JPH11143971A - Nursing record preparation support device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To reuse the nursing information which are inputted as a handwritten line drawing as the character data or numerical data, etc., to prepare a nursing record by recognizing the characters of the character information on the handwritten line drawing of the nursing information which are inputted via an input means. SOLUTION: An operator first designates an object patient and an item of the nursing information via an input means 13 and inputs the nursing information in a line drawing. Then the operator stores the nursing information. The nursing information includes a nursing information ID, an object patient ID, an input date, an input nurse, a nursing information item and the nursing information. The characters included in the character information in the nursing information are recognized right after the nursing information is inputted or after the fact. When the operator designates a patient and a nursing record via the means 13, the nursing information data related to the the nursing record are arranged in a prescribed format and displayed on an output means 14 as a nursing record editing screen. Meanwhile, the nursing record is printed as edited via the means 14 and by means of the nursing record editing screen.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a nursing record creation support device for supporting the creation of nursing records used in nursing services at medical sites.

[0002]

2. Description of the Related Art In nursing services at medical sites, in order to grasp the health status of inpatients and use them for diagnosis and treatment,
Nurses spend several times a day examining the temperature, heart rate, respiratory rate,
Collects measurement results such as blood pressure. Also, records of injections, infusions, examinations, treatments, etc. performed on patients, and nurse findings obtained by observing and listening to patients are valuable valuable information that cannot be obtained from measurement results alone. Collected as nursing information. Finally, the nursing information is stored in a nursing record, such as a body temperature table displaying the measurement results in a graph or a form in which the patient's condition is mainly written in text.

[0003] Conventionally, the above-mentioned measurement results, implementation records, and nurse findings have been collected by a nurse taking notes on a memo paper or the like at the bedside of a patient and storing them in a form stored in an office such as a nurse station. The nursing information was transcribed.

[0004] However, in this method, it is necessary to transfer the collected nursing information from a memo sheet or the like to a form or the like, so that the transfer operation is time-consuming, and there is a risk that a transcription error occurs and serious consequences are given to patient care. There are problems such as that. In order to solve these problems, a host device for managing nursing information, a terminal for inputting nursing information at the patient bedside, and a transmission means for transmitting the input nursing information from the terminal to the host device A nursing record creation support device equipped with such a device has been devised.

[0005] The use of this device greatly reduces the above-mentioned transcription work by nurses. For example, as in "Nursing support system using IC card" described in Japanese Patent Application Laid-Open No. 1-1116760, nursing information collected by a portable terminal is transmitted to a host machine using an IC card, A system for creating a body temperature table or the like has been proposed.

[0006]

However, in the prior art including the above example, it is difficult to organize information on nurse's findings including free sentences, symbols, figures, etc., and it is necessary to input the information or print out it on forms. Or it was difficult.

A method of inputting nursing information as character data from the beginning is also conceivable. However, input using a keyboard is difficult when entering a hospital room, and after entering the nursing room in a nurse's office or other office. It is not desirable to input the text while viewing the memo, because the transcription operation occurs. Also, in the input by handwritten character recognition, the conventional one needs to input while recognizing one character at a time, so that there is a problem that the operation is complicated and the input takes time. Other input means, such as voice recognition input, are not suitable for inputting nursing record data due to privacy issues.

The present invention has been made in view of the above circumstances, and recognizes character information of nursing information input as line drawing data by a nurse immediately or afterwards, and provides nursing as character information. An object of the present invention is to provide a nursing record creation support device that prints out a nursing record after editing the record. This makes it easy to convert the nursing information input as the line drawing data into character data, numerical data, and the like and reuse it.

[0009]

Means for solving the above problem will be described with reference to FIG. The nursing record creation support device 1 of the present invention has an input unit 1 for inputting nursing information.
3, storage means 12 for storing the nursing information,
It includes an output unit 14 for outputting the nursing information on a display screen or a print sheet, and a nursing record creating unit 11, and a character recognition unit 111 included in the nursing support creating unit 11.
However, by recognizing the character information in the handwritten line drawing of the nursing information input by the input unit 13, the nursing information input as the handwritten line drawing can be reused as character data or numerical data to create a nursing record. Was made possible.

Further, the nursing record creating means 11 stores the handwritten line drawing of the nursing information in the storage means 12 and collectively recognizes characters after the fact, so that the procedure of data collection and data processing can be divided. For example, it is possible to use separate devices.

