JP3212957B2 - Input / storage / output method and apparatus in medical computer - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an input / storage / output method and apparatus for a medical computer for inputting / storing / outputting medical information which can be processed mainly as electronic information in accordance with dynamically changing input items. .

[0002]

2. Description of the Related Art Conventionally, as this type of medical information processing apparatus, there is, for example, a medical information input system. In this medical information input system, when medical information such as symptoms and findings concerning a patient's disease is input to a computer, the input is often made in a free format using a fixed template or a word processor (word processor).
In the fixed template, the operator selects only necessary inputs from many input items and performs input. In addition, as an input method when inputting in a free format, attention is paid so that the format is common among users.

[0003]

In the case of the above-mentioned existing medical information input system, there are various problems as described below.

First, as a first problem, the system does not have an input means for dynamically changing input items as needed and a means for creating / managing input means for each user. Because the input items of medical information are fixed and determined, and even unnecessary information is provided, it is difficult for the user to input the medical information, or whether the format is fixed or not Regardless, inputting medical information with a word processor makes it difficult to structure the input information,
It is difficult to re-use the input information as well as to make the management complicated.

[0005] Next, as a second problem, since there is no means for editing / displaying the input information for each user or means for converting the input information into a natural language, the display of the input contents is not provided. May not match the user's will, may be difficult to see, or may be difficult to understand.

A third problem is that since there is no means for creating / managing input means for each user, information cannot be input as desired by the user.

A fourth problem is that the stored information is not used effectively from the viewpoint of secondary use of data because the stored information is not structured.

The present invention has been made to solve such a problem, and its technical problem is to dynamically change input items and to structure medical information input for each user to quickly process the information. Another object of the present invention is to provide an input / storage / output method and apparatus in a medical computer which can be easily managed and effective for medical support.

[0009]

According to the present invention, item change information for dynamically changing a predetermined required input item and medical information provided for input according to the input item are converted into a natural language. An information storage step of storing conversion information for converting the information into an input, an input operation instruction step of issuing an operation instruction for inputting medical information by inputting one value, and referring to item change information in accordance with the operation instruction. An input display control information generating step of generating input display control information for reconstructing and editing an input display pattern, an input display control information storing step of storing the input display control information, and A display step of dynamically changing and displaying input items, a first medical information input step of inputting medical information according to the dynamically changed input items, and a step of converting the input medical information based on the conversion information. And medical information conversion step of converting the natural language Te, the stores medical information converted into natural language 1
A second medical information inputting step of correcting and inputting the medical information converted and stored in the natural language;
A registration operation instructing step of performing an operation instruction for registering the medical information converted into the natural language or the medical information corrected and input requiring the dynamic change of the input items and the input change of the medical information, An input / storage / output method for a medical computer having an information output step of outputting medical information and input display control information is obtained.

In the input / storage / output method in the medical computer, the input medical information is displayed in a first medical information input stage, and the medical information converted into a natural language is displayed in a medical information conversion stage. Displaying the medical information corrected and input in the second medical information input stage and displaying the registered medical information in the registration operation instructing stage, or utilizing the generation of the input display control information in the input display control information generating stage It is preferable to perform it for each person.

According to the present invention, on the other hand, an input means for giving an operation instruction for inputting medical care information according to a predetermined required input item by inputting a single value, and the input item is dynamically changed. Information storage means for storing, as preliminary information, item conversion information for converting item conversion information and medical information into natural language, and reconstructing an input display pattern by referring to the item change information in response to an operation instruction. Display control information editing means for generating input display control information for editing and editing, display means for dynamically changing and displaying input items based on the input display control information, and dynamically changed input items Medical information control means for converting the medical information input by the input means into a natural language based on the conversion information, and medical information storage means for storing the medical information converted into the natural language. For example, preliminary information storage means, an input display control information storage means for storing the input display control information,
The input means is for performing an operation instruction for correcting and registering the medical care information converted into the natural language, and further,
An input / storage / output device in a medical computer provided with medical information output means for outputting registered medical information is obtained.

According to the present invention, in the input / storage / output device in the medical computer, the display means comprises: medical information input by the input means; medical information converted into natural language by the medical information control means. And an input / storage / output device in the medical computer which displays the medical information registered by correcting and inputting by the input means, or an input display control information editing means, which generates input display control information for each user. Input / storage / output device in a computer for use.

Further, according to the present invention, in any one of the medical treatment information processing apparatuses described above, the information output means includes a printing means for printing the registered medical information, a registered medical information and input display control. An input / storage / output device in a medical computer including a communication device for communicating information with a counterpart device is obtained.

In addition, according to the present invention, in the input / storage / output device in the medical computer, the communication device transmits the registered medical information and input display control information to the partner device via the communication means. An input / storage / output device in a medical computer comprising a transmitting unit for receiving the registered medical information and the input display control information from the partner device via the communication unit.

On the other hand, according to the present invention, in the input / storage / output device of the medical computer, an input device provided with input means and a control device provided with medical information control means and input display control information editing means are provided. A storage device comprising a medical information storage means and an input display control information storage means,
It is possible to obtain an input / storage / output device in a medical computer including a display device having a display device, a printing device having a printing device, and a medical record device having a communication device having a transmitting device and a receiving device. .

In the input / storage / output device of the medical computer, a plurality of medical record devices are connected to each other as a first medical record device, and are connected to a second medical record device as a partner device. The second medical record device is connected via communication means, and the second medical record device is connected to at least a plurality of first medical record devices via the communication means. It is preferable to include a communication device for transmitting and receiving the information and a storage device for storing the registered medical information and input display control information.

[0017]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The embodiments of the present invention will be described in detail below with reference to the drawings.

