JP4064547B2 - Instruction sheet creation system for electronic medical records - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an electronic medical record instruction creation system capable of easily and accurately editing instructions (prescriptions, injections, etc.) included in medical records of electronic medical records.
[0002]
[Prior art]
Conventionally, an instruction sheet (such as a prescription or an injection note) included in a medical institution's medical chart is created for each target patient regardless of whether the medical chart is a paper medium or an electronic medical chart. The contents of the instruction note have various formats depending on the instruction sub-category. Taking prescriptions as an example, the recording format and format differ depending on the sub-category such as so-called prescription, overdose, topical use, treatment, injection, etc. Here, “the format is different” means that the number of items included therein or the number of item characters and item data attributes (characters or numerical values, etc.) are different. For example, in the case of prescription, it is necessary to fill in how many times a day to drink, when to drink after a meal, etc., how many days to take, etc. Items such as how many times to administer are necessary, and in the case of external use, the administration method itself is not necessary for so-called coating agents.
[0003]
When creating instructions with a conventional electronic medical record, each time the sub-category of instructions such as prescription, overdose, topical use, treatment, injection, etc. is different (ie, every time the format / description method is different) The form was displayed as a box on the screen, and data was entered and edited in it. In other words, in the past, even when creating instructions, items with different sub-categories and different formats are displayed independently of each other by displaying a box having a data entry format, and data is entered therein. It was. And, the format and data for each sub-category that was input data independently of each other was finally made possible to preview them together as one instruction sheet (input / edit boxes for each format) At the same time, I could n’t preview all of the sub-categories at the same time).
[0004]
In other words, when creating a conventional electronic medical chart instruction sheet, data must be input independently of the data of other subcategories for each subcategory such as prescription, topical use, and non-use. Therefore, in the conventional system, when inputting data of one subcategory in the instruction sheet, the content of the data is determined while viewing (referring to) the data of another subcategory in the same instruction sheet. It was not possible to input.
[0005]
[Problems to be solved by the invention]
As mentioned above, in the conventional electronic medical chart order creation system, it is necessary to edit each sub-category of prescriptions, external use, messengers, etc. in the same order independently from each other.・ When editing, the contents of other subcategories included in the same instruction sheet could not be referenced. However, these sub-categories are inherently inextricably related to each other as the contents of a single instruction sheet from the viewpoint of "giving instructions to the same target patient to administer or perform." . In order to determine and enter the contents of one subcategory, it is extremely important to refer to the contents of other subcategories in the same patient's same instruction sheet so that there is no contradiction or conflict between them. is there. In fact, in paper medical charts that are not electronic medical charts, all instructions are written on the same piece of paper regardless of the subcategory. When deciding and writing, be sure to refer to the description of other types of subcategories (for example, “external use”, “treatment”, “injection”, etc.) (ie, list the entire instruction sheet). I have to. Even in an electronic medical record using a computer, all of them are printed on a single sheet, regardless of the format (internal use, non-compliance, external use, administration method, treatment, injection) in the instructions (prescription, injection). It is necessary to be able to fill in freely and to list all instructions for the target patient and to edit the form freely and quickly.
[0006]
However, in the conventional electronic medical chart system that should have been proposed to streamline the paper chart, subcategories with different formats may be separated from each other because of the conventional computerized means. This is a system in which data is input independently to the editing sheets of each sub-category without referring to their contents.
[0007]
As described above, in the conventional electronic medical chart system, input units of sub-categories having different formats in one instruction sheet are arbitrarily arranged on one instruction sheet sheet regardless of the format difference. There is no idea of editing. However, if you are only thinking about "writing data in various formats on a single sheet", you can use a word processor. However, when inputting data with a word processor, the past progress in one instruction sheet is sorted and analyzed for each sub-category, and data such as drug name, dose, and administration days for each sub-category. It is not possible to distinguish between items or search for data of a specific item in a subcategory. When creating instructions with a word processor, the contents of the instructions are just a list of characters and lack the effectiveness as medical data (analyze by database, aggregate, or rearrange) Can not do it). In this way, word processors do not originally have a database-like idea, so they are not suitable for creating electronic medical record instructions.
