MXPA06005073A - Medical information computerized system, program and medium - Google Patents

Abstract

[PROBLEMS]Time-series correlation between the chief complaint of a patient and the results of medical interview by a doctor can be seen at a glance. [MEANS FOR SOLVING PROBLEMS]A medical information computerized system having a control server is provided. The control server comprises an inputting means for inputting patient chief complaint information out of information written on a medical record into a chief complaint information file, an inputting means for inputting doctor examination information about the patient chief complaint in an examination information file, a storage means for storing the chief complaint information and the examination information, a calculating means for calculating the points, for each examination date, of the latest chief complaint and examination information both inputted by the inputting means and the points of the past chief complaints and examination information both stored in the storage means, a creating means for automatically creating, from these points, a list showing the variation with time of the chief complaint information and examination information. The medical information computerized system provides a list of the time-series correlation.

Description

ELECTRONIC MEDICAL INFORMATION SYSTEM, PROGRAMS OF MEDICAL INFORMATION ELECTRONICS AND RECORDING MEDIA THAT YOU CAN READ BY COMPUTER TO STORE THE PROGRAMS OF ELECTRONIC MEDICAL INFORMATION Field of the Invention The present invention relates to an electronic medical information system, electronic medical information programs and computer-readable recording media that store electronic medical information programs, to enter electronic medical information such as diagrams doctors, using a computer.

Background of the Invention Recently, the needs of electronic documents or an undocumented workplace are growing due to the spread of computers. In medical institutions, there are high needs mainly to reduce conventional paper-based diagrams, for which a variety of systems have been proposed. Generally, the expected advantage of promoting a paperless workplace can result from reduced storage space for paper documents and facilitated search when creating a database. With the statutory five-year retention period of medical charts, and the rapidly rising volume of charts due to the recent increase in longevity and disease diversity, the aforementioned general advantage of the paperless workplace is also wait for the medical diagrams. The benefits expected from electronic diagrams may include, other than those set out above, those intrinsic to diagrams, such as increasing the efficiency of the medical service by freeing doctors from the problematic handling of patient information, and sharing medical information to help the improvement of EBM (Evidence Based Medicine), which improves the critical path. For example, in response to the aforementioned requirements, the participation of medical information online / cooperative systems of medical institution (see for example patent literature 1), which handle medical information in a server system provided in a center to facilitate the sharing of necessary information and cooperation between medical institutions, using the server system provided in the center where the terminals of the medical institution installed in a plurality of institutions such as medical institutions, clinics inspection centers, university hospitals, hospital-clinic cooperation hospitals are connected to a network to connect computers, mobile terminals and the like, the medical institution terminal comprises a reception computer, electronic diagrams, and an image scan, a screen, a communication monitor, and the server that bought a means of storage for storing the data transmitted from the terminals of the medical institution such as data related to the medical institution, records of data related to the patient such as the diagrams, data records with respect to the course of medical practice or treatment contents, data showing cases of diseases, and the like; a means of control to review data processing and medical administrative work such as billing; a screen means, an input means and an output means. The main purpose of the doctor to refer to a patient diagram is to plot the temporal variation of the patient's health through the consultation in the past. The appropriate consultation and the optimal treatment or prescription can be performed only after plotting the temporal variation.

In this way, it must be ensured that the temporal variation can be traced when electronic diagrams are introduced. In this regard, although the aforementioned system can store and display data records such as the course of the consultation and the contents of the treatment, non-concrete resolution means are described on how they are deployed. In order to solve such problems, for example, a system has been proposed (see for example patent literature 2) that can display a chronological serial electronic chart view using date labels, and a system (see for example the literature of patent 3) that can display each specific element such as the information of the query, the content of the query, the order / treatment, and the like in a single page on the screen. Patent Literature 1: Japanese Patent Application Laid-Open No. 2002-149833 (description of claim 1) Patent literature 2: Patent Application Japanese Laid-Open No. 2000-293594 (claim 2, Figures 1 and 5) Patent literature 3: Japanese Patent Application Laid-Open No. 2001-5890 (claim 1) Description of the Invention Problems to be solved by the invention. Meanwhile, although a diagram is supposed to have all the contents of the query written in it without any omissions, most doctors, in fact, tend to write only the notable points as a memo because of the time constraint.

Normally, a doctor prepares a therapeutic plan at the time of the review, when reviewing the diagrams to remember the past data, understand the interview results associated with the patient's main condition, that is, the correlation with the consultation, and analyze the temporal variation of the patient's health. However, currently, the analysis must be performed by correlation, simultaneously, not only the facts written in the diagram but also any type of relevant data, different from those in the diagram, such as the conversation with the patient in the past, diagrams made by the doctor for the patient, photographs of inspection results, prescribed drugs or similar. It often happens that the doctor must review the diagrams and other documents many times, returning to the past. In this way, it may not be an exaggeration to say that the importance of introducing electronic diagrams is halved if the problematic work of reviewing the diagrams many times and simultaneously correlating the relevant data may not be reduced. However, conventional systems do not propose any means to reduce the aforementioned problematic work. In other words, a system that uses date labels to display a list of electronic time series diagrams can only present the date labels to be actually viewed as a list on the display screen, while the specific contents can not be observed unless Select or specify a date label. In this way it is difficult to say that the temporal variation of the patient's health can be observed substantially. In addition, with the system which can display each specific element such as the practice information, the content of the query, the order / treatment and the like on a single screen page, although each information can be observed on a single screen page , there has been a problem in which limiting the information can become adversely difficult due to the diversity of information that can be observed, although the aforementioned correlation which is more necessary for the temporal plot may not be displayed.

In addition, the prior art may not display relevant data such as conversation with the patient in the past, diagrams made by the doctor to the patient, photographs of inspection results, prescribed drugs or the like, together with the correlation. Therefore, it is an object of the present invention to provide, in view of the aforementioned problems, an electronic medical information system that facilitates the observation of the patient's main condition and the results of the doctor's interview associated with the main condition of the patient. patient, that is, the temporal correlation with the query, and facilitates the observation of the diagrams and the relevant information with respect to the diagrams.

Means to solve problems. In order to solve the aforementioned problems, an electronic medical information system according to the present invention uses a computer to handle electronic medical information such as diagrams, the electronic medical information system is equipped with a control server comprising: a means of entry to enter, between the information written in the diagram, the information of the patient's main condition a file of information of the main condition and to enter the information of consultation of the doctor associated with the information of the main condition of the patient in a file of information of consultation; a means of accumulation to accumulate the information of the main condition and the information of consultation; a means of calculation to mark, with res to each date of consultation, the last information of the main condition and the information of consultation entered by the means of entry, and the information of the main condition of the past and the information of consultation accumulated by means of accumulation, resively; a generation means for automatically generating, based on the markers, a list by which the temporal variation of the information of the main condition and the query information can be observed; and a means of deployment to display the list. According to this configuration, the temporal correlation between the information of the main condition and the consultation information that varies from the past to the present can be observed when entering the information of the main condition and the information of consultation. In addition, the control server may comprise a deployment means for displaying the list that can be observed.According to this configuration, the list can be observed directly from the control server. The control server can be configured to establish and display a table in which a plurality of respective symptoms and degrees of symptoms are selectively listed, the means of entry of the main condition information and the query information automatically enter one or more relevant symptoms and degrees of symptoms, in response to the user's operation of selecting them from the table in the information file of the main condition and the query information file, and the calculation means is configured to automatically calculate when adding relevant markers corresponding to the degree of selected symptoms, each of the degrees of symptoms that have a predefined marker assigned to it. The control server can be configured to display, together with the table, an image that simulates a human body with check buttons provided in the main regions thereof, and when any one of the symptoms is selected, the check button corresponds to the region which is developing the selected symptom is automatically checked. According to the configuration, the development locations of a plurality of symptoms can be observed simultaneously on the screen. The list generation means can be configured to automatically generate a graph by which the time variation of the markers calculated by the calculation means can be observed. In this case, the graph may consist of, for example, two polygonal lines representing the variation of the aggregated markers for the main condition and the query, respectively, with the main condition and the date of consultation on the horizontal axis and the calculated markers on the vertical axis. The list generating means can be configured to present the markers calculated by the chronological series calculation means for respective symptoms of the main condition information and the query information to allow comparison with the temporal variation of the graph. According to the configuration, the breaking of the markers displayed in the graph can be observed along with the graph. The control server may comprise a deployment means for displaying an image that simulates a human body together with the list and display, when the symptoms of the main condition information and the query information are entered by the input means, buttons of link in the region where the respective symptoms are developing in the image that simulates the human body; a reading means for reading, from the information of the main condition or the query information accumulated in the accumulation means, each information of the region that displays the link button when the displayed link button is pressed; and a means of deployment to display the respective information which has been read to be able to observe. According to this configuration, since the image that simulates the human body which displays the location of development of the symptoms is also displayed in the list, it becomes possible to visually recognize the location of the development simultaneously on the screen, thereby facilitating the observation of the details of the main condition information and the consultation information through the link buttons. The control server may comprise a generation means for generating a list so that, when a patient is receiving a query for a plurality of different diseases around the same period, the respective diseases may be observed on the same screen in a distinguishable form.