First, an outline of an input / storage / output method in the medical computer of the present invention will be briefly described. This input / storage / output method includes item change information for dynamically changing a predetermined required input item, and conversion information for converting medical information provided for input into a natural language according to the input item. Storing information, and
An input operation instruction stage for performing an operation instruction for inputting medical information by inputting one value, and an input display for reconstructing and editing an input display pattern by referring to item change information according to the operation instruction An input display control information generating step of generating control information, an input display control information storing step of storing the input display control information, and a display step of dynamically changing and displaying input items based on the input display control information. Have.

This input / storage / output method includes a first medical information input step of inputting medical information according to a dynamically changed input item, and a step of converting the input medical information into a natural language based on conversion information. Medical information conversion step for converting medical information into natural language, first medical information storage step for storing medical information converted into natural language, and second medical information input for correcting and inputting medical information converted and stored into natural language Registration operation instruction step of performing an operation instruction for registering the medical information or the corrected input medical information converted into natural language requiring dynamic change of input items and input change of medical information, and An information output step of outputting registered medical information and input display control information.

Here, the input medical information is displayed in the first medical information input stage, the medical information converted into natural language is displayed in the medical information conversion stage, and the medical information is converted in the second medical information input stage. The medical information that has been corrected and input is displayed, and the registered medical information is displayed at the registration operation instruction stage.
In the input display control information generation stage, input display control information is generated for each user.

By combining these conditions, medical information that can be processed as electronic information is input / stored / output in accordance with dynamically changing input items, structured for each user, and managed quickly and easily. The input, storage, and output of the medical computer effective for the obtained medical support can be obtained.

FIG. 1 is a functional block diagram showing a basic configuration of a medical information processing apparatus according to an embodiment to which the medical medical information processing method is applied.

This medical information processing apparatus includes input means 111
Input device 110 having a medical treatment information control means 131 and an input display control information editing means 132
30, a storage device 140 provided with a medical information storage unit 141 and an input display control information storage unit 142, and a display unit 1
A display device 120 having a printer 21, a printing device 150 having a printer 151, a transmitter 162 and a receiver 16.
The first medical record device 101 includes a communication device 160 provided with the first medical record device 1. A plurality of the first medical record devices 101 are connected to each other, and the second medical record device 201 as a partner device. And communication means 301.

The second medical record apparatus 201 is provided with a transmitting unit 22
, A communication device 220 including a receiving unit 221, a medical information storage unit 211, and an input display control information storage unit 21.
2 provided with a storage device 210.

In the first medical record apparatus 101, the input display control information storage means 142 stores the item change information for dynamically changing the predetermined required input items and the medical information in natural language. The input unit 111 functions as a preliminary information storage unit that preliminarily stores conversion information for conversion, and performs an operation instruction for inputting medical information according to an input item by inputting one value. The input display control information editing means 132 generates input display control information for reconstructing and editing the input display pattern by referring to the item change information according to the operation instruction, and the input display control information storage means 142 stores the input display information. The control information is stored. However, the input display control information editing means 132 generates input display control information for each user.

The display means 121 dynamically changes and displays the input items based on the input display control information, and the medical information control means 131 displays the medical information input according to the input items dynamically changed by the input means 111. Is converted into a natural language based on the conversion information, and the medical care information storage unit 141 temporarily stores (temporarily saves) the medical care information converted into the natural language.

The input means 111 issues an operation instruction for registering the medical information converted into the natural language or the medical information corrected and input, requiring a dynamic change of the input items and an input change of the medical information. The medical information storage unit 141 stores the registered medical information. In such a process, the display means 12
Reference numeral 1 denotes the medical information input by the input unit 111, the medical information converted into the natural language by the medical information control unit 131, and the medical information registered by the correction input by the input unit 111.

That is, in the process so far, the input means 11
If one value is input in step 1, the input display control information editing means 132 examines the operation instruction value, and the input display control information storage means 142 has item change information for dynamically changing the input item. In this case, it is apparent that an operation of reconstructing the display means 121 is performed apparently, and that new input items can be displayed or unnecessary input items already displayed can be corrected (including deletion). I have. By repeating such an operation, for example, the medical contents for one page can be input. However, any number of mechanisms for dynamically changing the input items can be created in one page. Can be changed dynamically. When the input is completed, the medical care information control unit 131 creates the medical care information converted into the natural language based on the contents of the input medical care information.

Printing means 1 for printing registered medical information
51 and the communication device 160 that communicates the registered medical information and input display control information with the partner device function as information output means.

The communication device 160 includes a transmitting unit 162 for transmitting the registered medical information and the input display control information to the partner device via the communication unit 301, and a medical device registered via the communication unit 301 from the partner device. It comprises a receiving means 161 for receiving information and input display control information.

In the second medical record apparatus 201, the receiving means 221 transmits the registered medical information and input display control information transmitted from the transmitting means 162 of the first medical record apparatus 101 via the communication means 301. Upon receipt, the medical information storage means 211 stores the registered medical information, and the input display control information storage means 212 stores the input display control information. The transmitting unit 222 transmits the registered medical information from the medical information storage unit 211 and the input display control information from the input display control information storage unit 212 to the receiving unit 161 of the first medical record apparatus 101 via the communication unit 301. I do.

In this input / storage / output device, for example, the input display control information storage means 212 of the second medical record device 201 stores all the input display control information necessary for the system, If the input display control information storage means 142 of the device 101 stores the input display control information used before and the information read in other patterns, the first medical record recording device 101 side controls the control device 13.
If the input display control information required by the input display control information storage means 142 is available, it is used.
Input display control information storage means 212 of medical record device 201
The function of reading from the file is established.

