JP4339383B2 - Electronic medical record information generating apparatus, electronic medical record information generating method, and electronic medical record information generating program - Google Patents

Description

  The present invention relates to an electronic medical record information generating apparatus, an electronic medical record information generating method, and an electronic medical record information generating program for generating electronic medical record information.

  In the medical field, information related to medical treatment of patients, prescription drug information, and the like are recorded in a medical chart by a doctor, and a prescription is created based on the information described in the medical chart.

  In electronic medical charts that have become widespread in recent years, as in the technique disclosed in Japanese Patent Laid-Open No. 2003-337858, information input by a doctor is transmitted to a terminal such as an external pharmacy to directly order a drug prescription from the pharmacy. For example, it is possible to use information input to the electronic medical chart for various medical practices.

  The flow of medical practice using a conventional electronic medical chart is shown in FIG.

  Conventionally, in the doctor's thinking, when a medical care plan is drafted (S31), an article slip content is drafted (S32), and an implementation procedure is drafted (S33), these are not individually recorded in detail. Only the contents of the slip were input to an electronic information system such as an electronic medical record.

  Then, an article slip such as a prescription is created from the contents input to the electronic information system such as the electronic medical record (S34) and used for purchasing or billing the necessary article (S35), and the article is transported and secured. (S36), used in medical practice such as examination and treatment (S37).

  By using the electronic medical record information entered in this way, it is possible to save the doctor from having to prepare a prescription and to receive the drug prescription order quickly at the pharmacy until the patient receives the drug. There is an advantage that time can be reduced.

  However, in the conventional electronic medical record, the medical treatment plan, article slip contents, and implementation procedure planned in the doctor's thought are not individually recorded in detail. For example, on the medical record, “prednisolone is increased to 3 tablets from tomorrow. Even if it is described as "", there was a case where it was not described in the chart of the next day that the amount was increased or the result.

  In addition, it is substituted as a medical plan by entering the contents of the article slip, and the details of the medical plan are only recorded as a memo etc., and information on the medicine prescribed in the medical plan based on the patient's symptoms and the actual Even if the information on the medicine prescribed in the prescription is different, only the information on the medicine prescribed in the prescription was recorded on the chart.

  For example, when prednisolone planned to take an internal medicine uses the patient's ownership, nothing is entered in the electronic medical record even though the patient actually takes a predetermined amount of medicine for a predetermined period of time. In other cases, only the dosage required for additional prescription was entered.

  In such electronic medical record information, it is difficult to confirm whether prescriptions are made according to the medical treatment plan, and it is easy to overlook the medical treatment contents, so in the medical field information such as prescriptions of medicines established as medical treatment plans, It was necessary to record and manage the information separately from the information on article purchase slips such as prescriptions.

  Furthermore, in the conventional electronic medical record, the information in the database for selecting the medicine to be input is created for the purpose of using it as an article purchase slip by prescription, so only information on the medicine adopted in the hospital is stored. In addition, it was impossible to input in detail the past medical history of patients who were transferred from other medical institutions. For this reason, there has been a problem that it is impossible to make a medical treatment plan that takes into account the past medical care of a patient who has been transferred from another medical institution.

  Therefore, an object of the present invention is to provide an electronic medical record information generating apparatus, an electronic medical record information generating method, and an electronic medical record information generating program capable of distinguishing and managing medical plan information and information related to actual medical practice. That is.

  Another object of the present invention is to provide an electronic medical record information generating apparatus, an electronic medical record information generating method, and an electronic medical record information generating program capable of generating a medical treatment plan in consideration of the medical care process in another medical institution. It is.

In order to achieve the above object, an electronic medical record information generating apparatus according to claim 1 of the present invention is an electronic medical record information generating apparatus that manages information on pharmaceuticals to be administered to a patient on the electronic medical chart. A medicinal dose acquisition means for acquiring a medicinal dose that is an amount to be administered to the patient, and treatment plan information generation for generating the treatment plan information of the patient based on the medicinal dose acquired by the medicinal dose acquisition means Means, and an equivalence acquisition means for obtaining an amount to be applied to a medicinal amount stored by the patient or doctor for each medicinal product and obtained by the medicinal amount obtaining means, and a medicinal amount obtaining means for each medicinal product. Article procurement information generating means for generating article procurement information as an amount necessary to be procured from an amount obtained by subtracting the amount to be applied acquired by the charge equivalent acquisition means from the acquired drug amount, and the treatment plan information generation Generated by means A treatment plan information and the procurement information generating means procurement information generated in, characterized in that it comprises a recording means for recording distinguished.

Further, claim 2 is the electronic medical record information generating apparatus according to claim 1, further comprising a display unit for displaying the treatment plan information and the article procurement information recorded in the recording means in a distinguishable manner. And

Moreover, Claim 3 is the electronic medical record information generating apparatus according to Claim 1 or 2, wherein the dosage amount acquisition means is the number of times of administration per day for each drug as detailed information on the dosage. The administration time is selected from administration time patterns indicating each administration time in a preset day, a predetermined time is input, or a predetermined time interval is input. The information on the number of administrations and the administration time is acquired .

Moreover, Claim 4 is the electronic medical record information generation apparatus according to any one of Claims 1 to 3, and the information on the medicine includes information handled by a medical institution in which the apparatus is used and the medical institution It is characterized by including information handled in other than .

The electronic medical record information generating method according to claim 5 is an electronic medical record information generating device for managing information on medicines to be administered to a patient on the electronic medical chart, wherein each electronic medicine is an amount to be administered to the patient. and use application dose obtaining step of obtaining dose, based on the use application dose obtained by the use dose obtaining step, the treatment plan information obtaining step of generating a treatment plan information of the patient, per pharmaceuticals, patients or the appropriated amount acquisition step of stockpiled obtains the amount to allocate to the use application dose obtained by the use dose acquisition step by a physician, in each medicine, the use application dose obtained by the use dose acquisition step, the amount obtained by subtracting the amount of appropriated acquired by the appropriated amount acquisition step, a procurement information generating step of generating a procurement information as procurement amount required raw in the treatment plan information generating step And therapeutic planning information and the procurement information generating step The generated procurement information, and having a recording step of recording distinguished.

Moreover, Claim 6 is the electronic medical record information generation method according to Claim 5, further comprising a display step of displaying the treatment plan information and the article procurement information recorded in the recording step in a distinguishable manner. And

In addition, claim 7 is the electronic medical record information generation method according to claim 5 or 6, wherein, in the dosage amount obtaining step, as the detailed information of the dosage amount, the number of times of administration per day for each medicinal product The administration time is selected from administration time patterns indicating each administration time in a preset day, a predetermined time is input, or a predetermined time interval is input. The administration frequency and the administration time are obtained .

Further, claim 8 is the electronic medical record information generation method according to claims 5 to 7, wherein the information on the medicine is handled by information handled by a medical institution in which the device is used and other than the medical institution. It is characterized by including information.

The electronic medical record information generating program according to claim 9 is an electronic medical record information generating apparatus that manages information on a medical product to be administered to a patient on the electronic medical record, and is an amount to be administered to the patient for each pharmaceutical product. and use drugs amount acquisition function of acquiring a dose, based on the use application dose obtained by the use dose acquisition function, and the treatment plan information obtaining function for generating the treatment plan information of the patient, per pharmaceuticals, patients or the appropriated amount acquisition function stockpiled to obtain the amount to allocate to the use application dose obtained by the use doses acquisition function by a physician, in each medicine, the use application dose obtained by the use dose acquisition function, An article procurement information generation function for generating article procurement information as an amount that needs to be procured by subtracting the amount to be applied acquired by the charge equivalent acquisition function, and treatment plan information generated by the treatment plan information generation function And the article And it reaches information generating function article procured information generated in, characterized in that to execute a recording function to record distinguished.

Further, claim 10 is the electronic medical record information generating program according to claim 9, further comprising a display function for displaying the treatment plan information and the article procurement information recorded by the recording function in a distinguishable manner. And

In addition, claim 11 is the electronic medical record information generation program according to claim 9 or 10, and in the dosage amount acquisition function, as detailed information on the dosage amount, the number of times of administration per day for each medicinal product The administration time is selected from administration time patterns indicating each administration time in a preset day, a predetermined time is input, or a predetermined time interval is input, The number of administrations and the administration time are obtained .

Moreover, Claim 12 is the electronic medical record information generation program according to any one of Claims 9 to 11, wherein the information on the medicine is information handled by a medical institution in which the device is used and the medical institution It is characterized by including information handled in other than.

  Therefore, according to the electronic medical record information generating apparatus, the electronic medical record information generating method, and the electronic medical record information generating program of the present invention, it is possible to clearly distinguish and manage the medical plan information and the actual medical practice information. .

  Further, according to the electronic medical record information generating apparatus, the electronic medical record information generating method, and the electronic medical record information generating program of the present invention, it is possible to generate a medical treatment plan that takes into account the medical treatment progress in other medical institutions.

It is a block diagram which shows the structure of the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment and 3rd Embodiment of this invention. It is explanatory drawing which shows the structure of COA utilized with the electronic medical record information generation apparatus as an electronic medical record information generation apparatus by 1st Embodiment and 3rd Embodiment of this invention. It is explanatory drawing which shows the position of the information of COA on the time-axis displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment and 3rd Embodiment of this invention. It is a flowchart which shows operation | movement of the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment and 3rd Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment of this invention. It is explanatory drawing which shows the correlation of the dosage administered by the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 1st Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is an example of the screen structure of the prescription input screen displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 2nd Embodiment of this invention. It is a logic which shows the relationship between the information managed by the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 3rd Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 3rd Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 3rd Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 3rd Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 3rd Embodiment of this invention. It is an example of the screen structure displayed with the electronic medical chart information display apparatus as an electronic medical chart information generation apparatus by 3rd Embodiment of this invention. It is a flowchart which shows operation | movement of the conventional electronic medical chart information display apparatus.

