JP2021162943A - Digital medical information providing device, digital medical information providing method, and digital medical information providing program - Google Patents

Abstract

To provide moving image data on contents of explaining symptoms and treatment policies of disease customized to each patient.SOLUTION: A digital medical information providing device includes: a receiving unit that receives medical staff information, moving image order information, chart information or patient information input to an operation terminal by a medical staff or a patient; a storage unit that stores a plurality of moving images related to the disease; a generation unit that generates a moving image about the disease based on the medical staff information and the patient information received by the receiving unit; and a moving image distribution unit that distributes the moving image generated by the generation unit to a communication terminal of the patient.SELECTED DRAWING: Figure 2

Description

The present invention relates to a digital medical information providing device, a digital medical information providing method, and a digital medical information providing program. Specifically, among the video data for explaining to the patient, the video data selected by the medical staff as deemed necessary is transmitted to the patient's operation terminal, and then the degree of understanding and interest and the items to be asked are asked. Regarding digital medical information providing devices that deliver questionnaires, digital medical information providing methods, and digital medical information providing programs.

Conventionally, as in Patent Document 1 below, video data showing patient information is provided on a mobile device (for example, a smartphone or tablet) from a plurality of data sources such as a health care provider, a health care provider, and a health care provision system. The methods, systems and devices to do so are known.

Further, as in Patent Document 2 below, there is known a video distribution device capable of distributing a moving image of a surgical site during a treatment such as surgery to a plurality of external terminals.

Further, as in Patent Document 3 below, a support device capable of improving a patient's lifestyle by telemedicine is known. In particular, there are known support devices that perform processing for transmitting and receiving information on telemedicine using moving images between a medical worker terminal and an instructor terminal of an instructor who provides remote improvement guidance.

JP-A-2019-75148 JP-A-2002-58017 JP-A-2019-57171

In the moving image data providing method or the like as in Patent Document 1, it is possible to provide a moving image related to patient information and patient physiological data to the operation terminal, but it relates to the content of explaining the symptom of the disease and the treatment policy to the patient. Video data cannot be provided.

Further, in a video distribution device such as Patent Document 2, it is possible to distribute a surgical video to an external terminal, but it is not possible to provide video data regarding the content to be explained to a patient.

Further, in the support device as described in Patent Document 3, the medical staff and the patient can perform telemedicine by having a video chat, but it is necessary to provide video data regarding the content to explain to the patient. Can't.

Therefore, an object of the present invention is to provide a digital medical information providing device, a digital medical information providing method, and a digital medical information providing program that provide moving image data regarding contents for explaining a patient's disease symptom and treatment policy.

In order to solve the above problems, the digital medical information providing device of the present invention includes a receiving unit that receives medical worker information, video order information, chart information or patient information input by a medical worker or a patient to an operation terminal. A storage unit that stores a plurality of videos related to the disease, a generation unit that generates a video related to the disease based on the medical worker information and patient information received by the receiving unit, and a video generated by the generation unit are distributed to the patient's communication terminal. It is equipped with a video distribution unit.

It is further equipped with a detection unit that detects the content of the video generated by the generation unit and a control unit that controls when the video distribution unit distributes at least one video from a plurality of videos, and detects and detects the patient's medical examination status. Based on the detection result of the unit, the control unit may control to transmit the moving image distributed by the moving image distribution unit to the operation terminal of the patient at an appropriate timing.

The control unit may control the video distribution unit to distribute the video to the patient's operation terminal by excluding the duplicated video according to the patient's prescription history.

The communication terminal of the patient to whom the video distribution unit has distributed the video may further be provided with a questionnaire distribution unit that distributes a questionnaire regarding matters for confirming the patient's understanding and interest level and matters to be confirmed by the medical staff.

The receiving unit receives the medical worker information receiving unit that receives the medical worker information from the medical worker, the video order information receiving unit that receives the video order information from the medical worker, and the chart information from the medical worker. The medical staff information receiving unit includes a medical chart information receiving unit for receiving and a patient information receiving unit for receiving patient information from a patient, and the medical worker information receiving unit includes a site information receiving unit for receiving site information indicating a selected treatment site, and a site information receiving unit. A treatment information receiving unit that receives treatment information indicating the selected treatment method is provided, and the site information and the treatment method information may be automatically generated by the name and ID of the medical worker.

The generation unit may generate one moving image by combining the moving images of the items selected by the medical staff among the moving images stored in the storage unit.

The generation unit may include a gaze information addition unit that adds gaze information to a portion of one moving image that the medical staff wants the patient to gaze at.

The questionnaire distribution unit may include a distribution item switching unit that automatically switches the questionnaire items to be distributed according to the analysis of the patient's facial expression or voice that is photographed or collected by the camera provided in the terminal.

The delivery item switching unit may switch the display order of the items to be confirmed by the medical staff according to the answers to the items for confirming the degree of understanding and interest of the patient.

An additional community creation department may be provided to create multiple communities of patients.

It may further include an assignment destination determination unit that determines which of the plurality of patients to assign to which of the plurality of communities created by the community creation unit based on the attributes of the patients.

The assignment determination unit may decide which of the plurality of videos is to be distributed to which of the plurality of communities.

The digital medical information providing device of the present invention further includes an acquisition unit that acquires information indicating a patient's examination result from an electronic medical record stored in a terminal of a medical worker, and an output unit that outputs the information acquired by the acquisition unit. You may prepare.

A reception unit that accepts input from a medical worker to an electronic medical record and a reflection unit that reflects the video distributed by the video distribution unit in the electronic medical record may be further provided.

Further, in order to solve the above problems, the digital medical information providing method of the present invention is a receiving step of receiving medical worker information, video order information, chart information or patient information input by a medical worker or a patient to an operation terminal. A storage step for storing a plurality of videos related to the disease, a generation step for generating a video about the disease based on the medical staff information and the patient information received in the receiving step, and a video generated in the generation step for the patient. It includes a video distribution step for distribution to a communication terminal.

Further, in order to solve the above problems, the digital medical information providing program of the present invention receives the medical worker information, the video order information, the medical chart information or the patient information input by the medical worker or the patient into the operation terminal to the computer. Receiving function, a memory function that stores multiple videos related to the disease, a generation function that generates a video about the disease based on the medical staff information and patient information received by the receiving function, and a video generated by the generation function. To realize a video distribution function that distributes the medical care to the patient's communication terminal.

According to the digital medical information providing device, the digital medical information providing method, and the digital medical information providing program of the present invention, the patient can receive information about the symptom of the disease and the treatment policy.

