JP2020030465A - Medical care support device, medical care support method and medical care support program - Google Patents

Abstract

To reduce a burden on medical workers of medically understanding answers from a patient written on an interview sheet.SOLUTION: A medical care support system S of one embodiment comprises a medical care support device 1, a medical care terminal 2, a reader 3, a patient terminal 4, and a printer 5. The medical care support device 1 comprises: a medical data storage unit 121 to store rules for converting answers from a patient written on an interview sheet into a medical term; an answer acquisition unit 111 to acquire answers on the basis of images obtained by reading the interview sheet and/or on the basis of information received from a terminal displaying the interview sheet; a medical information generation unit 112 to generate one medical term by combining and converting the multiple answers acquired by the answer acquisition unit 111 into the medical term according to the rules; and a display control unit 113 to cause the medical term generated by the medical information generation unit 112 to be displayed on a display unit.SELECTED DRAWING: Figure 3

Description

  The present invention relates to a medical care support apparatus, a medical care support method, and a medical care support program that support medical care of a patient.

  2. Description of the Related Art A system is known in which characters or symbols are input on a screen, or paper is read using a scanner, thereby acquiring image data or input signals indicating contents written by a human (for example, see Patent Document 1). ). In such a system, the content written on the screen or paper is stored in a storage device or displayed on a display device, so that subsequent processing can be performed smoothly.

JP 2012-9000 A

  When a patient (medical examinee) receives medical treatment at a hospital, he or she fills in a paper questionnaire (also referred to as a questionnaire) or a questionnaire displayed on the screen with his / her symptoms and the like. There is often a discrepancy between the words used by patients and the medical terms used by medical personnel such as doctors and nurses. Therefore, even if the response of the patient entered in the questionnaire on paper or on the screen is obtained, the medical staff is burdened with medically understanding the response of the patient.

  The present invention has been made in view of the above points, and has a medical care support apparatus, a medical care support method, and a medical care support system capable of reducing the burden for medical staff to medically understand a patient's answer entered in an inquiry sheet. The purpose is to provide the program.

  The medical care support device according to the first aspect of the present invention is obtained by reading a storage unit that stores rules for converting a patient's answer written in a medical questionnaire into medical terms, and reading the medical questionnaire. Based on at least one of the image and the information received from the terminal displaying the questionnaire, an acquiring unit that acquires the answer, and combining the plurality of answers acquired by the acquiring unit according to the rule. It has a generation unit that generates one medical term by converting it into a medical term, and a display control unit that causes the display unit to display the medical term generated by the generation unit.

  The generating unit generates one medical term by converting each of the plurality of answers obtained by the obtaining unit into the medical term, and combining the plurality of medical terms obtained by the conversion. You may.

  The generation unit may determine presence / absence, priority, or order of a plurality of the medical terms based on time information indicated by the plurality of answers.

  The generation unit determines whether to combine a plurality of the answers based on time information indicated by the plurality of the answers, and combines a plurality of the answers when it is determined to combine a plurality of the answers, to form one of the answers. Medical terms may be generated.

  The generation unit may generate a medical treatment candidate associated with the medical term in addition to the medical term.

  The display control unit may arrange the medical terms generated by the generation unit based on a template associated with the medical terms generated by the generation unit and display the medical terms on the display unit.

  The medical treatment support device, a receiving unit that receives an input of medical treatment content for the patient from a terminal having the display unit, based on the medical treatment content received by the receiving unit, the patient uses the next time the medical treatment And an output unit that outputs information to be output.

  The output unit may output the information indicating at least one of an examination name and a confirmation item associated with the medical treatment content received by the reception unit.

  The medical assistance method according to the second aspect of the present invention, wherein the processor is based on at least one of an image obtained by reading the medical questionnaire and information received from a terminal displaying the medical questionnaire, Obtaining the patient's answer written in the questionnaire, and obtaining the plurality of answers obtained by the obtaining step according to the rules obtained from the storage unit that stores rules for converting the answers into medical terms Generating one medical term by combining and converting the medical term into a medical term, and displaying the medical term generated by the generating step on a display unit are executed.

  The medical treatment support program according to a third aspect of the present invention is a computer-readable storage medium storing at least one of an image obtained by reading an inquiry sheet and information received from a terminal displaying the inquiry sheet. Obtaining the patient's answer written in the questionnaire, and obtaining the plurality of answers obtained by the obtaining step according to the rules obtained from the storage unit that stores rules for converting the answers into medical terms Generating one medical term by combining and converting it into the medical term, and displaying the medical term generated by the generating step on a display unit.

  ADVANTAGE OF THE INVENTION According to this invention, there exists an effect that the burden on medical staff to medically understand the patient's answer entered in the questionnaire can be reduced.

It is a mimetic diagram of a medical treatment support system concerning an embodiment. It is a mimetic diagram of a medical treatment support method which a medical treatment support system concerning an embodiment performs. It is a block diagram of the medical treatment support system concerning an embodiment. It is a front view of an example medical questionnaire. It is a schematic diagram which shows the method by which the medical information generation part generates medical information. It is a front view of the display part of the medical treatment terminal which displays medical information. FIG. 9 is a front view of an example of a medical questionnaire for the next medical treatment and a display unit displaying the medical questionnaire. It is a figure showing the flow chart of the medical treatment support method concerning an embodiment.

[Overview of Medical Support System S]
FIG. 1 is a schematic diagram of a medical care support system S according to the present embodiment. The medical care support system S includes a medical care support device 1, a medical care terminal 2, a reading device 3, a patient terminal 4, and a printing device 5. The medical care support system S may include other devices such as a server and a terminal.

