JP2010211488A - Program, device, and method for recording electronic medical chart information - Google Patents

Abstract

An object of the present invention is to insert an electronic medical record without destroying the appearance of a sentence example to be inserted.
An electronic medical record information recording apparatus determines whether or not a line feed code is included in a sentence example to be inserted into an input area as information related to a patient. When it is determined that there is a line feed code in the sentence example to be inserted, the electronic medical record information recording apparatus counts characters existing between the insertion position where the sentence example is inserted and the line where the insertion position exists. . Thereafter, the electronic medical record information recording apparatus inserts the area for the counted number of characters after the line feed code of the sentence example to be inserted, and inserts the sentence example in which the area for the number of characters is inserted at the insertion position of the input area.
[Selection] Figure 1

Description

  The present invention provides an electronic medical record information recording program and electronic medical record information to be executed by a computer as an electronic medical record system that displays a screen having an input area for inputting information related to a medical examinee and receives and records information relating to the medical examinee The present invention relates to a recording apparatus and an electronic medical record information recording method.

  Conventionally, in systems that have been digitized in recent years, such as a system such as an electronic medical record, there is still a lot of stress when the pen is replaced with a keyboard or a mouse, and further improvement is required. Also, for a person who uses a pen, inputting a long document with a keyboard itself is a stress.

  Therefore, there are IME (Input Method Editor) and a sentence example reference function as a technique for inputting a long document without stress using a keyboard. IME is an auxiliary function that is commonly used for word processor input, etc., and can perform hiragana-kanji conversion. The sentence reference function displays a sentence example that includes the input character string to the user. Thus, it is possible to save the trouble of inputting a long document directly. In addition, an electronic medical record system combining these has been developed.

  In addition, there is a technique for executing a search process by regarding a search condition for a search performed by the same user performed in a close time period as a search condition for a synonym, and this technique may be combined with the above-described sentence example reference function. Conceivable.

JP 11-31168 A

  However, there has been a problem that when a sentence example or the like searched using the above-described conventional technique is inserted into an electronic medical record, the appearance of the sentence example may be broken and inserted.

  For example, when the sentence example shown in FIG. 13-1 is inserted (expanded) in the electronic medical record, if the insertion position of the sentence example is at the beginning of the line, the sentence is inserted in the form shown in FIG. 13-1, and there is no problem. . However, as shown in FIG. 13-2, when the text is inserted after inserting three blanks in the text, the second and subsequent lines (blood pressure (high), blood pressure (low)) are shifted from the first line, The format of the sentence example shown in FIG. 13-1 is broken and inserted.

  Therefore, the disclosed technology has been made in view of the above, and an electronic medical record information recording program and an electronic medical record information recording that can be inserted into an electronic medical record without destroying the appearance of a sentence example to be inserted An object is to provide an apparatus and an electronic medical record information recording method.

  In one aspect, an electronic medical record information recording program disclosed in the present application displays a screen having an input area for inputting information related to a medical examinee, and a computer as an electronic medical record system that receives and records input of information related to the medical examinee An electronic medical record information recording program to be executed by a line feed code determination procedure for determining whether or not a line feed code is included in a sentence example to be inserted into the input area as information on the examinee, and a sentence example by the line feed code determination procedure When it is determined that there is a line feed code, the character number counting procedure for counting characters existing between the insertion position where the sentence example is inserted and the beginning of the line where the insertion position exists, and the character number counting procedure Insert the area for the number of characters after the line feed code in the above example, and the area for the number of characters is inserted. To execute a phrase insertion procedure for inserting a sentence example the insertion position of the input area, to the computer.

  According to one aspect of the electronic medical record information recording program disclosed in the present application, there is an effect that the electronic medical record information can be inserted into the electronic medical record without destroying the appearance of the sentence example to be inserted.

FIG. 1 is a diagram for explaining the electronic medical chart recording apparatus according to the first embodiment. FIG. 2 is a block diagram illustrating the configuration of the electronic medical record information recording apparatus according to the first embodiment. FIG. 3 is a diagram illustrating an example of information stored in the sentence example DB. FIG. 4 is a diagram illustrating an example of information stored when the buffer functions as an extracted sentence example work table. FIG. 5 is a diagram illustrating an example of information stored in the font size DB. FIG. 6 is a diagram showing an example of sentence example insertion in the electronic medical record. FIG. 7 is a flowchart showing the flow of the electronic medical chart starting process. FIG. 8 is a flowchart showing the flow of sentence example insertion processing. FIG. 9 is a diagram illustrating an example of information stored in the sentence example DB according to the second embodiment. FIG. 10 is a diagram illustrating an example of information stored in the buffer according to the second embodiment. FIG. 11 is a diagram illustrating an example of a case where the buffer according to the second embodiment compresses and stores the sentence example. FIG. 12 is a diagram illustrating an example of a computer system that executes an electronic medical record information recording program. FIG. 13A is a diagram illustrating an example of a sentence example to be inserted. FIG. 13B is a diagram illustrating an example in which a sentence example is inserted using the conventional technique.

  Embodiments of an electronic medical record information recording program, an electronic medical record information recording apparatus, and an electronic medical record information recording method disclosed in the present application will be described below in detail with reference to the drawings. Note that the present invention is not limited to the embodiments.

  The electronic medical record information recording apparatus described in the present embodiment displays a screen having an input area for inputting information relating to the examinee on a display or the like, and a computer as an electronic medical record system that accepts and records input of information relating to the examinee Device. This electronic medical record information recording device may store the electronic medical record, which is information relating to the examinee, within the device itself, or may be periodically received and stored from a server or the like that is collectively managed externally. The information may be input on the server by accessing the electronic medical record and stored on the server.

