JP2014191764A - Association system and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an association system and a program capable of suitably associating identification information of a patient and identification information of a coded pattern printed in an entry document.SOLUTION: Based on a bar code ID recognized through reading, by a bar code reader 30, a bar code 6 put to a chart form 5 with a dot pattern previously printed, a reception system 50 associates a coordinate range of the dot pattern printed in the chart form 5 and a patient ID of a patient to whom the chart form 5 is allocated.

Description

  The present invention relates to a data association technique.

  In the medical industry, electronic medical record systems are being introduced. For example, Patent Literature 1 and Patent Literature 2 disclose a technique for generating an electronic medical record by filling in a medical chart sheet on which a dot pattern is printed with an electronic pen. In Patent Documents 3 and 4, a barcode is printed on a chart sheet, and the barcode is read when a scan image of the chart sheet is generated by a scanner. Has been disclosed.

JP 2004-054375 A Japanese Patent No. 4388256 JP 2007-004342 A Japanese Patent No. 4204602

  When digitizing handwritten information about a patient using an electronic pen, it is necessary to store the handwritten information in association with patient identification information together with diagnosis result data and the like. For this purpose, it is necessary to associate the identification information of the coded pattern printed on the entry form with the identification information of the target patient. As a method for solving this problem, the encoded pattern is printed on the entry document in a state in which the identification information of the patient and the identification information of the encoded pattern printed on the entry document are associated in advance by a system for managing patient information. A method is conceivable. On the other hand, in order to save the labor of the printing process, there is a case in which an entry document in a state where the coded pattern is printed is prepared in advance, and it is desired to assign and use it appropriately for an arbitrary patient.

  SUMMARY OF THE INVENTION Accordingly, it is a primary object of the present invention to provide an association system and program capable of suitably associating patient identification information with identification information of a coded pattern printed on an entry form.

  In one aspect of the present invention, the association system is capable of being read by a reading device different from the electronic pen and the identification information of the coding pattern that can be read by the electronic pen printed on the medical entry form. A storage unit that stores the identification information indicated by the identification pattern attached to the entry form in association with the patient, patient information of the patient and patient information generation means for generating the identification information of the patient, and medical use assigned to the patient When the reading device reads the identification pattern attached to the entry document, the identification information acquisition means for acquiring the identification information indicated by the identification pattern from the reading device, and the identification information indicated by the identification pattern or the identification pattern Associating and storing at least one of identification information of the associated coding pattern and the identification information of the patient Having an association unit that, the.

  The association system includes a storage unit, patient information generation means, identification information acquisition means, and association means. The storage unit stores the identification information of the coding pattern readable by the electronic pen printed on the medical entry document and the identification information indicated by the identification pattern attached to the entry document in association with each other. Here, the identification pattern can be read by a reading device different from the electronic pen. The patient information generation means generates patient information of the patient and identification information of the patient. When the reading device reads the identification pattern attached to the medical entry document to be assigned to the patient, the identification information acquiring unit acquires the identification information indicated by the identification pattern from the reading device. The association means stores at least one of the identification information indicated by the identification pattern or the identification information of the coded pattern associated with the identification pattern and the patient identification information in association with each other. Thus, the association system suitably associates the identification information of the coded pattern printed on the entry document with the identification information of the patient via the identification information of the identification pattern read by the reader.

  In one aspect of the association system, the association system further includes a printing unit that causes a printing machine to print at least one of the patient information of the patient or the identification information of the patient on the entry form.

  In another aspect of the association system, the association system includes receiving means for receiving entry information generated by an electronic pen reading a coded pattern printed on the entry form, and receiving the electronic information based on the entry information. Generating means for generating display information indicating a stroke that reproduces a handwriting on the entry document by a pen, and the association means corresponds to the identification information of the coding pattern indicated by the entry information. And associated with the identification information of the patient to be stored.

  In another aspect of the association system, the association system outputs a warning when the identification information of the coding pattern indicated by the entry information used for generating the display information is not associated with the patient identification information. It has further.

  In another aspect of the association system, the association system displays a display for instructing the reading operation of the identification pattern attached to the entry document by the reading device after generating the patient information of the patient and the identification information of the patient. It further has display means for performing.

  In another aspect of the association system, the identification pattern is a one-dimensional code or a two-dimensional code indicating identification information unique to each entry document.

  In another aspect of the present invention, the identification information of a coding pattern that can be read by an electronic pen printed on a medical entry document, and can be read by a reading device different from the electronic pen, A program executed by a computer capable of referring to a storage unit that associates and stores identification information indicated by an identification pattern to be attached, patient information acquisition means for acquiring patient information of the patient and identification information of the patient, and Identification information acquisition means for acquiring identification information indicated by an identification pattern attached to a medical entry document to be assigned to a patient, and at least identification information indicated by the identification pattern or identification information of a coding pattern associated with the identification pattern Causing the computer to function as association means for associating and storing the patient identification information with the other

  By installing the above program in a computer and causing it to function, the processing of the association system according to the present invention can be suitably executed.

