KR20060045399A - Electronic chart device - Google Patents

Abstract

The present invention provides an electronic chart apparatus that freely associates various types of data with a desired portion on the electronic chart.

According to the present invention, an electronic chart is displayed on the display device 2, the input data is reflected on the displayed electronic chart in accordance with an input operation by the input device 1, and the electronic chart on which the input data is reflected is stored in the storage device ( The control device 4 stored in 3) is provided. The input device 1 includes a binder button provided in an electronic chart displayed on the display device 2 and a binder screen displayed by operating the binder button. The control device 4 specifies the electronic chart of one patient and the blowing data in accordance with the input from the binder screen, and stores the blowing data in the storage device 3 in association with the desired data of the electronic chart of the patient. .

Medical examination, record, card, binder button, binder screen, patient, blown data, consultation, medical

Description

Electronic chart device {ELECTRONIC CHART DEVICE}

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

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

FIG. 2 (b) is a diagram showing an electronic chart of a patient who is going to start medical examination from now on displayed on the display device of FIG. 1.

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

4 is a keyboard input screen displayed by operating one “main appeal” in the input box of FIG. 3.

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

FIG. 6 is a diagram illustrating an input field displayed by operating two "confirmations" in the input box of FIG.

FIG. 7 is a diagram illustrating an input field displayed by operating one “heat generation” in FIG. 6.

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

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

Fig. 8 (c) is a screen for "testing day selection" displayed when the image diagnosis is two or more.

Fig. 8 (d) is a diagram showing a state in which a display item is changed by operating the “remarks” key in the input box of Fig. 8 (a).

FIG. 8 (e) is a diagram showing a state in which a display item is changed by operating the " individual finding " key in the input box of FIG. 8 (d).

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

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

Fig. 10 is a view showing a state in which a display item is changed by operating the "A" key in the ten key area.

FIG. 11 is a "monitor name" screen displayed by operating the "A" key in the ten key area.

FIG. 12 is a view showing a state in which display contents are switched by operating one “disease name” in the input box of FIG. 10.

FIG. 13A is a diagram showing a state in which display contents are switched by operating 1 "Frequency search" in the input box of FIG.

FIG. 13B is a diagram showing a keyword input search screen popped up by manipulating a keyword in the input box shown in FIG. 13A.

FIG. 14A illustrates a state in which display contents are switched by operating any one of the tenkeys in the input box of FIG. 13.

FIG. 14 (b) is a final decision screen showing the display contents of the Tenkey changed by the completion of the input of the bottle name from the input field shown in FIG. 14 (a).

FIG. 14C is a diagram showing a state in which the display content of the tenkey is converted into a character string corresponding to the large classification of ICD10 by operating 2 "classification search" in the input field shown in FIG.

Fig. 14 (d) shows a state in which the display content of the tenkey is switched to a code number corresponding to the major classification of ICD10 by operating F1 in the input box shown in Fig. 14 (c).

Fig. 14 (e) shows a state in which the display content of Tenkey is converted into a character string corresponding to the middle classification of ICD10 by operating 9 "circulation machines" in the input box shown in Fig. 14 (c).

Fig. 14 (f) shows a state in which the display content of the tenkey is switched to the code number corresponding to the middle classification of ICD10 by operating F1 in the input box shown in Fig. 14 (e).

Fig. 14G is a view showing a state in which the content of Tenkey is converted into a character string corresponding to the subclass of ICD10 by operating 2 "chronic rheumatism heart disease" in the input box shown in Fig. 14E.

FIG. 14 (h) shows a state in which the display content of the tenkey is switched to the code number corresponding to the subclass of ICD10 by operating F1 in the input field shown in FIG. 14 (g).

FIG. 14 (i) is a diagram showing a state in which the display content of Tenkey is converted into a character string corresponding to the disease name of ICD10 by operating 1 "rheumatic valve disease" in the input box shown in FIG. 14 (g).

Fig. 14 (j) is a diagram showing a state in which the display content of the tenkey is switched to the code number corresponding to the disease name of ICD10 by operating F1 in the input box shown in Fig. 14 (i).

FIG. 14 (k) is a diagram showing a state in which 4 "acute diseases" are automatically input to the electronic chart by selecting on the screen shown in FIG.

Fig. 14 (l) is a diagram showing a warning dialog displayed when the estimated end date has elapsed for the bottle name on which the scheduled end date has been input on the screen shown in Fig. 14 (k).

FIG. 14 (m) is a diagram showing the contents displayed on the electronic chart by selecting 3 "bottle names" on the screen shown in FIG. 14 (a).

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

FIG. 16 is a diagram illustrating a state in which display contents are switched by selecting 1 "50 sounds" in the input box of FIG. 15.

FIG. 17 is a diagram illustrating a state in which display contents are switched by selecting 1 "prefix" in the input box of FIG. 16.

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

FIG. 19 is a diagram illustrating a state in which display contents are switched by selecting 1 "ah" in the input box of FIG. 18.

FIG. 20 is a view showing a state of switching by selecting the "switch back" key of FIG.

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

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

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

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

FIG. 25 is a view showing a state in which the contents of the input box of FIG. 24 are switched from the contents of the taking time.

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

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

27B is a screen for registering an appointment prescription.

Fig. 27C is a screen for inputting an appointment prescription.

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

29 is a calendar screen displayed when the date of electronic chart is input.

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

It is a schematic diagram which shows the examination state in the state which displayed the electronic chart on the display apparatus.

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

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

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

35 is a screen for registering an image diagnosis set.

36 is a screen for inputting an image diagnosis set.

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

FIG. 38 is a view showing a state in which a display item is changed by operating a "site" key in the screen of FIG.

FIG. 39 is a view showing a state in which a display item is changed by operating a "direction" key in the screen of FIG.

40 is a diagram illustrating a state in which display items are changed by operating a "film" key in the screen of FIG. 37.

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

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

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

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

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

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

Fig. 47 is a flowchart showing treatment in the case of selecting a medicine to be administered to a patient in the treatment.

48 is a flowchart illustrating inspection result display processing.

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

50 is a flowchart showing graph display processing.

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

52 is a flowchart showing prescription check processing.

FIG. 53A is a screen showing display contents when it is determined that there is a problem with interaction and indications.

Fig. 53 (b) is a diagram showing a drug information screen.

FIG. 54 is a test set list screen displayed by pop-up by operating 8 "test" keys on the screen shown in FIG.

FIG. 55 is a test item display screen switched by operating a numeric key in a state where the test set list screen shown in FIG. 54 is displayed.

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

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

58 is a diagram illustrating a binder screen displayed in a window separate from the electronic chart.

FIG. 59A shows a patient search screen displayed by operating a "patient search" key in the binder screen shown in FIG. 58; FIG.

FIG. 59B is a diagram showing a data acquisition screen displayed by operating the "addition" key in the binder screen shown in FIG.

FIG. 59C is a diagram showing an image screen displayed by operating the "reference" key in the binder screen shown in FIG.

FIG. 59D is a transfer destination selection screen displayed by operating the "chart transfer" key in the binder screen shown in FIG.

60 is a diagram illustrating a state in which hypertext for opening image data is attached to an electronic chart.

Fig. 61 is a diagram showing a ten-key area in a state where a print instruction and a print dialog are displayed.

FIG. 62 is a diagram showing a printing screen displayed by operating the "printing range" displayed by selecting the medical document of the numeric keys on the screen of FIG.

FIG. 63 is a diagram showing a medical document selection screen displayed by operating the "print" key on the screen of FIG.

FIG. 64 illustrates a wizard screen displayed by selecting a medical document from the screen of FIG. 63.

FIG. 65 is a diagram showing a chart information screen displayed by operating the "chart" button on the screen of FIG.

* Explanation of symbols in the drawings

1: input device

2: display device

3: memory

4: control device

5: History

6: With patient

7: field

8: Input check box

9: Confirmation column for input (confirmation display)

10: Tenkey area

11: menu area

The present invention relates to an electronic chart apparatus, and more particularly, to an electronic chart apparatus having a function of associating desired data with an electronic chart.

Conventionally, the patient's symptoms and the like are written by hand with a pen on the input display surface of the doctor's PC, and the characters written in the handwritten characters are recognized, and the keyword recognized is stored together with the image document described on the input display surface. A device has been proposed (see, for example, Japanese Patent Laid-Open No. 2003-132080).

Moreover, a device has been proposed in which a diagnostic finding is recorded in association with a medical image and information designating a specific position on the medical imaging in a specific portion such as a keyword included in the diagnostic finding (for example, Japanese Patent Laid-Open No. 2003). See -296451.

However, in the electronic device, in the state where an image document is displayed on the screen, a character handwritten by a pen is recognized as a character and stored together with the image document. In other words, it is not possible for a doctor of an electronic chart to freely associate data with a desired part. In addition, the kind of related data also relates to documents such as text data.

