JP2023142390A - Electronic medical record system and electronic medical record program - Google Patents

Abstract

To provide an electronic medical record system and electronic medical record program, which make it easy to output prescriptions.SOLUTION: An electronic medical record system 10 is provided, comprising a registration processing unit 115 and an output processing unit 116. The registration processing unit 115 responds to an operation of a user by registering refill information on a refill prescription. The output processing unit 116 outputs a prescription Sh1 that reflects the registered refill information.SELECTED DRAWING: Figure 1

Description

The present invention relates to an electronic medical record system and an electronic medical record program for displaying electronic medical records.

As related technology, a medical information processing system is known that commonly displays an electronic medical record including a chief complaint area and a treatment area on a plurality of terminals that have different input authority to the chief complaint area and the treatment area (for example, , see Patent Document 1). In a system related to related technology, for example, when a terminal operated by a doctor is a first terminal and a terminal operated by a medical staff other than the doctor is a second terminal, the chief complaint finding area and the Inputs to the treatment area are both permitted, and inputs from the second terminal to the chief complaint area are prohibited. Therefore, the doctor freely inputs the chief complaint area and the treatment area through the first terminal. On the other hand, since the medical staff is prohibited from inputting into the chief complaint area through the second terminal, it is possible to prohibit erroneous input into the chief complaint area.

Japanese Patent Application Publication No. 2020-191054

By the way, in Japan, for example, "refill prescriptions" will be introduced due to the revision of medical fees. The refill prescription is a prescription that can be used repeatedly within a certain fixed period, and is different from previous prescriptions in terms of format. Therefore, in the system according to the related technology, even if a prescription is output, if it does not correspond to the refill prescription, it is necessary for a person to manually correct the format to correspond to the refill prescription. As a result, there is a problem in that outputting the prescription tends to be time consuming.

An object of the present invention is to provide an electronic medical record system and an electronic medical record program that do not require much time and effort to output prescriptions.

An electronic medical record system according to one aspect of the present invention includes a registration processing section and an output processing section. The registration processing unit registers refill information regarding a refill prescription in response to a user's operation. The output processing unit outputs a prescription that reflects the registered refill information.

An electronic medical record program according to another aspect of the present invention is a program for causing a computer to execute a registration step and an output step. In the registration step, refill information regarding a refill prescription is registered in response to a user's operation. In the output step, a prescription that reflects the registered refill information is output.

According to the present invention, it is possible to provide an electronic medical record system and an electronic medical record program in which it is difficult to output prescriptions.

FIG. 1 is a block diagram showing an example of an electronic medical record system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of a prescription that can be output by the electronic medical record system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of a medical record screen displayed on the electronic medical record system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of a print screen displayed on the electronic medical record system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of a medication instruction screen displayed on the electronic medical record system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of an accounting print screen displayed on the electronic medical record system according to the embodiment of the present invention. FIG. 7 is an enlarged view of a part of a prescription that can be output by the electronic medical record system according to the embodiment of the present invention, and is a diagram showing an example of printing for each refill information. FIG. 8 is an enlarged view of a part of the medical record screen displayed by the electronic medical record system according to the embodiment of the present invention, and is a diagram showing an example of display for each refill information. FIG. 9 is an enlarged view of a part of the accounting screen displayed in the electronic medical record system according to the embodiment of the present invention, and is a diagram showing an example of display for each refill information. FIG. 10 is a flowchart illustrating an example of the procedure of an electronic medical record management method executed by the electronic medical record system according to the embodiment of the present invention.

Embodiments of the present invention will be described below with reference to the accompanying drawings to provide an understanding of the present invention. Note that the following embodiments are examples of embodying the present invention, and are not intended to limit the technical scope of the present invention. Furthermore, the configurations and processing functions described in the embodiments below can be selected and combined as desired.

[Electronic medical record system 10]
As shown in FIG. 1, an electronic medical record system 10 according to an embodiment of the present invention includes an electronic medical record device 1, a reception terminal 3, a medical examination terminal 2, and a printer 4. The electronic medical record device 1, the reception terminal 3, the examination terminal 2, and the printer 4 can communicate via a communication network NT1 such as a LAN (Local Area Network), a WAN (Wide Area Network), the Internet, or an intranet. It is. Further, a host system 5 is connected to the electronic medical record device 1 via the communication network NT1. The electronic medical record system 10 may include a plurality of at least one of the electronic medical record apparatus 1, the reception terminal 3, the examination terminal 2, and the printer 4. Further, the electronic medical record system 10 may further include a client terminal other than the reception terminal 3 and the examination terminal 2, such as a mobile terminal.

Users of the electronic medical record system 10 are, for example, medical personnel (medical staff) such as doctors, medical clerks, medical clerks, nurses, pharmacists, or facility managers at medical institutions such as hospitals or pharmacies. In this embodiment, as an example, it is assumed that the electronic medical record system 10 is used in a hospital, and the users of the electronic medical record system 10 are doctors and medical clerks of the hospital. A user basically uses the electronic medical record system 10 through the examination terminal 2 or the reception terminal 3. In other words, the electronic medical record device 1 is capable of receiving operation input from a user on the examination terminal 2 or the reception terminal 3, and is also capable of displaying various information on the examination terminal 2 or the reception terminal 3. It is.

The electronic medical record system 10 has a function of managing electronic medical records. An "electronic medical record" in the present disclosure means a record (medical record) in which medical information such as patient disease information, examination details, diagnosis results, medication information, test results, and progress is stored as electronic data. In principle, the electronic medical record is created for each patient, and multiple electronic medical records are created for multiple patients. Here, various patient medical information included in the electronic medical record is included in "medical record information." The medical record information is newly recorded (described) in the electronic medical record by the electronic medical record device 1, for example, in response to a user's (doctor's) operation on the examination terminal 2. Further, the medical record information recorded in the electronic medical record is added, deleted, changed, updated, etc. by the electronic medical record apparatus 1, for example, in response to a user's operation on the medical examination terminal 2. Making some changes to the medical record information included in the electronic medical record, such as new recording, addition, deletion, and updating of the medical record information, is called "editing" of the medical record information. That is, in the electronic medical record system 10, it is possible to edit the medical record information of the electronic medical record according to the user's operation.

Further, the electronic medical record system 10 has a function of displaying the electronic medical record. In the electronic medical record system 10 according to the present embodiment, the electronic medical record apparatus 1 displays a medical record screen P1 (see FIG. 3) containing the medical record information etc. in response to the user's operation of the examination terminal 2 or the reception terminal 3. It is possible to display a display screen such as the following on the examination terminal 2 or the reception terminal 3. By displaying the medical record screen P1 on the medical examination terminal 2 or the reception terminal 3, the electronic medical record is presented to the user, and the user confirms the electronic medical record through the medical examination terminal 2 or the reception terminal 3. becomes possible. Then, the user can edit the medical record information by performing an operation to edit the medical record information on the medical record screen P1 displayed on the medical examination terminal 2 or the reception terminal 3. The examination terminal 2 or the reception terminal 3 displays the medical record screen P1 based on the display data transmitted from the electronic medical record apparatus 1, or displays various data stored in the electronic medical record apparatus 1. The medical record screen P1 is displayed with reference.

Specifically, in this embodiment, a server client system is configured by the electronic medical record device 1 and the medical examination terminal 2 or the reception terminal 3, and the electronic medical record device 1 is connected to the medical examination terminal 2 or the reception terminal 3. A case will be described in which various processes such as display and printing are executed in response to user operations. Therefore, in this embodiment, "display", "operation", "selection", "input", etc. described below will be described as being performed using the examination terminal 2 or the reception terminal 3. Note that similar displays and operations may be performed on the electronic medical record device 1.

