JPH10261018A - Clinical chart entry support device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a clinical chart entry support device that can lighten the burden of clinical chart entering operation on a medical doctor and generate detailed clinical charts soon. SOLUTION: A an arithmetic processor 2 having both a speech recognizing function and a handwriting recognizing function, a speech input means 1 which inputs smoke or all of clinical chart entry items of prtient's conditions, etc., in voice, a display means 4 which display characters, symbols, figures, etc., obtained through the speech recognition of the arithmetic processor 2 to an input person on a screen, and a handwriting input means 3 which checks the display contents of the display means 4 and allows handwriting input are connected, and output means 5 which outputs input contents as clinical charts is further connected.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a chart recording support apparatus for simplifying a chart recording operation for recording a patient's medical condition and disease name performed by a doctor at a hospital or the like.

[0002]

2. Description of the Related Art Conventionally, at the time of outpatient consultation at a hospital or the like, a doctor asks a patient about his / her medical history and medical condition, makes a diagnosis while describing the medical condition on a medical chart, estimates a disease name, and writes a prescription on the medical chart.
Then, submit the medical record on which the prescription is written to the accounting counter through the drug department or without going through the drug department, the drug department prepares the drug according to the prescription and hands it to the patient, and the payment counter handles all payments However, it is time-consuming to write the chart in detail because the doctor who writes the chart is handwritten while the doctor consults the patient while asking the patient a questionnaire. Because of the interruption, the consultation time was prolonged, and in large hospitals where the number of outpatients was extremely large and only a few minutes could be spent for consultation, there was a problem that the medical record had to be simplified. . In addition, the medical chart is carried to the drug department by nurses, etc., and the drug department prepares the drug based on the prescription written on the chart and hands it to the patient. In order to pay for the costs, the patient must wait a long time to receive the medicine and finish the payment, and it takes half a day or one day, together with the waiting time for consultation, which places a burden on the patient. There was a problem of being big.

[0003]

An object of the present invention is to eliminate the above-mentioned problems, reduce the burden on the physician in writing the medical chart, and provide a medical chart in which the necessary items are completely written. Can be created in no time,
Another object of the present invention is to provide a medical chart writing support device that has the advantage of shortening the time required for a patient from consultation to receipt and payment of medicine.

[0004]

SUMMARY OF THE INVENTION A medical chart description support apparatus according to the present invention, which has been made to solve the above-mentioned problems, includes a patient processing apparatus having both a voice recognition function and a handwriting recognition function. Voice input means for inputting a part or all of the medical record description items such as medical conditions by voice, display means for displaying characters, symbols, figures, and the like recognized by the arithmetic processing device on a screen to an input person; The present invention is characterized in that handwritten input means for checking the display contents of the display means and inputting the contents by hand is connected, and output means for outputting the input contents as a chart is connected.
And in such a medical chart writing support device,
The invention according to claim 2, wherein a dictionary used for speech recognition of the arithmetic processing device can be implemented as a common medical terminology dictionary without increasing the recognition rate so much, and a chart is used as an output means as a printer. The invention which can be printed and stored is the invention according to claim 3, and furthermore, the medical record can be simply printed and stored by using the output means as both a printer and a drug unit terminal, and at the same time, a prescription is immediately sent to the drug unit terminal. The invention according to claim 4, wherein the waiting time in the drug section of the patient can be shortened, wherein the output means is also a printer, a drug section terminal and an accounting window terminal, and the chart can be printed and stored. A prescription is immediately sent to the terminal and sent to the accounting counter, requesting that the patient's pharmacy department and accounting counter reduce waiting time. Invention to be related to 5. Further, in each of the above-mentioned inventions, a recording means for storing the chart data is connected to the arithmetic processing unit to facilitate the storage of the chart data, and the invention according to claim 6 is provided.
According to a seventh aspect of the present invention, there is provided an invention in which the above-described arithmetic processing device is provided with a learning function in speech recognition so that characters and symbols that have been repeatedly checked and corrected can be correctly recognized.