  According to the present invention, the user performs an operation of reading the identification pattern attached to the medical entry document on which the encoded pattern is printed, so that the association system displays the identification information indicated by the identification pattern read by the reading device. Thus, the identification information of the coding pattern printed on the entry document can be suitably associated with the identification information of the patient to whom the entry document is assigned.

It is a system configuration figure of the electronic pen system concerning this embodiment. It is explanatory drawing which shows the relationship between the arrangement | positioning of the dot in a dot pattern, and the value converted. (A) shows a dot pattern typically, and (b) is a figure showing an example of information corresponding to it. It is the schematic which shows the structure of an electronic pen. It is a functional block diagram of a medical examination terminal. It is a functional block diagram of a reception terminal. It is a functional block diagram of a server apparatus. (A) shows the data structure of barcode related information. (B) shows the data structure of patient related information. It is a figure which shows the flow of registration work of a new patient. The example of a display of the display of the reception terminal which displayed the patient individual screen is shown. The transition of the association status of each item registered in the patient related information is shown.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

[Configuration of electronic pen system]
FIG. 1 schematically shows a configuration of an electronic pen system 100 according to an embodiment of the present invention. The electronic pen system 100 is a system that is introduced into a medical institution such as a hospital, and includes an electronic pen 1 used by a doctor, a medical examination terminal 4 that receives and processes entry information from the electronic pen 1, and a dot pattern (code). A medical record sheet 5 on which a registration pattern is printed, and a reception system 50 for performing a patient registration operation. In addition, the reception system 50 prints the patient name and the like on the medical record sheet 5 based on the reception terminal 3 that performs registration work of patient information, the server device 7 that stores patient information, and the print instruction of the reception terminal 3. And a printer 8.

  The electronic pen system 100 performs a process of associating patient identification information (also referred to as “patient ID”) with dot pattern information printed on the chart sheet 5 assigned to the patient. And the electronic pen system 100 produces | generates the electronic medical record which digitized the medical chart paper 5 which a doctor fills in about a diagnosis with the electronic pen 1, and memorize | stores the said electronic medical record for every patient ID. Hereinafter, each component of the electronic pen system 100 will be described.

(Medical chart paper)
First, the medical chart form (medical entry form) 5 will be described. The chart sheet 5 is prepared for each patient diagnosed by a doctor, and a dot pattern (coded pattern) indicating position coordinates described later is printed on substantially the entire surface thereof. A dot pattern having a different coordinate range is printed on each chart sheet 5. Therefore, the information on the coordinate range of the dot pattern functions as dot pattern identification information. The dot pattern is printed with ink containing carbon that absorbs infrared rays so that it can be read by the electronic pen 1, and other characters and drawings are printed with ink that does not absorb infrared rays. For example, the patient name, patient ID, barcode 6 and the like printed on the chart sheet 5 are printed with ink that does not absorb infrared rays.

  Further, a barcode 6 indicating different identification information (also referred to as “barcode ID”) is printed on the chart sheet 5. As will be described later, the barcode ID of the barcode 6 is read by the barcode reader 30 connected to the reception terminal 3. The barcode 6 is an example of the “identification pattern” in the present invention, and the barcode reader 30 is an example of the “reading device” in the present invention.

(Dot pattern)
First, an Anoto dot pattern (coded pattern) printed on the chart sheet 5 will be described with reference to FIGS. FIG. 2 is a diagram for explaining the relationship between dots of a dot pattern and values to which the dots are converted. As shown in FIG. 2, each dot of the dot pattern is associated with a predetermined value depending on its position. That is, each dot is associated with a value of 0 to 3 depending on which direction the top, bottom, left, or right is shifted from the reference position of the virtual grid (the intersection of the vertical and horizontal lines). The value of each dot can be further converted into a first bit value for the X coordinate and a second bit value for the Y coordinate. The position coordinates on the chart sheet 5 are determined by the combination of the information thus associated. Note that dot patterns are formed so that coordinate areas do not overlap between different chart sheets 5.

  FIG. 3A shows an arrangement of a certain dot pattern. As shown in FIG. 3 (a), 6 × 6 dots are arranged in a range of about 2 mm in length and width so that a unique pattern can be obtained regardless of where 6 × 6 dots are taken on the chart sheet 5. ing. The dot pattern formed by these 36 dots holds position coordinates (for example, on which position the dot pattern is on the chart sheet 5). FIG. 3B is a diagram in which each dot shown in FIG. 3A is converted into a value associated with the regularity shown in FIG. 2 according to the shift direction from the reference position of the lattice. This conversion is performed by the electronic pen 1 that captures an image of a dot pattern.

(Electronic pen)
Next, the electronic pen 1 will be described with reference to FIG. FIG. 4 is a schematic diagram showing the structure of the electronic pen 1. 4, the electronic pen 1 includes an ink cartridge 104, an LED 105, a CMOS camera 106, a pressure sensor 107, a processor 108 including a CPU, a memory 109 such as a ROM and a RAM, A communication unit 111 including a real-time clock 110, an antenna, and the like, and a battery 112 are provided. The tip of the ink cartridge 104 is a pen tip portion 103, and the user touches the pen tip portion 103 of the electronic pen 1 on the chart sheet 5 and enters a stroke (handwritten stroke). Here, the first contact of the pen tip portion 103 of the electronic pen 1 with the chart sheet 5 is referred to as “pen down”, and the removal of the pen tip portion 103 from the contact (contact) state is referred to as “pen”. Call it "up." A trajectory written between the pen-down and pen-up of the electronic pen 1 is one stroke, and characters, figures, etc. are composed of one or a plurality of strokes.

