JP5487764B2 - Medical information input program, medical information input device, medical information input method, template generation program, template generation method, and template generation device - Google Patents

Description

  The present invention relates to a medical information input program, a medical information input device, and a medical information input method.

  The medical chart input screen of the electronic medical record system has an input area for entering information of the examinee (collectively referred to as “diagnostics” for patients and pregnant women, etc.). Accepts information and records it. In addition, as a method for inputting information to the medical record input screen, a method in which a user directly inputs a sentence like a text editor or a method in which an input is performed using a pre-registered sentence example is used.

  Here, conventionally, various methods are known as methods for registering sentence examples in advance. For example, among the sentence examples selected by the user, the registration method of registering after deleting the part to be corrected when using the sentence examples, or the area specified by the user among the sentence examples selected by the user becomes the input area. A designation method for registering as a sentence example is known. For example, when the sentence example selected by the user is “body temperature: 36.5 degrees”, another numerical value is input when using the sentence example “36.5”. Is applicable.

Japanese Patent Laid-Open No. 8-95961

  However, the above-described conventional method cannot easily register a sentence example that can be easily reused. For example, in the registration method described above, a sentence example without a numerical value part is simply registered, and the sentence example is not easy to reuse. Further, for example, in the above-described designation method, the user must explicitly select an area to be an input area, and cannot be easily registered.

  The disclosed technology has been made in view of the above, and an object thereof is to provide a medical information input program, a medical information input device, and a medical information input method capable of easily registering sentence examples that can be easily reused.

  In one aspect, a medical care information input program disclosed by the present application causes a computer to function as a medical care information input support system for inputting and recording medical information of a medical examinee. Then, the medical care information input program causes the computer to execute a display procedure for displaying a sentence example to the user and a reception procedure for receiving a correction operation for the sentence example displayed by the display procedure from the user. In addition, the medical information input program compares the post-reflection sentence example after the correction operation received by the reception procedure is reflected with the pre-reflection sentence example before the correction operation is reflected, and thereby reflects the post-reflection The computer is caused to execute a specific procedure for identifying a different part of the sentence example that is different from the pre-reflection example sentence. Further, the medical information input program inserts a predetermined symbol at a different location specified by the specific procedure and registers a registration procedure for registering the post-reflected sentence example in which the predetermined symbol is inserted into a predetermined storage unit as a template. To run.

  According to one aspect of the medical care information input program disclosed in the present application, it is possible to easily create a template that can be easily reused.

FIG. 1 is a block diagram for explaining an example of the configuration of the medical care information input device according to the first embodiment. FIG. 2 is a flowchart for explaining an example of the flow of processing by the medical care information input device according to the first embodiment. FIG. 3 is a block diagram for explaining a configuration of each unit related to template registration among the units included in the medical care information input device according to the second embodiment. FIG. 4 is a diagram for explaining an example of information stored in the template storage unit according to the second embodiment. FIG. 5 is a diagram for explaining an example of an electronic medical record input screen according to the second embodiment. FIG. 6A is a schematic diagram illustrating a template registration process according to the second embodiment. FIG. 6B is a schematic diagram illustrating a template registration process according to the second embodiment. FIG. 6C is a diagram for explaining a template registration process according to the second embodiment. FIG. 6-4 is a diagram for explaining a template registration process according to the second embodiment. FIG. 7 is a block diagram for explaining a configuration of each unit related to a medical information input process using a template among the units included in the medical information input device according to the second embodiment. FIG. 8 is a diagram for explaining an example of information stored in the extracted template storage unit according to the second embodiment. FIG. 9A is a schematic diagram illustrating an input process using a template according to the second embodiment. FIG. 9-2 is a schematic diagram illustrating an input process using a template according to the second embodiment. FIG. 9C is a schematic diagram illustrating an input process using a template according to the second embodiment. FIG. 9-4 is a diagram for explaining an input process using a template according to the second embodiment. FIG. 9-5 is a schematic diagram illustrating an input process using a template according to the second embodiment. FIG. 10 is a flowchart for explaining an example of the overall processing flow by the medical care information input apparatus according to the second embodiment. FIG. 11 is a flowchart for explaining an example of a template registration process performed by the medical care information input device according to the second embodiment. FIG. 12 is a flowchart for explaining an example of the flow of input processing using a template by the medical care information input device according to the second embodiment. FIG. 13 is a schematic diagram illustrating an example of a computer that executes a registration program according to the second embodiment.

  Embodiments of a medical information input program, a medical information input device, and a medical information input method disclosed in the present application will be described below in detail with reference to the drawings. Note that the present invention is not limited to the embodiments.

[Configuration of Medical Information Input Device According to Embodiment 1]
An example of the configuration of the medical care information input device 100 according to the first embodiment will be described with reference to FIG. FIG. 1 is a block diagram for explaining an example of the configuration of the medical care information input device according to the first embodiment.

  The medical information input device 100 is a medical information input support system for inputting and recording medical information of a medical examinee, and as shown in FIG. 1, a storage unit 101, a display unit 201, a reception unit 202, and a specifying unit 203. And a registration unit 204.

  The display unit 201 displays a sentence example to the user. In addition, the reception unit 202 receives a correction operation for the sentence example displayed by the display unit 201 from the user. Further, the specifying unit 203 compares the post-reflection sentence example after the correction operation received by the receiving unit 202 is reflected with the pre-reflection sentence example before the correction operation is reflected. Identify the differences that differ from the example before reflection.

