KR20060123071A - Electronic chart system - Google Patents

Abstract

According to an input operation by input means (1), control means (4) causes display means (2) to display an electronic chart. The input means (1) is composed of a plurality of input keys arranged within a predetermined area. The display means (2) can display an input item selection column which can be selected by operating one of the input keys of the input means (1). The control means (4) can select the item displayed in the input item selection column of the display means (2) by the operation of the input key of the input means (1) and successively display an item required for the next input in the input item selection column.

Description

Electronic Carte System {ELECTRONIC CHART SYSTEM}

The present invention relates to an electronic carte system.

As a conventional electronic Carte system, when inputting the consultation data on the day of consultation, not only the data on the day of consultation, but also data such as data of a referral letter from another hospital, past test result data, or future indication data, are inputted on the day of consultation. It is known to input in the same manner as (for example, refer to Patent Document 1).

Patent Document 1: Japanese Patent Publication No. 2003-85279

[Initiation of invention]

[Problem to Solve Invention]

However, in the electronic carte system, only the attributes of the displayed input range are distinguished, and the input itself cannot be dependent on the keyboard or the like. Therefore, there is a problem that the input operation takes time, and therefore, the time that can be used for the actual medical examination is further pressed within the limited medical examination time.

In addition, since the display screen is divided into a plurality of areas, it is necessary to perform an input operation in each area using a keyboard or a mouse. That is, it takes time to get used to the input work area because it moves. In addition, since the movement of the eye is frequently performed, it is easy to be tired and is not suitable for a long time work.

Accordingly, an object of the present invention is to provide an electronic carte system capable of simplifying the input work during medical examination and enhancing the contents of medical examination.

[Means for solving the problem]

The present invention provides a means for solving the above problems, by displaying the electronic cart on the display means, reflecting the input data on the displayed electronic cart on the basis of an input operation by the input means, and storing the electronic cart on which the input data is reflected. In an electronic carte system having control means for storing, the input means comprises a plurality of input keys arranged in a predetermined area, and the display means includes a plurality of selectable at least by operating an input key of any of the input means. Displays an input item selection column in which items are listed, and the control means selects the items displayed in the input item selection column of the display means by operating an input key of the input means, and sequentially inputs the items necessary for the next input in the input item selection box. To display.

According to this configuration, it is possible to input all the input items by key operation in the same area at all times. Therefore, it is possible to shorten the input time and enhance the medical examination contents.

The display means includes a temporary display unit for temporarily displaying sequentially selected items by selecting an item displayed in an input item selection column by the input unit, and a confirmation display unit displayed by determining the contents displayed on the temporary display unit. This is preferable in that the input can be checked while the input can be prevented.

Display contents in the input item selection column sequentially by the control means dividing the required input content into a plurality of items and selecting each item in an input item selection column of the display means based on the operation of the input key. Is preferable in that the operability is good and the input leakage can be reliably prevented.

The storage means stores the prescription data inputted in advance, and the control means reads the prescription data from the storage means according to the operation of the input means and reflects it on the electronic cart displayed on the display means, thereby increasing the input efficiency. It is preferable in that it can be. In this case, the prescription data corresponds to an appointment prescription for prescribing a predetermined medicine or a DO prescription using the same prescription data as the history.

When the electronic cart is created, when the number of selectable drugs exceeds a predetermined number, the range of drugs may be narrowed by a plurality of types of searching methods. In this case, as the search method, for example, there may be a search for 50 sounds, a search for drugs, a search for ingredients, and the like.

When the electronic cart is prepared, if a calendar including holiday information is displayed on the display means and the number of days taken can be directly input in accordance with the calendar, it is possible to prevent the difficulty of dropping the prescribed medicine on the holiday. Preferred at

The present invention provides a means for solving the above-mentioned problems, comprising: displaying an electronic carte on a display means, reflecting the input data on the displayed electronic carte based on an input operation by the input means, and storing the electronic carte in which the input data is reflected. An electronic carte system having control means for storing in said memory, said input means comprising a plurality of operable input keys displayed on the display means and arranged in a predetermined area, said control means being sequentially applied to each input key. It is to display the required input items.

Preferably, the input means is constituted by a touch panel.

 When inputting the content of the questionnaire by the input means, the control means displays a questionnaire screen and an input key on the display means, enumerates the items required for the questionnaire on the questionnaire screen, and highlights the item to be entered. And display the contents of the item corresponding to the input key and at the same time reflect the item selected by the operation of the input key on the questionnaire screen to switch the display of the input key to the item required for the next input and to highlight the item on the questionnaire screen. Changing the displayed item to the next item is preferable in that it is possible to display a list of items to be input in advance, not only to drop out the required items, but also to significantly reduce the effort to input.

It is preferable to be able to select whether or not to reflect the questionnaire data previously input by the input means to the electronic cart.

It is preferable to make the transition from handwritten cartes to electronic cartes smoothly if the symbols used in the handwritten cartes are displayed on the input keys of the input means.

Each input key of the input means displays the bottom of each row of 50 notes, and is switched to display from the bottom of the row to the fifth stage based on the operation of the input key, and the control means is connected to the input key. By selecting any letter among the displayed 50 sounds, the user can search the items required for the input of the electronic cart. In spite of the operation within the limited area, the first letter input can be performed in only two operations and the search time is shortened. It is preferable at the point which can be performed.

The storage means stores image data indicating a part of the body, and when the control means inputs a finding, the corresponding image data is read from the storage means based on an input signal from the input means and displayed on the display means. In this regard, it is preferable in that the disease site and the like can be easily shown to the patient and can be used as a visual tool beneficial to Informed-Consent.

In addition, the present invention is to solve the above problems, an electronic Carte is displayed on the display means, the input data is reflected on the displayed electronic Carte based on the input operation by the input means, the electronic Carte reflected the input data In an electronic carte system having control means for storing in memory means, the input means comprises a plurality of input keys displayed in a predetermined area of the display means, and each of the input keys displays an input item, respectively, and the control means. When displaying the input items on the input key, if there are a plurality of similar words in the input items, the common characters among the similar words are displayed as primary selection words, and after the primary selection word is selected, the similar words are displayed on each input key respectively. It is.

According to this configuration, since only the first selected word is displayed on the input key, common characters can be displayed large even in a limited space. In this case, it is preferable to display the number of similar words together with the primary selection word on the input key.

In addition, when the control means displays each of the input items on the input key, if there are a plurality of similar words in the input items, the control means may include up to a portion that is easy to be wrong from the first character of the similar words, for example, a portion including at least one other character. If the display is used as the car selection language, it is preferable in that it is easy for the user to recognize similar wrong parts, and the input miss can be prevented.

[Effects of the Invention]

According to the present invention, since the items displayed in the input item selection column of the display means are selected by the operation of the input key of the input means, the input items can be displayed sequentially in the input item selection column, thereby simplifying the input operation. This can shorten the input time and enhance the medical examination contents.

1 is a block diagram showing an outline of an electronic carte system according to the present embodiment.

FIG. 2A is a diagram illustrating an initial screen of a ten key area displayed on the display device of FIG. 1. FIG.

FIG. 2B is a diagram showing an electronic carte of a patient who wants to start medical examination in the future shown on the display device of FIG. 1.

3 is a diagram showing an input field (keypad screen) indicating a state in which the "S" key is operated.

FIG. 4 is a keyboard input screen displayed by manipulating one "address" in the input box of FIG.

FIG. 5 is a questionnaire screen displayed by manipulating two " checklists " in the input box of FIG.

FIG. 6 is a diagram showing an input field displayed by operating two "Paper checks" in the input box of FIG.

FIG. 7 is a diagram showing an input field displayed by operating one " heating " in FIG.

Fig. 8A is a diagram showing a state in which display items are changed by operating the "O" key in the ten key area.

FIG. 8B is an image diagnosis result input screen displayed by operating the "image diagnosis" key, etc. in the input box of FIG. 8A.

Fig. 8C is a "inspection run date selection" screen displayed when the image diagnosis is two or more.

FIG. 8D is a diagram showing a state in which display items are changed by operating the "remarks" key in the input box of FIG. 8A.

