TW200523783A - Electronic chart system - Google Patents

Electronic chart system Download PDF

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Publication number
TW200523783A
TW200523783A TW093125819A TW93125819A TW200523783A TW 200523783 A TW200523783 A TW 200523783A TW 093125819 A TW093125819 A TW 093125819A TW 93125819 A TW93125819 A TW 93125819A TW 200523783 A TW200523783 A TW 200523783A
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Taiwan
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input
display
displayed
key
aforementioned
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TW093125819A
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Chinese (zh)
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TWI352301B (en
Inventor
Hiroyuki Yuyama
Takao Tsuda
Masao Kondo
Shigeru Onodera
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Yuyama Mfg Co Ltd
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Business, Economics & Management (AREA)
  • Biomedical Technology (AREA)
  • General Business, Economics & Management (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

Electronic chart is displayed on a display means 2 by a control means 4 based on an input operation by an input means 1. The input means 1 consists of two or more input keys arranged in the predetermined area. The display means 2 can display an input item selection column which can be chosen by operating at least one input key of the input means 1. The control means 4 can choose the item displayed on the input item selection column of the display means 2 by operating the input key of the input means 1, and display a next required item one by one on the input item selection column.

Description

200523783 九、發明說明: 【考务明戶斤屬支彳街^員】 發明領域 本發明係有關於一種電子診療記錄系統。 背景技術 以往,普遍已知之電子診療記錄系統,係在輸入看診 當曰之看診資料時,不僅可將看診當曰之資料,還可將來 自其他醫院之簡介函資料、過去檢查結果資料、將來指示 10貝料等等I料,以與輸入看診當日之資料時相同之方法進 行輸入(例如,專利文獻U。200523783 IX. Description of the invention: [Examination of households belonging to the branch of the branch] The invention relates to an electronic diagnosis and treatment record system. 2. Description of the Related Art In the past, generally known electronic diagnosis and treatment record systems have been used to input not only the data of the visit, but also the data of introduction letters from other hospitals and the data of past examination results. I, future instructions, 10 shell materials, etc. I materials are entered in the same way as when entering the data on the day of the consultation (for example, patent document U.

【專利文獻1】曰本專利公開公報特開2003_85279號 C發明内容;J 發明欲解決課題 15 ㈣’前述電子診療記錄系統,僅將所顯示之輸入框 之屬性作區分,輸入内容本身之區分—定要透過鍵盤等。 因此,輪入操作費時’導致在有限看診時間内,妨礙到可 用在實際看診的時間。 ★又,顯不畫面區分為多個區域,必須使用鍵盤或滑鼠 20等才可在各區域進行輸入作業。即,由於輸入作業區域會 移動^以適應上頗耗時間。又,由於視線移動很頻繁, 所以各易疲勞,並不適合用於長時間作業。 因此’本發明之課題在於提供—種可簡化看診時之輸 入4業’以充實看診過賴電传療記錄系統。 200523783 用以解決課題之方法 本發明作為用以解決前述課題之方法,係一種電子診 療記錄系統,包含有控制裝置,且該控制裝置係可於顯示 裝置顯示電子診療記錄,且依藉由輸入裝置之輸入操作, 5 使所顯示之電子診療記錄反映出輸入資料,並將反映出輸 入資料之前述電子診療記錄記憶於記憶裝置者,該電子診 療記錄系統之特徵在於··前述輸入裝置,具有多數排列於 預定區域内之輸入鍵,且,前述顯示裝置,係可藉著至少 操作前述輸入裝置之其中任一輸入鍵,以顯示可一覽無遺 10 地顯示多數可選擇項目的輸入項目選擇攔,又,前述控制 裝置,係可藉著操作前述輸入裝置之輸入鍵,以選擇顯示 於前述顯示裝置之輸入項目選擇欄的項目,且依序於前述 輸入項目選擇欄顯示下一輸入所需之項目。 依前述結構,就可經常操作在同一區域内之按鍵以輸 15 入所有之輸入項目。因此,本發明可縮短輸入時間以充實 看診過程。 如果前述顯示裝置具有:暫時顯示部,係可藉著利用 前述輸入裝置選擇顯示於前述輸入項目選擇欄之項目,以 依序暫時顯示所選之項目者;及確定顯示部,係可藉著確 20 定顯示於該暫時顯示部之内容以顯示該内容者,則可一邊 確認輸入事項一邊進行該等輸入事項,所以就可防止輸入 錯誤之優點而言較佳。 又,如果前述控制裝置將所需輸入内容分割成多個項 目,且藉著操作前述輸入鍵,自前述顯示裝置之輸入項目 200523783 選擇欄選擇各項目,並將前述輸入項目選擇欄之顯示内容 依序變更成下一項目,則就操作性優異,可確實防止輸入 遺漏之優點而言較佳。 又,如果前述記憶裝置可記憶預先輸入之處方資料, 5 且,前述控制裝置,可藉著操作前述輸入裝置,自前述記 憶裝置讀取前述處方資料,並令可顯示於前述顯示裝置之 電子診療記錄反映出前述處方資料,則就可提高輸入效率 之優點而言較佳。此時,前述處方資料相當於可開出預定 醫藥品處方之基本處方、使用與業已留存為病歷之處方資 10 料相同者之DO處方等等。 當在製作前述電子診療記錄時,若可選擇之藥劑超過 預定數量,則可藉多種搜尋方法進行藥劑之進階搜尋。此 時,前述搜尋方法,可例舉如五十音別搜尋、藥效別搜尋、 成分別搜尋等等。 15 又,當在製作前述電子診療記錄時,若可於前述顯示 裝置顯示包含休診資訊之日曆,且藉由該曰曆,可直接輸 入服用天數,則就可防止所開處方之藥劑在休診日時告罄 這類窘況之優點而言較佳。 又,本發明作為用以解決前述課題之方法,係一種電 20 子診療記錄系統,包含有控制裝置,且該控制裝置係可於 顯示裝置顯示電子診療記錄,且依藉由輸入裝置之輸入操 作,使所顯示之電子診療記錄反映出輸入資料,並將反映 出輸入資料之前述電子診療記錄記憶於記憶裝置者,該電 子診療記錄系統之特徵在於:前述輸入裝置,係由可顯示 200523783 於⑴述,.’|7Γ袭置,並且排列於預定區 輸入鍵所構成去〇 夕數』知作之 侬戽im,1述控觀置,可於前述各輸入鍵 依序顯不必要之輪入項目。 二::輪入裝置可由觸控面板構成。 虽猎由琦述輪入裝置輸, 裝置,可於前述顯一…,内錢’如果别述控制 可科門問診晝面與前述輸入鍵,且 舉問診所需之項目,並強調顯示欲輸入 、 且’可於前述輸人鍵顯示對應之項目内容,同 時可於該問診查二匕山丨— 、心Μ曰Η合Π 10 目計Α 、出#著操作前述輪人鍵去選擇之項 目,::將人鍵之顯示内容切換成下—輸人所需之項 日晝面所強調顯示之項目變更成下-項目, 、攸不彳預先-覽無遺地顯示應輸入項目而毫無遺漏地 問診必要項目,而且射大幅縮短輸人作業之優點來看, 較為理想。 15 Χ ’只要可藉前述輸Μ置,選擇是否將事前輸入之 問診資料反映於電子診療記錄即可。 當欲將服用時間輸入前述電子診療記錄時,如果前述 輸入裝置之各輸入鍵可顯示手寫電子診療記錄所使用之記 號’則就可流暢地將手寫電子診療記錄轉換成電子診療記 20 錄之優點而言較佳。 如果前述輸入裝置之各輪入鍵,分別顯示5〇音各行之 粑段,且依前述輸入鍵之操作,可切換各行之氣段到招段之 顯示,且,前述控制裝置,可藉由選擇顯示於前述輸入鍵 之5〇音之其中任一文字,以搜尋前述電子診療記錄之輸入 200523783 所需之事項,則從雖然是在有限區域内操作,但是仍然可 僅藉2次之操作就完成最初之文字輸入而縮短搜尋時間之 優點來看,較為理想。 如果前述記憶裝置,可記憶用以表示身體部位之影像 5 資料,且前述控制裝置可在輸入所觀察結果時,依前述輸 入裝置之輸入訊號,自前述記憶裝置讀取對應之影像資 料,並將前述影像資料顯示於前述顯示裝置,則可以病患 易瞭解形式顯示患病部位等,因此,從可作為對知情同意 有益之視訊工具的優點來看,較為理想。 10 又,本發明作為用以解決前述課題之方法,係一種電 子診療記錄系統,包含有控制裝置,且該控制裝置係可於 顯示裝置顯示電子診療記錄,且依藉由輸入裝置之輸入操 作,使所顯示之電子診療記錄反映出輸入資料,並將反映 出輸入資料之前述電子診療記錄記憶於記憶裝置者,該電 15 子診療記錄系統之特徵在於:前述輸入裝置,具有多數顯 示於前述顯示裝置之預定區域内之輸入鍵,且各輸入鍵可 分別顯示輸入項目,且,前述控制裝置在將前述輸入項目 分別顯示於前述輸入鍵時,若前述輸入項目有多數類語, 則可在該等類語中,顯示共通文字作為1次選擇語,且在選 20 擇該1次選擇語後,將類語分別顯示於前述各輸入鍵。 依前述這種結構,由於在輸入鍵僅顯示共通文字作為1 次選擇語,所以即使空間有限,仍可以大比例顯示。 此時,前述輸入鍵宜可一起顯示1次選擇語與類語數 200523783 又,如果前述控制裝置在將前述輸入項目分別顯示於 前述輸入鍵時,若前述輸入項目有多數類語,可在該等類 語中,顯示含有從開頭文字到易混淆部份之文字作為1次選 擇語,例如至少到含有1個相異文字之部份,則就可讓使用 5 者輕鬆辨識類似之易混淆部份,防止輸入錯誤之優點而言 較佳。 發明效果 依本發明,由於可藉著操作輸入裝置之輸入鍵,以選 擇顯示於顯示裝置之輸入項目選擇欄的項目,且依序於前 10 述輸入項目選擇欄顯示下一輸入所需之項目,所以可簡化 輸入作業,縮短輸入時間以充實看診過程。 圖式簡單說明 第1圖是顯示本實施形態之電子診療記錄系統概略構 造之方塊圖。 15 第2A圖是顯示第1圖之顯示裝置所顯示之數字鍵區域 之初始晝面的圖。 第2B圖是顯示第1圖之顯示裝置所顯示之現在起將開 始診察之病患之電子診療記錄的圖。 第3圖是顯示呈現操作「S」鍵後狀態之輸入欄(按鍵 20 組畫面)的圖。 第4圖是可在第3圖之輸入欄中操作1「主訴」鍵以顯示 的鍵盤輸入晝面。 第5圖是可在第3圖之輸入欄中操作2「問診」鍵以顯示 的問診晝面。 200523783 第6圖是顯示可在第3圖之輸入欄中操作2「問診」鍵以 顯示之輸入欄的圖。 第7圖是顯示可在第6圖中操作1「發燒」鍵以顯示之輸 入棚的圖。 5 第8A圖是顯示在數字鍵區域中操作「0」鍵,使顯示 項目變更之狀態的圖。 第8B圖是在第8A圖之輸入欄中操作「影像診斷」鍵等 以顯不之「輸入影像診斷結果」晝面。 第8C圖是當影像診斷有2個以上時所顯示之「選擇檢查 10 實施曰」畫面。 第8D圖是顯示在第8A圖之輸入欄中操作「觀察結果」 鍵,使顯示項目變更之狀態的圖。 第8E圖是顯示在第8D圖之輸入欄中操作「個別觀察結 果」鍵,使顯示項目變更之狀態的圖。 15 第9A圖是在第8D圖之輸入欄中操作「全身觀察結果」 鍵以顯示之「生命徵象」晝面。 第9B圖是在第8E圖之輸入欄中操作「頸部」鍵以顯示 之「頸部」晝面。 第10圖是顯示在數字鍵區域中操作「A」鍵,使顯示項 20 目變更之狀態的圖。 第11圖是顯示在數字鍵區域中操作「A」鍵以顯示之「管 理傷病名」晝面。 第12圖是顯示在第10圖之輸入欄中操作1「傷病名」 鍵,使顯示内容切換之狀態的圖。 200523783 第13圖是顯示在第12圖之輸入欄中操作1「常用搜尋」 鍵,使顯示内容切換之狀態的圖。 第14圖是顯示在第13圖之輸入欄中操作數字鍵其中任 一鍵,使顯示内容切換之狀態的圖。 5 第15圖是顯示在第14圖之輸入欄中操作「修飾語」鍵, 使顯示内容切換之狀態的圖。 第16圖是顯示在第15圖之輸入欄中選擇1「50音」鍵, 使顯示内容切換之狀態的圖。 第17圖是顯示在第16圖之輸入攔中選擇1「接頭語」 10 鍵,使顯示内容切換之狀態的圖。 第18圖是顯示在第17圖之輸入欄中選擇「7行」鍵, 使顯示内容切換之狀態的圖。 第19圖是顯示在第18圖之輸入欄中選擇1「了」鍵,使 顯示内容切換之狀態的圖。 15 第20圖是選擇第10圖之「轉歸期」鍵以切換之狀態的 圖。 第21圖是顯示在數字鍵區域中操作「P」鍵,使顯示内 容變更之狀態的圖。 第22圖是在第21圖之輸入欄中操作「内服」、「一次頓 20 服」、「外用」、「注射」鍵以顯示之「選擇醫藥品」晝面。 第23圖是顯示在第22圖之輸入欄中切換成可選擇藥效 別之狀態的圖。 第24圖是顯示自第22圖之輸入欄之顯示内容變成最終 可選擇醫藥品名之狀態的圖。 12 200523783 第25圖是顯示自第24圖之輸入攔之顯示内容切換成有 關服用時間之内容之狀態的圖。 第26圖是在第22圖之「選擇醫藥品」晝面中操作「DO」 鍵以顯示之「DO名單」晝面。 5 第27A圖是在第22圖之「選擇醫藥品」晝面中操作「基 本」鍵以顯示之「基本處方組合」晝面。 第27B圖是用以登錄基本處方之畫面。 第27C圖是用以輸入基本處方之畫面。 第28圖在初始畫面所顯示之「受診名單」晝面。 10 第29圖是電子診療記錄在輸入曰期時所顯示之日曆晝 面。 第30圖是在第28圖之晝面中操作「搜尋病患」鍵以顯 示之「搜尋病患」晝面。 第31圖是於顯示裝置顯示電子診療記錄時之診察狀態 15 的圖。 第32圖是在第21圖之晝面中操作「處理」鍵以顯示之 「處理註記」晝面。 第33圖是在第21圖之畫面中操作「手術」鍵以顯示之 「手術註記」晝面。 20 第34圖是在第21圖之輸入欄中操作「影像」鍵以顯示 之「影像診斷組合名單」晝面。 第35圖是用以登錄影像診斷組合之晝面。 第36圖是用以輸入影像診斷組合之晝面。 第37圖是顯示在第35圖之「登錄影像診斷組合」晝面 13 200523783 「修正」按鈕以變更數字鍵顯示内 中,操作「新增製作」 容之數字鍵區域的圖。 「部位」鍵,使 「方向」鍵,使 「影片」鍵,使 第38圖是顯示在第37圖之晝面中操作 顯示項目變更之狀態的圖。 5 第39圖是顯示在第37圖之畫面中操作 顯示項目變更之狀態的圖。 第40圖是顯示在第37圖之畫面中操作 顯示項目變更之狀態的圖。[Patent Document 1] Japanese Patent Laid-Open Publication No. 2003-85279 C invention content; J invention to solve the problem 15 ㈣ 'The aforementioned electronic diagnosis and treatment record system only distinguishes the attributes of the input boxes displayed, and the distinction of the input content itself — Be sure to use the keyboard, etc. Therefore, the rotation operation is time-consuming ', which leads to a limited consultation time, which hinders the time available for actual consultation. ★ Also, the display screen is divided into multiple areas. You must use the keyboard or mouse 20 to perform input operations in each area. That is, since the input work area moves ^ to adapt, it takes time. In addition, since the line of sight moves frequently, each is prone to fatigue and is not suitable for long-term work. Therefore, the object of the present invention is to provide a recording system which can simplify the input and output of the doctors during the visits. 200523783 Method for solving the problem The present invention, as a method for solving the aforementioned problem, is an electronic diagnosis and treatment recording system, which includes a control device, and the control device can display the electronic diagnosis and treatment record on a display device, and by inputting the device The input operation, 5 makes the displayed electronic diagnosis and treatment records reflect the input data, and the aforementioned electronic diagnosis and treatment records reflecting the input data are memorized in a memory device, the electronic diagnosis and treatment record system is characterized by the aforementioned input device, which has a majority The input keys arranged in a predetermined area, and the display device can be operated by at least any one of the input keys of the input device to display an input item selection bar that can display most selectable items at a glance. The aforementioned control device can select the items displayed in the input item selection field of the display device by operating the input keys of the input device, and sequentially display the items required for the next input in the input item selection field in sequence. According to the foregoing structure, the keys in the same area can be frequently operated to input all input items. Therefore, the present invention can shorten the input time to enrich the consultation process. If the display device has a temporary display section, the items displayed in the input item selection column can be selected by using the input device to temporarily display the selected items in order; and the display section can be determined by confirming If the content to be displayed on the temporary display section is to be displayed, the input items can be performed while confirming the input items, so it is preferable in terms of the advantage of preventing input errors. In addition, if the control device divides the required input content into a plurality of items, and by operating the input key, each item is selected from the input item 200523783 selection field of the display device, and the display content of the input item selection field is selected according to If the sequence is changed to the next item, it is more advantageous in terms of superior operability and the fact that input omission can be reliably prevented. In addition, if the memory device can memorize pre-entered prescription data, 5 and the control device can read the prescription data from the memory device by operating the input device, and make the electronic diagnosis and treatment displayable on the display device. The record reflects the aforementioned prescription information, which is better in terms of the advantage of improving input efficiency. At this time, the aforementioned prescription information is equivalent to a basic prescription for prescribing a prescribed pharmaceutical product, a DO prescription using the same information as a prescription that has been kept as a medical record, and so on. When making the aforementioned electronic diagnosis and treatment records, if more than a predetermined number of medicaments can be selected, multiple search methods can be used for advanced search of medicaments. At this time, the foregoing search method may include, for example, the search for the syllabary, the search for the effect of the medicine, the search for the difference, and the like. 15 In addition, when making the aforementioned electronic diagnosis and treatment record, if the calendar containing the out-of-office information can be displayed on the aforementioned display device, and the calendar can be used to directly enter the number of days taken, the prescription medicine can be prevented from being on the out-of-office day. The advantages of overcoming this dilemma are better. In addition, as a method for solving the foregoing problems, the present invention is an electronic diagnosis and treatment record system including a control device, and the control device can display an electronic diagnosis and treatment record on a display device, and operates by inputting through an input device. If the displayed electronic diagnosis and treatment record reflects the input data, and the aforementioned electronic diagnosis and treatment record reflecting the input data is memorized in a memory device, the electronic diagnosis and treatment record system is characterized in that the aforementioned input device is displayed by 200523783 Yu ", 7 '| 7Γ strikes, and arranges in the predetermined area the input key to make up the number of nights." Known as the Nong 戽 im, 1 control view, you can sequentially display unnecessary rotation in the aforementioned input keys. project. 