JPH11345276A - Medical care support system, method for inputting medical care support item and storage medium having program for recording medical care support item - Google Patents

Abstract

PROBLEM TO BE SOLVED: To facilitate an input operation while listening to a patient and also to facilitate secondary use of input information by handling text that is inputted while optionally dividing it with medical doctor's decision when the medical doctor talks with a patient as unit text that is divided at a pause and associating the memory with an electronic medical sheet. SOLUTION: In a division memo input image, a medical doctor performs text input while listening to a patient and stores it in a prescribed memory area. When the medical doctor presses down a line feed key at a pause of patient's talk at the time of inputting the text, text from the preceding line feed key input to a line feed key input of this time is stored as unit text. Next, a hop-up menu for item indication is shown and when an item that is related to selected unit text is designated, content recorded when the patient is subjected to medical care in the past exists in the item. Therefore, the item is provided with a new record area and the selected unit text is recorded.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical care support system (electronic medical record system) for inputting medical information provided or obtained at the time of medical care by text and storing the information by item.

[0002]

2. Description of the Related Art Subjective information (medical history, etc.) spoken by patients, objective information (findings, etc.) examined by doctors, judgments of doctors (names of injuries, etc.), actions of doctors (treatment, medication, etc.), etc. A medical care support system for inputting and storing medical care information during medical care is provided. In the medical information, the actions of the doctor (treatment, medication, etc.)
Since it is easy to input predetermined items in a certain order, and because it is information used for calculating insurance medical fees, a code input method that is easy to input and suitable for secondary use is adopted.

However, medical histories, findings, and the like are categorized in a wide variety, the boundaries of each item are not so clear, and are obtained based on information provided in random order from a patient in a dialogue with the patient. In some cases, it is difficult to immediately classify items into predefined items. In addition, the patient
Speaking is not always performed in an orderly manner, and the content of the story often changes, so that it becomes more difficult to input in a certain order. Under such circumstances, a text input method is used for medical histories and findings.

[0004]

As a text input method, there are a method of inputting as a free text like writing by hand on a blank sheet (plain text input method),
There is a method of inputting according to items classified in advance (input method for each item). According to the plain text input method, various information such as the information provided by the patient and the judgment of the doctor,
You can quickly input in the same order without switching the input screen or input area. However, there is a drawback that it is difficult to secondary use of information, and this drawback is fatally serious for the medical care support system and is not adopted.

[0005] The item-by-item input method is a method of inputting according to structured items. The item-by-item input method generally used in the medical care support system will be described with reference to FIGS. The doctor listens to the patient's story and, for example, when the judgment is “family history”, presses the family history button among the input item buttons in the screen of FIG. Then, an input window for family history items as shown in FIG. 7 is displayed. The input window for each item is provided with an auxiliary tool that enables efficient input. Enter text while using this auxiliary tool. When the input is completed and the OK button is pressed, the screen returns to the screen of FIG. As shown, the text entered on the screen in FIG.
It is displayed as the text in the item. The doctor
After hearing the patient's story again, pressing the next item button to be input, and inputting in the same manner as above, the screen returns to the screen of FIG. 2 again. Hereinafter, the same operation input is repeated to continue the input.
As described above, according to the item-by-item input method, a window switching operation is required, so that the operation is complicated, and there is a problem that input is difficult while interacting with the patient.

The present invention realizes an input method in which input operation while listening to a patient's story is easy, such as a plain text input method, and secondary use of input information is easy, such as an item-by-item input method. The purpose is to provide a medical care support system.

[0007]

The invention of claim 1 is a medical care support system for storing medical information provided or obtained at the time of medical care and inputted as texts for each item, for inputting text and text breaks. Text input means, storage means for storing input text in unitary storage areas each of which can be identified as a delimited unit text, selection input means for selecting a unit text, and for displaying an item selection screen And an item determining means for associating the storage area storing the currently selected unit text with the item selected on the item selection screen.

According to a second aspect of the present invention, there is provided a medical care support system for storing medical information provided or obtained at the time of medical care and inputted as text, for each item, and a text input means for inputting a text and a text break. Selection means for selecting the text from the previous break to the current break as a unit text when a text break is input, display control means for displaying an item selection screen when a text break is input, and And a storage unit for storing the unit text in a storage area that can be identified in association with the item selected on the item selection screen.