[0008]
The present invention has been made paying attention to such problems of the prior art, and the contents of a plurality of sub-categories included in the same instruction sheet are the same regardless of the format of the input unit. Allows editing on the sheet to determine the contents of subcategories with instructions for the same subject patient and to enter data for other subcategories in the same instruction It is an object of the present invention to provide an electronic medical record instruction creation system that can be performed while browsing and referring to the entirety. In addition, the present invention makes it very easy and flexible to layout the input unit for each sub-category in the instruction sheet by easily deleting or inserting the input unit for each sub-category in one instruction sheet. An object of the present invention is to provide an electronic medical record instruction book creation system. In addition, the present invention provides an electronic medical record instruction creation system capable of freely inputting / correcting each component / item (medicine name, amount, administration time, administration days, etc.) in each input unit in one line. The purpose is to provide. Furthermore, the present invention is for an electronic medical record capable of constructing a database that can be uniquely accessed as data for each subcategory in an instruction sheet and for each component (item) in each subcategory. An object is to provide an instruction book creation system.
[0009]
[Means for Solving the Problems]
First, an overview of the idea / technical idea of the present inventor will be described. The inventor found that even if each sub-category in the instruction sheet has a format different from each other, almost all of the data for each sub-category can be written in one line in the instruction sheet. (The input unit for each subcategory can be configured in units of one line in the instruction sheet.) Also, in order to edit each subcategory of the instruction sheet quickly and easily, it is necessary to easily edit multiple subcategories. To that end, input units for each subcategory are configured in line units. The idea was to provide an “erase button” and an “insert button” for each row. In other words, a key operation method is possible for editing an input unit in units of rows. However, in the key operation method, first, a row to be operated is specified, and then a key is pressed twice. On the other hand, according to the delete button / insert button method, there is an erase button and an insert button for each row where at least sub-category data is input, so the user can perform an erase / insert operation with one touch. It is convenient. That is, the presence of the delete button allows the user to easily delete / delete the entire line by pressing the delete button on the right side of the screen (or the left side of the screen). In addition, when a missing omission of a subcategory is found later, the user can freely insert an input unit having a new subcategory format into a desired line by operating the insert button.
[0010]
Further, according to the inventor's idea, a subcategory selection button for selecting each subcategory (prescription, taking medicine, topical use, treatment, injection, administration method, etc.) of the instruction is arranged at the top of the screen. This subcategory selection button is for selecting an input unit having a unique format (number of items, item data attributes, etc.) for each subcategory. The user operates the sub category selection button to inform the system (CPU = central processing unit) of the type of sub category. By pressing a new button, the user sets (lays out) a single line input unit on the instruction sheet so that all the configuration item data in the format corresponding to the type of the selected subcategory is blank. (Usually, a new input unit is placed in the row next to the input unit of each sub-category already created on the instruction sheet and the last row of data).
[0011]
When the user presses the subcategory selection button, the input unit is laid out in one line, and a list of idioms corresponding to the selected subcategory is displayed on a part of the screen so that the user can A word or character string can be selected from the list, and the selected item can be filled in a data input area (input frame = cell) of a predetermined item in the input unit. The user selects a drug name, dose, dose unit (grams, etc.) prepared in advance in the list and embeds it in the area of each input frame (cell) in the input unit. It is extremely convenient in busy sites.
[0012]
As described above, the input unit of one line having the unique format corresponding to the selected subcategory is displayed on the edit sheet of the instruction sheet having the insert button and the delete button for each line. In addition, it is convenient that each component (item) in one input unit having a line-by-line format can be accessed, for example, by clicking there. In this way, while pressing any format setting button (each sub-category selection button), the above operations are repeated to create an instruction sheet (prescription, injection, etc.) for each patient. Even when different formats are laid out for each row, batch editing (row erasing of input units by row, multiple erasures) can be performed on the instruction sheet (edit sheet) by the insert button / erase button. Can be inserted between any of the input units of the line). In addition, input or change of data of an arbitrary item in each input unit in units of rows can be performed by clicking on the portion (editing of click item). With the above, for a single target patient, edit the contents of a subcategory while browsing all of the instructions (all of the contents of a plurality of subcategories with different formats contained in one instruction sheet). Can do. Moreover, it is possible to perform batch editing while displaying all the subcategories included in one instruction sheet, that is, referring to the contents of other subcategories.
