JP5644000B2 - Medical device and medical program - Google Patents

Description

  The present invention relates to a medical device and a medical program.

  In the medical field, a medical system such as an electronic medical record system using an information device (medical device) such as a personal computer has been widely used, and accordingly, a user (for example, a doctor) who uses the medical system is used. In accordance with the form, the user has customized and used the function of the application. The customization means that the user selects whether to use each function and / or sets each function. Applications used in medical devices (hereinafter referred to as medical applications) include patient medical information (patient symptoms and treatment history, doctor findings and measurement data, image data, information for patient management, etc.) (Hereinafter referred to simply as “medical information”), medical database applications for managing and searching, etc., accounting management applications used for accounting of fees at hospitals and other counters, and feeling similar to paper charts There is an electronic medical chart application used in an electronic medical chart system used in an examination room or the like.

  The electronic medical record application is used in a medical field or the like, and medical information of a patient is input by a doctor or the like through medical examination or measurement by a medical device. In the electronic medical record application, for example, input of medical information on a patient, medical information related to money, and editing of such medical information (hereinafter, editing is included in the input, and the input is simply referred to as input or editing) Can be used while customizing, such as registering settings necessary for the user, such as a fixed sentence to support the medical information input format (template), medical information display format (template), etc. Yes.

  In each application, the number of functions that users can customize on their own is increasing. However, in order to use these functions, there are situations where users cannot use them unless they know how to customize them. . In other words, even if another user wants to use useful setting information customized by a user, he / she could know the setting information if he / she did not know how to customize the function itself. However, there are cases where the content cannot be reflected and used as its own setting information.

  Therefore, by overwriting the setting file on the own terminal by using the setting file including other setting information (for example, setting information of another person or setting information on the other terminal) on the own terminal, A method of applying different setting information can be considered.

  In Patent Document 1, even when a user uses a different computer by saving environment information of his / her operating environment in a server and referring to the user's environment information from the server, the operating environment is changed in the different computer. Describes technologies that can be set up for your environment.

JP 2005-165493 A

  As described above, overwriting the setting file on your terminal using a setting file that includes other setting information (for example, setting information of another person or setting information on another terminal) on your terminal Therefore, it may be possible to simplify the customization work by applying the different setting information. However, in this case, when the result of the application executed according to the different setting information is not preferable for the user as compared with the original setting data, it is necessary to overwrite the setting file again with the original setting data. In this case, recalling the original setting data from the user's memory forces the user to perform a complicated task for customization, and as a result, there is a problem that the customization work cannot be simplified.

  In this regard, since the disclosure technique of the above-described Patent Document 1 is only related to a shared computer that allows the user to use the setting information used by another terminal by another terminal, for the user, Since this setting information has been recognized as preferable in advance, it is only a technique that does not have the above-described problems.

  In order to solve the above-described problems, the present invention provides a medical device and a medical program having a support function for simplifying customization work performed by a user (hereinafter referred to as a support function that contributes to user customization work). The purpose is to provide.

  A medical device according to the present invention is a medical device that handles medical information by executing an application that operates according to a setting of setting data, and allows a user to specify that the setting data is temporarily applied. In response to the notification by the notification unit, a processing unit that executes the application using the setting data designated by the user, and a processing unit that is executed by the processing unit The processing output unit that outputs the result of the execution of the application to the user, and adopting the setting data specified by the user as the normal setting in accordance with the output of the output unit, A setting data determination unit that issues a notification requesting that the setting data is determined, and a result of the notification by the setting data determination unit. , And a storage unit for storing the result of the process of execution of the application executing adopted setting data determined by the user.

  As described above, by temporarily applying the setting data and later adopting it as the normal setting, it is possible to provide a medical device having a support function that contributes to the user's customization work.

  The medical device according to the present invention is a medical device that handles medical information by executing an application that operates according to the setting of setting data, and is used in a customization support mode that supports customization of the setting of the application by a user. Temporary setting storage unit that stores temporary setting data that is the setting data, function setting storage unit that stores normal setting data that is the setting data used in the normal mode, and a processing unit that performs processing of executing the application A setting data input unit for storing the setting data input from the outside, switching the mode between the normal mode and the customization support mode in the operation of the application, and the temporary setting storage unit, The function setting storage unit and the setting data input A setting data customization unit that manages the exchange of the setting data with the unit, and the setting data customization unit stores the normal setting data stored in the function setting storage unit in the customization support mode. Copying to the temporary setting storage unit, rewriting the setting data stored in the temporary setting storage unit using the setting data input from the outside stored in the setting data input unit, and the customization In the normal mode after the end of the support mode, the rewritten setting data is copied from the temporary setting storage unit to the function setting storage unit, and the processing unit reads from the temporary setting storage unit in the customization support mode. The execution process of the application according to the setting data setting after rewriting Performed in the normal mode after completion of the customization supporting mode, and performs the process of execution of the application according to the setting of the setting data read from the function setting storage unit.

  As described above, by using the temporary setting data and the normal setting data and later adopting the temporary setting data as the normal setting data, it is possible to provide a medical device having a support function that contributes to the user's customization work.

  A DL file storage unit may be provided that stores the setting data input from the outside and outputs the setting data to the setting data input unit in accordance with a transfer instruction.

  In addition, you may provide the DL file monitoring part which detects that the said new setting data was added to the said DL file memory | storage part.

  The DL file monitoring unit outputs the transfer instruction when detecting that the new setting data is added to the DL file storage unit, and the setting data customization unit goes to the customization support mode. Mode switching may be performed.

  You may provide the external output part which outputs the said setting data memorize | stored in the said function setting memory | storage part with respect to the exterior.

  The medical device according to the present invention is a medical device that handles medical information by executing an application that operates according to the setting of setting data, and is used in a customization support mode that supports customization of the setting of the application by a user. Temporary setting storage unit that stores temporary setting fixed text included in the temporary setting data that is the setting data, and function setting that stores normal setting fixed text included in the normal setting data that is the setting data used in the normal mode A storage unit; a processing unit that executes the application; a setting data input unit that stores a fixed sentence that is the setting data input from the outside; and the normal mode and the customization support mode in the operation of the application Switch mode between and A temporary setting storage unit, a function setting storage unit, and a setting data customization unit that controls exchange of fixed phrases between the setting data input unit, the setting data customization unit in the customization support mode , By copying the normal setting fixed phrase stored in the function setting storage unit to the temporary setting storage unit, and using the fixed phrase input from the outside stored in the setting data input unit, Rewriting the fixed phrase stored in the temporary setting storage unit, and copying the rewritten fixed sentence from the temporary setting storage unit to the function setting storage unit in the normal mode after the end of the customization support mode, In the customization support mode, the processing unit uses the rewritten fixed phrase read from the temporary setting storage unit. Performs processing execution application, in the normal mode after completion of the customization supporting mode, using a fixed sentence read from the function setting storage unit and performing a process of execution of the application.

  As described above, the temporary setting data and the normal setting data are used, the temporary setting data is later adopted as the normal setting data, and the fixed sentence read from the function setting storage unit is used in the normal mode after the customization support mode is finished. By performing the execution process of the application, it is possible to provide a medical device having a support function that contributes to user customization work.

  In the medical device, the processing unit may transfer the setting data after the rewriting from the temporary setting storage unit to the function setting storage unit in the normal mode after the customization support mode ends. When copying, the edited data edited using the temporary setting data in the execution process of the application in the customization support mode may be saved.

  The setting data includes a user selection storage unit that stores settings selected by the user, and the setting data input unit is stored in the user selection storage unit among the setting data input from the outside. The setting data input from the outside is stored for the setting selected by the user, and the setting data customizing unit temporarily stores the normal setting data stored in the function setting storage unit in the customization support mode. Using the setting data input from the outside stored in the setting data input unit for the setting selected by the user, which is copied to the setting storage unit and stored in the user selection storage unit, the temporary setting Rewrite the setting data stored in the storage unit, and return to the normal mode after the end of the customization support mode There are, setting data after the rewriting may be copied to the function setting storage unit from the temporary setting storage unit.

  The medical program according to the present invention is a medical program that operates according to the setting of setting data and causes a computer to function as a medical device that handles medical information, and temporarily applies the setting data to a user. A notification step for performing a notification for designating, a processing step for performing processing of the application using the setting data specified by the user in response to the notification by the notification step, A process output step for outputting to the user the result of the execution of the application executed in the process step; and in accordance with the output of the output step, the setting data designated by the user Setting data to notify that it is required to decide to adopt the normal setting A determination step; and a storage step that stores the result of the execution of the application executed by adopting the setting data determined in the setting data determination step, and the output step is stored in the storage unit The result of the execution process is output.

