JP2016057976A - Medical business processing system - Google Patents

Abstract

To provide a medical office processing system that allows a user to easily recognize a scheduled medical practice time for each patient. A medical office processing system 1 according to the present invention includes a registration processing unit 111 for registering a scheduled time for the next medical practice in association with patient medical information, a remaining period, a preset image, And an image display processing unit 112 capable of displaying the image corresponding to the remaining period from the present to the scheduled execution time based on the correspondence information associated with. [Selection] Figure 2

Description

  The present invention relates to a medical paperwork system for managing medical information and accounting information of patients by converting them into electronic data.

  In general, in a medical facility such as a hospital, a medical paperwork system (see, for example, Patent Document 1) may be used to manage medical examinations, medical practices, drug dispensing, and accounting processes. The medical office processing system is a high-level concept such as an electronic medical record system that manages patient medical information and a receipt computer processing system that manages patient accounting information.

JP 2005-174143 A

  By the way, when a medical practice such as inspection, treatment, or medication instruction is regularly performed on a patient, for example, once every several months, it is necessary to manage the scheduled time of the next medical practice for each patient. There is. On the other hand, even with a conventional medical paperwork system, it is possible to record, for example, the scheduled execution time of the patient's medical practice as text information in the remarks column of the patient's medical information. However, by recording text information in the remarks column of the patient's medical information, it is not possible for a user such as a doctor to easily recognize the scheduled execution time of medical practice for each patient.

  An object of the present invention is to provide a medical paperwork system that allows a user to easily recognize the scheduled time of medical practice for each patient.

  The medical paperwork system according to the present invention includes a registration processing unit and an image display processing unit. The registration processing unit registers the scheduled time for the next medical practice in association with the patient. The image display processing unit can display the image corresponding to the remaining period from the present to the scheduled execution time based on correspondence information in which the remaining period is associated with a preset image.

  According to the present invention, it is possible to make a user easily recognize the scheduled time of medical practice for each patient. Specifically, the user can intuitively recognize the scheduled execution time by referring to the image displayed by the image display processing unit as compared with the case where the planned execution time is displayed as text. it can.

  In particular, it is conceivable that the image has one or both of a shape and a display mode that differ depending on the remaining period. Thereby, the user can grasp | ascertain the said implementation schedule time intuitively according to the shape of the said image, a display mode, etc. Here, it is conceivable that the display mode includes one or both of a color scheme and a size.

  In addition, the registration processing unit automatically determines the scheduled execution time of the next medical action of the patient based on automatic setting information in which a group to which the patient belongs and an execution schedule condition set in advance are associated with each other. It is possible that registration is possible. This eliminates the need for the user to set the scheduled execution time for each patient. It is also possible to prevent forgetting to set the scheduled execution time. Here, the group is considered to be a department that the patient visits. In addition, the medical office processing system may include a setting processing unit that can arbitrarily set the automatic setting information.

  Further, it is conceivable that the registration processing unit sets a time after the elapse of a specific period set in advance from the previous scheduled execution time as the scheduled execution time. This makes it possible for the user to recognize the necessity of performing the medical action at the scheduled execution time after the specific period has elapsed without being particularly conscious.

  Moreover, it is possible that the said implementation schedule conditions include the content of the said medical practice, and the scheduled implementation interval of the said medical practice. In this case, when the content of the previous medical practice matches the content of the medical practice set in the scheduled execution condition, the registration processing unit determines whether the scheduled execution interval from the previous implementation date of the medical practice. It is conceivable to set the time after the lapse as the scheduled execution time.

  Here, the image display processing unit may display the image at a display position corresponding to each patient on a first display screen on which a list of patients to be examined is displayed. In addition, the image display processing unit may display a second display screen on which the image is displayed before the patient medical information is displayed. Furthermore, the image display processing unit may display the image on a third display screen on which the patient medical information is displayed. According to these configurations, the image can be recognized by the user at an appropriate timing.

  Further, it is conceivable that the registration processing unit registers the next scheduled execution time of the medical practice based on the automatic setting information in response to the input of the content of the medical practice on the third display screen. . In this case, it is considered that the image display processing unit displays the image corresponding to the scheduled execution time of the next medical practice registered by the registration processing unit on the currently displayed third display screen. It is done. Accordingly, the image may be displayed on the third display screen that is currently displayed in accordance with the content of the medical practice input on the third display screen. Therefore, the user can recognize that the next scheduled execution time has been registered when the medical practice is input. For example, the user can easily grasp that the medical practice should be performed regularly and that a period until the next medical practice can be performed is determined. it can.

  In addition, the registration processing unit selects the specific time and the next medical treatment in response to a user operation performed by selecting from a plurality of specification methods including specifying that the next examination time is the scheduled execution time. It is conceivable that the scheduled execution time of the action can be individually registered for each patient. Thereby, as a timing for displaying the alarm image, a method in which a specific time such as a date is designated and a method in which an unspecified time is designated as in the next examination are selectively used. Can do.

  The image display processing unit displays a first image when the remaining period is less than a first threshold value, and displays the first image when the remaining period is greater than or equal to the first threshold value and less than a second threshold value. A second image different from one image may be displayed, and a third image different from the first image and the second image may be displayed when the remaining period is equal to or greater than the second threshold. For example, the first image, the second image, and the third image may have different shapes, and the second image and the third image may have different display modes. Accordingly, the user can intuitively grasp the remaining period based on the type of the image.

  The image display processing unit displays a first image when the remaining period is less than a first threshold, and a second image different from the first image when the remaining period is equal to or greater than the first threshold. Can be displayed. Also in this case, the user can intuitively grasp the remaining period based on the type of the image.

  By the way, the image display processing unit may display a preset fourth image at the display position of the image when the scheduled time for the next medical practice is not registered in association with the patient. Conceivable. Thereby, the user can confirm that the scheduled execution time of the next medical practice is not registered for the patient by referring to the fourth image.

  ADVANTAGE OF THE INVENTION According to this invention, the medical paperwork system which can make a user recognize easily the scheduled implementation time of the medical practice for every patient is implement | achieved.

FIG. 1 is a schematic diagram showing a schematic configuration of a medical paperwork system according to an embodiment of the present invention. FIG. 2 is a block diagram showing a detailed configuration of the medical paperwork system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of an alarm master used in the medical paperwork system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of correspondence information used in the medical paperwork system according to the embodiment of the present invention. FIG. 5 is a flowchart showing an example of an automatic alarm registration process executed by the medical paperwork system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of a screen displayed by the medical paperwork system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 8 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 9 is a flowchart showing an example of an alarm display process executed by the medical paperwork system according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 11 is a diagram showing an example of a screen displayed by the medical paperwork system according to the embodiment of the present invention. FIG. 12 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 14 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 15 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 16 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 17 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 18 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 19 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 20 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 21 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention. FIG. 22 is a diagram showing an example of a screen displayed in the medical paperwork system according to the embodiment of the present invention.

