WO2005022432A1 - Electronic chart system - Google Patents

Abstract

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

Description

 Specification

 Electronic medical record system

 Technical field

 The present invention relates to an electronic medical record system.

 Background art

 [0002] Conventionally, as an electronic medical record system, when inputting medical examination data on the day of a medical examination, data such as referral letters from other hospitals, past test result data, and future instruction data that are not limited to the data on the medical examination day are used. It is well known that data can be input in the same manner as data input on the day of the examination (for example, see Patent Document 1).

 [0003] Patent Document 1: JP-A-2003-85279

 Disclosure of the invention

 Problems to be solved by the invention

[0004] However, in the electronic medical record system described above, only the attributes of the displayed input frame are distinguished, and the input itself has to rely on a keyboard or the like. For this reason, there is a problem that the input operation takes time, and the time that can be spent on the actual consultation is further reduced within the limited consultation time.

[0005] Further, the display screen is divided into a plurality of areas, and it is necessary to perform an input operation in each area using a keyboard, a mouse, or the like. In other words, it takes time to get used to because the input work area moves. Also, since the line of sight is frequently moved, it is suitable for fatigue and work that requires long hours.

[0006] Therefore, an object of the present invention is to provide an electronic medical record system capable of simplifying an input operation at the time of medical examination and enriching medical treatment contents.

 Means for solving the problem

According to the present invention, as a means for solving the above-mentioned problems, an electronic medical record is displayed on a display means, and the input electronic data is reflected on the displayed electronic medical record based on an input operation by the input means. In an electronic medical record system provided with a control means for storing an electronic medical record reflecting the The input means includes a plurality of input keys arranged in a predetermined area, and the display means displays a list of a plurality of items that can be selected by operating at least one of the input keys of the input means. An input item selection field is displayed, and the control means selects an item displayed in the input item selection field of the display means by operating an input key of the input means, and sequentially inputs the next input to the input item selection field. Required items are displayed.

 [0008] With this configuration, all input items can be always input by operating keys in the same area. Therefore, it is possible to enhance the contents of the examination by shortening the input time.

 [0009] The display means selects the item displayed in the input item selection field by the input means, thereby temporarily displaying the selected item in sequence, and the content displayed on the temporary display section. It is preferable to provide a confirmation display section that is displayed when the confirmation is made, since it is possible to confirm the input items and to prevent an input error.

 [0010] The control means divides necessary input contents into a plurality of items, and selects each item in the input item selection field of the display means based on the operation of the input key, thereby sequentially. It is preferable to change the display content in the input item selection field to the next item, since it is possible to prevent input omission with good operability.

 [0011] The storage means stores prescription data input in advance,

 It is preferable that the control unit reads the prescription data from the storage unit by operating the input unit and reflects the prescription data on an electronic medical record displayed on the display unit, thereby improving input efficiency. In this case, the prescription data corresponds to a promised prescription for prescribing a predetermined pharmaceutical product, a DO prescription using the same prescription data as a history, and the like.

 [0012] When the number of selectable medicines exceeds a predetermined number when creating the electronic medical record, the medicines may be narrowed down by a plurality of search methods. In this case, examples of the search method include a search by Japanese syllabary, a search by drug effect, and a search by component.

[0013] When the electronic medical record is created, a calendar including the resting information is displayed on the display means, and the number of days taken can be directly input by the calendar. When the agent runs out, it is preferable because it can prevent a problem.

According to the present invention, as a means for solving the above-mentioned problems, an electronic medical record is displayed on a display means, and the input electronic data is reflected on the displayed electronic medical record based on an input operation by the input means. In an electronic medical record system provided with a control means for storing an electronic medical record reflecting the

 The input means comprises a plurality of operable input keys displayed on the display means and arranged in a predetermined area,

 The control means causes the input keys to sequentially display required input items.

[0015] The input means may be constituted by a touch panel.

 [0016] When inputting the contents of an inquiry by the input means, the control means causes the display means to display an inquiry screen and an input key, and enumerates items required for the inquiry on the inquiry screen. The item to be tried is highlighted and the content of the item corresponding to the input key is displayed.The item selected by operating the input key is reflected on the inquiry screen, and the display of the input key is changed to the next input. By switching to the required item and changing the item to be highlighted on the inquiry screen to the next item, the items to be input can be displayed in a list in advance, and the required items can be questioned without omission. Not only is it possible to do so, but it is also possible to greatly reduce the time and effort of input.

 [0017] The input means may be used to select whether or not the medical inquiry data input in advance is to be reflected in the electronic medical record.

 Each of the input keys of the input means is designed to display a symbol used in a handwritten chart when inputting a dose time into the electronic chart, so that the handwriting chart power can be smoothly shifted to the electronic chart. This is preferable in that it can be performed.

[0019] Each input key of the input means displays the upper row of each row of the Japanese syllabary, and further switches the display from the upper row to the lower row of each row based on the operation of the input key. If one of the letters of the Japanese syllabary displayed on the input key is selected to search for items required for inputting the electronic medical record, the operation can be performed within a limited area. Despite the fact, the first character input must be done with only two operations This is preferable in that the search time can be reduced.

 [0020] The storage means stores image data indicating a body part,

 When inputting a finding, the control means reads the corresponding image data from the storage means based on an input signal from the input means and causes the display means to display the image data. U, which can be shown in an easy-to-follow form and can serve as a useful visual tool for informed 'outsourcing.

[0021] Further, the present invention provides, as means for solving the above problems,

 An electronic medical record having a control means for displaying the electronic medical record on the display means, reflecting the input data on the displayed electronic medical record based on the input operation by the input means, and storing the electronic medical record on which the input data is reflected in the storage means; In the chart system,

 The input means includes a plurality of input keys displayed in a predetermined area of the display means, and each of the input keys displays an input item,

 When displaying the input items on the input keys, if there are a plurality of similar words in the input items, the control means displays a common character among the similar words as a primary selection word, and the primary selection word is After selection, similar words are displayed on each input key.

 [0022] With this configuration, the common character is displayed on the input key with only the primary selection word, so that it can be displayed large even in a limited space.

 In this case, it is preferable that the number of similar words is displayed on the input keys together with the primary selection word.

 [0024] Further, when each of the input keys displays an input item, if the input item has a plurality of similar words, the control means may change a portion of the similar words that is likely to be erroneous from the first character, for example, at least a different part. Displaying up to a portion including one character as a primary selection word is preferable in that it is easy for the user to recognize a similar error-prone portion, and input errors can be prevented.

 The invention's effect

According to the present invention, an item displayed in the input item selection field of the display means is selected by operating the input key of the input means, and items necessary for the next input are sequentially displayed in the input item selection field. Since the information can be shown, the input operation can be simplified, the input time can be reduced, and the contents of the examination can be enhanced.

Brief Description of Drawings

FIG. 1 is a block diagram schematically showing an electronic medical record system according to the present embodiment.

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

FIG. 2B is a diagram showing an electronic power display of a patient who is about to start a medical examination, which is displayed on the display device of FIG. 1.

 FIG. 3 is a view showing an input field (keypad screen) showing a state where an “S” key is operated.

[Fig. 4] This is a keyboard input screen displayed by operating 1 "Chief complaint" in the input column of Fig. 3.

 FIG. 5 is an interview screen displayed by operating “2. Interview” in the input field of FIG.

FIG. 6 is a diagram showing an input column displayed by operating “2. Interview” in the input column of FIG.

 FIG. 7 is a diagram showing an input field displayed by operating “1. Heat generation” in FIG.

 FIG. 8A is a diagram showing a state where display items are changed by operating a “0” key in a numeric keypad area.

 FIG. 8B is an “image diagnosis result input” screen displayed by operating the “image diagnosis” key in the input field of FIG. 8A.

 FIG. 8C is a “selection of examination date” screen displayed when the number of image diagnosis is 2 or more.

FIG. 8D is a diagram showing a state where display items have been changed by operating the “findings” key in the input column of FIG. 8A.

 FIG. 8E is a diagram showing a state where display items have been changed by operating the “individual findings” key in the input column of FIG. 8D.

 FIG. 9A is a “Pital sign” screen displayed by operating the “General findings” key in the input field of FIG. 8D.