  The registration unit 204 inserts a predetermined symbol at a different location specified by the specifying unit 203, and registers the post-reflection sentence example in which the predetermined symbol is inserted into the storage unit 101 as a template.

  That is, when a sentence example is corrected by a user, the medical care information input device 100 identifies a different part by comparing before and after the correction, inserts a predetermined symbol in the different part, and registers it as a template.

[Processing by Medical Information Input Device According to Embodiment 1]
Next, an example of a flow of processing by the medical care information input device 100 according to the first embodiment will be described with reference to FIG. 2. FIG. 2 is an example of a flow of processing by the medical care information input device according to the first embodiment. It is a flowchart of.

  As shown in FIG. 2, in the medical care information input device 100 according to the first embodiment, when the processing timing for registering a template is reached (Yes at Step S101), the display unit 201 displays a sentence example (Step S102). Then, the receiving unit 202 receives a correction operation from the user (step S103), and the specifying unit 203 specifies a different part by comparing before and after the correction (step S104).

  Then, the registration unit 204 inserts a predetermined symbol at a different location (step S105), and then registers the post-reflection sentence example in which the predetermined symbol is inserted as a template (step S106).

[Effect of Example 1]
As described above, according to the first embodiment, the medical care information input device 100 displays a sentence example to the user and accepts a correction operation on the displayed sentence example from the user. Then, the post-reflection sentence example and the pre-reflection sentence example are compared to identify a different part, and the post-reflection sentence example in which a predetermined symbol is inserted in the different part is registered as a template. As a result, it is possible to easily create a template that can be easily reused.

  In other words, according to the first embodiment, it is possible to register a template that can be easily reused by using a place where a predetermined symbol is inserted when using a sentence as an input area. Further, according to the first embodiment, since the medical care information input device 100 specifies a different part and inserts a predetermined symbol and registers it as a template, it is possible to easily register a template that can be easily reused. .

  Next, the medical care information input device 100 according to the second embodiment will be described. As described below, the medical care information input device 100 according to the second embodiment registers a model and inputs the medical information into the electronic medical record using the model.

  In the second embodiment, the configuration, processing flow, and effects of the medical care information input device 100 according to the second embodiment will be described in order. Further, when describing the configuration of the medical care information input device 100 according to the second embodiment, for convenience of explanation, the respective units related to the registration of the template among the respective units of the medical information input device 100 will be described first, and then the template. Each unit related to the medical information input process using the ID will be described.

[Configuration of Medical Information Input Device According to Second Embodiment]
[Parts related to template registration]
The configuration of the medical information input device 100 according to the second embodiment will be described with reference to FIG. Specifically, the configuration of each unit related to template registration among the units included in the medical care information input apparatus 100 according to the second embodiment will be described. FIG. 3 is a block diagram for explaining a configuration of each unit related to template registration among the units included in the medical care information input device according to the second embodiment.

  For convenience of explanation, in FIG. 3, each part related to the input of medical information using a template is omitted except for parts common to each part related to registration of the model, as will be described later.

  As illustrated in FIG. 3, the medical care information input device 100 includes an input unit 301, an output unit 302, a storage unit 400, and a control unit 500. The input unit 301 is connected to the electronic medical record execution unit 501 and the display unit 502 in the control unit 500, and corresponds to an input device such as a keyboard and a mouse. When the input unit 301 receives an instruction or operation from the user, the input unit 301 outputs the received instruction content to the electronic medical record execution unit 501 or the display unit 502.

  The instructions and operations accepted by the input unit 301 will not be described here, and will be described together with the description of each related unit.

  The output unit 302 is connected to the electronic medical chart execution unit 501 and the display unit 502 in the control unit 500, and corresponds to an output device such as a monitor or a speaker. When the output unit 302 receives information from the control unit 500, the output unit 302 outputs the information to the user and displays the information on a monitor, for example. The information output by the output unit 302 will not be described here, and will be described together with the description of each related unit.

  The storage unit 400 is connected to the control unit 500 and stores data used for various processes performed by the control unit 500. In the example illustrated in FIG. 3, the storage unit 400 includes an electronic medical record storage unit 401 and a model storage unit 402.

  The electronic medical record storage unit 401 is connected to the electronic medical record execution unit 501 and stores an electronic medical record that records medical information related to the examinee. The electronic medical record stored in the electronic medical record storage unit 401 is used by the electronic medical record execution unit 501, and is output to the output unit 302 by the electronic medical record execution unit 501, for example.

  The template storage unit 402 is connected to a registration unit 504 in the control unit 500, and stores a template as shown in FIG. FIG. 4 is a diagram for explaining an example of information stored in the template storage unit according to the second embodiment.

  In the example illustrated in FIG. 4, the template storage unit 402 stores a template in association with the search key. Here, the search key is a keyword used when the user uses the template. For example, the search key is input by the user in association with the template when registering the template. In the example illustrated in FIG. 4, “VS”, “face score”, and the like correspond to the search key.

The model is a sentence example registered in the model storage unit 402 by the registration unit 504, and corresponds to a sentence example in which a predetermined symbol is input to a different part. Further, in the example shown in FIG.
"Body temperature: ■ ° C
Blood pressure (maximum): ■ mmHg
Blood pressure (minimum): ■ mmHg
"Pulse: ■ times"
And so on. Here, “■” shown in FIG. 4 indicates a predetermined symbol inserted at a different location, and is hereinafter referred to as a variable region code. As will be described later, the template in which the variable region code is inserted accepts the user's input operation for the portion where the variable region code is inserted, but does not accept the input operation for other portions. For example, in the case of “body temperature: ■ ° C.”, an input operation for the portion “■” is accepted, but no other input operation or change operation for “body temperature: ° C.” is accepted.

