JP6290111B2 - Electronic record recording support apparatus and electronic record recording support method - Google Patents

Description

  The present invention relates to an electronic finding record support apparatus and an electronic finding record support method for supporting input of finding information related to a plurality of body parts to an electronic finding record.

  In recent years, electronic medical records (investigation records) have been spreading in the field of medical care. Usually, the electronic medical chart displays a screen in which items of information to be input and input fields are arranged on a display interface such as a liquid crystal display. The electronic medical record receives input of information from the medical staff through a manual input interface such as a keyboard and a mouse, and records the input information in a state where it can be referred to.

  In general hospitals, multiple medical staff record and refer to medical records. In view of this, a technique has been proposed that enables access to one electronic medical record from a plurality of terminal devices (see, for example, Patent Document 1).

  The technique described in Patent Document 1 (hereinafter referred to as “prior art”) is such that while a patient's electronic medical record is being edited in one of the terminal devices, the other terminal device cannot edit the patient's electronic medical record. In addition, the terminal device that permits editing is switched based on a predetermined rule. According to such a conventional technique, it is possible to efficiently record the finding information on the electronic medical record by a plurality of medical workers.

JP 2014-13577 A

  By the way, not only in the field of medical care but also in the fields of forensic anatomy and pathological anatomy, it is desired to digitize the findings that record autopsy findings.

  However, it is difficult for a surgeon performing an autopsy to use a manual input interface. In many cases, a plurality of surgeons perform an autopsy on one subject at the same time, such as one performing an autopsy of the head and the other performing an autopsy of the abdomen. Therefore, the above-described prior art is not suitable for use in recording an autopsy finding in an electronic finding record (hereinafter referred to as “electronic finding record”).

  An object of the present invention is to provide an electronic record recording support apparatus and an electronic record recording support method that can support an operation of recording an autopsy finding in an electronic record.

  An electronic record recording support apparatus according to an aspect of the present invention is an electronic record recording support apparatus that supports input of observation information related to a plurality of body parts to an electronic record, and has a voice input function and an image display function. A terminal connection unit connected to each of the plurality of terminal devices, and whether or not the part name of the body part is input by voice by voice recognition processing for each terminal device, and whether or not the finding information is input by voice A speech recognition analysis unit for determining whether or not each terminal device generates and displays a list input screen including a list of part names of the plurality of body parts, and the part names are voice input in the terminal device. An input screen control unit including a part-specific screen for inputting the corresponding finding information in the finding record input screen of the terminal device, and the terminal device displaying the part-specific screen An information recording unit for recording the voice-inputted finding information in the electronic finding in association with the corresponding part name when the finding information is inputted by voice. While the part-specific screen is being displayed on one of the plurality of terminal devices, the unit is configured to display the corresponding finding information corresponding to the corresponding part name displayed on the other terminal device. Impossibility notification information indicating that the input is impossible is provided, and the corresponding screen for each part is not displayed on the other terminal device.

  An electronic record recording support method according to an aspect of the present invention is an electronic record recording support method that supports input of observation information relating to a plurality of body parts to an electronic record, which has a voice input function and an image display function. A step of displaying a list of part names of the plurality of body parts on each of a plurality of terminal apparatuses, and determining whether or not the part names are input by voice recognition processing for each terminal apparatus. And when the part name is input by voice in the terminal device, on the condition that the part-specific screen for inputting the finding information corresponding to the part name is not displayed on the other terminal device. Displaying the part-specific screen corresponding to the part name in addition to the list of part names on the terminal device in which the part name is input by voice; When the part name is input by voice in one of the devices, the part-specific screen for inputting the finding information corresponding to the part name is displayed on the other terminal device. On the condition that the part name is input to the terminal device in addition to the list of the part names, and the part-specific screen is displayed in one of the plurality of terminal apparatuses. While notifying the corresponding part name displayed on the other terminal device, the notification information indicating that the input of the corresponding finding information is impossible, for each terminal device A step of determining whether or not the finding information is inputted by voice by voice recognition processing, and the finding information is inputted by voice in the terminal device displaying the screen for each part. As a condition, having a step of recording the observation information voice input, to the electronic findings recording in association with the corresponding said site name, a.

  According to the present disclosure, it is possible to support the recording work of the autopsy findings in the electronic findings.

The figure which shows an example of the outline | summary of the system by which the electronic record recording assistance device which concerns on one embodiment of this invention is used The figure which shows an example of a structure of the electronic record recording assistance apparatus which concerns on this Embodiment. The figure which shows an example of the content of the record structure data in this Embodiment The figure which shows an example of the content of the command data in this Embodiment The figure which shows an example of the content of the pronunciation dictionary data in this Embodiment The figure which shows an example of the content of the terminal state management table | surface in this Embodiment The figure which shows an example of the work start screen of the electronic finding record in this Embodiment The flowchart which shows an example of operation | movement of the electronic record recording assistance apparatus which concerns on this Embodiment. The figure which shows the 1st example of the finding record input screen in this Embodiment The figure which shows the 2nd example of the finding record input screen in this Embodiment The figure which shows the 3rd example of the finding record input screen in this Embodiment The figure which shows the 4th example of the finding record input screen in this Embodiment The figure which shows the 5th example of the finding record input screen in this Embodiment. The figure which shows an example of the content of the finding record information data in this Embodiment The figure which shows an example of the autopsy record in this Embodiment

  Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings.

<System overview>
First, an outline of an electronic record recording system in which the electronic record recording support apparatus according to the present embodiment is used will be described. In the present embodiment, the electronic findings recording system is a system for recording autopsy findings in forensic anatomy.

  FIG. 1 is a diagram showing an example of an outline of an electronic record recording system in which the electronic record recording support apparatus according to the present embodiment is used.

