JP6585458B2 - Medical support system - Google Patents

Description

  The present invention relates to a medical care support system for supporting medical care by medical staff.

  Medical care of patients by medical staff (doctors) consists of diagnosis, determination of treatment policy, prescription / treatment, and the like. The medical staff performs diagnosis and examination while referring to information (hereinafter referred to as medical information) related to medical care that the patient has received in the past. Even seemingly similar symptoms can be completely different diseases, and in order to make an accurate diagnosis, information on the symptoms and identification of a huge number of diseases is required.

  In addition, although medical personnel need to decide on a treatment policy based on the diagnosis results, not only the appropriate treatment method varies depending on the patient's symptoms, age, pre-existing disease, etc. In some cases, the effective prescription content may change due to changes in the drug susceptibility of bacteria or viruses, or the development of new drugs, etc., and a wide range of information on possible prescriptions and treatments is required. Furthermore, pharmaceuticals are prescribed in accordance with the treatment policy that has been decided, but it is also necessary to prescribe them while comprehensively considering the patient's age and symptoms, drug allergies, the presence of pregnancy, etc. is there.

  In this way, the information that medical professionals should refer to in clinical practice is very diverse and diverse, so medical professionals can select diagnostic guidelines, therapeutic guidelines, and drug information as needed. It was common to conduct medical care while referring to books related to the above. In order to conduct appropriate medical care, it is necessary to appropriately utilize such diagnostic guidelines, guidelines for treatment methods, and information on drugs (hereinafter referred to as medical support information), but the time available for medical treatment is limited. For this reason, it has been a heavy burden for medical professionals to find and browse necessary information from a vast amount of information spanning multiple books.

  In order to solve such a problem, there are provided contents in which information of a plurality of books describing medical support information is digitized and item names of each information of the medical support information are hyperlinked. However, in such contents, there is a problem that it takes time to search for information that is not linked even if it is related information because only a link is attached to each item of information. . Also, since the only search methods that can be used are so-called directory-type search and search-type search using keywords, it is not possible to browse a plurality of information in different categories. There is a problem that a large amount of information (hereinafter referred to as noise) that is not information is extracted.

  By the way, when a medical worker performs medical care, there is a need to check the medical support information while browsing the medical information of the patient with an electronic medical record or the like, but with conventional content, It was necessary to switch the screen from the electronic medical record and browse these contents, which was difficult to use.

  In order to solve such a problem, an electronic medical chart apparatus having a function capable of associating desired data with an electronic medical chart has been proposed (for example, see Patent Document 1). However, in such a conventional electronic medical chart apparatus, although the medical information and the medical assistance information are linked, the information desired to be browsed cannot be accurately and easily extracted.

  In addition, when a doctor who is not used to operating a personal computer or the like performs input in the conventional electronic medical record, there is a problem that it takes time to input, which may be a burden on the doctor or the like. . At the time of medical care, the contents written on the paper chart by the medical staff are often the minimum and very simple contents, but the electronic chart has many required input items and is cumbersome and time consuming. For this reason, there are hospitals and the like in which an electronic medical record input person is prepared separately. In order to solve such a problem, for example, an electronic medical record for setting input items such as treatment and prescription desired by a user on a sheet input screen is disclosed for the purpose of simplifying input to the electronic medical record. (For example, refer to Patent Document 2).

  In addition, an electronic medical record having not only the aspect of replacing the description on paper with the input to electronic data but also the aspect of supporting medical treatment by a doctor or the like has been proposed. For example, for the purpose of performing a treatment suitable for a patient's medical condition without being influenced by the experience of a doctor or the like, a database in which patient's medical condition information is associated with disease information related to a disease corresponding to the medical condition information A diagnosis support apparatus is disclosed that identifies disease information corresponding to this disease state information when the patient's disease state information is input (see, for example, Patent Document 3).

  In addition, there is an electronic medical record system that uses a schema for inputting a complaint. However, there are many tasks that users have to create electronic medical record data, such as switching between screens and selecting a schema that matches the patient's chief complaint. It was. Therefore, in order to reduce the burden of user input, we have a management file that associates the name of each part of the body with a schema diagram, and if you enter a phrase related to the patient's chief complaint, refer to the management file and change the phrase A medical assistance device that displays related schema diagram candidates is disclosed (see, for example, Patent Document 4).

  However, in the methods described in Patent Documents 2 to 4, information on the affected part and main complaints such as symptoms after the symptom (for example, rash, numbness) in the affected part is displayed on the keyboard, or It was not possible to input the main complaint to the electronic medical record simply and efficiently because it was necessary to select from a large number of options.

  By the way, in recent years, an increasing number of patients desire home visits and home-visit treatments, and the number of cases in which medical workers perform treatment outside a hospital is increasing. Also, in hospitals, for example, there are cases where a medical examination is performed in a place other than an examination room such as a hospital room or examination room, or medical information needs to be browsed. However, the methods described in Patent Documents 1 to 4 are intended only for medical assistance at a terminal installed in the examination room, and do not enable medical assistance outside the examination room.

JP 2005-316971 A JP 2009-9609 A JP 2009-59381 A Japanese Patent Laid-Open No. 11-312202

  The present invention is to solve the above-described problems.

  That is, the first problem of the present invention is that it is possible to browse the medical support information while checking the medical information, and accurately and easily extract the information to be browsed from the medical support information and the medical information. It is an object of the present invention to provide a medical support system that can handle such a situation.

  The second problem of the present invention is to provide a medical support system that mainly solves the complexity of operability and reduces the burden of data input for creating medical records for doctors and medical institutions. Objective.

  The third subject of the present invention is the use of a portable terminal that can be carried and can check medical information, view medical support information, and input to an electronic medical record even in places other than the examination room. The purpose is to provide a medical assistance system.

  The present invention includes a portable terminal having a display unit for browsing medical care related information including medical care support information to be referred to by medical personnel in medical care and / or medical information related to medical care received by a patient, and a server device. A medical care support system for medical care related information storage means for storing medical care related information and medical care related information to be browsed from medical care related information stored in the medical care related information storage means in response to an operation instruction to the mobile terminal Medical-related information specifying means for specifying information, and information selection means for selecting at least a part of information from the medical-related information displayed on the display unit of the mobile terminal in response to an operation instruction to the mobile terminal. The portable terminal includes a display unit for displaying the specified medical treatment related information on the display unit, and the medical treatment related information specifying unit displays the selection information selected by the information selection unit as a next operation instruction. To then identify the medical-related information as a browsing object, regarding clinical information system.

