is displayed and can be identified. In this case, the user may be notified of the arrival sound. As described above, the rehabilitation execution input list screen allows the rehabilitation status of a plurality of patients to be confirmed at a glance, and as will be described later, it is possible to easily confirm the detailed information of the specific patient and update the data.

  In the header (leftmost column) of each row of the rehabilitation execution input list screen, a rehabilitation item, a person in charge, a guide destination, and the like are displayed. In the leftmost column (rehabilitation number column) on the top line, the number of persons indicating the rehabilitation state, that is, the number of persons waiting for rehabilitation, during rehabilitation, and the end of rehabilitation are displayed. Rehabilitation start time, end time, and the like are displayed in the five lines below the top line. In each column of the rehabilitation patient in each column, a check box 101 and a rehabilitation item 102 are displayed only for items for which the patient performs rehabilitation. When the check box 101 is clicked, the check box 101 and the item are highlighted. When all the check boxes 101 and items of the patient are displayed in reverse video, the rehabilitation is registered as being completed and reflected in the number of persons displayed in the rehabilitation number column. In the rehabilitation item column, the contents of rehabilitation (rehabilitation) performed in the rehabilitation room are listed. Here, the order of each item to be initially displayed is determined, and from the top, “traction: waist”, “traction: neck”, and so on. The name of the person in charge of the rehabilitation is displayed in the person in charge column. In the guidance destination column, the place where the patient who has finished rehabilitation should go next is displayed. Here, if the guidance destination is other than accounting, a color predetermined for each guidance destination is displayed as a background color. Note that the order of the displayed items can be freely changed on the maintenance screen.

  Various buttons are provided at the top of the rehabilitation execution input list screen. That is, on the upper left side, buttons for end person, display update, rehabilitation start, rehabilitation end, SOA, and patient details are provided, and on the upper right side, buttons for execution record, chart, patient, and end are provided. .

  When the end person button 17 is clicked, only the patients who have already completed rehabilitation are listed in the header of each column. When the display update button 18 is clicked, if a rehabilitation instruction is input to a patient at the examination terminal 3, the contents are reflected.

  When the rehabilitation start button 19 is clicked, the rehabilitation start time of the selected patient is determined, and the start time is reflected in the rehabilitation start time column.

  When the rehabilitation of the selected patient is completed, by clicking the rehabilitation end button 20, the time is reflected in the end time column. In addition, the rehabilitation end screen is displayed in a separate window. On the rehabilitation end screen, as shown in FIG. 6, a priority column 21, an implementation time column 22, an implementation content column 23, an enforcer column 24, and the like are displayed. The priority column 21 displays a list of all actions that must be performed by the patient. A check box is provided in each column of the instruction column and the execution column. Here, since it is a case where rehabilitation is complete | finished, the check box of the implementation column with respect to rehabilitation is checked. The execution time column 22 displays the rehabilitation start time determined by operating the rehabilitation start button 19 and the end time determined by operating the rehabilitation end button 20. Each time can be changed. In the execution content column 23, in addition to the rehabilitation items set at the time of the examination, items that were previously canceled are displayed in an active state. Therefore, it becomes possible to select again. Others are grayed out and cannot be checked. These display contents are acquired from the storage unit (adopted score master file) of the server 1. In the enforcer column 24, the name of the person in charge of rehabilitation is displayed. The enforcer column 24 is selectable by pulling down other enforcers. In addition, the score calculation by the accounting process mentioned later using the information displayed in the implementation content column 23 is performed.

  When each button 25 of the SOA shown in FIG. 5 is clicked, a text document is input for each corresponding item using a keyboard or the like corresponding to each button (“S”, “O” or “A”). An input screen that can be displayed pops up.

  When the patient detail button 26 is clicked, the patient detail information screen of the selected patient is displayed in a separate window. FIG. 7 shows the displayed patient detailed information screen. In this screen, a patient information column 28 such as a patient ID and a patient name is displayed at the top, and an observation input column 29, an instruction note column 30, a schema column, and the like are displayed. In the finding input field 29, text data can be input using a keyboard or the like. The instruction field 30 reflects the content input on the rehabilitation plan creation screen described later. The display color of the text in the instruction sheet field 30 is the same as the color specified on the rehabilitation plan creation screen. In the schema column 31, as will be described later, a schema in which a rehabilitation site is input on the rehabilitation plan creation screen of the examination terminal 3 is displayed. As a result, it is possible to grasp at a glance which part is to be rehabilitated. In addition, the color of the graphic indicating the rehabilitation location matches the display color of the rehabilitation item individually displayed in different colors in the instruction column 30. Therefore, the person in charge can easily and surely understand what rehabilitation processing should be performed on which part while viewing the displayed schema screen.