Furthermore, the electronic medical record system 10 has a function of outputting a prescription Sh1 (see FIG. 1). In the electronic medical record system 10 according to the present embodiment, the electronic medical record apparatus 1 generates prescription information according to the medical record information, and transmits the prescription information in accordance with the operation of the examination terminal 2 or the reception terminal 3 by the user. It is possible to output it. Specifically, the electronic medical record device 1 can, for example, generate print data including the prescription information, output the print data to the printer 4, and print (issue) the prescription Sh1.

Further, the electronic medical record system 10 has the function of a receipt computer processing system capable of executing accounting processing such as registration and updating of accounting information. In the electronic medical record system 10 according to the present embodiment, the electronic medical record device 1 performs the accounting processing such as registering and updating the accounting information according to the medical record information in response to the operation of the reception terminal 3 by the user, for example. Execute.

The higher-level system 5 is a medical-related system that is different from the electronic medical record system 10 and only needs to be able to cooperate with the electronic medical record system 10 through communication, and has a "superordinate" relationship with the electronic medical record system 10. It is not necessary that it be in The host system 5 can receive inputs such as patient data, prescription data regarding the prescription or administration of medicines to patients, and test data regarding test results of various tests performed on patients. The patient data includes patient identification information for identifying individual patients, such as patient ID or patient name, as well as patient's age, gender, medical history, prescription drug history, alcohol consumption, and smoking. Various information regarding the patient is included, such as presence/absence, family information, and physical information such as the patient's height, weight, and body surface area.

The host system 5 inputs the patient data, the prescription data, the test data, etc. into the electronic medical record device 1 according to user operations, or automatically inputs the patient data, the prescription data, the test data, etc. at a predetermined timing such as a preset closing processing time. The information is input into the electronic medical record device 1. Further, the electronic medical record device 1 may be configured to actively read out the patient data, the prescription data, the test data, etc. from the host system 5. A plurality of the higher-level systems 5 may be provided, and furthermore, the plurality of higher-level systems 5 may include different types of systems. Note that at least one of the patient data, the prescription data, and the test data is directly input into the electronic medical record system 10 by a user's operation on the examination terminal 2, the reception terminal 3, or the electronic medical record device 1. may be done.

By the way, in Japan, for example, "refill prescriptions" will be introduced due to the revision of medical fees. The refill prescription is a prescription that can be used repeatedly within a certain fixed period, and is different from previous prescriptions in terms of format. Therefore, even if the electronic medical record system 10 outputs the prescription Sh1, if the electronic medical record system 10 does not support the refill prescription, a person will eventually manually modify the format corresponding to the refill prescription. There is a need to. As a result, there is a problem in that outputting the prescription Sh1 tends to be time-consuming.

In view of such circumstances, the electronic medical record system 10 according to the present embodiment adopts a configuration that makes outputting the prescription Sh1 less time-consuming. Specifically, as shown in FIG. 1, the electronic medical record system 10 includes a registration processing section 115 and an output processing section 116. The registration processing unit 115 registers refill information regarding the refill prescription in response to a user's operation. The output processing unit 116 outputs the prescription Sh1 reflecting the registered refill information.

[Examination terminal 2]
The medical examination terminal 2 is a personal computer that includes a control section 21, a storage section 22, a communication I/F 23, a display section 24, an operation section 25, a drive device 26, and the like. The examination terminal 2 is an operating terminal that is placed in a medical institution (in this embodiment, a hospital) where the electronic medical record system 10 is used and is operated by a user. For example, the examination terminal 2 is placed in an examination room of the medical institution, and is used by a doctor of the medical institution during examinations. Note that the medical examination terminal 2 may be a portable information processing device such as a smartphone, a tablet terminal, a wearable terminal, or a laptop computer.

The control unit 21 includes control devices such as a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and an EEPROM (registered trademark). The CPU is a processor that executes various types of arithmetic processing. The ROM is a non-volatile storage section in which information such as control programs for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage section, and the EEPROM is a nonvolatile storage section. The RAM and the EEPROM are used as temporary storage memory (work area) for various processes executed by the CPU. The control unit 21 uses the CPU to execute various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 22.

The storage unit 22 is a non-volatile storage unit such as a hard disk or an SSD (Solid State Drive) in which various control programs and various data executed by the control unit 21 are stored. Specifically, the storage unit 22 includes a program storage unit that stores application programs such as an operating system (OS) and browser software. The browser software displays various operation screens on the display unit 24 by accessing the electronic medical record device 1 via the communication network NT1, and performs input operations on the operation screen using the operation unit 25. This is application software for transmitting the information to the electronic medical record device 1. For example, when address information such as a URL (Universal Resource Locator) corresponding to the electronic medical record device 1 is input to a predetermined position on the operation screen displayed by the browser software, the control unit 21 controls the address information. The electronic medical record device 1 is accessed based on.

The communication I/F 23 is a network that executes data communication wirelessly or by wire according to a predetermined communication protocol between the electronic medical record device 1 and external devices such as the printer 4 via the communication network NT1. It is a communication interface that has a card, etc.

The display unit 24 is a device such as a liquid crystal display or an organic EL (Electro-Luminescence) display that displays various information according to control instructions from the control unit 21. For example, by executing various processes according to the browser software, the control unit 21 displays various information based on the display data received from the electronic medical record device 1 on the display unit 24. to be displayed.

The operation unit 25 is a device operated by the user to input various information to the examination terminal 2. Specifically, the operation unit 25 includes a keyboard and a pointing device (such as a mouse) that accept input operations on various operation screens displayed on the display unit 24. Further, the operation unit 25 may include a touch panel that accepts touch operations on various operation screens displayed on the display unit 24, or a voice input device that accepts input of various information through voice recognition. Then, the control unit 21 receives a user operation on the operation unit 25 by executing various processes according to the browser software, and inputs the content of the user operation to the electronic medical record device 1.

The drive device 26 is a device that reads the OS or the browser software from a computer-readable recording medium 261 on which the OS or the browser software is non-temporarily recorded. The drive device 26 may be integrated with the diagnosis terminal 2, or may be externally attached to the diagnosis terminal 2 by being removably connected to the diagnosis terminal 2. The recording medium 261 is a CD, DVD, BD, or USB memory, and the drive device 26 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the examination terminal 2, the control unit 21 installs the OS or the browser software read from the recording medium 261 using the drive device 26 into the program storage unit of the storage unit 22.

Specifically, the electronic medical record device 1 transmits data written in a web page description language such as HTML (Hyper Text Markup Language) to the examination terminal 2, thereby displaying the display unit of the examination terminal 2. 24 to display various screens. Further, the control unit 21 of the medical examination terminal 2 transmits an operation signal to the electronic medical record device 1 in response to an operation input to the operation unit 25.

[Reception terminal 3]
The reception terminal 3 is a personal computer that includes a control section 31, a storage section 32, a communication I/F 33, a display section 34, an operation section 35, a drive device 36, and the like. The reception terminal 3 is an operating terminal that is placed in a medical institution (a hospital in this embodiment) where the electronic medical record system 10 is used and is operated by a user. For example, the reception terminal 3 is placed at a reception counter of the medical institution, and is used by a medical clerk of the medical institution during counter operations including the accounting process.

The hardware configuration itself of the reception terminal 3 is the same as that of the diagnosis terminal 2, and includes the control section 31, the storage section 32, the communication I/F 33, the display section 34, the operation section 35, and the The drive device 36 corresponds to the control section 21, the storage section 22, the communication I/F 23, the display section 24, the operation section 25, and the drive device 26 of the examination terminal 2, respectively. Therefore, a detailed explanation of the configuration of the reception terminal 3 will be omitted here. Note that the drive device 36 reads the OS or the browser software from a non-temporarily recorded computer-readable recording medium 361.