[0013]
Here, explanations of the terms “category” and “subcategory” used in the present invention are added. In medical practice, the minimum unit of instructions includes prescription, oral administration, topical use, administration method, treatment, intramuscular injection, subcutaneous injection, intravenous injection, drip injection, and intravaginal local injection. Called "Category"). A prescription, an injection note, etc., which are “categories” of instruction sheets, are made from these arbitrary “subcategories”. In this specification, “prescription”, which is one of “category” of instructions, is mainly described. Therefore, in order to avoid complications, sub-categories of intramuscular injection, subcutaneous injection, infusion, and intravaginal local injection are collectively Then, it was described as “injection” below. The “injection note” which is one of the instruction note categories has the same principle as the “prescription” described in detail below. In this specification, an input unit usually refers to an input unit such as one line unit. This input unit is generated corresponding to each subcategory. Each input unit is configured for each sub-category with a unique format, that is, one or a plurality of unique items and one or a plurality of input frames (data input areas) suitable for the items.
[0014]
Next, the contents of the present invention for solving the problems of the prior art based on the technical idea as described above are as follows. The electronic medical record order creation system according to the present invention is an electronic medical record order creation system used for an electronic medical record that electronically creates and stores a large number of medical records. Sub-category for selecting sub-categories of instructions, such as prescriptions, overdose, topical use, administration methods, treatments, injections, etc., to be created on the instruction sheet for electronic medical records. A selection means; An input unit recording means for recording an input unit having a unique format corresponding to each sub-category and displayed in line units on the instruction sheet in association with each sub-category; When a plurality of lines are created on the instruction sheet, an input unit for designating a position for inserting a new input unit between any arbitrary lines in the plurality of lines. Based on the position designation means, the data from the sub-category selection means, the data from the input unit recording means, and the data from the input unit position designation means, “a unique format corresponding to the selected sub-category” Each input unit "is generated and arranged individually at the designated position on the instruction sheet. And an input unit generation means for, It has a function to freely edit subcategories of different formats on one sheet.
[0015]
In the electronic medical record instruction creating system according to the present invention, each input unit recorded by the input unit recording means is displayed in a line unit on the instruction sheet.
[0016]
Further, in the electronic medical record instruction creating system according to the present invention, the input unit position specifying means may be configured such that when a plurality of lines of input units have already been created on the instruction sheet, This is for specifying a position for inserting a new input unit between each arbitrary line.
[0017]
In particular, in the electronic medical record instruction creating system according to the present invention, the input unit position specifying means is an insertion button displayed for each line on the instruction sheet, and is displayed on the instruction sheet. When the input unit of the unit has already been created in a plurality of lines, it may be an insert button for inserting a new input unit at the position of the corresponding line by operating it.
[0018]
Further, in the electronic medical record instruction creation system according to the present invention, in response to the operation of the erase button displayed for each line so as to correspond to each input unit already generated on the instruction sheet. It is preferable to provide an erasing unit for collectively erasing the input unit and data in the corresponding row.
[0019]
Furthermore, in the electronic medical record instruction creating system according to the present invention, an example term recording unit for recording an example term associated with each subcategory in association with each subcategory, and an input unit by the input unit generating unit Is generated (when an input frame unit of one line is displayed), an idiom corresponding to the selected subcategory is output based on the output from the subcategory selecting means and the idiom recording means. When an idiomatic example display means for displaying and a part (one word) of an idiomatic example displayed by the idiomatic example display means are selected, the selected part is displayed in a predetermined area ( It is desirable to include an idiomatic example input means for inputting data in the input frame).