It is a figure which shows the whole structure which digital medical information is provided in one Embodiment of this invention. It is a figure which shows the structural example of the digital medical information providing apparatus in one Embodiment of this invention. It is a figure which shows the moving image creation flow in the digital medical information providing apparatus which concerns on one Embodiment of this invention. It is a figure explaining the function of the detection part and control part in the digital medical information providing apparatus which concerns on one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in another embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in another embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in one Embodiment of this invention. (A) is a figure which shows an example of the database of the digital medical information providing apparatus which concerns on one Embodiment of this invention. (B) is another figure which shows an example of the database of the digital medical information providing apparatus which concerns on one Embodiment of this invention. It is another figure which shows an example of the database of the digital medical information providing apparatus which concerns on one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the medical worker in another embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. It is a figure which shows the screen of the operation terminal of the patient in one Embodiment of this invention. (A)-(c) is a figure which shows the table held by the digital medical information providing apparatus which concerns on one Embodiment of this invention. It is a figure which shows the table which the digital medical information providing apparatus which concerns on one Embodiment of this invention holds. It is a figure which made the marking on the image in the digital medical information providing apparatus which concerns on one Embodiment of this invention. It is a figure which shows the screen of the community of patients created by the community creation part in the digital medical information providing apparatus which concerns on one Embodiment of this invention. It is a flowchart which shows the operation of the digital medical information providing apparatus which concerns on one Embodiment of this invention.

[Digital medical information provider]
FIG. 1 shows the overall configuration of a digital medical information providing system in which digital medical information is provided by the digital medical information providing device 1 of the present invention. The digital medical information providing device 1 is a device that provides medical information. The digital medical information providing device 1 is a device that distributes a moving image so that an optimal treatment or the like can be received at each stage based on a plurality of stages of treatment of the disease of the patient 2. As an example, the digital medical information providing device 1 is realized by an information processing device typified by a personal computer, a tablet terminal, a server device, and the like. A disease is a state in which normal mental or physical functions are disturbed, and examples thereof include cancer.

As shown in FIG. 1, the patient 2 receives a letter of introduction to the second hospital 4 as a result of visiting the first hospital 3. The first hospital 3 is, for example, a small and medium-sized hospital in the area where the patient 2 resides, and the second hospital 4 is, for example, a general hospital in a large city. Patient 2 visits the second hospital 4 and is diagnosed. The medical staff of the second hospital 4 inputs the patient information of the patient 2 into the electronic medical record, and the digital medical information providing device 1 acquires the input result. Medical professionals refer to all medical professionals such as nurses, physiotherapists, radiological technologists, and clinical laboratory technicians, in addition to doctors.

The operation terminal 6 of the medical worker is connected to the digital medical information providing device 1 via the network 7, and is, for example, a PC, a tablet, or a smartphone. The patient operation terminal 5 is also connected to the digital medical information providing device 1 via the network 7, and is, for example, a PC, a tablet, or a smartphone. The medical worker inputs the medical worker information, the video order information, the chart information or the patient information into the operation terminal 6 of the medical worker, and when the digital medical information providing device 1 receives the input result, the patient 2 is at an appropriate timing. The moving image is delivered to the patient's operation terminal 5. The medical worker information is information for identifying a medical worker, and as will be described later, for example, the name and ID of the medical worker (for example, an ID issued by the Ministry of Health, Labor and Welfare, and as another example, a digital medical information providing device. It may be an ID issued by 1). The video order information is information for ordering which video to be delivered, for example, a video number. The medical record information is information described in the medical record of patient 2, for example, medical examination records and examination information. The patient information is information for identifying a patient, and as will be described later, for example, a patient's name or ID (for example, a medical examination ticket number, and another example is an ID issued by the digital medical information providing device 1). May be good).

Next, each component of the digital medical information providing device 1 will be described with reference to FIG. The digital medical information providing device 1 includes a receiving unit 10, an acquisition unit 20A, a reception unit 20B, an output unit 20C, a reflection unit 20D, a storage unit 30, a generation unit 40, a community creation unit 50, a video distribution unit 60, and a questionnaire distribution unit 70. , A detection unit 80 and a control unit 90. Each component will be described later.

FIG. 3 shows a moving image creation flow of the digital medical information providing device 1 according to the present embodiment. When the medical worker inputs the video order information to the operation terminal 6 of the medical worker starting from the doctor, the video order information is transmitted to the network. Then, when the network transmits the moving image order information to the storage unit 30 of the digital medical information providing device 1, the necessary moving image is picked up from the plurality of moving images stored in the storage unit 30 and returned to the network. Next, among the plurality of videos distributed by the video distribution unit 60, the detection unit 80 and the control unit 90 filter and transmit the video to the operation terminal of the patient 2.

As shown in FIG. 4, the detection unit 80 and the control unit 90 transmit a plurality of moving images distributed by the moving image distribution unit 60 to the operation terminal 5 of the patient 2 at an appropriate timing. First, the acquisition unit 20A acquires the status information of the patient 2 (for example, after the first medical examination and before the notification), and the output unit 20C outputs the status information of the patient 2 acquired by the acquisition unit 20A to the detection unit 80. The detection unit 80 combines a plurality of moving images distributed by the moving image distribution unit 60 with the status information of the patient 2 output by the output unit 20C. Specifically, as shown in the center of FIG. 4, "organ function + after initial examination and before notification", "CT examination + after initial examination and before notification", "surgical method + after initial examination and before notification", "disease" Combine such as "explanation + after first visit and before notification", "complication (1) + after first visit and before notification", and "complication + after first visit and before notification".

As shown in the center of FIG. 4, the control unit 90 combines a plurality of videos distributed by the video distribution unit 60 with the status information of the patient 2 output by the output unit 20C to the operation terminal 5 of the patient 2. Controls whether or not transmission is acceptable. For example, as shown in the lower part of FIG. 4, it is judged that "organ function", "CT examination", "disease explanation", etc. may be transmitted after the first medical examination and before the notification, and the operation terminal of the patient 2 is determined. Send to 5, and judge that it is too early to send "surgery method", "complications (1)", "complications (2)", etc., and do not send to the operation terminal 5 of patient 2. Can be controlled.

Further, the control unit 90 controls so that the remaining moving images, that is, the moving images of "surgical method", "complication (1)", and "complication (2)" are delivered after the notification. That is, control is performed so that duplicate videos are not delivered.

Hereinafter, an example of the information provided to the operation terminal 6 of the medical staff by the digital medical information providing device 1 and its flow will be described. The medical worker inputs the medical worker information and the patient information into the operation terminal 6 of the medical worker as shown in FIGS. 5 to 12. The input includes a direct input and a selection input for selecting a desired item from the presented items. Hereinafter, the case where the disease is cancer, particularly the case where the disease is gastric cancer will be specifically described, but the disease is not limited to gastric cancer.

First, as shown in FIG. 5, the medical worker inputs his / her user name (name) and a password (ID) for logging in to the digital medical information system on the login screen.

Next, as shown in FIG. 6, the medical staff inputs the ID of the target patient 2.

As a result, as shown in FIG. 7, the name and ID of the patient 2 are displayed, and below that, the site selection item and the treatment method selection item associated with the name and ID of the medical worker are displayed. For example, as shown in the figure, as the site, for example, "stomach", "esophagus", etc. are displayed, and as the treatment method, for example, "surgical", "chemotherapy", "endoscope", "radiation". Etc. are displayed. The medical staff selects at least one of these site selection items and treatment method selection items indicating the information to be provided to patient 2. A "confirmation" button 401 is displayed at the lower right, and the medical staff presses the "confirmation" button 401 after selecting an item.