  The electronic medical record information recording apparatus according to the first embodiment determines whether or not a line feed code is included in the sentence example when the sentence example is inserted into the input area as information regarding the examinee. Subsequently, when it is determined that there is a line feed code in the sentence example to be inserted, the electronic medical record information recording apparatus counts the number of characters existing between the insertion position where the sentence example is inserted and the line where the insertion position exists. . Then, the electronic medical record information recording apparatus inserts the region for the counted number of characters after the line feed code of the sentence example, and inserts the sentence example with the region for the number of characters inserted at the insertion position of the input region. As a result, the electronic medical record information recording apparatus according to the first embodiment can be inserted into the electronic medical record without destroying the appearance of the sentence example to be inserted.

  For example, as shown in FIG. 1A, the electronic medical record information recording apparatus is a sentence example composed of a plurality of sentences (sentences) obtained by using “vital” as a search key next to “inspection result:” of the electronic medical record. A case of inserting a template ((z) in FIG. 1) will be described. In the case of this example, the electronic medical record information recording apparatus inserts the sentence example template ((z) in FIG. 1) at the position of “Vital” input next to “Inspection result:”. Next to “Test Result:”. FIG. 1 is a diagram for explaining the electronic medical chart recording apparatus according to the first embodiment.

  Then, the electronic medical record information recording apparatus first determines whether or not a line feed code is included in the sentence example template ((z) in FIG. 1). Here, it is assumed that “three” line feed codes are included. judge. Next, the electronic medical record information recording apparatus sets the number of characters existing between the insertion position “next to“ test result: ”” for inserting the sentence example template ((z) in FIG. 1) and the line where the insertion position exists. , “5 characters” of “inspection, inspection, result, result,:” are counted. If there is a blank between the insertion position and the line where the insertion position exists, the blank is counted as one character.

  Subsequently, the electronic medical record information recording apparatus uses the counted number of “5 characters” (for example, blanks) after the last “C” in the first line in the example template ((z) in FIG. 1), Insert after the last “g” in the second row and after the last “g” in the third row, respectively. Then, the electronic medical record information recording apparatus inserts the sentence example template in which the area corresponding to the number of “5 characters” is inserted into the insertion position “next to“ test result: ”” in the input area.

  As a result, the electronic medical record information recording apparatus does not shift each of “body temperature, blood pressure (high), blood pressure (low), pulse” in the example template, as shown in FIG. It can be inserted into the electronic medical record while keeping it. As described above, the electronic medical record information recording apparatus can insert the example into the electronic chart without destroying the appearance of the example sentence to be inserted even if the insertion position of the example sentence is not at the beginning of the line such as in the middle of the sentence.

[Configuration of electronic medical record information recording device]
Next, the configuration of the electronic medical record information recording apparatus according to the first embodiment will be described with reference to FIG. FIG. 2 is a block diagram illustrating the configuration of the electronic medical record information recording apparatus according to the first embodiment.

  As illustrated in FIG. 2, the electronic medical record information recording apparatus 10 includes a communication control I / F unit 11, an input unit 12, a display output unit 13, a storage unit 20, and a control unit 30.

  The communication control I / F unit 11 controls communication related to various types of information exchanged with other external devices. As a specific example, the communication control I / F unit 11 transmits and receives various data exchanged with an electronic medical record management server or a backup server that collectively manages the electronic medical record.

  The input unit 12 includes a keyboard, a mouse, a microphone, and the like, and receives input of various types of information. For example, the input unit 12 receives a character string (for example, vitals) from a user who uses the electronic medical record information recording apparatus 10 and outputs the received character string to the control unit 30 described later. . The monitor described later also realizes a pointing device function in cooperation with the mouse.

  The display output unit 13 includes a monitor (or display, touch panel) and a speaker, and outputs various types of information. As a specific example, the display output unit 13 receives and displays a list of sentence examples searched by the control unit 30 described later. The display output unit 13 operates in conjunction with the input unit 12 and outputs to the control unit 30 a sentence example selected by the input unit (for example, a mouse) from a list of sentence examples to be displayed.

  The storage unit 20 stores data and programs (for example, an IME program) necessary for various processes by the control unit 30, address information and routing information necessary for communication, and in particular, an electronic medical record information DB 21 and a sentence example DB 22. And a buffer 23 and a font size DB 24.

  The electronic medical record information DB 21 stores an electronic medical record that receives and records input of information regarding the examinee. Specifically, the electronic medical record information DB 21 stores an electronic medical record acquired from an external electronic medical record management server via the communication control I / F unit 11 by an electronic medical record executing unit 31 of the control unit 30 described later. The electronic medical record information DB 21 can also synchronize with the electronic medical record management server by transmitting the update contents to the electronic medical record management server each time the stored electronic medical record is updated.

  The sentence example DB 22 stores a sentence example in which a search key indicating a character string for searching a sentence example is associated with a sentence example searched by the search key. Specifically, as illustrated in FIG. 3, the sentence example DB 22 includes “Vital, Template (body temperature, blood pressure (high), blood pressure (low), pulse)” and “Vital, periodic examination” as “search key, sentence example”. As a result, the vitals are stable. " Further, the sentence example DB 22 stores “Face score, template (asymmetry at rest)”, “Face score, endoscopy result, no suspicion of stomach ulcer found” as “search key, sentence example”, etc. . FIG. 3 is a diagram illustrating an example of information stored in the sentence example DB.