  In the example illustrated in FIG. 4, an example is illustrated in which the template storage unit 402 stores not only a sentence example including a variable area code but also a template not including a predetermined symbol as a template. In the example shown in FIG. 4, the template not including the variable region code corresponds to “found as a Yamada type I polyp as a result of pathological examination”.

  Information stored in the model storage unit 402 is input by the registration unit 504.

  The control unit 500 is connected to the storage unit 400, the input unit 301, and the output unit 302. The control unit 500 has an internal memory for storing a program that defines various processing procedures and the like, and executes various processes. In addition, the control unit 500 includes an electronic medical record execution unit 501, a display unit 502, a specifying unit 503, and a registration unit 504 in the example illustrated in FIG.

  The electronic medical record execution unit 501 is connected to the input unit 301, the output unit 302, and the electronic medical record storage unit 401. In addition, upon receiving an electronic medical chart activation instruction for activating an electronic medical record from the input unit 301, the electronic medical chart execution unit 501 acquires the electronic medical record stored in the electronic medical record storage unit 401. Then, the electronic medical chart execution unit 501 outputs to the output unit 302 an input screen for a user to input medical information to the electronic medical record and medical information that has already been input to the acquired electronic medical record. Thereafter, the output unit 302 outputs an input screen as shown in FIG. 5 to the user. FIG. 5 is a diagram for explaining an example of an electronic medical record input screen according to the second embodiment. For example, the electronic medical chart execution unit 501 outputs an electronic medical record input screen to the output unit 302 by activating an electronic medical record chart editor.

  In the example shown in FIG. 5, an example of a chart in “SOAP format” is shown. That is, “S” in FIG. 5 indicates subjective information, “O” is objective information, “A” is evaluation, and “P” is description about future plans.

  Note that the flow of processing by the electronic medical chart execution unit 501 will be described later with reference to FIG.

  The display unit 502 is connected to the input unit 301, the output unit 302, and the specifying unit 503. The display unit 502 also includes an input unit that receives a selection instruction to select some or all of the medical information output from the electronic medical chart execution unit 501 via the output unit 302 and an instruction to register a sentence example as a template. When received from 301, an example sentence identified by the selection instruction is displayed to the user.

  For example, as shown in FIG. 6A, a part of the medical information is selectively inverted by the user, and an option indicating an instruction to register the sentence example as a template as shown in “Register sentence example” in FIG. 6A. The case where is selected by the user will be described as an example. Here, as illustrated in FIG. 6B, the display unit 502 activates a sentence example registration editor for registering a sentence example as a template, and displays the sentence example identified by the selection instruction on the sentence example registration editor. FIGS. 6A and 6B are diagrams for explaining the template registration process according to the second embodiment.

  In the example illustrated in FIG. 6B, the sentence example registration editor includes an area 601 that receives input of a search key, an area 602 that displays a sentence example, and an area 603 that serves as a registration key that receives an instruction to register from a user. And have. In the example illustrated in FIG. 6B, a sentence example corresponding to a portion selected and determined by the user is displayed in a state where the sentence example registration editor is activated.

  When the display unit 502 receives a correction operation for the sentence example from the input unit 301, the display unit 502 reflects the received correction operation on the sentence example displayed in the area 602. For example, when the user performs a correction operation to delete a portion unique to the examinee, the display unit 502 displays the examinee from the sentence example displayed in the area 602 as illustrated in FIG. Remove unique parts. FIG. 6C is a schematic diagram illustrating a template registration process according to the second embodiment.

  In addition, when the display unit 502 receives an input instruction for inputting a search key from the input unit 301, the display unit 502 inputs the search key identified by the received input instruction into the region 601, for example, in the example illustrated in FIG. Enter the search key “VS”.

  In addition, when the display unit 502 receives an instruction from the input unit 301 to register a sentence example as a template, for example, when the user selects an area 603 to be a registration key, the display unit 502 displays a pre-reflection sentence example and a post-reflection sentence example. The data is output to the specifying unit 503.

  Here, the example sentence before reflection indicates an example sentence before the correction operation by the user is reflected, and specifically, the sentence example identified by the selection instruction by the user corresponds. The sentence example before reflection corresponds to the sentence example that is selected and reversed in FIG. 6A and the sentence example that is displayed on the sentence example registration editor in FIG. 6B.

  The post-reflection text example shows the text example after the correction operation by the user is reflected. Specifically, when the instruction to register the displayed text example is received, it is displayed on the text example registration editor. The example sentence that was done corresponds. The post-reflecting sentence example corresponds to the sentence example displayed on the sentence example registration editor in FIG. 6-3, and in the example illustrated in FIG. 6-3, the sentence example in which the portion unique to the examinee is deleted corresponds.

  Further, when receiving an input instruction for inputting a search key from the input unit 301, the display unit 502 outputs the search key to the specifying unit 503 in addition to the pre-reflection sentence example and the post-reflection sentence example.

  The specifying unit 503 is connected to the display unit 502 and the registration unit 504. In addition, when receiving the pre-reflection sentence example and the post-reflection sentence example from the display unit 502, the specifying unit 503 compares the post-reflection sentence example with the pre-reflection sentence example, so that the difference between the post-reflection sentence example and the pre-reflection sentence example is different. Is identified. For example, “body temperature: 38.2 ° C.” in the pre-reflection example shown in FIG. 6-2 is “body temperature: ° C.” in the post-reflection example shown in FIG. 6-3, and the specifying unit 503 displays “body temperature: It is specified that the part of “★” in “★ ° C.” is different. In other words, the identifying unit 503 identifies the deleted part that has been deleted by comparing the pre-reflection sentence example with the post-reflection sentence example.