  Embodiments of the present invention will be described below with reference to the accompanying drawings for understanding of the present invention. In addition, the following embodiment is an example which actualized this invention, Comprising: The thing of the character which limits the technical scope of this invention is not.

[Medical office processing system 1]
As shown in FIG. 1, a medical paperwork system 1 according to an embodiment of the present invention includes a server 10 and a plurality of client devices 20. The server 10 and the client device 20 can communicate via a network 30 such as a LAN or the Internet.

[Server 10]
As shown in FIG. 2, the server 10 is a computer including a control unit 11, a storage unit 12, a display unit 13, an operation unit 14, a communication IF 15, a drive device 16, and the like. The server 10 is provided inside or outside a medical institution such as a hospital or a pharmacy where the server 10 is used. The server 10 has functions of an electronic medical record system that manages patient medical information (electronic medical record) and a receipt computer processing system that manages patient accounting information. For example, the server 10 executes a chart editing process such as registration and update of medical information according to the operation of the client terminal 20. Further, the server 10 executes accounting processing such as registration and update of accounting information in accordance with the operation of the client terminal 20.

  The control unit 11 includes control devices such as a CPU, a ROM, a RAM, and an EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. And the said control part 11 performs various processes according to the various control programs previously stored in the said ROM, the said EEPROM, or the said memory | storage part 12 using the said CPU.

  The storage unit 12 is a non-volatile storage unit such as a hard disk, an SSD, or a flash memory in which various control programs executed by the control unit 11 and various data are stored. Specifically, the storage unit 12 includes storage areas such as a program area 121, a data area 122, and a master area 123.

  The program area 121 stores a medical office work program for causing the control unit 11 to execute various processes. The program area 121 also stores application programs such as an operating system (OS) and browser software.

  The data area 122 stores and stores business processing information such as medical care information and accounting information related to patient medical care. The medical information, the accounting information, and the like are input to the server 10 in response to a user operation using the client device 20, for example. Further, the business processing information stored in the data area 122 is referred to and edited by the medical device such as a doctor, a nurse, a pharmacist, and a medical office worker using the client device 20.

  The master area 123 stores various types of master information such as a medicine master, a medical practice master, a disease name master, an indication master, and an alarm master (an example of automatic setting information). In the medicine master, for example, chemical classification, YJ code, general name (component name), product name, standard, drug price and the like are stored as data relating to the medicine. The YJ code is a 12-digit individual drug code, and is a code obtained by further subdividing the drug price listed drug code. The medical practice master stores data relating to a medical practice such as injecting a patient. Corresponding to the disease name master is a code number (ICD-10 code) indicating the disease name of the “International Statistical Classification of Diseases and Related Insurance Issues 10th Amendment” established by the World Insurance Organization (WHO) and a receipt computer code. It is remembered. The indication master stores a correspondence relationship between the contents of the medical practice and the disease name adapted to the medical practice, and the indication master stores the contents of the medical practice and the disease name input as the medical information of the patient. It is used for indication checking to determine whether or not

  FIG. 3 is a diagram showing an example of the alarm master. As shown in FIG. 3, the alarm master automatically sets the scheduled time for the next medical practice in association with each department (an example of a group to which the patient belongs) that the patient visits. Table information indicating the scheduled execution conditions is registered.

  In the present embodiment, the scheduled execution time is a time when the next medical practice can be performed, and is performed unless a predetermined period, such as anticancer drug administration, elapses. This indicates the elapsed time of the predetermined time when it cannot be performed. That is, the scheduled time of execution indicates the time when the medical practice should be strictly managed over the predetermined period of time. It is not the time to indicate the deadline for performing the act. As another embodiment, it is conceivable that the scheduled execution time is used in the meaning of a time indicating a time limit for performing the next medical practice.

  The scheduled execution condition includes an alarm item and an alarm cycle. The alarm item includes a medical practice classification (medicine and medical practice, etc.) and a medical practice name (medicine name, examination name, etc.). The alarm period is a medical practice interval, and is used to specify the next scheduled time for the medical practice. In the medical paperwork system 1, the control unit 11 can edit the alarm master according to a user operation by executing an automatic alarm registration process (see FIG. 5) described later. .

  The display unit 13 is a display unit such as a liquid crystal display or an organic EL display that displays various types of information in accordance with control instructions from the control unit 11. The operation unit 14 is an operation unit operated by a user in order to input various kinds of information to the server 10. Specifically, the operation unit 14 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display unit 13. The operation unit 14 may include a touch panel that receives touch operations on various operation screens displayed on the display unit 13 or a voice input device that receives input of various types of information by voice recognition.

  The communication IF 15 is a communication interface including a network card or the like that performs data communication with an external device such as the client terminal 20 via the network 30 in a wireless or wired manner according to a predetermined communication protocol.

  The drive device 16 can read information such as the medical paperwork program from a computer-readable recording medium 161 in which the medical paperwork program or the like is recorded. The recording medium 161 is a CD, DVD, BD, or USB memory, and the drive device 16 is a CD drive, DVD drive, BD drive, USB port, or the like. In the server 10, the medical office processing program read from the recording medium 161 using the drive device 16 is stored in the program area 121 by the control unit 11.

  In the server 10 configured as described above, the control unit 11 includes a registration processing unit 111, an image display processing unit 112, an information setting processing unit 113, a collective outcome input processing unit 114, and an indication determination processing unit 115. . Specifically, the control unit 11 executes various processes in accordance with the medical paperwork program, so that the registration processing unit 111, the image display processing unit 112, the information setting processing unit 113, the batch outcome input It functions as the processing unit 114 and the indication determination processing unit 115. The collective outcome input processing unit 114 and the indication determination processing unit 115 will be described later.

  The registration processing unit 111 can register the scheduled time for the next medical practice in association with the patient. Specifically, the registration processing unit 111 can register the scheduled execution time according to a user operation of the client terminal 20. In addition, when the patient's medical information is registered, the registration processing unit 111 automatically registers the next scheduled medical practice time of the patient based on the medical information and the alarm master. It is possible. The alarm information including the scheduled execution time registered by the registration processing unit 111 is stored in the data area 122 of the storage unit 12 as a part of the medical information corresponding to the patient, for example. Further, identification information such as the name or ID of the patient and the alarm information may be associated with each other and stored in the data area 122 or the like separately from the medical information.