2: The turn-in device can be composed of a touch panel. Although the game is lost by Qishu's turn-in device, the device can be displayed in the aforementioned one, and the internal money 'If you do not mention the control of the Keke consultation day and the aforementioned input keys, and the items required for the consultation, and highlighting the desired input And, the corresponding item content can be displayed on the aforementioned input key, and at the same time, you can check the two daggers in the consultation 丨 —, heart M, and Η 10 head count Α, out # by operating the aforementioned round key to select the item :: Switch the display content of the human key to the bottom-input the items required by the person. The items highlighted on the day and day are changed to the bottom-item. You can preview the input items without any omissions. From the point of view of the necessary items for local consultation and the advantages of significantly shortening the input operation, it is ideal. 15 χ ’As long as the aforementioned input device can be borrowed, choose whether to reflect the consultation information entered beforehand on the electronic diagnosis and treatment record. When the time of taking is input into the electronic diagnosis and treatment record, if each input key of the input device can display the mark used by the handwritten electronic diagnosis and treatment record, the handwritten electronic diagnosis and treatment record can be smoothly converted into 20 electronic diagnosis and treatment record. It ’s better. If each of the input keys of the aforementioned input device displays a segment of each line of 50 sounds, and the operation of the aforementioned input key can switch the display of the segment of each line to the display of the stroke, and the aforementioned control device can be selected by selecting Any text displayed on the 50th tone of the input key to search for the items required for the input of the above-mentioned electronic medical record 200523783, although it is operated in a limited area, it can still be completed with only 2 operations. In terms of the advantages of text input and shortening the search time, it is ideal. If the aforementioned memory device can memorize the image 5 data used to represent the body part, and the aforementioned control device can read the corresponding image data from the aforementioned memory device according to the input signal of the aforementioned input device when inputting the observation result, and When the image data is displayed on the display device, the patient can display the diseased area in an easy-to-understand form. Therefore, it is ideal from the advantages of being a video tool useful for informed consent. 10 Furthermore, as a method for solving the foregoing problems, the present invention is an electronic diagnosis and treatment recording system including a control device, and the control device can display the electronic diagnosis and treatment record on a display device, and operates by inputting through an input device. If the displayed electronic diagnosis and treatment record reflects the input data, and the electronic diagnosis and treatment record reflecting the input data is stored in the memory device, the electronic diagnosis and treatment record system is characterized in that the input device has most of the input devices displayed on the display. The input keys in a predetermined area of the device, and each input key can display an input item separately, and when the aforementioned control device displays the aforementioned input item on the aforementioned input key separately, if the aforementioned input item has a majority language, the Common words are displayed as one-time choices in the category words, and after 20 times to select the one-time choices, the category words are displayed on the input keys respectively. According to the above-mentioned structure, only common characters are displayed as one-time selection words on the input key, so that even if space is limited, it can be displayed in a large scale. At this time, the input keys should be able to display the selected words and the number of phrases 200523783 together. If the control device displays the input items on the input keys separately, if the input items have a majority of types, the In the display, the text containing the text from the beginning to the confusing part is displayed as a choice. For example, at least to the part containing a different text, it can allow 5 users to easily identify similar confusing parts, preventing The advantages of typing errors are better. ADVANTAGE OF THE INVENTION According to the present invention, since the items displayed on the input item selection field of the display device can be selected by operating the input keys of the input device, the items required for the next input are displayed sequentially in the input item selection field described in the previous 10 Therefore, the input operation can be simplified, and the input time can be shortened to enrich the consultation process. Brief Description of Drawings Fig. 1 is a block diagram showing a schematic configuration of an electronic diagnosis and treatment recording system according to this embodiment. 15 FIG. 2A is a diagram showing an initial daylight surface of a numeric keypad area displayed by the display device of FIG. 1. Fig. 2B is a diagram showing an electronic diagnosis and treatment record of a patient who will be examined from now on displayed on the display device of Fig. 1; Fig. 3 is a diagram showing an input field (a group of 20 keys) showing a state after operating the "S" key. Fig. 4 is a keyboard for inputting the day and time by operating the 1 "complaint" key in the input field of Fig. 3 to display. Fig. 5 shows the day and night of the inquiry that can be displayed by operating the 2 "Ask" key in the input field of Fig. 3. 200523783 Fig. 6 is a diagram showing an input field that can be displayed by operating the 2 "Ask" key in the input field of Fig. 3. Fig. 7 is a view showing an input booth which can be operated by operating the "Fever" key in Fig. 6 to display. 5 Fig. 8A is a diagram showing a state where the "0" key is operated in the number key area to change the displayed item. Fig. 8B shows the "input image diagnosis result" screen displayed by operating the "image diagnosis" key and the like in the input field of Fig. 8A. Fig. 8C is a "selection inspection 10 implementation" screen displayed when there are two or more image diagnoses. Fig. 8D is a diagram showing a state in which a display item is changed by operating an "observation result" key in an input field of Fig. 8A. Fig. 8E is a diagram showing a state in which the display item is changed by operating the "individual observation result" key in the input field of Fig. 8D. 15 Figure 9A is the day-to-day display of "signs of life" by operating the "whole body observation result" key in the input field of Figure 8D. Fig. 9B is a "neck" daytime surface displayed by operating the "neck" key in the input field of Fig. 8E. Fig. 10 is a diagram showing a state where the "A" key is operated in the number key area to change the display item 20 items. Fig. 11 shows the day of the "management injury name" displayed by operating the "A" key in the number key area. Fig. 12 is a diagram showing a state in which the display content is switched by operating the "injury name" key in the input field of Fig. 10; 200523783 Fig. 13 is a diagram showing a state in which the display content is switched by operating the "Common Search" key in the input field of Fig. 12. Fig. 14 is a diagram showing a state where any one of the numeric keys is operated in the input field of Fig. 13 to switch the display contents. 5 Fig. 15 is a diagram showing a state where the "modifier" key is operated in the input field of Fig. 14 to switch the display content. Fig. 16 is a diagram showing a state where a "50-tone" key is selected in the input field of Fig. 15 to switch the display content. FIG. 17 is a diagram showing a state in which the display content is switched by selecting 1 “joint language” and 10 keys in the input bar of FIG. 16. Fig. 18 is a diagram showing a state where the "7 lines" key is selected in the input field of Fig. 17 to switch the display contents. Fig. 19 is a diagram showing a state where the "1" key is selected in the input field of Fig. 18 to switch the display contents. 15 Fig. 20 is a state in which the "resume period" key in Fig. 10 is selected to switch. Fig. 21 is a diagram showing a state in which the display content is changed by operating the "P" key in the numeric keypad area. Fig. 22 shows the "Select Medicine" day and time displayed by operating the "Internal Oral", "20 servings", "External Use", and "Injection" keys in the input fields of Fig. 21. Fig. 23 is a diagram showing a state in which a medicinal effect is selectable in the input field of Fig. 22; Fig. 24 is a diagram showing a state in which the content of the input field in Fig. 22 is finally selected as a medicine name. 12 200523783 Fig. 25 is a diagram showing a state where the display contents of the input block in Fig. 24 are switched to the contents regarding the taking time. Fig. 26 is the "DO list" daytime surface displayed by operating the "DO" key on the daytime surface of the "select medicine" in Fig. 22. 5 Fig. 27A shows the "basic prescription combination" daytime surface displayed by operating the "basic" key in the "selection of medicines" daytime surface of Fig. 22. Fig. 27B is a screen for registering a basic prescription. Figure 27C is a screen for entering a basic prescription. Fig. 28 shows the "patient list" on the initial screen. 10 Figure 29 shows the calendar day displayed on the electronic diagnosis record when the date is entered. Fig. 30 shows the "Search Patient" day surface by operating the "Search Patient" key in the day surface of Fig. 28. FIG. 31 is a diagram showing the examination state 15 when the display device displays the electronic diagnosis record. Fig. 32 is a "treatment note" day surface displayed by operating the "Process" key in the day surface of Fig. 21. Fig. 33 is the "surgical note" daytime surface displayed by operating the "Surgery" key in the screen of Fig. 21. 20 Fig. 34 is the "Image diagnosis combination list" displayed by operating the "Image" key in the input field of Fig. 21. Fig. 35 is a day view for registering an image diagnosis set. Fig. 36 is the daytime surface for inputting the image diagnosis combination. Fig. 37 is a diagram showing the "registered image diagnosis combination" daytime screen of Fig. 35 20052005783 "correct" button to change the numeric keypad display, and operate the numeric keypad area of the "create new" content. The "part" key, the "direction" key, the "movie" key, and Fig. 38 are diagrams showing the state in which the display item is changed when operated on the daytime plane of Fig. 37. 5 Fig. 39 is a diagram showing the status of the operation display item change on the screen of Fig. 37. Fig. 40 is a diagram showing a state where an operation display item is changed on the screen of Fig. 37.

