JPH11312202A - Consulation support device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To facilitate the recording job of an electronic clinical chart by extracting and showing a candidate schematic diagram out of the information which is previously inputted as the diagnostic information, including the chief complaint of a patient. SOLUTION: In a consultation mode, a doctor inputs the chief complaint of a patient, the physician's findings or the treatments, etc., while listening to the patient speak and also inputs the related part names. For instance, the chief complaint of a stomachache is inputted, and then a stomach is inputted as a related region name. In this case, the region name can be read out of a region data base (region file) and then selectively inputted via a displayed pup-up menu by means of a mouse 12, etc. Otherwise, the region name can be inputted via a keyboard 11. Then an image name corresponding to the inputted region name is read from of a schematic diagram management data base (shema diagram management file) and a schematic diagram corresponding to the image name is read out of the schematic diagram data base (file). Thus, the schematic diagram is shown on a display 13a as a candidate schematic diagram.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION The present invention relates to a medical treatment file of a target patient in which medical treatment information (information of a chief complaint, findings determined by a doctor, treatment performed by a doctor, etc.) obtained by medical treatment is associated with a schema diagram. The present invention relates to a medical care support device for recording.

[0002]

2. Description of the Related Art In recent years, computerization has been advanced in the medical field, and a medical care support system for recording medical information in an electronic medical record has been put into practical use. In this electronic medical record, similarly to a paper medical record, a diseased part of a patient is illustrated using a schematic diagram called a schematic diagram, and medical information such as a chief complaint and a medical condition is recorded in association with the schematic diagram.

An example of a procedure for recording a schematic diagram on an electronic medical record will be described. For example, if a patient complains of “stomach hurts,” the doctor inputs that fact as the chief complaint. Next, while listening to the patient's complaint, gradually narrow down the area corresponding to the "stomach", such as from the abdomen to the digestive organ, from the digestive organ to the stomach, and finally the selected schema diagram from the schema diagram file Read it out and display it on the screen. Next, while listening to the patient's complaint, the specific words and parts (eg, the upper part of the stomach hurts like a sting) that are diagnosed based on the complaint of “stomach ache” are recorded in the schema diagram. .

[0004]

In the conventional recording procedure,
There are some overlaps in the schema diagram refinement procedure and the procedure for recording phrases related to the patient's condition. For example, some information used in a narrowing-down procedure for displaying a schema diagram on a screen is included in information previously input as a chief complaint, a finding, a measure, or the like. Also, some of the information required in the procedure for writing the condition or symptom of the patient in the schema diagram is included in the information previously input as the chief complaint or the like. An object of the present invention is to eliminate such duplication and facilitate the recording work of an electronic medical record.

[0005]

The present invention according to claim 1 is a medical treatment support apparatus for recording medical information acquired based on medical treatment in a medical treatment file of a target patient in association with a schema diagram, comprising: , A schema diagram file in which various schema diagrams are registered, a schema diagram management file for associating a site name of each body part with the schema diagram in the schema diagram file, and a site name input based on the chief complaint. Control means for reading the schema diagram to be read from the schema diagram file via the schema diagram management file and displaying the schema diagram on the display unit as a candidate schema diagram;
Recording means for recording a schema diagram selected from the candidate schema diagrams in a medical treatment file of the target patient. Examples of medical information obtained based on medical treatment include, for example, chief complaint, findings determined by a doctor,
There are procedures performed by the doctor.

According to a second aspect of the present invention, in the first aspect, an input word file in which words related to a body condition are registered, a part name of each part of the body, and a word in the input word file. And an input phrase management file for associating, and the control unit reads out a phrase corresponding to the part name input based on the medical care information from the input phrase file via the input phrase management file, and reads the phrase as a candidate phrase. The medical support apparatus displays on a display unit, and the recording unit records the phrase selected from the candidate phrases in the medical treatment file of the target patient. That is, as shown in FIG. 6, the control means controls the input part name (part I
A database (database for stomach in FIG. 6) corresponding to D) is selected from the input word management database (input word management file), and the schema input word database (input word file) associated with the word ID of the database is selected. Are read and displayed as candidate words.