[Printer 4]
The printer 4 is capable of executing a printing process of recording information included in print data input from the electronic medical record device 1, the medical examination terminal 2, or the reception terminal 3 via the communication network NT1 on a sheet such as paper. An image forming device such as a color printer or a monochrome printer. In this embodiment, as an example, the printer 4 is placed at a reception desk of the medical institution (hospital). In the printer 4, for example, the prescription Sh1 based on the prescription data in the medical record information is printed using the print data including the prescription information. The printer 4 is also used, for example, to print receipts (medical remuneration statements) and the like.

[Electronic medical record device 1]
As shown in FIG. 1, the electronic medical record device 1 is a computer that includes a control section 11, a storage section 12, a communication I/F 13, a display section 14, an operation section 15, a drive device 16, and the like. Note that the electronic medical record device 1 may be provided outside a medical institution such as a hospital or pharmacy where the electronic medical record system 10 is used, or may be realized by a server (or cloud computing) or the like. Further, the electronic medical record device 1 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 11 has the same configuration as the control unit 21, and includes control devices such as a CPU, ROM, RAM, and EEPROM, and uses the CPU to control the ROM, the EEPROM, or the storage unit. Various processes are executed according to various control programs stored in advance in 12.

The storage unit 12 is a nonvolatile storage unit such as a hard disk or SSD in which various control programs and various data executed by the control unit 11 are stored. Further, the storage section 12 includes a program storage section 121, a master storage section 122, and an information storage section 123.

The program storage unit 121 is a storage area in which electronic medical record programs and the like for causing the control unit 11 to execute various processes related to an electronic medical record management method, which will be described later, are stored. Note that the program storage unit 121 also stores programs such as an operating system (OS).

The master storage unit 122 is a storage area in which various types of master information such as a disease name master, a patient master, and a medicine master are stored, for example. The disease name master, the patient master, the medicine master, etc. are configured according to user operations on the electronic medical record apparatus 1, the examination terminal 2, or the reception terminal 3 during initial setting or maintenance of the electronic medical record apparatus 1. The data is edited as appropriate and stored in the master storage section 122.

The information storage unit 123 stores various information constituting the electronic medical record, such as XML information and a medical record database. The XML information is data that describes the medical record information of the electronic medical record using XML (Extensible Markup Language). The XML information is created, for example, in response to an operation by a user such as a doctor using the examination terminal 2 or the reception terminal 3, and is updated at any time. The medical record database is a database for accumulating and long-term storage of the medical record information of the electronic medical record. For example, when a user such as a doctor using the examination terminal 2 or the reception terminal 3 performs an operation to save medical record information at the end of a medical examination, the medical record information included in the XML information is saved in the medical record database. be done.

Note that at least one of the master information, the XML information, and the medical record database may be stored in a storage device different from the electronic medical record apparatus 1. For example, at least one of the master information, the XML information, and the medical record database may be stored in an external server (or cloud computing) outside the electronic medical record system 10. The control unit 11 may be able to access the external server or the like via the Internet or the like.

The communication I/F 13 has the same configuration as the communication I/F 23, and exchanges data with external devices such as the examination terminal 2, the reception terminal 3, and the printer 4 via the communication network NT1. Execute communication. The communication I/F 13 also performs data communication with the host system 5.

The display unit 14 is a device such as a liquid crystal display or an organic EL display that displays various information according to control instructions from the control unit 11. The operation section 15 has the same configuration as the operation section 25, and is a device operated by a user to input various information to the electronic medical record device 1. Then, the control unit 11 receives a user operation on the operation unit 15, and executes a process according to the content of the user operation.

The drive device 16 has the same configuration as the drive device 26, and is a device that reads the electronic medical record program from a computer-readable recording medium 161 on which the electronic medical record program is non-temporarily recorded. In the electronic medical record apparatus 1 , the control unit 11 installs the electronic medical record program read from the recording medium 161 using the drive device 16 into the program storage unit 121 of the storage unit 12 . Note that the electronic medical record program may be stored in advance in the storage unit 12, or may be received by the electronic medical record apparatus 1 from an external device via the communication network NT1.

By the way, as shown in FIG. 1, the control unit 11 of the electronic medical record device 1 includes an input processing unit 111, a display processing unit 112, an editing processing unit 113, a setting processing unit 114, the registration processing unit 115, and the output processing unit 114. It includes a processing section 116. Specifically, the control unit 11 executes various processes related to the electronic medical record management method described below in accordance with the electronic medical record program, thereby controlling the input processing unit 111, the display processing unit 112, the editing processing unit 113, It functions as various processing units such as the setting processing unit 114, the registration processing unit 115, and the output processing unit 116. That is, in this embodiment, the electronic medical record device 1 embodies the main functions of the electronic medical record system 10. In other words, the electronic medical record system 10 according to the present embodiment only needs to include the electronic medical record device 1, and does not include the examination terminal 2, the reception terminal 3, the printer 4, etc. as components. Good too. Note that the control unit 11 may include a plurality of processors, and any one of the plurality of processors may function as the various processing units. Further, a part or all of the various processing units may be formed of an electronic circuit.

Further, as another embodiment, a part or all of the functions of the electronic medical record device 1 may be provided in the examination terminal 2 or the reception terminal 3. For example, part or all of the electronic medical record program is installed on the examination terminal 2 or the reception terminal 3, and the control unit 21 of the examination terminal 2 or the control unit 31 of the reception terminal 3 It is also conceivable to appropriately acquire necessary information from the electronic medical record device 1 and execute various processes related to the electronic medical record management method described below. In this case, the examination terminal 2 or the reception terminal 3 embodies the main functions of the electronic medical record system 10. Furthermore, in the electronic medical record system 10, it is also conceivable that the electronic medical record device 1 and the examination terminal 2 or the reception terminal 3 cooperate to execute various processes related to the electronic medical record management method described below. .

The input processing unit 111 performs an input process (input step) of inputting information related to the medical record information as input information in response to an input operation on the examination terminal 2 or the reception terminal 3. In the medical examination terminal 2 or the reception terminal 3, various information such as patient information (patient ID, name, etc.), disease information, examination contents, diagnosis results, medication information, test results, and medical treatment information such as progress is input. Ru. Then, this information is transmitted as the input information from the examination terminal 2 or the reception terminal 3 to the electronic medical record apparatus 1, and is registered in the medical record information by the input processing section 111.

The display processing unit 112 performs a display process (display step) to display a display screen such as the medical chart screen P1. In this embodiment, the medical record screen P1 is displayed on the display unit 24 of the medical examination terminal 2, so the display processing unit 112 displays the medical record screen P1 by transmitting data to the medical examination terminal 2. Display. Specifically, the display processing unit 112 generates the medical record screen P1 based on the electronic medical record stored in the storage unit 12, and outputs the medical record screen P1 to the examination terminal 2. , displays the medical record screen P1. When displaying the medical record screen P1 on the display unit 34 of the reception terminal 3, the display processing unit 112 displays the medical record screen P1 by transmitting data to the reception terminal 3.

The editing processing unit 113 performs an editing process (editing step) of editing the medical record information of the electronic medical record in response to an operation by a user such as a doctor. Editing of the medical record information performed by the editing processing unit 113 includes various processes for changing the medical record information included in the electronic medical record, such as new recording, addition, deletion, and updating of the medical record information. In this embodiment, the user operation for editing the medical record information is performed on the medical record screen P1. Specifically, with the display processing unit 112 displaying the chart screen P1 on the medical examination terminal 2, the editing processing unit 113 may cause the display processing unit 113 to Edit medical record information. However, a user who performs an operation to edit the medical record information is limited to a user who has the authority to edit the electronic medical record. Therefore, even if a user who does not have the editing authority performs an operation on the electronic medical record, the editing processing unit 113 does not edit the medical record information of the electronic medical record.