[0020]
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 is a principle diagram conceptually showing the main part of the configuration of an embodiment of the present invention. In FIG. 1, reference numeral 1 denotes the type of sub-category (prescription, non-registration) of instructions to be filled (input) on the instruction sheet included in each medical record sheet (described later in FIG. 2) in the electronic medical record. , Topical application, administration method, treatment, injection, etc.). In this embodiment, the selection of the subcategory by the subcategory selection unit 1 is performed according to an operation of the user operating a subcategory selection button (described later) displayed above the instruction sheet in the screen. In FIG. 1, reference numeral 2 denotes an input unit recording unit for recording an input unit (consisting of a predetermined item and a data input area) having a specific format for each subcategory in association with each subcategory. An input unit selection unit for selecting an input unit of a corresponding subcategory from a plurality of input units recorded in the input unit recording unit 3 based on an output (subcategory selection information) from the subcategory selection unit 1 Is an input unit generation position selection unit for selecting a position for generating and displaying an input unit on the instruction sheet, and 5 is an instruction sheet based on outputs from the input unit selection unit 3 and the input unit generation position selection unit 4 The input unit generation unit generates and displays an input unit of a subcategory selected at a selected position on the sheet. Further, in FIG. 1, 6 is a conventional term recording unit for recording a custom term example corresponding to each subcategory, and 7 is the above-mentioned one based on the output (subcategory selection information) from the subcategory selecting unit 1. An idiomatic example selecting unit for selecting an idiomatic example corresponding to a sub-category selected from the idiomatic example recording unit 6, and 8 is an idiomatic example display unit for displaying the selected idiomatic example on the instruction sheet. is there.
[0021]
Next, FIG. 2 shows a medical record sheet of a certain date and time of a patient (in this case, a pregnant woman who receives medical care in obstetrics and gynecology) displayed in an electronic medical record system to which the present invention is applied, and the medical record sheet It is a figure for demonstrating the instruction sheet displayed inside. In FIG. 2, 11 is a maternal examination display unit for inputting and displaying the result of the pregnant woman examination of the day, 12 is a hearing display unit for inputting and displaying the content of the complaint from the patient (the main complaint and the present condition), 13 is an instruction sheet for inputting / displaying doctor's instructions (prescriptions / injections) in characters, 14 is an ultrasonic image display unit for inputting / displaying image data obtained by ultrasonic imaging of a pregnant woman's stomach, 15 Is a graphic display unit for inputting and displaying the doctor's examination results in graphic form, and 16 is a date label for the user (doctor) to call a large number of medical record sheets included in the electronic medical record for each patient using the date as a clue. is there. In the example shown in FIG. 2, the type, number, display position, and display size of data displayed on the medical record sheet are arbitrary, and the user can arbitrarily lay out on the screen. In the example shown in FIG. 2, the doctor who is the user associates position data indicating an arbitrary position in the medical record sheet displayed on the screen with character data, image data, and graphic data created by the doctor. be able to. That is, the user can associate the position data with the character data when creating character data such as an instruction sheet on the newly created medical record sheet. Similarly, the user can associate the position data with image data such as a photograph when an ultrasonic photograph or an X-ray photograph is pasted on a newly created medical record sheet. In addition, when the user pastes a graphic for illustrating the affected area of the patient on the newly created medical record sheet, the user can associate the position data with the graphic data. Therefore, the user can freely write (paste) data such as characters, images, and figures at any position in the medical record sheet with the same feeling (operability) as a conventional paper media chart. It becomes possible.
[0022]
Next, the detailed configuration and operation of the instruction note creation system according to the present embodiment will be described with reference to the drawings. FIG. 3 shows a display screen for creating an instruction sheet according to the present embodiment. In FIG. 3, reference numeral 21 denotes a group of subcategory selection buttons (as shown in the figure, this example is composed of five buttons of “prescription”, “overdose”, “external use”, “administration method”, and “treatment”). The user operates the sub-category selection button 21 to select one of sub-categories of instructions such as prescription, overdose, topical use, administration method, and treatment. Reference numeral 22 denotes a new prescription button. The user operates the new prescription button 22 to newly input an instruction sub-category. Reference numeral 23 denotes an instruction sheet for editing the instruction sheet. Reference numeral 24 denotes an erase button for collectively erasing the input unit and data in the corresponding row. Reference numeral 25 denotes an insert button for inserting a new input unit in the corresponding row.
