JP2002351974A - Consultation information processing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make it possible to refer to voice information on disease symptoms which patient complains of, opinions which doctors speech and so on after the information is told and also to easily find out errors in correspondences between the patients and the consultation information. SOLUTION: A server 1 which combines the consultation information including at least either the image or character information on the patients and the voice information on the patients with the identification information which identifies the patients, an MO and DVD for storing the identification information and consulting information thus combined for the patients are provided. In addition, the server 1 which displays at least either the image or character information on a patient selected from the patients, which is obtained from the consultation information on the patients corresponding to the identification information, on a screen together with the identification information identifying the selected patient based on the identification information and consulting information thus combined and outputs the voice information on the patient obtained from the consultation information upon receipt of the instructions to output the voice information with the displaying, terminals 2 and 3 and a display 4 are provided.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information processing system for storing medical information of a plurality of patients and outputting medical information of a required patient from the medical information, and more particularly, for storing medical information including voice information. And a medical information processing system for outputting.

[0002]

2. Description of the Related Art Conventionally, as a medical information processing system which stores medical information of a plurality of patients and outputs medical information of a required patient from the stored medical information,
The medical information of a plurality of patients is taken into a personal computer as holding information from a keyboard according to a predetermined format, and a file number corresponding to the patient is assigned to the personal computer, output to the information storage means, and stored in the information storage means. In the case where the medical information is necessary, the character information is taken into the personal computer from the information storage means based on the file number corresponding to the patient,
An electronic medical record system for displaying on a screen of a display device by the personal computer is known.

[0003] Further, the charts of a plurality of patients are respectively taken as image information into a personal computer by a scanner, and a file number corresponding to the patient is assigned, output from the personal computer to information storage means such as an optical disk, and stored in the information storage means. When medical information in the chart is required, the image information of the chart is taken into the personal computer from the information storage means based on the file number corresponding to the patient, and displayed on the screen of the display device by the personal computer. Optical disk file systems are also known.

[0004] However, in either of the two conventional systems, when a file number corresponding to a patient is erroneously input, a chart of another patient is displayed, and the display of the patient on the chart is not clear. For example, there is a problem that the correspondence between the patient and the medical information may be erroneously recognized. Particularly, in the former electronic medical record system, since the medical care information is manually input from the keyboard, there is a problem that the input is troublesome and the possibility of erroneous input is large. On the other hand, especially in the latter optical disk file system, image information of examination results such as an X-ray image, a fundus image, an ultrasonic echo image, an MRI, an electrocardiogram, etc. are combined with medical information such as a medical chart and stored / output. Is not configured, so that there is a problem that the image information of the examination result cannot be stored and output in combination with the medical treatment information.

By the way, in order to solve the above-mentioned problem, general-purpose image housing software for linking image information with textual information and audio information as needed, and combining and storing and outputting the image information is used. Each medical record is imported into a personal computer with a scanner as image information, and the above test results are also imported into the personal computer as image information.Furthermore, if necessary, character information on medical treatment results and information on the medical record is also imported into the personal computer and saved. Means for storing medical information such as charts and character information from the information storage means into a personal computer, and displaying the information on a screen of a display device using the personal computer. It is possible to configure That.

However, even this system is not configured to store and output voice information at the time of examining a patient or the like as medical information, so that information such as symptoms mentioned by the patient and information reported by a doctor are not included. There is a problem that the information cannot be output and referenced later, and as in the previous system, it takes time and effort to input, and there is a possibility of erroneous input. There was also a problem that it was difficult to find a response error.

[0007]

SUMMARY OF THE INVENTION An object of the present invention is to provide a system that advantageously solves the above-mentioned problems, and a medical information processing system according to the present invention provides an image processing method for a patient. Information combining means for combining medical information including at least one of information and text information and voice information about the patient with identification information indicating the patient; and combining the combined identification information and medical information with a plurality of patients. Patient information storage means to save, for one patient selected from the plurality of patients, based on the combined and saved identification information and medical information,
Along with the identification information indicating the selected patient, at least one of image information and text information on the patient obtained from the medical treatment information of the patient corresponding to the identification information is displayed on the screen, and the display Medical information output means for outputting audio information on the patient obtained from the medical information when receiving the audio information output instruction.

[0008] In this system, the information combining means converts the medical treatment information including at least one of the image information and the character information on the patient and the voice information on the patient.
Combined with the identification information indicating the patient, the patient information storage means stores the combined identification information and medical information for a plurality of patients, and the medical information output means selects from the plurality of patients. The obtained one patient is obtained from the medical treatment information of the patient corresponding to the identification information together with the identification information indicating the selected patient based on the combined and stored identification information and medical treatment information. At least one of the image information and the character information on the patient is displayed on the screen, and when an output instruction of the voice information is received along with the display, the voice information on the patient obtained from the medical care information is output.

