Electronic medical chart system and electronic medical chart program

Abstract

To provide an electronic medical chart system and an electronic medical chart program that hardly require time and effort for input of future medical examination information.SOLUTION: An electronic medical chart system 10 comprises a medical chart processing unit 113, a next medical chart processing unit 114, and a disease name processing unit 115. The medical chart processing unit 113 edits medical chart information corresponding to a patient and having a designated date according to user's operation. The next medical chart processing unit 114 edits next medical chart information corresponding to the patient and not having the designated date according to the user's operation. The disease name processing unit 115 edits disease name information corresponding to the patient according to the user's operation at least during the editing of the medical chart information and during the editing of the next medical chart information.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to an electronic medical record system and an electronic medical record program for managing patient medical information as an electronic medical record. [Background technology]

[0002] As a related technology, an electronic medical record system (device) is known that includes a server device having a database storing medical record information including patient data, and a terminal device that is connected to the server device via a communication line and is capable of sending and receiving data to and from the server device (see, for example, Patent Document 1). In the electronic medical record system according to the related technology, the terminal device includes a storage device with an area for storing medical record information including patient data, a date input unit for selecting and inputting past, present, or future dates, an input unit for inputting medical information, and a control unit for controlling the operation of these components. The control unit compares the date from the date input unit with the current date and time (date), and if the date in the date input unit is a future date, stores medical information scheduled for a future date in the storage device as draft medical record information. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Japanese Patent Application Laid-Open No. 2015-172975 Summary of the Invention [Problem to be solved by the invention]

[0004] In the electronic medical record system according to the related art, in order to input medical information scheduled for a future date as the medical record draft information, it is necessary to input the date on which the medical treatment is scheduled, which requires the user to go through the trouble of identifying and inputting the date on which the medical treatment is scheduled.

[0005] An object of the present invention is to provide an electronic medical record system and an electronic medical record program that make it easy to input future medical information. [Means for solving the problem]

[0006] An electronic medical record system according to one aspect of the present invention comprises a medical record processing unit, a next medical record processing unit, and a disease name processing unit. The medical record processing unit edits medical record information corresponding to a patient and having a specified date in response to a user's operation. The next medical record processing unit edits next medical record information corresponding to a patient and having no specified date in response to a user's operation. The disease name processing unit edits disease name information corresponding to a patient in response to a user's operation at least during editing of the medical record information and during editing of the next medical record information.

[0007] An electronic medical record system according to another aspect of the present invention comprises a medical record processing unit, a next medical record processing unit, and a disease name processing unit. The medical record processing unit edits medical record information corresponding to a patient in response to a user's operation. The next medical record processing unit edits the next medical record information corresponding to the patient in response to a user's operation. The disease name processing unit edits disease name information corresponding to the patient in response to a user's operation at least while the medical record information is being edited and while the next medical record information is being edited. The disease name processing unit is capable of editing the disease name information in a manner that the disease name information is reflected on a medical receipt while the medical record information is being edited, and in a manner that the disease name information is not reflected on a medical receipt while the next medical record information is being edited.

[0008] An electronic medical record program according to another aspect of the present invention is a program for causing a computer to execute a medical record editing step, a next medical record editing step, and a disease name editing step. In the medical record editing step, medical record information corresponding to a patient and for which a date is specified is edited in response to a user's operation. In the next medical record editing step, next medical record information corresponding to a patient and for which a date is not specified is edited in response to a user's operation. In the disease name editing step, disease name information corresponding to a patient is edited in response to a user's operation at least during editing of the medical record information and during editing of the next medical record information. [Effects of the Invention]

[0009] According to the present invention, it is possible to provide an electronic medical record system and an electronic medical record program that make it easy to input future medical information. [Brief explanation of the drawings]

[0010] [Figure 1] FIG. 1 is a block diagram showing an example of an electronic medical record system according to an embodiment of the present invention. [Figure 2] FIG. 2 is a conceptual diagram showing an example of information stored in the information storage unit of the electronic medical record system according to the embodiment of the present invention. [Figure 3] FIG. 3 is a diagram showing an example of a medical record screen displayed in the electronic medical record system according to the embodiment of the present invention. [Figure 4] FIG. 4 is a diagram showing an example of a medical record screen displayed in the electronic medical record system according to the embodiment of the present invention. [Figure 5] FIG. 5 is a diagram showing an example of a medical record screen displayed in the electronic medical record system according to the embodiment of the present invention. [Figure 6] FIG. 6 is a diagram showing an example of a disease name management screen displayed in the electronic medical record system according to the embodiment of the present invention. [Figure 7] FIG. 7 is a diagram showing an example of a medical record screen displayed in the electronic medical record system according to the embodiment of the present invention. [Figure 8]FIG. 8 is an enlarged view of a part of the medical record screen displayed in the electronic medical record system according to the embodiment of the present invention, and is an explanatory view showing the information copying function. [Figure 9] FIG. 9 is a diagram showing an example of an operation setting screen displayed in the electronic medical record system according to the embodiment of the present invention. [Figure 10] FIG. 10 is a flowchart illustrating an example of the procedure of an electronic medical record management method executed in an electronic medical record system according to an embodiment of the present invention. DETAILED DESCRIPTION OF THE INVENTION

[0011] Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings to facilitate understanding of the present invention. Note that the following embodiments are examples of specific embodiments of the present invention and are not intended to limit the technical scope of the present invention. Furthermore, the configurations and processing functions described in the following embodiments can be selected and combined as desired.

[0012] [Electronic Medical Record System 10] As shown in FIG. 1, an electronic medical record system 10 according to an embodiment of the present invention includes an electronic medical record device 1, a reception terminal 3, an examination terminal 2, and a printer 4. The electronic medical record device 1, the reception terminal 3, the examination terminal 2, and the printer 4 can communicate with each other via a communication network NT1, such as a local area network (LAN), a wide area network (WAN), the Internet, or an intranet. A host system 5 is also connected to the electronic medical record device 1 via the communication network NT1. The electronic medical record system 10 may include multiple units of at least one of the electronic medical record device 1, the reception terminal 3, the examination terminal 2, and the printer 4. Furthermore, the electronic medical record system 10 may further include client terminals other than the reception terminal 3 and the examination terminal 2, such as mobile terminals.

[0013] Users of the electronic medical record system 10 are medical professionals (medical staff) such as doctors, medical clerks, medical clerks, nurses, pharmacists, or facility managers at medical institutions such as hospitals or pharmacies. In this embodiment, as an example, the electronic medical record system 10 is used in a hospital, and the doctors and medical clerks at the hospital are the users of the electronic medical record system 10. Users basically use the electronic medical record system 10 through the examination terminal 2 or the reception terminal 3. In other words, the electronic medical record device 1 can accept user operation input to the examination terminal 2 or the reception terminal 3, and can display various information on the examination terminal 2 or the reception terminal 3.

[0014] The electronic medical record system 10 has a function for managing electronic medical records. In this disclosure, "electronic medical record" refers to a record (medical record) that stores medical information, such as a patient's disease information, examination details, diagnosis results, medication information, test results, and progress, as electronic data. In principle, an electronic medical record is created for each patient, and multiple electronic medical records are created for multiple patients. Here, the various medical information of a patient contained in the electronic medical record is included in "medical record information." The medical record information is newly recorded (written) in the electronic medical record by the electronic medical record device 1 in response to, for example, a user (doctor)'s operation on the examination terminal 2. Furthermore, the medical record information recorded in the electronic medical record is added (added), deleted, changed, updated, etc., by the electronic medical record device 1 in response to, for example, a user's operation on the examination terminal 2. Making any changes to the medical record information contained in the electronic medical record, such as newly recording, adding, deleting, or updating the medical record information, is referred to as "editing" the medical record information. That is, in the electronic medical record system 10, the medical record information of the electronic medical record can be edited in response to a user's operation.

[0015] The electronic medical record system 10 also has a function for displaying the electronic medical record. In the electronic medical record system 10 according to this embodiment, the electronic medical record device 1 can display a display screen, such as a medical record screen P1 (see FIG. 3 ), containing the medical record information, on the examination terminal 2 or the reception terminal 3 in response to a user's operation of the examination terminal 2 or the reception terminal 3. When the medical record screen P1 is displayed on the examination terminal 2 or the reception terminal 3, the electronic medical record is presented to the user, and the user can view the electronic medical record through the examination terminal 2 or the reception terminal 3. The user can then edit the medical record information by performing an operation to edit the medical record information on the medical record screen P1 displayed on the examination terminal 2 or the reception terminal 3. The examination terminal 2 or the reception terminal 3 displays the medical record screen P1 based on display data transmitted from the electronic medical record device 1, or displays the medical record screen P1 by referring to various data stored in the electronic medical record device 1.

[0016] Specifically, in this embodiment, a server-client system is configured by the electronic medical record device 1 and the examination terminal 2 or the reception terminal 3, and a case will be described in which the electronic medical record device 1 executes various processes such as display and printing in response to user operations on the examination terminal 2 or the reception terminal 3. Therefore, in this embodiment, the "display," "operation," "selection," and "input" described below will be described as being performed using the examination terminal 2 or the reception terminal 3. Note that similar displays and operations may also be performed on the electronic medical record device 1.

[0017] Furthermore, the electronic medical record system 10 has a function for outputting a medical receipt Rc1 (see FIG. 1). In this disclosure, a "medical receipt" refers to a detailed statement of procedures performed or medications used, etc., submitted by a medical institution to a health insurance association for medical expenses. This statement is also referred to as a medical fee statement. In principle, the medical receipt Rc1 is created for each patient at a single medical institution for each applicable period (e.g., one month). For example, if a medical institution provides medical care (insured treatment) to a patient three times in April, the medical receipt Rc1 is created by summarizing the costs associated with those three medical treatments. The medical receipt Rc1 created in this manner is typically submitted the following month; for example, the medical receipt Rc1 for April would be submitted in May. In the electronic medical record system 10 according to this embodiment, the electronic medical record device 1 generates medical receipt information based on the medical record information and issues the medical receipt Rc1 in response to a user's operation of the examination terminal 2 or the reception terminal 3. Specifically, the electronic medical record device 1 can generate print data including the medical receipt information, output the print data to the printer 4, and print (issue) the medical receipt Rc1.