As shown in FIG. 1, the electronic finding system 100 includes first and second terminal devices 200 ₁ and 200 ₂ arranged inside the dissection room 110 and an electronic finding record arranged outside the dissection room 110. And a recording support apparatus 300.

The first terminal device 200 ₁ includes a first terminal control device 210 ₁ , a first headset 220 ₁ provided with a microphone, and a first display device 230 ₁ provided with a liquid crystal display.

The first headset 220 ₁ and the first display device 230 ₁ are each connected to the first terminal control device 210 _{1 so as} to be communicable. That is, the first terminal device 200 ₁ is a terminal device having a voice input function and image display function. The first headset 220 ₁ is attached to the head of a _first user 130 ₁ who is a surgeon who dissects a subject 120. The first display device 230 ₁ is used by the first user 130 ₁ .

Also, the second terminal device 200 _2, the second terminal control unit 210 _2, a second headset 220 _2, and with a second display device 230 _2, the same ₁ and the first terminal device 200 It has a configuration. Second headset 220 ₂ is attached to the second user 130 _{and second} head is another one of the surgeon to dissect forensic the subject 120. Second display device 230 ₂ is used by the second user 130 _2.

Electronic findings recording recording support apparatus 300 includes first and communicably connected to each of the terminal control apparatus 210 ₁ and the second terminal control unit 210 _2, the first terminal device 200 ₁ and the second terminal device 200 ₂ A user interface for electronic findings is implemented in each of these. That is, the electronic record recording support apparatus 300 displays a record input screen on each terminal device 200, and presents the record information and accepts the input of the find information to the electronic record.

More specifically, the electronic record recording support apparatus 300 enables input of findings information in a hands-free manner by voice, and the first and second users 130 ₁ and 130 ₂ simultaneously input the findings information. Make it possible.

<Device configuration>
Next, the configuration of the electronic record recording support device 300 will be described.

  FIG. 2 is a diagram illustrating an example of the configuration of the electronic record recording support apparatus 300.

  2, the electronic record recording support apparatus 300 includes an information storage unit 310, a terminal connection unit 320, a voice recognition analysis unit 330, an input screen control unit 340, and an information recording unit 350.

  The information storage unit 310 stores in advance various information for realizing a user interface for electronic findings. More specifically, the information storage unit 310 stores a speech recognition dictionary 311, finding record configuration information 312, and finding record information data 313.

  The speech recognition dictionary 311 is information used in speech recognition processing for converting speech data into text data, such as an acoustic model, a pronunciation dictionary, and a language model. The acoustic model is obtained by converting a stochastic association between a feature amount of a voice and a phonetic symbol into data. The pronunciation dictionary describes a plurality of text arrays as a candidate group of speech recognition results by speech recognition processing. The language model is obtained by converting the appearance probability and connection probability into data for each text array described in the pronunciation dictionary.

  Note that the pronunciation dictionary and the language model preferably correspond to the recording format of medical technical terms and findings. The acoustic model preferably includes an acoustic model customized for each user through learning and an acoustic model for unspecified users. The pronunciation dictionary and the language model are preferably prepared for each display screen and each screen mode, which will be described later.

  The finding record configuration information 312 is information necessary for constructing a user interface for electronic finding. The finding record configuration information 312 includes, for example, finding record structure data, command data, pronunciation dictionary data, and a terminal state management table.

  The observation record structure data is data describing the structure of the electronic observation record. Command data is data describing a command received from a user. The pronunciation dictionary data is data in which a character string displayed in the electronic record and its reading are described in association with each other. The terminal state management table is information that identifies each terminal device 200 and describes the state of each terminal device 200. The record structure data, command data, and pronunciation dictionary data are information prepared in advance, whereas the terminal state management table is information that is generated and changes according to the state of the electronic record system 100. .

  FIG. 3 is a diagram illustrating an example of the contents of the finding record structure data.

  As shown in FIG. 3, the finding record structure data 410 describes, for each part name 411, an item name 412 belonging to the part name and an input field type 413 of the item name 412.

  Part name 411 is the name of the body part. The part name 411 is a name of the range of the subject to which attention is given at a time when one surgeon performs an autopsy, such as “heart”. In the present embodiment, the names of various pieces of information, such as “basic information”, that are focused on at a time when one surgeon performs an autopsy, are also handled as part names 411.

  The item name 412 is a name of an object for which finding information corresponding to the part name 411 is to be recorded.

  The input field type 413 is a type of input method of finding information corresponding to the item name 412.

  The record structure data 410 includes information such as position, size, font, and color when the part name 411, the item name 412 and the item name 412 are displayed on the record input screen. You may go out. Further, the finding record structure data 410 may include information regarding the memory storage location of the input finding information for each of the item names 412.

  FIG. 4 is a diagram illustrating an example of the contents of command data.

  As shown in FIG. 4, the command data 420 describes a command 422 for each screen mode 421.

  The screen mode 421 is a type of operation accepted by the electronic findings screen. In the present embodiment, the screen mode 421 includes at least a “selection mode” and an “input mode”. The selection mode is a mode for accepting an operation for selecting a part name or an item name displayed on the screen. The input mode is a mode for accepting an information input operation to the input field corresponding to the item name displayed on the screen. The input mode is preferably further divided into a mode for inputting a free sentence and a mode for inputting a numerical value.

  The command 422 is a command word received from the user on the finding record input screen. In the present embodiment, the command 422 is an input start command for starting input to the input field, various editing commands for editing the contents described in the input field, and input to the input field is stopped. It includes an input stop command.

  FIG. 5 is a diagram showing an example of the contents of the pronunciation dictionary data.

  As shown in FIG. 5, the pronunciation dictionary data 430 describes a reading 432 for each character string 431. The character string 431 is a character string of a phrase for which the electronic finding system 100 accepts voice input on the finding record input screen, and includes a part name 411, an item name 412, and a command 422 (see FIGS. 3 and 4).