With this configuration, medical information that can be processed as electronic information is input, stored, and output according to dynamically changing input items, and is structured for each user to provide medical support that can be managed quickly and easily. An input / storage / output device in an effective medical computer is constructed.

The operation of the input / storage / output device in the medical computer will be specifically described below. The input unit 111 is configured to be capable of inputting medical information, which is medical practice data on each patient, each date, and type, according to required input items. Also, input means 111
When inputting in the input item aggregate, each input item displayed on the display unit 121 is dynamically changed in accordance with the input item, and only necessary input items are provided to the user. For example, when the user inputs medical information relating to “chest pain” as “symptoms”, the input unit 111 acquires necessary medical information regarding the input item “chest pain” in “symptoms” by the medical information control unit 131.

At this time, "part", "degree of pain",
Acquire the input item "onset style" and the input method for each of the input items "select from figure", "select from list", and "select from list". Image information, item values of "strong" and "weak" as "select from list" of "degree of pain", "suddenness", "paroxysm", " The item value of "persistence", the input item of "what you are doing" under "suddenness", the input method of the input item of "text input", and the "trigger of seizure" under "seizure""And" single selection "
It is assumed that the input method for the input item “” and the item values “at work”, “at rest”, and “indefinite” are acquired.

The input display control information used for inputting new medical information in such a case is initially displayed as a template structure on the screen of the display means 121 as shown in FIG. Make When an attempt is made by the medical information control means 131 to input medical information relating to "chest pain" as a "symptom", "parts"
"Degree of pain" and "Form of onset" are provided. As input methods, "Select from figure" for "Part", "Select from list" for "Degree of pain", and "List for onset""Select from table" is provided, and "Select from list" is "chest"
The image information of "Pain degree" is "strong" and "weak" for "select from list", and "onset" is "sudden" and "paroxysmal" for "select from list" of "onset style". , And "persistence" are set and provided to the user.

Here, when the user inputs new medical information, new medical information is displayed when the medical information is displayed as a template as a dynamic input item aggregate according to the input display control information as shown in FIG. Before the input operation of
When “paroxysmal” is selected from the list in “onset style”, as shown in FIG. 4, after a new medical information input operation, “paroxysmal” is an input item that is automatically positioned under “paroxysmal”. As the input item and the input method, "single selection" is set to "exercise", "rest", and "indefinite", and is automatically displayed and the whole appearance is dynamically changed. Also, when "spontaneousness" is selected from the list in "onset mode", similarly as shown in FIG. 5, after an operation of inputting new medical information, an input item automatically positioned below "suddenness" Is set as an input item of "what are you doing?" And an input method of "text input" is automatically displayed and the entire appearance is dynamically changed. By the way, when "persistence" is selected in the "onset mode", the overall appearance does not change because no lower-level input items are specified.

On the other hand, for example, when the user inputs medical information relating to the item "abdominal pain" in "symptoms", the input means 111 inputs necessary medical information relating to the input item "abdominal pain" in "symptoms". It is acquired by the medical care information control means 131.

At this time, for example, input items such as “part”, “degree of pain”, and “frequency of pain”, and input items such as “select from figure”, “select from list”, and “select from list” And the input method for "Abdomen" as "select from figure", "strong" and "weak" as "select from list" of "degree of pain", and "degree of pain" It is assumed that the item values of “several times a day” and “several times an hour” have been acquired as “select from a list” of “.

Here, when the medical information control means 131 attempts to input medical information relating to "abdominal pain" as "symptom", the input items are "part", "degree of pain",
"Pain frequency" is provided, and "input" is "select from figure", "pain degree" is "select from list", and "pain frequency" is "select from list" as input method. Are provided, and "select from figure" is image information of "abdomen", and "select from list" of "degree of pain" is "strong" and "weak"
The item value “several times” and “several times” are set and provided to the user in “select from list” of “degree of pain”. Also in this case, after the input operation of the new medical information, the whole appearance is dynamically changed or not changed according to the specification contents of the input items, as in the case described above with reference to FIGS. Or

In any case, the necessary input items are dynamically and clearly provided to the user according to the input contents of the user, so that the medical information can be easily input. Without displaying the necessary input items,
Since the burden of inputting frequently selected input items is reduced, input errors can be significantly reduced, and the appearance is simple and easy to understand. In order to reduce the burden of inputting particularly frequently selected input items, default values can be substituted for input items. In addition, since not only one input item aggregate but also a plurality of input item aggregates can be selected at the same time, the input of an input item aggregate that is well associated is made simpler and easier to understand. When a plurality of input item aggregates are combined as described above, if there are a plurality of the same input items due to the combination, the input of the item values is put together and 1
It only needs to be done once.

The medical information control means 131 is provided by the input means 11
The information is controlled in response to a request from the input unit 111 and the display unit 121, and the information is provided to the input unit 111 and the display unit 121. For example, in the input unit 111, the user is
When the medical information relating to “chest pain” is input, the medical information control means 131 receives the request from the input means 111, and the input display control information storage means of the medical record device 201 via the input display control information storage means 142 or the communication means 301. 2
12, input display control information required by the input unit 111 is obtained (for example, input display control information regarding an item “chest pain” in “symptoms”) is obtained, and the input unit 111 is input.
To provide.

At this time, for example, input items such as “part”, “degree of pain”, and “onset style” and input items such as “select from list”, “select from list”, and “select from list” And the input method for the, the image information of "chest" as "select from figure", the item value of "strong" and "weak" as "select from list" of "degree of pain", and the Obtain item values of "suddenness", "paroxysmal", "persistence" as "select from list",
Further, below the “seizure property”, an input item “seizure trigger”, an input method for the “single selection” input item,
It is assumed that the item values “at work”, “at rest”, and “indefinite” are obtained.

