JP5214480B2 - Medical information input device - Google Patents

Description

  The present invention relates to a medical assistance device or an electronic medical record device that records medical information of a patient, and more particularly to a medical information input device that inputs medical data using a template.

  In a medical institution, a medical assistance device so-called an electronic medical record device that records the treatment contents and the like for a patient is becoming popular. In this medical assistance device, the patient's name of the sickness, the chief complaint of the patient, the findings of the doctor, the data of the doctor, etc., and the treatment contents such as the treatment, prescription, examination, etc. performed on the patient are examined. Record the medical data that you represent. In the conventional medical support device, there are a disease name input task for inputting the name of the wound, a prescription input operation for inputting treatment, prescription, etc., and a main complaint, finding, progress input operation for inputting progress data, etc. Usually prepared.

  FIG. 8 shows an example of a chart 2 paper screen 80 that displays medical data in the medical assistance device. There is a paper that records daily medical practice called a medical chart No. 2 in a medical chart, and the screen is configured to resemble it, so it is called a chart 2 paper screen. The right side of the screen is a prescription display area 83 for inputting and displaying a medical practice performed on a patient such as treatment, prescription, and examination. On the left side is a progress display area 82 for inputting and displaying a disease name, chief complaint, findings, and the like. Since the medical data is usually recorded in units of medical days visited by the patient and treated, the past data is designated and displayed from the medical day list 81 on the left side of the screen.

  The medical chart should be written so that it is easy to see what is written when it is referred to later. Also, it should be written on the premise that others will see it. This is the same for both handwritten and electronic medical records. Therefore, in the medical assistance device, it is recorded so that the input medical data can be identified, and a label is attached so that it can be understood even when it is called and displayed. doing. For example, when recording body temperature data, a label “body temperature”, an actually measured value such as “37.6”, and a unit “° C.” are recorded together. However, it is cumbersome for doctors to enter “body temperature”, “° C.”, etc., so in the past, when inputting medical data, a standard input part called a template was prepared, and only measured values were entered there. I was trying to do it. See, for example, US Pat.

  FIG. 7 shows an example of a screen for inputting data such as progress. This is the progress input screen 70 that is displayed when the progress input button 84 is activated by instructing the progress input button 84 when the chart 2 sheet screen 80 is displayed. This figure shows a state in which the doctor further calls and displays each template in order to input the main complaint history, past history, body temperature and pulse data. Specifically, in the tree view 41 displayed as “data selection” at the upper left of the screen, the chief / current medical history folder is first opened among the folders on the left side, and the template group in the folder displayed on the right side is selected. Select the main medical history and past history, then open the findings folder 72 and select the body temperature and pulse 73 within it to display “history, cause, major symptoms, progress, etc.” on the right side of the screen The templates 43 to 46 are displayed in the template display area 42. The template is composed of a label which is a headline, and input parts and units for the user to input data. However, some units are not attached. In the case of the illustrated template 46, “pulse” is the label 74, the square frame on the right is the input component 75, and “/ min” on the right is the unit 76. The user inputs numerical values and text into the input component 75 from a keyboard or the like.

  As shown in the tree view 41, the templates are stored in different categories according to several categories, such as those related to the main complaint / current medical history, information related to basic medical information, and information specific to the first visit. Thereafter, texts and numerical values are input to each displayed template, that is, an input part, and the medical data is registered by pressing the OK button. Thereby, the data input here is reflected and displayed on the chart 2 paper screen.

  The template can be arbitrarily created and registered by the user. FIG. 6 is a display example of a template creation screen 60 for the user to create a new template.

  On the template creation screen 60, the size and display position of the input part of the template can be designated. When the user drags the mouse to specify the position and size, the template being created is displayed in real time in the template display area 620 at the center 60 of the creation screen. At this time, since the name specified on the label 64 and the input component of the specified size are displayed at the same time, the user can interactively adjust the size and position of the template. At that time, labels and parts are displayed with their positions and sizes adjusted in accordance with grids (lattice points) on the screen. Data of the position and size adjusted interactively in this way is stored in the template file. See, for example, US Pat.

JP2000-181972 JP2008-210077

  Thus, conventionally, the label and parts of the template can be arbitrarily created by the user. Also, at that time, the position and size of the parts were adjusted according to the grid on the screen. However, when trying to construct a single template group in which a large number of parts are combined, their positions and sizes are still large. It is not easy to adjust the position and size of each part in order to adjust the height. Therefore, the present application intends to provide a template creation method and apparatus that reduce the troublesome alignment and work of aligning the size of parts even when a plurality of templates are continuously arranged.