[0018] The electronic medical record system 10 also has the functionality of a medical receipt computer processing system that can perform accounting processes such as registering and updating accounting information. In the electronic medical record system 10 according to this embodiment, the electronic medical record device 1 performs the accounting processes such as registering and updating the accounting information in accordance with the medical record information, for example, in response to the user's operation of the reception terminal 3.

[0019] The host system 5 is a medical-related system separate from the electronic medical record system 10, and it need only be capable of communicating with the electronic medical record system 10; it need not necessarily be in a "host" relationship with the electronic medical record system 10. The host system 5 can accept inputs of, for example, patient data, prescription data related to the prescription or administration of medicines to patients, and test data related to the test results of various tests performed on patients. The patient data includes various pieces of information related to the patient, such as patient identification information for identifying individual patients, such as a patient ID or patient name, as well as the patient's age, sex, medical history, prescription drug history, alcohol consumption, smoking status, family information, and physical information such as the patient's height, weight, and body surface area.

[0020] The host system 5 inputs the patient data, prescription data, test data, etc. into the electronic medical record device 1 in response to user operation, or automatically inputs them into the electronic medical record device 1 at a predetermined timing, such as a preset closing time. However, the patient data, prescription data, test data, etc. are not limited to being input from the host system 5 to the electronic medical record device 1, but may also be created by the electronic medical record device 1. The electronic medical record device 1 may also be configured to actively read the patient data, prescription data, test data, etc. from the host system 5. Multiple host systems 5 may be provided, and the multiple host systems 5 may include different types of systems. At least one of the patient data, prescription data, and test data may be directly input into the electronic medical record system 10 by user operation of the examination terminal 2, the reception terminal 3, or the electronic medical record device 1.

[0021] In the electronic medical record system 10, it is conceivable that medical information scheduled for a future date can be stored in a storage device as medical record draft information. For example, a user (e.g., a doctor) can register the medical information for the patient's next visit as medical record draft information while examining a patient, simplifying the task of editing the medical record information for the patient's next visit. However, in order to input the medical information scheduled for a future date as the medical record draft information, it is necessary to input the scheduled date of the visit. This requires the user to identify and input the scheduled date of the visit, which is time-consuming. Furthermore, if the scheduled date of the visit cannot be identified, for example, because the next medical visit date has not yet been determined, the user will not be able to input the medical record draft information in the first place.

[0022] In consideration of these circumstances, the electronic medical record system 10 according to this embodiment employs a configuration that reduces the time and effort required for inputting future medical information. Specifically, as shown in FIG. 1, the electronic medical record system 10 includes a medical record processing unit 113, a next medical record processing unit 114, and a disease name processing unit 115. The medical record processing unit 113 edits medical record information D1 (see FIG. 2) that corresponds to a patient and that has a specified date in response to a user's operation. The next medical record processing unit 114 edits next medical record information D2 (see FIG. 2) that corresponds to a patient and that does not have a specified date in response to a user's operation. The disease name processing unit 115 edits disease name information D3 (see FIG. 2) that corresponds to a patient in response to a user's operation, at least while editing the medical record information D1 and the next medical record information D2.

[0023] According to the electronic medical record system 10, the disease name information D3 corresponding to a patient can be edited in response to user operations not only while editing the medical record information D1, but also while editing the next medical record information D2, which corresponds to the patient but does not specify a date. Therefore, the electronic medical record system 10 can provide an electronic medical record system 10 and an electronic medical record program that do not require much effort when inputting future medical information. Furthermore, even if the date of a future scheduled medical appointment cannot be identified, for example, because the next medical appointment date is undecided, the next medical record information D2 can still be input (edited). Details of the functions of the medical record processing unit 113, the next medical record processing unit 114, and the disease name processing unit 115 will be described in the section entitled "Electronic Medical Record Management Method" and subsequent sections.

[0024] [Consultation Terminal 2] The examination terminal 2 is a personal computer equipped with a control unit 21, a memory unit 22, a communication I / F 23, a display unit 24, an operation unit 25, and a drive device 26. The examination terminal 2 is placed in a medical institution (a hospital in this embodiment) where the electronic medical record system 10 is used, and is an operation terminal operated by a user. For example, the examination terminal 2 is placed in an examination room or the like of the medical institution, and is used by a doctor at the medical institution during an examination. The examination terminal 2 may also be a portable information processing device such as a smartphone, a tablet terminal, a wearable terminal, or a laptop computer.

[0025] The control unit 21 has control devices such as a CPU (Central Processing Unit), ROM (Read Only Memory), RAM (Random Access Memory), and EEPROM (registered trademark). The CPU is a processor that executes various arithmetic operations. The ROM is a non-volatile storage unit that pre-stores information such as control programs for causing the CPU to execute various operations. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as temporary storage memories (work areas) for the various operations executed by the CPU. The control unit 21 then uses the CPU to execute various operations in accordance with the various control programs pre-stored in the ROM, the EEPROM, or the storage unit 22.

[0026] The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD (Solid State Drive) that stores various control programs and various data executed by the control unit 21. Specifically, the storage unit 22 includes a program storage unit that stores an operating system (OS) and application programs such as browser software. The browser software is application software that accesses the electronic medical record device 1 via the communication network NT1 to display various operation screens on the display unit 24 and transmits input operations on the operation screens using the operation unit 25 to the electronic medical record device 1. For example, when address information such as a URL (Universal Resource Locator) corresponding to the electronic medical record device 1 is entered in a predetermined position on the operation screen displayed by the browser software, the control unit 21 accesses the electronic medical record device 1 based on the address information.

[0027] The communication I / F 23 is a communication interface having a network card or the like that performs wireless or wired data communication between the electronic medical record device 1 and external devices such as the printer 4 via the communication network NT1 in accordance with a predetermined communication protocol.

[0028] The display unit 24 is a device such as a liquid crystal display or an organic EL (Electro-Luminescence) display that displays various information in accordance with control instructions from the control unit 21. For example, the control unit 21 executes various processes in accordance with the browser software, thereby causing the display unit 24 to display various information based on the display data received from the electronic medical record device 1.

[0029] The operation unit 25 is a device operated by a user to input various information into the examination terminal 2. Specifically, the operation unit 25 includes a keyboard and a pointing device (such as a mouse) that accept input operations on various operation screens displayed on the display unit 24. The operation unit 25 may also include a touch panel that accepts touch operations on various operation screens displayed on the display unit 24, or a voice input device that accepts input of various information by voice recognition. The control unit 21 then accepts user operations on the operation unit 25 by executing various processes in accordance with the browser software, and inputs the contents of the user operations into the electronic medical record device 1.

[0030] The drive device 26 is a device that reads the OS or the browser software from a computer-readable recording medium 261 on which the OS or the browser software is recorded. The drive device 26 may be integrated into the examination terminal 2, or may be external to the examination terminal 2 by being removably connected to the examination terminal 2. The recording medium 261 may be a CD, DVD, BD, or USB memory, and the drive device 26 may be a CD drive, DVD drive, BD drive, or USB port. In the examination terminal 2, the control unit 21 installs the OS or the browser software read from the recording medium 261 using the drive device 26 into the program storage unit of the storage unit 22.

[0031] Specifically, the electronic medical record device 1 transmits data written in a web page description language such as HTML (Hyper Text Markup Language) to the examination terminal 2, thereby displaying various screens on the display unit 24 of the examination terminal 2. Furthermore, the control unit 21 of the examination terminal 2 transmits an operation signal to the electronic medical record device 1 in response to an operation input to the operation unit 25.

[0032] [Reception terminal 3] The reception terminal 3 is a personal computer equipped with a control unit 31, a storage unit 32, a communication I / F 33, a display unit 34, an operation unit 35, and a drive device 36. The reception terminal 3 is placed in a medical institution (a hospital in this embodiment) where the electronic medical record system 10 is used, and is an operation terminal operated by a user. For example, the reception terminal 3 is placed at a reception desk of the medical institution, and is used by a medical office staff member of the medical institution when performing counter work including the accounting process.

[0033] The hardware configuration of the reception terminal 3 is the same as that of the examination terminal 2, and the control unit 31, memory unit 32, communication I / F 33, display unit 34, operation unit 35, and drive device 36 correspond to the control unit 21, memory unit 22, communication I / F 23, display unit 24, operation unit 25, and drive device 26 of the examination terminal 2, respectively. Therefore, a detailed explanation of the configuration of the reception terminal 3 will be omitted here. The drive device 36 reads the OS, browser software, etc. from a computer-readable recording medium 361.

[0034] [Printer 4] The printer 4 is an image forming device such as a color printer or monochrome printer that can execute a printing process to record information contained in print data input from the electronic medical record device 1, the examination terminal 2, or the reception terminal 3 via the communication network NT1 onto a sheet of paper or the like. In this embodiment, as an example, the printer 4 is located at the reception desk of the medical institution (hospital). The printer 4 prints, for example, the medical receipt Rc1 using the print data including the medical receipt information. The printer 4 is also used to print (issue) prescriptions and the like using print data including prescription information generated by the electronic medical record device 1 according to the medical record information D1.

[0035] [Electronic medical record device 1] 1, the electronic medical record device 1 is a computer including a control unit 11, a memory unit 12, a communication I / F 13, a display unit 14, an operation unit 15, and a drive unit 16. The electronic medical record device 1 may be provided outside a medical institution such as a hospital or pharmacy where the electronic medical record system 10 is used, and may be realized by a server (or cloud computing), etc. The electronic medical record device 1 may also be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

[0036] The control unit 11 has the same configuration as the control unit 21, and has control devices such as a CPU, ROM, RAM, and EEPROM, and uses the CPU to execute various processes in accordance with various control programs pre-stored in the ROM, the EEPROM, or the memory unit 12.

[0037] The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 11. The storage unit 12 also includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.

[0038] The program storage unit 121 is a storage area that stores an electronic medical record program for causing the control unit 11 to execute various processes related to an electronic medical record management method described below. The program storage unit 121 also stores programs such as an operating system (OS).