<< First Embodiment >>
<Configuration of Electronic Medical Record Information Display Device According to First Embodiment>
A configuration of an electronic medical record information display device as an electronic medical record information generation device according to the first embodiment of the present invention will be described with reference to FIGS.

  The electronic medical record information display apparatus 1 according to the present embodiment includes an input unit 11, a storage unit 12, an electronic medical record information acquisition unit 13, a display screen information generation unit 14, and a display unit 15.

  The input unit 11 is operated by a doctor who is a user, and is a mouse, a stylus pen, a keyboard, or the like.

  The input unit 11 acquires information related to a medical treatment plan and information related to an implementation action by a doctor's operation.

  The storage unit 12 is a COA information storage unit 12a that stores detailed information regarding various medical practices that have been input in advance, and an electronic medical record information that records electronic medical record information that is information regarding medical care for each patient that has already been input by a doctor. It has a storage unit 12b.

  The information regarding the medical practice stored in the COA information storage unit 12a will be described.

  In the present embodiment, various types of medical practices to be displayed, for example, administration of various drugs, are individually defined and managed as “acts”.

  These individual acts have information (Core of Act, hereinafter referred to as “COA”) as the core of the act. Each COA stores its own act, for example, the amount, speed, unit, titer, scientific knowledge and know-how related to the administration of each drug. In this COA, information about own actions defined on the basis of the time axis, relations with other actions, and the like are stored.

  Act types include “observation”, “prescription”, “injection”, “school lunch”, etc., for example, “inspection” must be performed after a predetermined period of time has elapsed since the “injection”. There is individual information related to other medical practices based on the time axis.

  Information other than medical practice, such as “symptom” information, is also a COA that is generated based on an act of “observation”, and such information (symptom) is held as a COA of “observation”. That is, all medical information is held as a COA of some medical action (act).

  Based on this idea, in the electronic medical record information display apparatus of this embodiment, the COA having information based on the time axis is further inputted into the data structure having the time axis already called the electronic medical record. Display and support the provision of highly accurate medical information.

-Configuration of COA-
Information constituting each COA used in the present invention will be described with reference to FIG.

  Each COA includes (1) an act information layer 100, (2) an act operation layer 200, (3) an output layer 300, and (4) a management layer 400.

(1) Act information layer 100
The act information layer 100 includes (i) self-act information 110 as self-actual information that is information related to the self-act, and (ii) linkage act information 120 as linkage information that is information for linking with other COAs. Have

(I) Self-act information 110
The self-act information 110 further includes a self-act characteristic 111 as self-act characteristic information and a self-act logic 112 as self-action logic information. The self-act characteristic 111 includes a self-act name 111a (formal name, Alias, provisional name, etc.), classification 111b (major classification, medium classification, minor classification, etc.), related ID 111c (identification ID for linking to other COA corresponding to name 111a), knowledge 111d (quantity related to own act) Speed, units, scientific knowledge and know-how).

  Examples of the classification 111b include “motion act” and “logical act” as major classifications, and “observation act” and “intervention act” as middle classifications of “motion act”. In addition, there are “history”, “symptom”, “findings”, etc. as subcategories of “observation act”, and “specimen test”, “imaging test”, “physiological test”, “prescription” ”,“ Injection ”,“ treatment ”,“ entrance / exit ”,“ school lunch ”, and the like. In addition, as a subcategory of “logically act”, there are “data generation by combination of inspection results”, “prescription;

  The self-act logic 112 stores information such as an amount calculation method, an appropriate dose range, a symptom evaluation method, unit conversion, and a display method when executing the self-act.

(Ii) Linkage act information 120
The linkage act information 120 has a linkage act characteristic 121 and a linkage act logic 122, and the linkage act characteristic 121 includes contents of subordinate / exclusive actions applied by linking with other COAs, application time, Information such as the scope of application is stored based on the time axis information, and the linkage act logic 122 stores conditional expressions such as logical sums, logical products, etc. when linking with other COAs based on the information of the linkage act characteristics 121. Stores flows and so on.

(2) Act action layer 200
The act operation layer 200 stores logical control information between operations when executing processing based on the self-act logic 112 and the linkage act logic 122, for example, the execution order and conditional expressions.

(3) Output layer 300
The output layer 300 includes a state 300a related to the operation of its own COA (assuming, planning, implementation decision, preparation, implementation, result, etc.), evaluation 300b (success, failure, etc.), result 300c (observation result, implementation result, graphic) , Slip / prescription generation, etc.), information such as intervention 300d for other COA is stored.

(4) Management layer 400
The management layer 400 stores a management ID group 400a for managing each COA, a management name 400b, a copyright 400c using each COA as a copyrighted work, and version information 400d such as the date of writing and the date of update. ing.

  FIG. 3 shows the application range of information on the time axis of each COA. Each COA can have a plurality of linkage act information 120. In the COA of FIG. 3, the COA has three linkage acts 120-1 to 120-3.

  In FIG. 3, linkage act information 120-1 is information that is applied after a predetermined time has elapsed since the execution of medical practice using self-act information 110, and linkage act information 120-2 is applied simultaneously with the execution of medical practice using self-act information 110. Linkage act information 120-3 is information applied from the end of the medical practice by the self-act information 110.

  The electronic medical record information acquisition unit 13 acquires information on the medical treatment plan and information on the implementation action input from the input unit 11, and stores the COA information and electronic medical record information corresponding to these information in the COA information storage unit 12a and the electronic medical record. Obtained from the information storage unit 12b.

  In addition, when the electronic medical record information acquisition unit 13 acquires update information regarding the acquired COA information storage unit 12a and the electronic medical record information storage unit 12b from the input unit 11, the updated content is stored in the COA information storage unit 12a or the electronic medical record unit. Write to the information storage unit 12b.

  In the present embodiment, it is assumed that information related to drug administration is input to the electronic medical record information, and the drug information is classified and handled as follows according to the state of medical treatment.

(1) Drugs: Actually use and administer drugs to patients in treatment plans (2) Drug distribution: Use, administer or deliver drugs to patients for regular use (3) Formulations: Use and administer Dividing, mixing, changing the shape, etc. so that the drug can be used easily (4) Drug: The patient holds the drug for the purpose of keeping it outside the treatment plan (5) Drug withdrawal: (6) Loss of medicine: The patient loses the drug that has been handed over or used for maintenance. (7) Recovery: Reuse the lost or discarded drug. What is possible? The above concept of “lost drug” is not normally used as information in principle, and is used when more detailed settings are required.

  “Discarded” means discarding items that are no longer needed during dispensing, and if they are carried over and used next time, they are treated as supplies.

  The display screen information generation unit 14 generates display screen information based on the information regarding the medical treatment plan and the information regarding the implementation action acquired by the electronic medical record information acquisition unit 13, the COA information, and the electronic medical record information.

  The display unit 15 displays the display screen information generated by the display screen information generation unit 14 and is a display or the like.

<Operation of Electronic Medical Record Information Display Device According to First Embodiment>
Hereinafter, an operation when displaying prescription information of a medicine using the electronic medical record information display device 1 according to the first embodiment will be described in detail with reference to FIGS. 4 to 10.

  As shown in the flowchart of FIG. 4, first, when a medical treatment plan is drawn up in the doctor's mind (S1), the electronic medical record information of the corresponding patient is acquired from the input unit 11 of the electronic medical record information display device 1 by the operation of the doctor. An instruction is input, and electronic medical record information is acquired from the electronic medical record information storage unit 12b in the electronic medical record information acquisition unit 13 in accordance with the acquisition instruction.

  The electronic medical record information acquired by the electronic medical record information acquiring unit 13 is displayed on the display unit 15 by generating display screen information to be displayed on the display unit 15 by the display screen information generating unit 14.

  When the electronic medical record information of a desired patient is displayed on the display unit 15, the current prescription plan of the medicine is input to the displayed electronic medical record information from the input unit 11 by a doctor's operation.

  When a drug prescription plan is input, first, the drug name of the drug to be used this time, the start date and time of taking these drugs, the number of drugs per day, and the drug period are input.

  Processing when a drug name is input will be described.

  The method of inputting a drug name includes (a) a method in which a desired drug name is selected from a frequently used drug list in which drugs selected so far are listed in order of selection frequency, and (b) a drug prepared in advance There are a method in which a desired drug name is selected from a database having information by keyword search, or a method (c) in which a desired drug name is selected from a drug list generated in advance by a doctor as a user.

  In the method (a), when a request to display a list of frequently used drugs is input from the input unit 11 by a doctor's operation, the name of the drug selected so far is selected from the COA information storage unit 12a in the electronic medical record information acquisition unit 13 A predetermined number is acquired in descending order of frequency, and the frequently used drug list is automatically generated in the display screen information generation unit 14 using the acquired drug names.

  The created common drug list is displayed on the display unit 15, and a drug name is selected from the frequent drug list displayed by the doctor, whereby a desired drug name is input to the electronic medical record information.

  In addition, the database used in the method (b) includes not only the medicines used in the medical institution using the electronic medical record information display apparatus 1 but also all medical products used in other medical institutions. It is a database that stores the information.

  By including information on medical products used in other medical institutions, when a patient who has received medical care at another medical institution has been transferred to a hospital, the COA that indicates the medical treatment that was received at the previous medical institution The doctor can check the input COA information and the linkage act information, and can make an appropriate medical plan in consideration of the past medical progress.

  FIG. 5 shows an example of a screen display diagram when the database information retrieved by the method (b) is displayed.

  The left part of the screen in FIG. 5 is the electronic medical record information of the patient, and the right part of the screen is a palette for displaying the information of the selected database.

  The pallet in FIG. 5 shows a state in which nine corresponding drugs are extracted from the database and displayed by searching by inputting “allergy” as a keyword.