 FIG. 9B is a “neck” screen displayed by operating a “neck” key in the input field of FIG. 8E.

FIG. 10 is a diagram showing a state in which a display item is changed by operating an “A” key in a numeric keypad area. is there.

圆 11] This is the "Injury and disease name management" screen displayed by operating the "A" key in the numeric keypad area.

 FIG. 12 is a diagram showing a state in which the display contents have been switched by operating “1.

[13] FIG. 13 is a view showing a state in which the display content is switched by operating 1 “frequent search” in the input column of FIG.

 FIG. 14 is a view showing a state where display contents have been switched by operating the! / Or ten key on the numeric keypad in the input field of FIG. 13;

[15] FIG. 15 is a diagram showing a state in which the display content is switched by operating the “modifier” key in the input column of FIG.

[16] FIG. 16 is a view showing a state in which the display content has been switched by selecting 1 “Japanese syllabary” in the input field of FIG.

[17] FIG. 17 is a view showing a state in which 1 “prefix” is selected in the input field of FIG. 16 and the display content is switched.

[18] FIG. 18 is a view showing a state in which the display contents have been switched by selecting “a line” in the input field of FIG.

[19] FIG. 19 is a view showing a state where the display content has been switched by selecting 1 “a” in the input field of FIG.

 FIG. 20 is a diagram showing a state where the “outcome” key in FIG. 10 is selected and switched.

[21] FIG. 21 is a diagram showing a state in which display contents have been switched by operating the “P” key in the ten-key area.

[22] This is a “pharmaceutical selection” screen that is displayed by operating the “internal use”, “one-time use”, “external use”, and “injection” keys in the input fields of FIG.

[23] FIG. 23 is a view showing a state where the input fields of FIG. 22 have been switched so that they can be selected for each medicinal effect.

[24] FIG. 22 is a view showing a state in which the display content of the input field in FIG. 22 can finally select a drug name. [25] Fig. 25 is a diagram showing a state in which the display content of the input field in Fig. 24 has also been switched to the content regarding the dosage time.

 FIG. 26 is a “DO list” screen displayed by operating the “DO” key on the “select medicine” screen in FIG. 22.

[27A] This is the “promised prescription set” screen displayed by operating the “promise” key on the “select medicine” screen in FIG. 22.

 [Figure 27B] This is a screen for registering promised prescriptions.

 [Figure 27C] This is a screen for inputting a promised prescription.

 [FIG. 28] This is a “consultation list” screen displayed on the initial screen.

 FIG. 29 is a calendar screen displayed when a date is input in an electronic medical record.

[30] This is the “Patient search” screen displayed by operating the “Patient search” key on the screen in FIG. 28.

 FIG. 31 is a schematic diagram showing a medical examination state when an electronic medical record is displayed on a display device.

FIG. 32 is a “treatment slip” screen displayed by operating the “treatment” key on the screen of FIG. 21.

 FIG. 33 is a “surgery slip” screen displayed by operating the “surgery” key on the screen of FIG. 21.

 FIG. 34 is an “imaging diagnostic set list” screen displayed by operating an “imaging” key in the input field of FIG. 21.

 FIG. 35 is a screen for registering an image diagnosis set.

FIG. 36 is a screen for inputting an image diagnosis set.

 FIG. 37 is a diagram showing a numeric keypad area in which the display contents of the numeric keys have been changed by operating the “create new” and “correct” buttons on the “image diagnostic set registration” screen of FIG. 35.

[38] FIG. 38 is a view showing a state in which display items are changed by operating the “part” key on the screen of FIG. 37.

[39] FIG. 38 is a view showing a state where display items are changed by operating the “direction” key on the screen of FIG. 37.

[Fig.40] On the screen in Fig. 37, the display items have been changed by operating the “Film” key. It is a figure showing a state.

 FIG. 41 is a view showing a state where display items are changed by operating a “drug” key on the screen of FIG. 37.

[42] FIG. 42 is a view showing a state in which display items are changed by operating the “Material” key on the screen of FIG. 37.

[43] FIG. 22 is a diagram showing a state in which display items are changed by operating the “guidance” key in the input column shown in FIG. 21.

 FIG. 44 is a diagram showing a state in which a display item is changed by operating any one of keys 18 in the input column shown in FIG. 21.

[45] This is a list of guidance displayed by operating the “nutrition guidance” key in the input box shown in FIG.

 FIG. 46 is a “schema” screen displayed by operating a “schema” key in an input field displayed by operating a “0” key in a numeric keypad area.

 FIG. 47 is a flowchart showing a process for selecting a medicine to be administered to a patient in treatment.

 FIG. 48 is a flowchart showing an inspection result display process.

 [FIG. 49] A screen showing a list of test results in chronological order.

 FIG. 50 is a flowchart showing a graph display process.

 FIG. 51 shows a graph obtained by the graph display process shown in FIG. 50.

 FIG. 52 is a flowchart showing a prescription check process.

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

 [FIG. 54] An examination set list screen pop-up displayed by operating the “examination” key on the screen shown in FIG. 21.

[55] This is the inspection item display screen switched by operating the numeric keys while the inspection set list screen shown in Fig. 54 is displayed.

[FIG. 56] On the screen shown in FIG. 21, it is an image diagnosis set list screen which is displayed in a pop-up by operating a “image” key. [57] This is the image diagnosis item display screen that has been switched by pressing the numbers while the image diagnosis set list screen shown in FIG. 56 is displayed.

 Explanation of symbols

 1 Input device

 2 Display device

 3Storage device

 4Control device

 5, History column

 6, Patient column

 7, input field

 8, input confirmation field

 9Input confirmation column (confirmation display section)

 10 '' 'Numeric keypad area

 11 · '' · Menu area

 BEST MODE FOR CARRYING OUT THE INVENTION

 Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings.

 FIG. 1 shows an electronic medical record system according to the present embodiment. The electronic medical record system includes an input device 1, a display device 2, a storage device 3, and a control device 4.

 [0030] The input device 1 includes a keyboard, a mouse, a keypad, a touch panel, and the like.

 However, all input operations can be performed using only the input field 7 described later, and the keyboard, mouse, touch panel and the like may be arbitrarily selected and used by the user. The keyboard, mouse, etc. are not particularly required. The operation can be centralized in the key nod displayed on the touch panel.

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

 [0032] In the input field 7, when the "2 chart display" key is operated, the electronic chart of the patient whose medical examination is to be started is displayed. That is, on the display screen, as shown in FIG. 2B, a history column 5, a patient column 6, and an input confirmation column 9 are displayed in regions other than the input column 7, respectively. In addition, an input in the input column 7 causes an input confirmation column 8 to be displayed. The history column 5 and the patient column 6 are displayed on the left side of the screen, the input confirmation column 8 and the input confirmation column 9 are displayed on the right side of the screen and above the input column 7, respectively. At this time, if the 5 "Medical Exam" key is operated, the displayed electronic medical record switches to a state where it can be entered.

 [0033] The history column 5 displays the contents of examination, examination results, prescription drugs, and the like in the previous examination. In FIG. 2B, a radiographic image of a chest X-ray, examination contents, examination results, prescription contents, and the like are displayed. The doctor can proceed with the consultation while referring to the history column 5. Arrow keys (“”, “→”) are displayed below the history column 5, and the display can be changed by turning the pages of the history column left and right. In this case, it is preferable that the display be such that the page is actually turned. In this way, by providing the page turning function, it becomes possible to make it much easier to see as compared with a conventional scroll bar.

 [0034] The patient column 6 contains information about the patient, that is, the patient's name, date of birth, age, and gender.

, Address, medical history, etc. are displayed.

The input field 7 includes a ten-key area 10 and a menu area 11. Menu area 1

In 1, the content corresponding to the operation in the numeric keypad area 10 is displayed.

When the “S” key is operated in the numeric keypad area 10, the examination contents to be heard from the patient at the time of examination are divided into a plurality of items and sequentially displayed. The displayed items correspond to the The contents stored in the star are rearranged for each related group in a predetermined order.

 [0037] Specifically, FIG. 3 shows display items of the input column 7. Here, the number keys 1 “Chief complaint” key, 2 “Question” key, “UNDO” key, Cancel key “C”, Function key (F1: Questionnaire), “S” key, “0” key, “A” Only the "" key and the "P" key can be operated.

