WO2021038968A1 - Electronic chart input method, electronic chart input system, and electronic chart input program - Google Patents

Electronic chart input method, electronic chart input system, and electronic chart input program Download PDF

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Publication number
WO2021038968A1
WO2021038968A1 PCT/JP2020/018670 JP2020018670W WO2021038968A1 WO 2021038968 A1 WO2021038968 A1 WO 2021038968A1 JP 2020018670 W JP2020018670 W JP 2020018670W WO 2021038968 A1 WO2021038968 A1 WO 2021038968A1
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WO
WIPO (PCT)
Prior art keywords
inquiry
medical record
electronic medical
information
answer
Prior art date
Application number
PCT/JP2020/018670
Other languages
French (fr)
Japanese (ja)
Inventor
知宏 中矢
大介 能登原
充宏 服部
寛章 本郷
和義 西野
智則 ▲崎▼本
太朗 高畑
Original Assignee
株式会社島津製作所
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Publication date
Application filed by 株式会社島津製作所 filed Critical 株式会社島津製作所
Priority to JP2021541999A priority Critical patent/JP7259972B2/en
Publication of WO2021038968A1 publication Critical patent/WO2021038968A1/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the present invention relates to an electronic medical record input method, an electronic medical record input system, and an electronic medical record input program.
  • the above-mentioned Japanese Patent Application Laid-Open No. 2019-101491 discloses a diagnostic support method for receiving input information regarding an answer to a medical inquiry by a user terminal.
  • this diagnosis support method display information of a plurality of inquiry items is displayed on the user terminal.
  • the answer to the interview is input to the user terminal.
  • the answer information which is the answer information for the interview, is transmitted from the user terminal to the medical care support device.
  • the answer information is registered as medical record information in the medical care support device.
  • the diagnosis table is referred to, and the name of the disease suspected to correspond to the answer information and the clinical department to be consulted are estimated.
  • the information of the suspicious disease name and the information of the clinical department to be examined are acquired by the user terminal, and the information of the suspicious disease name corresponding to the answer information and the clinical department to be examined are displayed on the user terminal. Is output as.
  • JP-A-2019-101491 it is possible to use a diagnostic support method as described in JP-A-2019-101491 in a medical institution provided with a plurality of clinical departments. Conceivable. That is, the information of the suspicious disease name and the information of the clinical department to be examined are acquired by the user terminal, and the information of the suspicious disease name corresponding to the answer information and the clinical department to be examined are displayed on the user terminal. Is output as. Then, it is conceivable to automatically register the answers to the basic medical questions as medical record information in the electronic medical record, and to support the decision work (judgment work) of the receptionist who decides the clinical department to be examined by the patient.
  • the present invention has been made to solve the above-mentioned problems, and one object of the present invention is the work of a receptionist of a medical institution even when used in a medical institution having a plurality of medical departments. It is to provide an electronic medical record input method, an electronic medical record input system, and an electronic medical record input program capable of reducing the burden and the work burden of a doctor.
  • the electronic clinical department input method in the first aspect of the present invention includes a step of receiving an answer to a basic medical inquiry by a mobile information terminal, a step of obtaining an answer to the basic medical inquiry, and an acquired basic medical inquiry. Based on the answer to, the step of determining the clinical department to be examined by the patient from among multiple clinical departments and the answer to the clinical department interview corresponding to the clinical department to be examined are provided by the mobile information terminal.
  • the electronic medical record input system is provided separately from the mobile information terminal that receives the answer to the basic inquiry and the answer to the clinical department inquiry, and obtains the answer to the basic inquiry. Based on the answers to the basic interviews obtained together with, the medical institution side terminal that determines the clinical department to be examined by the patient from among multiple clinical departments is provided, and the answers to the clinical department interviews are obtained. Based on the answers to the acquired clinical department interviews, electronic medical record input information in a format corresponding to the electronic medical record is generated, and the electronic medical record input information is stored in the electronic medical record server.
  • the electronic clinical department input program in the third aspect of the present invention is based on a control of receiving an answer to a basic inquiry by a mobile information terminal, a control of acquiring an answer to the basic inquiry, and a plurality of answers to the acquired basic inquiry.
  • Control to acquire answers control to generate electronic medical record input information in a format corresponding to the electronic medical record based on the answers to the acquired clinical department inquiry, control to store the electronic medical record input information in the electronic medical record server, To the computer.
  • the answers to the basic interviews are accepted by the mobile information terminal, and at the same time.
  • the mobile information terminal accepts the answers to the clinical department interviews, which are the interviews corresponding to the clinical departments.
  • the receptionist of a medical institution having multiple clinical departments can answer basic clinical questions and respond to clinical department interviews using a mobile information terminal without having to hand over a form containing the contents of the clinical department interview to the patient. Answers can be accepted.
  • the workload of the receptionist of a medical institution having a plurality of clinical departments can be reduced.
  • the electronic medical record input system 100 in this embodiment constitutes a part of the medical care support system 101.
  • the medical care support system 101 is a system that supports medical care and work by medical staff such as doctors and nurses in a medical institution (for example, a hospital) and work by a receptionist (clerk).
  • the electronic medical record input system 100 is a system for inputting electronic medical record input information Dki to the electronic medical record device 10 provided in the medical care support system 101.
  • the electronic medical record input system 100 includes a medical inquiry terminal 20 and a hospital terminal 30.
  • the medical care support system 101 includes an electronic medical record input system 100, an electronic medical record device 10, a reception input device 40, and a medical inquiry server 50.
  • the electronic medical record device 10 and the hospital terminal 30 constitute an electronic medical record system.
  • the electronic medical record system is for electronically storing and managing the medical record R by a medical worker such as a doctor, the basic medical inquiry answer information Da1 and the clinical department inquiry answer information Da2, which will be described later, as a database and electronically as electronic medical record information Dk. It is a system. That is, the electronic medical record system is a system for improving the efficiency of office work of medical staff and receptionists of medical institutions and centralizing information management.
  • the inquiry terminal 20 is an example of a "portable information terminal" in the claims.
  • the hospital terminal 30 is an example of a "medical institution side terminal" in the claims.
  • the plurality of inquiry terminals 20, the plurality of hospital terminals 30, and the inquiry server 50 are connected via the network N.
  • the network N is, for example, the Internet.
  • the electronic medical record device 10 is a device that manages the electronic medical record information Dk generated for each patient ID (Identification).
  • the patient ID is identification information given by the electronic medical record device 10 or the hospital terminal 30 for each patient P who visits a medical institution.
  • the electronic medical record device 10 includes a control unit 11, an electronic medical record server 12, an operation unit 13, a display unit 14, and a communication unit 15.
  • the patient ID is an example of the "second identification information" in the claims.
  • the control unit 11 is configured to control the operation of the electronic medical record device 10 by executing the electronic medical record program 12a (hereinafter referred to as "program 12a").
  • the control unit 11 includes an arithmetic processing circuit such as a CPU (Central Processing Unit) and a storage circuit such as a RAM (Random Access Memory).
  • the control unit 11 is configured to control to update or generate the electronic medical record information Dk when the electronic medical record input information Dki described later is generated and when the medical record R is input.
  • the program 12a is an example of the "electronic medical record input program" in the claims.
  • the electronic medical record server 12 includes, for example, a non-volatile storage medium such as an HDD (Hard Disk Drive) or an SSD (Solid State Drive).
  • the electronic medical record server 12 stores the program 12a. Then, the electronic medical record server 12 stores the electronic medical record information Dk corresponding to each of the plurality of patient IDs. That is, an electronic medical record database is constructed on the electronic medical record server 12. Further, the electronic medical record information Dk is updated in response to the input (stored) of the electronic medical record input information Dki to the electronic medical record server 12.
  • the operation unit 13 is configured to receive input operations of a medical worker or an employee (receptionist) of a medical institution.
  • the operation unit 13 is composed of at least one of a keyboard, a mouse, and a touch panel.
  • the operation unit 13 is configured to receive a medical record R by a doctor.
  • the display unit 14 is configured to display (output) the electronic medical record information Dk based on an input operation to the operation unit 13 and a command from the control unit 11.
  • the display unit 14 includes a liquid crystal display.
  • the electronic medical record information Dk includes, for example, basic patient information such as patient ID, patient name, medical history and allergies, treatment history and prescription history information, basic medical inquiry answer information Da1 (answer to basic medical inquiry Q1), and clinical department. Includes medical inquiry answer information Da2 (answer to clinical department inquiry Q2) and medical record R.
  • the control unit 11 has an image E1 showing basic patient information, an image E2 showing information on treatment history and prescription history, and an image E3 showing basic inquiry response information Da1, clinical department inquiry response information Da2, and clinical record R. Is configured to be controlled to be displayed on the display unit 14.
  • the electronic medical record device 10 is an example of a "display device for displaying an electronic medical record" in the claims.
  • the communication unit 15 is configured to perform wired communication or wireless communication with the hospital terminal 30.
  • the communication unit 15 is configured to be able to communicate with the hospital terminal 30 by a wired LAN (Local Area Network) or a wireless LAN.
  • the communication unit 15 is configured to send and receive the electronic medical record input information Dki and the medical record R to and from the hospital terminal 30.
  • the electronic medical record input information Dki includes, for example, data in character (text) format.
  • the electronic medical record input information Dki and the medical record R are data in a format conforming to HL7 (Health Level 7), and the electronic medical record input information Dki is stored (stored) at a predetermined position in the electronic medical record information Dk. ..
  • the electronic medical record input information Dki is stored (input) at the position of the "questionnaire answer (chief complaint)" in FIG.
  • the medical inquiry terminal 20 is configured as a mobile information terminal provided separately from the electronic medical record device 10.
  • the interview terminal 20 is a mobile information terminal owned by the patient P.
  • the inquiry terminal 20 is composed of a computer such as a smartphone (mobile phone device), a tablet-type information terminal, or a laptop computer.
  • the inquiry terminal 20 includes a control unit 21, a touch panel 22, a communication unit 23, and a storage unit 24.
  • the control unit 21 is configured to control the operation of the interview terminal 20 by executing a control program.
  • the control unit 21 is configured to execute an application program 24a for answering a question (hereinafter referred to as “program 24a”).
  • program 24a an application program 24a for answering a question
  • the control unit 21 includes an arithmetic processing circuit such as a CPU and a storage circuit such as a RAM.
  • the program 24a is an example of an "electronic medical record input program" in the claims.
  • the touch panel 22 is configured to accept an input operation by the patient P and display an image in response to a command from the control unit 21.
  • the touch panel 22 is configured to transmit the received input operation information to the control unit 21.
  • the communication unit 23 is configured as an interface for wireless communication via the network N (see FIG. 2).
  • the communication unit 23 connects to network N or a local area network (LAN) in a medical institution by Wi-Fi or Bluetooth®, or wireless mobile communication technology (eg, IMT-Advanced: 4G). ) Is configured to connect to the network N.
  • LAN local area network
  • 4G wireless mobile communication technology
  • the storage unit 24 includes a non-volatile storage medium such as an HDD or SSD.
  • the storage unit 24 stores the program 24a.
  • the inquiry terminal 20 (touch panel 22) is configured to receive an answer to the basic inquiry Q1 and an answer to the clinical department inquiry Q2. Then, as shown in FIG. 11, the inquiry terminal 20 is configured to generate the basic inquiry answer information Da1 based on the answer to the received basic inquiry Q1. Further, as shown in FIG. 12, the inquiry terminal 20 is configured to generate the clinical department inquiry response information Da2 based on the response to the received clinical department inquiry Q2.
  • the basic interview Q1 is composed of interview contents common to a plurality of clinical departments. That is, the basic question Q1 is a comprehensive (basic) question.
  • the basic interview Q1 is an interview for determining the clinical department A to be examined. For example, in FIG. 6, the basic interview Q1 asks the site where the symptom appears, FIG. 7 asks the type of the symptom, and FIG. 8 asks the time when the symptom appeared. Shows an interview for.
  • the control unit 21 displays an image E11 on the touch panel 22 for receiving an answer to the basic inquiry Q1.
  • image E11 includes an interview with at least one of a figure and a letter.
  • the image E11 includes an image of the characters "Which part has the symptom?"
  • the operation unit image E11a is an image imitating a human body, an image for answering "whole body", and an image for answering "mood".
  • the control unit 21 is configured to acquire the touch coordinates in the touch panel 22 based on the touch input operation of the patient P.
  • the control unit 21 is configured to acquire the answer result (in the case of the above example, the information of the symptom site) based on the touch coordinates.
  • the control unit 21 is configured to generate the basic inquiry answer information Da1 based on the answer result to the basic inquiry Q1. Specifically, the control unit 21 assigns an inquiry ID (“10001” in FIG. 11) to the answer result to the basic inquiry Q1, so that the inquiry ID is associated with the answer result to the basic inquiry Q1. Generate basic inquiry answer information Da1. Then, the control unit 21 controls to transmit the basic inquiry answer information Da1 to the inquiry server 50. Further, the control unit 21 is configured to control the touch panel 22 to display the image E12 showing the basic inquiry response information Da1. For example, in the image E12, an image showing the interview ID and an image showing the answer result to the basic interview Q1 are displayed. Further, the basic inquiry response information Da1 is configured by using, for example, a data format corresponding to the inquiry terminal 20. For example, the basic inquiry response information Da1 includes data in text format.
  • the clinical department inquiry Q2 is an inquiry provided corresponding to each of the plurality of clinical departments. That is, the clinical department inquiry Q2 is an inquiry for each clinical department, and includes more detailed inquiry contents than the basic inquiry Q1.
  • the clinical department interview Q2 shows an example of an interview corresponding to the otolaryngology department.
  • control unit 21 displays an image E21 on the touch panel 22 for receiving an answer to the clinical department inquiry Q2.
  • image E21 includes an interview with at least one of a figure and a letter.
  • the image E21 includes an image of the characters "Do you ring your ears?", An image for answering "Yes", and an image for answering "No".
  • Part image E21a and the like are included.
  • the control unit 21 assigns a clinical department inquiry ID to the response result to the clinical department inquiry Q2, so that the clinical department inquiry response is associated with the response result to the clinical department inquiry Q2. Generate information Da2. Then, the control unit 21 controls to transmit the clinical department inquiry response information Da2 to the inquiry server 50. Further, the control unit 21 is configured to control the display of the image E22 showing the clinical department inquiry response information Da2 on the touch panel 22. For example, the image E22 displays an image showing the interview ID, an image showing the clinical department A, and an image showing the result of answering the clinical department Q2. For example, the clinical department inquiry response information Da2 includes data in text format.
  • the inquiry terminal 20 is configured to acquire the information of the consultation department A associated with the inquiry terminal ID. Specifically, the medical inquiry terminal 20 acquires the information of the clinical department A from the medical inquiry server 50 via the network N after the medical examination department A is determined by the hospital terminal 30.
  • the control unit 21 of the inquiry terminal 20 is configured to notify the patient P to answer the clinical department inquiry Q2 in response to the acquisition of the information of the clinical department A.
  • the medical inquiry terminal 20 displays an image E31 including character images such as "notice of clinical department” and "request for answer to clinical department inquiry” on the touch panel 22 as a notification for prompting an answer to the clinical department inquiry Q2.
  • the touch panel 22 displays an operation unit display E31a that accepts an input operation for starting an answer to the clinical department inquiry Q2.
  • the control unit 21 controls to display the clinical department inquiry response information Da2 shown in FIGS. 11 and 12 on the touch panel 22 in response to the input operation of the patient P to the operation unit display E31a.
  • the hospital terminal 30 is provided separately from the interview terminal 20.
  • the hospital terminal 30 is, for example, a computer provided at a general reception desk in a medical institution. Further, the hospital terminal 30 is configured as a clinical department estimation device that estimates the clinical department A from a plurality of clinical departments based on the basic inquiry response information Da1. Further, the hospital terminal 30 includes a control unit 31, a display unit 32, an operation unit 33, a storage unit 34, and a communication unit 35.
  • the display unit 32 is an example of the “display unit of the terminal on the medical institution side” in the claims.
  • the control unit 31 is configured to control the operation of the hospital terminal 30 by executing a control program.
  • the control unit 31 is configured to execute an application program 34a for a hospital terminal (hereinafter, referred to as “program 34a”).
  • program 34a an application program for a hospital terminal
  • the control unit 31 includes an arithmetic processing circuit such as a CPU and a storage circuit such as a RAM.
  • the program 34a is an example of the "electronic medical record input program" in the claims.
  • the control unit 31 includes an information acquisition unit 31a, an estimation unit 31b, and an information generation unit 31c.
  • the information acquisition unit 31a is configured to acquire the basic inquiry response information Da1 and the clinical department inquiry response information Da2 from the inquiry server 50 via the communication unit 35.
  • the information acquisition unit 31a is configured to associate the interview ID with the hospital identification ID and the patient ID.
  • the information acquisition unit 31a, the estimation unit 31b, and the information generation unit 31c are shown as functional configurations that function by executing the program 34a by the control unit 31. Further, in FIG. 15, the information acquisition unit 31a, the estimation unit 31b, and the information generation unit 31c are described as functional blocks, but the information acquisition unit 31a, the estimation unit 31b, and the information generation unit 31c are integrated hardware. It may be configured as, or it may be configured by individual dedicated hardware (dedicated CPU).
  • the hospital identification ID is an example of the "second identification information" in the claims.
  • the information acquisition unit 31a associates (associates) the interview ID given to the basic inquiry answer information Da1 by the inquiry terminal 20 with the patient ID registered in the electronic medical record information Dk. It is configured as follows. Further, the information acquisition unit 31a is configured to associate the interview ID with the hospital identification ID. For example, the information acquisition unit 31a is configured to generate a first table 34b in which the interview ID, the hospital identification ID, and the patient ID are associated with each other. The first table 34b is stored in the storage unit 34 (see FIG. 14).
  • the information acquisition unit 31a is configured to acquire the basic inquiry answer information Da1 based on the inquiry ID. Specifically, the information acquisition unit 31a transmits the inquiry ID to the inquiry server 50. Then, in response to the inquiry ID being received by the inquiry server 50, the basic inquiry answer information Da1 is transmitted from the inquiry server 50 to the information acquisition unit 31a (hospital terminal 30).
  • the estimation unit 31b is configured to estimate the clinical department A to be examined based on the basic inquiry response information Da1.
  • the estimation unit 31b is provided with a trained model M.
  • the estimation unit 31b is configured to output the consultation department candidate Aa, which is the consultation department A estimated using the learned model M, when the basic inquiry response information Da1 is input.
  • the estimation unit 31b is configured to display the image E41 showing the consultation department candidate Aa on the display unit 32.
  • the estimation unit 31b is configured to display an operation unit display E41a on the display unit 32 for receiving a decision of the clinical department A to be examined by the receptionist.
  • the trained model M is generated by a learning model generator (not shown).
  • the trained model M is generated by performing machine learning with a data set in which the basic interview answer information Da1 is used as input teacher data and the consultation department A (consultation department candidate Aa) is used as output teacher data.
  • the trained model M is a neural network.
  • the estimation unit 31b is configured to associate the information of the clinical department A with the inquiry ID.
  • the estimation unit 31b generates a second table 34c in which the information of the clinical department A to be examined and the inquiry ID are associated with each other.
  • the first table 34b and the second table 34c may be configured separately from each other, or may be configured as an integral (single) table.
  • control unit 31 is configured to transmit the information of the consultation department A associated with the inquiry ID to the inquiry terminal 20 via the inquiry server 50 (see FIG. 2). That is, the inquiry server 50 identifies the inquiry terminal 20 to which the information of the consultation department A should be transmitted based on the inquiry ID, and transmits the information of the consultation department A to the specified inquiry terminal 20.
  • the information generation unit 31c is an electron in a format corresponding to the electronic medical record information Dk based on the basic medical record answer information Da1 and the clinical department medical inquiry answer information Da2 acquired by the information acquisition unit 31a. It is configured to generate medical record input information Dki.
  • the information generation unit 31c combines the basic medical inquiry response information Da1 and the clinical department inquiry response information Da2, and controls the conversion of the data format in the medical inquiry terminal 20 into a format corresponding to the electronic medical record information Dk. Then, the information generation unit 31c generates the electronic medical record input information Dki by associating the converted information with the patient ID (including the patient ID). That is, in the present embodiment, the information generation unit 31c generates the electronic medical record input information Dki in the format corresponding to the electronic medical record information Dk regarding the patient P corresponding to the patient ID based on the clinical department inquiry response information Da2. It is configured.
  • the information generation unit 31c is tagged so that the electronic medical record input information Dki is stored (stored) at a predetermined position in the electronic medical record information Dk.
  • the information generation unit 31c adds a tag related to the patient ID and a tag for inputting the clinical department inquiry answer information Da2 at the position of the “question answer (chief complaint)” to the electronic medical record input information Dki.
  • the information generation unit 31c is configured to store the generated electronic medical record input information Dki in the electronic medical record server 12 of the electronic medical record device 10.
  • the electronic medical record device 10 controls to add the electronic medical record input information Dki to the electronic medical record information Dk corresponding to the patient ID of the electronic medical record server 12.
  • the column of "question answer (chief complaint)" of the electronic medical record information Dk before the electronic medical record input information Dki is stored in the electronic medical record server 12 is blank, as shown in FIG.
  • "ear ringing: yes” and "ear pain: yes” are displayed.
  • Image E51 is added. That is, the content displayed on the touch panel 22 of the inquiry terminal 20 shown in FIGS. 9 and 10 is converted into the display content in the “question answer (chief complaint)” column of the electronic medical record information Dk shown in FIG.
  • FIG. 21 shows an example in which the clinical department inquiry response information Da2 is displayed, the basic inquiry response information Da1 is also added to the electronic medical record information Dk.
  • the display unit 32 is configured as, for example, a liquid crystal display.
  • the display unit 32 is also configured to display the image E51 of the electronic medical record information Dk shown in FIG. 21 in the same manner as the display unit 14. That is, the display units 14 and 32 visually and recognizable whether or not the clinical department inquiry response information Da2 has been input in the image E51 of the electronic medical record information Dk.
  • the operation unit 33 is configured to receive an input operation by a receptionist of a medical institution.
  • the operation unit 33 includes at least one of a keyboard, a mouse, and a touch panel.
  • the hospital terminal 30 is configured so that the inquiry ID can be acquired from the reception input device 40, and the inquiry ID can also be acquired by an input operation to the operation unit 33.
  • the receptionist inputs the inquiry ID to the operation unit 33.
  • the storage unit 34 is composed of a non-volatile memory such as an HDD or an SDD. Further, the storage unit 34 stores the program 34a, the first table 34b, the second table 34c, and the trained model M.
  • the communication unit 35 is configured as an interface for wireless communication via the network N.
  • the communication unit 35 is configured to connect to the network N or a LAN in a medical institution by Wi-Fi or Brutooth (registered trademark). Further, the communication unit 35 is configured to communicate with the inquiry terminal 20 and the inquiry server 50 via the network N. Further, the communication unit 35 is configured to communicate with the electronic medical record device 10 and the reception input device 40 via a wired LAN or a wireless LAN.