  The point which specifies a difference part is further demonstrated. For example, the specifying unit 503 specifies a portion between the edited characters before and after as a different portion. For example, when the user corrects “body temperature: 36.5 ° C.” to “body temperature: ° C.”, the part sandwiched between “:” and “° C.” is specified as a different part.

  The identifying unit 503 outputs the difference portion and the post-reflection sentence example to the registration unit 504. Further, when receiving the search key from the display unit 502, the specifying unit 503 outputs the search key to the registration unit 504 in addition to the difference portion and the post-reflection sentence example.

  The registration unit 504 is connected to the specifying unit 503 and the model storage unit 402. In addition, when the registration unit 504 receives the difference portion and the post-reflection sentence example from the specifying unit 503, the registration unit 504 inserts a variable area code in the different portion of the post-reflection sentence example, and as illustrated in (2) of FIG. The post-reflection sentence example in which the variable area code is inserted is registered in the template storage unit 402 as a template. In addition, when receiving a search key from the specifying unit 503, the registration unit 504 inputs the search key in association with the template. FIG. 6-4 is a diagram for explaining a template registration process according to the second embodiment. FIG. 6-4 (1) shows an example of a screen of the sentence example registration editor displaying the post-reflection sentence example and the search key.

  In addition, the registration unit 504 inserts the variable region code into all the different parts, in other words, inserts the variable region code into all the deleted parts specified by the specifying unit 503.

[Parts related to the input of medical information using a template]
Next, the configuration of each unit related to the input of medical information using a template among the units included in the medical information input device 100 according to the second embodiment will be described with reference to FIG. FIG. 7 is a block diagram for explaining a configuration of each unit related to a medical information input process using a template among the units included in the medical information input device according to the second embodiment.

  In addition, the same code | symbol as the code | symbol provided in FIG. 3 was provided about the part same as the part demonstrated using FIG. 3 among each part demonstrated using FIG. In addition, the same points as the contents described with reference to FIG. 3 will be briefly described or will not be described.

  As illustrated in FIG. 7, the medical information input device 100 further includes an acquired template storage unit 403 in the storage unit 400 in addition to the units described with reference to FIG. 3, and a template search unit in the control unit 500. 505 and a template processing unit 506. In FIG. 7, among the units described with reference to FIG. 3, the input unit 301, the output unit 302, the model storage unit 402, and the electronic medical record execution unit 501 are shown together.

  The template storage unit 402 is further connected to a template search unit 505 as shown in FIG. Here, the information stored by the template storage unit 402 is used by the template search unit 505.

  The acquired template storage unit 403 is connected to the template search unit 505 and the template processing unit 506, and stores the template acquired from the template storage unit 402 by the template search unit 505, as will be described later. For example, as will be described later, when the template search unit 505 acquires a template from the template storage unit 402 using the search key “VS”, the acquisition template storage unit 403, as shown in FIG. The template associated with “VS” is stored. FIG. 8 is a diagram for explaining an example of information stored in the extracted template storage unit according to the second embodiment.

  Information stored in the acquired template storage unit 403 is input by the template search unit 505 and used by the template processing unit 506.

  The template search unit 505 is connected to the input unit 301, the template storage unit 402, and the acquired template storage unit 403. In addition, when an input operation for inputting medical information on the input screen of the electronic medical record is performed on the input unit 301 by the user, the template search unit 505 accepts the input operation by the user from the input unit 301. The IME character conversion candidate selected by the person is received from the input unit 301. Then, the template search unit 505 refers to the template storage unit 402 using the input character string identified by the input operation by the user as a key, and acquires all the templates corresponding to the search key from the template storage unit 402.

For example, a case where “VS” is input by the user on the input screen of the electronic medical record will be described as an example. The template search unit 505 identifies a search key that completely matches the input character string from among the search keys stored in the template storage unit 402, and acquires the search key “VS”, for example. Then, the template search unit 505 refers to the template storage unit 402 using the search key “VS” and acquires all the templates associated with the search key “VS”. For example, in the example shown in FIG.
"Body temperature: ■ ° C
Blood pressure (maximum): ■ mmHg
Blood pressure (minimum): ■ mmHg
Acquire “pulse: ■ times”, “VS measurement required at consultation”, etc.

  For example, the template search unit 505 may acquire a template that partially matches the input character string, in other words, may acquire a template including the input character string.

  Further, the template searching unit 505 inputs the acquired template to the acquired template storage unit 403, and inputs, for example, “Need to receive VS measurement at consultation” as shown in FIG.

  The template processing unit 506 is connected to the acquired template storage unit 403, the input unit 301, and the output unit 302. In addition, when the template search unit 505 inputs a template to the acquired template storage unit 403, the template processing unit 506 reads the input template and outputs it to the user. The template input to the acquired template storage unit 403 is a template registered in the template storage unit 402 by the registration unit 504, and the template processing unit 506 uses the template registered in the template storage unit 402 by the registration unit 504. Will be output.