  The present invention is a medical information input device that includes an input means, a display means, and a storage means, and inputs and registers patient medical information using a template. The medical information input apparatus holds patient medical information and is stored in the storage means. Information of the medical information storage means and a template for inputting the medical information, and at least a template code and information on the position and size of the parts constituting the template are held and stored in the storage means A template creation screen for interactively creating a template, including at least a template information storage means, a tool field for selecting a part of the template, and a template display area for pasting and displaying the selected part Control means for displaying on the display means, and a horizontal direction of a part to be pasted on the template display area A slider for designating a position is displayed in the template display area, the slider can be moved in the horizontal direction according to an instruction, and when the part selected in the tool column is pasted to the template display area, the slider The above-mentioned problem is solved by controlling the control means so that the part is pasted to the position.

  According to the medical information input device of the present invention, when a large number of templates for data input are created side by side, the label position and the position and size of the input parts can be easily arranged at the same position and the same size. Will be able to.

It is a block diagram which shows the structure of the medical treatment information input device of embodiment. It is a figure which shows the record structure of the category file and template file of embodiment. It is a flowchart which shows operation | movement of embodiment. It is a figure which shows the example of a display of the screen which inputs data, such as progress of embodiment. It is a figure which shows the example of a display of the screen which inputs data, such as progress of embodiment. It is a figure which shows the example of a display of the template creation screen of embodiment. It is a figure which shows the example of a display of the screen which inputs the conventional progress data. It is a figure which shows the example of a display of a medical chart 2 paper screen. It is a figure which shows the example of a display of the context menu of embodiment. It is a figure which shows the example of a display of the template creation screen of embodiment. It is a figure which shows the example of a display which expanded the template display area of embodiment partially. It is a figure which shows the example of a display which expanded the template display area of embodiment partially. It is a figure which shows the example of a display of the dialog of embodiment.

  FIG. 1 shows a block configuration of the medical information input device 10 according to the embodiment of the present invention. In the figure, 4 is a display device as information display means constituted by an LCD or the like, 5 is a keyboard as data input means, 6 is a pointing device such as a mouse, 1 is a CPU 2 as control means, and a memory 3 such as ROM and RAM. And 7 is a file device composed of storage means such as a hard disk device. The file device 7 stores a category file 11, a template file 12, a master file 13, a patient file, and a medical treatment information file 15. The file device functions as template information storage means and medical information storage means. The control device 1 has a function of receiving input from the keyboard 5 and the pointing device 6, a function of controlling the display of the display device 4, and a function of controlling the entire device 10. The keyboard 5 and the pointing device 6 function as input means in the following description. The medical information input device 10 may be a basic computer such as a general computer such as a personal computer. Then, a program having a function specific to this apparatus may be installed in the ROM or the file apparatus 7 in advance, or may be supplied by being stored in a storage medium such as a CD-ROM. Or you may make it downloadable via a network. When the control device 1 introduces and executes the program, functions unique to the present device are exhibited.

  FIG. 4 shows an example of a screen for inputting data such as progress in this embodiment. The configuration is almost the same as that of the conventional input screen shown in FIG. 7, 41 is a tree view for selecting a template stored by category, 42 is a template display area for displaying a called template, and below that is a template display area. This is a line input field 47.

  Returning to FIG. 1, the category file 11 stored in the file device 7 is a file defining a folder for storing a template. In this embodiment, the templates are divided into several categories, and a template is stored by providing a folder for each category. This category or folder can be arbitrarily set by the user. As shown in FIG. 2A, the category file 11 is composed of records such as a category ID, a category name, and private information. Among these, “category ID” is a unique ID assigned by the apparatus for each category. “Category name” is the name of the folder to be displayed on the left side of the tree view 41 shown in FIG. 4 and is arbitrarily set by the user. Specifically, it includes “main complaint / current medical history”, “basic medical information”, “findings”, and the like.

  The template file 12 is a file for defining individual templates, and the record structure is shown in FIG. “Category ID” is a copy of the category ID shown in FIG. 2A and indicates to which category the template belongs. That is, it defines in which folder this template is stored. The “template name” is a display name of the template displayed on the right side of the tree view 41 and can be arbitrarily set by the user.