  Note that information having the same content as the pronunciation dictionary data 430 is included in the pronunciation dictionary of the speech recognition dictionary 311 described above. Alternatively, the pronunciation dictionary data 430 may be shared by the speech recognition dictionary 311 and the finding record configuration information 312.

  FIG. 6 is a diagram illustrating an example of the contents of the terminal state management table.

  As shown in FIG. 6, the terminal state management table 440 describes the state for each state item 441 for each of the first terminal device 442 and the second terminal device 443.

  The status item 411 includes a terminal ID, a user name, a working record No. , Display screen, working status, and selected item. The terminal ID is identification information of the terminal device 200. The terminal ID may be a set of a microphone ID and a display ID. The user name is identification information of a user who uses the terminal device 200. The in-work record number is identification information of the record information data that is input or edited in the terminal device 200. The display screen is identification information of a screen displayed on the terminal device 200. The work state is a screen mode 421 (see FIG. 4) set in the terminal device 200.

  Note that the terminal ID is described by the input screen control unit 340 based on the automatic detection function of the communication network and the user operation when the terminal device 200 is connected to the electronic record recording support device 300, for example. User name and working record No. Is described by the input screen control unit 340 based on, for example, a user operation on the work start screen for electronic findings. In addition, the display screen, the work state, and the item being selected are sequentially updated by the input screen control unit 340 in response to various user operations on the observation record input screen, for example.

  The contents of the finding record information data 313 in FIG. 2 will be described later.

The terminal connection unit 320 in FIG. 2 connects to each of the first and second terminal devices 200 ₁ and 200 _{2 so} as to communicate with each other. Then, the terminal connection unit 320 relays information between each of the first and second terminal devices 200 ₁ and 200 ₂ , the speech recognition analysis unit 330, the input screen control unit 340, and the information recording unit 350. I do.

  The voice recognition analysis unit 330 determines whether or not the part name 411 (see FIG. 3) is inputted by voice and whether the finding information is inputted by voice by the voice recognition process using the voice recognition dictionary 310 for each terminal device 200. It is determined whether or not. Although not shown, the speech recognition analysis unit 330 includes an acoustic analysis unit that converts the speech of the speaker into compact data, and a recognition decoder that analyzes the converted data and converts it into text. Then, when the part name or finding information is inputted by voice, the voice recognition analyzing unit 330 outputs text information of the part name or finding information to the input screen control unit 340. Note that the voice recognition analysis unit 330 similarly determines the presence / absence of voice input and outputs the determination result for the item name 412 (see FIG. 3) and the command 422 (see FIG. 4).

  Note that the speech recognition analysis unit 330 may switch the acoustic model, pronunciation dictionary, and language model to be used based on the terminal state management table 440 (see FIG. 6), or may narrow down a phrase to be recognized. Good.

  The input screen control unit 340 generates and displays an observation record input screen including a list of part names of a plurality of body parts for each terminal device. Then, when any part name is input by voice in any terminal device 200, the input screen control unit 340 is for each part for inputting corresponding finding information on the finding record input screen of the terminal apparatus 200. Display the screen. Further, the input screen control unit 340 outputs the text information of the input finding information to the information recording unit 350 in association with the part name and the item name that are input targets.

  However, the input screen control unit 340 does not correspond to the corresponding part name displayed on the other terminal device 200 while any one of the part-specific screens is displayed on the one terminal device 200. Impossibility notification information indicating that information cannot be input is added. Further, the input screen control unit 340 does not display the corresponding part-specific screen on the other terminal apparatus 200 while any part-specific screen is displayed on the one terminal apparatus 200.

  Note that the input screen control unit 340 sequentially reflects the display screen, the work state, and the selected item in each terminal device 200 in the terminal state management table 440 (see FIG. 6).

  When the text information of the finding information is input from the input screen control unit 340, the information recording unit 350 associates the text information of the input finding information with the corresponding part name and item name, and the finding record information data 313. Is stored in the information storage unit 310.

  Note that the combination of the above-described record structure data 410 (see FIG. 3) and the record information data 313 constitutes an electronic record. That is, the information recording unit 350 records the finding information input by the user in the electronic finding record.

  Although not shown, the electronic record recording support device 300 includes, for example, a CPU (Central Processing Unit), a storage medium such as a ROM (Read Only Memory) storing a control program, a working memory such as a RAM (Random Access Memory), And a communication circuit. In this case, the function of each unit described above is realized by the CPU executing the control program.

  Such an electronic finding record support apparatus 300 enables voice input of finding information for each item via a part-specific screen prepared for each body part in each terminal device 200. The electronic record recording support apparatus 300 does not display the part-specific screen on the other terminal apparatus 200 while any one of the part-specific screens is displayed on a certain terminal device 200, and the corresponding finding information is voiced. It is possible to notify the user of the other terminal device 200 that it cannot be input.

<Operation of the device>
Next, the operation of the electronic record recording support apparatus 300 will be described with reference to the screen state of the electronic record record.

  First, the input screen control unit 340 generates a work start screen for electronic records for each terminal device 200 and displays it on the terminal device 200. Then, the input screen control unit 340 receives, for each terminal device 200, setting of the target of the input or editing work of finding information and the setting of the user who performs the work.

  FIG. 7 is a diagram illustrating an example of a work start screen for electronic findings.

  As illustrated in FIG. 7, the work start screen 510 includes a finding record selection area 511 and a user selection area 512. The finding record selection area 511 displays a list of existing finding record information data, and allows the user to perform an operation of selecting the finding record information data to be started or a start of creating new finding information information. Accept. The user selection area 512 displays a list of user names, and accepts a user name selection operation or a new user name registration operation of the user who starts work from the user.