On the other hand, in the latter apparatus, it is necessary to carry out on the associated diagnostic findings, the setting method is limited, and there is little freedom. Moreover, it is set as the hypertext sentence in which image designation information and positioning information were embedded in the diagnosis finding, and only image data is related.

Accordingly, an object of the present invention is to provide an electronic chart apparatus having a function capable of freely associating various types of data with a desired portion on the electronic chart.

Accordingly, an object of the present invention is to provide an electronic chart apparatus having a function capable of freely associating various types of data with a desired portion on the electronic chart.

The present invention is a means for solving the above problems, the electronic chart display the electronic chart on the display means, the input data is reflected in the displayed electronic chart in accordance with the input operation by the input means, and the electronic chart in which the input data is reflected In the electronic chart device having a control means to store in the memory,

The input means includes a binder button provided in an electronic chart displayed on the display means, and a binder screen displayed by operating the binder button,

According to the input from the binder screen, the control means specifies the electronic chart of one patient and the blowing data, and stores the blowing data in the storage means by relating the blowing data to a desired portion of the electronic chart relating to the patient.

By this structure, the electronic chart of the desired patient can be specified easily by operating a binder button and displaying a binder screen in the state which started an electronic chart. Then, on the same binder screen, the blowing data relating to the electronic chart of the selected patient can be specified and related to the desired portion of the electronic chart. Therefore, even when the electronic chart of any patient is displayed, the blowing data can be related to the electronic chart of another patient while the electronic chart is displayed.

The electronic chart is composed of a plurality of divisions relating to medical practice, and the association of the blowing data is to specify any one of the divisions on the division selection screen after specifying the patient data according to the input processing from the binder screen. It is desirable to make it possible to specify the part relating the blown data by selecting.

This configuration facilitates the specification of the associated portion, and enables simple processing without opening the corresponding electronic chart.

The control means displays on the binder screen of the display means a list of data relating to the patient and a list of blown data related to the data, allows reference to the blown data displayed on the list, and transfers to an electronic chart. It is desirable to.

This configuration is preferable in that it is possible to perform transfer to the electronic chart while confirming all of the related data after associating the blown data, thereby greatly improving workability.

In this case, reference and transfer of incoming data may be performed by operating the button displayed in the binder screen. If the incoming data cannot be transmitted, by invalidating the transfer button, for example, it becomes possible to prevent the problem of transmitting data specific to one patient to another patient.

The plurality of divisions relating to the medical care correspond to at least one of a medical examination input, a finding input, an assessment input, and a treatment plan input.

Moreover, as said blowing data, there is no restriction | limiting in the data format, such as X-ray photographs, various image data, such as a patient's insurance card, various document data, such as text data, for example. These data can be displayed by starting external software separate from the electronic chart. The association with an electronic chart is performed by describing markup languages such as Standard Generalized Markup Language (SGML), Hypertext Markup Language (HTML), and XML (eXtensible Markup Language) in a desired portion of the electronic chart.

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

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

The input device 1 is composed of a keyboard, a mouse, a keypad, a touch panel, and the like. However, all input operations can be performed using only the input field 7 mentioned later, and a keyboard, a mouse, a touch panel, etc. may be selected and used by a user arbitrarily. A keyboard, a mouse, and the like are not particularly necessary, and operations can be concentrated on a keypad displayed on a touch panel.

The display apparatus 2 consists of a liquid crystal monitor etc., and part or all is comprised by the touchscreen. On the display device 2, as the initial screen, the keypad screen [tenkey area 10] shown in FIG. 2A as the input field 7 is displayed in the lower right column, and the "medical list" screen (FIG. 28) is automatically displayed. Is displayed. Since the input field 7 is displayed at the lower right, the doctor can simply input with one hand while facing the patient, and both the patient and the doctor can easily see the other fields. However, the display position of the input field 7 can be set to an arbitrary position, such as displaying on the lower left side of the screen, assuming that the doctor is advantageous in the left side. As shown in Fig. 2 (a), the input field 7 has numeric keys 0 to 9, dot key ".", "UNDO" key, cancel key "C", scroll key "UP", and "DOWN". , "ENTER" key, function keys F1 to F4, "S" key, "O" key, "A" key and "P" key. In the initial screen, only 1 "←" key, 2 "chart display" key, 3 "→", UP key and DOWN key of the numeric keys can be operated. In the following description, the key refers to an operable area displayed in the ten key area 10, and the button refers to an operable area in other dialogs.

In the input field 7, when the 2 "chart display" keys are operated, the electronic chart of the patient is displayed so as to start the examination from now on. That is, on the display screen, as shown in FIG. 2 (b), the history column 5, the patient column 6, and the input confirmation column 9 are displayed in regions other than the input field 7, respectively. In addition, an input check box 8 is displayed by the input in the input field. The history column 5, the patient column 6 are displayed on the left side of the screen, the input check box 8, the input confirmation field 9 on the right side of the screen, and above the input field 7, respectively. At this time, when the 5 "doctor" keys are operated, the displayed electronic chart is changed into the state which can be input.

In the history column 5, the examination contents, the test result, the prescription medicine, etc. in the previous examination are displayed. In FIG.2 (b), the picked-up image of a chest X-ray, the examination content, a test result, a prescription content, etc. are displayed. The doctor can proceed to the examination while referring to the history column (5). Cursor keys (" " and " " ") are displayed at the bottom of the history column 5, and the display can be changed by turning the history column to the left and right. In this case, it is preferable to make display which actually turns pages. Thus, by providing the page turning function, it becomes possible to make it easier to see remarkably compared with using the conventional scroll bar.

In the patient column 6, information about the patient, that is, the name, date of birth, age, sex, address, medical history, etc. of the patient is displayed.

The input box 7 is composed of a ten key area 10 and a menu area 11. In the menu area 11, corresponding contents are displayed in accordance with the operation in the ten key area 10.

In the ten-key area 10, when the "S" key is operated, the consultation contents to be heard from the patient at the time of consultation are divided into a plurality of items and sequentially displayed. The items to be displayed are the contents stored in the respective masters described later in order in order for each related group in a predetermined order.

Specifically, the display item of the input box 7 is shown in FIG. Here, 1 "main appeal" key, 2 "paper question" key, "UNDO" key of key, cancellation key "C", function key (F1: question mark), "S" key, "O" key, "A" Only the key and the "P" key can be operated.

Here, when 1 "main appeal" is operated by the numeric keys of the input field 7 shown in FIG. 3, the keyboard input screen shown in FIG. 4 is displayed in a separate window, and the symptoms etc. (main appeal) which a patient appeals are displayed. You can type directly on the keyboard. If the contents of the questionnaire already filled out by the patient before the examination have been received and entered, the contents of the questionnaire can be called and copied by operating the "question mark" key. Moreover, the data input by the keyboard is registered by operating a "registration" key, and the registered content can be called by operating a "call" key.

When "2" questionnaire is operated with the numeric keys of the input box 7 shown in FIG. 3, the "contact" screen shown in FIG. 5 is displayed by a separate window. In addition, in the input field 7, an item relating to symptoms is displayed on each numeric key. And the key which cannot be operated is displayed in light color (it shows in mesh shape in drawing). Here, for example, when one "fever" is operated, as shown in Fig. 7, the display content on each numeric key changes to the content indicating when the selected symptom is from. In addition, the "SKIP" key is displayed, and the item judged not necessary can omit input. At this time, the "Paper" screen displays the items required for selecting "Fever", that is, "from when", "to some extent", "with or without chills", and the items currently being input. Is highlighted. Therefore, what can be input is known at a glance, and it becomes possible to immediately judge unnecessary items.

In this way, each time the input of the symptom appealed to the patient is finished, the "ENTER" key is operated and displayed in the input confirmation column 9. If the input is missed, it can be returned to the state before the input by operating the "UNDO" key. For example, in the case of inputting the main appeal by operating the "S" key, by operating the "UNDO" key, it is possible to sequentially return to any input step. Moreover, even when the input of the main address is completed, the "ENTER" key is operated, and the "O" key is operated, the operation of the "UNDO" key can be returned to the main address input state. However, if the input is started after the operation of the "O" key, even if the "UNDO" key is operated, return to the input can be performed only, and it will not return to the main appeal input.

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

As a result, when there is an image diagnosis with no input, the "image" key is displayed in the state which can be operated as a valid key. As a result, if there is only one image diagnosis without input, the " image diagnosis result input " screen shown in Fig. 8B is displayed in a separate window. In addition, if there are two or more image diagnosis inputs as a result, the "test execution day selection" screen shown in FIG. 8 (c) is displayed, and if either is selected, the "image diagnosis result shown in FIG. 8 (b) similarly. Input ”screen is displayed in a separate window. In the "Image diagnosis result input" screen, when the "Image taking" button is operated, the "Image taking" screen is displayed and an image file is read (however, it is also possible to read an image using a film scanner). ). And when the "image taking" screen is closed, the image read on the "image diagnosis result input" screen will be displayed. The doctor can see the displayed image and input a finding. The keyboard can be used for input.