[0023]
In FIG. 3, the delete button 24 and the insert button 25 are arranged in advance in all rows of the instruction sheet 23. However, the present invention is not limited to this, and the instruction sheet 23 The delete button 24 and the insert button 25 are displayed only for the input unit and the line in which data has already been input / created, and the line in which the input unit is not input (anything in the instruction sheet 23 is still input) The above-mentioned buttons 24 and 25 do not have to be displayed with respect to the portion that is not. That is, the buttons 24 and 25 may be displayed only for the rows in the range indicated by reference numeral 26 in FIG. 3 (the range in which the input frame unit has already been generated and displayed). Further, in this case, the input unit selector can also have a function of opening a space between the input units so that the input units can be easily distinguished from each other (that is, in FIG. The delete button and the insert button may not be displayed for each of the lines 26A, 26B, and 26C in FIG. 3 which are blank lines between the input units displayed in (1).
[0024]
Next, FIG. 4 is a diagram showing an operation when the user (physician) presses the “prescription” button in the group of the sub category selection buttons 21. In this case, a part of the screen of FIG. 4 is a box for displaying an example of an idiom corresponding to the selected “prescription” subcategory by the idiom example display unit 8 (see FIG. 1). Is displayed. In this box, idiom examples of drug names corresponding to the “prescription” subcategory are displayed. The user selects and clicks, for example, a medicine name “Utemerin” from the displayed idioms. Then, the medicine name “Utemerin” is automatically entered in the “medicine name” item in the input unit and displayed on the screen. In addition, since the “dosage” and the “unit” of the administration method are set in advance in the conventional terminology examples, the user can easily input data into the input box in the same manner as described above. .
[0025]
Next, FIG. 5 is a diagram for explaining an operation when the user further presses the new prescription button 22 from the state of FIG. 4 described above in which the “prescription” button is selected. In this case, a new input unit 32 corresponding to the “prescription” subcategory is newly generated and displayed on the instruction sheet 23 in the line next to the input unit 31 generated by the operation of FIG. 4. In the newly generated and displayed one-line input unit 32, the data area of each item remains blank, and the user can freely enter data in the data area of each item. Data can be freely input to the data area of each item by the user clicking a part of each area with a pointing device such as a mouse.
[0026]
Next, in FIG. 6, from the state shown in FIG. 5, the user freely inputs data into each item of the input unit 32 (in the example of FIG. 6, the drug name, dosage, 3) enter “medicon dispersion”, “0.6”, and “g” in the data area of the three items of the dosage unit, respectively, and then “administration method” in the group of the subcategory selection buttons 21. This screen is displayed when the button is pressed. In the example of FIG. 6, in the third line of the instruction sheet 23 (the line below the input unit 32), a new format corresponding to a subcategory “administration method” (“when to drink”), An input unit 33 (consisting of three items, an item “how many times a day” and an item “how many days”) is generated and displayed. In the example of FIG. 6, the user inputs predetermined data (data “after meal”, “3”, “5”) into the data areas of the three items in the input unit 33, respectively. Yes.
[0027]
Next, FIG. 7 shows an operation when the user presses the “prescription” button in the group of the sub-category selection buttons 21 and the button of the new prescription button 22 from the state shown in FIG. Is shown. In this case, a new input unit 34 having a format corresponding to the subcategory of “unsuitable” is generated and displayed in the lower row of the input unit 33. In the example of FIG. 7, the user inputs predetermined data (data “Buskopan lock” “2” “lock”) in the data area of each item of the input unit 34. Here, the user further presses the “administration method” button in the sub-category selection button 21 group, so that the input unit 35 of the “administration method” format for use is laid out on the next line. It is displayed. In this example, the user inputs predetermined data (“meal” “7”) to the input unit 35.
[0028]
Next, FIG. 8 is a screen in which the “external” button of the subcategory selection button 21 is further pressed from the state shown in FIG. 7 to lay out and display the input unit 36 corresponding to the “external” subcategory. Here, "Morous tape compress, 1, bag" is entered. The “administration method” is not required for the “external use” subcategory.