  The image display processing unit 112 displays the alarm image corresponding to the remaining period from the present to the scheduled execution time based on correspondence information in which the remaining period is associated with a preset alarm image (icon). It is possible to display. Specifically, the image display processing unit 112 can display the alarm image on a consultation list screen D2, an alarm screen D3, an electronic medical record editing screen D5, and the like, which will be described later. The remaining period is a difference period between the current time and the scheduled execution time. When the scheduled execution time has passed, the remaining period is a minus period of less than zero. In the present embodiment, since the scheduled execution time indicates a time when a predetermined period of time has elapsed since the previous medical practice, the remaining period becomes 0 on the day following the scheduled execution time. Although the case will be described, as another embodiment, it is conceivable that the remaining period becomes 0 on the day of the scheduled implementation time. In the alarm image, either or both of the image shape and the display mode are different depending on the remaining period. Furthermore, the display mode includes one or both of the color scheme and size of the alarm image.

  FIG. 4 is a diagram showing an example of the correspondence information. As shown in FIG. 4, in the correspondence information, the first alarm image corresponding after the scheduled scheduled time has elapsed, the second alarm image corresponding after the scheduled notification date has elapsed, and the third alarm corresponding to the scheduled notification date having elapsed. A fourth alarm image corresponding to an image and no setting is set. The scheduled notification date is a time that can be arbitrarily set by the user in advance on an initial setting screen D4 (see FIG. 11), which will be described later, displayed on the initial setting of the medical paperwork system 1. The first alarm image is an image indicating a state where an alarm is sounding, and the second alarm image and the third alarm image are images indicating a state where the alarm is not sounding. Further, the fourth alarm image is an image in which a character “OFF” is added to the third alarm image.

  Furthermore, the first alarm image, the second alarm image, and the third alarm image have different color schemes (an example of display mode) depending on the remaining period. Specifically, the first alarm image is a first specific color such as a preset red color, and the second alarm image is a second specific color such as a preset blue color, and the third alarm image is displayed. The image and the fourth alarm image have a third specific color such as gray set in advance. In another embodiment, the display mode of the first alarm image is a blinking display, and the display mode of the second alarm image, the third alarm image, and the fourth alarm image is a lit display. Conceivable.

  The information setting processing unit 113 can arbitrarily set the alarm master (see FIG. 3). Specifically, the information setting processing unit 113 can set the alarm master by executing an automatic alarm registration process (see FIG. 5) described later.

[Client device 20]
On the other hand, as shown in FIG. 2, the client terminal 2 is a computer including a control unit 21, a storage unit 22, a display unit 23, an operation unit 24, a communication IF 25, a drive device 26, and the like. The client terminal 2 is provided in a medical examination room, a dispensing room where dispensing is performed, a ward where a patient is hospitalized, an accounting window, and the like, and is used by medical personnel such as doctors, pharmacists, nurses, and office workers. Operation terminal.

  The control unit 21 includes control devices such as a CPU, a ROM, a RAM, and an EEPROM. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. And the said control part 21 performs various processes according to the various control programs previously stored in the said ROM, the said EEPROM, or the said memory | storage part 22 using the said CPU.

  The storage unit 22 is a non-volatile storage unit such as a hard disk, an SSD, or a flash memory in which various control programs executed by the control unit 21 and various data are stored. Specifically, the storage unit 22 stores an application program such as an operating system (OS) and browser software. The browser software displays the various operation screens on the operation unit 23 by accessing the server 10 via the network 30, and performs an input operation using the operation unit 24 on the operation screen. Application software for transmission to the network. Specifically, when address information such as a URL (Universal Resource Locator) corresponding to the server 10 is input at a predetermined position on the operation screen displayed by the browser software, the control unit 21 receives the address information. The server 10 is accessed based on the above.

  The display unit 23 is a display unit such as a liquid crystal display or an organic EL display that displays various types of information in accordance with control instructions from the control unit 21. The operation unit 24 is an operation unit operated by a user in order to input various types of information to the client terminal 2. Specifically, the operation unit 24 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display unit 23. The operation unit 24 may include a touch panel that receives touch operations on various operation screens displayed on the display unit 23, or a voice input device that receives input of various types of information by voice recognition.

  The communication IF 25 is a communication interface having a network card or the like that performs data communication with an external device such as the server 10 via the network 30 in a wireless or wired manner according to a predetermined communication protocol.

  The drive device 26 can read information on the OS or the browser software from a computer-readable recording medium 261 on which the OS or the browser software is recorded. The recording medium 261 is a CD, DVD, BD, or USB memory, and the drive device 16 is a CD drive, DVD drive, BD drive, USB port, or the like. In the client terminal 2, the OS or the browser software read from the recording medium 261 using the drive device 26 is stored in the program area 221 by the control unit 21.

  In the medical paperwork system 1, a server client system is configured by the server 10 and the client terminal 20, and the server 10 displays, records, and prints various information according to user operations of the client terminal 20. Etc. are executed. That is, “display”, “operation”, “selection”, “input” and the like described below are performed using the display unit 23 and the operation unit 24 of the client terminal 20.

  By the way, when a medical practice such as inspection, treatment, or medication instruction is regularly performed on a patient, for example, once every several months, it is necessary to manage the scheduled time of the next medical practice for each patient. There is. On the other hand, even with a conventional medical paperwork system, it is possible to record, for example, the scheduled execution time of the patient's medical practice as text information in the remarks column of the patient's medical information. However, by recording text information in the remarks column of the patient's medical information, it is not possible for a user such as a doctor to easily recognize the scheduled execution time of medical practice for each patient. On the other hand, in the medical paperwork system 1, it is possible for a medical worker such as a doctor who is a user to easily recognize a scheduled medical practice time for each patient.

[Automatic alarm registration processing]
First, an automatic alarm registration process executed by the control unit 11 of the server 10 will be described with reference to FIG. The automatic alarm registration process is executed by the control unit 11 when, for example, an edit start request for the alarm master is input to the server 10 in response to a user operation such as the operation unit 24 of the client terminal 20. . The automatic alarm registration process is executed by the information setting processing unit 113 of the control unit 11.

<Step S101>
First, in step S <b> 101, the control unit 11 causes the client terminal 20 to display an automatic alarm list screen D <b> 0 showing a list of each table information registered in the alarm master stored in the master area 123. FIG. 6 shows an example of the automatic alarm list screen D0. As shown in FIG. 6, each table of the alarm master includes information such as classification, item, department, alarm cycle, and alarm date.

