JPH10326309A - Clinical chart input device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make a doctor able to smoothly introduce an electronic clinical chart system in place of a conventional handwriting system, by enabling the doctor to input a writing state and the image of a completed clinical chart while grasping them like a paper clinical chart. SOLUTION: A processor 12 stores the format data stored in a clinical chart format storage 15 and the diagnostic data inputted via an input device 11 in a storage 13 after a doctor synthesized both data and also shows these synthetic data on a display device 17. A clinical chart format editing device 14 corrects or changes a clinical chart format on a display screen, and a user (doctor) can freely change the format of the clinical chart. The edited format of the clinical chart is stored in the storage 15. In other words, the format of a clinical chart is stored and then synthesized with the input diagnostic contents to be separately stored. At the same time, the stored contents are outputted onto the display screen and then a clinical chart of the same image as that of the displayed clinical chart is printed out.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic medical record system which enables a doctor to grasp and enter an image of a completed medical record or an image of a completed medical record, similarly to a paper medical record.

[0002]

2. Description of the Related Art Various systems have been proposed for replacing medical records, so-called medical records, which are entered by doctors, from paper media to electronic media. In these systems, the input medical treatment contents are accumulated and stored together with the patient's personal information and date data, and the first time they are printed, they are formatted into a chart format and printed. . In addition, when a doctor inputs a prescription, there are various kinds of medicines to be administered, so a so-called electronic keyboard in which a name list is displayed on a screen from a medicine database held by the system and a medicine is selected from the list. Thus, a desired medicine is selected and input. The electronic keyboard is also used for inputting not only the name of a drug but also its dose and usage, and when inputting a disease name.

For example, FIG. 4 shows an example of a conventional prescription input, and a prescription input screen is displayed in response to a prescription input start instruction.
30 is displayed. On the screen, there is a list button 31 for displaying a list of drug names, and by instructing this button 31 with a position indicating device such as a mouse, a prescription input screen 30 is displayed.
The electronic keyboard 33 of the list of drug names is displayed so as to overlap a part of. When a drug name is selected using the cursor 34 on the electronic keyboard 33, the drug name is displayed as prescription data 32 on the prescription input screen 30. Thus, conventionally,
A dedicated input screen was prepared for inputting prescriptions and disease names, and at that time, an electronic keyboard was used to facilitate the input.

[0004]

The electronic keyboard is effective and frequently used when one of many options such as a drug name is selected or when a disease name is unified and operated. Used a separate entry screen for each prescription and disease name, as described above,
It was not possible to grasp how the contents selected and entered on the electronic keyboard were reflected on the actual medical record and entered. To do so, the only option was to enter the prescription and disease name into the chart using an electronic keyboard, and then use the layout display function to check the final output image of the chart.

[0005]

The chart input device of the present invention stores a chart format, combines the input medical treatment contents and the format of the chart, separately stores the format, and displays the stored content. The object of the present invention is to solve the above-mentioned problem by outputting a chart on the screen and printing out a chart having the same image as the chart displayed and output.

[0006]

FIG. 3 is a block diagram showing the configuration of the chart input device of the embodiment. 11 is an input device represented by a keyboard, 13 is a storage device for storing input data and edited data, 17 is a display device such as a CRT, 18 is a printer, 16 is data stored in the storage device 13. The display device
This is an output control device for displaying and outputting on the screen of 17 and sending and printing to the printer 18. Reference numeral 12 denotes a processing unit, which outputs data received from the input unit 11 to an output control unit 16
To be displayed on the display device 17 or edited and stored in the storage device 13
Is to be stored. Reference numeral 15 denotes a chart format storage device that displays a format of a chart to be displayed on a screen of the display device 17 and printed on a paper medium by the printer 18, that is, print data of an unfilled chart document. Processing equipment 12
Is to combine the medical data input by the doctor from the input device 11 with the data in the format stored in the chart format storage device 15 and then store it in the storage device 13 and also display it on the display device 17 at the same time. Also, the chart format editing device 14
Is for modifying and changing the above chart format on the screen. Since the format of a medical record may vary depending on the region, hospital, or medical department, the user (doctor) can freely change the format. The edited form is stored in the chart form storage device 15.