第〇圖是顯示在第37圖之畫面中操作「藥劑」鍵,使 10 顯示項目變更之狀態的圖。 「材料」鍵,使 第42圖是顯示在第37圖之畫面中操作 顯示項目變更之狀態的圖。 第43圖是顯示在第21圖所示之輸入搁中操作「指導」 鍵’使顯示項目變更之狀態的圖。 」 15 帛44圖是顯示在第21圖所示之輸人攔中操作卜8其中 任一鍵,使顯示項目變更之狀態的圖。Fig. 0 is a diagram showing a state where the "medicine" key is operated on the screen of Fig. 37 to change the 10 display items. "Material" key, the figure 42 is displayed on the screen shown in figure 37. The status of the displayed item is changed. Fig. 43 is a diagram showing a state in which a display item is changed by operating the "Guide" key 'in the input hold shown in Fig. 21; ”15 帛 44 are diagrams showing the state of changing any of the displayed items by operating any of the keys 8 in the input block shown in FIG. 21.

第45圖是顯示在第21圖所示之輸入欄中操作「營養指 導」鍵以顯示之指導文的一覽表。 第46圖是在操作數字鍵區域之「〇」鍵而顯示之輸入棚 20中,操作「圖解」鍵以顯示的「圖解」畫面。 帛47®是顯示治療時在選擇對病患投藥之醫藥品之處 理的流程圖。 第48圖是顯示檢查結果顯示處理之流程圖。 第49圖是顯示以時系一覽表所顯示之檢查結果的畫 14 200523783 面。 第50圖是顯示圖表顯示處理之流程圖。 第51圖是顯示藉第50圖所示之圖表顯示處理所獲得的 圖表。 5 第52圖是顯示處方檢查處理之流程圖。 第53圖是顯示當針對關於相互作用與適應症,判斷有 問題時之顯示内容的晝面。 第54圖是在第21圖所示之畫面中,操作8「檢查」鍵以 跳出畫面顯示之檢查組合一覽晝面。 10 第55圖是在顯示第54圖所示之檢查組合一覽晝面時, 操作數字鍵而切換之檢查項目顯示畫面。 第56圖是在第21圖所示之晝面中,操作9「影像」鍵以 跳出畫面顯示之影像診斷組合一覽畫面。 第57圖是在顯示第56圖所示之影像診斷組合一覽晝面 15 時,操作數字鍵而切換之影像診斷項目顯示晝面。 【實施方式3 用以實施形態施本發明之最佳形態 以下,依附加圖式,說明本發明之實施形態。 第1圖顯示本實施形態之電子診療記錄系統。該電子診 20 療記錄系統由輸入裝置1、顯示裝置2、記憶裝置3、及控制 裝置4構成。 輸入裝置1由鍵盤、滑鼠、按鍵組、觸控面板等構成。 另,輸入作業可全部僅使用後述之輸入欄7來進行,且使用 者可任意選擇鍵盤、滑鼠、觸控面板等來使用。鍵盤、滑 200523783 鼠等並非必要,可將操作集中在顯示於觸控面板之按鍵組。 顯示裝置2具有液晶螢幕等,且一部份或全部是由觸控 面板構成。顯示裝置2之初始晝面,會在右下攔顯示第2A 圖所示之按鍵組晝面(數字鍵區域10)作為輸入欄7,並自 5 動顯示「受診名單」晝面(第28圖)。輸入攔7顯示在右下 方,不但使醫師可一邊面對病患,一邊僅用單手就輕易輸 入,而且讓病患及醫師雙方均容易看見其他欄。不過,輸 入欄7之顯示位置係可設定於任意位置,例如假設醫師為左 撇子時,就可顯示在畫面之左下方等。如第2A圖所示,輸 10 入欄7包含有:0〜9之數字鍵;點鍵「·」、「UNDO」鍵、取 消鍵「C」、捲動鍵「UP」,「DOWN」、「ENTER」鍵、功 能鍵(F1〜F4)、「S」鍵、「Ο」鍵、「A」鍵、及「P」鍵。 在初始晝面中,僅數字鍵之1「―」鍵、2「顯示診療記錄」 鍵、3「―」、UP鍵、DOWN鍵可操作。另,以下說明中, 15 關於鍵,係指顯示於數字鍵區域10之可操作區域,關於按 鈕,則係指除前述區域以外之在對話框之可操作區域。 如果在輸入欄7操作「顯示診療記錄」鍵,就會顯示現 在起將開始診察之病患之電子診療記錄。即,如第2B圖所 示,顯示畫面將於輸入攔7以外之區域,分別顯示病歷欄5、 20 病患欄6、及輸入破定欄9。又,藉著在輸入欄7輸入,可顯 示輸入確認欄8。分別地,病歷攔5、病患欄6顯示在晝面左 側,輸入確認欄8、輸入確定欄9則顯示在晝面右側及輸入 欄7之上方。此時,若操作5「診察」鍵,顯示中之電子診 療記錄就會切換成可輸入狀態。 200523783 病歷欄5顯示有前次診察時之診察内容、檢查結果、處 方要等等。第2B圖中,顯示胸部X光拍攝影像、診察内容、 檢查結果、處方内容等。醫師可一邊參照該病歷攔5,一邊 持續診察。又,在病歷欄5之下方,顯示有箭號鍵(「―」、 5 「—」),可左右翻頁般地使病歷欄變更顯示。此時,顯示 以如同實際翻頁般為佳。如此,設置翻頁功能,可較習知 使用捲軸者,更容易看清楚。 有關於病患之資訊,例如病患姓名、出生日期、年齡、 性別、住址、病歷等等。 10 輸入欄7由數字鍵區域10及選單區域11構成。選單區域 11依照在數字鍵區域10之操作而會顯示對應内容。 當在數字鍵區域10中操作「S」鍵時,診察時應詢問病 患之診察内容將分成多個項目並依序顯示。所顯示之項 目,是將預先記憶於後述之各主檔之内容,按照預定順序 15 排列每個關連群組。 具體而言,於第3圖顯示輸入欄7之顯示項目。在此, 僅可操作數字鍵之1「主訴」鍵、2「問診」鍵、「UNDO」 鍵、取消鍵「C」、功能鍵(F1 :問診單)、「S」鍵、「0」 鍵、「A」鍵、「P」鍵。 20 在此,當在第3圖所示之輸入欄7之數字鍵中操作1「主 訴」鍵時,將以另一視窗顯示第4圖所示之鍵盤輸入畫面, 於是可利用鍵盤直接輸入病患告知之症狀(主訴)。如果掛 號台人員已將診察前病患寫的問診單内容輸入時,則可操 作「問診單」鍵,以叫出問診單内容並複製。又,利用鍵 200523783 盤輸入之資料,係可籍由操作「登錄」鍵來加以登錄,且 可藉由操作「叫出」鍵來叫出已登錄之内容。 當在第3圖所示之輸入攔7之數字鍵中操作2「問診」鍵 時,將以另一視窗顯示第5圖所示之「問診」晝面。又,輸 5 入欄7可如第6圖所示於各數字鍵顯示關於症狀之項目。 另,至於無法操作之鍵,以淡色顯示(圖中以字元網底顯 示)。在此,舉例而言,當操作1「發燒」時,將如第7圖所 示,各數字鍵之顯示内容會變成顯示所選症狀是從何時開 始的内容。又,顯示有「SKIP」鍵,若經判斷為沒必要之 10 項目’便可省略輸入。此時’「問診」晝面中會顯示選擇「發 燒」時所需之問診内容,即顯示如「從何時開始」、「輕重 程度」、「有無寒顫」各項目,並強調顯示現在輸入中之項 目。因此,一看就清楚應該要輸入什麼,且可立刻判斷出 沒必要之項目。 15 母當如此完成輸入病患告知之症狀後就操作「ENTER」 鍵,於輸入確定搁9顯示輸入内容。若是輸入錯誤時,可操 作「UNDO」鍵,以回復成輸入前之狀態。舉例而言,當 操作「S」鍵以輸入主訴症狀時,只要操作ΓυΝ〇0」鍵, 即可依序回復成之前任何輸入階段。又,即使在完成輸入 2〇主為症狀並操作「ENTER」鍵後操作「〇」鍵,只要操作 「UNDO」鍵,仍可回復成輸入主訴症狀之狀態。惟,如 果操作「〇」鍵後,已經開始輸入,則即使操作「UND〇」 鍵,也只能回復成輸入所觀察結果階段,無法回復成輸入 主訴症狀之狀態。 18 200523783 當在數字鍵區域10中操作「〇」鍵時,輸入欄7之顯示 項目將變更如第8A圖所示。 若有未輸入結果之影像診斷’則「影像」鍵會顯不成 可操作之有效鍵之狀態。如果有1個未輸入結果之影像診斷 5 時,將以另一視窗顯示第8B圖所示之「輸入影像診斷結果」 晝面。又,如果有2個以上之未輸入結果之影像診斷時,將 顯示「選擇檢查實施曰」晝面,而一當選擇其中一實施曰 後,同樣地將以另一視窗顯示第8B圖所示之「輸入影像診 斷結果」晝面。當在「輸入影像診斷結果」晝面中操作「擷 10 取影像」按鈕時,會顯示「擷取影像」晝面,於是可讀取 影像檔案(其中,亦可利用影片掃描器來擷取影像)。然後, 若關閉「擷取影像」畫面,就可於「輸入影像診斷結果」 晝面顯示所擷取之影像。醫師可觀看所顯示之影像,然後 輸入觀察結果。輸入時可使用鍵盤。 15 當在第8A圖所示之輸入欄7中操作1「觀察結果」鍵以 切換顯示項目如第8D圖所示,且再操作「自由用語」鍵後, 將以另一視窗顯示第4圖所示之「鍵盤輸入」晝面,於是可 使用鍵盤來輸入文字。此時,如過要輸入與過去一樣之觀 察結果(不論病患別),可操作學習欄之「叫出」鍵以叫出 20 資料。又,利用鍵盤輸入之資料,亦可藉由操作「登錄」 鍵來登錄備存。 當操作第8D圖所示之輸入欄7中之「全身觀察結果」鍵 時,就會顯示第9A圖所示之「生命徵象」晝面,於是可輸 入關於全身之觀察結果輸入用之各項目。各輸入項目設有 200523783 選取方袼,只要絲或滑“把符合者打勾料完成輪入。 又’當操作第8D圖所示之輪入攔7中之「個別觀窣&士果 鍵時,將如第剛所示’使所顯示項目切換成表/身體夂」 部位之内容。當在此晝面中操作例如「頸部」鍵時,就^ 5如第9Β圖所示,顯示「頸部」畫面,所以只要將所顯示: 項目之選取方格打勾即可。 另外,輸入模式,除前述選取方格以外,還可例舉如 數值輸入等。又,選取方格之選擇項目之名稱及數量^ 自由設定。 1〇 — #在數字鍵區域10中操作「Α」鍵時,數字鍵之顯示内 容將切換如第10圖所示。又,並會以另一視窗顯示如第^ 圖所不之「官理傷病名」晝面。當在輸入欄7中操作丄「傷 病名」時,數字鍵會切換如第12圖所示,於是可藉3種不同 方法來搜尋傷病名。若操作工Γ常用搜尋」鍵,數字鍵會如 15第13圖所示切換成常用傷病名,在此若選擇符合之傷病 名,就會於「官理傷病名」晝面顯示自第13圖選出之傷病 名。 一當選出傷病名且完成輸入到「管理傷病名」晝面時, 輪入搁7會切換如第14圖所示,於是可選擇1「復發」鍵或2 2〇「疑似」鍵。舉例而言,「管理傷病名」畫面之「復發」攔, 初始值為空白,可藉由操作1「復發」鍵以顯#復發之文字, 而若再操作一次就可回復成空白。 又g在弟14圖所示之輸入糊7中操作「修飾s吾」鍵時, 所顯示之項目將切換如第15圖所示,於是矸利用i「5〇音」 20 200523783 鍵或2「關鍵字鍵來撞星 木技寸修飾語。在1「50音」鍵或2厂關 鍵子」鍵之中,如果選擇「 50音」鍵,輸入攔7將切換如第 16圖所示,於是可選擇欲輪人之修飾語之插人位置(1「接 10Fig. 45 shows a list of instructions displayed by operating the "Nutrition Guide" key in the input field shown in Fig. 21. Fig. 46 is a "illustration" screen displayed in the input booth 20 displayed by operating the "0" key in the numeric keypad area and operating the "graphic" key.帛 47® is a flow chart showing how to choose medicines for patients during treatment. Fig. 48 is a flowchart of a display inspection result display process. Fig. 49 is a drawing showing the inspection results displayed in the time list. Fig. 50 is a flowchart of a display chart display process. Fig. 51 shows a graph obtained by the graph display processing shown in Fig. 50. 5 Fig. 52 is a flowchart showing a prescription check process. Fig. 53 is a day-time view showing what is displayed when there is a problem with the interaction and indication. Fig. 54 is a list of inspection combinations displayed on the screen shown in Fig. 21 by operating the 8 "check" key to jump out of the screen. 10 Fig. 55 is an inspection item display screen that is switched by operating a numeric keypad when the inspection combination list shown in Fig. 54 is displayed. Fig. 56 is an image diagnosis combination list screen displayed on the daytime surface shown in Fig. 21 by operating the 9 "Image" key to jump out of the screen. Fig. 57 is a diagram showing the image diagnosis combination list shown in Fig. 56 when the day and time 15 are displayed, and the number of image diagnosis items switched by operating the number keys is displayed on the day and time. [Embodiment 3 The best mode for applying the present invention to the embodiment] The following describes the embodiment of the present invention with reference to the attached drawings. FIG. 1 shows an electronic diagnosis and treatment recording system according to this embodiment. The electronic diagnosis and treatment record system is composed of an input device 1, a display device 2, a memory device 3, and a control device 4. The input device 1 is composed of a keyboard, a mouse, a key set, a touch panel, and the like. In addition, all input operations can be performed using only the input field 7 described later, and the user can arbitrarily select a keyboard, a mouse, a touch panel, and the like for use. The keyboard and slide 200523783 mouse are not necessary, and the operation can be concentrated on the key set displayed on the touch panel. The display device 2 has a liquid crystal screen or the like, and a part or all of it is constituted by a touch panel. The initial daytime display of the display device 2 will display the keypad daytime display (numerical key area 10) shown in FIG. 2A as the input field 7 in the lower right bar, and display the “patient list” daytime display from FIG. 5 (Fig. 28). ). The input block 7 is displayed at the bottom right, which not only allows the physician to face the patient, but also allows easy input with only one hand, and makes it easier for both the patient and the physician to see the other columns. However, the display position of the input column 7 can be set at any position. For example, if the doctor is left-handed, it can be displayed at the bottom left of the screen. As shown in FIG. 2A, the input 10 into the column 7 contains: 0 ~ 9 number keys; click key "·", "UNDO" key, cancel key "C", scroll key "UP", "DOWN", "ENTER" key, function keys (F1 to F4), "S" key, "Ο" key, "A" key, and "P" key. In the initial daytime, only 1 "―" key, 2 "display medical records" key, 3 "―", UP key, DOWN key of the numeric keys can be operated. In addition, in the following description, 15 refers to the operable area displayed on the numeric keypad area 10, and the button refers to the operable area of the dialog box other than the aforementioned area. If the "display medical record" key is operated in the input field 7, the electronic medical record of the patient who will start the examination will be displayed. That is, as shown in FIG. 2B, the display screen will display the medical record column 5, 20 patient column 6, and input broken column 9 in areas other than the input bar 7. By inputting in the input field 7, the input confirmation field 8 can be displayed. Respectively, the medical record block 5 and the patient column 6 are displayed on the left side of the day surface, and the input confirmation field 8 and the input determination field 9 are displayed on the right side of the day surface and above the input field 7. At this time, if you press the 5 "Diagnosis" key, the electronic diagnosis record in the display will be switched to the inputable state. 200523783 The medical record column 5 shows the examination contents, examination results, prescriptions, etc. from the previous examination. In Fig. 2B, a chest X-ray image, a diagnosis content, an examination result, and a prescription content are displayed. The doctor can refer to the medical record block 5 while continuing the examination. In addition, below the medical record column 5, arrow keys ("-", 5 "-") are displayed, and the display of the medical record column can be changed by turning the page left and right. In this case, the display is as good as the actual page turning. In this way, setting the page turning function can be easier to see than those who are familiar with scrolls. Information about the patient, such as the patient's name, date of birth, age, gender, address, medical history, etc. 10 The input field 7 is composed of a number key area 10 and a menu area 11. The menu area 11 displays the corresponding content according to the operation in the number key area 10. When the "S" key is operated in the numeric keypad area 10, the contents of the examination that should be asked about the patient during the examination will be divided into multiple items and displayed in order. The items displayed are those that are stored in advance in each master file described below, and each related group is arranged in a predetermined order. Specifically, the display items of the input field 7 are displayed in FIG. 3. Here, only the 1 "Complaint" key, 2 "Consultation" key, "UNDO" key, Cancel key "C", Function key (F1: Questionnaire), "S" key, "0" key can be operated , "A", "P". 20 Here, when the 1 "Complaint" key is operated in the number key 7 of the input field 7 shown in Fig. 3, the keyboard input screen shown in Fig. 4 will be displayed in another window, so the keyboard can be used to directly input the disease. Suffering from symptoms (complaint). If the registration desk staff has entered the contents of the questionnaire written by the patient before the consultation, they can operate the "question form" button to call up the content of the questionnaire and copy it. In addition, the data entered using the key 200523783 can be registered by operating the "register" key, and the registered content can be called by operating the "call out" key. When the 2 "Ask" key is operated in the number key of the input bar 7 shown in Fig. 3, the "Ask" day face shown in Fig. 5 will be displayed in another window. In addition, enter 5 into the column 7 to display items related to symptoms on each number key as shown in FIG. 6. In addition, the keys that cannot be operated are displayed in light colors (shown at the bottom of the character grid). Here, for example, when operation 1 "Fever", as shown in Fig. 7, the display content of each number key will change to show when the selected symptom starts. Also, the "SKIP" key is displayed. If it is judged that 10 items are unnecessary, the input can be omitted. At this time, the contents of the questionnaire required for selecting "Fever" will be displayed on the day of "" Inquiry ", that is, items such as" When to start "," Severity "and" Presence of chills "will be displayed. project. Therefore, it is clear at a glance what should be entered, and the unnecessary items can be immediately determined. 15 After completing the input of the symptoms notified by the patient in this way, the mother operates the "ENTER" key, and displays the input content in the input confirmation 9. If the input is wrong, you can operate the “UNDO” key to restore the state before input. For example, when the "S" key is operated to input the main complaint symptom, as long as the ΓυΝ〇0 "key is operated, it can be sequentially restored to any previous input stage. In addition, even if the "0" key is operated after the input of 20 main symptoms is completed and the "ENTER" key is operated, as long as the "UNDO" key is operated, the state of entering the main complaint symptom can be restored. However, if the input has been started after operating the “0” key, even if the “UND〇” key is operated, it can only be restored to the stage of inputting the observed results, and cannot be restored to the state of entering the main complaint symptom. 18 200523783 When the “〇” key is operated in the number key area 10, the display items of the input field 7 will be changed as shown in FIG. 8A. If there is an image diagnosis without input result ’, the“ Image ”key will not be displayed as an operable valid key. If there is an image diagnosis 5 without input result, the "input image diagnosis result" day and time shown in Figure 8B will be displayed in another window. In addition, if there are two or more image diagnoses without input results, the day of the "selection inspection implementation day" will be displayed, and once one of them is selected, the same will be displayed in another window as shown in Figure 8B The "input image diagnosis results" day and night. When the “Capture 10 Acquire Image” button is operated in the “Input Image Diagnostic Results” daytime surface, the “Acquisition Image” daytime surface will be displayed, so the image file can be read (among which, a video scanner can also be used to acquire the image) ). Then, if you close the "Captured Image" screen, you can display the captured image on the "Input Image Diagnostic Results" day and time. The physician can view the displayed image and enter the observations. Use the keyboard while typing. 15 When operating the 1 "observation result" key in the input field 7 shown in Fig. 8A to switch the displayed items as shown in Fig. 8D, and then operating the "free word" key, the fourth picture will be displayed in another window The "keyboard input" screen is shown, so you can use the keyboard to enter text. At this time, if you want to input the same observation result as the past (regardless of the patient), you can operate the “call out” button in the learning bar to call out 20 data. In addition, the data entered by the keyboard can also be registered and stored by operating the "register" key. When the "whole body observation result" key in the input field 7 shown in Fig. 8D is operated, the "life sign" day surface shown in Fig. 9A is displayed, and various items for inputting the observation result of the whole body can be input. . Each input item is set to 200523783. As long as the silk or slip is selected, the corresponding person is checked to complete the turn. Also, when the "Roll in Block 7" shown in Figure 8D is operated, the "Individual Viewing & Fruit Key" At the same time, the contents of the 'Make the displayed item to watch / body 夂' will be displayed as shown above. When the "neck" key is operated in this day and night, for example, the "neck" screen is displayed as shown in Fig. 9B, so only the check box of the displayed item should be ticked. In addition to the input mode, in addition to the aforementioned check boxes, numerical input can also be exemplified. In addition, the name and number of the selected items of the selected square ^ can be set freely. 1〇 — #When the “Α” key is operated in the number key area 10, the display content of the number key will be switched as shown in Figure 10. In addition, a "window of official injury and illness" as shown in Figure ^ will be displayed in another window. When you operate "Injury and Disease Name" in the input field 7, the number keys will switch as shown in Figure 12, so you can search for the injury and disease name in 3 different ways. If the operator Γ Frequent Search "key, the number key will switch to the common injury name as shown in Figure 15 and Figure 13. If you select a matching injury name here, it will be displayed on the day of" Official Injury Name "from Figure 13 Selected injury name. Once the name of the injury and illness is selected and entered into the "Management of injury and illness name" day and night, the turn 7 will switch as shown in Figure 14, so you can choose 1 "Relapse" key or 2 20 "Suspect" key. For example, the "Relapse" block on the "Manage Injury Name" screen, the initial value is blank. You can use the "Relapse" key to display the #Relapse text, and if you do it again, you can return to the blank. When you operate the "Modify s" key in the input paste 7 shown in Figure 14, the displayed items will be switched as shown in Figure 15, so I use i "5〇 音" 20 200523783 key or 2 " Keyword key to hit Xingmuji modifier. Among the 1 "50 tone" key or 2 factory key "keys, if you select the" 50 tone "key, the input block 7 will switch as shown in Figure 16, so You can choose the insertion position of the modifier (1, then 10

^吾」或2「接尾語」)。此時旦選擇了修飾語之插入位 势輸入攔7之顯示内容將切換如扣圖所示。接著,藉由 .Π圖中麟1「r行」,再在如財選擇1「7」,可如 19圖所不—覽無遺地顯示修都語,所以只須選擇符合者 Γ°修飾語可插人所選擇之傷病名之前後其中之一處。 田錯讀人修飾語時,只要操作第15圖所示之「刪除」鍵, 以顯示已選之修飾語且操作顯示著該修飾語之鍵,就可消 除該修飾語。^ 我 "or 2" Conclude ". At this time, once the modifier insert position 7 is selected, the display content of switch 7 will switch as shown in the figure. Then, with Lin 1 "r line" in the .Π picture, and then choose 1 "7" in Rucai, you can display the Xiudu language as clearly shown in Figure 19, so you only need to choose the Γ ° modifier that matches One can insert the name of the injury before and after the injury. When Tian misreads the modifier, as long as the "Delete" key shown in Fig. 15 is operated to display the selected modifier and the key displaying the modifier is operated, the modifier can be deleted.