Therefore, according to the system of the present invention, since the voice information is always included in the medical information which can be stored and output, the ratio of the character information in the entire medical information is reduced to reduce the burden of manual input and to reduce the erroneous input. Possibility can be reduced, and information such as a symptom or the like mentioned by the patient or information such as a belief or the like mentioned by a doctor can be output and provided for reference when receiving an output instruction later.

Further, according to the system of the present invention, X
X-ray image, fundus image, ultrasonic echo image, MR
I. It is possible to combine image information of test results such as electrocardiograms with voice information together with image information of medical charts and textual information on medical results and medical information, etc., and save / output them as medical information. It is possible to provide physicians with diversified medical information whose amount has been greatly increased, and to store and output medical information in combination with identification information indicating the patient, thereby displaying the patient on the medical chart. Even if the information is not clear or the patient's identification information is incorrectly entered, the correspondence between the patient currently targeted for examination, medical examination, treatment, etc. and the medical information can be determined from the patient's identification information always displayed on the screen. Confirmation can be easily made, and erroneous recognition of the correspondence between the patient and the medical care information can be prevented.

[0011] In the system of the present invention, the medical information processing system further includes date information combining means for combining the medical information with date information indicating a date relating to the medical information, and the patient information storing means is provided. Storing the combined identification information, date information, and medical information for a plurality of patients, and the medical information output means receives the date information for one patient selected from the plurality of patients. And, based on the combined and stored identification information, date information and medical treatment information, together with identification information indicating the selected patient, the patient corresponding to the identification information, the input date information Displaying at least one of image information and character information on the patient obtained from the medical information regarding the corresponding date on the screen,
Upon receiving the voice information output instruction along with the display, the voice information about the patient obtained from the medical information may be output, so that the medical information on the desired date of the selected patient can be easily obtained. To be output and referenced.

In the system of the present invention, when the medical information output means receives the type of medical information and a history display command for one patient selected from the plurality of patients, Based on the combined and stored identification information, date information, and medical information, together with the identification information indicating the selected patient, of the patient corresponding to the identification information, The history may be displayed on the screen, and in this case,
The history of the desired type of medical information of the selected patient can be easily output and referred to.

Further, in the system of the present invention,
The image information may include a face photograph of the patient corresponding to the identification information combined with the medical information including the image information. In this case, the image information is currently targeted for examination, medical examination, treatment, or the like. The correspondence between the patient and the medical information can be more easily confirmed, and the misunderstanding of the correspondence between the patient and the medical information can be more reliably prevented. However, since the appearance changes over a long period of time, it is preferable to attach information indicating the photographing time point of the face photograph to the photograph of the patient.

Further, in the system of the present invention,
The patient information storage means has an information read / write device, and a recording medium that is detachable from the information read / write device and that reads and writes information by the information read / write device when the information read / write device is attached. The information may be stored in the recording medium by the information read / write device for each of the plurality of patients, one for each of the recording media. Since the information can be stored in a recording medium and stored in a location different from the information reading / writing device, for example, a storage location of a medical chart, the degree of freedom in arranging the system is increased, and moreover, the number of recording media may be increased in accordance with the increase in patients. Thus, the original system can be configured at low cost.

[0015] On the other hand, in the system of the present invention, the patient information storage means collectively stores the combined identification information and medical treatment information in one or more of the plurality of patients, In this case, the patient information can be automatically read from the recording means, so that the medical information of the selected patient can be promptly output and referred to. In addition to this, it is possible to save labor for putting in and taking out medical information.

[0016]

Embodiments of the present invention will be described below in detail with reference to the accompanying drawings. FIG. 1 is a configuration diagram showing one embodiment of a medical information processing system according to the present invention. The system of this embodiment comprises a server 1, a reception terminal device 2, and a doctor A terminal device 3 and a display device 4 respectively connected to the terminal devices 2 and 3 are provided. The server 1 and the reception terminal device 2 are installed at the reception R of the clinic, while the doctor terminal device 3 Is the consultation room E of the clinic
The terminal device for reception 2 is connected to the server 1 directly via normal wiring, and the terminal device for doctor 3 is connected to the server 1 via a local area network (LAN) 5. The server 1 executes a medical information processing program to be described later, and when the address, name, gender, and age of a visiting patient are input as patient identification information from a keyboard of the reception terminal device 2 or the like, the server 1 The patient identification information of the patient is recorded on a patient list and stored in an internal storage device such as a hard disk drive device, and a unique patient identification number is assigned to the visiting patient on the patient list and transmitted from the reception terminal device 2. Output.

The system of this embodiment also includes
Scanner 6 installed in the terminal and connected to the reception terminal device 2
The server 1 includes a consultation ticket writing / reading device, a keyboard and a mouse (not shown), a microphone 7 installed in the examination room E and connected to the doctor's terminal device 3, and a keyboard and a mouse (not shown). Is a floppy (registered trademark) disk (FD) drive device 8
And a magnetic optical disk (MO) drive device 9 and a digital video disk (DVD) drive device 10.