[0039] The master storage unit 122 is a storage area in which various types of master information, such as a disease name master, a patient master, and a drug master, are stored. The disease name master, the patient master, and the drug master are appropriately edited in response to user operations of the electronic medical record device 1, the examination terminal 2, or the reception terminal 3 during initial setup or maintenance of the electronic medical record device 1, and are then stored in the master storage unit 122.

[0040] The information storage unit 123 stores various information constituting the electronic medical record, such as XML information and a medical record database. The XML information is data in which the medical record information of the electronic medical record is described using XML (Extensible Markup Language). The XML information is created in response to operations by a user, such as a doctor, using the examination terminal 2 or the reception terminal 3, and is updated as needed. The medical record database is a database for accumulating and long-term storing of the medical record information D1, etc. of the electronic medical record. For example, when a user, such as a doctor, using the examination terminal 2 or the reception terminal 3 performs a save operation on the medical record information D1, etc. at the end of a consultation, the medical record information D1, etc. included in the XML information is stored in the medical record database.

[0041] 2, the information storage unit 123 includes a medical record storage unit 1231, a next medical record storage unit 1232, and a disease name information storage unit 1233. The medical record storage unit 1231 stores (memorizes) the medical record information D1, the next medical record storage unit 1232 stores (memorizes) the next medical record information D2, and the disease name information storage unit 1233 stores (memorizes) the disease name information D3.

[0042] The medical record information D1 stored in the medical record storage unit 1231 includes various medical information about patients. The medical record information D1 is data that includes patient identification information for identifying individual patients, such as a patient ID or a patient name (full name), consultation dates, and medical information such as subjective information, objective information, and evaluation information, all of which are associated with one another. In FIG. 2 , as an example, the medical record information D1 is table data in which the consultation dates and the medical information (subjective information, objective information, evaluation information, etc.) are associated with each other for each "patient ID" as the patient identification information. The electronic medical record includes at least the medical record information D1 and is a record (medical record) that stores medical information for each patient, such as disease information, examination details, diagnosis results, medication information, test results, and progress, as electronic data. The medical record screen P1 including the medical record information D1 is displayed on the examination terminal 2 or the reception terminal 3, whereby the electronic medical record is presented to the user, allowing the user to view the electronic medical record through the examination terminal 2 or the reception terminal 3.

[0043] The next medical record information D2 stored in the next medical record storage unit 1232 includes various medical information of the patient. The next medical record information D2 is data that includes the patient identification information (e.g., patient ID) and medical information such as subjective information, objective information, and evaluation information, which are associated with each other. In other words, unlike the medical record information D1, the next medical record information D2 does not include the consultation date. In FIG. 2, as an example, the next medical record information D2 is table data in which the medical information (the subjective information, the objective information, the evaluation information, etc.) is associated with each "patient ID" as the patient identification information.

[0044] The disease name information D3 stored in the disease name information storage unit 1233 includes information about the "disease name" that identifies the illness or injury suffered by the patient. Because illness or injury includes not only illness (disease) but also injuries such as fractures, the disease name information D3 can be strictly referred to as information about the "illness or injury name." The disease name information D3 includes the patient identification information (e.g., patient ID), the disease name (illness or injury name), the start date, the outcome, and the outcome date, which are associated with each other. The "start date" field indicates the start date of the illness or injury represented by the disease name and is basically the date on which a doctor or other medical professional examined the patient and identified the illness or injury. The "outcome" field indicates the outcome of the illness or injury represented by the disease name, i.e., the progress or outcome of symptoms during treatment for the illness or injury, and includes, for example, "cured," "death," and "discontinued." The "outcome date" field indicates the date on which the outcome of the illness or injury represented by the disease name occurred and is basically the date on which a doctor or other medical professional examined the patient and recorded the outcome of the illness or injury. In FIG. 2, as an example, the disease name information D3 is table data in which the disease name, the onset date, the outcome, and the outcome date are associated with each "patient ID" as the patient identification information.

[0045] At least one of the master information, the XML information, and the medical record database may be stored in a storage device separate from the electronic medical record device 1. For example, at least one of the master information, the XML information, and the medical record database may be stored in an external server (or cloud computing) outside the electronic medical record system 10. The control unit 11 may then be able to access the external server via the Internet or the like.

[0046] The communication I / F 13 has the same configuration as the communication I / F 23, and executes data communication with external devices such as the examination terminal 2, the reception terminal 3, and the printer 4 via the communication network NT1. The communication I / F 13 also executes data communication with the upper system 5.

[0047] The display unit 14 is a device such as a liquid crystal display or an organic EL display that displays various information in accordance with control instructions from the control unit 11. The operation unit 15 has the same configuration as the operation unit 25, and is a device that is operated by a user to input various information into the electronic medical record device 1. The control unit 11 then accepts user operations on the operation unit 15 and executes processing according to the content of the user operation.

[0048] The drive device 16 has the same configuration as the drive device 26, and is a device that reads the electronic medical record program from a computer-readable recording medium 161 on which the electronic medical record program is recorded. In the electronic medical record device 1, the control unit 11 installs the electronic medical record program read from the recording medium 161 using the drive device 16 into the program storage unit 121 of the storage unit 12. The electronic medical record program may be stored in the storage unit 12 in advance, or may be received by the electronic medical record device 1 from an external device via the communication network NT1.

[0049] 1, the control unit 11 of the electronic medical record device 1 includes an input processing unit 111, a display processing unit 112, the medical record processing unit 113, the next medical record processing unit 114, the disease name processing unit 115, an output processing unit 116, a copy processing unit 117, and a setting processing unit 118. Specifically, the control unit 11 executes various processes related to the electronic medical record management method described below in accordance with the electronic medical record program, thereby functioning as various processing units such as the input processing unit 111, the display processing unit 112, the medical record processing unit 113, the next medical record processing unit 114, the disease name processing unit 115, the output processing unit 116, the copy processing unit 117, and the setting processing unit 118. That is, in this embodiment, the electronic medical record device 1 embodies the main functions of the electronic medical record system 10. In other words, the electronic medical record system 10 according to this embodiment only needs to include the electronic medical record device 1, and does not necessarily need to include the examination terminal 2, the reception terminal 3, the printer 4, etc. The control unit 11 may include multiple processors, any one of which may function as the various processing units. Also, some or all of the various processing units may be configured as electronic circuits.

[0050] In another embodiment, some or all of the functions of the electronic medical record device 1 may be provided in the examination terminal 2 or the reception terminal 3. For example, some or all of the electronic medical record program may be installed in the examination terminal 2 or the reception terminal 3, and the control unit 21 of the examination terminal 2 or the control unit 31 of the reception terminal 3 may acquire necessary information from the electronic medical record device 1 as needed and execute various processes related to the electronic medical record management method described below. In this case, the examination terminal 2 or the reception terminal 3 embodies the main functions of the electronic medical record system 10. Furthermore, in the electronic medical record system 10, the electronic medical record device 1 and the examination terminal 2 or the reception terminal 3 may cooperate to execute various processes related to the electronic medical record management method described below.

[0051] The input processing unit 111 performs input processing (input step) to input information related to medical treatment as input information in response to input operations on the examination terminal 2 or the reception terminal 3. Various information is input into the examination terminal 2 or the reception terminal 3, such as information about the patient (patient ID, name, etc.), disease information, examination details, diagnosis results, medication information, test results and progress, and other medical information. Then, this information is transmitted as the input information from the examination terminal 2 or the reception terminal 3 to the electronic medical record device 1, and is input into the electronic medical record device 1 by the input processing unit 111.

[0052] The display processing unit 112 performs display processing (display step) to display a display screen such as the medical chart screen P1. In this embodiment, the medical chart screen P1 is displayed, for example, on the display unit 24 of the examination terminal 2, and the display processing unit 112 displays the medical chart screen P1 by transmitting data to the examination terminal 2. Specifically, the display processing unit 112 generates the medical chart screen P1 based on, for example, the electronic medical chart stored in the storage unit 12, and displays the medical chart screen P1 by outputting the medical chart screen P1 to the examination terminal 2. Here, the electronic medical chart used to generate the medical chart screen P1 includes the medical chart information D1 stored in the medical chart storage unit 1231, the next medical chart information D2 stored in the next medical chart storage unit 1232, and the disease name information D3 stored in the disease name information storage unit 1233. When the medical record screen P1 is to be displayed on the display unit 34 of the reception terminal 3, the display processing unit 112 transmits data to the reception terminal 3 to cause the medical record screen P1 to be displayed.

[0053] The medical record processing unit 113 performs a medical record editing process (medical record editing step) to edit the medical record information D1, which corresponds to a patient and specifies a date (examination date), in response to operations by a user such as a doctor. In other words, the medical record information D1 edited by the medical record processing unit 113 is data in which a date (examination date) is specified for each "patient ID" as the patient identification information, thereby associating the date with the medical information. Editing the medical record information D1 performed by the medical record processing unit 113 includes various processes for making changes to the medical record information D1 included in the electronic medical record, such as new recording, addition, deletion, and updating of the medical record information D1. In this embodiment, user operations for editing the medical record information D1 are performed on the medical record screen P1. Specifically, while the display processing unit 112 displays the medical record screen P1 on the examination terminal 2, for example, the medical record processing unit 113 edits the medical record information D1 in response to operations performed by the user on the examination terminal 2.

[0054] However, users who perform operations to edit the medical record information D1 are limited to users who have the authority to edit the electronic medical record. Therefore, even if a user who does not have the authority to edit the electronic medical record performs an operation, the medical record processing unit 113 will not edit the medical record information D1 of the electronic medical record.

[0055] In this embodiment, multiple methods are provided for editing the medical record information D1 in the electronic medical record. For example, the medical record information D1 can be entered (newly recorded or added) by selecting a desired area on the medical record screen P1 with a mouse, a touch panel, or the like, and then entering text using a keyboard. The medical record information D1 can also be entered by operating the keypad K4 displayed on the medical record screen P1 with a mouse, a numeric keypad, a touch panel, or the like. Alternatively, any medical record information can be registered as set information in advance, and the medical record information D1 can be entered by selecting the set information with a mouse, a numeric keypad, or a touch panel. The medical record information D1 can also be entered by moving an icon representing the set information to a desired area on the medical record screen P1 by dragging and dropping, for example. Furthermore, the medical record processing unit 113 may automatically edit the medical record information D1 based on information acquired from the host system 5 or other systems.