當關於傷病名方面輸入之後,操作第⑽所示之「確 疋」鍵時’便會自動將診察日輸人傷病名之開始日,且數 字鍵區域Κ)將城成第_麻之⑽。如果必須輸入轉 歸情形時,可㈣3「轉歸」鍵。藉此,輸人斯各鍵之顯 不内容將如第20圖所示般切換成關於轉歸情形之項目所 以只要選擇其中一項目輸入即可。 如此一來,醫師之診察輸入作業’可藉由在輸入欄7 之輪入處理,完成從傷病名到最後轉歸情形幾乎所有的輸 入作業。 萄在數子鍵區域10中刼作「Ρ」鍵時,顯示項目將切換 汝第21圖所示,於是可輸入投藥、診療計劃、治療、指導 (對病患的教育)等關於今後治療計劃的各項目。 當在第21圖所示之輸入欄7中操作i〜3之投藥、4之注射 21 200523783 其中任一鍵時,將切換成第22圖所示之具有以「r行」〜「π 行」顯示之5〇音選擇鍵、ΓΡ〇」鍵、「基本」鍵等鍵之「選 擇醫藥品」晝面。如果知道醫藥品名,可藉50音選擇鍵來 選擇。不過,亦可不用醫鱗品名,而是設計成可按藥效別 5選擇。此時,數字鍵之顯系内容只須變更成例如第23圖所 示即可。 操作鍵,就可進階搜尋醫藥品,且最後如第24圖所示 般顯示醫藥品名,然後再選擇符合者。選擇醫藥品名後, 可藉由操作數字鍵及「ENTER」鍵以輸入用量。此時,因 〇為預先於第2B圖所示之輸入確認攔8顯示有每一醫藥品之 用里’所以只要沒變更,就僅須操作「ENTER」鍵。然後, 如果輸入用量並選擇第22圖所示之「ENTER用法」鍵,數 子鍵之顯示内容將如第25圖所示般切換成關於服用時間之 =容。初始顯示内容,係顯示以往醫師在診療記錄記載中 5书使用之記號。在此晝面中,可操作箭號鍵,以依序變更 顯不内容。又,當選擇好用法時,顯示内容就進而切換成 又某天數。選擇投藥天數,就可完成用法輸入,且數字鍵 顯不内容會切換成未圖示之最終決定畫面。 已輸入之處方若沒有錯誤等時,就在前述最終決定書 面中%作「ENTER」鍵,以確認内容。如果須要修正和刪 除時,只要操作「修正」鍵和「刪除」鍵即可。由於操作 °亥等鍵,已輸入之藥品名將顯示於數字鍵,所以可操作符 口之藥品名之鍵來修正及刪除内容。另,若要追加新醫藥 品,只須操作「追加」鍵。 一 22 200523783 如果欲使用與業已留存為病歷之處方資料相同者,則 操作第22圖所示之「DO」鍵,就可叫出對應之資料(DO 名單)如第26圖所示。該資料乃是新增輸入時自動登錄成 為病歷貢料者。 5 又,舉例而言,欲於處方開出流行性感冒等之預定醫 藥品時,可事先將可處方之醫藥品登錄起來,然後藉由操 作「基本」鍵,叫出已登錄資料。即,一當操作「基本」 鍵時,就會顯示第27A圖所示之「基本處方組合」畫面。在 此晝面中,選擇基本處方組合(在此顯示有關高血壓和感 10 冒之基本處方),就可叫出預先製作之處方。處方組合的製 作,係從第27B圖所示之「登錄基本處方組合」畫面開始進 行。在此畫面,上部設有「内服」鍵、「「一次頓服」鍵等, 操作其中任一鍵,將於其下方顯示對應之處方一覽表。當 在前述「登錄基本處方組合」晝面中操作「新增」按鈕或 15 「修正」按鈕等時,將顯示與輸入欄7 —體化之「輸入基本 處方組合」晝面如第27C圖所示,於是可進行基本處方組合 之新增輸入或修正。 第2B圖所示之輸入確認欄8,顯示有在輸入欄7所輸入 之診察内容、處方内容等,並可用以確認暫時已輸入之内 20 容。 第2B圖所示之輸入確定欄9,除顯示有本次診察所輸入 並顯示於輸入確認攔8之診察内容和處方内容當中業經確 定者以外,還顯示有檢查結果等等。 一當第2A圖所示之初始晝面顯示時,就會自動顯示第 200523783 28圖所示之「受診名單」晝面。「受診名單」晝面一覽無遺 地顯示具有「No」、「掛號時間」、「候診(候診時間)」、「病 患ID」、「姓名」、「年齡」、「性別」、「狀態」、「問診」、「初/ 復診」、「付費」各列的受診名單。「No」顯示按照掛號台受 5 理掛號資訊之順序而分配的號碼。「掛號時間」顯示病患完 成掛號之時間。又,「候診(候診時間)」顯示自「掛號時 間」到現在為止之經過時間。醫師可參考該時間而注意避 免讓候診時間過長。「狀態」顯示候診等之各病患的現狀。 「問診」顯示各病患診察前是否已進行問診且完成輸入到 10 本系統,以「〇」(完成輸入)或「X」(未輸入)來顯示。 「初/復診」顯示各病患是初診(初)或者是以前曾經受診 (復)。 此外,「受診名單」晝面除顯示有「日期」、「本曰」、「候 診完成合計」、「中斷」各項目以外,還顯示有「曰曆」 15 按紐、「搜尋病患」按鈕、「顯示診療記錄」按鈕、「結束診 察」按鈕、「登出」按鈕、「設定環境」按鈕、「連結」按鈕。 藉由操作「日曆」按鈕,可以另一視窗顯示第29圖所示之 曰曆。藉由在日曆上選擇期望之曰期,就可顯示所選擇之 曰之受診名單。該日曆可利用於所有必須輸入日期之情形 20 時。又,若欲顯示「受診名單」畫面上之病患之電子診療 記錄時,只須選擇顯示對應之病患名之行並操作「顯示診 療記錄」鍵即可。又,如果操作「搜尋病患」按鈕將「受 診名單」晝面關閉,以顯示第30圖所示之「搜尋病患」晝 面,且輸入病患姓名或病患ID等之可指定病患的資料,再 200523783 10 15 20 操作「搜尋」⑽,便可顯示符合之病患之 顯示搜尋結果之—臨矣由— 見表。右欲 述同樣地,/患之電传―時,與前 診療記錄」按二=對:之病患名之行並操心^ 字鍵區域H)來進^ 顯示診療記錄亦可藉由操作數 «作第2A_m_ 之内容將從現麵㈣之轉記錄城錄 療記錄。又,若操作3「―」鍵,將從現在顯示中 錄切換成下;位病患之診療記錄。藉此,可更正已 察之病^ ^療記錄内容,而當碰到拍攝χ光片、打點滴^ 須費:一段時間的情形’亦可轉換診察下一病患。/ 田在第21圖所示之輸入攔7中操作6「處理」 顯示第32_示之「處理註記」畫面,可遺地看曰 關於處理之醫療行為。醫療行為之—覽内容,係 j 式顯示自初診起之處理内容。又,在此畫面中,處置内2 可選擇在處置時所使用之醫藥品及材料。 谷 又,*在第21圖所示之輸入欄7中操作7「手術」鍵時, 會顯不第33圖所示之「手術註記」晝面,可—覽無遺地顯 不關於手術之醫療行為,且可選擇在手術時所制之 品、注射及材料。 、After inputting the name of the injury and illness, when the “OK” button shown in the second step is operated, the diagnosis date will be automatically entered into the start date of the injury and illness name, and the numeric key area (K) will be transformed into the first _ Ma Zhi. If you have to enter the outcome, press 3 "result" key. As a result, the contents of each input key will be switched to items related to the outcome as shown in Figure 20, so just select one of the items and enter it. In this way, the doctor's diagnosis input operation 'can be processed in turn in the input field 7 to complete almost all input operations from the injury name to the final outcome. When the “P” key is pressed in the sub-key area 10, the displayed items will be switched as shown in Figure 21, so you can enter medication, diagnosis and treatment plan, treatment, guidance (education for patients) and other future treatment plans. Items. When any of i ~ 3 injection, 4 injection 21 200523783 is operated in the input field 7 shown in Fig. 21, it will switch to the one shown in Fig. 22 with "r line" ~ "π line" The 50-tone selection key, the ΓΡ〇 "key, the" basic "key, and other keys" select a medicine "daytime surface. If you know the name of the medicine, you can use the 50-tone selection key to select it. However, instead of the name of the medical scale, it can also be designed so that it can be selected according to the effect 5. At this time, the display content of the numeric keys need only be changed to, for example, FIG. 23. Operate the key to search advanced medicines, and finally display the medicine name as shown in Figure 24, and then select the match. After selecting the product name, you can enter the dosage by operating the number keys and the "ENTER" key. At this time, "0" is displayed in advance in the input confirmation block 8 shown in Fig. 2B, and each medicine is used ', so as long as it is not changed, only the "ENTER" key needs to be operated. Then, if you enter the amount and select the "ENTER Usage" key shown in Figure 22, the display of the number key will switch to the content about taking time as shown in Figure 25. The initial display content shows the marks used by the past 5 doctors in the records of the medical records. In this day and night, you can operate the arrow keys to change the display contents in order. When the usage is selected, the display content is switched to another day. Select the number of days of administration to complete the usage input, and the number key display will switch to the final decision screen (not shown). If there are no mistakes in the input area, etc., press the "ENTER" key in the final decision to confirm the content. If you need to modify and delete, just operate the “correct” key and “delete” key. As you press the key, the entered drug name will be displayed on the number keys, so you can use the key of the drug name to modify and delete the content. In addition, to add a new medicine, simply press the "Add" key. 1 22 200523783 If you want to use the same information as the local information that has been saved as the medical record, you can call the corresponding data (DO list) as shown in Figure 26 by operating the "DO" key shown in Figure 22. This information is automatically registered as a medical record clerk when a new entry is made. 5 For example, if you want to prescribe a prescribed medicine such as influenza, you can register the medicine that can be prescribed in advance, and then call the registered information by operating the "basic" key. That is, when the "basic" key is operated, the "basic prescription combination" screen shown in Fig. 27A is displayed. In this day and night, select the basic prescription combination (the basic prescription about high blood pressure and colds is shown here), and you can call the pre-made recipe. The production of a prescription combination starts from the "register basic prescription combination" screen shown in Fig. 27B. On this screen, there are the "Internal Service" key and the "One Time Service" key. If you operate any of these keys, the corresponding list will be displayed below it. When the “Add” button or the 15 “Revision” button is operated in the aforementioned “Registration of Basic Prescribing Combination”, the day and time of “Entering the Basic Recipe Combination” as shown in Figure 27C will be displayed and input field 7-as shown in Figure 27C Display, you can then add new inputs or amendments to the basic prescription set. The input confirmation field 8 shown in FIG. 2B displays the contents of the examination and prescription entered in the input field 7, and can be used to confirm the content that has been temporarily entered. The input confirmation column 9 shown in FIG. 2B displays the results of the examination, etc., in addition to those confirmed by the examination contents and prescription contents entered in the input confirmation block 8 and displayed in the input confirmation block 8. As soon as the initial day-and-day display shown in Fig. 2A is displayed, the "patient list" day-and-day display shown in Fig. 200523783 28 is automatically displayed. The "patient list" shows the list of "No", "registered time", "waiting (waiting time)", "patient ID", "name", "age", "gender", "status", List of consultations for "Inquiry", "First / Revised", and "Paid". "No" shows the numbers assigned in the order in which the registration desk receives the registration information. "Registration time" shows the time when the patient completed the registration. The "waiting (waiting time)" displays the elapsed time from the "registered time" to the present. The physician can refer to this time and take care to avoid waiting too long. "Status" shows the current status of each patient waiting for a wait. "Inquiry" shows whether each patient has been inquired before the examination and has been entered into the 10 system. It is displayed as "0" (completed) or "X" (not entered). "First / Revised" shows that each patient is newly diagnosed (first) or has been previously examined (revised). In addition, the "patient list" displays "date", "this day", "waiting for completion", and "discontinued" on the day and day, as well as "Year Calendar" 15 buttons, "Search patient" button , "Show medical records" button, "End consultation" button, "Log out" button, "Set environment" button, "Link" button. By operating the "Calendar" button, the calendar shown in Figure 29 can be displayed in another window. By selecting the desired date on the calendar, a list of the selected dates can be displayed. The calendar can be used in all cases where the date must be entered at 20 o'clock. In addition, if you want to display the patient's electronic diagnosis and treatment records on the “Consultation List” screen, you only need to select the row that displays the corresponding patient name and operate the “Show diagnosis records” button. In addition, if the "Search Patients" button is operated to turn off the "patient list" daytime display to display the "Search Patient" daytime display shown in Figure 30, and input the patient name or patient ID and other designated patients Data, and then 200523783 10 15 20 operation "Search", you can display the search results of the matching patients-copy from-see the table. To the right, similarly, / Telegraph of the patient—time, and the previous diagnosis and treatment record "Press two = right: the name of the patient and take care ^ key area H) to display the diagnosis and treatment record can also be performed by the operand The content of «for the second 2A_m_ will be recorded from the present moment and recorded in the city. In addition, if the 3 "-" key is operated, the current record will be switched to the next one; the patient's diagnosis and treatment record. In this way, you can correct the recorded content of the disease ^ ^ treatment records, and when you encounter shooting x-rays, drips ^ costs: a period of time 'can also switch to the next patient. / Tian operates 6 "Processing" in the input block 7 shown in Figure 21 and displays the "Processing Notes" screen shown in Figure 32_. Medical behaviors-overview content, j-style display of treatment content from the initial diagnosis. In this screen, you can select the medicines and materials used in the treatment 2 during treatment. Gu You, * When the 7 "Surgery" key is operated in the input field 7 shown in Fig. 21, the daytime surface of the "Surgery Notes" shown in Fig. 33 will be displayed, and the medical treatment about the surgery will be displayed in an exhaustive manner. Behavior, and can choose the products, injections and materials made during surgery. ,

又右奴貫施預定之多項檢查時,可事先將可實施項 二登錄起來,然後藉由操作「檢查」鍵,叫出已登錄資料。 ^第21圖所不之輪入欄7中操作8「檢查」鍵時,會顯示 與刚述基本處方組合名單」畫面同樣之「檢查組合名單」 25 200523783 畫面(未圖示)。在「檢查組合名單」晝面中,可藉由選擇 符合之組合名稱,使電子診療記錄反映出所選擇之内容。 至於「檢查組合名單」晝面之顯示内容,可以在與前述「登 錄基本處方組合」晝面同樣之「登錄檢查組合」畫面(未 5圖示)中來作新增登錄以及修正。 15 20If you want to perform a number of inspections, you can register the two items that can be implemented in advance, and then call the registered data by operating the "check" key. ^ When the 8 "check" key is operated in the round column 7 shown in Fig. 21, the "check combination list" 25 200523783 screen (not shown) similar to the screen of the basic prescription combination list just described is displayed. In the "check combination list" day, you can choose the matching combination name to make the electronic diagnosis and treatment record reflect the selected content. As for the display contents of the "check combination list" daytime, you can add new registration and correction in the "register check combination" screen (not shown in the figure) the same as the "register basic check combination" daytime face described above. 15 20

富在第21圖所不之輸入攔7中操作9 1影像」鍵時,、 顯示第34圖所示之「影像診斷組合名單」晝面。在「影$ #斷組合名單」晝面中,可藉由選擇符合之組合名稱,子 電子診療記錄反映出所選擇之内容。至於「影像診斷組^ 名單」畫面之顯示内容,可以在第35圖所示之「登錄影$ 診斷組合」畫面中來作新增登錄以及修正。「登錄影像診塵 組合」畫面,由分類按赵、—覽表、及其他按紐所構成 分類按紐,由「單純性父光」按鈕、「造影χ光」按紐心 按拍攝種類所分的多數她所構成。舉例而言,如果射 「單純性x光」油,就會-覽無遺地顯示業已登錄之關方 早純性X光攝影之組合名稱,若再選擇欲修正之組合並制When the “9 1 image” key is operated in the input block 7 shown in FIG. 21, the “image diagnosis combination list” shown in FIG. 34 is displayed. In the "Photo $ # broken combination list", you can choose the matching combination name, and the sub-electronic diagnosis and treatment record reflects the selected content. As for the display contents of the "Image diagnosis group ^ list" screen, you can add new registration and correction in the "register shadow diagnosis $ diagnosis combination" screen shown in Figure 35. The "Registered Image Diagnosis Dust Combination" screen is composed of classification buttons composed of Zhao,-List, and other buttons, and divided by the "simple parent light" button and "contrast χ light" button according to the type of shooting The majority she made up. For example, if you shoot "simple x-ray" oil, it will show the registered names of all the pre-existing X-ray photography combinations. If you choose the combination you want to modify and make it