In the input box 7 shown in Fig. 8A, when the display item is switched as shown in Fig. 8D by operating the 1 " remark " key, and the " free word " key is operated, the " shown in Fig. 4 " Keyboard Input "screen is displayed in a separate window, and character input by the keyboard becomes possible. In this case, if the same findings as the past (the patient's distinction is not asked) are input, the call can be made by operating the "call" key in the learning field. Moreover, the data input by the keyboard can also be registered by operating the "registration" key.

When the "systemic findings" key displayed on the input field 7 shown in FIG. 8 (d) is operated, the "vitamin sign" screen shown in FIG. 9 (a) is displayed, and each item for inputting opinions regarding the whole body can be entered. Can be. A check box is formed in each input item, and the input is completed simply by checking a corresponding part with a pen or a mouse.

In addition, when the "individual finding" key displayed in the input field 7 shown in FIG. 8 (d) is operated, as shown in FIG. 8 (e), the displayed item is changed to the content showing each part of the body. In this screen, for example, when the "neck" key is operated, the "neck" screen is displayed as shown in Fig. 9B, so that the check boxes of the displayed items may be checked.

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

In the ten key area 10, when the "A" key is operated, the display of the numeric keys is changed as shown in FIG. In addition, the "monitor name" screen shown in FIG. 11 is displayed in a separate window. In the input field 7, when one "path name" key is operated, the numeric keys are switched as shown in Fig. 12, and the path name can be searched by five different methods. That is, 1 "frequency frequent search", 2 "classification search", 3 "keyword", 4 "acute disease", 5 "chronic disease" are displayed on a numeric key, and it is possible to select a disease name by selecting either one. It is supposed to be done.

In detail, as will be described later, when the 1 " Frequency Search " key is operated, as shown in Fig. 13 (a), the numeric keys are switched to the frequent disease name, and when the corresponding disease name is selected, FIG. ), The name of the disease selected is displayed on the "Manage disease name" screen. By operating the "Category search" key, the disease name can be clamped in the order of major classification, medium classification, and small classification determined in ICD10. Even when displayed in any of the hierarchies, it is possible to switch to either the code number of the ICD10 or the corresponding Japanese display (string) by operating the ICD10 (path name) displayed in F1. 3 When the "keyword" key is operated, the keyword input search screen shown in Fig. 13B is popped up, so that it is possible to specify a bottle name by inputting a keyword or the like from this screen. When the 4 "acute disease" key is operated, the path name classified as an acute disease is displayed on each numeric key. When the 5 "chronic disease" key is operated, the path name classified as a chronic disease is displayed on each number key.

In this way, when the disease name is selected and the input to the "monitor name" screen is completed, the input field 7 is changed as shown in Fig. 14A, and the "Recurrence" key or the 2 "suspect" ( Iii) ”key can be selected. For example, in the "Relapse" column of the "Clinic Name Management" screen, the initial value is blank, and the character of relapse is displayed by operating one "Relapse" key, and the operation is returned to the blank by operating once more.

In the input field 7 shown in Fig. 14A, when the "formula" key is operated, the displayed items are changed as shown in Fig. 15, and the 1 " 50 sounds " key or 2 " keyword " keys are displayed. Can be used to search for modifiers. If one of the "50 sound" keys or the "keyword" key is selected, the "50 sound" key is selected, and the input field 7 is changed as shown in Fig. 16, and the insertion position (1 "prefix" or 2) of the modifier to be input is shown. "Suffix") can be selected. In this case, when the insertion position of the modifier is selected, the display of the input field 7 is changed as shown in FIG. Therefore, by selecting 1 "A-row" in FIG. 17 and 1 "A" in FIG. 18, the modifiers are displayed as shown in FIG. 19, so a corresponding one may be selected. The modifier is inserted at any one selected place before and after the disease name already entered. In the case of incorrect input of a modifier, the selected modifier is displayed by operating the "delete" key shown in FIG. 15, and the modifier can be deleted by operating the key on which the modifier is displayed.

When the "decision" key shown in FIG. 14 (a) is operated after the input regarding the disease name, the examination date is automatically input at the start date of the disease name, and the display of the ten key area 10 is converted into the content shown in FIG. When it is necessary to input switching return, it is enough to operate 3 "reversion return" keys. Thereby, since the display of each key of the input box 7 is converted into the item related to switching return, as shown in FIG. 20, any item may be selected and input.

In this way, the doctor's consultation input can be completed by the input processing in the input field 7 almost all the time from the name of the doctor to the final conversion return.

In the ten-key area 10, when the "P" key is operated, the display item is changed as shown in Fig. 21, and each of the future treatment plans of medication, treatment plan, treatment, instruction (education to the patient, etc.) is displayed. You can enter an item.

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

By key operation, the medicine can be narrowed, and finally, the medicine name can be displayed as shown in Fig. 24, and the corresponding one can be selected. After drug selection, the dose is input by operation of the numeric keys and the "ENTER" key. At this time, since the dose for each medicine is displayed in advance in the input check box 8 shown in Fig. 2B, only the "ENTER" key is operated unless it is changed. Then, when the dose is input and the "ENTER usage" key shown in FIG. 22 is selected, the display content of the numeric keys is changed to the content regarding the taking time as shown in FIG. In an initial display, the symbol which is conventionally used for description of a chart by a doctor conventionally is displayed. In this screen, the display contents can be changed sequentially by operating the cursor keys. In addition, when the usage is selected, the display content is further changed to the number of days administered. By selecting the administration days, the usage input is completed, and the display contents of the numeric keys are changed to a final decision screen (not shown) which is not shown.

If there is no mistake in the input prescription, the contents are determined by operating the "ENTER" key in the final decision screen. If correction or deletion is necessary, the "modification" key and the "delete" key can be operated. By these key operations, the drug name input in advance is displayed on the numeric keys, so that the contents can be corrected and deleted by operating the corresponding drug name. And when adding a new medicine, just operate the "add" key.

In the case of using the same prescription data as already stored as the history, when the "DO" key shown in FIG. 22 is operated, as shown in FIG. 26, the corresponding data (DO list) can be called. When new data is input, this data is automatically registered as history data.

In addition, for example, when prescribing a medicine that can be determined in advance, such as a flu during a epidemic, the registered data can be registered and the registered data can be called by operating the "promise" key. That is, by operating the "appointment" key, the "appointment prescription set" screen shown in Fig. 27A is displayed. In this screen, a prescription prepared in advance can be called up by selecting an appointment prescription set (here, an appointment prescription regarding high blood pressure and cold is displayed). Preparation of a prescription set is performed from the "appointment prescription set registration" screen shown to FIG. 27 (b). In this screen, an "underwear" key, a "preparation" key, and the like are formed at the upper portion, and a list of the corresponding prescriptions is displayed at the lower portion by operating any one. When the "New" button, the "Modify" button, etc. are operated in the "Promise prescription set registration" screen mentioned above, as shown in FIG. 27 (c), the "Promise prescription set input" screen integrated with the input box 7 is displayed. Therefore, new input or correction of the appointment prescription is performed here.

In the input check box 8 shown in FIG. 2 (b), the examination contents, the prescription contents, etc. inputted in the input field 7 are displayed, and it is possible to confirm the input contents once.

In the input confirmation column 9 shown in FIG. 2 (b), the confirmed ones of the consultation contents and the prescription contents entered in this consultation and displayed in the input check box 8 are displayed, or a test result or the like is displayed.

When the initial screen shown in FIG. 2A is displayed, the "doctor list" screen shown in FIG. 28 is automatically displayed. "No", "reception time", "wait (waiting time)", "patient ID", "name", "age", "gender", "state", "check-up", "in a" diagnosis list "screen) The consultation list which consists of each column of "second / second", "payment" is displayed a list. "No" shows the numbers assigned in the order of receiving information from the receptionist. "Reception time" shows the time when the patient completed the reception. In addition, "wait (wait time)" shows the elapsed time from "reception time" to the present. The doctor can use this time as a reference and be careful not to wait too long. In "state", the present status of each patient, such as waiting for a consultation, is displayed. In the "Contact Questionnaire", a questionnaire of each patient is performed before the examination and whether or not input to the present system is completed is indicated by "0" (input completion) or "x" (not input). In "second / ash", it is displayed whether each patient is a first visit (first time), and whether the patient had been examined before (yet).

In addition, in "medical list" screen, in addition to each item of "date", "today", "waiting end total", "interruption", "calendar" button, "patient search" button, "chart display" button, "medical care" The "End" button, the "Log Off" button, the "Preferences" button, and the "Binder" button are displayed. By operating the "calendar" button, the calendar shown in FIG. 29 can be displayed in a separate window. By selecting a desired date on the calendar, a medical examination list of the selected day can be displayed. This calendar is available in all cases where date input is required. In addition, when displaying the electronic chart of the patient displayed on the "list list" screen, it is sufficient to select the row in which the corresponding patient name is displayed and operate the "chart display" key. In addition, by operating the "Patient Search" button, the "Diagnostic List" screen is closed, the "Patient Search" screen shown in FIG. 30 is displayed, and data for specifying the patient such as the patient's name and patient ID is inputted. If the "search" button is operated, the corresponding patient list can be displayed. In the case where the electronic chart of the patient displayed in the list of search results is displayed, similarly to the above, the row of the corresponding patient name is selected and the "chart display" button may be operated. And chart display can also be performed by operation in the tenkey area | region 10. FIG.