Here, the scanner 6 can read information written or printed on a paper chart as image data and output it to the server 1 via the reception terminal device 2 as patient medical treatment information. When the medical examination ticket writing / reading device sets a magnetic recording type or an IC card type of the visiting patient, the server 1 assigns the visiting ticket to the visiting patient and outputs it from the reception terminal device 2. Also, the patient identification number as the patient identification information can be written and recorded, and the patient identification number recorded on the consultation ticket can be read and output to the server 1 via the reception terminal device 2, and the microphone 7 Can input a word spoken by a patient or a doctor in the examination room E and output it to the server 1 via the doctor terminal device 3 as patient medical care information. That is, the patient identification information referred to in this embodiment may be different depending on the target to be processed. The patient identification information to be written on the consultation ticket is, for example, a patient identification number, but the patient identification information recorded on the patient list is the patient identification number. For example, the patient's address, name, gender, and age are uniquely associated with each other, and the patient identification information displayed on the screen of the display device 4 is, for example, the patient's name and gender, as described later.

The FD drive device 8 and the MO drive device 9 are capable of transmitting outsourced test result information, such as blood test result data and X-ray image data, recorded on an FD or MO by an external test organization, to character data or image data. ) The data can be read as data and output to the server 1 as patient medical information. Since the storage capacity of the MO is larger than that of the FD at present, the MO drive 9 is assigned to each patient and the patient's name, gender, etc. The information about the patient, that is, all of the patient identification information and all of the patient medical care information output from the server 1 can be written into the MO that specifies the patient identification information on the label, and the information about the patient is read from the MO. The DVD drive device 10 can output the patient list and the patient list there. All information together may backup written into one or a plurality of DVD in the state of association for each patient, some or all of the information as needed D related visits patients to listed the clinic
The data can be read from the VD and output to the server 1.

The server 1 is provided with a normal operating system (OS) program such as Windows (registered trademark) 2000 of Microsoft Corporation, and an application program mainly in charge of information processing in the system of this embodiment. And a doctor's terminal device 3 and a reception terminal device 2 here.
Are provided with a normal OS program such as Windows (registered trademark) 2000 of Microsoft Corporation and a normal image display program such as Internet Explorer (trade name) of Microsoft Corporation, respectively. Based on the function, the server 1 can be accessed via normal wiring and the LAN 5 to operate the medical information processing program.

The medical information processing program basically associates information with each other, and moves a pointer on a predetermined display on the screen of the display device 4 by operating a mouse or a keyboard by a doctor or the like, for example. When a button or a key on the keyboard is pressed, an information processing instruction input is received by a method such as determining that an instruction corresponding to the display is received, and recording or reading of information is performed based on the instruction by a predetermined method. Specifically, mainly, a main program as shown in the flowchart of FIG. 2 and repeatedly executed by interrupt processing or parallel processing during operation of the main program are shown in FIGS.
Each of the sub-programs includes sub-programs as shown in the flowcharts, and by executing them, the screens as shown in FIGS. 6 to 9 are displayed on the screen of the display device 4. In each of these screens, the patient identification information about the patient who is currently the subject of information processing, for example, the name and gender of the patient are displayed in the upper left of the screen, for example. Displays an instruction (operation) display for recording and reproducing information.

That is, when the server 1 starts the procedure shown in FIG. 2, the server 1 first starts executing the subprograms shown in FIGS. 3 to 5, and in the waiting list processing subprogram shown in FIG. The patient identification number as patient identification information is input from the consultation ticket writing / reading device and is stored in an internal storage area such as a hard disk. In the subsequent step S2, the patient is referred by referring to the patient list from the stored patient identification number. Read out the name of the reception R
A waiting list listing the names of patients who have come to the hospital is created, and in the subsequent step S3, the MO is set by the doctor as an examination patient via the terminal device 3 of the examination room E in the processing of FIG. It is determined whether or not there is a consultation-started patient based on whether or not the patient identification number is written in the consultation-start patient folder set in the server 1, and if so, in step S4, the name of the consultation-started patient is determined. Is deleted from the waiting list and the patient identification number of the patient is deleted from the consultation start patient folder, and then the process proceeds to step S5. If there is no consultation start patient, step S5 is performed.
3 directly proceeds to step S5. Then, in step S5, the waiting list is output, and thereafter, the process returns to step S1. Thus, the waiting list is constantly updated as a list of patients in the waiting room.