For example, the first user 130 ₁ selects the record information data “000019” and the user name “TARO” on the work start screen 510 displayed on the _first terminal device 200 ₁ . The second user 130 ₂ is the working start screen 510 displayed on the second terminal device 200 _2, selects findings book information data "000019" and the user name "HANAKO".

  The electronic record recording support device 300 performs the operation described below for each terminal device 200 each time the record information data and the user name are selected on the work start screen 510.

  FIG. 8 is a flowchart showing an example of the operation of the electronic record recording support device 300.

  In step S1010, the input screen control unit 340 generates a record entry screen of the selected record information data and displays it on the selected terminal device 200. At this time, the input screen control unit 340 registers the selected user name and sets the selection mode for the selected terminal device 200. These registrations and settings are performed using the terminal state management table 440 (see FIG. 6).

  FIG. 9 is a diagram illustrating an example of a finding record input screen.

  As shown in FIG. 9, the finding record input screen 600 includes a part selection area 610, a finding input area (part-specific screen) 620, a command display area 630, and a voice recognition operation area 640.

  The part selection area 610 is an area for displaying a list of part names 411 (see FIG. 3) of a plurality of body parts as a plurality of part name tabs 611.

  A finding input area (screen according to part) 620 is an area for displaying a list of a plurality of item names 412 (see FIG. 3) corresponding to a part name 411 of the body part as a plurality of item name buttons 621 for one body part. It is. The observation input area 620 is an area for displaying an input field corresponding to the input field type 413 (see FIG. 3) corresponding to each item name 412 as an input area 622 in association with the item name button 621.

  The finding record input screen 600 is drawn so that each finding input area 620 can be seen as a sheet with a corresponding part name tab 611 attached to the upper end.

  The command display area 630 displays a list of readings of the command 422 (see FIG. 4) corresponding to the screen mode 421.

  The voice recognition operation area 640 includes operations for editing the voice recognition dictionary 311 such as registration of a word to be recognized and editing a user profile, and operations related to voice recognition such as a microphone volume and start / stop of voice recognition. It is an area to accept.

  For example, the input screen control unit 340 displays a finding input screen 600 including a finding input area 620 for basic information as an initial state.

  In step S1020 of FIG. 8, the speech recognition analysis unit 330 determines whether or not there is a speech input of the displayed part name in the terminal device 200 in the selection mode. This determination is made based on, for example, the finding record structure data 410 (see FIG. 3), the pronunciation dictionary data 430 (see FIG. 5), and the terminal state management table 440 (see FIG. 6).

  Here, the part name to be determined is displayed as a part name tab 611 in the part selection area 610 of the observation record input screen 600. Accordingly, the user can select a desired part name and input it to the terminal device 200 as if he / she selected one of the displayed part name tabs 611 and read it out.

  If there is a voice input of the part name in the selection mode (S1020: YES), the voice recognition analysis unit 330 advances the process to step S1030. In addition, when there is no part name voice input in the selection mode (S1020: NO), the voice recognition analysis unit 330 advances the process to step S1060 described later.

  In step S1030, the input screen control unit 340 determines whether or not the finding input screen 600 including the finding input area 620 for the part name input by voice is displayed on the other terminal device 200. This determination is performed based on, for example, the terminal state management table 440 (see FIG. 6).

  When the corresponding record entry screen 600 is not displayed on another terminal device 200 (S1030: NO), the input screen control unit 340 advances the process to step S1040. Moreover, the input screen control part 340 advances a process to subsequent step S1060, when the corresponding record input screen 600 is displayed on the other terminal device 200 (S1030: YES).

  In step S <b> 1040, the input screen control unit 340 displays, on the terminal device 200 that has received voice input, the finding record input screen 600 that includes a list of item names corresponding to the input part names, that is, the input part names. A finding input area 620 corresponding to is displayed.

  FIG. 10 is a diagram illustrating an example of a record entry input screen when the content is switched to the content corresponding to the part name “heart”, and corresponds to FIG. 9. Portions corresponding to those in FIG. 9 are denoted by the same reference numerals, and description thereof will be omitted.

For example, while the second terminal device 200 ₂ to the heart findings input area 620 is not displayed, in the first terminal device 200 _1, "heart" is assumed to be voice input when in selection mode. In this case, as shown in FIG. 10, the input screen control unit 340 displays a cardiac finding input area 620 on the finding record input screen 600 displayed on the _first terminal device 2001.

  The finding input area 620 is displayed like a sheet with the part name tab 611 as described above. With such a display form, the finding record input screen 600 can indicate to the user which body part (part name) is the finding input area 620.

  In FIGS. 9 and 10, the screen mode is the selection mode. Accordingly, a list of readings of the command 422 (see FIG. 4) in the selection mode is displayed in any command display area 630.

  Depending on the body part, when there are many item name buttons 621 and input areas 622, not all item name buttons 621 and input areas 622 may be displayed at one time. Therefore, the command includes a command for scrolling the screen. Thereby, the observation input area 620 substantially displays a list of the item name buttons 621 and the input areas 622 for all necessary items even when the item name buttons 621 and the input areas 622 are large. It is possible.

  In step S1050 of FIG. 8, the input screen control unit 340 displays non-notification information about the body part that is the display target in step S1040 in the other terminal device 200.

  FIG. 11 is a diagram illustrating an example of a record entry input screen on which impossibility notification information is displayed, and corresponds to FIGS. 9 and 10. Portions corresponding to those in FIGS. 9 and 10 are denoted by the same reference numerals, and description thereof is omitted.

For example, the first terminal device 200 _1, the cardiac findings input area 620 is displayed (see Figure 10). In this case, the display form of the region name tab 611 of "cardiac" findings record input screen 600 displayed on the second terminal device 200 _2, a different display form than the other region name tab 611. That is, the impossibility notification information is a display form of a part name tab 611 different from other part name tabs 611. As such a different display form, for example, a change of a character color, a font, or a background color can be employed.