According to a third aspect of the present invention, there is provided a medical care support system for storing medical information provided or acquired at the time of medical care and inputted as text, for each item, and a text input means for inputting a text and a text break. Means for storing the unit text input, delimited, and selected in association with the item specified on the item selection screen.

[0010] A fourth aspect of the present invention is a method for recording medical information, comprising the following steps.

The input text is divided into unit texts by the input delimiters, the unit texts are stored in an identifiable memory area, and one of the stored unit texts is selected in response to the input instruction. Selecting unit texts, displaying an item selection screen in response to the input instruction, selecting one of the items displayed on the item selection screen in response to the input instruction, And associating the memory area storing the selected unit text with the selected item.

A fifth aspect of the present invention is a method for recording medical information having the following steps.

[0013] The text from the previous break to the current break is extracted as a unit text, the extracted unit text is stored in an identifiable memory area, and the extracted unit text is selected. Displaying an item selection screen when input, selecting one of the items displayed on the item selection screen in response to the input instruction, and storing the selected unit text. Associated memory area with the selected item.

According to a sixth aspect of the present invention, there is provided a recording medium having a program for recording medical information and having the following steps which can be executed by a computer.

[0015] The input text is divided into unit texts by the input separators, the unit texts are stored in an identifiable memory area, and one of the stored unit texts is selected in response to the input instruction. Selecting unit texts, displaying an item selection screen in response to the input instruction, selecting one of the items displayed on the item selection screen in response to the input instruction, And associating the memory area storing the selected unit text with the selected item.

According to a seventh aspect of the present invention, there is provided a recording medium having a program for recording medical information and having the following steps which can be executed by a computer.

The text from the previous break to the current break is extracted as a unit text, the extracted unit text is stored in an identifiable memory area, the extracted unit text is selected, and the input instruction Displays an item selection screen in response to the input, displays an item selection screen when a text break is input, and responds to the input instruction by selecting one of the items displayed on the item selection screen. Selecting an item and associating a memory area where the selected unit text is stored with the selected item.

The invention according to claim 8 to claim 19, wherein the break of the text is input by a line feed key, the item selection screen is displayed as a pop-up menu, the text is input using a keyboard, and the text is input. Is characterized by being input using a microphone and a speech recognition system.

[0019]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A system according to an embodiment will be described below with reference to the drawings. FIG. 1 shows a system configuration of the embodiment. The illustrated system includes a keyboard 11, a voice input device 11a, a code selector 11b, a mouse 1
2, a display control unit 13, a display 13a controlled by the display control unit 13, a system control unit 10, a file recording / reproducing unit 15, and a medical information file 20 configured in a memory.

The function as the text input means is normally realized by the keyboard 11. And a voice input device 11a such as a microphone or a voice recording / reproducing device.
It can also be realized by voice recognition means using a voice recognition system included in the system control unit 10.

When the voice recognition means is used, when a medical care support item is input to the electronic medical record, the speaker is referred to as a doctor by acoustic analysis and pattern recognition (for example, a pattern vector and each registered speech). Identifies the speaker as a physician by calculating the distance from the standard pattern of the speaker (see "Information Science Course, Speech Recognition (published by Kyoritsu Publishing Co., Ltd., written by Yasunaga Niimi)" for details). Then, it can be used to secure the security required for the electronic medical record and to prevent falsification of the electronic medical record by others.

As the text input means, a handwriting input system (such as handwriting input by a doctor using a digitizing tablet or handwriting input on a display using a pen tablet) may be used (also in this case, voice recognition). As with the means, it is possible to prevent tampering and secure security), and to arrange key tops in a matrix state and use a code selector 11b used for keyword input.
(Document file management system S manufactured by Sanyo Electric Co., Ltd.
OF-FS21 etc.) may be used.

The function of selecting a displayed text and the function of displaying a pop-up menu are usually realized by the mouse 12. The function of each means described in the claims other than the above is performed by the system control unit 10.
And the display control unit 13, the file recording / reproducing unit 15, and the medical treatment information file 20 function independently or in cooperation with each other. Note that the system control unit 10, the file recording / reproducing unit 15, and the medical information file 20 may be shared in the hospital, and the keyboard 11, the mouse 12, the display control unit 13, and the display 13a may be provided in each examination room. In a small clinic, these may be configured as a single device.