In the medical chart temporary check subroutine shown in FIG. 4, first, in step S11, FIG.
It is determined whether or not there is an instruction from the doctor through the terminal device 3 of the examination room E for the medical chart temporary check patient in the processing of
If there is no instruction, the process waits until the instruction is given. At the next step S12, the DVD in the DVD drive device 10 is read.
, The last medical record data of the designated patient is read out, and in the following step S13, the final medical record is displayed on a window (a partial display area of the screen) on the display device 4 of the examination room E, and in the following step S14, It is determined whether or not there is an instruction to close the chart, and if there is no instruction, the procedure returns to step S11 to open another chart. If there is an instruction to close the chart in step S14, the procedure proceeds to step S15, and the chart window is opened. After closing
It returns to step S11. As a result, on the display device 4 in the examination room E, the doctor can see the final medical record of any patient selected from the above-mentioned waiting list by operating the right mouse button, for example.

Further, in the voice processing subprogram of FIG. 5, first, in step S21, voice processing, ie, voice recording, reproduction, fast forward, and voice processing is performed by the doctor via the terminal device 3 of the examination room E in the processing of FIG. It is determined whether or not there is a fast-return instruction, and if there is no instruction, the process waits until there is an instruction. If there is an instruction, in the next step S22, according to the instruction, it is currently associated in the process of FIG. Processing such as recording and playback is performed on the audio file. Here, the instruction of the audio processing is given on the display device 4 in FIG.
The user moves the pointer over the button display on the screen as shown in the upper right of the screen shown in FIG. 9, and issues an instruction to the effect that the button display has been pressed by operating the mouse or the like via the terminal device 3 in the examination room E. To the server 1 from the doctor. Then, the recorded voice is compressed and stored in an MO or the like, and the voice information extracted from the MO or the like is decompressed and reproduced.

In the main program of FIG. 2, first, in step S31, the waiting list is displayed on the screen of the display device 4 of the examination room E as shown in FIG. Is displayed in the same manner on the screen, and in the subsequent step S32, whether the doctor has selected the patient to be examined next from the above-mentioned waiting list by operating the left button of the mouse, for example, In step S33, the patient identification information of the designated patient is displayed in detail on the screen of the display device 4 of the reception R, and the MO of the patient is driven in step S33. The display is made to be set on the device 9, and in the following step S34, the MO of the patient indicated from among the many MOs stored in the predetermined MO storage location is displayed. Is selectively taken out by the clerk and the pharmacist or the like of the reception and waiting to be set to the MO drive apparatus 9.

When the MO is set in the MO drive device 9 of the server 1, whether the MO belongs to the designated patient or not is determined by the patient identification information of the designated patient on the waiting list and the MO in the MO. Confirmed by comparison with the patient identification information, if the set MO is not for the designated patient, display on the screen of the display device 4 of the reception R that the MO is not for the designated patient, Encourage replacement of MO. When the MO of the instructed patient (ie, the selected patient) is set in the MO drive device 9, the process proceeds from step S34 to step S35, where the instruction is issued to delete the patient to be examined from the waiting list. The patient identification number as the patient identification information of the consultation start patient who is the patient who has started examination is output to the consultation start patient folder.

In the next step S36, a start screen as shown in FIG. 6 is displayed on the screen of the display device 4 in the examination room E. However, the waiting list in the start screen is displayed first by the processing of FIG. 3 as described above. In addition, in the start screen, based on the information read from the MO of the consultation start patient, a list of visit dates and a list of names of doctors who performed a consultation on each visit and names of examinations performed on the visit on each visit ( Inspection 1, Inspection 2 showing inspection name
.., And a frame line F surrounding the audio data column. Then, in a succeeding step S37, it is determined whether or not there is an instruction to move the frame line (for example, drag the frame line with a mouse to move it to a position surrounding another date display). In step S38, a list of the names of the tests performed on the destination date is displayed in the frame, and the list is associated with the voice data file for that date. After the processing instruction has been issued, the sound on that date can be reproduced, and then in step S39, the position of the frame line is fixed to the position of the moved date.

On the other hand, if there is no instruction to move the frame line in step S37, in step S40, for any date display in the visit date list, for example, a click operation with the left mouse button is performed. It is determined whether or not there is, and in step S41, a specific date display screen as shown in FIG. 7 is displayed on the screen of the display device 4 in the examination room E, and the screen of the patient who has started the examination is displayed on the screen. M
Based on the information read from O, a list of medical records and examination names on the designated date is displayed and associated with the audio data file on that date, and the audio processing shown in FIG. When instructed, the sound of that date can be reproduced. Next, step S4
In step 2, it is determined whether or not a click operation with, for example, the left mouse button has been performed on the display of any test name on the specific date display screen. If so, then step S43
Then, regarding the display of the continuous search on the specific date display screen (the display field written as “continuous search”), for example, it is determined whether or not a click operation with the left mouse button is performed, and the display of the continuous search is performed. If the click operation has been performed, the screen of the display device 4 of the examination room E is displayed in step S44.
A chart continuous display screen as shown in FIG. 8 is displayed, and on the screen, based on the information read from the MO of the consultation start patient, in addition to the chart of the instructed date, a chart of the previous or subsequent date, etc. After the parallel display, step S43
Return to and determine whether or not there is a further click operation.