  The buffer 23 is an area for temporarily storing search key candidates input via the input unit 12 for sentence example search, and is used when various processes are performed on the sentence examples by the control unit 30 described later. It is a temporary area. For example, as shown in FIG. 4, the buffer 23 stores only a sentence example retrieved from the sentence example DB 22 and functions as an extracted sentence example work table for the control unit 30 to execute various processes on the retrieved sentence example. To do. FIG. 4 is a diagram illustrating an example of information stored when the buffer functions as an extracted sentence example work table.

  The font size DB 24 stores the length of a standard set blank character indicating the number of dots necessary for the blank for each font. For example, as shown in FIG. 5, the font size DB 24 stores “XX Gothic, 10” and the like as “font, font size”. In this case, if the font is XX Gothic, 10 dots are required for one blank character. FIG. 5 is a diagram illustrating an example of information stored in the font size DB.

  The control unit 30 has an internal memory for storing a control program such as an OS (Operating System), a program defining various processing procedures, and necessary data, and in particular, an electronic medical record execution unit 31 and a sentence example search unit. 32, a line feed code determination unit 33, a character count unit 34, and a sentence example insertion unit 35, which perform various processes.

  The electronic medical record executing unit 31 activates the electronic medical record system by an instruction operation of the user of the electronic medical record information recording apparatus 10. To give a specific example, the electronic medical chart executing unit 31 receives a login request (user name, password, etc.) of the electronic medical record system to the display output unit 13 when a user's electronic medical chart activation instruction is accepted by the input unit 12. Display output. Then, the electronic medical record executing unit 31 receives an input of “user name and password” from the user and performs user authentication.

  Thereafter, when the electronic medical record execution unit 31 determines that the user is a valid user by user authentication, the electronic medical record execution unit 31 reads out the electronic medical record stored in the electronic medical record DB 21, displays it on the display output unit 13, and indicates completion of the electronic medical record execution. The search unit 32 is notified. When the electronic medical chart execution unit 31 determines that the user is a valid user, the electronic medical chart management unit 31 establishes communication with an external electronic medical record management server, receives the electronic medical record from the electronic medical record management server, and displays and outputs the received electronic medical record The display may be output to the unit 13.

  The sentence example search unit 32 extracts a sentence example from the sentence example DB 22 using the character string input via the input unit 12 on the electronic medical record displayed and output on the display output unit 13 as a search key. In the example described above, the sentence search unit 32 that has received the completion of the electronic medical record execution from the electronic medical record execution unit 31 uses “Vital” as a search key when “Vital” is input via the input unit 12. “Template (body temperature, blood pressure (high), blood pressure (low), pulse)” and “Vital, as a result of periodic inspection, vital is stable” are extracted from the sentence DB 22.

  Further, the sentence example search unit 32 displays “template (body temperature, blood pressure (high), blood pressure (low), pulse)” extracted from the sentence example DB 22 and “the vitality is stable as a result of the periodic examination”. 13 is displayed and output and stored in the buffer 23. Then, the sentence example search unit 32 receives from the user via the input unit 12 a sentence example selection that indicates which of the two sentence examples extracted, displayed and output is to be inserted into the electronic medical record. Thereafter, the sentence example search unit 32 displays and outputs the selected sentence example to the display output unit 13, stores the selected sentence example in the buffer 23, and notifies the line feed code determination unit 33 of the result.

  The line feed code determination unit 33 determines whether or not a line feed code is included in the sentence example when the sentence example is inserted into the predetermined input area of the electronic medical record as information on the examinee. Specifically, in the above example, the line feed code determination unit 33 reads out the sentence example (sentence example selected by the user) stored in the buffer 23 when the sentence example search unit 32 notifies the sentence example selection completion. Then, it is determined whether or not the sentence example includes a line feed code.

  That is, when the sentence example stored in the buffer 23 is “template (body temperature, blood pressure (high), blood pressure (low), pulse)” (see FIG. 3), the line feed code determination unit 33 adds a line feed code to the sentence example. (3) It is determined that there is. In addition, the line feed code determination unit 33 determines that there is no line feed code in the sentence example when the sentence example stored in the buffer 23 is “Vital is stable as a result of periodic inspection” (see FIG. 3). When the line feed code determination unit 33 determines that the line break code is included in the sentence example stored in the buffer 23, the line break code determination unit 33 notifies the character count unit 34 of the determination result and the sentence example stored in the buffer 23. When it is determined that no line feed code is included in the message, the determination result is notified to the sentence example insertion unit 35.

  When the line feed code determination unit 33 determines that there is a line feed code in the sentence example, the character number counting unit 34 counts the number of characters existing between the insertion position where the sentence example is inserted and the line where the insertion position exists. . For example, referring to FIG. 1, the number-of-characters counting unit 34 notified from the line feed code determination unit 33 that a line break code exists in the sentence example, inserts the sentence example “next to“ test result: ”” and the As the number of characters existing between the line where the insertion position exists, “5 characters” of “check, check, result, result:” are counted. Note that, when there is a blank between the insertion position and the line in which the insertion position exists, the character count counter 34 counts the blank as one character. Then, the character count unit 34 notifies the sentence example insertion unit 35 of the counted number of characters “5 characters”.

  Furthermore, the character number counting unit 34 determines whether or not a proportional font is included in the character existing between the insertion position where the sentence example is inserted and the line where the insertion position exists, and the character number “ The sentence insertion unit 35 can be notified together with “5 characters”.