  In the present invention, the medical care related information storage means stores tagged medical care related information. The tag storage means for storing the tag attached to the medical care related information, and the tag stored in the tag storage means. A tag extraction unit that extracts a tag having a predetermined relationship with input information input in response to an operation instruction to the mobile terminal, and the medical treatment related information specifying unit is stored in the medical treatment related information storage unit It is preferable to specify the medical treatment related information tagged with the extracted extraction tag from the medical treatment related information.

  In the present invention, the medical care related information specifying means specifies a plurality of medical care related information tagged with the extraction tag, and the mobile terminal can identify each of the specified medical care related information. Identification information display means for displaying a plurality of identification information on the display unit, and identification information selection means for selecting at least one identification information from among the plurality of identification information displayed in response to an operation instruction to the portable terminal And the display means displays the medical treatment related information corresponding to the selected identification information on the display unit, and the medical care related information specifying means displays the identification information selected by the identification information selection means as follows: As an operation instruction, it is preferable to specify medical-related information to be browsed next.

  In the present invention, the medical assistance information includes diagnostic guideline information that is referred to when a medical worker makes a diagnosis, treatment guideline information that is referred to when determining a treatment policy based on a diagnosis made by a medical worker, and , Which includes drug information related to drugs prescribed to patients based on a treatment policy determined by a healthcare professional, and the medical-related information specifying means is when the selection information selected by the information selection means is diagnostic guideline information , Which specifies treatment guideline information or pharmaceutical information as medical treatment related information, and when the selection information selected by the information selection means is treatment guideline information, specifies diagnostic guideline information or pharmaceutical information as medical treatment related information When the selection information selected by the information selection means is drug information, the diagnostic guideline information or the treatment guideline information is specified as the medical treatment related information. It is preferable.

  In the present invention, in accordance with an operation instruction to the mobile terminal, clinical test instruction information for instructing the patient to perform a clinical test, treatment instruction information for instructing a treatment to the patient, and / or a prescription for instructing the patient to prescribe It is preferable to include instruction information generating means for generating instruction information, and instruction information storage means for storing clinical examination instruction information, treatment instruction information, and / or prescription instruction information generated by the instruction information generating means.

  The present invention is a mobile terminal having a display unit for browsing medical care related information including medical care support information to be referred to by medical personnel for medical care and / or medical information related to medical care received by a patient. In response to the operation instruction, the medical treatment information specifying means for specifying the medical care related information to be browsed, the display means for displaying the specified medical care related information on the display unit, and the operation instruction to the portable terminal The information selection means for selecting at least a part of information from the medical treatment related information displayed on the display unit of the mobile terminal, the medical care related information specifying means, the selection information selected by the information selection means, As a next operation instruction, the present invention relates to a mobile terminal that specifies medical-related information to be browsed next.

  The present invention is a program executed in a mobile terminal having a display unit for browsing medical care related information including medical care support information referred to by medical personnel as reference for medical care and / or medical information related to medical care received by a patient. In response to an operation instruction to the mobile terminal, medical-related information specifying means for specifying the medical-related information to be browsed, display means for displaying the specified medical-related information on the display unit, and an operation instruction to the mobile terminal Accordingly, the information related to the information selection means for selecting at least part of the information related to the medical care displayed on the display unit of the mobile terminal is selected. The present invention relates to a program for specifying information related to medical treatment to be browsed next as information on the next operation instruction.

  The present invention is a medical record creation support system including a medical institution terminal installed in a medical institution, and a server device and a mobile terminal that can be connected to the medical institution terminal by communication, and the mobile terminal A part information receiving unit that receives information about a part constituting the living body in response to an input operation; a symptom specifying information transmitting unit that transmits information about the received part to the medical institution terminal and / or the server device as symptom specifying information; A symptom candidate receiving means for receiving a symptom candidate transmitted from a medical institution terminal and / or a server device, and a symptom selection for receiving a symptom selection from the symptom candidate received by the symptom candidate receiving means in response to a user input operation A receiving means, a progress information receiving means for receiving progress information relating to the progress of a symptom in response to a user's input operation, and a received symptom And the main complaint information display means for displaying the progress information as main complaint information on the display device, and the medical institution terminal and / or the server device associates a part constituting the living body with a symptom that can develop in the part. A symptom corresponding to a part included in the received part information from a symptom stored in the symptom candidate storing part, a symptom specifying information receiving part that receives symptom specifying information transmitted from the portable terminal, and a symptom stored in the symptom candidate storing part A symptom candidate extraction means for extracting the symptom candidate and a symptom candidate transmission means for transmitting the extracted symptom candidate to a portable terminal, and a main complaint information storage means for storing main complaint information. About.

  In the present invention, the main complaint information storage means stores other main complaint information for a part different from the part, and the symptom identification information includes other main complaint information stored in the main complaint information storage means, The institution terminal and / or the server device stores the symptom and the disease candidate storage unit that stores the disease candidate that can be identified from the symptom in association with each other, and the disease stored in the disease candidate storage unit, and is stored in the main complaint information storage unit A first disease candidate extraction unit that extracts a disease corresponding to the symptom included in the other main complaint information as a disease candidate, and the symptom candidate extraction unit is a symptom corresponding to a site included in the received symptom identification information. Therefore, it is preferable to extract symptoms corresponding to the extracted disease candidates in the disease candidate storage means.

  In the present invention, the portable terminal includes a drawing display unit that displays a drawing related to the appearance or inside of the living body on the display device, and the part information receiving unit is displayed on the drawing display unit in response to an input operation by the user. It is preferable to accept selection of a part in the drawing.

  In the present invention, the part information receiving means specifies the point corresponding to the affected area of the patient in the drawing displayed on the drawing display means in accordance with the user's input operation, and according to the specified point, The selection is accepted, and the main complaint information display storage means preferably displays the main complaint information in association with the specified point.

  In the present invention, it is preferable that the progress information received by the progress information receiving means includes main complaint start information regarding the start of the main complaint and main complaint progress information regarding the history of changes in symptoms of the main complaint.