  When the execution record button 27 is clicked, the display is switched to the execution record display screen. As shown in FIG. 8, the execution record display screen displays all rehabilitation records of the designated patient in time series. By selecting a desired column, the top of the column becomes the selected color, and by moving the mouse to the date column, the SOAP information can be displayed in a pop-up with a delay of a predetermined time (here, 1 second). Above the implementation record display screen, a monthly simple implementation record column is displayed, and the implementation records for the year and month selected in the year column and month column on the left end are displayed as the number of rehabilitations. In the number of rehabilitations, the number of rehabilitation units or the number of rehabilitations is displayed. Here, the number of rehabilitation units is a number indicating how much time rehabilitation is performed with 20 minutes as one unit. The number of rehabilitations is a number indicating how many times rehabilitation has been performed regardless of the type of rehabilitation. Further, at the bottom of the implementation record display screen, patient information, that is, patient ID, patient name, age, sex, and causative disease are displayed.

  When the SOAP button 32 is clicked on the implementation record display screen, the SOAP display screen shown in FIG. 9 is displayed in a separate window. On the SOAP display screen, S (Subjective Information), O (Objective Information), A (Assessment Information: Evaluation Information), and P (Plan Information) of the selected patient are Displayed in series (here, 3 days are displayed, but any number of days may be displayed. The leftmost column is the latest, but the rightmost column may be displayed. Absent.). Clicking on the date column in each column will pop up what you have done on that date. When the rehabilitation plan is changed, the character of the column is displayed in a different color so as to be distinguishable from other columns.

  When the chart button 33 is clicked on the execution record display screen, the chart information screen of the selected patient is displayed in a separate window. The medical chart information screen displayed in FIG. 10 is shown. When the patient button 34 is clicked, a patient search screen pops up, and a desired patient can be extracted.

  The storage unit 12 temporarily stores data created based on the rehabilitation plan file stored in the storage unit 12 of the server 1 and the specific patient data read from the rehabilitation result file.

  The control unit 13 performs a predetermined display on the display unit 14 and performs a process described later by performing a predetermined input by operating the input unit 16 based on the display content on the display unit 14.

<Examination terminal>
The examination terminal 3 includes an input / output unit 41, a storage unit 42, and a control unit 43, similar to the rehabilitation terminal 2.

  The input / output unit 41 includes a display unit 44 such as a liquid crystal display and an output unit 45 including a notification unit such as a buzzer, and an input unit 46 such as a keyboard, a mouse, and a keypad.

  An electronic medical chart screen is displayed on the display unit 44, and a patient designation dialog screen is displayed by operating a rehabilitation plan button or a rehabilitation plan key of a numeric keypad.

  FIG. 11 shows a patient designation dialog screen. On this patient designation dialog screen, it is possible to narrow down patients by inputting keywords or the like. Examples of the keyword include patient ID, name, date of birth, sex, date of final diagnosis, and the like. A list of records including the input keyword is displayed, and the corresponding patient can be selected from the list. When the patient is identified, the screen switches to the rehabilitation plan creation screen.

  As shown in FIG. 12, the rehabilitation plan creation screen includes a patient information column 47, an execution record column 48, a diagnosis column 49, a main complaint input column 50, an instruction note display column 51, a schema column 52, a rehabilitation plan input column 53, and a comment input. A column 54 is provided.

  The patient information column 47 is the same as the patient information display portion shown in FIG.

  In the execution record column 48, the rehabilitation execution records up to the present are displayed in a time series simply in units of one month by specifying the year and month in the target year / month column.

  In the diagnosis column 49, the registration information of the patient displayed in the patient information column 47 is displayed. Here, a diagnosis name, a start date, etc. are displayed.

  The main complaint input field 50 displays the contents of the main complaint, findings, precautions, and the like, which are input by using a keyboard or the like.

  In the instruction note display field 51, the contents of the rehabilitation instruction note are displayed. In the schema column 52, two types of an overall schema (fixed display) and a partial schema are displayed. The selected schema can be drawn by any selected display method using a mouse, a pen, or the like. In this case, the display color is registered in advance for each rehabilitation action, and it is possible to easily identify which rehabilitation action is associated with the display color. The partial schema can be selected in a rehabilitation plan input field 53 described later.

  The rehabilitation plan input field 53 can be switched to display contents of instructions, scores, causative diseases, persons in charge, and schemas by switching tags.