FIG. 8E is a diagram showing a state in which display items are changed by operating the "individual finding" key in the input box of FIG. 8D.]

FIG. 9A is a "vitamin sign" screen displayed by operating the "systemic finding" key in the input box of FIG. 8D.

Fig. 9B is a "neck" screen displayed by operating the "neck" key in the input box of Fig. 8E.

Fig. 10 is a diagram showing a state in which display items are changed by operating the "A" key in the ten key area.

Fig. 11 is a screen of "mantra sickness management" displayed by operating "A" key in the ten key area.

FIG. 12 is a diagram showing a state in which the display contents are switched by operating “1 sickness name” in the input box of FIG. 10.

FIG. 13 is a diagram showing a state in which display contents are switched by operating one " poor search " in the input box of FIG.

FIG. 14 is a diagram illustrating a state in which display contents are switched by operating any of the ten keys in the input box of FIG. 13.

FIG. 15 is a diagram illustrating a state in which display contents are switched by operating a "modifier key" in the input box of FIG. 14.

FIG. 16 is a diagram illustrating a state in which display contents are switched by selecting 1 " 50 sounds " in the input box of FIG.

FIG. 17 is a diagram illustrating a state in which display contents are switched by selecting “prefix” from the input box of FIG. 16.

FIG. 18 is a diagram illustrating a state in which display contents are switched by selecting "a row" in the input box of FIG. 17.

FIG. 19 is a diagram illustrating a state in which display contents are changed by selecting one "ah" in the input box of FIG. 18.

FIG. 20 is a diagram showing a state in which the "return" (의) key in FIG. 10 is selected and switched.

Fig. 21 is a diagram showing a state in which the display contents are switched by operating the "P" key in the ten key area.

FIG. 22 is a screen for selecting a “drug” displayed by operating the “underwear”, “pig suit”, “outer” and “inject” keys in the input box of FIG. 21.

FIG. 23 is a diagram illustrating a state in which the input field of FIG. 22 is switched to select by medicine.

FIG. 24 is a diagram illustrating a state in which a drug name can finally be selected from the display contents of the input box of FIG. 22.

FIG. 25 is a diagram illustrating a state in which the display content of the input box of FIG. 24 is switched to the content regarding the taking time.

FIG. 26 is a "DO list" screen displayed by operating the "DO" key on the "drug selection" screen of FIG.

FIG. 27A is a "appointment prescription set" screen displayed by operating the "appointment" key in the medicine selection screen shown in FIG.

27B is a screen for registering an appointment prescription.

27C is a screen for entering an appointment prescription.

Fig. 28 is a "print list" screen displayed on the initial screen.

Fig. 29 is a "calendar screen" displayed at the time of date input of the electronic carte.

FIG. 30 is a "patient search" screen displayed by operating the "patient search" key on the screen of FIG.

Fig. 31 is a schematic diagram showing a medical examination state in a state where the electronic cart is displayed on the display device.

FIG. 32 is a "treatment slip" screen displayed by operating the "treatment" key on the screen of FIG.

FIG. 33 is a "surgical slip" screen displayed by operating the "surgical" key on the screen of FIG.

FIG. 34 is a "image diagnosis set list" screen displayed by operating the "image" key in the input box of FIG.

35 is a screen for registering an image diagnosis set.

36 is a screen for inputting an image diagnosis set.

FIG. 37 is a diagram showing a ten key area in which the display contents of the numeric keys are changed by operating the " new creation " and " modify " buttons on the " image diagnosis set registration "

FIG. 38 is a diagram illustrating a state in which display items are changed by operating a "site" key in the screen of FIG.

FIG. 39 is a diagram illustrating a state in which display items are changed by operating a "direction" key in the screen of FIG.

40 is a diagram illustrating a state in which display items are changed by operating a "film" key in the screen of FIG.

FIG. 41 is a view showing a state in which display items are changed by operating the "pharmaceutical" key on the screen of FIG.

FIG. 42 is a diagram illustrating a state in which display items are changed by operating a "material" key in the screen of FIG.

FIG. 43 is a diagram showing a state in which display items are changed by operating the "map" key in the input box shown in FIG.

FIG. 44 is a view showing a state in which display items are changed by operating any of keys 1 to 8 in the input box shown in FIG. 21;

FIG. 45 is a list of map parts displayed by operating the "nutrition map" key in the input field shown in FIG.

FIG. 46 is a "schema" screen displayed by operating a "schema" key in an input field displayed by operating the "O" key in the ten key area.

FIG. 47 is a flowchart showing the treatment when selecting a medicine to be administered to a patient in treatment.

48 is a flowchart showing inspection result display processing.

Fig. 49 shows a screen on which inspection results are displayed as a list in time series.

50 is a flowchart showing graph display processing.

FIG. 51 shows a graph obtained by the graph display process shown in FIG.

Fig. 52 is a flowchart showing prescription check processing.

Fig. 53 is a screen showing the display contents when it is determined that there is a problem with the interaction and the indication.

Fig. 54 is a list of inspection sets displayed on the screen shown in Fig. 21 by populating 8 " inspection "keys;

FIG. 55 shows the inspection item display screen switched by operating the numeric keys while the " inspection set list " screen shown in FIG. 54 is displayed.

FIG. 56 is an image diagnosis set list screen pop-up-displayed by operating 9 "image" keys on the screen shown in FIG. 21; FIG.

FIG. 57 is an image diagnosis item display screen switched by operating a numeric key in a state where the image diagnosis set list screen shown in FIG. 56 is displayed.

[Description of the code]

1 input device 2 display device

3 Memory 4 Controller

With 5 history columns With 6 patients

7 Input box 8 input checkbox

9 Input check box (check mark) 10 Ten key area

11 Menu Area

EMBODIMENT OF THE INVENTION Hereinafter, embodiment which concerns on this invention is described according to an accompanying drawing.

1 shows an electronic carte system according to the present embodiment. This electronic carte system is composed of an input device 1, a display device 2, a memory device 3, and a control device 4.

The input device 1 is composed of a keyboard, a mouse, a keypad, a touch panel, and the like. However, all input operations can be performed using only the input field 17 to be described later, and a keyboard, a mouse, a touch panel, and the like may be arbitrarily selected by the user. A keyboard, a mouse, and the like are not particularly required, and operations can be concentrated on a keypad displayed on a touch panel.

The display device 2 is made of a liquid crystal monitor or the like, and part or all of the display device is made of a touch panel. On the display device 2, the keypad screen (ten key area) 10 shown in FIG. 2A is displayed as an input screen 7 in the lower right column as an initial screen, and the "list" list screen (FIG. 28) is automatically displayed. . The input field 7 is displayed on the lower right side so that the doctor can easily input with one hand while facing the patient, and it is easy for both the patient and the doctor to see different fields. However, the display position of the input field 7 can be set to an arbitrary position, such as displaying on the lower left side of the screen by assuming that the doctor is left-handed. As shown in Fig. 2A, the input field 7 has numeric keys 0 to 9, dot key ".", "UNDO" key, cancel key "C", scroll key "UP", and "DOWN". , "ENTER" key, function keys F1 to F4, "S" key, "O" key, "A" key and "P" key. In the initial screen, only 1 "←" key, 2 "Carte display" key, 3 "→" key, UP key and DOWN key of the numeric keys can be operated. In the following description, the key refers to an operable area displayed on the ten key area 10, and the button refers to an operable area to other dialogs.

In the input field 7, when the 2 " carte display " key is operated, the electronic carte of the patient who wishes to start the examination in the future is displayed. That is, on the display screen, as shown in FIG. B, the history column 5, the patient column 6, and the input determination column 9 are displayed in areas other than the input field 7, respectively. In addition, an input check box 8 is displayed by the input in the input field. The history column 5 and the patient column 6 are displayed on the left side of the screen, the input confirmation column 8 and the input confirmation column 9 above the input field 7 on the right side of the screen, respectively. At this time, by operating the 5 " diagnosis " key, the displayed electronic cart is switched to a state capable of inputting.