  In this invention, it is preferable that a portable terminal is provided with the drawing means which draws a point or a line on the drawing displayed by the drawing display means according to a user's input operation.

  In the present invention, the portable terminal is transmitted from the medical institution terminal and / or the server device and the main complaint information transmitting means for transmitting the main complaint information including the symptom selected by the symptom selection receiving unit to the medical institution terminal and / or the server device. The disease candidate receiving means for receiving the disease candidate, the disease candidate display means for displaying the disease candidate received by the disease candidate receiving means on the mobile terminal, and the disease candidate display means according to the input operation of the user A disease accepting unit that accepts selection of a disease as a result of diagnosis from a disease candidate, and the medical institution terminal and / or the server device stores a disease candidate in association with a symptom and a disease candidate that can be identified from the symptom A main complaint information receiving means for receiving main complaint information transmitted from the mobile terminal, and a main complaint information receiving means from the diseases stored in the disease candidate storage means. Second disease candidate extraction means for extracting a disease corresponding to the symptom included in the received main complaint information as a disease candidate, and a disease candidate for transmitting the disease candidate extracted by the second disease candidate extraction means to the mobile terminal It is preferable to provide a transmission means.

  The present invention is a medical institution terminal installed in a medical institution, or a server device that can be connected by communication with the medical institution terminal, and a portable terminal that can be connected by communication according to a user's input operation. Corresponding to the received part, the part information receiving means for receiving information about the part constituting the living body, the symptom specifying information transmitting means for transmitting the information about the received part to the medical institution terminal and / or the server device, and The symptom candidate receiving means for receiving the symptom candidate extracted from the symptom from the medical institution terminal and / or the server device, and the selection of the symptom from the symptom candidate received by the symptom candidate receiving means according to the user's input operation Symptom selection accepting means, progress information accepting means for accepting progress information related to the progress of symptoms in accordance with user input operations, The progress information, and a chief complaint information display means for displaying on the display device as the chief complaint information, a portable terminal.

  The present invention is a program executed on a medical institution terminal installed in a medical institution, or a server device capable of communication connection with the medical institution terminal, and a mobile terminal capable of communication connection, and the mobile terminal In response to a user's input operation, a part information receiving unit that receives information about a part constituting the living body, a symptom specifying information transmitting unit that transmits information about the received part to the medical institution terminal and / or the server device, Symptom candidate receiving means for receiving a symptom candidate extracted from a symptom corresponding to the accepted part from a medical institution terminal and / or server device, a symptom candidate received by a symptom candidate receiving means in response to a user input operation Symptom selection accepting means for accepting a symptom selection from, progress information for accepting progress information on the progress of the symptom in response to a user input With means, the accepted symptoms and course information, to function as the chief complaint information display means for displaying on the display device as the chief complaint information, a program.

It is a figure which shows the structure of the server apparatus and medical institution terminal concerning embodiment of this invention. It is a figure which shows the structure of the portable terminal concerning embodiment of this invention. It is a figure which shows the flowchart of the whole information processing in the server apparatus and portable terminal concerning embodiment of this invention. It is a figure which shows the flowchart of the process which extracts the extraction tag from input information and specifies the medical treatment relevant information tagged with the extraction tag concerning embodiment of this invention. Determination of display order of identification information, display of identification information, selection of displayed identification information, display of medical treatment related information corresponding to selected identification information, and selection information according to an embodiment of the present invention as input information FIG. It is a figure which shows the flowchart of the process regarding instructions, such as a test | inspection and treatment, in a portable terminal concerning embodiment of this invention. It is a figure regarding the screen interface (diagnosis guideline information display) of a portable terminal concerning an embodiment of the invention. It is a figure regarding the screen interface (treatment guideline information display) of a portable terminal concerning an embodiment of the invention. It is a figure regarding the screen interface (pharmaceutical information display) of the portable terminal concerning embodiment of this invention. It is a figure which shows the information record memorize | stored in the medical treatment information database concerning embodiment of this invention. It is a figure which shows the information record memorize | stored in the diagnostic guideline information database concerning embodiment of this invention. It is a figure which shows the information record memorize | stored in the treatment guideline information database concerning embodiment of this invention. It is a figure which shows the information record memorize | stored in the pharmaceutical database concerning embodiment of this invention. It is a figure which shows an example of the patient information database concerning embodiment of this invention. It is a figure which shows an example of the electronic medical record database concerning embodiment of this invention. It is a figure which shows an example of the template selection screen of a schema diagram concerning embodiment of this invention. It is a figure showing the interface of the portable terminal or medical institution terminal at the time of registering the main complaint concerning embodiment of this invention. It is a figure which shows an example of the flowchart of the main complaint information registration process concerning embodiment of this invention. It is a figure which shows an example of the symptom and disease candidate database and essential symptom database concerning embodiment of this invention. It is a figure which shows an example of the selection result of the symptom which concerns on the chief complaint in schematic diagram concerning embodiment of this invention. It is a figure which shows an example of selection or the input screen of the main complaint progress information in a schematic diagram concerning embodiment of this invention. It is a figure which shows an example of the main complaint information database concerning embodiment of this invention. It is a figure which shows an example of the disease candidate list extraction process concerning embodiment of this invention. It is a figure which shows an example of the screen which registered the several main complaint in embodiment of this invention. It is a figure which shows an example of the main complaint information registration process in the medical institution terminal concerning embodiment of this invention. It is a figure which shows an example of the flowchart of the main complaint information registration process in the case of extracting the symptom candidate list according to embodiment of this invention in consideration of the existing main complaint information. It is a figure which shows an example of the flowchart of the symptom candidate list process in the case of extracting the symptom candidate list according to embodiment of this invention in consideration of the existing main complaint information. It is a figure which shows an example of the flowchart of the browsing information display process concerning embodiment of this invention. It is a figure which shows an example of the flowchart of a point addition process concerning embodiment of this invention. It is a figure which shows an example of the flowchart of an advertisement display process concerning embodiment of this invention. It is a figure which shows an example of the flowchart of an advertisement display process concerning embodiment of this invention.