By displaying such impossible notification information is performed, the second user, because the first user is being input findings information of the heart, in the second terminal device 200 ₂ until such input operation is completed It is possible to intuitively recognize that heart finding information cannot be input.

  In step S1060 of FIG. 8, the speech recognition / analysis unit 330 determines whether or not the terminal device 200 in the selection mode has a speech input of the displayed item name and subsequently a speech input of an input start command. To do. Such determination is based on, for example, the finding record structure data 410 (see FIG. 3), command data 420 (see FIG. 4), pronunciation dictionary data 430 (see FIG. 5), and terminal status management table 440 (see FIG. 6). Done.

  Here, the item name to be determined is displayed as an item name button 621 in the finding input area 620 of the finding record input screen 600. Therefore, the user can select a desired item name and input it to the terminal device 200 as if he / she selected one of the displayed item name buttons 621 and read it out.

  For example, it is assumed that a heart finding input area 620 is displayed (see FIG. 10). In this case, item names 412 (see FIG. 3) such as “cardiac blood volume” and “cardiac blood properties”, and a command 422 (see FIG. 4) “start input” are to be determined.

  If there is a voice input of the item name and the input start command (S1060: YES), the voice recognition analysis unit 330 advances the process to step S1070. If there is no voice input for the item name and the input start command (S1060: NO), the voice recognition analysis unit 330 advances the process to step S1080 described later.

  In step S1070, the input screen control unit 340 switches the screen mode of the terminal device 200 in which the voice input of the item name and the input start command is input to the input mode and sets the input item as the selected item. .

  FIG. 12 is a diagram showing a change in the finding record input screen when “input start” is input after “cardiac blood characteristics” on the finding record input screen shown in FIG. 10, corresponding to FIG. To do. Portions corresponding to those in FIG. 10 are denoted by the same reference numerals, and description thereof is omitted.

  As illustrated in FIG. 12, the input screen control unit 340 gives selection notification information indicating that the item is being selected to the item name button 621 corresponding to the “cardiac extracted blood property” input by voice. As the selection notification information, for example, a display form of the item name button 621 different from the other item name buttons 621 is used. As such a different display form, a line type of a button frame line, a button color, a button shape, a character color, or a font can be employed.

  Further, the input screen control unit 340 displays a reading list of the input mode command 422 (see FIG. 4) in the command display area 630.

  In step S1080 in FIG. 8, the speech recognition / analysis unit 330 determines whether or not there is a speech input for a phrase other than the command displayed in the command display area 630 in the terminal device 200 in the input mode. This determination is made based on, for example, command data 420 (see FIG. 4), pronunciation dictionary data 430 (see FIG. 5), and terminal state management table 440 (see FIG. 6).

  If there is a voice input for a phrase other than the command (S1080: YES), the voice recognition analysis unit 330 advances the process to step S1090. In addition, when there is no voice input for a phrase other than the command (S1080: NO), the voice recognition analysis unit 330 advances the process to step S1100 described later.

  In step S1090, the input screen control unit 340 displays the text information of the word / phrase input by voice in the input area 622 (see FIG. 12) corresponding to the selected item name button 621. In addition, the information recording unit 350 records the text data of the input words and phrases together with the original voice data as finding information about the item corresponding to the selected item name button 621 in the electronic finding record. That is, the information recording unit 350 adds the input information to the record information data 313.

  FIG. 13 is a diagram illustrating an example of a finding record input screen when finding information is input in a finding input area corresponding to the part name “whole body”, and corresponds to FIGS. 9 to 12. Portions corresponding to those in FIGS. 9 to 12 are denoted by the same reference numerals, and description thereof is omitted.

  As shown in FIG. 13, in each input area 622 of the finding input area 620, the finding information input by voice is displayed as text. For example, the text information is displayed in real time every time a speech recognition result of each phrase is obtained. Thereby, the user can perform a voice input operation while sequentially confirming whether or not the contents spoken by himself / herself are correctly input.

  Note that the input screen control unit 340 may give completion notification information indicating that to the body part name tab 611 of the body part in which all necessary finding information has been recorded. As the completion notification information, a display form of a part name tab 611 different from other part name tabs 611 by changing a character color, a font, or a background color can be adopted.

  That is, the input screen control unit 340 can input a body part in which voice input is not possible while another user is performing an input operation, a body part in which voice input is possible and recording of observation information is not completed, and voice input is possible. Each body part for which the recording of the presence information is not completed is displayed in an identifiable manner.

  In step S1100 of FIG. 8, the speech recognition / analysis unit 330 determines whether or not the terminal device 200 in the input mode has a speech input of an input stop command. This determination is made based on, for example, command data 420 (see FIG. 4), pronunciation dictionary data 430 (see FIG. 5), and terminal state management table 440 (see FIG. 6).

  If there is an input stop command voice input (S1100: YES), the voice recognition analysis unit 330 advances the process to step S1110. If there is no voice input of the input stop command (S1100: NO), the voice recognition analysis unit 330 advances the process to step S1120 described later.

  In step S <b> 1110, the input screen control unit 340 switches the screen mode of the terminal device 200 that has received the voice input of the input stop command to the selection mode. Such setting is performed using the terminal state management table 440 (see FIG. 6).

  In step S1120, the speech recognition / analysis unit 330 determines whether or not there is a speech input of a command (other command) other than the input start command in the selection mode and the input stop command in the input mode, such as an edit command. This determination is made based on, for example, command data 420 (see FIG. 4), pronunciation dictionary data 430 (see FIG. 5), and terminal state management table 440 (see FIG. 6).