In this embodiment, a plurality of methods are prepared as methods for editing the medical record information of the electronic medical record. For example, the medical record information can be written (newly recorded or added) by selecting a desired area on the medical record screen P1 with a mouse or a touch panel, and then inputting a character string from a keyboard. Further, the medical record information can also be entered by operating the keypad displayed on the medical record screen P1 using a mouse, numeric keypad, touch panel, or the like. Alternatively, the medical record information can be written by registering any medical record information in advance as set information and selecting the set information using a mouse, numeric keypad, or touch panel. Further, the medical record information can be written by moving an icon indicating the set information to a desired area of the medical record screen P1 by dragging and dropping or the like. Furthermore, the editing processing unit 113 may automatically edit the medical record information based on information acquired from the host system 5 or other systems.

Here, the editing processing unit 113 basically edits a part of the medical record information, rather than editing the entire medical record information of the electronic medical record at once. In other words, the medical record information includes a plurality of pieces of information, and some of the pieces of information are to be edited by the editing processing unit 113 as information being edited. In this embodiment, for example, a sentence, line, clause, word, paragraph, item, or region is used as an editing unit, and the editing information is set for the editing unit.

The setting processing unit 114 performs setting processing (setting step) related to operation settings of the electronic medical record system 10. The operation settings performed by the setting processing unit 114 include settings related to printing operations by the printer 4, settings for enabling/disabling various functions of the electronic medical record system 10, and the like. In this embodiment, the user operation for the operation setting is performed on the operation setting screen displayed on the examination terminal 2 or the like. Specifically, while the display processing section 112 displays the operation setting screen on the examination terminal 2, the setting processing section 114 causes the operation setting screen to be displayed in response to an operation performed by a user on the examination terminal 2. Configure settings related to operation settings. However, the user who performs the operation for the operation setting is limited to a user who has the authority to set the operation setting. Therefore, even if a user who does not have the authority to set the operation settings performs an operation, the setting processing unit 114 does not perform settings related to the operation settings.

The registration processing unit 115 executes a registration process (registration step) of the refill information regarding the refill prescription. The refill information includes, for example, information such as whether refills (repeated use of a prescription) are allowed, and the permitted number of refills. In this embodiment, the refill information includes information on both whether or not refilling is possible and the number of times the refill is allowed. The permissible number of times is a value representing the upper limit number of times that the refill prescription can be used repeatedly within a predetermined period of time, and is selected from "two times" or "three times" as an example. That is, basically, if the refill information indicating that the prescription is refillable is registered, the prescription Sh1 output from the electronic medical record system 10 is a prescription that can be used repeatedly within a certain predetermined period. This is a refill prescription. For example, if the refill information indicating that the permissible number of times is "3 times" is registered, the refill prescription can be used repeatedly up to "3 times" within a certain predetermined period. .

Here, in the allowable number of times, the first (first) prescription using the refill prescription is also included in the number of times counted. In other words, the first prescription that is not a refill (repeated use) using the refill prescription is considered the first prescription, the next prescription (first refill) is the second prescription, and the next prescription (second refill). Count as the third time. Therefore, for example, if the allowable number of times is "3 times", it means that in addition to the initial prescription, refilling (repeated use) is possible up to two times. Furthermore, "0 times" or "1 time" may be selectable as the allowable number of times. If the permissible number of times for the refill prescription is "0 times" or "1 time", the refill prescription can only be used up to the first prescription, so whether the refill information indicating that refills are possible is registered or not. Regardless, the refill prescription is essentially treated as non-refillable.

In this embodiment, the registration processing unit 115 newly sets the refill information in the information storage unit 123 for each of the medical record information in response to a user operation using the examination terminal 2 or the reception terminal 3. The refill information is registered by (registering) or editing (correcting). Here, the refill information may be included in the medical record information, or may be stored in the information storage unit 123 separately from the medical record information. Specifically, with the display processing unit 112 displaying the chart screen P1 on the medical examination terminal 2, in response to an operation performed by a user on the medical examination terminal 2, the registration processing unit 115: The refill information corresponding to the medical record screen P1 is registered. However, the user who performs the operation for registering the refill information is limited to a user who has the authority to register the refill information. Therefore, even if a user who does not have the authority to register the refill information performs an operation, the registration processing unit 115 does not register the refill information.

The output processing unit 116 performs an output process (output step) of outputting various information related to the electronic medical record, such as the prescription Sh1. In this embodiment, the output processing unit 116 outputs the prescription Sh1 that reflects at least the registered refill information. Specifically, for example, when the medical examination terminal 2 displaying the medical record screen P1 receives a print operation by a user, the output processing unit 116 causes the printer 4 to print the prescription Sh1 corresponding to the medical record screen P1. . Here, at least the refill information corresponding to the currently displayed medical record screen P1 is reflected in the printed prescription Sh1.

However, the aspect of "output" related to the output processing is not limited to printing, but includes, for example, writing to memory (storage unit 12), display, audio output, data output, transmission to other systems (other devices), It may also include writing to a database, writing to a memory other than the storage unit 12, and the like. For example, the output processing unit 116 may generate the prescription information according to the medical record information and simply write the prescription information into the information storage unit 123, and it is not essential to have the printer 4 print the prescription Sh1. . Further, the output processing unit 116 may output the prescription information to a device other than the electronic medical record system 10 (including the host system 5).

[Prescription Sh1]
FIG. 2 is an example of the prescription Sh1 that can be output (issued) by the electronic medical record system 10. In the drawings showing the printed matter (prescription Sh1) such as FIG. 2, the dashed-dot lines, leader lines, and reference numerals representing regions are only added for the purpose of explanation and are not actually printed.

The prescription Sh1 includes information regarding the prescribed medicine (medicine), such as the type, dose, and usage. "Drugs" in the present disclosure include liquid drugs (liquid drugs), tablets, powdered drugs (powder drugs), and the like. That is, a doctor who is a user of the electronic medical record system 10 examines a patient, inputs information regarding the medicine necessary for the patient into the electronic medical record system 10, and writes the prescription Sh1 containing information regarding the medicine. , to be output to the electronic medical record system 10. The prescription Sh1 illustrated in FIG. 2 is, for example, a printed matter on which various information is printed by the printer 4 on A5 size paper.

Further, since the electronic medical record system 10 according to the present embodiment is assumed to be compatible with "refill prescriptions" as described above, the prescription Sh1 is in a format that can be compatible with the refill prescriptions. A "refill prescription" as used in the present disclosure means a prescription that can be used repeatedly within a certain defined period of time. Therefore, after the patient runs out of the drug dispensed in the first use of the refill prescription, the patient does not receive a second visit to the doctor and is considered to have received the same prescription. , or may receive the drug dispensed for a third use. In this way, dispensing using the refill prescription is different from split dispensing, in which the drug is divided and provided to the patient within the number of days and amount specified by the doctor in advance.

Furthermore, in Japan, regarding the refill prescription, it is stipulated that the number of times the prescription Sh1 can be refilled (repeatedly used) (the permissible number of times) is also specified by a doctor. For example, according to the refill prescription in which the permissible number of times is specified as "3 times," the patient may dispense the same refill prescription up to three times within a certain predetermined period. can receive said medicines. In other words, the refill prescription can be used up to three times within a certain predetermined period. However, the maximum allowable number of times is defined as "three times" in Japan, and therefore, the refill prescription can be said to be a prescription that can be used repeatedly two or three times.

Specifically, the prescription Sh1 includes a patient information field C1, a period information field C2, a prescription field C3, a notes field C4, a barcode field C5, a dispensing history field C6, a refill field C7, and the like. In the patient information column C1, items related to the patient, such as the patient's name, date of birth, and gender, are entered (printed). In the period information column C2, items related to the period, such as the date of issue of the prescription Sh1 and the period of use of the prescription Sh1, are entered (printed). The usage period of the prescription Sh1 here means the last day of the validity period of the prescription Sh1, and unless otherwise specified, it is within 4 days including the delivery (issuance) date of the prescription Sh1. In the prescription column C3, matters related to the prescribed medicine, such as the type, dose, and usage of the prescribed medicine, are entered (printed). In the notes column C4, matters to be communicated to the dispensing pharmacy (insurance pharmacy), etc. are entered (printed). A barcode, a two-dimensional code, and the like are written (printed) in the barcode field C5.