  For example, when acquiring the template from the acquired template storage unit 403, the template processing unit 506 displays a list screen of templates input to the acquired template storage unit as illustrated in FIG. For example, in the example shown in FIG. 8, three templates are input to the acquired template storage unit 403, and the template processing unit 506 displays a list screen of three templates as shown in FIG. FIG. 9A is a schematic diagram illustrating an input process using a template according to the second embodiment.

Further, for example, the template processing unit 506 outputs the template selected by the user on the list screen to the input screen of the electronic medical record. For example, in the example illustrated in FIG.
"Body temperature: ° C
Blood pressure (maximum): mmHg
Blood pressure (minimum): mmHg
"Pulse: times" will be output.

  The point that the template is output to the input screen of the electronic medical record will be further described. The template processing unit 506 determines whether the variable region code is included in the template selected by the user. Here, if the template selected by the user includes a variable region code, the template processing unit 506 inserts the variable region code from the read template as shown in FIG. 9-2. It outputs to a user in the state in which the input operation by a user is possible with respect to an insertion location. FIG. 9-2 is a diagram for explaining an input process using a template in the second embodiment.

  For example, in the example illustrated in FIG. 9B, the template processing unit 506 activates a sentence example expansion editor that accepts an input operation for an insertion location in which a variable area code is inserted among templates selected by the user, and the first variable Position the cursor in the area. Here, when the template is “body temperature: ■ ° C.”, the template processing unit 506 accepts an input operation by positioning the cursor in the “■” region, while for other “body temperature: ° C.” regions. , Does not accept input operations.

  Also, for example, when variable region codes are inserted at a plurality of locations, as shown in FIG. 9-2, the template processing unit 506 displays the cursor at the current location among the plurality of locations at which the variable region codes are inserted. It outputs to a user in the state in which the input operation by a user is possible with respect to the location.

  For example, the template processing unit 506 determines whether or not there is a next insertion location when the input operation for the insertion location where the cursor is located among the insertion locations included in the template is completed. For example, it is determined whether there are a plurality of insertion locations.

  Here, when the template processing unit 506 determines that there is a next insertion position, as shown in FIG. 9C, the position of the cursor is changed to an insertion position different from the insertion position where the input operation by the user is completed. To do. That is, when the user's input operation for the insertion location corresponding to the cursor is completed, the template processing unit 506 automatically moves the cursor to the next insertion location and performs the input operation for the insertion location as the movement destination. Accept from. FIG. 9C is a schematic diagram illustrating an input process using a template according to the second embodiment.

  For example, when the template processing unit 506 determines that there is no next insertion position, the template processing unit 506 positions the cursor on the confirmation key. That is, the cursor is positioned on a key for the user to end the input operation to the insertion location included in the template.

  Further, for example, when the user finishes the input operation to the insertion location included in the template, for example, when “confirm” in FIG. 9C is selected by the user, the template processing unit 506 selects FIG. As shown in FIG. 4, the template reflecting the input operation by the user is reflected on the input screen of the electronic medical record. FIG. 9-4 is a diagram for explaining input processing using a template in the second embodiment.

  For example, when an operation for selecting the “ENTER” key or the “Tab” key is performed as an input operation by the user, the template processing unit 506 determines that the input operation for the insertion position where the cursor is located is completed. To do. For example, when the user performs a key operation for selecting the “confirmation key” in FIG. 9C, the template reflecting the input operation by the user is reflected on the input screen of the electronic medical record.

Here, the template is "Body temperature: ■ ° C
Blood pressure (maximum): ■ mmHg
Blood pressure (minimum): ■ mmHg
The case of “pulse: ■ times” will be further described with an example.

  For example, the template processing unit 506 positions the default cursor before “° C.” as the first insertion location. When the input operation for inputting the body temperature value is completed by the user, the cursor position is automatically and sequentially changed to insertion positions corresponding to blood pressure, breathing, and pulse. The template processing unit 506 may automatically reflect the input on the input screen of the electronic medical record editor when the input of the final item is completed.

  When the template processing unit 506 determines that the variable region code is not included in the template selected by the user, as shown in FIG. 9-5, the template selected by the user is directly converted into an electronic form. It will be reflected in the chart input screen. FIG. 9-5 is a diagram for explaining input processing using a template in the second embodiment.

  Note that a detailed example of the processing flow by the template processing unit 506 will be described with reference to FIG.

  The medical information input device 100 may be realized by mounting the functions of the above-described units on an information processing device such as a known personal computer, workstation, or PDA (Personal Digital Assistant).

[Processing by Medical Information Input Device According to Second Embodiment]
Next, a flow of processing by the medical care information input device 100 according to the second embodiment will be described. Below, the flow of the whole process by the medical treatment information input device according to the second embodiment, the flow of the template registration process, and the flow of the input process using the template will be described in order.

[Flow of Overall Processing by Medical Information Input Device According to Embodiment 2]
With reference to FIG. 10, an example of the flow of overall processing by the medical care information input device 100 according to the second embodiment will be described. FIG. 10 is a flowchart for explaining an example of the overall processing flow by the medical care information input apparatus according to the second embodiment.

  As illustrated in FIG. 10, in the medical information input device 100 according to the second embodiment, when an electronic medical chart activation instruction is received from a user (Yes in step S201), the electronic medical chart execution unit 501 executes a user login process (step S201). S202). For example, the electronic medical record execution unit 501 outputs a login request screen of the electronic medical record system to the output unit 302, and then receives “user name and password” input by the user from the input unit 301, and executes user authentication. To do. That is, use of the electronic medical record is started.