[0056] Here, the medical record processing unit 113 basically does not edit the entire medical record information D1 of the electronic medical record, but rather edits a part of the medical record information D1. In other words, the medical record information D1 includes a plurality of pieces of information, and a part of the plurality of pieces of information is the information currently being edited and is the subject of editing by the medical record processing unit 113. In this embodiment, for example, a sentence, a line, a clause, a word, a paragraph, an item, or an area is used as an editing unit, and the information currently being edited is set for the editing unit.

[0057] After the information being edited is edited, the medical record processing unit 113 stores the medical record information D1 including the information being edited in the information storage unit 123 (the medical record storage unit 1231) in response to a confirmation operation by the user who edited the information being edited (the user with the editing authority), thereby marking the information being edited as "editing complete" and finalizing the medical record information D1. Examples of such confirmation operations include closing the medical record screen P1 of the electronic medical record, entering a new line, and pressing Enter while the edited portion is selected. For example, the user edits the medical record information D1 by entering a character string or sentence from the keyboard on the medical record screen P1 displayed on the examination terminal 2, and then closes the medical record screen P1 (closes the window), thereby finalizing the edited medical record information D1. Furthermore, the medical record information D1 is stored in the information storage unit 123, and the medical record information D1 is finalized when a preset time arrives or a preset time interval has elapsed.

[0058] The next medical record processing unit 114 performs a next medical record editing process (next medical record editing step) in response to an operation by a user such as a doctor, to edit the next medical record information D2 that corresponds to a patient and does not have a date specified. In other words, the next medical record information D2 edited by the next medical record processing unit 114 is data that is not associated with a date (examination date) for each "patient ID" as the patient identification information, but is associated with the medical information. Editing the next medical record information D2 performed by the next medical record processing unit 114 includes various processes that make changes to the next medical record information D2 included in the electronic medical record, such as new recording, addition, deletion, and update of the next medical record information D2.

[0059] In this embodiment, the process for editing the next medical chart information D2 is essentially the same as the process for editing the medical chart information D1. That is, user operations for editing the next medical chart information D2 are performed on the medical chart screen P1, and users who perform operations for editing the next medical chart information D2 are limited to users who have the authority to edit the electronic medical chart. Furthermore, the method for editing the next medical chart information D2 is not limited to inputting a character string, and multiple methods are available, such as using set information and automatically editing the next medical chart information D2 based on information obtained from the host system 5 or the like. Furthermore, the next medical chart processing unit 114 basically does not edit the entire next medical chart information D2 at once, but rather edits a portion of the next medical chart information D2 as the currently edited information. Furthermore, after the information being edited has been edited, the next medical record processing unit 114 stores the next medical record information D2 including the information being edited in the information storage unit 123 (the next medical record storage unit 1232) in response to the confirmation operation by the user who edited the information being edited, thereby marking the information being edited as "editing completed" and confirming the next medical record information D2.

[0060] The disease name processing unit 115 performs a disease name editing process (disease name editing step) to edit the disease name information D3 corresponding to a patient in response to a user operation such as a doctor. In other words, the disease name information D3 edited by the disease name processing unit 115 is data in which the disease name, onset date, outcome, outcome date, etc. are associated with each "patient ID" serving as the patient identification information. Editing of the disease name information D3 performed by the disease name processing unit 115 includes various processes for making changes to the disease name information D3 included in the electronic medical record, such as new recording, addition, deletion, and update of the disease name information D3. After the disease name information D3 has been edited, the disease name processing unit 115 stores the disease name information D3 in the information storage unit 123 (the disease name information storage unit 1233) in response to a confirmation operation by the user, thereby marking the disease name information D3 as "editing completed" and finalizing the disease name information D3.

[0061] Here, the disease name processing unit 115 is configured to be able to edit the disease name information D3 at least while editing the medical record information D1 and while editing the next medical record information D2. That is, in this embodiment, the disease name information D3 can be edited in response to a user operation not only while editing the medical record information D1 but also while editing the next medical record information D2.

[0062] The output processing unit 116 performs an output process (output step) that outputs various information related to the electronic medical record, such as the medical receipt Rc1. In this embodiment, the output processing unit 116 outputs the medical receipt Rc1 that reflects at least the medical record information D1 and the disease name information D3. Specifically, for example, when the examination terminal 2 displaying the medical record screen P1 accepts a print operation by a user, the output processing unit 116 causes the printer 4 to print the prescription corresponding to the medical record screen P1. However, the next medical record information D2 is undetermined information, unlike the medical record information D1, and therefore is not included in the medical receipt Rc1, prescription, etc. output by the output processing unit 116.

[0063] The form of "output" related to the output process is not limited to printing, and may include, for example, writing to memory (the storage unit 12), display, audio output, data output, transmission to another system (another device), writing to a database, and writing to a memory other than the storage unit 12. For example, the output processing unit 116 may simply generate the medical receipt information according to the medical record information and write the medical receipt information to the information storage unit 123, and it is not necessary to cause the printer 4 to print the medical receipt Rc1. Furthermore, the output processing unit 116 may output the medical receipt information to a device other than the electronic medical record system 10 (including the host system 5).

[0064] The copy processing unit 117 performs a copy process (copying step) to copy at least some of the items of the next medical chart information D2 to the medical chart information D1 while displaying the medical chart screen P1 including the medical chart information D1. The medical chart information D1 is created for each date (examination date), and the copy processing unit 117 can copy (duplicate) at least some of the items of the next medical chart information D2 to a current medical chart K1 (see FIG. 3) that indicates medical information such as currently entered medication information (current prescription) associated with the current (examination) date in the medical chart information D1. Furthermore, the copy processing unit 117 can copy at least some of the items not only of the next medical chart information D2 but also of a past medical chart K2 (see FIG. 3) that indicates medical information such as past (last or earlier) medication information from the medical chart information D1 to the current medical chart K1. The information copied to the medical record information D1 (the current medical record) is treated as the information being edited, just like the information edited by the medical record processing unit 113, and the medical record information D1 is confirmed in response to the confirmation operation by the user.

[0065] Specifically, during the copying process, for example, at least some of the items of the past medical record K2 displayed in the past medical record area A1 (see FIG. 3) on the medical record screen P1 are selected with a mouse, a touch panel, etc., and then the at least some of the items are moved by drag-and-drop or the like to the current medical record area A2 (see FIG. 3) on the medical record screen P1. At this time, the items selected in the past medical record K2 are copied to the current medical record K1. Similarly, at least some of the items of the next medical record K3 (see FIG. 7) displayed in the past medical record area A1 on the medical record screen P1 are selected with a mouse, a touch panel, etc., and then the at least some of the items are moved by drag-and-drop or the like to the current medical record area A2 on the medical record screen P1, whereby the items selected in the next medical record K3 are copied to the current medical record K1.

[0066] The setting processing unit 118 performs setting processing (setting steps) related to the operation settings of the electronic medical record system 10. The operation settings performed by the setting processing unit 118 include settings related to printing operations by the printer 4 and settings for enabling / disabling various functions of the electronic medical record system 10. In this embodiment, user operations for the operation settings are performed on an operation setting screen P3 (see FIG. 9 ) displayed on the examination terminal 2 or the like. Specifically, when the display processing unit 112 displays the operation setting screen P3 on the examination terminal 2, for example, the setting processing unit 118 performs settings related to the operation settings in response to operations performed by the user on the examination terminal 2. However, users who perform operations for the operation settings are limited to users who have the authority to set the operation settings. Therefore, even if a user who does not have the authority to set the operation settings performs an operation, the setting processing unit 118 does not perform settings related to the operation settings.

[0067] [Electronic medical record management method] An example of the electronic medical record management method executed by the control unit 11 of the electronic medical record device 1 will be described below. The control unit 11 executes various processes related to the electronic medical record management method when a specific, preset start operation for executing the electronic medical record program is performed on the examination terminal 2 or the reception terminal 3. The electronic medical record management method may be terminated in response to a specific termination operation on the examination terminal 2 or the reception terminal 3, even while the electronic medical record management method is being executed. Note that the present invention may also be considered as an invention of a method (electronic medical record management method) in which part or all of the processes of the electronic medical record management method are executed by a computer such as the electronic medical record device 1.

[0068] Here, the start operation includes connecting the examination terminal 2 or the reception terminal 3 to the electronic medical record device 1 (launching application software), logging in with input of a user ID and password, etc. On the other hand, the end operation includes an operation to close the display screen such as the medical record screen P1, logging out, and disconnecting the connection between the electronic medical record device 1 and the examination terminal 2 or the reception terminal 3, etc.

[0069] Furthermore, the control unit 11 of the electronic medical record device 1 basically executes the electronic medical record management method using a screen (such as the medical record screen P1) displayed on the display unit 24 of the examination terminal 2 or the display unit 34 of the reception terminal 3. In this disclosure, "screen" refers to a video (image) displayed on the display unit 24 or the display unit 34, and includes icons, figures, photographs, text, and videos. In addition to the medical record screen P1 shown in FIG. 3, the main screens displayed on the display unit 24 or the display unit 34 include a disease name management screen P2 (see FIG. 6), an operation setting screen P3 (see FIG. 9), and a home screen. In this embodiment, as an example, the control unit 11 of the electronic medical record device 1 is configured to be able to transition from the home screen to the medical record screen P1 or the like in response to a user operation.

[0070] That is, by the start operation, first, the home screen is displayed on the display unit 24 of the examination terminal 2 or the display unit 34 of the reception terminal 3. Then, when a specific operation is performed on the home screen with a certain patient designated, the home screen transitions to the medical record screen P1, which displays the electronic medical record for that patient. On various operation screens (including the medical record screen P1) displayed on the display unit 24 (or the display unit 34), the operation unit 25 (or the operation unit 35) accepts user operations.