[0005]

Next, a preferred embodiment of the present invention will be described in detail with reference to a block diagram. Reference numeral 1 denotes a sound input unit such as a microphone for converting a sound into an electric signal. The sound input unit 1 converts the input electric signal of the sound into an A signal.
The data is input to the memory of the arithmetic processing unit 2 which can perform the voice recognition after performing the / D conversion. Further, the dictionary used for speech recognition of the arithmetic processing device 2 is limited to common diagnostic terms, so that the load on the arithmetic processing device 2 at the time of speech recognition is reduced and the recognition rate and the recognition speed are increased. . Furthermore, the speech recognition of the arithmetic processing unit 2 incorporates a learning function so that characters and symbols that have been repeatedly checked and corrected can be correctly recognized. Reference numeral 3 denotes a liquid crystal pen tablet type handwriting input unit that performs electromagnetic induction reading. The handwriting input unit 3 stores the input electric signals such as characters and symbols in a memory of the arithmetic processing unit 2 having a handwriting recognition function. The handwriting input means 3 also serves as display means 4 described later. The handwriting input means 3 checks the display contents of characters, symbols, figures, etc., which are recognized by the arithmetic processing device 2 and displayed to the input person through the display means 4, and the error result on the screen of the recognition result is displayed. Is used to put a check mark in a required place with an input pen, or to directly input a correction by handwriting a simple error.

The display means 4, which is connected to the arithmetic processing unit 2 and also serves as the handwriting input means 3, can successively display the recognition result of the input voice at a designated position on the screen, and can display the entire chart. Although the operability is enhanced by eliminating the need for scrolling in a size that can be displayed on the entire screen, a chart may be partially displayed. Reference numeral 5 denotes an output means connected to the arithmetic processing unit 2. The output means 5 includes a printer 5a that prints out the input result as a medical record in a medical office or the like, and a display or a printer installed in a pharmacy or a drug unit. And a medicine unit terminal 5b connected to the arithmetic processing unit 2 via a LAN or the like and directly transmitting the patient's prescription to a pharmacy or a medicine unit. However, only the printer 5a that prints out the input result as a medical record is provided. Alternatively, a connection may be made to the payment window terminal 5c of the payment window, either directly or via the drug unit terminal 5b. Reference numeral 6 denotes a recording unit connected to the arithmetic processing unit 2. The recording unit 6 includes a magnetic recording and recording mechanism such as an HD and an FD or a magneto-optical recording mechanism such as an MO and stores chart data. It is.

[0007] In the apparatus configured as described above, a display unit 4 and a handwritten input unit 3 are prepared in the vicinity of a doctor who examines a patient, together with a voice input unit 1 such as a headphone and a desk microphone, and an inquiry is made. After listening to the patient's answer, the physician uttered the medical condition, such as "no headache", "having fever", "no cough", etc., or replaced it with medical terms, performed voice input, performed medication, drip, treatment, etc. When an audio input such as is performed, the input electrical signal of the audio is A / D converted and input to the arithmetic processing unit 2. Then, the electric signal of the voice input to the arithmetic processing device 2 is recognized by the voice recognition of the arithmetic processing device 2 and converted into characters and symbols. In this case, a dictionary used for speech recognition of the arithmetic processing device 2 is
It is preferable to use a regular medical term dictionary because a high recognition rate and a high recognition speed can be obtained without using a high-performance device. Then, the recognized voice is converted into characters and symbols and is sequentially displayed on the display means 4. At this time,
If there is an erroneous character or omission in the display on the screen, a check is made on an erroneous portion on the screen of the display means 4 with the input pen of the handwriting input means 3. This check may be performed by adding a check mark to an erroneous part in the displayed text through the handwriting recognition process of the arithmetic processing unit 2. However, if there is enough time, the error is recognized by the input pen of the handwriting input unit 3. Correction may be performed, or typographical errors may be corrected by using a keyboard provided as necessary. In addition, as described above, when the speech recognition of the arithmetic processing device 2 is provided with a learning function, if the same word is recognized again and again, the conversion function of the input speech is corrected by the speech recognition learning function. Accurate recognition can be performed, and the recognition rate will be increased. When the medical chart is output to the medicine unit terminal 5b as in this embodiment, if there is an error in the description portion related to the prescription, it is surely corrected by the input pen of the handwriting input unit 3. Correct the sentence on the arithmetic processing unit 2 and the wrong prescription will be sent to the drug unit terminal 5b.
So that it is not output to

After the input is completed in this way, the output means 5
After printing out the chart by the printer 5a,
The doctor may correct erroneous or missing characters with a check mark with a writing instrument such as a ballpoint pen. At the same time, in this embodiment in which the chart is output to the drug section terminal 5b, which is an output means in the drug section, and the accounting window terminal 5c, which is a payment accounting window, in this embodiment, the prescription written in the medical chart is the drug in the drug section. The medicine is output by the display or printer of the department terminal 5b, so that the medicine is prepared in the medicine department based on the output prescription, and when the patient whose examination has been completed comes to the medicine department, the medicine is already prepared in the medicine department. Prescription medicines can be handed to patients, and medical and medical expenses are immediately sent to the accounting window, which can reduce the waiting time for payment of patient-paid medical expenses at the accounting window. . Further, the input chart data may be recorded on the HD, FD, MO, or the like of the recording unit 6, read out when the same patient comes to the examination, and displayed on the display unit 4.