When the medical worker presses the “confirm” button 401, the screen shown in FIG. 8 is displayed. The screen shown in FIG. 8 is displayed according to the items selected by the medical staff in FIG. 7 as described above. For example, the screen shown in FIG. 8 is a display item when a medical worker selects "stomach" in the site selection of FIG. 7 and "surgical" in the treatment method selection, and includes "anatomy" and "dissection". Items such as "pathology", "examination", "treatment", "surgical procedure", "reconstruction method", "complications", "adjuvant chemotherapy", and "adjuvant radiation therapy" are displayed.

As "anatomy", buttons for selecting items such as "work" and "structure" are displayed. Healthcare professionals may or may not select at least one of these items. Further, as the "pathological condition", a button for selecting an item such as "progression", "metastasis", and "symptom" is displayed. Healthcare professionals may or may not select at least one of these items.

"Examination" includes "lung function", "electrocardiogram", "X-ray", "upper endoscope", "lower endoscope", "stomach fluoroscopy", "CT", "PET / CT", "MRI" A button for selecting items such as is displayed. Healthcare professionals may or may not select at least one of these items. As the "treatment method", a button for selecting an item such as "laparotomy", "laparoscope", or "endoscope" is displayed. Healthcare professionals select at least one of these items.

Buttons for selecting items such as "total gastrectomy", "pyloric gastrectomy", "pyloric conservative gastrectomy", and "cardiac gastrectomy" are displayed as the "operative method". Healthcare professionals select at least one of these items. "Reconstruction method" includes items such as "Roux-en-Y method", "Billroth I method", "Billroth II method", "Jejunal interposition method", "double tract method", and "Gastrogastric anastomosis method". A button to select is displayed. Healthcare professionals select at least one of these items.

"Complications" include "postoperative bleeding", "pancreatic fluid leakage", "suturing failure", "intestinal obstruction", "cholecystitis", "intraperitoneal tumor", "injury to other organs", "anastomosis stenosis", etc. A button for selecting an item is displayed. Healthcare professionals may or may not select at least one of these items. As "adjuvant chemotherapy", buttons for selecting "preoperative" and "postoperative" items are displayed. The healthcare professional may select at least one of these items, may select "None", or may not select all of them.

As "adjuvant radiation therapy", buttons for selecting "preoperative" and "postoperative" items are displayed. The healthcare professional may select at least one of these items, may select "None", or may not select all of them. A "confirm" button 501 is displayed at the lower right, and the medical staff presses the "confirm" button 501 after selecting an item. However, healthcare professionals must select at least one of the displayed items. That is, in the example of FIG. 8, any one of all the items shown in "Anatomy" to "Auxiliary radiation therapy" must be selected.

When the medical staff presses the "confirm" button 501, for example, a moving image from organ explanation to treatment of gastric cancer is displayed as shown in FIG. In this video, the medical staff combines the videos associated with the items selected in FIG. 8 and displays them as one video, which is associated with the selected items. Each moving image may be displayed in a list. Below the video, the keywords selected by the healthcare professional in FIG. 8 are displayed. Here, the displayed keywords are not limited to the keywords selected by the medical staff, but are associated with the video selected according to the keywords selected by the medical staff, and tag data indicating the content of the video, etc. May be. A "prescription" button 601 is displayed at the lower right, and the medical staff presses the "prescription" button 601.

When the medical worker presses the "prescription" button 601, as shown in FIG. 10, it is displayed that the medical information has been prescribed. Prescribing medical information means transmitting the information shown in FIG. 9 to the patient's ID. In addition, FIG. 11 is a diagram showing that the medical staff can customize and register the prescription video (or automatically) so that it is not necessary to input one by one in FIG. Customizing the prescription video specifically means that when the selection items shown in FIG. 8 are selected, the combined videos are generated in the selected order. As shown in FIG. 11, for example, a screen showing an explanatory item for gastric cancer and an explanatory item for esophageal cancer is displayed.

FIG. 12 is a screen showing questionnaire items distributed to patients by the questionnaire distribution unit 70 of the digital medical information providing device 1 described later. After the patient completes this questionnaire, the healthcare professional can see the results. In addition, the patient 2 can answer using the operation terminal 6 of the medical staff. This screen is created based on the questionnaire information table 36 stored in the storage unit 30, which will be described later, as shown in FIG. 29. The questionnaire information table 36 is a table that stores information that defines the contents of a questionnaire for asking a patient a question determined according to a site or disease selected by a medical professional. In the questionnaire information table 36, the contents of asking questions such as a part such as the stomach in the first row, a disease such as cancer in the second row, and the function of the stomach in the third row are stored. Questionnaire items are displayed based on the information.

Hereinafter, it will be described that the patient 2 inputs information to the operation terminal 5 of the patient. As shown in FIG. 19, the patient 2 inputs the patient information to the patient's operation terminal 5. The patient information includes the patient 2's name, ID (for example, a medical examination ticket number, which may be an ID issued by the digital medical information providing device 1 as another example), and for logging in to the digital medical information providing system. Password and password (re-entered for confirmation) are included. Then, as shown in FIG. 20, a screen for selecting an attending physician is displayed. Patient 2 selects the attending physician from the list and presses the "Next Page" button 701.

When the patient 2 presses the "Next Page" button 701, a screen in which a message has arrived from the attending physician is displayed as shown in FIG. If the message has not arrived from the attending physician, the screen as shown in FIG. 21 is not displayed, or the past examination results are displayed. When the "confirmation" button 801 is pressed, a message from the attending physician and a moving image start screen are displayed as shown in FIG. When the "play" button 901 is pressed, the moving image playback screen is displayed as shown in FIG. 23. Press the play button in the center to play the video.

Although FIG. 23 shows an example in which the image is enlarged and reproduced on the screen, the image portion of the moving image as shown in FIG. 24 may be reproduced. When the playback of the moving image is completed, as shown in FIG. 24, if the moving image is to be viewed again, the "view again" button 1001 is pressed, and if the moving image is to be viewed by item, the "view by item" button 1002 is pressed. When the patient 2 presses the "Next" button 1003 after watching the moving image, the questionnaire screen as shown in FIG. 25 is displayed.

On the questionnaire screen, a question for confirming the degree of understanding and interest of patient 2 after watching the video is displayed. For example, regarding the items of "stomach function", "cancer progression / metastasis", "necessary tests", and "treatment method to be received", "1: I do not know at all", "2: I do not know" , "3: Neither", "4: I understand", and "5: I understand well". In addition, there are items that medical professionals want to ask, such as "hospitalization / treatment period," "treatment costs," "other treatment methods," "work," and "life after treatment." , You can receive answers by checking the check boxes of these items.