  The battery 112 is for supplying electric power to each component in the electronic pen 1. For example, the battery 112 is configured to turn on / off the electronic pen 1 itself by attaching and detaching a cap (not shown) of the electronic pen 1. May be. The real time clock 110 transmits time information indicating the current time (time stamp) and supplies the time information to the processor 108. The pressure sensor 107 detects the pressure applied through the ink cartridge 104 from the pen tip portion 103 when the user writes or taps a character or mark on the chart sheet 5 with the electronic pen 1, that is, the writing pressure, and determines the value. Transmit to the processor 108.

  The processor 108 switches on / off the switches of the LED 105 and the CMOS camera 106 based on the writing pressure data supplied from the pressure sensor 107. That is, when the user writes characters or the like on the chart sheet 5 with the electronic pen 1, writing pressure is applied to the pen tip portion 103, and when the pressure sensor 107 detects a writing pressure higher than a predetermined value, the processor 108 Is started, the LED 105 and the CMOS camera 106 are operated. Then, the communication unit 111 associates pen-down information detected by the pressure sensor 107 with identification information (hereinafter referred to as “pen ID”) of the electronic pen 1 to be described later, and transmits it as entry information to the examination terminal 4. To do. When the user finishes entering one stroke and moves the electronic pen 1 away from the chart sheet 5, the pressure sensor 107 detects a pen-up because the writing pressure exceeding a predetermined value is not detected. Then, the communication unit 111 associates the pen-up information detected by the pressure sensor 107 with the pen ID and transmits it as entry information to the examination terminal 4.

  The LED 105 and the CMOS camera 106 are attached near the pen tip portion 103 of the electronic pen 1, and an opening 102 is formed in a portion of the housing 101 that faces the LED 105 and the CMOS camera 106. The LED 105 illuminates infrared rays toward the vicinity of the pen tip portion 103 on the chart sheet 5. The region is slightly shifted from the position where the pen tip portion 103 contacts the medical chart sheet 5. The CMOS camera 106 is provided with an infrared transmission filter that transmits infrared rays and blocks non-infrared rays. The CMOS camera 106 captures a dot pattern in an area illuminated by the LED 105, and the image data of the dot pattern is captured. This is supplied to the processor 108. Here, since carbon absorbs infrared rays, the infrared rays irradiated by the LED 105 are absorbed by the carbon contained in the dots. Therefore, the dot portion has a small amount of infrared reflection, and the portion other than the dot has a large amount of infrared reflection. By photographing with the CMOS camera 106, a threshold value is provided based on the difference in the amount of reflected infrared light, so that a dot region containing carbon can be distinguished from other regions. Therefore, even when characters, drawings, or the like are printed on the chart sheet 5, the processor 108 can recognize the dot pattern because the printed ink does not absorb in the infrared region. Note that the shooting area by the CMOS camera 106 is a range including a size of about 2 mm × about 2 mm as shown in FIG. 3A, and the shooting by the CMOS camera 106 is performed at regular intervals of about 50 to 100 times per second. Is called. Further, the CMOS camera 106 has a sufficient depth of field in order to photograph dots clearly.

  The processor 108 performs X and Y coordinates (hereinafter simply referred to as “coordinate data”) on the chart sheet 5 of the stroke (handwriting) to be entered by the user from the dot pattern of the image data supplied by the CMOS camera 106 during the user's entry. Or “coordinate information”) is continuously calculated. That is, the processor 108 converts the image data of the dot pattern as shown in FIG. 3A supplied by the CMOS camera 106 into the data array shown in FIG. The data is converted into a Y coordinate bit value, and X and Y coordinate data are calculated from the data array by a predetermined calculation method. Note that the processor 108 has a rotation correction processing function for correcting the arrangement of dots on the image due to the angle of the electronic pen 1 facing the dot pattern, and that function is executed during coordinate calculation. Then, the processor 108 associates the current time (time stamp: entered time information) transmitted from the real-time clock 110, writing pressure data, and X and Y coordinate data. Hereinafter, these associated data are collectively referred to as “coordinate attribute information”. The 6 × 6 dot pattern on the chart sheet 5 does not overlap in the chart sheet 5, so when the user enters characters or the like with the electronic pen 1, the entered position corresponds to any position on the chart sheet 5. This can be specified by coordinate calculation by the processor 108.