  The medical care support apparatus 1 is a computer that acquires a patient's answer to an inquiry form 31 (question form) at the time of medical treatment of a patient, and provides information based on the answer to the medical care terminal 2. Further, the medical treatment support device 1 stores the medical treatment contents for the patient and outputs information for the next medical treatment based on the medical treatment contents. The questionnaire 31 includes a question to the patient and an answer column for the patient to enter an answer to the question. The questionnaire 31 may be printed paper or may be displayed electronically on the patient terminal 4.

  The medical care terminal 2 is a computer that displays information for medical personnel such as doctors and nurses and receives input from the medical personnel. The medical care terminal 2 is, for example, a personal computer having a display unit 21 and an operation unit 22. The display unit 21 includes a display device such as a liquid crystal display. The operation unit 22 includes operation devices such as a keyboard and a mouse. The medical care terminal 2 receives information for display from the medical care support apparatus 1 via a network N such as the Internet or a local area network, and transmits an input by a medical worker to the medical care support apparatus 1.

  The reading device 3 is a scanner that reads the surface of the paper questionnaire 31 as an image. The reading device 3 includes an imaging device such as a CCD (Charge Coupled Device) and a CMOS (Complementary Metal Oxide Semiconductor) that can read the surface of paper and output image data. The reading device 3 transmits the image of the questionnaire 31 to the medical care support device 1 via the network N.

  The patient terminal 4 is a computer that receives input from a patient. The patient terminal 4 is, for example, a tablet terminal or a personal computer having a display unit 41. The display unit 41 includes a display device such as a liquid crystal display. The display unit 41 is configured using a touch screen that can detect the position of a contact by a patient, and also functions as an operation unit. The patient terminal 4 displays the contents of the questionnaire 31 and accepts entry of an answer to the questionnaire 31. The patient terminal 4 receives information for display from the medical treatment support apparatus 1 via the network N, and transmits a reply written by the patient to the medical care support apparatus 1.

  The medical care support system S has at least one of the reading device 3 and the patient terminal 4. When the medical care support system S has the reading device 3, the medical care support system S accepts the patient's answer by the paper questionnaire 31. When the medical support system S has the patient terminal 4, the medical support system S accepts a patient's answer through the patient terminal 4 displaying the contents of the questionnaire 31.

  The printing device 5 is a printer that prints information received from the medical assistance device 1 on paper. The printing device 5 receives information for printing from the medical care support device 1 via the network N.

  FIG. 2 is a schematic diagram of a medical care support method executed by the medical care support system S according to the present embodiment. First, the patient writes an answer to the question of the questionnaire 31 on the paper questionnaire 31 or the patient terminal 4 displaying the contents of the questionnaire 31 (a).

  When the patient's answer is received by the paper questionnaire 31, the medical worker or the patient causes the reading device 3 to read the questionnaire 31. The reading device 3 transmits the image of the questionnaire 31 to the medical care support device 1. The medical assistance device 1 acquires a patient's answer based on the image received from the reading device 3.

  When the patient's response is received by the patient's terminal 4, the patient's terminal 4 transmits information indicating the patient's response to the medical assistance device 1. The medical care support apparatus 1 acquires a patient's answer based on the information received from the patient terminal 4.

  The medical care support apparatus 1 generates medical information by converting the patient's answer into medical terms (b). The medical information includes a medical term obtained by converting one or more answers by a patient according to a predetermined rule, and one or more medical treatment content candidates (for example, drug prescriptions) associated with the medical term as a title. Or conducting an inspection). Medical terms are represented by single words or phrases that combine words.

  For example, when the patient's response indicates that "there is a fever for three days" and "the head hurts for three days", the medical assistance device 1 specifies the medical term "headache with fever X 3 days". . Then, the medical care support apparatus 1 determines medical care content candidates based on the specified medical terms.

  Although there is often a discrepancy between the words used by the patient and the medical terms, it is not practical to have the patient write the correct medical terms on the questionnaire. Therefore, it takes time for the medical staff to medically understand the patient's answer entered in the questionnaire. The medical care support system S according to the present embodiment converts the patient's answer into medical terms and presents it to the medical staff, thereby reducing the burden on the medical staff for medically understanding the patient's answer, Speed up.

  The medical care support apparatus 1 transmits the generated medical information to the medical care terminal 2. Then, the medical care terminal 2 displays the medical information received from the medical care support device 1 (c).

  The medical care terminal 2 receives an input of the medical treatment performed on the patient (for example, what medicine was prescribed or what test was performed) from the medical staff. The medical worker inputs the contents of the medical treatment performed on the patient to the medical care terminal 2 (d). The medical care terminal 2 transmits the input medical care content to the medical care support apparatus 1. The medical care support apparatus 1 stores the medical care content received from the medical care terminal 2.

  The medical treatment support apparatus 1 generates next medical treatment information indicating information used when the patient receives next medical treatment based on the medical treatment contents received from the medical treatment terminal 2 (e). The next medical treatment information is generated by, for example, a test that needs to explain the next result in the contents of this medical treatment, a test that should be performed, but this time, the name of the test that was deferred and the medicine prescribed in this medical treatment And confirmation items indicating the side effects to be obtained. In addition, the confirmation items are stored in a database as pairs of medical terms and words that the patient can understand, and the medical care support apparatus 1 presents the confirmation items in medical terms to the medical staff, and provides the patient with the understanding of the patient. The confirmation items may be expressed in words that can be used.

  Then, the medical care support apparatus 1 outputs the generated next medical care information to the printing device 5 or the medical care terminal 2 (f). The printing device 5 prints the next medical treatment information received from the medical treatment support device 1 on paper. The medical care terminal 2 displays the next medical care information received from the medical care support apparatus 1.