For example, "4: I understand" about the function of the stomach, "2: I don't know" about the progress and metastasis of cancer, "5: I understand" about the necessary tests, and "3" about the treatment method to be received. : Neither "," can be answered. In addition, you can check "Hospitalization / treatment period", "Other treatment methods", and "Work" as questions to the medical staff.

When you press the "Next" button 1101, as shown in FIG. 26, the message "This is the end of the question. Please wait until you are called for a medical examination." Is displayed. When the "Home" button is pressed, the home screen as shown in FIG. 27 is displayed. The home screen is the most basic page among multiple pages. On the home screen, items such as patient name, hospital name, medical staff name, video list, calendar, community, and settings are displayed as basic menus. By touching each of these buttons, that is, selecting a menu, detailed information on the selected item can be viewed. When the "video list" button is pressed, as shown in FIG. 30, a list of videos for each item prescribed by the doctor is displayed. It should be noted that the video can be played back and the questionnaire can be input by using the operation terminal 6 of the medical staff.

Hereinafter, the configuration of the digital medical information providing device 1 according to the present embodiment shown in FIG. 2 will be specifically described.

The receiving unit 10 includes a medical worker information receiving unit 11, a moving image order information receiving unit 12, a medical record information receiving unit 13, and a patient information receiving unit 14. The medical worker information receiving unit 11 receives the medical worker information as shown in FIG. 5 and the patient information as shown in FIG. 6 from the medical worker on the operation terminal 6 of the medical worker via the network 7. As shown in 7, the information of the item selected by the medical staff is received. The medical worker information receiving unit 11 includes a site information receiving unit 111 and a treatment method information receiving unit 112. The video order information receiving unit 12 receives video order information from a medical professional that determines which video to be distributed. The video order information is, for example, a video number. The medical record information receiving unit 13 receives the medical record information described in the medical record of the patient 2 from the medical staff. The medical record information is, for example, a medical record or a test result of patient 2. In addition, the patient information receiving unit 14 receives patient information that identifies the patient 2 from the patient 2. The patient information that identifies the patient 2 is, for example, a name and an ID (for example, a medical examination ticket number, and another example is an ID issued by the digital medical information providing device 1) as shown in FIG. (May be good), password, password (re-enter for confirmation), etc. For example, the patient 2 inputs Taro Yamada as a name and 009991122 as an ID (for example, a medical examination ticket number and may be an ID issued by the digital medical information providing device 1).

The acquisition unit 20A acquires information from an electronic medical record stored as an in-hospital system in the operation terminal 6 of the medical staff. The information from the electronic medical record is information obtained as a result of the medical staff inputting the examination result of the target patient into the electronic medical record.

The reception unit 20B receives input to the electronic medical record from the medical staff.

The output unit 20C outputs the moving image data generated by the generation unit 40 to the electronic medical record. The output may be a mere display on the operation terminal 6 of the medical staff, or may be a copy of the data.

The reflection unit 20D reflects the moving image output by the output unit 20C on the electronic medical record.

The storage unit 30 stores a moving image database of disease information. The disease information is video data related to the contents in which the medical staff explains the symptoms of the disease and the treatment policy. The moving image database includes a site database 31 for explaining a site to be treated and a treatment method database 32 for explaining a treatment method for a predetermined disease. As shown in FIG. 16A, the site database 31 holds, for example, a stomach database 311, an esophageal database 312, a liver database 313, a pancreas database 314, and the like, but is not limited thereto. As shown in FIG. 16B, the treatment method database 32 holds, for example, a surgical treatment database 321, a chemotherapy database 322, an endoscopy database 323, a radiotherapy database 324, and the like. It is not limited.

As shown in FIG. 17, the surgical treatment database 321 includes, for example, an organ database 3211, a pathological condition database 3212, a test database 3213, a treatment database 3214, a surgical procedure database 3215, a reconstruction method database 3216, a complication database 3217, and ancillary chemistry. It holds a therapy database 3218, an adjunctive radiotherapy database 3219, and the like. The organ database 3211 is a moving image for explaining the function of an organ, and holds, for example, moving image data explaining the function of the stomach.

The pathological condition database 3212 is a moving image for explaining a state of a disease or the like, and holds, for example, moving image data showing a state of gastric cancer. The examination database 3213 is a moving image for explaining an examination method or the like for diagnosing a disease, and holds moving image data explaining an examination method such as an upper endoscope. The treatment database 3214 is a moving image for explaining a method of treating a disease or the like, and holds moving image data explaining a treatment method such as laparotomy, for example. The surgical procedure database 3215 is a moving image for explaining a surgical method and the like, and holds, for example, moving image data explaining a method of total gastrectomy.

The reconstruction method database 3216 is a moving image explaining a method of reconstructing a portion removed by surgery, and holds moving image data explaining a reconstruction method such as the Roux-en-Y method. The complication database 3217 is a moving image for explaining a disease or the like that develops in association with cancer, and holds moving image data explaining complications such as postoperative bleeding, for example.

The adjunctive chemotherapy database 3218 is a moving image for explaining chemotherapy and the like performed as an adjunct to surgery, and holds moving image data explaining, for example, preoperative and postoperative adjunctive chemotherapy. The adjunctive radiotherapy database 3219 is a moving image for explaining radiotherapy and the like performed as an adjunct to surgery, and holds moving image data explaining, for example, preoperative and postoperative adjunctive radiotherapy. Similarly, the chemotherapy database 322, the endoscopy database 323, and the radiotherapy database 324 have similar databases.

The storage unit 30 also holds a medical worker information table 33 in which the name and ID of the medical worker are associated with the specialized area (specialized part) of the medical worker and the specialized clinical department. As shown in FIG. 28 (a), the name of the medical worker is in the first column, the ID of the medical worker is in the second column, the specialized part of the medical worker is in the third column, and the specialized part of the medical worker is in the fourth column. Lists the medical departments of healthcare professionals.

When the medical worker inputs the name and ID of the medical worker, the medical worker information table 33 automatically generates information on the specialized part of the medical worker and the specialized clinical department. This input is basically all manually input by the medical staff, but the ID of the medical staff (for example, the ID issued by the Ministry of Health, Labor and Welfare, and as another example, the ID issued by the digital medical information providing device 1). You can identify the specialty or medical department by crawling on the Internet just by entering the name. For example, if AB is entered in the name of the medical worker and 001 is entered in the ID of the medical worker, the stomach is selected as the site and surgery is selected as the clinical department. Information on specialized parts and clinical departments for each of these medical professionals is stored in a cloud computing system, and such information is acquired from the cloud computing system.

For example, as shown in FIG. 28 (b), information such as anatomy and pathological condition is stored in the display item information table 34, for example, "surgery", and as shown in FIG. 28 (c), a moving image content table. In 35, for example, "anatomy" stores all information such as selection, function, and structure. Therefore, if the data of the medical worker is input, the medical department or specialized part associated with the medical worker can be specified from the medical worker information table 33, and is displayed from the specified medical department or specialized part. Items to be to be specified are specified from the display item information table 34 of FIG. 28 (b), and the contents of the delivered moving image are specified from the moving image content table 35 of FIG. 28 (c), and each is as shown in FIG. It is possible to provide a screen specialized for medical professionals.