  The “template code” is unique and is a code that the user inputs in the line input field 47 when calling each template.

  “Label name” is the name of the label displayed next to the input component when the template is called and displayed. In the display example of FIG. 5, “main complaint history”, “previous history”, “body temperature”, and the like correspond. The label can arbitrarily set a name that is easily understood by the user. The data input to the template together with this label is reflected on the chart 2 paper screen. “Size” is information on the size and position of the input component. “Initial value” is data such as a numerical value or a character string displayed as a default when the template is called and displayed.

  The template defined in the template file 12 may be a template having only one input component or a template having a plurality of input components.

  The master file 13 includes the names of all injuries and illnesses that may be used in this medical institution, items such as medical treatments such as treatments and tests, drugs and prescriptions, and main complaints, findings, vitals, etc. It is a file registered in advance with each name and unique code. The patient file 14 is a file that stores patient-specific information such as a patient's name and address, and insurance information. The medical information file 15 is a file that stores information related to medical care such as treatments, prescriptions, examinations, and patient's disease names performed on the patients. The patient file 14 and the medical information file 15 are associated with each other by a unique patient ID.

  Next, the operation of this embodiment will be described. FIG. 6 is a display example of a template creation screen 60 for the user to create a new template that the control device 1 controls display on the display device 4. The classification 61 displayed in the attribute column on the right side of the screen is a pull-down menu for selecting and specifying the template category from a plurality of preset categories. The category ID corresponding to the category specified here is stored in the template file 12, and the template file 12 is stored in the folder of the category.

  The template name 62 is a name of a template displayed in a list on the right side when a folder for each category is opened in the tree view 41, and is set by the user inputting an arbitrary character string. This corresponds to the template name of the template file 12.

  The template code 63 is a code that is used when the user directly calls the template not via the tree view 41 but using the line input field 47. Corresponding to the template code of the template file 12, the user inputs and sets an arbitrary character string. In this embodiment, half-width katakana and numbers can be used. In the example shown in the figure, “shoso” is designated by half-width kana. If the user does not collide with the code of another template, the user can freely set the code.

  The label 64 is a name of a label displayed on the left side of the input component when the template is displayed, and corresponds to the label name of the template file 12. The label 64 is also set by the user inputting an arbitrary character string. The next default value 65 is data that is initially displayed on the input component when the template is displayed, and the user inputs and sets an arbitrary numerical value or character string. When inputting medical data using the template, if it is known that almost constant numerical values or texts are input, the contents can be set in advance to simplify the input operation. The data set here is stored in the initial value of the template file 12.

  Then, by clicking a button for specifying various templates in the tool column 610 on the left side of the screen, first specify the type of the template, and then click on an arbitrary position in the template display area 620 in the center of the screen, thereby The label and the input part are pasted and displayed at a designated position in the template display area 620. In the template display area 620, a grid (lattice point) 621 is displayed in advance. In this embodiment, grids are displayed in a grid pattern in the horizontal and vertical directions every several pixels (several pixels) on the display screen. The template designated by clicking the button is displayed in a predetermined size according to the grid 621.

  The size and position of the displayed template can be changed freely. When the user drags the handle displayed around the part with the mouse 6 to change the position and size, the control device 1 displays the template being created in the template display area 620 in real time. At this time, since the name specified on the label 64 and the input component of the specified size are displayed at the same time, the user can interactively adjust the size and position of the template. A numerical value indicating the position and size adjusted interactively in this way is stored in the “size” of the template file 12. Then, the template is displayed in the template display area 42 of the input screen 40 shown in FIG. The control device 1 stores and controls the setting data from the template name 62 to the default value 65 set as described above in the template file 12 in response to the user instructing the OK button.

  In addition, the present embodiment has a component alignment function so that the sizes and positions of a large number of components can be easily aligned. This function will be described mainly with reference to FIGS. When the user clicks (right-clicks) the right button of the mouse in the template display area 620, the context menu shown in FIG. 9 is displayed. Accordingly, when “display alignment bar (B)” is selected and instructed, an alignment bar 640 is displayed at the top of the template display area 620 as shown in FIG. This alignment bar 640 is used to specify the horizontal position and size of the part. There are three sliders on the alignment bar 640, and the left slider 641 is a slider for designating the left end position of the label 74. The middle slider 642 designates the left end position of the input component 75, and the right slider 643 designates the right end position of the input component 75. The three sliders can be moved left and right on the alignment bar 640 by mouse dragging. At that time, the slider is positioned according to the grid 621.