  Then, the electronic medical chart execution unit 501 accepts the examiner ID and the like from the user who is permitted to log in, and opens the chart of the examinee (step S203). That is, the electronic medical record execution unit 501 acquires the electronic medical record from the electronic medical record storage unit 401.

  Then, the electronic medical chart execution unit 501 activates a medical chart editor for inputting medical information to the electronic medical chart (step S204). Here, the electronic medical record execution unit 501 outputs an input screen from the output unit 302.

  Here, in the medical care information input device 100 according to the second embodiment, an input process using a template is performed (step S205). Note that the flow of input processing using a template will be described later with reference to FIG.

  Thereafter, the electronic medical chart execution unit 501 saves the medical chart editor in which the electronic medical chart is updated (step S206), accepts the user's operation, closes the medical chart of the examinee (step S207), and uses it by the user's operation. The user logout is accepted and the process is terminated (step S208).

[Flow of Template Registration Processing by Medical Information Input Device in Example 2]
With reference to FIG. 11, an example of the flow of template registration processing by the medical care information input device 100 according to the second embodiment will be described. FIG. 11 is a flowchart for explaining an example of a template registration process performed by the medical care information input device according to the second embodiment.

  As shown in FIG. 11, when the text example registration editor is activated (Yes in step S301), that is, when the selection instruction and the instruction to register the text example are received from the input unit 301, the display unit 502 selects the text example registration editor. The sentence example is displayed (step S302). Then, the display unit 502 receives a correction operation for the sentence example from the input unit 301 (step S303).

  If the display unit 502 determines that the registration key has been selected by the user (Yes at step S304), the display unit 502 outputs the post-reflection sentence example and the pre-reflection sentence example to the specifying unit 503, and the specifying unit 503 The post-reflection sentence example and the pre-reflection sentence example are compared (step S305). That is, the identifying unit 503 identifies the difference portion by comparing the post-reflection sentence example and the pre-reflection sentence example. When the display unit 502 does not determine that the registration key has been selected by the user (No at Step S304), the display unit 502 accepts a correction operation (Step S303).

  If there is a difference as a result of the comparison by the specifying unit 503 (Yes in step S306), the registration unit 504 inserts variable area codes in all the different points (step S307) and registers them in the template storage unit 402. (Step S308). For example, the registration unit 504 inserts a variable area code at a different location, and registers the post-reflection sentence example in which the variable area code is inserted into the model storage unit 402 as a model.

  On the other hand, when there is no difference as a result of comparison by the specifying unit 503 (No at Step S306), the registration unit 504 registers the variable region code as it is without inserting the variable region code (Step S308).

[Flow of input processing using template by medical information input device in embodiment 2]
An example of the flow of input processing using a template by the medical care information input device according to the second embodiment will be described with reference to FIG. FIG. 12 is a flowchart for explaining an example of the flow of input processing using a template by the medical care information input device according to the second embodiment. The process described below corresponds to step S205 in FIG.

  As shown in FIG. 12, when receiving an input operation (Yes at Step S401), the template search unit 505 searches the template storage unit 402 (Step S402). For example, the template search unit 505 receives a search key from the input unit 301, refers to the template storage unit 402 using the received search key, and acquires a template from the template storage unit 402.

  Here, if there is a corresponding template (Yes at Step S403), that is, if the template associated with the search key is stored in the template storage unit 402, the template search unit 505 corresponds to the search key. All the templates are input to the acquired template storage unit 403 (step S404). On the other hand, if there is no corresponding template (No at Step S403), the template searching unit 505 ends the process as it is.

  When the template search unit 505 inputs a template to the acquired template storage unit 403 (step S404), the template processing unit 506 displays a list screen of the templates input to the acquired template storage unit (step S405).

  When a template is selected by the user (Yes at Step S406), the template processing unit 506 determines whether the template selected by the user includes a variable area code (Step S407). If the template processing unit 506 determines that the variable area code is included (Yes at step S407), the template processing unit 506 expands the selected template in the sentence example expansion editor (step S408), and displays it in the first variable area. The cursor is positioned (step S409).

  Then, the template processing unit 506 receives an input operation (step S410), and receives an input operation for an insertion location where the cursor is located among the insertion locations included in the template. Then, when the template processing unit 506 receives an operation for selecting the confirmation key (Yes in Step S411), the template processing unit 506 reflects the template reflecting the input operation by the user on the input screen of the electronic medical record (Step S412).

  When the template processing unit 506 receives an operation for selecting the “ENTER” key or the “Tab” key instead of the operation for selecting the confirmation key (No in step S411 and positive in step S413), is there a next insertion point? Is determined (step S414). That is, the template processing unit 506 determines whether or not there are a plurality of insertion locations when the input operation for the insertion location where the cursor is located is completed among the insertion locations included in the template. If the template processing unit 506 determines that there is a next insertion location (Yes at step S414), the template processing unit 506 positions the cursor at the next insertion location (step S415). That is, the template processing unit 506 changes the position of the cursor to an insertion location different from the insertion location where the input operation by the user is completed.

  Then, when the model processing unit 506 positions the cursor at the next insertion location (step S415), the template processing unit 506 accepts an input operation for the insertion location where the cursor is actually located (step S410). The template processing unit 506 also positions the cursor when the confirmation key is not selected (No at Step S411) or when the “ENTER” key or the “Tab” key is selected (No at Step S413). The input operation for the insertion location will continue to be received (step S410).

  If the template processing unit 506 determines that there is no next insertion position (No at step S414), the template processing unit 506 positions the cursor on the confirmation key (step S416). And it returns to above-mentioned step S410 and receives operation which selects a confirmation key from a user, for example.