  When the patient comes to the hospital next time, the medical staff consults the patient with reference to the next medical information printed on paper or displayed on the medical care terminal 2. Further, the medical treatment support apparatus 1 may prompt the patient to input next medical treatment information printed on paper or displayed on the medical treatment terminal 2 at the next visit of the patient. Thereby, the medical treatment support system S can promptly start the next medical treatment by the medical staff, and it is possible to prevent the omission of confirmation such as the status of the examination and side effects of the medicine.

[Configuration of the medical care support system S]
FIG. 3 is a block diagram of the medical care support system S according to the present embodiment. In FIG. 3, arrows indicate main data flows, and there may be data flows other than those shown in FIG. In FIG. 3, each block shows a configuration of a functional unit, not a configuration of a hardware (device) unit. Thus, the blocks shown in FIG. 3 may be implemented in a single device, or may be separately implemented in a plurality of devices. The transfer of data between blocks may be performed via any means such as a data bus, a network, a portable storage medium, and the like.

  The medical assistance device 1 includes a control unit 11 and a storage unit 12. The control unit 11 includes an answer acquisition unit 111, a medical information generation unit 112, a display control unit 113, an input reception unit 114, and a next medical information output unit 115. The storage unit 12 includes a medical data storage unit 121 and a medical treatment content storage unit 122.

  The storage unit 12 is a storage medium including a ROM (Read Only Memory), a RAM (Random Access Memory), a hard disk drive, and the like. The storage unit 12 stores a program to be executed by the control unit 11 in advance. Each of the medical data storage unit 121 and the medical treatment content storage unit 122 may be a storage area on the storage unit 12 or a database configured on the storage unit 12.

  The medical data storage unit 121 includes medical data including information indicating a rule for converting a patient's response into medical terms, and information for determining medical treatment content candidates such as cases, textbooks and academic books, and information for the next medical treatment. Is stored in advance. The medical treatment content storage unit 122 stores the medical treatment performed on the patient in association with the patient identification information (for example, the patient ID).

  The control unit 11 is a processor such as a CPU (Central Processing Unit), for example, and executes a program stored in the storage unit 12 to obtain an answer acquisition unit 111, a medical information generation unit 112, a display control unit 113, and an input reception. It functions as the section 114 and the next medical information output section 115. At least a part of the function of the control unit 11 may be executed by an electric circuit. Further, at least a part of the function of the control unit 11 may be executed by a program executed via a network.

  The medical care support system S according to the present embodiment is not limited to the specific configuration illustrated in FIG. For example, the medical treatment support device 1 and the medical treatment terminal 2 may be integrated and configured as one device.

[Explanation of medical treatment support method]
The medical care support method executed by the medical care support system S will be described below. First, the patient writes an answer to the question of the questionnaire 31 on the paper questionnaire 31 or the patient terminal 4 displaying the contents of the questionnaire 31.

  FIG. 4 is a front view of an exemplary questionnaire 31. The questionnaire 31 represents an answer area 311. The questionnaire 31 may include a plurality of papers each representing a different answer area 311. The answer area 311 includes one or more questions 312 and one or more answer fields 313 for the patient to enter an answer. The answer area 311 may include one answer column 313 for one question 312, or may include a plurality of answer columns 313. The answer area 311 is not limited to the patient, and may include a column for a medical professional to enter information.

  The question 312 is a character string representing a question for the patient. The answer column 313 is a column for the patient to enter an answer to the question 312. The answer field 313 may be a selection field such as a check box for the patient to select the answer content, or may be a free entry field in which the patient enters characters representing the answer content. The medical questionnaire 31 shown in FIG. 4 is one example, and may have another layout or may include other information. The medical questionnaire 31 may describe, in the vicinity of the question 312 and the answer column 313, medical terms interpreted by a doctor corresponding to the question 312 and the answer column 313.

  The reading device 3 reads the questionnaire 31 answered by the patient, and transmits an image of the questionnaire 31 to the medical care support device 1. In the medical assistance apparatus 1, the response acquisition unit 111 acquires the patient's response entered in the response column 313 based on the image of the questionnaire 31 received from the reading device 3. The answer obtaining unit 111 uses, for example, a known OCR technique to obtain an answer from the 31 images of the medical questionnaire.

  When the patient terminal 4 accepts the entry of the patient's answer, the patient terminal 4 displays the contents of the questionnaire 31 shown in FIG. Accept. The patient terminal 4 transmits, to the medical care support apparatus 1, information indicating an answer entered by the patient with respect to the questionnaire 31 displayed on the display unit 41. In the medical assistance apparatus 1, the response acquisition unit 111 acquires a patient's response based on the information received from the patient terminal 4.

  Next, the medical information generation unit 112 generates medical information by converting the patient response acquired by the response acquisition unit 111 into medical terms. FIG. 5 is a schematic diagram illustrating a method in which the medical information generation unit 112 generates medical information.

  First, the medical information generation unit 112 acquires a rule for converting a patient's response into a medical term from the medical data storage unit 121. In addition, the medical information generation unit 112 acquires the patient's response entered in the response column 313. In the example of FIG. 5, a plurality of symptoms (chief complaint) that the patient is aware of are selected in the answer column 313, and the start time of each symptom is entered.

  Then, the medical information generation unit 112 converts the patient's response into medical terms according to the rules acquired from the medical data storage unit 121. Here, the medical information generation unit 112 converts the answer (for example, the selection content of the selection field and the content of the free entry field) into a medical term, and a plurality of medical terms obtained by converting the answer. And a second transformation that combines That is, the rules acquired from the medical data storage unit 121 include, for example, a first conversion rule for converting an answer into a medical term and a second conversion rule for combining a plurality of medical terms obtained by converting an answer. including. The first conversion rule for converting an answer into a medical term is, for example, information that associates the answer content with the medical term. The rule of the second conversion for combining a plurality of medical terms is, for example, information of a template to which a plurality of medical terms are applied (for example, “○ accompanied by ○”).