  • the reception input device 40 is installed in a medical institution and is a device for acquiring the visit information of the patient P when the patient P visits the hospital.
  • the reception input device 40 includes a control unit 41, an operation unit 42, a communication unit 43, and a reading unit 44.
  • the control unit 41 is configured to control the operation of the reception input device 40 by executing a control program. Further, the control unit 41 includes an arithmetic processing circuit such as a CPU and a storage circuit such as a RAM.
  • the operation unit 42 is configured to receive an inquiry ID by the patient P.
  • the communication unit 43 is configured to be able to communicate with the hospital terminal 30.
  • the reading unit 44 is configured to read the information stored in the medical examination ticket (or the referral letter) from the medical examination ticket (or the referral letter) possessed by the patient P by magnetism or light. Then, the control unit 41 is configured to transmit at least one of the received inquiry ID and the information stored in the examination ticket (or the letter of introduction) to the hospital terminal 30 via the communication unit 43. Has been done.
  • the inquiry server 50 is configured separately from the hospital terminal 30 and is configured as a server (information storage device) that stores (stores) the basic inquiry answer information Da1 and the clinical department inquiry answer information Da2. ing.
  • the interview server 50 is built on the cloud (cloud computing).
  • the inquiry server 50 is configured to communicate with the plurality of inquiry terminals 20 and the plurality of hospital terminals 30 via the network N. Further, the inquiry server 50 is configured to acquire the basic inquiry answer information Da1 and the clinical department inquiry answer information Da2 from the inquiry terminal 20, and to acquire the information of the clinical department A from the hospital terminal 30. Then, the inquiry server 50 transmits the acquired basic inquiry answer information Da1 and the clinical department inquiry answer information Da2 to the hospital terminal 30 based on the inquiry ID, and also obtains the information of the clinical department A based on the inquiry ID. Is configured to be transmitted to the interview terminal 20.
  • the medical inquiry server 50 when the medical inquiry server 50 receives the medical inquiry ID by the hospital terminal 30, the medical inquiry server 50 transmits the basic medical inquiry answer information Da1 corresponding to the medical inquiry ID received to the hospital terminal 30.
  • the inquiry ID functions as a request signal (request signal) for requesting the basic inquiry answer information Da1.
  • the medical inquiry server 50 receives the clinical department inquiry response information Da2 by the clinical department inquiry terminal 20, the medical inquiry server 50 is connected to the hospital terminal 30 corresponding to the hospital identification ID associated with the clinical department inquiry response information Da2. To send.
  • Steps 201 to 205 are executed by the control unit 21 of the interview terminal 20. Further, steps 211 to 216 are executed by the control unit 51 of the interview server 50. Further, steps 221 and 222 are executed by the control unit 41 of the reception input device 40. Further, steps 231 to 239 are executed by the control unit 31 of the hospital terminal 30.
  • step 201 of the interview terminal 20 the answer to the basic interview Q1 is accepted.
  • the program 24a is activated on the interview terminal 20
  • an image E11 showing the basic interview Q1 is displayed on the touch panel 22.
  • the input operation for the operation unit image E11a included in the displayed image E11 is accepted by the inquiry terminal 20 as an answer to the basic inquiry Q1.
  • the image E11 displayed on the touch panel 22 is sequentially switched according to the content of the basic inquiry Q1, and the answers to the basic inquiry Q1 are sequentially received.
  • step 202 an interview ID is given to the answer result to the basic inquiry Q1.
  • the basic inquiry answer information Da1 in which the inquiry ID is associated with the answer result to the basic inquiry Q1 is generated.
  • step 203 the basic inquiry response information Da1 is transmitted from the inquiry terminal 20 to the inquiry server 50 via the network N.
  • step 211 of the inquiry server 50 the basic inquiry answer information Da1 is received by the inquiry server 50.
  • step 212 the basic inquiry answer information Da1 is stored in the inquiry server 50.
  • the inquiry ID is received by the reception input device 40.
  • the patient P visits a medical institution, and the patient inputs the interview ID to the operation unit 42 of the reception input device 40.
  • step 222 the interview ID is transmitted from the reception input device 40 to the hospital terminal 30.
  • step 231 of the hospital terminal 30 the inquiry ID is received by the hospital terminal 30, or the inquiry ID is received by the operation unit 33 of the hospital terminal 30.
  • the inquiry ID is received by the hospital terminal 30.
  • the patient ID given by the hospital terminal 30 is associated with the interview ID. That is, in the present embodiment, the interview ID and the patient ID and the hospital identification ID, which are the identification information given by the medical institution that determines the clinical department A to be examined, are associated with each other by the hospital terminal 30.
  • step 233 the interview ID is transmitted from the hospital terminal 30 to the interview server 50.
  • step 213 of the inquiry server 50 the inquiry ID is received by the inquiry server 50.
  • step 214 the basic inquiry answer information Da1 corresponding to the inquiry ID is transmitted from the inquiry server 50 to the hospital terminal 30.
  • step 234 of the hospital terminal 30 the basic inquiry response information Da1 to which the inquiry ID is assigned is received by the hospital terminal 30.
  • the answer to the basic interview Q1 is obtained by the hospital terminal 30 provided separately from the interview terminal 20. That is, in the present embodiment, the answer to the basic inquiry Q1 is acquired by the hospital terminal 30 based on the inquiry ID.
  • step 235 the hospital terminal 30 estimates the clinical department A to be examined from among a plurality of clinical departments based on the basic medical inquiry answer information Da1 to which the medical inquiry ID is assigned.
  • step 236 the consultation department candidate Aa as the estimated consultation department A is displayed on the display unit 32 (see FIG. 18) of the hospital terminal 30.
  • step 237 the hospital terminal 30 determines the clinical department A to be examined. Specifically, in response to an input operation on the operation unit display E41a of the hospital terminal 30, the consultation department candidate Aa is determined as the consultation department A.
  • step 238 the information of the clinical department A to be examined is associated with the interview ID and the hospital identification ID by the hospital terminal 30.
  • step 239 the information of the clinical department A to be examined is transmitted from the hospital terminal 30 to the inquiry server 50.
  • step 215 of the inquiry server 50 the information of the consultation department A to which the inquiry ID and the hospital identification ID are associated is received by the inquiry server 50.
  • step 216 the information of the clinical department A to be examined is transmitted from the inquiry server 50 to the inquiry terminal 20 based on the inquiry ID.
  • step 204 of the interview terminal 20 the information of the clinical department A to be examined is received by the interview terminal 20.
  • step 205 based on the acquisition of the information of the clinical department A, the patient P is notified by the medical inquiry terminal 20 to prompt the patient P to answer the clinical department inquiry Q2, as shown in FIG. Specifically, the information of the clinical department A to be examined and the display to prompt the answer to the clinical department inquiry Q2 are displayed. Then, the method of determining the clinical department A to be examined is completed.
  • Steps 301 to 303 are executed by the control unit 21 of the interview terminal 20. Further, steps 311 to 313 are executed by the control unit 51 of the interview server 50. Further, steps 331 to 333 are executed by the control unit 31 of the hospital terminal 30. Further, steps 341 to 345 are executed by the control unit 11 of the electronic medical record device 10.
  • step 301 the answer to the clinical department inquiry Q2 is accepted by the inquiry terminal 20.
  • the image E21 (FIG. 9 and FIG. 9) showing the clinical department inquiry Q2 on the touch panel 22. (See FIG. 10) is displayed.
  • the input operation for the operation unit image E21a included in the displayed image E21 is accepted by the inquiry terminal 20 as an answer to the clinical department inquiry Q2.
  • the image E21 displayed on the touch panel 22 is sequentially switched according to the contents of the clinical department inquiry Q2, and the answers to the clinical department inquiry Q2 are sequentially accepted.
  • step 302 the clinical department inquiry response information Da2 is generated. Specifically, the interview ID and the hospital identification ID are associated with the response result to the clinical department inquiry Q2 by the inquiry terminal 20.
  • step 303 the clinical department inquiry response information Da2 is transmitted from the inquiry terminal 20 to the inquiry server 50.
  • step 311 on the interview server 50 the clinical department inquiry response information Da2 in which the inquiry ID and the hospital identification ID are associated is received.
  • step 312 the clinical department inquiry response information Da2 is stored in the inquiry server 50.
  • step 313 the clinical department inquiry response information Da2 is transmitted from the inquiry server 50 to the hospital terminal 30 based on the hospital identification ID.
  • step 331 of the hospital terminal 30 the clinical department inquiry response information Da2 is received (acquired).
  • the hospital terminal 30 In step 332, the hospital terminal 30 generates electronic medical record input information Dki in a format corresponding to the electronic medical record based on the clinical department inquiry response information Da2. Specifically, the clinical department inquiry response information Da2 and the patient ID are associated with each other by the hospital terminal 30 based on the inquiry ID. Then, based on the clinical department inquiry response information Da2 to which the patient ID is associated, the hospital terminal 30 generates electronic medical record input information Dki in a format corresponding to the electronic medical record regarding the patient P corresponding to the patient ID. That is, in the present embodiment, the electronic medical record input information Dki is generated by converting the data format of the clinical department inquiry response information Da2 from the format in the inquiry terminal 20 to a format corresponding to the electronic medical record information Dk.
  • step 333 the electronic medical record input information Dki is transmitted from the hospital terminal 30 to the electronic medical record device 10.
  • step 341 of the electronic medical record device 10 the electronic medical record input information Dki is received.
  • the electronic medical record information Dk is updated.
  • the electronic medical record information Dk is updated by synthesizing the electronic medical record input information Dki and the electronic medical record information Dk before the update, and the updated electronic medical record information Dk is stored in the electronic medical record server 12 of the electronic medical record device 10. Will be done.
  • step 343 the updated electronic medical record information Dk (see FIG. 21) is displayed. That is, the image E51 showing the clinical department inquiry response information Da2 is displayed on the display unit 32.
  • step 344 the medical record R is received by the electronic medical record device 10.
  • step 345 the medical record R is stored in the electronic medical record server 12 of the electronic medical record device 10. Then, the method of inputting the electronic medical record input information Dki into the electronic medical record device 10 is completed.
  • the electronic medical record input method of the present embodiment can obtain the following effects.
  • the answer to the basic inquiry Q1 is received by the inquiry terminal 20 (mobile information terminal), and the answer to the clinical department inquiry Q2, which is the inquiry corresponding to the clinical department A. Is accepted by the interview terminal 20.
  • the receptionist of the medical institution having a plurality of clinical departments does not have to hand over the form containing the contents of the clinical department inquiry Q2 to the patient P, and the inquiry terminal 20 is used to answer the basic inquiry Q1 and the clinical department.
  • the workload of the receptionist of a medical institution having a plurality of clinical departments can be reduced.
  • the electronic medical record input information Dki in a format corresponding to the electronic medical record information Dk is generated based on the answer to the clinical department inquiry Q2, and the electronic medical record input information Dki is stored in the electronic medical record server 12. ..
  • the workload of doctors can be reduced.
  • the work load of the receptionist and the work load of the doctor can be reduced.
  • the inquiry ID (first identification) is given to the answer to the basic inquiry Q1.
  • the answers to the basic inquiry Q1 are obtained from the plurality of inquiry terminals 20 (mobile information terminals)
  • the answers to the acquired basic inquiry Q1 can be obtained from the plurality of inquiry terminals 20 (plural patients P).
  • the step 234 for acquiring the answer to the basic inquiry Q1 is performed by the hospital terminal 30 (medical institution side terminal) provided separately from the inquiry terminal 20 (mobile information terminal). This is step 234 for obtaining an answer to the basic interview Q1. Then, step 232 for associating the interview ID (first identification information) with the patient ID and the hospital identification ID (second identification information) is the step 232 for associating the inquiry ID with the patient ID and the hospital identification ID by the hospital terminal 30. is there.
  • the terminal (hospital terminal 30) for acquiring the answer to the basic interview Q1 and the terminal (hospital terminal 30) for associating the interview ID with the patient ID and the hospital identification ID can be shared. Therefore, it is possible to prevent the configuration of the electronic medical record input system 100 for executing the electronic medical record input method from becoming complicated.
  • the step 237 for determining the clinical department A to be examined is the step 237 for determining the clinical department A to be examined by the hospital terminal 30 (terminal on the medical institution side).
  • the step 332 for generating the electronic medical record input information Dki is a step 332 for generating the electronic medical record input information Dki by the hospital terminal 30.
  • step 234 of acquiring the answer to the basic inquiry Q1 the answer to the basic inquiry Q1 is given to the hospital terminal 30 (medical institution side terminal) based on the inquiry ID (first identification information). ) Is the step 234 acquired by.
  • the step 332 for generating the electronic medical record input information Dki is a patient corresponding to the patient ID and the hospital identification ID (second identification information) based on the answer to the clinical department inquiry Q2. It is a step 332 to generate the electronic medical record input information Dki of the format corresponding to the electronic medical record information Dk (electronic medical record) about P.
  • the information of the answer to the clinical department inquiry Q2 (electronic medical record input information Dki) can be easily input (stored) in the electronic medical record information Dk regarding the patient P corresponding to the patient ID and the hospital identification ID. Can be done.
  • the electronic medical record server 12 managed by using the patient ID and the hospital identification ID can automatically store the electronic medical record input information Dki based on the patient ID and the hospital identification ID.
  • step 237 of determining the clinical department A to be examined and before the step 331 of receiving the answer to the clinical department inquiry Q2 the information of the clinical department A to be examined and the inquiry ID (first).
  • step 238 for associating with the identification information) and step 204 for acquiring the information of the consultation department A associated with the inquiry ID by the inquiry terminal 20 are further provided.
  • the medical examination terminal 20 (portable information terminal) is used for medical treatment.
  • step 302 for associating the answer to the clinical inquiry Q2 with the inquiry ID (first identification information) is provided.
  • the answer to the clinical department inquiry Q2 and the inquiry ID given to the answer to the basic inquiry Q1 are associated with each other. Therefore, an electronic medical record input including the answer to the basic inquiry Q1 and the answer to the clinical department inquiry Q2 is input.
  • Information Dki can be easily generated.
  • step 237 for determining the clinical department A to be examined and before step 301 for receiving the answer to the clinical department inquiry Q2 the patient P is notified by the inquiry terminal 20 (mobile information terminal). Further, step 205 is provided to provide a notification prompting an answer to the clinical department inquiry Q2. With this configuration, the receptionist or doctor does not need to prompt the patient P to answer the clinical department inquiry Q2, so that the work burden on the receptionist or doctor can be further reduced.
  • step 301 of receiving the answer to the clinical department inquiry Q2 the hospital terminal 30 (medical institution side terminal) provided separately from the inquiry terminal 20 (mobile information terminal).
  • step 343 is further provided in which at least one of the display unit 32 and the display unit 52 (display device) for displaying the electronic medical record information Dk displays an answer to the clinical department inquiry Q2.
  • At least one of the receptionist and the doctor can determine whether or not the answer to the clinical department inquiry Q2 has been completed, so that the patient P who has not completed the answer to the clinical department inquiry Q2 It is possible to prevent the examination from starting. As a result, it is possible to reduce the number of doctors asking questions about the contents for which the answer to the clinical department inquiry Q2 has not been obtained at the time of the examination, so that the medical examination can be performed efficiently.
  • step 332 of generating the electronic medical record input information Dki the format of the answer data to the medical department inquiry Q2 is changed from the format in the inquiry terminal 20 (portable information terminal) to the electronic medical record.
  • step 332 to generate the electronic medical record input information Dki by converting it into a format corresponding to the display in the information Dk.
  • the electronic medical record input system 100 and the electronic medical record input programs 12a, 24a, and 34a of the present embodiment can obtain the following effects.
  • the electronic medical record input system 100 and the electronic medical record input programs 12a, 24a, and 34a of the present embodiment are configured as described above, so that the answer to the basic medical inquiry Q1 is received by the medical inquiry terminal 20 and the medical examination department A is supported.
  • the medical inquiry terminal 20 receives an answer to the medical record inquiry Q2, which is an inquiry to be asked.
  • the receptionist of the medical institution having a plurality of clinical departments does not have to hand over the form containing the contents of the clinical department inquiry Q2 to the patient P, and the inquiry terminal 20 is used to answer the basic inquiry Q1 and the clinical department.
  • the workload of the receptionist of a medical institution having a plurality of clinical departments can be reduced.
  • the electronic medical record input information Dki in a format corresponding to the electronic medical record information Dk is generated based on the answer to the clinical department inquiry Q2, and the electronic medical record input information Dki is stored in the electronic medical record server 12. ..
  • the workload of doctors can be reduced.
  • the work load of the receptionist and the work load of the doctor can be reduced.
  • the medical inquiry terminal 20 is configured to give the medical inquiry ID (first identification information) to the answer to the basic medical inquiry Q1, and the hospital terminal 30 (medical institution side terminal). Is configured to associate the interview ID with the patient ID and the hospital identification ID (second identification information), which are identification information given by the medical institution that determines the department A to be examined.
  • the answers to the basic inquiry Q1 are obtained from the plurality of inquiry terminals 20, the answer to the acquired basic inquiry Q1 is any of the multiple inquiry terminals 20 (plural patients P). Whether or not it has been accepted by the terminal 20 (patient P) can be easily identified by the interview ID.
  • the medical inquiry ID is associated with the patient ID and the hospital identification ID given by the medical institution
  • the answer to the basic medical inquiry Q1 answered by the patient P and the patient ID and the hospital identification ID used in the medical institution are associated with each other. Can be linked with.
  • the electronic medical record input information Dki is generated, the answer to the basic inquiry Q1 and the answer to the clinical department inquiry Q2 to be referred to can be easily identified by using the patient ID and the hospital identification ID.
  • the medical inquiry terminal is a mobile information terminal owned by the patient
  • the present invention is not limited to this.
  • the medical inquiry terminal may not be a mobile information terminal owned by the patient, but may be a mobile information terminal provided in the medical institution (owned by the medical institution).
  • a medical inquiry server is provided in the medical care support system, and the medical inquiry terminal and the hospital terminal send and receive basic medical inquiry answer information and clinical department medical inquiry answer information via the medical inquiry server.
  • the present invention is not limited to this.
  • the basic medical inquiry answer information and the clinical department medical inquiry answer information may be directly transmitted from the medical inquiry terminal to the hospital terminal without providing the medical inquiry server in the medical care support system.
  • an example of associating the interview ID with the patient ID is shown, but the present invention is not limited to this.
  • the interview ID is configured so that the patient can be identified by the interview ID, it is not necessary to associate the interview ID with the patient ID.
  • an example of associating the interview ID with the hospital identification ID is shown, but the present invention is not limited to this.
  • the medical inquiry ID is configured so that the medical institution where the patient receives medical treatment can be specified by the medical inquiry ID, it is not necessary to associate the medical inquiry ID with the hospital identification ID.
  • a device configured separately from the hospital terminal for example, a reception input device or an electronic medical record device
  • a reception input device or an electronic medical record device is used to either associate the interview ID with the patient ID or acquire basic interview information. You may.
  • the consultation department may be determined from a plurality of consultation departments estimated by the estimation unit of the hospital terminal, or one estimated consultation department may be automatically determined as the consultation department. Good.
  • the electronic medical record input information may be generated by any of the inquiry terminal, the inquiry server, or the electronic medical record device.
  • the data format of the electronic medical record input information is configured as a text format (a format conforming to HL7) is shown, but the present invention is not limited to this.
  • the data format of the electronic medical record input information may be configured as an image format, or the electronic medical record input information may be configured as data in a format conforming to a standard other than HL7.
  • an example of associating the information of the clinical department to be examined with the inquiry ID is shown, but the present invention is not limited to this.
  • a new ID different from the interview ID may be given to the information of the clinical department to be examined.
  • the information of the clinical department to be examined corresponding to the new ID is transmitted from the inquiry server to the inquiry terminal.
  • the interview terminal may output a voice as a notification prompting the patient to answer the clinical department inquiry.
  • an example is shown in which an answer to a clinical department inquiry is displayed on both the display unit of the hospital terminal and the display unit of the electronic medical record device, but the present invention is not limited to this. That is, the display indicating the answer to the clinical department inquiry may be displayed only on either the display unit of the hospital terminal or the display unit of the electronic medical record device.
  • an example of estimating a clinical department to be examined from a plurality of clinical departments based on a learning model generated by machine learning is shown, but the present invention is not limited to this. For example, by acquiring a rule base in which the basic inquiry answer and the consultation department are associated in advance, even if the consultation department corresponding to the basic inquiry answer is estimated (determined) from a plurality of clinical departments. Good.
  • the inquiry server is constructed on the cloud (cloud computing), but the present invention is not limited to this.
  • the interview server may be built on one piece of hardware.
  • the present invention is not limited to this. That is, the present invention may be applied to clinical department interviews in clinical departments other than otolaryngology (for example, internal medicine, surgery, etc.).
  • Step 1 Steps to accept answers to basic interviews via a mobile information terminal, Steps to obtain answers to the basic interview and Based on the obtained answers to the basic interview, the step of determining the clinical department to be examined by the patient from among a plurality of clinical departments, and The step of accepting the answer to the clinical department inquiry, which is the inquiry corresponding to the clinical department, by the mobile information terminal, and Steps to obtain answers to the clinical department interviews and Based on the acquired answers to the clinical department interviews, a step to generate electronic medical record input information in a format corresponding to the electronic medical record, and An electronic medical record input method comprising a step of storing the electronic medical record input information in an electronic medical record server.
  • (Item 2) After the step of accepting the answer to the basic inquiry and before the step of obtaining the answer to the basic inquiry, a step of giving the first identification information to the answer to the basic inquiry and a step of adding the first identification information.
  • the step of acquiring the answer to the basic inquiry is a step of acquiring the answer to the basic inquiry by the medical institution side terminal provided separately from the mobile information terminal.
  • the electronic medical record input according to item 2, wherein the step of associating the first identification information with the second identification information is a step of associating the first identification information with the second identification information by the medical institution side terminal.
  • the step of determining the clinical department to be examined is a step of determining the clinical department to be examined by the terminal on the medical institution side.
  • the electronic medical record input method according to item 3, wherein the step of generating the electronic medical record input information is a step of generating the electronic medical record input information by the medical institution side terminal.
  • Step 5 The electronic medical record input method according to item 3, wherein the step of acquiring the answer to the basic medical inquiry is a step of acquiring the answer to the basic medical inquiry by the medical institution side terminal based on the first identification information.
  • the step of generating the electronic medical record input information is a step of generating the electronic medical record input information in a format corresponding to the electronic medical record regarding the patient corresponding to the second identification information based on the answer to the clinical department inquiry.
  • the mobile information terminal After the step of accepting the answer to the clinical department inquiry and before the step of generating the electronic medical record input information, the mobile information terminal further includes a step of associating the answer to the clinical department inquiry with the first identification information. , The electronic medical record input method according to item 2.