When the 1 " " key shown in Fig. 2A is operated, the contents of the displayed chart are switched to the one of the previous patient from the chart currently being displayed. In addition, when 3 "→" keys are operated, it is switched from the chart currently displayed to the one behind the patient. This makes it possible to move to the next patient's examination when the contents of the examination of the patient who has been examined are reviewed again, or when time is taken by X-ray imaging, drip injection, or the like.

In the input field 7 shown in FIG. 21, when one "treatment" key is operated, the "treat slip" screen shown in FIG. 32 is displayed, and the medical actions related to the treatment can be listed. In the list of medical activities, the treatment contents from the initial visit are displayed in time series. In this screen, the contents of treatment, medicines and materials used in the treatment can be selected.

Moreover, when 7 "operation" keys are operated in the input field 7 shown in FIG. 21, the "surgical slip" screen shown in FIG. 33 is displayed, the list of medical acts regarding surgery is displayed, Injection and material can be selected.

In the case of inspecting a plurality of predetermined items, the registered data can be called by registering the inspection item to be performed in advance and operating the "inspection" key. In the input field 7 shown in FIG. 21, when the 8 "inspection" key is operated, the "inspection set list" screen (not shown) similar to the "promise prescription set list" screen is displayed. By selecting the corresponding set name on the "Inspection set list" screen, the selected contents can be reflected in the electronic chart. The display contents on the "test set list" screen can be newly entered or corrected on the "test set registration" screen (not shown) similar to the "promise prescription set registration" screen.

In the input field 7 shown in FIG. 21, when the "image" key is operated, the "image diagnosis set list" screen shown in FIG. 34 is displayed. On the "Image diagnosis set list" screen, by selecting the corresponding set name, the selected contents are reflected in the electronic chart. The display contents on the "image diagnosis set list" screen can be newly input or modified on the "image diagnosis set registration" screen shown in FIG. The "image diagnosis set registration" screen consists of a classification button, a table, and other buttons. The sorting button is composed of a plurality of buttons depending on the type of shooting, such as an "X-ray simple" button and an "X-ray contrast" button. For example, when the "X-ray simple" button is operated, a list of set names already registered with respect to X-ray simple shooting is displayed, and the contents can be modified by selecting a set to be modified and operating the "Modify" button. It becomes possible. The other buttons are composed of a "new creation" button, a "modification" button, and the like. For example, when there is no corresponding item in the list, when registering newly, changing registered contents, etc., by operating any one of the other buttons, the "image diagnosis set input" screen shown in FIG. 36 is displayed. It can switch and perform predetermined input.

In the "image diagnosis set registration" screen, when the "new creation" button is operated, the display of each key of the input field 7 is changed to each item necessary at the time of image diagnosis input, as shown in FIG. When the " part " key is operated, as shown in FIG. 38, each part of the body is changed to the content shown. In addition, when the 2 " direction " keys are operated, as shown in FIG. In addition, when the 3 " film " key is operated, the size of the film is changed to the item showing the size of the film as shown in Fig. 40. Therefore, the size of the film is selected by selecting the size, entering the number of sheets using the tenkey, and then entering the number of fractions. Can be selected. After inputting the fraction number, a plurality of films can be continuously input unless the "ENTER" key is operated. Moreover, when 4 "pharmaceutical" keys are operated, the display content of the ten key is changed to an item which can select the kind of the chemical | medical agent as shown in FIG. Therefore, by selecting the kind of the medicine, selecting the medicine on the changed screen, and inputting the dose on the changed screen, the kind of the medicine and the like can be selected. The point which can be input continuously is not the same as the case of the said film, after operating a capacity after inputting a "ENTER" key. Moreover, when 5 "material" keys are operated, it will change to the content which consists of the material (mechanism) used for image diagnosis, as shown in FIG. By selecting one of the materials and inputting the quantity, it is possible to select the kind and quantity of the material used for the image diagnosis. In this case as well, the input can be performed continuously unless the "ENTER" key is operated. When there is a correction or the like, new creation, addition and deletion can be performed by operating a "new creation" button, an "add" button, and a "delete" button.

In the input field 7 shown in FIG. 21, when 5 "map" keys are operated, the display of each key of the input field 7 is changed to the contents showing the classification of the map as shown in FIG. The classification of the map is composed of medicines, nutrition, life, exercise, public health and infection prevention, home care, pharmaceutical management, and the like. Here, when any of the displayed keys 1 to 8 is operated, the display of each key of the input field 7 is changed as shown in FIG. Here, when the "map door" key is operated, the ten key can be operated. When one of the tenkeys is operated, a list of map statements is displayed in a separate window. 45 shows an example of a map text displayed by operating the "nutrition map" key. In this way, the registered map text can be selected as a ten key. In FIG. 21, when the "care plan" key is operated, the "keyboard input" screen shown in FIG. 4 is displayed, so that the treatment plan can be input using the keyboard.

As shown in FIG. 1, the memory device 3 stores data as shown below in various tables such as a medicine master, a disease name master, a medical practice master, a search menu master, and various tables such as a medical examination table. It is.

In the medicine master, data relating to a medicine (medicine), for example, a medicine name, a medicine code number, and a medicine are stored. By the way, the medicines handled by the hospital are different. Therefore, in the medicine master, a flag is placed on the medicine to be handled to narrow the medicine to be referred to. In this way, a common drug master can be used to build a database of medicines in each hospital. In addition, by narrowing the data, it is possible to search and display at high speed.

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

In the medical act master, contents necessary for medical acts are memorized, such as how to take each medicine (dose time, the number of doses), and an item about a site, that is, an item (site item) indicating the symptoms of the body. .

In the search menu master, data for selecting a type of search such as 50 sound selection and Aiueo selection is stored.

The information determined by the input confirmation column 9 of FIG. 2 (b) is stored in the medical examination table.

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

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

The input keypad acceptance control unit controls the display on the input buffer screen (display section) of the display device 2 while leaving a progress log in accordance with an input signal from the touch panel or keypad. .

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

In the menu structure table, since items inputted from the input field 7 reach various branches such as usage, drug name, site, etc., the menu structure table is not directly accessed by various masters, but is called once and used for display processing. The menu configuration table includes, for example, the name of the corresponding master file, the presence or absence of a key, the number of items in the menu, the presence or absence of the display of the menu area 11, and the like.

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

In the initial screen shown in FIG. 2 (a), since the input field 7 is displayed in the lower right column of the display device 2, when the examination is performed, the patient is not accepted by operating the 5 “doctor” key. The electronic chart of the patient with the smallest number (No) is displayed. If it is not the patient to be examined from now on, the cursor keys are operated to change the displayed electronic chart as shown in FIG. In addition, since the medical examination list is automatically displayed, a corresponding patient can be selected from the medical examination list. In the displayed electronic chart, personal information such as the date of birth and address of the patient is displayed in the patient column 6, and if there is a past chart, the content is displayed in the history column 5, but it is not desirable to show the patient. It is preferable not to display initially about the item etc. which are not. For example, a tab key may be separately formed for items whose initial display is not desirable (cancer, infectious disease, sexually transmitted diseases, etc.), and may be displayed only when the tab key is operated.

In addition to the past chart, when there are inspection results, the inspection results are automatically popped up, and the inspection result display process shown in FIG. 48 is performed.

In the inspection result display process, first, the inspection result which is transmitted from the inspection entrustment destination (inspection company) via the Internet etc. and is automatically taken into the result table of the memory | storage device 3 is read (step S10). However, the test result may be taken into the result table from an electronic medium such as a floppy disk (FD) or a CD-ROM.

Moreover, the reference value regarding the inspection item corresponding to the said inspection result is read from an inspection master (step S101). And the read test result is compared with a reference value (upper limit value and lower limit value) (step S102). The result of the comparison is then displayed on the screen (step S103). In this case, if the test result is out of the reference value, it is determined to be abnormal, and only the abnormal value is highlighted (for example, red). When the upper limit is exceeded, "↑" and when the lower limit is lower, "↓" are displayed respectively. If an item to be posted in the chart is selected (step S104), the inspection result is posted to the chart for the item (step S105). For the posting item in the chart, for example, a check box may be formed in each inspection item, and only the checked item may be posted. In this case, the initial setting may be selected from, for example, "checking only abnormal values", "checking all", and "not checking". In addition, even if it is a normal value, since the change from the last test result is large, and an abnormal value does not need to care so much, it is possible to select an electric item.