 [0038] Here, when 1 "chief complaint" is operated with the numeric keys of the input field 7 shown in Fig. 3, the keyboard input screen power shown in Fig. 4 is displayed in a separate window S, and the symptoms complained by the patient (chief complaint) Can be directly input with the keyboard. If the contents of the questionnaire filled out by the patient before the consultation have already been entered at the reception, the contents of the questionnaire can be called up and copied by operating the “Questionnaire Form” key. Also, the data entered with the keyboard can be registered by operating the “Registration” key, and the registered contents can be called up by operating the “Call” key.

 When “2” is operated with the numeric keys of the input field 7 shown in FIG. 3, the “Interview” screen shown in FIG. 5 is displayed in another window S. In the input field 7, as shown in FIG. 6, items related to symptoms are displayed on each numeric key. Keys that cannot be operated are displayed in light color (shaded in the drawing). Here, for example, when 1 “fever” is operated, as shown in FIG. 7, the display content of each numeric key changes to a content indicating when the selected symptom is powerful. In addition, the "SKIP" key is displayed, and entry of items determined to be unnecessary can be omitted. At this time, on the "Questioning" screen, the contents of the questioning required when "Fever" is selected, i.e., "Ichigo", "How much", "Presence of chills" are displayed. The currently input item is highlighted. Therefore, it is possible to understand at a glance what to input, and to immediately determine unnecessary items.

In this way, every time the input of the symptoms complained by the patient is completed, the “ENTER” key is operated to display the input in the input confirmation column 9. If an input error occurs, the user can return to the state before the input by operating the “UNDO” key. For example, when inputting the chief complaint by operating the “S” key, the user can sequentially return to any input stage by operating the “UNDO” key. In addition, even if the input of the chief complaint is completed and the “ENTER” key is operated, and then the “0” key is operated, if the “UNDO” key is operated, it is possible to return to the state of the chief complaint input. You can. However, once input is started after the operation of the "0" key, even if the "UNDO" key is operated, it is only possible to return to the finding input, and it will not return to the chief complaint input

When the “0” key is operated in the numeric keypad area 10, the display items in the input field 7 are changed as shown in FIG. 8A.

 [0042] When there is an image diagnosis for which no result has been input, the "image" key is displayed in a state where it can be operated as an effective key. If there is one image diagnosis for which no result has been input, the “image diagnosis result input” screen shown in FIG. 8B is displayed in a separate window. If there are two or more image diagnostics for which no results have been input, the “Examination Date Selection” screen shown in FIG. 8C is displayed. The "Input" screen is displayed in a separate window. When the “Image Import” button is operated on the “Image Diagnosis Result Input” screen, the “Image Import” screen is displayed and the image file is read. (However, images can be imported using a film scanner. O) Then, when you close the “Image Capture” screen, the captured image is displayed on the “Image diagnosis result input” screen. The doctor can look at the displayed image and enter his findings. A keyboard can be used for input.

 [0043] In the input field 7 shown in FIG. 8A, (1) operating the "find" key to switch the display item as shown in FIG. 8D, and operating the "free word" key, the "keyboard input" shown in FIG. The screen is displayed in a separate window, and you can enter characters using the keyboard. In this case, if a similar finding (regardless of the type of patient) has been input in the past, it is possible to operate the “call” key in the learning field to call it. In addition, data entered using the keyboard can be registered by operating the “Registration” key.

 When the “whole body finding” key displayed in the input field 7 shown in FIG. 8D is operated, a “vital sign” screen shown in FIG. 9A is displayed, and it becomes possible to input each item for inputting a finding about the whole body. . Each input item is provided with a check box, and the input is completed only by checking the corresponding one with a pen or a mouse.

When the “individual findings” key displayed in the input field 7 shown in FIG. 8D is operated, the displayed items are switched to the contents indicating each part of the body as shown in FIG. 8E. For example, operating the “Neck” key on this screen displays the “Neck” screen as shown in FIG. 9B. Then, the check boxes of the displayed items may be checked.

 Note that examples of the input method pattern include a numerical value input in addition to the check box. Also, the names and number of check box selection items can be set freely.

 When the “A” key is operated in the numeric keypad area 10, the display of the numeric keys is switched as shown in FIG. In addition, the “Injury and disease name management” screen shown in FIG. In the input box 7, if you operate the 1 “Injury and disease name” key, the numeric keys are switched as shown in Fig. 12, and the name of the injuries and disease can be searched by three different methods. 1 When the “frequent search” key is operated, the numeric key is switched to the frequently used disease name as shown in FIG. Displayed on the screen.

 [0048] When the injury / illness name is selected and the input on the "Injury / illness name management" screen is completed, the input field 7 is switched as shown in Fig. 14, and the 1 "Recursion" key or the 2 "Suspicious" key is selected. Becomes possible. For example, in the “Relapse” column of the “Injury and Disease Name Management” screen, the initial value is blank. 1 By operating the “Relapse” key, the character of the relapse is displayed. .

 When the “modifier” key is operated in the input field 7 shown in FIG. 14, the displayed items are switched as shown in FIG. Modifier search becomes possible. If you select the "syllabary" key from the 1 "syllabary" key or the 2 "keywords" key, the input box 7 switches as shown in Fig. 16 and the insertion position of the modifier to be entered (1 "prefix") "Or 2" suffix "). In this case, when the insertion position of the modifier is selected, the display of the input field 7 switches as shown in FIG. Therefore, by selecting 1 “a line” in FIG. 17 and selecting 1 “a” in FIG. 18, a list of modifiers is displayed as shown in FIG. 19, and the corresponding one may be selected. . The modifier is inserted at a selected location either before or after the name of the injury or disease already entered. If the qualifier is entered incorrectly, the selected qualifier is displayed by operating the “Delete” key shown in Fig. 15, and by operating the key with the corresponding qualifier displayed, the qualifier is displayed. It is possible to erase words.

When the “Enter” key shown in FIG. 14 is operated after inputting the name of the illness, the consultation date is automatically entered as the start date of the illness, and the display of the numeric keypad 10 is switched to the content shown in FIG. Wrong. If you need to input the outcome, you can operate 3 “Outcome” key. As a result, as shown in FIG. 20, the display power of each key in the input field 7 is switched to an item related to the outcome.

As described above, almost all of the doctor's consultation input from the name of the illness to the final outcome can be completed by the input processing in the input column 7.

When the “P” key is operated in the numeric keypad area 10, the display items are switched as shown in FIG. 21 to indicate the future treatment plan for medication, medical treatment plan, treatment, and guidance (eg, education for patients). Each item can be entered.

 [0053] In the input field 7 shown in Fig. 21, when any one of the keys related to 1 to 3 medications and 4 injections is operated, 50 tones indicated by "a row" and 1 "ヮ row" shown in Fig. 22 are displayed. Select key, “DO” key, “Promise” key The screen switches to the “Pharmaceutical selection” screen, which has the same power. If you know the name of the drug, you can select it with the Japanese syllabary selection key. However, it is also possible to make it possible to select by drug efficacy rather than drug name. In this case, the display contents of the numeric keys may be changed, for example, as shown in FIG.

 By key operation, it is possible to narrow down the medicines, finally display the medicine name as shown in FIG. 24, and select the corresponding medicine. After selecting the drug, enter the dose by operating the numeric keys and “E NTER” key. At this time, since the dose for each drug is displayed in advance in the input confirmation column 8 shown in FIG. 2B, if there is no change, only the “ENTER” key is operated. Then, when the user inputs the dose and selects the “ENTER usage” key shown in FIG. 22, the displayed contents of the numeric keys are switched to the contents concerning the dosage time as shown in FIG. In the initial display, symbols that have been frequently used by doctors for describing medical records are shown. On this screen, the display contents can be sequentially changed by operating the arrow keys. When the usage is selected, the displayed content is further switched to the number of administration days. By selecting the number of days to be administered, the usage input is completed, and the display contents of the numeric keys are switched to a final determination screen (not shown) (not shown).

If there is no mistake in the input prescription, the contents are determined by operating the “ENTER” key on the final determination screen. If correction or deletion is required, operate the “Modify” key or “Delete” key. By these key operations, the name of the medicine already entered becomes the numeric key. Since the information is displayed, the content can be corrected and deleted by operating the corresponding drug name. When a new drug is added, the “add” key may be operated.