[0029]
Next, FIG. 9 shows the result of the operation when the user presses the delete button 24a (see FIG. 8) corresponding to the input unit 32 in the second row from the top of the instruction sheet 23 in the state of FIG. It is shown. In this case, the input unit 32 in the second line from the top corresponding to the pressed delete button 24a and the data therein are collectively deleted from the instruction sheet 23 and then laid out under the input unit 32. The input unit 33 that has been raised rises to the position of the second row from the top (the position where the batch-erased input unit 32 was present), and the input unit 34 below it moves to the position of the third row. To rise.
[0030]
Next, FIG. 10 shows a state when the user presses the insert button 25a (see FIG. 9) corresponding to the position of the third row from the top of the instruction sheet 23 on the screen of FIG. 9 in the state of FIG. Is shown. In this case, a blank line (see symbol A in FIG. 10) can be formed in the line corresponding to the insert button 25a.
[0031]
Next, FIG. 11 shows an operation when the user presses the “treatment” button of the group of the sub category selection buttons 21 after pressing the insertion button 25a. In this case, the input unit 37 in the “category” subcategory format is generated and displayed at the position of the blank line A formed by the operation of the insert button 25a. In the example of FIG. 11, data “Wound cleaning gauze replacement procedure” is input and displayed in the input unit 37 by the user. The format of the input unit of the sub-category “treatment” is different from the format of the input unit of the other sub-category, but the instruction sheet is similar to the input units 31, 33, 34, 35, 36 of the other sub-categories. A layout can be freely made on the sheet 23.
[0032]
As described above, in this embodiment, a plurality of line-unit input units having different formats for each subcategory can be freely laid out on the instruction sheet 23 for one patient. it can. That is, the user can freely lay out and edit input units having different formats in line units by operating the delete buttons 24 and 24a and the insert buttons 25 and 25a. The user can freely input various data into the data area of the item by clicking each component (item) in the input unit. In addition, the user selects and clicks an arbitrary idiom from the box of idioms displayed according to the type of input unit of each subcategory, so that the data area of each input unit item can be entered. The idiomatic phrase can be entered automatically.
[0033]
In the present embodiment, the delete buttons 24 and 24a are displayed on the screen and operated by the user in order to realize the batch erase function of the input unit in units of rows. However, the present invention is limited to this. It is possible to adopt various methods other than those shown in this embodiment, such as freely changing the position and shape of the button for performing the erasing operation and operating each row. In the present embodiment, the insert buttons 25 and 25a are displayed on the screen and operated by the user in order to realize the batch erase function of the input unit in units of rows. However, the present invention is limited to this. It is possible to adopt various methods other than those shown in this embodiment, such as freely changing the position and shape of the button for performing the insertion operation and operating each row.
[0034]
【The invention's effect】
In medical practice, instructions (this "instruction" has categories such as prescriptions and injections) record various instructions for patients and can be edited while listing all instructions. , Help to reduce the time to create instructions, and to prevent incorrect instructions. In the conventional instruction book creation system, each sub-category (prescription, overdose, topical use, administration method, treatment, injection, etc.) with different formats is edited on a separate sheet, and later, they are combined and previewed as instructions. There is a risk of creating inconsistent instructions between each subcategory (because you cannot refer to other subcategories when filling in each subcategory) Since sub-categories must be grouped together so that they are consistent with each other, there is a drawback in that time is lost and labor is required. The present invention overcomes the drawbacks of the prior art, greatly contributes to the difficulty of creating instructions in the digitization of instructions (prescriptions, injections, etc.), and is very useful in preventing the occurrence of erroneous instructions. It is.
[0035]
That is, in the present invention, an input unit having a format corresponding to the subcategory selected by the user (doctor) can be freely laid out on one instruction sheet at a position designated by the user. . Therefore, the user can determine and input the contents of the new subcategory while referring to the contents of other subcategories on one instruction sheet, so that the contents of the new subcategory can be determined and input. It becomes easy, and it becomes possible to maintain high consistency among a plurality of subcategories.
[0036]
In the present invention, since the input unit laid out on the instruction sheet is configured as one line unit, the layout on the instruction sheet can be efficiently performed, and the instruction sheet The whole will be easy to understand visually.
[0037]
In the present invention, the insertion position specifying means can freely insert a new input unit between each row of a plurality of subcategories (input units and data) already created on the instruction sheet. , Users can more easily lay out subcategories.