  In addition, keywords for keyword search used in the method (b) are input by handwritten character recognition, keyboard input, barcode input, or voice input, etc., to identify drug names (product names or general names) and each drug. The search is performed using all drug information such as drug codes, indications, and drug effects for search.

  Then, by selecting a desired drug name from the extracted results of the search, the desired drug is input to the electronic medical record information.

  When the drug name extracted as a result of the search is displayed, or when the entered drug name is displayed on the electronic medical record, the drug used by the medical institution is used only by another medical institution You may make it easy to identify whether it can be selected as a medicine by adding a mark such as changing the character color or setting a flag to distinguish it from a medicine.

  In addition, when the drug name extracted as a result of the search is displayed, the drug used in the medical institution is displayed as an extraction result before the drug used only in other medical institutions, You may make it easy to identify the drug name which can be selected as a medicine.

  In the present embodiment, the trade names of the drugs to be used this time are “Micardis (manufactured by Nippon Boehringer Ingelheim Co., Ltd.)”, “Longes (manufactured by Shionogi Pharmaceutical Co., Ltd.)”, “Zithromac (manufactured by Pfizer Pharmaceutical Co., Ltd.). ) ”And“ Mucodyne (Kyorin Pharmaceutical Co., Ltd.) ”are input.

  Furthermore, the start date and time of the medicinal drugs for these inputted drugs, the number of medicinal drugs per day, the medicinal time, and the medicinal period are entered.

  In this embodiment, “Micardis” and “Longes” have a start date and time of “after breakfast on November 4,” the number of medications per day is “one time (after breakfast)”, and the medication period is “28 days” "Zithromac" is entered with a start date of "after breakfast on November 4", the number of medications per day as "1 time (after breakfast)", and a medication period of "3 days" “Mukodyne” has a start date and time of “after breakfast on November 4th”, the number of medications per day as “3 times (after each meal)”, and a medication period of 7 days.

  The input information is acquired by the electronic medical record information acquisition unit 13 and the display screen information generation unit 14 generates display screen information.

  The display screen information generated based on the information acquired by the display screen information generation unit 14 is displayed on the display unit 15 as shown in FIG.

  Next, as the medical information of the drugs “Micardis”, “Longes”, “Zithromac”, “Mucodyne” acquired by the electronic medical record information acquisition unit 13, the general name of each drug and the product power per tablet The titer and the potency of the medicinal product (hereinafter referred to as “medicinal potency”) are acquired from the COA information storage unit 12 a of the storage unit 12.

  In this embodiment, the medical information of “Micardis” is the general name “Telmisartan”, the product titer “20 mg / tablet” per tablet, the medicinal potency “40 mg”, and the medical information of “Longes” Generic name “Lisinopril”, product titer per tablet “5 mg / tablet”, drug titer “5 mg”, generic name “azithromycin” which is medical information of “Zithromac”, product titer “1 tablet” 250 mg / tablet, medicinal potency “500 mg”, the general name “carbocysteine” which is medical information of “mucodyne”, product titer “500 mg / tablet” per tablet, medicinal potency “1500 mg” Is acquired from the COA information storage unit 12a.

  Information acquired by the electronic medical record information acquisition unit 13 is sent to the display screen information generation unit 14.

  When these pieces of information are acquired from the electronic medical record information acquisition unit 13, the display screen information generation unit 14 calculates an end date and time from the input start date and time, the number of medicines per day, and the medicine period.

  In this embodiment, “Micardis” and “Longes” have a start date and time of “after breakfast on November 4”, the number of medications per day is “one time (after breakfast)”, and the medication period Is “28 days”, the end date is calculated as “December 1 after breakfast”, and “Zithroma” is “November 4 after breakfast”. Since the number of medicines is “one time (after breakfast)” and the medicinal period is “3 days”, the end date and time is calculated as “November 6 after breakfast”, and “Mucodyne” is the start date and time. Is “after breakfast on November 4”, the number of medications per day is “3 times (after each meal)”, and the medication period is “7 days”. It is calculated as “after dinner on the 10th”.

  Next, the display screen information generation unit 14 calculates the amount of drug (number of tablets) per time from the product titer and the medicinal potency in the acquired information.

  In this embodiment, “Micardis” has a product titer of “20 mg / tablet” and a medicinal potency of “40 mg”, so that the dosage per day is calculated to be “2 tablets”. , “Longes” has a product titer of “5 mg / tablet” and a medicinal potency of “5 mg”, so the daily dose is calculated to be “1 tablet”, and “Zithromac” Since the product titer is “250 mg / tablet” and the medicinal potency is “500 mg”, the daily drug dose is calculated to be “2 tablets”. “Mucodyne” has a product titer of “ Since the drug potency is “1500 mg” and the drug potency is “1500 mg / tablet”, the daily drug dose is calculated to be “3 tablets”.

  Further, the display screen information generation unit 14 calculates the total drug amount (tablet) in the drug period from the acquired drug period and the calculated drug dose per day.

  In the present embodiment, the drug period for “Micardis” is “28 days” and the drug dose per day is “2 tablets”, so the total drug dose during the drug period is “56 tablets”. The drug period for “Longes” is “28 days”, and the drug dose per day is “1 tablet”, so the total drug dose during the drug period is “28 tablets”. Yes, the dosage period of “Zithromac” is “3 days” and the dosage per day is “2 tablets”, so the total dosage for the dosage period is “6 tablets” Since the drug period for “mucodyne” is “7 days” and the drug dose per day is “3 tablets”, the total drug dose during the drug period is calculated as “21 tablets”. The

  In the display screen information generation unit 14, display screen information is generated from these calculated information and displayed on the display unit 15 as shown in FIG. 7.

  In FIG. 7, the underlined portion is information newly calculated from the input information by the display screen information generation unit 14 and added from the state of FIG. 3.

  Through the above processing, the medical plan data showing the details of the medical plan as shown in FIG. 7 is created (S2).

  Next, the amount of each medicine to be prepared by the patient between the current prescription and the next prescription is input from the input unit 11 by the operation of the doctor in order to create the content slip of the medicine etc. (S3). The number of new medicines is entered.

  In the present embodiment, “6 tablets” for “Micardis”, “3 tablets” for “Longes”, “0 tablets” for “Zithromac”, and “28 tablets” for “Mucodyne” are input as new drug amounts. The

  The input information is acquired by the electronic medical record information acquisition unit 13 and sent to the display screen information generation unit 14.

  In the display screen information generation unit 14, when these pieces of information are acquired from the electronic medical record information acquisition unit 13, from the acquired new drug amount of each drug and the already calculated daily drug amount, The amount of each new drug is converted into the number of days taken.

  At this time, the number of days of taking the new amount of medicine is converted by rounding down the fraction that the number of tablets does not reach one day.

  In this embodiment, “Micardis” has a daily dose of “2 tablets” and a new drug amount of “6 tablets”. “Longes” is converted to “minutes” and the daily dose is “1 tablet” and the new dose is “3 tablets”. "Zislack" is converted to "3 days", the daily dosage is "2 tablets", and the new dosage is "0 tablets". Is converted to “0 days”, and “mucodyne” has a daily dose of “3 tablets” and a new drug amount of “28 tablets”. The number of days taken is converted to “9 days”.

  Further, the number of tablets of the current amount of medicine, which is the amount of each medicine currently stored at the patient's hand, is input from the input unit 11 by the operation of the doctor.

In the present embodiment, as the current備薬amount, "Micardis ®" is "33 tablets", "Rongesu (registered trademark)" is "19 tablets", "Zithromax (R)" is "0 tablets" , “49 Tablets” is input to “Mucodyne (registered trademark)”.

  The input information is acquired by the electronic medical record information acquisition unit 13 and sent to the display screen information generation unit 14.

  In the display screen information generation unit 14, when these pieces of information are acquired from the electronic medical record information acquisition unit 13, the acquired amount of each medicine and the already calculated daily drug amount, The current amount of each drug is converted to the number of days taken.

  At this time, the number of days of taking the current amount of medicine is converted by rounding down the fraction that the number of tablets does not reach one day.

  In the present embodiment, “Micardis” has a daily dosage of “2 tablets” and an existing drug amount of “33 tablets”. "Longes" is converted to "minutes" and the daily dose is "1 tablet" and the current drug amount is "19 tablets". 19 days "," Zithromac "has a daily dose of" 2 tablets "and the current amount of medicine is" 0 tablets ". Is converted to “0 days”, and “mucodyne” has a daily dose of “3 tablets” and an existing drug amount of “49 tablets”. The number of days taken is converted to “16 days”.

  Further, the display screen information generation unit 14 actually distributes to the patient from the calculated total drug amount, the new drug amount, the current drug amount, and the daily drug amount during the calculated drug period. The number of days converted into the dispensing period of the amount to be taken is calculated.

  At this time, the conversion days of the drug distribution period are calculated by rounding down the fractions where the number of tablets does not reach one day.

  The correlation of each dose when calculating the number of days converted into this drug distribution period will be described with reference to FIG.

In FIG. 8, the amount of medicine Ts ₀ that was dispensed last time and was not taken is found in the patient's amount of medicine that was thought to have been lost between the time each medicine was delivered and the time this medicine was delivered. The current amount of medicine S is the amount of medicine that has been replenished at the current amount of medicine (resurrection) R ₀ that has been revived as a medicine at hand, and the amount of medicine that has been supplemented but has been subtracted from the amount of lost medicine (lost) L _{0 The} total dose T _{1 to be} dispensed this time is calculated by subtracting the current drug amount S ₀ from the currently calculated dose C ₁ and the new dose entered as the new drug It becomes the sum (Tc ₁ + Ts ₁ ) with the amount of medicine.