  In the example of FIG. 5, the medical information generation unit 112 converts the medical condition into the medical terms “fever” and “headache” according to the first conversion rule and the symptom “head” and the symptom “headache”. Further, the medical information generation unit 112 combines them according to the rule of the second conversion and converts them into a medical term of “headache with fever”. If the patient's answer is different, the medical information generation unit 112 may convert the medical information into another medical term such as “fever with headache” or “cold symptoms”. Thereby, the medical information generation unit 112 reduces the burden on the medical staff of reading the patient's answer and speeds up the medical treatment.

  The medical information generation unit 112 may convert the patient's answer into a medical term based on the time information indicated by the answer in addition to the symptom indicated by the answer. The time information is, for example, the start time or duration of the symptom entered by the patient. Specifically, when the difference between the start times of the plurality of symptoms is within a predetermined time (for example, one week), the medical information generation unit 112 converts the plurality of symptoms into one medical term. . In this case, the medical data storage unit 121 stores in advance information on a predetermined time as a condition for combining a plurality of symptoms. In the example of FIG. 5, since the symptom “Netsu” starts from “3 days ago” and the symptom “headache” starts from “3 days ago”, the medical information generation unit 112 To convert it into a medical term of "headache with fever X 3 days".

  On the other hand, when the symptom “Netsu” starts from “4 days ago” and the symptom “Headache” starts from “2 days ago”, the medical information generation unit 112 combines them. Translated into the medical term "subacute fever with headache". In this case, in the world of medicine, “fever with headache” and “headache with fever” have different clinical meanings, and clinical treatment methods are different. For example, the former means that fever is the main component, which means that a headache has occurred as a result, and is usually intended for diseases such as colds, but the latter recalls a disease such as meningitis that causes headache and fever at the same time. Is required. Therefore, the medical information generation unit 112 converts the medical term into a different medical term based on the start time (time) of the symptom indicated by the answer. That is, the medical information generation unit 112 determines the presence / absence, priority, or order of a plurality of the medical terms based on the time information indicated by the answer.

  It should be noted that, even outside the medical world, there are cases where the meaning is different due to the different order. For example, the meaning of “curry with delicious vegetables” and “delicious curry with vegetables” have different meanings due to the possibility of different recipients. On the other hand, in the medical world, when describing the condition of headache and fever, the meaning differs depending on which one is written first, and implicitly intends which one first occurred. In the conventional method, it is necessary to prompt the patient to input time-series information, and to judge the presence / absence of connection by considering both the importance of the input word and the time information, and to consider the connection order. Could not.

  As described above, the medical information generation unit 112 converts the answer into a different medical term based on the time information indicated by the answer. Therefore, the medical information generation unit 112 reflects the start time of the symptom to the medical staff, and can present medical terms suitable for the situation of the patient.

  Further, when the difference between the start times of the plurality of symptoms exceeds a predetermined time, the medical information generation unit 112 does not combine the plurality of symptoms (that is, perform the second conversion) and It may be converted to a term. Further, when there are a plurality of rules for combining a plurality of medical terms, the medical information generation unit 112 may combine a plurality of medical terms in accordance with a rule having a higher priority. In this case, the medical data storage unit 121 stores the information indicating the priority of the medical term conversion performed on the answer of the past medical questionnaire and the time information that is a necessary condition for permitting the combination of the information of a plurality of symptoms. The criteria for the judgment are stored in advance.

  Further, although it has been confirmed that the patient has symptoms (chief complaint) such as headache (headache), it has not been confirmed when the patient will recognize the symptoms from when. In such a case, the medical questionnaire may include a question that confirms the time information of the symptoms, such as "I heard that there is a headache during the course. For example, the time information may be described as “before 〇 days ago” or “from ○ years ago”, or may be described as “recently” or “in progress”. In addition, the questionnaire includes “Can you not sleep recently?” (A questionnaire that suggests depression in patients with headache) or “Do you have a cold during the course?” (Sinusitis in patients with headache) (A questionnaire that suggests).

  Further, the medical information generation unit 112 may convert specific time information such as “three days” into abstract time information when converting the medical term. For example, the medical information generation unit 112 may convert the answer into a medical term such as “headache (recently)” or “headache (in progress)” instead of “headache X 3 days”. At this time, the medical information generation unit 112 may use a different rule for each symptom in order to convert specific time information into abstract time information such as “recent”.

  For example, the medical information generation unit 112 converts a symptom of “numbness” continuing from “several months ago” to “numbness (recent)”. On the other hand, the medical information generation unit 112 does not convert the symptom of “diarrhea” that continues from “several months ago” into “diarrhea (recent)” in consideration that diarrhea usually improves in about one week. In addition, sore throat and cough lasting for one day can be converted to cold symptoms, but sore throat and cough lasting more than three months cannot be converted to cold symptoms. Considering that an abstract time expression such as “recent” differs depending on each symptom is a very difficult task in machine learning or the like, and the medical information generation unit 112 needs It is extremely useful to convert the time information based on the conversion rules defined in.

  Further, the medical information generation unit 112 determines that not only the time elapsed from “XX” corresponding to the time information indicated by the answer, but also that the symptom such as “deterioration tendency”, “improvement tendency”, “return”, etc. Information on how the severity has changed over time may be described in the generated medical terms.