In this case, the diseases can be observed on the same screen in a distinguished form for example, by providing each of the polygonal lines with a different color according to the disease. The control server may comprise: an input means for entering information of the electronic diagram composed of one or more of information such as the name of the disease, the main condition reported in the consultation, the history of the current condition, anamnesis, background of family members, doctor's observations, inspection, treatment, dose, injection / instillation, next reservation; a generating means for generating an electronic diagram based on the input information, a storage means for storing the electronic diagram generated in an electronic diagram file; a reading means for establishing and displaying, in the list, a link button associated with the electronic diagram and reading the electronic diagram of the electronic diagram file when the link button is pressed; and a deployment means to display the electronic diagram which has been read to be observed. According to this configuration, both the electronic diagram and the list can easily be viewed together as they are linked together.

The means of entry to enter the information of the electronic diagram can be configured to enter the information written by hand either in an image or in an encoded form. According to this configuration, the handwritten information for an electronic diagram can be an image or be automatically coded. The input means for entering the electronic diagram information may comprise an audio input means, such as a microphone, for inputting the audio information, and an image input means such as a camera for inputting image information, where The electronic diagram generation means can generate an electronic diagram so that the audio information and the image information can be reproduced from the electronic diagram as a part of the electronic diagram. According to this configuration, the audio information and the image information as well as the text information can be recorded in the diagram at the time of the inquiry. If the patient did not appear on the reserved day in the next reservation information which has been entered by the electronic diagram information entry means, the view generating means may generate the list after clearing the field for the day . According to this arrangement, a space in the polygonal line occurs in the graph, for example, since there is no dialing data for the day without display on the dates on the horizontal axis. The control server may comprise a reading means for reading, from the electronic diagram file, one or more information, in regard to the inspection, treatment, dose and injection / instillation; and a means of accumulation to accumulate the information that has been read; where the control server establishes / displays a link button for each information in the list when the list generation means arranges the temporal variation of each of the information accumulated in chronological series so that it can be compared with the temporal variation of the graph , read the corresponding information accumulated by the accumulation medium with the pressure of any of the link buttons, and display the information that has been read in order to be observed. According to this configuration, the temporal variation of the information regarding the inspection, treatment, dose, injection / instillation, other than the information of the main condition and the information of consultation, in the list can be observed simultaneously in a single screen , and in addition, details of each information can also be easily observed, since the list is linked to each information. The control server may comprise a storage means for storing, in a conventional diagram file, a conventional diagram converted into an electronic document format that precisely reproduces the original image; and a reading means for reading, with the request to observe a conventional diagram file, the conventional diagram requested to be observed from the conventional diagram file; and a means of deployment to display the conventional diagram that has been read to be observed. According to this configuration, if there is, for a specific patient, a conventional diagram and an electronic diagram according to the present invention, both diagrams can be observed with the control server. From the information recorded in the conventional diagram file, the information corresponding to the electronic diagram information can be accumulated by means of accumulation, and the list generation means can be configured to present the temporal variation of each information of the conventional diagram accumulated in chronological series so that it can be compared with the temporal variation of the graph.

According to this configuration, the information recorded in a conventional diagram can also be reflected in the list. The means of entry of the information of the main condition can be implemented by transmitting the data to the control server from a communication terminal used by the doctor for consultation via LAN or WAN, or from the patient communication terminal used by the patient through a communication network such as the Internet. In addition, the means for inputting the query information can be implemented by transmitting data from the query terminal to the control server. According to these configurations, the patient can enter their information about the main condition at home, and when a priority of the doctor is in care, as in the case with a general hospital, the information of consultation by respective doctors can be entered from terminals of respective consultation used exclusively by respective doctors in care. The patient's communication terminal can transmit, through a communication network, such as the Internet to the control server, vital information that includes one or more of the patient's weight, blood pressure, the frequency of meals, the content of the meals, exercise or not exercise, hours of sleep, with the control server it comprises an input means to receive the vital information transmitted and enter it in a file of vital information, and a means of generation to generate the list by arranging the vital information in chronological series so that it can be compared with the temporal variation of the graph. According to this configuration, the vital information, in addition to the information of the main condition, the information of consultation and the like can be easily complemented and referred to when preparing a therapeutic plan or similar. The means for inputting the electronic diagram information can be implemented by transmitting data from the query terminal to the control server via LAN or WAN. In accordance with this provision, when a plurality of doctors are in service, as in the case of a general hospital, the respective doctors can enter necessary information in the electronic diagram from respective communication terminals used specifically by the respective doctors for the consultation. . The inquiry terminal may comprise an input means for entering the information written by hand in an image or coded form. In addition, the query terminal may comprise the audio input means and the image input means. According to these configurations, each of the doctors in service can respectively enter handwritten information for an electronic diagram, audio information, and image information when preparing an electronic diagram of his or her consulting terminal. Upon receiving a request, via a communication network such as a LAN, a WAN, or the Internet, to view the list or the respective information accumulated by the accumulation means of the inquiry terminal, the patient's communication terminal, and a communication terminal of an observer such as an inspection engineer, an office pharmacy clerk, an ambulance team, a paramedic, a doctor in service, or a doctor from another hospital, the control server can be configured to deploy the list of each of the information to be able to observe, within the authorized margin, the consultation terminal, the patient's communication terminal, and the observer's communication terminal, respectively. According to this configuration, the related persons other than the doctor in service or the patient can also observe the list and each of the information of the respective communication terminals within the authorized margin. The control server can be configured so that when leaving an IC card reader / writer connected to a communication terminal read the IC card carried by a person allowed to use the communication terminal which is one or more of the terminal of consultation, the patient communication terminal, and the observer communication terminal, the control server receives a signal requesting authorization through a communication network such as a LAN, a WAN, or the Internet and performs the authorization. In addition, the control server can be configured so that, by leaving the reader / writer connected to the communication terminal of an observer such as an ambulance team, a paramedic, or an in-service doctor read the IC card carried by the patient, and the IC card carried by the ambulance team, the paramedic, or the doctor in service, in case of emergency, the control server receives and authorizes a signal request authorization through a communication network such as a LAN , a WAN or the Internet, and displays at least the information of the history of the present ailment and the anamnesis so that they can be observed with the communication terminal of the observer. According to these configurations an IC card can be used for authorization. Particularly, even in the case where the patient's condition does not allow him to explain his medical condition, the ambulance team, the paramedic, or the doctor in service can obtain the information of the patient's history of the present ailnesis and the anamnesis. In order to be able to solve the aforementioned problems, the electronic medical information program according to the present invention is characterized in causing, for the purpose of introducing electronic medical information, a computer that functions as: a means of entry to enter a condition information main information file in the patient's main condition, and to enter a query information in the doctor's information file; a means of accumulation to accumulate the information of the main condition entered in the information file of the main condition and the information of consultation entered in the file of information of consultation; a means of calculation to calculate, for the purpose of marking with respect to each date of consultation, the last information of the main condition entered and the information of consultation, and the information of the past main accumulated condition and the information of consultation, respectively; a generation means for automatically generating, based on the calculated markers, a list by which the temporal variation of the main compliance information and the query information can be observed. In addition, for the purpose of introducing electronic medical information, the electronic medical information program may cause a computer to function as a means of deployment to display the list. For the purpose of introducing electronic medical information, the electronic medical information program may cause a computer to function as: a means of entry for entering electronic chart information; a generation means for generating an electronic diagram from the electronic input diagram information; a storage medium for storing the electronic diagram generated in an electronic diagram file; a reading means for establishing / displaying the link buttons associated with the electronic diagram file in the list and reading, by pressing any of the link buttons, the electronic diagram from the electronic diagram file; and a means of deployment to display the electronic diagram which has been read in order to be observed. For the purpose of introducing electronic medical information, the electronic medical information program may cause a computer to work with: a reading means to read, from the electronic diagram file, one or more of the information regarding the inspection , treatment, dosage, and injection / instillation; a means of accumulation to accumulate the information that has been read; a means of reading to establish / display a link button for each information in the list when the means of list generation arranged to the temporal variation of each of the information accumulated in chronological series so that it can be compared with the temporal variation of the graph, and to read the corresponding information accumulated by the accumulation medium with the pressure of any of the link buttons; and a means of deployment to display the information that has been read in order to be observed. For the purpose of introducing electronic medical information, the electronic medical information program may cause a computer to function as: a means of storage to store, in a conventional diagram file, the conventional diagram converted into an electronic document format that reproduces precisely the original image; a reading means for reading, with the request to view the conventional diagram file, a conventional diagram requested to be observed from the conventional diagram file; and a means of deployment to display the conventional diagram that has been read to be observed. For the purpose of introducing electronic medical information, the electronic medical information program may cause a computer to function as: a means of accumulation to accumulate information corresponding to the electronic diagram of the information recorded in the conventional diagram file by means of accumulation; and generation means to generate the list by arranging the temporal variation of each information of the conventional diagram arranged in chronological series so that it can be compared with the temporal variation of the graph. For the purpose of entering electronic medical information, the electronic medical information program can cause a computer to function as: a means of entry to receive, with the transmission of vital information that includes at least one or more of the patient's weight, blood pressure, frequency of meals, content of meals, exercising or not, sleeping hours, from the patient's communication terminal to the computer through a communication network such as the Internet, the vital information transmitted and entering it into a file of vital information; and a means of generation to generate the list by arranging the vital information in the chronological series so that it can be compared with the temporal variation of the graph. In order to solve the aforementioned problems, the computer-readable recording medium according to the present invention is characterized in that it stores any of the electronic medical information programs.