  The medical program according to the present invention is a medical program that operates according to the setting of setting data and causes a computer to function as a medical device that handles medical information, and in a customization support mode that supports customization of the setting by a user. Temporary setting storage step for storing temporary setting data as the setting data to be used in the temporary setting storage unit, and function setting storage for storing the normal setting data as the setting data used in the normal mode in the function setting storage unit A processing step for inputting, editing, and displaying the medical information of the patient, a setting data input step for storing the setting data input from the outside in a setting data input unit, the normal mode, and the Switch mode to customization support mode, and A setting data customization step for exchanging the setting data between the temporary setting storage unit, the function setting storage unit, and the setting data input unit, and the setting data customization step includes the customization support mode. The normal setting data stored in the function setting storage unit is copied to the temporary setting storage unit, and the setting data input from the outside stored in the setting data input unit is used, Rewriting the setting data stored in the temporary setting storage unit, and copying the setting data after rewriting from the temporary setting storage unit to the function setting storage unit in the normal mode after the end of the customization support mode, The processing step reads from the temporary setting storage unit in the customization support mode. The setting data read out from the function setting storage unit in the normal mode after the customization support mode is finished, performing processing for inputting and displaying the medical information of the patient according to the setting of the rewritten setting data The medical information of the patient is input and displayed according to the setting of the above.

  In addition, a user selection storage step for storing the setting selected by the user among the setting data is provided, and the setting data input step is stored in the user selection storage step among the setting data input from the outside. For the setting selected by the user, the setting data input from the outside is stored in a setting data input unit, and the setting data customization step is stored in the function setting storage unit in the customization support mode. The normal setting data is copied to the temporary setting storage unit, and the setting data input from the outside stored in the setting data input unit is used for the setting selected by the user stored in the user selection storing step. Rewriting the setting data stored in the temporary setting storage unit, and In the normal mode after the end of the customization supporting mode you may copy the configuration data after the rewriting from the temporary setting storage unit in the function setting storage unit.

  ADVANTAGE OF THE INVENTION According to this invention, the medical apparatus and medical program provided with the assistance function which contributes to a user's customization work can be provided.

It is a figure explaining the function of the medical device which concerns on embodiment. It is a figure explaining the structure of the medical device which concerns on embodiment. It is a flowchart of the medical device which concerns on embodiment. It is a figure of the setting information in the medical device which concerns on embodiment. It is a figure of the selection screen in the medical device which concerns on embodiment. It is a figure explaining the setting file which concerns on embodiment. It is a figure of the downloaded setting file which concerns on embodiment. It is a figure which shows the example of a display of the medical device which concerns on embodiment. It is a figure of the setting information in the medical device which concerns on embodiment. It is a figure of the setting information in the medical device which concerns on embodiment. It is a figure of the setting information in the medical device which concerns on embodiment. It is a figure of the selection screen in the medical device which concerns on embodiment. It is a figure explaining the setting file which concerns on embodiment. It is a figure of the downloaded setting file which concerns on embodiment. It is a figure of the downloaded setting file which concerns on embodiment. It is a figure of the downloaded setting file which concerns on embodiment.

[Embodiment 1]
Embodiments of the present invention will be described below with reference to the drawings.

  The medical device 1000 according to the embodiment has a configuration as shown in FIGS. 1 and 2, for example, and medical devices that handle medical information by executing a medical application that operates according to settings of a plurality of setting data. Device.

  In the present embodiment, an electronic medical record application program will be described as an example of software (medical application) that handles medical information.

  Here, the setting defines whether or not to use each function of the application and how much the function is used. For example, whether or not to automatically backup edited data and what Whether to backup every minute, whether to use input / output information such as edit symbols (marks used for input, display, etc.) and which of the input / output information to use, or to generate a warning sound It is possible to consider a setting that determines how and when an attention sound is generated at which operation.

  Specifically, when describing automatic backup of edited data, in editing work such as text creation or numerical value input, the application may end without saving the data that the user accidentally edited Since the editing work is wasted, it is desirable that the editing data be automatically saved. Therefore, some applications have an automatic backup function and can be used by setting application of automatic backup. Describing input / output information such as edit symbols, the output screen has an important role to convey information to the user, and it is necessary to display it efficiently and effectively. There is a need. In addition, since there are large differences among individuals, there are applications that can be set for input / output methods and the like. Regarding caution sounds, some users may want to be notified in a timely manner if they make a mistake when using the application. Some users may find it cumbersome to make sound. Therefore, it is set to use (or do not use) the caution sound so that the user can know that he / she has taken the wrong procedure, or to use different caution sounds for each type so that the user can know the type of the wrong procedure. There are applications that can.

  Further, the setting may be further subdivided. For example, in the setting of whether to perform automatic backup of editing data, which editing data is to be set (text data, binary data, word processing software data, editor) (Which data will be backed up), whether to use input / output information such as edit symbols, etc. When to use input / output information for input, display, etc., whether to generate a warning sound In this setting, a setting that determines which caution sound is used can be considered.

  In this embodiment, as setting data, a fixed sentence (such as text explaining symptoms and treatments) in an electronic medical record application, an input template (such as a number that defines the number of digits when inputting numerical values, etc.), a display template ( A description will be given by way of example (which defines how to display a numerical value or the like) (described later). The setting contents are to use which fixed sentence is used and which input template and display template are applied.

  Specifically, when describing fixed phrases, it is troublesome for the user to enter frequently used sentences from the keyboard etc. many times, so register frequently used sentences as fixed sentences, and use simple operations to fix the fixed sentences. It is required that the statement can be read and used. Moreover, the regular sentence used regularly differs for every doctor (user), and the regular sentence which the person uses regularly is easy to see for a doctor (user), and is easy to give attention. Therefore, an application having a word processor function and an edit function is required to have a function for setting a fixed sentence.

  In addition, when describing the input template and the display template, these are included in the input output information such as the edit symbols described above, and the input template is the number of digits or characters required when storing data in the DB. The display template is used for the purpose of designating a number or the like, and the display template is used for the purpose of displaying the information in a correct manner or displaying it effectively. Moreover, since these are large in individual differences, it is required to be an application that can cope with individual differences by setting.

  FIG. 1 shows a configuration of a medical device 1000 according to the embodiment. The present embodiment shows a configuration example in the case of realizing a medical device by installing software for handling medical information in a general-purpose computer device (personal computer, etc.) having a CPU (Central Processing Unit). Is.

  In this embodiment, the electronic medical record application is an application that can be used by a plurality of users (so-called multiple user compatible application).

  When a disk medium (such as a CD-ROM) holding electronic medical record application software is loaded into a disk drive of a general-purpose computer device, the software is read from the disk by an installation operation or the like, and the hard disk ( Hereinafter, it is also stored in an HDD (Hard Disk Drive). Thereafter, when the software is started, the corresponding program and database are expanded from the hard disk onto a RAM (Random Access Memory), and the electronic medical chart function corresponding to the program is executed by the CPU.

  In the above description, the electronic medical record application is installed in a general-purpose computer device. However, the present invention can also be realized as a medical device in which an electronic medical record function is mounted in advance. In this case, for example, embedded software for an electronic medical record application is stored in a ROM (Read Only Memory) of a general-purpose computer device. In the above description, the electronic medical record application is installed by mounting a disk medium. However, the electronic medical record application may be installed by downloading via a network such as the Internet.

  With reference to FIG. 1, a flow of setting data, a flow of a result of executing an application, and a function of the CPU in the medical apparatus 1000 according to the embodiment will be described.

  The medical device 1000 includes a setting data customization unit 103, a setting data input unit 106, a function setting storage unit 200, a temporary setting storage unit 201, an input unit 400, and an output unit 401, and includes a CPU 100, a medical information DB 300, storage means (storage) Part) 102.

  The function setting storage unit 200 stores setting data (hereinafter, normal setting data) of each function used in the normal operation of the application (hereinafter, normal mode). The temporary setting storage unit 201 stores setting data of settings designated as temporary application by the user (hereinafter referred to as temporary setting data).

  The setting data input unit 106 stores setting data input from the outside of the medical device 1000. The setting data customization unit 103 manages the exchange of setting data among the temporary setting storage unit 201, the function setting storage unit 200, and the setting data input unit 106. With this function of the setting data customization unit 103, the setting data input from the outside is transferred and stored in the temporary setting storage unit 201. The setting data input from the outside in the temporary setting storage unit 201 is transferred to the function setting storage unit 200 by this function of the setting data customizing unit 103 according to the user's decision after seeing the notification of the setting data determining unit 1004 described later. And memorized. The exchange of setting data among the temporary setting storage unit 201, the function setting storage unit 200, and the setting data input unit 106 by the setting data customization unit 103 will be described in detail in the explanation of the later operation flow and the explanation of the customization work. To do.