According to a third aspect of the present invention, in addition to the first aspect, an input word file in which words related to the physical condition are registered and one or more schema diagrams of the same portion or portions close to each other. And an input phrase management file for associating the schema diagram instruction information with the words in the input word file, and the control means includes a schema diagram to which the schema diagram selected from the candidate schema diagrams belongs. A phrase corresponding to the schema diagram instruction information indicating a group is read from the input phrase file via the input phrase management file and displayed on the display unit as a candidate phrase, and the recording unit is selected from the candidate phrases. This is a medical care support apparatus that records a phrase in a medical care file of the target patient. That is, as shown in FIG. 7, the control means stores the database corresponding to the schema diagram instruction information (schema diagram ID) indicating the schema diagram group to which the schema diagram selected from the candidate schema diagrams belongs. (In FIG. 7, a stomach database) is selected from the input word management database (input word management file), and the words in the schema input word database (input word file) associated with the word ID of the database are read out. It is displayed as a candidate phrase. Note that the one or more schema diagrams of the same site include, for example, a schematic diagram of the stomach and a schematic diagram of the upper or lower stomach. In addition, one or more schematic diagrams of parts close to each other are:
This is the case of a schematic diagram including the stomach up to the duodenum and a schematic diagram of either the stomach or the duodenum. Or, there are cases such as a schematic diagram of the small intestine and a schematic diagram including the small intestine and the large intestine.

According to a fourth aspect of the present invention, in any one of the first to third aspects, there is further provided a part file in which part names of respective parts of the body are registered, and the control means includes a schema diagram. Is set, a mode is set to record the part name in the patient's medical treatment file. The part name in the part file is read out and displayed on the display means to prompt a selection input.

According to a fifth aspect of the present invention, in accordance with any one of the first to fourth aspects, a plurality of part names are input based on the medical treatment information, and two or more part names in the input part names are provided. When there is a schema diagram commonly associated with the name, the control means sets the display priority of the common schema diagram in the candidate schema diagram to another schema diagram according to the number of common part names. This is a medical care support device that is set higher than the medical treatment support device. For example, when the stomach and the small intestine are input as site names, and the same schematic diagram (eg, a schematic diagram showing both the stomach and the small intestine) is included in the schema diagram corresponding to the stomach and the small intestine Next, the schema diagram is displayed with priority over other candidate schema diagrams.

[0010]

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a block diagram showing an apparatus according to an embodiment of the present invention. FIG. 1 shows the configuration of the apparatus according to the embodiment. The illustrated device has a keyboard 11 as input means.
And a mouse 12 (may be another known pointing device instead of a mouse), a display controller 13, and a display 13 whose display is controlled by the display controller 13.
a, the system control unit 20, the file recording / reproducing unit 30, the window display setting file 31 and the medical care information file 32 that are read / written by the file recording / reproducing unit 30, the window display managing unit 35, and the read / write by the window display managing unit 35. It has a display window information storage unit 36 that is write-controlled.

The display control unit 13, the system control unit 20, the file recording / reproducing unit 30, and the window display management unit 35 function as the control means. Further, the file recording / reproducing unit 30 has the function of the recording means in the claims. The medical care information file 32 includes a site database (site file), a schema diagram management database (schema diagram management file), a schema diagram database (schema diagram file), a schema input word database (input word file), and an input word management database (input Term management file), a medical care file, and the like.

The procedure for inputting a schematic diagram is shown in FIG.
The description will be given with reference to FIGS. 1 and 3 to 6 as appropriate. At the time of medical examination, the doctor inputs a chief complaint, a finding, a treatment, etc. while listening to the story of the target patient, and at that time, inputs a relevant part name. For example, a chief complaint of “I have a stomach ache” is inputted, and for example, “stomach” is inputted as a related part name. Here, the part name may be read out from the part database (part file) shown in the left column of FIG. 5 and selected and input with the mouse 12 or the like from the pop-up menu, or may be input from the keyboard 11. Good. In the case of selection using the mouse 12 or the like, a pop-up menu may be displayed in an input mode of medical information such as a chief complaint.