Effect of the Invention As is apparent from the above descriptions, since the electronic medical information system according to the present invention allows the observation of temporal correlation between the patient's main condition and the results of the doctor's interview for the patient's main condition , the doctor can see necessary information in a single screen without looking at the diagrams, results of the prescription and inspection in the past when consulting a patient so the appropriate and fast medical service can be promoted. As a result, the consultation time can be reduced as well as avoiding the excessive search of the patient's main condition, so an effect of avoiding medical errors can also be expected. Furthermore, according to the system, since the handwritten diagrams are accumulated, that is, conventional diagrams that exist before introducing the system can also be accumulated without discrimination, an integrated administration including conventional diagrams can be performed. Furthermore, since the diagrams generated by the system are difficult to falsify and the recorded audio data of conversation with the patient and the image data such as diagrams are recorded, they can be used as evidence of objective in litigation in relation to medical malpractice that are often occurring in our day.

BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 illustrates a configuration of an electronic medical information system in accordance with the present invention. Figure 2 illustrates an exemplary initial screen display when accessing the system according to the present invention. Figure 3a illustrates an exemplary presentation of a first screen (interview sheet) when the main condition information is entered. Figure 3b illustrates an exemplary presentation of a second screen (interview sheet) when the main condition information is entered. Figure 3c illustrates an exemplary presentation of a third screen (interview sheet) when information on the main condition is entered. Figure 4a illustrates an exemplary presentation of a first screen (interview list) when entering query information. Figure 4b illustrates an exemplary presentation of a second screen (interview list) when entering query information. Figure 5a illustrates a first exemplary presentation of the electronic diagram entry screen when entering electronic diagram information. Figure 5b illustrates a second exemplary presentation of the electronic diagram entry screen when entering electronic diagram information. Figure 5c illustrates a third exemplary presentation of the electronic diagram entry screen when entering electronic diagram information. Figure 5d illustrates a fourth exemplary presentation of the electronic diagram entry screen when entering electronic diagram information.

Figure 6a illustrates an exemplary presentation of a table screen listing disease names (personalized). Figure 6b illustrates an exemplary presentation of a table screen listing the names of diseases (in the order of the Japanese alphabet). Figure 7 illustrates an exemplary presentation of a handwriting input screen. Figure 8 illustrates an exemplary presentation of an inspection search results screen. Figure 9 illustrates an exemplary presentation of a table screen that lists the names of treatments. Figure 10a illustrates an exemplary presentation of a table screen that lists the names of medicines. Figure 11 illustrates an exemplary presentation of the conventional diagram screen. Figure 12a illustrates an exemplary presentation of a database revision screen. Figure 12b illustrates an exemplary presentation of a list of the progress graph screen.

Explanation of the Reference Numbers 1. control server 2 LAN / WAN 3. consultation terminal 4. Internet 5. patient communication terminal 6. communication terminal of another hospital 7. communication terminal of an emergency hospital 8. communication terminal installed in an ambulance 11. electronic diagram file 12. conventional diagram file 13. main condition information file 14. vital information file 15. query information file 16. databases 17. generation units database review Best Modes for Carrying Out the Invention Figure 1 shows an example of the configuration of the system according to the present invention. The number 1 indicates a control server that performs mainly the tasks of transmitting and receiving diverse medical information up to / from other communication terminals, making and storing medical information in a file, creating a database of medical information, and generating a list of data, according to the database. The control server 1 can be used directly by a doctor of private practice for example as an input / output unit for each of the following medical information, however, when there is a plurality of doctors, it has one or more consultation terminals 3. connected to it as client terminals for respective doctors in service through a LAN / WAN 2 in hospital. The inquiry terminal 3 in the present embodiment has a terminal unit 31 with a liquid crystal tablet 32 for entering the handwriting, an input pen 33, a microphone 34 for audio input, and a camera 35 for the image shot connected to it. The consultation terminal 3 is not limited to the present modality provided since it has the ability to enter manually and output medical information, handwriting input, audio input, image input. An electronic diagram of each patient generated by entering relevant information from the consultation terminal 3 through the LA / WAN 2 is stored in an electronic diagram file 11 within the control server 1. The inquiry terminal 3 comprises, as described above, a communication terminal 31 that includes a display unit, with a liquid crystal tablet 32, a microphone 34, and a camera 35 connected thereto. The liquid crystal tablet 32 has a pen 33 input connected to it. If a doctor enters characters and the like in the handwriting on the liquid crystal tablet 32 using the input pen 33 when an electronic diagram is generated, the input data in the handwriting will be recorded in an electronic on-site diagram. In the present embodiment, although a case has been described where the input handwriting data is with images and is recorded in an electronic on-site diagram, the input handwriting data can be encoded to register in the electronic diagram. In addition, if the conversation between the doctor and the patient is recorded with the microphone 34, or a diagram made by the doctor for the patient, for purposes of explanation, photographs with a camera 35, the recorded audio data and the data of the patient are recorded. photographed images will be recorded as part of the electronic diagram of the communication terminal 31 via LAN / WAN 2. Conventional diagrams such as those of handwriting are introduced which existed before the system according to the present invention, they will be stored in a conventional diagram file 12 within the control server 1, after becoming an electronic document format such as pdf, which can reproduce the original image precisely. The control server 1 is also connected to the external client terminals via the Internet 4, that is, the communication terminals for observers as a communication terminal 6 of another hospital, a communication terminal 7 of an emergency hospital, and a communication terminal 8 installed in the ambulance, as well as the patient communication terminal 5. Note that, the patient communication terminal 5 may have a reader / writer 52 and an IC card 51 connected thereto. In this case, the IC card 51 can be connected to the control server 1 when reading with the reader / writer 52. The information of the main condition and vital information is transmitted to the control server 1 from the patient communication terminal 5 by means of the Internet 4. Here, the information of the main condition is the information regarding the symptoms reported by the patient, and the vital information is the information of the data recorded by the patient on predefined elements (for example, weight, hours that sleep , content of meals). The control server 1 stores the information of the main condition received and the vital information in a file 13 of information of the main condition and a file 14 of vital information, respectively. In addition, the information of the main condition can be entered by a patient who visits the hospital from a dedicated terminal in a hospital (not shown) or entered as handwritten interview data by a nurse or a doctor according to the direct interview to the patient, then it is stored in file 13 for information on the main condition. On the other hand, the query information is entered from the query terminal 3 and stored in a query information file 15 of the control server 1 via the LAN / WAN 2. Here, the query information means the information with relationship to the result of the doctor's interview with the patient. The control server 1 extracts the data from the electronic diagram file 11, the main condition information file 13, the vital information file 14, and the query information file 15, and accumulates each of the data on a basis 16. Please note, for example, that the data in file 12 of the conventional diagram is entered directly into the database 16 of the control server 1 or the consultation terminal 3 by an operator. The control server 1 generates a database revision and uses a database revision generation unit 18 based on each of the data accumulated in the database 16. In this time, the calculation unit 17 mark calculates, from the information of the main condition and the information of consultation, a mark according to the degree of symptom and provides the result in calculation towards the unit 18 of generation of revision of database. The control server 1 can be connected to the patient communication terminal 5 via a communication network 4 such as the Internet. The patient communication terminal 5 may have a reader / writer 52 and an IC card 51 connected thereto as described above. In this case, the IC card 51 can be connected to the control server 1 to be read by the reader / writer 52. In addition, the control server 1 can also be connected to the communication terminals for the observers such as a communication terminal 6 from another hospital which is different from the one to which the attending physician belongs, a communication terminal 7 of an emergency hospital, or a communication terminal 8 installed in the ambulance, through the communication network 4. Particularly, even in the case where the patient's condition does not allow him to explain his medical condition, the necessary information for emergency care from the patient's history of the disease that can be obtained since the patient is carrying IC card 51, when reading the IC card 51 and the IC card of the ambulance team, the paramedic or the doctor in emergency hospital service with a reader / writer (not shown) installed in the emergency hospital 7 or the ambulance 8. Here, a portable terminal can be used in the communication from the communication terminal 7 installed in the ambulance and, in this case, the ambulance 7 and the communication network 4 can be connected through a mobile communication network (not shown). The control server 1, with the reception, of the query terminal 3, a request to view the database revision generated by the database revision generation unit 15, deployed in the terminal's deployment unit 3 of consultation. The details of each of the data accumulated in the database 16, the electronic files stored in the electronic diagram file 11, the conventional diagrams stored in the conventional diagram file 12, the information of the main condition stored in the file of information of the main condition, and the vital information stored in the vital file 14 can also be accessed from the database review displayed in the terminal 3 deployment unit of consultation. In addition, the database review can be observed from the patient communication terminal 5, and the communication terminals for observers such as the communication terminal 6 of another hospital, the communication terminal 7 of an emergency hospital, and the communication terminal 8 installed in the ambulance, within an authorized range. Incidentally, the vital information and the main condition information can also be seen from the patient communication terminal 5. Figure 2 illustrates an exemplary display of an initial screen 101 when accessing the system according to the present invention from the control server 1, the patient communication terminal 5, and the communication terminals for observers such as the terminal 6 of communication from another hospital, the communication terminal 7 of an emergency hospital, and the communication terminal 8 installed in the ambulance. In this example, a card number entry field 101a and a password entry field 101b are provided. In the card number entry field 101a, a returning patient is supposed to enter an assigned query card number and the personnel belonging to the facility (such as the attending physician, the pharmacologist and the care team). administration) is supposed to enter its name, from an input device (for example, by the mouse or keyboard, itself after that) of each communication terminal. The initial screen 101 is not limited to the previous arrangement, since security is guaranteed against access to diagrams or the like, which have personal information recorded therein. Incidentally, when it is accessed with the IC card 51, the screen jumps directly to the one which is desired to be displayed. After the card number and password are entered, and a login button 101c is specified (for example, click on the mouse, it closes itself afterwards) from the input device of each communication terminal as a screen (not shown) is displayed to select a desired item to be accessed such as the database revision, the electronic diagram, and the vital information. Then, if a person checks an item that they want to access, a screen for the desired item will be displayed. Figures 3a, 3b and 3c are an exemplary display screen (interview sheets) when information of the main condition is entered from the patient communication terminal 5 or the consultation terminal 3. The entry of information of the main condition here then is stored in the information file 13 of the main condition in the control server 1. The first screen 131 of the interview sheet of Figure 3a displays the patient's name (Hanako Osaka) and the entry date 131a (03/10/2003). The first question "Q: is it displayed Do you feel pain somewhere today?", under which a table 131b is displayed showing the names of the regions of the body. The patient selects and specifies, from the input device of the patient communication terminal 5, one or more check buttons of the regions that give pain to the patient, between the regions displayed in Table 131b. This case shows that the check buttons of the face, the left shoulder and the stomach are selected. Subsequent to the specification mentioned in the foregoing, the buttons for checking the corresponding regions in the simulated human body displayed on the right side of the screen, as shown in Figure 131c, are also automatically specified. When the answers (specifications of the check buttons) to the first question are given, an arrow 131d that points on the second screen is specific to advance to the next screen. Figure 3b is a second exemplary screen 132 displayed by specifying the arrow 131d of toward the second screen of Figure 3a. In the second screen 132, the sections with respect to each of the plurality of regions specified in the first screen 131 are questioned in greater detail. In the present embodiment, a screen requesting the detailed section on the face is shown. In this way, a question "Q: unfolds, What part of your face hurts?", Under which a table 132a is displayed showing the names of the regions of the face. The patient selects and specifies from the input device of the patient communication terminal 5, one or more check buttons of the regions that give pain to the patient, between the regions displayed in table 132a. In the present modality, the forehead, the left one hundred, and the jaw are shown as specified. Subsequent to the specification mentioned in the foregoing, the check buttons of the corresponding regions on the simulated face displayed on the right side of the screen, as shown in Figure 132b, are also specified automatically. When the answers (specification of the check buttons) to the previous question are given, an arrow 132c indicating the third screen is specified to advance to the next screen. Figure 3c is a third exemplary screen 133 displayed by specifying arrow 132c to the third screen of Figure 3b. The third screen 133 asks the questions about the degree of pain and the duration of continuous pain for each of the regions of the face specified in the second screen 132. That is, a question "face: unfolds. How much does it hurt? Since when? ", Under which names of the specified face regions are displayed. In this case, "the forehead, the right temple, the jaw" are displayed according to the elements specified in the second screen. For each of the regions, a pain degree input field 133a and pain duration input field 133b are displayed. In this example, there are three alternatives "pain slightly", "hurts" and "pain terribly" for the pain level input field 133a, of which a corresponding test button is specified from an input device of terminal 5 of patient communication. In the present modality, a state is shown where "hurts" is selected for all regions. The selected degree of pain will be marked as described in the following. The pain duration entry field 133b is divided into three categories according to the length of duration, each of which takes the form of a drop-down menu. In the present modality, the first category is a period of "between this morning and 4 to 5 previous days" and the selected period is displayed (not shown) to specify "from this morning", "a day ago", "for two days "," three days ago "," four days ago ", and" five days ago ", the corresponding buttons on the right side. The selection can be made in a similar way for the second category which is a period between one week and several months before, and the third category which is a period of between 6 months and 10 or more years before, as with the first category . Subsequent to the selection of respective regions in the input field 133b of the duration of pain, an arrow 133c is specified which points to the next region display screen.