The storage unit 30 also holds a questionnaire information table 36 that associates the degree of understanding and interest of the patient 2 with the questionnaire items distributed by the questionnaire distribution unit 70, which will be described later, with the order of the questionnaire items to be distributed.

The storage unit 30 also holds a history information table 37 that stores the history (log data) of the information acquired by the acquisition unit 20A, the log data generated by the generation unit 40, and the log data distributed by the video distribution unit 60. .. The output unit 20C outputs the log data stored in the history information table 37 to the electronic medical record.

The generation unit 40 selects from a plurality of moving images stored in the storage unit 30 by the medical worker on the operation terminal 6 of the medical worker based on the medical worker information and the patient information received by the receiving unit 10. Based on the items, a plurality of videos corresponding to those items can be combined to generate an optimal video for each treatment stage of the disease of patient 2. Each of the plurality of moving images is stored in an external cloud computing system, and the generation unit 40 combines the plurality of moving images acquired from the cloud computing system.

The generation unit 40 can generate a moving image to be provided to the patient 2 based on the information of the electronic medical record acquired by the acquisition unit 20A. For example, when the medical worker receives a referral letter or the like before meeting the patient 2, the medical worker inputs the receipt of the referral letter into the electronic medical record, and when the acquisition unit 20A acquires the information, the generation unit 40 Can generate a video that recognizes that it is time for a healthcare professional to receive a letter of referral and provides information such as examinations and explanations of organ functions. In addition, when electronic medical record information, for example, examination ordering information is acquired, an explanation video of the examination can be automatically generated and recommended to a doctor (or delivered directly to a patient without going through a doctor). Specifically, "recommendation" analyzes information such as the medical condition of patient 2 (for example, what kind of disease and what stage it is in) and the stage of treatment (progress) from the sentences included in the medical record information. Then, the moving image corresponding to the analysis result is specified and the synthesized moving image is proposed to the medical staff (transmitted to the operation terminal 6).

Further, for example, when the medical worker meets the patient 2 and explains the disease and the contents of the examination in the electronic medical record, and the acquisition unit 20A acquires the information, the generation unit 40 is engaged in the medical treatment. Recognizing that it is the timing when the person explained the disease and the contents of the examination to the patient 2, a video is generated that provides information on the examination, the function explanation of the organ, the characteristics of the cancer, and the treatment method. Further, for example, when all the examinations are completed, the notification and the explanation of the treatment policy are completed, and the acquisition unit 20A acquires the information, the generation unit 40 has completed all the examinations and the notification and the explanation of the treatment policy are completed. And generate all the necessary information.

Further, for example, when a medical worker writes a letter of introduction to a specialized clinical department, the medical worker inputs the fact that the letter of introduction has been written to a specialized clinical department into an electronic medical record, and the acquisition department 20A acquires the information. Then, the generation unit 40 recognizes that it is the timing when the medical staff writes a letter of introduction to a specialized clinical department, and generates a video that provides information on the treatment content such as the pharmacological mechanism of the anticancer drug. ..

To generate is to combine the end of a video and the beginning of the next video into one video. This order may be, for example, the order in which the videos are prioritized and the order of priority, or the order specified by the healthcare professional, which is likely to be of interest to the patient. May be good. As a method for the digital medical information providing device 1 to acquire and realize these orders, when a priority is set for the moving image, for example, item A has priority 20, item B has priority 30, and item C. Is set to have a priority of 10, and moving images are generated in the order of priority, that is, B → A → C. If the medical staff sets the display order so that item A is the first, item B is the second, and item C is the third (or specified when selecting a video), the order of earliest timing is used. That is, moving images are generated in the order of A → B → C. In addition, when the patient is receiving telemedicine on his / her own operation terminal 5, the image of the patient 2 captured by the in-camera of the operation terminal 5 is used as an image that the patient 2 is likely to be interested in. (Video) is specified, and images that are likely to be of interest are preferentially generated.

The generation unit 40 has a gaze information addition unit 41 that weights, that is, marks, the information that the medical staff particularly wants the patient 2 to see. Of the one video generated by combining each video, the chapters and moments that you want to see carefully are processed to make them stand out by adding effects such as marking the parts, and the patient Call the attention of 2. The method of adding the effect may be to blink the video, to make the frame of the video in color, to perform slow playback, or to add a thumbnail as a still image. You may. Further, as shown in FIG. 30, the medical worker may mark the frame of one image as shown by the marker 75 on the thumbnail image, or the one image as shown by the marker 76. A portion may be marked by a healthcare professional so that, for example, this portion is known to be cancerous. By processing the moving image in this way, the patient 2 can see the part that the medical staff wants the patient 2 to pay particular attention to.

The community creation unit 50 creates a community of patients in the digital medical information system. The community creation unit 50 creates a community such as a cancer patient group via the network 7. The community here refers to a place where multiple patients or between patients and medical staff communicate with each other, such as exchanging opinions. FIG. 31 is an example of a community screen created by the community creation unit 50 and showing information provided when participating in the community. As shown in FIG. 31, on the community screen, the identification information of the users participating in the community (including medical staff, patients, etc.), the contents of the chat by the users participating in the community, and the contents related to the community are displayed. It may include a video to be played. The user identification information may be the user's own name, a pseudonym, or some kind of nickname. Posting may also be the provision of information by users participating in the community that may be useful to members of the community. The file may be a WORD file or a PDF file that documents information that may be useful to members of the community. The community creation unit 50 creates a platform in the digital medical information system, and creates a community on the platform. The creation of this community can be automatically generated by the system in addition to or in place of what the healthcare professional specifies. For example, patients can be grouped by site, disease, or area of residence, and a community can be automatically generated for each group. For example, a community of groups of patients with stage 1 gastric cancer. Within the community, for example, you can watch videos of the experiences of "cancer survivors" who have completely recovered from cancer. Videos of people who have overcome cancer in this way are the hopes of cancer patients. In addition, it is possible to select users participating in the community and have a one-to-one chat with the selected users, and if there are a plurality of selected users, it is possible to chat with a plurality of users. ..

For example, if there are a certain number of patients (eg, 10) who have a disease (eg, cancer) in the same site (eg, stomach), a community of patients who have the disease in that site is automatically generated. can do. Automatically generate a community of patients with the same disease (eg, cancer other than the stomach) if there are a certain number of patients (eg, 10), even if they are not in the same area. Can be done. In addition, a community can be automatically generated between patients who have other diseases (for example, diabetes) in other sites, even if they are not in the same site or in the same disease. In addition, if there are a certain number of patients (for example, 10) living in the same area (for example, Tokyo), a community can be automatically generated among patients living in that area. The digital medical information system sends an invitation message to the community to the patient's operation terminal 5, and the patient 2 can join the community by pressing the join button.