(First embodiment)
Hereinafter, embodiments of the present invention will be described. However, the present invention is not limited to the embodiments described in the embodiments unless contrary to the gist of the present invention. FIG. 1 is a block diagram showing configurations of a server device and a medical institution terminal according to the first embodiment of the present invention. FIG. 2 is a block diagram showing the configuration of the mobile terminal according to the first embodiment of the present invention. The medical assistance system according to the present embodiment includes a server device 1, a communication network 2, a medical institution terminal 3, and a mobile terminal 130. It is preferable that at least one medical institution terminal 3 is provided for each medical institution in which the medical care support system of the present invention is introduced. Similarly, at least one portable terminal 130 is preferably provided for each medical institution in which the medical assistance system of the present invention is introduced.

  The server device 1 includes a control unit 11, a RAM (Random Access Memory) 12, a hard disk drive (HDD) 13, a medical information database 14, a medical support information database 15, and a communication interface 16, each connected by an internal bus. ing. The communication interface 16 is connected to a later-described medical institution terminal 3 via the communication network 2. The communication interface 16 can also be connected to a mobile terminal 130 described later via the communication network 2.

  The control unit 11 includes a CPU (Central Processing Unit) and a ROM (Read Only Memory). The control unit 11 executes a program stored in the HDD 13 and controls the server device 1. The RAM 12 is a work area for the control unit 11. The HDD 13 is a storage area for storing programs and data. Programs and data necessary for the execution of the medical assistance system are read from the HDD 13, the medical care information database 14, the medical care support information database 15, the communication interface 16, and the like and loaded into the RAM 12.

  The control unit 11 performs processing by reading out programs and data necessary for executing various processes in the medical assistance system from the RAM 12. The control unit 11 processes the program and data loaded in the RAM 12 to generate data to be transmitted to the medical institution terminal 3 or the portable terminal 130, and transmits the data from the communication interface 16 via the communication network 2. Moreover, the data received by the communication interface 16 from the medical institution terminal 3 or the portable terminal 130 and the data processed by the control unit 11 are stored in the medical care information database 14 or the medical care support information database 15 as necessary.

  The medical information database 14 is a database that stores medical information regarding medical care received by a patient at a medical institution. The medical information is stored with a tag.

  The medical assistance information database 15 is a database that stores medical assistance information that is referred to by medical personnel in medical treatment. The medical assistance information includes diagnostic guideline information that is referred to when a medical worker makes a diagnosis, treatment guideline information that is referred to when determining a treatment policy based on a diagnosis made by a medical worker, and / or medical care. Contains drug information about the drug prescribed to the patient based on the treatment policy determined by the practitioner. For these pieces of information, a diagnostic guideline database 15a, a treatment guideline database 15b, and a pharmaceutical information database 15c may be provided separately. Similar to the above-described medical information, medical support information is also tagged and stored in the database.

  The communication interface 16 transmits and receives information by connecting to the communication interface 36 of the medical institution terminal 3 or the communication interface 136 of the portable terminal 130 via the communication network 2.

  As long as the communication network 2 can connect the server device 1 and the medical institution terminal 3, and the medical institution terminal 3 and the portable terminal 130, any network such as the Internet and a dedicated line may be used. From the viewpoint of maintaining confidentiality of information, it is preferable that the communication network uses a communication method that can prevent information leakage to a third party such as a VPN connection.

  The medical institution terminal 3 includes a control unit 31, a RAM 32, a hard disk drive (HDD) 33, an input unit 34, a display unit 35, and a communication interface 36, which are connected by an internal bus. The display unit 35 is provided with a display screen 35a. The communication interface 36 is connected to the server device 1 and a portable terminal 130 described later via the communication network 2.

  The control unit 31 includes a CPU and a ROM. The control unit 31 executes a program stored in the HDD 33 and controls the medical institution terminal 3. The RAM 32 is a work area for the control unit 31. The HDD 33 is a storage area for storing programs and data. Programs and data necessary for executing various processes in the medical institution terminal 3 are read from the HDD 33, the communication interface 36 that receives data from the server device 1 or the portable terminal 130 via the communication network 2, the input unit 34, and the like. It is loaded into the RAM 32.

  The control unit 31 reads programs and data necessary for executing various processes in the medical institution terminal 3 from the RAM 32 and performs the processes. The control unit 31 processes the program and data loaded in the RAM 32 to generate data to be transmitted to the server device 1 or the portable terminal 130, and transmits the data from the communication interface 36 via the communication network 2. Further, as necessary, data received by the communication interface 36 from the server device 1 or the portable terminal 130 and data processed by the control unit 31 are displayed on the display screen 35 a of the display unit 35.

  The input unit 34 includes input devices such as a mouse, a keyboard, a touch panel, and the like, and accepts operation inputs and information inputs from medical personnel who perform medical care for patients who are users.

  The display unit 35 includes a display screen 35a for displaying medical information such as a liquid crystal screen, CRT, and electronic paper. A plurality of display screens 35a of the medical institution terminal 3 may be provided.

  The communication interface 36 transmits and receives information by connecting to the communication interface 16 of the server device 1 or the communication interface 136 of the mobile terminal 130 via the communication network 2.

  The portable terminal 130 is not particularly limited as long as it is portable and can communicate with other computer devices, such as a smartphone or a tablet computer. The portable terminal 130 includes a control unit 131, a RAM 132, a storage unit 133, a sound processing unit 134, a graphic processing unit 135, a communication interface 136, and an interface unit 137, which are connected by an internal bus. The sound processing unit 134 is connected to the sound output device 140. The graphic processing unit 135 is connected to the display unit 141. The display unit 141 includes a display screen 142 and a touch input unit 143. The communication interface 136 is connected to the medical institution terminal 3 via the communication network 2. Note that the communication interface 136 may be connected to the server device 1 via the communication network 2.

  The control unit 131 includes a CPU and a ROM. The control unit 131 executes a program stored in the storage unit 133 and controls the mobile terminal 130. The RAM 132 is a work area for the control unit 131. The storage unit 133 is a storage area for storing programs and data. Programs and data necessary for executing various processes in the mobile terminal 130 are read from the storage unit 133, the communication interface 136 that receives data from the server device 1 or the medical institution terminal 3 via the communication network 2, the touch input unit 143, and the like. And loaded into the RAM 132.