  The input unit 400 is an input device such as a keyboard or a mouse, and the output unit 401 is a display device such as an LCD (Liquid Crystal Display) or an audio output device such as a speaker. Note that the input unit 400 and the output unit 401 may be tablets that allow pen touch input on the LCD. The medical apparatus 1000, the input unit 400, and the output unit 401 can be configured by, for example, a personal computer having these devices.

  The medical information DB 300 is a database in which medical information on patients and medical information related to money are stored. The storage unit 102 is a RAM (Random Access Memory), ROM, HDD, or the like used when the CPU 100 (processing unit 101) performs processing.

  The CPU 100 for processing software includes at least a processing unit 101. In the present embodiment, the CPU 100 controls a data processing function, data display, audio output, data input, and the like, a notification unit 1001, and a user designation unit. 1002, a processing output unit 1003, a setting data determination unit 1004, a user determination unit 1005, and a processing unit 101 having functions such as comprehensive calculation, control, and processing. In the figure, for the processing unit 101, a processing unit 101a is described as a functional unit that executes an application, and the processing unit 101 processes these data processing functions, data display, audio output, data input, and the like. It may include the function to do.

  The figure shows the functions executed in such a medical device as functional blocks. In software, for example, the function block is a function module or a subroutine having the function, and in the figure, the function block is described in terms of hardware constituting the CPU. The CPU function may be hardware realized by, for example, an arithmetic element group on a substrate having the function. Since the notification unit 1001 notifies the user to specify that the setting data is to be temporarily applied, the notification unit 1001 indicates that the notification is “to specify whether to apply the setting data temporarily”. And output to the output unit 401 as a monitor, and the output unit 401 displays a window or the like indicating that the setting data should be temporarily applied. Note that the notification text “notify whether to temporarily apply the setting data” is stored in the notification unit 1001.

  The user designation unit 1002 sees the notification that “the setting data is temporarily applied” through the output unit 401 (that is, in response to the notification by the notification unit 1001), and the setting designated by the user. Data is transferred from the temporary setting storage unit 201 to the processing unit 101. The user is specified through the input unit 400. The user designation unit 1002 is a setting data selection input unit for which setting data is designated by the user, and is also a mode selection input unit for the user to select a mode in which the setting data is temporarily applied.

  In response to the notification from the notification unit 1001, the processing unit 101 uses the setting data designated by the user to execute an application (here, electronic medical record application) execution process. The processing includes processing of each operation in the electronic medical record application, processing of inputting, editing, and displaying medical information on the patient's medical information and money during execution. The result of the execution processing is based on the processing result of each operation in the electronic medical record application, storage and display of the medical information and medical information on the patient that has been input and edited, and a display template for display. Process. The input of medical information and the editing of medical information include re-input of the medical information itself (re-input / re-edit of the medical information itself), and the medical information is input and output for further editing of the medical information. Information for editing (standard text, input templates, output templates, etc.). The user performs the above-described editing operation and the like through the input unit 400, and medical information is obtained from the medical information DB 300.

  The processing output unit 1003 sends the result of the execution of the application executed by the processing unit 101 (the already-described editing data or the like) to the output unit 401 as a monitor that outputs (displays) to the user.

  The setting data determination unit 1004 matches the output of the processing output unit 1003, that is, the setting data specified by the user in accordance with the result of the execution process of the application displayed on the output unit 401 viewed by the user. A notification requesting that the user decide to adopt the normal setting is issued. The notification is a window or the like on which “requests to determine whether or not to adopt the normal setting” is described. Note that the notification text stating “requests to determine whether or not to adopt as a normal setting” is stored in the setting data determination unit 1004.

  The user determining unit 1005 sees the notification “requests to determine whether or not to adopt as the normal setting” through the output unit 401 (that is, the result of notification by the setting data determining unit 1004). Then, the result of the execution of the application executed by adopting the setting data determined by the user (edit data, etc.) is transferred from the processing unit 101 to the storage unit 102. The user is determined through the input unit 400. The user designation unit 1005 is setting data selection input means for determining whether to adopt the setting data as normal settings by the user, and is also a mode selection input means for the user to select the normal mode.

  The storage unit (storage unit) 102 stores the result of the execution of the application executed by adopting the setting data determined by the user as a result of the notification by the setting data determining unit 1004.

  As described above, according to the user's decision that saw the notification of the setting data determination unit 1004 (the notification of “requesting to determine whether or not to adopt as normal setting”), the temporary setting storage unit 201 stores Setting data input from the outside is transferred to and stored in the function setting storage unit 200 via the setting data customization unit 103.

  In the medical program according to the present embodiment, the notification step, the processing step, the processing output step, the setting data determination step, and the storage step included therein include the corresponding hardware functions described above as software. This is achieved by implementing the functions, subroutines, etc. That is, the notifying step notifies the user to specify that the setting data is temporarily applied (corresponding to the function of the notifying unit 1001). In the preprocessing step, in response to the notification in the notifying step, the application execution process is performed using the setting data designated by the user (corresponding to the function of the processing unit 101). In the process output step, the result of the process of executing the application executed in the process step is output to the user (corresponding to the function of the process output unit 1003). In the setting data determination step, in accordance with the output of the processing output step, a notification requesting the user to determine the adoption of the setting data designated by the user as a normal setting is performed (setting data determination) Corresponding to the function of the section 1004). The storing step stores the result of the execution process of the application executed by adopting the setting data determined as a result of the notification in the setting data determining step (corresponding to the function of the storage unit 102).

The medical device according to the present embodiment further includes the following functional units from the above configuration. The temporary setting storage unit 201 that stores temporary setting data that is the setting data used in the customization support mode that supports customization of the settings of the application by the user described later, and the setting data that is used in the normal mode. A function setting storage unit 200 that stores normal setting data is provided. Also, a first selection display output means (notification unit 1001) for outputting a display for allowing the user to select the customization support mode, and input of the customization support mode selection according to the output of the first selection display output means 1st mode selection input means (user designation part 1002) for making it do. Further, mode notification means for notifying that the customization support mode is being executed after the selection of the customization support mode is input in the first mode selection input means (that is, “customization support mode” described later). Display). Also, a second selection display output means (setting data determination unit 1004) that outputs a display for ending the customization support mode and setting the normal mode, and according to the output of the second selection display output means Second mode selection input means (user determining unit 1005) for inputting selection of the normal mode. Further, when the customization support mode is being executed, the application is executed using the temporary setting data, and the temporary setting data is set according to the user's selection in the normal mode after the customization support mode is ended. A processing unit 101 that executes an application as data is provided.
(Function and effect)
Copying the temporarily applied setting data stored in the temporary setting storage unit 201 to the function setting storage unit 200 through the setting data customization unit 103 according to the determination that the user applies the setting through the notification of the setting data determination unit 1004 Thus, in a normal operation, an operation using a new setting (a setting temporarily applied by the user) can be simplified. In the case where it is determined that the user does not apply the setting through the notification of the setting data determination unit 1004, the temporary setting data stored in the temporary setting storage unit 201 is not copied to the function setting storage unit 200, and the normal mode is set. You can go back. In this case, the medical device 1000 can be used simply with the original settings without applying customization support (that is, without setting the settings applied at one time as normal settings). In this case, the setting data in the function setting storage unit 200 is not rewritten.

As described above, it is possible to provide a medical device and a medical program having a support function that contributes to user customization work.
[Embodiment 2]
In the present embodiment, under the functions of the CPU and the like described in the first embodiment, the setting data obtained from the outside is temporarily applied, and then the data flow of the setting data when the normal setting is determined, and the relevant data in between A data flow of data edited using the setting data will be described.
(Specific configuration of equipment)
Each functional block of the medical device 1000 according to the present embodiment will be described with reference to FIG. The figure shows the functions executed in such a medical device as functional blocks. The function block is a function module having the function in software, for example, and in the figure, there is a function described as hardware constituting the CPU as a function of the CPU. The CPU function may be hardware realized by, for example, an arithmetic element group on a substrate having the function. 1 have the same functions as those in FIG. 1, but will be described again when necessary in the description of the operation in FIG.

  The medical device 1000 includes a processing unit 101, a storage unit 102, a setting data customization unit 103, a user selection storage unit 105, a setting data input unit 106, an external output unit 107, an interface (hereinafter referred to as I / F) 108, and a download (hereinafter described as “low”). , DL) file monitoring unit 109, DL file storage unit 110, function setting storage unit 200, temporary setting storage unit 201, and medical information DB 300.

  An input unit 400 and an output unit 401 are connected to the I / F 108. The external output unit 107 and the DL file storage unit 110 are connected to a telecommunication line 500 such as the Internet network. The telecommunication line 500 is connected to a medical device 2000 that is a medical device of another user including a site 600, a function setting storage unit 2200, a temporary setting storage unit 2201, and an external output unit 2107.