The community creation unit 50 includes an assignment destination determination unit 51. There are a plurality of communities, from large to small, and the assignment destination determination unit 51 determines which of the plurality of communities to assign the plurality of patients to according to the attributes of the patients. For example, a stage 1 patient with gastric cancer may be assigned to a community of stage 1 patients with gastric cancer. That is, as an example, the assignment destination determination unit 51 has the attributes of the community (for example, what kind of symptom it is related to, the degree of progression as a medical condition, which part it is related to, etc.) and the attributes of the patient to be assigned. (For example, what kind of medical condition you have (or do not have), what stage the current medical condition progresses, what part you are suffering from, etc.) decide.

By providing the community creation unit 50 and the assignment destination determination unit 51 in this way, it becomes possible to create a community and select a community to distribute a video.

The video distribution unit 60 distributes the video generated by the generation unit 40 to the patient's operation terminal 5. It should be noted that the distribution of the video is not limited to the operation terminal 5 of the patient, but is limited to the operation terminal 6 of the medical staff, and to the person whom the patient wishes to distribute, for example, a family member or a doctor of a family doctor. You may go. In addition, the video distribution unit 60 can also distribute the video to the patient-to-patient community created by the community creation unit 50.

The questionnaire distribution unit 70 asks the operation terminal 5 of the patient 2 who has confirmed the video distributed by the video distribution unit 60 about the matters to confirm the understanding and interest of the patient 2 and the matters to be confirmed by the medical staff. To deliver.

As shown in FIG. 25, the patient 2 answers the question after watching the video. The questions are, for example, "about the function of the stomach", "about the degree of cancer progression / metastasis", "about the necessary tests", and "about the treatment method to be received". Understanding and interest in these questions in five stages: "1: I don't understand at all", "2: I don't understand", "3: Neither", "4: I understand", and "5: I understand well". Answer the degree. In addition, there are items that medical professionals want to ask, such as "hospitalization / treatment period," "treatment costs," "other treatment methods," "work," and "life after treatment." , You can receive answers by checking the check boxes of these items.

The questionnaire distribution unit 70 obtains the permission of the patient 2 to image the facial expression of the patient 2 and acquire the voice. Then, the emotion of the patient 2 at that time is analyzed from the photographed image of the patient 2. The emotion of patient 2 is also analyzed by voice recognition. Then, the distribution item switching unit 71 is provided, which identifies the degree of understanding and the degree of interest of the patient 2 by analysis, and switches the questionnaire items by tracking the facial expression of the patient 2 and analyzing the voice according to the specified degree of understanding and the degree of interest. In the switching of the distribution items, the distribution items corresponding to the degree of understanding and the degree of interest are ordered based on the questionnaire information table 36 held by the storage unit 30 described above. For example, if the number of aizuchis at the time of explanation of patient 2 is small, it is judged that the degree of understanding and interest is low, or the degree of anxiety is high, and "about the degree of cancer progression / metastasis" is displayed at the top. Can be done. In addition, a questionnaire may be displayed for the moving image in which the patient 2 is interested. This can be done by remote control, which may be done by web service or application. By providing this configuration, the medical staff can deliver a questionnaire according to the degree of understanding and interest of the patient.

The distribution item switching unit 71 can also link the items of the degree of understanding and the degree of interest at the upper part of the questionnaire screen with the items desired to be asked by the medical staff at the lower part. As for the interlocking with the items to be asked by the medical staff, the items to be asked by the medical staff corresponding to the degree of understanding and the degree of interest are ordered based on the table held by the storage unit 30 described above. For example, if the degree of understanding of "cancer progression / metastasis" is "1: I do not know at all" or "2: I do not know", "hospitalization / treatment period" can be displayed at the top. can. Also, for example, if the degree of understanding of "about the treatment method to be received" is "4: understood" or "5: well understood", "about other treatment methods" can be displayed at the top. ..

In addition, the distribution item switching unit 71 can change the order of items to be asked by the medical staff according to the age of the patient 2. For example, for elderly people in their 70s and 80s, "about work" is displayed at the bottom, and for people in their 30s and 40s who are in the prime of work, "about work" is displayed at the top.

The "anatomy" shown in FIG. 8 is shown in "about the function of the stomach" shown in FIG. 12, and the "pathological condition" shown in FIG. 8 is shown in "about the progression / metastasis of cancer" shown in FIG. “Examination” is described in “Necessary examination” shown in FIG. 12, and “Treatment method, surgical procedure, reconstruction method” shown in FIG. 8 is described in “Received treatment method” shown in FIG. “Complications” correspond to “complications” shown in FIG. 12, respectively.

According to the digital medical information providing device 1 in the present embodiment, by providing the above configuration, it is possible to receive the optimum medical information in each state of the treatment of the disease of the patient 2 customized for each patient. Can be done.
[Digital medical information provision method]

Hereinafter, the method for providing digital medical information according to the present invention will be described with reference to FIG. 32. The digital medical information providing method according to the present invention is a process of distributing a moving image so that an optimal treatment or the like can be received at each stage based on a plurality of stages of treatment of the disease of patient 2.

First, in the receiving step S11, the receiving unit 10 receives the medical worker information as shown in FIG. 5 and the patient information as shown in FIG. 6 from the medical worker via the network 7 on the operation terminal 6 of the medical worker. As shown in FIG. 7, the information of the item selected by the medical staff, and the name and ID (for example, the consultation ticket number) entered by the patient 2 from the patient 2 on the operation terminal 5 of the patient as shown in FIG. As another example, the ID may be an ID issued by the digital medical information providing device 1), and patient information such as a password is received.

Next, in the acquisition step S12, the acquisition unit 20A acquires information from the electronic medical record stored as an in-hospital system in the operation terminal 6 of the medical staff.

Next, in the reception step S13, the reception unit 20B receives the input from the medical staff to the electronic medical record.

Next, in the output step S14, the output unit 20C outputs the moving image data generated by the generation unit 40 to the electronic medical record.

Next, in the reflection step S15, the reflection unit 20D reflects the moving image output by the output unit 20C in the output step S14 on the electronic medical record.

Next, in the generation step S16, the generation unit 40 combines and processes a plurality of moving images from the plurality of moving images stored in the storage unit 30, and is the most suitable one in each stage of the treatment of the disease of the patient 2. Generate a video of.

The generation step S16 may include a gaze information addition step S161. In the gaze information addition step S161, the gaze information addition unit 41 weights, that is, marks, the information that the medical staff particularly wants the patient to see. Of the one video generated by combining each video, only here is the chapter or moment that you want to see carefully, by applying processing such as marking that part. Stand up and draw the patient's attention. The method of adding the effect may be, for example, blinking the moving image, making the frame of the moving image in color, performing slow playback, or attaching a thumbnail as a still image. May be. Further, as shown in FIG. 30, the medical worker may mark the frame of one image as shown by the marker 75 on the thumbnail image, or the one image as shown by the marker 76. A portion may be marked by a healthcare professional so that, for example, this portion is known to be cancerous. By processing the moving image in this way, the patient can see the part that the medical staff wants the patient to pay special attention to.