  • Item 1 further includes a step of notifying the patient to answer the clinical department inquiry by the mobile information terminal after the step of determining the clinical department to be examined and before the step of receiving the answer to the clinical department inquiry.
  • the clinical department inquiry is performed by at least one of the display unit of the medical institution side terminal provided separately from the mobile information terminal and the display device for displaying the electronic medical record.
  • the step of generating the electronic medical record input information is to convert the format of the data of the response to the medical department inquiry from the format in the mobile information terminal to the format corresponding to the display in the electronic medical record.
  • a mobile information terminal that accepts answers to basic interviews and answers to clinical department interviews, A clinical department that is provided separately from the mobile information terminal, obtains an answer to the basic medical inquiry, and based on the obtained answer to the basic medical inquiry, is a clinical department that the patient receives from a plurality of clinical departments. Equipped with a terminal on the medical institution side to decide Answers to the clinical department inquiry are acquired, and based on the acquired answers to the clinical department inquiry, electronic medical record input information in a format corresponding to the electronic medical record is generated, and the electronic medical record input information is sent to the electronic medical record server.
  • An electronic medical record input system that is stored.
  • the mobile information terminal is configured to add first identification information to the answer to the basic interview.
  • the medical institution side terminal is configured to associate the first identification information with the second identification information which is the identification information given by the medical institution that determines the clinical department to be examined.
  • Electronic medical record input system is configured to provide first identification information to the answer to the basic interview.
  • Control to receive answers to basic interviews with a mobile information terminal Control to obtain answers to the basic interview and Control to determine the clinical department to be examined by the patient from among a plurality of clinical departments based on the obtained answers to the basic interview.
  • Control to receive the answer to the clinical department inquiry which is the inquiry corresponding to the clinical department, by the mobile information terminal.
  • Control to obtain answers to the clinical department interviews Control to generate electronic medical record input information in a format corresponding to the electronic medical record based on the acquired response to the clinical department inquiry,
  • An electronic medical record input program that causes a computer to execute a control for storing the electronic medical record input information in an electronic medical record server.
  • Electronic medical record device display device that displays electronic medical records
  • Electronic medical record server 12a Electronic medical record program (electronic medical record input program)
  • Questionnaire terminal mobile information terminal
  • Question and answer application program (electronic medical record input program)
  • Hospital terminal medical institution side terminal
  • Display 34a Application program for hospital terminals (electronic medical record input program) 100 Electronic medical record input system

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  • Engineering & Computer Science (AREA)
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Abstract

This electronic chart input method comprises: a step (201) for receiving, on a medical interview terminal (20), responses to a basic medical interview (Q1); a step (237) for determining a medical visit diagnosis and treatment department (A) on the basis of the responses to the basic medical interview (Q1); a step (301) for receiving from the medical interview terminal (20) the responses to a diagnosis and treatment department medical interview (Q2); and a step (332) for generating electronic chart input information (Dki) on the basis of the responses to the diagnosis and treatment department medical interview (Q2).

Description

電子カルテ入力方法、電子カルテ入力システム、および、電子カルテ入力プログラムElectronic medical record input method, electronic medical record input system, and electronic medical record input program
　本発明は、電子カルテ入力方法、電子カルテ入力システム、および、電子カルテ入力プログラムに関する。 The present invention relates to an electronic medical record input method, an electronic medical record input system, and an electronic medical record input program.
　従来、問診に対する回答に関する入力情報を受け付ける診断支援方法が知られている。このような診断支援方法は、たとえば、特開２０１９－１０１４９１号公報に開示されている。 Conventionally, a diagnostic support method that accepts input information regarding answers to interviews has been known. Such a diagnostic support method is disclosed in, for example, Japanese Patent Application Laid-Open No. 2019-101491.
　上記特開２０１９－１０１４９１号公報には、問診に対する回答に関する入力情報をユーザ端末により受け付ける診断支援方法が開示されている。この診断支援方法では、複数の問診項目の表示情報がユーザ端末に表示される。そして、ユーザ端末に対して、問診に対する回答が入力される。その後、ユーザ端末から診療支援装置に、問診に対する回答の情報である回答情報が送信される。そして、診療支援装置において、回答情報がカルテ情報として登録される。また、診療支援装置において、診断テーブルが参照され、回答情報に対応する疑いのある病名と受診すべき診療科とが推定される。そして、ユーザ端末により疑いのある病名の情報と受診すべき診療科の情報とが取得されるとともに、ユーザ端末に、回答情報に対応する疑いのある病名と受診すべき診療科とが、表示情報として出力される。 The above-mentioned Japanese Patent Application Laid-Open No. 2019-101491 discloses a diagnostic support method for receiving input information regarding an answer to a medical inquiry by a user terminal. In this diagnosis support method, display information of a plurality of inquiry items is displayed on the user terminal. Then, the answer to the interview is input to the user terminal. After that, the answer information, which is the answer information for the interview, is transmitted from the user terminal to the medical care support device. Then, the answer information is registered as medical record information in the medical care support device. In addition, in the medical care support device, the diagnosis table is referred to, and the name of the disease suspected to correspond to the answer information and the clinical department to be consulted are estimated. Then, the information of the suspicious disease name and the information of the clinical department to be examined are acquired by the user terminal, and the information of the suspicious disease name corresponding to the answer information and the clinical department to be examined are displayed on the user terminal. Is output as.
特開２０１９－１０１４９１号公報Japanese Unexamined Patent Publication No. 2019-101491
　上記特開２０１９－１０１４９１号公報には記載されていないが、複数の診療科が設けられた医療機関において、上記特開２０１９－１０１４９１号公報に記載されているような診断支援方法を用いることが考えられる。すなわち、ユーザ端末により疑いのある病名の情報と受診すべき診療科の情報とが取得されるとともに、ユーザ端末に、回答情報に対応する疑いのある病名と受診すべき診療科とが、表示情報として出力される。そして、基本的な問診内容に対する回答をカルテ情報として自動的に電子カルテに登録させるとともに、患者が受診する診療科を決定する受付員の決定作業（判断する作業）を支援することが考えられる。しかしながら、上記特開２０１９－１０１４９１号公報に記載の診断支援方法を用いた場合でも、複数の診療科が設けられた医療機関においては、受付員により、診療科ごとに設けられた詳細な問診内容が記載された用紙を患者に渡す作業が必要であるとともに、医師により、詳細な問診内容に対する患者の回答結果を、電子カルテに入力する作業が必要である。したがって、上記特開２０１９－１０１４９１号公報に記載されているような診断支援方法（電子カルテ入力方法）を用いた場合でも、複数の診療科を有する医療機関では、受付員および医師の作業負担が軽減されにくいという問題点があると考えられる。なお、本願明細書では、「医師」とは医師および歯科医師などを含む医療従事者を意味する。また、「医療機関」とは、病院、診療所、および、歯科医院などを含む医療を提供する施設を意味する。 Although not described in JP-A-2019-101491, it is possible to use a diagnostic support method as described in JP-A-2019-101491 in a medical institution provided with a plurality of clinical departments. Conceivable. That is, the information of the suspicious disease name and the information of the clinical department to be examined are acquired by the user terminal, and the information of the suspicious disease name corresponding to the answer information and the clinical department to be examined are displayed on the user terminal. Is output as. Then, it is conceivable to automatically register the answers to the basic medical questions as medical record information in the electronic medical record, and to support the decision work (judgment work) of the receptionist who decides the clinical department to be examined by the patient. However, even when the diagnostic support method described in Japanese Patent Application Laid-Open No. 2019-101491 is used, in a medical institution where a plurality of clinical departments are provided, detailed inquiry contents provided for each clinical department by the receptionist It is necessary to hand over the form on which is written to the patient, and it is also necessary for the doctor to input the result of the patient's answer to the detailed interview contents into the electronic medical record. Therefore, even when a diagnostic support method (electronic medical record input method) as described in Japanese Patent Application Laid-Open No. 2019-101491 is used, in a medical institution having a plurality of clinical departments, the workload of the receptionist and the doctor is heavy. It is considered that there is a problem that it is difficult to reduce. In the specification of the present application, the term "doctor" means a medical worker including a doctor and a dentist. In addition, "medical institution" means a facility that provides medical care, including hospitals, clinics, and dental clinics.
　この発明は、上記のような課題を解決するためになされたものであり、この発明の１つの目的は、複数の診療科を有する医療機関において用いられる場合にも、医療機関の受付員の作業負担および医師の作業負担を軽減することが可能な電子カルテ入力方法、電子カルテ入力システム、および、電子カルテ入力プログラムを提供することである。 The present invention has been made to solve the above-mentioned problems, and one object of the present invention is the work of a receptionist of a medical institution even when used in a medical institution having a plurality of medical departments. It is to provide an electronic medical record input method, an electronic medical record input system, and an electronic medical record input program capable of reducing the burden and the work burden of a doctor.
　上記目的を達成するために、この発明の第１の局面における電子カルテ入力方法は、基本問診に対する回答を、携帯情報端末により受け付けるステップと、基本問診に対する回答を取得するステップと、取得した基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定するステップと、受診診療科に対応する問診である診療科問診に対する回答を、携帯情報端末により受け付けるステップと、診療科問診に対する回答を取得するステップと、取得した診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報を生成するステップと、電子カルテ入力情報を、電子カルテサーバに記憶するステップと、を備える。 In order to achieve the above object, the electronic clinical department input method in the first aspect of the present invention includes a step of receiving an answer to a basic medical inquiry by a mobile information terminal, a step of obtaining an answer to the basic medical inquiry, and an acquired basic medical inquiry. Based on the answer to, the step of determining the clinical department to be examined by the patient from among multiple clinical departments and the answer to the clinical department interview corresponding to the clinical department to be examined are provided by the mobile information terminal. A step of accepting, a step of acquiring an answer to a clinical department inquiry, a step of generating an electronic medical record input information in a format corresponding to an electronic medical record based on the obtained answer to the clinical department inquiry, and an electronic medical record input information. It has a step to store it in the clinical department server.
　この発明の第２の局面における電子カルテ入力システムは、基本問診に対する回答、および、診療科問診に対する回答を受け付ける携帯情報端末と、携帯情報端末とは別個に設けられ、基本問診に対する回答を取得するとともに取得した基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定する医療機関側端末と、を備え、診療科問診に対する回答が取得され、取得された診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報が生成されるとともに、電子カルテ入力情報が電子カルテサーバに記憶される。 The electronic medical record input system according to the second aspect of the present invention is provided separately from the mobile information terminal that receives the answer to the basic inquiry and the answer to the clinical department inquiry, and obtains the answer to the basic inquiry. Based on the answers to the basic interviews obtained together with, the medical institution side terminal that determines the clinical department to be examined by the patient from among multiple clinical departments is provided, and the answers to the clinical department interviews are obtained. Based on the answers to the acquired clinical department interviews, electronic medical record input information in a format corresponding to the electronic medical record is generated, and the electronic medical record input information is stored in the electronic medical record server.
　この発明の第３の局面における電子カルテ入力プログラムは、基本問診に対する回答を、携帯情報端末により受け付ける制御と、基本問診に対する回答を取得する制御と、取得した基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定する制御と、受診診療科に対応する問診である診療科問診に対する回答を、携帯情報端末により受け付ける制御と、診療科問診に対する回答を取得する制御と、取得した診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報を生成する制御と、電子カルテ入力情報を、電子カルテサーバに記憶する制御と、をコンピュータに実行させる。 The electronic clinical department input program in the third aspect of the present invention is based on a control of receiving an answer to a basic inquiry by a mobile information terminal, a control of acquiring an answer to the basic inquiry, and a plurality of answers to the acquired basic inquiry. Control to determine the clinical department to be examined by the patient from among the clinical departments, control to accept the answer to the clinical department inquiry corresponding to the clinical department to be examined by the mobile information terminal, and the clinical department inquiry Control to acquire answers, control to generate electronic medical record input information in a format corresponding to the electronic medical record based on the answers to the acquired clinical department inquiry, control to store the electronic medical record input information in the electronic medical record server, To the computer.
　上記第１の局面における電子カルテ入力方法、上記第２の局面における診療電子カルテ入力システム、および、上記第３の局面における電子カルテ入力プログラムでは、基本問診に対する回答を、携帯情報端末により受け付けるとともに、受診診療科に対応する問診である診療科問診に対する回答を、携帯情報端末により受け付ける。これにより、複数の診療科を有する医療機関の受付員が、診療科問診の内容が記載された用紙を患者に渡す作業を行うことなく、携帯情報端末により、基本問診に対する回答および診療科問診に対する回答を受け付けることができる。この結果、複数の診療科を有する医療機関の受付員の作業負担を軽減することができる。そして、本発明では、診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報を生成するとともに、電子カルテ入力情報を、電子カルテサーバに記憶する。これにより、診療科問診に対する回答を電子カルテサーバに入力する医師の作業が不要になる。その結果、複数の診療科を有する医療機関においても、医師の作業負担を軽減することができる。これらの結果、複数の診療科を有する医療機関において電子カルテが用いられる場合にも、受付員の作業負担および医師の作業負担を軽減することができる。 In the electronic medical record input method in the first aspect, the clinical electronic medical record input system in the second aspect, and the electronic medical record input program in the third aspect, the answers to the basic interviews are accepted by the mobile information terminal, and at the same time. The mobile information terminal accepts the answers to the clinical department interviews, which are the interviews corresponding to the clinical departments. As a result, the receptionist of a medical institution having multiple clinical departments can answer basic clinical questions and respond to clinical department interviews using a mobile information terminal without having to hand over a form containing the contents of the clinical department interview to the patient. Answers can be accepted. As a result, the workload of the receptionist of a medical institution having a plurality of clinical departments can be reduced. Then, in the present invention, the electronic medical record input information in the format corresponding to the electronic medical record is generated based on the answer to the clinical department inquiry, and the electronic medical record input information is stored in the electronic medical record server. This eliminates the need for a doctor to input answers to clinical department interviews into an electronic medical record server. As a result, even in a medical institution having a plurality of clinical departments, the workload of doctors can be reduced. As a result, even when the electronic medical record is used in a medical institution having a plurality of clinical departments, the work load of the receptionist and the work load of the doctor can be reduced.
一実施形態による診療支援システムの構成を示すブロック図である。It is a block diagram which shows the structure of the medical care support system by one Embodiment. 一実施形態による診療支援システムとネットワークとの関係を説明するための図である。It is a figure for demonstrating the relationship between the medical care support system and a network by one Embodiment. 一実施形態による電子カルテ装置の構成を示すブロック図である。It is a block diagram which shows the structure of the electronic medical record apparatus by one Embodiment. 一実施形態による電子カルテ装置の表示部に表示された電子カルテ情報について説明するための図である。It is a figure for demonstrating the electronic medical record information displayed on the display part of the electronic medical record apparatus by one Embodiment. 一実施形態による問診端末の構成を示すブロック図である。It is a block diagram which shows the structure of the inquiry terminal by one Embodiment. 一実施形態による基本問診に対する回答を受け付けるための画像を説明するための図（１）である。It is a figure (1) for demonstrating the image for accepting the answer to the basic inquiry by one Embodiment. 一実施形態による基本問診に対する回答を受け付けるための画像を説明するための図（２）である。It is a figure (2) for explaining the image for accepting the answer to the basic inquiry by one Embodiment. 一実施形態による基本問診に対する回答を受け付けるための画像を説明するための図（３）である。It is a figure (3) for explaining the image for accepting the answer to the basic inquiry by one Embodiment. 一実施形態による診療科問診に対する回答を受け付けるための画像を説明するための図（１）である。It is a figure (1) for explaining the image for accepting the answer to the clinical department inquiry by one Embodiment. 一実施形態による診療科問診に対する回答を受け付けるための画像を説明するための図（３）である。It is a figure (3) for explaining the image for accepting the answer to the clinical department inquiry by one Embodiment. 一実施形態による基本問診回答情報を示す画像を説明するための図である。It is a figure for demonstrating the image which shows the basic inquiry answer information by one Embodiment. 一実施形態による診療科問診回答情報を示す画像を説明するための図である。It is a figure for demonstrating the image which shows the clinical department inquiry answer information by one Embodiment. 一実施形態による患者に診療科問診への回答を促す画像を説明するための図である。It is a figure for demonstrating the image which urges the patient to answer the clinical department inquiry by one Embodiment. 一実施形態による病院端末の構成を示すブロック図である。It is a block diagram which shows the structure of the hospital terminal by one Embodiment. 一実施形態による病院端末の制御部の機能的構成を示すブロック図である。It is a block diagram which shows the functional structure of the control part of the hospital terminal by one Embodiment. 一実施形態による問診ＩＤと患者ＩＤとの対応付けを説明するための図である。It is a figure for demonstrating the correspondence between the interview ID and the patient ID by one Embodiment. 一実施形態による受診診療科の推定を説明するための図である。It is a figure for demonstrating the estimation of the consultation department by one Embodiment. 一実施形態による受診診療科の決定を説明するための図である。It is a figure for demonstrating the determination of the consultation department by one Embodiment. 一実施形態による問診ＩＤと受診診療科の情報との対応付けを説明するための図である。It is a figure for demonstrating the correspondence between the inquiry ID by one Embodiment, and the information of the consultation department. 一実施形態による電子カルテ入力情報が記憶される前の電子カルテ情報を説明するための図である。It is a figure for demonstrating the electronic medical record information before the electronic medical record input information by one Embodiment is stored. 一実施形態による電子カルテ入力情報が記憶された後の電子カルテ情報を説明するための図である。It is a figure for demonstrating the electronic medical record information after the electronic medical record input information by one Embodiment is stored. 一実施形態による受付入力装置の構成を示すブロック図である。It is a block diagram which shows the structure of the reception input device by one Embodiment. 一実施形態による診療支援システムにおける受診診療科を決定する方法を説明するための図である。It is a figure for demonstrating the method of deciding the clinical department to receive in the medical care support system by one Embodiment. 一実施形態による診療支援システムにおける電子カルテ入力情報を電子カルテ情報に入力を説明するための図である。It is a figure for demonstrating the input of the electronic medical record input information in the medical care support system by one Embodiment into the electronic medical record information.
　以下、本発明を具体化した一実施形態を図面に基づいて説明する。 Hereinafter, an embodiment embodying the present invention will be described with reference to the drawings.
　［電子カルテ入力システムの構成］
　図１～図２２を参照して、本実施形態による電子カルテ入力システム１００について説明する。 [Configuration of electronic medical record input system]
The electronic medical record input system 100 according to the present embodiment will be described with reference to FIGS. 1 to 22.
　（電子カルテ入力システムの全体構成）
　図１に示すように、本実施形態における電子カルテ入力システム１００は、診療支援システム１０１の一部を構成する。診療支援システム１０１は、医療機関（たとえば、病院）における医師および看護師等の医療従事者による診療および作業と、受付員（事務員）の作業とを支援するシステムである。電子カルテ入力システム１００は、診療支援システム１０１に設けられている電子カルテ装置１０に対して、電子カルテ入力情報Ｄｋｉを入力するシステムである。 (Overall configuration of electronic medical record input system)
As shown in FIG. 1, the electronic medical record input system 100 in this embodiment constitutes a part of the medical care support system 101. The medical care support system 101 is a system that supports medical care and work by medical staff such as doctors and nurses in a medical institution (for example, a hospital) and work by a receptionist (clerk). The electronic medical record input system 100 is a system for inputting electronic medical record input information Dki to the electronic medical record device 10 provided in the medical care support system 101.
　電子カルテ入力システム１００は、問診端末２０と、病院端末３０とを備える。診療支援システム１０１は、電子カルテ入力システム１００と、電子カルテ装置１０と、受付入力装置４０と、問診サーバ５０とを備える。電子カルテ装置１０および病院端末３０は、電子カルテシステムを構成する。電子カルテシステムは、医師等の医療従事者による診療記録Ｒ、後述する基本問診回答情報Ｄａ１および診療科問診回答情報Ｄａ２をデータベースとして一括して電子カルテ情報Ｄｋとして電子的に保存・管理するためのシステムである。すなわち、電子カルテシステムは、医療従事者および医療機関の受付員の事務作業の効率化や、情報管理の一元化を図るためのシステムである。なお、問診端末２０は、請求の範囲の「携帯情報端末」の一例である。また、病院端末３０は、請求の範囲の「医療機関側端末」の一例である。 The electronic medical record input system 100 includes a medical inquiry terminal 20 and a hospital terminal 30. The medical care support system 101 includes an electronic medical record input system 100, an electronic medical record device 10, a reception input device 40, and a medical inquiry server 50. The electronic medical record device 10 and the hospital terminal 30 constitute an electronic medical record system. The electronic medical record system is for electronically storing and managing the medical record R by a medical worker such as a doctor, the basic medical inquiry answer information Da1 and the clinical department inquiry answer information Da2, which will be described later, as a database and electronically as electronic medical record information Dk. It is a system. That is, the electronic medical record system is a system for improving the efficiency of office work of medical staff and receptionists of medical institutions and centralizing information management. The inquiry terminal 20 is an example of a "portable information terminal" in the claims. Further, the hospital terminal 30 is an example of a "medical institution side terminal" in the claims.
　図２に示すように、複数の問診端末２０と複数の病院端末３０と問診サーバ５０とは、ネットワークＮを介して接続されている。ネットワークＮは、たとえば、インターネットである。 As shown in FIG. 2, the plurality of inquiry terminals 20, the plurality of hospital terminals 30, and the inquiry server 50 are connected via the network N. The network N is, for example, the Internet.
　（電子カルテ装置の構成）
　図３に示すように、電子カルテ装置１０は、患者ＩＤ（Ｉｄｅｎｔｉｆｉｃａｔｉｏｎ）毎に生成された電子カルテ情報Ｄｋを管理する装置である。患者ＩＤは、医療機関に来院した患者Ｐ毎に、電子カルテ装置１０または病院端末３０により付与された識別情報である。また、電子カルテ装置１０は、制御部１１と、電子カルテサーバ１２と、操作部１３と、表示部１４と、通信部１５とを含む。なお、患者ＩＤは、請求の範囲の「第２識別情報」の一例である。 (Configuration of electronic medical record device)
As shown in FIG. 3, the electronic medical record device 10 is a device that manages the electronic medical record information Dk generated for each patient ID (Identification). The patient ID is identification information given by the electronic medical record device 10 or the hospital terminal 30 for each patient P who visits a medical institution. Further, the electronic medical record device 10 includes a control unit 11, an electronic medical record server 12, an operation unit 13, a display unit 14, and a communication unit 15. The patient ID is an example of the "second identification information" in the claims.