  The processing unit 101 executes the electronic medical record application. The processing includes processing of each operation in the electronic medical record application, processing of inputting, editing, and displaying medical information on the patient's medical information and money during execution. The result of the execution processing is based on the processing result of each operation in the electronic medical record application, storage and display of the medical information and medical information on the patient that has been input and edited, and a display template for display. Process. The input of medical information and the editing of medical information include re-input of the medical information itself (re-input / re-edit of the medical information itself), and the medical information is input and output for further editing of the medical information. Information for editing (standard text, input templates, output templates, etc.).

  As a result, the medical device 1000 functions as a medical device for electronic medical records that handles medical information. In the electronic medical chart application, there are a plurality of required items when the user himself / herself uses the application, such as a template sentence for supporting the input of medical information, an input format template, a display format template for displaying medical information, etc. Setting data is included, and by setting this setting data, an electronic medical chart application operation to which the setting data is applied can be performed.

  The storage unit 102 is a RAM (Random Access Memory), ROM, HDD, or the like that is used when the processing unit 101 performs processing. Note that the functional units having storage operations such as the storage unit 102, the user selection storage unit 105, the DL file storage unit 110, the function setting storage unit 200, the temporary setting storage unit 201, and the medical information DB 300 exist separately for explanation. However, these are mixed in a storage element such as a RAM, a ROM, and an HDD, and the storage device. The area where each functional unit is stored is distinguished by an address or the like in the RAM, ROM, or HDD.

  The setting data customization unit 103 can temporarily apply the setting data to assist the user in customizing the application settings in the operation of the electronic medical record application, and can edit the electronic medical record using the temporarily applied setting data. The mode is switched between a customization support mode (temporary setting mode) for providing the environment to the user and a normal mode used in normal application operation. It is assumed that the electronic medical record application has a normal mode and a customization support mode for supporting customization of setting data. A mode that uses an application while applying the setting of the setting information (setting data) temporarily, and confirms whether the setting is useful and useful as a result of the use is a customization support mode (temporary setting mode) Unlike the customization support, the normal mode is a mode in which normal setting data is applied when using a normal application. In the customization support mode, the setting of the temporary setting storage unit 201 is used, and in the normal mode, the setting of the function setting storage unit 200 is used.

  In addition, the setting data customization unit 103 manages the exchange of setting data among the temporary setting storage unit 201, the function setting storage unit 200, and the setting data input unit 106.

  The user selection storage unit 105 stores the setting selected by the user for using the application among the setting data of the electronic medical record application and the plurality of settings of the setting data. A default value is set when the medical device 1000 is shipped. Further, the user selection storage unit 105 is not necessarily provided. This is the same as when the user selects all settings.

  The setting data input unit 106 sets the setting selected by the user stored in the user selection storage unit 105 among the plurality of settings included in the setting data input from the outside of the medical device 1000. Store the data. The setting data input from the outside includes both a case where all of a plurality of settings of the electronic medical record application are included and a case where only a part of the plurality of settings is included. Of these, those that overlap the settings selected by the user are stored as setting data input from the outside. As described above, a default value may be set in the user selection storage unit. When nothing is selected as the default value, nothing is applied, and when all settings are selected as the default value. All settings apply.

  The function setting storage unit 200 stores normal setting data (normal setting data) used in the normal mode. The temporary setting storage unit 201 stores temporary setting data (hereinafter, temporary setting data) used in the customization support mode. The function setting storage unit 200 stores a default value of normal setting data at the time of shipment. The default value at the time of shipment is stored in another storage unit (existing in the storage unit 102 or the like), and is loaded from the other storage unit into the function setting storage unit 200 when the power is first turned on. It may be. Thereby, when it is desired to return to the default value, it can be returned to the default value only by reloading the function setting storage unit 200 from this separate storage unit manually by the user.

The CPU 100 that processes the software includes at least the processing unit 101, and may further include a setting data customization unit 103, a setting data input unit 106, a DL file monitoring unit 109, a DL file storage unit 110, and the like. . In the present embodiment, it is assumed that the CPU 100 includes a processing unit 101, a setting data customization unit 103, a setting data input unit 106, and a DL file monitoring unit 109.
The CPU 100 may include functions for processing a data processing function, data display, voice output, data input, and the like in addition to the above functions, and the processing unit 101 processes these data processing function, data display, voice output, data input, and the like. It may include the function to do. In addition, the medical information DB 300, the function setting storage unit 200, the temporary setting storage unit 201, the user selection storage unit, and the like exist in, for example, a RAM or an HDD.

  The input unit 400 is an input device such as a keyboard or a mouse, and the output unit 401 is a display device such as an LCD or an audio output device such as a speaker. The site 600 is an HP (homepage) on the Internet, and uses the medical device or the electronic medical record application for the setting data of the medical device according to the present embodiment or the setting data of the electronic medical record application. It is a community site for users to download and upload.

  The DL file storage unit 110 stores setting data input from the outside of the medical device 1000 and outputs the setting data to the setting data input unit 106 according to a transfer instruction described later. The DL file storage unit 110 includes, for example, a physical area such as a flash memory, a folder for temporary data on the HDD, a communication server on the telecommunication line 500, an Internet URL (Uniform Resource) existing in the site 600, and the like. Locator) and other logical areas represented by external addresses. The DL file monitoring unit 109 detects that new setting data has been added to the DL file storage unit 110. When it is detected that new setting data is added to the DL file storage unit 110, the DL file monitoring unit 109 may automatically output the transfer instruction on behalf of the user. Further, in this case, upon receiving the transfer instruction, the setting data customization unit 103 may switch the mode to the customization support mode. In the present embodiment, when it is detected that new setting data is added to the DL file storage unit 110, as described above, the DL file monitoring unit 109 outputs the transfer instruction and sets the setting data. It is assumed that the data customization unit 103 switches the mode to the customization support mode. In addition to the output from the DL file monitoring unit 109, the transfer instruction may be manually performed by the user pressing a button provided for the application.

  The external output unit 107 outputs the setting data stored in the function setting storage unit 200 to the outside of the medical device 1000 according to a user instruction. Examples of the output destination to the outside include the site 600 and the medical device 2000 of another user. The external output unit 107 includes, for example, a physical area such as a flash memory and a logical area that is a folder for temporary data on the HDD.

  The medical device 2000 of another user is another medical device different from the medical device 1000, and the configuration is the same as the medical device 1000. Although the function setting storage unit 2200, the temporary setting storage unit 2201, and the external output unit 2107 are clearly shown in the figure, the function setting storage unit 2200 is the function setting storage unit 200, and the temporary setting storage unit 2201 is the temporary setting. In the setting storage unit 201, the external output unit 2107 corresponds to the external output unit 107.

  Although FIG. 2 shows a configuration example in which the medical device 1000 is realized by installing software that handles medical information in a general-purpose computer device, the medical device may be configured by a plurality of devices. For example, the medical DB 300 may be included in a database server or RAID (Redundant Arrays of Inexpensive Disks) or exist outside the medical device 1000. In addition, the DL file storage unit 110 may exist inside a communication server or site 600 on the telecommunication line 500, for example. In addition, the function setting storage unit 200, the temporary setting function unit 201, the user selection storage unit 105, the DL file monitoring unit 109, the external output unit 107, and the like may exist outside the medical device 1000. Even in this case, the medical device 1000 is configured including these external functional units.

  The setting data customization unit 103 manages the exchange of setting data among the temporary setting storage unit 201, the function setting storage unit 200, and the setting data input unit 106. When the user uses the application, In the case of using the setting data for the above-described customization support mode, specifically, the setting data customization unit 103 performs the following operation.

  First, the normal setting data stored in the function setting storage unit 200 is copied to the temporary setting storage unit 201. Next, for the setting stored in the user selection storage unit 105 (selected by the user), the temporary setting storage unit 201 is set using the setting data stored in the setting data input unit 106 (input from the outside). The setting data stored in is rewritten. This rewriting may be performed either when the previous data (past) is erased or when the previous data (past) is additionally written. Note that the temporary setting data stored in the temporary setting storage unit 201 in this case is the data after rewriting.

  In this case, in the customization support mode, the processing unit 101 performs an application execution process according to the setting of the setting data after rewriting (temporary setting data) read from the temporary setting storage unit 201. For example, the application processing is performed by using a temporary setting template, a temporary setting input, a display format, and the like as described in an embodiment described later. Also, the result of the execution process of the application is saved. For example, in an editing operation during the processing of the application, editing data using temporary settings and editing data using normal settings are saved.