  The sentence example insertion unit 35 inserts an area for the number of characters counted by the character number counting unit 34 after the line feed code of the sentence example, and inserts a sentence example in which the area for the number of characters is inserted at the insertion position of the input area. For example, the sentence example insertion unit 35 inserts “blank” for the number of characters as an area for the number of characters counted by the character number counting unit 34 after the line feed code of the example sentence, and inserts the sentence example in the electronic medical record.

  For example, referring to FIG. 1 as an example, the sentence example insertion unit 35 stores “spaces for five characters” in the buffer 23 as “five characters” counted by the character number counting unit 34. Insert it after the line feed code in the example sentence selected by the user. That is, in the sentence example shown in FIG. 1 (z), the sentence example insertion unit 35 is behind the last “C” on the first line, after the last “g” on the second line, and at the end of the third line. Each of “5” is inserted after “g”. Then, the sentence example insertion unit 35 inserts the sentence example in which “5 characters” of “blank spaces” are inserted at the insertion position “next to“ test result: ”” in the input area.

  When the character number counting unit 34 receives a notification that the proportional font is included, the sentence example inserting unit 35 converts all the number of characters notified by the character number counting unit 34 into the number of dots, Get the currently used font from an editor or electronic medical record. Then, the sentence example insertion unit 35 obtains the length of the standard setting blank character indicating the number of dots required for one blank character in the obtained font from the font size DB 24, and “the number of blanks to be inserted = the number of notified characters”. The number of dots obtained by conversion / the number of dots required for one blank character acquired from the font size DB 24 (standard blank character length) "is calculated. In this way, the sentence example insertion unit 35 inserts the calculated number of spaces after the line feed code and inserts the sentence example into the electronic medical record. At this time, the sentence example insertion unit 35 inserts a blank adjusted to a font size suitable for the dot for a dot that cannot be filled with a blank (a blank is left without being filled).

  For example, the sentence example insertion unit 35 converts all the number of characters notified by the character number counting unit 34 into the number of dots (for example, by referring to a table in which the number of dots corresponding to each font size for each character is recorded, It is assumed that the result obtained is “42 dots” and the font currently used in the electronic medical record is “XX Gothic”. In addition, it is assumed that the sentence example insertion unit 35 acquires from the font size DB 24 the number of dots “10 dots” necessary for one blank character in “XX Gothic”. In this case, the sentence example insertion unit 35 calculates “the number of dots obtained by converting the notified number of characters (42) / the number of dots required for one blank character obtained from the font size DB 24” (10). The number of blanks to be inserted = 4.2 ”is calculated. However, since “the number of blanks to be inserted = 4.2”, the number of blanks to be actually inserted is “4”, and “0.2 dots” remains. Therefore, for the remaining “0.2 dots”, if there is a font of “0.2 dots” and one character, it is possible to insert a blank of the font or change the character size or the like. For example, a font size of “0.2 dots” is created, and a blank for the created font size is inserted. In this way, the sentence example insertion unit 35 inserts “4” blanks and “0.2 dot” blanks obtained by the above-described method after the line feed code of the sentence example, and thus the electronic medical record. Insert example sentences into.

  Another method is not limited to the font used in the electronic medical record, only the white space to be inserted into the sentence, and the “number of dots obtained by converting the notified number of characters (42)” does not appear much. You may make it use the font of a font size. For example, the font used in the electronic medical record is “XX Gothic”, but the number of dots required for one blank character in “ΔΔ Gothic” is “7 dots”, and is stored in the font size DB 24. Suppose that In this case, the sentence example insertion unit 35 calculates “the number of dots obtained by converting the notified number of characters (42) / the number of dots required for one blank character in“ ΔΔ Gothic ”(7)”, It is calculated that “the number of blanks to insert = 6”. Then, the sentence example insertion unit 35 inserts “six” spaces in Δ △ Gothic after the line feed code of the sentence example, inserts the sentence example into the electronic medical record, and the subsequent character input is used in the electronic medical record. Do this with the font that you have. That is, the sentence example insertion unit 35 controls to use “ΔΔ Gothic” only for the blank to be inserted, and to use “XX Gothic” for other character input.

  On the other hand, the sentence example insertion unit 35, when notified from the line feed code determination unit 33 of a result determined that the sentence example stored in the buffer 23 does not include a line feed code, the sentence example (user) stored in the buffer 23 Is inserted at the insertion position of the input area of the electronic medical record without performing the above-described processing.

[Area insertion operation example]
Next, with reference to FIG. 6, a process for inserting an area such as a blank in the above sentence example will be described with a specific example. FIG. 6 is a diagram showing an example of sentence example insertion in the electronic medical record.

  Specifically, a case will be described in which a “sentence example” having “vital” shown in FIG. 6A as a search key is inserted at a designated position in the electronic medical record. For example, as shown in (1) of FIG. 6, when a sentence example template ((z) of FIG. 6) is substituted at the head position of the line, the line feed code determination unit 33 has a line feed code in the sentence example to be inserted. Judge that. Then, since the insertion position of the sentence example is the head of the line, the character number counting unit 34 counts “0” as the number of characters existing between the insertion position where the sentence example is inserted and the line where the insertion position exists. Then, the sentence example insertion unit 35 inserts the sentence example template ((z) in FIG. 6) selected by the user as it is at the insertion position (the beginning of the line).