If the input means 111 attempts to input information relating to "chest pain" as the "symptom" on the basis of the acquired information, the input items "region", "degree of pain", and "onset mode" are input. As a method, "select from figure" for "part", "select from list" for "degree of pain", "select from list" for "onset style", and "select from figure" for "select from figure""Chest" image information,
"Select from list" of "Pain degree" is "strong",
For the item value of “weak” and the “selection from list” of “degree of pain”, the item values of “suddenness”, “seizure” and “persistence” are provided to the input unit 111, respectively.

The input display control information storage means 142 stores item change information for dynamically changing required input items in advance.
And a function of preliminarily storing conversion information for converting medical information into natural language, and the input unit 111 provides an operation instruction for inputting medical information according to a required input item by inputting one value. Then, the input display control information editing means 132 generates input display control information for reconstructing and editing the input display pattern with reference to the item change information according to the operation instruction. The display means 121 dynamically changes and displays required input items based on the input display control information, and inputs medical information according to the input items dynamically changed by the input means 111.
Converts medical information into natural language based on the conversion information,
The medical information storage unit 141 temporarily stores the medical information converted into a natural language. The input unit 111 issues an operation instruction for correcting and inputting the medical information converted into the natural language and registering the same. The registered medical information is stored in the medical information storage unit 14.
1 is stored.

Further, an input item of "what are you doing?" And an input method of an input item of "text input" are provided below "suddenness", and an input of "trigger of seizure" is provided below "seizure". Items, input method for "single selection" input items, "exercise", "rest", "indeterminate"
Is provided to the input unit 111.

Further, the medical information control means 131 can check whether the item value input by the input means 111 is appropriate, or can search for the input item. For example, in verification of validity, when inputting a numerical value, it is checked whether the input value is a numerical value or its range is appropriate. If a frequently input sentence is registered in advance in the search for input items, it can be easily quoted at the time of input.

For example, upon receiving a request to “display a medical history record”, the medical information control means 131 converts the information based on the natural language conversion information set in the input display control information editing means 132, or The converted information is obtained from the medical information storage unit 211 of the medical record recording device 201 via the medical information storage unit 141 or the communication unit 301 and provided to the display unit 121. When a request to “display a medical progress list” is received from the display unit 121, past medical information on the patient for displaying the medical progress list is stored in the medical record via the medical information storage unit 141 and the communication unit 301. Obtained from the medical information storage unit 211 of the device 201 and provided to the display unit 121.

Next, for example, "abdominal pain" is selected as the "symptom" on the input means 111, and "site", "degree of pain", and "onset mode" are input items related to "abdominal pain".
On the other hand, it is assumed that "lower abdomen" is selected for "part", "strong" for "degree of pain", and "persistence" for "onset".

In such a case, the medical information control means 131
Is converted into a natural language based on the natural language conversion information set by the input display control information editing means 132 in response to a request from the display means 121. For example, "abdominal pain: strong pain in the lower right abdomen. . ". Natural language conversion rules consist of input item aggregates, input items,
Detailed settings can be made for each item value, and depending on the settings, different conversion rules can be applied depending on the content and number of input information. The converted information is provided to the display unit 121 as indicating the medical treatment progress record. or,
Past medical information on a patient for displaying a medical progress list in response to a request from the display unit 121 is stored in the medical record apparatus 201 via the medical information storage unit 141 or the communication unit 301.
And can be provided from the medical information storage unit 211.

As described above, the medical care information control means 131 controls the information so that the information can be input more easily.
In addition, it is possible to display information that is easy to understand.

The display means 121 displays information input by the input means 111 or information stored in the medical information storage means 141. For example, in the input unit 111, “abdominal pain” is selected as “symptom”, and “part”, “degree of pain” and “frequency of pain”, which are input items related to “abdominal pain”, are “right” in “part”. It is assumed that the item values of “lower abdomen” and “degree of pain” are selected as “strong” and “frequency of pain” is selected as “several times a day”.

These information are stored in the medical information control means 131
Is converted into a natural language, for example, information such as "abdominal pain: strong pain in the lower right abdomen. Frequency several times a day." The converted information is displayed by the display unit 121 as a medical treatment progress record. In the medical treatment progress record, the medical care information is "SOAP" (Subjective Object).
live Assessment Plan), and the user can freely modify or add. At this time, the previous medical information can be displayed together. After that, the content is locked to prevent tampering by being determined. Once locked, you can no longer add, modify, or delete with the same timestamp.

The display means 121 can display a medical treatment progress list. For example, it is assumed that there are several pieces of past medical information for a certain patient. The display unit 121 acquires several past pieces of medical information by the medical information control unit 131, sets the input item on the vertical axis, and sets the date / time on the horizontal axis, and displays the medical information for the past several cases. Display as a list of medical treatment progress. More detailed medical information can be displayed from the displayed medical history list, and the medical information control means 13
From FIG. 1, narrowing-down display based on symptoms, findings, and the like can be performed. The information displayed by the display means 121 is
Although there is not only text information but also other information such as image information and audio information, the displayed information can be easily diverted. By providing information that is more easily understood to the user in this manner, necessary information can be grasped at a glance.

FIG. 6 exemplifies a medical treatment progress record displayed in detail on the flow sheet by the display means 121.
In this medical treatment progress record, the medical care information is “SOAP” (Sub
jactive Objective Assessm
ent Plan) and the previous medical information is also displayed. The user can freely modify and add this medical information, can insert not only the character information but also other information such as images and voices by the input means 111, and can use another input item group. Can be added.