  After that, the user wants to use the rewritten setting data used as a temporary setting (that is, as a temporary environment) in the customization support mode as a normal setting (that is, as an environment that is normally used). If desired, the user shifts from the customization support mode to the normal mode with the intention of using the settings used in the customization support mode as normal settings. In this case, in the normal mode after the end of the customization support mode, the rewritten setting data is copied from the temporary setting storage unit 201 to the function setting storage unit 200, and thereafter, the rewritten temporary setting data is used as the normal setting. To be able to.

  In addition, the processing unit 101 performs application execution processing in accordance with the setting of the setting data read from the function setting storage unit 200 in this normal mode. Therefore, in the normal mode after the end of the customization support mode, the processing unit 101 Application execution processing is performed according to the setting of the setting data after rewriting copied from the temporary setting storage unit 201 to the function setting storage unit 200.

  The setting data input from the outside to the medical device 1000 is first stored in the DL file storage unit 110, and then the setting data input unit 106 according to the transfer instruction described above. Is remembered. The timing stored in the DL file storage unit 110 is the timing when the user downloads from the external site 600 or the like by an electronic medical record application, or the external site 600 by a program other than the electronic medical record application (for example, a browser for browsing the Internet). The timing when the user downloads the setting data to the external site 600 or the like using the electronic medical record application.

  Note that the notification unit 1001, the user specification unit 1002, the processing output unit 1003, the setting data determination unit 1004, and the user determination unit 1005 in FIG. 1 are included in the processing unit 101 in FIG.

(Operation flow)
Next, with reference to FIG. 3, the operation flow for explaining the operation related to the customization work described above mainly about the operation of the medical program will be described. The case where the medical program in the figure is an electronic medical record application will be described as an example.

  When the electronic medical record application is activated in the general-purpose computer apparatus in which the electronic medical record application is installed, the operation state shifts to step S100.

  In step S100, an initial setting of the electronic medical record application is performed, and a setting data customization step in which the mode is set to the normal mode is included.

  In step S101, the mode is determined. If the mode is the customization support mode, the process proceeds to step S200, and if the mode is the normal mode, the process proceeds to step S102. Note that the mode change may be performed manually by the user, or may be automatically performed by the setting data customization unit 103 when new setting data exists in the DL file storage unit. When the user inputs manually, a message such as “transition to the customization support mode”, that is, “temporarily apply setting data” is displayed on a window or the like on the monitor which is the output unit 401. It may be urged to temporarily apply the setting data.

  In step S <b> 102, processing steps for performing processing such as input, editing, and display of medical information in the electronic medical record program are executed in accordance with the normal setting data stored in the function setting storage unit 200. Note that the output step controls the display in editing.

  In step S103, the user selects a desired setting from a plurality of settings included in the setting data, and stores the selected setting (user selection storage step).

  In step S <b> 104, setting data input from the outside is stored in the DL file storage unit 110. When a transfer instruction is input, the setting data is transferred to the setting data input unit according to the transfer instruction.

  In step S105, with respect to the transferred external input setting data, the transferred setting data is stored in the setting data input unit for the setting selected by the user stored in the user selection storing step among the plurality of settings ( Step S105 corresponds to a setting data input step).

  The steps S103 to S105 may be executed each time as described above, but preferably may be executed only when the user changes the selection.

  In step S106, the normal setting is manually changed according to an instruction from the user. This is a case where the user himself directly changes the setting data without receiving customization support in the customization support mode. For example, the user setting is changed to a desired setting through a pull-down menu for changing the user setting in the application.

  In step S107, it is determined whether or not an instruction to end the application has been made. If an end instruction has been given, processing such as ending the program and returning to the console is performed. If no termination instruction has been given, the process returns to step S101.

  Steps S200 to S205 are operations related to the customization support mode.

  In step S200, the mode is first changed to the customization support mode. Next, the normal setting data is copied to the temporary setting storage unit 201.

  In step S <b> 201, the setting data stored in the setting data input unit 106 is read for the settings stored in the user selection storage unit 105.

  In step S202, using the read setting data, the setting data stored in the temporary setting storage unit 201 is rewritten. Since the data after rewriting is temporary setting data, step S202 for accessing the temporary setting storage unit 201 when storing the data after rewriting in the temporary setting storage unit 201 is the input of the temporary setting data. This is a temporary setting storage step for controlling output.

  In step S203, processing for inputting and displaying the medical information of the patient in the electronic medical record application is performed according to the setting of the rewritten setting data (temporary setting data) read from the temporary setting storage unit 201. Note that the output step controls the display in editing.

  In step S204, the mode is determined, and if the mode is changed to the normal mode, the process proceeds to step S205 ("Y" in the figure). If the mode remains in the customization support mode, the process returns to step S203 (same as above). “N” in the figure). In this step S204, by displaying on the window or the like that the monitor that is the output unit 401 indicates that “the customization support mode is to be ended” and that “it is required to determine the adoption as the normal setting” is displayed. The user may be prompted to decide to adopt the setting data as a normal setting.

  By the loop operation of step S204 and step S203, the user can perform a trial operation using the temporary setting data in the customization support mode, and can confirm its usefulness and usefulness. Note that the mode change may be performed manually by the user, or may be automatically performed by the setting data customization unit 103 when new setting data exists in the DL file storage unit.

  Note that “Y *” in the figure changes the mode to the normal mode, but the temporary setting (data) is not used in the normal mode, that is, the setting data after rewriting functions from the temporary setting storage unit 201. This is a case where copying to the setting storage unit 200 is not performed (the setting data customization step is not used). As a result, the temporary setting (data) is not used in the normal mode, and the application can continue to be used with the original setting in the normal mode. This can be achieved by asking the user whether to use the temporary setting (data) even in the normal mode. In the confirmation, “Yes” means “Y” in the figure, and “No” means “Y *” in the figure. For example, if the temporary settings (data) are useful and useful, the user will answer “Yes” in the confirmation, and if useful and not useful, the user will answer “No” in the confirmation. . Thereafter, the process proceeds to step S102.

  In step S205, the mode is changed to the normal mode (setting data customization step), and the rewritten setting data is copied from the temporary setting storage unit 201 to the function setting storage unit 200 (setting data customization step). Since the access to the function setting storage unit 200 in this copy operation is input / output of the normal setting data to the function setting storage unit 200, step S205 is a function setting storage step. Thereby, the temporary setting (data) can be used even in the normal mode. Thereafter, the process proceeds to step S103.

  The setting data customization step corresponds to step S100, step S201, step S202, and step S205.

  In step S102 after shifting to step S103, a process for inputting, editing, and displaying the patient's medical information is performed according to the setting of the setting data read from the function setting storage unit 200 (processing step).

  Note that the display processing in the processing step is realized by an output step for outputting display data from the output unit 401. Further, the output step causes the input data and edit data to be output from the output unit 401, thereby assisting the input and edit processing in the processing step. That is, the user can input and edit the input data and the edit data (for example, displayed on a display monitor) output to the output unit 401 while confirming the input data and the edited data.

  In the processing step, processing such as input, editing, and display is performed in the processing unit 101.

  The embodiment of the medical program of the present invention described above includes a notification step, a processing step, an output step, a setting data determination step, and a storage step that are characterized by the present invention. The correspondence with the example is as follows.

  The notification step of notifying the user to specify that the setting data is to be temporarily applied includes the above-described step S101. In response to the notification in the notification step, the processing step for executing the application using the setting data designated by the user is a processing step including step S102 described above. The process output step for outputting the result of the execution of the application executed in this processing step (edit data, etc.) to the user is an output step composed of the above-described steps S101, S102, S203, and S204. . The setting data determination step for notifying the user to determine the adoption of the setting data designated by the user as the normal setting in accordance with the output of the output step is configured in step S204 described above. The storage step for storing the result of the execution of the application executed by adopting the setting data determined as a result of the notification in the setting data determination step (edit data, etc.) is the storage step described above.

(Function and effect)
By having the temporary setting storage unit 201 and the temporary setting storage step, the setting data customization unit 103, the setting data customization step, and the like as described above, the user can improve the usefulness and usefulness of the temporary setting (data) in the customization support mode. You can try it. That is, the trial operation using the temporary setting data by the user is performed by the operation of inputting and displaying the medical information of the patient in the electronic medical record application to which the temporary setting (data) is applied (the loop operation in step S204 and step S203 above). The usefulness and usefulness of temporary settings (data) can be confirmed.

  Furthermore, by copying the temporary setting data stored in the temporary setting storage unit 201 to the function setting storage unit 200, an operation in which a new setting (the above temporary setting) is applied in a normal operation can be simplified. By returning to the normal mode without copying the temporary setting data stored in the setting storage unit 201 to the function setting storage unit 200, it is possible to easily use the original setting without applying the temporary setting of the trial. . The original setting is based on the setting data in the function setting storage unit 200. In the above case, the setting data in the function setting storage unit 200 is not rewritten.