A description will be given from the time when the system is started up and the input result display screen of FIG. 3 is started by a predetermined operation input. 1. In the case of FIG. First, the procedure shown in FIG. 4 will be described. When the sorting memo button is left-clicked with the mouse on the input result display screen of FIG. 3 (S01: YES), FIG.
(S03).

When the doctor inputs text while listening to the patient on the sorting memo input screen, the input text is stored in a predetermined memory area. At the time of this text input, if the doctor presses the line feed key according to the break or development of the patient's story, a line break on the screen display will be performed,
The text between the previous line feed key input and the current line feed key input is stored as unit text. That is, it is specified and read out later for each unit text.

The text input is completed (including the case where the text input is temporarily ended. That is, the end in this case can be freely determined by the input user's intention), and the desired unit text is designated by the mouse. And the specified unit text is selected by the system control unit 10 (S0
5). In this example, since the text is delimited by the line feed key input, the selection of a desired line is designated by mouse input.

When the right mouse button is clicked after the unit text is selected, the system control unit 10
Is displayed via the menu (S07). The items in this case are, as shown, the chief complaint, the current medical history, the medical history, the family history, the life history, and the findings. Note that these are merely examples, and it goes without saying that items can be added or changed as appropriate.

When a certain item in the pop-up menu is designated by a mouse operation or the like, the item number m of the item is designated.
(See FIG. 6) is selected by the system control unit 10 via the file recording / reproducing unit 15 (S09). The file recording / reproducing unit 15 acquires the area number n of the item having the item number m (S11). The area number n is the number of unit texts that have been recorded before the item of the item number m. In other words, it is the number of contents of the item recorded during the previous medical treatment for the patient.

Next, the file recording / reproducing unit 15 sets an (n + 1) th area in the item of the item number m, and
Record the currently selected unit text (S1
3). That is, the currently selected unit text is set as the (n + 1) th unit text of the item with the item number m.
The information is stored in association with the item. In the present example, recording is performed in step S13. Alternatively, text may be stored at the time of input, and the address may be managed in step S13.

When the process of associating the selected unit text with the item is completed as described above, it is determined whether or not an OK button has been input. If not (S15: NO), step S0
Returning to 5, the same processing is repeated for the next unit text. If an OK button input is detected (S15: Y
ES), the display returns to the input result display window, and the unit texts classified so far are displayed in the respective items (S17). FIG. 8 illustrates this state. 2. In the case of FIG. Next, the procedure shown in FIG. 5 will be described. The procedure of FIG. 5 differs from the procedure of FIG. 4 in that a pop-up menu for specifying an item is displayed in response to a line feed key input for separating unit text (S55). By performing such processing, the operation for displaying the pop-up menu (right mouse click in the example of FIG. 4) can be omitted, and there is an effect that the user's labor can be further reduced.

In the above-described embodiment, it is assumed that the programs for executing the processing in the present invention, such as FIGS. 4 and 5, are stored in advance in a storage device such as a ROM or a hard disk in the medical care support system. However, the program is recorded on a recording medium such as a flexible disk or a CD-ROM disk capable of causing a computer to read the program, and these recording media are distributed to users, and the INSTA is stored on a hard disk or ROM.
LL may be performed.

Further, the program may be transmitted by microwave via a transmission medium such as the Internet or another network, and may be installed on a hard disk or a RAM. The medium may be a hard disk of a file server constructed on a network.

[0033]

According to the present invention, during a dialogue with a patient, a text input while being arbitrarily delimited by a doctor's judgment is treated as a unit text delimited by a delimiter, and its memory is associated with an electronic medical record item. To be able to do
In the medical care support system, an easy input environment of the brain text input method can be realized, and data storage convenient for secondary use, which is an advantage of the item-by-item input method, can be realized.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a medical care support system according to an embodiment.

FIG. 2 is an explanatory diagram of a conventional item-by-item input method.