  In addition, the medical information generation unit 112 may generate a plurality of medical information conversions based on the evaluation (for example, whether there is a lot of discomfort or a little discomfort) of the medical term conversion performed on the answer to the past medical questionnaire (or past case data). Medical terms may be combined. In this case, the medical data storage unit 121 stores in advance the result of the evaluation performed by the medical staff on whether the past medical term conversion has a high or low degree of discomfort. In addition, the medical information generation unit 112 may apply a combination formula determined to be valid with a time difference of less than one day and less than one week to a time difference of less than three days, for example, a combination rule based on two existing combination rules. May be applied at an intermediate time. Also, when combining the answers, the medical information generation unit 112 arranges more important words in the medical interpretation, places less important words in the front as adjectives, and combines a plurality of medical terms. You may. In this case, the medical data storage unit 121 may store information indicating importance (importance) of each word in advance, and further change the importance according to the context.

  For example, vomiting may be the most troublesome and important symptom of a patient because it is very severe for the patient, but in the process of diagnosing a patient, a headache rather than a vomiting may occur. Is more important. In order to express such a thing, the medical data storage unit 121 stores the importance of the word as a database in advance. In addition, the value of the importance may differ depending on the presence / absence of symptoms that occur simultaneously. For example, contemporaneous "vomiting" symptoms in patients with recent "chest pain" symptoms are very helpful in diagnosis because they suggest myocardial infarction. Having "vomiting" symptoms at a time is too commonplace and often does not contribute to diagnosis.

  Specifically, in patients who have recently started "diarrhea", symptoms such as "bloody stool", "fever", and "decreased urine volume" during the course of the treatment are useful in this order in diagnosis. Therefore, the importance of 1, 2, and 3 is stored in advance in the medical data storage unit 121 for these symptoms, and the importance of 10 is stored in advance for the “vomiting” symptom. Accordingly, the medical information generation unit 112 generates one medical term such as “acute diarrhea in which bloody stool and fever are recognized at the same time” by combining the medical terms indicating these symptoms in order of decreasing importance. it can.

  In the treatment of patients with `` diarrhea without recent bloody stool '', `` infectious enteritis '' is a differential disease, usually requires no examination, promotes water intake, prescribes an intestinal medicine, and a few days later, It is recommended that an appointment be made to make sure that the condition is not worsening at that time. On the other hand, in the medical treatment for patients with “recent diarrhea with bloody stool and fever during the same period”, “campylobacter-enteritis”, “traveler's diarrhea”, “shigella” etc. are listed as differential diseases. It is recommended to conduct stool culture, fecal occult blood test, stool test, prescription of antibacterial drugs, etc. while considering.

  The medical care support apparatus 1 according to the present embodiment does not judge this patient as a patient having one problem that recognizes them at the same time, instead of judging the patient as having three problems of fever, bloody stool, and diarrhea. Proposal, differential diseases, tests and prescription examples. Since the medical care support apparatus 1 can output the examination method, the follow-up method, and the confirmation items in the next medical care for the one problem, clinical decision support that is easy for medical staff to understand and interpret. Can be output with higher accuracy than the conventional method.

  In addition, if clinical information is described along each of the three templates of evaluation of headache, evaluation of bloody stool, and evaluation of diarrhea, it becomes very long and redundant. By presenting clinical information in one template as a patient with "Recognized recent diarrhea", the important information for this patient can be properly summarized and displayed, so that the physician spends more time understanding the patient's situation. Decrease by a fraction. For example, the medical care support apparatus 1 can be used for patients with “recent diarrhea with bloody stool and fever at the same time” for “abroad travel”, “risk of sexually transmitted diseases”, “chicken inoculation history”, The healthcare professional can determine a general clinical policy by simply indicating information on items to be confirmed, such as “presence or absence” and “time elapsed”. On the other hand, in the conventional method, there are many confirmation items such as "history of infection" and "recent meal" for patients with "diarrhea", and "existence of overseas travel" and " There are confirmation items such as "risk", "throat", "cough", "sputum", "runny nose", "chest pain", "abdominal pain", "presence of rash", "time lapse", etc. When combined, it is necessary to display information about three times or more of the above display example. As a result, the burden on healthcare professionals to read and understand them is very high.

  Furthermore, by preparing in advance the rule expressions of these combinations and the medical terms to be generated for them, the labor for preparing templates can be dramatically reduced. For example, the medical care support apparatus 1 can perform conversion such that symptoms such as "cough", "sputum", "runny nose", and "sore throat" that have started acutely are combined with "cold symptoms". Assuming that all the templates of four combinations of each symptom (that is, a combination of whether each symptom exists or not) are prepared without converting this symptom, 15 templates of 2 4 −1 It is necessary to prepare. However, if two or more of these four occur at the same time, a rule that converts them into the medical term "cold symptoms" will determine the "cough", "sputum", " It is only necessary to create one template to indicate whether each of "runny nose" and "sore throat" is being recognized during the process or at present. As described above, the medical care support apparatus 1 uses the time information of each symptom, the importance of the symptom, and the combination rule using the time series of the symptom among the symptom determined to be the most important. Having it and having a clinically necessary template with the title of the medical term generated by the combination rule can dramatically reduce the number of template creation steps. In addition, since the test prescription example is described in the template, the medical worker can select the prescription, and the medical care support apparatus 1 uses the prescription information in the story in a unified terminology. Since the information can be recorded, the contents of the inquiry at the next medical treatment can be determined, and as a result, the input of the patient information at the next medical treatment becomes easy.

  The rule by which the medical information generation unit 112 converts the answer is not limited to the rule shown here, and is stored in the medical data storage unit 121 in advance by a medical worker or an administrator of the medical care support system S.

  Next, the medical information generation unit 112 acquires and determines one or more medical treatment content candidates associated with the medical terms obtained by converting the patient's response from the medical data storage unit 121. When a plurality of medical terms are obtained based on the patient's answer, the medical information generation unit 112 determines a medical care content candidate for each medical term.