In the detection step S17, the detection unit 80 detects the content of the moving image generated by the generation unit 40. Details will be described later.

In the control step S18, the moving image distribution unit 60 controls the timing of distributing the moving image. Details will be described later.

In the video distribution step S19, the video distribution unit 60 distributes one video generated in the generation step S16 to the patient's operation terminal 5.

In the video distribution step S19, the video distribution unit 60 distributes the video generated by the generation unit 40 in the generation step S16 to the patient's operation terminal 5. It should be noted that the distribution of the moving image is not limited to the operation terminal 5 of the patient, and may be performed to the operation terminal 6 of the medical worker.

Next, in the distribution item switching step S20, the distribution item switching unit 71 switches the questionnaire items according to the degree of understanding and the degree of interest of the patient 2. With the camera provided in the operation terminal 6 of the medical worker described above, with the permission of the patient 2, the facial expression of the patient 2 is imaged and the voice is acquired. Then, the emotion of the patient 2 at that time is analyzed from the captured image of the patient 2. The emotion of patient 2 is also analyzed by voice recognition. Then, the degree of understanding and the degree of interest of the patient 2 can be specified by the analysis, and the delivery items can be switched by tracking the facial expression of the patient 2 and the voice analysis according to the specified degree of understanding and the degree of interest. In the switching of the distribution items, the distribution items corresponding to the degree of understanding and the degree of interest are ordered based on the table held by the storage unit 30 described above. For example, if the number of aizuchis at the time of explanation of patient 2 is small, it is judged that the degree of understanding and interest is low, or the degree of anxiety is high, and "about the degree of cancer progression / metastasis" is displayed at the top. Can be done. In addition, a questionnaire may be displayed for the moving image in which the patient 2 is interested. This can be done by remote control, which may be done by web service or application.

Further, in the distribution item switching step S20, the items of the degree of understanding and the degree of interest at the upper part of the questionnaire screen can be linked with the items desired to be asked by the medical staff at the lower part. As for the interlocking with the items to be asked by the medical staff, the items to be asked by the medical staff corresponding to the degree of understanding and the degree of interest are ordered based on the table held by the storage unit 30 described above. For example, if the degree of understanding of "cancer progression / metastasis" is "1: I do not know at all" or "2: I do not know", "hospitalization / treatment period" can be displayed at the top. can.

Next, in the questionnaire distribution step S21, the questionnaire distribution unit 70 distributes a questionnaire regarding items for confirming the degree of understanding and interest of the patient and items to be confirmed for the medical staff in the order determined in the distribution item switching step S20. do. This questionnaire distribution step S21 is performed in order to grasp the degree of understanding and interest of the patient after receiving the medical examination. As shown in FIG. 25, the patient will answer the question after watching the video. Questions include, for example, "stomach function", "cancer progression / metastasis", "necessary tests", "treatment to be received", "complications" and the like. For these questions, answer the level of understanding in five stages: "1: I don't understand at all", "2: I don't understand", "3: Neither", "4: I understand", and "5: I understand well". do. In addition, there are items that medical professionals want to ask, such as "hospitalization / treatment period," "treatment costs," "other treatment methods," "work," and "life after treatment." , You can receive answers by checking the check boxes of these items.

In the control step S18, the detection unit 80 and the control unit 90 transmit a plurality of moving images distributed by the moving image distribution unit 60 to the operation terminal 5 of the patient 2 at an appropriate timing.

According to such a configuration of the present embodiment, by providing the above configuration, it is possible to receive the optimum medical information in each state of the patient 2 customized for each patient.
[Digital medical information provision program]

In the digital medical information providing program according to the present invention, the function of the digital medical information providing device 1 of the present invention is realized in a computer.
[Other Embodiments]

In the present embodiment, the case where the patient's disease is cancer and the cancer is gastric cancer or esophageal cancer has been described, but the present invention is not limited to this, for example, liver cancer, gallbladder cancer, cholangiocarcinoma. It can also be applied to cancer and pancreatic cancer. In FIG. 13, buttons such as “liver”, “gallbladder”, “bile duct”, and “pancreas” are displayed as site selection. Healthcare professionals may or may not select at least one of these items. In addition, buttons such as "surgical", "chemotherapy", and "radiation" are displayed as treatment method selections. Healthcare professionals may or may not select at least one of these items. A "confirmation" button 1201 is displayed at the lower right, and the medical staff presses the "confirmation" button 1201.

Further, in the present embodiment, the screen on which the selection items as shown in FIG. 8 is displayed has been described, but the present invention is not limited to this, and the selection items as shown in FIG. 14 are displayed. The screen is also possible. In FIG. 14, items to be selected are displayed according to the items selected by the medical staff in FIG.

On this screen, instead of the "operative procedure", "reconstruction method", "complications", "adjuvant chemotherapy" and "adjuvant radiation therapy" displayed in FIG. 8, "anticancer drug type" And the item of "side effect" is displayed. Healthcare professionals may or may not select at least one of these items. As "anatomy", buttons for selecting items such as "work" and "structure" are displayed. Buttons for selecting items such as "progress", "metastasis", and "symptom" are displayed as the "pathological condition". Healthcare professionals may or may not select at least one of these items.

"Examination" includes "ultrasound", "EUS", "X-ray", "upper endoscope", "lower endoscope", "gastric fluoroscopy", "CT", "PET / CT", "MRI" A button for selecting items such as is displayed. Healthcare professionals may or may not select at least one of these items. As the "anticancer drug type", a button for selecting an item such as "FOLFRINOX", "Gem / nab-PTX", "gemcitabine", or "S1" is displayed. Healthcare professionals may or may not select at least one of these items. As "side effects", buttons for selecting items such as "myelosuppression", "nausea / vomiting", "mucositis", "numbness", "hair loss", "diarrhea", and "interstitial pneumonia" are displayed. .. Healthcare professionals may or may not select at least one of these items. When the "OK" button 1301 is pressed, one moving image is generated by combining the moving images of the selected items. However, at least one of "anatomy" and "side effects" must be selected.

In this case, the surgical treatment database 321 further includes an anti-cancer drug type database 3220 and a side effect database 3221.

The surgical treatment database 321 further includes a rehabilitation database 3222 and a nutritional guidance database 3223. The rehabilitation database 3222 is for use by medical professionals in charge of rehabilitation such as physical therapists, occupational therapists, and speech therapists, and the nutrition guidance database 3223 is for use by nutritionists.

Next, in the present embodiment, the screen on which the questionnaire items as shown in FIG. 12 are displayed has been described, but the present invention is not limited to this, and the questionnaire items as shown in FIG. 18 are included. It may be the screen that is displayed. As shown in FIG. 18, as items for confirming the degree of understanding of the patient, only three items, "about the degree of cancer progression / metastasis", "about necessary tests", and "about the treatment method to be received" may be sufficient. Regarding these three items, the patient has five stages: "1: I don't understand at all", "2: I don't understand", "3: Neither", "4: I understand", and "5: I understand well". Answer the degree of understanding.