  The control unit 131 reads out programs and data necessary for executing various processes in the mobile terminal 130 from the RAM 132 and performs processing. The control unit 131 processes the program and data loaded in the RAM 132 to generate data to be transmitted to the server device 1 or the medical institution terminal 3, and transmits the data from the communication interface 136 via the communication network 2. Further, as necessary, data received by the communication interface 136 from the server device 1 or the medical institution terminal 3 and data processed by the control unit 131 are displayed on the display screen 142 of the display unit 141.

  The sound processing unit 134 is connected to a sound output device 140 that is a speaker. When the control unit 131 outputs a sound output instruction to the sound processing unit 134, the sound processing unit 134 outputs a sound signal to the sound output device 140.

  The graphic processing unit 135 is connected to the display unit 141. The display unit 141 includes a display screen 142 and a touch input unit 143. Here, the display unit 141 may be a touch panel screen including a touch sensor. On the display screen 142, medical information and the like are displayed. The touch input unit 143 accepts operation input and information input from a medical worker who performs medical care for a patient who is a user.

  When the control unit 131 outputs a drawing command to the graphic processing unit 135, the graphic processing unit 135 develops an image on the video memory 139 and outputs a video signal for displaying the image on the display screen 142. The graphic processing unit 135 performs drawing of one image for each frame. One frame time of an image is, for example, 1/30 second. The graphic processing unit 135 is responsible for a part of calculation processing related to drawing performed only by the control unit 131 and has a role of distributing the load of the entire system.

  The communication interface 136 can be connected to the communication network 2 wirelessly or by wire, and by connecting to the communication interface 16 of the server device 1 or the communication interface 36 of the medical institution terminal 3 via the communication network 2, information communication can be performed. Send and receive. Data received via the communication interface 136 is loaded into the RAM 132, and arithmetic processing is performed by the control unit 131.

  An external memory 138 (for example, an SD card) is connected to the interface unit 137. Data read from the external memory 138 is loaded into the RAM 132, and arithmetic processing is executed by the control unit 131 in the same manner as data received via the communication interface 136.

  Next, information processing accompanying medical care by a medical worker in the medical assistance system according to the first embodiment of the present invention will be described with reference to the drawings. FIG. 3 is a diagram illustrating a flowchart of the entire information processing in the server device and the mobile terminal of the medical assistance system according to the embodiment of the present invention.

  The mobile terminal 130 may transmit / receive information to / from the server apparatus 1 via the medical institution terminal 3, or may directly transmit / receive information to / from the server apparatus 1. When the mobile terminal 130 transmits and receives information to and from the server device 1 via the medical institution terminal 3, the mobile terminal 130 and the medical institution terminal 3 are synchronized, and an image displayed on the display screen 35a of the medical institution terminal 3 is displayed. It is preferable to be displayed on the display screen 142 of the mobile terminal 130.

  Moreover, between the server apparatus 1 and the medical institution terminal 3, the below-mentioned S11-12, S15-19, S31-32, S43-46, S50 performed between the server apparatus 1 and the portable terminal 130 are performed. It is preferable that ~ 53 and S62 ~ 66 can be performed. In this case, the control unit 131, the RAM 132, the storage unit 133, the touch input unit 143, the display unit 141, the display screen 142, and the information processing performed on the communication interface 136 of the mobile terminal 130 are controlled by the medical institution terminal 3. It is executed by the unit 31, RAM 32, HDD 33, input unit 34, display unit 35, display screen 35a, and communication interface 36. Part or all of the processing executed by the control unit 131 of the mobile terminal 130 may be executed by the control unit 31 of the medical institution terminal 3.

  A medical worker who conducts medical care for a patient first logs in to the medical care support system using the medical institution terminal 3 or the mobile terminal 130, and then operates the touch input unit 143 to view past medical care information of the patient. A request for browsing the patient's medical information is input by input or the like (step S11). The portable terminal 130 transmits the input medical information browsing request to the server device 1 (step S12). The server apparatus 1 receives the medical information browsing request (step S13), extracts the medical information of the patient corresponding to the browsing request from the medical information database 14, and transmits it to the mobile terminal 130 (step S14). The portable terminal 130 receives the patient's medical information (step S15).

  The medical staff displays and browses the received patient medical information on the display screen 142 of the mobile terminal 130. Further, if necessary, information to be viewed from the medical support information database 15 of the server device 1 is received and displayed on the display screen 142 to view the medical support information. A medical worker browses such medical-related information and, if necessary, selects any information from the medical-related information as appropriate, thereby browsing other related medical-related information or medically selecting the selected information. Medical care is advanced by transmitting to the server apparatus 1 as input information from a worker (step S16). Details of the information processing in step S16 will be described later.

  In step S <b> 16, the medical staff browses information used as a reference for medical care, appropriately selects information necessary for medical care, and makes a definitive diagnosis. Thereafter, treatment / prescription for the patient is determined based on the determined diagnosis. First, it is determined whether or not a definitive diagnosis has been determined (step S17). If no definitive diagnosis has been made, the process returns to step S16, and the medical worker further browses medical-related information to make a definitive diagnosis. Or make a selection.

  When a definitive diagnosis is made, it is next determined whether or not treatment / prescription for the patient has been determined (step S18). If the treatment / prescription is not determined, the process returns to step S16, and the medical worker appropriately browses and selects the medical-related information in order to determine the treatment / prescription.

  When treatment / prescription is determined by the medical staff, a request for updating medical information is transmitted from the portable terminal 130 in order to add the contents to the medical information of the patient (step S19). The server device 1 receives a request for updating medical information (step S20), and updates the medical information stored in the medical information database 14 based on the received update request (step S21). By updating the medical information, that is, recording the information related to the medical care, a series of information processing related to the medical care by the medical staff is completed.

  Next, details of the information processing in step S16 described above will be described with reference to the drawings. FIG. 4 is a diagram showing a flowchart of processing for extracting an extraction tag from input information according to the embodiment of the present invention and specifying medical-related information tagged with the extraction tag.

  First, input information is input by the medical staff from the touch input unit 143 of the mobile terminal 130 (step S31). The input information input here includes not only selection information selected from the medical-related information displayed on the display screen by the operation input of the medical staff, but also character string information input from the keyboard, etc. Any information may be used as long as it is a clue to extract the extraction tag to be extracted. The portable terminal 130 transmits this input information to the server device 1 (step S32).

  The server device 1 receives the input information (step S33), and stores the received input information in the HDD 13 or the like (step S34).