FIG. 7 exemplifies a medical care progress list displayed on the flow sheet by the display means 121. From such a medical care progress list, more detailed medical care information can be displayed, and narrowed-down display based on symptoms, findings, and the like can also be performed. It is also possible to select an input item group for input based on the medical treatment progress list.

In any case, the information input by the input unit 111 and edited and displayed on the display unit 121 is stored in the medical information storage unit 141 and the communication unit 30.
1 through the medical information storage unit 211 of the medical record device 201
Is stored. The stored information is structured and can be searched and analyzed quickly and easily, and secondary use can be easily performed.

The input display control information editing means 132 performs the means provided by the input means 111 and the display means 121 for each user, and provides a list of input item aggregates, input item aggregates, input items, item values, and For an item, a display method, a default value, and the like are created and set together with an input method and a natural language conversion method. For example, assume that the user creates a means for easily inputting the symptoms of "abdominal pain".

In this case, "abdominal pain" has related items such as "part", "degree of pain", and "frequency of pain".
It is assumed that a required item value is input for each related item.
First, the user creates a list of input item aggregates called "symptoms", and creates an input item aggregate called "abdominal pain" as a constituent element. Next, input items such as “region”, “degree of pain”, and “frequency of pain” are created as components of the input item aggregate “abdominal pain”. For the input items "part", "degree of pain", and "frequency of pain", an input method, a natural language conversion method, a display method, a default value display, and the like are set. As the input method, “select from list”, “select from figure”, “word processor input with fixed phrase citation function” and the like are prepared, and the user can freely select an easy-to-use method.

Further, respective item values are created as constituent elements of the input items “part”, “degree of pain”, and “frequency of pain”. For example, it is assumed that "select from figure" is selected for "part", "select from list" for "degree of pain", and "select from list" for "frequency of pain" as an input method. In this case, the image information of "abdomen" is displayed in "select from figure" of "part", the item values of "strong" and "weak" are displayed in "select from list" of "degree of pain", and "degree of pain" For "select from list", item values "several times a day" and "several times an hour" are created. In addition, by freely setting a natural language conversion method, switching of display / non-display of an item, and a default value for an input, it is possible to provide a user with more easily understandable information and a simpler input means. be able to. Since this input means can be created for each user, the knowledge base of the user can also be registered.

FIG. 8 shows the input display control information editing means 132.
FIG. 2 illustrates a form hierarchy diagram in a case where input display control information, which is input means created for each user and is obtained by the user, is displayed on the display means 121. FIG. 9 similarly illustrates a template structure when input display control information is displayed on the display unit 121, and FIG. 10 illustrates a template display when input display control information is displayed on the display unit 121. Things. Incidentally, FIGS. 2 to 1 described above
The display contents shown in FIG. 0 are actually colored and displayed in color.
(Shading is excluded) to show a simple form.

Here, the input item aggregate has one or more input items, the input items have one or more item values, and the item values have zero or more input items, and form a tree structure as a whole. ing. There are a plurality of input item aggregates in the input item aggregate list, a plurality of input items exist in the input item aggregate, and a plurality of item values exist in the input items. As the input method here, as described above, in addition to “select from figure”, “select from list”, “single selection”, “text input”, “select multiple from list”, “select multiple” , "Input of multiple lines of text", "selection input with explanatory diagram", and the like.

The input display control information created in this way is stored in the input display control information storage unit 142 and is also stored in the input display control information storage unit 212 of the medical record recording apparatus 201 via the communication unit 301. It is memorized. The information stored is structured, fast and easy to find,
An analysis can be performed.

The medical information storage means 141 is provided with the input means 11
1 or the medical information obtained in accordance with the input display control information provided on the display of the display means 121, or transmitted from the transmitting means 222 of the medical record apparatus 201 via the communication means 301. The medical information stored in the medical information storage unit 211 is stored. The stored information is structured, can be searched and analyzed quickly and easily, and is easily used for secondary use.

The input display control information storage means 142 stores the input display control information obtained by the input display control information editing means 132, or is transmitted from the transmission means 222 of the medical record apparatus 201 via the communication means 301. The input display control information stored in the input display control information storage unit 212 is stored. Again, the information is structured and can be searched and analyzed quickly and easily, and secondary use is easy.

The printing unit 151 can print the medical information input by the input unit 111 according to the user's request by referring to the input display control information provided on the display of the display unit 121. For example, when the medical information of a certain patient is to be printed on paper, the user controls input display of image information and the like provided by the display unit 121 with respect to the medical information (findings, symptoms, etc.) input by the input unit 111. The information can be cited, and the medical information can be printed on paper by the printing unit 151 in a format according to the user's request.

The transmitting means 162 is provided with the registered medical information indicating the medical information inputted by the input means 111 or the medical information obtained in accordance with the input display control information provided for the display of the display means 121, and the input display control information. Editing means 13
2 with the input display control information obtained by
Is transmitted to the receiving means 221 of the medical record recording apparatus 201 via the.

The receiving means 161 is provided for the second medical record device 20
Receiving the registered medical information and the input display control information transmitted from the first transmitting means 222, and
1 stores the medical information registered from the medical information storage means 211 of the medical record apparatus 201, and the input display control information storage means 142 stores the input display control from the input display control information storage means 212 of the medical record apparatus 201. Store the information.

In the medical record apparatus 201, the medical information storage means 211 stores the medical information input by the input means 111 of the medical record apparatus 101 or the medical information obtained in accordance with the input display control information provided on the display means 121. Is stored by the receiving unit 221 via the communication unit 301 for the registered medical information indicating
Again, the information stored is structured and can be searched and analyzed quickly and easily, and secondary use is easy.

The input display control information storing means 212 stores the input display control information obtained by the input display control information editing means 132 of the medical record recording apparatus 101 as the communication means 301.
Is stored by the receiving means 221 via the. Again, the information stored is structured and can be searched and analyzed quickly and easily, and secondary use is easy.