:修正」触,就可修正内容。又,其他触,由「綱 I作」按紐、「修正」按知笪% 」杈鈕專所構成。假設名單上沒権 者時、或欲新增登錄時、成 1 ^钬艾更已登錄内容時,可操作 入旦人 將旦面切換成第36圖所示之「輸 〜像讀組合」晝面並進行預定輸入。 當在「登錄影像診斷組人^ 叫輸入攔7各鍵之顯;; 輸入影像料時㈣之各項目。;^扣_示變更成 右#作1「部位」鍵,將如 26 200523783 5 10 15 20 所示變更成顯示身體各部位之内容。又,若操作2「方 」鍵’將如第39圖所示變更成顯示攝影方向之内容。又, 右才木作3「影片」鍵,將如第4〇圖所示變更成顯示影片尺寸 之項目’所以藉㈣擇尺寸制祕字鍵輸人張數後,再 輸入劃分數量,就可選擇影片形式。輸人劃分數量後,只 =操作「ENTER」鍵,就可對多張影片連續輸入。又, 右知作4帛劑」鍵,數字鍵顯示内容將如第㈣所示變更 成可選擇藥劑種類之項目。料,藉著先選擇藥劑種類, 1在變更後之畫面選擇藥劑,之後在再變更之晝面輸入 用篁’如此就可選擇藥劑之種類等。輸人用量後,口要不 _「ENTER」鍵’就可連續輪人,此點與前述影片'之情 形是同樣的。又,若操作5「材料」鍵,將如第侧所示變 更成影像賴時使叙㈣(器具)的内容。藉著選擇其 中任-材料並輸人數量,就可選擇影像診斷日後用=材料 ,種類及數量。此時,亦與前述情形同樣地,只要不操作 enter」鍵,就可連續輸入。w 操作「新增製作」按鈕、「追加」按紐、及/正寺%’可 進行新增製作、追加、及刪除。 刪除」按鈕來 當在第則所示之輸入攔7中操作5「指導」_,輸 入攔7各鍵之顯示内容會如第43圖 之八扣 不叙變更成顯示指導 之刀類之内容。指導之分類,係由例如服 運動、公共衛生.防止污染、居家、竿“營養、生活、 諶士 ^ 予嘗理、及其他所 成。在此,只要操作所顯示之1〜 夂Μ β 〜鍵,輪入欄7 、’之卜員示内谷就會進一步變更成如第料 一_所不。在此, 第 向 27 200523783 只要操作「指導文」鍵,數字鍵就會變成可操作狀態。然 後,再操作其中任一數字鍵,就會以另一視窗顯示指導文 之一覽表。第45圖顯示操作「營養指導」鍵以顯示之指導 文之例。因此,可藉數字鍵選擇已登錄之指導文。另,當 5 在第21圖中操作「診療計劃」鍵時,即顯示第4圖所示之「鍵 盤輸入」畫面,所以可使用鍵盤來輸入診療計劃。 如第1圖所示,記憶裝置3於醫藥品主檔、病名主檔、 醫療行為主檔、搜尋選單主檔等各種主檔及診察錄表格等 各種表格,分別儲存有如下所示之資料。 10 醫藥品主檔記憶有關於醫藥品(藥劑)之資料,例如 醫藥品名、醫藥品碼編號、藥效等。此外,各醫院處理之 醫藥品各異。所以,醫藥品主檔可於處理之醫藥品設置旗 標以進階搜尋可參照醫藥品。藉此,可使用共通醫藥品主 檔來建立每一醫院之醫藥品資料庫。又,對資料進行進階 15 搜尋,可使搜尋和顯示更快速。 病名主檔記憶有關於症狀之項目(症狀項目)。 醫療行為主檔記憶有各醫藥品服用方法(服用時間、 服用數量等)、關於部位之項目,即標示到底為身體何處 之症狀之項目(部位項目)等的醫療行為所需内容。 20 搜尋選單主檔記憶有可挑選選擇50音、選擇了彳夕工才 等搜尋種類的資料。 診察錄表格可記憶已在第2B圖之輸入確定欄9確定之 資訊。 結果表格藉由網際網路、FD (軟碟)、CD-ROM等電子 200523783 媒體以操取受彳欢查委先處(檢查公司)等所作之檢查結果。 如第1圖所不,控制裝置4由輸入按鍵組受理控制部、 輸入按鍵組顯示控制部等構成。 輸入按鍵組叉理控制部,可依來自觸控面板和按鍵組 · 5之輸入訊號,保留進行狀況記錄稽,並且控制在顯示裝置2 之輸入缓衝畫面(暫時顯示部)之顯示。 輸入按鍵組顯示控制部,可依前述進行狀況記錄槽來 控制輸入欄7和選單視窗晝面之顯示。在輸入攔7,可掌握 進行狀況記錄檔,且由選單構造表格來顯示配合狀況之選 春 10 單内容。 由於自輸入攔7輸入之項目,涉及用法、藥品名、部位 等多方面,所以選單構造表格称可直接存取各種主播, 而且可利狀將各種㈣暫時叫出_表格並作顯示處 理。選單構造表格,包含有例如對應之主標槽名、有無使 15用鍵、選單之項目數量、有無顯示選單區域^等等。 接下來。兒月具有則述結構之電子診療記錄系統之運 作。 · 由於在第2A1]所示之初始畫面時’顯示裝置2之右下爛 顯示有輸入欄7,所以欲進行診察時,可操的「診察」鍵, 20以顯示尚未完成診察之病患中掛號編號(n〇)最小之病患、 . 之電子診療記錄。如果顯示的不是現在欲診察之病氧之電 子診療記錄,可操作箭號鍵,如第28圖所示,變更顯示之 電子診療記錄。又,由於受診名單可自動-覽無遺地顯示, 所以亦可在該受診名單選擇欲診察之病患。所顯示之電子 29 200523783 诊療g錄’除在病患攔6_示該病患之出生日期、住址等個 人貝祇以外,若有過去之診療記錄,也會在病歷攔5顯示其 内容。惟,關於不宜顯示給病患看之項目等,最好設計成 初始狀態時並不顯示。舉例而言,關於初始狀態時不宜顯 5不項目(癌、傳染病、性病等),可另設跳位鍵,僅當操作 該跳位鍵時才可顯示。 又’如果除過去之診療記錄以外,還有檢查結果時, 可以跳出晝面自動顯示該檢查結果,並進行第48圖所示之 檢查結果顯示處理。 0 10 檢查結果顯示處理時,首先由受檢查委託處(檢查公 司)透過網際網路等電傳結果資訊,且系統讀取記憶裝置3 之結果表格自動擷取之檢查結果(步驟sl〇〇)。另,檢查結 果亦可設計成可自軟碟(FD)、CD_R〇M等電子媒體擷取到 結果表格。 15 又,自檢查主檔讀取關於對應前述檢查結果之檢查項 目之基準值(步驟sl〇1)。然後,將所讀取之檢查結果與基 準值(上限值及下限值)作比較(步驟sl〇2)。接著,以跳 鲁 出畫面顯示比較之結果(步驟sl〇3)。此時,如果檢查結果 在基準值以外,就判定為異常,並僅強調(例如用紅色) · 20顯不異常值。分別地,當超過上限值時,顯示「t」,當低 · 於下限值時,則顯示「I」。在此,如果有選擇欲轉記到診 療記錄之項目(步驟S1〇4),就會將關於該項目之檢查結果 轉記到診療記錄(步驟S105)。關於轉記到診療記錄之項 目,只要例如各檢查項目分設選取方格,並僅轉記打勾者 30 200523783 即可。此時,初始設定亦可是可從例如「僅將異常值打勾」、 「全部打勾」、「不打勾」3者中選擇。另,由於有時即使是 正常值,但從前次檢查結果看來變化太大,或即使是異常 值,但並不必太在意,所以才設計成可選擇轉記項目。 5 (輸入診察内容)若顯示欲診察之病患之電子診療記 錄,則如第31圖所示,醫師可隔著顯示裝置2面對病患,並 一邊參照所顯示之電子診療記錄,一邊持續診察。此時, 由於輸入欄7顯示在畫面右下方,所以讓病患亦容易看見電 子診療記錄内容,而且醫師可一邊看顯示内容一邊持續診 10 察。 輸入診察内容時,係操作輸入欄7之「S」鍵,使輸入 欄7切換成第3圖所示之内容。然後,如果問診單内容業已 登錄,就操作「問診單」鍵,以叫出對應之問診單内容並 複製到電子診療記錄中。如果問診單内容尚未登錄,則操 15 作1「主訴」鍵,以顯示第4圖所示之「鍵盤輸入」畫面, 並利用鍵盤來輸入主訴症狀(病患告知)。 當完成輸入主訴症狀時,就操作「OK」鍵以關閉「鍵 盤輸入」晝面。接著,操作2「問診」鍵以顯示輸入確認欄 8之「問診」晝面。此時,輸入欄7之數字鍵顯示内容變更 20 成第6圖所示之用以輸入症狀之内容。於是,自顯示於輸入 欄7之各症狀中選擇符合者。若無符合者,則利用箭號鍵來 變更顯示内容。 一當輸入症狀,「問診」晝面便會顯示該内容,同時還 顯示所有對所輸入之症狀必須問診之内容。舉例而言,若 200523783 在症狀選擇了「發燒」,「問診」晝面便會顯示「發燒」、「從 何時開始」、「輕重程度」、「有無寒顫」,由於已輸入「發燒」, 所以就強調顯示下一個必須輸入之「從何時開始」項目。 因此,應輸入什麼内容,完全一目暸然。又,輸入欄7之顯 5 示内容將從症狀變更成關於時間之内容。另,如果該項目 不必輸入,就可操作「SKIP」鍵以跳至下一項目。此時, 強調顯示之項目會變更。然後,依序按照變更之輸入欄7顯 示内容來輸入。於是,可毫無遺漏地將診察時所需項目完 全輸入。 10 若已完全輸入診察結果,則確認在「問診」畫面之顯 示内容,且視需要進行訂正。如果完成訂正及確認,就操 作「ENTER」鍵。藉此,在「問診」晝面之顯示内容會消 失並顯示於輸入確定欄9,且輸入内容將反映於診療記錄。 (輸入所觀察結果)若完成輸入診察内容’就操作輸 15 入欄7之「0」鍵,以輸入所觀察結果,亦即醫師認定之症 狀。一當操作「0」鍵時,輸入欄7之顯示項目就會切換成 輸入所觀察結果用,如第8A圖所示之輸入欄7顯示有1「所 觀察結果」、2「檢查」、3「影像」、4「圖解」、5「檢查歷 史」之各鍵。 20 當選擇1「所觀察結果」鍵時,輸入欄7之顯示項目將 變更成第8D圖所示之「全身觀察結果」鍵及「個別觀察結 果」鍵。 如果操作「全身觀察結果」鍵,就會以另一視窗顯示 第9A圖所示之「生命徵象」晝面,所以只要用筆或滑鼠等 200523783 依序把各項目之選取方格打勾即可。 又,如果操作「個別觀察結果」鍵,輸入欄7之各數字 鍵將變更成用以顯示身體各部位,所以只要操作符合之部 位,以顯示「輸入所觀察結果」晝面,並與前述同樣地把 5 各項目之選取方格打勾即可。例如,若操作「頸部」,就會 以另一視窗顯示作為「輸入所觀察結果」晝面之第9B圖所 示之「頸部」畫面。在「頸部」畫面中有頸部視診欄和頸 部觸診欄,且兩欄分別具有甲狀腺肥大、頸部淋巴腺肥大、 耳下腺肥大(具有「有」、「無」之選取方格等)之各項目。 10 醫師只要用筆或滑鼠等把各項目之選取方格打勾即可。 如果操作2「檢查」鍵,將一覽無遺地顯示已實施之檢 查結果。然後,藉手動輸入或自動輸入,使所顯示之檢查 結果反映於電子診療記錄之對應處(輸入確定欄)。 如果操作3「影像診斷」鍵,當有X光等拍攝影像時, 15 將以另一視窗顯示。醫師依據所顯示之影像來判斷症狀, 並且視需要顯示下一圖解晝面以用來向病患說明。 如果操作4「圖解」鍵,將顯示第46圖所示之「圖解」 畫面。「圖解」畫面中,顯示有預先已登錄之多數之身體部 位影像,所以當從其中選擇病患之患症部位之影像時,影 20 像就會放大顯示於編輯欄。當利用筆、滑鼠等,於影像輸 入部位、症狀等,且操作「貼到電子診療記錄」按鍵時, 影像就會以縮小尺寸顯示於電子診療記錄。又,如果操作 「影像」鍵,將顯示「輸入影像診斷結果」晝面。當操作 「輸入影像診斷結果」晝面之「擷取影像」按鍵時,將顯 200523783 示「擷取影像」晝面,可讀取影像影片。不過,影像資料 亦可利用影片掃描器來擷取。一當關閉「擷取影像」畫面 時,「輸入影像診斷結果」晝面將顯示所擷取之影像,可一 邊參照該影像^ 一邊輸入影像診斷結果。輸入影像診斷結 5 果之後,操作「輸入影像診斷結果」畫面之「關閉」按鍵, 輸入内容就會顯示於電子診療記錄。又,如果對顯示於電 子診療記錄之影像雙擊滑鼠左鍵,對應之影像將放大顯示 於「圖解」晝面之編輯攔。因此,可利用筆、滑鼠等來指 出影像,對病患清楚說明患症部位。 10 如果操作5「檢查歷史」鍵,將一覽無遺地顯示前次檢 查結果。此時,可從所顯示之一覽表中選擇檢查項目(在 此,最多可選擇5個項目),以時系方式顯示或圖表顯示。 即,若選擇希望顯示之檢查結果,且操作於數字鍵所顯示 之「以時系方式顯示」或「圖表顯示」,就可如下改變形式 15 來顯示。 如果操作「以時系方式顯示」,將如第49圖,所選之各 檢查項目會於由日期構成之一覽表顯示檢查結果之數值。 如果操作「圖表顯示」,將開始第50圖所示之圖表顯示處 理。 20 在圖表顯示處理中,首先,從檢查主檔讀取對應之檢 查項目之基準值(步驟S110),且算出刻度顯示值(步驟 S111)。然後,依據所算出之刻度顯示值於圖表上顯示刻度 (步驟S112)。此時,不論檢查項目不同,使檢查基準值之 上限值及下限值之顯示位置,在相同位置。接著,如果檢 200523783 查項目有多個,就並列顯示各檢查項目之檢查基準值的上 限值及下限值。藉此,可一併顯示多個檢查項目之正常範 圍幅度。然後,於圖表上顯示檢查結果(步驟S113)。 第51圖顯示以圖表顯示檢查結果之例。在該圖表中, 才欢查項目A、B顯示於左欄2列,各檢查項目之基準值的上 限值及下限值顯示於相同位置。然後,以折線圖表顯示心欠 之檢查結果。檢查項目與折線圖表按各檢查項目分色,哪 -結果是哪-檢查做出來的,—目瞭然。如此,即使檢查 10 15 20 項目有多個,由於一併顯示正常範圍幅度,並且以折線圖 表顯示檢查結果,所以可輕易掌握各檢查結果之變化傾 向又,也可輕易判斷檢查值是否在正常範圍。因此,如 果-邊參照該圖表_邊對病患說明,觀看上易懂,是對於 知情同意有益之工具。 士果將滑鼠移動到顯示著對應各折線圖表之檢查 2名稱的部分,將以跳出畫面顯示對應該檢查項目之i 二如,若在錄蛋一上按滑鼠左鍵,由 差,所以將顯有至HbAlc變成正常值為止之時間誤 檢查項目之診二二因此,醫師可按需求來顯示在各 一 基準值等、檢查結果之判斷等上必須注音 ㈣不料地去查閱書籍、-錯誤建議等^ 之二入評入所觀察結果,就操作輸入爛7 在輸入評估時,如第2即輸入對病症之診斷内容。 〇圖所不,顯不有1「傷病名」鍵、 35 200523783 5 10 15 20 2「意見•診_」鍵、3「轉歸期」鍵、4「修正」鍵、5「冊 除」鍵,所以可選擇必要項目來操作。 2「八作「傷病名」料,數钱將變更為1「㈣搜尋」、 刀痛搜尋」、3「關鍵字」各顯示。 按所選之方料搜尋。 π搜衫法’就可 =「常用搜尋」鍵時,數字鍵之顯示將變更為常 等=名。即’將顯示如1「感冒」、2「第聰尿病」… =換=可從帽擇對應者。藉此,數字鍵 切換為「復發」、「反覆」、「疑似」。 〜曰 發」、若;Γ一卜反覆或疑似其中之-,可操作「復 需要輸入修錦語。因為縱使是相同傷=内谷。然後,按 性和慢性k差異,治射法並不=名,但是由於有急 在輸入修飾語時,係在輸入搁7中 「關鍵字」鍵其中之一。 k擇50曰」鍵或 頭扭2^ 5〇曰」鍵’數字鍵之顯示内容將切換為1「接 二刀二」。當選擇其中之—時,數字鍵之顯示内 =二=各子音之行(7行、力行...)。當選擇其 子之顯不内容會切換為各母音之段(r、么/、疋、才)。者审、也 田更進—歩選擇其中之一 :顯示以指定文字結尾之修飾語== 不之修飾語中選擇對 I表:飢,負 1〜9之數字鍵之9個修於;;覽表在此僅可顯示對應 可操作「up」鍵或「°° _右有數量超過9之修飾語’ 〇WN」鍵以切換及選擇顯示内容。: Fix "to modify the content. In addition, other touches are composed of the "Outline I" button and the "correction" button. For example, if there is no one on the list, or if you want to add a new registration, when you have already registered content, you can switch to the "Now ~ Image Reading Combination" day shown in Figure 36. And make a predetermined entry. When registering the image diagnosis group ^, call the display of each key of the input block 7; each item of the input when inputting the image material; ^ buckle_ display changed to the right # make 1 "part" key, will be as 26 200523783 5 10 15 20 The display is changed to display the contents of each part of the body. If the "square" key 2 is operated, as shown in Fig. 39, the contents of the shooting direction are displayed. In addition, the right key is made with 3 "movie" keys, which will be changed to show the size of the movie as shown in Figure 40. Therefore, after entering the number of sheets by selecting the secret key for selecting the size, enter the number of divisions. Choose a movie format. After entering the number of divisions, you can enter multiple videos continuously by simply pressing the "ENTER" key. In addition, the right key is the "4 tincture" key, and the display content of the number keys will be changed to the item for selecting the type of medicine as shown in the second paragraph. It is expected that by selecting the type of medicine first, 1 select the medicine on the screen after the change, and then enter 篁 'on the daytime surface of the change to select the type of medicine and so on. After inputting the dosage, you can continue to rotate without the _ "ENTER" key, which is the same as the situation of the aforementioned movie. Also, if you press the 5 "Material" key, as shown on the side, it will be changed to the content of the video (time) and the contents of the timepiece. By selecting any of these materials and entering the number of people, you can choose the image diagnosis for future use = materials, type and quantity. At this time, as in the case described above, as long as the enter key is not operated, continuous input can be performed. w Operate the "Create New" button, the "Add" button, and / Zhoji% 'to add, create, and delete. "Delete" button When you operate 5 "Guide" in the input block 7 shown in the first rule, the display content of each key of the input block 7 will be changed to the content of the display of the guide as shown in the eighth deduction of Figure 43. The classification of the guidance is made up of, for example, clothing exercise, public health, pollution prevention, home, nutrition, living, health care, and others. Here, as long as the operation shows 1 ~ 夂 Μ β ~ Key, the turn-in column 7 and the 'Billmaster Shineigu' will be further changed as shown in the first one. Here, the direction 27 200523783 As long as the "Guide" key is operated, the number keys will become operable. . Then, if you operate any of the number keys again, a list of instructions will be displayed in another window. Fig. 45 shows an example of the guidance text displayed by operating the "Nutrition Guidance" key. Therefore, you can use the number keys to select the registered instructions. In addition, when 5 operates the "diagnosis plan" key in Fig. 21, the "keyboard input" screen shown in Fig. 4 is displayed, so the keyboard can be used to enter the diagnosis plan. As shown in FIG. 1, the memory device 3 stores various data such as the master file of medical products, the master file of disease names, the master file of medical behaviors, the master file of search menus, and the various forms such as the examination record form, and stores the following data, respectively. 10 The main file of pharmaceutical products contains information about pharmaceutical products (pharmaceuticals), such as pharmaceutical product names, pharmaceutical product code numbers, and efficacy. In addition, medicines handled by each hospital vary. Therefore, the master file of pharmaceutical products can set flags on the processed pharmaceutical products for advanced search and refer to pharmaceutical products. In this way, a common pharmaceutical master file can be used to build a pharmaceutical database for each hospital. Also, an advanced 15 search of data can make searching and displaying faster. Symptom items (symptom items) are stored in the main file of the disease name. The main file of medical behaviors contains the necessary medical behaviors, such as the method of taking each drug (time taken, number of doses, etc.), the item about the part, that is, the item (part item) indicating the symptoms of the body. 20 The main file of the search menu contains data that can be selected and searched for 50 sounds, and the search type is selected. The examination record form can memorize the information that has been determined in the input determination field 9 of FIG. 2B. The result form uses the Internet, FD (floppy disk), CD-ROM and other electronic 200523783 media to access the inspection results made by the inspection committee (inspection company), etc. As shown in FIG. 1, the control device 4 includes an input key group reception control unit, an input key group display control unit, and the like. The input key group split control unit can keep the status record and audit based on the input signals from the touch panel and key group · 5, and control the display on the input buffer screen (temporary display part) of display device 2. The input key group display control section can control the daytime display of the input field 7 and the menu window according to the progress record slot described above. In the input block 7, you can grasp the progress status record file, and the menu construction table displays the contents of the selection of the spring 10 orders. Since the items entered from the input block 7 involve many aspects such as usage, drug name, location, etc., the menu construction form says that it can directly access various anchors, and can temporarily call various forms out of the form and display them. The menu structure table includes, for example, the corresponding main slot name, the presence or absence of 15 keys, the number of items in the menu, and the presence or absence of a menu area ^. Next. The operation of an electronic diagnosis and treatment record system with a structure as described above. · In the initial screen shown in 2A1], there is an input field 7 displayed on the bottom right of the display device 2. Therefore, when you want to conduct a diagnosis, you can use the "Diagnosis" key, 20 to display the patients who have not completed the diagnosis Patient with the smallest registered number (n0), electronic diagnosis and treatment records of. If the displayed electronic diagnosis and treatment records of diseases and oxygen that are not to be examined are displayed, the arrow keys can be operated, as shown in Figure 28, to change the displayed electronic diagnosis and treatment records. In addition, since the consultation list can be displayed automatically and at a glance, it is also possible to select patients to be examined on the consultation list. The displayed electronic 29 200523783 Diagnosis and treatment g record ′ shows the patient ’s birth date, address, etc. in the patient block 6_. If there is a past diagnosis and treatment record, the content will also be displayed in the medical record block 5. However, items that should not be displayed to patients should be designed not to be displayed in the initial state. For example, it is not appropriate to display 5 items (cancer, infectious disease, sexually transmitted diseases, etc.) in the initial state, and a jump key can be set, which can be displayed only when the jump key is operated. If there is an examination result in addition to the past diagnosis and treatment records, the examination result can be automatically displayed by jumping out of the day, and the examination result display processing shown in Fig. 48 can be performed. 