 When using the same prescription data that has already been stored as a history, if the “DO” key shown in FIG. 22 is operated, the corresponding data (DO list) will be displayed as shown in FIG. Can be called. This data is automatically registered as history data when newly input.

 [0057] For example, when prescribing a predetermined drug such as a cold during an epidemic, the drug to be prescribed is registered in advance, and the registered data is operated by operating the "promise" key. Data can be called. That is, when the “promise” key is operated, the “promise prescription set” screen shown in FIG. 27A is displayed. By selecting a promised prescription set (here, the promised prescription for high blood pressure and case) is displayed on this screen, the prescription created in advance can be called. Create a prescription set from the “Registered Prescription Set Registration” screen shown in Figure 27B. On this screen, an “internal medicine” key, a “clothes” key, and the like are provided at the top, and a list of applicable prescriptions is displayed below the key by operating any of the keys. When the "New" button or the "Modify" button is operated on the "Registered Prescription Set" screen, the "Promised Prescription Set Input" screen integrated with the input field 7 is displayed as shown in Fig. 27C. Therefore, new input or correction of the promised prescription is performed here.

 [0058] In the input confirmation column 8 shown in Fig. 2B, the contents of the medical examination, the contents of the prescription, and the like entered in the input column 7 are displayed, and the entered contents can be confirmed.

 [0059] In the input confirmation column 9 shown in FIG. 2B, the confirmation contents are displayed among the examination contents and the prescription contents which are inputted in the present examination and displayed in the input confirmation column 8, etc. Is displayed.

When the initial screen shown in FIG. 2A is displayed, the “checkup list” screen shown in FIG. 28 is automatically displayed. The “Review List” screen displays “No”, “Reception Time”, “Wait (Wait Time)”, “Patient ID”, 氏 Name ”,“ Age ”,“ Gender ”,“ Status ”,“ Interview ”, A list of consultations that also show the strengths of “first Z” and “payment” is displayed. “No” indicates a number assigned in the order in which the reception power information is received. "Reception time" indicates the time at which the patient has completed the reception. In “Waiting (waiting time)”, the elapsed time from the “reception time” to the present is displayed. Doctor Can use this time as a reference to ensure that the waiting time is not too long. In the “state”, the current state of each patient, such as waiting for a medical examination, is displayed. In the “interview”, each patient is interviewed before the consultation, and whether or not the power input to this system has been completed is indicated by “〇” (input completed) or “X” (not input). You. “First Z Re” displays the power of each patient being the first consultation (first time) and the power of having had a previous consultation (re).

 [0061] Also, in addition to the items of "date", "today", "total wait end", and "interruption", a "calendar" button, a "patient search" button, a "chart" A “display” button, a “end of medical care” button, a “logoff” button, an “environment setting” button, and a “binder” button are displayed. By operating the "Calendar" button, the calendar shown in Fig. 29 can be displayed in another window. By selecting a desired date on the calendar, a consultation list for the selected day can be displayed. This calendar is available in all cases where date entry is required. To display the patient's electronic medical record displayed on the “Received List” screen, select the line on which the corresponding patient name is displayed and operate the “Chart Display” key. Also, operate the “Patient Search” button to close the “Examination List” screen, display the “Patient Search” screen shown in Fig. 30, and enter data that can identify the patient, such as the patient name and patient ID. By operating the "search" button, a list of patients can be displayed. When displaying the electronic medical record of a patient displayed in the list of search results, it is sufficient to select the line on which the corresponding patient name is displayed and operate the “record display” button as described above. The chart display can also be performed by operating the numeric keypad area 10.

 By operating the 1 “” key shown in FIG. 2A, the contents of the displayed medical record are switched from the currently displayed medical record to that of the immediately preceding patient. Also, if you operate the “→” key, the current chart will be switched to the one for the next patient. As a result, it is possible to review the contents of the patient's medical record that has already been examined, and to move on to the next patient's examination if time is required for radiography, infusion, etc.

By operating the “treatment” key in the input field 7 shown in FIG. 21, a “treatment slip” screen shown in FIG. 32 is displayed, and a list of medical actions related to the treatment can be made. In the list of medical actions, the treatment details from the first consultation are displayed in chronological order. In addition, on this screen, the details of the treatment, and the medicines and materials used in the treatment can be selected. When the “Surgery” key 7 is operated in the input field 7 shown in FIG. 21, a “Surgical slip” screen shown in FIG. 33 is displayed, and a list of medical actions related to the surgery is displayed and used in the surgery. Drugs, injections and materials can be selected.

 [0065] In the case of performing a plurality of inspections determined in advance, it is possible to register the inspection items to be performed in advance and operate the "inspection" key to call up the registered data. . In the input box 7 shown in FIG. 21, when the "examination" key 9 is operated, an "examination set list" screen (not shown) similar to the "promised prescription set list" screen is displayed. By selecting the corresponding set name on the “Inspection set list” screen, the selected contents can be reflected on the electronic medical record. The display contents on the “Inspection set list” screen can be newly entered or modified on the “Inspection set registration” screen (not shown!) Similar to the “Promised prescription set registration” screen. it can.

 When the “image” key 9 is operated in the input field 7 shown in FIG. 21, an “image diagnosis set list” screen shown in FIG. 34 is displayed. By selecting the corresponding set name on the “Image diagnosis set list” screen, the selected content is reflected on the electronic medical record. The displayed contents on the “Diagnosis Set List” screen can be newly entered or modified on the “Diagnosis Set Registration” screen shown in Fig. 35. The “Registration of diagnostic imaging set” screen is composed of a classification button, a list, and other buttons. The classification button is composed of a plurality of buttons according to the type of imaging, such as an “X-ray simple” button and an “X-ray contrast” button. For example, when the "X-ray simple" button is operated, a list of set names already registered for X-ray simple imaging is displayed. The content can be modified. Other buttons include a “new” button, a “correct” button, and the like. For example, when there is no corresponding item in the list, when newly registering, or when changing the registered contents, the user operates one of the other buttons to display the “image diagnosis set” shown in FIG. A predetermined input can be performed by switching to an "input" screen.

When the “Create New” button is operated on the “Register Image Diagnosis Set” screen, the display of each key in the input field 7 is changed to the items required for inputting the image diagnosis, as shown in FIG. Be changed. 1 When the “part” key is operated, the content is changed to indicate each part of the body as shown in Fig. 38. Also, when the “Direction” key is operated, the shooting direction is indicated as shown in Fig. 39. Will be changed to the content. Also, when the 3 `` Film '' key is operated, the item is changed to an item indicating the film size, as shown in Fig. 40.Select the size, enter the number using the numeric keypad, and then enter the number of fractions. Thus, the format of the film can be selected. If you do not operate the “ENTER” key after inputting the number of fractions, it is possible to input multiple films continuously. Also, when the 4 “drug” key is operated, the display contents of the numeric keypad are changed to items in which the type of drug can be selected as shown in FIG. Therefore, by selecting the type of the drug, selecting the drug on the changed screen, and inputting the dose on the changed screen, the type of the drug can be selected. If the user does not operate the "ENTER" key after inputting the dose, continuous input can be performed as in the case of the film. Also, when the 5 “Material” key is operated, the contents are changed to the materials (instruments) used for diagnostic imaging as shown in FIG. By selecting one of the materials and entering the quantity, the type and quantity of the material used for diagnostic imaging can be selected. In this case, as described above, continuous input is possible unless the “ENTER” key is operated. If there is a modification, etc., it is possible to newly create, add, and delete by operating the “New”, “Add”, and “Delete” buttons.

When the “guidance” key 9 is operated in the input field 7 shown in FIG. 21, the display of each key in the input field 7 is changed to the content indicating the classification of the guidance as shown in FIG. Classification of guidance includes, for example, medication, nutrition, lifestyle, exercise, public health and infection control, home care, pharmacy management, and others. Here, when any one of the displayed keys 18 is operated, the display of each key in the input field 7 is further changed as shown in FIG. Here, when the "guidance sentence" key is operated, the ten keys become operable. When one of the numeric keys is operated, a list of instruction sentences is displayed in another window. FIG. 45 shows an example of a guidance sentence displayed by operating the “nutrition guidance” key. As a result, the registered instruction can be selected using the numeric keypad. When the “medical care plan” key is operated in FIG. 21, the “keyboard input” screen shown in FIG. 4 is displayed, and it is possible to input the medical care plan using the keyboard.