The dispensing record column C6 and the refill column C7 are newly established columns to accommodate the refill prescription. In the dispensing record column C6, when the prescription Sh1 is used as the refill prescription, items related to the dispensing record at the dispensing pharmacy, such as the date of dispensing, are entered (printed). Specifically, in the above-mentioned dispensing record column C6, there is a check box for dispensing for each of the 1st, 2nd, and 3rd dispensing (if the dispensing is carried out, enter "R" or "x"), and the dispensing date. Contains entry fields. Furthermore, each of the first and second doses also includes an entry column for the next scheduled dispensing date. In the refill column C7, items representing the characteristics of the prescription Sh1 as the refill prescription are entered (printed). Specifically, the refill column C7 includes a check box indicating whether refills (repeated use) are possible (enter "R" or "x" if refills are possible), and an entry column for the allowable number of times. . In this embodiment, as an example, the refill column C7 is arranged within the prescription column C3 (bottom row), but the present invention is not limited to this example, and the refill column C7 is arranged outside the prescription column C3. Good too.

In short, the prescription Sh1 is treated as the refill prescription if a "re" or "x" is entered in the refillable checkbox in the refill column C7. In this case, the prescription Sh1 can be used repeatedly within a predetermined period up to the permissible number of times entered in the refill column C7. On the other hand, if "R" or "X" is not entered in the refillable checkbox in the refill column C7, the prescription Sh1 is treated as a normal prescription, not a refill prescription, and repeated use is not allowed. Become. Since it is the dispensing pharmacy that enters the check (“R” or “X”) and date (the dispensing date, the next scheduled dispensing date) in the dispensing record column C6, the information is output from the electronic medical record system 10. At the time of (issuance), as shown in FIG. 2, the check and date in the dispensing record column C6 are left blank.

Note that information such as the name of the medical institution and the dispensing pharmacy, the name of the doctor, the name of the pharmacist, contact information, the public payer number, and the insurance number are also appropriately written in the prescription Sh1.

[Electronic medical record management method]
An example of the electronic medical record management method executed by the control unit 11 of the electronic medical record apparatus 1 will be described below. When a preset specific start operation for executing the electronic medical record program is performed on the examination terminal 2 or the reception terminal 3, the control unit 11 performs various operations related to the electronic medical record management method. Execute the process. Further, the electronic medical record management method may be terminated in response to a specific termination operation on the examination terminal 2 or the reception terminal 3 even while the electronic medical record management method is being executed. Note that the present invention may be regarded as an invention of a method (electronic medical record management method) in which a computer such as the electronic medical record apparatus 1 executes part or all of the processing of the electronic medical record management method.

Here, the start operation includes connecting the medical examination terminal 2 or the reception terminal 3 to the electronic medical record apparatus 1 (starting the application software), logging in with input of a user ID and password, and the like. On the other hand, the termination operation includes an operation of closing the display screen such as the medical record screen P1, logging out, and disconnection between the electronic medical record apparatus 1 and the examination terminal 2 or the reception terminal 3.

Additionally, the control unit 11 of the electronic medical record device 1 basically controls the screen (the medical record screen P1, etc.) displayed on the display unit 24 of the examination terminal 2 or the display unit 34 of the reception terminal 3. to execute the electronic medical record management method. The “screen” in the present disclosure means a video (image) displayed on the display unit 24 or the display unit 34, and includes images, figures, photographs, texts, videos, and the like. The main screens displayed on the display section 24 or the display section 34 include an operation setting screen, a home screen, etc. in addition to the medical record screen P1 shown in FIG. In this embodiment, as an example, the control unit 11 of the electronic medical record device 1 is configured to be able to transition from the home screen to the medical record screen P1 or the like in response to a user operation.

That is, by the start operation, the home screen is first displayed on the display section 24 of the medical examination terminal 2 or the display section 34 of the reception terminal 3. When a specific operation is performed on the home screen with a certain patient designated, the home screen transitions to the medical record screen P1 representing the electronic medical record for the patient. On various operation screens (including the medical record screen P1) displayed on the display section 24 (or the display section 34), the operation section 25 (or the operation section 35) accepts user operations.

In the following, as an example, the medical examination terminal 2 may accept an input operation on the display screen such as the chart screen P1 displayed on the display section 24 using a mouse and a keyboard included in the operation section 25. do. In other words, for example, when causing the registration processing unit 115 to execute the registration process of the refill information, the user can edit the refill information by operating the mouse and keyboard included in the operation unit 25. user operations). Similarly, the reception terminal 3 accepts input operations on the display screen such as the medical record screen P1 displayed on the display unit 34 using the mouse and keyboard included in the operation unit 35. The various operation buttons on the display screen such as the medical record screen P1 are objects included in the display screen, and the operation buttons are connected to the operation section 25 (or the It is operated by operating the operating section 35). For example, the user can operate the mouse included in the operation unit 25, move the cursor to any of the operation buttons on the medical record screen P1, and click the button. Can operate buttons.

[Medical record screen P1]
First, the chart screen P1 displayed on the display section 24 of the medical examination terminal 2 will be described with reference to FIG. 3.

FIG. 3 is a diagram showing an example of the medical record screen P1. As shown in FIG. 3, the medical record screen P1 includes a past medical record area A1, a current medical record area A2, a patient information area A3, a keypad area A4, a shortcut area A5, a calendar area A6, and the like. Furthermore, in the drawings showing the screen displayed on the display section 24 (or the display section 34) such as FIG. First, it is not actually displayed on the display section 24 (or the display section 34).

The past medical record area A1 is an area where medical information such as past (previous or previous) medication information is displayed. The current medical record area A2 is an area where medical information such as medication information (current prescription) that is currently being input is displayed. The patient information area A3 is an area where basic information about the patient is displayed. The keypad area A4 is an area where a keypad used for editing the electronic medical record (the medical record information) is displayed. The shortcut area A5 is an area where shortcut keys and the like used for editing the electronic medical record (the medical record information) are displayed. The calendar area A6 is an area where a calendar (Shichiyo table) representing dates and days of the week in a tabular format is displayed. In the example of FIG. 3, a plurality of (here, three) calendars are displayed in the calendar area A6, arranged horizontally (left and right).

In the electronic medical record, as in the past medical record area A1 or the current medical record area A2 of the medical record screen P1, the medical information regarding one medical examination includes "S", "O", "A", and "P". ” and “Guidance”, and various types of medical record information are recorded. "S" is subjective information, which is information regarding symptoms and the like that are subjectively felt by the patient. "O" is objective information, and is information regarding a doctor's medical findings, test findings, and the like. "A" is assessment information, which is information regarding the doctor's evaluation and judgment. "P" is plan information, which is information regarding medication, treatment plans, and the like. “Guidance” is instruction information, and is information related to patient education and guidance.

When a medical examination is started, one or more pieces of the medical record information are sequentially written in the current medical record area A2 of the medical record screen P1 in response to a user operation by a doctor or the like using the medical examination terminal 2. Here, if the current medical examination displayed in the current medical record area A2 is defined as "this time," the medical information displayed in the past medical record area A1 is the same as the previous medical examination for the same patient (that is, the current one). This is information related to an arbitrary consultation in the past, such as the previous medical examination (previously), the previous medical examination (that is, two examinations before this one), or the previous examination (that is, three or more examinations before this one). The medical information relating to which medical examination is to be displayed in the past medical record area A1 is arbitrarily selected by a user operation by a doctor or the like using the medical examination terminal 2.