<Step S102>
In step S102, the control unit 11 waits for an editing start operation of each table information of the alarm master on the automatic alarm list screen D0 (S102: No). For example, when the operation key corresponding to “add” or “correct” is operated on the automatic alarm list screen D0, the control unit 11 determines that the editing start operation of each table information of the alarm master has been performed. To do. And if the said control part 11 judges that the edit start operation of each table information of the said alarm master was performed (S102: Yes), it will transfer a process to step S103. The control unit 11 can individually delete each of the table information in accordance with a user operation on the automatic alarm list screen D0.

<Step S103>
In step S103, the control unit 11 causes the client terminal 20 to display an alarm registration screen D1 for editing each table information of the alarm master. When the “add” operation key is operated on the automatic alarm list screen D0, the alarm registration screen D1 is displayed in a preset initial state. When the “correct” operation key is operated on the automatic alarm list screen D0, the setting contents of the alarm information selected on the automatic alarm list screen D0 are displayed on the alarm registration screen D1. . FIG. 7 shows an example of the alarm registration screen D1. As shown in FIG. 7, the alarm registration screen D1 is an operation screen for setting a category, an item, a department, an alarm cycle, and an alarm date included in each table information of the alarm master.

  In the category, a category of medical practice for displaying an alarm is set. Specifically, the category can be selected from internal use, single use, external use, injection, self-injection, nerve block, treatment, surgery, examination, image, anesthesia, rehabilitation / psychiatry, medical management, home, and ToDo. The medical department indicates a group to be subjected to alarm display, and can be selected from common (whole), internal medicine, ophthalmology, orthopedics, psychiatry, and the like. In the example shown in FIG. 7, “examination” is selected as the category, and “common” is selected as the clinical department.

  In the alarm item, any one of a medicine, a material, and a medical practice can be alternatively selected as a classification of the medical practice for displaying the alarm. In the alarm item, selection candidates for names of medicines, materials, or medical treatments are displayed by keyword input, and any of the names can be selected alternatively. In the example shown in FIG. 7, “medical practice” is selected as the classification of the medical practice, and “fundus camera photography (autofluorescence photography)” is selected as the name of the medical practice.

  In the alarm period, a scheduled medical practice interval for alarm display is set. Specifically, in the alarm period, an elapsed time from the previous medical practice implementation time (previous order date) can be set as the scheduled medical practice implementation interval. The elapsed time can be arbitrarily set in units of days, weeks, months, or years. In the example shown in FIG. 7, the timing for displaying an alarm indicating that the scheduled time for the implementation of the medical practice has been set is three months after the implementation time of the previous medical practice. In addition, as the setting item of the alarm period, it is possible to select whether to manage the scheduled execution time of the medical practice as “year / month / day” or “year / month”.

  Note that the alarm registration screen D1 also displays operation keys for setting the alarm period at a date designation or next examination. However, at the time of editing the alarm master, it is possible to set only the elapsed time from the time of the previous medical practice as the method for setting the alarm period, and it is not possible to select items for the previous date designation and the next examination ( For example, grayed out). On the other hand, the alarm registration screen D1 is also used when setting the scheduled medical practice time for each patient individually. For example, the alarm registration screen D1 is displayed when an “add” operation key displayed on an alarm screen D3 (see FIG. 10 or FIG. 12) described later is displayed. In this case, in the alarm period, in addition to the elapsed time from the previous medical practice time, the date designation and the next examination can be selected. In addition, when the scheduled execution time of the medical practice is individually set for each patient, the previous implementation time of the medical practice is displayed based on the medical information corresponding to the patient.

  The next examination is a selection candidate for designating that the next examination is scheduled to be performed, and when the next examination is selected, the control unit 11 At the time of receiving the next examination of the patient or at the start of the examination, the time is determined as the scheduled execution time, and an alarm is displayed on the acceptance list screen D3 and the electronic medical record editing screen D5 described later. At this time, the alarm image displayed in the alarm display may be, for example, the first alarm image. In addition to the first alarm image to the fourth alarm image, the alarm image is displayed in advance corresponding to the next medical examination. It may be a set fifth alarm image. Thus, in the medical paperwork system 1, the control unit 11 designates a specific time such as designation of an elapsed time from the previous implementation time of the medical practice or designation of an arbitrary date, and at the next examination. It is possible to individually register the next scheduled medical practice time for each patient according to the user operation selected from a plurality of designation methods including designation of the scheduled time It is. That is, as a timing for displaying the alarm image, a method in which a specific time such as a date is designated and a method in which an unspecified time is designated as in the next examination are selectively used. it can.

<Step S104>
In step S104, the control unit 11 waits for a search operation for the name of the alarm item on the alarm registration screen D1 (S104: No). Here, when the control unit 11 determines that the search operation has been performed (S104: Yes), the process proceeds to step S105.

<Step S105>
In step S105, the control unit 11 causes the client terminal 20 to display a candidate screen (not shown) that displays a selection candidate for the name of the medical practice searched based on the keyword input on the alarm registration screen D1. . Here, the control unit 11 selects the name of the alarm item in response to a selection operation of any of the selection candidates on the candidate screen (not shown), and inputs it to the alarm registration screen D1.

<Step S106>
In step S106, the control unit 11 waits for a preset registration operation (S106: No). The registration operation is, for example, an operation of an “OK” operation key on the alarm registration screen D1. And when the said control part 11 judges that the said registration operation was performed (S106: Yes), it transfers a process to step S107.

<Step S107>
In step S107, the control unit 11 registers the contents input on the alarm registration screen D1 as table information in the alarm master. In step S103, if the table information already registered in the alarm master has been read, the control unit 11 overwrites and saves the table information.

  Thus, when each table information is registered in the alarm master, as described above, the registration processing unit 111, when the patient's medical information is input, the contents of the medical information, the alarm master, The alarm information including the scheduled time for the next medical practice of the patient is stored in the data area 112 in association with the patient.

[Alarm display processing]
Next, an alarm display process executed by the control unit 11 of the server 10 will be described with reference to FIG. The alarm display processing is performed when an electronic medical record editing request for executing editing processing of medical information of a patient is input to the server 10 in response to a user operation such as the operation unit 24 of the client terminal 20. It is executed by the control unit 11. For example, when the electronic medical record program included in the medical paperwork program is activated and a consultation list display operation is performed, the control unit 11 starts the alarm display process. The alarm display process is executed by the image display processing unit 112 of the control unit 11.

<Step S201>
First, in step S201, the control unit 11 causes the client terminal 20 to display a consultation list screen D2 for selecting a patient to be examined. The consultation list screen D2 is an example of a first display screen on which a list of patients to be examined is displayed. FIG. 9 is a diagram showing an example of the consultation list screen D2. As shown in FIG. 9, for example, a list of patients scheduled to receive medical care on the day is displayed on the consultation list screen D2.