  For example, as shown in (2) of FIG. 6, when a sentence example ((y) of FIG. 6) is substituted for a position next to “search result:”, the line feed code determination unit 33 becomes an insertion target. It is determined that there is no line feed code in the sentence example. Then, the sentence example insertion unit 35 inserts the sentence example ((y) in FIG. 6) selected by the user as it is at the position next to “search result:”.

  Further, for example, as shown in (3) of FIG. 6, when a sentence example template ((z) of FIG. 6) is substituted for the position next to “search result:”, the line feed code determination unit 33 It is determined that there is a line feed code in the sentence example. The number-of-characters counting unit 34 sets the number of characters existing between the insertion position “next to the“ test result: ”” for inserting the sentence example template ((z) in FIG. 6) and the line where the insertion position exists as “ “5 characters” of “Check, Review, Result, Result:” are counted. Then, the sentence example insertion unit 35 follows the last “C” on the first line, the last “g” on the second line, the last “g” on the third line in the sentence example template ((z) in FIG. 6). Insert “5 blank spaces” after each “g”. Then, the sentence example insertion unit 35 inserts the sentence example template in which “5 spaces” is inserted at the insertion position “next to“ test result: ”” in the input area.

  Also, for example, as shown in (4) of FIG. 6, when a sentence template ((z) of FIG. 6) is substituted at a position where a predetermined number of blanks are input from the beginning of the line, the line feed code determination unit 33 It is determined that a line feed code exists in the sentence example to be inserted. The number-of-characters counting unit 34 sets “predetermined number of characters between the insertion position“ next to the predetermined number of blanks ”for inserting the sentence example template ((z) in FIG. 6) and the line where the insertion position exists. The number of blanks (eg 7) "is counted. Then, the sentence example insertion unit 35 follows the last “C” on the first line, the last “g” on the second line, the last “g” on the third line in the sentence example template ((z) in FIG. 6). Insert “7 spaces” after each “g”. Then, the sentence example insertion unit 35 inserts the sentence example template in which “seven blank spaces” are inserted at the insertion position “next to“ a predetermined number of blank spaces ”in the input area.

[Process flow]
Next, a processing flow in the electronic medical record information recording apparatus according to the first embodiment will be described with reference to FIGS. FIG. 7 is a flowchart showing the flow of the electronic medical record starting process, and FIG. 8 is a flowchart showing the flow of the sentence example inserting process.

(Flow of electronic chart start processing)
First, the flow of the electronic medical chart starting process will be described with reference to FIG. As illustrated in FIG. 7, the electronic medical record information recording apparatus 10 receives an electronic medical record activation instruction from a user, performs a user login process (step S101), and receives a patient ID from a user who is permitted to log in. And the patient's electronic medical record is activated (step S102).

  Subsequently, the electronic medical record information recording device 10 activates the medical record editor of the activated electronic medical record and displays it on the display output unit 13 (step S103), and further searches for medical sentence examples in cooperation with IME (Input Method Editor). Activate the function. At this time, the electronic medical record information recording apparatus 10 acquires the selected IME character conversion candidate, the character string before the IME conversion unconfirmed character string, the font of each character, and the like.

  Thereafter, the electronic medical record information recording apparatus 10 saves the medical chart editor in which the electronic medical record is updated (step S104), accepts the user's operation and closes the patient's medical record (step S105), and uses it by the user's operation. The user logout is accepted and the process ends (step S106).

(Flow of sentence example insertion processing)
Next, the flow of sentence example insertion processing will be described with reference to FIG. This process is a process executed in step S104 of FIG.

  As shown in FIG. 8, the electronic medical record information recording apparatus 10 sets a parameter input when the electronic medical record is activated as a search key (step S201), and searches the sentence example DB 22 (step S202). For example, the electronic medical record information recording apparatus 10 sets the selected IME character conversion candidate (for example, vital) to the sentence example partial match search key, and the sentence example corresponding to the search key by the complete match of the search key and the partial match of the sentence example. Search for.

  Then, when there is a corresponding sentence example (Yes at Step S203), the electronic medical record information recording apparatus 10 stores the retrieved corresponding sentence example in the buffer 23 (extracted sentence example work table) (Step S204). Thereafter, when there is no corresponding sentence example (No in step S203), the electronic medical record information recording apparatus 10 reads out the sentence example stored by searching from the buffer 23 and outputs the sentence example list to the display output unit 13. (Step S205).

  Subsequently, when the user selects a desired sentence example from the list of sentence examples displayed and output on the display output unit 13 (Yes in step S206), the electronic medical record information recording apparatus 10 determines the type of the selected sentence example ( In step S207, it is determined whether or not a line feed code is included in the sentence example (step S208). On the other hand, if the desired sentence example is not selected by the user from the sentence example list displayed and output on the display output unit 13 (No at Step S206), the electronic medical record information recording apparatus 10 returns to Step S205 and executes the subsequent processing. .

  When it is determined that the selected sentence example includes a line feed code (Yes at Step S208), the electronic medical record information recording apparatus 10 determines the insertion (development) position of the sentence example (Step S209), and the insertion position is It is determined whether or not it is the head of the number (step S210).

  Subsequently, the electronic medical record information recording apparatus 10 exists before the input parameters (search key, IME conversion unconfirmed character string) when the insertion position of the selected sentence example is not the head of the line (No in step S210). The character strings are counted (confirmed) (step S211), and it is determined whether or not the counted character strings are all blank (step S212).

  If the counted character strings are all blank (Yes at step S212), the electronic medical record information recording apparatus 10 is specified by inserting the counted blanks at the beginning of the second and subsequent lines in the sentence. A sentence example is inserted at the insertion position of the electronic medical record (step S213).