In the history column 5, the contents of the previous examination, examination results, prescription drugs, and the like are displayed. In Fig. 2B, a photographic image of the chest roentgen, the examination contents, the test results, the prescription contents, and the like are displayed. The doctor can proceed to the examination while referring to this history column (5). Further, arrow keys (" " and " ") are displayed below the history field 5, and the display can be changed so that pages can be turned from side to side. In this case, it is preferable to make the display actually turning the page. In this way, by providing a function of turning a page, it can be made easier to see compared to using a conventional scroll bar.

The patient column 6 displays information about the patient, namely, the patient's name, date of birth, age, sex, address, medical history, and the like.

The input field 7 is composed of a ten key area 10 and a menu area 11. The menu area 11 displays corresponding contents in accordance with the operation in the ten key area 10.

When the "S" key is operated in the ten key area 10, the examination contents to be heard from the patient at the time of examination are divided into a plurality of items and displayed sequentially. The items to be displayed are rearranged contents for each related group in a predetermined order in the contents stored in advance in each master described later.

Specifically, the display item of the input box 7 is shown in FIG. Here, 1 `` Address '' key, 2 `` Paper '' key, `` UNDO '' key, Cancel key `` C '', Function key (F1: Questionnaire), `` S '' key, `` O '' key, `` A '' key Only the "P" key can be operated.

Here, when one "address" is operated with the numeric keys of the input field 7 shown in FIG. 3, the keyboard input screen shown in FIG. 4 is displayed in another window, and the symptoms and the like (address) that the patient complains are keyboarded. Can be input directly. If the contents of the questionnaire already filled out by the patient before the examination have been entered in the reception desk, the contents of the questionnaire can be retrieved and copied by operating the "question mark" key. In addition, the data input by the keyboard can be registered by operating the "registration" key, and the registered contents can be called by operating the "load" key.

When "2" questionnaire is operated with the numeric keys of the input field 7 shown in FIG. 3, the "contact" screen shown in FIG. 5 is displayed by another window. In the input box 7, as shown in Fig. 6, items relating to symptoms are displayed on each numeric key. In addition, the key which cannot be operated is displayed in light color (figure is shown in the figure). Here, for example, when one " fever " is operated, the display content on each numeric key changes to the content indicating when the selected symptom is from. Then, the "SKIP" key is displayed, and the item judged not necessary can omit input. At this time, the items on the questionnaire screen are displayed, such as when the questionnaire is required when the fever is selected, that is, when, to what extent, and whether there is a chill, and the current item is highlighted. Is displayed. Therefore, it is possible to know what input is good at a glance, and to immediately determine unnecessary items.

In this way, each time the input of the patient's complaint is finished, the "ENTER" key is operated to display it in the input confirmation column 9. In case of incorrect input, the "UNDO" key can be operated to return to the state before the input. For example, when an address is input by operating the "S" key, by operating the "UNDO" key, it is possible to sequentially return to any input step. In addition, even when the "O" key is operated after the input of the address is completed and the "ENTER" key is operated, the "UNDO" key is operated to return to the state of the address input. However, if the input is started after the operation of the "O" key, it is possible to return to the input input only by operating the "UNDO" key, and not return to the address input.

When the "O" key is operated in the ten key area 10, the display item of the input box 7 is changed as shown in FIG. 8A.

As a result, when there is an image diagnosis without input, the " image " key is displayed in an operable state as a valid key. If there is only one image diagnosis without input, the " image diagnosis result input " screen shown in Fig. 8B is displayed in another window. In addition, if the result of non-input image diagnosis is two or more, the "inspection execution date selection" screen shown in FIG. 8C is displayed, and when either of them is selected, the "image diagnosis result input" screen shown in FIG. 8B is similarly different. Is displayed in the window. In the "Image diagnosis result input" screen, when the "Image taking" button is operated, the "Image taking" screen is displayed and the file of the image is read (however, the image can be taken using a film scanner). Then, when the "image taking" screen is closed, the image taken in the "image diagnosis result input" screen is displayed. The surgeon can enter the findings by viewing the displayed image, using the keyboard to enter.

In the input field 7 shown in FIG. 8A, when the "remark" key is operated to switch display items as shown in FIG. 8D, and the "free word" key is operated, the "keyboard input" shown in FIG. The screen is displayed in another window, and text input by the keyboard is possible. In this case, if the same finding (whether or not the patient is the same) has been input in the past, it can be called up by operating the "Load" key in the learning field. It is also possible to register data input by the keyboard by operating the "registration" key.

When the "systemic findings" key displayed on the input field 7 shown in FIG. 8D is operated, the "vitamin sign" screen shown in FIG. 9A is displayed, and each item for inputting opinions regarding the whole body can be input.

A check box is installed in each input item, and the input is completed by simply checking a corresponding item by a pen or a mouse.

In addition, when the "individual finding" key displayed in the input field 7 shown in FIG. 8D is operated, the displayed item will be switched to the content which shows each part of a body, as shown in FIG. 8E. In this screen, for example, when the "neck" key is operated, the "neck" screen is displayed as shown in Fig. 9B, so that the check boxes of the displayed items may be checked.

In addition, as an input system pattern, numerical input etc. besides the said check box are mentioned. The names and number of selection items of the check box can be freely set.

In the ten key area 10, when the "A" key is operated, the display of the numeric keys is switched as shown in FIG. In addition, the "patient name management" screen shown in FIG. 11 is displayed in another window. In the input field 7, when one " corruption name " key is operated, the numeric keys are switched as shown in Fig. 12, and the corporal name can be searched in three different ways.

1 When the "Frequency Search" key is operated, as shown in Fig. 13, the numeric keys are switched to the poor sickness name, and when the corresponding sickness name is selected, the sickness name selected in Fig. 13 is displayed on the "Manage sickness name management" screen. .

When the name of the illness is selected and input to the "management of illness name" screen is completed, the input field 7 is switched as shown in FIG. 14, and it is possible to select one "recursion" key or two "suspect" keys. . For example, in the "Relapse" column of the "Sickness name management" screen, the initial value is blank, and the character of recurrence is displayed by operating one "Relapse" key, and the operation returns to the blank.

In addition, when the "modifier" key is operated in the input field 7 shown in FIG. 14, the displayed items are switched as shown in FIG. 15, and the modifiers by one "50 sound" key or two "keyword" keys are displayed. Search is possible. If one of the "50 sound" keys or the 2 "keyword" keys is selected, the input field 7 is switched as shown in Fig. 16, and the insertion position (1 "prefix" or "Suffix") becomes selectable. In this case, when the insertion position of the modifier is selected, the display of the input field 7 is switched as shown in FIG. In this case, since 1 " a row " is selected in FIG. 17 and 1 " a " in FIG.18, the modifiers are displayed as shown in FIG. The modifier is inserted in the selected place before or after the already entered sickness name. In the case of incorrect input of a modifier, the selected modifier is displayed by operating the "delete" key shown in FIG. 15, and the modifier can be deleted by operating the key on which the modifier is displayed.

When the "decision" key shown in FIG. 14 is operated after the input regarding the illness name, the examination date is automatically input at the start date of the illness name, and the display of the ten key area 10 changes to the contents shown in FIG. If it is necessary to enter the whole ear, it is possible to operate the three "early ear" keys. As a result, as shown in Fig. 20, the display of each key in the input field 7 is switched to an item relating to the preceding, so that any item may be selected and input.

In this manner, the doctor's consultation input can be completed by the input processing in the input field 7 starting from the name of the sick and the final forearm.

When the "P" key is operated in the ten key area 10, the display items are switched as shown in Fig. 21 and related to the future treatment plan of medication, treatment plan, treatment, instruction (education to the patient, etc.). Each item can be entered.

In the input field 7 shown in FIG. 21, when one of the keys related to the dosage of 1 to 3 and the injection of 4 is operated, the 50-tone selection key shown in "a-line" to "wa-line" shown in FIG. 22, The "Drug Selection" screen consisting of the "DO" key, "Promise" key, and the like is switched. If the drug name is known, it can be selected using the 50 tone selection key. However, it is possible to select by drug efficacy, not the name of the drug. In this case, what is necessary is just to change the display content of a numeric key as shown, for example in FIG.