Similarly, the amount of drug Ts ₁ that was delivered and not taken this time was found in the patient who was found to have been lost between the time each drug was delivered and the next delivery. The amount of the current drug amount (resurrection) R ₁ that has been restored as a supplement at hand, and the amount of drug loss that has been supplemented but subtracted from the lost drug amount (loss) L ₁ is the The current amount of medicine S ₁ is the total amount of medicine T ₂ to be delivered next time, the amount of medicine C ₁ to be calculated next time minus the current amount of medicine S ₁ and the next new medicine It becomes the sum (Tc ₂ + Ts ₂ ) with the amount of new medicine input.

  That is, the total amount T (n), the amount Tc (n) obtained by subtracting the current amount from the amount used, and the new amount Ts (n) The relationship is represented by the following formula (1).

[Equation 1]
Total dispensing amount T (n) = dispensing amount Tc (n) + new medicine Ts (n) (1)
In addition, at the time of the n-th delivery, the dose C (n), the dose Tc (n) obtained by subtracting the current dose from the dose, and the previous dose that was dispensed at hand The relationship with the amount of existing medicine S (n-1) is expressed by the following formula (2).

[Equation 2]
Dosage C (n) = dose amount Tc (n) + current drug amount S (n-1) (2)
In addition, at the time of the n-th delivery, the current amount of medicine S (n-1), the previous amount of new medicine Ts (n-1), and the current amount between the previous delivery and the current delivery The relationship between the amount of medicine (revival) R (n-1) and the amount of medicine lost (lost) L (n-1) is expressed by the following formula (3).

[Equation 3]
Current amount of medicine S (n-1) = previous amount of new medicine Ts (n-1) + current amount of medicine (revival) R (n-1)-amount of medicine lost (lost) L (n-1)
... (3)
According to the above formulas (1) to (3), the drug distribution amount Tc (n) obtained by subtracting the current drug amount from the drug dose is expressed as the following formula (4).

[Equation 4]
Dispensing amount Tc (n) = Dosing amount C (n)-Current amount S (n-1)
= Drug amount C (n)-[Previous new drug amount Ts (n-1) + Current drug amount (revival) R (n-1)-Missing drug amount (lost) L (n-1)]
＝ Drug amount C (n)-Previous new drug amount Ts (n-1)-Current drug amount (revival) R (n-1) + Missing drug amount (lost) L (n-1) ・ ・・ (4)
Of these, the drug dose C (n), the previous new drug dose Ts (n-1), the current drug dose (revival) R (n-1), and the drug loss (lost) L (n- 1) is acquired by the display screen information generation unit 14 via the electronic medical record information acquisition unit 13 when the input unit 11 is input, and the existing drug amount S (n−1) is generated by the display screen information generation. It is obtained by the display screen information generation unit 14 by being calculated by the unit 14 or input from the input unit 11.

  Therefore, from the relations of the above formulas (1) to (4), the n-th total drug delivery amount T (n) is expressed by formula (5) when the (n-1) -th current drug dose amount is calculated. When the (n-1) th preparation amount is directly input, it is expressed by Expression (6).

[Equation 5]
Total dose T (n) = New drug Ts (n) + Drug dose C (n)-Previous new drug dose Ts (n-1)-Current drug dose (revival) R (n-1 ) + Missing drug amount (lost) L (n-1) (5)
Total dose T (n) = New drug Ts (n) + Drug dose C (n)-Current drug dose S (n-1) (6)
In the present embodiment, the current amount of medicine is acquired by the display screen information generation unit 14 via the electronic medical record information acquisition unit 13 by being input from the input unit 11, and the total amount of medicines distributed for “Micardis” The number of tablets “29 tablets” obtained by subtracting the current drug amount “33 tablets” from the drug amount “62 tablets” obtained by adding the new drug amount “6 tablets” to the total drug amount “56 tablets” during the drug period. Since the dosage per day is “2 tablets”, the dispensing period is converted to “15 days”, and the total dispensing amount of “Longes” is the total dosage for the dosage period. The number of tablets “12 tablets” obtained by subtracting the amount of the existing medicine “19 tablets” from the quantity “31 tablets” obtained by adding the amount of the new medicine “3 tablets” to the amount “28 tablets” Since the amount is “1 tablet”, the drug delivery period is converted to “12 days”, and the total dose of “Zithromac” is the total The number of tablets "6 tablets", which is obtained by adding the amount of new drugs "0 tablets" to the amount "6 tablets", minus the number of tablets "0 tablets". Since the amount is “2 tablets”, the drug distribution period is converted to “3 days”, and the total drug volume of “mucodyne” is newly added to the total drug volume “21 tablets” during the drug period. Since the number of tablets “0 tablets” obtained by subtracting the current drug amount “49 tablets” from the drug amount “49 tablets” obtained by adding the amount “28 tablets”, all are satisfied with the current drug amount. Converted to "day".

  In this way, the total amount of medicine is calculated from the total amount of medicine, the amount of new medicine, and the quantity of current medicine, so if you change the total amount of medicine, the amount of new medicine is recalculated and changed, When the amount of new medicine is changed, the total amount of medicine is recalculated and changed.

  Further, the display screen information generation unit 14 calculates an amount corresponding to the amount of medicine to be delivered and an amount corresponding to the amount of medicine with respect to the total amount of medicine to be used in the calculated medicine period, and the titer with respect to these equivalent amounts. Is calculated.

  In the display screen information generation unit 14, display screen information is generated from these calculated information, and as shown in FIG. 9, all information including information relating to the contents of the article slip such as pharmaceuticals is displayed on the display unit 15.

  In FIG. 9, the underlined portion is information newly calculated from the input information by the display screen information generation unit 14 and added from the state of FIG.

  Next, when a request for creating an article slip such as a prescription is input from the input unit 11 by the operation of the doctor and acquired by the electronic medical record information acquiring unit 13, all information displayed in FIG. Screen display information for displaying an article slip such as a prescription is created using the information on the product name, the amount of medicine dispensed, the number of times taken per day, and the medicine delivery period (S4).

  The screen display information of an article slip such as a prescription created in the display screen information generation unit 14 is displayed on the display unit 15 as shown in FIG.

  In the prescription shown in FIG. 10, only information necessary for purchasing the item is displayed, so that “mucodyne” that is all satisfied from the amount of the existing medicine is not displayed at all.

  The information on the prescription displayed in FIG. 10 is used for billing articles such as pharmaceuticals (S5).

  In step S5, an article such as a medicine requested using a prescription is secured by article conveyance (S6).

  In addition, based on the medical plan data created in step S2, a medical procedure such as drug mixing and administration route is prepared by a doctor (S7), and a procedure for examination and treatment as a medical procedure is input by the input unit 11 (S8). ), And is sent to the electronic medical record information acquisition unit 13.

  Information on the medical procedure acquired by the electronic medical record information acquisition unit 13 is sent to the display screen information generation unit 14 to generate display screen information and is displayed on the display unit 15.

  And while using the pharmaceutical etc. which were ensured by step S6, the medical practice is implemented by the doctor using the information of the medical procedure displayed on the display part 15 (S9).

  In the above, all the information acquired from the input unit 11 by the electronic medical record information acquisition unit 13 and the information generated by the display screen information generation unit 14 are stored in the electronic medical record information storage unit 12 b of the storage unit 12.

  According to the electronic medical record information display device of the present embodiment as described above, information on the medication period and dosage, etc. of the medicine, which is a medical treatment plan that was conventionally only planned based on a doctor's thought, on the patient's hand Since the information on the amount of medicine to be used for this medicine and information on the amount of medicine to be newly added is clearly recorded and displayed in the electronic medical record information, an accurate medical plan is managed. In addition, it is possible to clearly manage based on which medical plan an article slip such as a prescription is created.

  In addition, when inputting information related to medical care, input processing is performed using a database containing medical information that is used only by other medical institutions. It is possible to enter and enter a medical treatment plan that takes into account the progress of medical treatment at a medical institution.

  In the present embodiment, the start date and time and the medicinal period of the medicinal product are input and the end date and time are calculated from them. However, the present invention is not limited to this, and the medicinal period is calculated from the start date and time and the end date and time. Alternatively, the start date and time may be calculated from the medicinal period and the end date and time.

<< Second Embodiment >>
<Configuration of Electronic Medical Record Information Display Device According to Second Embodiment>
Since the configuration of the electronic medical record information display device as the electronic medical record generation device according to the second embodiment of the present invention is the same as the configuration of the electronic medical record display device of the first embodiment, detailed description thereof is omitted.

<Operation of Electronic Medical Record Information Display Device According to Second Embodiment>
Hereinafter, an operation when displaying prescription information of a medicine using the electronic medical chart information display device 1 according to the second embodiment will be described in detail with reference to FIGS. 4 and 11 to 22.

  As shown in the flowchart of FIG. 4, first, when a medical treatment plan is drawn up in the doctor's mind (S1), as in the first embodiment, it corresponds by the operation of the doctor from the input unit 11 of the electronic medical record information display device 1. An electronic medical record information acquisition instruction is input, and the electronic medical record information acquisition unit 13 acquires electronic medical record information from the electronic medical record information storage unit 12b according to the acquisition instruction.

  The electronic medical record information acquired by the electronic medical record information acquiring unit 13 is displayed on the display unit 15 by generating display screen information to be displayed on the display unit 15 by the display screen information generating unit 14.

  When the electronic medical record information of a desired patient is displayed on the display unit 15, medicine prescription plan data is input as medical plan data from the input unit 11 to the displayed electronic medical record information by an operation of a doctor (S2).

  Since the input process of the medicine name to be used when the medicine prescription plan data is input is the same as that of the first embodiment, the detailed description is omitted.

  Next, the start date and time of the medicinal product and the medicinal period of the inputted medicinal product are entered, and the number of medicinal uses per day and medicinal time are entered.

  The processing when the number of times of medication per day and the medication time are input will be described with reference to the prescription input screen 20 of FIGS.

  When inputting the number of times of medication per day and the medication time, the prescription input screen 20 is first activated.