  If no template is selected by the user in step S406 described above (No in step S406), the template processing unit 506 ends the process as it is.

  If it is determined in step S407 that the template selected by the user does not contain a variable area code (No in step S407), the template selected by the user is used as it is in the electronic medical record input screen. (Step S412).

[Effect of Example 2]
As described above, according to the first embodiment, the medical care information input device 100 displays a sentence example to the user, accepts a correction operation from the user, and reflects the post-reflection sentence example after the accepted correction operation is reflected. The difference is identified by comparing with the previous example. Then, the medical care information input device 100 inserts a predetermined symbol at a different location, and registers the post-reflection sentence example in which the predetermined symbol is inserted into the template storage unit 402 as a template. As a result, it is possible to easily create a template that can be easily reused.

  Further, according to the first embodiment, the model registered in the model storage unit 402 is read out, and used in a state where the user can perform an input operation on the insertion position where the variable area code is inserted in the read model. Output to the user. As a result, it can be used as a template that can be easily reused.

  Further, according to the first embodiment, the medical information input device 100 allows the user to perform an input operation on the insertion position where the cursor is actually located among the plurality of insertion positions when the template includes the plurality of insertion positions. Output to the user in a possible state. When the input operation to the insertion position where the cursor is located is completed among the insertion positions included in the template, the medical care information input device 100 moves the cursor position to an insertion position different from the insertion position where the input operation by the user is completed. To change. As a result, even when there are a plurality of insertion locations, the medical care information input device 100 automatically changes the position of the cursor, so that a template that is easy for the user to use can be obtained. Specifically, the user can execute an input operation on another insertion location without changing the position of the cursor to another insertion location using a mouse or the like.

  Although the embodiments of the present invention have been described so far, the present invention may be implemented in other embodiments besides the above-described embodiments. Therefore, other embodiments will be described below.

[Combination of Examples]
For example, in the second embodiment, the technique (1) for outputting in a state where the user can perform an input operation on the part where the variable region code is inserted, and the insertion part different from the insertion part where the input operation is completed In addition, the case where the method (2) for automatically changing the position of the cursor is implemented has been described. However, the present invention is not limited to this, and for example, either one of method (1) and method (2) may be performed, or both may not be performed.

[System configuration]
In addition, among the processes described in this embodiment, all or part of the processes described as being performed automatically can be performed manually, or the processes described as being performed manually can be performed. All or a part can be automatically performed by a known method.

  In addition, the processing procedure, control procedure, specific name, and information including various data and parameters shown in the above-mentioned document and drawings (for example, FIG. 1 to FIG. 12) are arbitrary unless otherwise specified. Can be changed.

  Further, each component of each illustrated apparatus is functionally conceptual, and does not necessarily need to be physically configured as illustrated. In other words, the specific form of distribution / integration of each device is not limited to that shown in the figure, and all or a part thereof may be functionally or physically distributed or arbitrarily distributed in arbitrary units according to various loads or usage conditions. Can be integrated and configured. For example, in the second embodiment, for convenience of explanation, the configuration of the medical information input device 100 has been described separately in FIGS. 3 and 7, but the configuration described in FIGS. 3 and 7 is distributed and configured. You may do it.

[Computer]
The various processes described in the above embodiments can be realized by executing a program prepared in advance on a computer such as a personal computer or a workstation. In the following, an example of a computer that executes a registration program having the same function as that of the above-described embodiment will be described with reference to FIG. FIG. 13 is a schematic diagram illustrating an example of a computer that executes a registration program according to the second embodiment.

  As shown in FIG. 13, the computer 3000 according to the first embodiment includes an operation unit 3001, a microphone 3002, a speaker 3003, a display 3004, a communication unit 3006, a CPU (Central Processing Unit) 3010, a ROM (Read Only Memory) 3011, an HDD ( Hard Disk Drive) 3012 and RAM (Random Access Memory) 3013 are connected by a bus 3009 or the like.

  The ROM 3011 exhibits the same functions as the electronic medical record execution unit 501, the display unit 502, the specifying unit 503, the registration unit 504, the template search unit 505, and the template processing unit 506 described in the first embodiment. As shown in FIG. 13, an electronic medical record execution program 3011a, a display program 3011b, a specific program 3011c, a registration program 3011d, a template search program 3011e, and a template processing program 3011f are stored in advance. ing. In addition, about these programs 3011a-3011f, you may integrate or isolate | separate suitably like each component of the medical treatment information input device 100 shown in FIG.3 and FIG.7.

  Then, the CPU 3010 reads out these programs 3011a to 3011f from the ROM 3011 and executes them, so that as shown in FIG. 13, each program 3011a to 3011f has an electronic medical record execution process 3010a, a display process 3010b, and a specific process. 3010c, a registration process 3010d, a template search process 3010e, and a template processing process 3010f. Each of the processes 3010a to 3010f includes an electronic medical record execution unit 501, a display unit 502, a specifying unit 503, a registration unit 504, a template search unit 505, and a template processing unit 506 shown in FIG. 3 and FIG. And correspond respectively.

  The HDD 3012 is provided with an electronic medical record table 3012a and a template table 3012b. Each table 3012a to 3012b corresponds to the electronic medical record storage unit 401 and the model storage unit 402 shown in FIG.

  Then, the CPU 3010 reads out the electronic medical record table 3012a and the template table 3012b and stores them in the RAM 3013. The electronic medical record data 3013a, the acquired template data 3013b, the sentence example data 3013c, and the difference portion data 3013d stored in the RAM 3013 are read. Use to run the registration program.