　制御部１１は、電子カルテプログラム１２ａ（以下、「プログラム１２ａ」とする）を実行することにより、電子カルテ装置１０の動作を制御するように構成されている。たとえば、制御部１１は、ＣＰＵ（Ｃｅｎｔｒａｌ　Ｐｒｏｃｅｓｓｉｎｇ　Ｕｎｉｔ）等の演算処理回路およびＲＡＭ（Ｒａｎｄｏｍ　Ａｃｃｅｓｓ　Ｍｅｍｏｒｙ）等の記憶回路を含む。制御部１１は、後述する電子カルテ入力情報Ｄｋｉが生成された場合、および、診療記録Ｒが入力された場合に、電子カルテ情報Ｄｋを更新または生成する制御を行うように構成されている。なお、プログラム１２ａは、請求の範囲の「電子カルテ入力プログラム」の一例である。 The control unit 11 is configured to control the operation of the electronic medical record device 10 by executing the electronic medical record program 12a (hereinafter referred to as "program 12a"). For example, the control unit 11 includes an arithmetic processing circuit such as a CPU (Central Processing Unit) and a storage circuit such as a RAM (Random Access Memory). The control unit 11 is configured to control to update or generate the electronic medical record information Dk when the electronic medical record input information Dki described later is generated and when the medical record R is input. The program 12a is an example of the "electronic medical record input program" in the claims.
　電子カルテサーバ１２は、たとえば、ＨＤＤ（Ｈａｒｄ　Ｄｉｓｋ　Ｄｒｉｖｅ）またはＳＳＤ（Ｓｏｌｉｄ　Ｓｔａｔｅ　Ｄｒｉｖｅ）等の不揮発性の記憶媒体を含む。電子カルテサーバ１２は、プログラム１２ａが記憶されている。そして、電子カルテサーバ１２には、複数の患者ＩＤの各々に対応した電子カルテ情報Ｄｋが記憶されている。すなわち、電子カルテサーバ１２には、電子カルテデータベースが構築されている。また、電子カルテサーバ１２に対して、電子カルテ入力情報Ｄｋｉが入力される（記憶される）ことに応じて、電子カルテ情報Ｄｋが更新される。 The electronic medical record server 12 includes, for example, a non-volatile storage medium such as an HDD (Hard Disk Drive) or an SSD (Solid State Drive). The electronic medical record server 12 stores the program 12a. Then, the electronic medical record server 12 stores the electronic medical record information Dk corresponding to each of the plurality of patient IDs. That is, an electronic medical record database is constructed on the electronic medical record server 12. Further, the electronic medical record information Dk is updated in response to the input (stored) of the electronic medical record input information Dki to the electronic medical record server 12.
　操作部１３は、医療従事者または医療機関の従業員（受付員）の入力操作を受け付けるように構成されている。具体的には、操作部１３は、キーボード、マウス、および、タッチパネルの少なくとも一つにより構成されている。たとえば、操作部１３は、医師により、診療記録Ｒを受け付けるように構成されている。 The operation unit 13 is configured to receive input operations of a medical worker or an employee (receptionist) of a medical institution. Specifically, the operation unit 13 is composed of at least one of a keyboard, a mouse, and a touch panel. For example, the operation unit 13 is configured to receive a medical record R by a doctor.
　表示部１４は、図４に示すように、操作部１３に対する入力操作および制御部１１による指令に基づいて、電子カルテ情報Ｄｋを表示（出力）するように構成されている。たとえば、表示部１４は、液晶ディスプレイを含む。電子カルテ情報Ｄｋは、たとえば、患者ＩＤ、患者氏名、既往歴およびアレルギーなどの患者基本情報と、処置歴および処方歴の情報と、基本問診回答情報Ｄａ１（基本問診Ｑ１に対する回答）と、診療科問診回答情報Ｄａ２（診療科問診Ｑ２に対する回答）と、診療記録Ｒとを含む。たとえば、制御部１１は、患者基本情報を示す画像Ｅ１と、処置歴および処方歴の情報を示す画像Ｅ２と、基本問診回答情報Ｄａ１と診療科問診回答情報Ｄａ２と診療記録Ｒとを示す画像Ｅ３と、を表示部１４に表示させる制御を行うように構成されている。なお、電子カルテ装置１０は、請求の範囲の「電子カルテを表示する表示装置」の一例である。 As shown in FIG. 4, the display unit 14 is configured to display (output) the electronic medical record information Dk based on an input operation to the operation unit 13 and a command from the control unit 11. For example, the display unit 14 includes a liquid crystal display. The electronic medical record information Dk includes, for example, basic patient information such as patient ID, patient name, medical history and allergies, treatment history and prescription history information, basic medical inquiry answer information Da1 (answer to basic medical inquiry Q1), and clinical department. Includes medical inquiry answer information Da2 (answer to clinical department inquiry Q2) and medical record R. For example, the control unit 11 has an image E1 showing basic patient information, an image E2 showing information on treatment history and prescription history, and an image E3 showing basic inquiry response information Da1, clinical department inquiry response information Da2, and clinical record R. Is configured to be controlled to be displayed on the display unit 14. The electronic medical record device 10 is an example of a "display device for displaying an electronic medical record" in the claims.
　通信部１５は、病院端末３０と有線通信または無線通信するように構成されている。たとえば、通信部１５は、病院端末３０と有線ＬＡＮ（Ｌｏｃａｌ　Ａｒｅａ　Ｎｅｔｗｏｒｋ）または無線ＬＡＮにより通信可能に構成されている。そして、通信部１５は、病院端末３０と、電子カルテ入力情報Ｄｋｉおよび診療記録Ｒを送受信するように構成されている。 The communication unit 15 is configured to perform wired communication or wireless communication with the hospital terminal 30. For example, the communication unit 15 is configured to be able to communicate with the hospital terminal 30 by a wired LAN (Local Area Network) or a wireless LAN. The communication unit 15 is configured to send and receive the electronic medical record input information Dki and the medical record R to and from the hospital terminal 30.
　電子カルテ入力情報Ｄｋｉ（および診療記録Ｒ）は、たとえば、文字（テキスト）形式のデータを含む。たとえば、電子カルテ入力情報Ｄｋｉおよび診療記録Ｒは、ＨＬ７（Ｈｅａｌｔｈ Ｌｅｖｅｌ ７）に準拠した形式のデータであり、電子カルテ入力情報Ｄｋｉは、電子カルテ情報Ｄｋにおける所定の位置に格納（記憶）される。たとえば、電子カルテ入力情報Ｄｋｉは、図４における「問診回答（主訴）」の位置に記憶（入力）される。 The electronic medical record input information Dki (and medical record R) includes, for example, data in character (text) format. For example, the electronic medical record input information Dki and the medical record R are data in a format conforming to HL7 (Health Level 7), and the electronic medical record input information Dki is stored (stored) at a predetermined position in the electronic medical record information Dk. .. For example, the electronic medical record input information Dki is stored (input) at the position of the "questionnaire answer (chief complaint)" in FIG.
　（問診端末の構成）
　図５に示すように、問診端末２０は、電子カルテ装置１０とは別個に設けられた携帯情報端末として構成されている。たとえば、問診端末２０は、患者Ｐが所有する携帯情報端末である。具体的には、問診端末２０は、スマートフォン（携帯電話装置）、タブレット型情報端末、または、ノートパソコンなどのコンピュータにより構成されている。そして、問診端末２０は、制御部２１と、タッチパネル２２と、通信部２３と、記憶部２４とを含む。 (Composition of interview terminal)
As shown in FIG. 5, the medical inquiry terminal 20 is configured as a mobile information terminal provided separately from the electronic medical record device 10. For example, the interview terminal 20 is a mobile information terminal owned by the patient P. Specifically, the inquiry terminal 20 is composed of a computer such as a smartphone (mobile phone device), a tablet-type information terminal, or a laptop computer. The inquiry terminal 20 includes a control unit 21, a touch panel 22, a communication unit 23, and a storage unit 24.
　制御部２１は、制御プログラムを実行することにより、問診端末２０の動作を制御するように構成されている。たとえば、制御部２１は、問診回答用アプリケーションプログラム２４ａ（以下、「プログラム２４ａ」という）を実行するように構成されている。また、制御部２１は、ＣＰＵ等の演算処理回路およびＲＡＭ等の記憶回路を含む。なお、プログラム２４ａは、請求の範囲の「電子カルテ入力プログラム」の一例である。 The control unit 21 is configured to control the operation of the interview terminal 20 by executing a control program. For example, the control unit 21 is configured to execute an application program 24a for answering a question (hereinafter referred to as “program 24a”). Further, the control unit 21 includes an arithmetic processing circuit such as a CPU and a storage circuit such as a RAM. The program 24a is an example of an "electronic medical record input program" in the claims.
　タッチパネル２２は、患者Ｐによる入力操作を受け付けるとともに、制御部２１による指令に応じて画像を表示するように構成されている。タッチパネル２２は、受け付けた入力操作の情報を制御部２１に伝達するように構成されている。 The touch panel 22 is configured to accept an input operation by the patient P and display an image in response to a command from the control unit 21. The touch panel 22 is configured to transmit the received input operation information to the control unit 21.
　通信部２３は、ネットワークＮ（図２参照）を介して、無線通信するためのインターフェースとして構成されている。たとえば、通信部２３は、Ｗｉ－ＦｉまたはＢｌｕｔｏｏｔｈ（登録商標）によりネットワークＮまたは医療機関内のローカルエリアネットワーク（ＬＡＮ）に接続するか、または、無線移動体通信技術（たとえば、ＩＭＴ－Ａｄｖａｎｃｅｄ：４Ｇ）によりネットワークＮに接続するように構成されている。 The communication unit 23 is configured as an interface for wireless communication via the network N (see FIG. 2). For example, the communication unit 23 connects to network N or a local area network (LAN) in a medical institution by Wi-Fi or Bluetooth®, or wireless mobile communication technology (eg, IMT-Advanced: 4G). ) Is configured to connect to the network N.
　記憶部２４は、ＨＤＤまたはＳＳＤ等の不揮発性の記憶媒体を含む。そして、記憶部２４は、プログラム２４ａが記憶されている。 The storage unit 24 includes a non-volatile storage medium such as an HDD or SSD. The storage unit 24 stores the program 24a.
　〈問診端末の機能的構成〉
　図６～図１０に示すように、本実施形態では、問診端末２０（タッチパネル２２）は、基本問診Ｑ１に対する回答、および、診療科問診Ｑ２に対する回答を受け付けるように構成されている。そして、図１１に示すように、問診端末２０は、受け付けた基本問診Ｑ１に対する回答に基づいて、基本問診回答情報Ｄａ１を生成するように構成されている。また、図１２に示すように、問診端末２０は、受け付けた診療科問診Ｑ２に対する回答に基づいて、診療科問診回答情報Ｄａ２を生成するように構成されている。 <Functional configuration of interview terminal>
As shown in FIGS. 6 to 10, in the present embodiment, the inquiry terminal 20 (touch panel 22) is configured to receive an answer to the basic inquiry Q1 and an answer to the clinical department inquiry Q2. Then, as shown in FIG. 11, the inquiry terminal 20 is configured to generate the basic inquiry answer information Da1 based on the answer to the received basic inquiry Q1. Further, as shown in FIG. 12, the inquiry terminal 20 is configured to generate the clinical department inquiry response information Da2 based on the response to the received clinical department inquiry Q2.
　図６～図８に示すように、基本問診Ｑ１は、複数の診療科に共通する問診内容により構成されている。すなわち、基本問診Ｑ１は、総合的（基本的）な内容の問診である。また、基本問診Ｑ１は、受診診療科Ａを決定するための問診である。たとえば、図６では、基本問診Ｑ１には、症状が現れている部位を問うための問診、図７では、症状の種類を問うための問診、および、図８では、症状が現れた時期を問うための問診を示している。 As shown in FIGS. 6 to 8, the basic interview Q1 is composed of interview contents common to a plurality of clinical departments. That is, the basic question Q1 is a comprehensive (basic) question. In addition, the basic interview Q1 is an interview for determining the clinical department A to be examined. For example, in FIG. 6, the basic interview Q1 asks the site where the symptom appears, FIG. 7 asks the type of the symptom, and FIG. 8 asks the time when the symptom appeared. Shows an interview for.
　詳細には、制御部２１は、タッチパネル２２に、基本問診Ｑ１に対する回答を受け付けるための画像Ｅ１１を表示する。具体的には、画像Ｅ１１には、図および文字の少なくとも一方による問診が含まれる。たとえば、図６に示すように、画像Ｅ１１には、「どの部位に症状がありますか？」という文字の画像と、操作部画像Ｅ１１ａとが含まれる。たとえば、操作部画像Ｅ１１ａは、人体を模した画像、「全身」と回答するための画像および「気分」と回答するための画像である。そして、制御部２１は、患者Ｐのタッチ入力操作に基づいて、タッチパネル２２中のタッチ座標を取得するように構成されている。そして、制御部２１は、タッチ座標に基づいて、回答結果（上記の例の場合、症状の部位の情報）を取得するように構成されている。 Specifically, the control unit 21 displays an image E11 on the touch panel 22 for receiving an answer to the basic inquiry Q1. Specifically, image E11 includes an interview with at least one of a figure and a letter. For example, as shown in FIG. 6, the image E11 includes an image of the characters "Which part has the symptom?" And the operation unit image E11a. For example, the operation unit image E11a is an image imitating a human body, an image for answering "whole body", and an image for answering "mood". Then, the control unit 21 is configured to acquire the touch coordinates in the touch panel 22 based on the touch input operation of the patient P. Then, the control unit 21 is configured to acquire the answer result (in the case of the above example, the information of the symptom site) based on the touch coordinates.
　図１１に示すように、制御部２１は、基本問診Ｑ１に対する回答結果に基づいて、基本問診回答情報Ｄａ１を生成するように構成されている。具体的には、制御部２１は、基本問診Ｑ１に対する回答結果に対して、問診ＩＤ（図１１では「１０００１」）を付与することにより、基本問診Ｑ１に対する回答結果に問診ＩＤが対応付けられた基本問診回答情報Ｄａ１を生成する。そして、制御部２１は、問診サーバ５０に、基本問診回答情報Ｄａ１を送信する制御を行う。また、制御部２１は、基本問診回答情報Ｄａ１を示す画像Ｅ１２をタッチパネル２２に表示する制御を行うように構成されている。たとえば、画像Ｅ１２には、問診ＩＤを示す画像と基本問診Ｑ１に対する回答結果を示す画像とが表示される。また、基本問診回答情報Ｄａ１は、たとえば、問診端末２０に対応したデータ形式を用いて構成されている。たとえば、基本問診回答情報Ｄａ１には、テキスト形式のデータが含まれている。 As shown in FIG. 11, the control unit 21 is configured to generate the basic inquiry answer information Da1 based on the answer result to the basic inquiry Q1. Specifically, the control unit 21 assigns an inquiry ID (“10001” in FIG. 11) to the answer result to the basic inquiry Q1, so that the inquiry ID is associated with the answer result to the basic inquiry Q1. Generate basic inquiry answer information Da1. Then, the control unit 21 controls to transmit the basic inquiry answer information Da1 to the inquiry server 50. Further, the control unit 21 is configured to control the touch panel 22 to display the image E12 showing the basic inquiry response information Da1. For example, in the image E12, an image showing the interview ID and an image showing the answer result to the basic interview Q1 are displayed. Further, the basic inquiry response information Da1 is configured by using, for example, a data format corresponding to the inquiry terminal 20. For example, the basic inquiry response information Da1 includes data in text format.
　図９および図１０に示すように、診療科問診Ｑ２は、複数の診療科の各々に対応して設けられた問診である。すなわち、診療科問診Ｑ２は、診療科別の問診であり、基本問診Ｑ１よりも詳細な問診内容を含むものである。たとえば、図９および図１０では、診療科問診Ｑ２には、耳鼻科に対応した問診の例を示している。 As shown in FIGS. 9 and 10, the clinical department inquiry Q2 is an inquiry provided corresponding to each of the plurality of clinical departments. That is, the clinical department inquiry Q2 is an inquiry for each clinical department, and includes more detailed inquiry contents than the basic inquiry Q1. For example, in FIGS. 9 and 10, the clinical department interview Q2 shows an example of an interview corresponding to the otolaryngology department.
　詳細には、制御部２１は、タッチパネル２２に、診療科問診Ｑ２に対する回答を受け付けるための画像Ｅ２１を表示する。具体的には、画像Ｅ２１には、図および文字の少なくとも一方による問診が含まれる。たとえば、図９に示すように、画像Ｅ２１には、「耳鳴りはしますか？」いう文字の画像と、「する」と回答するための画像および「しない」と回答するための画像を含む操作部画像Ｅ２１ａとが含まれる。 Specifically, the control unit 21 displays an image E21 on the touch panel 22 for receiving an answer to the clinical department inquiry Q2. Specifically, image E21 includes an interview with at least one of a figure and a letter. For example, as shown in FIG. 9, the image E21 includes an image of the characters "Do you ring your ears?", An image for answering "Yes", and an image for answering "No". Part image E21a and the like are included.
　図１２に示すように、制御部２１は、診療科問診Ｑ２に対する回答結果に対して、問診ＩＤを付与することにより、診療科問診Ｑ２に対する回答結果に問診ＩＤが対応付けられた診療科問診回答情報Ｄａ２を生成する。そして、制御部２１は、問診サーバ５０に、診療科問診回答情報Ｄａ２を送信する制御を行う。また、制御部２１は、診療科問診回答情報Ｄａ２を示す画像Ｅ２２をタッチパネル２２に表示する制御を行うように構成されている。たとえば、画像Ｅ２２には、問診ＩＤを示す画像と、受診診療科Ａを示す画像と、診療科問診Ｑ２に対する回答結果を示す画像とが表示される。たとえば、診療科問診回答情報Ｄａ２には、テキスト形式のデータが含まれている。 As shown in FIG. 12, the control unit 21 assigns a clinical department inquiry ID to the response result to the clinical department inquiry Q2, so that the clinical department inquiry response is associated with the response result to the clinical department inquiry Q2. Generate information Da2. Then, the control unit 21 controls to transmit the clinical department inquiry response information Da2 to the inquiry server 50. Further, the control unit 21 is configured to control the display of the image E22 showing the clinical department inquiry response information Da2 on the touch panel 22. For example, the image E22 displays an image showing the interview ID, an image showing the clinical department A, and an image showing the result of answering the clinical department Q2. For example, the clinical department inquiry response information Da2 includes data in text format.
　また、本実施形態では、問診端末２０は、問診端末ＩＤが対応付けられた受診診療科Ａの情報を取得するように構成されている。具体的には、問診端末２０は、病院端末３０により受診診療科Ａが決定された後、問診サーバ５０からネットワークＮを介して受診診療科Ａの情報を取得する。 Further, in the present embodiment, the inquiry terminal 20 is configured to acquire the information of the consultation department A associated with the inquiry terminal ID. Specifically, the medical inquiry terminal 20 acquires the information of the clinical department A from the medical inquiry server 50 via the network N after the medical examination department A is determined by the hospital terminal 30.
　図１３に示すように、問診端末２０の制御部２１は、受診診療科Ａの情報を取得したことに応じて、患者Ｐに診療科問診Ｑ２への回答を促す報知を行うように構成されている。たとえば、問診端末２０は、診療科問診Ｑ２への回答を促す報知として、タッチパネル２２に「受診診療科のお知らせ」および「診療科問診への回答のお願い」等の文字画像を含む画像Ｅ３１を表示する。また、タッチパネル２２は、診療科問診Ｑ２に対する回答を開始するための入力操作を受け付ける操作部表示Ｅ３１ａを表示する。そして、制御部２１は、操作部表示Ｅ３１ａに対する患者Ｐの入力操作に応じて、図１１および図１２に示す診療科問診回答情報Ｄａ２をタッチパネル２２に表示する制御を行う。 As shown in FIG. 13, the control unit 21 of the inquiry terminal 20 is configured to notify the patient P to answer the clinical department inquiry Q2 in response to the acquisition of the information of the clinical department A. There is. For example, the medical inquiry terminal 20 displays an image E31 including character images such as "notice of clinical department" and "request for answer to clinical department inquiry" on the touch panel 22 as a notification for prompting an answer to the clinical department inquiry Q2. To do. Further, the touch panel 22 displays an operation unit display E31a that accepts an input operation for starting an answer to the clinical department inquiry Q2. Then, the control unit 21 controls to display the clinical department inquiry response information Da2 shown in FIGS. 11 and 12 on the touch panel 22 in response to the input operation of the patient P to the operation unit display E31a.
　（病院端末の構成）
　図１４に示すように、病院端末３０は、問診端末２０とは別個に設けられている。病院端末３０は、たとえば、医療機関内の総合受付に設けられたコンピュータである。また、病院端末３０は、基本問診回答情報Ｄａ１に基づいて、複数の診療科のうちから受診診療科Ａを推定する受診診療科推定装置として構成されている。また、病院端末３０は、制御部３１と、表示部３２と、操作部３３と、記憶部３４と、通信部３５とを含む。なお、表示部３２は、請求の範囲の「医療機関側端末の表示部」の一例である。 (Hospital terminal configuration)
As shown in FIG. 14, the hospital terminal 30 is provided separately from the interview terminal 20. The hospital terminal 30 is, for example, a computer provided at a general reception desk in a medical institution. Further, the hospital terminal 30 is configured as a clinical department estimation device that estimates the clinical department A from a plurality of clinical departments based on the basic inquiry response information Da1. Further, the hospital terminal 30 includes a control unit 31, a display unit 32, an operation unit 33, a storage unit 34, and a communication unit 35. The display unit 32 is an example of the “display unit of the terminal on the medical institution side” in the claims.
　制御部３１は、制御プログラムを実行することにより、病院端末３０の動作を制御するように構成されている。たとえば、制御部３１は、病院端末用アプリケーションプログラム３４ａ（以下、「プログラム３４ａ」という）を実行するように構成されている。また、制御部３１は、ＣＰＵ等の演算処理回路およびＲＡＭ等の記憶回路を含む。なお、プログラム３４ａは、請求の範囲の「電子カルテ入力プログラム」の一例である。 The control unit 31 is configured to control the operation of the hospital terminal 30 by executing a control program. For example, the control unit 31 is configured to execute an application program 34a for a hospital terminal (hereinafter, referred to as “program 34a”). Further, the control unit 31 includes an arithmetic processing circuit such as a CPU and a storage circuit such as a RAM. The program 34a is an example of the "electronic medical record input program" in the claims.
　図１５に示すように、制御部３１は、情報取得部３１ａと、推定部３１ｂと、情報生成部３１ｃとを含む。情報取得部３１ａは、基本問診回答情報Ｄａ１および診療科問診回答情報Ｄａ２を、通信部３５を介して、問診サーバ５０から取得するように構成されている。そして、情報取得部３１ａは、問診ＩＤと病院識別ＩＤおよび患者ＩＤとを対応付けるように構成されている。なお、情報取得部３１ａと、推定部３１ｂと、情報生成部３１ｃとは、プログラム３４ａを制御部３１によって実行することによって機能する機能的な構成として示している。また、図１５では、情報取得部３１ａと推定部３１ｂと情報生成部３１ｃとを機能ブロックとして記載しているが、情報取得部３１ａと推定部３１ｂと情報生成部３１ｃとを一体的なハードウェアとして構成してもよいし、個別の専用のハードウェア（専用ＣＰＵ）によりそれぞれ構成してもよい。なお、病院識別ＩＤは、請求の範囲の「第２識別情報」の一例である。 As shown in FIG. 15, the control unit 31 includes an information acquisition unit 31a, an estimation unit 31b, and an information generation unit 31c. The information acquisition unit 31a is configured to acquire the basic inquiry response information Da1 and the clinical department inquiry response information Da2 from the inquiry server 50 via the communication unit 35. The information acquisition unit 31a is configured to associate the interview ID with the hospital identification ID and the patient ID. The information acquisition unit 31a, the estimation unit 31b, and the information generation unit 31c are shown as functional configurations that function by executing the program 34a by the control unit 31. Further, in FIG. 15, the information acquisition unit 31a, the estimation unit 31b, and the information generation unit 31c are described as functional blocks, but the information acquisition unit 31a, the estimation unit 31b, and the information generation unit 31c are integrated hardware. It may be configured as, or it may be configured by individual dedicated hardware (dedicated CPU). The hospital identification ID is an example of the "second identification information" in the claims.