  Here, the input information stored in step S34 and the tag list storing the tags attached to the medical treatment related information are collated (step S35). This collation is performed by, for example, a method of collating all the stored tags to determine whether or not the text data included in the input information includes a text portion that matches or is similar to the stored tag. Is called.

  Next, based on the collation result in step S35, an extraction tag that is a tag having a predetermined relationship with the input information is extracted (step S36). When the input information is selection information selected from the medical treatment related information displayed on the display screen by the operation input of the medical staff, the predetermined relationship from which the extraction tag is extracted is an exact match, and the input information Is character string information input from a keyboard or the like, the predetermined relationship from which the extraction tag is extracted may be a partial match.

  When the extraction tag is extracted in step S36, the medical treatment information database 14 and the medical treatment support information database 15 are referred to, and the medical treatment related information including the extraction tag is specified from the medical treatment related information stored in these databases. (Step S37). The identification of medical treatment related information is, for example, a tag corresponding to the item name of the medical related information, identification information such as an information ID for uniquely identifying the information, and the like. This means that only medical-related information including an extraction tag can be extracted from all medical-related information stored in the database. Hereinafter, the state after the medical treatment related information including the extraction tag is specified in Step S37 is referred to as Step A.

  In addition, when a plurality of extraction tags are extracted, the medical treatment related information including any one of the extraction tags is specified. However, when the specified medical treatment related information is displayed on the display unit, more extraction is performed. It is preferable that the medical treatment related information including the tag is preferentially displayed. As will be described later, when the identification information corresponding to the specified medical treatment related information is displayed on the display unit, the display order of the identification information is determined based on a predetermined rule. Preferably includes a rule for increasing the display order of medical-related information including more extraction tags.

  Next, with regard to the medical treatment related information and the identification information specified up to step A, details of processing for displaying, selecting, transmitting and receiving such information will be described with reference to the drawings. FIG. 5 is a process for determining and displaying the display order for the identification information according to the embodiment of the present invention, displaying the medical treatment related information corresponding to the selected identification information selected from the displayed identification information, and the displayed medical treatment. It is a figure which shows the flowchart of the process which transmits the selection information selected from the relevant information to the server apparatus 1 as input information from the portable terminal.

  First, the display order on the display screen 142 of the mobile terminal 130 is determined in the server device 1 for the identification information corresponding to the plurality of medical treatment related information specified up to Step A (Step S41). This display order is for improving convenience when the medical staff selects the identification information to be displayed, and a rule for determining the display order can be arbitrarily set. For example, as a rule for determining the display order when the identification information is a tag corresponding to the name of the sickness and sickness attached to the diagnosis guideline information, the order of the number of times of past sickness and the number of times of browsing in the past fixed period Order of the names of the wounds and diseases, order of the names of the urgently required treatments, the order of the names of the wounds and diseases, the sort order of the names of the wounds and diseases registered in advance, and a combination of these rules. However, the present invention is not limited to these, and any rule may be used as long as the medical staff can improve the convenience when selecting identification information.

  Next, together with the identification information specified in step A, the display order determined in step S41 corresponding to the identification information is transmitted to the mobile terminal 130 (step S42). The mobile terminal 130 receives the transmitted identification information and display order (step S43), and displays, for example, a list of identification information such that the one with the higher display order is on the top and the display order is lower with the lower display order. (Step S44).

  Next, an operation input to the touch input unit 143 for selecting arbitrary identification information from a plurality of identification information displayed as a list is performed by a medical worker who has browsed the identification information displayed on the display screen 142. Identification information is selected according to the operation input (step S45). This selected identification information is referred to as selection identification information. The portable terminal 130 transmits the selection identification information to the server device 1 (step S46).

  When the server device 1 receives the selection identification information transmitted by the mobile terminal 130 (step S47), the server device 1 extracts the medical treatment related information corresponding to the received selection identification information (step S48), and the extracted medical treatment related information is carried by the mobile device. It transmits to the terminal 130 (step S49).

  The mobile terminal 130 receives the medical treatment related information corresponding to the selection identification information transmitted from the server device 1 (step S50), and displays the received medical treatment related information on the display unit 141 (step S51).

  Here, the medical worker selects selection information which is medical treatment related information to be input as the next input information from the medical treatment related information displayed on the display unit 141 by an operation input to the touch input unit 143 ( Step S52). The selection information selected here is transmitted to the server device 1 as the next input information from the mobile terminal 130 (step S53). The server device 1 receives the transmitted selection information as the next input information from the mobile terminal 130 (step S54).

  The reception of the input information of the server device 1 in step S54 corresponds to step S33 in FIG. 4 described above. That is, with the input of input information from a healthcare professional as a trigger, an extraction tag having a predetermined relationship with the input information is extracted, and medical treatment related information including the extraction tag is specified. Identification information is extracted by specifying medical-related information. The display order is determined based on a predetermined rule for the plurality of extracted identification information, and the extracted identification information is displayed based on the display order. The medical staff selects any one of the displayed identification information, thereby displaying medical-related information corresponding to the selected identification information. The medical worker can input the selected information as the next input information by selecting arbitrary information included in the displayed medical treatment related information. By repeating these series of processes, the medical staff can browse the medical-related information referred to at the time of medical care efficiently and proceed with the medical care.

  Next, the medical staff who has browsed the medical care related information and proceeded with the medical care makes a definitive diagnosis in step S17 of FIG. 3, and in step S18, conducts the examination, performs the treatment, prescribes the medicine, etc. The process for instructing the inspection / treatment after the determination is made will be described with reference to the drawings. FIG. 6 is a diagram showing a flowchart of processing relating to instructions such as examination and treatment in the portable terminal according to the embodiment of the present invention.

  In step A, the medical staff determines the examination / treatment for the patient, and the server apparatus 1 identifies the medical support information including the information related to the decided examination / treatment from the input information. The medical assistance information thus transmitted is transmitted to the portable terminal 130 (step S61). The portable terminal 130 receives the transmitted medical assistance information (step S62), and displays the received medical assistance information on the display unit 141 (step S63).