[0071] In the following description, as an example, the examination terminal 2 accepts input operations on the display screen, such as the medical record screen P1, displayed on the display unit 24, using the mouse and keyboard included in the operation unit 25. That is, for example, when the medical record processing unit 113 executes the medical record editing process for editing the medical record information D1, the user performs an operation (user operation) to edit the medical record information D1 by operating the mouse and keyboard included in the operation unit 25. Similarly, the reception terminal 3 accepts input operations on the display screen, such as the medical record screen P1, displayed on the display unit 34, using the mouse and keyboard included in the operation unit 35. Note that various operation buttons on the display screen, such as the medical record screen P1, are objects included in the display screen, and the operation buttons are operated by operating the operation unit 25 (or the operation unit 35) to select the operation button. For example, the user can operate the operation button by operating the mouse included in the operation unit 25, and performing operations such as positioning the cursor over any of the operation buttons on the medical record screen P1 and clicking the button.

[0072] [Medical record screen P1] First, the medical record screen P1 displayed on the display unit 24 of the examination terminal 2 will be described with reference to FIGS.

[0073] Fig. 3 is a diagram showing an example of the medical record screen P1. As shown in Fig. 3, the medical record screen P1 includes the past medical record area A1, the current medical record area A2, a patient information area A3, a keypad area A4, a shortcut area A5, and a calendar area A6. In addition, in the drawings showing the screens displayed on the display unit 24 (or the display unit 34) such as Fig. 3, the dashed dotted lines, lead lines, and reference symbols representing areas are added for explanatory purposes only and are not actually displayed on the display unit 24 (or the display unit 34).

[0074] The past medical record area A1 is basically an area where medical information such as past (previous or previous) medication information, i.e., the past medical record K2, is displayed. The current medical record area A2 is basically an area where medical information such as currently input medication information (current prescription), i.e., the current medical record K1, is displayed. The past medical record area A1 and the current medical record area A2 are arranged side by side horizontally (left and right) on the medical record screen P1. This allows the user to view the current medical record K1 and the past medical record K2 on one screen on the medical record screen P1, and, for example, allows the user to edit the current medical record K1 with reference to the past medical record K2. In this embodiment, as an example, the past medical record area A1 is arranged on the left and the current medical record area A2 is arranged on the right, but this arrangement may be reversed, or the past medical record area A1 and the current medical record area A2 may be arranged side by side vertically (up and down).

[0075] The patient information area A3 is an area where basic information about the patient is displayed. The keypad area A4 is an area where the keypad K4 used to edit the electronic medical record (the medical record information) is displayed. The shortcut area A5 is an area where shortcut keys and the like used to edit the electronic medical record (the medical record information) are displayed. The calendar area A6 is an area where a calendar (a seven-day calendar) that displays dates and days of the week in a tabular format is displayed. In the example of FIG. 3, the calendar area A6 displays multiple calendars (three in this case) arranged horizontally (left and right).

[0076] In the electronic medical record, various medical record information is recorded as the medical information related to one consultation, classified into the items "S," "O," "A," "P," and "guidance," as in the past medical record area A1 or the current medical record area A2 of the medical record screen P1. "S" is subjective information, which is information related to symptoms, etc., that the patient feels subjectively. "O" is objective information, which is information related to the doctor's clinical findings and test findings. "A" is assessment information, which is information related to the doctor's evaluation and judgment, etc. "P" is plan information, which is information related to medication and treatment plans, etc. "Guidance" is guidance information, which is information related to patient education and guidance, etc. Note that, for convenience, the past medical record K2 is left blank in Figure 3 and other figures; however, if the items "S," "O," "A," "P," and "guidance" are entered for the past medical record K2, the entered contents will be displayed in the past medical record K2 on the medical record screen P1.

[0077] When a medical examination begins, one or more pieces of medical record information are sequentially entered into the current medical record K1 displayed in the current medical record area A2 of the medical record screen P1 in response to a user operation by a doctor or the like using the examination terminal 2. Here, if the current examination displayed in the current medical record area A2 is defined as "this time," the medical information of the past medical record K2 displayed in the past medical record area A1 is information relating to any past examination for the same patient, such as the previous one (i.e., the one before this one), the one before that (i.e., two times before this one), or an examination before that (i.e., three or more times before this one). The examination relating to which past medical record K2 is to be displayed in the past medical record area A1 can be arbitrarily selected by a user operation by a doctor or the like using the examination terminal 2.

[0078] In the electronic medical record system 10, the medical record information D1 of the electronic medical record can be edited, for example, by selecting a desired area (desired item) of the current medical record K1 displayed in the current medical record area A2 with a mouse, touch panel, etc., and then entering a character string from a keyboard, thereby entering the medical record information D1 in the electronic medical record. The medical record information D1 can also be entered by operating the keypad K4 displayed in the keypad area A4 with a mouse, numeric keypad, touch panel, etc. Furthermore, by copying at least some of the items of the past medical record K2 displayed in the past medical record area A1 to the current medical record K1 displayed in the current medical record area A2 by a copy operation, drag-and-drop operation, etc., it is possible to enter the same medical information as the past medical record K2 in the medical record information D1.

[0079] However, the past medical record K2 displayed in the past medical record area A1 cannot be edited. In other words, on the medical record screen P1, the past medical record K2 is displayed only as reference information, and the contents (medical information) of the past medical record K2 cannot be edited.

[0080] Here, since the electronic medical record is recorded for each patient, the patient's electronic medical record to be displayed is designated by a user's operation on the examination terminal 2. Specifically, when an operation to select a target patient from a patient list is performed on the examination terminal 2, the display processing unit 112 displays the medical record screen P1 corresponding to the selected patient. On the medical record screen P1, past medical information and current medical information for the selected patient are displayed in the past medical record area A1 and the current medical record area A2.

[0081] The medical record screen P1 may include, for example, a slide bar, and may be configured to enable vertical (up and down) or horizontal (left and right) scrolling by operating the slide bar. This makes it possible to present a large amount of information contained in the electronic medical record (the medical record information) to the user through the medical record screen P1.

[0082] The medical record screen P1 shown in Fig. 3 is a screen that is displayed on the display unit 24 of the examination terminal 2 before the start of a patient consultation (medical treatment). In other words, the electronic medical record for a patient who is not currently being examined is displayed as the medical record screen P1 shown in Fig. 3. On the other hand, the medical record screen P1 shown in Fig. 4 is a screen that is displayed on the display unit 24 of the examination terminal 2 after the start of a patient consultation (medical treatment). In other words, the electronic medical record for a patient who is currently being examined is displayed as the medical record screen P1 shown in Fig. 4.

[0083] The medical record screen P1 shown in Fig. 3 and the medical record screen P1 shown in Fig. 4 have the same basic configuration, but differ in the display contents of the patient information area A3 and the keypad area A4, etc. Specifically, on the medical record screen P1 before the start of the examination, as shown in Fig. 3, the keypad K4 displayed in the keypad area A4 includes a key K41 labeled "F2 Next Medical Record," which is not present on the medical record screen P1 after the start of the examination (see Fig. 4). On the other hand, on the medical record screen P1 after the start of the examination, as shown in Fig. 4, the patient information area A3 includes a button K5 labeled "Next," which is not present on the medical record screen P1 before the start of the examination (see Fig. 3).

[0084] [Editing process for next medical record K3] The electronic medical record system 10 according to this embodiment includes the next medical record processing unit 114, which executes the next medical record editing process for editing the next medical record K3 (the next medical record information D2), in the control unit 11. Therefore, the electronic medical record management method executed by the control unit 11 includes the next medical record editing process. Details of the next medical record editing process will be described below with reference to Figures 5 and 6.

[0085] In this embodiment, the next medical record processing unit 114 of the control unit 11 edits the next medical record information D2 in response to a user operation to edit the next medical record K3 displayed on the medical record screen P1 on the medical record screen P1, as shown in Fig. 5. That is, the medical record screen P1 shown in Fig. 5 is a screen that displays the next medical record K3 for editing the next medical record information D2. On the medical record screen P1, the next medical record K3 is displayed in the current medical record area A2.

[0086] In the example of Figure 5, the next medical record K3 is displayed on the medical record screen P1 so as to be superimposed on the current medical record K1. As a result, on the medical record screen P1, the past medical record K2 displayed in the past medical record area A1 and the next medical record K3 displayed in the current medical record area A2 are displayed side by side. In this state, the current medical record K1 is hidden by the next medical record K3, so editing is not possible for not only the past medical record K2 displayed in the past medical record area A1, but also the medical record information D1 constituting the current medical record K1. Instead, editing of the next medical record information D2 constituting the next medical record K3 becomes possible.

[0087] In the electronic medical record system 10, the next medical record information D2 of the electronic medical record can be edited, for example, by selecting a desired area (desired item) of the next medical record K3 displayed in the current medical record area A2 with a mouse, touch panel, etc., and then entering a character string from a keyboard. The next medical record information D2 can also be entered in the electronic medical record by operating the keypad K4 displayed in the keypad area A4 with a mouse, numeric keypad, touch panel, etc., while the next medical record K3 is displayed in the current medical record area A2. Furthermore, by copying at least some of the items of the past medical record K2 displayed in the past medical record area A1 to the next medical record K3 displayed in the current medical record area A2 by a copy operation, drag-and-drop operation, etc., the same medical information as in the past medical record K2 can be entered in the next medical record information D2.

[0088] Furthermore, the next medical record K3 displayed on the medical record screen P1 differs from the current medical record K1 and the past medical records K2 in that the header K31 and the initial / return visit label K32 are not displayed (left blank). That is, in the current medical record K1 and the past medical record K2, information such as the date (examination date) and time is displayed in the position corresponding to the header K31, but since no date (examination date) is specified for the next medical record information D2, the header K31 is left blank. Also, in the current medical record K1 and the past medical record K2, information of either "initial visit" or "return visit" is displayed in the position corresponding to the initial / return visit label K32, but since no examination will actually be performed in the next medical record information D2, the initial / return visit label K32 is left blank.