FIG. 3 is an explanatory diagram of an input method in the system according to the embodiment;

FIG. 4 is a flowchart illustrating an example of a procedure in the apparatus according to the embodiment;

FIG. 5 is a flowchart showing an example of a procedure different from that of FIG. 4 in the apparatus according to the embodiment;

FIG. 6 is an explanatory diagram showing a storage area in a medical care information file.

FIG. 7 is an explanatory diagram of a conventional item-by-item input method.

FIG. 8 is an explanatory diagram of an input method in the system according to the embodiment;

[Explanation of symbols]

 20 medical treatment information files

Claims (19)

[Claims] 1. A medical care support system for storing medical information provided or obtained at the time of medical care and inputted as text, for each item, comprising: text input means for inputting a text and a text delimiter; Storage means for storing the unit text divided by the delimiter in a storage area each of which can be identified; selection input means for selecting a unit text; display input means for displaying an item selection screen; Item determination means for associating a storage area in which a given unit text is stored with an item selected on the item selection screen. 2. A medical care support system for storing medical information provided or acquired at the time of medical care and inputted as text, for each item, wherein text input means for inputting text and text delimiters, and text delimiters are input. Selection means for selecting the text from the previous break to the current break as a unit text, display control means for displaying an item selection screen when a text break is input, and Storage means for storing in an identifiable storage area in association with the item selected on the item selection screen. 3. A medical care support system for storing medical information provided or obtained at the time of medical care and input as text, for each item, comprising: text input means for inputting a text and a text delimiter; Means for storing the selected unit text in association with the item specified on the item selection screen. 4. A method for recording medical information, comprising the steps of: dividing an input text into unit texts at an input delimiter, storing the unit texts in an identifiable memory area; Selecting one unit text from the stored unit texts in response to the instruction, displaying an item selection screen in response to the input instruction, and selecting an item selection screen in response to the input instruction One item is selected from the items displayed in (1), and the memory area in which the selected unit text is stored is associated with the selected item. 5. A method for recording medical information, comprising the steps of: extracting a text from a previous segment to a current segment as a unit text; and storing the extracted unit text in an identifiable memory area. And selecting the extracted unit text, displaying an item selection screen when a text break is input, and selecting one of the items displayed on the item selection screen in response to the input instruction. Selecting an item and associating a memory area where the selected unit text is stored with the selected item. 6. A recording medium having a program for recording medical information, having the following steps which can be executed by a computer: an input text is divided into unit texts at input delimiters, and the unit texts can be identified. In response to the input instruction, one unit text is selected from the stored unit texts, and an item selection screen is displayed in response to the input instruction. In response to the instruction, one item is selected from the items displayed on the item selection screen, and the memory area in which the selected unit text is stored is associated with the selected item. 7. A recording medium having a program for recording medical information, having the following steps executable by a computer: extracting a text from a previous break to a current break as a unit text; Storing text in an identifiable memory area, selecting the extracted unit text, displaying an item selection screen in response to the input instruction, and displaying an item selection screen when a text break is input And selecting one item from the items displayed on the item selection screen in response to the input instruction, and changing the memory area storing the selected unit text to the selected item Associate with 8. The medical care support system according to claim 1, wherein a break of the text is input by a line feed key. 9. The medical care support system according to claim 1, wherein the item selection screen is displayed as a pop-up menu. 10. The medical care support system according to claim 1, wherein the text is input using a keyboard. 11. The medical assistance system according to claim 1, wherein the text is input using a microphone and a voice recognition system. 12. The method for recording medical information according to claim 4, wherein the text delimiter is input by a line feed key. 13. The method for recording medical information according to claim 4, wherein the item selection screen is displayed as a pop-up menu. 14. The method for recording medical information according to claim 4, wherein the text is input using a keyboard. 15. The method for recording medical information according to claim 4, wherein the text is input using a microphone and a voice recognition system. 16. The recording medium according to claim 6, wherein a break of the text is input by a line feed key, and the program has a program for recording medical information. 17. The recording medium according to claim 6, wherein the item selection screen is displayed as a pop-up menu, and the program has a program for recording medical information. 18. The recording medium according to claim 6, wherein the text is inputted using a keyboard, and the program has a program for recording medical information. 19. The recording medium according to claim 6, wherein the text is input using a microphone and a voice recognition system, and the program has a program for recording medical information.