When the arrow 133c is specified to the next region display screen, similar processing will be performed for the regions other than the face selected in Figure 3a, particularly the left shoulder or the stomach, as with Figures 3b and 3c. Figures 4a and 4b are exemplary display screen (interview list) when entering the query information from the consultation terminal 3. The query information which is entered here will be stored in the query information file 15 on the control server 1. A sliding bar 150a is provided on the right side of the first screen 151 of the interview sheet of Figure 4a, from which the observer can move to the second screen (Figure 4b) by dragging sliding frame 150b with the Mouse or when pushing the arrow 150c slide down with the mouse. On the left side of the first screen 151 of the interview sheet, a display field 151a is provided for the serving doctor (in this example "Naniwa University Hospital, Taro Kobe"), a display field 151b for the code of the patient / patient name (in this example "Hanako Osaka"), a major disease name display field 151c (in this example "Chronic sinusitis, diarrhea"), a display field 151d for the date of the interview (in this example "3.10.2003.") and a button display field 151e and question selection (in this example, Ql to Q19) • Interviews by doctors can generally have a certain model according to their medical specialty such as internal medicine, surgery, otolaryngology or similar. Thus, the question selection button display field 151e can be provided with pre-defined questions as a standard feature, for example, and customized according to the doctor's request if you want a question to be added or deleted from the question. standard feature. The doctor only has to select the necessary questions according to the main condition of the patient or similar of the 151e field of question selection button display. The selection can be made between the alternatives (in this case, Q1 to Q19) on the question selection button display field 151e of the input device of the inquiry terminal 3. In the present embodiment, an exemplary display screen is shown where "Q1" and "Q2" are selected in Figures 4a and 4b respectively. Question 151f of "Ql" in Figure 4 is "Do you feel any pain somewhere?" . Deployment 151g of pain region unfolds in the present modality, "the face", "the neck", "the shoulder" and "the chest". Each element in the pain region display 151g has a detailed display field 151h provided thereto. The detail display field 151h is a field for displaying the location, in additional detail, for each of the regions displayed in the 151g region display, where, for example, there are nine elements to be displayed in detail, of "the region of the wall. "to" the mental region "on the" face ". Under each item displayed in detail display field 151h, a field for selecting the duration of pain is provided in the form of a drop-down menu. Thus, by specifying a button on the right side of this field, a period alternative is displayed (not shown) and a period is displayed in this field when a corresponding period is selected. For example, in the present modality, "since a month ago" is displayed as selected for "the frontal region of the head" of the detail display field 151h. In the next period selection field, a field 151i is provided to enter a specific period. If there is no corresponding period in the alternatives in the drop-down menu of the period selection field, a specific period can be entered directly from the input device in field 151i to enter a specific period. For example, in the present modality, a period "for seven months" enters the field 151i to enter the period for which the pain is lasting for the "oral region" of the 151h field of detail display. Corresponding to each of the displayed elements of detail display field 151h, a query evaluation field 151j is provided adjacently. Each of the displayed elements of the query deployment field can be evaluated in four ranges: "-", "±", "+" and "++". In other words, the corresponding medical condition among the four ranges for each of the displayed elements can be selected and specified with the query terminal 3. For example, in the present modality, a state is shown where "+" is specified for the "frontal region". Each of the selected evaluation will be marked as described in the following. Note, that an icon that allows the transfer to another page is provided in the upper right part of the screen. In this embodiment, an icon 15O representing the interview sheets, an icon 150j representing the electronic diagrams, a 150k icon representing the database view, an icon 1501 representing the conventional diagrams, and an icon is provided. 15Om that represents the top page, but are not limited to those icons. The second screen 152 of the interview sheet of Figure 4b displays a question 152a of "Q2", ie, "Do you feel itching anywhere?" . Since the arrangement of the screen is similar to that of Figure 4a, the description of each element is omitted. Figures 5a to 5d are the entry screen of the exemplary electronic diagram when entering the electronic diagram information from the query terminal 3. A sliding bar 110a is provided on the right side of the first input screen 110 of the electronic diagram of Figure 5a, from which the observer can move around the second to the fourth screen of Figures 5b to 5d by dragging the sliding box 110b, with the mouse, or pushing arrow 110c to slide down with the mouse. On the left side of the first input screen 110 of the electronic diagram, a doctor deployment field HOd is provided in service (in this example "Naniwa University Hospital, Taro Kobe"), a patient name display field llOe / patient code (in this example "Hanako Osaka"), a main disease name display field HOf (in this example "chronic sinusitis, diarrhea"), a field for displaying electronic diagram elements (in this example "name of the disease", "primary condition / history of the current medical condition", "history", "history of the family members", "findings", "inspection", "treatment", "dose", "injection "," following-reservation "and" comments "). Incidentally, the observer can move to the location of each element by clicking on each element in the field 11Og of displaying electronic diagram elements with the mouse. An icon HOh menu is displayed on the upper right side of the screen. Since the content of the menu is similar with the menu of the icon of Figure 4a, this description is omitted. By selecting a disease name from the disease name selection field provided in the form of a drop-down menu in the disease name field group 111, the selected disease name is displayed in the disease name display field lllb . In the present embodiment, an example is shown where "chronic sinusitis" and "diarrhea" are deployed in the field of disease name deployment. Here, the drop-down menu of the disease name selection field may be customized by respective hospitals or doctors using this system, to select from the table listing disease names shown in Figures 6a and 6b. As shown in Figure 6b, a drop-down menu to select a Japanese alphabet and a drop-down menu to select an alphabet are provided under the "list of disease names" at the bottom of the screen. In the present embodiment, an exemplary screen is shown where the Japanese alphabet is' selected. Returning to Figure 5a, a major disease display box lile is provided to indicate the main disease when a plurality of disease names is displayed in the next disease name display field lllb. In the present modality, the box is set to unfold the current and previous major disease, which shows "chronic sinusitis" is the main disease for amabas occasions. Incidentally, in the present modality, although two disease names are displayed, more disease names can be displayed by clicking the llld additional element button with the mouse. A main complement selection field 112a is provided in the main complement / history field group 112 of the present condition so that the main condition can be selected in the form of a drop-down menu. This uses a table of the main condition (not shown). In the present modality, "congested nose" and "abdominal pain" are deployed in the field 112a of selection of the main condition. Close to the main condition selection field 112a, a field 112b for displaying audio information is provided in which the conversation between the serving doctor and the patient is recorded. The audio information displayed in this audio information display field 112b is recorded with a microphone 34. The audio recorded with the microphone 34 is converted into text information and is displayed by the audio information display field 112b. The audio information can be reproduced with the click of the mouse on the audio playback button 112c. Here, the main condition selecting field 112a and the audio reproduction information display field 112b correspond to the name of the disease displayed in the disease name display field IIIb. That is, in the present modality, "congested nose" of the field 112a of selection of the main condition and "I have a stuffy nose" of the field 112b of displaying audio information corresponding to "chronic sinusitis" of the field of name deployment lllb of disease. In addition, "abdominal pain" of field 112a of selection of the main condition and "I go to the bathroom five times a day" of field 112b of display of audio information corresponds to "diarrhea" of the field lllb display of disease name. A symptom evaluation field 112d for marking the symptom grade is provided near the audio information display field 112b. The doctor in service is supposed to ask about the condition of the patient directly and evaluates the interview result in four ranges "-", "+", "+" and "++" • The doctor in service only has to click on the position of the grade of evaluation with a mouse or similar In the present modality, an evaluation of "+" is provided for the two main conditions "I go to the bathroom five times a day" and "My nose is blocked". the information of the main condition which has been preliminarily entered using the patient communication terminal five or similar, the patient's main condition can be understood more precisely by the doctor in service who has a conversation with the patient, listening to the patient's main condition , and recording it in the electronic diagram, in addition, if there is a main condition of the patient different from the main condition that corresponds to the name of the disease after In the field Illness of Disease Name Display, the content of the additional major condition can be displayed at the entry of the main condition in the field 112e of the display of the additional major condition. In the present modality, a main complaint "Itching of the foot: global redness and tingling" is added. The doctor in service can describe the particular observation, if any, about the history of the present condition in the 112f history field of the present condition. The description in the history field of the present condition can be edited by clicking the 112g handwriting editing button with the mouse to display a handwriting entry screen shown in Figure 7, and handwriting the description on a liquid crystal tablet 32 with the input pen 33. After the entry of the handwritten description is finished, a term button in the lower right part of Figure 7 is clicked with the mouse, and after the handwritten