0 10 When the inspection result is displayed and processed, the inspection request (inspection company) first transmits the result information via the Internet and other systems, and the system reads the inspection result automatically retrieved from the result table of the memory device 3 (step slOO) . In addition, the inspection results can also be designed to retrieve the result form from electronic media such as floppy disks (FD) and CD_ROM. 15. The reference value of the inspection item corresponding to the aforementioned inspection result is read from the inspection master file (step S101). Then, the read inspection result is compared with a reference value (upper limit value and lower limit value) (step S102). Next, the comparison result is displayed in a pop-up screen (step sl03). At this time, if the inspection result is outside the reference value, it is judged as abnormal, and only emphasized (for example, in red). 20 shows no abnormal value. Respectively, "t" is displayed when the upper limit value is exceeded, and "I" is displayed when the value is lower than the lower limit value. Here, if an item to be transferred to the medical record is selected (step S104), the examination result about the item is transferred to the medical record (step S105). Regarding the items transferred to the diagnosis and treatment records, for example, as long as each check item is divided into check boxes, and only the checker 30 200523783 is transferred. At this time, the initial setting may be selected from, for example, "check only outliers", "check all", and "not check". In addition, even if it is a normal value, it may change too much from the previous inspection result, or even if it is an abnormal value, you do not need to pay much attention to it. Therefore, it is designed to select the transfer item. 5 (Enter the content of the examination) If the electronic diagnosis and treatment records of the patient to be examined are displayed, as shown in FIG. 31, the physician can face the patient through the display device 2 and continue to refer to the displayed electronic diagnosis and treatment record while continuing Examination. At this time, the input field 7 is displayed at the bottom right of the screen, so that the patient can easily see the contents of the electronic diagnosis and treatment, and the physician can continue to check while looking at the displayed content. When inputting the examination contents, the "S" key of the input field 7 is operated to switch the input field 7 to the content shown in Fig. 3. Then, if the contents of the questionnaire have been registered, the "question ticket" key is operated to call up the corresponding questionnaire content and copy it to the electronic diagnosis record. If the contents of the questionnaire have not been registered, press 1 to “Key Complaint” to display the “Keyboard Input” screen shown in Figure 4 and use the keyboard to enter the main complaint symptoms (patient notification). When the input of the main complaint symptoms is completed, the "OK" key is operated to close the "keyboard input" day and night. Next, the 2 "inquiry" key is operated to display the "inquiry" day of the input confirmation field 8. At this time, the display contents of the number keys of the input column 7 are changed to 20 as shown in FIG. 6 for inputting the symptoms. Then, a match is selected from the symptoms displayed in the input field 7. If there is no match, use the arrow keys to change the displayed content. As soon as the symptoms are entered, the question and answer will be displayed on the day and time, as well as all the contents that must be consulted for the entered symptoms. For example, if 200523783 selects "Fever" in the symptoms, "Ask" will display "Fever", "When to start", "Severity", and "Presence of chills" on the day and day. Because "Fever" has been entered, The next "when to start" item that must be entered is highlighted. Therefore, what should be entered is completely clear at a glance. In addition, the display content of the input field 7 will be changed from the symptom to the content about time. In addition, if you do not need to enter this item, you can operate the "SKIP" key to skip to the next item. At this time, the highlighted item is changed. Then, input in accordance with the contents displayed in the changed input field 7 in order. Therefore, the items required for the examination can be completely entered without any omissions. 10 If the examination results have been completely entered, confirm the display content on the "Ask" screen and make corrections as necessary. When the correction and confirmation are completed, operate the "ENTER" key. As a result, the content displayed on the day of the “Ask” will disappear and be displayed in the input determination field 9 and the input content will be reflected in the diagnosis and treatment record. (Enter the observation result) If the input of the examination contents is completed, the "0" key in the input column 7 is operated to input the observation result, which is the symptom recognized by the doctor. When the "0" key is operated, the display item in the input field 7 is switched to input the observed result. As shown in FIG. 8A, the input field 7 displays 1 "observed result", 2 "check", 3 "Image", 4 "Illustration", 5 "Check History" keys. 20 When 1 "observed result" key is selected, the display item in input field 7 will be changed to the "whole body observation result" key and "individual observation result" key shown in Fig. 8D. If you operate the "Full Body Observation Result" key, the daylight surface of the "Vital Signs" shown in Figure 9A will be displayed in another window, so as long as you use a pen or a mouse, etc. 200523783 to sequentially check the selected boxes of each item can. In addition, if the "individual observation result" key is operated, each numeric key in the input field 7 will be changed to display various parts of the body, so as long as the corresponding part is operated, the "input observation result" day surface is displayed, and the same as above Simply tick the checkboxes for each of the 5 items. For example, if you operate the "neck", the "neck" screen shown in Figure 9B of the daytime surface as the "input observation result" will be displayed in another window. In the "Neck" screen, there are a neck inspection column and a neck palpation column, and the two columns respectively have thyroid hypertrophy, cervical lymph gland hypertrophy, and subauricular hypertrophy (the check boxes with "yes" and "no") Etc.). 10 The doctor only needs to tick the check boxes of each item with a pen or mouse. If you operate the 2 "Check" key, the results of the inspections performed will be displayed at a glance. Then, by manual input or automatic input, the displayed examination result is reflected in the corresponding place of the electronic diagnosis and treatment record (enter the input confirmation column). If you operate the 3 "Image Diagnostics" key, 15 will be displayed in another window when shooting images such as X-rays. The physician judges the symptoms based on the displayed image, and displays the next graphic day and day as needed to explain to the patient. If you operate the 4 "Graphics" key, the "Graphics" screen shown in Figure 46 will be displayed. In the "Illustration" screen, a large number of body parts images that have been registered in advance are displayed. Therefore, when an image of a diseased part of a patient is selected from among them, the image 20 image will be enlarged and displayed in the edit field. When you use a pen, mouse, etc. on the image input area, symptoms, etc., and operate the "Paste to Electronic Medical Record" button, the image will be displayed in the electronic medical record in a reduced size. When the "Image" key is operated, the "input image diagnosis result" screen is displayed. When you operate the "Capture Image" button of the "Input Image Diagnostic Results" daytime display, 200523783 will display the "Capture Image" daytime view, and you can read the video image. However, image data can also be captured using a video scanner. As soon as you close the "Captured Image" screen, the "Input Image Diagnostic Results" will display the captured image on the daytime. You can input the image diagnostic results while referring to the image ^. After entering the image diagnosis results, press the "Close" button on the "Input image diagnosis result" screen, and the input will be displayed in the electronic diagnosis and treatment record. In addition, if you double-click the left mouse button on the image displayed in the electronic diagnosis and treatment record, the corresponding image will be enlarged and displayed on the editing screen of the "graphics" day. Therefore, you can use a pen, mouse, etc. to point out the image and clearly explain the affected area to the patient. 10 If you press the 5 "Check History" key, the previous check result will be displayed at a glance. In this case, you can select the inspection items from the displayed list (here, up to 5 items can be selected), and display them in a time series or graph. That is, if you want to select the inspection result you want to display, and operate it on the "time display" or "graph display" displayed by the number keys, you can change the form 15 to display it as follows. If you operate "Display in time series", as shown in Figure 49, the selected inspection items will display the value of the inspection result in a list composed of dates. If "Graph Display" is operated, the graph display processing shown in Fig. 50 is started. 20 In the graph display processing, first, the reference value of the corresponding inspection item is read from the inspection master file (step S110), and the scale display value is calculated (step S111). Then, a scale is displayed on the graph according to the calculated scale display value (step S112). In this case, the display positions of the upper limit value and lower limit value of the inspection reference value should be the same regardless of the inspection items. Next, if there are multiple inspection items in the inspection 200523783, the upper and lower limits of the inspection reference values for each inspection item are displayed side by side. This allows the normal range of multiple inspection items to be displayed together. Then, the inspection result is displayed on the graph (step S113). Figure 51 shows an example of the inspection results displayed in a graph. In this chart, the inspection items A and B are displayed in the left column and 2 columns, and the upper and lower limits of the reference value of each inspection item are displayed at the same position. Then, the result of the owe check is displayed in a line chart. The inspection items and the line chart are color-coded according to each inspection item, which-the result is-the inspection is made-at a glance. In this way, even if there are multiple items for inspection 10 15 20, because the range of the normal range is displayed together, and the inspection results are displayed in a line chart, it is easy to grasp the change tendency of each inspection result, and it is also easy to judge whether the inspection value is within the normal range. . Therefore, if you refer to the chart while explaining the patient, it is easy to understand on viewing, and it is a useful tool for informed consent. Shiguo moves the mouse to the part that displays the name of the check 2 corresponding to each line chart, and the corresponding item of the check item will be displayed in a pop-up screen. For example, if you press the left mouse button on the egg recording, the difference is The diagnosis of the mischecked items until the time when HbAlc becomes normal value. Therefore, the physician can display the reference values, etc., and the judgment of the test results according to requirements. It is recommended to wait for ^ bis to enter the observation results, and input the bad 7 for the operation. When entering the evaluation, enter the diagnosis content of the disease as the second step. 〇 As shown in the figure, there are 1 "Injury and Disease Name" key, 35 200523783 5 10 15 20 2 "Opinions and consultations" key, 3 "Return Period" key, 4 "Correction" key, 5 "Deletion" key, So you can choose the necessary items to operate. 2 "Eight works" "Injury and Disease Name" data, the number of money will be changed to 1 "㈣ Search", "Sword Pain Search", 3 "Keywords" each display. Search by selected ingredients. π search shirt method ”=" Common search "key, the number key display will change to constant = name. That is, ‘will display like 1“ cold ’, 2’ #satoshi urinary ailment ... ”= change = can choose the corresponding one from the cap. As a result, the number keys switch to "Relapse", "Repeat", and "Suspect". ~ Yuefa ", if; Γ is repeatedly or suspected of-, the operation" requires the input of Xiu Jin. Because even the same injury = Uchigani. Then, according to the difference between sex and chronic k, the cure method is not = Name, but when you are in a hurry to enter a modifier, it is one of the "keyword" keys in input 7. k select "50" or "twist 2 ^ 50" "number key" display content will switch to 1 "connect two knives". When one of them is selected, the display of the number keys = two = each consonant line (7 lines, force line ...). When the child's display content is selected, it will switch to each vowel segment (r, Mod /, 疋, Cai). Those who review, also Tian Gengjin— 歩 Choose one of them: Display modifiers ending with the specified text == No modifiers. Choose the I table: hungry, 9 of the number keys with minus 1 to 9 are revised; The watch list can only display the corresponding operable "up" key or "°° _ right with more than 9 modifiers 〇WN" key to switch and select the display content.