In the electronic medical record system 10, as a method for editing the medical record information of the electronic medical record, for example, after selecting a desired area (desired item) in the current medical record area A2 with a mouse or a touch panel, etc., input a character string from a keyboard. This allows the medical record information to be written in the electronic medical record. Further, the medical record information can also be entered by operating the keypad displayed in the keypad area A4 using a mouse, numeric keypad, touch panel, or the like. Further, by copying at least a part of the medical information displayed in the past medical record area A1 to the current medical record area A2 by a copying operation or a drag-and-drop operation, the medical information that is the same as that in the past medical record area A1 can be added. It is also possible to write in the medical record information.

Here, since the electronic medical record is recorded for each patient, the user's operation on the examination terminal 2 specifies which patient's electronic medical record is to be displayed. Specifically, when an operation is performed on the examination terminal 2 to select a target patient from the patient list, the display processing unit 112 displays the medical record screen P1 corresponding to the selected patient. . In the medical record screen P1, past medical information and current medical information regarding the selected patient are displayed in the past medical record area A1 and the current medical record area A2.

The medical record screen P1 may include, for example, a slide bar, and may be configured to be scrollable in the vertical direction (vertical direction) or horizontal direction (horizontal direction) by operating the slide bar. This makes it possible to present a lot of information (the medical record information) included in the electronic medical record to the user through the medical record screen P1.

[Refill information registration process]
In the electronic medical record system 10 according to the present embodiment, the control unit 11 includes the registration processing unit 115 that executes the registration process of the refill information. Therefore, the electronic medical record management method executed by the control unit 11 includes the registration process. Details of the registration process will be explained below with reference to FIGS. 4 to 7. Note that FIGS. 4 and 6, which will be referred to below, are drawings showing an enlarged part of the screen inside the balloon. Further, FIG. 7, which will be referred to below, is a diagram in which only the vicinity of the refill column C7 of the prescription Sh1 illustrated in FIG. 2 is cut out and enlarged.

In this embodiment, the registration processing unit 115 of the control unit 11 newly sets the refill information in the information storage unit 123 in response to a user operation using the examination terminal 2 or the reception terminal 3. The refill information is registered by editing (registering) or editing (correcting). Specifically, the registration processing unit 115 prints a print screen P2 (see FIG. 4), a medication instruction screen P3 (see FIG. 5), and an accounting print screen P4 (see FIG. 5) displayed on the medical examination terminal 2 or the reception terminal 3. (see FIG. 6), a user operation related to the registration process of the refill information is accepted.

The print screen P2 is a screen that is displayed on the display unit 24 of the medical examination terminal 2 when a user operation for printing the prescription Sh1 and the like is performed on the medical examination terminal 2. As shown in FIG. 4, the print screen P2 includes various settings for items to be printed on the prescription Sh1, such as "print disease name", "print range", "use restriction", and "add comment to prescription notes". items, and also includes a refill setting area A20. The refill setting area A20 includes a check box B21 indicating whether refill (repetitive use) is possible, an input field B22 for the allowable number of times, and a registration button B23. The medical examination terminal 2, which is displaying the print screen P2, performs a user operation to check whether the check box B21 is checked ("check" or "x") and to input the permissible number of times into the input field B22. Acceptable. In other words, a user who is a doctor may, for example, check the checkbox B21 on the print screen P2 and enter the allowable number of times ("2" or "3") in the input field B22. By selecting and operating the registration button B23, the refill information indicating that refilling is possible can be registered. On the other hand, when the registration button B23 is selected with the checkbox B21 unchecked, the refill information indicating that refilling is not possible is registered.

The medication instruction screen P3 is a screen that is displayed on the display unit 24 of the medical examination terminal 2 when a specific user operation is performed while the medical record screen P1 is being displayed on the medical examination terminal 2. As shown in FIG. 5, the medication instruction screen P3 includes items related to medication instructions such as "medicine/dosage," "dose/unit," and "category," and also includes a refill setting area A30. There is. The refill setting area A30 includes a check box B31 indicating whether refills are allowed, an input field B32 for the allowable number of times, and a registration button B33. The medical examination terminal 2 that is displaying the medication instruction screen P3 can accept user operations for checking the check box B31 or not, and for inputting the permissible number of times in the input field B32. In other words, the user who is a doctor has, for example, checked the checkbox B31 on the medication instruction screen P3 and entered the allowable number of times ("2" or "3") in the input field B32. By selecting and operating the registration button B33 above, the refill information indicating that refilling is possible can be registered. On the other hand, when the registration button B33 is selected with the checkbox B31 unchecked, the refill information indicating that refilling is not possible is registered.

In this way, if the refill information can be registered on the medication instruction screen P3, for example, the user can operate the shortcut key on the medical record screen P1 to register the refill information without going through the print screen P2. Even in a case where the prescription Sh1 is printed, the refill information can be registered. In addition, in the case where the prescription Sh1 is printed from the home screen etc. via the print screen P2, the refill information can be registered on either the print screen P2 or the medication instruction screen P3. .

The accounting print screen P4 is a screen displayed on the display unit 34 of the reception terminal 3 when a user operation for printing the prescription Sh1 and the like is performed on the reception terminal 3. As shown in FIG. 6, the accounting print screen P4 includes various setting items regarding matters to be printed on the prescription Sh1, such as "use restriction" and "add comment to prescription notes", and a refill setting area. A40 is included. The refill setting area A40 includes a check box B41 indicating whether refilling is possible, an input field B42 for the allowable number of times, and a registration button B43. The reception terminal 3 that is displaying the accounting print screen P4 can accept user operations to check whether or not the check box B41 is checked and to input the permissible number of times in the input field B42. That is, for a user who is a medical clerk, for example, check the check box B41 on the accounting print screen P4, and enter the allowable number of times ("2" or "3") in the input field B42. After inputting the information, by selecting and operating the registration button B43, the refill information indicating that refilling is possible can be registered. On the other hand, when the registration button B43 is selected with the checkbox B41 unchecked, the refill information indicating that refilling is not possible is registered.

In this way, when the refill information is registered on at least one of the print screen P2, the medication instruction screen P3, and the accounting print screen P4, the refill information is stored in the information storage section 123. The refill information is updated. Here, the refill information may be included in the medical record information, or may be stored in the information storage unit 123 separately from the medical record information. However, the refill information is stored (registered) in association with at least the information regarding the patient (patient ID, name, etc.) and the medical information such as the prescription date (examination date). That is, even for the same patient, it is possible to register different refill information for each of the medical information related to the current, previous, previous, or previous consultation.

Furthermore, the registered refill information is reflected in the prescription Sh1 printed by the printer 4. That is, as shown in FIG. 7, the entry status in the refill field C7 of the prescription Sh1 changes depending on the refill information.

For example, if the refill information indicating that refills are not allowed is registered, as shown in "No refills", the check box indicating whether refills are allowed in the refill column C7 is not checked in the prescription Sh1; And the allowable number of times is left blank. On the other hand, if the refill information indicating that refills are possible and the allowable number of times is "2 times" is registered, as shown in "2 refills", in the prescription Sh1, in the refill column C7, A check is placed on the checkbox indicating whether or not refilling is possible, and "2" is printed as the allowable number of times. In addition, if the refill information indicating that refills are possible and the allowable number of times is "3 times" is registered, as shown in "3 refills", in the prescription Sh1, in the refill column C7, A check is placed on the checkbox indicating whether or not refilling is possible, and "3" is printed as the allowable number of times.

As described above, according to the electronic medical record management method according to the present embodiment, by registering the refill information, the item (the refill column C7) related to the refill prescription of the prescription Sh1 is automatically filled in (printed). ) will be done. Therefore, there is no need for a person to manually correct the format corresponding to the refill prescription, and as a result, there is an advantage that it is less time-consuming to output the prescription Sh1.

Incidentally, in this embodiment, the registration processing section 115 has a function of quoting the refill information registered in the past for the same patient. The refill information registered in the past here is basically the refill information associated with the medical information related to the previous medical examination.