  On the other hand, when the counted character strings are not all blank (No at Step S212), the electronic medical record information recording apparatus 10 determines whether or not the counted character strings include a proportional font (Steps S214 and S215). ).

  If the electronic medical record information recording apparatus 10 determines that a proportional font is included in the counted character string (Yes in step S215), for example, the counted character number is changed to the dot number. The length of the column is confirmed (step S216). Here, the electronic medical record information recording apparatus 10 acquires a font used in the electronic medical record from an electronic medical record, an editor, or the like.

  Subsequently, the electronic medical record information recording apparatus 10 acquires the standard setting blank character length indicating the number of dots required for one blank character in the acquired font from the font size DB 24 and compares it with the counted character string length ( Step S217). Here, the electronic medical record information recording apparatus 10 calculates “the number of counted characters (the number of dots) / the number of dots necessary for one blank character (the length of a standard blank character) = n remainder m”.

  Thereafter, the electronic medical record information recording apparatus 10 creates a blank character string to be inserted after the second line in the sentence example (step S218). In the example described above, the electronic medical record information recording apparatus 10 determines “standard set blank character × n + standard set blank character to m font size” as a blank character string. That is, the electronic medical record information recording apparatus 10 displays “n” blank characters and a blank obtained by changing the standard set blank character stored in the font size DB 24 to an m-dot font size in the second and subsequent lines in the sentence. Create as a blank string to insert.

  Then, the electronic medical record information recording apparatus 10 inserts the created blank character string at the beginning of the second and subsequent lines in the sentence example, and inserts the sentence example in which the blank character is inserted at the specified electronic medical record insertion position. (Step S219).

  Further, when the electronic medical record information recording apparatus 10 determines that the selected sentence example does not include a line feed code (No at Step S208), the electronic sentence information recording apparatus 10 determines that the insertion position of the selected sentence example is at the beginning of the line (Yes at Step S210). ), If a proportional font is not included in the counted character string (No at step S215), the selected sentence example is inserted as it is at the insertion position of the designated electronic medical record (step S220).

[Effects of Example 1]
As described above, according to the first embodiment, when there is a blank at the beginning of a line, the same blank can be inserted into all lines of the sentence example, and the template can be expanded without breaking the shape. Also, if there is a character string at the beginning of the line, there is a character type and font size. Can be expanded after a line break. By doing this, it is possible to expand the editor without breaking the form of the sentence. However, if the character string in the line is a character other than a proportional font (the character width is fixed for all characters), the line is not broken and the character is left blank, as is the case with a blank at the beginning of the line. It can be converted and expanded in a form that fills the beginning of the sentence examples in the second and subsequent lines.

  That is, the electronic medical record information recording apparatus 10 according to the first embodiment uses as many blanks as the number of characters existing from the insertion position where the first line of the target sentence example line is inserted to the beginning of the line to the first line of the second line of the target sentence example line. By inserting it before the character, it is possible to automatically align the first character on the first line of the target sentence example line and the first character on the second and subsequent lines. As a result, even if the insertion position of the target sentence example is not at the beginning of the line such as in the middle of the sentence, it can be inserted into the electronic medical record without breaking the appearance of the sentence example that is the insertion target.

  By the way, although the Example of this invention was described so far, this invention may be implemented with a various different form other than the Example mentioned above. Therefore, different embodiments will be described below.

(Storing example sentence DB)
For example, as an example of information stored in the sentence example DB 22 in FIG. 3, an example of a sentence example associated with a search key is shown, but the present invention is not limited to this. For example, sentence examples may be stored in association with user IDs (identifiers for identifying electronic medical records such as doctors), patient IDs (identifiers for uniquely identifying patients), and the like.

  For example, as illustrated in FIG. 9, the sentence example DB 22 may store a “sentence example” in association with a “user ID” that uniquely identifies a user. In this case, the electronic medical record information recording apparatus 10 extracts a sentence example from the sentence example DB 22 using the “user ID” input at the time of user login processing as a key, and outputs the extracted sentence example to the display output unit 13. Then, since all sentence examples corresponding to “user ID” become examples of sentences to be inserted into the electronic medical record, the electronic medical record information recording apparatus 10 has all sentence examples corresponding to “user ID” as shown in FIG. Is stored in the buffer 23. Further, when all the sentence examples corresponding to the “user ID” are stored in the buffer 23, the electronic medical record information recording apparatus 10 can also store each sentence example in a compressed form as shown in FIG. By doing so, the use area of the buffer 23 can be reduced, or a buffer with a small capacity can be used, which leads to cost reduction.

(New line code judgment method)
Further, in the first embodiment, an example has been described in which it is determined whether or not a “line feed code” is included in the example sentence to be inserted, and “blank” is inserted after the “line feed code”. is not. For example, the electronic medical record information recording apparatus 10 may determine whether or not there is a portion “new line code + character code” in the example sentence to be inserted. In this case, the electronic medical record information recording apparatus 10 sets the blanks for the number of characters existing between the insertion position where the sentence example is inserted and the line where the insertion position exists as “line feed code + character code” as “line feed code”. Between “character code”, that is, “line feed code + (space corresponding to the number of characters) + character code” is inserted into the electronic medical chart. By doing so, when a sentence example having only “1 sentence + line feed code” (that is, a sentence example without the second line) is inserted into the electronic medical record using the above-described method, the “line feed code” is set to the second line. The inserted state can be prevented. That is, it can be inserted into the electronic medical record while maintaining the appearance of “1 sentence + line feed code” in the sentence example.