[0069] As shown in Fig. 1, the storage device 3 stores various masters such as a drug master, a disease name master, a medical practice master 1, a search menu master, and various tables such as a medical record table. The following data are stored respectively.

 [0070] The drug master stores data on drugs (drugs), for example, drug names, drug code numbers, drug effects, and the like. By the way, different hospitals handle different drugs. Therefore, the drug master sets flags for the drugs to be handled to narrow down the drugs that can be referenced. As a result, a database of medicines can be constructed for each hospital using a common medicine master. Also, by narrowing down the data, search and display can be performed at high speed.

 [0071] The disease name master stores items related to symptoms (symptom items).

 [0072] The medical practice master includes information on how to take each medicine (dose timing, number of doses, etc.) and items related to the site, that is, items indicating the symptom of the body (regional items). The contents are stored.

 [0073] The search menu master stores data for selecting the type of search, such as the selection of the Japanese syllabary, the selection of the Japanese syllabary, and the like.

 [0074] The information determined in the input confirmation field 9 in Fig. 2B is stored in the medical record table.

 [0075] In the result table, the inspection result at the inspection consignee (inspection company) or the like is fetched via an electronic medium such as the Internet, FD (floppy disk), or CD-ROM.

 As shown in FIG. 1, the control device 4 includes an input keypad reception control unit, an input keypad display control unit, and the like.

 The input keypad reception control unit keeps a progress log based on the input signal from the touch panel or the keypad, and displays the progress log on the input buffer screen (temporary display unit) of the display device 2. Control.

 The input keypad display control unit controls the display of the input field 7 and the menu / window screen based on the progress log. In the input column 7, the progress log is grasped and the menu contents according to the situation are displayed from the menu configuration table.

[0079] In the menu configuration table, the items to be input from the input field 7 are various, such as usage, drug name, site, etc., so it is not possible to directly access various masters. I do. The menu configuration table includes, for example, the name of the corresponding master file, the use of keys, the number of menu items, and the display of the menu area 11. Presence / absence is included.

 Next, the operation of the electronic medical record system which also has the above-described configuration will be described.

 In the initial screen shown in FIG. 2A, an input box 7 is displayed in the lower right column of the display device 2. When performing a diagnosis, the user operates the 5 “Diagnosis” key to end the diagnosis. ! /, Na, The electronic medical record of the patient with the smallest reception number (No) is displayed. If it is not for the patient to be examined again, use the arrow keys to change the displayed electronic medical chart as shown in Figure 28. In addition, since the consultation list is automatically displayed, it is possible to select a corresponding patient from the consultation list. In the displayed electronic medical record, the patient column 6 displays personal information such as the patient's date of birth and address, and if there is a past medical record, the history column 5 displays its contents. However, it is preferable not to initially display items that are not desired to be shown to the patient. For example, for items for which initial display is not desired (cancer, infectious disease, sexually transmitted diseases, etc.), a separate tab key may be provided and only displayed when this tab key is operated!

 If there is an inspection result other than the past medical record, the inspection result is automatically popped up and the inspection result display processing shown in FIG. 48 is performed.

 In the inspection result display process, first, the inspection result that is transmitted from the inspection consignee (inspection company) via the Internet or the like and is automatically loaded into the result table of the storage device 3 is read (step S100). However, the inspection results may be imported to the result table from electronic media such as floppy disk (FD) and CD-ROM.

Further, a reference value for an inspection item corresponding to the inspection result is read from the inspection master (Step S101). Then, the read inspection results are compared with reference values (upper limit value and lower limit value) (step S102). Then, the result of the comparison is displayed in a pop-up on the screen (step S103). In this case, if the inspection result deviates from the reference value, it is determined to be abnormal, and only the abnormal value is highlighted (for example, red). When the value exceeds the upper limit, “ΐ” is displayed. When the value is below the lower limit, “丄” is displayed. Here, when an item to be transferred to the chart is selected (step S104), the inspection result of the item is transferred to the chart (step S105). For the items to be transferred to the medical chart, for example, a check box may be provided for each inspection item, and only the checked items may be transcribed. In this case, the initial settings, for example, , "Check only abnormal values", "Check all", and "Do not check" may be selectable. It should be noted that there are cases where there are large changes from the results of the previous inspection even if they are normal values, and cases where there is no need to worry too much about abnormal values.

 (Examination Input) When the electronic medical record of the patient to be examined is displayed, as shown in FIG. 31, the doctor and the patient face each other across the display device 2 and refer to the displayed electronic medical record. Can proceed with the consultation. In this case, since the input field 7 is displayed at the lower right of the screen, the patient can proceed with the examination while looking at the contents of the electronic medical record or immediately looking at the displayed contents.

 [0086] In the input of the contents of the examination, the "S" key of the input field 7 is operated to switch the input field 7 to the content shown in FIG. If the contents of the questionnaire have already been registered, the corresponding questionnaire is copied to the electronic medical record by operating the “Questionnaire Form” key. If the interview has not been registered, 1 Operate the “Chief” key to display the “Keyboard Input” screen shown in Fig. 4, and enter the chief complaint (patient's complaint) using the keyboard.

 When the input of the chief complaint is completed, the “OK” key is operated to close the “keyboard input” screen.

 Next, 2) operate the "interview" key to display the "interview" screen, which is the input confirmation column 8. At this time, the display of the numeric keys in the input field 7 is changed to the content for symptom input shown in FIG. Therefore, the corresponding symptom is selected from the symptoms displayed in the input box 7. If not, use the arrow keys to change the display.

When a symptom is input, the contents of the inquiry are displayed on the “interview” screen, and all the contents of the inquiry required for the input symptom are displayed. For example, if “fever” is selected as the symptom, “fever”, “from”, “how much”, “with or without chills” are displayed on the “questionnaire” screen, and the “fever” is entered. Has been completed, the next item that needs to be entered is highlighted. So you can see at a glance what to enter! In addition, the display content of the input column 7 is changed from the symptom to the one related to the time. If it is not necessary to enter the item, the "SKIP" key can be operated to move to the next item. At this time, the item to be highlighted is changed. Thereafter, the user sequentially inputs the information according to the display contents of the input box 7 to be changed. This will ensure that all items required for the consultation are All can be entered.

 When the input of all the examination results is completed, the contents displayed on the “interview” screen are checked, and corrections are made as necessary. When the correction and the confirmation are completed, the "ENTER" key is operated. As a result, the content displayed on the "interview" screen is deleted and displayed in the input confirmation column 9, and the content input is reflected in the medical record.

 (Input of Findings) When the input of the contents of the medical examination is completed, by operating the “0” key in the input field 7, the findings, that is, the symptoms recognized by the doctor are input. When the “0” key is operated, the display items in the input field 7 are switched for inputting the findings, and in the input field 7 shown in FIG. 8A, 1 “findings”, 2 “inspections”, 3 “images”, and 4 “schema” , 5 Each key of “Inspection history” is displayed.

 [0091] When the "finding" key is selected, the display item is changed to a "whole body finding" key and an "individual finding" key as shown in the display item 1S in the input box 7 in Fig. 8D.

 [0092] By operating the "Whole body findings" key, the "Vital sign dialog" screen shown in Fig. 9A is displayed in a separate window. If one of the check boxes of each item is checked sequentially with a pen or mouse, Yo,

 [0093] Also, when the "individual finding" key is operated, each numeric key in the input box 7 is changed to a display showing the body part. Therefore, the corresponding part is operated and the "finding input" screen is displayed. Then, check the check box of each displayed item as described above. For example, when “Neck” is operated, the “Neck” screen shown in FIG. 9B is displayed in a separate window as the “Find Finding” screen. The “cervical” screen has a cervical inspection field and a cervical palpation field, each consisting of thyroid hypertrophy, cervical lymphoma hypertrophy, parotid hypertrophy (check boxes for “Yes” and “No”) ) Is composed of each item. The doctor only has to check the check box of each item with a pen or a mouse.