[0089] Here, the medical record information D1 is created for each date (examination date), so multiple pieces of data (information) can be created for one patient. In contrast, the next medical record information D2 is created without specifying a date (examination date), so only one piece of data (information) can be created for one patient. In other words, the electronic medical record system 10 does not allow multiple pieces of next medical record information D2 to be created for one patient.

[0090] In this embodiment, the next medical record K3 for editing the next medical record information D2 as shown in FIG. 5 can be displayed from either the medical record screen P1 (see FIG. 3) before the start of the consultation or the medical record screen P1 (see FIG. 4) after the start of the consultation. Specifically, on the medical record screen P1 before the start of the consultation, the key K41 of the keypad K4 is selected, and thereby the next medical record K3 is displayed in the current medical record area A2, as shown in FIG. 5. On the medical record screen P1 after the start of the consultation (during the consultation), the button K5 in the patient information area A3 is selected, and thereby the next medical record K3 is displayed in the current medical record area A2, as shown in FIG. 5. However, the operation for displaying the next medical record K3 is not limited to this example. For example, the next medical record K3 may be displayed by a shortcut key displayed in the shortcut area A5 or by another user operation.

[0091] Then, when the confirmation operation to confirm the next medical chart information D2 is performed, editing of the next medical chart information D2 is completed, and the next medical chart information D2 is stored in the information storage unit 123 (the next medical chart storage unit 1232), thereby confirming the next medical chart information D2. At this time, the display of the next medical chart K3 is completed on the medical chart screen P1. When the display of the next medical chart K3 is completed, the current medical chart K1 is displayed in the current medical chart area A2. The medical chart screen P1 then transitions to the state before the next medical chart K3 was displayed. That is, for example, if the next medical chart K3 is displayed from the medical chart screen P1 (see FIG. 3) before the start of the consultation, after the display of the next medical chart K3 is completed, the screen returns to the medical chart screen P1 before the start of the consultation.

[0092] Here, the next medical record processing unit 114 disables some of the functions that are enabled while editing the medical record information D1 while editing the next medical record information D2. In other words, while editing the next medical record K3, not all of the functions that are enabled while editing the current medical record K1 are available, but some functions are restricted in use. Essentially, functions that are linked to dates (examination dates), i.e., functions that require date specification, are disabled while editing the next medical record information D2, which does not require date specification. Examples of such functions include the printing function for printed materials that require the examination date, such as prescriptions. Furthermore, the test request function for outputting test requests, the dialysis record import function for importing dialysis record information, and the editing function for the patient information (height, weight, allergies, whether the patient is pregnant or not, whether the patient is breastfeeding or not, etc.) are also disabled while editing the next medical record information D2.

[0093] This makes it easy to avoid the editing operation of the next medical chart information D2 becoming complicated due to the activation of more functions than necessary during the editing of the next medical chart information D2. In other words, it is possible to reduce operational errors related to the editing of the next medical chart information D2.

[0094] Furthermore, in the electronic medical record system 10 according to this embodiment, the disease name processing unit 115 is configured to be able to edit the disease name information D3 at least during a specific period. The specific period includes the period during which the medical record information D1 is being edited, i.e., the current medical record K1 is being displayed, and the period during which the next medical record information D2 is being edited, i.e., the next medical record K3 is being displayed. Therefore, the disease name processing unit 115 can edit the disease name information D3 corresponding to a patient not only while the current medical record K1 is being displayed as shown in FIG. 3 or 4, but also while the next medical record K3 is being displayed as shown in FIG. 5.

[0095] In the electronic medical record system 10, the disease name information D3 in the electronic medical record can be edited, for example, by operating the keypad K4 displayed in the keypad area A4 with a mouse, a numeric keypad, a touch panel, or the like to enter the disease name information D3 in the electronic medical record. Alternatively, the disease name information D3 can be entered by selecting pre-registered set information with a mouse, a numeric keypad, or a touch panel. It is also possible to display the disease name management screen P2 shown in FIG. 6 on the display unit 24 of the examination terminal 2, and edit the disease name information D3 on the disease name management screen P2. Furthermore, the disease name processing unit 115 may automatically edit the disease name information D3 based on information acquired from the higher-level system 5 or another system.

[0096] 6, the disease name information D3 displayed on the disease name management screen P2 includes a first column D31 in which the insurance type is entered, a second column D32 in which a number is displayed, a third column D33 in which the disease name (injury / illness name) is entered, a fourth column D34 in which the main disease name / secondary disease name is entered, a fifth column D35 in which the start date is entered, a sixth column D36 in which the outcome date (end date) is entered, and a seventh column D37 in which the outcome is entered. The "insurance type" referred to in the present disclosure is an item that determines whether or not the disease name information D3 is reflected in the receipt Rc1, and includes "non-print" which does not reflect the disease name information D3 in the receipt Rc1, and "insurance" which reflects the disease name information D3 in the receipt Rc1.

[0097] When the disease name information D3 is edited, the disease name information D3 is displayed in the patient information area A3 of the medical record screen P1 (see FIG. 5). This allows the user to check the patient's disease name (name of illness or injury) on the medical record screen P1. Note that in the patient information area A3, only the outcome of the disease name information D3 can be edited, and the disease name (name of illness or injury) etc. cannot be edited.

[0098] Here, a difference between the disease name editing process during editing of the next medical record information D2 and the disease name editing process during editing of the medical record information D1 is that, as shown in Figure 6, the initial value of "insurance type" entered in the first column D31 is "non-printed." That is, during editing of the next medical record information D2, the initial value of "insurance type" is "non-printed." In this state, the disease name information D3 is not reflected in the medical receipt Rc1, and the disease name information D3 is not printed on the medical receipt Rc1. On the other hand, during editing of the medical record information D1, the initial value of "insurance type" is "insured." In this state, the disease name information D3 is reflected in the medical receipt Rc1, and the disease name information D3 is printed on the medical receipt Rc1.

[0099] In this way, the disease name processing unit 115 can edit the disease name information D3 in a manner that the disease name information D3 is reflected in the medical receipt Rc1 while the medical record information D1 is being edited, and in a manner that the disease name information D3 is not reflected in the medical receipt Rc1 while the next medical record information D2 is being edited. This makes it easier to avoid the disease name information D3 that is edited (written) while the next medical record information D2 is being edited, that is, when no examination has actually been performed, being erroneously reflected in the medical receipt Rc1.

[0100] Another difference between the disease name editing process during editing of the next medical record information D2 and the disease name editing process during editing of the medical record information D1 is that, as shown in FIG. 6, the initial value of the "start date" entered in the fifth column D35 is "blank." That is, during editing of the next medical record information D2, the initial value of the "start date" is "blank." In this state, the start date of the disease name information D3 is not entered. On the other hand, during editing of the medical record information D1, the initial value of the "start date" is "today." In this state, the start date of the disease name information D3 is the editing date of the medical record information D1, i.e., the consultation date. Note that the "today" date can be identified, for example, by the "system date" managed by the electronic medical record system 10. In this way, the disease name information D3 is reflected in the medical receipt Rc1, and the disease name information D3 is printed on the medical receipt Rc1.

[0101] In this way, the disease name processing unit 115 can edit the disease name information D3 in a manner in which the start date of the disease name information D3 is input while the medical record information D1 is being edited, and in a manner in which the start date of the disease name information D3 is not input while the next medical record information D2 is being edited. As a result, for the disease name information D3 that is edited (written) while the next medical record information D2 is being edited, that is, when an actual examination has not yet been performed, it is possible to write the disease name for the time being without inputting the start date.

[0102] However, while editing the next medical record information D2, the initial value of "Insurance type" is "Not printed," but it is possible for the user to change "Insurance type" from "Not printed" to "Insurance." Similarly, while editing the next medical record information D2, the initial value of "Start date" is "Blank" (not entered), but it is possible for the user to change "Start date" from "Blank" to any date.

[0103] Furthermore, if registration of the start date of the disease name information D3 is required as a condition for storing the disease name information D3 in the disease name information storage unit 1233, if the "start date" is left "blank," the disease name information D3 will not be stored in the disease name information storage unit 1233. In other words, when the disease name information D3 is entered without specifying the start date during editing of the next medical record information D2, the disease name information D3 is only stored temporarily, and only after the start date is registered will the disease name information D3 be stored in the disease name information storage unit 1233.

[0104] As described above, in this embodiment, the disease name information D3 can be edited in response to user operations not only while editing the medical record information D1, but also while editing the next medical record information D2. Furthermore, since there is no need to specify a date (examination date) when editing (creating) the next medical record information D2, the next medical record information D2 can be created even if the next examination date has not yet been determined. Furthermore, since the next medical record information D2 is managed separately from the medical record information D1, the contents registered in the next medical record information D2 can be used as memos.

[0105] When creating the next medical record information D2, the user does not need to start the reception system and register the next consultation date, so the next medical record information D2 is useful for the user to use, for example, to draft medical information during the consultation. Furthermore, the user can leave the disease name, etc. as a memo in the next medical record information D2, for example, during the consultation. Furthermore, even if the next consultation date has not yet been decided, for example, when the patient's test results are returned after the consultation, the user can leave the disease name, etc. assumed from the test results as a memo in the next medical record information D2.

[0106] [Next medical record K3 call processing] The process of calling up the created next medical record K3 (the next medical record information D2) will be described in detail below with reference to Figures 7 and 8. Figure 8, which will be referred to below, is an enlarged view of only a portion of the past medical record area A1 and the current medical record area A2 of the medical record screen P1 exemplified in Figure 7.

[0107] In this embodiment, the display processing unit 112 of the control unit 11 can visualize the created (edited) next medical chart information D2 by displaying the created (edited) next medical chart information D2 on the medical chart screen P1. That is, by reading the next medical chart information D2 from the next medical chart storage unit 1232 of the information storage unit 123, the next medical chart K3 can be called and displayed on the medical chart screen P1. This allows a user, such as a doctor or medical clerk, to check the next medical chart information D2 (the next medical chart K3) on the medical chart screen P1 displayed on the examination terminal 2 or the reception terminal 3.