description is entered it is displayed in the 112f field of history of present ailment. To erase the written description by hand, a delete button in the lower right part of Figure 7 can be clicked with the mouse. The present disease condition field 112f may display handwritings with unchanged images or as coded type fonts after conversion by means of a handwriting input device. If it is displayed as a handwriting, it is effective to avoid further manipulation. Returning to Figure 5a, group 113 of the anamnesis display field displays the patient's antecedent that existed before going to consultation. The disease name selection field 113a in the anamnesis display field group 113 takes the form of a drop-down menu similar to that of the disease name selection field Illa, to select a disease name from the table that lists the disease names shown in Figures 6a and 6b. The selected disease name is displayed in the disease name display field 113b. In the present modality, "nutans epilepsy" and "duodenal ulcer" are deployed. To the immediate right of the disease name display field 113b, a date field 113c is provided to enter the dates on which the respective background had been completely cured. In the present modality, the dates "09/03/1995" for the "epilepsy nutans" and "13/05/2002" for the "duodenal ulcer". Incidentally, the element addition button 113d can be clicked with the mouse to add an element in the anamnesis display field 113. The field group 112 of the main condition / history of the present condition and the group 113 of field of history display can be arranged to be accessible from, for example, the communication terminal 7 of an emergency hospital, and the terminal 8 of communication installed in an ambulance. When an emergency patient's condition does not allow him to explain his medical condition, the ambulance team, the paramedic or the doctor in emergency hospital service can take appropriate measures when observing the information described in group 112 of the main condition field / history of the present disease and group 113 of anamnesis field of deployment. The family history field group 114 displays the background of the family members. The family history display field 114a describes the relationship of the family members with the patient, and their respective history, age and the like of each of them. In addition, a mark indicating each family member is displayed on the left side of each relationship. In the present modality, where the patient's mother is taken as an example, a mark is indicated in a black circle with a description "he died at 79 in 2002". A family tree 114 is deployed using the indicated mark for each family member in the family history display field 114a. To change the familiar tree 114b, an edit button 114c can be clicked with a mouse to display an editing screen (not shown). Here a simplified display button 114d can be clicked with a mouse to display only the relative's tree 114. Group 115 of the field of observations includes a field 115a of display of observations that displays the observations of the doctor in service. In the present modality, a hand-written by the doctor in service is photographed with a camera 35, and then taken on the electronic diagram. An observation creation date field is provided on the lower left side of the observation display field 115a. In the present modality, the date of creation of the observations "10.09.2003". To edit the displayed content of the observation display field 115a, a group 115c of editing can be clicked with a mouse to display an editing screen (not shown). In addition, an element editing button 115d can be clicked with a mouse when adding to the observation display field 115a. An inspection field group 116 is arranged so that the inspection history that has been made up to now can be investigated. In the present embodiment, the elements to be investigated are divided into an image inspection search field 116a and a general inspection search field 116b. The respective search elements are arranged for investigation by specifying "name of the inspection", "inspection ID", and "date". An exemplary search results in screen display when the "inspection name", "inspection ID" and "date" are specified and a search button 116c is clicked with the mouse shown in Figure 8. Figure 8 shows a search result of "pharynx photography" for "inspection name", "9A887C6D5E4F321" for the "inspection ID" and "06/08/2003" for "date", and a search result of "lightning" X of the head "for" inspection name "," 123ABC456DEF789"for" Inspection ID "and" 08/15/2003"for" date ". By clicking on the screen display button provided on the right side of the respective search results with the mouse, the photograph of the pharynx, X-ray of the head and the like are displayed on the screen (not shown). Incidentally, in the lower right part of the screen, a field and a search button are provided to specify "inspection name", "inspection ID" and "date" so that some other type of inspection can be performed from the screen of the search results of Figure 8. If an addition of a search element is desired, an element addition button 116d can be clicked with the mouse. Since the image data such as X-ray or CT scan can be efficiently referenced simultaneously with other elements described in the electronic diagram by recording the inspection field group 116 as part of the electronic diagram, judging the inspection results that show the specificity of the internal organ, discover or trace abnormal shadows can be performed smoothly. In a treatment field group 117, selecting a treatment name from a treatment name selection field 117a in the form of a drop-down menu displays the selected treatment name in a treatment name display field 117b. In the present embodiment, an example is shown in which "nose treatment" and "nose nebulizer (vestron)" are deployed in field 117b of the treatment name display. Here, the drop-down menu for the treatment name selection field 117a is created by selecting from a table that lists the names of the treatment as shown in Figure 9. The present embodiment, an exemplary table of treatment names for the otolaryngology department is shown. To display a table of treatment names for other departments, the drop-down menu of the treatment list at the bottom of the screen can be clicked and selected. The marks presented adjacent to the respective treatment names of Figure 9 are security marks. Thus, for example, the control server 1 can be configured to automatically calculate the security mark using these security marks. Immediately to the right of field 117b of display of the treatment name, a remark field 117c is provided in which the individual remarks in relation to the treatment can be described. In the present embodiment, an example is shown where "inspection required at the next visit" is described for "nose treatment" of field 117b of the display of the treatment name. If a treatment element is furthermore desired, an element addition button 117d can be clicked with the mouse. A dose field group 118, by selecting a medicine name from a medicine name selection field 118a in the form of a drop-down menu, a name of the dosed medicine is displayed in a medicine name display field 118b . In the present embodiment, an example is shown in which "Flomox" "Transamin" "Miya-BM" are displayed in the field of deployment 118b of the medicine name. Incidentally, the drop-down menu of the medicine name selection field 118a is created by selecting from a table that lists the medicine names as shown in Figures 10a and 10b. In the present modality, an exemplary table of treatment names for the otolaryngology department is shown. To display a table of treatment names for other departments, a drop-down menu of the treatment list at the bottom of the screen can be clicked and selected. Immediately to the right of the medicine field display field 118b, a prescription drug amount field 118c is provided, a dose display field 118d per day, and a prescription day number display field 118e. . In the present embodiment, with the medicine name "flomox" taken as an example, "3T" in the prescription amount display field 118c, "3 times" in the dose deployment field 118d per day, and "3 times" days "in field 118e of display of number of prescription days are shown, respectively. Here, if in addition to a treatment element is desired, an element addition button 118f can be clicked with the mouse. In an injection / instillation field group 119 when selecting a treatment name of a field of injection name / instillation field 119a in the form of a drop-down menu, the name of the selected medicine is displayed in a deployment field 119b of name of injection / instillation. In the present embodiment, an example is shown where "Isebacin" and "physiological saline" are shown in field 119b of the name injection / instillation display. Here, the drop-down menu of the injection / instillation name selection field 119a is created by selecting from a table that lists the names of medicines as shown in Figures 10a and 10b. In the present modality, an exemplary table of treatment names for the otolaryngology department is shown. To display a table of treatment names for other departments, the drop-down menu of the treatment list at the bottom of the screen can be clicked and selected. Immediately to the right of the injection name / instillation display field 119b, a prescription amount display field 119c of the medicine and an injection method display field 119d are provided. In the present embodiment, with the medicine name "Isebacin" taken as an example, "200 mg" in the field 119c of display of prescription amount and "intravenous injection" in the field 118d of deployment of the injection method are shown, respectively. Here, if a treatment element is furthermore desired, an element addition button 119e can be clicked with the mouse. With respect to the instillation, a field of deployment of dilution solution 119f, a field 119g of deployment of constituent (content), and a field 119h of displaying a quantity of dilution solution and a quantity of content are provided. In the present modality, "Solitaire T-3" in field 119f of display of dilution solution, "Broact", "Solu-Cortef", "Ropion" and "Transamin-S in field 199g of constituent deployment (content) is displayed respectively, while "500cc" for dilution solution and "2g" for Broact are displayed in field 119h of display of amount of dilution solution and amount of content A field 120 of display of next reservation displays a date and time of the next patient reservation In the present modality, an example is shown where "03.10.12 13: 00-" is displayed for the date and time of the next reservation.With the deployment of the data and the time of the next reservation, the date is automatically described on the list (eg, along the horizontal axis in the case of the aforementioned chart.) A comment field group 121 includes a handwriting editing button 121a and a deployment field 121b. of comment. click on the handwriting editing button 121a with the mouse, a handwriting input screen as shown in Figure 7 is displayed, allowing editing by handwriting on the liquid crystal tablet 32 using the 33 input pen. After the handwriting of the input elements is completed, a completion button in the lower right part of Figure 7 is clicked with the mouse to display the handwriting input elements of