(Insert example)
In the first embodiment, an example has been described in which spaces corresponding to the number of characters existing between the insertion position where the sentence example is inserted and the line where the insertion position exists are inserted after the line feed code of the sentence example. It is not limited. For example, the number of bits corresponding to the counted number of characters may be inserted.

(system)
Further, each component of each illustrated apparatus is functionally conceptual, and does not necessarily need to be physically configured as illustrated. In other words, the specific form of distribution / integration of each device is not limited to that shown in the figure, and all or a part thereof may be functionally or physically distributed or arbitrarily distributed in arbitrary units according to various loads or usage conditions. Can be integrated and configured. Further, all or a part of each processing function performed in each device may be realized by a CPU and a program that is analyzed and executed by the CPU, or may be realized as hardware by wired logic.

  In addition, the processing procedure, control procedure, specific name, and information including various data and parameters (for example, FIG. 3, FIG. 4, FIG. 9 to FIG. It can be changed arbitrarily unless you want to.

(program)
By the way, the various processes described in the above embodiments can be realized by executing a program prepared in advance on a computer system such as a personal computer or a workstation. Therefore, hereinafter, a computer system that executes a program having the same function as that of the above embodiment will be described as another embodiment.

  FIG. 12 is a diagram illustrating an example of a computer system that executes an electronic medical record information recording program. As shown in FIG. 11, the computer system 100 includes a RAM 101, an HDD 102, a ROM 103, and a CPU 104. Here, the ROM 103 has a program that exhibits the same function as that of the above embodiment, that is, as shown in FIG. 12, an electronic medical record execution program 103a, a sentence example search program 103b, a line feed code determination program 103c, and a character count. A program 103d and a sentence example insertion program 103e are stored in advance.

  Then, the CPU 104 reads and executes these programs 103a to 103e, so that as shown in FIG. 12, an electronic medical record execution process 104a, a sentence example search process 104b, a line feed code determination process 104c, and a character count process 104d becomes a sentence example insertion process 104e. The electronic medical record execution process 104a corresponds to the electronic medical record execution unit 31 shown in FIG. 2, and similarly, the sentence example search process 104b corresponds to the sentence example search unit 32. Similarly, the line feed code determination process 104c corresponds to the line feed code determination unit 33, the character number counting process 104d corresponds to the character number counting unit 34, and the sentence example insertion process 104e corresponds to the sentence example insertion unit 35.

  In addition, the HDD 102 stores an electronic medical record table 102a that stores an electronic medical record that receives and records information related to the examinee, a search key that indicates a character string for searching a text example, and a text example that is searched by the search key. And a sentence example table 102b for storing a sentence example associated with. Further, the HDD 102 is provided with a buffer table 102c that temporarily stores sentence examples and character strings, and a font size table 102d that stores the length of standard blank characters indicating the number of dots required for blanks for each font. It is done.

  The electronic medical record table 102a corresponds to the electronic medical record DB 21 shown in FIG. 2. Similarly, the sentence example table 102b corresponds to the sentence example DB 22, the buffer table 102c corresponds to the buffer 23, and the font size table 102d Corresponds to the font size DB 24.

  By the way, the above-described programs 103a to 103e are not necessarily stored in the ROM 103. For example, a flexible disk (FD), a CD-ROM, an MO disk, a DVD disk, a magneto-optical disk inserted into the computer system 100, In addition to “portable physical media” such as IC cards, “fixed physical media” such as hard disk drives (HDDs) provided inside and outside the computer system 100, public lines, the Internet, LAN, WAN, etc. The program may be stored in “another computer system” connected to the computer system 100 via the computer system 100 so that the computer system 100 reads and executes the program.

  The following supplementary notes are further disclosed with respect to the embodiments including the above examples.

(Appendix 1) An electronic medical record information recording program for causing a computer to display a screen having an input area for inputting information related to a medical examinee, and to be executed as an electronic medical record system for receiving and recording information regarding the medical examinee,
A line feed code determination procedure for determining whether or not a line feed code is included in the sentence example to be inserted into the input area as information on the examinee,
A character count counting procedure for counting characters existing between the insertion position at which the sentence example is inserted and the beginning of the line in which the insertion position exists when it is determined by the line feed code determination procedure that a line break code exists in the sentence example; ,
A sentence example insertion procedure for inserting an area for the number of characters counted by the character count counting procedure after a line feed code of the sentence example, and inserting a sentence example in which the area for the number of characters is inserted at an insertion position of the input area;
An electronic medical record information recording program for causing a computer to execute

(Supplementary Note 2) The line feed code determination procedure further detects a part where a character code follows a line feed code in the sentence example to be inserted into the input area,
In the sentence example insertion procedure, an area for the number of characters counted by the number-of-characters counting procedure is inserted between a line feed code and a character code at a position where a character code follows a line feed code detected by the line feed code determination procedure. The electronic medical record information recording program according to appendix 1, wherein a sentence example in which an area for the number of characters is inserted is inserted at an insertion position of the input area.

(Supplementary note 3) The electronic medical record information according to supplementary note 1 or 2, wherein the sentence example insertion procedure inserts a blank space for the counted number of characters as an area for the number of characters counted by the character count counting procedure. Recording program.