　情報取得部３１ａは、図１６に示すように、問診端末２０により基本問診回答情報Ｄａ１に対して付与された問診ＩＤと、電子カルテ情報Ｄｋに登録されている患者ＩＤとを対応付ける（紐づける）ように構成されている。また、情報取得部３１ａは、問診ＩＤと病院識別ＩＤとを対応づけるように構成されている。たとえば、情報取得部３１ａは、問診ＩＤと病院識別ＩＤと患者ＩＤとが対応付けられた第１テーブル３４ｂを生成するように構成されている。第１テーブル３４ｂは、記憶部３４（図１４参照）に記憶される。 As shown in FIG. 16, the information acquisition unit 31a associates (associates) the interview ID given to the basic inquiry answer information Da1 by the inquiry terminal 20 with the patient ID registered in the electronic medical record information Dk. It is configured as follows. Further, the information acquisition unit 31a is configured to associate the interview ID with the hospital identification ID. For example, the information acquisition unit 31a is configured to generate a first table 34b in which the interview ID, the hospital identification ID, and the patient ID are associated with each other. The first table 34b is stored in the storage unit 34 (see FIG. 14).
　また、情報取得部３１ａは、問診ＩＤに基づいて、基本問診回答情報Ｄａ１を取得するように構成されている。具体的には、情報取得部３１ａは、問診サーバ５０に、問診ＩＤを送信する。そして、問診ＩＤを問診サーバ５０が受信したことに応じて、問診サーバ５０から情報取得部３１ａ（病院端末３０）に基本問診回答情報Ｄａ１が送信される。 Further, the information acquisition unit 31a is configured to acquire the basic inquiry answer information Da1 based on the inquiry ID. Specifically, the information acquisition unit 31a transmits the inquiry ID to the inquiry server 50. Then, in response to the inquiry ID being received by the inquiry server 50, the basic inquiry answer information Da1 is transmitted from the inquiry server 50 to the information acquisition unit 31a (hospital terminal 30).
　推定部３１ｂは、図１７に示すように、基本問診回答情報Ｄａ１に基づいて、受診診療科Ａを推定するように構成されている。たとえば、推定部３１ｂには、学習済モデルＭが設けられている。そして、推定部３１ｂは、基本問診回答情報Ｄａ１が入力された場合に、学習済モデルＭを用いて推定された受診診療科Ａである受診診療科候補Ａａを出力するように構成されている。そして、図１８に示すように、推定部３１ｂは、表示部３２に、受診診療科候補Ａａを示す画像Ｅ４１を表示するように構成されている。また、推定部３１ｂは、表示部３２に、受付員による受診診療科Ａの決定を受け付ける操作部表示Ｅ４１ａを表示するように構成されている。 As shown in FIG. 17, the estimation unit 31b is configured to estimate the clinical department A to be examined based on the basic inquiry response information Da1. For example, the estimation unit 31b is provided with a trained model M. Then, the estimation unit 31b is configured to output the consultation department candidate Aa, which is the consultation department A estimated using the learned model M, when the basic inquiry response information Da1 is input. Then, as shown in FIG. 18, the estimation unit 31b is configured to display the image E41 showing the consultation department candidate Aa on the display unit 32. Further, the estimation unit 31b is configured to display an operation unit display E41a on the display unit 32 for receiving a decision of the clinical department A to be examined by the receptionist.
　学習済モデルＭは、図示しない学習モデル生成装置により生成されたものである。学習済モデルＭは、基本問診回答情報Ｄａ１を入力教師データとするとともに、受診診療科Ａ（受診診療科候補Ａａ）を出力教師データとするデータセットによって、機械学習を行うことにより生成されたものである。たとえば、学習済モデルＭは、ニューラルネットワークである。また、図１９に示すように、推定部３１ｂは、受診診療科Ａの情報と、問診ＩＤとを対応付けるように構成されている。たとえば、推定部３１ｂは、受診診療科Ａの情報と、問診ＩＤとが対応付けられた第２テーブル３４ｃを生成する。なお、第１テーブル３４ｂと第２テーブル３４ｃとは、互いに別個に構成されていてもよいし、一体的な（単一の）テーブルとして構成されていてもよい。 The trained model M is generated by a learning model generator (not shown). The trained model M is generated by performing machine learning with a data set in which the basic interview answer information Da1 is used as input teacher data and the consultation department A (consultation department candidate Aa) is used as output teacher data. Is. For example, the trained model M is a neural network. Further, as shown in FIG. 19, the estimation unit 31b is configured to associate the information of the clinical department A with the inquiry ID. For example, the estimation unit 31b generates a second table 34c in which the information of the clinical department A to be examined and the inquiry ID are associated with each other. The first table 34b and the second table 34c may be configured separately from each other, or may be configured as an integral (single) table.
　そして、制御部３１は、問診ＩＤが対応付けられた受診診療科Ａの情報を、問診サーバ５０（図２参照）を介して、問診端末２０に送信するように構成されている。すなわち、問診サーバ５０は、問診ＩＤに基づいて、受診診療科Ａの情報を送信すべき問診端末２０を特定し、特定した問診端末２０に受診診療科Ａの情報を送信する。 Then, the control unit 31 is configured to transmit the information of the consultation department A associated with the inquiry ID to the inquiry terminal 20 via the inquiry server 50 (see FIG. 2). That is, the inquiry server 50 identifies the inquiry terminal 20 to which the information of the consultation department A should be transmitted based on the inquiry ID, and transmits the information of the consultation department A to the specified inquiry terminal 20.
　情報生成部３１ｃは、図２０および図２１に示すように、情報取得部３１ａにより取得された基本問診回答情報Ｄａ１および診療科問診回答情報Ｄａ２に基づいて、電子カルテ情報Ｄｋに対応した形式の電子カルテ入力情報Ｄｋｉを生成するように構成されている。たとえば、情報生成部３１ｃは、基本問診回答情報Ｄａ１と診療科問診回答情報Ｄａ２とを組み合わせるとともに、問診端末２０におけるデータの形式から電子カルテ情報Ｄｋに対応した形式に変換する制御を行う。そして、情報生成部３１ｃは、変換した情報に患者ＩＤを対応付ける（患者ＩＤを含ませる）ことにより、電子カルテ入力情報Ｄｋｉを生成する。すなわち、本実施形態では、情報生成部３１ｃは、診療科問診回答情報Ｄａ２に基づいて、患者ＩＤに対応する患者Ｐに関する電子カルテ情報Ｄｋに対応した形式の電子カルテ入力情報Ｄｋｉを生成するように構成されている。 As shown in FIGS. 20 and 21, the information generation unit 31c is an electron in a format corresponding to the electronic medical record information Dk based on the basic medical record answer information Da1 and the clinical department medical inquiry answer information Da2 acquired by the information acquisition unit 31a. It is configured to generate medical record input information Dki. For example, the information generation unit 31c combines the basic medical inquiry response information Da1 and the clinical department inquiry response information Da2, and controls the conversion of the data format in the medical inquiry terminal 20 into a format corresponding to the electronic medical record information Dk. Then, the information generation unit 31c generates the electronic medical record input information Dki by associating the converted information with the patient ID (including the patient ID). That is, in the present embodiment, the information generation unit 31c generates the electronic medical record input information Dki in the format corresponding to the electronic medical record information Dk regarding the patient P corresponding to the patient ID based on the clinical department inquiry response information Da2. It is configured.
　たとえば、情報生成部３１ｃは、電子カルテ入力情報Ｄｋｉは、電子カルテ情報Ｄｋにおける所定の位置に格納（記憶）されるために、タグ付けされている。たとえば、情報生成部３１ｃは、患者ＩＤに関するタグ、および、「問診回答（主訴）」の位置に診療科問診回答情報Ｄａ２を入力させるためのタグを、電子カルテ入力情報Ｄｋｉに付与する。 For example, the information generation unit 31c is tagged so that the electronic medical record input information Dki is stored (stored) at a predetermined position in the electronic medical record information Dk. For example, the information generation unit 31c adds a tag related to the patient ID and a tag for inputting the clinical department inquiry answer information Da2 at the position of the “question answer (chief complaint)” to the electronic medical record input information Dki.
　そして、情報生成部３１ｃは、生成した電子カルテ入力情報Ｄｋｉを、電子カルテ装置１０の電子カルテサーバ１２に記憶するように構成されている。具体的には、電子カルテ装置１０は、電子カルテサーバ１２の患者ＩＤに対応する電子カルテ情報Ｄｋに電子カルテ入力情報Ｄｋｉを追加する制御を行う。そして、図２０に示すように、電子カルテ入力情報Ｄｋｉが電子カルテサーバ１２に記憶される前の電子カルテ情報Ｄｋの「問診回答（主訴）」の欄は空白である一方、図２１に示すように、電子カルテ入力情報Ｄｋｉが電子カルテサーバ１２に記憶された後の電子カルテ情報Ｄｋの「問診回答（主訴）」の欄には、「耳鳴り：あり」および「耳に痛み：あり」という表示（画像Ｅ５１）が追加される。すなわち、図９および図１０に示す問診端末２０のタッチパネル２２において表示されていた内容が、図２１に示す電子カルテ情報Ｄｋの「問診回答（主訴）」の欄の表示内容に変換される。なお、図２１では、診療科問診回答情報Ｄａ２が表示される例を示しているが、基本問診回答情報Ｄａ１も電子カルテ情報Ｄｋに追加される。 Then, the information generation unit 31c is configured to store the generated electronic medical record input information Dki in the electronic medical record server 12 of the electronic medical record device 10. Specifically, the electronic medical record device 10 controls to add the electronic medical record input information Dki to the electronic medical record information Dk corresponding to the patient ID of the electronic medical record server 12. Then, as shown in FIG. 20, the column of "question answer (chief complaint)" of the electronic medical record information Dk before the electronic medical record input information Dki is stored in the electronic medical record server 12 is blank, as shown in FIG. In the "question answer (chief complaint)" column of the electronic medical record information Dk after the electronic medical record input information Dki is stored in the electronic medical record server 12, "ear ringing: yes" and "ear pain: yes" are displayed. (Image E51) is added. That is, the content displayed on the touch panel 22 of the inquiry terminal 20 shown in FIGS. 9 and 10 is converted into the display content in the “question answer (chief complaint)” column of the electronic medical record information Dk shown in FIG. Although FIG. 21 shows an example in which the clinical department inquiry response information Da2 is displayed, the basic inquiry response information Da1 is also added to the electronic medical record information Dk.
　表示部３２は、たとえば、液晶ディスプレイとして構成されている。そして、表示部３２においても、表示部１４と同様に図２１に示す電子カルテ情報Ｄｋの画像Ｅ５１を表示するように構成されている。すなわち、表示部１４および３２は、電子カルテ情報Ｄｋの画像Ｅ５１において、診療科問診回答情報Ｄａ２が入力されたか否かが視覚的に認識可能に表示される。 The display unit 32 is configured as, for example, a liquid crystal display. The display unit 32 is also configured to display the image E51 of the electronic medical record information Dk shown in FIG. 21 in the same manner as the display unit 14. That is, the display units 14 and 32 visually and recognizable whether or not the clinical department inquiry response information Da2 has been input in the image E51 of the electronic medical record information Dk.
　操作部３３は、医療機関の受付員による入力操作を受け付けるように構成されている。たとえば、操作部３３は、キーボード、マウス、および、タッチパネルの少なくとも一つを含む。また、病院端末３０は、受付入力装置４０から問診ＩＤを取得可能に構成されているとともに、操作部３３に対する入力操作によっても問診ＩＤを取得可能に構成されている。たとえば、受付員に対して、患者Ｐが問診ＩＤを口頭で伝えた場合には、受付員により、操作部３３に対して問診ＩＤが入力される。 The operation unit 33 is configured to receive an input operation by a receptionist of a medical institution. For example, the operation unit 33 includes at least one of a keyboard, a mouse, and a touch panel. Further, the hospital terminal 30 is configured so that the inquiry ID can be acquired from the reception input device 40, and the inquiry ID can also be acquired by an input operation to the operation unit 33. For example, when the patient P verbally conveys the inquiry ID to the receptionist, the receptionist inputs the inquiry ID to the operation unit 33.
　記憶部３４は、ＨＤＤまたはＳＤＤ等の不揮発性メモリにより構成されている。また、記憶部３４には、プログラム３４ａと第１テーブル３４ｂと第２テーブル３４ｃと学習済モデルＭとが記憶されている。 The storage unit 34 is composed of a non-volatile memory such as an HDD or an SDD. Further, the storage unit 34 stores the program 34a, the first table 34b, the second table 34c, and the trained model M.
　通信部３５は、ネットワークＮを介して、無線通信するためのインターフェースとして構成されている。たとえば、通信部３５は、Ｗｉ－ＦｉまたはＢｌｕｔｏｏｔｈ（登録商標）によりネットワークＮまたは医療機関内のＬＡＮに接続するように構成されている。また、通信部３５は、ネットワークＮを介して、問診端末２０および問診サーバ５０と通信するように構成されている。また、通信部３５は、有線ＬＡＮまたは無線ＬＡＮを介して、電子カルテ装置１０および受付入力装置４０と通信するように構成されている。 The communication unit 35 is configured as an interface for wireless communication via the network N. For example, the communication unit 35 is configured to connect to the network N or a LAN in a medical institution by Wi-Fi or Brutooth (registered trademark). Further, the communication unit 35 is configured to communicate with the inquiry terminal 20 and the inquiry server 50 via the network N. Further, the communication unit 35 is configured to communicate with the electronic medical record device 10 and the reception input device 40 via a wired LAN or a wireless LAN.
　（受付入力装置の構成）
　受付入力装置４０は、医療機関内に設置され、患者Ｐが来院した際に、患者Ｐの来院情報を取得するための装置である。 (Configuration of reception input device)
The reception input device 40 is installed in a medical institution and is a device for acquiring the visit information of the patient P when the patient P visits the hospital.
　図２２に示すように、受付入力装置４０は、制御部４１と、操作部４２と、通信部４３と、読取部４４とを含む。制御部４１は、制御プログラムを実行することにより、受付入力装置４０の動作を制御するように構成されている。また、制御部４１は、ＣＰＵ等の演算処理回路およびＲＡＭ等の記憶回路を含む。操作部４２は、患者Ｐによる問診ＩＤを受け付けるように構成されている。そして、通信部４３は、病院端末３０と通信可能に構成されている。また、読取部４４は、患者Ｐが所持する診察券（または紹介状）から、磁気または光により、診察券（または紹介状）に記憶されている情報を読み取るように構成されている。そして、制御部４１は、受け付けた問診ＩＤ、および、診察券（または紹介状）に記憶されている情報のうちの少なくとも１つを、通信部４３を介して病院端末３０に送信するように構成されている。 As shown in FIG. 22, the reception input device 40 includes a control unit 41, an operation unit 42, a communication unit 43, and a reading unit 44. The control unit 41 is configured to control the operation of the reception input device 40 by executing a control program. Further, the control unit 41 includes an arithmetic processing circuit such as a CPU and a storage circuit such as a RAM. The operation unit 42 is configured to receive an inquiry ID by the patient P. The communication unit 43 is configured to be able to communicate with the hospital terminal 30. Further, the reading unit 44 is configured to read the information stored in the medical examination ticket (or the referral letter) from the medical examination ticket (or the referral letter) possessed by the patient P by magnetism or light. Then, the control unit 41 is configured to transmit at least one of the received inquiry ID and the information stored in the examination ticket (or the letter of introduction) to the hospital terminal 30 via the communication unit 43. Has been done.
　（問診サーバの構成）
　図１に示すように、問診サーバ５０は、病院端末３０とは別個に構成され、基本問診回答情報Ｄａ１および診療科問診回答情報Ｄａ２が記憶（格納）されるサーバ（情報格納装置）として構成されている。 (Interview server configuration)
As shown in FIG. 1, the inquiry server 50 is configured separately from the hospital terminal 30 and is configured as a server (information storage device) that stores (stores) the basic inquiry answer information Da1 and the clinical department inquiry answer information Da2. ing.
　問診サーバ５０は、クラウド（クラウドコンピューティング）上に構築されている。そして、問診サーバ５０は、複数の問診端末２０および複数の病院端末３０と、ネットワークＮを介して通信するように構成されている。また、問診サーバ５０は、問診端末２０から基本問診回答情報Ｄａ１および診療科問診回答情報Ｄａ２を取得するとともに、病院端末３０から受診診療科Ａの情報を取得するように構成されている。そして、問診サーバ５０は、問診ＩＤに基づいて、取得した基本問診回答情報Ｄａ１および診療科問診回答情報Ｄａ２を病院端末３０に送信するとともに、問診ＩＤに基づいて、取得した受診診療科Ａの情報を問診端末２０に送信するように構成されている。 The interview server 50 is built on the cloud (cloud computing). The inquiry server 50 is configured to communicate with the plurality of inquiry terminals 20 and the plurality of hospital terminals 30 via the network N. Further, the inquiry server 50 is configured to acquire the basic inquiry answer information Da1 and the clinical department inquiry answer information Da2 from the inquiry terminal 20, and to acquire the information of the clinical department A from the hospital terminal 30. Then, the inquiry server 50 transmits the acquired basic inquiry answer information Da1 and the clinical department inquiry answer information Da2 to the hospital terminal 30 based on the inquiry ID, and also obtains the information of the clinical department A based on the inquiry ID. Is configured to be transmitted to the interview terminal 20.
　たとえば、問診サーバ５０は、病院端末３０により問診ＩＤを受信した場合、受診した問診ＩＤに対応する基本問診回答情報Ｄａ１を、病院端末３０に送信する。この場合、問診ＩＤは、基本問診回答情報Ｄａ１を要求するための要求信号（リクエスト信号）として機能する。また、問診サーバ５０は、問診端末２０により診療科問診回答情報Ｄａ２を受信した場合、診療科問診回答情報Ｄａ２に対応付けられた病院識別ＩＤに対応する病院端末３０に、診療科問診回答情報Ｄａ２を送信する。 For example, when the medical inquiry server 50 receives the medical inquiry ID by the hospital terminal 30, the medical inquiry server 50 transmits the basic medical inquiry answer information Da1 corresponding to the medical inquiry ID received to the hospital terminal 30. In this case, the inquiry ID functions as a request signal (request signal) for requesting the basic inquiry answer information Da1. Further, when the medical inquiry server 50 receives the clinical department inquiry response information Da2 by the clinical department inquiry terminal 20, the medical inquiry server 50 is connected to the hospital terminal 30 corresponding to the hospital identification ID associated with the clinical department inquiry response information Da2. To send.
　［電子カルテ入力方法について］
　次に、図２３および図２４を参照して、本実施形態による電子カルテ入力システム１００を用いた電子カルテ入力方法について説明する。また、電子カルテ入力システム１００を用いた電子カルテ入力方法は、診療支援システム１０１による診療支援方法の一部を構成する。 [About electronic medical record input method]
Next, an electronic medical record input method using the electronic medical record input system 100 according to the present embodiment will be described with reference to FIGS. 23 and 24. Further, the electronic medical record input method using the electronic medical record input system 100 constitutes a part of the medical care support method by the medical care support system 101.
　（受診診療科を決定する方法）
　まず、電子カルテ入力システム１００による、受診診療科Ａを決定する方法について説明する。ステップ２０１～２０５は、問診端末２０の制御部２１により実行される。また、ステップ２１１～２１６は、問診サーバ５０の制御部５１により実行される。また、ステップ２２１および２２２は、受付入力装置４０の制御部４１により実行される。また、ステップ２３１～２３９は、病院端末３０の制御部３１により実行される。 (How to determine the department to be examined)
First, a method of determining the clinical department A to be examined by the electronic medical record input system 100 will be described. Steps 201 to 205 are executed by the control unit 21 of the interview terminal 20. Further, steps 211 to 216 are executed by the control unit 51 of the interview server 50. Further, steps 221 and 222 are executed by the control unit 41 of the reception input device 40. Further, steps 231 to 239 are executed by the control unit 31 of the hospital terminal 30.
　図２３に示すように、問診端末２０におけるステップ２０１において、基本問診Ｑ１に対する回答が受け付けられる。具体的には、問診端末２０において、プログラム２４ａが起動された後、タッチパネル２２に基本問診Ｑ１を示す画像Ｅ１１（図６～図８参照）が表示される。表示された画像Ｅ１１に含まれる操作部画像Ｅ１１ａに対する入力操作が基本問診Ｑ１に対する回答として、問診端末２０により受け付けられる。また、図６～図８のように、タッチパネル２２に表示される画像Ｅ１１は、基本問診Ｑ１の内容ごとに順次切り替えられ、基本問診Ｑ１に対する回答が順次受け付けられる。 As shown in FIG. 23, in step 201 of the interview terminal 20, the answer to the basic interview Q1 is accepted. Specifically, after the program 24a is activated on the interview terminal 20, an image E11 (see FIGS. 6 to 8) showing the basic interview Q1 is displayed on the touch panel 22. The input operation for the operation unit image E11a included in the displayed image E11 is accepted by the inquiry terminal 20 as an answer to the basic inquiry Q1. Further, as shown in FIGS. 6 to 8, the image E11 displayed on the touch panel 22 is sequentially switched according to the content of the basic inquiry Q1, and the answers to the basic inquiry Q1 are sequentially received.
　ステップ２０２において、基本問診Ｑ１に対する回答結果に対して、問診ＩＤが付与される。具体的には、問診端末２０において、基本問診Ｑ１に対する回答結果に問診ＩＤが対応付けられた基本問診回答情報Ｄａ１が生成される。 In step 202, an interview ID is given to the answer result to the basic inquiry Q1. Specifically, in the inquiry terminal 20, the basic inquiry answer information Da1 in which the inquiry ID is associated with the answer result to the basic inquiry Q1 is generated.
　ステップ２０３において、基本問診回答情報Ｄａ１が、問診端末２０から問診サーバ５０にネットワークＮを介して送信される。 In step 203, the basic inquiry response information Da1 is transmitted from the inquiry terminal 20 to the inquiry server 50 via the network N.