the deployment field 121b of comment. To delete the description of the handwriting input elements, the delete button in the lower right part of Figure 7 can be clicked with the mouse. The handwriting input device may display handwriting such as images without any change or as sources of coded type, similar to the case of field 112f of present ailment history. Figure 11 illustrates an exemplary screen displaying a conventional diagram which becomes an electronic document format that precisely reproduces the original image, and is stored in the conventional diagram file 12 of the control server 1. Here, the conversion into an electronic document format that precisely reproduces the original image medium, for example, the conversion into the pdf format. The conversion in such a format avoids the easy manipulation of data from conventional diagrams. With a request for observation of the diagrams of a specific patient by the control server 1 or the consultation terminal 3, the electronic diagrams are read from the file 11 of the electronic diagram, and the conventional diagram is read from the conventional diagram file 12 as well. . Therefore, both types of diagrams of the specific patient can be read with the control server 1 or the consultation terminal 3. Incidentally, the control server 1 can be configured so that between the information described in the conventional diagram, those corresponding to the information of the electronic diagram are entered directly into the database 16 and the generation unit 18 of base revision of The data generates a time series list so that the combination of respective elements of the information input in the database 16 and the temporal variation of each information can be compared with the temporal variation of the graph. In this way, the information described in the conventional diagrams can also be reflected in the list, thereby reducing the workload due to double custody of conventional diagrams and new electronic diagrams when the electronic medical information system according to this invention is introduced in a hospital or similar that maintain conventional diagrams. Figure 12a illustrates a database revision screen 180. On the left side of the database review screen 180, a doctor deployment field 180a is provided in service (in this example "Naniwa University Hospital, Taro Kobe "), a patient code / patient name display field 180b in this example" Hanako Osaka "), a display field 180c of the main disease name (in this example" chronic sinusitis, diarrhea "). In the lower part of the main disease name display field 180c an 18Od image of the human body is displayed.In this 18Od image of the human body, the link buttons 180e (interview S) and 180f (interview 0) are displayed respectively in the region of the patient's main condition (interview S) and the region where the symptom indicated by the doctor's office (interview 0) are being developed, as will be described in the following. By clicking on the button 180e or 180f of the mouse link, the information of the main condition or the query information in relation to the region indicated by the link button 180e or 180f can be read from the database 16 for observation . In this way, due to the 18Od image of the human body, the development point can be taken on a single screen when a plurality of symptoms is developing, improving the visibility of the symptoms with this. In addition, since the database revision, the main condition information and the query information can easily be referred point by point using the 180e or 180f link button in the 180d image of the human body, it becomes possible to quietly view the information necessary when the therapeutic plan is prepared. In addition, although not illustrated, a schematic drawing of the focal region of the disease can be displayed on the 180d image of the human body. For example, in the case of lung cancer, in addition to the link buttons 180e and 180f which are deployed at the position of the lungs in the 18Od image of the human body, a schematic drawing of the lungs can be displayed in half tone, with the region of cancer inverted in the background. With the help of the deployment in the manner described above, a general review, on the screen 180 of reviewing the inspection result database such as X-ray or CT scan is facilitated, so that the medical condition can be had faster , improving visibility too. Here, the same unfolded focal region can be symbolized as a link button, which can be clicked with the mouse to display the actual X-ray image or the CT scan. At the bottom of the 18Od image of the human body, a field 18Og of patient code input is provided. The database revision of the patient corresponding to the patient code entered can be displayed when entering the patient code in the 180g patient code entry field. A menu 180h of icons is displayed in the upper right part of the database revision screen 180. The detailed description will be omitted because it is similar to that of the menu of icons of Figure 4a. A progress graph 181 is displayed under the menu 180h of icons. Progress graph 181 has a query date as the horizontal axis 181a and markers (aggregated markers of the degree of the symptom that have been entered as information of the main condition and aggregated markers of the degree of the symptom which are entered as query information) as the vertical axis 181b. The aggregation of the markers is done by transferring the respective symptom markers of the main condition information and the query information from the database 16 to the marker calculation unit 17, and adding them in the marker calculation unit 17. . Charts 181c and 181d of polygonal lines are made by connecting the aggregated markers for each query date. The series of tasks from the aggregation of the markers to the formation of the progress graph 181 are automatically executed in the database revision generation unit of the control server 1. Here, the field for the query date 09.24 is left blank. This indicates that although the following reservation information 120 has been entered into the electronic diagram, the patient did not actually appear on that date. The doctor determines the next reservation based on the therapy, the amount of prescribed medicine or the like. Therefore, the effect (such as the effect of the drug) expected in the therapeutic plan may not be obtained enough if the patient does not appear according to the reservation. In this way, the therapeutic plan has to be prepared again. In such a case, creating the 181 progress graph with the date not shown deleted can avoid taking the correct course of the main condition and the query, providing only insufficient information to help rethink the therapeutic plan. Therefore, it has been determined to leave the date not shown on the 181 progress graph. Note that, if the patient is receiving the query for a plurality of different diseases in about the same period, the polygonal lines of the progress graph 181 can be provided with different colors, for example, corresponding to the respective diseases so that the graph 181 of progress can be observed with the diseases that can be distinguished on the same screen (not shown). Since the progress graph 181 displays the latest data, it is impossible to display all progress since the beginning of therapy due to the limited space on the screen. In the present modality, with the number of days that can be displayed in the progress graph 181 which is 7 days, the progress graph 181 is configured so that a graph 181 of past progress can be observed also by clicking on the box 181e of sliding with the mouse. However, in the case of a therapy that lasts a long time, observing the graph 181 of past progress using the sliding box 181e is problematic and lacks visibility. In this way, a past data list display button 181f is provided to allow the viewer to move to a progress graph list screen 1811 shown in Figure 12b, by clicking the button with the mouse. At the bottom of the progress graph list screen 1811 a period entry field 1811a is provided. By entering the desired period to be observed within the period entry field 1811a and clicking the button 1811b of the list with the mouse, the progress graph of the desired period entry in the period entry field 181a can be displayed. Returning to Figure 12a, a dose display field 182 that displays the chronological series dose variation so that it can be compared with the time variation of the progress chart 181 is provided under the progress chart 181. A table 182a of dose variation of a field indicative dose display 182, in the present modality, a period of administration of each prescribed medicine according to the date of consultation in the graph 181 of progress with respective lines. Here, by clicking on a button 182b for observing dose information detail with the mouse, the dose information in the electronic diagram is read from the database 16 and the details of the dose information are displayed. Under the dose display field 182 an injection / instillation display field 183 is provided indicating the injection / instillation variation in chronological series so that it can be compared with the time variation of the progress graph 181. In the present embodiment, the injection / instillation variation table 183a of the injection / instillation display field 183 shows, with a marking (circle in white), the days in which the injections / instillations are made according to the date of the consultation in the 181 progress graph. Here, by clicking on the injection / instillation information detail observation button 183b with the mouse, the injection / instillation information in the electronic diagram is read from the database 16 and the details of the injection information / instillation unfold. Under the injection / instillation display field 183 a vital information display field 184 is provided which indicates the variation of the vital information in chronological series so that it can be compared to the temporal variation of the progress graph 181. A vital variation information table 184a of the vital information display field 184 displays measured values (not shown), respectively, according to the query date in the 181 progress graph. Here, by clicking on a vital detail observation button 184b with the mouse, the vital information is read from the database 16 and the details of the vital information are displayed. Under the vital information display field 184 an inspection display field 185 is provided which indicates the variation of the chronological series inspection information so that it can be compared with the time variation of the progress graph 181. In the present embodiment, a table 185a of inspection variation of the inspection display field 185 shows, with a mark (blank circle), the days in which the inspections are made according to the date of the consultation in the graph 181 of progress Here, by clicking on a button 185b for observing detail of inspection information with the mouse, the inspection information in the electronic diagram is read from the database 16 and the details of the inspection information The field of deployment of the main condition (interview S) indicating the variation of the main condition in chronological series is provided under the field of inspection display 185, so that it can be compared with the temporal variation of the graph 181 of progress.