  In particular, in the consultation list screen D2, a diagnosis alarm column A21 corresponding to each patient is provided. And when the said control part 11 displays the said consultation list screen D2, the display position corresponding to each said patient based on the said alarm information matched with each patient, and the said corresponding information (refer FIG. 4). The alarm image is displayed in the examination alarm column A21. The control unit 11 can set in advance whether or not to display the examination alarm column A21 on the consultation list screen D2 according to a user operation in the initial setting of the medical paperwork system 1 or the like.

  For example, when the remaining period from the present to the scheduled execution time included in the alarm information is less than 0, that is, after the scheduled execution time has elapsed, the first alarm image is displayed in the examination alarm column A21. Is displayed. Further, when the remaining period from the present to the scheduled schedule included in the alarm information is 0 or more and the remaining period until the scheduled notification date is less than 0, that is, after the scheduled notification date has elapsed. The second alarm image is displayed in the examination alarm column A21. Furthermore, when the remaining period from the present to the scheduled execution time included in the alarm information is 0 or more and the remaining period until the scheduled notification date is 0 or more, that is, before the scheduled notification date has elapsed. The third alarm image is displayed in the examination alarm column A21. As a result, the user can intuitively recognize the remaining period until the scheduled time for the next medical practice of each patient on the list screen such as the consultation list screen D2. The control unit 11 determines the remaining period and the like using the date indicated by the system clock of the server 10 as the current date.

  By the way, even if the alarm information is not registered, the control unit 11 does not display the fourth alarm image in the diagnosis alarm field A21 on the diagnosis list screen D2, and displays the diagnosis alarm field. A blank is displayed in A21. Thereby, the presence or absence of the alarm information can be easily confirmed for each patient on a list screen such as the consultation list screen D2. In the medical examination list screen D2, as another embodiment, the control unit 11 displays the fourth alarm image in the medical examination alarm column A21 corresponding to a patient whose alarm information is not registered. Conceivable.

<Step S202>
In step S202, the control unit 11 determines whether or not an alarm detail display operation for displaying any detailed information of the examination alarm column A21 displayed on the examination list screen D2 has been performed. The selection operation of the examination alarm column A21 is an operation such as double-clicking on the examination alarm column A21 using the mouse of the operation unit 24, for example. When the control unit 11 determines that the alarm detail display operation has been performed (S202: Yes), the process proceeds to step S203. When the alarm detail display operation has not been performed (S202: No) Then, the process proceeds to step S204.

<Step S203>
In step S203, the control unit 11 reads out the alarm information of the patient corresponding to the examination alarm column A21 from the data area 122, and displays the alarm screen D3 (an example of a second display screen) that displays the alarm information. It is displayed on the client terminal 20. That is, the alarm screen D3 is displayed before an electronic medical record editing screen D5 (described later) on which the medical information is displayed is displayed. FIG. 10 shows an example of the alarm screen D3. Specifically, the alarm screen D3 includes the alarm information corresponding to the examination alarm column A21, the alarm date (scheduled time for the next medical practice), the category of medical practice, and the item (name of medical practice) ), The last order date (scheduled implementation time of the previous medical practice), and an alarm cycle are displayed. Also, in the alarm screen D3, as in the consultation list screen D2 (see FIG. 9), the alarm image corresponding to the remaining period from the present to the alarm date included in the alarm information is displayed in the diagnosis alarm column A31. Is displayed. In the alarm screen D3, operation keys corresponding to addition, correction, and deletion of the alarm information corresponding to each patient are displayed, and the control unit 11 performs patient operation according to the operation of the operation key. It is also possible to individually add, modify, and delete the alarm information for each.

  By the way, in the consultation list screen D2 (see FIG. 9) on which patient information is displayed as a list, the area of the examination alarm display column A21 is small, and thus the size of the alarm image is the same. On the other hand, as shown in FIG. 10, the control unit 11 changes the size of each alarm image in the alarm screen D3 according to the remaining period. Specifically, the first alarm image corresponding after the scheduled execution time elapses is larger than the second alarm image, the third alarm image, and the fourth alarm image corresponding before the scheduled execution time elapses. Displayed in size. As a result, the user can intuitively recognize the first alarm image. The first alarm image may be the largest, and the second alarm image, the third alarm image, and the fourth alarm image may be displayed so as to decrease stepwise.

  In the present embodiment, the three first alarm images, the second alarm image, and the third alarm image are selectively selected according to the remaining period from the present scheduled execution time and the scheduled notification date. The case where it is displayed will be described. On the other hand, a first alarm image is displayed when the remaining period from the present to the scheduled execution time is less than a first threshold, and is different from the first alarm image when the remaining period is equal to or greater than the first threshold. It is also conceivable to display the second alarm image. Even in this case, the user can intuitively grasp the remaining period based on the type of the alarm image.

<Step S204>
In step S204, the control unit 11 determines whether or not an operation for selecting a patient to be examined has been performed on the consultation list screen D2. Specifically, the control unit 11 determines that a patient selection operation has been performed when a patient is selected on the consultation list screen D2 and an operation key of “medical chart display” is operated. . And if the said control part 11 judges that the patient's selection operation was performed (S204: Yes), it will transfer a process to step S205, and if a patient's selection operation is not performed (S204: No), a process will be performed. The process returns to step S202.

<Step S205>
In step S205, the control unit 11 determines whether or not the diagnosis alarm function at the start of medical treatment is set to be valid. And if the said control part 11 judges that the said medical examination alarm function is set effectively (S205: Yes), it will transfer a process to step S206 and the said medical examination alarm function is set to invalidity If it is determined (S205: No), the process proceeds to step S209.

  The diagnosis alarm function is a function in which the control unit 11 displays an alarm screen for notifying the alarm information such as the scheduled time for the next medical practice of the patient at a preset timing. For example, the control unit 11 switches between enabling and disabling the diagnosis alarm function according to a user operation on an initial setting screen D4 for performing initial setting of the server 10.

  FIG. 11 is a diagram showing an example of the initial setting screen D4. In the example shown in FIG. 11, in the diagnosis alarm item A41 displayed on the initial setting screen D4, “display at start of medical treatment”, “display at restart of interruption”, “display at start of medical chart check”, and “ The presence or absence of the examination alarm function can be selected at each timing of “display when restarting medical chart check”.

  And the said control part 11 sets the validity and invalidity for every timing of the said diagnostic alarm function according to the selection result in the said diagnostic alarm item A41. In step S205, when the diagnosis alarm function corresponding to “display at the start of medical care” is set to be effective on the initial setting screen D4, it is determined that the diagnosis alarm function is effective. As another embodiment, a configuration is possible in which the validity and invalidity of the diagnosis alarm function can be switched collectively instead of at each timing.