 [0094] When the "Examination" key is selected, a list of inspection results that have been executed is displayed. Then, the displayed inspection result is reflected in the corresponding portion (input confirmation column) of the electronic medical record by manual input or automatic input.

[0095] 3 When the "image diagnosis" key is operated, if there is an image taken by an X-ray or the like, it is displayed in another window ゥ. The physician judges the symptoms based on the displayed image, and displays the next schema screen as needed to use as an explanation for the patient. [0096] When the "schema" key is operated, the "schema" screen shown in Fig. 46 is displayed. A plurality of body part images registered in advance are displayed on the “schema” screen. When an image of a patient's diseased part is selected from these images, the image is enlarged and displayed in an edit column. Use the pen, mouse, etc. to write the site, symptoms, etc. on the image and operate the “Paste on medical chart” button to display the image in a reduced size on the electronic medical chart. Operating the "image" key displays the "image diagnosis result input" screen. When the “Image Import” button on the “Image Diagnostic Result Input” screen is operated, the “Image Import” screen is displayed and the image file is read. However, image data can also be captured using a film scanner. When the “image capture” screen is closed, the captured image is displayed on the “image diagnostic result input” screen, and the user can input the image diagnostic result while referring to this image. After inputting the image diagnosis result, operate the “Close” button on the “Image diagnosis result input” screen, and the input contents will be displayed on the electronic medical record. If you double-click the image displayed on the electronic medical record, the image is enlarged and displayed in the edit field of the “Schema” screen. As a result, the image can be pointed out using a pen, a mouse, or the like, and the disease site can be easily explained to the patient.

 [0097] 5 When the "inspection history" key is operated, a list of previous inspection results is displayed. In this case, inspection items are selected from the displayed list (up to 5 items can be selected here), and the inspection results can be displayed in chronological order or graphically. That is, by selecting the inspection result desired to be displayed and operating the "time-series display" or "graph display" displayed on the numeric keys, the display can be changed and displayed as follows.

 When the “time-series display” is operated, as shown in FIG. 49, the numerical value of the test result is displayed in a list including the date for each selected test item. By operating the “graph display”, the graph display processing shown in FIG. 50 is started.

[0099] In the graph display processing, first, a reference value of a corresponding inspection item is read from the inspection master (Step S110), and a scale display value is calculated (Step S111). Then, the scale is displayed on the graph based on the calculated scale display value (step S112). In this case, the display positions of the upper and lower limits of the inspection reference value shall be the same regardless of the difference of the inspection items. If there are multiple inspection items, the upper and lower limits of the inspection reference value for each inspection item Display limit values in parallel. As a result, it is possible to display a plurality of inspection items with the normal range width aligned. Subsequently, the inspection result is displayed on a graph (step S113).

 [0100] Fig. 51 shows an example of displaying the inspection results in a graph. In this graph, inspection items A and B are displayed in the left column, two columns, and the upper and lower limits of the inspection reference value of each inspection item are displayed at the same position. Then, the inspection results over four times are displayed in a line graph. Inspection items and line graphs are color-coded for each inspection item, so that you can easily determine at a glance which result is due to which inspection! As described above, even when there are a plurality of inspection items, the width of the normal range is displayed in a uniform manner, and the inspection results are displayed in a line graph, etc., so that the changing tendency of each inspection result can be easily grasped. In addition, it is possible to easily determine whether the test value is within the normal range. Therefore, if you explain to the patient while referring to this graph, it will be an effective tool for informed 'consent' because it is easy to understand visually.

 [0101] When the mouse is moved to a portion where the name of the test item corresponding to each line graph is displayed, a diagnostic standard or the like corresponding to the test item is displayed in a pop-up. For example, if left-clicking on hemoglobin HbAlc, there is a time lag until HbAlc returns to a normal value even if blood glucose is normalized, and a display indicating that is displayed. Therefore, the physician can display information that should be noted in the judgment of test results, such as the examination criteria for each test item, as necessary, so that the doctor can bother searching in a book or giving incorrect advice. Then it is very convenient.

 [0102] (Assessment input) When the finding input is completed, the "A" key in the input field 7 is operated to perform assessment input, that is, input of diagnosis contents for symptoms.

 [0103] In the assessment input, as shown in Fig. 10, 1 "Injury and disease name" key, 2 "Opinion 'diagnosis" key, 3 "Transfer" key, 4 "Modify" key, 5 "Delete" key are displayed. Therefore, select and operate the required items.

 When the “injury / disease name” key is operated, the numeric keys are changed to 1 “frequent use search”, 2 “category search”, and 3 “keyword” display. When a search method is selected, the search is performed according to the selected method.

[0105] When the "frequent search" key is operated, the display of numeric keys is changed to the frequently used name Is done. In other words, 1 "cold", 2 "type 2 diabetes", etc. are displayed, and the corresponding one is selected. As a result, the display contents of the numeric keys are switched to “recur”, “relapse”, and “suspect”.

 If the injury or illness corresponds to any of the following: relapse, relapse, or suspicion, “relapse”, “relapse”, or “suspect” is reflected in the contents of the medical record. Then, if necessary, input a modifier. This is because even the same injuries and illnesses have acute and chronic differences and different treatment methods.

 [0107] In the input of a qualifier, in the input field 7, either the key of the "syllabary" key or the "keyword" key is selected.

 [0108] When the "Japanese syllabary" key is operated, the displayed contents of the numeric keys are switched between 1 "prefix" and 2 "suffix". If one of them is selected, the contents of the numeric keys are switched to the 50 consonant lines (a line, ka line ...). If you select one of them, the contents of the numeric keys will switch to the vowel steps (a, a, ゥ, 、, ォ). If you select one, the first character is specified, and a list of modifiers starting with the specified character is displayed. Select the appropriate modifier from the displayed modifiers. As a list, here only 9 modifiers corresponding to 1 to 9 numeric keys can be displayed.If there are more than 9 modifiers, press the “UP” or “DOWN” key. The display contents can be switched and selected by operating.

 [0109] In the operation of the "syllabary" key, the number displayed on the number keys is limited to nine, and the space (display field) that also displays the force is necessary so that the contents of the electronic medical record can be displayed large Desirable to minimize.

 [0110] When the "keyword" key is operated, a keyword selection screen is displayed. If a character or the like is input by the keyboard and the "search" key or the "ENTER" key is operated, a corresponding modification is performed. The word is displayed (if a keyword is entered halfway, the corresponding modifier is displayed as a list), so the desired modifier can be selected.

[0111] By operating the "alphanumeric" key in the input field, it is possible to perform a search using numbers and alphabets. In this case, the numbers and alphabets are displayed on the numeric keys in the same manner as when the "syllabary" key is operated, so that the user can select them. [0112] As described above, according to the input method, it is possible to easily select the name of the illness that is frequently used mainly by operating the numeric keys.

 When the “category search” key is operated, the names of the injuries and diseases can be selected by narrowing down in the order of large, medium, and small. Each classification is based on the International Statistical Classification of Diseases and Related Health Problems, i, enth Revison (ICD-10), defined by the World Health Organization (WHO) as the 10th revision of the International Statistical Classification of Diseases and Related Health Problems. It shall correspond to each classification of. Then, the same input as above is performed, such as input of a suspected recurrence, input of a modifier, and the like.

 When the input of the name of the disease is completed, the start date of the treatment is automatically input. To correct the automatically entered date, the “Start Date Correction” key can be operated to change the start date.

 [0115] The outcome is input when the symptom changes. The input items are displayed in the numeric keys in the input box 7, and are reflected in the medical chart by operating the corresponding items. When entering the end date, the calendar can be displayed and the date can be easily specified by operating the "Calendar" key.

 [0116] (Treatment plan input) When the assessment input is completed, operating the "P" key in input box 7 allows the treatment plan input, that is, future treatments such as diagnostic planning, treatment, and education for patients. Make input about the plan. Here, the numeric keys are: 1 “internal use”, 2 “one-off”, 3 “external”, 4 “injection”, 5 “self-injection”, 6 “treatment”, 7 “surgery”, 8 “examination” , 9 "Image" is displayed

[0117] When a drug to be administered to a patient is selected, it can be performed according to the flowchart shown in FIG.