  The memory 109 stores property information such as a pen ID such as “pen01” for identifying the electronic pen 1, a pen manufacturer number, and a pen software version. Then, the communication unit 111 associates the pen ID, time information (time stamp), writing pressure data, and X and Y coordinate data, and transmits them to the examination terminal 4 as entry information. In this case, transmission to the examination terminal 4 by the communication unit 111 is immediately and sequentially performed by wireless transmission such as Bluetooth (registered trademark). Here, one or a plurality of coordinate attribute information generated between the pen-down and pen-up of the electronic pen 1 and transmitted to the examination terminal 4 is stored as stroke information by the examination terminal 4. In other words, one stroke is composed of one or a plurality of X and Y coordinates (coordinate points), and the examination terminal 4 is configured to include one or a plurality of pieces constituting one stroke based on the pen-down information and the pen-up information. Recognize coordinate attribute information.

(Examination terminal)
Next, the examination terminal 4 will be described. The examination terminal 4 includes, as hardware, a communication device capable of data communication with the electronic pen 1 and the server device 7, a processor such as a CPU, a memory such as ROM and RAM, a display, a mouse, a keyboard, and the like. For example, the examination terminal 4 is a PC (personal computer).

  FIG. 5 is a functional block diagram of the examination terminal 4. The examination terminal 4 functionally includes an input unit 41 such as a mouse and a keyboard, a communication unit 42, a storage unit 43, a processing unit 44, and a display unit 46.

  The communication unit 42 includes an antenna receiving circuit and the like, receives entry information from the electronic pen 1, and transmits the received information to the processing unit 44. Thus, the communication unit 42 functions as the “reception unit” in the present invention. In addition, the communication unit 42 exchanges data with the server device 7 based on the control of the processing unit 44. The storage unit 43 includes a memory such as a ROM or a RAM, and stores a program necessary for the processing unit 44 to execute a predetermined process. The storage means 43 stores the entry information received from the electronic pen 1 according to the processing instruction of the processing means 44. The display means 46 is constituted by a display or the like, and displays the contents instructed by the processing means 44.

  The processing means 44 is constituted by a processor such as a CPU and controls the entire examination terminal 4. The processing unit 44 refers to patient related information 79 stored in the server device 7 of the reception system 50 described later, and recognizes the coordinate range of the dot pattern associated with the patient ID of the patient to be examined. Then, the processing means 44 refers to the coordinate range, and when the chart sheet 5 is filled in with the electronic pen 1 and the dot pattern is read, the chart sheet is generated based on the entry information generated and transmitted by the electronic pen 1. The electronic medical record including the stroke which reproduced the handwriting to 5 is drawn on the display. The processing unit 44 transmits the generated electronic medical chart display information to the server device 7 through the communication unit 42. The processing means 44 is an example of the “generating means” in the present invention.

(Reception system)
The reception system 50 associates the patient ID registered by the reception terminal 3 with the coordinate range of the dot pattern printed on the medical chart sheet 5 used for diagnosis of the patient. Hereinafter, the configuration of the reception terminal 3 and the server device 7 included in the reception system 50 will be described.

(1) Reception terminal The reception terminal 3 includes, as hardware, a communication device capable of data communication with the server device 7, a processor such as a CPU, a memory such as ROM and RAM, a display, a mouse, a keyboard, and the like. For example, the reception terminal 3 is a PC (personal computer).

  FIG. 6 is a functional block diagram of the reception terminal 3. Functionally, the reception terminal 3 includes an input unit 31 such as a mouse and a keyboard, a communication unit 32, a storage unit 33, a processing unit 34, an interface 35, and a display unit 36.

  The communication unit 32 exchanges data with the server device 7 based on the control of the processing unit 34. The communication unit 32 transmits a print instruction signal to the printer 8 based on the control of the processing unit 34. The storage means 33 is constituted by a memory such as a ROM or a RAM, and stores a program necessary for the processing means 34 to execute a predetermined process. The interface 35 is connected to the barcode reader 30 and transmits the barcode ID of the barcode 6 read by the barcode reader 30 to the processing means 34. The display means 36 is constituted by a display or the like, and displays the contents instructed by the processing means 34.

  The processing means 34 is constituted by a processor such as a CPU, and controls the entire receiving terminal 3. For example, the processing unit 34 performs patient information registration processing based on the input to the input unit 31. Specifically, the processing unit 34 assigns a patient ID to patient information such as a patient name input by the input unit 31, associates the patient information with the patient ID, and transmits them to the server device 7. Further, the processing unit 34 transmits an instruction signal for printing predetermined items such as a patient ID and a patient name to the printer 8 on which the medical record sheet 5 is placed on the sheet tray via the communication unit 32. Further, when the barcode reader 30 reads the barcode 6 attached to the chart sheet 5, the processing unit 34 acquires the barcode ID read by the barcode reader 30 via the interface 35, and sends it to the server device 7. Send. The specific processing of the processing means 34 will be described in detail in the section [Data Association Method]. The processing means 34 is an example of “identification information acquisition means” and “printing means” in the present invention.

(2) Server Device Next, the server device 7 will be described. The server device 7 includes, as hardware, a communication device capable of data communication with the reception terminal 3 and the examination terminal 4, a processor such as a CPU, and a memory such as a ROM and a RAM. FIG. 7 is a functional block diagram of the server device 7. As shown in FIG. 7, the server device 7 is functionally configured by a communication unit 72, a storage unit 73, a processing unit 74, and the like.