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

In input of the examination contents, the "S" key of the input field 7 is operated to switch the input field 7 to the content shown in FIG. If the contents of the questionnaire table have already been registered, the corresponding questionnaire content is copied to the electronic chart by operating the "question mark" key. If the contents of the questionnaire are not registered, 1 the "main appeal" key is operated, the "keyboard input" screen shown in Fig. 4 is displayed, and the main appeal (patient appeal) is input by the keyboard.

When the input of the main appeal is completed, operate the "OK" key to close the "Keyboard input" screen. Subsequently, the 2 " Contact " key is operated to display the " Contact " screen which is the input check box 8. At this time, the display of the numeric keys of the input field 7 is changed to the contents for symptom input shown in FIG. Therefore, the corresponding thing is selected from each symptom displayed in the input box 7. If none is applicable, use the cursor keys to change the display.

When a symptom is inputted, the contents of the questionnaire are displayed on the screen, and all necessary questionnaire contents are displayed for the entered symptom. For example, when "fever" is selected as a symptom, "fever", "from when", "to some extent", "presence of chills" are displayed on the "check-up" screen, and input of "fever" is completed. As a result, the item "from when" that requires input is highlighted next. Therefore, you can see at a glance what to enter. In addition, the display content of the input box 7 is changed from the symptom to the timing. And if input of the item is not necessary, it can transfer to the next item by operating a "SKIP" key. At this time, the highlighted item is changed. Then, it inputs according to the display content of the input field 7 which changes sequentially. Therefore, all the necessary items can be input in consultation.

When the entire input of the examination result is completed, the contents of the display on the "Contact Us" screen are checked and corrected as necessary. When the correction and confirmation are completed, the "ENTER" key is operated. Thereby, the display content on a "confirmation" screen is erased and displayed on the input confirmation column 9, and the input content is reflected in the chart.

(Remark input) When input of examination contents is completed, the "O" key of the input field 7 is operated, and a finding, ie, the symptom recognized by a doctor, is input. When the "O" key is operated, the display item of the input box 7 is switched for input of opinions, and in the input box 7 shown in Fig. 8A, 1 "remarks", 2 "inspections", and 3 "images" , 4 "Schematics" and 5 "Test History" keys are displayed.

When the 1 " remark " key is selected, the display item of the input field 7 is changed to the "systemic remarks" key and the "individual remarks" key, as shown in Fig. 8D.

When the "systemic finding" key is operated, the "vital sign dialogue" screen shown in Fig. 9 (a) is displayed in a separate window, so that one of the check boxes of each item is sequentially selected by a pen or a mouse. You can check by

In addition, when the "individual opinion" key is operated, each numeric key of the input field 7 is changed to the display which shows the part of the body, so that the corresponding part is operated, the "remark input" screen is displayed, and the same as above. Simply check the checkbox of each item displayed. For example, when the "neck" is operated, the "neck" screen shown in Fig. 9B is displayed as a separate window as the "remark input" screen. In the "cervical" screen, there are a cervical visual field and a cervical palpation column, each of which consists of a thyroid hypertrophy, a cervical lymphoma hypertrophy, a parotid hypertrophy ("yu", "no") check boxes, and the like. It consists of each item of). The doctor can check one of the check boxes of each item with a pen or a mouse.

When we choose 2 "inspection" key, list of inspection results of examination is displayed. And the displayed test result is reflected in the said part (input confirmation column) of an electronic chart by manual input or automatic input.

3 When the "Image Diagnosis" key is operated, if there is an image taken by X-ray or the like, it is displayed in a separate window. The doctor judges the symptoms according to the displayed image, and at the same time, displays the following schematic screen as needed and uses it for the explanation for the patient.

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

5 If you operate the "History of History" key, the result of the last inspection is displayed. In this case, a test item can be selected from the displayed list (up to 5 items can be selected here), and the test result can be displayed in a time series or a graph. That is, when the inspection result desired for display is selected and "time-series display" or "graph display" displayed on the numeric keys is operated, the format can be changed and displayed as follows.

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

In the graph display process, first, the reference value of a corresponding inspection item is read from the inspection master (step S110), and the scale display value is calculated (step S111). Then, the scale is displayed on the graph according to the calculated scale display value (step S112). In this case, the display position of the upper limit value and the lower limit value of the inspection reference value is the same position irrespective of the difference between the inspection items. And if there are a plurality of inspection items, the upper limit value and the lower limit value of the inspection reference value of each inspection item are displayed in parallel. Thereby, the width | variety of the normal range of a some inspection item can be sorted and displayed. Next, a test result is displayed on a graph (step S113).

51 shows an example in which the test results are graphically displayed. In this graph, the inspection items A and B are displayed by 2 columns of the left column, and the upper limit value and the lower limit value of the inspection reference value of each inspection item are displayed in the same position. And four test results are shown with the broken line graph. The inspection item and the broken line graph are classified for each inspection item, and it is possible to know at a glance which results are due to which inspection. In this way, even if there are a plurality of inspection items, the widths of the normal ranges are aligned and displayed, and the inspection results are displayed in a broken line graph or the like, so that the tendency of change of each inspection result can be easily grasped. It becomes easy to judge whether it is a normal range. Therefore, when explaining to the patient with reference to this graph, since it is visually easy to understand, it becomes an effective tool for informed consent.

Moreover, when the mouse is moved to the part in which the name of the inspection item corresponding to each broken line graph is displayed, the consultation criteria etc. corresponding to the inspection item are popped up. For example, when left-clicking on hemoglobin HbAlc, even if blood sugar is normalized, there is a time lag until HbAlc reaches a normal value, so that a display indicating the effect is made. Therefore, the doctor can display information to be careful in determining the examination result, such as the examination criteria of each inspection item, if necessary, so that the doctor does not deliberately examine the book or make wrong advice, which is very convenient.

(Assignment input) When input is completed, assentment input, that is, diagnosis content for the symptom is input by operating the "A" key in the input field 7.

As shown in Fig. 10, as shown in Fig. 10, 1 "path name" key, 2 "opinion and diagnosis" key, 3 "electricity" key, 4 "modification" key and 5 "delete" key are displayed. Select to operate.

When we operate "path name" key, numeric key displays each of 1 "frequent search", 2 "classification search", 3 "keyword", 4 "acute disease", 5 "chronic disease", 6 "candidate disease names" Is changed to If a search method is selected, it is searched according to the selected method.

1 When the "Frequency Search" key is operated, the display of the numeric keys is changed to the disease name (Frequency disease name) that is frequently used. That is, since it displays as 1 "cold", 2 "type 2 diabetes", etc., the corresponding thing is selected from it. In the frequent disease names, the names of the disease names determined by the doctor in the past are counted, and the frequencies of the disease names are sequentially changed from one of the numeric keys.

2 When the "classification search" key is operated, the display item of the numeric keys is changed to a character string (or ICD10 code number shown in Fig. 14 (d)) corresponding to the major classification of ICD10 shown in Fig. 14C. When the numeric keys (9 "circulators") on which the character string corresponding to the corresponding major classification (here, the word corresponding to the major classification expressed in Japanese) are displayed are operated, the display content of each numeric key is shown in Fig. 14E. As shown, the character string (or ICD10 code number shown in Fig. 14 (f)) corresponding to the middle classification belonging to the selected major classification is changed. When the corresponding numeric key (2 "chronic rheumatoid heart disease") is selected from the displayed character string, the display content of each numeric key is a character string corresponding to the subclass belonging to the selected subclass as shown in Fig. 14 (g). Or ICD10 code number shown in Fig. 14 (h)]. In this way, the disease name can be narrowed, and finally, as shown in Fig. 14 (i) (or ICD10 code number shown in Fig. 14 (j)), the disease name can be switched to a selectable display to identify the disease name. That is, the doctor can easily identify the disease name while making most guesses. In addition, ICD10 (classification) is displayed on the F1 key, and by operating this key, the display content of each numeric key can be switched to either a character string or a code number. This key can be operated even when one of the major, medium, and minor categories is displayed, and can be changed to the corresponding notation. In the case of a code number, since there are few display characters, even a numeric key can display all the characters in the size which is easy to see enough. Therefore, when a code number is stored up to a certain level, the path name can be narrowed down according to the code number, and after that, the path name can be switched to a character string and the path name can be identified.

3 When the "keyword" key is operated, the keyword input search screen shown in Fig. 13B is popped up. By inputting a keyword or ICD10 code and operating a search button, a list of bottle names containing the entered keyword or ICD10 code is displayed. That is, a disease name including only a keyword, only an ICD10 code, or both a keyword and an ICD10 code can be searched. FIG. 13B shows an example in which only hypertension is entered and searched as a keyword.