In the present embodiment, a table 186a of variation of the main condition of field 186 of visualization of the main condition (interview S) displays the degree of the main condition evaluated by "-", "+", "+" and "++" for every day of consultation in the 181 graph of progress. Here, by clicking on a button 186b for observation of information detail of the main condition with the mouse, the information of the main condition is read from the database 16 and the details of the information of the main condition are displayed. Under field 186 of deployment of the main condition (interview S) a field 187 of deployment of the main condition is provided (interview S) indicating the variation of the main condition in chronological series so that it can be compared with the temporal variation of the graph 181 of progress. In the present embodiment, a query variation table 187a of the main condition display field 187 (interview O) displays the degree of the main condition evaluated by "-", "+", "+" and "++" for each day of consultation in the 181 graph of progress. Here, by clicking on a button 186b for observing detail of query information with the mouse, the query information is read from the database 16 and the details of the query information are displayed. The progress graph 181, the dose variation table 182a, the injection / instillation variation table 183a, the life variation information table 184a, the inspection variation table 185a, the main condition variation table 187a, the query variation table 187a of the database revision screen 180 is automatically generated in the database revision generation unit 18 when transferring its data from the database 16 to the revision generation unit 18 of database which in turn processes the data. Note that, in the present modality, the screen 180 of database revision comprises the dose deployment field 182, the injection / instillation deployment field 183, the vital information display field 184, the inspection deployment field 185, the deployment field 187 of the principal condition (interview S), field 187 of query deployment (interview S) to facilitate comparison with the temporal variation of the 181 progress graph, does not mean that it is limited to this provision with the condition that it does not deviate of the scope of the claims of the present invention. Thus, for example, the database revision screen 180 may include the progress graph 181 only, or alternatively, it may be comprised of the progress graph 181, the main condition deployment field 187 (interview S), and field 187 of query deployment (interview S). Incidentally, although the above description has been provided assuming that the invention is arranged as a system, it can be in the form of a program that can be installed on a computer, or a computer-readable recording medium that has the program recorded on it such as CD-ROM, MO or FD, for example, as long as the functionality can be performed on the computer. In addition, the program can be recorded on a program server or the like connected to a communication network, and read on a computer through the communication network, at the time of use, to be recorded on the computer or an external storage device and executed when is needed Industrial Applicability The present invention is available to generate and handle electronic medical information such as diagrams using a computer.