By the key operation, the range of the medicine can be narrowed, and finally, the medicine name can be displayed as shown in Fig. 24, and the corresponding one can be selected. After selecting the medicine, enter the dose by using the numeric keys and the ENTER key. At this time, since the dosage is displayed for each medicine in advance in the input check box 8 shown in Fig. 2B, only the "ENTER" key is operated if there is no change. Then, when the dose is input and the " ENTER usage " key shown in Fig. 22 is selected, the display contents of the numeric keys are switched to the contents regarding the taking time as shown in Fig. 25. In the initial display, a symbol frequently used when a conventional doctor writes a carte appears. On this screen, the display contents can be changed sequentially by the operation of the arrow keys. In addition, when the usage is selected, the display contents are switched to the days of administration. By selecting the administration days, the usage input is completed, and the display contents of the numeric keys are switched to a final decision screen (not shown) not shown.

If the entered prescription is in error, the contents are confirmed by operating the "ENTER" key in the final decision screen. If modification or deletion is necessary, the "modification" key and the "delete" key can be operated. Since the drug names already entered by the key operation are displayed on the numeric keys, the contents can be corrected and deleted by manipulating the corresponding drug names. In addition, when adding a new medicine, the "add" key can be operated.

In the case where the same prescription data as the history is already used, when the "DO" key shown in FIG. 22 is operated, the corresponding data (DO list) can be retrieved as shown in FIG. This data is automatically registered as history data when a new entry is made.

For example, in the case of prescribing a predetermined medicine such as a common cold, the registered data can be retrieved by registering a medicine to be prescribed in advance and operating the "promise" key. That is, by operating the "appointment" key, the "appointment prescription set" screen shown in FIG. 27A is displayed. In this screen, a pre-filled prescription can be called up by selecting an appointment prescription set (here, the prescription for hypertension and cold is displayed). Preparation of a prescription set is made in the "appointment prescription set registration" screen shown in FIG. 27B. In this screen, an "underwear" key, a "pig suit" key, and the like are provided on the upper portion, and a list of the corresponding prescriptions is displayed at the bottom by operating either. When the "New" button, the "Modify" button, etc. are operated in the "Promise prescription set registration" screen mentioned above, as shown in FIG. 27C, the "Promise prescription set input" screen integrated with the input box 7 is displayed. New entry or modification of appointment prescription is done.

In the input check box 8 shown in FIG. 2B, the consultation details, the prescription details, and the like entered in the input field 7 are displayed, and it is possible to confirm the contents once entered.

In the input check box 9 shown in Fig. 2B, a check result and the like are displayed in addition to the input of the medical checkup and the prescription shown in the input check box 8, which is determined.

When the initial screen shown in FIG. 2A is displayed, the "pass list" screen shown in FIG. 28 is automatically displayed. In the "List of Patients" screen, "No", "Reception Time", "Standby (waiting time)", "Patient ID", "Name", "Age", "Gender", "Status", "Paper", "Second" / Reviews ", the list of the numbers which consists of each column of" payment "is displayed. "No" represents a number assigned in the order of receiving information from the receptionist. "Reception time" shows the time when the patient has completed the reception. In addition, "wait (wait time)" shows the elapsed time from the reception time to the present. The doctor can use this time as a reference to make sure the waiting time is not too long. "Status" displays the current status of each patient, such as waiting for a consultation. In the "Contact Questionnaire", each patient's questionnaire is checked before the examination, and "O" (input completion) or "X" (not input) indicates whether or not the input to the system is completed. "Seconds / Ashes" indicates whether each patient is a doctor (seconds) or whether he or she has been examined before.

In addition to the items such as "Date", "Today", "Waiting End Total", and "Stop", the "Calendar" button, "Patient Search" button, "Carte Display" button, and "End of Care" are displayed on the "List of Patients" screen. Button, "log off" button, "environment setting" button, and "binder" button are displayed. By operating the "Calendar" button, the calendar shown in FIG. 29 can be displayed in another window. By selecting the desired date from the calendar, a list of numbers of the selected date can be displayed. This calendar is available in all cases where date entry is required. Then, in the case where the electronic Carte of the patient displayed on the "List of Patients" screen is displayed, it is sufficient to select the row in which the patient name is displayed and operate the "Carte Display" key. In addition, by operating the "Patient Search" button, the "Patient List" screen is closed, the "Patient Search" screen shown in FIG. 30 is displayed, and the patient's name and patient ID etc. can be inputted, and the " The search button can be used to display the list of patients. In the case of displaying the electronic Carte of the patient displayed in the list of the search results, as in the above, the row of the corresponding patient name is selected and the "Carte display" button may be operated. The cart display can also be performed by the operation in the ten key region 10.

When the 1 " " key shown in Fig. 2A is operated, the contents of the displayed cartes are switched to the one before the patient in the cartes currently displayed. In addition, operation of the 3 " " key switches the patient to the one after the currently displayed carte. As a result, it is possible to revisit the contents of the carte of the patient who has completed the examination or to take the examination of the next patient when it takes time by roentgen imaging or drip.

When one "treatment" key is operated in the input field 7 shown in FIG. 21, the "treatment slip" screen shown in FIG. 32 is displayed, and the medical actions regarding a treatment can be listed. In the medical activity list, the treatment at the initial visit is displayed in time series. From this screen, you can select the treatment details, the medicines and ingredients used in the treatment.

In addition, when the "surgical" key is operated in the input field 7 shown in FIG. 21, the "surgical slip" screen shown in FIG. 33 is displayed, and a list of medical acts related to the surgery is displayed, and the medicines and injections used in the surgery are shown. And materials can be selected.

When performing inspection of a plurality of predetermined items, it is possible to call up the registered data by registering the inspection item to be performed in advance and operating the "inspection" key. When the 9 "inspection" key is operated in the input field 7 shown in FIG. 21, the "inspection set list" screen (not shown) similar to the "promise prescription set list" screen is displayed. By selecting the corresponding set name on the "Inspection set list" screen, the selected contents can be reflected in the electronic cart. The display contents on the "test set list" screen can be newly entered or corrected on a "test set registration" screen (not shown), such as the "registration prescription set registration" screen.

When the "image" key is operated in the input field 7 shown in FIG. 21, the "image diagnosis set list" screen shown in FIG. 34 is displayed. In the "image diagnosis set list" screen, the selected contents are reflected in the electronic cart by selecting the corresponding set name. The display contents on the "image diagnosis set list" screen can be newly entered or modified on the "image diagnosis set registration" screen shown in FIG. The "Register Image Diagnosis Set" screen consists of a classification button, a list, and other buttons. The sorting button is composed of a plurality of buttons depending on the type of shooting such as the "X-ray simple" button and the "X-ray contrast" button. For example, when operating the "X-ray simple" button, a list of set names already registered for X-ray simple shooting is displayed, and contents can be modified by selecting a set to be modified and operating the "edit" button. Done. The other button is composed of a "new creation" button, a "modification" button, and the like. For example, when there is no corresponding item on the list, when registering a new one, changing a registered content, etc., change to the "image diagnosis set input" screen shown in FIG. Can be done.

When the "New Create" button is operated on the "Image Diagnosis Set Registration" screen, the display of each key of the input field 7 is changed to each item required when inputting image diagnosis, as shown in FIG. . When the " part " key is operated, the content is changed to the content representing each part of the body as shown in FIG. In addition, when the 2 " direction " key is operated, the content is changed to the photographing direction as shown in FIG. In addition, when the 3 " film " key is operated, it changes to an item indicating the size of the film as shown in Fig.40. have. After inputting the fraction number, if the "ENTER" key is not operated, it can input continuously about several film. In addition, when the 4 " pharmaceutical " keys are operated, the display content of the ten key is changed to an item which can select the type of drug, as shown in FIG. There, the type of the medicine can be selected by selecting the type of the medicine, selecting the medicine on the changed screen, and inputting the dose on the changed screen. After inputting a capacity, if it does not operate an "ENTER" key, the point which can be input continuously is the same as that of the said film. When the 5 " Material " key is operated, the content is changed to the content composed of a material (mechanism) used for image diagnosis as shown in FIG. By selecting one of the materials and inputting the quantity, it is possible to select the kind and quantity of the material used for image diagnosis. Also in this case, continuous input is possible without operating an "ENTER" key as in the above. In addition, when there is a correction or the like, new creation, addition and deletion can be performed by operating a "new creation" button, an "add" button and a "delete" button.