  The storage unit 73 includes a memory such as a ROM or a RAM, and stores a program necessary for the processing unit 74 to execute a predetermined process. The storage unit 73 associates the barcode ID with the coordinate range of the dot pattern printed on the chart sheet 5 to which the barcode 6 of the barcode ID is assigned (also referred to as “barcode related information”). 78 is stored. FIG. 8A shows an example of the data structure of the bar code related information 78. In FIG. 8A, for each barcode ID of the barcode 6 attached to each usable chart sheet 5, the coordinate range of the dot pattern printed on the chart sheet 5 attached with the barcode 6 is determined. Each is associated. Here, the coordinate range of the dot pattern is defined by corner position coordinates (Xn, Yn), height (Hn), and width (Wn).

  In addition, the storage unit 73 stores information (also referred to as “patient-related information”) 79 that associates information related to each patient. FIG. 8B shows the data structure of the patient related information 79. As shown in FIG. 8B, the patient-related information 79 has items of “patient ID”, “patient name”, “barcode ID”, “dot pattern coordinate range”, and “electronic medical record”. . Here, the “barcode ID” of the patient related information 79 indicates the barcode ID indicated by the barcode 6 attached to the chart sheet 5 assigned to the patient indicated by the corresponding patient ID. The “dot pattern coordinate range” of the patient-related information 79 indicates the coordinate range of the dot pattern printed on the chart sheet 5 assigned to the patient indicated by the corresponding patient ID. Further, the “electronic medical record” of the patient related information 79 indicates a storage location of display information of the electronic medical record including a stroke reproducing the handwriting by the electronic pen 1B on the corresponding medical record sheet 5. In the example of FIG. 8B, the coordinate range of the dot pattern is not yet associated with the patient “Taro Dainippon” with the patient ID “EFGH”. The method for generating the patient related information 79 will be described in detail in the section [Data Association Method].

  When a plurality of medical chart sheets 5 are assigned to one patient, each item of “barcode ID”, “dot pattern coordinate range”, and “electronic medical chart” includes the plurality of medical chart sheets. Information corresponding to 5 is stored. In addition, in the patient related information 79 of FIG. 8B, both the barcode ID and the coordinate range of the dot pattern associated with the barcode related information 78 are stored. Only one of them may be stored.

  The processing means 74 is constituted by a processor such as a CPU, and controls the entire server device 7. The processing means 74 generates patient related information 79 based on each information transmitted from the reception terminal 3 and the examination terminal 4. Specific processing of the processing means 74 will be described in detail in the section [Data Association Method]. The processing means 74 is an example of “patient information acquisition means”, “identification information acquisition means”, and “association means” in the present invention.

[Data association method]
Next, a method for generating the patient related information 79 will be described.

  FIG. 9 is a diagram showing a flow of registration work for a new patient 90. In FIG. 9, for the sake of convenience, the flow of steps S <b> 1 to S <b> 4 showing the procedure of patient registration processing is described in association with the registration work diagram.

  First, the reception system 50 performs a process of associating patient information with a patient ID based on an input of a reception worker who is an operator of the reception terminal 3 (step S1). Specifically, when a request is received from the reception worker that the patient 90 is diagnosed, the processing means 34 of the reception terminal 3 receives a registration screen for inputting patient information based on the input of the reception worker. It is displayed on the display of the terminal 3. Then, the processing unit 34 receives input of patient information such as a patient name by the input unit 31 on the registration screen. In this case, the reception worker refers to the application form entered by the patient 90 and performs a predetermined input such as the patient name by the input means 31. When the patient information is input, the processing unit 34 generates a patient ID unique to the patient 90, associates the patient information with the patient ID, and transmits the patient information to the server device 7. In this case, the processing means 74 of the server device 7 stores the received patient information and patient ID in association with each other as patient related information 79.

  Next, the processing unit 34 prints the patient name and the patient ID on the medical chart sheet 5 by transmitting a print instruction to the printer 8 (step S2). In this case, the reception worker sets the medical chart paper 5 in the printer 8 and inputs an operation of a printing instruction for the medical chart paper 5 through the input means 31. Thereby, the printer 8 outputs the medical chart sheet 5 on which the patient name and the patient ID are printed. The medical chart paper 5 may be stored in advance in the paper tray of the printer 8.

  Next, in accordance with the reading operation of the barcode reader 30 by the reception worker, the reception system 50 performs a process of associating the coordinate range of the dot pattern with the patient ID via the barcode ID read by the barcode reader 30. Perform (step S3). In this case, first, the processing means 34 of the reception terminal 3 causes the reception worker to execute the reading operation of the barcode reader 30 to acquire the barcode ID indicated by the barcode 6 attached to the medical chart sheet 5.