  In the instruction display, the therapy, site, load, and time are listed, and a check is displayed in the leftmost column of the currently instructed therapy. The therapy to be checked can be arbitrarily selected or deselected by operating the mouse. In the part display, when the corresponding part is clicked, the input screen shown in FIG. 13A is displayed in a pop-up, and the input can be performed using this input screen. The input screen has a large classification field and a detailed classification field, and the content selected from them is highlighted and displayed in the right display field by operating the arrow key (“→”). Then, when the OK button is operated in a state where an appropriate part is displayed in the display column, the display content is reflected as the display content of the instruction display.

  Further, in the instruction display, by clicking the part cell 55 on the input screen shown in FIG. 13A, it is possible to switch to the part selection humanoid panel shown in FIG. 13B and input the part. That is, the displayed part selection humanoid panel is divided into a plurality of rectangular regions (large classification chip 56), and by selecting one of the large classification chips 56, as shown in FIG. 13C, A part selection dialog screen 57 is displayed in a separate window. The part selection dialog screen 57 includes a large classification field 58 and a detailed classification field 59, and when a corresponding item is selected, the name of the selected part is displayed in the display field 60 on the right side. Then, when the OK button is clicked, the content is reflected as the display content of the instruction display. If “Automatically draw on schema” is checked, the content is reflected on the schema. In this case, an ellipse graphic is displayed on the schema according to the contents of the selected major classification and detailed classification.

  The score display consists of a list of types, categories, and units, and the corresponding items are checked. In the causal disease display, among the diseases written in the medical chart by the doctor at the time of the examination, a list of the diseases that are subject to rehabilitation due to the disease is displayed. In the person-in-charge display, a list of persons in charge of rehabilitation consisting of the person-in-charge name and job type is displayed. In the schema display, a list of body parts that can be displayed on the partial schema is displayed.

  In the comment input field 54, an input dialog is displayed by selecting an input area, and an arbitrary character string is input on the input dialog using a “learning list” or the like.

  The control unit 43 displays the above-described screens on the display unit 44, and executes a process described later by operating the input unit 46 based on the display contents and performing a predetermined input.

<Accounting (reception) terminal>
The accounting (reception) terminal 4 has the same configuration as that of the rehabilitation terminal 2 and the examination terminal 3, and the configuration itself is not so characteristic, and thus the description thereof is omitted. However, at the time of patient acceptance, it is possible to determine the priority of each action to be performed by the patient on the screen displayed on the display as a display means. That is, as shown in FIG. 14, it is possible to select each action to be performed by the patient and determine the priority on the examination information registration screen activated in a separate window from the reception screen. Here, diagnosis, urinalysis, and infusion are selected in this order among a plurality of set actions, and the contents are reflected as a list. The priority of each action can be changed by operating one of the “move up” and “move down” buttons in the state where the action whose order is to be changed is selected. In addition, each action is displayed in a different color so that it can be identified. This color is reflected in the destination display on the rehabilitation execution input list screen displayed on the rehabilitation terminal 2 described later.

<Processing content of medical support system>
Next, with regard to the processing contents of the medical support system having the above-described configuration, first, the overall outline (patient movement) will be described, and then each processing at the examination terminal 3 and the rehabilitation terminal 2 will be described sequentially.

<Overview of the whole>
As shown in FIG. 15, first, a patient reception process is performed at the accounting (reception) terminal 4 (step S1). In the reception process, the patient's name is entered. For patients who have already been registered, the registered data is read. In addition, the patient's interview contents are written. Subsequently, the flow line of the patient, that is, how the patient should move within the hospital is determined (step S2). Usually, it starts from a medical examination, but there are patients who only rehabilitate and patients who only prescribe drugs. Therefore, the priority is determined at the reception.

  In the examination terminal 3, the result of the doctor examining the patient is written in the electronic medical record (step S3). Then, a rehabilitation plan is made, and its contents are input (step S4). A series of these processes will be described later.

  In the treatment room or the like, treatment such as injection instructed as a result of the examination is performed and recorded (step S5). Since a terminal provided separately from the above-described terminals is installed in the treatment room or the like, information indicating that the treatment has been completed is input from the terminal.

  In the rehabilitation terminal 2, the rehabilitation is executed according to the rehabilitation plan input in the examination terminal 3, and the content is input (step S6). The contents are recorded every time rehabilitation is completed (step S7).

  Thereafter, when the input at the examination terminal 3, the terminal such as the treatment room, and the rehabilitation terminal 2 is completed, the accounting (reception) terminal 4 performs the accounting process (step S8).