  Fig. 11 shows the prescription of "Take Zobilux Tablets 200 (made by GlaxoSmithKline Co., Ltd.) twice a day, every day, four times a day after breakfast, after lunch, at 16:30, before going to bed." It is a screen display figure which shows the prescription input screen 20 when a plan is input.

  The prescription input screen 20 includes an input prescription display area 21, a prescription cycle selection area 22, a taking time selection area 23, and a taking time detail display area 24.

  The input prescription display area 21 is based on the already inputted medicine name 211, the medicinal potency 212 acquired from the COA information storage section 12a of the storage section 12 based on the medicinal name, and the medicinal potency 212. The daily dosage (tablet etc.) 213 calculated in this way and the division indicating whether the daily dosage is divided equally or non-uniformly according to the number of doses per day A designation button 214 is displayed. The division designation button 214 is set to “equal” in the initial setting.

  Here, the trade name “Zobilux Tablets 200” is input as the drug name, and the drug potency “1600 mg” of the drug is acquired by inputting the drug name, and is further calculated from the drug potency. The daily dosage “8 tablets” is displayed.

  Next, in the prescription cycle selection area 22, a prescription cycle is selected from a daily cycle 221, a weekly cycle 222, and a monthly cycle 223.

  Here, the daily cycle 221 is selected, and “every day” from among “every day”, “every other day”, “every 3 days”, “every 4 days”, “every 5 days”, etc., displayed in the detailed item 221a of the day cycle. "Is selected.

  Next, in the medication selection area 23, the “daily use” button 231 for prescribing the daily dose to be taken in multiple divided doses, prescribed to be taken as a single dose "Don't care" button 232, the desired dosage method is selected from the "Time" button 233 for prescribing to take the medicine amount per day in a plurality of times divided into a plurality of times .

  Here, the “regular” button 231 is selected, and “Wake-up”, “Early morning fasting”, “Before breakfast”, “Pre-breakfast”, “ "Morning", "After breakfast", "Morning and daytime", "Before lunch", "Lunch", "After lunch", "Sometimes", "Lunchtime", "Before dinner", "Evening", "After dinner" It is assumed that “after breakfast”, “after lunch”, and “before going to bed” are selected from “In the evening”, “Before going to bed”, and “Timely”.

  When the taking time is selected from these taking-time patterns 234a, it is linked to the display of each taking time in the selected taking-time selection area 23, and is displayed in the detailed display area 24 for each taking time. Detailed information such as the amount of medicine to be used, the potency of the medicine, and the time taken are displayed.

  Here, the detailed information 241 associated with “after breakfast” in the pattern 234a when taking, the detailed information 242 associated with “after lunch”, and the detailed information 244 associated with “before going to bed”. Are displayed in the detailed display area 24 for each time of taking.

  In these detailed information, the time set in advance for each pattern is displayed, the time 241a for “after breakfast” is set to “8 o'clock”, and the time 242a for “after lunch” is “13:00” is set, and the “before bedtime” dosing time 244a is set to “23:00” and displayed.

  When it is desired to specify a time other than the dose time displayed in the dose pattern 234a in the dose selection area 23, it is possible to create detailed information specifying the desired dose time in the detailed display area 24 for each dose. Here, a detailed display 243 in which “16:30” is directly input as the taking time in the taking time 243a is created and displayed. As described above, the detailed display 243 that is directly specified and confirmed for the dosing time is not linked to the dosing pattern 234a.

  In this way, the number of doses per day is designated, and in FIG. 11, the number of doses is designated as 4 and confirmed.

  In FIG. 11, since the method for dividing the drug amount per day is set to “Equal” in the split designation button 214 in the input prescription display area 21, the drug strength value 212 per day is displayed. "1600mg" is equally divided into four times and the medicinal potency per dose is calculated to be "400mg", and the medicinal potency 241b per dose of the detailed displays 241 to 244 at the time of each dose To 244b, respectively. In addition, “8 tablets” displayed in the daily dosage 213 is equally divided into 4 times, and the dosage per dosage is calculated as “2 tablets”. The dosages 241c to 244c per one of the displays 241 to 244 are displayed.

  By confirming these displays, the prescription information 215 in the input prescription display area 21 indicates that the number of doses per day is 4 minutes, and each dose time is “after breakfast”. “After lunch”, “16:30”, and “Before going to bed” are displayed.

  In addition, an expansion button 241d for expanding a screen for editing a linkage act displayed in the detailed display area 24 for each time of taking, an expansion button 241e for expanding a screen for editing an automatic prescription amount, and corresponding detailed information are displayed. The inputted prescription plan data can also be operated by the delete button 241f for deleting.

  Through the above process, a prescription of “take Zobilux Tablets 200 at a time, 2 times a day, after breakfast, after lunch, at 16:30, 2 times a day before going to bed” is input.

  Next, when a prescription plan is entered as shown in Fig. 12, "Every Monday, 4 times a day after breakfast, after lunch, 16:30, take 2 tablets each time before going to bed" It is a screen display figure which shows the prescription input screen 20 of.

  Here, the week cycle 222 is selected in the prescription cycle selection area 22 of the prescription input screen 20.

  When the week cycle 222 is selected in the prescription cycle selection area 22, a day of the week specifying column 222a for specifying the day of the week to be taken within the week and a detailed item column 222b for specifying the detailed contents of the week cycle are displayed. Then, “Month” is selected from the day designation column 222a, and “Weekly”, “Biweekly”, “Every 3 weeks”, “Every 4 weeks”, “Every 5 weeks”, “Every week”, and “ It is assumed that “every week” is selected from “every 6 weeks”, “every 7 weeks”, and “every 8 weeks”.

  Except for the display of the prescription cycle selection area 22, the detailed description is omitted because it is the same as FIG. 11.

  Through the above process, a prescription of “Take two Zobilux tablets 200 at a time, every Monday, four times a day after breakfast, after lunch, at 16:30, before going to bed” is input.

  Next, FIG. 13 shows that a prescription plan is entered that states that “After taking breakfast four times a day, after lunch, 16:30, take 2 Zobilux tablets 200 at a time before going to bed”. It is a screen display figure which shows the prescription input screen 20 at the time.

  Here, the monthly cycle 223 is selected in the prescription cycle selection area 22 of the prescription input screen 20.

  When the monthly cycle 223 is selected in the prescription cycle selection area 22, a day designation button 223a for selecting a dosing day by designating a day in the month, and a weekday for selecting a taking day by designating a week in the month A designation button 223b is displayed, and here a day designation field 223c is displayed when the day designation button 223a is selected.

  Further, a detailed item column 223d for specifying the detailed contents of the monthly cycle is displayed. Here, “1 day” is selected from the day specifying column 223a, and “monthly”, “ Every other month, every 3 months, every 4 months, every 5 months, every 6 months, every 7 months, every 8 months, every 9 months, every 10 months It is assumed that “Monthly” is selected from the list.

  Except for the display of the prescription cycle selection area 22, the detailed description is omitted because it is the same as FIG. 11.

  Through the above process, a prescription of “Take two Zobilux tablets 200 at a time, once a month, four times a day, after breakfast, after lunch, at 16:30, before going to bed” is input.

  Next, FIG. 14 shows that a prescription plan is entered: “First Monday of every month, four times a day after breakfast, after lunch, at 16:30, take 2 tablets each time before going to bed.” It is a screen display figure which shows the prescription input screen 20 at the time.

  Here, the monthly cycle 223 is selected in the prescription cycle selection area 22 of the prescription input screen 20.

  When the monthly cycle 223 is selected in the prescription cycle selection area 22, a day designation button 223a for selecting a dosing day by designating a day in the month, and a weekday for selecting a taking day by designating a week in the month A designation button 223b is displayed. Here, a weekday designation field 223e is displayed when the weekday designation button 223b is selected.

  Further, a detailed item column 223d for designating the detailed contents of the monthly cycle is displayed. Here, “first Monday” is selected from the weekday designation column 223e, and “monthly” displayed in the detailed item column 223d. , “Every 2 months”, “Every 3 months”, “Every 4 months”, “Every 5 months”, “Every 6 months”, “Every 7 months”, “Every 8 months”, “Every 9 months”, “Every 10 months” It is assumed that “Monthly” is selected from “every”.

  Except for the display of the prescription cycle selection area 22, the detailed description is omitted because it is the same as FIG. 11.

  Through the above process, a prescription of “Take two Zobilux tablets 200 at a time, before breakfast, at 16:30, after breakfast, on the first Monday of the month four times a day” is input.

  Next, FIG. 15 shows the prescription input screen 20 when a prescription plan of “take 2 tablets per day (when taking a headache, lion)” up to 2 tablets per day is input. It is a screen display figure shown.

  In the input prescription display area 21 of FIG. 15, the trade name “Buffalin 81 mg tablet” is input as the drug name.

  Next, the “don't care” button 232 is selected in the taking-time selection area 23, and “taken when fever”, “taken during pain”, and “taken during seizure” are displayed as the “taken-by” dose pattern 234b. , “Vomiting”, “constipation”, “insomnia”, “backache”, “headache”, “anxiety”, “diarrhea”, “when cough is severe” ”,“ (Don't take) minutes 1, taken after breakfast ”,“ (Don't take) minutes 2, taken after morning / dinner ”,“ taken during high blood pressure ”,“ taken when heartburn ”,“ taken when anorexia ”, Among `` take when irritated '', `` take when dizzy '', `` take when staggered '', `` take when itchy '', `` take when nausea '', `` take frequent urination '', `` take half-night sleep '' Therefore, it is assumed that “taken during headache” is selected.

  When taking time is selected from these taking time patterns 234b, it is linked to the display of each taking time in the selected taking time selection area 23, and is displayed in the detailed display area 24 for each taking time. Detailed information such as the amount of medicine to be used, the potency of the medicine, and the time taken are displayed.

  Here, since the number of doses per day is set to 2 times, when “taken during headache” is selected twice, two detailed information 245 and 246 linked to this “taken during headache” are taken. It is displayed in each detail display area 24.