  Here, a specific example of the execution procedure of the reading operation of the barcode reader 30 by the reception worker will be described. FIG. 10A shows a display example of the display of the reception terminal 3 that displays a screen showing patient information of the patient 90 (also referred to as “patient individual screen”). In FIG. 10A, the processing means 34 displays the patient name, patient ID, and the like of the patient 90 on the screen, and displays a button 80 on which “Register medical chart sheet” is displayed on the screen. FIG. 10B shows a display example of the patient individual screen after the button 80 is selected. As shown in FIG. 10B, when it is detected that the button 80 has been selected, the processing means 34 displays a window 81 indicating that the barcode 6 on the chart sheet 5 should be read by the barcode reader 30. Let When the reception worker performs an operation of reading the barcode 6 of the chart sheet 5 by the barcode reader 30 according to the display of the window 81, the processing unit 34 receives the barcode ID from the barcode reader 30. As described above, according to the example of FIGS. 10A and 10B, the reception terminal 3 can cause the reception worker to suitably perform the reading operation of the barcode reader 30.

  The process of step S3 after receiving the barcode ID will be described continuously. The processing unit 34 transmits the received barcode ID together with the patient ID of the patient 90 to the server device 7. In this case, the processing means 74 of the server device 7 associates the received barcode ID and the barcode ID in the barcode-related information 78 with the received barcode ID and patient information of the patient 90 stored as the patient-related information 79. The coordinate range of the obtained dot pattern is stored in association with each other. Thus, the server device 7 associates the patient information and patient ID of the patient 90 with the coordinate range of the dot pattern printed on the medical record sheet 5 on which the doctor fills in the examination contents of the patient 90 with the electronic pen 1. It can be stored as related information 79. Thereafter, the processing means 74 transmits a notification that the association processing between the coordinate range of the dot pattern printed on the medical chart sheet 5 and the patient ID has been completed to the reception terminal 3.

  Preferably, the reception terminal 3 may notify the reception worker that the registration work of the medical chart sheet 5 has been completed when the notification of completion of the association process is received from the server device 7. FIG. 10C shows a display example of the individual patient screen after receiving the completion notification of the association process described above from the server device 7 in the example of FIG. As shown in FIG. 10C, in this case, the processing means 34 displays on the window 81 that the registration work for the chart sheet 5 has been completed. Thereby, the reception worker can preferably recognize that the registration work of the medical chart sheet 5 has been normally completed.

  After that, the processing means 44 of the examination terminal 4 generates an electronic medical record that reproduces the handwriting on the medical record sheet 5 based on information entered by the electronic pen 1 on the medical record sheet 5, and associates the electronic medical record with the patient ID. Perform (step S4). Specifically, first, when a doctor who examines the patient 90 fills in the medical record sheet 5 with the electronic pen 1, the processing unit 44 reads the information on the medical chart sheet 5 based on the entry information received from the electronic pen 1. An electronic medical record including a stroke reproducing the handwriting by the electronic pen 1 is displayed on the display of the examination terminal 4. At this time, the processing unit 44 acquires the patient related information 79 including the patient ID of the patient 90 from the server device 7, refers to the coordinate range of the dot pattern included in the patient related information 79, and performs a stroke based on the entry information. draw. Then, after the diagnosis by the doctor, the processing unit 44 transmits display information of the electronic medical record reproducing the handwriting by the electronic pen 1 on the medical record sheet 5 based on the entry information to the server device 7 together with the patient ID for identifying the patient 90. . In this case, the server device 7 stores the display information of the electronic medical record in association with the patient ID of the patient 90 stored in the patient related information 79.

  Next, a supplementary explanation will be given for the case where the patient 90 returns to the hospital and the medical record sheet 5 needs to be added. In this case, for example, the reception worker displays the patient individual screen shown in FIG. 10A on the reception terminal 3 again, selects the button 80, and then reads the barcode ID of the barcode 6 by the barcode reader 30. . In this case, the processing means 34 of the reception terminal 3 receives the barcode ID of the barcode 6 of the medical chart sheet 5 to be added from the barcode reader 30 as in step S3 described above, and the received barcode ID is the patient ID. At the same time, it is transmitted to the server device 7. In this case, the processing means 74 of the server device 7 refers to the barcode related information 78 to recognize the coordinate range of the dot pattern of the additional chart sheet 5 from the received barcode ID, and the patient ID of the patient 90 Is associated with the patient related information 79 including In this case, the reception terminal 3 may omit the printing process in step S2.

  Next, a procedure for associating each item constituting the patient related information 79 will be supplementarily described with reference to FIGS. 9 and 11. FIG. 11 shows the transition of the association status of each item constituting the patient related information 79.

  First, before execution of step S1 in FIG. 9, as shown in FIG. 11A, the server device 7 stores the barcode ID and the coordinate range of the dot pattern in association with each other in advance as barcode related information 78. It is stored in the means 75.

  Next, as shown in FIG. 11B, the server device 7 stores patient information such as a patient name and patient ID in association with each other by executing step S1 in FIG. On the other hand, at this stage, as shown in FIG. 11B, the server device 7 does not associate the pair of the barcode ID and the dot pattern coordinate range and the pair of the patient ID and the patient information with each other. These are stored in the storage means 75 individually.

  Next, the server device 7 associates the barcode ID received from the reception terminal 3 with the patient ID by executing step S3 in FIG. As a result, as shown in FIG. 11C, the server device 7 stores the patient-related information 79 that associates the pair of the barcode ID and the coordinate range of the dot pattern and the pair of the patient ID and the patient information with each other. 75. 9, the server device 7 adds the display information of the electronic medical record generated by the examination terminal 4 to the patient related information 79 as shown in FIG. As described above, the server device 7 can suitably execute the association of the items constituting the patient-related information 79 by steps S1 to S4 in FIG.