In the present embodiment, the case where the patient's disease is cancer has been described, but the present invention is not limited to this, and may be a disease other than cancer. For example, it can be applied to infectious diseases such as respiratory infections, digestive organ infections, urinary tract infections, and skin infections, and ischemic heart diseases such as hypertension, arrhythmia, angina, and myocardial infarction. Cardiovascular disease, systemic erythematosus, collagen diseases such as rheumatoid arthritis, metabolic syndrome such as diabetes, hyperlipidemia, hypercholesterolemia, Parkinson's disease (PD), muscular atrophic lateral sclerosis (ALS), frequent occurrence It can also be applied to cases of neurological diseases such as sclerosis (MS).

In addition, it is not limited to doctors who prescribe videos, rehabilitation is a physiotherapist, nutrition guidance is a dietitian, examination explanation is a radiologist / clinical examination engineer, hospitalization explanation is a nurse, etc. It is possible to prescribe according to the specialized area of.

Further, in the present embodiment, the case where the digital medical information providing device 1 is used in the on-premises environment has been described, but the present invention is not limited to this, and when it is used in the environment where the cloud computing system is used. Can also be applied.

1 Digital medical information providing device 2 Patient 3 First hospital 4 Second hospital 5 Patient operation terminal 6 Medical worker operation terminal 7 Network 10 Receiver 11 Medical worker information receiver 12 Video order information receiver 13 Carte Information receiving unit 14 Patient information receiving unit 20A Acquisition unit 20B Reception unit 20C Output unit 20D Reflection unit 30 Storage unit 31 Site database 32 Treatment method database 33 Medical worker information table 34 Display item table 35 Video content table 36 Questionnaire information table 40 Generation Department 41 Gaze information addition department 50 Community creation department 51 Assignment destination decision department 60 Video distribution department 70 Questionnaire distribution department 71 Distribution item switching department 111 Site information reception department 112 Treatment information reception department 321 Surgical treatment database 322 Chemotherapy database 323 Endoscopic examination database 324 Radiation treatment database 311 Gastric database 312 Esophageal database 313 Liver database 314 Pancreatic database 3211 Organ database 3212 Pathological condition database 3213 Examination database 3214 Treatment method database 3215 Surgical method database 3216 Reconstruction method database 3217 Complications database 3218 Adjuvant chemotherapy Database 3219 Adjuvant radiotherapy database 3220 Anticancer drug type database 3221 Side effect database 3222 Rehabilitation database 3223 Nutrition guidance database

Claims (16)

A receiver that receives medical staff information, video order information, medical record information, or patient information input by the medical staff or patient to the operation terminal.
A memory unit that stores multiple videos about the disease,
A generation unit that generates a moving image about the disease based on the medical worker information and the patient information received by the reception unit, and a generation unit.
A video distribution unit that distributes the video generated by the generation unit to the patient's communication terminal, and a video distribution unit.
Digital medical information providing device equipped with. A detection unit that detects the content of the moving image generated by the generation unit, and
The video distribution unit further includes a control unit that controls when at least one video is distributed from the plurality of videos.
The detection unit detects the medical examination status of the patient, and based on the detection result of the detection unit, the control unit controls to transmit the video distributed by the video distribution unit to the operation terminal of the patient at an appropriate timing. The digital medical information providing device according to claim 1. 2. The control unit is characterized in that, according to the prescription history of the patient, the video distribution unit controls to distribute to the operation terminal of the patient excluding duplicate videos from the videos distributed by the video distribution unit. Described digital medical information providing device. A claim that further includes a questionnaire distribution unit that distributes a questionnaire regarding matters for confirming the degree of understanding and interest of the patient and matters that the medical staff wants to confirm to the communication terminal of the patient to which the video distribution unit has distributed the video. The digital medical information providing device according to any one of 1 to 3. The receiving unit includes a medical worker information receiving unit that receives the medical worker information from the medical worker, a video order information receiving unit that receives the video order information from the medical worker, and the medical worker. The medical worker information receiving unit includes a medical information receiving unit that receives the medical information from a person and a patient information receiving unit that receives the patient information from the patient, and the medical worker information receiving unit indicates a selected treatment site. A site information receiving unit for receiving information and a treatment method information receiving unit for receiving treatment method information indicating a selected treatment method are provided, and the site information and the treatment method information are the names of the medical personnel. The digital medical information providing device according to any one of claims 1 to 4, which is automatically generated by an ID. Any of claims 1 to 5, wherein the generation unit generates one moving image by combining the moving images of items selected by the medical worker among the moving images stored in the storage unit. The digital medical information providing device according to item 1. The digital medical information according to claim 6, wherein the generation unit includes a gaze information addition unit that adds gaze information to a portion of the moving image that the medical worker wants the patient to gaze at. Providing equipment. The questionnaire distribution unit is characterized by including a distribution item switching unit that automatically switches questionnaire items to be distributed according to analysis of the patient's facial expression or voice that is photographed or collected by a camera provided in the terminal. The digital medical information providing device according to claim 4. The digital medical treatment according to claim 8, wherein the distribution item switching unit switches the display order of the items to be confirmed by the medical staff in response to the answers to the items for confirming the degree of understanding and interest of the patient. Information providing device. The digital medical information providing device according to any one of claims 1 to 9, further comprising a community creation unit for creating a plurality of communities of patients. The tenth aspect of the present invention further comprises an assignment destination determination unit for determining which of a plurality of patients to be assigned to which of the plurality of communities created by the community creation unit according to the attributes of the patients. Described digital medical information providing device. The digital medical information providing device according to claim 11, wherein the assignment destination determination unit determines which of the plurality of videos is to be distributed to which of the plurality of communities. Any of claims 1 to 12, further comprising an acquisition unit that acquires information indicating a patient's examination result from an electronic medical record stored in a terminal of a medical worker, and an output unit that outputs the information acquired by the acquisition unit. The digital medical information providing device according to item 1. The digital medical information providing device according to claim 13, further comprising a reception unit that receives input from the medical staff to the electronic medical record, and a reflection unit that reflects the moving image distributed by the video distribution unit in the electronic medical record. Receiving step to receive medical staff information, video order information, chart information or patient information input by the medical staff or patient to the operation terminal,
A memory step to memorize multiple videos about the disease,
A generation step of generating a moving image about the disease based on the medical worker information and the patient information received in the reception step, and a generation step.
A digital medical information providing method including a moving image distribution step of distributing the moving image generated in the generating step to a communication terminal of a patient. On the computer
Receiving function to receive medical staff information, video order information, chart information or patient information input by the medical staff or patient to the operation terminal,
A memory function that stores multiple videos about the disease,
A generation function for generating a moving image about the disease based on the medical worker information and the patient information received by the reception function, and
A digital medical information providing program that realizes a video distribution function that distributes the video generated by the generation function to a patient's communication terminal.

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