The transmission means 222 is provided by the medical information storage means 21
1 and the input display control information stored in the input display control information storage unit 212 via the communication unit 301 to the reception unit 161 of the medical record recording apparatus 101. 221 is the medical record device 10
The registered medical information and the input display control information transmitted from the first transmitting means 162 are received, and the medical information storing means 21 is received.
1 stores the medical information registered from the medical record apparatus 101, and the input display control information storage unit 212 stores the input display control information from the medical record apparatus 101.

The means of each unit in such an input / storage / output device can be applied to a configuration generally described below. The input device 110 includes, for example, a keyboard, a numeric key switch, a mouse, a trackball, an input pen,
An input operation device including at least one of an input tablet, a data glove, an OCR device, and an image scanner can be applied. Output devices such as the display device 120, the printing device 150, the communication device 160, and the communication device 220 can be embodied as a configuration in which at least one device has a display output function such as a display and a data scope. The storage device 140 and the storage device 210 may be, for example, one or more of a magnetic disk, an optical disk, a ROM, a RAM, an IC card, and a magnetic tape stored electromagnetically or optically, or a changer or the like. The function configured by any of the mass storage type devices to be operated can be embodied as a configuration including at least one device.
The communication means 301 is, for example, a LAN (local area
Network) can be applied. However, the dedicated line here may be of another type, such as a telephone line, a public line network such as an optical fiber cable, or a wireless line system such as a satellite line. good.

The equipment applied to the means of each part does not need to be installed at a fixed place, and the size and weight of the equipment or the mobile or hand-held movement by a trolley or rack depending on the communication means. And the like, and can be used not only in the examination room but also in all medical sites such as examination rooms, operating rooms, and hospital wards. or,
Depending on the communication means 301, application to the Internet, a public line network, or the like enables use at a location far from the actual site such as telemedicine.

FIG. 11 is a flowchart showing an example of the operation processing of the input / storage / output device.

Here, first, on the medical record recording apparatus 101 side, the operator inputs his / her own identification data and patient's identification data with the input means 111 to perform operator input (step S1). Information control means 131
Is checked by determining whether or not operator input (step S1) has been completed (step S2). As a result, if it is not input, the process returns to the operator input (step S1) and waits. If it is input, the input identification data of the operator and the identification data of the patient are inputted by the receiving unit 161 to the medical record apparatus 201. It is obtained from the medical information storage unit 211 on the side, and the operator indicated by the obtained identification data of the operator belongs to which occupation classification, such as a doctor, a nurse, a laboratory technician, etc. The processing of input information determination (step S3) for determining the presence or absence of the right is performed, and at the same time, medical information of the registered patient is acquired based on the acquired identification data of the patient.

Next, it is determined whether or not there is registered patient medical care information (step S4).
After displaying the medical care progress list (step S5) according to 1, the input, reference, or end determination (step S6) is performed in the same manner as when there is no registered patient medical care information. In the medical progress list, items input on the vertical axis and date / time on the horizontal axis are set, and registered medical information is displayed in a time series in a table format. At this time, input display control information indicating the structure of the input item aggregate used in the registered patient medical care information is obtained from the input display control information storage unit 142 (however, the structure of the target input item aggregate is input and displayed). Control information storage means 142
If it does not exist, it is obtained from the input display control information storage means 212 of the medical record recording apparatus 201 using the receiving means 161), and is determined by the attribute (SOAP classification / group) of the input item set which is set in advance. The input items to be displayed can be limitedly displayed in an easy-to-view form.
Further, it is also possible to display only a selected portion as a medical treatment progress record by selecting each item by the input means 111.

Further, in the processing of input, reference or end determination (step S6), the result of the determination processing is divided into cases.
That is, when an input item aggregate is selected from the input item aggregate list by the input unit 111 (step S7), the input item aggregate is displayed on the display unit 121. The medical care progress is input by inputting and registering the medical care information in the aggregate (step S8). The input item aggregate is dynamically displayed on the display unit 121 according to the input value, and the input items change. When the input is completed, the input data from the input unit 111 is passed to the medical care information control unit 131, where natural language conversion is performed, and a process of creating a medical care progress record from the input data (step S9) is performed. The progress record is displayed on the display means 121.

Here, the operator further edits the medical progress record freely by the input means 111 and the input display control information editing means 132 (step S9), and thereafter, the structure of the input item aggregate and the The medical history record registration (step S10) is performed by storing the data input in the step S1 and the edited medical history record in the medical information storage unit 141. The result of the medical progress record registration (step S10) is provided to the previous medical progress list display (step S5). The input up to this point is performed with reference to dynamically changing input items.

As described above, when the input has been completed and the registration has been completed by the input unit 111, the input, reference, or end determination process (step S6) is determined to be an end, and the medical information control unit 131 transmits the medical information. The medical information stored in the storage unit 141 is stored and registered in the medical information storage unit 211 of the medical recording device 201 using the transmission unit 161 to store data in the medical recording device 201 (step S12).

FIG. 12 is a flowchart showing another example of the operation processing of the input / storage / output device. Here, the structure of the above-described input item aggregate is created, corrected, and deleted by the input display control information editing means 132.

First, on the medical record recording apparatus 101 side, the operator inputs his / her own identification data and patient's identification data with the input means 111 to input the operator (step S1).
Thereafter, the medical information control means 131 checks whether or not the operator input (step S1) has been completed by determining whether or not the input has been performed (step S2). As a result, if no input has been made, an operator input is made (step S1).
When the input is made, the input identification data of the operator and the identification data of the patient are input by the receiving means 161 to the medical information storage means 2 on the medical record apparatus 201 side.
11, the operator indicated by the acquired identification data of the operator belongs to which occupation classification, such as a doctor, a nurse, or a laboratory technician, to determine the reference range of the operator and the presence or absence of censorship. At the same time, the input item aggregate is displayed in a tree structure on the display unit 121 based on the acquired patient identification data to display the input item aggregate list (step S3).