[Effects of this embodiment]
According to the embodiment described above, the reception system 50 is based on the bar code ID recognized by the bar code reader 30 reading the bar code 6 attached to the medical chart paper 5 on which the dot pattern is printed in advance. The coordinate range of the dot pattern printed on 5 is associated with the patient ID of the patient to whom the medical chart sheet 5 is assigned. Therefore, the reception worker can easily associate the patient ID with the coordinate range of the dot pattern printed on the medical chart sheet 5 by the reading operation of the barcode 6 by the barcode reader 30. As described above, according to the present embodiment, the patient ID and the coordinate range of the dot pattern printed on the chart sheet 5 are obtained even when the chart sheet 5 supplied with the dot pattern printed is used. It can associate suitably. In addition, the electronic pen system 100 according to the present embodiment can be introduced to a medical institution having an existing barcode system at a low cost.

[Modification of this embodiment]
Next, a modification of this embodiment will be described. The following modifications may be applied in any combination to the above-described embodiment.

(Modification 1)
Instead of the bar code 6, a two-dimensional code such as a QR code (registered trademark) or any other identification pattern (also referred to as “identification pattern”) may be printed in advance on the medical chart sheet 5. Good.

  In this case, an identification pattern indicating a unique ID is printed on the chart sheet 5. Then, instead of the barcode related information 78, the server device 7 stores the ID indicated by each identification pattern and the coordinate range of the dot pattern of the chart sheet 5 to which the identification pattern indicating the ID is attached in association with each other. Then, when the reception terminal 3 reads the identification pattern printed on the medical chart sheet 5 by the reading device, the reception terminal 3 transmits a set of the unique ID indicated by the read identification pattern and the patient ID to the server device 7. Then, the server device 7 associates and stores the unique ID indicated by the received identification pattern and the patient ID, thereby associating the patient ID with the coordinate range of the dot pattern.

  As described above, even if an arbitrary identification pattern unique to each chart sheet 5 is printed on the chart sheet 5 instead of the barcode 6, the reception system 50 preferably displays the patient ID and the dot pattern. A coordinate range can be associated.

(Modification 2)
In the description of FIG. 9, in step S <b> 2, the reception system 50 performs a printing process such as patient ID on the medical chart sheet 5. Instead, the reception worker may write the patient ID or the like on the medical chart sheet 5 by handwriting. In this case, the reception system 50 does not execute the process of step S2.

(Modification 3)
In step S4 of FIG. 9, when the examination terminal 4 receives information on the electronic pen 1 on the medical chart sheet 5 in which the coordinate range of the dot pattern is not associated with the patient ID, A warning to the effect that the code 6 has not been read may be output by voice or display.

  In this case, for example, when the examination terminal 4 receives the entry information of the electronic pen 1, it refers to the patient related information 79 stored in the server device 7, and the received entry information is included in the patient ID of the patient to be examined. It is determined whether or not the coordinate range of the dot pattern including the indicated coordinate position is associated. If the coordinate range of the dot pattern including the coordinate position indicated by the received entry information is not associated with the patient ID of the patient to be examined, the examination terminal 4 indicates that the medical record sheet 5 has not been registered. The warning is output by voice or display.

  Thereby, the electronic pen system 100 can cause the reception worker to reliably perform the registration work of the medical chart sheet 5 and store the display information of the electronic medical chart in association with the patient ID. In this case, the processing means 44 and the display means 46 of the examination terminal 4 are examples of the “warning output means” in the present invention.

(Modification 4)
The configuration of the reception system 50 shown in FIG. 1 is an example, and the configuration to which the present invention is applicable is not limited to this.

  For example, the reception terminal 3 may have the function of the server device 7. In this case, the reception terminal 3 further stores bar code related information 78, patient related information 79, etc., and stores the patient ID and the coordinate range of the dot pattern in association with each other based on the bar code ID read by the bar code reader 30. To do. In this case, the reception terminal 3 functions as the “association system” in the present invention.

  The reception terminal 3 may be composed of a plurality of terminals. For example, the reception terminal 3 includes a terminal that performs registration processing of a patient ID and the like in steps S1 and S2 in FIG. 9 and a printing instruction to the printer 8, and a terminal that receives the barcode ID from the barcode reader 30 in step S3. It may be configured.

  In another example, the server device 7 may be a plurality of server devices. For example, the server device 7 may be composed of a server device that stores the barcode related information 78 and a server device that stores the patient related information 79. The server device 7 may exist in the same LAN as the reception terminal 3 or may be connected to the reception terminal 3 through a wide area network such as the Internet.

  In yet another example, the examination terminal 4 may be connected to the barcode reader 30 instead of or in addition to the reception terminal 3. For example, in this case, the examination terminal 4 displays the patient individual screen shown in FIGS. 10A and 10B in the same way as the reception terminal 3, thereby allowing the barcode reader 30 to read the barcode 6 using the barcode reader 30. To run. Thereafter, the examination terminal 4 associates the read barcode ID with the patient ID of the patient displayed on the patient individual screen, and transmits it to the server device 7. Even in this case, the server device 7 can preferably associate the patient ID with the coordinate range of the dot pattern.