[0108] The next medical record K3 for confirming the next medical record information D2 as shown in Fig. 7 can be displayed from either the medical record screen P1 (see Fig. 3) before the start of the consultation or the medical record screen P1 (see Fig. 4) after the start of the consultation. Specifically, on either medical record screen P1, the past medical record K2 displayed in the past medical record area A1 is switched by operating the cursor key K21 located below the past medical record area A1. Here, operating the right-pointing cursor key K21 switches to the chronologically newer past medical record K2, but if the next medical record information D2 has been created, the next medical record K3 is displayed next to the latest (i.e., previous) past medical record K2.

[0109] That is, in the example of Figure 7, the next medical record K3 is displayed on the medical record screen P1 so as to be superimposed on the past medical record K2. As a result, on the medical record screen P1, the next medical record K3 displayed in the past medical record area A1 and the current medical record K1 displayed in the current medical record area A2 are displayed side by side. In this state, the past medical record K2 is hidden by the next medical record K3, but editing of the past medical record K2 displayed in the past medical record area A1 is not possible in the first place. Furthermore, the next medical record information D2 constituting the next medical record K3 cannot be edited either.

[0110] In this way, the next medical record K3 can be called and displayed on the medical record screen P1 by reading out the next medical record information D2 from the next medical record storage unit 1232 of the information storage unit 123. This allows the user to check the next medical record information D2 on the medical record screen P1.

[0111] Moreover, in this embodiment, the copy processing unit 117 of the control unit 11 can execute the copy process (copy step) of copying at least some items of the next medical chart information D2 to the medical chart information D1 while the medical chart screen P1 including the medical chart information D1 is being displayed. Specifically, as shown in Fig. 8, while the medical chart screen P1 is being displayed, at least some items of the next medical chart K3 displayed in the past medical chart area A1 are copied to the current medical chart K1 displayed in the current medical chart area A2 by a copy operation, a drag-and-drop operation, or the like, so that the same medical information as the next medical chart K3 is entered in the medical chart information D1.

[0112] Therefore, the medical information created in advance by editing the next medical record information D2 can be reflected in the medical record information D1 at the time of the next actual examination, thereby reducing the user's effort in editing the medical record information D1 at the time of the examination.

[0113] Furthermore, the copy processing unit 117 can select between a full copy, in which all items in the next medical chart information D2 are copied to the medical chart information D1, and a partial copy, in which only some items in the next medical chart information D2 are copied to the medical chart information D1. This further reduces the user's effort in editing the medical chart information D1 during consultations. The copy processing unit 117 can also copy the medical information from the past medical chart K2 to the current medical chart K1, but cannot copy the left-side area ("S," "O," "A," "P," and "Guidance") from the past medical chart K2. In contrast, the copy processing unit 117 can also copy the left-side area ("S," "O," "A," "P," and "Guidance") when copying from the next medical chart K3 to the current medical chart K1.

[0114] Here, it is preferable that, on the medical record screen P1, the display mode of the items in the next medical record K3 (the next medical record information D2) that have been copied to the current medical record K1 (the medical record information D1) be changed from that of the items that have not been copied. As an example, as shown in FIG. 8, the copied items in the next medical record K3 are displayed as inactive by being grayed out. This makes it easier for the user to understand whether the next medical record information D2 has been reflected in the medical record information D1.

[0115] Furthermore, the copy processing unit 117 may delete from the next medical chart information D2 any items that have been copied to the medical chart information D1. That is, in the example of Figure 8, the copied items in the next medical chart K3 are simply grayed out, but these items may be automatically deleted from the next medical chart K3 (the next medical chart information D2). This makes it easier for the user to avoid duplicate copying of the same items from the next medical chart information D2 to the medical chart information D1.

[0116] [Operation Settings] The function of the electronic medical chart system 10 relating to the next medical chart information D2 can be switched between enabled and disabled by the setting process relating to the operation setting performed by the setting processing unit 118 of the control unit 11.

[0117] Specifically, the user operation for the operation setting is performed on the operation setting screen P3 displayed on the examination terminal 2 or the reception terminal 3, as shown in Fig. 9. In the example of Fig. 9, the operation setting screen P3 includes a first setting item C1 and a second setting item C2.

[0118] The first setting item C1 is an item for enabling / disabling a function for deleting items from the next medical chart information D2 that have been copied to the medical chart information D1 from the next medical chart information D2. That is, by alternatively selecting "No" or "Yes" for "Delete next medical chart contents after copying" in the first setting item C1, the function can be enabled / disabled. As shown in FIG. 9, when "Yes" is selected in the first setting item C1, the function is enabled, and items from the next medical chart information D2 that have been copied to the medical chart information D1 are deleted from the next medical chart information D2. On the other hand, when "No" is selected in the first setting item C1, the function is disabled, and items from the next medical chart information D2 that have been copied to the medical chart information D1 are not deleted from the next medical chart information D2.

[0119] The second setting item C2 is an item for enabling / disabling a function for setting the initial value of the start date of the disease name information D3 to blank (not entered) during the disease name editing process while editing the next medical record information D2. That is, the function can be enabled / disabled by alternatively selecting "blank" or "registration date" for the "start date at disease name registration" in the second setting item C2. As shown in FIG. 9 , when "blank" is selected in the second setting item C2, the function is enabled, and the initial value of the start date of the disease name information D3 is set to "blank" during the disease name editing process while editing the next medical record information D2. On the other hand, when "registration date" is selected in the second setting item C2, the function is disabled, and the initial value of the start date of the disease name information D3 is set to "registration date" (the system date) during the disease name editing process while editing the next medical record information D2.

[0120] Furthermore, the setting processing unit 118 may be able to set whether or not the next medical chart information D2 has been created on the consultation list screen on which a list of patients is displayed, to be enabled or disabled. If this function is enabled, it becomes possible to check on the consultation list screen whether or not the next medical chart information D2 has been created for each patient.

[0121] Furthermore, the settings related to the operation settings are made for each medical institution, not for each patient. Therefore, for example, if the function "delete the next medical record contents after copying" is enabled at the medical institution, the function "delete the next medical record contents after copying" is enabled for the electronic medical records of all patients at that medical institution.

[0122] [flowchart] With reference to FIG. 10, an example of the procedure of the processing of the control unit 11 relating to editing of the medical record information D1, the next medical record information D2, and the disease name information D3 in the electronic medical record management method will be described.

[0123] <Step S1> In step S1, the control unit 11 determines whether or not there is a request to display the medical chart screen P1. When a user performs an operation to switch the home screen to the medical chart screen P1, the control unit 11 determines that there is a request to display the medical chart screen P1 (S1: Yes), and proceeds to step S2. On the other hand, when a user does not perform an operation to switch the home screen to the medical chart screen P1, the control unit 11 determines that there is no request to display the medical chart screen P1 (S1: No), and repeats step S1.

[0124] <Step S2> In step S2, the display processing unit 112 of the control unit 11 displays the medical record screen P1 on, for example, the display unit 24 of the examination terminal 2. At this time, the display processing unit 112 displays the current medical record K1 based on the medical record information D1 in the current medical record area A2 of the medical record screen P1. Thereafter, the control unit 11 proceeds to step S3.

[0125] <Step S3> In step S3, the control unit 11 determines whether or not there is a request to display the next medical record K3. When a user operation to display the next medical record K3 is performed, such as selecting the key K41 of the keypad K4 on the medical record screen P1 or the button K5 in the patient information area A3, the control unit 11 determines that there is a request to display the next medical record K3 (S3: Yes), and proceeds to step S6. On the other hand, if there is no user operation to display the next medical record K3 on the medical record screen P1, the control unit 11 determines that there is no request to display the next medical record K3 (S3: No), and proceeds to step S4.

[0126] <Step S4> In step S4, the control unit 11 determines whether or not an editing operation has been performed on the current medical record K1 displayed in the current medical record area A2. When a user operation is performed on the medical record screen P1 to edit the current medical record K1 itself or to edit the disease name information, the control unit 11 determines that the editing operation has been performed (S4: Yes) and proceeds to step S5. On the other hand, when a user operation is not performed on the medical record screen P1 to edit the current medical record K1 itself or to edit the disease name information, the control unit 11 determines that the editing operation has not been performed (S4: No) and returns the process to step S3.

[0127] <Step S5> In step S5, the medical record processing unit 113 of the control unit 11 edits the medical record information D1 constituting the current medical record K1, or the disease name processing unit 115 of the control unit 11 edits the disease name information D3. Thereafter, the control unit 11 returns the process to step S3.

[0128] <Step S6> In step S6, the display processing unit 112 of the control unit 11 displays the next medical record K3 based on the next medical record information D2 in the current medical record area A2 of the medical record screen P1. Thereafter, the control unit 11 shifts the process to step S7.

[0129] <Step S7> In step S7, the control unit 11 determines whether or not an editing operation has been performed on the next medical record K3 displayed in the current medical record area A2. When a user operation is performed on the medical record screen P1 to edit the next medical record K3 itself or to edit the disease name information, the control unit 11 determines that the editing operation has been performed (S7: Yes) and proceeds to step S8. On the other hand, when a user operation is not performed on the medical record screen P1 to edit the next medical record K3 itself or to edit the disease name information, the control unit 11 determines that the editing operation has not been performed (S7: No) and proceeds to step S9.

[0130] <Step S8> In step S8, the next medical record processing unit 114 of the control unit 11 edits the next medical record information D2 constituting the next medical record K3, or the disease name processing unit 115 of the control unit 11 edits the disease name information D3. Thereafter, the control unit 11 shifts the process to step S9.

[0131] <Step S9> In step S9, the control unit 11 determines whether or not there is a request to end the display of the medical chart screen P1. When a user operation to close the medical chart screen P1 is performed, the control unit 11 determines that there is a request to end the display of the medical chart screen P1 (S9: Yes) and ends the series of processes. On the other hand, if a user operation to close the medical chart screen P1 is not performed, the control unit 11 determines that there is no request to end the display of the medical chart screen P1 (S9: No) and returns the process to step S3.

[0132] It should be noted that the above flowchart is merely an example, and processes may be added or omitted as appropriate, and the order of processes may be changed as appropriate.