If there is no click operation for displaying the continuous search on the specific date display screen of FIG. 7 at step S43, then at step S45, the display of the date search on the specific date display screen (“date search”) For example, it is determined whether or not a click operation with the left mouse button has been performed on the display field “)”, and if a click operation for displaying a date search has been performed, in step S46, the examination room E After a date instruction screen (not shown) is displayed on the screen of the display device 4 and a date instruction (date input) is received from a keyboard or the like, the process returns to step S41, and there is no click operation on the date search display in step S45. In this case, in step S47, furthermore, the return display (the display field written as "return") on the specific date display screen is clicked with the left mouse button, for example. Tsu to determine whether or not there has been a click operation, return, but if there is a display of the click operation returns to the previous step S36, in the case did not wait for any one of the display of the click operation returns to the step S43.

If there is no click operation of the date display in the list of visit dates on the start screen of FIG. 6 in step S40, then in step S48, the display of any examination name is displayed on the start screen. For example, it is determined whether or not there has been a click operation with the left mouse button, and if there has been a click operation for displaying the examination name, the examination start is displayed on the screen of the display device 4 in the examination room E in step S49. Based on the information read from the patient's MO, an examination history list (not shown) is displayed for the examination of the designated examination name, and in the subsequent step S50, for the examination of any date in the examination history list, for example, It is determined whether or not there is a result display instruction by a click operation with the left mouse button. If there is no result display instruction, the inspection history is further determined in step S51. Screen above the Back display of the list ( "Return"
Is determined, for example, whether there is a click operation with the left mouse button, and if there is a click operation of return display, the process returns to the previous step S36. It returns to S50 and waits for the click operation of any display.

If the result display instruction is issued in step S50, the result display instruction is issued in step S52 on the screen of the display device 4 in the examination room E based on the information read from the MO of the consultation start patient. An inspection result (not shown) is displayed for the date inspection, and the subsequent step S53
Then, regarding the display of the continuous search on the inspection result display screen (the display field written as “continuous search”), for example, it is determined whether or not there is a click operation with the left mouse button, and the display of the continuous search is performed. If there is a click operation, the screen of the display device 4 of the examination room E is displayed in step S54.
A test result continuous display screen as shown in FIG. 9 is displayed. On the screen, based on the information read from the MO of the consultation start patient, in addition to the test result on the designated date, the test on the date before or after the specified date is performed. After the results and the like are displayed in parallel, the process returns to step S53 to determine whether or not there is a further click operation.

In step S53, if there is no click operation for displaying the continuous search on the inspection result display screen,
Next, in step S55, it is determined whether or not there is a click operation with the left mouse button, for example, regarding the display of the date search on the inspection result display screen (the display field written as “date search”). When the search display is clicked, a date instruction screen (not shown) is displayed on the screen of the display device 4 in the examination room E in step S56, and a date instruction (date input) is input from a keyboard or the like. After receiving, the process returns to step S52. If there is no click operation on the display of the date search in step S55, the process returns to step S52.
In step 57, it is further determined whether or not a click operation with the left mouse button has been performed on the return display (the display field written as “return”) on the inspection result display screen. If there is, if it has passed from step S42 to step S52, the process returns to step S41 to display the specific date display screen of FIG.
Step S50 or step S56 to step S5
If it has passed through 2, the process returns to the previous step S36. On the other hand, if there is no display click operation to return in step S57, the process returns to step S53 and waits for any display click operation.

If there is no click operation for displaying the examination name on the start screen in FIG. 6 in step S48, then in step S58 the end display on the start screen ("END" is written) Display column "), for example, it is determined whether or not there is a click operation with the left mouse button.If there is no click operation of the end display, for example, a doctor directly examines the patient, Since it is considered that the entry has been made, the process returns to the previous step S37 and waits for a frame line moving instruction or the like. A click operation is performed on the display, and if there is a click operation of the end display in step S58, the medical examination is ended on the screen of the display device 4 of the reception R in step S59. The diagnosis result of the patient's medical record written by the doctor is read as image (image) data by the scanner 6 and written into the MO of the patient in association with the date of the present day. Is displayed so as to be taken out from step S60.
Then, the process returns to step S31 after waiting for the MO of the patient to be removed from the MO drive device 9. Note that MO
The MO taken out from the drive device 9 is returned to a predetermined MO storage location by a receptionist or a pharmacist. Further, the image data of the diagnosis result of the patient who completed the above-mentioned examination, which is filled out by the doctor, is associated with the date of the day together with the patient identification information of the patient. Stored in storage only for one day.