When the 4 "acute disease" key is operated, the item displayed on the numeric keys becomes a disease name for an acute disease, and when the 5 "chronic disease" key is operated, it becomes a disease name for a chronic disease. In addition, similarly to the case of operating the said "Frequent frequent search" key, the displayed disease name is sequentially displayed from one of the numeric keys sequentially from the frequent disease name. In this way, since it is divided into acute disease and chronic disease, it can be collectively classified as a disease name that can be easily judged by a doctor, and the number of disease names that can be displayed can be narrowed. In addition, since the numeric keys are displayed sequentially from the high frequency of use, the identification of the disease name can be easily performed.

And 6 "candidate disease names" key is to display list of indication disease names for prescribed medicines. If it is not prescribed or if the prescribed medicine does not have an indication name, it is grayed out and becomes inoperable.

In this way, when the path name is specified by operating each key, the display contents of the numeric keys are changed to "relapse", "replay", and "suspect".

If a disease corresponds to any one of recurrence, replay, or suspicion, it is reflected in the chart contents by operating "relapse", "replay", or "suspect". And a modifier is input as needed. This is because there is a difference between acute and chronic even in the same disease name, and treatment methods are different.

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

When "50 tone" key is operated, display contents of numeric key change to 1 "prefix", 2 "suffix". When either one is selected, the display contents of the numeric keys are changed to the rows of 50 consonants (a line, a line ...). When either one is selected, the display contents of the numeric keys are changed to the steps of the vowels (a, e, u, e, o). If any one is selected, the first character is identified, and a list of modifiers starting with the specified character is displayed. Select one of the displayed modifiers. As a list, only nine modifiers corresponding to the numeric keys 1 to 9 can be displayed here. When there are more than nine modifiers, the display contents can be switched by operating the "UP" key or the "DOWN" key. , You can choose.

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

When the `` keyword '' key is operated, the keyword selection screen is displayed. Therefore, when a character or the like is input by the keyboard and the "search" key or the "ENTER" key is operated, the corresponding modifier is displayed. In this case, since the corresponding modifier is displayed as a list, the desired modifier may be selected.

Then, by operating the "alphanumeric" key in the input field, it is possible to search by numbers or alphabets. In this case, numbers and alphabets can be displayed and selected on the numeric keys as in the case where the above-mentioned "50 sounds" key is operated.

Thus, according to the said input method, the disease name which is frequently used centering on operation of a numeric key can be selected easily.

In addition, when the "classification search" key is operated, the disease name can be selected by narrowing down in the order of large, medium, and small. Each classification is applied to each classification of the International Statistical Classification of Diseases and Related Health Problems (Tenth Revison: ICD-10) as determined by the World Health Organization (WHO). We shall correspond. Then, the same input as in the above is performed, such as an input of a suspected recurrence or input of a modifier.

In FIG. 14 (i), when the input (selection) of the disease name is completed, the screen is switched to the final decision screen shown in FIG. 14 (b). Therefore, the disease name entered here is 1 "main disease name", 2 "side disease names", 3 We choose where it corresponds to "sick name". Here, 1 "main disease name" refers to disease state diagnosed at the end of episode of insurance care mainly based on need for treatment of patient or examination, and name of disease that caused hospitalization, medical resources most For example, the head of the discharge summary. In addition, 2 "side disease names" correspond to symptom of outbreak at the time of hospitalization and subsequent outbreak symptom after hospitalization. In addition, 3 "sick name" corresponds to thing which does not correspond to main disease name, side disease name.

When the main disease name or the like is selected in this way, the start date of treatment is automatically input to the input disease name. When correcting the date automatically input, it is possible to operate the "Modify start date" key to change the start date.

In addition, in the screen shown in FIG. 14A, one "suspect" key is selected, in the screen shown in FIG. 14B, 3 "path name" is selected, or in the screen shown in FIG. When "acute disease" is selected, the scheduled end date and the electricity are automatically input to the electronic chart as shown in Fig. 14 (k). The reason for automatically entering the scheduled end date is because, in the case of a suspicion, a disease name is specified in subsequent medical examinations, and it does not remain suspected. This is because, in the case of a disease name, it is an auxiliary which does not correspond to either the main disease name or the secondary disease name. Moreover, in the case of an acute disease, it is appropriate to treat it as chronic rather than acute after a certain period of time. As for the bottle name in which the scheduled end date has been entered in this way, even if the scheduled end date has elapsed, a warning dialog shown in Fig. 14 (l) is displayed when it is not confirmed or is not entered. Thereby, a doctor can confirm, without being left unattended without being described electrically. In addition, medical field accounting and the like can be reliably performed. In the case where the disease name is selected, as shown in Fig. 14 (m), it is displayed lightly so as not to be noticeable in the mouth and the electronic chart.

Thus, when this electronic chart is viewed later, the main disease name and the secondary disease name can be distinguished, and it is not wrong for what the treatment was mainly for.

And returning to a switch is input when a symptom changes. The input items are displayed on the numeric keys of the input box 7 and reflected in the chart by manipulating the corresponding items. In the input of the end date, the calendar can be displayed and the date can be easily specified by operating the "calendar" key.

(Treatment plan input) When the input of the treatment is completed, by operating the "P" key in the input field 7, a treatment plan input, that is, a future treatment plan such as a diagnosis plan, treatment, education to the patient, etc. Input is done. Here, in each numeric key, 1 "underwear", 2 "preparation", 3 "outer", 4 "injection", 5 "self-injection", 6 "treatment", 7 "surgery", 8 "inspection", 9 " Image ”is displayed.

When selecting the medicine to be given to a patient, it can carry out according to the flowchart shown in FIG.

First, on the screen shown in FIG. 21, a corresponding key (any one of 1 "inner", 2 "preparation", 3 "outer", 4 "injection", and 5 "self-injection") is selected (step S1). , Narrowing down the choices. This key operation changes to the screen shown in FIG. 22, and therefore, it is determined whether the DO prescription or the appointment prescription is made (step S2). In the case of giving the same prescription as the prescription remaining in the history data, the "DO" key is operated, and in the case of prescribing a determined medicine such as a cold during the epidemic, the "Promise" key is operated. In this way, a list of medicines to be prescribed is displayed as a menu area 11 (step S12). Therefore, if a corresponding medicine is selected from the displayed list (step S13), input operation can be performed easily. In addition, it is determined whether there is a change in the number of medication days (step S14). If there is a change, the process proceeds to step S9, and if there is no change, the process proceeds to step S10.

If none of the DO prescriptions or appointment prescriptions is found, a general search is performed. Here, the corresponding medicine is specified by operating the 50 tone selection key (step S3). For example, when the character "is" is selected, in FIG. 22, "a" is operated, the display contents are switched to "a"-"o", and "is" may be selected. When the first letter is specified by the operation of the 50 tone selection key, the drug names starting from the letter are displayed as a list, for example, as shown in Fig. 9 (step S4). (Step S5). When there are many medicines in the displayed list, the number displayed on the list can be narrowed by inputting the second character.

When the medicine to be prescribed is specified, the dose is input (step S6). The input of the capacitance is performed by numerical input using the tenkey. If the dose is determined, it is determined whether there is an addition of the medicine to be selected (step S7). If there is an addition, the process returns to the step S1 and the above process is repeated, and if there is no addition, the usage is input (step S8). ).

In the input of the usage, the display content of the input field 7 is changed as shown in Fig. 25, and the symbol used for the input in the paper chart is conventionally made available.

Specifically, the symbol shown in the numeric key 1 means that the meal should be taken after every meal of "minute 3 meals", that is, breakfast, lunch and dinner. The symbol shown in the numeric key 2 means that the meal should be taken within 30 minutes after eating for 3 minutes, that is, after breakfast, lunch and dinner. The symbol shown by the number key 3 means that "minute 2 breakfast, dinner", ie, the meal should be taken after breakfast and dinner. The symbol shown by the numeric key 4 means that "minute 1 before bedtime", that is, to be taken before bedtime. The symbol shown by the number key 5 means that the meal should be taken between "3 minutes between meals", that is, between breakfast, weekday, lunch, evening, dinner, and morning meals. The symbol shown in the numeric key 6 means "minute one morning", that is, to be taken after waking up.

Thus, since the symbol which was conventionally used for input of the paper chart is used, the transition from the paper chart to the electronic chart can be performed smoothly. In addition, when a usage is input, the administration days are input (step S9). In the input of the number of administration days, in addition to numerical input using the tenkey, a calendar can be displayed separately and inputted by directly operating the displayed date. By registering a holiday and the like on the calendar, it is possible to prevent the problem that the medicine is cut off during the holiday. Moreover, it becomes easy to confirm the schedule which a patient visits.

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

TABLE 1

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

In the general search, in addition to the 50-tone selection, a search by drug efficacy and a search by ingredient may be performed.

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

That is, according to the prescription data of the ordered medicine, refer to the database for prescription check, interaction (medicine that should not be prescribed at the same time), disease name contraindication (medicine that should not be prescribed for the disease name), age restriction (at which age Check all items such as whether or not you can prescribe. As a result, an alternative medicine is searched for the medicine in question.