The change in the setting data in the application is
Default value at shipment 通常 Normal setting data set by user ⇔ Temporary setting data の 間 Between default value at shipment and normal setting data set by user, and normal setting data set by user And temporary setting data can be changed.

  As described above, it is possible to provide a medical device and a medical program having a support function that contributes to user customization work.

  In the present embodiment, setting of a fixed sentence is considered as an example of setting data, and a case where the fixed sentence is changed will be described. Specifically, the case where the user 1 uploads his / her fixed phrases from his / her medical device to the site 600 and the user 2 downloads the fixed phrases to his / her medical device will be described.

  FIG. 4 shows fixed sentence setting information in the medical device of the user 1. A user ID for each user is assigned (user 1 ID is 9741), and a fixed sentence is stored together with a classification ID and a classification name. The classification ID and the classification name correspond to each other and are classified according to the application phase of the fixed phrase. In addition, the broken-line rectangle shape in the figure represents a fixed sentence selected by the user used in the following description.

  FIG. 5 shows a selection screen for outputting a fixed sentence in the medical apparatus of the user 1 toward the site 600. The user selects a desired item by a classification item (in the figure, it is selected in units of lines by shading display), that is, selects all fixed phrases belonging to the classification item. In addition, this selection selects each fixed sentence or all the fixed sentences belonging to the classification item by selecting it by the classification item using a single or plural cursors or a broken-line rectangular shape (also shown in the figure). May be. In the following, it is assumed that the user selects category 2 “Visit a referral from XX clinic” and “XX inspection not yet performed”. The selection screen is displayed on the output unit 401, and the user selects using the input unit 400.

  FIG. 6 shows an output configuration of fixed phrases (setting files) in the medical device of the user 1 and the contents thereof. The file “teikei9741_001.cfg” is output to the directory “C: \ Data \ output \” on the HDD (corresponding to the external output unit 107).

  The contents of the file “teikei9741_001.cfg” are as shown in FIG. Each line of ClassID, ClassName, and Count and three-digit numbers such as 001 and 002 are described in the file. ClassID and ClassName are a classification ID and a classification name, and Count represents the number of standard sentences existing in the file, and two standard sentences exist in “teikei9741_001.cfg”. When there is one fixed sentence, the fixed sentence is described after “001 =”, and when there are two fixed sentences, the fixed sentence is described after “001 =” and after “002 =”. In the case of 3 or more, it is described according to this regularity. Behind “=” is a fixed phrase “introduced from XX clinic” and “unchecked XX”.

  FIG. 7 shows a case where the above-described fixed sentence (setting file) is downloaded to the DL file storage unit 110 or the temporary setting storage unit 201 of the medical device of the user 2. The way of viewing the figure is the same as in FIG. 4 (ID of user 2 is 9865). In the figure, a part of the existing setting information of the user 2 is overwritten with the information of the user 1 and rewritten. That is, all the fixed phrases whose classification ID is 002 for the user 2 are all rewritten with the downloaded user 1 information. This is because there are few cases where a fixed sentence is required for a user alone, for example, there are many cases where a fixed sentence is required for each classification name, and in this embodiment, selection of a fixed sentence is selected as a classification name (classification ID). This is because it is done in units.

  FIG. 8 shows a display example of the medical device of the user 2 in the customization support mode. History, symptoms, progress, etc. (hereinafter referred to as progress) are entered and displayed in the left column, and prescription, surgery, treatment, etc. (hereinafter referred to as prescription) are entered and displayed in the right column. FIG. 4A shows a small selection window W1 for switching to customization support.

  The display of the selected small window W1 is executed by the function of the notification unit 1001 shown in FIG. For example, the display data of the selected small window W1 is output from the notification unit 1001 to the output unit 401.

  When the “Trial mode start button” W2 etc. at the lower right is pressed, a dialog box “Are you sure you want to switch to the trial mode? Are you sure?” Is displayed in a small window, etc., prompting the user to confirm and prompt the mode change. Do.

  In FIG. 6B, whether to apply the temporary setting (data) to end the customization support mode (YES), whether to end the customization support mode without applying the temporary setting (data) (NO), or the customization support mode. A small window W3 for selecting whether to continue (cancel) and a “trial mode” display W4 described later are also shown.

  The display of the selected small window W3 is executed by the function of the setting data determination unit 1004 shown in FIG. For example, the display data of the selected small window W3 is output from the setting data determination unit 1004 to the output unit 401.

  DK1 in FIG. 5A and DK2 in FIG. 2B indicate the result of the application execution process (here, the result of editing the electronic medical record), and DK1 is a template sentence TB1 ( Shows the electronic medical record data that was edited before the use of the “introduction from XX clinic” statement, and DK2 shows the electronic medical record data edited using the standard sentence TB1 in the same column in the trial mode. Show.

  The display of the fixed phrase TB1 is executed by the function of the processing output unit 1003 in FIG. The display data of the fixed phrase TB1 is output from the temporary setting storage unit 201 to the output unit 401 via the processing output unit 1003.

  As described above, the user's 1 fixed sentence is uploaded from the medical device to the site 600, and the user 2 downloads the fixed sentence to his / her medical device (this downloaded fixed sentence is a setting input from the outside) Can be used in the customization support mode (the fixed phrase used in this support mode is a temporary fixed phrase included in the temporary setting data), and the benefits of the fixed phrase After confirming the utility, the user 2 can determine whether or not to use the standard sentence normally (the standard sentence used in the normal time after this is the normal setting standard text included in the normal setting data) Sentence). Temporary setting fixed phrases are included in the temporary setting data, so they are stored in the temporary setting storage unit and treated in the same way as other temporary setting data. Normal setting fixed phrases are included in the normal setting data and stored in the function setting storage unit. It is handled in the same way as other normal setting data.

  In other words, depending on the area of the hospital, etc., the downloaded fixed phrase may not be suitable for the doctor (user) depending on the patient group or case. Can be useful or meaningless. Therefore, it can contribute to a user's customization work.

  The handling of the edit data in this embodiment will be described later together with the second embodiment.

  In this embodiment, the setting of input and display format is considered as an example of setting data, and the case of changing the input and display format will be described. Specifically, the case where the user 1 uploads his / her input / display format from his / her medical device to the site 600 and the user 2 downloads the input / display format to his / her medical device will be described. The input format (hereinafter also referred to as input template) is input information when inputting electronic medical record data, and setting information such as the type and arrangement (coordinates, dimensions, etc.) of the input field to which the user writes the contents A display format (hereinafter also referred to as a display template) is what format (coordinates and dimensions of the display field, character color, font, number of points, etc.) is output when displaying the input data. It is information that describes. If a display template is used, it can be displayed with a template different from that used for input. Therefore, instead of the display template, a display conversion rule that defines how the display template is different from the input template may be used. In contrast, the display conversion rule may determine how the input template differs from the display template.

  9, 10, and 11 show the input template and display conversion rule setting information in the medical device of the user 1.

  FIG. 9 shows input template setting information. A user ID for each user is assigned (hereinafter, ID of user 1 is 9741), and template information is stored together with a template ID and a template name. The template ID and the template name correspond to each other and are classified according to the application aspect of the template (for example, “basic”, “special”, etc.) The template information refers to the label ID and object coordinates included in the template, and the number of OBs (number of objects) indicates the number of objects in the template ID. An object is an input frame, an output frame, or the like included in the input template.

  FIG. 10 shows label setting information in the input template. Each user is assigned a user ID, and the label ID, the type entered with the label name (characters, numerical values, etc.), the label width (Width), length (Height) length, units such as body temperature and pulse pressure are stored. Has been. The label ID and the label name correspond to each other and are classified according to the application situation of the label (for example, “main complaint”, “blood pressure”, “body temperature”, “XX history”, etc.). In the type, a 2-digit number of 01 is assigned to the character and 02 to the numerical value. When there is no unit, “0” is described in the unit column.

  FIG. 11 shows display conversion rule setting information. A user ID for each user is assigned, and a conversion expression for converting the input format to the output format is stored together with the rule ID. The rule ID is classified according to the situation to which the rule is applied. For example, it may be classified for each input / output object such as “blood pressure” and “body temperature”.

  FIG. 12 shows a selection screen for outputting input template setting information in the medical apparatus of user 1 toward the site 600. If a template name displayed in the template list is selected, a template according to the input template setting information in FIG. 9 and the label setting information in the input template in FIG. 10 is displayed in the content preview. As shown in the figure, the rectangle (label) of the chief complaint is labeled with label ID = L001, the rectangle (label) of systolic blood pressure is labeled with label ID = L002, and the diastolic blood pressure is displayed. In the rectangle (label) of the part, a label with label ID = L003 is displayed. Note that a selection screen for outputting the display conversion rule setting information in the medical device of the user 1 toward the site 600 is displayed on the output unit 401 in a form similar to FIG. The user makes a selection using the input unit 400.