　そして、問診サーバ５０におけるステップ２１１において、基本問診回答情報Ｄａ１が問診サーバ５０により受信される。 Then, in step 211 of the inquiry server 50, the basic inquiry answer information Da1 is received by the inquiry server 50.
　ステップ２１２において、基本問診回答情報Ｄａ１が、問診サーバ５０により記憶される。 In step 212, the basic inquiry answer information Da1 is stored in the inquiry server 50.
　その後、受付入力装置４０におけるステップ２２１において、問診ＩＤが、受付入力装置４０により受け付けられる。具体的には、患者Ｐが医療機関に来院し、患者によって受付入力装置４０の操作部４２に問診ＩＤが入力される。 After that, in step 221 of the reception input device 40, the inquiry ID is received by the reception input device 40. Specifically, the patient P visits a medical institution, and the patient inputs the interview ID to the operation unit 42 of the reception input device 40.
　ステップ２２２において、問診ＩＤが、受付入力装置４０から病院端末３０に送信される。 In step 222, the interview ID is transmitted from the reception input device 40 to the hospital terminal 30.
　そして、病院端末３０におけるステップ２３１において、問診ＩＤが病院端末３０により受信されるか、または、問診ＩＤが病院端末３０の操作部３３により受け付けられる。たとえば、上記のステップ２２２が実行された場合には、問診ＩＤが病院端末３０により受信される。 Then, in step 231 of the hospital terminal 30, the inquiry ID is received by the hospital terminal 30, or the inquiry ID is received by the operation unit 33 of the hospital terminal 30. For example, when the above step 222 is executed, the inquiry ID is received by the hospital terminal 30.
　ステップ２３２において、問診ＩＤに対して、病院端末３０により付与される患者ＩＤが対応付けられる。すなわち、本実施形態では、問診ＩＤと、受診診療科Ａの決定を行う医療機関により付与された識別情報である患者ＩＤおよび病院識別ＩＤとが、病院端末３０により対応付けられる。 In step 232, the patient ID given by the hospital terminal 30 is associated with the interview ID. That is, in the present embodiment, the interview ID and the patient ID and the hospital identification ID, which are the identification information given by the medical institution that determines the clinical department A to be examined, are associated with each other by the hospital terminal 30.
　ステップ２３３において、問診ＩＤが、病院端末３０から問診サーバ５０に送信される。 In step 233, the interview ID is transmitted from the hospital terminal 30 to the interview server 50.
　そして、問診サーバ５０におけるステップ２１３において、問診ＩＤが問診サーバ５０により受信される。 Then, in step 213 of the inquiry server 50, the inquiry ID is received by the inquiry server 50.
　ステップ２１４において、問診ＩＤに対応する基本問診回答情報Ｄａ１が、問診サーバ５０から病院端末３０に送信される。 In step 214, the basic inquiry answer information Da1 corresponding to the inquiry ID is transmitted from the inquiry server 50 to the hospital terminal 30.
　そして、病院端末３０におけるステップ２３４において、問診ＩＤが付与された基本問診回答情報Ｄａ１が、病院端末３０により受信される。これにより、基本問診Ｑ１に対する回答が、問診端末２０とは別個に設けられた病院端末３０により取得される。すなわち、本実施形態では、問診ＩＤに基づいて、基本問診Ｑ１に対する回答が、病院端末３０により取得される。 Then, in step 234 of the hospital terminal 30, the basic inquiry response information Da1 to which the inquiry ID is assigned is received by the hospital terminal 30. As a result, the answer to the basic interview Q1 is obtained by the hospital terminal 30 provided separately from the interview terminal 20. That is, in the present embodiment, the answer to the basic inquiry Q1 is acquired by the hospital terminal 30 based on the inquiry ID.
　ステップ２３５において、問診ＩＤが付与された基本問診回答情報Ｄａ１に基づいて、病院端末３０により、複数の診療科のうちから受診診療科Ａが推定される。 In step 235, the hospital terminal 30 estimates the clinical department A to be examined from among a plurality of clinical departments based on the basic medical inquiry answer information Da1 to which the medical inquiry ID is assigned.
　ステップ２３６において、推定された受診診療科Ａとしての受診診療科候補Ａａが病院端末３０の表示部３２（図１８参照）に表示される。 In step 236, the consultation department candidate Aa as the estimated consultation department A is displayed on the display unit 32 (see FIG. 18) of the hospital terminal 30.
　ステップ２３７において、病院端末３０により受診診療科Ａが決定される。具体的には、病院端末３０の操作部表示Ｅ４１ａに対する入力操作に応じて、受診診療科候補Ａａが受診診療科Ａとして決定される。 In step 237, the hospital terminal 30 determines the clinical department A to be examined. Specifically, in response to an input operation on the operation unit display E41a of the hospital terminal 30, the consultation department candidate Aa is determined as the consultation department A.
　ステップ２３８において、決定された受診診療科Ａの情報と、問診ＩＤおよび病院識別ＩＤとが、病院端末３０により対応付けられる。 In step 238, the information of the clinical department A to be examined is associated with the interview ID and the hospital identification ID by the hospital terminal 30.
　ステップ２３９において、受診診療科Ａの情報が、病院端末３０から問診サーバ５０に送信される。 In step 239, the information of the clinical department A to be examined is transmitted from the hospital terminal 30 to the inquiry server 50.
　そして、問診サーバ５０におけるステップ２１５において、問診ＩＤおよび病院識別ＩＤが対応付けられた受診診療科Ａの情報が、問診サーバ５０により受信される。 Then, in step 215 of the inquiry server 50, the information of the consultation department A to which the inquiry ID and the hospital identification ID are associated is received by the inquiry server 50.
　ステップ２１６において、受診診療科Ａの情報が、問診ＩＤに基づいて、問診サーバ５０から問診端末２０に送信される。 In step 216, the information of the clinical department A to be examined is transmitted from the inquiry server 50 to the inquiry terminal 20 based on the inquiry ID.
　そして、問診端末２０におけるステップ２０４において、受診診療科Ａの情報が、問診端末２０により受信される。 Then, in step 204 of the interview terminal 20, the information of the clinical department A to be examined is received by the interview terminal 20.
　ステップ２０５において、受診診療科Ａの情報を取得したことに基づいて、図１３に示すように、患者Ｐに診療科問診Ｑ２への回答を促す報知が問診端末２０により行われる。具体的には、受診診療科Ａの情報および診療科問診Ｑ２への回答を促す旨の表示が行われる。そして、受診診療科Ａを決定する方法が終了される。 In step 205, based on the acquisition of the information of the clinical department A, the patient P is notified by the medical inquiry terminal 20 to prompt the patient P to answer the clinical department inquiry Q2, as shown in FIG. Specifically, the information of the clinical department A to be examined and the display to prompt the answer to the clinical department inquiry Q2 are displayed. Then, the method of determining the clinical department A to be examined is completed.
　（電子カルテ入力情報を入力する方法）
　次に、図２４を参照して、電子カルテ入力システム１００による、電子カルテ入力情報Ｄｋｉを電子カルテ装置１０に入力する方法について説明する。なお、電子カルテ入力情報Ｄｋｉを電子カルテ装置１０に入力する方法は、上記受診診療科Ａを決定する方法の後に、実行される。ステップ３０１～３０３は、問診端末２０の制御部２１により実行される。また、ステップ３１１～３１３は、問診サーバ５０の制御部５１により実行される。また、ステップ３３１～３３３は、病院端末３０の制御部３１により実行される。また、ステップ３４１～３４５は、電子カルテ装置１０の制御部１１により実行される。 (How to enter electronic medical record input information)
Next, with reference to FIG. 24, a method of inputting the electronic medical record input information Dki into the electronic medical record device 10 by the electronic medical record input system 100 will be described. The method of inputting the electronic medical record input information Dki into the electronic medical record device 10 is executed after the method of determining the clinical department A to be examined. Steps 301 to 303 are executed by the control unit 21 of the interview terminal 20. Further, steps 311 to 313 are executed by the control unit 51 of the interview server 50. Further, steps 331 to 333 are executed by the control unit 31 of the hospital terminal 30. Further, steps 341 to 345 are executed by the control unit 11 of the electronic medical record device 10.
　ステップ３０１において、診療科問診Ｑ２に対する回答が、問診端末２０により受け付けられる。具体的には、図１３に示す「診療科問診の回答を開始」を行うための操作部表示Ｅ３１ａに対する入力操作が行われた後、タッチパネル２２に診療科問診Ｑ２を示す画像Ｅ２１（図９および図１０参照）が表示される。表示された画像Ｅ２１に含まれる操作部画像Ｅ２１ａに対する入力操作が診療科問診Ｑ２に対する回答として、問診端末２０により受け付けられる。また、図９および図１０のように、タッチパネル２２に表示される画像Ｅ２１は、診療科問診Ｑ２の内容ごとに順次切り替えられ、診療科問診Ｑ２に対する回答が順次受け付けられる。 In step 301, the answer to the clinical department inquiry Q2 is accepted by the inquiry terminal 20. Specifically, after the input operation to the operation unit display E31a for performing the "start answering the clinical department inquiry" shown in FIG. 13 is performed, the image E21 (FIG. 9 and FIG. 9) showing the clinical department inquiry Q2 on the touch panel 22. (See FIG. 10) is displayed. The input operation for the operation unit image E21a included in the displayed image E21 is accepted by the inquiry terminal 20 as an answer to the clinical department inquiry Q2. Further, as shown in FIGS. 9 and 10, the image E21 displayed on the touch panel 22 is sequentially switched according to the contents of the clinical department inquiry Q2, and the answers to the clinical department inquiry Q2 are sequentially accepted.
　ステップ３０２において、診療科問診回答情報Ｄａ２が生成される。具体的には、診療科問診Ｑ２に対する回答結果に、問診ＩＤおよび病院識別ＩＤが、問診端末２０により対応付けられる。 In step 302, the clinical department inquiry response information Da2 is generated. Specifically, the interview ID and the hospital identification ID are associated with the response result to the clinical department inquiry Q2 by the inquiry terminal 20.
　ステップ３０３において、診療科問診回答情報Ｄａ２が、問診端末２０から問診サーバ５０に送信される。 In step 303, the clinical department inquiry response information Da2 is transmitted from the inquiry terminal 20 to the inquiry server 50.
　そして、問診サーバ５０におけるステップ３１１において、問診ＩＤおよび病院識別ＩＤが対応付けられた診療科問診回答情報Ｄａ２が受信される。 Then, in step 311 on the interview server 50, the clinical department inquiry response information Da2 in which the inquiry ID and the hospital identification ID are associated is received.
　ステップ３１２において、診療科問診回答情報Ｄａ２が、問診サーバ５０により記憶される。ステップ３１３において、病院識別ＩＤに基づいて、診療科問診回答情報Ｄａ２が、問診サーバ５０から病院端末３０に送信される。 In step 312, the clinical department inquiry response information Da2 is stored in the inquiry server 50. In step 313, the clinical department inquiry response information Da2 is transmitted from the inquiry server 50 to the hospital terminal 30 based on the hospital identification ID.
　そして、病院端末３０におけるステップ３３１において、診療科問診回答情報Ｄａ２が受信（取得）される。 Then, in step 331 of the hospital terminal 30, the clinical department inquiry response information Da2 is received (acquired).
　ステップ３３２において、診療科問診回答情報Ｄａ２に基づいて、電子カルテに対応した形式の電子カルテ入力情報Ｄｋｉが病院端末３０により生成される。詳細には、問診ＩＤに基づいて、診療科問診回答情報Ｄａ２と患者ＩＤとが、病院端末３０により対応付けられる。そして、患者ＩＤが対応付けられた診療科問診回答情報Ｄａ２に基づいて、患者ＩＤに対応する患者Ｐに関する電子カルテに対応した形式の電子カルテ入力情報Ｄｋｉが病院端末３０により生成される。すなわち、本実施形態では、診療科問診回答情報Ｄａ２のデータ形式が、問診端末２０における形式から、電子カルテ情報Ｄｋに対応した形式に変換することにより電子カルテ入力情報Ｄｋｉが生成される。 In step 332, the hospital terminal 30 generates electronic medical record input information Dki in a format corresponding to the electronic medical record based on the clinical department inquiry response information Da2. Specifically, the clinical department inquiry response information Da2 and the patient ID are associated with each other by the hospital terminal 30 based on the inquiry ID. Then, based on the clinical department inquiry response information Da2 to which the patient ID is associated, the hospital terminal 30 generates electronic medical record input information Dki in a format corresponding to the electronic medical record regarding the patient P corresponding to the patient ID. That is, in the present embodiment, the electronic medical record input information Dki is generated by converting the data format of the clinical department inquiry response information Da2 from the format in the inquiry terminal 20 to a format corresponding to the electronic medical record information Dk.
　ステップ３３３において、電子カルテ入力情報Ｄｋｉが、病院端末３０から電子カルテ装置１０に送信される。 In step 333, the electronic medical record input information Dki is transmitted from the hospital terminal 30 to the electronic medical record device 10.
　そして、電子カルテ装置１０におけるステップ３４１において、電子カルテ入力情報Ｄｋｉが受信される。 Then, in step 341 of the electronic medical record device 10, the electronic medical record input information Dki is received.
　ステップ３４２において、電子カルテ情報Ｄｋが更新される。たとえば、電子カルテ入力情報Ｄｋｉと更新前の電子カルテ情報Ｄｋとが合成されることにより、電子カルテ情報Ｄｋが更新され、更新された電子カルテ情報Ｄｋが電子カルテ装置１０の電子カルテサーバ１２に記憶される。 In step 342, the electronic medical record information Dk is updated. For example, the electronic medical record information Dk is updated by synthesizing the electronic medical record input information Dki and the electronic medical record information Dk before the update, and the updated electronic medical record information Dk is stored in the electronic medical record server 12 of the electronic medical record device 10. Will be done.
　ステップ３４３において、更新された電子カルテ情報Ｄｋ（図２１参照）が表示される。すなわち、診療科問診回答情報Ｄａ２を示す画像Ｅ５１が表示部３２に表示される。 In step 343, the updated electronic medical record information Dk (see FIG. 21) is displayed. That is, the image E51 showing the clinical department inquiry response information Da2 is displayed on the display unit 32.
　ステップ３４４において、診療記録Ｒが、電子カルテ装置１０により受け付けられる。 In step 344, the medical record R is received by the electronic medical record device 10.
　ステップ３４５において、診療記録Ｒが、電子カルテ装置１０の電子カルテサーバ１２に記憶される。そして、電子カルテ入力情報Ｄｋｉを電子カルテ装置１０に入力する方法が終了される。 In step 345, the medical record R is stored in the electronic medical record server 12 of the electronic medical record device 10. Then, the method of inputting the electronic medical record input information Dki into the electronic medical record device 10 is completed.
　［本実施形態の電子カルテ入力方法の効果］
　本実施形態の電子カルテ入力方法では、以下のような効果を得ることができる。 [Effect of the electronic medical record input method of this embodiment]
The electronic medical record input method of the present embodiment can obtain the following effects.
　本実施形態の電子カルテ入力方法では、上記のように、基本問診Ｑ１に対する回答を、問診端末２０（携帯情報端末）により受け付けるとともに、受診診療科Ａに対応する問診である診療科問診Ｑ２に対する回答を、問診端末２０により受け付ける。これにより、複数の診療科を有する医療機関の受付員が診療科問診Ｑ２の内容が記載された用紙を患者Ｐに渡す作業を行うことなく、問診端末２０により、基本問診Ｑ１に対する回答および診療科問診Ｑ２に対する回答を受け付けることができる。この結果、複数の診療科を有する医療機関の受付員の作業負担を軽減することができる。そして、本実施形態では、診療科問診Ｑ２に対する回答に基づいて、電子カルテ情報Ｄｋに対応した形式の電子カルテ入力情報Ｄｋｉを生成するとともに、電子カルテ入力情報Ｄｋｉを、電子カルテサーバ１２に記憶する。これにより、診療科問診Ｑ２に対する回答を電子カルテサーバ１２に入力する医師の作業が不要になる。その結果、複数の診療科を有する医療機関においても、医師の作業負担を軽減することができる。これらの結果、複数の診療科を有する医療機関において用いる場合にも、受付員の作業負担および医師の作業負担を軽減することができる。 In the electronic medical record input method of the present embodiment, as described above, the answer to the basic inquiry Q1 is received by the inquiry terminal 20 (mobile information terminal), and the answer to the clinical department inquiry Q2, which is the inquiry corresponding to the clinical department A. Is accepted by the interview terminal 20. As a result, the receptionist of the medical institution having a plurality of clinical departments does not have to hand over the form containing the contents of the clinical department inquiry Q2 to the patient P, and the inquiry terminal 20 is used to answer the basic inquiry Q1 and the clinical department. We can accept answers to interview Q2. As a result, the workload of the receptionist of a medical institution having a plurality of clinical departments can be reduced. Then, in the present embodiment, the electronic medical record input information Dki in a format corresponding to the electronic medical record information Dk is generated based on the answer to the clinical department inquiry Q2, and the electronic medical record input information Dki is stored in the electronic medical record server 12. .. This eliminates the need for a doctor to input an answer to the clinical department inquiry Q2 into the electronic medical record server 12. As a result, even in a medical institution having a plurality of clinical departments, the workload of doctors can be reduced. As a result, even when used in a medical institution having a plurality of clinical departments, the work load of the receptionist and the work load of the doctor can be reduced.
　また、本実施形態では、以下のように構成したことによって、更なる効果が得られる。 Further, in the present embodiment, a further effect can be obtained by configuring as follows.
　すなわち、本実施形態では、上記のように、基本問診Ｑ１に対する回答を受け付けるステップ２０１の後、基本問診Ｑ１に対する回答を取得するステップ２１１の前に、基本問診Ｑ１に対する回答に問診ＩＤ（第１識別情報）を付与するステップ２０２と、問診ＩＤと、受診診療科Ａの決定を行う医療機関により付与された識別情報である患者ＩＤおよび病院識別ＩＤ（第２識別情報）とを対応付けるステップ２３２とをさらに備える。このように構成すれば、複数の問診端末２０（携帯情報端末）から基本問診Ｑ１に対する回答を取得した場合でも、取得した基本問診Ｑ１に対する回答が、複数の問診端末２０（複数の患者Ｐ）のうちのいずれの問診端末２０（患者Ｐ）により受け付けられたかを、問診ＩＤによって容易に識別することができる。そして、問診ＩＤと医療機関により付与された患者ＩＤおよび病院識別ＩＤとが対応付けられるので、患者Ｐにより回答された基本問診Ｑ１に対する回答と、医療機関内において使用される患者ＩＤおよび病院識別ＩＤとを紐づけることができる。この結果、電子カルテ入力情報Ｄｋｉを生成する際に、参照すべき基本問診Ｑ１に対する回答および診療科問診Ｑ２に対する回答を、患者ＩＤおよび病院識別ＩＤを用いて容易に識別することができる。 That is, in the present embodiment, as described above, after the step 201 of receiving the answer to the basic inquiry Q1 and before the step 211 of acquiring the answer to the basic inquiry Q1, the inquiry ID (first identification) is given to the answer to the basic inquiry Q1. Step 202 for giving information) and step 232 for associating the interview ID with the patient ID and the hospital identification ID (second identification information) which are the identification information given by the medical institution that determines the department A to be examined. Further prepare. With this configuration, even if the answers to the basic inquiry Q1 are obtained from the plurality of inquiry terminals 20 (mobile information terminals), the answers to the acquired basic inquiry Q1 can be obtained from the plurality of inquiry terminals 20 (plural patients P). Which of the interview terminals 20 (patient P) has been accepted can be easily identified by the interview ID. Then, since the medical inquiry ID is associated with the patient ID and the hospital identification ID given by the medical institution, the answer to the basic medical inquiry Q1 answered by the patient P and the patient ID and the hospital identification ID used in the medical institution are associated with each other. Can be linked with. As a result, when the electronic medical record input information Dki is generated, the answer to the basic inquiry Q1 and the answer to the clinical department inquiry Q2 to be referred to can be easily identified by using the patient ID and the hospital identification ID.
　また、本実施形態では、上記のように、基本問診Ｑ１に対する回答を取得するステップ２３４は、問診端末２０（携帯情報端末）とは別個に設けられた病院端末３０（医療機関側端末）により、基本問診Ｑ１に対する回答を取得するステップ２３４である。そして、問診ＩＤ（第１識別情報）と患者ＩＤおよび病院識別ＩＤ（第２識別情報）とを対応付けるステップ２３２は、病院端末３０により、問診ＩＤと患者ＩＤおよび病院識別ＩＤとを対応付けるステップ２３２である。このように構成すれば、基本問診Ｑ１に対する回答を取得する端末（病院端末３０）と、問診ＩＤと患者ＩＤおよび病院識別ＩＤとを対応付ける端末（病院端末３０）とを、共通化することができるので、電子カルテ入力方法を実行するための電子カルテ入力システム１００の構成が複雑化するのを抑制することができる。 Further, in the present embodiment, as described above, the step 234 for acquiring the answer to the basic inquiry Q1 is performed by the hospital terminal 30 (medical institution side terminal) provided separately from the inquiry terminal 20 (mobile information terminal). This is step 234 for obtaining an answer to the basic interview Q1. Then, step 232 for associating the interview ID (first identification information) with the patient ID and the hospital identification ID (second identification information) is the step 232 for associating the inquiry ID with the patient ID and the hospital identification ID by the hospital terminal 30. is there. With this configuration, the terminal (hospital terminal 30) for acquiring the answer to the basic interview Q1 and the terminal (hospital terminal 30) for associating the interview ID with the patient ID and the hospital identification ID can be shared. Therefore, it is possible to prevent the configuration of the electronic medical record input system 100 for executing the electronic medical record input method from becoming complicated.
　また、本実施形態では、上記のように、受診診療科Ａを決定するステップ２３７は、病院端末３０（医療機関側端末）により、受診診療科Ａを決定するステップ２３７である。そして、電子カルテ入力情報Ｄｋｉを生成するステップ３３２は、病院端末３０により、電子カルテ入力情報Ｄｋｉを生成するステップ３３２である。このように構成すれば、問診ＩＤ（第１識別情報）と患者ＩＤおよび病院識別ＩＤ（第２識別情報）とを対応付ける病院端末３０によって、受診診療科Ａを決定すること、および、電子カルテ入力情報Ｄｋｉを生成することができる。この結果、病院端末３０とは別個に、受診診療科Ａを決定する端末および電子カルテ入力情報Ｄｋｉを生成する端末を設けることが不要な分、電子カルテ入力方法を実行するための電子カルテ入力システム１００の構成が複雑化するのを、より一層抑制することができる。 Further, in the present embodiment, as described above, the step 237 for determining the clinical department A to be examined is the step 237 for determining the clinical department A to be examined by the hospital terminal 30 (terminal on the medical institution side). The step 332 for generating the electronic medical record input information Dki is a step 332 for generating the electronic medical record input information Dki by the hospital terminal 30. With this configuration, the hospital terminal 30 that associates the interview ID (first identification information) with the patient ID and the hospital identification ID (second identification information) determines the department A to be examined, and inputs the electronic medical record. Information Dki can be generated. As a result, it is not necessary to provide a terminal for determining the medical department A to be examined and a terminal for generating the electronic medical record input information Dki separately from the hospital terminal 30, and an electronic medical record input system for executing the electronic medical record input method. It is possible to further suppress the complexity of the configuration of 100.