  If there is a voice input of another command (S1120: YES), the voice recognition analysis unit 330 advances the process to step S1130. In addition, when there is no voice input of another command (S1120: NO), the voice recognition analysis unit 330 advances the process to step S1140 described later.

  In step S1130, the input screen control unit 340 performs processing according to the command input by voice. Such processing includes, for example, scrolling the screen, adding items, inputting information indicating that the input of finding information is unnecessary, editing the input finding information, or deleting the input finding information. .

  In step S <b> 1140, the input screen control unit 340 determines whether there is an instruction to end the voice input processing of the finding information. Such an instruction is given, for example, when the user presses an end button.

  If the input screen control unit 340 is not instructed to end the process (S1140: NO), the process returns to step S1020. Further, when instructed to end the process (S1140: YES), the input screen control unit 340 ends the series of processes.

  By such an operation, the electronic record recording support device 300 accepts voice input of information and commands for each terminal device 200 according to each display state and operation progress, and exclusive voice for each body part. The input interface can be realized in a form that is easy for the user to use.

  When the voice input is not accepted without displaying the impossibility notification information for the part name of the body part being input in the other terminal device 200, the user cannot immediately specify the reason, May be confused.

  In this regard, the electronic record recording support apparatus 300 displays the impossibility notification information and does not display the corresponding part selection area 610 for the body part that is being input in the other terminal device 200. In this case, the user can recognize that the exclusive control of the input operation is working before performing the useless utterance of the part name or the item name.

  Thereby, each user can select the part name of other body parts other than the body part in which other users are performing input work, and can advance work. In other words, the electronic finding record support apparatus 300 can appropriately support a work in which a plurality of users record finding information about a plurality of body parts in the electronic finding by voice.

  FIG. 14 is a diagram illustrating an example of the contents of the finding record information data 313 generated by the information recording unit 350. Here, an example in which the record information data 313 is described in XML (eXtensible Markup Language) and includes record structure data 410 (see FIG. 3) and pronunciation dictionary data 430 (see FIG. 5). Show.

  As shown in FIG. 14, in the record information data 313, the reading of the item name is described by the attribute “spoken”, and the notation on the record input screen of the item name is described by the attribute “label”. . In addition, the finding record information data 313 describes the text information of the input finding information by the attribute “data”, and describes the initial state of the finding information by the attribute “initial”. Furthermore, the record information data 313 describes the input field type by the attribute “type”, and the data name of the input and recorded audio data by the attribute “voicefile”. The record information data 313 includes a description of the attributes “spoken” and “label” of each option when the input field type is an option, and which option is selected by the attribute “select”. (That is, finding information) is described.

  For example, when generating an electronic record for a new target, the information recording unit 350 generates the record information data 313 in a state where no value is described in the attributes “data”, “voicefile”, and “select”. . Then, each time the finding information is input, the information recording unit 350 adds the voice data of the finding information, text information, and information indicating which option has been selected to the corresponding portion of the information recording unit 350. Go.

  By generating such finding record information data 313, not only the finding information is reflected in the electronic finding record, but also the original sound data is output as a sound to determine whether or not the sound input has been performed accurately. It is also possible to confirm from.

  For example, the input screen control unit 340 accepts not only voice input but also input of finding information and editing operation by a manual input interface such as a keyboard and a mouse from the user. Then, when a predetermined operation such as a click operation is performed on the displayed item name button 621, the input screen control unit 340 acquires corresponding audio data based on the record information data 313, Audio is output through a loudspeaker.

  As a result, the user who has input the findings information or the operator who manages the information of the electronic findings can check the actual speech and edit the recorded findings information as appropriate.

  Note that the information recording unit 350 may receive a predetermined operation from the user, create the autopsy record by converting the contents of the finding record information data 313 into document data, and display or print it according to the predetermined operation. .

  FIG. 15 is a diagram showing an example of an autopsy record.

  As shown in FIG. 15, the autopsy record 710 describes the item name for each part name, and further describes the recorded finding information in association with each item name. Such an autopsy record 710 can be used, for example, as an autopsy recording part of an appraisal document.

<Effects of the present embodiment>
As described above, the electronic finding recording support apparatus 300 according to the present embodiment uses the part-specific screen prepared for each body part in each of the plurality of terminal devices 200 to sound the finding information for each item. input. In addition, while one of the terminal screens is displayed on a certain terminal device 200, the electronic record recording support device 300 does not display the screen on each part on the other terminal device 200, and the corresponding finding information is voiced. The user of the other terminal device 200 is notified that it cannot be input.

  As a result, the electronic finding record support apparatus 300 is a case where it is difficult to use a manual input interface, and it is necessary for a plurality of users to simultaneously input finding information about a plurality of body parts. In addition, it is possible to support the recording work of the findings information in the electronic findings record. In other words, the electronic finding record support apparatus 300 can support, for example, a recording operation of an autopsy finding in an electronic finding record.

<Modification of the present embodiment>
In the embodiment described above, the case has been described in which the electronic finding record support apparatus 300 is applied to a system for recording autopsy findings in forensic anatomy. However, the present invention is not limited to this. The electronic finding record support apparatus 300 can be applied to various systems that accept simultaneous input of findings information about a plurality of body parts by a plurality of users, such as an electronic medical record for emergency lifesaving.

  Further, the part name, item name, and command are not limited to the above example. Further, the processing relating to the item name and the command is not necessarily required when it is not necessary to record the finding information subdivided for each item name.

  Further, the unit of the body part is not limited to the above example. The body part only needs to be a group of information focused on at a time when one user records the finding information, and may change according to the purpose of the electronic finding.

  Further, the arrangement and display form of each information on the finding record input screen 600 (see FIGS. 9 to 13) are not limited to the above-described example. For example, the input screen control unit 340 may arrange the part selection area 610 on the left side, the lower side, or the right side of the finding input area 620.