  When a part is selected in the tool column 610 while the alignment bar 640 is displayed and then the template display area 620 is clicked, the template part is placed in the template display area 620 at the position and size determined by the three sliders. It is pasted. This is shown in FIG. The left end (start position) of the label 74 is aligned and pasted at the position of the left slider 641, the left end (start position) of the square input component 75 is positioned at the middle slider 642, and the position of the right slider 643. The right edge of the input part is aligned and pasted. That is, the horizontal position of the input component is determined by the slider 642, and the size of the input component is determined by the slider 643.

  After that, when the user continuously pastes the component, the current component is pasted with a 1-grid space below the component pasted immediately before. Thus, when the alignment bar 640 is displayed even if it is not the same type of template or a different type of template, the position and size are aligned with the three sliders of the alignment bar 640 and the template is displayed. Parts are pasted on the display area 620. For this reason, the user can easily align the positions of the labels and input parts and paste a large number and various templates.

  The user can also change the position of the slider at any time by dragging the mouse as necessary. As a result, the position and size of components to be pasted thereafter can be easily specified. The position of the slider can be moved in units of one grid. Since the vertical dotted line 622 is displayed under the slider during movement, the positional relationship with the already pasted component is easy to understand. Even if the position of the slider is changed, the position and size of the parts pasted before that are not changed. Therefore, the user can designate a new position and size without worrying about the position of the parts pasted so far changing.

  When the alignment bar 640 is displayed, the alignment button 650 at the lower end of the template display area 620 is enabled. By clicking the alignment button 650 with the mouse, all the parts currently displayed in the template display area 620 can be aligned with the slider of the alignment bar 640 and the size and size can be changed. At this time, the components are displayed from the top to the bottom in the order in which they are pasted, and the components are displayed with an interval of one grid.

  Next, the function of arranging a plurality of parts horizontally and equally will be described. First, the user selects a part to be arranged side by side among the parts pasted in the template display area. As a selection method, a plurality of parts may be clicked with the mouse while pressing the shift key, or when the mouse is clicked and dragged in the template display area, the control device 1 displays a rectangle with dotted lines. You may make it surround with the rectangle. As shown in FIG. 12, a handle 631 is displayed around the selected part and the selected part. Here, when one of the selected parts is clicked with the mouse, that part becomes the reference part. The reference part is a part that serves as a reference for alignment and size alignment, and the handle of the reference part is displayed in pink unlike other parts.

  Next, the user right-clicks the mouse in the template display area 620, displays the context menu shown in FIG. 9, and selects and designates "Arrange horizontally" (E). At this time, if there are two selected parts, the control device 1 automatically divides the width of the template display area into two parts and arranges the two parts side by side. When there are three or more selected parts, the column designation dialog shown in FIG. 13 for designating the number of columns to be arranged side by side, that is, the number of divisions in the horizontal direction is displayed. Is specified. In this embodiment, 2 to 4 columns can be specified. The control device 1 equally divides the width of the template display area by the designated number of columns, and arranges the components side by side in a size corresponding to the size. When the number of parts is larger than the specified number of columns, the parts are folded and arranged equally in the same manner with a 1-grid space below.

  In either case, the vertical position of the parts to be uniformly arranged first is matched with the position where the reference part was placed. The order in which the parts are arranged is the order in which the parts are attached.

  When the user designates the OK button, the control device 1 stores and controls the data of the classification 61 and the template name 62 and the data of the position and size of each input component in the template file 12 accordingly.

  A procedure for the user to call and use the template created as described above will be described with reference to the flowchart of FIG. 3 and the display examples of FIGS.

  For example, when the user gives an input start instruction using a keyboard or a mouse to input data such as the patient's progress, the control device 1 controls display of the progress input screen 40 shown in FIG. 4 on the display device accordingly. . The input screen 40 is provided with a template display area 42 and a line input field 47 unique to the present application. Therefore, the user shifts the focus to this field and inputs a template code for calling a desired template from the keyboard 5. At this time, when calling a plurality of types of templates at a time, the template codes are input by connecting them with delimiters. When it is desired to repeatedly display the same template as two or three, enter the template code with a repetition symbol specifying the number of repetitions after the template code.