In detail, as shown in FIG. 52, indications (step S120), disease contraindications (step S121), normal dose (step S122), age restriction (step S123), pregnant woman lactation part (step S124), interaction (step S125) Then, the compounding change (step S126), the dose usage method (step S127), and the drug type (step S128) are sequentially checked. The check result is classified and displayed by level 0-3. In this case, it is assumed to be level 0 if there is no problem, that is, level 1 (red) if it is contraindicated, level 2 (blue) if it is cautioned, or level 3 (child), which may not be noticeable but may be problematic. .

The indication check checks whether the patient's disease name matches the efficacy and effect of the prescribed medication.

In the contraindications for disease name checks, it is checked whether the prescribed medication adversely affects the patient's symptoms. If the prescribed medication is in the relationship between the current history and the history of the cavalry and contraindicated, the medication is marked at level 1. If the medication is concerned, the medication is marked at level 2. Thereby, for example, administration of the hypertensive drug (the drug which lowers blood pressure) to the patient of hypotension is prevented.

In the normal dose check, it is checked whether the dose of the prescribed medicine is a normal dose. In other words, the dose of the drug is determined as the insured dose, and if not within the range of the insured dose, the medication is indicated as level 1. In addition, if there is a consistent dose data of the adaptive disease name, the data is also judged, and if it is out of the range, the dose is displayed at level 2. However, it can also be set in units of patients or in units of doctors and not to check the normal dose. In addition, the normal dose is judged to be one dose in internal medicine, and one dose in pharmaceuticals and injection. However, since it cannot be judged by an external medicine, it is indicated that there is no information. In addition, when there is a restriction by the difference in weight in the medicine to prescribe, it is determined by the value divided by the prescription amount. For children it is calculated from the adult normal dose. Thereby, for example, accidents such as "10-fold administration by input miss" are prevented.

In the age restriction check, it is determined whether the prescribed medication meets the age restriction. If the age limit is not met, the medication is marked with level 1. In addition, it is judged whether it can be administered to an infant, an infant, a child, or an elderly person, and if the drug is not administered to a newborn or administered to a child or an elderly person, the dosage is indicated as level 2.

In the pregnant and lactating mothers check, it is checked that the prescribed medicine can be administered to the pregnant and lactating mothers. Pregnant or lactating women are checked for drugs they cannot administer.

In the interaction check, it is checked whether or not the prescribed medication is taken at the same time. In this case, the medicine currently taken in the past chart is also checked. If there is a contraindication between the drug the patient is currently taking and the drug that is intended to be prescribed, the medication is indicated at level 1, and if there is a concern, the medication is indicated at level 2. According to this, the combination which cannot be used together for the reason that an effect is antagonized, the contrary, etc. can be checked between medicines.

In the formulation change check, it is checked whether the prescribed injection medicine can be mixed. Injection drugs may be used in combination of a plurality of kinds, but combinations causing problems such as precipitation and discoloration at that time can be checked. In this case, as with the interaction check, the medication is displayed at level 1 if there is a contraindication, or at level 2 if there is a relationship of attention.

In the dose usage check, it is checked whether the doses at the time of internal medicine and pharmaceutical preparations are consistent with the doses and usages. If an oral or pharmaceutical product does not match the dosage and the dosage, the dosage is indicated as level 1. In internal medicine, even when the doses do not coincide for uneven packaging, the dosage is indicated as level 1. In addition, the number of divisions per day is checked and the medication is displayed at level 1 even if it is not within the range. Thereby, input miss, such as "after tableting 1 tablet 3 times a day", can be prevented.

In the drug classification check, it is checked whether the prescribed medicine is a drug, a poison, or a psychotropic drug. If it is a drug, poison, or psychiatric drug, the medication is marked with level 3. In addition, marks such as hemp, poison, pole, and incense are output to the detailed display.

Various kinds of checks are performed on the medicines ordered as described above. However, when it is determined that there is a problem as a result of these checks, the effect is displayed in another window. Fig. 53 (a) shows the display contents when it is determined that there is a problem with the interaction and the indication. Here, there is an interaction (contraindication) between lismodan capsules and sparse tablets, and indications such as secondary infections of trauma in sparse tablets do not include infectious enteritis, and the indications are problematic. have. In addition, the alternative medicine is searched about the sparse tablet, and the selected candidate is displayed.

Moreover, the information of each medicine can be displayed on the medicine information screen shown in FIG. 53 (b). On the drug information screen, a picture and information of the selected drug is displayed, and a button corresponding to each of the check items described above is displayed at the bottom thereof. Each button is colored according to each level described above, and the doctor can determine the check result at a glance.

Specifically, when the normal dose button is operated, the indications, symptoms, usage, (prescribed) minimum (quantity), maximum (quantity), unit, lower age limit, and upper age limit for the selected drug are displayed as a list. By inputting a check in the exclusion column of the left two columns in units of the indication of indication and symptom (check item), it is possible to exclude from the object of check. If a check is entered in the left exclusion column, the doctor removes the check of the medicine from any patient. On the other hand, if a check is entered in the exclusion column on the right side, the check of the medicine is excluded only for the patient. In this way, the check can be omitted in the unit of doctors or units of patients, so that appropriate responses can be made according to the situation. For example, if it is determined that any patient is unlikely to cause side effects or the like, it is possible to prescribe a drug that cannot be prescribed by nature. And the check removal of a doctor can be performed only when it is confirmed as a doctor by fingerprint authentication etc., and the thing which excluded the check is recorded, and it is possible to confirm later.

If the doctor determines that it is not appropriate to administer the drug according to the check result, the doctor may select an alternative medicine as follows.

That is, in the search for the alternative medicine, the candidate for change is selected according to the name, dose, and usage of the ordered medicine. The candidate for change has previously accumulated the name, dose, and usage of a drug that can be replaced in correspondence with the three items of the name, dosage, and usage of the medicine, as a database. In the prescription check process, when it is determined that the drug cannot be prescribed, not only its name but also a dose and a usage can be corresponded to display a replaceable drug. Therefore, it can be set as the appropriate | suitable thing corresponding to the medicine before a substitute, regardless of the dosage or usage of an alternative medicine. If there are a plurality of alternative drugs, they may be displayed as a list and may be selected from them. As conditions of a substitute drug, the usage is the same, and the value preset in normal dose may be used.

In the selection of the alternative medicine, a list may be displayed by selecting the alternative medicine by operating the "Alternative medicine" button on the drug information screen. In this case, if there is no alternative medicine, the "Alternative medicine" button is invalidated so that it cannot operate.

When the 8 "inspection" key is operated in the input field 7 shown in FIG. 21, as shown in FIG. 54, the set menu of the registered inspection item, ie, the inspection set list screen, is displayed. Here, when the inspection set is selected by operating the numeric keys, the inspection set list screen is changed to the inspection item display screen shown in FIG. In the test item display screen, test items necessary for each classification of biochemistry, hematology, osmotic shit, and the like are displayed in a list, and basic test items are checked in advance according to the selected test set. Then, inspection items can be selected by checking or removing as necessary. When the inspection item is confirmed, the "0K" button is operated to list the inspection item to be performed in the chart.

In the input field 7 shown in FIG. 21, when 9 "Image" keys are operated, as shown in FIG. 56, a set menu of registered image diagnosis items, that is, an image diagnosis set list screen, is displayed. Here, when the image diagnosis set is selected by operating the numeric keys, the image diagnosis set list screen is switched to the image diagnosis item display screen shown in FIG. On the image diagnosis item display screen, image diagnosis items necessary for each classification such as a photographing method, a photographing site, a photographing direction, a film, and the like are displayed in a list, and a basic image diagnosis item is checked in advance according to the selected image diagnosis set. And an image diagnosis item can be selected by checking or removing as needed. When the image diagnosis item is confirmed, the "OK" button is operated to describe the image diagnosis item to be performed in the chart. In FIG. 57, an item for photographing the chest using one diagonal diagonally from the front side to the X-ray simple imaging is selected. Then, the selected contents are ordered in the image diagnosis set list screen, and photographing is performed.

By operating the "S" to "P" keys as described above, all items necessary for the preparation of the chart can be promptly inputted without any omission.

In addition, as shown in FIG. 58, if necessary, the binder screen 22 is displayed by operating the "binder" button 21 displayed in the electronic chart to associate the blown data such as data read by the scanner. have. Further, the blown data is once stored in a binder shared folder in the chart database.

In associating the blowing data, first, the patient search screen 23 shown in Fig. 59 (a) is operated in a separate window, and the patient search is performed by operating the "patient search" button 23 on the digging screen 22. . In the patient search screen, it is possible to search from the examination date, the patient ID, the name, the date of birth, and the sex. When the patient is specified, the registration destination is specified by operating the "OK" button. In addition, the patient information is automatically displayed on the binder screen 22 opened by the electronic chart, and the "patient search" button 23 is not displayed as inoperable.