<Processing contents at the examination terminal>
The examination terminal 3 executes the rehabilitation planning process according to the flowchart of FIG. That is, when a user name and password are input on the login screen (step S11: indicated by a in FIG. 2), a menu screen is displayed (step S12). Then, by clicking the “Create rehabilitation plan” button on the menu screen (step S13: indicated by b in FIG. 2), a patient designation screen (patient designation dialog screen or patient search screen) is displayed (step S14). Here, when a patient is specified by searching or the like (step S15), the screen is switched to a rehabilitation plan creation screen shown in FIG. 12 (indicated by c in FIG. 2), and information regarding the specified patient is reflected there (step S16). . By logging in at step S11, it is specified which doctor performed the examination. The same applies to the rehabilitation terminal 2 described later.

  Also, by clicking the “rehabilitation plan” button on the electronic medical record screen (indicated by d in FIG. 2), it is possible to switch to the rehabilitation plan creation screen shown in FIG.

  On the rehabilitation plan creation screen, information about the patient specified in step S15 is displayed (step S17). That is, in addition to the personal information such as the patient ID, the diagnosis result, the name of the disease that the doctor has determined that rehabilitation is necessary, and the past rehabilitation records are displayed. The patient's personal information is displayed in the patient information column 28. The examination result is displayed in the diagnosis column. The disease name is displayed as the causative disease in the header part of the main complaint input field. The rehabilitation performance record is displayed in the year / month unit selected in the performance record field. In the main complaint input column, items that the doctor considers necessary for rehabilitation, such as main complaints, findings and precautions input using a keyboard or the like, are displayed.

  A list of rehabilitation items, rehabilitation parts, etc. is displayed in the rehabilitation plan input field. When a corresponding item is selected and checked (step S18), the contents are reflected in the instruction sheet field (step S19). ). In this case, the rehabilitation site may be specified by clicking the site cell 55 in the rehabilitation plan input field to display the site selection humanoid panel and selecting the corresponding site.

  In the schema column, rehabilitation items are displayed in a preset color for the selected therapy (step S20). In the rehabilitation plan creation screen shown in FIG. 12, interference waves and lasers checked in the instruction display in the rehabilitation plan input column are displayed as rehabilitation items. Then, an appropriate button is selected from various shapes such as a circle, an ellipse, and a square (step S21), and the selected figure can be directly input to a schema displayed with a mouse or the like (step S22). The figure to be input can be freely changed in display location and size, and can be easily erased and redone. Further, since the graphic is displayed in a color corresponding to the selected rehabilitation item, it is possible to easily identify which rehabilitation corresponds to. Then, this content, that is, the patient information associated with the schema is stored in the medical record information file of the storage unit of the server 1 (step S23). As a result, the stored schema can be opened by the rehabilitation terminal 2, so that the rehabilitation person can easily grasp which rehabilitation should be performed while looking at the screen of the rehabilitation terminal 2.

  When selecting a rehabilitation part from the part selection humanoid panel, by checking “Automatically draw on schema”, the rehabilitation part is displayed in a color corresponding to the rehabilitation item selected in step S18. An elliptical shape can be automatically entered.

  When confirming past rehabilitation contents, it is also possible to display a list of pre-registered contents by rehabilitation items by clicking an instruction set button (not shown). When the rehabilitation item displayed in the list is selected and the OK button is clicked, the content is displayed in the instruction column, and the content can be confirmed.

  Further, by operating the “past plan” button 111 or the “latest plan” button 112 on the rehabilitation plan creation screen, the past rehabilitation plan content or the latest rehabilitation plan content (that is, the execution record: e in FIG. 2) Can be displayed in a separate window. When there are a plurality of past rehabilitation plans, it is possible to display the date by displaying a list and selecting a corresponding one from the list.

<Processing content at rehabilitation terminal>
The rehabilitation terminal 2 executes the rehabilitation process according to the flowcharts shown in FIGS. 17 and 18. That is, when a user name and password are input on the login screen (step S31: indicated by g in FIG. 2), a menu screen is displayed (step S32). Then, by clicking the “rehabilitation” button on the menu screen (step S33), the screen is switched to the rehabilitation execution input list screen (step S34: indicated by h in FIG. 2).

  A list of rehabilitation patients input at the examination terminal 3 is displayed on the rehabilitation execution input list screen. If a rehabilitation patient is newly added on the examination terminal side with the rehabilitation execution input list screen opened, the names of the patients are sequentially displayed. The additionally displayed patient is marked with a asterisk in the column header so that it can be distinguished from other patients. In this case, when the patient is additionally displayed, the user may be notified by generating an arrival sound.

  On the rehabilitation execution input list screen, by clicking the end person button (step S35), only patients who have completed rehabilitation can be displayed in a list (step S36). In addition, by clicking the display update button (step S37), it is possible to update the display content (step S38).