  The medical information generation unit 112 may manually determine a medicine name or a test name previously associated with a medical term in the medical data storage unit 121 as a medical treatment content candidate. Alternatively, the medical information generation unit 112 may determine a drug name or a test name indicated by data of a case including a medical term among the data of the cases stored in the medical data storage unit 121 in advance as a medical treatment content candidate. Alternatively, the medical information generation unit 112 uses the drug name or the test name indicated by the textbook or academic book data including the medical term among the data of the textbook or academic book stored in advance in the medical data storage unit 121 as a medical treatment content candidate. You may decide.

  In the example of FIG. 5, the medical information generation unit 112 determines medical treatment candidates of “medication α prescription”, “medication β prescription”, and “test γ execution” for the medical term “headache accompanied by fever”. . Thereby, the medical information generation unit 112 can present the medical treatment candidates related to the patient's answer to the medical staff, and can smooth the medical treatment.

  Further, the medical information generation unit 112 may change the medical treatment content candidate associated with the medical term based on the response of the patient. For example, when the start time of the symptom indicated by the answer is before a predetermined date, the medical information generation unit 112 determines the medical treatment content candidate of “medication α prescription”, and the start time of the symptom indicated by the answer is after the predetermined date. In this case, a medical treatment content candidate of “drug β prescription” is determined. Specifically, since it is known that a therapeutic drug is ineffective two days after the onset of influenza infection, the medical information generation unit 112 prescribes a therapeutic drug based on the start time of the influenza infection indicated in the answer. The display method to be used. Further, for example, when the patient's answer indicates that the patient has an allergy to the drug α, the medical information generation unit 112 grays out the description of the “drug α prescription” so that it cannot be selected, and Suggest a candidate for the medical treatment of “β prescription”.

  In addition, for example, when the patient's answer includes a predetermined word (for example, when a symptom that is not converted into a medical term is entered in the free entry column), the medical information generation unit 112, for example, sets the “medication α prescription” and “ A medical treatment candidate of “drug δ prescription” in addition to the “drug β prescription” is determined. As described above, the medical information generation unit 112 can present more appropriate medical treatment content candidates to the medical staff by narrowing down or increasing the medical treatment content candidates associated with the medical terms based on the patient's response.

  Then, the medical information generation unit 112 generates medical information indicating the medical term obtained by converting the patient's response and the medical treatment content candidate associated with the medical term, and passes the medical information to the display control unit 113. Further, the medical information may include related information such as a disease name and a questionnaire item related to a medical term obtained by converting a patient's answer. In this case, the medical data storage unit 121 stores in advance relevant information such as a disease name and a questionnaire item associated with a medical term.

  The display control unit 113 transmits information for displaying the medical information generated by the medical information generation unit 112 to the medical care terminal 2. At this time, the display control unit 113 may arrange the medical terms based on the template associated with the generated medical terms. In this case, the medical data storage unit 121 stores a template indicating the arrangement on the screen for each medical term in advance. Thereby, various information can be displayed using an appropriate arrangement for each generated medical term. The medical care terminal 2 displays medical information on the display unit 21 based on the information received from the medical care support device 1.

  FIG. 6 is a front view of the display unit 21 of the medical care terminal 2 displaying medical information. The display unit 21 displays, based on the medical information received from the medical support apparatus 1, a medical term 211 obtained by converting each of the patient's answers in the medical questionnaire, and a problem 212 indicating a medical term generated by combining a plurality of answers. . In addition, when a plurality of problems 212 exist, the display unit 21 displays the related information 213 and the plan 214 for any one problem 212 or for all problems 212.

  The related information 213 indicates a disease name (differentiated disease) associated with a medical term, a confirmation item, and the like, which are indicated by the medical information received from the medical assistance device 1. The plan 214 represents a medical treatment content candidate (drug name or test name) associated with a medical term, which is indicated by the medical information received from the medical treatment support apparatus 1. When the medical staff selects one or a plurality of plans 214 using the operation unit 22, the display unit 21 changes the color of the number assigned to the selected plan 214.

  The medical care terminal 2 receives the selected one or more plans 214 as the details of the medical care performed on the patient and transmits the plan 214 to the medical care support apparatus 1. The display unit 21 may display, in addition to the plan 214, a free entry column in which medical staff can enter medical treatment contents. In this case, the medical care terminal 2 receives, in addition to the selected one or a plurality of plans 214, the content entered in the free entry column as the content of the medical care performed on the patient, the medical care support apparatus 1 Send to

  In the medical treatment support apparatus 1, the input reception unit 114 receives and receives the medical treatment performed on the patient from the medical treatment terminal 2. The input reception unit 114 stores the received medical treatment content in the medical treatment content storage unit 122 in association with the patient identification information (for example, the patient ID). The next medical treatment information output unit 115 generates next medical treatment information indicating information to be used by the medical staff when the patient receives the next medical treatment, based on the medical treatment content stored in the medical treatment content storage unit 122.

  The next medical treatment information is generated by, for example, a test that needs to explain the next result in the contents of this medical treatment, a test that should be performed, but this time, the name of the test that was deferred and the medicine prescribed in this medical treatment And confirmation items indicating the side effects to be obtained. The next medical treatment information output unit 115 acquires the examination name and confirmation items associated with the medical treatment contents from the medical data storage unit 121, and generates next medical treatment information indicating the acquired examination name and confirmation items.