[0133] [Other features] As another function, for example, the search conditions for searching for a patient on the patient search screen may include whether or not the next medical record information D2 has already been created. Specifically, a "Next Medical Record" check box is provided on the patient search screen, and when the check box is checked, patients for whom the next medical record information D2 has already been created are searched for.

[0134] The electronic medical record system 10 may also be capable of creating multiple pieces of next medical record information D2 for one patient. In this case, the multiple pieces of next medical record information D2 associated with the same patient are distinguished by, for example, serial numbers. Furthermore, the number of pieces of next medical record information D2 that can be created associated with one patient may be set by the operation setting.

[0135] Furthermore, the electronic medical record system 10 can create a "preliminary medical record" in addition to the next medical record K3 (the next medical record information D2). The preliminary medical record differs from the next medical record K3 in that a future date is specified as the consultation date (reception date). Therefore, the user can, for example, create the preliminary medical record by specifying the next consultation date when the next consultation date has been decided, and create the next medical record K3 when the next consultation date has not been decided.

[0136] Furthermore, when the current medical record K1 is displayed on the medical record screen P1 but the next medical record K3 is not, for example, if the key K41 on the keypad K4 is selected, the copy processing unit 117 may copy the next medical record information D2 to the medical record information D1. As a result, the contents of the next medical record K3 are reflected in the current medical record K1 displayed in the current medical record area A2.

[0137] Furthermore, for example, when a patient associated with the created next medical chart information D2 is selected on the consultation list screen or the like, the next medical chart K3 based on the next medical chart information D2 may be displayed in the current medical chart area A2 when the medical chart screen P1 for that patient is displayed, triggered by the selection. Alternatively, in this case, the current medical chart K1 may be displayed in the current medical chart area A2, while the copy processing unit 117 copies the next medical chart information D2 to the medical chart information D1. As a result, the contents of the next medical chart K3 are reflected in the current medical chart K1 displayed in the current medical chart area A2.

[0138] [Variations] The plurality of components included in the electronic medical record system 10 may be distributed across a plurality of housings. Conversely, the plurality of components (such as the control unit 11 and the display unit 24) distributed across a plurality of housings in the above embodiment may be integrated into a single housing.

[0139] Furthermore, it is not essential that the display screen such as the medical record screen P1 be displayed on the display unit 24 of the examination terminal 2 or the display unit 34 of the reception terminal 3, and for example, the medical record screen P1 may be displayed on the display unit 14 of the electronic medical record device 1. Furthermore, the display screen such as the medical record screen P1 is not limited to the display unit 24 such as a liquid crystal display or an organic EL display, and may be projected and displayed by a display device such as a projector.

[0140] Furthermore, the settings relating to the operation settings are not limited to being made for each medical institution, but may be made for each patient, each medical department, each attending physician, each attending pharmacist, or the like.

[0141] Furthermore, it is not essential that the disease name processing unit 115 edits the disease name information D3 in a manner that the disease name information D3 is reflected in the medical receipt Rc1 while editing the medical record information D1, and in a manner that the disease name information D3 is not reflected in the medical receipt Rc1 while editing the next medical record information D2. For example, the disease name processing unit 115 may edit the disease name information D3 in a common manner that the disease name information D3 is reflected (or not reflected) in the medical receipt Rc1 regardless of whether the medical record information D1 or the next medical record information D2 is being edited.

[0142] Furthermore, it is not essential that the disease name processing unit 115 edits the disease name information D3 in a manner in which the start date of the disease name information D3 is input while editing the medical record information D1, and in a manner in which the start date of the disease name information D3 is not input while editing the next medical record information D2. For example, the disease name processing unit 115 may edit the disease name information D3 in a common manner in which the start date is input (or not input) regardless of whether the medical record information D1 or the next medical record information D2 is being edited.

[0143] Furthermore, the copy processing unit 117 that copies at least some of the items of the next medical chart information D2 to the medical chart information D1 while the medical chart screen P1 including the medical chart information D1 is being displayed is not an essential component and may be omitted as appropriate. Also, the copy processing unit 117 does not necessarily have a function of deleting from the next medical chart information D2 the items of the next medical chart information D2 that have been copied to the medical chart information D1.

[0144] Furthermore, it is not essential that the next medical chart processing unit 114 disables some of the functions that are enabled during editing of the medical chart information D1 during editing of the next medical chart information D2. In other words, all of the functions that are enabled during editing of the medical chart information D1 may be enabled during editing of the next medical chart information D2.

[0145] Furthermore, in the next medical record editing process, it is not essential that the next medical record K3 be displayed in the current medical record area A2 so as to be superimposed on the current medical record K1; for example, the next medical record K3 may be displayed in the past medical record area A1. Alternatively, the next medical record K3 may be displayed independently in a window separate from the medical record screen P1, such as by a pop-up display. The display mode of the next medical record K3 (including its display position on the medical record screen P1) may be set by the operation settings.

[0146] Furthermore, the display mode of the next medical record K3 may differ depending on whether the next medical record K3 is displayed from the medical record screen P1 (see FIG. 3) before the start of the examination or the medical record screen P1 (see FIG. 4) after the start of the examination. As an example, when the next medical record K3 is displayed from the medical record screen P1 before the start of the examination, the next medical record K3 may be displayed in the current medical record area A2, and when the next medical record K3 is displayed from the medical record screen P1 after the start of the examination, the next medical record K3 may be displayed alone.

[0147] Furthermore, if the receipt Rc1 can be output in either print or display mode, the disease name information D3 may not be reflected in the receipt Rc1 that is output in either mode. In other words, the disease name information D3 edited while editing the next medical record information D2 may not be reflected in the printing of the receipt Rc1, but may be reflected in the display of the receipt Rc1. Of course, the disease name information D3 edited while editing the next medical record information D2 does not have to be reflected in both the printing and display of the receipt Rc1.

[0148] [Appendix to the invention] The following is a summary of the invention extracted from the above-described embodiment. Note that the configurations and processing functions described in the following supplementary notes can be selected and combined as desired.

[0149] <Appendix 1> a medical record processing unit that edits medical record information corresponding to a patient and specifying a date in response to a user's operation; a next medical record processing unit that edits next medical record information corresponding to a patient and for which a date is not specified in response to a user operation; and a disease name processing unit that edits disease name information corresponding to a patient in response to a user's operation at least during editing of the medical record information and during editing of the next medical record information. Electronic medical record system.

[0150] <Appendix 2> The disease name processing unit is capable of editing the disease name information in a manner that the disease name information is reflected in a medical receipt while the medical record information is being edited, and in a manner that the disease name information is not reflected in the medical receipt while the next medical record information is being edited. 1. An electronic medical record system as described in Appendix 1.

[0151] <Appendix 3> the disease name processing unit is capable of editing the disease name information in a manner in which a start date of the disease name information is input during editing of the medical record information, and in a manner in which the start date of the disease name information is not input during editing of the next medical record information, 10. An electronic medical record system as described in appendix 1 or 2.

[0152] <Appendix 4> a copy processing unit that copies at least some items of the next medical record information to the medical record information while a medical record screen including the medical record information is being displayed; An electronic medical record system according to any one of appendices 1 to 3.

[0153] <Appendix 5> The copying processing unit deletes from the next medical record information the items copied to the next medical record information. 1. An electronic medical record system as described in Appendix 4.

[0154] <Appendix 6> the next medical record processing unit disables some of the functions that are enabled during editing of the next medical record information, during editing of the next medical record information; An electronic medical record system according to any one of appendices 1 to 5.

Claims

1. a medical record processing unit that edits medical record information corresponding to a patient and specifying a date in response to a user operation; a next medical record processing unit that edits next medical record information corresponding to a patient and not specifying a date in response to a user operation; and a disease name processing unit that edits disease name information corresponding to a patient in response to a user's operation at least during editing of the medical record information and during editing of the next medical record information. Electronic medical record system.

2. The disease name processing unit is capable of editing the disease name information in a manner in which the disease name information is reflected in a medical receipt during editing of the medical record information, and in a manner in which the disease name information is not reflected in the medical receipt during editing of the next medical record information, The electronic medical record system according to claim 1 .

3. the disease name processing unit is capable of editing the disease name information in a manner in which a start date of the disease name information is input during editing of the medical record information, and in a manner in which the start date of the disease name information is not input during editing of the next medical record information, 3. An electronic medical record system according to claim 1 or 2.

4. a copy processing unit that copies at least a part of items of the next medical chart information to the medical chart information while a medical chart screen including the medical chart information is being displayed; 3. An electronic medical record system according to claim 1 or 2.

5. The copy processing unit deletes from the next medical chart information the items copied to the next medical chart information. The electronic medical record system according to claim 4.

6. The next medical record processing unit disables some of the functions that are enabled during editing of the medical record information during editing of the next medical record information.

3. An electronic medical record system according to claim 1 or 2.

7. In response to an operation in which a patient for whom the next medical record information has been created is selected in the examination list, the medical record screen is displayed, the medical record screen including the medical record information in which at least some items of the next medical record information have been copied. The electronic medical record system according to claim 4.

8. The condition for the disease name information to be reflected in the prescription during the editing of the next medical record information includes inputting a start date of the disease name information. The electronic medical record system according to claim 2.

9. a medical record processing unit that edits medical record information corresponding to a patient in response to a user operation; a next medical record processing unit that edits next medical record information corresponding to a patient in response to a user operation; a disease name processing unit that edits disease name information corresponding to a patient in response to a user's operation at least during editing of the medical record information and during editing of the next medical record information; The disease name processing unit is capable of editing the disease name information in a manner in which the disease name information is reflected in a medical receipt during editing of the medical record information, and in a manner in which the disease name information is not reflected in the medical receipt during editing of the next medical record information, Electronic medical record system.

10. a chart editing step of editing chart information corresponding to a patient and specifying a date in response to a user operation; a next chart editing step for editing next chart information corresponding to the patient and not specifying a date in response to a user operation; a disease name editing step of editing disease name information corresponding to a patient in response to a user's operation at least during editing of the medical record information and during editing of the next medical record information; An electronic medical record program for running the above on a computer.

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