　また、本実施形態では、上記のように、基本問診Ｑ１に対する回答を取得するステップ２３４は、問診ＩＤ（第１識別情報）に基づいて、基本問診Ｑ１に対する回答を病院端末３０（医療機関側端末）により取得するステップ２３４である。このように構成すれば、問診端末２０（携帯情報端末）とは異なる病院端末３０が基本問診Ｑ１に対する回答を取得する場合であっても、問診端末２０により付与された問診ＩＤ（第１識別情報）に基づくことにより、問診ＩＤに対応する基本問診Ｑ１に対する回答を適切に識別して取得することができる。 Further, in the present embodiment, as described above, in step 234 of acquiring the answer to the basic inquiry Q1, the answer to the basic inquiry Q1 is given to the hospital terminal 30 (medical institution side terminal) based on the inquiry ID (first identification information). ) Is the step 234 acquired by. With this configuration, even if the hospital terminal 30, which is different from the medical inquiry terminal 20 (mobile information terminal), obtains the answer to the basic medical inquiry Q1, the medical inquiry ID (first identification information) given by the medical inquiry terminal 20 ), It is possible to appropriately identify and obtain the answer to the basic interview Q1 corresponding to the inquiry ID.
　また、本実施形態では、上記のように、電子カルテ入力情報Ｄｋｉを生成するステップ３３２は、診療科問診Ｑ２に対する回答に基づいて、患者ＩＤおよび病院識別ＩＤ（第２識別情報）に対応する患者Ｐに関する電子カルテ情報Ｄｋ（電子カルテ）に対応した形式の電子カルテ入力情報Ｄｋｉを生成するステップ３３２である。このように構成すれば、患者ＩＤおよび病院識別ＩＤに対応する患者Ｐに関する電子カルテ情報Ｄｋに、診療科問診Ｑ２に対する回答の情報（電子カルテ入力情報Ｄｋｉ）を容易に入力する（記憶させる）ことができる。たとえば、患者ＩＤおよび病院識別ＩＤを用いて管理される電子カルテサーバ１２に、患者ＩＤおよび病院識別ＩＤに基づいた電子カルテ入力情報Ｄｋｉを、自動的に記憶させることができる。 Further, in the present embodiment, as described above, the step 332 for generating the electronic medical record input information Dki is a patient corresponding to the patient ID and the hospital identification ID (second identification information) based on the answer to the clinical department inquiry Q2. It is a step 332 to generate the electronic medical record input information Dki of the format corresponding to the electronic medical record information Dk (electronic medical record) about P. With this configuration, the information of the answer to the clinical department inquiry Q2 (electronic medical record input information Dki) can be easily input (stored) in the electronic medical record information Dk regarding the patient P corresponding to the patient ID and the hospital identification ID. Can be done. For example, the electronic medical record server 12 managed by using the patient ID and the hospital identification ID can automatically store the electronic medical record input information Dki based on the patient ID and the hospital identification ID.
　また、本実施形態では、上記のように、受診診療科Ａを決定するステップ２３７の後、診療科問診Ｑ２に対する回答を受け付けるステップ３３１の前に、受診診療科Ａの情報と問診ＩＤ（第１識別情報）とを対応付けるステップ２３８と、問診ＩＤが対応付けられた受診診療科Ａの情報を、問診端末２０（携帯情報端末）により取得するステップ２０４と、をさらに備える。このように構成すれば、受診診療科Ａの情報と問診ＩＤとが対応付けられるので、受診診療科Ａの情報を取得するべき問診端末２０を容易に識別することができる。この結果、問診端末２０により、受診診療科Ａの情報を適切に取得させることができる。 Further, in the present embodiment, as described above, after the step 237 of determining the clinical department A to be examined and before the step 331 of receiving the answer to the clinical department inquiry Q2, the information of the clinical department A to be examined and the inquiry ID (first). Further, step 238 for associating with the identification information) and step 204 for acquiring the information of the consultation department A associated with the inquiry ID by the inquiry terminal 20 (mobile information terminal) are further provided. With this configuration, since the information of the consultation department A and the inquiry ID are associated with each other, the inquiry terminal 20 from which the information of the consultation department A should be acquired can be easily identified. As a result, the inquiry terminal 20 can appropriately acquire the information of the consultation department A.
　また、本実施形態では、上記のように、診療科問診Ｑ２に対する回答を受け付けるステップ３０１の後、電子カルテ入力情報Ｄｋｉを生成するステップ３３２の前に、問診端末２０（携帯情報端末）により、診療科問診Ｑ２に対する回答と問診ＩＤ（第１識別情報）とを対応付けるステップ３０２をさらに備える。このように構成すれば、診療科問診Ｑ２に対する回答と、基本問診Ｑ１に対する回答に付与された問診ＩＤとが対応付けられるので、基本問診Ｑ１に対する回答と診療科問診Ｑ２に対する回答を含む電子カルテ入力情報Ｄｋｉを容易に生成することができる。 Further, in the present embodiment, as described above, after the step 301 of receiving the answer to the clinical department inquiry Q2 and before the step 332 of generating the electronic medical record input information Dki, the medical examination terminal 20 (portable information terminal) is used for medical treatment. Further, step 302 for associating the answer to the clinical inquiry Q2 with the inquiry ID (first identification information) is provided. With this configuration, the answer to the clinical department inquiry Q2 and the inquiry ID given to the answer to the basic inquiry Q1 are associated with each other. Therefore, an electronic medical record input including the answer to the basic inquiry Q1 and the answer to the clinical department inquiry Q2 is input. Information Dki can be easily generated.
　また、本実施形態では、上記のように、受診診療科Ａを決定するステップ２３７の後、診療科問診Ｑ２に対する回答を受け付けるステップ３０１の前に、問診端末２０（携帯情報端末）により患者Ｐに診療科問診Ｑ２への回答を促す報知を行うステップ２０５をさらに備える。このように構成すれば、受付員または医師が、患者Ｐに診療科問診Ｑ２への回答を促す作業が不要になるので、受付員または医師の作業負担を、より一層軽減することができる。 Further, in the present embodiment, as described above, after step 237 for determining the clinical department A to be examined and before step 301 for receiving the answer to the clinical department inquiry Q2, the patient P is notified by the inquiry terminal 20 (mobile information terminal). Further, step 205 is provided to provide a notification prompting an answer to the clinical department inquiry Q2. With this configuration, the receptionist or doctor does not need to prompt the patient P to answer the clinical department inquiry Q2, so that the work burden on the receptionist or doctor can be further reduced.
　また、本実施形態では、上記のように、診療科問診Ｑ２に対する回答を受け付けるステップ３０１の後、問診端末２０（携帯情報端末）とは別個に設けられた病院端末３０（医療機関側端末）の表示部３２、および、電子カルテ情報Ｄｋを表示する表示部５２（表示装置）の少なくとも一方により、診療科問診Ｑ２に対する回答を示す表示を行うステップ３４３をさらに備える。このように構成すれば、病院端末３０の表示部３２を視認する受付員、および、電子カルテ情報Ｄｋを表示する表示部５２を視認する医師のうちの少なくとも一方は、診療科問診Ｑ２に対する回答を視認することができる。この結果、たとえば、受付員および医師の少なくとも一方は、診療科問診Ｑ２に対する回答が完了したか否かを判断することができるので、診療科問診Ｑ２に対する回答が完了していない患者Ｐに対して診察が開始するのを抑制することができる。これにより、診察時に、診療科問診Ｑ２の回答が得られていない内容について、医師が改めて問診することを減らすことができるので、効率良く診療を行うことができる。 Further, in the present embodiment, as described above, after step 301 of receiving the answer to the clinical department inquiry Q2, the hospital terminal 30 (medical institution side terminal) provided separately from the inquiry terminal 20 (mobile information terminal). Further, step 343 is further provided in which at least one of the display unit 32 and the display unit 52 (display device) for displaying the electronic medical record information Dk displays an answer to the clinical department inquiry Q2. With this configuration, at least one of the receptionist who visually recognizes the display unit 32 of the hospital terminal 30 and the doctor who visually recognizes the display unit 52 that displays the electronic medical record information Dk answers the clinical department inquiry Q2. It can be visually recognized. As a result, for example, at least one of the receptionist and the doctor can determine whether or not the answer to the clinical department inquiry Q2 has been completed, so that the patient P who has not completed the answer to the clinical department inquiry Q2 It is possible to prevent the examination from starting. As a result, it is possible to reduce the number of doctors asking questions about the contents for which the answer to the clinical department inquiry Q2 has not been obtained at the time of the examination, so that the medical examination can be performed efficiently.
　また、本実施形態では、上記のように、電子カルテ入力情報Ｄｋｉを生成するステップ３３２は、診療科問診Ｑ２に対する回答のデータの形式を、問診端末２０（携帯情報端末）における形式から、電子カルテ情報Ｄｋにおける表示に対応した形式に変換することにより電子カルテ入力情報Ｄｋｉを生成するステップ３３２である。このように構成すれば、診療科問診Ｑ２に対する回答のデータの形式が、問診端末２０内において用いられる形式と、電子カルテ情報Ｄｋにおいて用いられるデータの形式とで異なる場合でも、電子カルテ入力情報Ｄｋｉを適切に生成することができる。 Further, in the present embodiment, as described above, in step 332 of generating the electronic medical record input information Dki, the format of the answer data to the medical department inquiry Q2 is changed from the format in the inquiry terminal 20 (portable information terminal) to the electronic medical record. This is step 332 to generate the electronic medical record input information Dki by converting it into a format corresponding to the display in the information Dk. With this configuration, even if the format of the response data for the clinical department inquiry Q2 differs between the format used in the inquiry terminal 20 and the data format used in the electronic medical record information Dk, the electronic medical record input information Dki Can be generated appropriately.
　［本実施形態のシステムおよびプログラムの効果］
　本実施形態の電子カルテ入力システム１００および電子カルテ入力プログラム１２ａ、２４ａおよび３４ａでは、以下のような効果を得ることができる。 [Effects of the system and program of this embodiment]
The electronic medical record input system 100 and the electronic medical record input programs 12a, 24a, and 34a of the present embodiment can obtain the following effects.
　本実施形態の電子カルテ入力システム１００および電子カルテ入力プログラム１２ａ、２４ａおよび３４ａでは、上記のように構成することにより、基本問診Ｑ１に対する回答を、問診端末２０により受け付けるとともに、受診診療科Ａに対応する問診である診療科問診Ｑ２に対する回答を、問診端末２０により受け付ける。これにより、複数の診療科を有する医療機関の受付員が診療科問診Ｑ２の内容が記載された用紙を患者Ｐに渡す作業を行うことなく、問診端末２０により、基本問診Ｑ１に対する回答および診療科問診Ｑ２に対する回答を受け付けることができる。この結果、複数の診療科を有する医療機関の受付員の作業負担を軽減することができる。そして、本実施形態では、診療科問診Ｑ２に対する回答に基づいて、電子カルテ情報Ｄｋに対応した形式の電子カルテ入力情報Ｄｋｉを生成するとともに、電子カルテ入力情報Ｄｋｉを、電子カルテサーバ１２に記憶する。これにより、診療科問診Ｑ２に対する回答を電子カルテサーバ１２に入力する医師の作業が不要になる。その結果、複数の診療科を有する医療機関においても、医師の作業負担を軽減することができる。これらの結果、複数の診療科を有する医療機関において用いる場合にも、受付員の作業負担および医師の作業負担を軽減することができる。 The electronic medical record input system 100 and the electronic medical record input programs 12a, 24a, and 34a of the present embodiment are configured as described above, so that the answer to the basic medical inquiry Q1 is received by the medical inquiry terminal 20 and the medical examination department A is supported. The medical inquiry terminal 20 receives an answer to the medical record inquiry Q2, which is an inquiry to be asked. As a result, the receptionist of the medical institution having a plurality of clinical departments does not have to hand over the form containing the contents of the clinical department inquiry Q2 to the patient P, and the inquiry terminal 20 is used to answer the basic inquiry Q1 and the clinical department. We can accept answers to interview Q2. As a result, the workload of the receptionist of a medical institution having a plurality of clinical departments can be reduced. Then, in the present embodiment, the electronic medical record input information Dki in a format corresponding to the electronic medical record information Dk is generated based on the answer to the clinical department inquiry Q2, and the electronic medical record input information Dki is stored in the electronic medical record server 12. .. This eliminates the need for a doctor to input an answer to the clinical department inquiry Q2 into the electronic medical record server 12. As a result, even in a medical institution having a plurality of clinical departments, the workload of doctors can be reduced. As a result, even when used in a medical institution having a plurality of clinical departments, the work load of the receptionist and the work load of the doctor can be reduced.
　また、本実施形態では、上記のように、問診端末２０は、基本問診Ｑ１に対する回答に問診ＩＤ（第１識別情報）を付与するように構成されており、病院端末３０（医療機関側端末）は、問診ＩＤと、受診診療科Ａの決定を行う医療機関により付与された識別情報である患者ＩＤおよび病院識別ＩＤ（第２識別情報）とを対応付けるように構成されている。このように構成すれば、複数の問診端末２０から基本問診Ｑ１に対する回答を取得した場合でも、取得した基本問診Ｑ１に対する回答が、複数の問診端末２０（複数の患者Ｐ）のうちのいずれの問診端末２０（患者Ｐ）により受け付けられたかを、問診ＩＤによって容易に識別することができる。そして、問診ＩＤと医療機関により付与された患者ＩＤおよび病院識別ＩＤとが対応付けられるので、患者Ｐにより回答された基本問診Ｑ１に対する回答と、医療機関内において使用される患者ＩＤおよび病院識別ＩＤとを紐づけることができる。この結果、電子カルテ入力情報Ｄｋｉを生成する際に、参照すべき基本問診Ｑ１に対する回答および診療科問診Ｑ２に対する回答を、患者ＩＤおよび病院識別ＩＤを用いて容易に識別することができる。 Further, in the present embodiment, as described above, the medical inquiry terminal 20 is configured to give the medical inquiry ID (first identification information) to the answer to the basic medical inquiry Q1, and the hospital terminal 30 (medical institution side terminal). Is configured to associate the interview ID with the patient ID and the hospital identification ID (second identification information), which are identification information given by the medical institution that determines the department A to be examined. With this configuration, even if the answers to the basic inquiry Q1 are obtained from the plurality of inquiry terminals 20, the answer to the acquired basic inquiry Q1 is any of the multiple inquiry terminals 20 (plural patients P). Whether or not it has been accepted by the terminal 20 (patient P) can be easily identified by the interview ID. Then, since the medical inquiry ID is associated with the patient ID and the hospital identification ID given by the medical institution, the answer to the basic medical inquiry Q1 answered by the patient P and the patient ID and the hospital identification ID used in the medical institution are associated with each other. Can be linked with. As a result, when the electronic medical record input information Dki is generated, the answer to the basic inquiry Q1 and the answer to the clinical department inquiry Q2 to be referred to can be easily identified by using the patient ID and the hospital identification ID.
［変形例］
　なお、今回開示された実施形態は、すべての点で例示であって制限的なものではないと考えられるべきである。本発明の範囲は、上記した実施形態の説明ではなく請求の範囲によって示され、さらに請求の範囲と均等の意味および範囲内でのすべての変更（変形例）が含まれる。 [Modification example]
It should be noted that the embodiments disclosed this time are exemplary in all respects and are not considered to be restrictive. The scope of the present invention is shown by the claims rather than the description of the above-described embodiment, and further includes all modifications (modifications) within the meaning and scope equivalent to the claims.
　たとえば、上記実施形態では、問診端末を、患者が所有する携帯情報端末とする例を説明したが、本発明はこれに限られない。たとえば、問診端末は、患者が所有する携帯情報端末ではなく、医療機関に備えられた（医療機関が所有する）携帯情報端末であってもよい。 For example, in the above embodiment, an example in which the medical inquiry terminal is a mobile information terminal owned by the patient has been described, but the present invention is not limited to this. For example, the medical inquiry terminal may not be a mobile information terminal owned by the patient, but may be a mobile information terminal provided in the medical institution (owned by the medical institution).
　また、上記実施形態では、診療支援システムに、問診サーバを設けて、問診端末と病院端末とが問診サーバを介して、基本問診回答情報および診療科問診回答情報を送受信する例を示したが、本発明はこれに限られない。たとえば、診療支援システムに、問診サーバを設けずに、問診端末から病院端末に、基本問診回答情報および診療科問診回答情報を直接送信してもよい。 Further, in the above embodiment, an example is shown in which a medical inquiry server is provided in the medical care support system, and the medical inquiry terminal and the hospital terminal send and receive basic medical inquiry answer information and clinical department medical inquiry answer information via the medical inquiry server. The present invention is not limited to this. For example, the basic medical inquiry answer information and the clinical department medical inquiry answer information may be directly transmitted from the medical inquiry terminal to the hospital terminal without providing the medical inquiry server in the medical care support system.
　また、上記実施形態では、問診ＩＤと患者ＩＤとを対応付ける例を示したが、本発明はこれに限られない。たとえば、問診ＩＤによって患者を特定することが可能なように問診ＩＤが構成されている場合には、問診ＩＤと患者ＩＤとを対応付けなくてもよい。 Further, in the above embodiment, an example of associating the interview ID with the patient ID is shown, but the present invention is not limited to this. For example, when the interview ID is configured so that the patient can be identified by the interview ID, it is not necessary to associate the interview ID with the patient ID.
　また、上記実施形態では、問診ＩＤと病院識別ＩＤとを対応付ける例を示したが、本発明はこれに限られない。たとえば、問診ＩＤによって患者が診療を受ける医療機関を特定することが可能なように問診ＩＤが構成されている場合には、問診ＩＤと病院識別ＩＤとを対応付けなくてもよい。 Further, in the above embodiment, an example of associating the interview ID with the hospital identification ID is shown, but the present invention is not limited to this. For example, when the medical inquiry ID is configured so that the medical institution where the patient receives medical treatment can be specified by the medical inquiry ID, it is not necessary to associate the medical inquiry ID with the hospital identification ID.
　また、上記実施形態では、問診ＩＤと患者ＩＤとを対応付けることと、基本問診情報を取得することとの両方を、病院端末により行う例を示したが、本発明はこれに限られない。たとえば、病院端末とは別個に構成された装置（たとえば、受付入力装置または電子カルテ装置）により、問診ＩＤと患者ＩＤとを対応付けることと、基本問診情報を取得することとのいずれか一方を行ってもよい。 Further, in the above embodiment, an example is shown in which both the association of the interview ID and the patient ID and the acquisition of the basic interview information are performed by the hospital terminal, but the present invention is not limited to this. For example, a device configured separately from the hospital terminal (for example, a reception input device or an electronic medical record device) is used to either associate the interview ID with the patient ID or acquire basic interview information. You may.
　また、上記実施形態では、病院端末の操作部に対する入力操作に基づいて、１つの受診診療科候補から受診診療科を決定する例を示したが、本発明はこれに限られない。たとえば、病院端末の推定部により推定された複数の受診診療科のうちから受診診療科を決定してもよいし、推定された一の受診診療科を自動的に受診診療科として決定してもよい。 Further, in the above embodiment, an example in which the clinical department to be examined is determined from one candidate for the clinical department to be examined based on the input operation to the operation unit of the hospital terminal is shown, but the present invention is not limited to this. For example, the consultation department may be determined from a plurality of consultation departments estimated by the estimation unit of the hospital terminal, or one estimated consultation department may be automatically determined as the consultation department. Good.
　また、上記実施形態では、病院端末により電子カルテ入力情報を生成する例を示したが、本発明はこれに限られない。たとえば、問診端末、問診サーバ、または、電子カルテ装置のいずれかにより、電子カルテ入力情報を生成してもよい。 Further, in the above embodiment, an example of generating electronic medical record input information by a hospital terminal is shown, but the present invention is not limited to this. For example, the electronic medical record input information may be generated by any of the inquiry terminal, the inquiry server, or the electronic medical record device.
　また、上記実施形態では、電子カルテ入力情報のデータ形式をテキスト形式（ＨＬ７に準拠した形式）として構成する例を示したが、本発明はこれに限られない。たとえば、電子カルテ入力情報のデータ形式を画像形式として構成してもよいし、電子カルテ入力情報をＨＬ７以外の規格に準拠した形式のデータとして構成してもよい。 Further, in the above embodiment, an example in which the data format of the electronic medical record input information is configured as a text format (a format conforming to HL7) is shown, but the present invention is not limited to this. For example, the data format of the electronic medical record input information may be configured as an image format, or the electronic medical record input information may be configured as data in a format conforming to a standard other than HL7.
　また、上記実施形態では、受診診療科の情報と問診ＩＤとを対応付ける例を示したが、本発明はこれに限られない。たとえば、受診診療科の情報に、問診ＩＤとは異なる新たなＩＤを付与してもよい。この場合、たとえば、問診端末から問診サーバに新たなＩＤ（リクエスト信号）が送信された場合に、問診サーバから新たなＩＤに対応する受診診療科の情報が問診端末に送信される。 Further, in the above embodiment, an example of associating the information of the clinical department to be examined with the inquiry ID is shown, but the present invention is not limited to this. For example, a new ID different from the interview ID may be given to the information of the clinical department to be examined. In this case, for example, when a new ID (request signal) is transmitted from the inquiry terminal to the inquiry server, the information of the clinical department to be examined corresponding to the new ID is transmitted from the inquiry server to the inquiry terminal.
　また、上記実施形態では、問診端末により患者に診療科問診への回答を促す報知の例として画像を表示する例を示したが、本発明はこれに限られない。たとえば、問診端末により患者に診療科問診への回答を促す報知として音声を出力させてもよい。 Further, in the above embodiment, an example of displaying an image as an example of a notification prompting the patient to answer the clinical department inquiry by the inquiry terminal is shown, but the present invention is not limited to this. For example, the interview terminal may output a voice as a notification prompting the patient to answer the clinical department inquiry.
　また、上記実施形態では、病院端末の表示部および電子カルテ装置の表示部の両方に診療科問診に対する回答を示す表示を行う例を示したが、本発明はこれに限られない。すなわち、病院端末の表示部および電子カルテ装置の表示部のいずれか一方のみに診療科問診に対する回答を示す表示を行ってもよい。 Further, in the above embodiment, an example is shown in which an answer to a clinical department inquiry is displayed on both the display unit of the hospital terminal and the display unit of the electronic medical record device, but the present invention is not limited to this. That is, the display indicating the answer to the clinical department inquiry may be displayed only on either the display unit of the hospital terminal or the display unit of the electronic medical record device.