Further, the nursing record creating means 11 recognizes the character information of the handwritten line drawing of the nursing information, and then determines the type of the nursing information based on the position on the screen where the handwritten line drawing of the nursing information is inputted. By making the determination, nursing information in the nursing record is edited according to the format and output means 14
Can be displayed or printed.

Further, the nursing record creation means 11 recognizes the character information in the handwritten line drawing of the nursing information, and
By determining the nursing information items based on the contents of the recognition result, it is possible to edit the nursing information in the nursing record according to the format and display or print it on the output means 14.

[0013]

DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described with reference to FIGS.

FIG. 2 shows a first configuration example of a nursing record creation support device of the present invention. In the first configuration example, the nursing record creation support device 1 includes a CPU 11 for performing various processes,
1 comprises the following devices. That is, the devices include a memory 121 for storing an operation program, a screen format, the nursing information, etc.
22, a keyboard 131 and a mouse 132 as input means, and a CRT 141 and a printer 142 as output means.

FIG. 3 shows a second example of the nursing record creation support apparatus according to the present invention. In order to input nursing information at the patient's bedside in a sickroom, one or more portable types are provided as an extension of the input means. The configuration using the terminal 2 is shown. In the nursing record creation support device 1, as in FIG.
Memory 121 and magnetic disk 1 connected to PU 11
22, a keyboard 131 and a mouse 132, a CRT
141 and a printer device 142. In this configuration example, a communication interface 15 for transmitting and receiving data to and from the portable terminal 2 is connected to the CPU 11.

The portable terminal 2 is provided with a CPU 21 for performing various processes, and a memory 22 for storing various data is connected to the CPU 21. Also,
The LCD 21 is connected to the CPU 21 as a screen output unit, and a touch panel 23 arranged above the LCD 24 as an input unit and capable of specifying a position on the screen by touching with a pen or a finger. Play a role. Furthermore, a communication interface 25 for transmitting and receiving information to and from the nursing record creation support device 1 is connected to the CPU 21. By performing wired or wireless data communication between the nursing record creation support device 1 and the portable terminal 2 via the communication interfaces 15 and 25, nursing information collected by the portable terminal 2 in each hospital room can be obtained. ,
It can be edited and processed by the nursing record creation support device 1 and printed as a nursing record.

That is, the portable terminal 2 of the second configuration example is
FIG. 2 is a development of the input means 13 in the configuration shown in FIG.
The configuration examples shown in FIG. 2 and FIG. 3 can be basically handled in the same manner when the nursing record creation support device 1 is mainly considered. It should be noted that the nursing information is input to the hospital room stationary type terminal instead of the portable terminal 2 and the measurement results and the like from the measuring devices such as the blood pressure monitor and the thermometer used by the patient are directly sent to the nursing record creation support device 1. Alternatively, any other form such as a form of indirect transfer is applicable.

When audio data or moving image data is handled as nursing information, a microphone or CCD camera or the like may be added as the input means 13 and a speaker or the like may be added as the output means.

Next, the operation of the apparatus of the present invention will be described with reference to FIGS.
1 and FIG.

The outline of the operation is as shown in the flowchart of FIG.
After a user authentication procedure 100 using a staff ID and a password character string, a nursing information input procedure 101, a character recognition procedure 102,
Nursing record editing procedure 103 and nursing record printing procedure 104
Is executed. In the case of the second embodiment shown in FIG. 3, when nursing information is input with the portable terminal 2, the nursing information input procedure 1
It is necessary to perform a procedure for transmitting nursing information from the portable terminal 2 to the nursing record creation support device 1 between any of the steps of “01” and the nursing record printing procedure 104. The position at which the transmission procedure is performed and the content of the data to be transmitted differ depending on the procedure up to which processing is performed on the mobile terminal 2, but it may be determined in any case.

First, the operation of the nursing record creation support device according to the first embodiment of the present invention will be described.

In the nursing information input procedure 101, the operator designates a target patient and nursing information items via the input means 13, and then inputs nursing information. The type of nursing information is
For example, as shown in the input screen 3 of FIG.
(Chief complaint and objective observations) "may be selected from the list box and specified. Nursing information is input as a line drawing as in the example of the input screen 3 in FIG. In this case, the input may be performed on a screen-by-screen basis as in the input screen 301 of FIG. 5A, or the input screen 30 of FIG.
2, the input may be performed in units of characters using the auxiliary input screen 303.