Claims (31)

1. NOVELTY OF THE INVENTION Having described the present invention, it is considered as a novelty and therefore the property described in the following claims is claimed as property. CLAIMS 1. An electronic medical information system that uses a computer to handle medical-electronic information such as diagrams, the electronic medical information system is equipped with a control server characterized because it comprises: a means of entry to enter, among the information written in the diagrams, information on the main condition of the patient in an information file of the main condition and to enter the information of the doctor's consultation associated with the information of the patient's main condition in a file of information of consultation; a means of accumulation to accumulate the information of the main condition and the information of the consul, - a means of calculation to mark, with respect to each date of consultation, the last information of the main condition and the information of consultation entered by the means of entry , and the information of the main condition and the past consultation information accumulated by the means of accumulation, respectively; and a generation means for automatically generating, based on the markers, a list by which a temporal variation of the main condition information and the query information can be observed. The electronic medical information system according to claim 1, characterized in that the control server comprises a deployment means for displaying the list that can be observed. The electronic medical information system according to claim 1 or 2, characterized in that the control server is configured to establish and display a table in which a plurality of respective symptoms and symptom degrees are selectively listed, and the of input of the main condition information and the query information automatically enter one or more symptoms and relevant symptoms degrees, in response to the user operation of selecting them between the table, in the information file of the main condition and the file of Query information, and where the means of calculation is configured to automatically calculate when adding relevant markers that correspond to the degree of the selected symptom, with each of the degrees of symptoms having a predefined marker assigned to it. 4. The electronic medical information system according to any of claims 1 to 3, characterized in that the control server is configured to display, together with the table, an image that simulates a human body with check buttons provided in main regions thereof, and when any of the symptoms is selected, the check button that corresponds to the region that is developing the selected symptom is automatically checked. 5. The electronic medical information system according to any of claims 1 to 4, characterized in that the list generation means is configured to automatically generate a graph by which the temporal variation of the markers calculated by the calculation means can be observed. 6. The electronic medical information system according to any of claims 1 to 5, characterized in that the list generating means is configured to present the markers calculated by the chronological series calculation means for respective symptoms of the main condition information and the query information so that it can be compared with the temporal variation of the graph . The electronic medical information system according to any of claims 1 to 6, characterized in that the control server comprises: a display means for displaying an image that simulates a human body together with the view and display, when the symptoms of the information of the main condition and the information of consultation are entered through the means of entry, link buttons in the region where the respective symptoms are being developed in the image that simulates the human body; a reading means for reading, from the information of the main condition or the query information accumulated in the accumulation means, each information of the region that displays the link button when the displayed link button is pressed; and a means of deployment to display each information that has been read in order to be observed. 8. The electronic medical information system according to any of claims 1 to 7, characterized in that the control server comprises a generating means for generating a list so that, when the patient is receiving consultation for a plurality of different diseases in about the same period, the respective diseases can be observed on the same screen in a way that can be distinguished. The electronic medical information system according to any of claims 1 to 8, characterized in that the control server comprises: an input means for entering electronic diagram information composed of one or more information regarding the name of the disease , main condition reported in the consultation, history of the present medical condition, anamnesis, background of the family members, doctor's observations, inspection, treatment, dose, injection / instillation, next reservation; a generation means for generating an electronic diagram based on the input information; a storage medium for storing the electronic diagram generated in an electronic diagram file; a reading means for establishing and displaying, in the list, a link button associated with the electronic diagram and reading the electronic diagram from the electronic diagram file when the link button is pressed; and a means of deployment to display the electronic diagram that has been read to be observed. The electronic medical information system according to any of claims 1 to 9, characterized in that the input means for entering the electronic diagram information is configured to enter handwritten information either in an image or coded form. 11. The electronic medical information system according to any of claims 1 to 10, characterized in that the input means for entering the electronic diagram information comprises: an audio input means, such as a microphone, for inputting audio information, and an image input means such as a camera for inputting information from image, and wherein the electronic diagram generation means generates an electronic diagram so that the audio information and the image information can be reproduced from the electronic diagram as part of the electronic diagram. 12. The electronic medical information system according to any of claims 1 to 11, characterized in that if the patient does not appear on the reserved day in the next reservation information that has been entered by the electronic diagram information entry means, the list generation means generates the list after deleting the field for the day. 13. The electronic medical information system according to any of claims 1 to 12, characterized in that the control server comprises: a reading means for reading, from the electronic diagram file, one or more of the information in regarding inspection, treatment, dosage, and injection / instillation; and an accumulation means for accumulating the information that has been read, and wherein the control server establishes / displays a link button for each information in the list when the list generation means provides for the temporal variation of each of the information accumulated in chronological series so that it can be compared with the temporal variation of the graph, reads the corresponding information accumulated by the accumulation medium by pressing any of the link buttons, and displays the information that has been read in order to be observed. The electronic medical information system according to any of claims 1 to 13, characterized in that the control server comprises: a storage means for storing, in a conventional diagram file, a conventional diagram converted into a document format electronic that reproduces precisely an original image; a reading means for reading, with the request to observe the conventional diagram file, a conventional diagram requested to observe the conventional diagram file; and a means of deployment to display the conventional diagram that has been read to be observed. The electronic medical information system according to any of claims 1 to 14, characterized in that, from the information recorded in the conventional diagram file, the information corresponding to the electronic diagram information is accumulated by the accumulation means according to claim 13, and the list generation means is configured to present the time variation of each conventional diagram information accumulated in chronological series so that it can be compared with the temporal variation of the graph. 16. The electronic medical information system according to any of claims 1 to 15, characterized in that the means of entry of the information of the main condition is implemented when transmitting the data, to that control server, from a communication terminal used by the doctor for consultation through an L7? N or WAN, or from the patient's communication terminal through a communication network such as the Internet. The electronic medical information system according to any of claims 1 to 16, characterized in that the means for inputting the query information is implemented when transmitting data from the inquiry terminal to the control server. 18. The electronic medical information system according to any of claims 1 to 17, characterized in that the patient's communication terminal transmits, through a communication network such as the Internet, vital information that includes one or more of the patient's weight, blood pressure, frequency of meals, content of meals, exercise or not, and the hours of sleep to the control server, with the control server comprising a means of entry to receive vital information transmitted and enter it into a file of vital information, and a means of generation to generate the list when arranging the vital information in chronological series so that it can be compared with the temporal variation of the graph. 19. The electronic medical information system according to any of claims 1 to 18, characterized in that the means for inputting the electronic diagram information is implemented when transmitting data from the query terminal to the control server via a LAN or WAN. 20. The electronic medical information system according to any of claims 1 to 19, characterized in that the query terminal comprises an input means for entering information written by hand in an image or encoded form. 21. The electronic medical information system according to any of claims 1 to 20, characterized in that the query terminal comprises audio input means and image input means. 22. The electronic medical information system according to any of claims 1 to 21, characterized in that, upon receipt of a request, by means of a communication network such as a LAN or WAN, or the Internet, to view the list or information accumulated by the accumulation means of the inquiry terminal, the terminal of patient communication, and a communication terminal of an observer such as an inspection engineer, a distribution pharmacy clerk, an ambulance team, a paramedic, a service doctor, or a doctor from another hospital, the control server it is configured to display the list or each information that can be observed, within the authorized range, from the consultation terminal, the patient communication terminal, and the observer communication terminal, respectively. 23. The electronic medical information system according to any of claims 1 to 22, characterized in that the control server is configured such that, when leaving a reader / IC card writings connected to a communication terminal, reading the IC card carried by a person authorized to use the communication terminal which is a or more than the consultation terminal, the patient communication terminal, and the observer communication terminal, the control server receives a signal requesting authorization through a communication network such as a LAN, a WAN, or the Internet and performs the authorization. 24. The electronic medical information system according to any of claims 1 to 23, characterized in that the control server is configured such that by letting the reader / writer connected to the communication terminal of an observer such as an ambulance team, a paramedic, or a service doctor read the IC card. carried by the patient and the IC card carried by the ambulance team, the paramedic, or the service doctor, in case of emergency, the control server receives and authorizes a signal that authorization is requested through a communication network such as a LAN, a WAN, or the Internet, and displays at least the information on the history of the current condition and the anamnesis so that they can be observed with the observer's communication terminal. 25. A program of electronic medical information to provoke, for the purpose of introducing electronic medical information, a computer that functions as: a means of entry to enter the information of the patient's main condition in its information file of the main condition and for enter the doctor's query information in your query information file; a means of accumulation to accumulate the information of the main condition entered in the information file of the main condition and the information of consultation entered in the file of information of consultation; a means of calculation to mark, with respect to each date of consultation, the last information of the main condition entered and the information of consultation, and the information of the main condition and the past consultation information accumulated, respectively; a generation means for automatically generating, based on the calculated markers, a list by which the temporal variation of the information of the main condition and the query information can be observed. 26. The electronic medical information program according to claim 25, characterized in that it causes, for the purpose of introducing electronic medical information, that a computer function as a means of deployment to display the list. 27. The electronic medical information program according to claim 25 or 26, characterized in that it causes, for the purpose of introducing electronic medical information, that a computer function as: an input means for entering the electronic diagram information; a generation means for generating an electronic diagram from the electronic diagram information entered; a storage medium for storing the electronic diagram generated in an electronic diagram file; a reading means for establishing / displaying link buttons associated with the electronic diagram file in the list and reading, by pressing any of the link buttons, the electronic diagram from the electronic diagram file; and a means of deployment to display the electronic diagram that has been read to be observed. 28. The electronic medical information program according to any of claims 25 to 27, characterized in that it causes, for the purpose of introducing electronic medical information, that a computer function as: a means of reading to read, from the file of electronic diagram, one or more information regarding inspection, treatment, dosage, and injection / instillation; a means of accumulation to accumulate the information that has been read, a means of generation of list to arrange the temporal variation of each of the information accumulated in the chronological series so that it can be compared with the temporal variation of the graph; a means of reading to establish / display a link button for each information in the list and read the corresponding information accumulated by the accumulation means when pressing on any of the link buttons; and a means of deployment to display the information that has been read in order to be observed. 29. The electronic medical information program according to any of claims 25 to 28, characterized in that it causes, for the purpose of introducing electronic medical information, that a computer function as: means of storage to store, in a conventional diagram file , the conventional diagram converted into an electronic document format that reproduces precisely an original image; a reading means for reading, with the request to observe the conventional diagram file, a conventional diagram requested to be observed from the conventional diagram file; and a means of deployment to display the conventional diagram that has been read to be observed. The electronic medical information program according to any of claims 25 to 29, characterized in that it causes, for the purpose of introducing electronic medical information, that a computer function as: a means of accumulation to accumulate, using the means of accumulation according to claim 28, the information corresponding to the electronic diagram of the information recorded in the conventional diagram file, and a generating means for generating the list by arranging the time variation of each information of the conventional diagram accumulated in the chronological series so that it can be compared with the temporal variation of the graph. 31. The electronic medical information program according to any of claims 25 to 30, characterized in that it causes, for the purpose of introducing electronic medical information, that a computer function as: a means of entry to receive with the transmission of vital information that includes at least one or more information of the patient's weight, blood pressure, frequency of meals, content of meals, exercise or not, hours of sleep, from the patient's communication terminal to the computer through a communication network such as the Internet, vital information transmitted and enter it in a vital information file; and a means of generation to generate the list by arranging vital information in chronological series so that it can be compared with the temporal variation of the graph. 32. A computer-readable recording medium for storing the electronic medical information program according to any of claims 25 to 31. SUMMARY OF THE INVENTION [Problem] The problem is to facilitate the observation of temporal correlation between the patient's main condition and the results of the doctor's interview associated with the patient's main condition. [Solution Media] The temporal correlation can be observed by providing an electronic medical information system equipped with a control server comprising an input means to enter, between the information written in the diagram, the information of the patient's main condition in a file of information of the main condition and to enter the information of consultation of the doctor associated with the information of the main suffering of the patient in a file of information of consultation; a means of accumulation to accumulate the information of the main condition and the information of consultation; a means of calculation to mark, with respect to each date of consultation, the last entry of information of the main condition and information of consultation by the means of entry, and the information of the main condition and the past consultation information accumulated by means of accumulation, respectively; a means of generation to automatically generate, based on the markers, a list by which the temporal variation of the information of the main condition and the information of consultation can be observed.