Next, an input item aggregate is displayed (step S 4) by selecting an input item aggregate from the display of the input item aggregate list by the input means 111. At this time, the input item group list is corrected and deleted, so that the selected input item group is stored in the input display control information storage unit 14.
2, the data structure is extracted as input display control information, inserted into the input display control information editing means 132 as a default value, and the display means 121 displays the input item aggregate in a tree structure.

Further, in the process of determining correction, addition or deletion (step S5), the result of the determination process is divided into several cases. That is, the operator performs an input item aggregate correction (step S6) or selects an input item aggregate to be added, modified, or deleted using the input unit 111, thereby performing input item aggregate modification (step S6). A new body entry (step S7) can be performed to add or an input item aggregate can be deleted (step S8), and thereafter, the registration data is updated (step S9) in any case.

In the input / storage / output device according to the above-described embodiment, the input of the medical information is performed at the time of medical treatment. However, the input can be performed not only at the timing but also before and after the medical treatment. Further, in the input / storage / output device of one embodiment, the configuration using two types of medical record devices including the plurality of first medical record devices 101 and the second medical record devices 201 has been described. If the first medical record apparatus 101 has all the functions of each means of each apparatus constituting the medical record apparatus 201, the first medical record apparatus 101 alone can be operated. In addition to medical records, the present invention can be applied to all medical services such as test report creation and test result input. In addition, since the input items change in the input item aggregate according to the input as described above, the next input is performed by an operation or a previous input that includes many items but does not actually require much input. Any operation that changes the item can be applied to fields other than medicine. That is, in addition to input of personal information such as questionnaire input and address input, it can be used in a wide range of fields regardless of the type of business or form, such as seat reservation for airplanes and trains.

[0085]

As described above, according to the input / storage / output method in the medical computer of the present invention, the input / storage / output method according to the present invention is based on the item change information for dynamically changing the predetermined required input items. Input display control information for reconstructing and editing an input display pattern to simplify input and input display, and to convert medical information provided for input into natural language according to required input items. The medical information input based on the conversion information is converted to natural language, and then needs to be corrected if necessary. Then, the registered medical information is output, and the registered medical information is output. Can be structured for each user and managed quickly and easily.

In particular, the input / storage / output method and apparatus in the medical computer have the following advantageous effects.

The first effect is that since the input items are dynamically changed on the spot where they are required by the input, the user can display unnecessary input items and medical information without displaying unnecessary items. Only necessary input items can be displayed simply and clearly, and necessary input checks can be performed while the input items are dynamically changing. This is effective as an input guide and can prevent input omissions. And the fact that the input means for each user can be easily created / managed and the knowledge base of the user can be reflected. This means that the user can efficiently and easily input medical information.

As a second effect, the medical information according to the input items can be converted into a natural language into a language that is more easily understood, and not only character information but also image information and audio information can be displayed.
In addition, since the natural language conversion method, the display method, and the like can be easily set, the input medical information can be displayed in an easily understandable manner as in the current paper chart.

As a third effect, the past medical information can be quickly obtained, and the medical information can be displayed in a time-series manner by setting the input item on the vertical axis and the date / time on the horizontal axis. Not only the entire display, but also only the necessary parts can be displayed, and further detailed medical information can be displayed from the displayed medical information, so that the past medical process of the patient can be quickly grasped. Can be

As a fourth effect, input display control information is generated for each user, and input item settings, item input methods, natural language conversion settings, display methods, display of default values, and the like obtained thereby are obtained. Can be easily set, and an input display function that is easy to use for each user can be easily created.

The fifth effect is that the medical information and the input display control information are structured and stored, so that the medical information and the input display control information can be quickly searched and analyzed easily. In addition, secondary utilization is facilitated.

[Brief description of the drawings]

FIG. 1 is a functional block diagram showing a basic configuration of an input / storage / output device according to an embodiment to which an input / storage / output method in a medical computer according to the present invention is applied.

FIG. 2 is a diagram showing template data when input display control information provided at the time of inputting medical information in input means provided in the input / storage / output device shown in FIG. 1 is initially displayed on a screen of a display means; It shows the structure (tree structure).

FIG. 3 shows a state of input items before an input operation of new medical information when the input display control information shown in FIG. 2 is displayed as a template as a dynamic input item aggregate.

FIG. 4 shows an example of a state in which input items are dynamically changed after input operation of new medical information when the input display control information shown in FIG. 2 is displayed as a template as a dynamic input item aggregate. It is a thing.

FIG. 5 shows another form of dynamically changing input items after input operation of new medical information when the input display control information shown in FIG. 2 is displayed as a template as a dynamic input item aggregate. It is a thing.

FIG. 6 is a diagram illustrating an example of a medical treatment progress record displayed in detail in a flow sheet by a display unit in an operation process of the input / storage / output device shown in FIG. 1;

FIG. 7 is a diagram exemplifying a medical care progress list displayed in a flow sheet by a display means in the operation processing of the input / storage / output device shown in FIG. 1;

8 illustrates a form hierarchy diagram when input display control information obtained by input display control information editing means is displayed on a display means in the operation processing of the input / storage / output device shown in FIG. .