Specifically, the registration processing unit 115 quotes the refill information registered in the past for the same patient as the initial value of the refill information for the current consultation. Therefore, for example, if the refill information indicating that refills are possible and the allowable number of times is "2" is registered in association with the medical information related to the previous consultation, for the current consultation, The refill information indicating that refilling is possible and that the allowable number of times is "2" is registered in advance. Therefore, for example, in the refill setting area A20 of the print screen P2, the checkbox B21 is checked from the beginning, and "2" is entered as the allowable number of times in the input field B22. The user can also change the refill information as an initial value.

As a result, for the user, the effort involved in registering the refill information is reduced, and human errors such as forgetting to register the refill information are reduced. Here, the quoting function of the refill information is different from the function of copying at least a part of the medical information displayed in the past medical record area A1 to the current medical record area A2, and the quoting function of the refill information is different from the function of copying at least a part of the medical information displayed in the past medical record area A1 to the current medical record area A2. This is a function to set the refill information as an initial value in a medical examination.

Further, the refill information registered in the past to be quoted is not limited to the refill information associated with the medical information related to the previous medical consultation, but the refill information related to any past medical consultation, such as the time before the previous consultation. It may be. Further, the registration processing unit 115 may quote only a part of the refill information, for example, may quote only one of the refill availability and the permissible number of times.

[Check refill information]
The display processing unit 112 of the control unit 11 can visualize the registration status of the refill information by displaying the registered refill information on a display screen such as the medical record screen P1. It is possible. Therefore, a user who is a doctor or a medical office worker can check the registration status of the refill information on the examination terminal 2 or the reception terminal 3.

Specifically, as shown in FIG. 8, the display processing unit 112 displays an object Ob1 indicating the registration status of the refill information in the current medical record area A2 of the medical record screen P1. The object Ob1 does not have a function of accepting a selection operation, and is simply an icon (iconogram) that displays the registration status of the refill information. For example, if the refill information indicating that refilling is not possible is registered, the object Ob1 is not displayed in the current medical record area A2 of the medical record screen P1, as shown in "No refill". On the other hand, if the refill information indicating that refills are possible and the allowable number of times is "2 times" is registered, the current medical record area A2 of the medical record screen P1 is displayed as "Refill 2 times". , the object Ob1 labeled "Li2" is displayed. Further, if the refill information indicating that refilling is possible and the allowable number of times is "3 times" is registered, "Re3" is written in the current medical record area A2 of the medical record screen P1. The object Ob1 is displayed.

In addition, the display processing unit 112 also displays the refill information in the past medical record area A1 of the medical record screen P1, or a medical record reference screen for referring to the electronic medical record of a patient other than the patient under examination. The object Ob1 indicating the information registration status is displayed. However, since the refill information is registered in association with the medical information such as prescription date (examination date), the past medical record area A1 of the medical record screen P1 contains the refill information that is different from the current medical record area A2. Information may be displayed.

That is, the display processing unit 112 displays the refill information corresponding to the medical information displayed in the past medical record area A1 in the past medical record area A1 of the medical record screen P1. For example, if the medical information related to the previous medical examination is displayed in the past medical record area A1, the refill information registered for the previous medical examination will be displayed in the past medical record area A1. Therefore, for example, the object Ob1 labeled "Li2" is displayed in the current medical record area A2, and the object Ob1 labeled "Li3" is displayed in the past medical record area A1. is possible. In this way, the display processing unit 112 separates the past medical record area A1 where the past medical information is displayed and the current medical record area A2 where the current medical information is displayed on the medical record screen P1. The refill information can be displayed.

Furthermore, in the present embodiment, the display processing unit 112 displays the medical record screen displayed on the reception terminal 3 in the same manner as the medical record screen P1 so that the registration status of the refill information can be checked on the reception terminal 3 as well. , an object indicating the registration status of the refill information is displayed.

Further, the display processing unit 112 also displays an object Ob2 indicating the registration status of the refill information on the checkout screen P5 displayed on the reception terminal 3, as shown in FIG. The object Ob2 does not have a function of accepting a selection operation, and is simply an icon (iconogram) that displays the registration status of the refill information. For example, if the refill information indicating that refilling is not possible is registered, the object Ob2 is not displayed on the checkout screen P5 as shown in "No refill". On the other hand, if the refill information indicating that refills are possible and the allowable number of times is "2 times" is registered, "Refill 2 times" is displayed on the checkout screen P5, as shown in "Refill 2 times". The object Ob2 written as is displayed. Further, if the refill information indicating that refills are possible and the allowable number of times is "3 times" is registered, the object Ob2 labeled "Re3" is displayed on the checkout screen P5. Ru.

By displaying the objects Ob1 and Ob2, the user can easily check the registration status of the refill information. In particular, since the objects Ob1 and Ob2 reflect the allowable number of times, the user can check at a glance the allowable number of times in the refill information.

[Operation setting]
The function of the registration processing section 115 can be enabled/disabled by the setting process related to the operation setting performed by the setting processing section 114 of the control section 11. That is, the registration process of the refill information as described above is executed only when the registration process by the registration processing unit 115 is set to be valid in the operation settings. If the registration process by the registration processing unit 115 is set to be disabled in the operation settings, for example, the refill setting area A20 of the print screen P2 is grayed out to be inactivated, and the refill information is input will not be accepted. Similarly, the refill setting area A30 of the medication instruction screen P3 and the refill setting area A40 of the accounting print screen P4 are activated only when the registration processing by the registration processing unit 115 is set to be valid. , and can accept input of the refill information.

Further, the validity/invalidity of the quotation function of the refill information can also be switched by the setting process related to the operation setting performed by the setting processing unit 114 of the control unit 11. That is, in the operation settings, only when the registration processing by the registration processing unit 115 is set to be valid and the quoting function of the refill information is set to be valid, the past registration for the same patient is set to be valid. The above refill information is quoted. If the quoting function of the refill information is set to be disabled in the operation settings, quoting of the refill information registered in the past for the same patient is not performed.

Specifically, the user operation for the operation setting is performed on the operation setting screen displayed on the examination terminal 2 or the reception terminal 3. For example, the registration process by the registration processing unit 115 is enabled/disabled by an operation of selecting enable/disable of "printing of refill prescription" among the items related to "prescription" in the "print tab" of the operation setting screen. Disabled is set. Similarly, the quoting function of the refill information can be enabled/disabled by selecting whether to enable/disable the ``refill prescription citation'' in the ``prescription'' items in the ``print tab'' of the operation settings screen. is set.

Further, the settings related to the operation settings are performed not for each patient but for each medical institution. Therefore, for example, if the quotation function of the refill information is enabled in the medical institution, the quotation function of the refill information is enabled for the electronic medical records of all patients of the medical institution. Set.

Furthermore, the settings related to the operation settings performed by the setting processing section 114 also determine whether or not the function of the display processing section 112 that displays the registered refill information on the display screen such as the medical chart screen P1 is enabled/disabled. It may be configured to be switchable depending on the process.

[flowchart]
With reference to FIG. 10, an example of the processing procedure of the control unit 11 related to the output (printing) of the prescription Sh1 in the electronic medical record management method will be described.

<Step S1>
In step S1, the control unit 11 determines whether the "refill function" for responding to the refill prescription is enabled. The control unit 11 determines that the refill function is enabled when the registration processing by the registration processing unit 115 is set to be valid in the setting processing related to the operation setting performed by the setting processing unit 114. It is determined that (S1: Yes), and the process moves to step S2. On the other hand, in the setting process, if the registration process by the registration processing unit 115 is set to be invalid, the control unit 11 determines that the refill function is not valid (S1: No) and executes the process. The process moves to step S6.