　また、上記実施形態では、機械学習によって生成された学習モデルに基づいて、複数の診療科のうちから、受診診療科を推定する例を示したが、本発明はこれに限られない。たとえば、基本問診回答と受診診療科とが関連付けられたルールベースを予め取得させておくことによって、複数の診療科のうちから、基本問診回答に対応する受診診療科が推定（決定）されてもよい。 Further, in the above embodiment, an example of estimating a clinical department to be examined from a plurality of clinical departments based on a learning model generated by machine learning is shown, but the present invention is not limited to this. For example, by acquiring a rule base in which the basic inquiry answer and the consultation department are associated in advance, even if the consultation department corresponding to the basic inquiry answer is estimated (determined) from a plurality of clinical departments. Good.
　また、上記実施形態では、問診サーバはクラウド（クラウドコンピューティング）上に構築される例を示したが、本発明はこれに限られない。たとえば、問診サーバが１つのハードウェアに構築されるようにしてもよい。 Further, in the above embodiment, the inquiry server is constructed on the cloud (cloud computing), but the present invention is not limited to this. For example, the interview server may be built on one piece of hardware.
　また、上記実施形態では、耳鼻科に関する診療科問診の例を示したが、本発明はこれに限られない。すなわち、耳鼻科以外の診療科（たとえば、内科、外科等）の診療科問診に対しても本発明を適用してもよい。 Further, in the above embodiment, an example of a clinical department inquiry regarding otolaryngology is shown, but the present invention is not limited to this. That is, the present invention may be applied to clinical department interviews in clinical departments other than otolaryngology (for example, internal medicine, surgery, etc.).
　［態様］
　上記した例示的な実施形態は、以下の態様の具体例であることが当業者により理解される。 [Aspect]
It will be understood by those skilled in the art that the above exemplary embodiments are specific examples of the following embodiments.
（項目１）
　基本問診に対する回答を、携帯情報端末により受け付けるステップと、
　前記基本問診に対する回答を取得するステップと、
　取得した前記基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定するステップと、
　前記受診診療科に対応する問診である診療科問診に対する回答を、前記携帯情報端末により受け付けるステップと、
　前記診療科問診に対する回答を取得するステップと、
　取得した前記診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報を生成するステップと、
　前記電子カルテ入力情報を、電子カルテサーバに記憶するステップと、を備える、電子カルテ入力方法。 (Item 1)
Steps to accept answers to basic interviews via a mobile information terminal,
Steps to obtain answers to the basic interview and
Based on the obtained answers to the basic interview, the step of determining the clinical department to be examined by the patient from among a plurality of clinical departments, and
The step of accepting the answer to the clinical department inquiry, which is the inquiry corresponding to the clinical department, by the mobile information terminal, and
Steps to obtain answers to the clinical department interviews and
Based on the acquired answers to the clinical department interviews, a step to generate electronic medical record input information in a format corresponding to the electronic medical record, and
An electronic medical record input method comprising a step of storing the electronic medical record input information in an electronic medical record server.
（項目２）
　前記基本問診に対する回答を受け付けるステップの後、前記基本問診に対する回答を取得するステップの前に、前記基本問診に対する回答に第１識別情報を付与するステップと、
　前記第１識別情報と、前記受診診療科の決定を行う医療機関により付与された識別情報である第２識別情報とを対応付けるステップとをさらに備える、項目１に記載の電子カルテ入力方法。 (Item 2)
After the step of accepting the answer to the basic inquiry and before the step of obtaining the answer to the basic inquiry, a step of giving the first identification information to the answer to the basic inquiry and a step of adding the first identification information.
The electronic medical record input method according to item 1, further comprising a step of associating the first identification information with the second identification information which is the identification information given by the medical institution that determines the clinical department to be examined.
（項目３）
　前記基本問診に対する回答を取得するステップは、前記携帯情報端末とは別個に設けられた医療機関側端末により、前記基本問診に対する回答を取得するステップであり、
　前記第１識別情報と前記第２識別情報とを対応付けるステップは、前記医療機関側端末により、前記第１識別情報と前記第２識別情報とを対応付けるステップである、項目２に記載の電子カルテ入力方法。 (Item 3)
The step of acquiring the answer to the basic inquiry is a step of acquiring the answer to the basic inquiry by the medical institution side terminal provided separately from the mobile information terminal.
The electronic medical record input according to item 2, wherein the step of associating the first identification information with the second identification information is a step of associating the first identification information with the second identification information by the medical institution side terminal. Method.
（項目４）
　前記受診診療科を決定するステップは、前記医療機関側端末により、前記受診診療科を決定するステップであり、
　前記電子カルテ入力情報を生成するステップは、前記医療機関側端末により、前記電子カルテ入力情報を生成するステップである、項目３に記載の電子カルテ入力方法。 (Item 4)
The step of determining the clinical department to be examined is a step of determining the clinical department to be examined by the terminal on the medical institution side.
The electronic medical record input method according to item 3, wherein the step of generating the electronic medical record input information is a step of generating the electronic medical record input information by the medical institution side terminal.
（項目５）
　前記基本問診に対する回答を取得するステップは、前記第１識別情報に基づいて、前記基本問診に対する回答を前記医療機関側端末により取得するステップである、項目３に記載の電子カルテ入力方法。 (Item 5)
The electronic medical record input method according to item 3, wherein the step of acquiring the answer to the basic medical inquiry is a step of acquiring the answer to the basic medical inquiry by the medical institution side terminal based on the first identification information.
（項目６）
　前記電子カルテ入力情報を生成するステップは、前記診療科問診に対する回答に基づいて、前記第２識別情報に対応する前記患者に関する前記電子カルテに対応した形式の前記電子カルテ入力情報を生成するステップである、項目２に記載の電子カルテ入力方法。 (Item 6)
The step of generating the electronic medical record input information is a step of generating the electronic medical record input information in a format corresponding to the electronic medical record regarding the patient corresponding to the second identification information based on the answer to the clinical department inquiry. The electronic medical record input method according to item 2.
（項目７）
　前記受診診療科を決定するステップの後、前記診療科問診に対する回答を受け付けるステップの前に、前記受診診療科の情報と前記第１識別情報とを対応付けるステップと、
　前記第１識別情報が対応付けられた前記受診診療科の情報を、前記携帯情報端末により取得するステップと、をさらに備える、項目２に記載の電子カルテ入力方法。 (Item 7)
After the step of determining the clinical department to be examined and before the step of accepting the answer to the clinical department inquiry, a step of associating the information of the clinical department with the first identification information
The electronic medical record input method according to item 2, further comprising a step of acquiring the information of the clinical department to be examined to which the first identification information is associated with the mobile information terminal.
（項目８）
　前記診療科問診に対する回答を受け付けるステップの後、前記電子カルテ入力情報を生成するステップの前に、前記携帯情報端末により、前記診療科問診に対する回答と前記第１識別情報とを対応付けるステップをさらに備える、項目２に記載の電子カルテ入力方法。 (Item 8)
After the step of accepting the answer to the clinical department inquiry and before the step of generating the electronic medical record input information, the mobile information terminal further includes a step of associating the answer to the clinical department inquiry with the first identification information. , The electronic medical record input method according to item 2.
（項目９）
　前記受診診療科を決定するステップの後、前記診療科問診に対する回答を受け付けるステップの前に、前記携帯情報端末により患者に前記診療科問診への回答を促す報知を行うステップをさらに備える、項目１に記載の電子カルテ入力方法。 (Item 9)
Item 1 further includes a step of notifying the patient to answer the clinical department inquiry by the mobile information terminal after the step of determining the clinical department to be examined and before the step of receiving the answer to the clinical department inquiry. The electronic medical record input method described in.
（項目１０）
　前記診療科問診に対する回答を受け付けるステップの後、前記携帯情報端末とは別個に設けられた医療機関側端末の表示部、および、前記電子カルテを表示する表示装置の少なくとも一方により、前記診療科問診に対する回答を示す表示を行うステップをさらに備える、項目１に記載の電子カルテ入力方法。 (Item 10)
After the step of receiving the answer to the clinical department inquiry, the clinical department inquiry is performed by at least one of the display unit of the medical institution side terminal provided separately from the mobile information terminal and the display device for displaying the electronic medical record. The electronic medical record input method according to item 1, further comprising a step of displaying an answer to the answer to.
（項目１１）
　前記電子カルテ入力情報を生成するステップは、前記診療科問診に対する回答のデータの形式を、前記携帯情報端末における形式から、前記電子カルテにおける表示に対応した形式に変換することにより前記電子カルテ入力情報を生成するステップである、項目１に記載の電子カルテ入力方法。 (Item 11)
The step of generating the electronic medical record input information is to convert the format of the data of the response to the medical department inquiry from the format in the mobile information terminal to the format corresponding to the display in the electronic medical record. The electronic medical record input method according to item 1, which is a step of generating the above.
（項目１２）
　基本問診に対する回答、および、診療科問診に対する回答を受け付ける携帯情報端末と、
　前記携帯情報端末とは別個に設けられ、前記基本問診に対する回答を取得するとともに取得した前記基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定する医療機関側端末と、を備え、
　前記診療科問診に対する回答が取得され、取得された前記診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報が生成されるとともに、前記電子カルテ入力情報が電子カルテサーバに記憶される、電子カルテ入力システム。 (Item 12)
A mobile information terminal that accepts answers to basic interviews and answers to clinical department interviews,
A clinical department that is provided separately from the mobile information terminal, obtains an answer to the basic medical inquiry, and based on the obtained answer to the basic medical inquiry, is a clinical department that the patient receives from a plurality of clinical departments. Equipped with a terminal on the medical institution side to decide
Answers to the clinical department inquiry are acquired, and based on the acquired answers to the clinical department inquiry, electronic medical record input information in a format corresponding to the electronic medical record is generated, and the electronic medical record input information is sent to the electronic medical record server. An electronic medical record input system that is stored.
（項目１３）
　前記携帯情報端末は、前記基本問診に対する回答に第１識別情報を付与するように構成されており、
　前記医療機関側端末は、前記第１識別情報と、前記受診診療科の決定を行う医療機関により付与された識別情報である第２識別情報とを対応付けるように構成されている、項目１２に記載の電子カルテ入力システム。 (Item 13)
The mobile information terminal is configured to add first identification information to the answer to the basic interview.
Item 12. The medical institution side terminal is configured to associate the first identification information with the second identification information which is the identification information given by the medical institution that determines the clinical department to be examined. Electronic medical record input system.
（項目１４）
　基本問診に対する回答を、携帯情報端末により受け付ける制御と、
　前記基本問診に対する回答を取得する制御と、
　取得した前記基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定する制御と、
　前記受診診療科に対応する問診である診療科問診に対する回答を、前記携帯情報端末により受け付ける制御と、
　前記診療科問診に対する回答を取得する制御と、
　取得した前記診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報を生成する制御と、
　前記電子カルテ入力情報を、電子カルテサーバに記憶する制御と、をコンピュータに実行させる、電子カルテ入力プログラム。 (Item 14)
Control to receive answers to basic interviews with a mobile information terminal,
Control to obtain answers to the basic interview and
Control to determine the clinical department to be examined by the patient from among a plurality of clinical departments based on the obtained answers to the basic interview.
Control to receive the answer to the clinical department inquiry, which is the inquiry corresponding to the clinical department, by the mobile information terminal.
Control to obtain answers to the clinical department interviews,
Control to generate electronic medical record input information in a format corresponding to the electronic medical record based on the acquired response to the clinical department inquiry,
An electronic medical record input program that causes a computer to execute a control for storing the electronic medical record input information in an electronic medical record server.
１０　電子カルテ装置（電子カルテを表示する表示装置）
１２　電子カルテサーバ
１２ａ　電子カルテプログラム（電子カルテ入力プログラム）
２０　問診端末（携帯情報端末）
２４ａ　問診回答用アプリケーションプログラム（電子カルテ入力プログラム）
３０　病院端末（医療機関側端末）
３２　表示部
３４ａ　病院端末用アプリケーションプログラム（電子カルテ入力プログラム）
１００　電子カルテ入力システム 10 Electronic medical record device (display device that displays electronic medical records)
12 Electronic medical record server 12a Electronic medical record program (electronic medical record input program)
20 Questionnaire terminal (mobile information terminal)
24a Question and answer application program (electronic medical record input program)
30 Hospital terminal (medical institution side terminal)
32 Display 34a Application program for hospital terminals (electronic medical record input program)
100 Electronic medical record input system

Claims (14)

  1. 　基本問診に対する回答を、携帯情報端末により受け付けるステップと、
    　前記基本問診に対する回答を取得するステップと、
    　取得した前記基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定するステップと、
    　前記受診診療科に対応する問診である診療科問診に対する回答を、前記携帯情報端末により受け付けるステップと、
    　前記診療科問診に対する回答を取得するステップと、
    　取得した前記診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報を生成するステップと、
    　前記電子カルテ入力情報を、電子カルテサーバに記憶するステップと、を備える、電子カルテ入力方法。     Steps to accept answers to basic interviews via a mobile information terminal,
    Steps to obtain answers to the basic interview and
    Based on the obtained answers to the basic interview, the step of determining the clinical department to be examined by the patient from among a plurality of clinical departments, and
    The step of accepting the answer to the clinical department inquiry, which is the inquiry corresponding to the clinical department, by the mobile information terminal, and
    Steps to obtain answers to the clinical department interviews and
    Based on the acquired answers to the clinical department interviews, a step to generate electronic medical record input information in a format corresponding to the electronic medical record, and
    An electronic medical record input method comprising a step of storing the electronic medical record input information in an electronic medical record server.
  2. 　前記基本問診に対する回答を受け付けるステップの後、前記基本問診に対する回答を取得するステップの前に、前記基本問診に対する回答に第１識別情報を付与するステップと、
    　前記第１識別情報と、前記受診診療科の決定を行う医療機関により付与された識別情報である第２識別情報とを対応付けるステップとをさらに備える、請求項１に記載の電子カルテ入力方法。     After the step of accepting the answer to the basic inquiry and before the step of obtaining the answer to the basic inquiry, a step of giving the first identification information to the answer to the basic inquiry and a step of adding the first identification information.
    The electronic medical record input method according to claim 1, further comprising a step of associating the first identification information with the second identification information which is the identification information given by the medical institution that determines the clinical department to be examined.
  3. 　前記基本問診に対する回答を取得するステップは、前記携帯情報端末とは別個に設けられた医療機関側端末により、前記基本問診に対する回答を取得するステップであり、
    　前記第１識別情報と前記第２識別情報とを対応付けるステップは、前記医療機関側端末により、前記第１識別情報と前記第２識別情報とを対応付けるステップである、請求項２に記載の電子カルテ入力方法。     The step of acquiring the answer to the basic inquiry is a step of acquiring the answer to the basic inquiry by the medical institution side terminal provided separately from the mobile information terminal.
    The electronic medical record according to claim 2, wherein the step of associating the first identification information with the second identification information is a step of associating the first identification information with the second identification information by the medical institution side terminal. input method.
  4. 　前記受診診療科を決定するステップは、前記医療機関側端末により、前記受診診療科を決定するステップであり、
    　前記電子カルテ入力情報を生成するステップは、前記医療機関側端末により、前記電子カルテ入力情報を生成するステップである、請求項３に記載の電子カルテ入力方法。     The step of determining the clinical department to be examined is a step of determining the clinical department to be examined by the terminal on the medical institution side.
    The electronic medical record input method according to claim 3, wherein the step of generating the electronic medical record input information is a step of generating the electronic medical record input information by the medical institution side terminal.
  5. 　前記基本問診に対する回答を取得するステップは、前記第１識別情報に基づいて、前記基本問診に対する回答を前記医療機関側端末により取得するステップである、請求項３に記載の電子カルテ入力方法。 The electronic medical record input method according to claim 3, wherein the step of acquiring the answer to the basic medical inquiry is a step of acquiring the answer to the basic medical inquiry by the medical institution side terminal based on the first identification information.
  6. 　前記電子カルテ入力情報を生成するステップは、前記診療科問診に対する回答に基づいて、前記第２識別情報に対応する前記患者に関する前記電子カルテに対応した形式の前記電子カルテ入力情報を生成するステップである、請求項２に記載の電子カルテ入力方法。 The step of generating the electronic medical record input information is a step of generating the electronic medical record input information in a format corresponding to the electronic medical record regarding the patient corresponding to the second identification information based on the answer to the clinical department inquiry. The electronic medical record input method according to claim 2.
  7. 　前記受診診療科を決定するステップの後、前記診療科問診に対する回答を受け付けるステップの前に、前記受診診療科の情報と前記第１識別情報とを対応付けるステップと、
    　前記第１識別情報が対応付けられた前記受診診療科の情報を、前記携帯情報端末により取得するステップと、をさらに備える、請求項２に記載の電子カルテ入力方法。     After the step of determining the clinical department to be examined and before the step of accepting the answer to the clinical department inquiry, a step of associating the information of the clinical department with the first identification information
    The electronic medical record input method according to claim 2, further comprising a step of acquiring the information of the clinical department to be examined to which the first identification information is associated with the mobile information terminal.
  8. 　前記診療科問診に対する回答を受け付けるステップの後、前記電子カルテ入力情報を生成するステップの前に、前記携帯情報端末により、前記診療科問診に対する回答と前記第１識別情報とを対応付けるステップをさらに備える、請求項２に記載の電子カルテ入力方法。 After the step of accepting the answer to the clinical department inquiry and before the step of generating the electronic medical record input information, the mobile information terminal further includes a step of associating the answer to the clinical department inquiry with the first identification information. , The electronic medical record input method according to claim 2.
  9. 　前記受診診療科を決定するステップの後、前記診療科問診に対する回答を受け付けるステップの前に、前記携帯情報端末により患者に前記診療科問診への回答を促す報知を行うステップをさらに備える、請求項１に記載の電子カルテ入力方法。 The claim further comprises, after the step of determining the clinical department to be examined, and before the step of accepting the answer to the clinical department inquiry, the step of notifying the patient to answer the clinical department inquiry by the portable information terminal. The electronic medical record input method according to 1.
  10. 　前記診療科問診に対する回答を受け付けるステップの後、前記携帯情報端末とは別個に設けられた医療機関側端末の表示部、および、前記電子カルテを表示する表示装置の少なくとも一方により、前記診療科問診に対する回答を示す表示を行うステップをさらに備える、請求項１に記載の電子カルテ入力方法。 After the step of receiving the answer to the clinical department inquiry, the clinical department inquiry is performed by at least one of the display unit of the medical institution side terminal provided separately from the mobile information terminal and the display device for displaying the electronic medical record. The electronic medical record input method according to claim 1, further comprising a step of displaying an answer to the above.
  11. 　前記電子カルテ入力情報を生成するステップは、前記診療科問診に対する回答のデータの形式を、前記携帯情報端末における形式から、前記電子カルテにおける表示に対応した形式に変換することにより前記電子カルテ入力情報を生成するステップである、請求項１に記載の電子カルテ入力方法。 The step of generating the electronic medical record input information is to convert the format of the data of the response to the medical department inquiry from the format in the mobile information terminal to the format corresponding to the display in the electronic medical record. The electronic medical record input method according to claim 1, which is a step of generating the above.
  12. 　基本問診に対する回答、および、診療科問診に対する回答を受け付ける携帯情報端末と、
    　前記携帯情報端末とは別個に設けられ、前記基本問診に対する回答を取得するとともに取得した前記基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定する医療機関側端末と、を備え、
    　前記診療科問診に対する回答が取得され、取得された前記診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報が生成されるとともに、前記電子カルテ入力情報が電子カルテサーバに記憶される、電子カルテ入力システム。     A mobile information terminal that accepts answers to basic interviews and answers to clinical department interviews,
    A clinical department that is provided separately from the mobile information terminal, obtains an answer to the basic medical inquiry, and based on the obtained answer to the basic medical inquiry, is a clinical department that the patient receives from a plurality of clinical departments. Equipped with a terminal on the medical institution side to decide
    Answers to the clinical department inquiry are acquired, and based on the acquired answers to the clinical department inquiry, electronic medical record input information in a format corresponding to the electronic medical record is generated, and the electronic medical record input information is sent to the electronic medical record server. An electronic medical record input system that is stored.
  13. 　前記携帯情報端末は、前記基本問診に対する回答に第１識別情報を付与するように構成されており、
    　前記医療機関側端末は、前記第１識別情報と、前記受診診療科の決定を行う医療機関により付与された識別情報である第２識別情報とを対応付けるように構成されている、請求項１２に記載の電子カルテ入力システム。     The mobile information terminal is configured to add first identification information to the answer to the basic interview.
    12. The medical institution-side terminal is configured to associate the first identification information with the second identification information, which is the identification information given by the medical institution that determines the clinical department to be examined. Described electronic medical record input system.
  14. 　基本問診に対する回答を、携帯情報端末により受け付ける制御と、
    　前記基本問診に対する回答を取得する制御と、
    　取得した前記基本問診に対する回答に基づいて、複数の診療科のうちから患者が受診する診療科である受診診療科を決定する制御と、
    　前記受診診療科に対応する問診である診療科問診に対する回答を、前記携帯情報端末により受け付ける制御と、
    　前記診療科問診に対する回答を取得する制御と、
    　取得した前記診療科問診に対する回答に基づいて、電子カルテに対応した形式の電子カルテ入力情報を生成する制御と、
    　前記電子カルテ入力情報を、電子カルテサーバに記憶する制御と、をコンピュータに実行させる、電子カルテ入力プログラム。     Control to receive answers to basic interviews with a mobile information terminal,
    Control to obtain answers to the basic interview and
    Control to determine the clinical department to be examined by the patient from among a plurality of clinical departments based on the obtained answers to the basic interview.
    Control to receive the answer to the clinical department inquiry, which is the inquiry corresponding to the clinical department, by the mobile information terminal.
    Control to obtain answers to the clinical department interviews,
    Control to generate electronic medical record input information in a format corresponding to the electronic medical record based on the acquired response to the clinical department inquiry,
    An electronic medical record input program that causes a computer to execute a control for storing the electronic medical record input information in an electronic medical record server.
PCT/JP2020/018670 2019-08-27 2020-05-08 Electronic chart input method, electronic chart input system, and electronic chart input program WO2021038968A1 (en)

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WO2024079957A1 (en) * 2022-10-14 2024-04-18 株式会社島津製作所 Diagnosis support method, diagnosis support program, and diagnosis support system

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JP2007128290A (en) * 2005-11-04 2007-05-24 Kuniyasu Kitahara Medical examination method in medical institution
JP2017068479A (en) * 2015-09-29 2017-04-06 日本電気株式会社 Individual medical information processing system

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Publication number Priority date Publication date Assignee Title
JP2007128290A (en) * 2005-11-04 2007-05-24 Kuniyasu Kitahara Medical examination method in medical institution
JP2017068479A (en) * 2015-09-29 2017-04-06 日本電気株式会社 Individual medical information processing system

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024079957A1 (en) * 2022-10-14 2024-04-18 株式会社島津製作所 Diagnosis support method, diagnosis support program, and diagnosis support system

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