[0038]
Also, in the present invention, an insert button corresponding to each input unit created on the instruction sheet is displayed on the screen in advance, and the corresponding line can be displayed only by the user operating the insert button. Since a new input unit can be generated at the position of, a plurality of subcategories can be easily laid out on the instruction sheet by the user.
[0039]
Further, in the present invention, a delete button corresponding to each input unit created on the instruction sheet is displayed on the screen in advance, and the user can operate the corresponding button only by operating the delete button. Since the input unit and data can be erased collectively, the layout of a plurality of subcategories on the instruction sheet by the user can be performed more easily.
[0040]
In the present invention, an example of an idiom corresponding to a newly selected / generated subcategory input unit is displayed, and the user selects an appropriate character string or the like from the idiom. Since data can be automatically entered in the data area of the corresponding item in the unit, subcategory input work by the user's doctor at a busy site can be further labor-saving and efficient.
[Brief description of the drawings]
FIG. 1 is a schematic block diagram conceptually showing the structure of a main part of an embodiment of the present invention.
FIG. 2 is a diagram illustrating an example of a screen configuration of an instruction sheet displayed by an electronic medical record system to which the embodiment is applied.
FIG. 3 is a diagram for explaining the operation of the embodiment;
FIG. 4 is a diagram for explaining the operation of the present embodiment.
FIG. 5 is a diagram for explaining the operation of the present embodiment.
FIG. 6 is a diagram for explaining the operation of the present embodiment.
FIG. 7 is a diagram for explaining the operation of the present embodiment;
FIG. 8 is a diagram for explaining the operation of the present embodiment;
FIG. 9 is a diagram for explaining the operation of the present embodiment.
FIG. 10 is a diagram for explaining the operation of the present embodiment;
FIG. 11 is a diagram for explaining the operation of the present embodiment;
[Explanation of symbols]
1 Subcategory selection section
2 Input unit recording section
3 Input unit selector
4 Input unit generation position selector
5 Input unit generator
6 Idiomatic example recording section
7 Idiomatic example selection part
8 Idiomatic example display

Claims (5)

In an electronic medical record instruction creation system used for electronic medical records that electronically create and store a large number of medical records,
A subcategory selection means for selecting a subcategory of instructions such as prescription, overdose, topical use, administration method, treatment, injection, etc., to be created on the instruction sheet for electronic medical records;
An input unit recording means for recording an input unit having a unique format corresponding to each sub-category and displayed in line units on the instruction sheet in association with each sub-category,
When a plurality of lines of the input unit are created on the instruction sheet, an input for specifying a position for inserting a new input unit between the arbitrary lines in the plurality of lines. Unit position designation means;
Based on the data from the sub-category selecting means, the data from the input unit recording means, and the data from the input unit position specifying means, "each input having a unique format corresponding to the selected sub-category" Input unit generating means for generating and arranging units "individually and individually at the designated positions on the instruction sheet;
An electronic medical record instruction creation system characterized by comprising: In claim 1,
A generation position specifying means for specifying a position for generating a new input unit at a position following the input unit of the plurality of lines when a plurality of lines of input units have already been generated on the instruction sheet, An electronic medical record instruction creation system characterized by comprising: In claim 1 or 2,
The input unit position specifying means inserts a new input unit at the position of the corresponding line in accordance with the operation of the insert button displayed for each line so as to correspond to each input unit generated in units of lines. An electronic medical record order creation system characterized by that. In claim 1, 2 or 3,
On the instruction sheet, the input unit and data in the corresponding row are erased collectively in response to the operation of the erase button displayed for each row so as to correspond to each input unit generated in units of rows. An electronic medical record instruction creation system comprising an erasing means for In any one of Claims 1-4, Furthermore,
Idiomatic example recording means for recording an idiomatic example corresponding to each sub-category in association with each sub-category;
When an input unit is generated by the input unit generating means, an example of a idiom corresponding to the selected subcategory is displayed based on outputs from the subcategory selecting means and the idiom example recording means. Display means;
A terminology example input means for inputting the selected portion as data in a predetermined area of the input unit when a part of the terminology example displayed by the terminology example display means is selected;
An electronic medical record instruction creation system characterized by comprising:

Images