  The medical information generation unit 112 may manually determine, in the medical data storage unit 121, an examination name or confirmation item manually associated with the medical treatment content as the next medical treatment information. Alternatively, the medical information generation unit 112 may determine, as the next medical treatment information, the examination name or the confirmation item indicated by the data of the case including the medical treatment content among the data of the cases stored in the medical data storage unit 121 in advance. Alternatively, the medical information generation unit 112 uses the examination name or confirmation item indicated by the textbook or academic book data including the medical treatment content among the data of the textbook or academic book stored in advance in the medical data storage unit 121 as the next medical treatment information. You may decide.

  Then, the next medical treatment information output unit 115 outputs the generated next medical treatment information to the printing device 5, the medical treatment terminal 2, or the patient terminal 4. When receiving the next medical treatment information from the medical treatment support device 1, the printing device 5 prints the received next medical treatment information on a paper as the next medical treatment questionnaire 31. When receiving the next medical information from the medical support device 1, the medical terminal 2 or the patient terminal 4 displays the received next medical information on the display unit 21 or the display unit 41.

  FIG. 7A is a front view of an inquiry sheet 31 for the next medical treatment for an exemplary medical worker. The questionnaire 31 for the next medical treatment for the medical staff includes a test execution status 314 and confirmation items 315. The examination execution status 314 includes an examination name indicated by the next medical treatment information generated by the medical care support apparatus 1 and a check box for each examination name. The check box for each test name indicates, for example, whether the test has been performed at another hospital, whether the test has been performed at this hospital, or whether the test has not been performed. Whether or not the examination has already been performed at another hospital is specified by, for example, a response to an inquiry sheet.

  Healthcare professionals may manually fill in the check boxes for each test name. Alternatively, the medical care support apparatus 1 may acquire the implementation status of the examination stored in the medical treatment content storage unit 122, and output the next medical treatment information in a state where a check box for each examination name is filled in according to the implementation state. In this case, the medical worker inputs the state of implementation of the examination for each patient using the medical care terminal 2 or the previously created questionnaire 31 for the next medical care. As described above, the medical questionnaire 31 for the next medical treatment shows the examination name and the implementation status corresponding to the medical treatment of the patient, so that the medical worker can easily grasp whether or not the examination corresponding to the medical treatment has been performed.

  The confirmation item 315 includes a confirmation item indicated by the next medical treatment information generated by the medical treatment support apparatus 1, and a check box indicating whether confirmation has been completed for each confirmation item. The healthcare worker fills in the check box for each confirmation item at the next medical treatment of the patient, so that omission of confirmation is less likely to occur.

  When the medical care terminal 2 displays the next medical questionnaire 31, the display unit 21 of the medical care terminal 2 displays information corresponding to the next medical care questionnaire 31 shown in FIG. I do. The questionnaire 31 for the next medical treatment shown in FIG. 7A is an example, and may have another layout or may include other information.

  The next medical treatment information output unit 115 outputs the next medical treatment information to the printing device 5 as a night batch process, for example, on the night of the day when the current medical treatment is performed. The printing device 5 prints an inquiry sheet 31 for the next medical treatment. Then, the healthcare worker places the printed questionnaire 31 for the next medical treatment between the patient's charts. Thereby, the medical worker can naturally acquire the questionnaire 31 for the next medical care when taking out the patient's chart in the next medical care.

  Further, the next medical information output unit 115 automatically outputs the next medical information to the medical terminal 2 when the patient is receiving the next medical treatment, for example. The medical care terminal 2 displays the next medical questionnaire 31 on the display unit 21. Thereby, the medical staff can naturally see the questionnaire 31 for the next medical treatment when referring to the information on the patient in the medical treatment terminal 2 in the next medical treatment.

  FIG. 7B is a front view of the display unit 41 displaying an inquiry sheet for an exemplary patient's next medical treatment. The display unit 41 displays a question 411 for the patient and an answer column 412 for the patient to enter an answer as an inquiry sheet for the next medical treatment for the patient. The question 411 and the answer column 412 are the same as the question 312 and the answer column 313 of the questionnaire 31. In the example of FIG. 7B, the answer column 412 is a selection column, but may be a free entry column. The answer column 412 may include a column for entering time information.

  The next medical information output unit 115 automatically outputs the next medical information to the patient terminal 4 when, for example, the patient comes to receive the next medical treatment. The patient terminal 4 displays the next medical questionnaire on the display unit 41. Thereby, the patient can see and answer the questionnaire based on the information at the previous medical treatment.

[Flow chart of medical treatment support method]
FIG. 8 is a diagram illustrating a flowchart of the medical care support method according to the present embodiment. First, the patient writes an answer to the question on the questionnaire on the paper questionnaire or on the patient terminal 4 displaying the contents of the questionnaire. In the medical care support apparatus 1, the response acquisition unit 111 acquires a patient's response based on the image received from the reading device 3 reading the paper questionnaire or the information received from the patient terminal 4 (S11).

  The medical information generation unit 112 converts the patient response acquired by the response acquisition unit 111 in step S11 into medical terms according to the rules acquired from the medical data storage unit 121 (S12). Here, the medical information generation unit 112 performs a first conversion for converting each answer into a medical term and a second conversion for combining a plurality of medical terms obtained by converting the answer. The medical information generation unit 112 acquires and determines one or more medical treatment content candidates associated with the medical terms obtained by converting the patient's response in step S12 from the medical data storage unit 121 (S13). ).

  The medical information generation unit 112 generates medical information indicating the medical terms obtained in step S12 and the medical treatment content candidates determined in step S13. The display control unit 113 causes the medical care terminal 2 to display the medical information by transmitting the information for displaying the medical information generated by the medical information generation unit 112 to the medical care terminal 2 (S14).