  FIG. 13 shows an output configuration of fixed phrases (setting files) in the medical device of the user 1 and the contents thereof. The file “template9741_002.cfg” is output to the directory “C: \ Data \ output \” on the HDD (corresponding to the external output unit 107).

  The contents of the file “template9741_002.cfg” are as shown in FIG. In the file, input template setting information, label setting information, and display conversion rule information are described. One of these information names is described after the identification character “#”. Note that a line beginning with the identification character “#” is interpreted as a comment line in the application.

  In “# input template setting information” and below, each line of TemplateID, TemplateName, count and three-digit alphanumeric characters such as ID1 and ID2 is described as input template setting information. TemplateID and TemplateName are the template ID and template name, and Count represents the number of templates existing in the file, and there are three in the file of FIG. When there is one template, template information (label ID, object coordinates, etc.) is described after “ID1 =”, and when there are two templates, template information is displayed after “ID1 =” and after “ID2 =”. be written. In the case of 3 or more, it is described according to this regularity.

  Below “# label setting information”, each line of three-digit alphanumeric characters (label ID) such as L001 and L002 is described as label setting information. The label name, type (described with two-digit numbers), label horizontal, vertical length, and unit are listed in order after the three-digit alphanumeric character such as L001. .

  Below “# display conversion rule information”, a 3-digit alphanumeric (rule ID) line of P001 is described as display conversion rule information. The conversion formula for converting the input format to the output format is described in order after “=” in between the three-digit alphanumeric characters of P001.

  14, 15, and 16 show a case where the above input template and display conversion rule setting information (setting file) are downloaded to the DL file storage unit 110 or the temporary setting storage unit 201 of the medical device of the user 2. (ID of user 2 is 9865). The way of viewing the figure is the same as that of FIGS. 14, 15, and 16, the setting information of user 1 is added to the bottom of the data string without overwriting and rewriting the existing setting information of user 2 as shown in FIG. 7. At this time, the template ID, the label ID, and the rule ID are renumbered to unused ID values that are not used in the medical device of the user 2. 14, 15, and 16, the existing setting information of user 2 may be overwritten and rewritten, and in FIG. 7, the setting information of user 1 may be added at the bottom of the data string.

  According to the display example of the medical device of the user 2 in the customization support mode of FIG. 8, the body temperature and blood pressure of the patient are displayed on the left side of the lower half of the screen according to the template obtained from the user 1 through the site and the display conversion rule. . The selected small windows W1 and W3, the button W2, the display W4, and the results DK1 and DK2 of the execution of the application and the fixed phrase TB1 in the figure are the same as those in the first embodiment. Therefore, the display data of the selected small window W1 is output from the notification unit 1001 to the output unit 401, and the display data of the selected small window W3 is output from the setting data determination unit 1004 to the output unit 401. The same. The same is also true in that the fixed phrase TB1 is output from the temporary setting storage unit 201 via the processing output unit 1003 and the output unit 401.

  As described above, the template and the display conversion rule of the user 1 are uploaded from the medical device to the site 600, and the user 2 downloads the template and the display conversion rule and the like to his medical device and uses them in the customization support mode. After confirming the usefulness and usefulness of the template and display conversion rule, the user 2 can determine whether to use the template and display conversion rule normally. Therefore, it can contribute to a user's customization work.

In the case of the above two embodiments, for example, assuming that the user 1 is using the medical device 2000 and the user 2 is using the medical device 1000, the following description will be made on the exchange of data such as setting information between the two parties. Give an explanation.

  The user 1 uses the screens of FIGS. 5 and 12 to select what to output from his / her setting information in the function setting storage unit 2200 of the medical device 2000, and from the function setting storage unit 2200 to the external output unit 2107, the selected setting information is uploaded to the site 600 via the telecommunication line 500.

  When the user 2 accesses the site 600 using an electronic medical record application, a browser or the like, a list of file names (such as the above-described teikei9741_001.cfg and template9741_002.cfg) of uploaded configuration information is added to the site 600 with an explanatory text. Is displayed. User 2 selects and downloads the desired one from the list. The download destination is the DL file storage unit 110, which is specifically a directory on the HDD. Note that setting information to be downloaded may be automatically downloaded when desired setting information is uploaded to the site 600 by setting the setting information to be downloaded in the medical device 1000. In addition, the setting information to be reflected among the downloaded setting information is individually specified in advance as the reflection setting. For example, to reflect all of the setting information described in the setting file, to reflect only the input template and label settings in the file and not to reflect the display conversion rule, to reflect the setting information only to the display conversion rule, etc. It may be. This reflection setting is stored in the user selection storage unit 105. When the DL file storage unit 110 is an area assigned to the site 600, the setting information uploaded thereto may be handled as being directly downloaded to the medical device.

  The DL file monitoring unit 109 monitors the DL file storage unit 110 at a predetermined timing, and internally holds and manages a file name list of setting files existing in the DL file storage unit 110. When the DL file monitoring unit 109 monitors the DL file storage unit 110, if a setting file having a file name that is not in the file name list that has been held and managed so far exists in the DL file storage unit 110, the DL file storage unit 110 Assuming that new setting data has been added to the storage unit 110, the DL file monitoring unit 109 outputs a transfer instruction and updates the file name list.

  The DL file storage unit 110 outputs the setting data downloaded to the setting data input unit 106 in accordance with a transfer instruction that is manually input by the user. Here, the DL file storage unit 110 outputs the setting data (file) downloaded to the setting data input unit 106 according to the transfer instruction output from the DL file monitoring unit 109, and the setting data customization unit 103 enters the customization support mode. The mode is automatically switched. Although the mode can be switched by a user's manual input or the like, here, an example in which it is automatically performed as described above is described.

  By switching the mode to the customization support mode, the contents of the function setting storage unit 200 are copied to the temporary setting storage unit 201, and the contents of the user selection storage unit 105 (settings selected by the user) are stored in the setting data input unit 106. Using the setting data downloaded from the outside, the setting data stored in the temporary setting storage unit 201 is rewritten. As described above, this rewriting may be overwritten in whole or in part, or may be written additionally.

In the case of the above two embodiments, the application operation is performed in the “customization support mode” that operates using the temporary setting storage unit 201 without using the function setting storage unit 200 by switching the mode to the customization support mode. . The customization support mode is synonymous with the trial mode and the temporary setting mode.

  As already mentioned, when you press the “Start Trial Mode” button, etc., a dialog box “Are you sure you want to switch to the trial mode? Are you sure?” Is displayed in a small window, etc. A reminder is performed (FIG. 8A).

  By pressing the “YES” button in the small window, it is switched to “trial mode”, “trial mode” or the like is displayed at the bottom of the screen, and the trial mode is executed.

  In the case where the above-described reflection setting is set in advance, a dialog may be displayed when switching to the customization support mode, and the user may select a setting desired for trial use. Alternatively, the reflection setting may be set for all the settings, and when the “end trial mode” button is pressed from the trial mode, the setting to be reflected may be selected.

  When the user presses the “end trial mode” button or the like in the “customization support mode”, a small dialog window “Do you want to cancel the trial mode reflecting the setting contents during trial use” appears (FIG. 8B). )), When “YES” is pressed, the function setting storage unit 200 is overwritten with the contents of the temporary setting storage unit 201 and the “customization support mode” is canceled.

  In this embodiment, when “NO” is pressed in the dialog small window (FIG. 8B) by the user's selection, the setting data customization unit 103 is in the normal mode after the customization support mode ends. The rewritten setting data is not copied from the temporary setting storage unit 201 to the function setting storage unit 200. On the other hand, when the setting data customization unit 103 does not copy the rewritten setting data from the temporary setting storage unit 201 to the function setting storage unit 200 in the normal mode after the end of the customization support mode, the processing unit 101 uses the customization support mode. In this embodiment, edit data such as patient medical information and medical information related to money edited by the execution of a medical program such as an electronic medical record application (the edit data is referred to as “new edit data”) Then do not save. This is because it is considered that the user does not want to save the edited data using the setting information even though the application of the setting information is not desired. In addition, when there is data edited in the past based on accumulated medical information of the patient and medical information on money such as accounting, accounting, billing, etc. (this data is referred to as “old editing data”) This means that the old edit data is left as it is because the new edit data is not stored.