  As described above, the medical assistance information displayed in step S63 includes information on examinations / treatments and the like determined by the medical staff. In response to an operation instruction from the medical staff to the input unit, information related to examination / treatment included in the displayed medical assistance information is selected (step S64). Based on the selected information, instruction information for instructing the implementation of the examination / treatment determined by the medical staff is generated (step S65). The generated instruction information is stored in the mobile terminal 130 (step S66). The stored instruction information is browsed by a medical worker, and examination / treatment is performed. Further, as shown in FIG. 3, with respect to the stored instruction information, an update request for updating the patient's medical information is transmitted from the portable terminal 130 (step S19), and the server device 1 receives the medical information update request. (Step S20) Based on the received update request, the patient's medical information stored in the medical information database 14 is updated (Step S21), and a series of medical procedures by the medical staff is completed.

  In the present embodiment, the instruction information is generated and stored in the mobile terminal 130, but the present invention is not limited to this. In an embodiment different from the present embodiment, input information related to an operation instruction from the input unit is transmitted from the mobile terminal 130 to the server device 1, and the medical treatment identified in step A in the server device 1 according to this input information. Information relating to examination / treatment included in the support information is selected, and instruction information for instructing examination / treatment, etc. is generated and stored.

  Next, bookmark processing will be described. Although not particularly illustrated, the medical-related information displayed on the display screen 142 of the mobile terminal 130 or the display screen 35a of the medical institution terminal 3 and the identification information selected and displayed according to the operation instruction input by the medical staff For the corresponding medical treatment related information, any medical treatment related information can be selected from these medical treatment related information, and bookmark information that can display the selected medical treatment related information at any time can be stored. . For example, based on input information and operation instructions input to the input unit 134 of the mobile terminal 130 or the input unit 34 of the medical institution terminal 3, the medical treatment related information for creating the bookmark is selected, and the selected medical treatment related information is supported. Bookmark information is generated and stored. The medical staff can display medical treatment related information corresponding to the selected bookmark information on the display unit 141 of the mobile terminal 130 or the display unit 35 of the medical institution terminal 3 by selecting the stored bookmark information. Because it can, you can easily display and browse the information you want to view at any time.

  Note that the processing related to generation, selection, and storage of bookmark information may be executed in the mobile terminal 130 or the medical institution terminal 3 or may be executed in the server device 1.

  Next, a screen interface in which medical information is displayed on the display screen 142 of the mobile terminal 130 or the display screen 35a of the medical institution terminal 3 will be described.

  FIG. 7 is a diagram illustrating a screen interface of the mobile terminal 130 or the medical institution terminal 3 when displaying the medical information and the diagnostic guideline information according to the embodiment of the present invention. The display screen 142 or the display screen 35a includes a patient name / patient ID display unit 41 that displays a patient name and patient ID information to be treated, a medical information display unit 42 that displays past medical information of the patient, A diagnostic guideline information display window configured to include a bookmark information display unit 43 that displays bookmark information generated and stored according to an operation instruction, and a diagnostic guideline information display unit 44 for browsing diagnostic guideline information as medical support information 4 is displayed.

  The diagnostic guideline information display unit 44 includes an item name 44a, link 44b, and link 44c of diagnostic guideline information, a related drug information display button 44d that displays drug information related to the displayed diagnostic guideline information, and similarly related treatments. Related treatment guideline information display button 44e for displaying guideline information, bookmark button 44f for generating and storing bookmark information for the displayed diagnostic guideline information, and instructing the execution of a clinical test included in the displayed diagnostic guideline information The inspection instruction button 44g to be displayed is displayed.

  The item name 44a of the diagnostic guideline information is also identification information for uniquely specifying the displayed diagnostic guideline information. In addition, the links 44b and 44c may have a link to “treatment guideline information” attached to a predetermined word such as a disease name, or a link to “pharmaceutical information” attached to a predetermined word such as a drug name. May be. By selecting the links 44b and 44c, the selected medical treatment support information is displayed on the later-described treatment guideline information display unit 54 or the pharmaceutical information display unit 64.

  It can also be designed so that the selection of the links 44b and 44c is the selection information selection in step S52, and the selection information transmitted to the server apparatus 1 receives the input information in step S33. That is, using the selection of the links 44b and 44c as a trigger, extraction tags having a predetermined relationship with the terms (for example, disease names and drug names) displayed on the links 44b and 44c are extracted, and the medical-related information including the extraction tags is extracted. Each item is listed. When one of the items displayed in the list is selected, medical assistance information corresponding to the selected item is displayed on the treatment guideline information display unit 54 or the medicine information display unit 64 described later.

  The medical staff operates the pointer on the display screen 142 or the display screen 35a in response to an operation instruction from the input unit, and presses the examination instruction button 44g, thereby displaying the diagnosis displayed on the diagnostic guideline information display unit 44. Test instruction information for instructing the execution of a clinical test described in the guideline information can be generated and stored.

  Next, a screen interface when treatment guideline information is displayed as medical treatment related information will be described. FIG. 8 is a diagram showing a screen interface of the mobile terminal 130 or the medical institution terminal 3 when displaying the medical treatment information and the treatment guideline information according to the embodiment of the present invention.

  On the display screen 142 or the display screen 35a, the patient name / patient ID display unit 51 for displaying the patient name and patient ID information to be treated, and the past medical information of the patient are displayed in the same manner as the diagnostic guideline information display window 4 described above. A medical treatment information display unit 52 to display, a bookmark information display unit 53 to display bookmark information generated and stored in accordance with an operation instruction of a medical staff, and a treatment guideline information display unit for browsing treatment guideline information as medical support information A treatment guideline information display window 5 including 54 is displayed.

  The treatment guideline information display unit 54 includes an item name 54a, a link 54b, and a link 54c of the treatment guideline information, a related medicine information display button 54d for displaying medicine information related to the displayed treatment guideline information, and a related diagnosis. Related diagnosis guideline information display button 54e for displaying guideline information, bookmark button 54f for generating and storing bookmark information for the displayed treatment guideline information, and instructing the execution of the treatment included in the displayed treatment guideline information A treatment instruction button 54g is displayed.

  The item name 54a of the treatment guideline information is also identification information for uniquely specifying the displayed treatment guideline information. The links 54b and 54c may have a link to “diagnosis guide information” attached to a predetermined word such as a symptom, and a link to “medicine information” attached to a predetermined word such as a medicine name. May be. By selecting the links 54b and 54c, the selected medical treatment support information is displayed on the diagnostic guideline information display unit 44 or the treatment guideline information display unit 64.