(Additional remark 4) It further associates with the font used with the said electronic medical chart system, and further comprises the font size memory | storage means to memorize | store the font size required for one space character with the said font,
The number-of-characters counting step counts characters existing between an insertion position where the sentence example is inserted and a line where the insertion position exists, and further determines whether the counted character includes a proportional font,
When it is determined that the proportional font is included in the characters counted by the character count procedure, the sentence insertion procedure uses the font size for the number of characters counted by the character count procedure, and is used at the local point in the electronic medical chart system. The number of blanks to be inserted into the sentence example is calculated based on the font size stored in the font size storage unit in association with the font that has been set, and the calculated number of blanks is inserted into the sentence example. The electronic medical record information recording program according to appendix 1 or 2.

(Appendix 5) An electronic medical record information device for displaying a screen having an input area for inputting information related to a medical examinee and receiving and recording input of information related to the medical examinee,
A line feed code determination means for determining whether or not a line feed code is included in a sentence example to be inserted into the input area as information on the examinee;
A character number counting unit that counts characters existing between an insertion position at which the sentence example is inserted and the beginning of a line where the insertion position exists when the line break code determination unit determines that a line break code exists in the sentence example; ,
A sentence example inserting means for inserting an area for the number of characters counted by the character number counting means after a line feed code of the sentence example, and inserting a sentence example in which the area for the number of characters is inserted at an insertion position of the input area;
An electronic medical record information recording apparatus comprising:

(Appendix 6) An electronic medical record information recording method suitable for a computer as an electronic medical record system for displaying a screen having an input area for inputting information related to a patient and receiving and recording information regarding the patient,
A line feed code determination step for determining whether or not a line feed code is included in the sentence example to be inserted into the input area as information on the examinee;
A character number counting step for counting characters existing between an insertion position at which the sentence example is inserted and the beginning of a line in which the insertion position exists when it is determined by the line feed code determination step that a line break code exists in the sentence example; ,
Inserting an area for the number of characters counted by the character count step after the line feed code of the example sentence, inserting a sentence example in which the area for the number of characters is inserted at the insertion position of the input area, and
An electronic medical record information recording method comprising:

DESCRIPTION OF SYMBOLS 10 Electronic medical record information recording apparatus 11 Communication control I / F part 12 Input part 13 Display output part 20 Storage part 21 Electronic medical record information DB
22 Example DB
23 Buffer 24 Font size DB
30 Control Unit 31 Electronic Medical Record Execution Unit 32 Sentence Example Search Unit 33 Line Feed Code Determination Unit 34 Character Count Counter 35 Sentence Insertion Unit 100 Computer System 101 RAM
102 HDD
102a Electronic medical record table 102b Example sentence table 102c Buffer table 103 ROM
103a Electronic medical record execution program 103b Sentence example search program 103c Line feed code determination program 103d Character count program 103e Sentence insertion program 104 CPU
104a Electronic medical record execution process 104b Example sentence search process 104c Line feed code determination process 104d Character number counting process 104e Example sentence insertion process

Claims (5)

An electronic medical record information recording program for causing a computer to display a screen having an input area for inputting information related to a patient and to be executed as an electronic medical record system for receiving and recording information regarding the patient,
A line feed code determination procedure for determining whether or not a line feed code is included in the sentence example to be inserted into the input area as information on the examinee,
A character count counting procedure for counting characters existing between the insertion position at which the sentence example is inserted and the beginning of the line in which the insertion position exists when it is determined by the line feed code determination procedure that a line break code exists in the sentence example; ,
A sentence example insertion procedure for inserting an area for the number of characters counted by the character count counting procedure after a line feed code of the sentence example, and inserting a sentence example in which the area for the number of characters is inserted at an insertion position of the input area;
An electronic medical record information recording program for causing a computer to execute The line feed code determination procedure further detects a portion where a character code follows the line feed code in the sentence example to be inserted into the input area,
In the sentence example insertion procedure, an area for the number of characters counted by the number-of-characters counting procedure is inserted between a line feed code and a character code at a position where a character code follows a line feed code detected by the line feed code determination procedure. 2. The electronic medical record information recording program according to claim 1, wherein a sentence example in which an area for the number of characters is inserted is inserted at an insertion position of the input area.   3. The electronic medical record information recording program according to claim 1, wherein the sentence example insertion procedure inserts a blank space corresponding to the counted number of characters as an area corresponding to the number of characters counted by the character count counting procedure. An electronic medical record information device for displaying a screen having an input area for inputting information related to a medical examinee, and accepting and recording input of information related to the medical examinee,
A line feed code determination means for determining whether or not a line feed code is included in a sentence example to be inserted into the input area as information on the examinee;
A character number counting unit that counts characters existing between an insertion position at which the sentence example is inserted and the beginning of a line where the insertion position exists when the line break code determination unit determines that a line break code exists in the sentence example; ,
A sentence example inserting means for inserting an area for the number of characters counted by the character number counting means after a line feed code of the sentence example, and inserting a sentence example in which the area for the number of characters is inserted at an insertion position of the input area;
An electronic medical record information recording apparatus comprising: An electronic medical record information recording method suitable for a computer as an electronic medical record system that displays a screen having an input area for inputting information related to a medical examinee and accepts and records input of information related to the medical examinee,
A line feed code determination step for determining whether or not a line feed code is included in the sentence example to be inserted into the input area as information on the examinee;
A character number counting step for counting characters existing between an insertion position at which the sentence example is inserted and the beginning of a line in which the insertion position exists when it is determined by the line feed code determination step that a line break code exists in the sentence example; ,
Inserting an area for the number of characters counted by the character count step after the line feed code of the example sentence, inserting a sentence example in which the area for the number of characters is inserted at the insertion position of the input area, and
An electronic medical record information recording method comprising:

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