  On the other hand, when “YES” is pressed in the dialog small window described above, the contents of the temporary setting storage unit 201 are overwritten on the function setting storage unit 200 (described above), and the medical information on the patient, medical information on money, etc. Save edited data (new edited data). This is because, when application of setting information is desired, it is considered that the user desires to save editing data using the setting information. In addition, if there is no old edited data that has been edited in the past based on the accumulated medical information of the patient or medical information related to monetary information such as accounting, accounting, billing, etc., just save the new edited data in this way However, if there is old edit data, it is considered that the user can save the new edit data. Therefore, the old edit data is discarded (in place of the old edit data). Retain edit data, that is, save new edit data.

  The storage of these edited data is performed by the processing unit 101 as described above.

  As described above, when the processing unit 101 uses temporary setting data, which is setting data used in the customization support mode, as normal setting data, which is setting data used in the normal mode, the customization support is performed. The edit data (new edit data) edited using the temporary setting data in the process of executing the electronic medical record application in the mode is stored in the storage unit 102. That is, in the normal mode after the end of the customization support mode, when the setting data customization unit 103 copies the rewritten setting data from the temporary setting storage unit 201 to the function setting storage unit 200, the electronic medical record application in the customization support mode In this process, the editing data edited using the temporary setting data (new editing data) is saved.

  Note that the editing operation in the processing unit 101 in the present embodiment refers to a user's input in a column such as a progress or prescription using a fixed sentence that is setting data, an input template, or a display template in an electronic medical record application. In this case, the storage unit 102 temporarily stores new input data (including text and numerical values) and information attached to the new data (information such as input locations of the input data) (generally, , Called a work area). Further, the data corrected and re-inputted, and the information attached thereto (information such as the input location of the corrected and re-inputted data) are stored in the storage area of the storage means 102. Thereafter, when the user gives an instruction to save the edit data, the edit data is stored in a main save area (sometimes called a save area or the like) of the storage unit 102.

  In addition, since the output unit 401 that outputs the editing data stored in the storage unit 102 is provided, the user can perform processing that is displayed on the output unit 401 such as a display monitor in accordance with the output of the output unit 401. The application can be executed (input, editing, etc.) while the execution result (input data, edit data, etc.) of the application executed by the unit 101 is visually confirmed. In addition, the setting data determination unit notifies the user that the temporary setting specified by the user is determined to be adopted as the normal setting in accordance with the output of the output unit 401. As a result of the notification by the setting data determination unit, the result of the execution process of the application executed by adopting the setting data determined by the user is stored in the storage unit 102, and the output unit 401 is the execution stored in the storage unit 102 Outputs the result of.

When you exit the customization support mode, if you press “NO” in the small window “Do you want to cancel the trial mode after reflecting the setting contents during trial use?”, Even if all temporary settings are applied Alternatively, the settings selected by the user may be applied (or not applied). In this case, as a selection setting different from (applied to or not applied to) the selection setting used when storing the setting data input from the outside to the setting data input unit 106 in the user selection storage unit 105 It may be stored in advance, or when “NO” is pressed, a selection screen (not shown) may appear and the user may select a setting to be applied (or not applied).
[Other Embodiments]
In the above, the embodiment has been described with an example in which the medical program is an electronic medical record application. The medical program is not limited to this, and may be a receipt online program (medical accounting, accounting / calculation, online billing program, etc.). Even in this case, medical information of the patient is used, and in addition, medical information related to money such as accounting, accounting, and billing is used. Even in the embodiment of medical information related to money, a fixed sentence, an input template, and a display template as described in the electronic medical record application are used, so that the embodiment can be easily conceived from the above embodiment. it can. Therefore, detailed description is omitted.

  The embodiments of the present invention can be appropriately modified in various ways within the scope of the technical idea shown in the claims. The above embodiment is merely an embodiment of the present invention, and the meaning of the term of the present invention or each constituent element is not limited to that described in the above embodiment.

1000, 2000 Medical device 100 CPU
101 processing unit 102 storage means (storage unit)
103 setting data customization unit 105 user selection storage unit 106 setting data input unit 200, 2200 function setting storage unit 201, 2201 temporary setting storage unit 300 medical information DB
400 input unit 401 output unit 500 telecommunications network 600 site 1001 notification unit 1002 user designation unit 1003 processing output unit 1004 setting data determination unit 1005 user determination unit W1 customization support switching selection small window W2 trial mode start button W3 customization support mode continuation / End selection small window W4 Trial mode display DK1 Application execution result DK2 Application execution result TB1 Prefix

Claims (6)

A medical device that handles medical information by executing an application that operates according to setting of setting data,
A temporary setting storage unit that stores temporary setting data that is the setting data used in a customization support mode that supports customization of the settings of the application by a user;
A function setting storage unit for storing normal setting data which is the setting data used in the normal mode;
A processing unit for executing the application;
A setting data input unit for storing the setting data input from the outside;
In the operation of the application, mode switching between the normal mode and the customization support mode is performed, and the setting data between the temporary setting storage unit, the function setting storage unit, and the setting data input unit A setting data customization section that manages the exchange of
With
In the customization support mode, the setting data customization unit copies the normal setting data stored in the function setting storage unit to the temporary setting storage unit, and from the outside stored in the setting data input unit Using the input setting data, the setting data stored in the temporary setting storage unit is rewritten, and the setting data after rewriting is temporarily stored in the normal mode after the customization support mode ends. Copy to the function setting storage unit,
In the customization support mode, the processing unit executes the application according to the setting data after rewriting read from the temporary setting storage unit, and in the normal mode after the customization support mode ends, function setting medical device according to claim <br/> performing the processing in the execution of the application according to the setting of the storage unit or we read the configuration data. A medical device that handles medical information by executing an application that operates according to setting of setting data,
A temporary setting storage unit that stores temporary setting fixed phrases included in temporary setting data that is the setting data used in the customization support mode that supports customization of the settings of the application by the user;
A function setting storage unit that stores normal setting fixed phrases included in normal setting data that is the setting data used in the normal mode;
A processing unit for executing the application;
A setting data input unit for storing a fixed phrase that is the setting data input from the outside;
In the operation of the application, the mode is switched between the normal mode and the customization support mode, and the fixed sentence between the temporary setting storage unit, the function setting storage unit, and the setting data input unit A setting data customization section that manages the exchange;
With
In the customization support mode, the setting data customization unit copies the normal setting fixed phrase stored in the function setting storage unit to the temporary setting storage unit, and stores the external data stored in the setting data input unit The standard sentence stored in the temporary setting storage unit is rewritten using the standard sentence input from, and the rewritten standard sentence is stored in the temporary setting storage in the normal mode after the customization support mode ends. Copy to the function setting storage unit,
In the customization support mode, the processing unit performs the execution of the application using the rewritten fixed phrase read from the temporary setting storage unit, and in the normal mode after the customization support mode ends, A medical apparatus that performs processing of executing the application using a fixed sentence read from the function setting storage unit. In claim 1 or 2 ,
In the normal mode after completion of the customization support mode, the processing unit is configured to support the customization support when the setting data customization unit copies the rewritten setting data from the temporary setting storage unit to the function setting storage unit. A medical apparatus, wherein editing data edited using the temporary setting data in the execution process of the application in a mode is stored. A medical program that operates according to the setting of setting data and causes a computer to function as a medical device that handles medical information,
A temporary setting storage step for storing temporary setting data, which is the setting data used in the customization support mode for supporting customization of the setting by the user, in a temporary setting storage unit;
A function setting storage step for storing normal setting data, which is the setting data used in the normal mode, in a function setting storage unit;
Processing steps for inputting, editing, and displaying the medical information of the patient;
A setting data input step for storing the setting data input from the outside in a setting data input unit;
Switching between the normal mode and the customization support mode, and setting for exchanging the setting data among the temporary setting storage unit, the function setting storage unit, and the setting data input unit Data customization steps;
In the customization support mode, the setting data customization step copies the normal setting data stored in the function setting storage unit to the temporary setting storage unit, and from the outside stored in the setting data input unit Using the input setting data, the setting data stored in the temporary setting storage unit is rewritten, and the setting data after rewriting is temporarily stored in the normal mode after the customization support mode ends. Copy to the function setting storage unit,
In the customization support mode, the processing step performs a process for inputting and displaying the medical information of the patient according to the setting of the rewritten setting data read from the temporary setting storage unit. A medical program for performing processing for inputting and displaying the medical information of the patient according to the setting of the setting data read from the function setting storage unit in a normal mode after the end.   In claim 1,
  The setting data customizing unit sets whether or not to copy the rewritten setting data from the primary setting storage unit to the function setting storage unit in the customization support mode by user confirmation.
A medical device characterized by that.   In claim 2,
  The setting data customization unit sets whether or not to copy the rewritten fixed phrase from the primary setting storage unit to the function setting storage unit in the customization support mode by user confirmation.
A medical device characterized by that.

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