An image name (eg, stomach 1 to 3) corresponding to the part name input above is read from the schema diagram management database (schema diagram management file) in the center of FIG. : Schema diagrams corresponding to the stomachs 1 to 3 are read from the schema diagram database (schema diagram file). This schema diagram is displayed on the display 13a as a candidate schema diagram. FIG. 3 illustrates a state in which four candidate schema diagrams are displayed. It is to be noted that a case where there are three or less candidate schema diagrams or a case where there are five or more candidate schema diagrams can naturally occur. If there are many candidate schema diagrams,
For example, it may be configured to switch and display the four images at a time.

When a specific schema diagram is selected from the candidate schema diagrams by input from an input means such as the mouse 12 or the keyboard 11, the schema diagram is displayed in a corresponding column of a medical file (not shown) of the target patient. And is displayed on the display 13a.

When a specific schema diagram is selected in this manner, a word / phrase display database (eg, a stomach word / phrase display database) corresponding to the part name input as described above is next obtained.
Is selected from the input phrase management database (input phrase management file) as shown in the middle column from the right column of FIG. 6 and registered in the phrase display database of the name (eg, the stomach phrase display database). The phrase that is present (the phrase related to the state) is read from the schema input phrase database (input phrase file: left column in FIG. 6). This phrase is
It is displayed on the display 13a as a candidate phrase. FIG.
Shows an example in which five candidate phrases are displayed.

FIG. 6 shows that a corresponding database (a stomach database in the example of FIG. 6) in the input phrase management database (input phrase management file) is selected based on the input part name, and the phrase ID of this database is set as the database. In this case, a phrase in a registered schema input phrase database (input phrase file) is read. Instead of such a configuration, a configuration shown in FIG. 7 may be employed. That is, based on the schema diagram instruction information (schema diagram ID) indicating the schema diagram group to which the selected schema diagram belongs, the corresponding database (in the example of FIG. 7, the input phrase management database (input phrase management file)) A stomach database) may be selected, and the phrase in the schema input phrase database (input phrase file) registered in the phrase ID of this database may be read. The configuration of FIG. 6 has an effect that the processing is simple. Also,
In the configuration of FIG. 7, since the candidate words are displayed based on the selected schema diagram, there is an effect that the candidate words can be displayed without omission. For example, when the name of a part called stomach is input in the medical care information and the doctor selects a schema including the stomach and the duodenum as the schema, FIG.
In the case of, the word corresponding to the stomach and the word corresponding to the duodenum are displayed as candidate words, and the coverage of the candidate words is widened. Note that the configuration shown in FIG.
May be used in combination. In this case, if the logical sum of the two is calculated, the display of the candidate words can be performed without omission. When the logical product of the two is calculated, the candidate words narrowed down in advance can be displayed.

In FIG. 6 and FIG. 7, as shown in the middle column of FIG. 6 and FIG. 7, the frequency (count value, etc.) is added to each phrase in the phrase display database of each name in the input phrase management database.
May be provided, and the display priority of FIG. 4 may be determined based on the frequency.

When a specific word is selected from the candidate words using a pointing device such as the mouse 12, the word is displayed in a corresponding column of the target patient's medical treatment file (not shown) in accordance with the schema diagram currently displayed. It is recorded with it.
If there is no appropriate phrase in the displayed candidate phrases, the phrase is input from the keyboard 11 and corresponds to the schema currently being displayed in the corresponding column of the target patient's medical treatment file (not shown). It is recorded with it. If the phrase input from the keyboard 11 is new, it is registered in the schema input phrase database and the phrase display database of the name (in the illustrated example, the stomach phrase display database).

In the above description, a case is described in which a single site name is input during the input of medical information such as a chief complaint. However, the same processing is performed when a plurality of site names are input. Can be. Further, when a plurality of part names are input, if there is a schema diagram commonly associated with two or more part names in the input part names, the common diagram in the candidate schema diagram The display priority of the schema diagram may be set higher than the other schema diagrams in accordance with the number of common part names. For example,
The stomach, the small intestine, and the large intestine are input as parts, and the same schema diagram is included in the schema diagram corresponding to the stomach, the schema diagram corresponding to the small intestine, and the schema diagram corresponding to the large intestine (eg, the stomach, the small intestine, and the large intestine are shown) When there is a schema diagram, the schema diagram is given the highest priority, and the schema diagram corresponding to the stomach and the small intestine, or the small intestine and the large intestine, or the large intestine and the stomach is given the second priority, and a single site name (only the stomach or , Only the small intestine, or only the large intestine) may be configured as the lowest priority.