For example, the template that the user wants to call is the case of the main complaint history history template, the history history template, the body temperature template, and the pulse template, and the template codes are “Suso”, “Kio”, “ When “Tion” and “Myaku” are registered in the template file 12 in advance, “Suskio Tion Myaku * 2” is entered in the line input field 47 with half-width kana and numbers as shown in the figure. Then, press the return key (enter key).

  In this embodiment, the delimiter is a single-byte or full-width space character. The repetition symbol is composed of a combination of a number indicating the number of repetitions and an asterisk of a separation symbol indicating the boundary between the codes, and is a portion “* 2” in this example.

  In response to this, the control device 1 captures a series of character strings input in the line input field 47 into the memory 3, searches for a delimiter symbol, divides the character string (step S1), and arranges the divided character strings into an array. Next, for each character string stored in the array, the repetition symbol is separated from the template code based on the separation symbol and cut out (S3), and the number of the repeated symbol is converted into a numerical array. Store (S5). That is, the character string input to the line input field 47 in the process so far is divided into individual template codes, and further, the number-designated number is separated from the repetition symbol added to the end of each code.

  Then, the template codes are read in the order stored in the array, the template information is retrieved and read from the template file 12, and displayed in the template display area 42 of the input screen 40 (S6). At this time, the control device 1 functions as search means for reading out the template information and display control means.

  At that time, the templates are repeatedly displayed by the number stored in the number array (S7).

  FIG. 5 shows a screen on which the control apparatus 1 displays a template in accordance with the contents of the line input field 47 shown in FIG. 4, that is, the input of “Shokukyo ion ion * 2” through such a procedure. In the order of the template code specified in the line input field 47, two main complaint / current medical history templates 43, a past medical history template 44, a body temperature template 45, and a pulse template 56 are displayed. When the user inputs data to the template displayed by the user and designates the OK button at the lower right, the control device 1 stores and controls the data input to the template in the medical care information file 15 according to this, Display control is performed so that these data are displayed on the chart No. 2 screen. That is, at this time, the control device 1 functions as a storage control unit.

  As described above, in the present embodiment, the code of the template to be called can be called by directly entering it in the line input field 47, so that a folder divided into categories can be opened using a mouse as in the prior art, and the templates in the template can be opened. Rather than searching for and specifying a desired item from a group, it can be called and displayed easily and quickly.

DESCRIPTION OF SYMBOLS 1 Control apparatus 4 Display apparatus 5 Keyboard 6 Pointing device 7 File apparatus 11 Category file 12 Template file 13 Master file 14 Patient file 15 Medical treatment information file 60 Template creation screen 610 Tool column 620 Template display area 621 Grid 640 Alignment bars 641, 642 643 slider

Claims (4)

  A medical information input device comprising an input means, a display means, and a storage means for inputting and registering patient medical information using a template, the medical information holding patient medical information and stored in the storage means Template information storage for storing information on a template for inputting medical information, and storing at least a template code and information on the position and size of components constituting the template and stored in the storage means Means for selecting a template part, and a template display area for pasting and displaying the selected part. A template creation screen for interactively creating a template is displayed on the display means. Control means for displaying, indicating the horizontal position of the component to be pasted in the template display area. A slider for displaying the template in the template display area, the slider can be moved in the horizontal direction according to an instruction, and when the part selected in the tool field is pasted to the template display area, the slider is positioned at the position of the slider. The medical information input device according to claim 1, wherein the control means controls to paste the parts together.   The medical information input device according to claim 1 has at least a slider for designating the position of the left end of a part and a slider for designating the position of the right end of the part, and displays the part selected in the tool column as the template display. A medical information input device characterized in that, when pasting on an area, the left end and the right end of the part are aligned with the positions of both sliders.   The medical information input device according to claim 1, wherein when there are a plurality of selected parts pasted in the template display area, the template display is performed in accordance with an instruction to arrange the plurality of selected parts side by side. A medical information input device characterized in that the horizontal width of an area is equally divided and parts are arranged side by side in a size corresponding to the size.   4. The medical information input apparatus according to claim 3, wherein when there are three or more selected parts, a dialog for designating the number of columns arranged side by side according to an instruction to arrange a plurality of selected parts side by side. The medical information input device characterized by displaying.

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