  When performing medical treatment for a patient, the medical worker inputs medical treatment contents on the medical treatment terminal 2 displaying medical information. In the medical treatment support apparatus 1, the input reception unit 114 receives and receives the medical treatment performed on the patient from the medical treatment terminal 2 (S15). The input receiving unit 114 stores the received medical treatment content in the medical treatment content storage unit 122 in association with the identification information of the patient.

  The next medical treatment information output unit 115 generates next medical treatment information indicating information to be used by the medical staff when the patient receives the next medical treatment based on the medical treatment contents received by the input receiving unit 114 in step S15 (S16). . The next medical treatment information includes, for example, a test name of the test corresponding to the contents of the current medical treatment, and confirmation items indicating side effects that can be caused by the medicine prescribed in the current medical treatment.

  Then, the next medical treatment information output unit 115 outputs the next medical treatment information generated in step S16 to the printing device 5 or the medical treatment terminal 2 (S17). When receiving the next medical treatment information from the medical treatment support device 1, the printing device 5 prints the received next medical treatment information on a paper as an inquiry sheet for the next medical treatment. When receiving the next medical treatment information from the medical treatment support device 1, the medical treatment terminal 2 displays the received next medical treatment information on the display unit 21.

[Effects of the present embodiment]
The medical care support system S according to the present embodiment converts the patient's answer written in the questionnaire into medical terms according to a predetermined rule, and presents the medical term to a medical worker. Therefore, the medical care support system S reduces the burden on medical staff of medically understanding the patient's answer, and speeds up medical care.

  Further, the medical care support system S outputs the next medical care information indicating information used by the medical staff when the patient receives the next medical care, based on the contents of the current medical care. Thereby, the medical treatment support system S can promptly start the next medical treatment by the medical staff, and it is possible to prevent the omission of confirmation such as the status of the examination and side effects of the medicine.

  As described above, the present invention has been described using the embodiment, but the technical scope of the present invention is not limited to the scope described in the above embodiment, and various modifications and changes are possible within the scope of the gist. is there. For example, the specific embodiment of the dispersion / integration of the apparatus is not limited to the above-described embodiment, and all or a part of the apparatus may be functionally or physically dispersed / integrated in an arbitrary unit. Can be. Further, new embodiments that are generated by arbitrary combinations of the plurality of embodiments are also included in the embodiments of the present invention. The effect of the new embodiment caused by the combination has the effect of the original embodiment.

  The processor of the medical care support apparatus 1 is a main body of each step (process) included in the method illustrated in FIG. That is, the processor of the medical care support apparatus 1 reads a program for executing the method shown in FIG. 8 from the storage unit, and executes the program to control each unit of the medical care support system S. Execute Some of the steps included in the method illustrated in FIG. 8 may be omitted, the order between the steps may be changed, and a plurality of steps may be performed in parallel.

S medical treatment support system 1 medical treatment support device 11 control unit 111 answer acquisition unit 112 medical information generation unit 113 display control unit 114 input reception unit 115 next medical treatment information output unit 12 storage unit 121 medical data storage unit 2 medical treatment terminal 21 display unit

Claims (10)

A storage unit that stores rules for converting the patient's answer written in the questionnaire into medical terms,
An image obtained by reading the questionnaire, and at least one of information received from a terminal displaying the questionnaire, an acquisition unit that acquires the answer,
A generating unit that generates one medical term by converting the plurality of answers obtained by the obtaining unit according to the rule into the medical term;
A display control unit that causes the display unit to display the medical term generated by the generation unit,
Medical treatment support device having   The generating unit generates one medical term by converting each of the plurality of answers obtained by the obtaining unit into the medical term, and combining the plurality of medical terms obtained by the conversion. The medical treatment support device according to claim 1.   The medical support apparatus according to claim 2, wherein the generation unit determines presence / absence, a priority order, or an order of a plurality of the medical terms based on time information indicated by the plurality of answers.   The generation unit determines whether to combine a plurality of the answers based on time information indicated by the plurality of the answers, and combines a plurality of the answers when it is determined to combine a plurality of the answers, to form one of the answers. The medical care support device according to any one of claims 1 to 3, which generates a medical term.   The medical treatment support apparatus according to any one of claims 1 to 4, wherein the generation unit generates a medical content candidate associated with the medical term in addition to the medical term.   The display control unit according to claim 1, wherein the medical terms generated by the generation unit are arranged and displayed on the display unit based on a template associated with the medical terms generated by the generation unit. 7. The medical assistance device according to any one of the preceding claims. From a terminal having the display unit, a receiving unit that receives input of medical treatment contents for the patient,
The medical treatment according to any one of claims 1 to 6, further comprising: an output unit configured to output information used when the patient receives next medical treatment based on the medical treatment content received by the reception unit. Support equipment.   The medical treatment support apparatus according to claim 7, wherein the output unit outputs the information indicating at least one of an examination name and a confirmation item, which is associated with the medical treatment content received by the reception unit. The processor
An image obtained by reading the questionnaire, based on at least one of the information received from the terminal displaying the questionnaire, obtaining a response of the patient entered in the questionnaire,
Converting the plurality of answers obtained in the obtaining step in accordance with the rules obtained from a storage unit storing rules for converting the answers into medical terms into the medical terms by converting the answers into the medical terms; Generating
Displaying the medical term generated by the generating step on a display unit;
To perform a medical care support method. On the computer,
An image obtained by reading the questionnaire, based on at least one of the information received from the terminal displaying the questionnaire, obtaining a response of the patient entered in the questionnaire,
Converting the plurality of answers obtained in the obtaining step in accordance with the rules obtained from a storage unit storing rules for converting the answers into medical terms into the medical terms by converting the answers into the medical terms; Generating
Displaying the medical term generated by the generating step on a display unit;
A medical treatment support program that lets you execute

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