[0020]

According to the first aspect of the present invention, since candidate schema diagrams are narrowed down and displayed from information previously input as medical information such as a chief complaint, useless duplication can be omitted from the recording of electronic medical records. . In the invention of claim 2,
Since candidate words are selected based on information previously input as medical information such as a chief complaint, and are displayed together with the determined schema diagram, unnecessary duplication can be omitted from the recording work of the electronic medical record. According to the third aspect of the present invention, a candidate word is selected based on the determined schema diagram, and is displayed together with the determined schema diagram. Therefore, unnecessary duplication can be omitted from the electronic medical record recording operation.

[Brief description of the drawings]

FIG. 1 is a block diagram illustrating a configuration of an apparatus according to an embodiment.

FIG. 2 is a flowchart showing an input procedure relating to a schematic diagram.

FIG. 3 is an explanatory diagram showing a display example of a candidate schema diagram.

FIG. 4 is an explanatory diagram illustrating an example in which candidate words are displayed in a schema diagram.

FIG. 5 is an explanatory diagram showing a state of accessing a schema diagram database from a site database via a schema diagram management database.

FIG. 6 is an explanatory diagram showing a state in which a phrase in a schema input phrase database is accessed from a part name via an input phrase management database.

FIG. 7 is an explanatory diagram showing a state in which a phrase in a schema input phrase database is accessed from a selected schema diagram through an input phrase management database.

[Explanation of symbols]

 32 medical treatment information file

 ──────────────────────────────────────────────────続 き Continuation of the front page (72) Inventor Yoshiro Furukawa 2-5-5 Keihanhondori, Moriguchi-shi, Osaka Sanyo Electric Co., Ltd.

Claims (5)

[Claims] 1. A medical treatment support apparatus for recording medical information acquired based on medical treatment in a medical treatment file of a target patient in association with a schema diagram, comprising: a display unit; and a schema in which various schema diagrams are registered. A diagram file, a schema diagram management file for associating a site name of each body part with the schema diagram in the schema diagram file, and a schema diagram corresponding to the site name input based on the medical treatment information. Control means for reading from the schema diagram file and displaying the candidate schema diagram on the display means as a candidate schema diagram, and recording means for recording a schema diagram selected from the candidate schema diagrams in a medical treatment file of the target patient. Medical support device to have. 2. The input word management system according to claim 1, further comprising: an input word file in which words related to the state of the body are registered; and a part name of each part of the body and a word in the input word file. And the control unit reads the phrase corresponding to the part name input based on the medical care information from the input phrase file via the input phrase management file and reads the phrase as a candidate phrase to the display unit. A medical treatment support apparatus for displaying, wherein the recording unit records the phrase selected from the candidate phrases in the medical treatment file of the target patient. 3. The system according to claim 1, further comprising: an input phrase file in which phrases related to the physical condition are registered; and a schema diagram group including one or more schema diagrams of the same site or a site close to each other. An input word management file for associating the indicated schema diagram instruction information with a word in the input word file, wherein the control unit indicates a schema diagram group to which the schema diagram selected from the candidate schema diagrams belongs A word corresponding to the schema diagram instruction information is read from the input word / phrase file via the input word / phrase management file and displayed on the display unit as a candidate word, and the recording unit reads a word selected from the candidate words / phrases A medical treatment support device that records in the medical treatment file of the target patient. 4. The method according to claim 1, wherein
Furthermore, the control unit has a part file in which part names of each part of the body are registered. When a mode for recording a schema diagram in a patient's medical treatment file is set, the part name in the part file is set. A medical care support apparatus for reading out and displaying on the display means to prompt selection. 5. The system according to claim 1, wherein a plurality of part names are input based on the medical care information, and two or more part names in the input part names are commonly handled. If there is a schema diagram to be attached, the control means sets the display priority of the common schema diagram in the candidate schema diagram higher than other schema diagrams according to the number of common part names. , Medical support equipment.