When the 9 " map " key is operated in the input field 7 shown in FIG. 21, the display of each key in the input field 7 is changed to the contents indicating the classification of the map as shown in FIG. The classification of the map is composed of, for example, medication, nutrition, life, exercise, public health, infection prevention, home care, pharmaceutical management, and the like. Here, when the key of any one of the displayed 1-8 is operated, the display of each key of the input box 7 is changed as shown in FIG. By operating the "map door" key, the ten key can be operated. When one of the keys is operated, a table of map statements is displayed in another window. 45 shows an example of a map text displayed by operating the "nutrition map" key. As a result, the registered map text can be selected with the ten key. In addition, when the "care plan" key is operated in Fig. 21, since the keyboard input screen shown in Fig. 4 is displayed, the care plan can be input using the keyboard.

As shown in Fig. 1, the storage device 3 stores the following data in various tables such as a medicine master, a disease name master, a medical practice master, a search menu master, and various tables such as a medical examination table.

The drug master stores data on the medicine (medicine), such as the name of the drug, the drug code number, and the drug. By the way, different medicines are handled by hospitals. Therefore, the medicine master narrows the range of medicines that can be referred to by flagging medicines to be handled. Thus, a common medicine master can be used to build a database of medicines in each hospital. Then, by narrowing the data range, it is possible to search and display at high speed.

In the disease name master, items related to symptoms (symptom items) are stored.

The medical practice master stores the contents necessary for medical practice, such as the method of taking each medicine (time of use, the number of doses, etc.) and the items related to the site, that is, the items indicating the symptoms of the body (site).

The search menu master stores data for selecting a search type such as 50 sound selection and Aiueo selection.

The information confirmed in the input confirmation column 9 of Fig. 2B is stored in the medical examination table.

In the result table, inspection results from an inspection entrustor (inspection company) and the like are taken in through electronic media such as the Internet, FD (floppy disk), CD-ROM, and the like.

As shown in FIG. 1, the control apparatus 4 is comprised from an input keypad acceptance control part, an input keypad display control part, etc. As shown in FIG.

The input keypad acceptance control unit controls the display on the input buffer screen (temporary display unit) of the display device 2 while leaving a progress log on the basis of the input signal to the touch panel or the keypad.

The input keypad display control unit controls display of the input box 7 and the menu window screen based on the progress log. Input field (7) captures the progress log and displays context menu contents in the menu configuration table.

In the menu structure table, since the items input in the input field 7 take various branches such as usage, drug name, and site, they are not directly accessed by various masters. Instead, the menu structure table is called out in this table and used for display processing. The menu configuration table includes, for example, the corresponding master file name, the use of keys, the number of items in the menu, the presence or absence of display of the menu area 11, and the like.

Next, the operation of the electronic carte system having the above configuration will be described.

In the initial screen shown in Fig. 2A, the input field 7 is displayed in the lower right column of the display device 2, so that when the examination is performed, the reception number (No ) Denotes the smallest low electron carte. If the patient is not to be examined from now on, the electronic key to be displayed is changed as shown in Fig. 28 by operating the arrow keys. In addition, since the list of visits is automatically displayed, it is also possible to select a corresponding patient from the list of visits. In the displayed electronic carte, the patient column 6 displays personal information such as the date of birth and the address of the patient, and if there is a past carte, the contents thereof are displayed in the history column 5. However, it is preferable not to initially display the item etc. which it is not desirable to see to a patient. For example, a tab key is separately provided for an item whose initial display is not desirable (cancer, infectious disease, sexually transmitted diseases, etc.), and can be displayed only when this tab key is operated.

If there are inspection results other than the past Carte, the inspection results are automatically popped up, and the inspection result display process shown in FIG. 48 is performed.

In the inspection result display process, first, the inspection result, which is transmitted from the inspection entrustment destination (inspection company) via the Internet, is automatically read into the result table of the storage device 3 (step S100). However, the test result may be handled in a result table in an electronic medium such as a floppy disk (FD) or a CD-ROM.

In addition, the inspection master reads the reference value for the inspection item corresponding to the inspection result (step S101). Then, the read test result is compared with the reference value (upper limit value and lower limit value) (step S102). Then, the result of the comparison is popped up on the screen (step S103). In this case, if the inspection result is out of the reference value, it is determined that there is an abnormality, and only the abnormal value is highlighted (for example, red). When the upper limit value is exceeded, "↑" and the lower limit value "↓" are displayed respectively. If an item to be transferred to the cart is selected here (step S104), the inspection result for that item is posted to the carte (step S105). As for the electric item of Cartero, for example, each check box of an inspection item should be provided, and only the checked item should be posted. In this case, for example, the initial setting may be selected from three of "checking only outliers", "checking all" and "not checking". Moreover, even if it is a normal value, the change in the previous test result is large, and even if it is an abnormal value, it is not necessary to worry so much, and it is possible to select an electric item.

(Medical input) When the electronic Carte of the patient to be examined is displayed, medical examination can be proceeded while referring to the electronic Carte displayed by the doctor and the patient facing each other with the display device 2 as shown in FIG. 31. In this case, since the input field 7 is displayed at the lower right of the screen, the patient can also easily see the contents of the electronic carte, and can proceed to the examination while viewing the displayed contents.

In the input of the examination contents, the "S" key in the input field 7 is operated to switch the input field 7 to the content shown in FIG. If the contents of the questionnaire are already registered, the corresponding questionnaire contents are copied to the electronic cart by operating the "question mark" key. If the questionnaire contents are not registered, 1 Operate the "Address" key to display the "Keyboard input" screen shown in Fig. 4, and then input the address (patient's appeal) using the keyboard.

When the address input is completed, operate the "OK" key to close the "Keyboard input" screen. Subsequently, the " Contact " screen, which is the input check box 8, is displayed by operating the " Contact " key. At this time, the numeric key display of the input field 7 is changed to the content for symptom input shown in FIG. There, the corresponding thing is selected from each symptom displayed in the input box 7. If not applicable, use the arrow keys to change the display.

When a symptom is entered, the "Contact Us" screen displays the contents and all necessary questionnaire contents for the entered symptom are displayed. For example, when "fever" is selected as a symptom, the questionnaire screen displays "fever", "from when", "to some extent", "presence of chills", and input of "fever" is completed. "When" items that require input are highlighted. Therefore, you can see at a glance what to enter. The display content of the input field 7 is changed from the symptom to the timing. If the entry of the item is not necessary, the key can be moved to the next item by operating the "SKIP" key. At this time, the highlighted item is changed. Thereafter, input is performed according to the display contents of the input field 7 which is sequentially changed. Thereby, all the items required by a medical examination can be input without missing out.

When all the input of the examination result is completed, the display contents on the "Contact Us" screen are checked and corrected as necessary. When the correction and confirmation are completed, the "ENTER" key is operated. As a result, the display contents on the "Contact Us" screen are erased and displayed in the input confirmation field 9, and the input contents are reflected in the carte.

(Remark input) When input of examination contents is completed, input a finding, ie, a symptom recognized by a doctor, by operating the "O" key of the input field 7. When the "O" key is operated, the display items of the input field 7 are switched for input of opinions, and in the input field 7 shown in FIG. 8A, 1 "remark", 2 "inspection", 3 "image", 4 " Shema "and 5" inspection force "keys are displayed.

When the "remarks" key is selected, the display items of the input field 7 are changed to "systemic remarks" keys and "individual remarks" keys as shown in Fig. 8D.

When the "systemic finding" key is operated, the "vitaminal sign dialog" screen shown in Fig. 9A is displayed in another window, and one of the check boxes of each item may be sequentially checked with a pen or a mouse.