When the doctor instructs that there is no patient to be examined in the previous step S32, for example, by operating the right button of the mouse, the program ends on the screen of the display device 4 in the examination room E in step S61. An instruction screen (not shown) is displayed, and if an instruction not to end the program is input on the screen, the process returns to step S31. On the other hand, if an instruction to end the program is input,
Since it is considered that today's consultation has been completed, step S6
In step 2, the data of all the medical records indicated by the waiting list (diagnosed patient) are read out from an internal storage device such as a hard disk drive, and the DV is read.
After backup by writing to the DVD in the D drive device 10, the processing of this program and the above-described programs of FIGS. 3 to 5 are ended.

According to the system of this embodiment, the server 1 constituting the information combining means converts the medical information including at least one of the image information and the character information relating to the patient and the voice information relating to the patient to the identification information indicating the patient. The MO which is combined with the information and constitutes the patient information storage means stores the combined identification information and medical treatment information individually for a plurality of patients, and the DVD which also constitutes the patient information storage means
Collectively stores the combined identification information and medical information for a plurality of patients, and the server 1, the terminal devices 2, 3 and the display device 4 constituting the medical information output means are provided by For one patient selected from, based on the combined and stored identification information and medical information, together with identification information indicating the selected patient, from the medical information of the patient corresponding to the identification information Displaying at least one of the obtained image information and text information on the patient on the screen, and upon receiving an output instruction of voice information along with the display, outputting voice information on the patient obtained from the medical treatment information, Since voice information is always included in the medical information that can be stored and output, the proportion of textual information in the entire medical information can be reduced to reduce the burden of manual input. The possibility of erroneous input can be reduced, and information on symptoms and the like mentioned by the patient and information on the belief and the like given by the doctor can be output and provided for reference when receiving an output instruction later. .

Further, according to the system of this embodiment, X
X-ray image, fundus image, ultrasonic echo image, MR
I. The image information of the outsourced examination results such as electrocardiograms can be combined with the voice information together with the image information of the medical chart and the text information on the medical treatment results and the information of the patient, etc., and can be saved and output as the medical treatment information. It is possible to provide physicians with diversified medical information that has greatly increased the amount of information, and to store and output medical information in combination with identification information that indicates patients, so that patients can be displayed on medical records. Even if the information is not clear or the patient's identification information is incorrectly entered, the correspondence between the patient currently targeted for examination, medical examination, treatment, etc. and the medical information can be determined from the patient's identification information always displayed on the screen. Confirmation can be easily made, and erroneous recognition of the correspondence between the patient and the medical care information can be prevented.

Further, according to the system of this embodiment, the server 1 constituting the information coupling means combines the medical information with date information indicating the date relating to the medical information as date information coupling means, and The server 1, the terminal devices 2, 3 and the display device 4, which constitute the medical information output means, store the combined identification information, date information, and medical information for a plurality of patients. When date information is input for one patient selected from the plurality of patients, identification indicating the selected patient is performed based on the combined and stored identification information, date information, and medical treatment information. Image information of the patient corresponding to the identification information, obtained from the medical treatment information on the date corresponding to the input date information, together with the information. And at least one of the character information is displayed on the screen, and upon receiving the voice information output instruction along with the display, the voice information about the patient obtained from the medical treatment information is output. Medical information can be easily output and referred to.

Further, according to the system of this embodiment, the server 1, the terminal devices 2, 3 and the display device 4 constituting the medical information output means are adapted to perform the medical treatment for one patient selected from the plurality of patients. When the type of information and the history display command are input, based on the combined and stored identification information, date information, and medical treatment information, together with identification information indicating the selected patient, the identification information Since the history of the input type of medical information of the corresponding patient is displayed on the screen, the history of the desired type of medical information of the selected patient can be easily output and referred to.

Further, according to the system of this embodiment, the patient information storage means has an MO drive device 9 as an information read / write device, and is detachable from the MO drive device 9 so that information can be stored by the MO drive device 9 when mounted. An MO as a recording medium to be read and written, and the combined identification information and medical treatment information are transferred to the MO by the MO drive device 9 for the plurality of patients.
Since one patient is stored for each O, the patient information storage means can store the patient information in the MO and store it in a location different from the MO drive device 9, for example, a storage location of the medical record. Since the degree of MO increases and the number of MOs increases as the number of patients increases, the initial system can be configured at low cost.

Further, according to the system of this embodiment, the patient information storage means integrates the combined identification information and medical treatment information into one or a plurality of patients for the plurality of patients via the DVD drive device 10. Since one or more DVDs are stored and stored, patient information can be automatically read from the DVD, so that the medical information (final chart) of the selected patient can be promptly output to a window. Can be referred to.