  Further, the data format of the record information data is not limited to the above example. The finding record information data may be in other data formats such as RTF (Rich Text Format) format, TEX format, plain text format.

  In addition, the terminal connection unit 320 may communicate with each of the headset 220 and the display device 230 individually. In this case, the electronic record recording support apparatus 300 needs to set the association between the headset 220 and the display device 230 in the input screen control unit 340, for example.

  Further, the configuration of the terminal device 200 is not limited to the above example. The terminal device 200 may be a personal computer including a microphone and a liquid crystal display, for example.

  Further, the number of terminal devices 200 to which the electronic record recording support device 300 is connected may be three or more. In this case, the input screen control unit 340 does not accept the corresponding part name displayed on all the other terminal devices 200 while any one of the part-specific screens is displayed on any one of the terminal devices 200. Give notification information. Further, the input screen control unit 340 does not display the corresponding part-specific screen on all the other terminal apparatuses 200 while any part-specific screen is displayed on any terminal apparatus 200.

  Further, a part of the configuration of the electronic record recording support apparatus 300 may be separated from other parts of the configuration of the electronic record recording support apparatus 300, for example, by being arranged on a server or the like on a network. In this case, each of these portions needs to include a communication unit for performing communication with each other.

  In addition, a part or all of the configuration of the electronic record recording support device 300 may be integrated with any one of the terminal devices 200.

<Summary of this disclosure>
An electronic record recording support device according to the present disclosure is an electronic record recording support device that supports input of observation information related to a plurality of body parts to an electronic record, and has a plurality of voice input functions and image display functions. For each terminal device connected to the terminal device, and for each terminal device, it is determined whether or not the part name of the body part is input by voice and whether or not the finding information is input by voice. Generating and displaying a list input screen including a list of part names of the plurality of body parts for each of the terminal recognition devices and the voice recognition analysis unit, and when the part names are voice input in the terminal device, The input screen control unit including a part-specific screen for inputting the corresponding finding information in the finding record input screen of the terminal device, and the terminal device displaying the part-specific screen When observation information is input by voice, the information input by voice is recorded in the electronic record in association with the corresponding part name, and the input screen control unit includes: While the screen for each part is displayed on one of the plurality of terminal devices, it is impossible to input the corresponding finding information for the corresponding part name displayed on the other terminal device. The non-notification information indicating that it is, and the corresponding screen for each part is not displayed on the other terminal device.

  In the electronic record recording support apparatus, the input screen control unit may add the impossibility notification information by changing a display form of the part name.

  In the electronic record recording support device, the part-specific screen displays a list of a plurality of item names, and the speech recognition analysis unit performs speech recognition processing on each of the plurality of terminal devices. It is determined whether or not the item name displayed on the device is input by voice, and the information recording unit, when the item name is input by voice in the terminal device displaying the item name, When the finding information is inputted by voice in the terminal device that selects the item name and displays the selected item name, the finding information inputted by voice corresponds to the selected item name. In addition, the electronic record may be recorded.

  In the electronic record recording support apparatus, the part-specific screen displays an input field for each item name in association with each of the plurality of item names, and the input screen control unit displays the item name. When the item name and the finding information are inputted by voice in the terminal device, the finding information inputted by voice may be displayed in the corresponding input field.

  Further, in the electronic finding record support device, the voice recognition analysis unit determines whether or not an edit command for editing the finding information displayed on the terminal device is inputted by voice by voice recognition processing. The input screen control unit edits the displayed finding information according to the editing command when the editing command is input by voice in the terminal device displaying the finding information, and the information When the finding information is edited, the recording unit may record the edited finding information in the electronic finding in association with the corresponding part name.

  In the electronic finding record support apparatus, the voice recognition analysis unit starts to input the finding information corresponding to the selected item name by voice recognition processing for each of the plurality of terminal devices. It is determined whether or not an input start command is input by voice, and whether or not an input stop command for stopping input of the finding information corresponding to the selected item name is input by voice, and the input screen control In the terminal device, during the period from when the input start command is input by voice until the input stop command is input by voice, switching of display of the part-specific screen in the terminal device, and the item name The selection may not be switched.

  Further, in the electronic finding record support apparatus, the part-by-part screen includes reading the editing command for editing the finding information displayed on the part-by-part screen, reading the input start command, and the input. A list of stop command readings may be displayed.

  Further, in the electronic finding record support apparatus, the speech recognition analysis unit includes the plurality of part names, the plurality of item names corresponding to the plurality of part names, the plurality of words and phrases used in the finding information, and the editing You may use the pronunciation dictionary which described each reading of a command, the said input start command, and the said input stop command.

  Further, in the electronic finding record support apparatus, the input screen control unit has completed the input of the finding information for the part name in which the finding information is recorded for all of the corresponding item names. Completion notification information indicating the fact may be given.

  An electronic record recording support method of the present disclosure is an electronic record recording support method that supports input of findings information related to a plurality of body parts to an electronic record, and includes a plurality of voice input functions and image display functions. A step of displaying a list of part names of the plurality of body parts on each of the terminal devices; a step of determining whether or not the part names are input by voice recognition processing for each of the terminal devices; When the part name is inputted by voice in the terminal device, the part name is not displayed on the other terminal device on the condition that the part-specific screen for inputting the finding information corresponding to the part name is not displayed. Displaying the part-specific screen corresponding to the part name in addition to the list of part names on the terminal device that has been voice-inputted, and among the plurality of terminal apparatuses When the part name is input by voice, the part-specific screen for inputting the finding information corresponding to the part name is provided on the condition that the part-specific screen is not displayed on the other terminal device. As a step of displaying in addition to the list of part names on the terminal device in which the part name is input by voice, and while the part-specific screen is displayed in one of the plurality of terminal apparatuses, A step of giving impossibility notification information indicating that the corresponding finding information cannot be input to the corresponding part name displayed on the terminal device, and voice recognition processing for each terminal device And determining whether or not the finding information has been inputted by voice, and on the condition that the finding information has been inputted by voice in the terminal device displaying the part-specific screen It has a step of recording the observation information voice input, to the electronic findings recording in association with the corresponding said site name, a.