FIG. 6 shows an example of a format for storing the nursing information input in the nursing information input procedure 101. That is, the nursing information line drawing data 40 includes a nursing information ID 401 and a target patient ID.
402, input date and time 403, input nurse ID 404,
It consists of nursing information item ID 405 and nursing information 406.
The nursing information 406 preferably includes the nursing information data address 4061 and the nursing information data entity 40, as in the example of FIG.
62 and stored separately. Also, when input is made in units of characters as in the example of the input screen 302 in FIG. 5, a plurality of nursing information data addresses 4061 are required.

In the character recognition procedure 102, immediately after or after the input of nursing information, the nursing record creating means 11 performs character recognition of the character information in the nursing information. Nursing information input on a screen basis, such as the input screen 301 in FIG.
First, processing for dividing a character area is performed, and thereafter, character recognition is performed. In the case of nursing information input in units of characters as in the input screen 302, character recognition is performed for each input unit. It is assumed that the recognition result can be arbitrarily modified on a confirmation screen 5 as shown in FIG. In addition, information to be stored as an image, such as the sketch diagram 51 in FIG. 7B, can be designated to be stored as an image on the confirmation screen 5.

FIG. 8 shows an example of a format for storing nursing information recognized in the character recognition procedure 102. That is, the nursing information data 41 includes a nursing information ID 411 and a target patient ID 412.
, Input date and time 413, input nurse ID 414, nursing information item ID 415, and nursing information 416.
The nursing information 416 preferably includes a nursing information data address 4161 and a nursing information data entity 41 as in the example of FIG.
62 and stored separately. The nursing information data entity 4162 is stored as character codes, image data, and numerical data according to the nursing information items.

In the nursing record editing procedure 103, when the operator designates a patient and nursing record, for example, “nursing record No. 2 sheet” for recording the daily progress of the patient via the input means 13, the nursing record creating means 11 Nursing information data 41 related to the nursing record, for example, “SO (Chief complaint and objective observation item)” is arranged according to a predetermined format, and displayed on the output unit 14 as the nursing record editing screen 6 shown in FIG. At this time, it is assumed that the input means 13 can freely edit the contents of the nursing information, such as correction, addition, deletion, and arrangement change. After editing, the contents of the nursing record are stored in a general document data format in which characters and graphics are mixed depending on the type. In order to prevent falsification of the document after the input is confirmed, a format that prohibits modification and deletion may be adopted.

In the nursing record printing procedure 104, when the operator designates a patient and a nursing record through the input means 13, the nursing record creating means 11 edits the nursing record using the nursing record editing screen 6 in the nursing record editing procedure 103. The nursing record is printed from the output means 14 as described above. The printing format may be either a method of newly printing each time or a method of adding only new information to the previous print result.

Next, the operation of the nursing record creation support device according to the second embodiment of the present invention will be described.

Although the outline of the operation shown in FIG. 4 is the same in this example, the contents of the nursing information input procedure 101 are different mainly. In this example, the operator specifies a target patient via the input unit 13 and inputs nursing information in accordance with the nursing information input guide screen 7 as shown in FIG. The nursing record creating means 11 superimposes and displays the nursing information input guide screen 7 and the line drawing data of the inputted nursing information. The nursing information does not necessarily need to be contained within the squares displayed on the nursing information input guide screen 7, but may be contained within a wider area. The nursing information input in the area stores one unit of nursing information line drawing data 40 as data corresponding to the nursing information item defined for each area, and the subsequent procedure is the same as in the first embodiment. I do.

Finally, the operation of the nursing record creation support device according to the third embodiment of the present invention will be described.

In this example, the contents of the nursing information input procedure 101 and the character recognition procedure 102 are different from the previous example. In this example, the operator specifies a target patient via the input unit 13 and then inputs nursing information on the nursing information free input screen 8 as shown in FIG. At this time, a nursing information discrimination key character string such as “SO:” or “T:” is added at the beginning according to the nursing information item to be input.

At the stage of the nursing information input procedure 101, the nursing information item IDs in the nursing information line drawing data 40 are collectively stored for one screen without leaving a blank. Using a column, for example, data following “SO:” is a character string of “SO (Chief complaint and objective observation)”, data following “T:” is numerical data of the patient's body temperature, A plurality of nursing information data 41 is stored for each item, and the subsequent procedure is the same as in the first and second embodiments. Further, in this example, the nursing information discrimination key character string is used for discriminating the nursing information item, but it may be used together with the discrimination on the nursing information input guide screen 5 in the above example.