In addition, when the "individual opinion" key is operated, each numeric key in the input field 7 is changed to the display indicating the body part, so that the corresponding part is manipulated and the "information input" screen is displayed as described above. Simply check the checkbox of each item displayed. For example, when the "neck" is operated, the "neck" screen shown in FIG. 9B is displayed as another "window input" screen. In the cervical screen, there are cervical visual field and cervical palpation column, and each item of thyroid hypertrophy, cervical lymphoma hypertrophy, and subarachnoid hypertrophy (consists of check boxes of "Y" and "No"). It consists of. The doctor simply checks with the pen or mouse which of the checkboxes for each item.

2 When the "Inspection" key is selected, a list of inspection results that have been completed is displayed. And the displayed test result is reflected in the corresponding location (input confirmation column) of the electronic cart by manual input or automatic input.

3 When the "Image Diagnosis" key is operated, an image shot by Roentgen or the like is displayed in another window. The doctor judges the symptoms on the basis of the displayed image and displays the following "Shema" screen as needed and uses it for the explanation for the patient.

4 When the "Shema" key is operated, the "Shema" screen shown in FIG. 46 is displayed. Since a plurality of body part images registered in advance are displayed on the "Shema" screen, when an image of a diseased part of a patient is selected from among them, the image is enlarged and displayed in an edit field. When a part, a symptom, etc. are written to an image using a pen, a mouse, etc., and an "Attach to Carte" button is operated, an image is displayed on the electronic cart by the reduced size. If the "image" key is operated, the "image diagnosis result input" screen is displayed. By operating the "Image taking" button on the "Image diagnosis result input" screen, the "Image taking" screen is displayed and an image file is read. However, image data can also be taken in using a film scanner. When the "image taking" screen is closed, the image taken in on the "image diagnosis result input" screen is displayed, and an image diagnosis result can be input while referring to this image. After inputting the image diagnosis result, when the "close" button of the "image diagnosis result input" screen is operated, the input content is displayed on the electronic cart. Then, when the image displayed on the electronic cart is double-clicked, the image is enlarged and displayed in the edit field of the "Shema" screen. Accordingly, the disease part can be easily explained to the patient while pointing the image using a pen, a mouse, or the like.

5 If you operate the "Testing Force" key, a list of the previous test results is displayed. In this case, an inspection item can be selected from the displayed list (up to five items can be selected here), and time-series display or graph display of the inspection result is made possible. That is, by selecting the test result desired for display and operating "time series display" or "graph display" displayed on the numeric keys, the format can be changed as follows.

When the "time series display" is operated, as shown in FIG. 49, the numerical value of a test result is displayed on the list which consists of a date with respect to each selected test item. When the "graph display" is operated, the graph display process shown in FIG. 50 is started.

In the graph display process, first, the reference value of the inspection item corresponding to the inspection master is read (step S110), and the scale display value is calculated (step S111). Then, the scale is displayed on the graph based on the calculated scale display value (step S112). In this case, the display position of the upper limit value and the lower limit value of the inspection reference value is set to the same position despite the difference of the inspection items. If there are a plurality of inspection items, the upper limit value and the lower limit value of the inspection reference value of each inspection item are displayed in parallel. Accordingly, the widths of the normal ranges of the plurality of inspection items can be matched and displayed. Next, a test result is displayed on a graph (step S113).

Fig. 51 shows an example in which the test results are graphically displayed. In this graph, inspection items A and B are displayed in the left column of 2 columns, and the upper limit value and the lower limit value of the inspection reference value of each inspection item are displayed in the same position. In addition, the test results over four times are shown by the cutting line graph. The inspection items and the cutting line graph are classified by color for each inspection item, and it is possible to know at a glance which result is which test. In this way, even if there are a plurality of inspection items, the widths of the normal ranges are matched and displayed, and the inspection results are displayed in a broken line graph or the like, so that the tendency of change of each inspection result can be easily identified, and the inspection values are normal. It is possible to easily proceed with the determination of whether or not it is the range. Therefore, explaining the graph to the patient with reference to the graph makes it an effective tool for informed outlets because it is easy to understand visually.

In addition, when the mouse is moved to the part where the name of the inspection item corresponding to each broken line graph is displayed, the consultation criteria etc. corresponding to the inspection item are popped up. For example, when the left button is clicked on the hemoglobin HbAlc, even if blood sugar is normalized, there is a time difference until the HbAlc reaches a normal value, so that an indication indicating the effect is made. Therefore, the doctor can display information to be careful in determining the examination result, such as the examination criteria of each inspection item, if necessary, so that it is not convenient to deliberately look up in the bookstore or make an incorrect advice.

(Accession input) When input is completed, by inputting the "A" key of the input field 7, input of an input, ie, the diagnosis content about a symptom, is input.

As shown in Fig. 10, as shown in Fig. 10, 1 " corruption name " key, 2 " feedback & diagnosis " key, 3 " electricity " key, 4 " correction " key, and 5 " delete " key are displayed. Select and operate the required item.

When the " corruption name " key is operated, the numeric keys are changed to display of 1 " poor search ", 2 " classification search " and 3 " keyword ". If a search method is selected, it is searched according to the selected method.

When the "Frequency Search" key is operated, the display of the numeric keys is changed to the common sickness name. That is, 1 "feel" and 2 "type 2 diabetes". Since the display is shown as such, the corresponding one is selected. As a result, the display contents of the numeric keys are switched to "recurrence", "replay" or "suspect".

If the corporal is relapsed, replayed, or suspected, it is reflected in the Carte content by manipulating "relapse", "replay", or "doubt". Then, enter a modifier as needed. Even if the same disease name, there is a difference between acute or chronic because the treatment method is different.

In input of a modifier, the input field 7 selects either a "50 sound" key or a "keyword" key.

When the "50 tone" key is operated, the display contents of the numeric keys are switched to 1 "prefix" and "suffix". When either of these is selected, the display contents of the numeric keys are switched to the lines of each of the 50 consonants (a line, a line ...). If either is selected, the display contents of the numeric keys are switched to the stages (a, e, right, e, o) of each vowel. When either of these is selected, the first character is identified, and a list of modifiers starting with the specific character is displayed. Select one of the displayed modifiers. As a list, only nine modifiers corresponding to the numeric keys 1 to 9 can be displayed here. When there are more than nine modifiers, the display contents can be switched by operating the "UP" key or the "DOWN" key. You can choose after.

In the operation of the " 50 tone " key, the number displayed on the numeric keys is limited to nine, and the space (display field) to be displayed is preferably minimized so that the content portion of the electronic cart can be displayed large.

When the `` Keyword '' key is operated, the `` Keyword Selection '' screen is displayed. When a character or the like is input by the keyboard and a "Search" key or the "ENTER" key is operated, the corresponding modifier is displayed. In one case, the corresponding modifier is displayed as a list), so that the desired modifier can be selected.

In addition, by operating the "alphanumeric" key in the input field, you can search by number or alphabet. In this case, as in the case of operating the "50 sound" key described above, the numeric keys may be displayed by selecting numbers and alphabets.

In this manner, according to the above-described input method, it is possible to simply select a frequently used disease name mainly on the operation of the numeric keys.

In addition, when the "classification search" key is operated, the range can be narrowed down in the order of large, medium and small classifications, and the name of the illness can be selected. Each classification corresponds to each classification in the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10), as defined by the World Health Organization (WHO). do. Then, input as in the above, such as input of suspicion of recurrence, input of modifier.

When the entry of the name of the illness is completed, the start date of treatment is automatically entered. In the case of correcting the date automatically input, the start date can be changed by operating the "modify start date" key.

In addition, an ear is input when a symptom changes. The input items are displayed on the numeric keys of the input box 7, and are reflected in the cartes by manipulating the corresponding items. In the input of the end date, the calendar can be displayed to easily specify the date by operating the "calendar" key.

(Treatment plan input) When the input of the assay is completed, input the treatment plan by inputting the treatment plan, that is, the diagnosis plan, the treatment, the education to the patient, etc. by operating the "P" key in the input field 7. . In this case, each numeric key includes 1 `` underwear '', 2 `` garb '', 3 `` outside '', 4 `` injection '', 5 `` self-injection '', 6 `` treatment '', 7 `` surgery '', 8 `` inspection '', 9 `` Image ”is displayed.