  INDUSTRIAL APPLICABILITY The present invention is useful as an electronic finding record support device and an electronic finding record support method that can support the work of recording autopsy findings in an electronic record.

DESCRIPTION OF SYMBOLS 100 Electronic record recording system 200 Terminal apparatus 210 Terminal control apparatus 220 Headset 230 Display apparatus 300 Electronic record recording support apparatus 310 Information storage part 311 Speech recognition dictionary 312 Registration structure information 313 Registration information data 320 Terminal connection part 330 Voice recognition Analysis unit 340 Input screen control unit 350 Information recording unit

Claims (10)

An electronic record recording support device that supports input of findings information on a plurality of body parts into an electronic record,
A terminal connection unit connected to a plurality of terminal devices each having a voice input function and an image display function;
A voice recognition analysis unit that determines whether or not a part name of the body part is input by voice and whether or not the finding information is input by voice for each terminal device;
For each of the terminal devices, a record input screen including a list of part names of the plurality of body parts is generated and displayed, and when the part name is input by voice in the terminal apparatus, the record of the terminal apparatus is recorded. An input screen control unit including a part-specific screen for inputting the corresponding finding information on the input screen;
When the finding information is inputted by voice in the terminal device displaying the part-specific screen, the information record for recording the voice-inputted finding information in the electronic finding record in association with the corresponding part name And
The input screen control unit
While the screen for each part is displayed on one of the plurality of terminal devices, it is impossible to input the corresponding finding information for the corresponding part name displayed on the other terminal device. Non-notification information indicating that it is, and do not display the corresponding part-specific screen on the other terminal device,
Electronic record recording support device. The input screen control unit
Giving the impossibility notification information by changing the display form of the part name,
The electronic record recording support device according to claim 1. The part-specific screen displays a list of a plurality of item names,
The speech recognition analysis unit
For each of the plurality of terminal devices, it is determined whether or not the item name displayed on the terminal device is input by voice recognition processing,
The information recording unit
When the item name is inputted by voice in the terminal device displaying the item name, the item name is selected, and the finding information is voiced in the terminal device displaying the selected item name. When input, the findings information input by voice is recorded in the electronic findings in association with the selected item name.
The electronic record recording support device according to claim 1. The part-specific screen displays an input field for each item name in association with each of the plurality of item names,
The input screen control unit
When the item name and the finding information are inputted by voice in the terminal device displaying the item name, the finding information inputted by voice is displayed in the corresponding input field.
The electronic record recording support device according to claim 3. The speech recognition analysis unit
By voice recognition processing, it is determined whether or not an edit command for editing the finding information displayed on the terminal device is input by voice,
The input screen control unit
When the edit command is input by voice in the terminal device displaying the finding information, the displayed finding information is edited according to the editing command,
The information recording unit
When the finding information is edited, the edited finding information is recorded in the electronic finding record in association with the corresponding part name.
The electronic record recording support device according to claim 4. The speech recognition analysis unit
For each of the plurality of terminal devices, whether or not an input start command for starting input of the finding information corresponding to the selected item name has been input by voice recognition processing, and the selected It is determined whether or not an input stop command for stopping the input of the finding information corresponding to the item name is input by voice,
The input screen control unit
In the terminal device, during the period from when the input start command is input by voice until the input stop command is input by voice, switching of the display of the part-specific screen and selection of the item name are performed in the terminal device. Do not switch,
The electronic record recording support device according to claim 5. The part-by-part screen displays a list of the reading of the editing command, the reading of the input start command, and the reading of the input stop command for editing the finding information displayed on the part-by-part screen,
The electronic record recording support device according to claim 6. The speech recognition analysis unit
Reading each of the plurality of part names, the plurality of item names corresponding to the plurality of part names, the plurality of phrases used in the finding information, the edit command, the input start command, and the input stop command Use the pronunciation dictionary you describe,
The electronic record recording support device according to claim 7. The input screen control unit
The completion notification information indicating that the input of the finding information is completed is given to the part name in which the finding information is recorded for all of the corresponding item names.
The electronic record recording support device according to claim 3. An electronic record recording support method for supporting input of findings information on a plurality of body parts into an electronic record,
Displaying a list of part names of the plurality of body parts on each of a plurality of terminal devices each having a voice input function and an image display function;
For each terminal device, a step of determining whether or not the part name is input by voice by voice recognition processing;
When the part name is input by voice in the terminal device, the part name for entering the finding information corresponding to the part name is not displayed on the other terminal device. In the terminal device in which is inputted by voice, displaying the part-specific screen corresponding to the part name in addition to the part name list; and
When the part name is inputted by voice in one of the plurality of terminal devices, the part-specific screen is used to input the finding information corresponding to the part name, and the part-specific screen is the other terminal device. In addition to the list of the part name to be displayed on the terminal device that the part name is voice-input on the condition that it is not displayed in,
While the screen for each part is displayed on one of the plurality of terminal devices, it is impossible to input the corresponding finding information for the corresponding part name displayed on the other terminal device. A step of giving impossibility notification information indicating that
For each terminal device, a step of determining whether or not the finding information is input by voice recognition processing;
On the condition that the finding information is inputted by voice in the terminal device displaying the part-specific screen, the finding information inputted by voice is recorded in the electronic finding record in association with the corresponding part name. And a step of
Electronic record recording support method.