Further, in the above-described embodiment, the doctor replaces the patient's answer with a simple diagnosis term, repeats the speech, and performs voice input to limit the input to a specific speaker. Although the recognition rate and the recognition speed are limited and the data volume is reduced, the consultation situation can be reproduced more clearly at a later date if the doctor's questions and the patient's answers are directly input to the voice input means 1. Become. Also,
In the above-described embodiment, in order to transmit the chart to the drug unit, the error of the prescription described in the chart is corrected by the handwriting input unit 3.
Is not used, a check mark may be put on an error portion by the handwriting input means 3, and after printing out by the printer 5a of the output means 5, the doctor may correct the medical record error with a writing instrument. Further, in the above-described embodiment, the display means 4 and the handwriting input means 3 are combined by using a liquid crystal pen tablet, but the display means 4 and the handwriting input means 3 are connected by using a tablet having no display function and a CRT. It may be separated.

[0010] The medical chart writing support device according to the present invention can be used even when creating a medical chart at the first medical examination when the contents of an inquiry such as a common cold examination are substantially constant. This is particularly effective when revisiting a specialized outpatient department where the same questions must be asked each time.

In the above-described embodiment, only the medical record writing support device installed in each medical department has been described. However, the devices in each medical department can be connected to a central computer so that all records can be managed collectively. If this is done, the so-called electronic medical records that can be obtained from the medical departments as well as from other clinics as needed from the past medical records of patients who have been consulted once will be created without having to enter them afterwards. Not only is it meaningful, but it can also be used effectively on hospital audits.

[0012]

As is clear from the above description, according to the present invention, by making a medical record by voice input means, the doctor can save time and effort in writing the medical record.
The consultation time can be used effectively. Also, by checking the recognition result displayed on the display means, it is possible to put a check mark on an error portion such as a typographical error or a typographical error by the handwriting inputting means or to correct an erroneous or typographical error by the handwriting inputting means. The above problems can be accurately compensated, and an accurate and detailed medical chart can be created easily and in a short time. Moreover, since the medical record is digitized, the prescription can be transmitted to the drug unit terminal and the accounting window terminal. In this way, if the drug unit terminal or the accounting window terminal is adopted as an output means in addition to the printer. If the prescription is transmitted to the pharmacy or pharmacy at the end of the consultation so that the drug can be prepared, or sent to an accounting counter to charge the patient for medical treatment, Can wait for a long time to receive prescription drugs at the pharmacy or pharmacy and make payments at the accounting window. In addition, if the recognition dictionary used for recognition is limited to medical terms, the recognition rate and recognition speed of voice input can be further improved. Therefore, the present invention greatly contributes to the development of the industry as a medical record description support device that solves the conventional problems.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a preferred embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Voice input means 2 Arithmetic processing unit 3 Handwriting input means 4 Display means 5 Output means 5a Printer 5b Pharmaceutical department terminal 5c Accounting counter terminal

Claims (7)

[Claims] 1. An audio processing unit having both a voice recognition function and a handwriting recognition function, a voice input unit for inputting a part or all of a medical record or other medical record items by voice, and the arithmetic processing device Display means for displaying characters, symbols, figures, etc., recognized by the user on the screen to the input user, and handwriting input means for checking the display contents of the display means and inputting them by hand, and connecting the input contents. A chart description support device, wherein output means for outputting as a chart is connected. 2. The medical chart description support device according to claim 1, wherein the dictionary used for speech recognition of the arithmetic processing device is a common medical use term dictionary. 3. The medical chart supporting device according to claim 1, wherein the output means is a printer. 4. The medical chart support device according to claim 1, wherein the output means is both a printer and a drug unit terminal. 5. The medical chart support device according to claim 1, wherein the output means is a printer, a medicine unit terminal, and an accounting window terminal. 6. The medical chart support apparatus according to claim 1, wherein a recording means for storing medical chart data is connected to the arithmetic processing unit. 7. The speech recognition of the arithmetic processing unit is provided with a learning function.
Or the medical chart description support device according to 6.