  In addition, the dosage amount “1 tablet” per one time of this “Bafalin 81 mg tablet” and the medicinal potency “81 mg” are acquired from the COA information storage unit 12a of the storage unit 12, and the detailed information 245 and 246 are used. The drug doses 245c and 246c and the drug potency 245b and 246b are displayed. Here, since it is a prescription for “everyone”, the taking time is not specified.

  In addition, since the number of times of taking is specified as 2 times, the daily dose is calculated as “2 tablets” and is displayed in the daily dose 213 in the input prescription display area 21. Furthermore, the medicinal potency per day is calculated to be “162 mg” and is displayed in the medicinal potency 212 per day in the input prescription display area 21.

  By confirming these indications, the prescription information 215 in the input prescription display area 21 indicates “minute 2” indicating that the number of doses per day is two times, and “taken during headache” indicating the time of each dose. Is displayed.

  Through the above process, a prescription of “Take 2 tablets per day at the time of headache up to 2 tablets per day” is input.

  Next, FIG. 16 is a screen display diagram showing a prescription input screen 20 when a prescription of “Take one tablet of bufferin 81 mg tablet once every 8 hours 3 times a day” is input. .

  In the input prescription display area 21 of FIG. 16, the product name “Buffalin 81 mg tablet” is input as the drug name.

  Next, the “time” button 233 is selected in the taking time selection area 23, and “every 12 hours”, “every 8 hours”, “every 6 hours” displayed as the taking time pattern 234c of this “hour”, “Every 8 hours” is selected from “every 4.8 hours”, “every 4 hours”, “every 3 hours”, “every 2 hours”, “every hour”, and “every 30 minutes”.

  When taking time is selected from these taking time patterns 234b, it is linked to the display of each taking time in the selected taking time selection area 23, and is displayed in the detailed display area 24 for each taking time. Detailed information such as the amount of medicine to be used, the potency of the medicine, and the time taken are displayed.

  Here, since taking every "every 8 hours", the number of times of taking per day is calculated to be 3 times, and three detailed information 247 linked to "every 8 hours" in the taking-time pattern 234b, 248 and 249 are displayed in the detailed display area 24 for each time of taking.

  In addition, the dosage amount “1 tablet” per one time and the drug potency “81 mg” of this “Bafalin 81 mg tablet” are acquired from the COA information storage unit 12a of the storage unit 12, and the detailed information 247 to 249 is used. The drug doses 247c to 249c and the medicinal potency values 247b to 249b are displayed. Here, since it is a prescription for “everyone”, the taking time is not specified.

  Further, since the number of doses is 3, the daily dosage is calculated as “3 tablets” and is displayed in the daily dosage 213 in the input prescription display area 21. It is calculated that the drug potency per day is “243 mg” and is displayed in the drug potency 212 per day in the input prescription display area 21.

  By confirming these displays, the prescription information 215 in the input prescription display area 21 indicates “minute 3” indicating that the number of doses per day is 3, and “every 8 hours” indicating the time of each dose. Is displayed.

  Through the above process, a prescription of “Take one tablet of bufferin 81 mg tablet once every 8 hours 3 times a day” is input.

  Next, when changing the prescription content of “Take two Zobilux tablets 200 at a time, every day, four times a day after breakfast, after lunch, at 16:30, before going to bed” entered as shown in FIG. This process will be described with reference to FIG.

  FIG. 17 shows a screen when the doses 241c and 243c for two times “after breakfast” and “16:30” are changed from “2 tablets” to “1 tablet” among the 4 doses. It is a display figure.

  If the dose is changed in this way, the doses for the four doses are not uniform, so the division designation button 214 in the detailed display input prescription display area 21 is changed to “uneven”, and the input prescription display area 21 is further changed. The displayed daily drug amount is changed to 6 tablets, and the daily drug potency is changed to 1200 mg.

  Also, FIG. 18 shows a prescription plan of “take 4 tablets after breakfast, 2 tablets after breakfast, 2 tablets after lunch, 4 tablets after dinner 5 mg (manufactured by Shionogi & Co., Ltd.)”. It is a screen display figure which shows the prescription input screen 20 when it input.

  In FIG. 18, the “ordinary” button 231 is selected in the taking-time selection area 23, and “after breakfast” and “lunch” are displayed as the taking-time pattern 234a for designating this “usually” taking time. “After” and “after dinner” are selected, and “taken after each meal” is displayed in the input prescription display area 21 as the taking time.

  In addition, since the dosages for the three doses are not uniform, the division designation button 214 in the input prescription display area 21 is displayed as “uneven”.

  FIG. 19 is a screen display diagram showing a prescription input screen 20 when the prescription input as shown in FIG. 18 is changed to 4 tablets after “lunch”.

  Since the dosage after “lunch” is changed to 4 tablets, the dosage at the time of taking three times becomes equal, so the division designation button 214 in the input prescription display area 21 is changed to “equal” and displayed. Is done.

  FIG. 20 shows “April 9th, 2007” which is Monday of the prescription plan of “take 5 tablets of alpha roll capsule 0.5 μg (manufactured by Chugai Pharmaceutical Co., Ltd.) after breakfast every Monday and Thursday”. It is a screen display figure which shows the prescription input screen 20 in which the prescription part of was displayed.

  In FIG. 20, the week cycle 222 is selected in the prescription cycle selection area 22, and “month” and “tree” are selected from the day of the week designation field 222a.

  In addition, the “common use” button 231 is selected in the taking time selection area 23, and “after breakfast” is selected from the taking time pattern 234a.

  Further, “5 tablets” is input as the dosage of the detailed information 257 displayed in association with this “after breakfast” by selecting “after breakfast” in the pattern 234a at the time of taking.

  By confirming these input and displayed information, the prescription information 215 in the input prescription display area 21 indicates “one minute” indicating that the number of doses per day is 1, and the dose time “ "After breakfast" is displayed.

  Also, FIG. 21 is Thursday in the prescription plan similar to FIG. 20, in which “5 tablets of alpha roll capsule 0.5 μg (manufactured by Chugai Pharmaceutical Co., Ltd.) are to be taken after breakfast every Monday and Thursday” is “2007. It is a screen display figure which shows the prescription input screen 20 on which the prescription of "April 12th" was displayed.

  Since the content of the prescription is the same as that of Monday in FIG. 20, detailed description is omitted.

  Next, FIG. 22 is a screen display diagram showing a prescription input screen 20 when prescriptions of a plurality of drugs are input and displayed for each drug.

  FIG. 22 shows that “every day, three times a day after each meal, one Asverine Tablet 20 (manufactured by Tanabe Seiyaku Co., Ltd.), one mucodyne tablet 500 mg (manufactured by Kyorin Pharmaceutical Co., Ltd.), and one tablet Periactin. It is a screen display figure which shows the prescription input screen 20 when the prescription plan of the content "taking tablet 4 mg (made by Manyu Pharmaceutical Co., Ltd.)" is input and detailed information is displayed for every medicine.

  In FIG. 22, by selecting the drug-specific tab 27, the input information is classified for each drug and a detailed display is displayed. As detailed information on the Asverine tablet 20, “After breakfast” ”, Detailed information 259 linked to“ after lunch ”, and detailed information 260 linked to“ after dinner ”are displayed, and are taken as detailed information on the Mucodyne Tablet 500 mg. Detailed information 261 linked to “after breakfast” in the time pattern 243a, detailed information 262 linked to “after lunch”, and detailed information 263 linked to “after dinner” are displayed. Detailed information 264 linked to “after breakfast” of the pattern 243a when taking as detailed information of 4 mg tablets, detailed information 265 linked to “after lunch”, and linked to “after dinner” Has been and detailed information 266 is being displayed.

  FIG. 23 is a screen display diagram showing a prescription input screen 20 when a prescription having the same contents as in FIG. 22 is input and displayed by taking time.

  In FIG. 23, when the hourly tab 28 is selected, a detailed display in which the input information is classified by taking time is displayed. As detailed information on the medicine to be taken “after breakfast”, asverine tablets 20 are displayed. Detailed information 258, detailed information 261 of 500 mg of mucodyne tablets, detailed information 264 of 4 mg of periactin are displayed, detailed information 258 of Asverine tablet 20 as detailed information of the drug to be taken “after lunch”, and 500 mg of mucodyne tablets 500 mg Detailed information 261 and detailed information 264 of 4 mg on periactin are displayed. Detailed information 258 on Asverine Tablets 20 as detailed information on the drug to be taken “after dinner”, detailed information 261 on 500 mg of mucodyne tablets, and 4 mg on Periactin Detailed information 264 is displayed.

  Since the input method as described above is used and the processing after step S3 after the medicine prescription plan data is input is the same as that in the first embodiment, detailed description thereof is omitted.

  According to the electronic medical chart information display device of the present embodiment as described above, the same effects as those of the first embodiment can be obtained, and the prescription of medicine can be input by a simple operation. It is possible to easily input the taking time.

<< Third Embodiment >>
<Configuration of Electronic Medical Record Information Display Device According to Third Embodiment>
Since the configuration of the electronic medical record information display device as the electronic medical record generation device according to the third embodiment of the present invention is the same as the configuration of the electronic medical record display device of the first embodiment, detailed description thereof is omitted.

<Operation of Electronic Medical Record Information Display Device According to Third Embodiment>
Hereinafter, the operation when displaying the prescription information of the injection using the electronic medical record information display device 1 according to the third embodiment will be described in detail with reference to FIG. 4 and FIGS.

  As shown in the flowchart of FIG. 4, first, when a doctor makes a medical plan in thinking (S1), the electronic medical record information of the corresponding patient is obtained from the input unit 11 of the electronic medical record information display device 1 by the operation of the doctor. An instruction is input, and electronic medical record information is acquired from the electronic medical record information storage unit 12b in the electronic medical record information acquisition unit 13 in accordance with the acquisition instruction.