FIG. 10 is a block diagram showing another embodiment of the medical information processing system according to the present invention. The system of this embodiment comprises a server 1, each of which is constituted by a computer.
It comprises a reception terminal device 2 and a plurality of doctor terminal devices 3 and a display device 4 connected to the terminal devices 2 and 3, respectively. The server 1 and the reception terminal device 2 are connected to the reception R of the hospital. On the other hand, the doctor's terminal device 3 is installed in a plurality of examination rooms E of the hospital, the reception terminal device 2 is directly connected via ordinary wiring, and the doctor's terminal device 3 is connected to a local area network (LAN). 5 are connected to the server 1 respectively. The server 1 executes the same medical information processing program as in the previous embodiment, and inputs the address, name, gender, and age of the visiting patient as patient identification information from, for example, a keyboard of the reception terminal device 2. Then, the patient identification information of the visiting patient is recorded on a patient list, and stored in a large-capacity internal storage device such as a hard disk drive device connected in parallel with a plurality of patients. A unique patient identification number is assigned to the patient and output from the reception terminal device 2.

The system of this embodiment also includes
Scanner, consultation ticket writing / reading device, keyboard and mouse (not shown) installed in the examination terminal E and connected to the reception terminal device 2, a microphone 7 and a digital camera installed in each examination room E and connected to the doctor terminal device 3 The server 1 includes an FD drive device 8, an MO drive device 9, and a DVD drive device 10. Here, the digital camera 1 installed in each examination room E
1 can take a photograph of the patient's face, take a picture of the affected part of the patient, output it to the server 1 via the doctor's terminal device 3, and combine it with the patient's name, etc. It can be stored as patient medical information.

Further, the system of this embodiment has a plurality of laboratory terminal devices 12 each constituted by a computer.
And a display device 4 and a medical examination ticket writing / reading device (not shown) connected to the laboratory terminal device 12, respectively.
2 is installed in each of a plurality of examination rooms C of the hospital,
Each is connected to the server 1 via the LAN 5.
One of the laboratory terminal devices 12 appropriately compresses the X-ray image captured by the scanner in the laboratory using JPEG conversion software or the like, and outputs the X-ray image of the patient who took the X-ray image to the laboratory. Is output to the server 1 via the LAN 5 together with the patient identification information read by the consultation ticket writing / reading device, and can be combined with the patient identification information such as the patient's name and stored as patient medical information. Another one of the examination room terminal devices 12 appropriately compresses a fundus camera image captured from a scanner, a digital camera, or the like in the examination room in the same manner as an X-ray image, and obtains a patient's image of the fundus camera image. , Together with the patient identification information read by the examination ticket writing and reading device in the examination room.
The information can be output to the server 1 via N5 and combined with the patient identification information such as the patient's name and stored as patient medical information.

Further, another one of the terminal devices 12 for the examination room converts a still image or a moving image of the endoscope taken from a scanner, a video card, or the like in the examination room into X.
The image is appropriately compressed in the same manner as the line image, and is output to the server 1 via the LAN 5 together with the patient identification information read by the examination ticket writing / reading device in the examination room of the patient who has taken the image, and the patient's name, etc. Of the examination room terminal device 12 can be combined with the patient identification information of the examination room. The image of the still image or the moving image of the device is appropriately compressed in the same manner as the X-ray image, and the patient who took the image together with the patient identification information read by the examination ticket writing / reading device in the examination room via the LAN 5. The information can be output to the server 1 and combined with patient identification information such as the patient's name and stored as patient medical information.

According to the system of this embodiment, the same operation and effect as those of the previous embodiment can be obtained. In addition, instead of using the MO for each patient, the patient medical treatment combined with the patient identification information for all the visited patients can be performed. The information can be collected and stored in a large-capacity internal storage device such as a hard disk drive or a single hard disk drive connected in parallel in the server 1, and patient test result information obtained in each test room C is also stored. ,
Unlike the MO, it is possible to directly take in the server 1 without requiring any manpower, so that it is possible to omit the manpower for taking in and out of the medical information of the visiting patient.

Further, according to the system of this embodiment, since the image information can include a photograph of the patient's face taken at the previous visit by the digital camera 11 installed in each examination room E, the examination and the It is possible to more easily confirm the correspondence between the patient to be examined or treated and the medical information, and it is possible to more reliably prevent the misunderstanding of the correspondence between the patient and the medical information. However, since the appearance changes over a long period of time, it is preferable to attach information indicating the photographing time point of the face photograph to the photograph of the patient.

FIG. 11 shows the server 1 in the above two embodiments.
However, this is an example of a diversified medical information screen that can be displayed on the display device 4 of the examination room E via the doctor's terminal device 3 of the examination room E. On this screen, as described above, In addition to displaying patient identification information and buttons for voice processing instructions at the top right and left of the screen, the MO, DVD, hard disk, etc., of the patient currently targeted for examination, examination or treatment are combined with the date of consultation. Based on the recorded medical information, in the center of the screen, the consultation status and multiple types (two types in the figure) of test data (indicators)
, The medication status, the treatment status, and the information of the image are displayed in a time-series graph and the like two months before the current date (today), retroactively on a monthly basis. If such a screen is displayed on the server 1, the treatment and recovery status of the patient can be checked at a glance, so that more accurate medical treatment can be performed.