(Modification 5)
In the description of FIG. 9, the reception worker performed the reading operation of the barcode 6 in step S3 after performing the registration work of the patient information in step S1. Alternatively, the reception worker may perform a patient information registration operation after performing an operation of reading the barcode 6. In this case, for example, the reception terminal 3 associates the barcode ID read by the barcode reader 30 with the patient information and the patient ID input by the input unit 31 thereafter, and transmits the associated information to the server device 7. Also by this, the server apparatus 7 can preferably store the patient ID and the coordinate range of the dot pattern in association with each other.

(Modification 6)
In the above embodiment, the medical record sheet 5 is used as a document to be printed with the dot pattern. However, the present invention is applied to various medical entry documents other than the medical record sheet 5, such as an inquiry form and a consent form. It can be suitably applied.

(Modification 7)
In the above-described embodiment, the Anoto method is used for the electronic pen, the dot pattern (coded pattern), and the entry information, but the use of the Anoto method is not limited.

(Modification 8)
In the example of FIG. 9, the patient ID and the patient name are printed on the medical chart sheet 5. However, the printing mode of the chart sheet 5 to which the present invention is applicable is not limited to this. For example, only one of the patient ID or the patient name may be printed on the medical chart sheet 5. In another example, other patient information may be printed on the medical chart sheet 5 instead of the patient name.

(Modification 9)
In the example of FIG. 9, in step S <b> 1, the reception terminal 3 generates patient information based on the input to the input means 31 by the reception worker. However, the method for generating patient information to which the present invention is applicable is not limited to this. Instead of this, for example, the reception terminal 3 may generate patient information by scanning an application form filled in by the patient 90 and recognizing the written content. In another example, a dot pattern is printed on the application form described above, and the reception terminal 3 recognizes a stroke that reproduces the handwriting by the electronic pen based on the entry information generated by the electronic pen by filling in the application form, Patient information may be generated by character recognition of the stroke.

(Modification 10)
In the example of FIG. 9, in step S1, the reception terminal 3 generates a patient ID. Instead, the server device 7 manages the patient ID, and the reception terminal 3 requests the server device 7 to assign a new patient ID, and the patient ID assigned by the server device 7 is the patient of the patient 90. The ID may be determined.

DESCRIPTION OF SYMBOLS 1 ... Electronic pen 3 ... Reception terminal 4 ... Examination terminal 5 ... Medical chart paper 6 ... Bar code 7 ... Server apparatus 8 ... Printer 30 ... Bar code reader 50 ... Reception system 100 ... Electronic pen system

Claims (7)

Identification information of an encoded pattern that can be read by an electronic pen printed on a medical entry form, and an identification that can be read by a reading device different from the electronic pen and that is indicated by an identification pattern attached to the entry form A storage unit that associates and stores information;
Patient information generation means for generating patient information of the patient and identification information of the patient;
Identification information acquisition means for acquiring, from the reading device, identification information indicated by the identification pattern when the reading device reads the identification pattern attached to the medical entry document assigned to the patient;
Association means for associating and storing at least one of identification information indicated by the identification pattern or identification information of a coding pattern associated with the identification pattern and the identification information of the patient;
An association system comprising:   The association system according to claim 1, further comprising a printing unit that causes a printing machine to print at least one of the patient information of the patient or the identification information of the patient on the entry form. Receiving means for receiving entry information generated by an electronic pen reading a coded pattern printed on the entry form;
Generating means for generating display information indicating a stroke reproducing the handwriting on the entry document by the electronic pen based on the entry information;
The association system according to claim 1 or 2, wherein the association unit stores the display information in association with identification information of a patient corresponding to identification information of a coding pattern indicated by the entry information. 4. The apparatus according to claim 3, further comprising warning output means for outputting a warning when the identification information of the coded pattern indicated by the entry information used for generating the display information is not associated with the patient identification information. Association system.   2. The display device according to claim 1, further comprising a display unit configured to display an instruction for reading an identification pattern attached to the entry document by the reading device after generating the patient information of the patient and the identification information of the patient. 5. The association system according to any one of items 1 to 4.   The association system according to any one of claims 1 to 5, wherein the identification pattern is a one-dimensional code or a two-dimensional code indicating identification information unique to each entry document. Identification information of an encoded pattern that can be read by an electronic pen printed on a medical entry form, and an identification that can be read by a reading device different from the electronic pen and that is indicated by an identification pattern attached to the entry form A program executed by a computer capable of referring to a storage unit that stores information in association with each other,
Patient information acquisition means for acquiring patient information of the patient and identification information of the patient;
Identification information acquisition means for acquiring identification information indicated by an identification pattern attached to a medical entry document assigned to the patient;
The computer is caused to function as association means for associating and storing at least one of identification information indicated by the identification pattern or identification information of a coding pattern associated with the identification pattern and the identification information of the patient. program.