36 200523783 「50音」鍵之操作中, 之數量限制在9個 將財财—覽無遺地顯示 小限度,俾大幅顯示:子=空間(顯示區域)為所需最 、下包子矽療記錄之内客部分。 10 「關鍵字」-,將顯示關鍵字選擇畫面,所以 文字等’並操作「搜尋」鍵或「E—」鍵, 丁〜之修飾語(當修飾語輪人到-半時,將以-不對應之修飾語),因此選擇希望之修飾語即可。 朴另在輸入攔中操作「英數字」鍵,則可進行數字 矛央文搜+。此時,與前述操作「5G音」鍵時同樣地使數 子鍵顯示數字及英文且可選擇即可。 如此,按前述輸入方法,可以數字鍵之操作為中心, 輕易地選擇常用之傷病名。 又,§操作「分類搜尋」鍵時,可依大、中、小分類 依序進階搜尋,選擇傷病名。各分類是對應於由世界衛生 I5組織(WHO)訂定之「疾病及相關保健問題之國際統計分 類第 10次修正」(International Statistical Classification of Diseases and Related Health Problems, Tenth Revision : I CD-10)中之各分類者。接著,與前述同樣地輸入復發、疑 似,輸入修飾語等。 若完成輸入傷病名,將自動輸入治療之開始日,欲更 正自動輸入之日期時,可操作「修正開始日」鍵,以變更 開始日。 另’轉歸期係當症狀有變化時輸入的。輸入項目顯示 於輸入欄7之數字鍵’可操作對應者以反映於診療記錄。 37 200523783 又,至於輸入結束日,可操作「日曆」鍵以顯示日曆並輕 易地指定日期。 (輸入治療計晝)若完成輸入評估,可操作輸入攔7 之「P」鍵以輸入治療計晝,即輸入關於診斷計晝、治療、 5 對病患之教育等之今後的治療計畫。在此,各數字鍵顯示 有1 「内月艮」、2「一次頓月艮」、3「夕卜用」、4「注射」、5「自 行注射」、6「處置」、7「手術」、8「檢查」、9「影像」。 欲選擇對病患投藥之醫藥品時,可按第47圖所示之流 程圖進行。 10 首先,在第21圖所示之晝面中,選擇對應之鍵(1「内 月良」、2「一次頓月艮」、3「外用」、4「注射」、5「自行注射」 之中其中之一)(步驟S1),且進階搜尋選擇之對象。由於 操作此鍵,將變更成第22圖所示之晝面,所以判斷是否是 DO處方或基本處方(步驟S2)。當欲開出與保留於歷史資 15 料之處方箋相同之處方時,就操作「DO」鍵,當欲開出流 行中之感冒等之業經規定之醫藥品時,就操作「基本處方」 鍵。藉此,所開出處方之醫藥品一覽將以選單區域11顯示 名單(步驟S12)。於是,只要從所顯示之名單中選擇對應 之醫藥品(步驟S13),便可輕易進行輸入作業。又,判斷 20 投藥天數是否有變更(步驟S14),當有變更時,跳至步驟 S9,當沒有變更時,跳至步驟S10。 又,當DO處方或基本處方兩者都沒有時,就進行一般 搜尋。在此,係操作50音鍵以指定對應之醫藥品(步驟S3)。 例如,欲選擇文字「彳」時,只要在第22圖中操作「7」鍵 200523783 使顯示内容切換為「r 「 <」’再選擇「<」即可。然後, 操作50音選擇鍵,指定最 、抑 取開頭文子,就會例如第9圖所示, 以名單顯示該以文字開頭較口 · 一 、西条。口(步驟S4),所以從所顯 示=容中選擇對應者(步驟S5)。所顯示之名單之醫藥品 . 5很夕%’可輸入第2位文字’以對名單顯示之數量進階搜尋。 當處方之醫藥品指定味认 相疋4,輸入用量(步驟S6)。用量之 輸入,係利用數字鍵區域於 入數值。又,若決定了用量, 就判斷是否追加選擇之醫荦u 、, 商条如(步驟S7),若要追加,便返 回前述步驟S1重複前述處理 囊 处理右不要追加,就輸入用法(步 響 10 驟 S8)〇 在用法之輸入中,可將輸入欄7之顯示内容變更為如第 2 5圖所tf ’利用料在書轉療記錄上輸寫時使用之記號。 具體而言,顯示於數字鍵1之記號為「分3次餐後」, 即指應於早•中.晚每餐後服用。顯示於數字鍵2之記號為 刀3人養後立即」’即指應於早•中•晚每餐後分鐘以 内服用。顯示於數字鍵3之記號為「分2次早•晚」,即指 應於早•晚餐後服用。顯示於數字鍵4之記號為「分工次睡 · 前」,即指應於就寢前服用。顯示於數字鍵5之記號為「分3 -人母4之間」,即指應於早•中、中•晚、晚.早各餐之 · 20間服用。顯示於數字鍵6之記號為「分1次早上」,即指應 . 於起床後服用。 如此,使用以往在書面診療記錄上輪寫時使用之記 號,可順利地從書面診療記錄轉換成電子診療記錄。進一 步,若已輸入了用法,就輸入投藥天數(步驟S9)。在投藥 39 200523783 天數之輸入中,除以數字鍵輸入數值以外,另外亦可顯示 曰曆,直接操作所顯示之日期來輸入。日曆中若欲先登錄 有休診日等,就可防止在休診中等時候醫藥品告罄之窘 況。又,也變得較容易確認病患來醫院之日程。 5 之後,於輸入確定欄9顯示選擇内容(步驟S10),並決 定内容(步驟S11)。 在前述醫藥品之選擇中,可藉推論搜尋自動進階搜尋 醫藥品。依據病名、狀態、限制等資訊,以醫藥品之附加 文書、以根據至目前為止之處方資料統計之值為基礎,自 10 動地自動進階搜尋可處方之醫藥品。例如,依病名搜尋效 果符合之醫藥品。下表顯示推論搜尋中可利用之資料及資 料來源的示例。 【表1】 分類 資訊 資訊來源 病名 病名 診斷 過去病名 病歷 狀態 過去處方之藥 病歷 現在投藥中之藥 病歷 病名禁忌(過敏等) 問診單、病曆 部位 觀察結果 症狀 問診 限制 懷孕、哺乳婦女 問診單、觀察結果 兒童 問診單、觀察結果 推論搜尋之結果,如果醫藥品進階搜尋至30種以下 15 時,判斷為可選擇之數量,以名單方式顯示並選擇。又, 如果醫藥品無法進階搜尋至30種以下時,選擇太耗費時 間,進一歩進行一般搜尋,進階搜尋醫藥品。然後,從進 階搜尋到之醫藥品之名單中選擇對應者。 40 200523783 又,前述一般搜尋時,除前述選擇50音以外,亦可進 行藥效別搜尋、成份別搜尋。 又,若是醫藥品,以開頭3個文字就幾乎可全都群組化 為適當數量(數字鍵可顯示之9以下)。因此,如果使各數 5 字鍵之尺寸為顯示3個文字程度易辨識之大小,較佳。因 此,可令數字鍵區域10構成較緊緻。 又,群組化之單字之合計顯示於括弧()内,所以一 眼即可瞭解有其他類似單字存在。 前述群組化之顯示方法尤其在50音搜尋時很有效。 10 即,以50音搜尋醫藥品時,類似名稱太多很難選,而藉著 群組化,即使以鍵盤僅輸入開頭1個文字時,仍可使數字鍵 顯示很多的醫藥品名稱。又,如前述,即使只使數字鍵顯 示50音各子音之行(了行、力行…),並選擇其中之一以指 定子音之行,仍然可顯示期望之醫藥品之名稱。接著,再 15 輸入各母音之段、无、才),就可獲得與以鍵盤 輸入開頭1個文字時同樣之效果。即,僅以數字鍵之操作, 就可選擇期望之醫藥品。 如此,藉著使醫藥品群組化,可輕易且迅速地選擇期 望之醫藥品。 20 【圖式簡單說明】 第1圖是顯示本實施形態之電子診療記錄系統概略構 造之方塊圖。 第2A圖是顯示第1圖之顯示裝置所顯示之數字鍵區域 之初始晝面的圖。 200523783 第2B圖是顯示第1圖之顯示裝置所顯示之現在起將開 始診察之病患之電子診療記錄的圖。 第3圖是顯示呈現操作「S」鍵後狀態之輸入欄(按鍵 組晝面)的圖。 5 第4圖是可在第3圖之輸入欄中操作1「主訴」鍵以顯示 的鍵盤輸入畫面。 第5圖是可在第3圖之輸入欄中操作2「問診」鍵以顯示 的問診畫面。 第6圖是顯示可在第3圖之輸入欄中操作2「問診」鍵以 10 顯示之輸入欄的圖。 第7圖是顯示可在第6圖中操作1「發燒」鍵以顯示之輸 入欄的圖。 第8A圖是顯示在數字鍵區域中操作「0」鍵,使顯示 項目變更之狀態的圖。 15 第8B圖是在第8A圖之輸入欄中操作「影像診斷」鍵等 以顯示之「輸入影像診斷結果」晝面。 第8C圖是當影像診斷有2個以上時所顯示之「選擇檢查 實施曰」畫面。 第8D圖是顯示在第8A圖之輸入欄中操作「觀察結果」 20 鍵,使顯示項目變更之狀態的圖。 第8E圖是顯示在第8D圖之輸入欄中操作「個別觀察結 果」鍵,使顯示項目變更之狀態的圖。 第9A圖是在第8D圖之輸入欄中操作「全身觀察結果」 鍵以顯示之「生命徵象」晝面。 42 200523783 第9B圖是在第8E圖之輸入欄中操作「頸部」鍵以顯示 之「頸部」晝面。 第10圖是顯示在數字鍵區域中操作「A」鍵,使顯示項 目變更之狀態的圖。 5 第11圖是顯示在數字鍵區域中操作「A」鍵以顯示之「管 理傷病名」晝面。 第12圖是顯示在第10圖之輸入欄中操作1「傷病名」 鍵,使顯示内容切換之狀態的圖。 第13圖是顯示在第12圖之輸入欄中操作1「常用搜尋」 10 鍵,使顯示内容切換之狀態的圖。 第14圖是顯示在第13圖之輸入欄中操作數字鍵其中任 一鍵,使顯示内容切換之狀態的圖。 第15圖是顯示在第14圖之輸入欄中操作「修飾語」鍵, 使顯示内容切換之狀態的圖。 15 第16圖是顯示在第15圖之輸入欄中選擇1「50音」鍵, 使顯示内容切換之狀態的圖。 第17圖是顯示在第16圖之輸入欄中選擇1「接頭語」 鍵,使顯示内容切換之狀態的圖。 第18圖是顯示在第17圖之輸入攔中選擇「7行」鍵, 20 使顯示内容切換之狀態的圖。 第19圖是顯示在第18圖之輸入欄中選擇1「了」鍵,使 顯示内容切換之狀態的圖。 第20圖是選擇第10圖之「轉歸期」鍵以切換之狀態的 圖。 43 200523783 第21圖是顯示在數字鍵區域中操作「P」鍵,使顯示内 容變更之狀態的圖。 第22圖是在第21圖之輸入欄中操作「内服」、「一次頓 月艮」、「夕卜用」、「注射」鍵以顯示之「選擇醫藥品」晝面。 5 第23圖是顯示在第22圖之輸入欄中切換成可選擇藥效 別之狀態的圖。 第24圖是顯示自第22圖之輸入欄之顯示内容變成最終 可選擇醫藥品名之狀態的圖。 第25圖是顯示自第24圖之輸入欄之顯示内容切換成有 10 關服用時間之内容之狀態的圖。 第26圖是在第22圖之「選擇醫藥品」晝面中操作「DO」 鍵以顯示之「DO名單」畫面。 第27A圖是在第22圖之「選擇醫藥品」晝面中操作「基 本」鍵以顯示之「基本處方組合」畫面。 15 第27B圖是用以登錄基本處方之晝面。 第27C圖是用以輸入基本處方之畫面。 第28圖在初始晝面所顯示之「受診名單」晝面。 第29圖是電子診療記錄在輸入日期時所顯示之日曆晝 面。 20 第30圖是在第28圖之畫面中操作「搜尋病患」鍵以顯 示之「搜尋病患」晝面。 第31圖是於顯示裝置顯示電子診療記錄時之診察狀態 的圖。 第32圖是在第21圖之晝面中操作「處理」鍵以顯示之 200523783 「處理註記」畫面。 手術」鍵以顯示之 第33圖是在第21圖之晝面中操作 手術註記」晝面。 弟34圖疋在弟21圖之輸入欄中摔 私作衫像」鍵以顯示 5 之「影像診斷組合名單」晝面。 第35圖是用以登錄影像診斷組合之查面。 第36圖是用以輸入影像診斷組合之書面。 之「登錄影像診岐人&36 200523783 In the operation of the "50-tone" key, the number is limited to nine. The display of wealth and money is displayed in a small limit, and the large display: sub = space (display area) is the maximum required for the recording of the bun steam treatment Insider section. 10 "Keyword"-, the keyword selection screen will be displayed, so the text, etc., and operate the "Search" key or the "E—" key, the modifier of Ding ~ (when the modifier turns--half, it will be- No corresponding modifier), so choose the modifier you want. If you operate the "Alphanumeric" key in the input block, you can perform a number search. At this time, the numeral keys and English can be displayed and selected in the same way as when the "5G tone" key is operated. In this way, according to the aforementioned input method, the operation of the number keys can be used as the center, and the commonly used injury names can be easily selected. In addition, when operating the "Category Search" button, you can search in order of large, medium, and small categories, and select the injury name. Each classification corresponds to the "International Statistical Classification of Diseases and Related Health Problems, Tenth Revision: I CD-10" defined by the World Health I5 Organization (WHO) Of each category. Next, recurrence, suspicion, and modifiers are input in the same manner as described above. If you finish entering the injury name, the treatment start date will be automatically entered. If you want to correct the automatically entered date, you can operate the “Modify Start Date” key to change the start date. Another 'resulting period' is entered when the symptoms change. The input item is displayed on the number key ′ in the input field 7, and the corresponding person can be operated to be reflected in the medical treatment record. 37 200523783 Also, as for entering the end date, you can operate the "Calendar" key to display the calendar and easily specify the date. (Enter the treatment plan day) After completing the input evaluation, you can operate the "P" key of the input block 7 to enter the treatment plan day, that is, enter the future treatment plan about the diagnosis plan, treatment, and 5 patient education. Here, each number key displays 1 "Inner Moon Gen", 2 "One Month Moon Gen", 3 "Evening Use", 4 "Injection", 5 "Self-injection", 6 "Treatment", 7 "Surgery" , 8 "Check", 9 "Image". To choose the medicine to be administered to the patient, follow the flow chart shown in Figure 47. 10 First, select the corresponding key (1 "Inner Moon", 2 "Single Moon Moon", 3 "External", 4 "Injection", 5 "Self-injection" in the day surface shown in Figure 21 One of them) (step S1), and advanced search for the selected object. By operating this key, the daylight surface shown in Fig. 22 is changed, so it is judged whether it is a DO prescription or a basic prescription (step S2). Use the "DO" button when you want to prescribe the same thing as the note that is kept in the historical materials. When you want to prescribe prescribed medicines such as the popular cold, press the "basic prescription" button. . Thereby, the list of prescribed medicines will be displayed in the menu area 11 (step S12). Then, as long as the corresponding medicine is selected from the displayed list (step S13), the input operation can be easily performed. In addition, it is determined whether the number of days of administration has changed (step S14). If there is a change, skip to step S9. If there is no change, skip to step S10. When neither the DO prescription nor the basic prescription is available, a general search is performed. Here, the 50-tone key is operated to designate a corresponding medicine (step S3). For example, to select the character "彳", simply operate the "7" key in Figure 22 200523783 to switch the display to "r" < "'and then select" < ". Then, operate the 50-tone selection key, specify the most, and suppress the beginning of the text. For example, as shown in Figure 9, a list with the beginning of the text is more mouthful · Saijo. (Step S4), so select the corresponding one from the displayed contents (step S5). The list of medicines displayed. 5 Very evening% ’You can enter the second character’ to perform an advanced search for the number displayed on the list. When the prescription drug specifies taste recognition phase 4, the amount is input (step S6). The input of the amount is to enter the value using the numeric keypad area. In addition, if the dosage is determined, it is judged whether to add the selected medicine, such as (step S7). If it is to be added, return to the previous step S1 and repeat the aforementioned processing. Do not add, and enter the usage (step sound) 10 Step S8) 〇 In the input of the usage, the display content of the input field 7 can be changed to the symbol used when writing on the book transfer therapy record using tf 'ff' in Figure 25. Specifically, the mark displayed on the number key 1 is "after 3 meals", which means that it should be taken after each meal in the morning, middle, and evening. The symbol displayed on the number key 2 is "Immediately after 3 people raise the knife" ", which means that it should be taken within minutes after each meal in the morning, middle, and evening. The mark displayed on number key 3 is "2 times morning and evening", which means it should be taken after breakfast and dinner. The mark displayed on the number key 4 is "Division of work and sleep before", which means it should be taken before bedtime. The mark displayed on the number key 5 is "between 3 and 4 between mother and mother", which means that it should be taken in the morning, middle, evening, evening, and early morning meals. · 20 times. The mark displayed on the number key 6 is "1 time in the morning", which means that it should be taken after getting up. In this way, it is possible to smoothly convert from a written medical record to an electronic medical record by using the mark used in the previous writing of the written medical record. Further, if the usage has been entered, the number of days of administration is entered (step S9). In the input of the number of days for administration 39 200523783, in addition to entering the value by the number keys, a Japanese calendar can also be displayed, and the date displayed can be directly operated to enter. If you want to register on the calendar with a day off, etc., you can prevent the embarrassment of running out of medicines at the time of the office. In addition, it becomes easier to confirm the schedule of patients coming to the hospital. After that, the selection content is displayed in the input determination field 9 (step S10), and the content is determined (step S11). Among the aforementioned choices of medicines, you can automatically search for medicines by inference search. Based on the information such as disease name, status, restrictions, etc., based on the additional documents of medicines and the value based on the statistics of the local data so far, it automatically searches for prescription medicines automatically. For example, search for medicines that match the results by disease name. The following table shows examples of information and sources available in inference search. [Table 1] Classification information Sources of disease name, disease name, diagnosis, past disease name, medical record status, past prescription, medical record, current medical record, medical name, disease name, contraindication (allergies, etc.) Results The results of the children's questionnaire and observations were deduced from the search results. If the advanced search of medicines was less than 30 kinds and 15 times, it was judged as a selectable number, and displayed and selected in a list manner. In addition, if the medicine cannot be advanced searched to less than 30 kinds, it will take too much time to select, and then perform a general search to further search for medicines. Then, select the corresponding one from the list of advanced medicines. 40 200523783 In addition, in the aforementioned general search, in addition to the aforementioned 50-tone selection, you can also search for medicinal effects and ingredients. In the case of medicinal products, almost all of the first three characters can be grouped into an appropriate number (the number can be displayed below 9). Therefore, it is better if the size of each 5-digit key is a size that can be easily recognized by displaying 3 characters. Therefore, the number key area 10 can be made compact. In addition, the total of the grouped words is shown in parentheses (), so you can know at a glance that other similar words exist. The aforementioned grouping display method is particularly effective in a 50-tone search. 10 That is, when searching for medicines with 50 sounds, too many similar names are difficult to select. With grouping, even when only the first character is entered on the keyboard, many numeric names can still be displayed on the numeric keys. Also, as mentioned above, even if only the number keys display the 50-tone consonants (Lang Xing, Li Xing ...), and one of them is selected to refer to the sub-voice, the name of the desired medicine can still be displayed. Then, input 15 vowel periods (none, only), and you will get the same effect as when you enter the first character with the keyboard. That is, a desired pharmaceutical product can be selected by operating only the numeric keys. In this way, by grouping pharmaceutical products, desired pharmaceutical products can be easily and quickly selected. 20 [Brief description of the drawings] Fig. 1 is a block diagram showing a schematic configuration of the electronic diagnosis and treatment recording system of the present embodiment. Fig. 2A is a diagram showing an initial daylight surface of a numeric keypad area displayed by the display device of Fig. 1; 200523783 FIG. 2B is a diagram showing an electronic diagnosis and treatment record of a patient who will be examined from now on displayed on the display device of FIG. 1. Fig. 3 is a diagram showing an input field (daylight surface of a key group) showing a state after operating the "S" key. 5 Figure 4 is a keyboard input screen that can be displayed by operating the 1 "Complaint" key in the input field of Figure 3. Fig. 5 is an inquiry screen that can be displayed by operating the 2 "Ask" key in the input field of Fig. 3. Fig. 6 is a diagram showing an input field which can be displayed by pressing the 2 "inquiry" key in the input field of Fig. 3 and displaying "10". Fig. 7 is a diagram showing input fields that can be displayed by operating the "Fever" key in Fig. 6; Fig. 8A is a diagram showing a state where the "0" key is operated in the number key area to change the displayed item. 15 Fig. 8B shows the "input image diagnosis result" day and night displayed by operating the "image diagnosis" key and the like in the input field of Fig. 8A. Fig. 8C is a "selection inspection implementation" screen displayed when there are two or more image diagnoses. Fig. 8D is a diagram showing a state where the "observation result" 20 key is operated in the input field of Fig. 8A to change the display item. Fig. 8E is a diagram showing a state in which the display item is changed by operating the "individual observation result" key in the input field of Fig. 8D. Fig. 9A is a day-to-day view of "vital signs" operated by operating the "whole body observation result" key in the input field of Fig. 8D. 42 200523783 Figure 9B is the "neck" day and night face displayed by operating the "neck" key in the input field of Figure 8E. Fig. 10 is a diagram showing a state where the "A" key is operated in the number key area to change the displayed item. 5 Figure 11 shows the day of the “Management Injury and Disease Name” displayed by operating the “A” key in the numeric keypad area. Fig. 12 is a diagram showing a state in which the display content is switched by operating the "injury name" key in the input field of Fig. 10; FIG. 13 is a diagram showing a state in which the display content is switched by operating the 1 "Common Search" 10 key in the input field of Fig. 12. Fig. 14 is a diagram showing a state where any one of the numeric keys is operated in the input field of Fig. 13 to switch the display contents. Fig. 15 is a diagram showing a state where the "modifier" key is operated in the input field of Fig. 14 to switch the display content. 15 FIG. 16 is a diagram showing a state in which the display content is switched by selecting a “50 tone” key in the input field of FIG. 15. Fig. 17 is a diagram showing a state where the "content" key is selected in the input field of Fig. 16 to switch the display content. Fig. 18 is a diagram showing a state where the "7 lines" key is selected in the input bar of Fig. 17 and the display contents are switched. Fig. 19 is a diagram showing a state where the "1" key is selected in the input field of Fig. 18 to switch the display contents. Fig. 20 is a diagram showing a state in which the "return period" key of Fig. 10 is selected to switch. 43 200523783 Fig. 21 is a diagram showing a state where the display content is changed by operating the "P" key in the numeric keypad area. Fig. 22 is the day and time of "Selecting Medicines" displayed by operating the "oral administration", "once-on-time", "on-time use", and "injection" keys in the input fields of Fig. 21. 5 Fig. 23 is a diagram showing a state in which the medicinal effect can be selected in the input field of Fig. 22. Fig. 24 is a diagram showing a state in which the content of the input field in Fig. 22 is finally selected as a medicine name. Fig. 25 is a diagram showing a state in which the content displayed in the input field of Fig. 24 is switched to the content related to 10 taking times. Fig. 26 is a "DO list" screen displayed by operating the "DO" key during the day of "Selecting a medicine" in Fig. 22. Fig. 27A is a "basic prescription combination" screen displayed by operating the "basic" key during the day of "selecting a medicine" in Fig. 22; 15 Figure 27B shows the day and night for registration of basic prescriptions. Figure 27C is a screen for entering a basic prescription. Figure 28 shows the "patient list" on the initial day. Fig. 29 is a calendar day displayed when the electronic diagnosis record is inputted. 20 Figure 30 shows the day and night of "Searching for Patients" by operating the "Search for Patients" key in the screen of Figure 28. Fig. 31 is a diagram showing a state of examination when the electronic medical record is displayed on the display device. Figure 32 is the 200523783 "Processing Notes" screen displayed by operating the "Process" key on the day surface of Figure 21. The "Surgery" button is shown in Fig. 33. The operation is performed on the daylight surface of Fig. 21 "Surgery Note" daylight surface. Figure 34: Click on the button for "Portrait of a shirt" in the input field of Figure 21 to display the "Image diagnosis combination list" of day 5. Figure 35 is a check-up for registering an image diagnosis set. Figure 36 is the written input used to enter the image diagnostic set. "Login Imaging Patients &