FIG. 9 illustrates a template structure when input display control information obtained by input display control information editing means is displayed on a display means in the operation processing of the input / storage / output device shown in FIG. 1;

10 exemplifies a template display when input display control information obtained by input display control information editing means is displayed on the display means in the operation processing of the input / storage / output device in the medical computer shown in FIG. 1; Things.

11 is a flowchart showing an example of an operation process of the input / storage / output device shown in FIG.

FIG. 12 is a flowchart illustrating another example of the operation processing of the input / storage / output device illustrated in FIG. 1;

[Explanation of symbols]

 101, 201 Medical record device 110 Input device 111 Input means 120 Display device 121 Display means 130 Control device 131 Medical information control means 132 Input display control information editing means 140, 210 Storage device 141, 211 Medical information storage means 142, 212 Input display Control information storage means 150 Printing device 151 Printing means 160, 220 Communication device 161, 221 Receiving means 162, 222 Transmission means 301 Communication means

────────────────────────────────────────────────── ─── Continued on the front page (72) Inventor Norihiro Hazumi 5-7-1 Shiba, Minato-ku, Tokyo NEC Corporation (72) Inventor Hiroaki Nakazawa 5-7-1 Shiba, Minato-ku, Tokyo Japan Inside Electric Co., Ltd. (72) Inventor Hiroshi Takeda 5-15-608, Mitokeya-cho, Nishinomiya-shi, Hyogo (72) Inventor Yasushi Matsumura 5-39, Muromachi, Ikeda-shi, Osaka (56) References JP-A-7-152572 ( JP, A) (58) Fields investigated (Int. Cl. ⁷ , DB name) G06F 17/60 126 G06F 3/00 651 G06F 9/44 570

Claims (10)

(57) [Claims] An item change information for dynamically changing a predetermined required input item, and conversion information for converting medical information provided for input according to the input item into a natural language are stored. An information storage step, an input operation instruction step of performing an operation instruction for inputting the medical information by inputting one value instruction, and reconstructing an input display pattern by referring to the item change information according to the operation instruction An input display control information generating step of generating input display control information for performing input and edit, an input display control information storing step of storing the input display control information, and moving the input item based on the input display control information. A display step of changing and displaying the image,
A first medical information input step of inputting the medical information according to the dynamically changed input items, and a medical information converting step of converting the input medical information into the natural language based on the conversion information, A first medical information storing step of storing the medical information converted to the natural language, and a second medical information converting and inputting the medical information converted to the natural language and stored
A medical information input step, and an operation instruction for registering the medical information converted into the natural language or the corrected and input medical information by dynamically changing the input items and changing the input of the medical information. And an information output step of outputting the registered medical information and the input display control information. 2. The input / storage / output method in a medical computer according to claim 1, wherein the input medical information is displayed in the first medical information input step, and the medical information is displayed in the medical information conversion step. In the second medical information input step, the medical information corrected and input is displayed, and in the registration operation instruction step, the medical information registered is displayed. An input / storage / output method in a medical computer characterized by the above-mentioned. 3. The input / storage / output method in the medical computer according to claim 1, wherein the input display control information is generated for each user in the input display control information generating step. Input, storage, and output methods for medical computers. 4. An input means for performing an operation instruction for inputting medical information according to a predetermined required input item by inputting an instruction of one value, and item change information for dynamically changing the input item And preliminary information storage means for storing conversion information for converting the medical information into natural language as preliminary information, and reconstructing and editing an input display pattern by referring to the item change information in accordance with the operation instruction Input display control information editing means for generating input display control information for performing the processing, display means for dynamically changing and displaying the input item based on the input display control information, and the dynamically changed input. Medical information control means for converting the medical information input by the input means according to the item into the natural language based on the conversion information; and storing the medical information converted into the natural language. Medical information storage means, the preliminary information storage means is input display control information storage means for storing the input display control information, the input means, dynamic change of the input items, the medical information And inputting the medical information converted into the natural language and performing an operation instruction for registering the medical information, and further comprising a medical information output unit for outputting the registered medical information. Input and input on a medical computer characterized by
Storage / output device. 5. The input / storage / output device in a medical computer according to claim 4, wherein said display means comprises:
The medical information input by the input means, the medical information converted into the natural language by the medical information control means, and the medical information registered by the correction input by the input means are displayed. Input / storage / output device in medical computer. 6. The input / storage / output device for a medical computer according to claim 4, wherein the input display control information editing means generates the input display control information for each user. , Storage, and output devices in a personal computer. 7. The input / storage / output device in a medical computer according to claim 4, wherein the information output unit prints the registered medical information, and the printing unit prints the registered medical information. A communication device that communicates the registered medical information and the input display control information with a counterpart device; and an input / storage / output device in the medical computer. 8. The input / storage / output device in the medical computer according to claim 7, wherein the communication device comprises:
Transmitting means for transmitting the registered medical information and the input display control information to the counterpart device via communication means; and the registered medical information and the input display from the counterpart device via the communication means An input / storage / output device in a medical computer, comprising receiving means for receiving control information. 9. The input / storage / output device in a medical computer according to claim 8, wherein the input device includes the input unit, and the control device includes the medical information control unit and the input display control information editing unit. A storage device including the medical information storage device and the input display control information storage device; a display device including the display device; a printing device including the printing device; the transmitting device and the receiving device. An input / storage / output device in a medical computer, comprising a medical record device having the communication device. 10. An input / storage / output device in a medical computer according to claim 9, wherein a plurality of medical record devices are connected to each other as a first medical record device, and said medical record device is a first medical record device. The second medical record device is connected to the second medical record device via the communication means, and the second medical record device is connected to at least the plurality of first medical record devices via the communication means. A communication device that transmits and receives the registered medical information and the input display control information, and a storage device that stores the registered medical information and the input display control information.・ Storage / output device.