  In the initial setting screen D4, it is possible to set the scheduled notification date as a condition for switching the display mode of the alarm image. Specifically, as described above, the second alarm image corresponding to the elapse of the scheduled notification date and the third alarm image corresponding to the elapse of the scheduled notification date have different color schemes. The scheduled notification date is set, for example, by the remaining period until the scheduled scheduled time arrives, and can be set, for example, on a daily or monthly basis. In addition, the scheduled notification date may be set according to an elapsed period from the previous medical practice time. Furthermore, in the present embodiment, a case will be described in which the alarm image corresponding to the remaining period up to the scheduled execution time is displayed using two indicators of the scheduled execution time and the scheduled notification date. The shape and display mode of the alarm image corresponding to the remaining period up to the scheduled implementation time may be displayed using the time index.

<Step S206>
In step S206, the control unit 11 reads out the alarm information associated with the patient selected in step S204 from the data area 122, and displays the alarm information D3 (see FIG. 10). ) Is displayed on the client terminal 20. At this time, as shown in FIG. 12, the control unit 11 displays the alarm screen D3 and displays an electronic medical record editing screen D5 described later behind the alarm screen D3. In particular, the control unit 11 displays the alarm screen D3 at a position that does not overlap with information such as a patient name displayed on the electronic medical record editing screen D5. Thus, the user can refer to the alarm screen D3 together with information such as a patient name displayed on the electronic medical record editing screen D5. At this time, the electronic medical record editing screen D5 may not be displayed, and information such as a patient name may be displayed on the alarm screen D3.

  In addition, when the said alarm information is not matched with the said medical treatment information, it is possible for the said control part 11 to display that the blank or alarm information is not set to the said alarm screen D3. In addition, when the alarm information is not associated with the medical information, the control unit 11 may shift the process to step S208 and omit the display of the alarm screen D3 in step S206. It is done.

<Step S207>
In step S207, the control unit 11 determines whether an operation for closing the alarm screen D3 has been performed. Specifically, the control unit 11 determines that an operation for closing the alarm screen D3 has been performed when an “OK” operation key displayed on the alarm screen D3 is operated. When it is determined that an operation for closing the alarm screen D3 has been performed (S207: Yes), the control unit 11 shifts the process to step S208, and performs an operation for closing the alarm screen D3. If not (S207: No), the process proceeds to step S271.

<Step S271>
In step S271, the control unit 11 determines whether or not an order operation has been performed on any of the alarm information displayed on the alarm screen D3. Specifically, the control unit 11 determines that the order operation has been performed when an “order” operation key displayed in association with each of the alarm information on the alarm screen D3 is operated. When it is determined that the order operation has been performed (S271: Yes), the control unit 11 shifts the process to step S272. When the order operation has not been performed (S271: No), the process is performed. Is returned to step S207.

<Step S272>
In step S272, the control unit 11 displays an order screen (not shown) for performing a medical action corresponding to the alarm information corresponding to the order operation, and performs a user operation on the order screen (not shown). Accordingly, order processing is executed accordingly. For example, when the medical practice is related to a medication instruction, the medication instruction is performed. In addition, when the medical practice is related to a test, the test is performed. And the said control part 11 deletes the said alarm information about the said medical practice which performed the said order process, and sets the said alarm information regarding the scheduled implementation time of the next medical practice as needed.

<Step S273>
In step S273, the control unit 11 updates the alarm screen D3 in order to reflect the result of the order process on the alarm screen D3. Thereby, the shape of the alarm image and the alarm date corresponding to the medical practice for which the order processing has been performed in step S272 are appropriately changed.

<Step S208>
On the other hand, in step S208, the control unit 11 causes the client terminal 20 to display an electronic medical record editing screen D5 (an example of a third display screen) for editing medical information corresponding to the patient. In addition to the alarm display process, the control unit 11 executes a patient medical information editing process and a recording process in response to a user operation on the electronic medical record editing screen D5 displayed on the client terminal 20. Detailed description thereof will be omitted.

  FIG. 13 is a diagram showing an example of the electronic medical record editing screen D5. As shown in FIG. 13, the electronic medical record editing screen D5 displays the past medical chart area A51 in which past medical information is displayed, the current medical chart area A52 in which medical information currently being input is displayed, and basic patient information. A patient information area A53 to be displayed and a keypad area A54 to display a keypad used for editing medical information are displayed.

  In particular, the control unit 11 displays any one of the first to fourth alarm images in the alarm image area A55 based on the alarm information associated with the patient on the electronic medical record editing screen D5. To do. As a result, the user can easily recognize the scheduled time of the patient's medical practice by referring to the alarm image also on the electronic medical record editing screen D5. Note that when any one of the first alarm image to the fourth alarm image is operated on the electronic medical record editing screen D5, the control unit 11 displays the details of the alarm information on the alarm screen. D3 is displayed. In addition, the said control part 11 is based on the said alarm information and said medical treatment information corresponding to the said patient, and each said medical practice displayed on the said past medical chart area | region A51 of the said electronic medical chart edit screen D5 and the said present medical chart area | region A52. It is also conceivable to display any one of the first alarm image to the fourth alarm image in association with each other.

  Further, it is conceivable that the control unit 11 registers the next scheduled medical practice time based on the alarm master in response to the input of the contents of the medical practice on the electronic medical record editing screen D5. In this case, it is conceivable that the control unit 11 displays the alarm image corresponding to the registered scheduled medical practice time on the electronic medical record editing screen D5 currently displayed. Accordingly, the alarm image may be displayed on the electronic medical record editing screen D5 that is currently displayed according to the contents of the medical practice input on the electronic medical record editing screen D5. Therefore, the user can recognize that the next scheduled execution time has been registered when the medical practice is input. For example, the user can easily grasp that the medical practice should be performed regularly and that a period until the next medical practice can be performed is determined. it can.

  By the way, in the present embodiment, the case where the alarm image is displayed in association with each patient when the list of patients is displayed on the consultation list screen D3 has been described as an example. On the other hand, as another embodiment, for example, a list of patients is displayed on an accounting list screen D6 (an example of a first display screen) for executing accounting processing for each patient in accordance with a user operation such as the operation unit 24 of the client terminal 20. Similarly, it is conceivable that the control unit 11 displays the alarm image in association with each patient. FIG. 14 is a diagram showing an example of the transaction list screen D6. As shown in FIG. 14, on the accounting list screen D6, a diagnosis alarm column A61 is displayed as a display position where the alarm image corresponding to each patient is displayed.