  The electronic medical record information acquired by the electronic medical record information acquiring unit 13 is displayed on the display unit 15 by generating display screen information to be displayed on the display unit 15 by the display screen information generating unit 14.

  When the electronic medical record information of the desired patient is displayed on the display unit 15, the prescription plan for the current injection is input from the input unit 11 to the displayed electronic medical record information by the operation of the doctor.

  FIG. 24 shows a logical diagram showing processing when an injection prescription plan is inputted.

  When an injection prescription plan is input, first, the drug name of the drug to be used this time is input (S11), and at least two of the start date / time, end date / time, and required time of injection with these drugs are included. The medicine period is further inputted (S12, S13, S14).

  Since the processing when the medicine name is input is the same as that in the first embodiment, detailed description thereof is omitted.

  In this embodiment, two types of “physiological saline” and “Otsuka sugar solution 50% (manufactured by Otsuka Pharmaceutical Co., Ltd.)” are input as drug names to be used this time.

  Furthermore, the injection plan of these mixed drugs is inputted twice, and the start date and time is “November 4, 10:00” and the end date is “November 4, 12:00” as the first information. The drug period is entered as “5 days”, the start date and time is “November 4, 12:00”, the end date and time is “November 4, 14:00”, and the drug period is “5” as the second information. Day "is entered.

  The input information is acquired by the electronic medical record information acquisition unit 13 and then sent to the display screen information generation unit 14, and the end date / time is determined from the injection start date / time and the required time input by the display screen information generation unit 14. Calculated (S15).

  In this embodiment, since the start date and time of the first injection is “November 4th 10:00” and the end date and time is “November 4 12:00”, the required time is “2”. It is calculated as “time 0 minute”, and the start date and time of the second injection is “November 4 12:00” and the end date and time is “November 4 14:00”. The time is calculated to be “2 hours 0 minutes”.

  Next, a chemical solution speed or a titer speed is input from the input unit 11 by a doctor's operation (S16, S17).

  Here, when the titer speed is input, the medical information of the medicines “physiological saline” and “Otsuka sugar solution 50%” used in the electronic medical record information acquisition unit 13 from the COA information storage unit 12a of the storage unit. Is obtained (S18), and the chemical solution speed is calculated from the relative titer and the input titer speed (S19).

  In this embodiment, the titer rate of “physiological saline” for the first injection is input as “2.25 g / h”, and the titer rate of “Otsuka sugar solution 50%” is input as “3.75 g / h”. Then, the titer rate of “physiological saline” of the second injection is inputted as “1.8 g / h”, and the titer rate of “Otsuka sugar solution 50%” is inputted as “5.5 g / h”.

  In the electronic medical chart information acquisition unit 13, the relative titer of “physiological saline” is “0.09 g / ml” from the COA information storage unit 12a, and the relative titer of “Otsuka sugar solution 50%” is “0”. .5 g / ml "is acquired.

  Information acquired from the input unit 11 or the storage unit 12 by the electronic medical record information acquisition unit 13 is sent to the display screen information generation unit 14, and the titer speed and relative titer of each drug acquired by the display screen information generation unit 14. From this, the chemical velocity is calculated.

  In the present embodiment, since the titer rate of “saline” for the first injection is “2.25 g / h” and the relative titer is “0.09 g / ml”, the drug solution rate is “250 ml”. The potency rate of “Otsuka Sugar Solution 50%” is “3.75 g / h” and the relative titer is “0.5 ml / ml”. / H ".

  Also, since the titer rate of “saline” for the second injection is “1.8 g / h” and the relative titer is “0.09 g / ml”, the drug solution rate is “200 ml / h”. Since the titer rate of “Otsuka Sugar Solution 50%” is “5.5 g / h” and the relative titer is “0.5 ml / ml”, the drug solution rate is “11 ml / h”. It is calculated that there is.

  Further, the display screen information generation unit 14 calculates the total value of the chemical liquid speeds for each time.

  In the present embodiment, the chemical injection rate of “saline” is “250 ml / h” and the chemical rate of “Otsuka sugar solution 50%” is “7.5 ml / h” in the first injection. The total speed is calculated to be “257.5 ml / h”.

  In the second injection, the solution rate of “saline” is “200 ml / h” and the solution rate of “Otsuka sugar solution 50%” is “11 ml / h”. It is calculated to be “211 ml / h”.

  Further, the display screen information generation unit 14 calculates the drug amount from the acquired required time and the calculated chemical solution speed (S20).

  In the present embodiment, the time required for the first injection is “2 hours and 0 minutes”, and since the drug solution rate of “saline” is “250 ml / h”, the dosage is “500 ml”. Since the drug solution rate of “Otsuka sugar solution 50%” is “7.5 ml / h”, the drug amount is calculated to be “15 ml”.

  In addition, since the time required for the second injection is “2 hours 0 minutes” and the drug solution rate of “physiological saline” is “200 ml / h”, the drug amount is calculated to be “400 ml”, Since the drug solution rate of “Otsuka sugar solution 50%” is “11 ml / h”, the drug amount is calculated to be “22 ml”.

  Further, the display screen information generation unit 14 calculates the total value of the dosages for each time.

  In this embodiment, the first injection has a “physiological saline” dosage amount of “500 ml” and “Otsuka sugar solution 50%” dosage amount of “15 ml”. The value is calculated to be “515 ml”.

  In the second injection, the dosage of “saline” is “400 ml” and the dosage of “Otsuka sugar solution 50%” is “22 ml”. 422 ml ".

  Further, the display screen information generation unit 14 calculates the medicinal potency from the acquired required time and the input titer speed (S21) (S22).

  In the present embodiment, the time required for the first injection is “2 hours and 0 minutes”, and the potency rate of “saline” is “2.25 g / h”. It is calculated to be 4.5 g. Since the potency rate of “Otsuka Sugar Solution 50%” is “3.75 g / h”, the medicinal potency is calculated to be “7.5 g”.

  Further, since the time required for the second injection is “2 hours 0 minutes” and the titer speed of “saline” is “1.8 g / h”, the drug titer is “3.6 g”. Since the potency rate of “Otsuka Sugar Solution 50%” is “5.5 g / h”, the medicinal potency is calculated to be “11 g”.

  Further, the display screen information generation unit 14 calculates the drug dose and drug potency per day.

  In this embodiment, since the dosage of “saline” is “500 ml” for the first injection and “400 ml” for the second injection, the dosage per day is “900 ml”. The dosage of “Otsuka Sugar Solution 50%” is “15 ml” for the first injection and “22 ml” for the “second” injection. Is calculated to be “37 ml”, and the total dose for injection per day is calculated to be “937 ml”.

  Further, since the pharmaceutical titer of “saline” is “4.5 g” for the first injection and “3.6 g” for the second injection, the pharmaceutical titer per day is “4.5 g”. The drug potency of “Otsuka Sugar Solution 50%” is “7.5 g” for the first injection and “11 g” for the “second” injection. The medicinal potency per day is calculated to be “18.5 g”.

  Based on the calculated information, the display screen information generation unit 14 generates display screen information of the medical plan data (S2).

  The display screen information of the medical treatment plan data generated based on the information acquired by the display screen information generation unit 14 is displayed on the display unit 15 as shown in FIG.

  Next, it is necessary from the packaging unit and dosage of each medicine (S23) acquired from the electronic medical record information acquisition section 13 in the display screen information generation section 14 in order to create article slip contents such as medicines (S3). The number of drug delivery preparations and the amount of drug withdrawal are calculated (S24, S25).

  In the present embodiment, since the dosage of “physiological saline” for the first injection is “500 ml” and the packaging unit is “500 ml”, the number of medicines to be dispensed is “1”, and the amount of drug withdrawal Is calculated to be “0 ml”, and “Otsuka Sugar Solution 50%” is “15 ml” and the packaging unit is “20 ml”. The amount is calculated to be “5 ml”.

  In addition, since the dosage amount of “saline” for the second injection is “400 ml” and the packaging unit is “500 ml”, the number of medicines to be dispensed is “1” and the amount of drug withdrawal is “100 ml”. “Otsuka Sugar Solution 50%” has a drug dosage of “22 ml” and a packaging unit of “20 ml”, so the number of drug delivery preparations is “2” and the amount of drug withdrawal is “18 ml” Is calculated.

  Further, the display screen information generation unit 14 calculates the number of drug delivery formulations and the amount of drug withdrawal for each drug per day.

  In the present embodiment, since the number of the first drug-dispensed preparation of “physiological saline” is “1”, and the number of the second drug-dispensed preparation is “1”, “saline” per day The number of drug delivery preparations is calculated to be “2”, the number of the first drug delivery preparation of “Otsuka Sugar Solution 50%” is “1”, and the number of the second drug delivery preparation is “2”. Therefore, it is calculated that the number of pharmaceutical preparations of “Otsuka sugar solution 50%” per day is “3”.

  In addition, since the first withdrawal amount of “saline” is “0 ml” and the second withdrawal amount is “100 ml”, the withdrawal amount of “saline” per day is “100 ml”. Since the first withdrawal amount of “Otsuka Sugar Solution 50%” is “5 ml” and the second withdrawal amount is “18 ml”, “Otsuka Sugar Solution 50% per day” The amount of “withdrawn” is calculated to be “23 ml”.

  Based on the calculated information, the display screen information generation unit 14 generates display screen information of the medical plan data to which the information on the medicine distribution is added.

  The medical plan data display screen information to which the information on the medicine distribution generated based on the information acquired by the display screen information generation unit 14 is added is displayed on the display unit 15 as shown in FIG.

  Next, the information on the medicine distribution is adjusted by the operation of the input unit 11 by the doctor (S26).

  In the present embodiment, “2 ml is a medicine” out of the amount “5 ml” of “Otsuka sugar solution 50%” in the first injection, and the amount of the medicine is “Otsuka sugar solution” in the second injection. It is input so as to be applied as “2 ml” of the drug amount “22 ml” of “50%”.