In this embodiment, a mouse (not shown) as a position pointing device is connected in addition to the keyboard 11, but the input device is not limited to these, and a light pen may be used instead of the mouse. May be used or keyboard
Instead of 11, an integrated display / input device capable of handwriting input using a light pen or the like can be used. In addition, if the display and input integrated device is provided with an image capturing function, a doctor can directly write an electronic medical record as an illustration of the state of the affected part.

FIG. 1 shows an example of a medical chart input screen 20 displayed on the display device 17. A medical chart 21 is displayed on the left side, and an electronic keyboard 22 for inputting a disease name and a prescription is displayed on the right side. The medical record 21 displays the output image as it is when printed on a paper medium, and displays the patient's personal information shown in a in the figure, a finding column (b), and a treatment / prescription column (c). Have been. Meanwhile, the right electronic keyboard 22
Has buttons for instructing input of a disease name, a treatment, and a prescription, and a corresponding list is displayed by instructing any of them with a mouse. In the figure, an example is shown in which the prescription button 23 is instructed, and further, the usage tag 24 in the list of medicines and usage is instructed to display the usage list. The list of the medicine and the usage tag can be alternately displayed at the same position by pointing with a mouse.

[0009] Therefore, the doctor requests the displayed medical chart.
Enter your findings and actions in 21. FIG. 2 shows an example of the entry. As a result of the diagnosis, the physician determines the patient's disease name as, for example, peptic ulcer and fills in the findings of the medical record 21. At this time, a doctor who is accustomed to the keyboard can directly enter the disease name using the keyboard 11. Alternatively, a disease name button can be designated with a mouse to display the disease name list on the electronic keyboard 22, and a disease name can be selected and input from the electronic keyboard 22. The thus-entered finding data, that is, the peptic ulcer of the disease name is entered in the finding field of the medical record 21 as shown in FIG.

Further, the doctor selects a desired medicine name from the medicine list on the electronic keyboard 22, then designates the usage tag 24 to display the usage list, and displays the dosage and usage for the medicine selected earlier. input. As a result, the name of the medicine and its usage are entered in the treatment / prescription column of the medical chart 21 as shown by e in the figure. Then, the medical record 21 thus entered and displayed on the screen can be printed as it is from the printer 18 and copied onto a paper medium. In other words, the doctor can input findings and prescriptions while obtaining an image on the screen as if handwritten on a paper medical chart. In addition, the entire medical record 21 can always be viewed.

[0011]

According to the present invention, it is possible to input an electronic medical record as if the user were writing on a paper medical record. System can be introduced. In addition, since the entire medical record can always be viewed, it is easy to notice omissions, etc., and the reliability of a receipt created based on the medical record is improved.

[Brief description of the drawings]

FIG. 1 is a diagram illustrating an example of a chart input screen displayed on a display device according to an embodiment.

FIG. 2 is a diagram showing an input example on a chart input screen of the embodiment.

FIG. 3 is a block diagram illustrating a configuration of a chart input device according to the embodiment.

FIG. 4 is a diagram showing a display example of a conventional prescription input.

[Explanation of symbols]

 Reference Signs List 11 input device 12 processing device 13 storage device 14 chart format editing device 15 chart format storage device 16 output control device 17 display device 18 printer 20 chart input screen 21 chart 22 electronic keyboard 23 prescription button 24 usage tag

Claims (2)

[Claims] 1. A medical chart and an electronic keyboard for inputting medical care contents are simultaneously displayed on a display screen, and when medical care contents are input from the electronic keyboard, the input contents are displayed according to an output image of the medical chart. A chart input device, wherein the chart is reflected and displayed in real time on the displayed chart. 2. The medical record input device according to claim 1, wherein the medical record format is stored, the input medical treatment contents and the medical record format are combined and separately stored, and the stored content is displayed on a display screen. A chart input device for outputting a chart having the same image as the chart displayed and output.