When selecting a medicine to be administered to a patient, the procedure can be performed according to the flowchart shown in FIG. 47.

First, on the screen shown in Fig. 21, a corresponding key (any one of 1 "inner", 2 "money", 3 "outer", 4 "injection", and 5 "self-scanning") is selected (step S1), Narrow your choices. By operating this key, the screen is changed to the screen shown in Fig. 22, so it is determined whether the DO prescription or appointment is prescribed (step S2). To prescribe the same prescription as the one left in the historical data, operate the "DO" key. To prescribe a prescribed medicine such as a cold, operate the "Promise" key. Thereby, the list of medicines to be prescribed is displayed as a menu area 11 (step S12). Then, if the corresponding medicine is selected from the displayed list (step S13), input operation can be performed simply. In addition, it is determined whether or not the number of medication days has been changed (step S14). If there is a change, the process proceeds to step S9, and if there is no change, the process proceeds to step S10.

In addition, when neither the DO prescription nor the appointment prescription is used, a general search is performed. Here, the corresponding medicine is specified by operating the 50 tone selection key (step S3). For example, when the character "is" is selected, "a" is operated in Fig. 22, and the display contents are changed to "a" through "o" and "is" is selected. When the first letter is specified by the operation of the 50 tone selection key, the drug names starting with the letter are displayed as a list, for example, as shown in Fig. 9 (step S4). (Step S5). If there are many drugs in the displayed list, the number of the displayed list can be narrowed by entering the second character.

When the medicine to be prescribed is specified, the dose is input (step S6). The input of the capacitance is achieved by numerical input with the ten key. When the dose is determined, it is determined whether or not to add the medicine to be selected (step S7). If there is an addition, the process returns to the step S1 and the process is repeated, and if there is no addition, the usage is input (step S8).

In the input of the usage, the display content of the input field 7 is changed as shown in FIG. 25, and the symbol used in the input in the paper cart is conventionally available.

Specifically, the symbol shown by the numeric keys 1 means that it must be taken after "minute 3 meals", that is, after every meal in the morning, lunch and evening. The symbol shown on the numeric keys 2 means that the medicine should be taken within 30 minutes after each meal in the morning, lunch, and dinner, ie, after "minute 3 meals." The symbol shown by the numeric keys 3 means that "minute 2 morning and evening", ie, morning and evening, should be taken after a meal. The symbol shown by the numeric keys 4 means that "minute 1 before bedtime", that is, should be taken before bedtime. The symbol shown by the numeric keys 5 means that the meal should be taken between "minute 3 meals", that is, between breakfast and lunch, between lunch and dinner, and between dinner and breakfast. The symbol shown in the numeric keys 6 means "minute 1 morning", that is, the dose must be taken after waking up.

Thus, since the symbol used for the input of the conventional paper cart is used, the transition from the paper cart to the electronic cart can be performed smoothly. When the usage is input, the number of days of administration is input (step S9). In the input of the number of days to be administered, in addition to numerical input using a ten key, a calendar can be displayed separately and inputted by directly operating the displayed date. If you register your days off on the calendar, you can prevent the difficulty of falling medicines during the day off. And, it is easy to check the schedule that the patient will visit.

Thereafter, the selected contents are displayed in the input confirmation column 9 (step S10), and the contents are determined (step S11).

In the selection of the medicine, the scope of the medicine can be automatically narrowed by inference search. Based on information such as disease name, condition, and limitation, the range of drugs to be automatically prescribed is narrowed down based on statistical values based on the attached document of the medicine or the prescription data so far. For example, based on the name of the disease, the drug is searched for the efficacy. In the following table, examples of data and data sources available for inference searching are shown.

TABLE 1

Classification Information Information Disease Disease Diagnosis Past illness case history condition Past prescription case history Current medication case history Contraindications to illness names (allergies, etc.) Questionnaire part opinion Symptom paperweight limit Pregnancy, lactation Questionnaire Infant Questionnaire

As a result of the inference test, if the range of medicines can be narrowed down to 30 or less, it is determined that the quantity is selectable, and the list is displayed for selection. In addition, when the range of medicines cannot be narrowed down to 30 or less types, since it takes time to select them, a general search is conducted to narrow down the range of medicines. Then, the corresponding one is selected from the list of the narrowed medicines.

In addition, in the general search, in addition to selecting the 50 sounds, it is possible to search by drug efficacy and search by ingredient.

When the medicine is determined in this way, the medicine is ordered according to the contents of the decision, and prescription check processing such as drug contraindication is performed at that time.

That is, referring to the prescription check database based on the prescription data of the ordered medicine, the interaction (medicine that should not be prescribed at the same time), disease contraindication (medicine that should not be prescribed for the disease name), age limit (what All items should be checked for prescription, such as drugs that should not be prescribed by age. As a result, the drug in question is tested for a replacement drug.

In detail, as shown in FIG. 52, indications (step S120), disease contraindications (step S121), normal dose (step S122), age restriction (step S123), pregnant woman lactation part (step S124), mutual application (step S125) Then, the compounding change (step S126), the dosage method (step S127), and the drug type (step S128) are sequentially checked.

The indication check checks whether the patient's name matches the efficacy and effect of the prescribed medication. The term contraindication check checks that the prescribed medication does not adversely affect the patient's symptoms. For example, administration of a hypertensive drug (a drug for lowering blood pressure) to a patient with hypotension is prevented. The normal dose check checks to see if the prescribed dose is the usual dose. For example, an accident such as 10 times administration due to an input error is prevented. The age limit check checks whether the prescribed medication is available for infants, infants, children or the elderly. Care should be taken when administering medications that cannot be administered to newborns or children or older adults. Pregnant and lactating mothers check to see if the prescribed medications can be administered to pregnant and lactating women. Drugs that cannot be given to pregnant or lactating women are checked. Interaction checks to see if any of the prescribed medications are working. In this case, the current medications that are included in the past cartes will also be checked. Combinations that cannot be used together can be checked for reasons such as almost identical or contradictory effects. The formulation change check checks if the prescribed injection is compatible. Injectable drugs may be used in combination of plural kinds, and at that time, a combination causing trouble such as precipitation and discoloration can be checked. The dose usage check checks whether the doses and dosages of the oral and anti-drug drugs are consistent at the time of disparity. One tablet of tablets three times a day can prevent input errors such as after meals. In the drug category check, the prescribed drugs are checked for drugs, poisons, and psychotropics.

As described above, various checks are performed on the medicines ordered, and if they are determined to be a problem as a result of these checks, the effect is displayed in another window. Fig. 53 shows the display contents when it is determined that there is a problem with the interaction and the indication. In this case, there is an interaction between the lismodan capsule and the sparse tablets, and the purpose is pop-up because the sparse tablets do not include infectious enteritis in indications such as secondary infections of trauma. . For the sparse tablets, alternative medicines are searched for and the selected candidates are displayed.

In the search for an alternative medicine, the candidate for change is selected based on the name, dose, and usage of the ordered medicine. The candidate for change has previously accumulated the names, doses, and usages of the medicines that can be replaced in correspondence with the three items of the name, dosage, and usage of the medicines as a database. In the prescription check process, when it is determined that the drug cannot be prescribed, not only its name but also a dose and a usage can be corresponded to display a replaceable drug. Therefore, it can be set as the suitable thing which responded to the medicine before replacement, without deviating from the dose or usage of the replacement medicine. In addition, when there are a plurality of alternative medicines, they may be displayed as a list and may be selected among them.

8, when the " inspection " key is operated, as shown in Fig. 54, a set menu of the inspection items for which registration has been completed, that is, an inspection set list screen is displayed. Here, when the inspection set is selected by operating the numeric keys, the inspection set list screen changes to the inspection item display screen shown in FIG. On the test item display screen, the test items required for each classification such as biochemistry, hematology, urine, feces, etc. are displayed in a list, and the basic test items are checked in advance according to the selected test set. Then, the inspection item can be selected by checking or not checking as necessary. When the inspection item is confirmed, the inspection item to be performed by operating the "OK" button is described in the carte.