[0118] First, on the screen shown in Fig. 21, the corresponding key (one of 1 "internal use", 2 "internal use", 3 "external use", 4 "injection", and 5 "self-injection") is pressed. Select (Step S1) to narrow down the selection. The screen is changed to the screen shown in FIG. 22 by this key operation, and it is determined whether or not it is the DO prescription or the promised treatment (step S2). Use the “DO” key to perform the same prescription as the prescription left in the history data, and operate the “promise” key to treat the prescribed medicine such as a cold in a fashion. As a result, the list of drugs to prescribe- The user area 11 is displayed as a list (step SI 2). Therefore, by selecting the relevant drug from the displayed list (step S13), the input operation can be easily performed. Further, it is determined whether or not there is a change in the number of medication days (step S14). If there is a change, the process proceeds to step S9, and if there is no change, the process proceeds to step S10.

 [0119] If neither the DO prescription nor the promised prescription is specified, a general search is performed. Here, the corresponding drug is specified by operating the Japanese syllabary selection key (step S3). For example, to select the character "i", the user operates "a" in FIG. 22, switches the display content between "a" and "o", and selects "i". When the first character is specified by operating the Japanese syllabary selection key, the character name also starts.For example, a list is displayed as shown in Fig. 9 (step S4). Select what you want to do (step S5). If there are many drugs in the displayed list, you can narrow the number displayed by typing the second letter.

 [0120] When the drug to be prescribed is specified, the user inputs the dose (step S6). The dose is entered by entering a numerical value using the numeric keypad. When the dose is determined, it is determined whether or not there is additional mash of the selected drug (step S7) .If there is additional mash, the process returns to step S1 and repeats the above process. , Enter the usage (step S8).

 [0121] In the input of the usage, the display content of the input field 7 is changed as shown in Fig. 25, and the symbol used for inputting on a paper chart can be used conventionally.

 [0122] Specifically, the symbol shown in numeric key 1 means "should be taken after 3 meals", that is, after every meal in the morning 'lunch' and evening. The symbol shown in numeric key 2 means "should be taken immediately after 3 meals", that is, within 30 minutes after each meal in the morning * noon and evening. The symbol shown on the numeric key 3 means “minute 2 morning and evening”, that is, should be taken after a morning and evening meal. The symbol shown on the numeric key 4 means "Minute 1 before going to bed", that is, it should be taken before going to bed. The symbol shown on numeric key 5 means “should be taken between 3 minutes between meals”, that is, between mornings and noon, noon and evening, and evening and morning meals. The symbol shown on the numeric key 6 indicates "minute 1 morning", that is, it should be taken after getting up.

As described above, since the symbols used for inputting the paper chart are conventionally used, it is possible to smoothly shift to the paper chart power electronic chart. In addition, the usage is entered Then, enter the number of days for administration (step S9). The number of days of administration can be entered by entering a numerical value using the numeric keypad, or by separately displaying a calendar and directly operating the displayed date. By registering the days when medical examinations are closed in the calendar, it is possible to prevent problems such as running out of medicine during medical examinations. It also makes it easier to see when a patient will visit.

 [0124] Thereafter, the selected content is displayed in the input confirmation column 9 (step S10), and the content is determined (step Sll).

 [0125] In the selection of the drug, the drug can be automatically narrowed down by inference search. Based on the information such as disease name, condition, and restriction, narrow down the drugs to be prescribed automatically based on the package insert of the drug or statistical values based on the past treatment data. For example, search for efficacious drugs based on the name of the disease. The following table shows examples of data and data sources that can be used for inference search.

 [0126] [Table 1]

[0127] As a result of the inference search, if the number of medicines can be narrowed down to 30 or less, it is determined that the number is a selectable number, and the list is displayed and selected. If it is not possible to narrow down the number of medicines to 30 or less, it will take time to select them, so perform a general search to further narrow down the medicines. Then, a corresponding drug is selected from the narrowed down list of drugs.

 In the general search, in addition to the Japanese syllabary selection, a search by medicinal effect and a search by component can be performed.

When the medicine is determined in this manner, the order of the medicine is ordered according to the determined contents. At this time, a prescription check process such as a drug contraindication is performed. [0130] That is, referring to the prescription check database based on the prescription data of the ordered medicine, the interaction (medicine that must not be prescribed at the same time), the contraindication of the disease name (for prescription for the disease name, Check all items, such as non-prescription drugs, and age restrictions (pharmaceuticals that cannot be prescribed at a certain age). As a result, for drugs with problems, search for alternative drugs.

 [0131] Specifically, as shown in Fig. 52, indications (step S120), contraindications for the disease name (step S121), normal dose (step S122), age restriction (step S123), pregnant and nursing women (step S124) ), Interaction (step S125), composition change (step S126), dosage regimen (step S127), and drug type (step S128).

 [0132] In the indication check, the efficacy of the prescribed drug, the effect and the patient's disease name are checked for a match. A contraindication check checks that the prescribed drug does not adversely affect the patient's symptoms. For example, administration of hypertensive drugs (blood pressure lowering drugs) to patients with hypotension is prevented. In the regular dose check, check that the prescribed dose of the drug is a normal dose. For example, accidents such as "10 times administration due to input error" are prevented. The age restriction check checks whether the prescribed drug can be administered to infants, infants, children or the elderly. Care must be taken when using drugs that cannot be administered to newborns or when administering to children or the elderly. Pregnant and nursing mothers check to see if the prescribed drug can be administered to pregnant and nursing women. Drugs that cannot be given to pregnant and nursing women are tickled. In the interaction check, check if it is safe to take the prescribed medicine at the same time. In this case, the medicines currently being taken from the past medical records will also be checked. It is possible to check combinations that cannot be used together because the effects are antagonistic or conflicting. In the formulation change check, check if the prescribed injection medicine can be mixed. Injectables may be used as a mixture of two or more types. In this case, combinations that cause problems such as precipitation and discoloration can be checked. In the dose usage check, it is checked whether the dose and dosage of naive medication are consistent with each other when the dose is uneven. Input errors such as "one tablet three times a day after each meal" can be prevented. The drug type check checks whether the prescribed drug is a drug, poison or psychotropic.

[0133] The power to perform various checks on drugs ordered as described above. If it is determined that there is a problem as a result of these checks, that fact will be displayed in a separate window. Figure 53 shows what is displayed when there is a problem with the interaction and indication. Here, there is an interaction (contraindications) between Lismodern capsule and SPARA tablet, and there is a problem with SPARA tablet because the indication such as secondary infection of trauma does not include infectious enteritis. The pop-up is displayed to that effect. For SPARA tablets, alternative medicines are searched for and the selected candidates are displayed.

In the search for a substitute drug, a candidate for change is selected based on the name, dose, and usage of the ordered drug. As for the candidate for change, the names, dosages, and usages of alternative medicines are stored in the database in advance corresponding to the third item of the names, dosages, and usages of the pharmaceuticals. When the prescription check process determines that a drug cannot be prescribed, it is possible to indicate a drug that can be substituted by associating a dose and usage that is not just the name. For this reason, it is possible to make the drug suitable for the pre-replacement drug without mistaking the dosage and usage of the replacement drug. If there are multiple alternative medicines, they will be displayed as a list, from which you can select.

When the “examination” key 8 is operated, a set menu of registered examination items, that is, an examination set list screen is displayed as shown in FIG. Here, when the inspection set is selected by operating the numeric keys, the inspection set list screen is switched to the inspection item display screen shown in FIG. On the test item display screen, necessary test items are listed for each classification such as biochemistry, hematology, urine, feces, etc., and basic test items are checked in advance according to the selected test set. I have. Then, it is possible to select the inspection items by checking or removing them as necessary. When the inspection items are confirmed, operate the “OK” button and enter the inspection items to be performed in the medical record.

When the “image” key is operated, a set menu of registered image diagnostic items, that is, an image diagnostic set list screen is displayed as shown in FIG. Here, when an image diagnosis set is selected by operating the numeric keys, the image diagnosis set list screen is switched to the image diagnosis item display screen shown in FIG. On the image diagnosis item display screen, necessary image diagnosis items are listed for each classification of imaging method, imaging site, imaging direction, film, etc., and basic image diagnosis items are selected in advance according to the selected image diagnosis set. Is checked The Then, it is possible to select an image diagnosis item by checking or removing the check as needed. Once the diagnostic imaging items are confirmed, operate the “οκ” button

The diagnostic imaging items to be performed are described in the chart. In Fig. 57, an item is selected in which the chest is photographed as an X-ray simple photograph and the frontal force is photographed using one large angle toward the rear. Then, an order is made based on the contents selected on the image diagnosis set list screen, and imaging is performed.