  When a patient to be rehabilitated is selected (step S39), the column header displaying the selected patient is changed to a selected color (step S40). In this state, the rehabilitation start button, patient detail button, SOA buttons, and rehabilitation end button can be operated.

  When the rehabilitation start button is clicked (step S41), the time at the time of clicking is input as the disclosure time (step S42), and the rehabilitation item 102 performed by the patient is displayed (step S43). Then, the check box 101 of the rehabilitation item 102 can be checked. When the rehabilitation of the selected patient is completed and the check box 101 is clicked (step S44), the display content is inverted (step S45).

  When the patient detail button is clicked (step S46), a patient detail screen shown in FIG. 19 is popped up (step S47). The user can confirm which rehabilitation should be performed on which part by looking at this patient detail screen. On the patient details screen, the character data indicating the contents of each rehabilitation item and the graphic displayed on the schema are displayed in the same color. For this reason, correspondence with a rehabilitation item and a rehabilitation site | part becomes clear.

  When any button of the SOA is clicked (step S48), an input screen corresponding to each button is popped up (step S49). It is possible to input a corresponding sentence using a keyboard or the like.

  When the rehabilitation end button is clicked in a state where all the instructed rehabilitation is completed and all items are highlighted (step S50), a termination processing screen shown in FIG. 20 is displayed in a pop-up (step S51). . When the user checks the corresponding part, that is, the rehabilitation execution column and clicks the end button (step S52), the rehabilitation execution record is registered (step S53), and the number of persons displayed in the rehabilitation number column is automatically set. It is changed (step S54). That is, the number of people who are rehabilitating decreases by one, and the number of people who finish rehabilitation increases by one.

  Further, on the rehabilitation execution input list screen, a place (guidance destination) where the patient should go after rehabilitation is displayed in the guidance destination column (step S55). When the guide destination is other than accounting, a background color set in advance for each guide destination is displayed. This makes it possible to determine at a glance which location the patient should be guided to next.

  In addition, since all the data etc. which were input in each said terminal are stored in the memory | storage part of the server 1, it is also possible to display and print various statistics on the display part 44 of the examination terminal 3 based on the stored data. (Indicated by f in FIG. 2). For example, display and print annual, monthly implementation results for each patient, annual results for each staff, monthly implementation results, annual, monthly implementation results, in-hospital implementation results for rehabilitation, etc. Is possible.

DESCRIPTION OF SYMBOLS 1 ... Server 2 ... Rehabilitation terminal 3 ... Examination terminal 4 ... Accounting (acceptance) terminal 11 ... Input / output part 12 ... Storage part 13 ... Control part 14 ... Display part 15 ... Output part 16 ... Input part 17 ... Ender button 18 ... Display update button 19 ... Rehabilitation start button 20 ... Rehabilitation end button 21 ... Priority column 22 ... Implementation time column 23 ... Implementation content column 24 ... Enforcer column 25 ... Button 26 ... Patient detail button 27 ... Implementation record button 28 ... Patient information column 29 ... Observation etc. input field 30 ... Instruction field 31 ... Schema field 32 ... SOAP button 33 ... Medical record button 34 ... Patient button 35 ... Display button 41 ... Input / output unit 42 ... Storage unit 43 ... Control unit (control means)
44 ... display section (display means)
45 ... Output unit 46 ... Input unit (input means)
47 ... Patient information column 48 ... Execution record column 49 ... Diagnosis column 50 ... Main complaint input column 51 ... Instruction sheet display column 52 ... Schema column (Schema portion)
53 ... Rehabilitation plan entry field (Rehabilitation plan entry part)
54 ... Comment input field 55 ... Part cell 56 ... Major classification chip 57 ... Part selection dialog screen 58 ... Major classification field 59 ... Detailed classification field 60 ... Display field 101 ... Check box 102 ... Rehabilitation item 111 ... "Past plan" button 112 ... "Current plan" button

Claims (1)

Connect the examination terminal, rehabilitation terminal and server to the network,
The examination terminal
A rehabilitation plan input unit for selecting a rehabilitation item, and a display means including a schema unit for displaying a schema;
In a state where patient information is displayed on the display means, an input means for displaying a desired schema on a schema unit and performing writing for specifying a part on the schema;
When the patient information is displayed on the display unit and a desired schema is displayed on the schema unit by the input unit, the rehabilitation item is to be written to specify the site for the rehabilitation item selected by the rehabilitation plan input unit. And a control means for displaying the information in an identifiable manner,
The medical support system, wherein the server includes a storage unit that stores a patient information displayed on the examination terminal in association with a schema in which a rehabilitation site is written.