When the " image " key is operated, the set menu of the registered image diagnosis item, that is, the image diagnosis set list screen, is displayed as shown in FIG. Here, when the numeric key is operated and the image diagnosis set is selected, the image diagnosis set list screen is switched to the image diagnosis item display screen shown in FIG. On the image diagnosis item display screen, image diagnosis items necessary for each classification such as a photographing method, a photographing part, a photographing direction, a film, and the like are displayed in a list, and a basic image diagnosis item is checked in advance according to the selected image diagnosis set. And it is possible to select an image diagnostic item by checking or not checking as needed. When the image diagnosis item is confirmed, the "OK" button is operated and the image diagnosis item to be performed is described in Carte. In FIG. 57, the item which picks up a chest using one diagonal diagonally from front to back as X-ray simple imaging is selected. Then, photographing is performed by ordering the contents selected in the image diagnosis set list screen.

By operating the "S" to "P" keys as described above, it is possible to promptly input all the items required for the creation of the cartes without missing out.

Frequently used sentences and prescriptions can be registered in advance (learning function). For example, the prescription contents are stored as a learning buffer and displayed on the screen as needed for use. In this case, by setting nine pieces so as to correspond to the respective numeric keys of the input box 7, the operation can be completed only by the input box 7 at the time of input. It is also possible to display part of the registration contents on each key, or to reflect the contents of the learning buffer in another window and directly reflect the contents to the electronic cart by performing operations.

When it is necessary to display similar words in the items to be displayed by the numeric keys, the names to be selected are grouped into common characters, and the numeric keys are selected by the first selected word consisting of the common characters and the number of grouped words. It may be displayed. Then, by selecting the corresponding primary selection word, each grouped word may be displayed with each numeric key as the secondary selection word. Moreover, you may make it install a 3rd selective word etc. as needed.

For example, in medicine, there are many very similar ones as shown in the following table. Therefore, as the primary selection word, each numeric key is displayed as "colt (2)", "cold (3)", and "colch (4)". Then, by selecting which one, the official name is displayed by each numeric key. Specifically, when "cold (3)" is selected, each numeric key is displayed as "cold nin tablet", "cold tablet", and "cold grain" as secondary selection words, to select among them.

In this way, since the primary selection word is installed and similar words are grouped and displayed, similar wrong parts can be displayed in large letters. Therefore, when selecting, it is possible to carefully select the most likely wrong part. In this case, if there are similar parts in the secondary selection word, the primary selection word is displayed differently, and only the portions from which the primary selection word has been removed ("Ninjeong", "Linjung", and "Lin granule") are displayed with the respective numeric keys. You may also do it.

In the case of medicines, the first three letters can be grouped into almost appropriate numbers (less than 9 that can be displayed by numeric keys). Therefore, the size of each numeric key can be displayed by about three characters so as to be easy to see. Therefore, the ten key area 10 can be comprised compactly.

Since the sum of the grouped words is displayed in parentheses, it is possible to understand that other similar words exist at a glance.

In particular, the grouping display method is effective in the case of a 50-tone search. That is, in the case of searching 50 medicines, there are many similar names and it is difficult to select them. By grouping, the names of many medicines can be displayed on the numeric keys only by inputting the first character with the keyboard. As described above, the name of the desired medicine can be displayed only by specifying one of the consonant lines by selecting which one after displaying 50 lines of each consonant line (a line, a line line) on the numeric keys. Done. Subsequently, inputting the vowels of each vowel (A, Y, R, R, E, O) produces the same effect as when entering the first character of the keyboard. That is, the desired medicine can be selected only by operation with the numeric keys.

 In this way, by grouping the medicines, the selection of the desired medicines can be easily or quickly performed.

Claims (16)

The electronic carte system provided with the control means which displays an electronic carte on a display means, reflects input data on the displayed electronic carte based on an input operation by the input means, and stores the electronic carte reflecting the input data in a storage means. In The input means consists of a plurality of input keys arranged in a predetermined area, The display means displays an input item selection box in which a plurality of selectable items are listed by operating an input key of at least one of the input means, And said control means selects an item displayed in an input item selection column of said display means by manipulating an input key of said input means, and sequentially displays items necessary for subsequent input in the input item selection column. . 2. The display apparatus according to claim 1, wherein the display means includes a temporary display unit for temporarily displaying sequentially selected items by selecting an item displayed in an input item selection column as the input unit, and a confirmation display unit displayed by confirming contents displayed on the temporary display unit. Electronic carte system, characterized in that provided. The item according to claim 1 or 2, wherein the control means displays an input item on each input key displayed on the display means by operating an input key of the input means, and sequentially displays the contents of the display for subsequent input. Electronic carte system, characterized in that for changing. The method according to any one of claims 1 to 3, wherein the storage means stores prescription data input in advance, And the control means reads prescription data from the storage means by the operation of the input means and reflects the prescription data to the electronic cart displayed on the display means. The electronic device according to any one of claims 1 to 4, wherein the number of drugs that can be selected when the electronic carte is created exceeds a predetermined number, so that the range of drugs can be narrowed by a plurality of types of searching methods. Carte system. The calendar according to any one of claims 1 to 5, wherein when the electronic cart is created, a calendar including leave information is displayed on the display means, and the number of days taken can be directly input by the calendar. Electronic Carte System. An electronic carte system comprising control means for displaying an electronic carte on the display means, reflecting the input data on the displayed electronic carte based on an input operation by the inputting means, and storing the electronic carte reflecting the input data in a storage means. To The input means is composed of a plurality of operable input keys displayed on the display means and arranged in a predetermined area, The control means is an electronic carte system, characterized in that for displaying the input items required sequentially on each input key. 8. The electronic carte system according to claim 7, wherein the input means comprises a touch panel. The method according to any one of claims 1 to 8, wherein, when inputting the content of the questionnaire by the input means, the control means displays a questionnaire screen and an input key on the display means and is required for a questionnaire on the questionnaire screen. The items to be enumerated are highlighted, the items to be inputted are highlighted, the contents of the items corresponding to the input keys are displayed, and the items selected by the operation of the input keys are reflected on the questionnaire screen. And an item required for input, and an item highlighted in the paperweight screen is changed to the next item. The electronic carte system according to any one of claims 1 to 9, wherein it is possible to select whether or not to reflect the questionnaire data previously inputted by the input means on the electronic carte. 11. The electronic carte system according to any one of claims 7 to 10, wherein each input key of the input means displays a symbol used in a handwritten carte when inputting a time of taking the electronic carte. 12. The input key of each of the input means according to any one of claims 7 to 11, wherein the lower end of each row of 50 notes is displayed, and from the lower end to the upper end of each row on the basis of the operation of the input key. To the display, And the control means searches for a matter necessary for the input of the electronic cart by selecting one of the 50 sounds displayed on the input key. The storage device according to any one of claims 7 to 12, wherein the storage means stores image data representing a part of the body, And said control means reads out the corresponding image data from said storage means and displays it on said display means based on an input signal from said input means when inputting a finding. The electronic carte system having control means for displaying the electronic carte on the display means, reflecting the input data on the displayed electronic carte based on the input operation by the input means, and storing the electronic carte reflecting the input data in the storage means. In The input means comprises a plurality of input keys displayed within a predetermined area of the display means, Input items are displayed on the respective input keys, When displaying the input items on the input keys, the control means displays a common character among the similar words as the first selection word if there are a plurality of similar words in the input item, and then selects the similar words after selecting the first selection word. An electronic Carte system characterized by displaying on the input key respectively. 15. The electronic Carte system of claim 14, wherein the input key displays the number of similar words together with the first selection word. An electronic carte having a control means for displaying the electronic carte system on the display means, reflecting the input data on the displayed electronic carte based on the input operation by the inputing means, and storing the electronic carte reflecting the input data in the storage means. In The input means comprises a plurality of input keys displayed within a predetermined area of the display means, Input items are displayed on the respective input keys,  The control means, when displaying the input items on the input key, respectively, if there are a plurality of similar words in the input item, it is characterized in that to display the characters including the most easily from the head of the similar words to the wrong part as the primary selection word; Electronic carte system.

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