Although the above description has been made with reference to the preparation of nursing records, the present invention can be applied to any other uses, such as, for example, the use of a physician to create a medical record and the use of a business diary. .

[0034]

As described above, according to the first embodiment of the present invention,
After converting nursing information entered in handwritten line drawings into forms such as character codes and numeric codes that are easy to edit and reuse,
It is possible to arrange and edit in the form of a nursing record according to the item and print out. This makes it possible to create a nursing record, which has conventionally been performed by hand and requires complicated operations such as transcription, in a very short time, efficiently, and with less possibility of transcription mistakes. In addition, if a method of processing the character recognition procedure that is troublesome and time-consuming at present is adopted in a lump, input of nursing information can be performed quickly, for example, using a portable information terminal having a low processing capability. By transferring the nursing information to, for example, a computer having a high processing capability and performing the processes after the character recognition procedure, the overall work efficiency is greatly improved.

According to the second and third embodiments,
By discriminating nursing information items using the nursing information input guide screen and nursing information discriminating key character string, in a way that is closer to the conventional method of writing on paper and intuitively understandable,
There is a remarkable effect that data can be input by handwritten line drawing.

[Brief description of the drawings]

FIG. 1 is an explanatory diagram showing a basic configuration of a nursing record creation support device of the present invention and a relationship between inputs and outputs.

FIG. 2 is a block diagram showing a first configuration example according to the embodiment of the present invention.

FIG. 3 is a block diagram showing a second configuration example according to the embodiment of the present invention.

FIG. 4 is a flowchart showing an outline of the operation of the nursing record creation support device in the embodiment of the present invention.

FIG. 5 is an explanatory diagram showing a line drawing input method on an input screen according to the embodiment of the present invention.

FIG. 6 is an explanatory diagram showing a configuration example of storage data of nursing information (line drawing) in the embodiment of the present invention.

FIG. 7 is an explanatory diagram of a character recognition procedure in the embodiment of the present invention.

FIG. 8 is an explanatory diagram showing a configuration example of storage data of nursing information (after recognition) in the embodiment of the present invention.

FIG. 9 is a diagram showing a display example of a nursing record editing screen according to the embodiment of the present invention.

FIG. 10 is a diagram showing a display example of a nursing information input guide screen according to the second embodiment of the present invention.

FIG. 11 is a diagram showing an input example using a nursing information discrimination key character string according to the third embodiment of the present invention.

[Explanation of symbols]

1 Nursing record creation support device, 11 Nursing record creation means (CPU), 111 Character recognition means, 12 Storage means,
121 memory, 122 magnetic disk, 13 input means, 131 keyboard, 132 mouse, 14 output means, 141 CRT, 142 printer device, 15
Communication interface, 2 ... portable terminal, 21 ... CP
U, 22: memory, 23: touch panel, 24: LC
D, 25: communication interface, 3: input screen, 301
... input screen (screen unit input), 302 ... input screen (character unit input), 303 ... auxiliary input screen, 40 ... nursing information line drawing data, 5 ... recognition result confirmation screen, 51 ... sketch drawing,
6: Nursing record editing screen, 7: Nursing information input guide screen,
8. Nursing information free input screen.

Claims (4)

[Claims] An nursing record creation support device for creating a nursing record based on nursing information such as a patient's observation record, measurement result, and work execution record. A storage unit for storing information, an output unit for outputting the nursing information on a display screen or a print sheet, and a nursing record creating unit, and in the nursing record creating unit, A character recognition means for recognizing character information in a handwritten line drawing of nursing information inputted by inputting the nursing information. 2. The nursing record creation support device according to claim 1, wherein the nursing record creation means accumulates handwritten line drawings of the nursing information in the storage means and collectively recognizes characters. Nursing record creation support device. 3. The nursing record creation support device according to claim 1, wherein the nursing record creation means recognizes character information in the handwritten line drawing of the nursing information, and then inputs the handwritten line drawing of the nursing information. A nursing record creation support apparatus for determining an item of nursing information based on the position on the screen, and arranging the item in the nursing information in the nursing record and displaying or printing it on the output means. 4. The nursing record creation support device according to claim 1, wherein said nursing record creation means recognizes the character information in the handwritten line drawing of said nursing information and performs nursing based on the contents of the character. A nursing record creation support apparatus characterized in that items of information are identified, nursing information in a nursing record is edited according to a format, and displayed or printed on the output means.