  In addition to the consultation list screen D2, the alarm screen D3, the electronic medical record editing screen D5, the accounting list screen D6, and the like, the control unit 11 displays, for example, a list of patients in which the alarm information is registered. It may be possible to display the alarm list screen D7 shown. FIG. 15 shows an example of the alarm list screen D7. As shown in FIG. 15, also in the alarm list screen D7, a diagnosis alarm column A71 is displayed as a display position where the alarm image corresponding to each patient is displayed.

[Alarm information setting process]
Next, an alarm information setting process executed by the control unit 11 of the server 10 will be described with reference to FIG. The alarm information setting process is executed by the registration processing unit 111 of the control unit 11.

<Step S301>
First, in step S301, the control unit 11 waits for registration of the medical information on the electronic medical record editing screen D5 (S301: No). On the other hand, when the medical information is registered on the electronic medical record editing screen D5 (S301: Yes), the control unit 11 causes the process to go to step S302.

<Step S302>
In step S302, the control unit 11 determines whether or not the alarm information needs to be registered based on the medical information and the alarm master. For example, when the alarm master illustrated in FIG. 3 is registered, the control unit 11 indicates that the medical department is “ophthalmology” and the medical practice classification is “medical practice” as the contents of the medical care information. When the name of the medical practice is “fundus camera examination”, it is determined that the alarm information needs to be registered. When the control unit 11 determines that the alarm information needs to be registered (S302: Yes), the control unit 11 shifts the process to step S303 and determines that the alarm information does not need to be registered (S302: No). ), The process returns to step S301.

<Step S303>
In step S303, the control unit 11 registers the alarm information including the scheduled time for the next medical practice of the patient in association with the patient based on the alarm master. For example, as shown in FIG. 3, when the clinical department is “ophthalmology”, the medical practice classification is “medical practice”, and the medical practice name is “fundus camera examination”, the alarm cycle is “Every 3 months” is set. In this case, the control unit 11 registers the time after three months from the previous execution time as the alarm date (scheduled time for the next medical practice) included in the alarm information. In addition, the control unit 11 registers “examination” as the category of the medical practice included in the alarm information, and registers “fundus camera examination” as the item (name of the medical practice). Furthermore, the control unit 11 registers the implementation time of the medical practice input in the medical information as the previous order date, and registers the alarm cycle set in the alarm master as the alarm cycle.

  As described above, in the medical paperwork system 1, the control unit 11 automatically registers the alarm information based on the patient's medical information and the alarm master. The trouble of registering alarm information is reduced.

  By the way, in the present embodiment, the case where the server 10 alone is the medical office processing system according to the present invention has been described as an example, but the processing executed by the server 10 described in the present embodiment is the server 10. It is also conceivable that the client terminals 20 execute in a distributed manner. In this case, the server 10 and the client terminal 20 constitute the medical paperwork system.

  It is also conceivable that the client terminal 20 alone functions as a medical paperwork system according to the present invention. Specifically, a part or all of the medical paperwork program is installed in the client terminal 20, and the control unit 21 of the client terminal 20 obtains necessary information from the server 10 as appropriate and performs various operations. It is conceivable to execute processing such as information display, recording, and printing.

  Furthermore, in the present embodiment, the case where the server 10 has functions of a receipt computer processing system that manages accounting information and an electronic medical record system that manages medical information has been described as an example. On the other hand, it is also conceivable that the medical paperwork system 1 includes the server 10 that functions as a receipt computer processing system that manages accounting information and the server 10 that functions as an electronic medical record system that manages medical information. . That is, the server 10 may have only one of the functions of the receipt computer processing system and the electronic medical record system.

[Batch outcome input function]
Here, the collective outcome input function of the medical paperwork system 1 will be described.

  The batch outcome input function is a function for collectively inputting outcomes of a plurality of disease names on the electronic medical record editing screen D5. Specifically, the control unit 11 functions as a collective outcome input processing unit 114 that executes an outcome input process for realizing the collective outcome input function by executing various processes according to the medical paperwork program. . The medical paperwork system 1 uses the keypad displayed in the keypad area A54 to indicate the outcome (curing, death, discontinuation, etc.) for each patient's disease name on the electronic medical record editing screen D5. Can also be entered.

  FIG. 17 is a diagram in which only the patient information area A53 is extracted from the electronic medical record editing screen D5. As shown in FIG. 17, in the patient information area A53, a current disease name column A531 in which the current disease name of the patient is displayed is displayed, and an operation for starting an editing operation in the current disease name column A531 Key K531 is displayed. When the operation key K531 is operated, the control unit 11 reduces the size of the current disease name column A531 and edits the disease name displayed in the current disease name column A531, as shown in FIG. A check box K532 for starting is displayed. The control unit 11 enables the batch outcome input function when the check box K532 is checked according to a user operation, and when the check box K532 is not checked, Disable the batch outcome input function. Even if the batch outcome input function is disabled, the disease name outcome editing operation using the keypad area A54 is possible.

  When the batch outcome input function is valid, the control unit 11 performs the range selection operation according to the range selection operation in the current disease name column A532 using the mouse or the like of the operation unit 24 of the client terminal 20. The disease name within the selection range is set to the selected state. For example, in FIG. 19, the top three disease names are selected. The control unit 11 can arbitrarily select a plurality of the disease names using the keyboard and mouse of the operation unit 24. Subsequently, in response to an operation such as a right click of the mouse within the selection range, the control unit 11 determines whether the input contents of the outcome of the disease name in the selected state are as shown in FIG. The displayed candidate area A533 is displayed.

  Thereafter, when the input contents of the outcome of the disease name are selected in the candidate area A533, the control unit 11 displays a calendar screen A534 for inputting the time of outcome of the disease name as shown in FIG. It is displayed on the terminal 20. On the calendar screen A534, a calendar for arbitrarily selecting the outcome time of the disease name is displayed, and one or more preset candidate dates are displayed. The control unit 11 inputs the selected date and time as the outcome time of the disease name in response to the calendar operation or the selection candidate operation. At this time, when a mouse-over is performed in which the operation cursor such as a mouse of the operation unit 24 is positioned on the candidate date, the control unit 11 displays a display area A535 indicating the content of the candidate date with a tool tip. Display. The contents of the candidate date are, for example, that day, the last day of the month, the last day of the month, 3 days after the start date (examination date), 4 days after the start date, 1 week after the start date, 2 weeks after the start date, and start One month after the date.

[Indication check function]
Next, the indication check function of the medical paperwork system 1 will be described.

  The indication check function is a function for determining whether or not the contents of the medical practice and the disease name input as the patient medical information on the electronic medical record editing screen D5 are adapted. Specifically, the control unit 11 functions as an indication check processing unit 115 that executes an indication check process for realizing the indication check function by executing various processes according to the medical paperwork program. To do.