二操:「新增製作」、「修正」按紐以變更數字:顯“ 谷之數子鍵區域的圖。 第38圖是顯示在第37圖之晝面中操作「部位」鍵,使 顯示項目變更之狀態的圖。 第39圖是顯示在第37圖之畫面中操作「方向」鍵使 顯示項目變更之狀態的圖。 15 帛⑽圖是顯示在第37®之晝面中操作「影片」鍵,使 顯示項目變更之狀態的圖。Second exercise: "Add Production", "Modify" buttons to change the number: display the "Zero number sub-key area. Figure 38 shows the operation of the" part "key on the day surface of Figure 37 to make the display Diagram of the status of the project change. Fig. 39 is a diagram showing a state in which a display item is changed by operating the "direction" key on the screen of Fig. 37. 15 The figure is a diagram showing a state in which a display item is changed by operating the "video" key on the 37th daylight surface.

第41圖是顯示在第37圖之畫面中操作「藥劑」鍵,使 顯示項目變更之狀態的圖。 第42圖是顯示在第37圖之晝面中操作「材料」鍵,使 20顯示項目變更之狀態的圖。 第43圖是顯示在第21圖所示之輸入搁中操作「指導」 鍵,使顯示項目變更之狀態的圖。 第44圖是顯示在第21圖所示之輸入欄中操作1〜8其中 任一鍵,使顯示項目變更之狀態的圖。 45 200523783 第45圖是顯示在第21圖所示之輸入欄中操作「營養指 導」鍵以顯示之指導文的一覽表。 第46圖是在操作數字鍵區域之「0」鍵而顯示之輸入欄 中,操作「圖解」鍵以顯示的「圖解」晝面。 5 第47圖是顯示治療時在選擇對病患投藥之醫藥品之處 理的流程圖。 第48圖是顯示檢查結果顯示處理之流程圖。 第49圖是顯示以時系一覽表所顯示之檢查結果的畫 面。 10 第50圖是顯示圖表顯示處理之流程圖。 第51圖是顯示藉第50圖所示之圖表顯示處理所獲得的 圖表。 第52圖是顯示處方檢查處理之流程圖。 第53圖是顯示當針對關於相互作用與適應症,判斷有 15 問題時之顯示内容的畫面。 第54圖是在第21圖所示之畫面中,操作8「檢查」鍵以 跳出畫面顯示之檢查組合一覽晝面。 第55圖是在顯示第54圖所示之檢查組合一覽畫面時, 操作數字鍵而切換之檢查項目顯示晝面。 20 第56圖是在第21圖所示之晝面中,操作9「影像」鍵以 跳出晝面顯示之影像診斷組合一覽畫面。 第57圖是在顯示第56圖所示之影像診斷組合一覽畫面 時,操作數字鍵而切換之影像診斷項目顯示晝面。 【圖式之主要元件代表符號表】 200523783 1.. .輸入裝置 2.. .顯示裝置 3.. .記憶裝置 4.. .控制裝置 5.. .病歷欄 6.. .病患棚 7···輸入棚 8.. .輸入緩衝晝面;輸入確認欄 9.. .輸入確定攔 10…輸入按鍵組晝面;數字鍵區域 11…選單視窗晝面;選單區域Fig. 41 is a diagram showing a state where the "medicine" key is operated on the screen of Fig. 37 to change the displayed item. Fig. 42 is a diagram showing a state where the "Material" key is operated on the day surface of Fig. 37 to change the 20 display items. Fig. 43 is a diagram showing a state in which a display item is changed by operating the "Guide" key in the input hold shown in Fig. 21; Fig. 44 is a diagram showing a state where any one of the keys 1 to 8 is operated in the input field shown in Fig. 21 to change the displayed item. 45 200523783 Figure 45 shows a list of instructions displayed by operating the "Nutrition Guide" key in the input field shown in Figure 21. Fig. 46 is a "graphic" day surface displayed by operating the "graphics" key in the input field displayed by operating the "0" key in the number key area. 5 Figure 47 is a flowchart showing how to choose medicines to be administered to patients during treatment. Fig. 48 is a flowchart of a display inspection result display process. Fig. 49 is a screen showing the inspection results displayed in the time list. 10 FIG. 50 is a flowchart of a display chart display process. Fig. 51 shows a graph obtained by the graph display processing shown in Fig. 50. Fig. 52 is a flowchart showing a prescription checking process. Fig. 53 is a screen showing the display contents when it is judged that there are 15 questions regarding interactions and indications. Fig. 54 is a list of inspection combinations displayed on the screen shown in Fig. 21 by operating the 8 "check" key to jump out of the screen. Fig. 55 shows the day and time of the inspection items switched by operating the number keys when the inspection combination list screen shown in Fig. 54 is displayed. 20 Figure 56 shows the image diagnosis combination list screen displayed on the daytime surface by operating the 9 "Image" key on the daytime surface shown in Figure 21. Fig. 57 shows the day-to-day display of the image diagnosis items switched by operating the number keys when the image diagnosis combination list screen shown in Fig. 56 is displayed. [Representative symbol table of main elements of the drawing] 200523783 1 ... Input device 2... Display device 3... Memory device 4... Control device 5... Medical record column 6.. ·· Input Shed 8 .. Input Buffer Day and Day; Input Confirmation Column 9 .. Input Confirmation Block 10 ... Enter Key Group Day and Day; Number Key Area 11 ... Menu Window Day and Day; Menu Area

4747

Claims (1)

200523783 、申請專利範園: 一種電子診療印岛^^ 制裝置係可::統,包含有控制裝置’且該控 T J於顯示裝詈顧+ 由輸入裝置之療記錄,且依藉 反映出鈐入次、:'呆作’使所顯示之電子診療記錄 蛉療二f料’並將反映出輸入資料之前述電子 0療兄錄記憶於印 之特徵在於:者,該電子診療記錄系統 前述輸入裝詈,目&夕也,, 置具有夕數排列於預定區域内之200523783, Patent application park: An electronic diagnosis and treatment system of Indoshima ^^ system can be :: system, which contains the control device ', and the control TJ is displayed on the display device + the treatment record from the input device, and reflected on loan Entry times: 'Staying' makes the displayed electronic diagnosis and treatment record 蛉 treatment two materials' and will store the aforementioned electronic 0 treatment brother record which reflects the input data in India. The characteristics are as follows: the electronic diagnosis and treatment record system previously input Decoration, mesh & evening, set the evening number in a predetermined area W入鍵, 且’別述顯示裝置,係可藉著至少操作前述輸 入裝置之其中任一輸入鍵,以顯示可一覽無遺地顯 不多數可選擇項目的輸入項目選擇欄, 又則述控制裝置,係可藉著操作前述輸入裝 置之輸入鍵’以選擇顯示於前述顯示裝置之輸入項 擇欄的項目,且依序於前述輸人項目選擇攔顯 不下一輸入所需之項目。The W input key, and the 'different display device' can display at least one of the input item selection columns which can display a large number of selectable items by operating at least any one of the input keys of the foregoing input device, and also the control device. It is possible to select the items displayed in the input item selection column of the display device by operating the input key 'of the input device, and sequentially select and display the items required for the next input in accordance with the input items. 2. ^申請專利範圍帛!項之電子診療記錄系統,其中 如述顯示裝置,具有·· 暫時顯示部,係可藉著利用前述輸入裝置選擇 顯示於前述輸入項目選擇欄之項目,以依序暫時顯 示所選之項目者;及 確定顯示部’係可藉著確定顯示於該暫時顯示 部之内容以顯示該内容者。 •如申請專利範圍第1或2項之電子診療記錄系統, 48 200523783 其中前述控制裝i,係可藉著操作前述輸入裝置之 輸入鍵,使顯示於前述顯示裝置之各輸人鍵分別顯 不輸入項目,且將顯示内容依序變更成下一輸入所 需之項目。 5 4.如申請專利範圍第項之電子診療記錄系統,其 中前述記憶裝置,可記憶預先輸入之處方資料, 且,前述控制裝置,可藉著操作前述 輸入裝置, 自前述記憶裝置讀取前述處方資料,並令可顯示於 Θ述,、、、員示裝置之電子診療記錄反映出前述處方 10 料。 、 5.如申請專利範圍第項之電子診療記錄系統, 其中當在製作前述電子診療記錄時,若可選擇之藥 J超過預疋數里’則可藉多種搜尋方法進行藥劑之 進階搜尋。 15 202. ^ Scope of patent application 帛! The electronic diagnosis and treatment record system of the item, wherein the display device has a temporary display section, which can temporarily display the selected items in order by using the input device to select the items displayed in the input item selection column; And the determination display section is a person who can display the content by determining the content displayed on the temporary display section. • If the electronic diagnosis and treatment record system of item 1 or 2 of the patent application scope, 48 200523783, the aforementioned control device i can be used to make each input key displayed on the aforementioned display device by operating the input keys of the aforementioned input device. Input items, and change the displayed content in order to the items required for the next input. 5 4. The electronic diagnosis and treatment record system according to the item of the patent application, wherein the aforementioned memory device can memorize pre-entered prescription data, and the aforementioned control device can read the aforementioned prescription from the aforementioned memory device by operating the aforementioned input device. Data, and the electronic diagnosis and treatment records that can be displayed on the Θ ,,,, and staff display devices reflect the aforementioned prescriptions. 5. If the electronic diagnosis and treatment record system according to item 1 of the patent scope is applied, when the aforementioned electronic diagnosis and treatment record is made, if the selectable medicine J exceeds a predetermined range, the advanced search of the medicament can be carried out by various search methods. 15 20 6. 如申請專利範圍第項之電子診療記錄系统 ^中當在製作料電子診療記錄時,可於前述顯 裝置顯示包含休診資訊之日曆,且藉由該日曆, 直接輸入服用天數。 7. -種電子診療記錄系統,包含有控制裝置,且該 制裝置係可於顯示裝置顯示電子診療記錄,且依 由輸入裝置之輸人操作’使所顯^電子診療記 反映出輸入資料,並將反映出輸入資料之前述電 珍療記錄記憶於記憶裝置者,該電子 之特徵在於: I 49 200523783 、前述輸入裝置,係由可顯示於前述顯示裝置, 並且排列於預定區域内之多數可操作之輸入鍵所構 成者, 5 且,前述控制裝置,可於前 示必要之輸入項目。 述各輸入鍵依序顯 10 8. ^申請專利範圍第7項之電子診療記錄线,其中 珂述輸入裝置,係由觸控面板所構成者。 9·如中請專利範圍第lil2項之電子診療記錄系統, 當藉由前述輸人裝置輸人問診内容時,前述控制裝 置,可於前述顯示裝置顯示問診晝面與前述輸入 鍵,且可於該問診畫㈣舉料所f之項目,並強6. If the electronic diagnosis and treatment record system of item No. 1 of the patent application is in the process of making electronic diagnosis and treatment records of materials, a calendar containing the information of out-of-patient consultations can be displayed on the aforementioned display device, and the number of days of taking can be directly entered through the calendar. 7. An electronic diagnosis and treatment record system, which includes a control device, and the device can display the electronic diagnosis and treatment record on the display device, and according to the input operation of the input device, so that the displayed electronic diagnosis and treatment record reflects the input data, Those who store the aforementioned electrotherapy records that reflect the input data in a memory device are characterized by: I 49 200523783 and the aforementioned input device, which can be displayed on the aforementioned display device and arranged in a predetermined area. The operation input key is composed of 5 and the aforementioned control device can display the necessary input items in the front. The input keys are sequentially displayed 10 8. ^ The electronic diagnosis and treatment record line of the 7th scope of the patent application, in which the Keshu input device is composed of a touch panel. 9 · If the electronic diagnosis and treatment record system of item l12 of the patent scope is requested, when the questionnaire content is inputted through the aforementioned input device, the aforementioned control device can display the questioning daytime surface and the aforementioned input key on the aforementioned display device, and can be used in The questionnaire will show the items of the source and strengthen ,1、令入干則八>兵 對 ,1A平別八观顯 應之項目内容,同時可於該問診晝面反映出藉 15 操作前述輸人鍵㈣擇之項目,且將前述輸入鍵之 顯不内容切換成下一輸入所需之項目並將該問診 畫面所強調顯示之項目變更成下一項目。 1〇.”請專利範圍第…項之電子診療記錄系統, 可藉前述輸人裝置’選擇是否將事前輸人之問診資 料反映於電子診療記錄。1 、 Let's do it in the eighth place> 1A Pingbei Eight Views should show the content of the project, and at the same time, you can reflect on the day of the consultation by borrowing 15 items selected by the aforementioned input key, and the aforementioned input key The displayed content is switched to the item required for the next input and the item highlighted on the consultation screen is changed to the next item. 1〇. "Please refer to the electronic diagnosis and treatment record system of item No. of the patent scope, which can use the aforementioned input device 'to choose whether to reflect the prior consultation information of the patient into the electronic diagnosis and treatment record. 20 如申請專利範圍第7 4 8項之電子診療記錄系統, 當欲將服㈣間輸人前述電子診療記錄時,前述輸 入裝置之各輸人鍵可顯示手寫電子診療記錄所使用 之記號。 12·如申請專利範圍第7或 8項之電子診療記錄系統, 50 200523783 其中前述輸入裝置之各輸入鍵,分別觀一 刀乃J _不50音各行 之段,且依前述輸入鍵之操作, J切換各行之fc 段到:fe段之顯示, 且,前述控制裝置,可藉由選擇顯 入鍵之50音之其中任一文字,以搜尋前 記錄之輸入所需之事項。 示於前述輸 述電子診療 13·如申請專利範圍第7或8項之電 其中前述記憶裝置,可記憶用以表 資料, 子診療記錄系統, 不身體部位之影像20 If the electronic diagnosis and treatment record system of the scope of patent application No. 7 48 is applied, when it is desired to input the aforementioned electronic diagnosis and treatment record in the service room, each input key of the input device can display the mark used by the handwritten electronic diagnosis and treatment record. 12 · If the electronic diagnosis and treatment record system of the 7th or 8th of the scope of patent application, 50 200523783 Among the input keys of the aforementioned input device, each one of the input keys is J _ not 50 lines of each line, and according to the operation of the aforementioned input keys, J Switch the display of the fc segment to the: fe segment of each line, and the aforementioned control device can search for the items required for the previously recorded input by selecting any of the 50 sounds of the enter key. Shown in the aforementioned electronic diagnosis and treatment 13. If the electricity in the scope of patent application item 7 or 8 is used, the aforementioned memory device can be used to store data, sub-diagnosis recording system, and images of non-body parts 10 且前述控制裝置可在輸入所觀察結果時,依前 述輸入裝置之輸人訊號,自前述記憶裝置讀取對應 之影像資料,並將前述影像資料顯示於前述顯示裝 置。 ' 14. 一種電子診療記錄系統,包含有控制裝置且該控 制裝置係可於顯示裴置顯示電子診療記錄,且依: 由輸入裝置之輸入操作,使所顯示之電子診療記^ 反映出輸入資料,並將反映出輸入資料之前述電子 診療記錄記憶於記憶裝置者,該電子診療記錄系統 之特徵在於: 前述輸入裝置,具有多數顯示於前述顯示裝置 之預定區域内之輸入鍵,且各輸入鍵可分別顯示輪 入項目,10 And when the aforementioned control device inputs the observation result, according to the input signal of the aforementioned input device, the corresponding image data is read from the aforementioned memory device, and the aforementioned image data is displayed on the aforementioned display device. '14. An electronic diagnosis and treatment record system, which includes a control device and the control device can display the electronic diagnosis and treatment record on the display display, and according to: the input operation of the input device, so that the displayed electronic diagnosis and treatment record ^ reflects the input data If the aforementioned electronic diagnosis and treatment record reflecting the input data is stored in a memory device, the electronic diagnosis and treatment record system is characterized in that: the above-mentioned input device has most of the input keys displayed in a predetermined area of the display device, and each input key Can display rotation items separately, 且,則述控制裝置在將前述輸入項目分別顯示 於刚述輸入鍵時,若前述輸入項目有多數類語,則 51 200523783 可在該等類語中,顯示共通文字作為i次選擇扭且 在選擇該1找縣後,將雜分·株前述°各輪 入鍵 5 10 15. :申請專利範圍第i 4項之電子診療記錄系統其中 則述輸入鍵可-起顯示!次選擇語與類語數量。 16. 種電子診療記錄系統,包含有控制裝置,且該押 制裝置係可於顯示裝置顯示電子診療記錄,且依^ 由輸入裝置之輪入操作,使所顯示之電子診療記錄 反映出輸入資料,並將反映出輸入資料之前述電子 診療記錄記憶於記憶裝置者,該電子診療記錄系統 之特徵在於:Furthermore, when the control device displays the foregoing input items on the input keys just described, if the input items have a plurality of types of words, 51 200523783 may display a common text in these types of words as an i-time selection button and select the 1 After finding the county, enter the key of each miscellaneous and strain 5 ° 15. 15. The electronic diagnosis record system of item i 4 of the scope of application for patent. Among them, the input key can be displayed. Number of sub-selectors and linguistics. 16. An electronic diagnosis and treatment record system including a control device, and the holding device can display the electronic diagnosis and treatment record on a display device, and the operation of the input device is rotated to make the displayed electronic diagnosis and treatment record reflect the input data , And the aforementioned electronic diagnosis and treatment record reflecting the input data is stored in a memory device, the electronic diagnosis and treatment record system is characterized by: 前述輸入裝置,具有多數顯示於於前述顯示裝 置之預定區域内之輸入鍵,且各輸入鍵可分別顯示 輸入項目, 且’前述控制裝置在將前述輸入項目分別顯示 於W述輸入鍵時,若前述輸入項目有多數類語,則 可在該等類語中,顯示含有從開頭文字到易混淆部 份之文字作為1次選擇語。The input device has a plurality of input keys displayed in a predetermined area of the display device, and each input key can display an input item separately, and 'the control device displays the input item separately on the input key if The input items mentioned above have many types of words. In these types of words, the words containing the characters from the beginning to the confusing part can be displayed as one-time choices. 5252
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