  The amount of withdrawal is recalculated to be “3 ml” by “appropriating 2 ml of the medicine” in the amount of withdrawal of “Otsuka sugar solution 50%” of the first injection.

  In addition, out of the drug dose “22 ml” of “Otsuka sugar solution 50%” in the second injection, “2 ml is allocated from the preparation”, the drug delivery amount becomes “20 ml”, and the number of drug formulation is “1” It is recalculated that the amount of “book” is “0 ml”.

  Furthermore, the number of drug delivery preparations and the amount of drug withdrawal per day is recalculated, and the number of drug delivery preparations for “Otsuka Sugar Solution 50%” is calculated as “2” and the drug withdrawal quantity is calculated as “3 ml”. .

  “100 ml” of “physiological saline” and “3 ml” of “Otsuka sugar solution 50%”, which are finally calculated as the amount of withdrawal, are discarded (S27, S28).

  Next, when a request for creating an article slip such as an injection note is input from the input unit 11 by a doctor's operation and acquired by the electronic medical record information acquiring unit 13, all information displayed in FIG. Display information for displaying an article slip such as an injection note is created using the information on the product name extracted from the above, the number of medicines dispensed for each injection, and the number of medicines dispensed per day (S4) .

  The screen display information of an article slip such as an injection note created by the display screen information generation unit 14 is displayed on the display unit 15 as shown in FIG.

  The information on the injection note displayed in FIG. 28 is used for billing articles such as pharmaceuticals (S5).

  In step S5, an article such as a medicine requested using an injection note is secured by article conveyance (S6).

  In addition, based on the medical plan data created in step S2, a medical procedure such as drug mixing and administration route is prepared by a doctor (S7), and a procedure for examination and treatment as a medical procedure is input by the input unit 11 (S8). ), And is sent to the electronic medical record information acquisition unit 13.

  In the present embodiment, “left hand dorsal vein infusion” is input as the administration route for the first and second injections.

  The medical procedure information acquired by the electronic medical record information acquiring unit 13 is sent to the display screen information generating unit 14 to generate display screen information and displayed on the display unit 15 as shown in FIG.

  And while using the pharmaceutical etc. which were ensured by step S6, the medical practice is implemented by the doctor using the information of the medical procedure displayed on the display part 15 (S9).

  In the above, all the information acquired from the input unit 11 by the electronic medical record information acquisition unit 13 and the information generated by the display screen information generation unit 14 are stored in the electronic medical record information storage unit 12 b of the storage unit 12.

  According to the electronic medical record information display apparatus of the present embodiment described above, since information related to the allocation between drugs, which was conventionally only planned by a doctor's thought, is clearly recorded and displayed in the electronic medical record information, it is accurate. It is possible to manage a simple medical plan, and to plan and instruct the article management state together when creating the medical plan.

  In addition, since the amount of drug used and the amount of drug that was not recorded only by instructions based on conventional packaging units are clearly recorded and displayed in the electronic medical record information as a medical plan, an accurate medical plan must be managed. Can do.

  In addition, since the execution plan time common to both the preparation of the medical care plan and the execution of the medical practice can be described easily, the execution time of the medical care plan can be clearly specified when the medical practice is executed.

  Among the medical prescriptions and other medical actions described above, there are actions listed below that may cause a difference between the medical plan and the medical action to be performed.

  (A) Examination: Unlike the treatment plan, there are types of conduct such as outsourcing / emergency and sample types (urine, blood, cerebrospinal fluid, etc.), which are closely related to medical viewpoints.

  (B) Treatment: When injection or prescription is involved in the implementation, the same problem as in the above embodiment occurs.

  (C) Radiation: There is a one-to-one relationship between the purpose of the inspection and the slip, and it is difficult for a problem in quantity to occur, but the rearrangement of information resulting from the aggregation of inspection slips becomes a problem.

  Also in these actions, accurate medical information can be managed by recording and displaying the medical care plan itself and the medical action performed.

  Further, in this embodiment, the start date and time and the required time of injection are input and the end date and time are calculated from them. However, the present invention is not limited to this. Alternatively, the start date and time may be calculated from the required time and the end date and time.

  Moreover, in 1st Embodiment-3rd Embodiment, although the memory | storage part was set as the structure provided in the electronic medical chart display information apparatus, it is not limited to this, The apparatus which has an electronic medical chart information acquisition part and a display information generation part And may be provided in another device such as a server connected via a network.

  By configuring in this way, it is possible to cope with an enormous amount of information in the storage unit.

  The electronic medical record information display device 1 in the first, second, and third embodiments is not limited to this, but may be configured by a personal computer (PC). In this case, a program that causes the PC to execute the functions performed by the storage unit 12, the electronic medical record information acquisition unit 13, the display screen information generation unit 14, and the display unit 15 is created, and this program is run on the PC, thereby It is possible to display electronic medical record information, which is an embodiment of the invention.

  Needless to say, the program may be downloaded to a PC using a CD (CD-RW, CD-R) in which such a program is recorded in advance. The recording medium is not limited to a CD, but may be another type of optical disk (for example, a DVD (digital video disk), a magnetic disk, a magnetic tape, an optical tape, a semiconductor memory, a card-type hard disk, or the like.

Industrial applicability

  The present invention can be used in electronic medical records in the medical field. Specifically, according to the present invention, medical information in an electronic medical record is appropriately managed and displayed.

Claims (12)

In the electronic medical record information generating device that manages the information of medicines to be administered to patients on the electronic medical record,
A dosage acquisition means for acquiring a dosage that is an amount to be administered to the patient for each drug,
Treatment plan information generating means for generating treatment plan information for the patient based on the dosage obtained by the dosage acquisition means;
For each medicinal product, a charge-equivalent acquisition unit that acquires an amount that is stored by a patient or a doctor and that is used for the drug amount acquired by the drug amount acquisition unit;
An article that generates article procurement information with an amount obtained by subtracting the amount to be applied acquired by the charge equivalent acquisition unit from the amount of drug acquired by the agent acquisition unit for each medicine as an amount that needs to be procured Procurement information generation means,
An electronic medical chart, comprising: a recording unit for distinguishing and recording the treatment plan information generated by the treatment plan information generation unit and the item procurement information generated by the item procurement information generation unit. Information generator. The electronic medical record information generating apparatus according to claim 1, further comprising a display unit that distinguishes and displays the treatment plan information and the article procurement information recorded in the recording unit . The medicinal amount acquisition means comprises:
As detailed information on the dosage, the administration time for the number of administrations per day for each pharmaceutical product is selected from administration time patterns indicating each administration time in a preset day, The electronic medical record information generation according to claim 1 or 2, wherein information on the number of administrations and the administration time is acquired by inputting a predetermined time or a predetermined time interval. apparatus. The information on the medicine includes information handled in a medical institution in which the device is used and information handled outside the medical institution. Electronic medical record information generator. An electronic medical record information generation device that manages information on medicines to be administered to patients on an electronic medical record,
A dosage acquisition step for acquiring a dosage that is an amount to be administered to the patient for each drug ,
A treatment plan information obtaining step for generating treatment plan information for the patient based on the dosage obtained in the dosage amount obtaining step ,
For each medicinal product, a charge equivalent acquisition step for acquiring an amount that is stored by a patient or a doctor and is applied to the drug amount acquired in the drug dose acquisition step ;
An article that generates article procurement information with an amount obtained by subtracting the amount to be applied acquired in the charge equivalent acquisition step from the amount of drug acquired in the drug dose acquisition step for each medicine as an amount that needs to be procured Procurement information generation step ,
A recording step for distinguishing and recording the treatment plan information generated in the treatment plan information generation step and the article procurement information generated in the article procurement information generation step;
A method for generating electronic medical chart information, comprising: The electronic medical chart information generation method according to claim 5, further comprising a display step of distinguishing and displaying the treatment plan information and the article procurement information recorded in the recording step . In the medicinal dose acquisition step,
As detailed information on the dosage, the administration time for the number of administrations per day for each pharmaceutical product is selected from administration time patterns indicating each administration time in a preset day, The electronic medical chart according to claim 5 or 6, wherein the administration frequency and the administration time are acquired by inputting a predetermined time or a predetermined time interval. Information generation method. The information on the medicine includes information handled by a medical institution in which the device is used and information handled outside the medical institution. Electronic medical record information generation method. In the electronic medical record information generation device that manages the information of medicines to be administered to patients on the electronic medical record,
A dosage acquisition function for acquiring a dosage that is an amount to be administered to the patient for each drug ,
A treatment plan information acquisition function for generating treatment plan information for the patient based on the dosage obtained by the dosage acquisition function ;
Per pharmaceuticals, and appropriated amount acquisition function of acquiring the amount to allocate to the use application dose obtained by stockpiled by the patient or physician the use posology acquisition function,
Article per pharmaceuticals, the use application dose obtained by the use dose acquisition function, the amount obtained by subtracting the amount of appropriated acquired by the appropriated amount acquisition function, to generate a procurement information as the amount procurement required Procurement information generation function ,
An electronic medical record information generation program for executing a recording function for distinguishing and recording the treatment plan information generated by the treatment plan information generation function and the article procurement information generated by the article procurement information generation function . The electronic medical record information generation program according to claim 9, further comprising a display function for distinguishing and displaying the treatment plan information and the article procurement information recorded by the recording function . In the dosage acquisition function,
As detailed information on the dosage, the administration time for the number of administrations per day for each pharmaceutical product is selected from administration time patterns indicating each administration time in a preset day, The electronic medical record according to claim 9 or 10, wherein the administration frequency and the administration time are acquired by inputting a predetermined time or a predetermined time interval. Information generation program. The information on the medicine includes information handled in a medical institution in which the device is used and information handled outside the medical institution. Electronic medical record information generation program.

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