When the patient is specified, the patient ID and name are displayed on the binder screen 22, and by operating the " add " button 24, the data taking screen shown in Fig. 59 (b) is displayed. In the data intake screen, data can be taken in from either a file or a scanner by the "Brows from file" tab and the "Brows from scanner" tab. When taken in from the file, the image data stored in the storage device 3 in advance is taken in. In this case, by operating the "reference" button 25, the folder of the tree structure stored in the storage device 3 is displayed in a separate window, and the corresponding folder can be selected from among them. The selected folder name is displayed in the reference folder field 26, and in the file list 27, all file names stored in the selected folder are displayed. If a desired file name is selected (clicked) from the displayed file names, an image 28 corresponding to the file name is displayed on the right side. When the desired image 28 is specified in this way, an arbitrary name is input in the lower information name field 29, and the screen input is associated with the name input in the information name field by operating (clicking) the "OK" button. Import of data is completed. On the other hand, when taken in from the scanner, it is possible to operate the scanner device connected to the computer and read the image directly. Also in this case, since the scanned image is displayed similarly to the blowing from the file, the blowing can be completed after confirming the display state.

As shown in FIG. 58, when data is taken in, it is displayed as a list 30 of the blowing number (No.), the recording date, and the contents according to the blowing order. The taken-in data can display the image screen 32 in a separate window by operating the " reference " button 31 in the state in which the corresponding row is clicked and inverted. In addition, it is possible to delete by operating the "delete" button 33. The data to be taken into the binder is not limited to image data. For example, all documents such as a letter of introduction format, a word processing file, a CSV format file of inspection data results, a questionnaire, and the like are targeted.

In this way, the image data taken in association with the patient can set a hyperlink in the electronic chart of the patient. That is, when the image data transferred to the electronic chart is selected from the list of the binder screen 22 and the "chart transfer" button 34 is operated, as shown in FIG. 59 (d), the transfer destination selection screen 35 ) Is displayed in a separate window. The transfer destination selection screen 35 includes information names, name names arbitrarily given when registering image data, S (doctor input), O (remark input), A (access input), and P (treatment plan input). Each button is displayed. By operating the S, O, A, or P button, it is possible to transmit to any screen. 60, the example which attached the hypertext 36 for opening the selected image data to the O area | region in an electronic chart by operating O button is shown. When the attached hypertext 36 is operated (clicked), the captured image data is displayed in a separate window (Fig. 59 (c)). In addition, the link by the hypertext 36 can be released by operating the "link release" button 37 in the binder screen 22.

The binder screen 22 is started up by operating the "binder" button 21 from the electronic chart. However, the binder screen 22 is started up alone, and similarly to the above, patient selection, image taking, etc. can be performed. do. For example, it may be used when an X-ray article is input.

In addition, deletion of blown data and transmission to a chart are authorized only by a doctor. That is, this process can be performed only when it is confirmed to be a doctor by fingerprint authentication or the like. However, the addition can be performed not only by a doctor but also by other staff members.

In addition, among the incoming data, the "transfer" button is set to be invalid, that is, in an inoperable state. Thereby, for example, the problem that the X-ray imaging image data of one patient is wrongly related to the electronic chart of another patient can be prevented. In this case, the data stored in the file as the incoming data is stored along with the patient ID for the patient-specific data such as the test result at the time of the preservation. And whether the patient ID of the blown data to be transmitted match with each other.

Frequently used sentences and prescriptions can be registered in advance (learning function). For example, the prescription contents are stored as a learning buffer and displayed on the screen as needed for use. In this case, if the number is set so as to correspond to each numeric key of the input field 7, it can be completed by the operation of the input field 7 only at the time of input. Part of the registration contents can be displayed on each key, or the contents of the learning buffer can be displayed in a separate window to be directly reflected on the electronic chart.

In addition, when it is necessary to display similar words in the items displayed by the numeric keys, the names to be selected are grouped into common characters, and the numeric keys are primary optional words composed of the common characters and the number of grouped words. May be displayed. Then, by selecting the corresponding primary selection word, each grouped word may be displayed on each numeric key as the secondary selection word. Moreover, you may make it form a tertiary selection word etc. as needed.

For example, in medicine, there are many very similar ones as shown in the following table. Therefore, as the primary selection word, each number key is represented by "colt (2)", "core (3)", and "corch (4)". Then, by selecting one, the official name is displayed on each numeric key. Specifically, when "cord (3)" is selected, "cordordin tablet", "cordrin tablet" and "cordrin granule" are displayed on each numeric key as a secondary selection word, and it is selected from among them. You can do that.

In this way, since the primary selection word is formed and similar words are grouped and displayed, similar misleading portions can be displayed in large letters. Therefore, when making a selection, it is possible to select with caution the part that is most likely to be wrong. In this case, if there is a similar part in the secondary selection word, the primary selection word is displayed separately, and only the portions except for the primary selection word ("Ninjeong", "Linjeong", "Lin granule") are displayed on each numeric key. You may do so.

In the case of a medicine, most of the first three characters can be grouped into appropriate numbers (9 or less which can be displayed by numeric keys). Therefore, what is necessary is just to display the size of each numeric key about 3 characters, and to make it easy to see. Therefore, it becomes possible to comprise the tenkey area 10 compactly.

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

In particular, the grouping display method is effective in the case of a 50-tone search. That is, in the case of searching 50 medicines, there are many similar names and it is difficult to select them. However, by grouping, the names of many medicines can be displayed on the numeric keys only by inputting the first character with the keyboard. As described above, the name key of the desired medicine is displayed on the numeric keys by displaying 50 lines of consonants (a line, a line ...), and selecting one of the lines to identify the lines of the consonants. It becomes possible. Subsequently, inputting the stages (a, y, right, e, o) of each vowel can achieve the same effect as when the first character is input by the keyboard. In other words, it is possible to select a desired medicine only by operation on the numeric keys.

In this way, by grouping medicines, it is possible to easily and quickly select a desired medicine.

In addition, in the case of printing a document such as a medical certificate or a letter of introduction, a desired document can be easily created by operating the "document creation" key shown in FIG.

In other words, the printable medical document names are displayed on the respective numeric keys by the operation of the "document creation" key. If a corresponding thing is selected, "print range", 1 "day today", and 2 "previous day + gold day" are displayed on each numeric key, and the printing range can be specified. When either one is operated, the print screen shown in Fig. 62 is displayed, and an item corresponding to the selected key is selected in the date designation column. In the case of date designation, a start date and an end date can be input while displaying a calendar by operating a calendar button. Moreover, it is also possible to select the range to print in the printing range column.

As described above, when the printing range is specified, when the screen returns to the screen of FIG. 61 and the "Print" key is operated, the medical document selection screen shown in FIG. 63 is displayed this time. It is possible to create and print desired documents.

At this time, when the "chart" button is operated on the displayed wizard screen (refer to FIG. 64), as shown in FIG. 65, the chart information windwoo (screen which enumerates the items described in the electronic chart near it in time series) (In FIG. 65, the latest chart information is displayed at the top). Therefore, the chart information can be easily entered into the created document using the copy function. That is, in the chart information screen, when a row to be copied is selected by clicking, the selection row is flashed and text is input into the corresponding column of the wizard screen.

In addition, the newly created data on the wizard screen can be registered by operating the "register" button in the learning field. The registered data is stored in association with the wizard screen opened at the time of registration, and can be opened only in the associated wizard screen. In addition, the registered data is displayed in a list by operating the "call" button in the learning field, and the corresponding data can be selected and reused.

When the "print" key is operated, the medical document selection screen is displayed. Alternatively, the medical document name selected directly on the numeric keys may be displayed. In this case, page transfer or the like is responded by changing the display of the numeric keys. According to this, all input work can be performed with a numeric key, operability is good, and it becomes possible to create a medical document efficiently.

According to the present invention, since the electronic chart of the patient can be specified and the blowing data can be related on the binder screen, the work efficiency is good and the desired data can be related. In addition, you can see all the kinds of information related to the patient up to the test value, the prediction table, and the introduction letter by simply clicking on it. Can be.

Claims (3)

The electronic chart apparatus provided with the control means which displays an electronic chart on a display means, reflects input data in the displayed electronic chart according to the input operation by an input means, and stores in the storage means the electronic chart which reflected the input data. In The input means includes a binder button provided in the electronic chart displayed on the display means, and a binder screen displayed by operating the binder button, The control means, according to an input from the binder screen, specifies an electronic chart of a patient and blowing data, and stores the blowing data in association with a corresponding portion of the electronic chart relating to the patient so as to be stored in the storage means. An electronic chart device. The method of claim 1, The electronic chart is composed of a plurality of divisions relating to a medical act, and the association of the blowing data includes specifying the patient data in accordance with an input process from the binder screen, and then selecting any one of the divisions in the division selection screen. The electronic chart apparatus characterized by making it possible to specify the part which associates blown data by selecting. The method according to claim 1 or 2, The control means displays a data list relating to the patient on a binder screen of the display means, a list of blown data associated with the data, references to blown data displayed on the list, and transfers to an electronic chart. The electronic chart device described in the above.

Images