Although the present invention has been described above with reference to the illustrated examples, the present invention is not limited to the above-described examples. It is also possible to improve the certainty of conversion from image information to character information by stylization, and to convert the description items of the chart read by the scanner from image information to character information with ordinary conversion software. In this case, a receipt or the like can be easily and automatically created from the medical chart after the patient's examination.

Further, in the system of the present invention, voice information generated by a patient or a doctor may be converted into character information by ordinary software and recorded. The amount of information to be performed can be reduced, and the system can have a more compact configuration. And in the system of the present invention, for example, the main program is executed in parallel for a plurality of patients so that the next patient can be examined while the patient is going to the examination room for examination. Is also good.

[Brief description of the drawings]

FIG. 1 is a configuration diagram showing one embodiment of a medical information processing system of the present invention.

FIG. 2 is a flowchart showing a main program executed by a server of the medical information processing system of the embodiment.

FIG. 3 is a flowchart showing a waiting list processing subprogram executed by a server of the medical information processing system of the embodiment.

FIG. 4 is a flowchart showing a chart temporary check subprogram executed by a server of the medical information processing system of the embodiment.

FIG. 5 is a flowchart showing a voice processing subprogram executed by a server of the medical information processing system of the embodiment.

FIG. 6 is an explanatory diagram illustrating a start screen displayed on the display device by the main program.

FIG. 7 is an explanatory diagram exemplifying a specific date display screen displayed on the display device by the main program.

FIG. 8 is an explanatory diagram exemplifying a chart continuous display screen displayed on the display device by the main program.

FIG. 9 is an explanatory diagram illustrating an inspection result continuous display screen displayed on the display device by the main program.

FIG. 10 is a configuration diagram showing another embodiment of the medical information processing system of the present invention.

FIG. 11 illustrates a multi-faceted medical information screen that can be displayed by the server in the above two embodiments.

[Explanation of symbols]

 Reference Signs List 1 server 2 reception terminal device 3 doctor terminal device 4 display device 5 local area network (LAN) 6 scanner 7 microphone 8 floppy (registered trademark) disk drive device 9 magnetic / optical disk (MO) drive device 10 digital video disk (DVD) ) Drive device 11 Digital camera 12 Terminal device for examination room C Examination room E Examination room F Frame line R Reception

Claims (6)

[Claims] 1. An information combining unit for combining medical information including at least one of image information and text information on a patient and voice information on the patient with identification information indicating the patient, and the combined identification information and medical information Patient information storage means for storing information about a plurality of patients, and for one patient selected from the plurality of patients, the selected patient information is selected based on the combined and stored identification information and medical treatment information. Along with identifying information to identify the patient
At least one of the image information and the text information of the patient corresponding to the identification information obtained from the medical information of the patient is displayed on the screen, and when an output instruction of voice information is received along with the display, the information is obtained from the medical information. And a medical information output means for outputting voice information about the patient. 2. The medical information processing system further comprises date information combining means for combining the medical information with date information indicating a date relating to the medical information, and wherein the patient information storing means comprises the combined identification information. And date information and medical information are stored for a plurality of patients, and the medical information output means is combined and stored when the date information is input for one patient selected from the plurality of patients. The medical information on the date corresponding to the input date information of the patient corresponding to the identification information, together with the identification information indicating the selected patient, based on the obtained identification information, date information, and medical information. At least one of the image information and the text information about the patient obtained from the And outputting the audio information related to the patient obtained from broadcast,
The medical information processing system according to claim 1. 3. The medical information output means, when a kind of medical information and a history display command are input for one patient selected from the plurality of patients, are combined and stored. Based on the identification information, the date information, and the medical treatment information, together with the identification information indicating the selected patient, a history of the input type of medical information of the patient corresponding to the identification information is displayed on a screen. 3. The medical information processing system according to claim 2, wherein: 4. The image processing apparatus according to claim 1, wherein the image information includes a photograph of a patient's face corresponding to the identification information combined with the medical information including the image information. Medical information processing system. 5. The patient information storage means includes an information reading / writing device, and a recording medium detachable from the information reading / writing device and reading and writing information by the information reading / writing device when the information reading / writing device is mounted. The identification information and the medical treatment information are stored for each of the plurality of patients by the information read / write device in the recording medium for each recording medium. The medical information processing system according to any of the above. 6. The apparatus according to claim 1, wherein the patient information storage unit includes one or a plurality of recording units that collectively store the combined identification information and medical treatment information in one or a plurality of the plurality of patients. 5. The method according to claim 1, wherein:
The medical information processing system according to any one of the above.