 As described above, by operating the “S”-“Ρ” keys, all items required for creating a medical chart can be promptly input without omission.

 [0138] Frequently used sentences and prescriptions can be registered in advance (learning function). For example, the contents of the prescription are stored as a learning buffer, and displayed on the screen as needed for use. In this case, if the number is set to 9 so as to correspond to each numeric key in the input field 7, the input operation can be performed only in the input field 7. Part of the registered contents can be displayed on each key, and the contents of the learning buffer can be displayed in another window and directly reflected on the electronic medical record.

 When it is necessary to display similar words in an item to be displayed by using the numeric keys, names to be selected are grouped by common characters, and the numeric keys are provided by common characters and group characters. A primary selection word consisting of the number of selected words may be displayed. Then, by selecting the corresponding primary selection word, each grouped word may be displayed on each numeric key as a secondary selection word. Also, a tertiary selection word or the like may be provided as needed.

 [0140] For example, there are many very similar drugs as shown in the following table. Therefore, as the primary selection word, “Colt (2)”, “Cord (3)”, and “Kolhi (4)” are displayed on each numeric key. Then, by selecting one of them, the official name is displayed on each numeric key. Specifically, when “Cold (3)” is selected, each numeric key displays “Cordon tablets”, “Cordolin tablets”, and “Cordolin granules” as secondary selection words. Have them choose from among them.

[0141] As described above, since the primary selection word is provided and similar words are grouped and displayed, similar error-prone portions can be displayed in large characters. Therefore, When making a selection, it is possible to pay attention to the part that is most likely to be erroneous. In this case, if the secondary selection word has a similar part, the primary selection word is displayed separately, and only the parts excluding the primary selection word ("two tablets", "phosphorus tablets", "phosphorus granules") are displayed. Each number key may be displayed separately

[0142] In the case of pharmaceuticals, the first three characters can be mostly grouped with an appropriate number (9 or less that can be displayed with the numeric keys). For this reason, the size of each numeric key should be displayed in about three characters so that it is easy to see. Therefore, it is possible to make the ten-key area 10 compact.

 [0143] In addition, since the total of the words grouped together is displayed in parentheses (), it is possible to understand at a glance that other similar words exist.

 In particular, the display method based on the grouping is effective in the case of searching for Japanese syllabary. In other words, when searching for the Japanese syllabary, there are many similar names that are difficult to select, but by grouping, you can enter the first letter on the keyboard and enter many drug names into the numeric keys. Can be displayed. Also, as described above, displaying the row of each of the 50 consonants (a row, ka row ...) on the numeric keypad and selecting one of the consonant rows by simply selecting one of them results in the name of the desired drug. Can be displayed. Then, by inputting the steps of each vowel (ァ, ゥ, ゥ, 、, ォ), the same effect as when the first character is entered on the keyboard can be obtained. In other words, a desired medicine can be selected only by operating the numeric keys.

 [0145] As described above, by grouping the medicines, it becomes possible to easily and quickly select a desired medicine.

Claims

The scope of the claims

 [1] Control for displaying an electronic medical record on the display means, reflecting input data on the displayed electronic medical record based on an input operation by the input means, and storing the electronic medical record on which the input data is reflected in the storage means In an electronic medical record system having means,

 The input means includes a plurality of input keys arranged in a predetermined area, and the display means displays a list of a plurality of items that can be selected by operating at least one of the input keys of the input means. An input item selection field is displayed, and the control means selects an item displayed in the input item selection field of the display means by operating an input key of the input means, and sequentially inputs the next input to the input item selection field. An electronic medical record system characterized by displaying necessary items for the medical record.

 [2] The display means selects the item displayed in the input item selection field by the input means, thereby temporarily displaying the selected item sequentially, and the content displayed on the temporary display part. The electronic medical record system according to claim 1, further comprising: a confirmation display section that is displayed when the confirmation is made.

 [3] The control means displays an input item on each of the input keys displayed on the display means by operating the input keys of the input means, and sequentially displays the display contents necessary for the next input. 3. The electronic medical record system according to claim 1, wherein the electronic medical record system is changed to an item.

 [4] The storage means stores prescription data inputted in advance,

 The said control means reads prescription data from the said storage means by operation of the said input means, and reflects it on the electronic medical record displayed on the said display means.

3. The electronic medical record system according to any one of items 1 to 3.

[5] The method according to any one of [1] to [4], wherein when the electronic medical record is created, if the number of selectable drugs exceeds a predetermined number, the drugs can be narrowed down by a plurality of types of search methods. The electronic medical record system according to item 1.

[6] The method according to claim 6, wherein, when the electronic medical record is created, a calendar including the resting information is displayed on the display means, and the number of days taken can be directly input using the calendar.

The electronic medical record system according to any one of Items 1 to 5.

[7] Control for displaying the electronic medical record on the display means, reflecting the input data on the displayed electronic medical record based on the input operation by the input means, and storing the electronic medical record on which the input data is reflected in the storage means In an electronic medical record system having means,

 The input means comprises a plurality of operable input keys displayed on the display means and arranged in a predetermined area,

 The electronic medical record system, wherein the control means causes the input keys to sequentially display required input items.

[8] The electronic canolete system according to claim 7, wherein the input means comprises a touch panel.

 [9] When inputting the contents of an inquiry by the input means, the control means causes the display means to display an inquiry screen and input keys, lists items required for the inquiry on the inquiry screen, and inputs the information. The item to be tried is highlighted and the content of the item corresponding to the input key is displayed.The item selected by operating the input key is reflected on the inquiry screen, and the display of the input key is changed to the next input. The electronic medical record system according to any one of claims 1 to 8, wherein the electronic medical record system is switched to a required item, and an item to be highlighted on the inquiry screen is changed to the next item.

 10. The electronic force device according to any one of claims 1 to 9, wherein it is possible to select whether or not to reflect the inquiry data input in advance on the electronic medical record by the input means. system.

 [11] The input key according to any one of claims 7 to 10, wherein each input key of the input means displays a symbol used in a handwritten medical record when inputting a dosage time into an electronic medical record. Electronic medical record system as described.

[12] Each input key of the input means displays the upper row of each row of the Japanese syllabary, and switches to the display of the upper row to the lower row of each row based on the operation of the input key. Any of claims 7 to 11, wherein, when any one of the Japanese syllabary characters displayed on the input keys is selected, a search is made for items required for inputting the electronic medical record. The electronic medical record system according to item 1.

[13] The storage means stores image data indicating a body part, 13. The apparatus according to claim 7, wherein the control unit reads the corresponding image data from the storage unit and displays the image data on the display unit based on an input signal from the input unit when a finding is input. The electronic medical record system according to item 1.

[14] The electronic medical record is displayed on the display means, and based on the input operation by the input means, the input data is reflected on the displayed electronic medical record, and the electronic medical record on which the input data is reflected is stored in the storage means. In an electronic medical record system provided with control means,

 The input means includes a plurality of input keys displayed in a predetermined area of the display means, and each of the input keys displays an input item,

 When displaying the input items on the input keys, if there are a plurality of similar words in the input items, the control means displays a common character among the similar words as a primary selection word, and the primary selection word is An electronic medical record system, wherein similar words are displayed on each input key after being selected.

15. The electronic medical record system according to claim 14, wherein the number of similar words together with the primary selection word is displayed on the input keys.

[16] Control for displaying the electronic medical record on the display means, reflecting the input data on the displayed electronic medical record based on the input operation by the input means, and storing the electronic medical record on which the input data is reflected in the storage means In an electronic medical record system having means,

 The input means includes a plurality of input keys displayed in a predetermined area of the display means, and each of the input keys displays an input item,

 The control means, when displaying the input items on the input keys, if there are a plurality of similar words in the input items, displays, as a primary selection word, a character including a portion of the similar words up to the point where the initial character strength is also apt to be erroneous. An electronic medical record system, wherein the electronic medical record system is adapted to be used.