  Specifically, the master area 123 stores the indication master indicating the correspondence between the contents of the medical practice and the disease names adapted to the medical practice as described above. And the said control part 11 performs the indication check process which determines whether the content of the medical practice inputted as patient's medical information and the disease name are adapted based on the said indication master. More specifically, the control unit 11 determines whether or not a medicine instructed to be administered and a disease name are adapted, and determines whether or not a medical practice and a disease name are adapted.

  And when the said control part 11 judges that the content of the medical practice input as said medical treatment information and the said disease name do not adapt, such as when the input of the said disease name corresponding to the content of the said medical practice is insufficient Display an error screen D8. FIG. 21 is a diagram showing an example of the error screen D8. As shown in FIG. 21, in the error screen D8, a medical practice area A81 in which the medical practice inputted as the medical care information is displayed, and a candidate for a disease name to be inputted as the medical care information are displayed. A disease name candidate area A82 is displayed.

  In particular, the control unit 11 extracts a disease name to be applied for each content of medical practice input as the medical information based on the indication master, and counts the number of hits for each disease name. Then, the control unit 11 displays the number of hits for each disease name in the hit number display column A821 of the disease name candidate area A82. For example, as shown in FIG. 21, “psycho-body medical therapy” and “grandaxin tablet” are input as the medical action, and “psycho-body medical therapy” and “grandaxin tablet” are “autonomous dyslexia” in the indication master. "2" is displayed in the corresponding number display field A821 corresponding to "autonomous dystonia". In addition, the control unit 11 causes the disease names displayed in the disease name candidate area A82 to be displayed in higher order in the descending order of the number of corresponding disease names displayed in the corresponding display column A821.

  As described above, the error screen D8 provides information useful for determining a disease name adapted to the medical practice by the user. For example, when a medicine for which a medication instruction has been given and a medical practice are input as the medical practice, the user determines a candidate for a disease name that is likely to be applied to a combination of the medicine and the medical practice. It becomes easy.

  Further, in the disease name candidate area A82, a check column A822 for performing a check operation of the main disease name, the secondary disease name, or the disease name is displayed for each disease name. Then, when the operation key corresponding to “OK” is operated by the user while the check column A822 is checked, the control unit 11 checks the name of the disease checked in the check column A822. The main disease name, secondary disease name, or disease name corresponding to the medical information is registered in the medical care information.

  By the way, in the indication master, when a plurality of disease names are registered for one medicine or medical practice, when the medicine or the medical practice is input as the medical information, the plurality of disease names Need to be entered. Therefore, when a plurality of disease names that are adapted to the medical practice displayed in the medical practice area A81 are registered in the indication master, the control unit 11 performs the disease name candidate area A82 as shown in FIG. In addition, it is conceivable to display a check field A823 that can simultaneously check the plurality of disease names corresponding to the medical practice. Thereby, the trouble of operation by the user is reduced. For example, in the example shown in FIG. 22, in the check column A823, as a disease name applicable to the drug “Argamate”, a combination of “acute renal failure” and “hyperkalemia”, or “chronic renal failure” and “ Any combination of “hyperkalemia” can be selected by one operation.

1: medical paperwork system 10: server 11: control unit 12: storage unit 13: display unit 14: operation unit 15: communication IF
16: drive device 161: recording medium 20: client terminal 21: control unit 22: storage unit 23: display unit 24: operation unit 25: communication IF
26: Drive device 261: Recording medium 30: Network

Claims (16)

A registration processing unit that registers the scheduled time of the next medical practice in association with the patient;
An image display processing unit capable of displaying the image corresponding to the remaining period from the present to the scheduled execution time based on correspondence information in which the remaining period is associated with a preset image;
Medical office processing system.   2. The medical paperwork system according to claim 1, wherein one or both of a shape and a display mode of the image is different depending on the remaining period.   The medical paperwork processing system according to claim 2, wherein the display mode includes one or both of a color scheme and a size.   The registration processing unit can automatically register the scheduled execution time of the next medical action of the patient based on automatic setting information in which a group to which the patient belongs and an execution schedule condition set in advance are associated with each other The medical paperwork processing system according to any one of claims 1 to 3. The implementation schedule condition includes the content of the medical practice and the scheduled implementation interval of the medical practice,
When the registration processing unit matches the content of the previous medical practice with the content of the medical practice set in the scheduled implementation condition, the registration processing unit is the The medical paperwork system according to claim 4, wherein a time is set as the scheduled execution time.   The medical office processing system according to claim 4 or 5, wherein the group is a medical department where the patient consults.   The medical office processing system according to claim 4, further comprising a setting processing unit capable of arbitrarily setting the automatic setting information.   The medical use according to any one of claims 1 to 7, wherein the image display processing unit displays the image at a display position corresponding to each patient on a first display screen on which a list of patients to be examined is displayed. Business processing system.   The medical paperwork system according to any one of claims 1 to 8, wherein the image display processing unit displays a second display screen on which the image is displayed before the medical information of the patient is displayed.   The medical paperwork processing system according to any one of claims 1 to 9, wherein the image display processing unit displays the image on a third display screen on which the medical information of the patient is displayed. The registration processing unit registers the scheduled time for the next medical practice based on the automatic setting information according to the input of the content of the medical practice on the third display screen,
The said image display process part displays the said image corresponding to the implementation scheduled time of the said next medical practice registered by the said registration process part on the said 3rd display screen currently displayed. The medical paperwork system described in any one.   In response to a user operation performed by the registration processing unit selected from a plurality of designation methods including designation of a specific time and designation that the next medical examination time is the scheduled execution time, The medical paperwork system according to any one of claims 1 to 11, wherein the scheduled execution time can be individually registered for each patient.   The image display processing unit displays a first image when the remaining period is less than a first threshold, and the first image when the remaining period is greater than or equal to the first threshold and less than a second threshold. 13. A second image different from the first image is displayed, and a third image different from the first image and the second image is displayed when the remaining period is equal to or greater than the second threshold. Medical office processing system. The first image, the second image, and the third image have different shapes,
The medical paperwork system according to claim 13, wherein the second image and the third image have different display modes.   The image display processing unit displays a first image when the remaining period is less than a first threshold, and displays a second image different from the first image when the remaining period is equal to or greater than the first threshold. The medical paperwork system in any one of Claims 1-12 made to make.   The said image display process part displays the 4th image preset in the display position of the said image, when the implementation schedule time of the said next medical practice is not registered corresponding to the said patient. The medical paperwork processing system according to any one of 15.