<Step S2>
In step S2, the control unit 11 determines whether "refill citation" for quoting the refill information is enabled. The control unit 11 determines that the refill citation is valid when the citation function of the refill information is set to be valid in the setting processing related to the operation setting performed by the setting processing unit 114. (S2: Yes), and the process moves to step S3. On the other hand, in the setting process, if the quoting function of the refill information is set to be disabled, the control unit 11 determines that the refill quoting is not valid (S2: No), and returns the process to step S4. to move to.

<Step S3>
In step S3, the registration processing unit 115 of the control unit 11 quotes the refill information registered in the past for the same patient. That is, the registration processing unit 115 quotes the refill information associated with the medical information related to the previous medical examination as the initial value of the refill information for the current medical examination.

As an example, if the refill information indicating that refills are possible and the allowable number of times is "twice" is registered in association with the medical information related to the previous consultation, the registration processing unit 115 may: The refill information is quoted as the initial value. Therefore, for example, in the refill setting area A20 of the print screen P2, the checkbox B21 is checked from the beginning, and "2" is entered as the allowable number of times in the input field B22. Thereafter, the control unit 11 moves the process to step S4.

<Step S4>
In the step S4, the registration processing section 115 of the control section 11 registers, among the refill information, matters related to whether or not refilling is possible. At this time, if the check boxes B21, B31, and B41 are checked on at least one of the print screen P2, the medication instruction screen P3, and the accounting print screen P4, the registration processing unit 115 registers the refill information indicating that refilling is not possible. Thereafter, the control section 11 moves the process to step S5.

<Step S5>
In step S5, the registration processing unit 115 of the control unit 11 registers items related to the allowed number of refills in the refill information. At this time, if "2" is entered in the input fields B22, B32, and B42 on at least one of the print screen P2, the medication instruction screen P3, and the accounting print screen P4, the registration process The unit 115 registers the refill information indicating that the permissible number of times is "2 times". On the other hand, if "3" is entered in the input fields B22, B32, and B42, the registration processing unit 115 registers the refill information indicating that the allowable number of times is "3 times." Thereafter, the control unit 11 moves the process to step S6.

<Step S6>
In step S6, the control unit 11 determines whether or not the user performs an operation to print the prescription Sh1, that is, an operation to issue a print instruction. For example, when the print instruction is operated on the print screen P2, or when the shortcut key is operated on the medical chart screen P1 and the print instruction is operated, the control unit 11 executes the print instruction. It is determined that there is (S6: Yes), and the process moves to step S7. On the other hand, if the operation is not performed (S6: No), the control unit 11 repeatedly executes the step S6 and continues the state of waiting for the print instruction.

<Step S7>
In step S7, the output processing unit 116 of the control unit 11 outputs (sends) the print data including the prescription information to the printer 4, and causes the printer 4 to print the prescription Sh1. Here, the refill information is reflected in the prescription information. Therefore, for example, if the refill information indicating that refills are not allowed is registered, in the printed prescription Sh1, there is no check in the check box indicating whether refills are allowed in the refill column C7, and the number of times allowed is will be left blank. On the other hand, if the refill information indicating that refills are possible and the allowable number of times is "2" is registered, in the printed prescription Sh1, the check box indicating whether refills are possible in the refill column C7 is checked, and "2" is printed as the allowable number of times. In this way, the entry status in the refill column C7 of the prescription Sh1 changes depending on the registered refill information.

Note that the above flowchart is only an example, and processes may be added or omitted as appropriate, and the order of processes may be changed as appropriate.

[Other embodiments]
As another embodiment, the registered refill information may be reflected in a portion other than the refill column C7 in the prescription Sh1, such as the dispensing record column C6. As an example, if the refill information indicating that refills are not allowed is registered, all entries in the dispensing record column C6 are crossed out with a strikethrough or the like, or are not printed. On the other hand, if the refill information indicating that refills are possible and the allowable number of times is "2" is registered, then among the items listed in the dispensing record column C6, matters related to the third dispensing (second dispensing The next scheduled dispensing date and the third dispensing date) are crossed out with a strikethrough, etc., or are not printed. Furthermore, if at least a part of the entries in the dispensing record column C6 are to be non-printed, the frame shape and size of the dispensing record column C6 are changed, and the prescription Sh1 is changed to avoid unnecessary blank spaces. You may change the format.

[Modified example]
A plurality of components included in the electronic medical record system 10 may be provided in a distributed manner in a plurality of housings. On the other hand, in the embodiments described above, a plurality of components (such as the control section 11 and the display section 24) that are dispersed in a plurality of casings may be collectively provided in one casing.

Furthermore, it is not essential that the display screen such as the chart screen P1 be displayed on the display section 24 of the medical examination terminal 2 or the display section 34 of the reception terminal 3; for example, the display screen of the electronic medical record device 1 The medical record screen P1 and the like may be displayed on 14. Furthermore, the display screen such as the medical record screen P1 is not limited to the display unit 24 such as a liquid crystal display or an organic EL display, and may be projected and displayed by a display device such as a projector.

Furthermore, the settings related to the operation settings are not limited to each medical institution, but may be performed for each patient, each clinical department, each doctor in charge, or each pharmacist in charge, etc., for example.

Further, the refill information may include at least one of information on whether or not refilling is possible and the number of times allowed. For example, the refill information may include only whether or not refilling is possible or only the number of times allowed. Further, the refill information may include various information regarding the refill prescription, in addition to or in place of whether or not refills are allowed and the number of times allowed.

Further, it is not essential for the registration processing unit 115 to accept the user's operation related to the registration of the refill information on any of the print screen P2, the medication instruction screen P3, and the checkout print screen P4. For example, the registration processing unit 115 may accept user operations related to the registration of the refill information on display screens other than the print screen P2, the medication instruction screen P3, and the accounting print screen P4, such as the medical record screen P1. Good too.

Furthermore, it is not essential for the display processing unit 112 to display the registered refill information, and the function of displaying the registered refill information may be omitted as appropriate. Even in this case, the registration status of the refill information can be confirmed, for example, on the print screen P2.

Furthermore, it is not essential for the display processing unit 112 to display the refill information in each of the past medical record area A1 and the current medical record area A2 on the medical record screen P1. For example, the display processing unit 112 may display the refill information only in either the past medical record area A1 or the current medical record area A2 on the medical record screen P1.

Further, the quoting function of the refill information in the registration processing unit 115 is not an essential function and can be omitted as appropriate. Furthermore, the validity and invalidity of the citation function may not be switchable by a setting process related to the operation setting.

Claims (8)

a registration processing unit that registers refill information regarding refill prescriptions according to user operations;
an output processing unit that outputs a prescription that reflects the registered refill information;
Electronic medical record system. The refill information includes at least one of whether refilling is possible and the number of refills.
The electronic medical record system according to claim 1. The registration processing unit includes a print screen that is displayed when an operation for printing the prescription is performed, a medication instruction screen that is displayed when a specific user operation is performed while displaying the medical chart screen, and a medication instruction screen that is displayed when a specific user operation is performed while displaying the medical chart screen. accepting user operations related to the registration of the refill information on at least one of the accounting print screen displayed when an operation for printing a prescription is performed;
The electronic medical record system according to claim 1 or 2. further comprising a display processing unit that displays the registered refill information;
The electronic medical record system according to any one of claims 1 to 3. The display processing unit is capable of displaying the refill information in a past medical record area where past medical information is displayed and a current medical record area where current medical information is displayed on the medical record screen.
The electronic medical record system according to claim 4. The registration processing unit has a quoting function of quoting the refill information registered in the past for the same patient as an initial value of the refill information for the current consultation.
The electronic medical record system according to any one of claims 1 to 5. Validity and invalidity of the quotation function can be switched by a setting process related to operation settings,
The electronic medical record system according to claim 6. a registration step of registering refill information regarding the refill prescription in response to a user's operation;
an output step of outputting a prescription that reflects the registered refill information;
An electronic medical record program that allows a computer to execute