[Others]
The registration program described in the present embodiment can be distributed via a network such as the Internet. The registration program can also be executed by being recorded on a computer-readable recording medium such as a hard disk, a flexible disk (FD), a CD-ROM, an MO, and a DVD, and being read from the recording medium by the computer.

100 medical information input device 101 storage unit 201 display unit 202 reception unit 203 identification unit 204 registration unit 301 input unit 302 output unit 400 storage unit 401 electronic medical record storage unit 402 template storage unit 403 acquisition template storage unit 500 control unit 501 electronic medical record execution Unit 502 display unit 503 identification unit 504 registration unit 505 template search unit 506 template processing unit 3000 computer 3001 operation unit 3002 microphone 3003 speaker 3004 display 3006 communication unit 3009 bus 3010 CPU
3010a Electronic medical record execution process 3010b Display process 3010c Specific process 3010d Registration process 3010e Template search process 3010f Template processing process 3011 ROM
3011a Electronic medical record execution program 3011b Display program 3011c Specific program 3011d Registration program 3011e Template search program 3011f Template processing program 3012 HDD
3012a Electronic medical record table 3012b Model table 3013 RAM
3013a Electronic medical record data 3013b Acquired template data 3013c Example data 3013d Difference data

Claims (8)

A medical information input program for causing a computer to function as a medical information input support system for inputting and recording medical information of a examinee,
Display means for displaying an example sentence to the user,
Accepting means for accepting, from a user, a correction operation for the sentence example displayed by the display means;
Location where the correction operation is performed by the user by comparing the post-reflection example sentence after the correction operation received by the receiving unit is reflected with the pre-reflection example sentence before the correction operation is reflected A specifying means for specifying a difference between the post-reflecting sentence example and the pre-reflecting sentence example,
Medical information, wherein a predetermined symbol is inserted at a different location specified by the specifying unit, and the post-reflected sentence example in which the predetermined symbol is inserted functions as a registration unit for registering in a predetermined storage unit as a model Input program. The computer,
The template registered in the predetermined storage unit by the registration unit is read out, and the template is input to the predetermined output unit in a state where an input operation can be performed on the insertion position where the predetermined symbol is inserted among the read templates. The medical information input program according to claim 1, further causing it to function as an output means for outputting. The computer is further caused to function as an electronic medical record executing means for displaying medical information included in the electronic medical record to the user,
2. The medical information input according to claim 1, wherein the display unit displays a part selected by a user from the medical information displayed by the electronic medical record execution procedure separately from the electronic medical record. program. A medical information input support device for inputting and recording medical information of a medical examinee,
A display for displaying an example sentence to the user;
A receiving unit that receives a correction operation for a sentence example displayed by the display unit from a user;
The location where the correction operation was performed by the user by comparing the post-reflection sentence example after the correction operation received by the reception unit was reflected and the pre-reflection sentence example before the correction operation was reflected A specifying unit that specifies a different part from the pre-reflection example sentence among the post-reflection example sentence that becomes,
And a registration unit that inserts a predetermined symbol at a different location specified by the specifying unit, and registers the post-reflected sentence example in which the predetermined symbol is inserted as a template in a predetermined storage unit. Information input device. A medical information input method executed by a computer,
The computer is
A display step for displaying an example sentence to the user;
An accepting step of accepting a correction operation for the sentence example displayed by the display step from a user;
The location where the correction operation was performed by the user by comparing the post-reflection sentence example after the correction operation received by the reception step was reflected with the pre-reflection sentence example before the correction operation was reflected A specifying step for identifying a different part from the pre-reflection example sentence in the post-reflection example sentence that becomes:
Performing a registration step of inserting a predetermined symbol at a different location specified by the specifying step, and registering the post-reflected sentence example in which the predetermined symbol is inserted as a template in a predetermined storage unit Information input method. Obtaining the first sentence example from the storage unit that stores the first sentence example from which the template is created,
Regarding the second sentence example in which a part of the first sentence example is deleted by the deletion instruction received by the input unit that receives the input of the deletion instruction for the acquired first sentence example , the second sentence example in the first sentence example Identify the area that was deleted when creating the example,
The specified region is a variable region in which characters can be input, and a template that does not make the portion not deleted when creating the second sentence example in the first sentence example a variable area is generated and the storage unit A template generation program for causing a computer to execute processing stored in the computer. Obtaining the first sentence example from the storage unit that stores the first sentence example from which the template is created,
Regarding the second sentence example in which a part of the first sentence example is deleted by the deletion instruction received by the input unit that receives the input of the deletion instruction for the acquired first sentence example , the second sentence example in the first sentence example Identify the area that was deleted when creating the example,
The specified region is a variable region in which characters can be input, and a template that does not make the portion not deleted when creating the second sentence example in the first sentence example a variable area is generated and the storage unit A template generation method in which a computer executes a process stored in the table. The first sentence example is acquired from the storage unit that stores the first sentence example from which the template is created, and the deletion instruction received by the input unit that receives the input of the deletion instruction for the acquired first sentence example For the second sentence example in which a part of one sentence example is deleted, the area deleted when creating the second sentence example in the first sentence example is specified, and character input is performed for the specified area. A template generation apparatus having a control unit that generates a variable area and generates a template that does not use a portion that has not been deleted when creating the second sentence example in the first sentence example as a variable area and stores the template in the storage unit .

Images