  It can also be designed such that the selection of the links 54b and 54c is the selection information selection in step S52, and the selection information transmitted to the server apparatus receives the input information in step S33. That is, using the selection of the links 54b and 54c as a trigger, extraction tags having a predetermined relationship with the terms (for example, symptoms and drug names) displayed on the links 54b and 54c are extracted. Each item is listed. When one of the items displayed in the list is selected, medical assistance information corresponding to the selected item is displayed on the diagnostic guideline information display unit 44 or the pharmaceutical information display unit 64.

  The medical staff operates the pointer on the display screen 142 or the display screen 35a in response to an operation instruction from the input unit, and presses the treatment instruction button 54g, thereby displaying the treatment displayed on the treatment guideline information display unit 54. The treatment instruction information for instructing the execution of the treatment described in the guide information can be generated and stored.

  Next, a screen interface when drug information is displayed as medical treatment related information will be described. FIG. 9 is a diagram showing a screen interface of the mobile terminal 130 or the medical institution terminal 3 when displaying the medical information and the medicine information according to the embodiment of the present invention.

  On the display screen 142 or the display screen 35a, the patient name / patient ID display unit 61 for displaying the patient name and patient ID information to be treated, and the patient's past medical information, as in the above-described diagnostic guideline information display window 4 and the like. A medical information display unit 62 for displaying medical information, a bookmark information display unit 63 for displaying bookmark information generated and stored in response to an operation instruction of a medical staff, and a pharmaceutical information display unit 64 for browsing medical information as medical support information A drug information display window 6 configured to include is displayed.

  The drug information display unit 64 includes a drug information item name 64a, a link 64b, a link 64c, a related diagnostic guideline information display button 64d for displaying diagnostic guideline information related to the displayed drug information, and similarly related treatment guidelines. A related treatment guideline information display button 64e for displaying information, a bookmark button 64f for generating and storing bookmark information for the displayed drug information, and a prescription determination button 64g for determining the prescription of the displayed drug are displayed. .

  The item name 64a of the drug information is also identification information for uniquely specifying the displayed drug information. The links 64b and 64c may have a link to “diagnosis guide information” on a predetermined word such as a symptom, and a link to “treatment guide information” on a predetermined word such as a disease name. May be. By selecting the links 64b and 64c, the selected medical treatment support information is displayed on the diagnostic guideline information display unit 44 or the treatment guideline information display unit 54.

  It can also be designed such that the selection of the links 64b and 64c is the selection of the selection information in step S52, and the selection information transmitted to the server device 1 is the reception of the input information in step S33. That is, using the selection of the links 64b and 64c as a trigger, extraction tags having a predetermined relationship with the terms (for example, symptoms and disease names) displayed on the links 64b and 64c are extracted, and each of the medical-related information including the extraction tags is extracted. Items are listed. When one of the items displayed in the list is selected, medical assistance information corresponding to the selected item is displayed on the diagnostic guideline information display unit 44, the treatment guideline information display unit 54, or the like.

  The drug information 64c is linked to other medical care related information by tagging. The medical staff operates the pointer on the display screen 142 or the display screen 35a according to the operation instruction from the input unit, and presses the prescription determination button 64g, etc., thereby displaying the drug displayed on the drug information display unit 64. Can be generated and stored.

  Next, information records of medical care related information stored in the database will be described. FIG. 10 is a diagram illustrating an information record of medical information stored in the medical information database 14 according to the embodiment of the present invention.

  The medical information record 70 includes consultation date information 71, patient ID information 72, patient name information 73, gender information 74, confirmed diagnosis name information 75, previous illness information 76, and tag information 79 regarding a plurality of tags attached to the medical information. It consists of information such as. When medical information that a medical worker wants to browse is specified, the medical information record 70 is referred to, and the medical information in which the extracted tag extracted based on the input information is included in the tag information 79 is specified.

  Next, an information record of diagnostic guideline information will be described. FIG. 11 is a diagram showing information records stored in the medical practice guideline information database 15a according to the embodiment of the present invention.

  The diagnostic guideline information record 80 includes information ID 81, symptom name / disease name information 82, symptom information 83, differential disease information 84, differential point information 85, tag information 88 related to a plurality of tags attached to the diagnostic guideline information, and diagnosis It consists of information such as link destination information 89 that identifies information linked to the guideline information. The information ID 81 is also identification information that uniquely identifies the diagnostic guideline information. When the diagnostic guideline information that the medical staff wants to browse is specified, the diagnostic guideline information record 80 is referred to, and the diagnostic guideline information whose extraction tag is included in the tag information 88 is specified. Further, as shown in FIG. 6, drug information and treatment guideline information displayed by pressing the related drug information display button 44 d and the related treatment guideline information display button 44 e are displayed based on the link destination information 89. The

  Next, the information record of treatment guideline information will be described. FIG. 12 is a diagram showing information records stored in the treatment guideline information database 15b according to the embodiment of the present invention.

  The treatment guideline information record 90 includes information ID 91, diagnosis name information 92, symptom information 93, prescription example information 94, treatment policy information 95, tag information 98 regarding a plurality of tags attached to the treatment guideline information, and treatment guideline information and It is composed of information such as link destination information 99 for specifying linked information. The information ID 91 is also identification information that uniquely identifies treatment guideline information. When the treatment guideline information desired to be viewed by the medical staff is specified, the treatment guideline information record 90 is referred to, and the treatment guideline information whose extraction tag is included in the tag information 98 is specified. Further, as shown in FIG. 8, the drug information and the diagnostic guideline information displayed by pressing the related drug information display button 54 d and the related diagnostic guideline information display button 54 e are displayed based on the link destination information 99. The

  Next, the information record of pharmaceutical information will be described. FIG. 13 is a diagram showing information records stored in the pharmaceutical information database 15c according to the embodiment of the present invention.

  The drug information record 100 is linked with information ID 101, drug name information 102, dosage form information 103, capacity information 104, remarks information 105, tag information 108 regarding a plurality of tags attached to drug information, and drug information. It is composed of information such as link destination information 109 specifying information. The information ID 101 is also identification information that uniquely identifies the drug information. When the drug information that the medical staff wants to browse is specified, the drug information record 100 is referred to, and the drug information whose extraction tag is included in the tag information 108 is specified. Further, as shown in FIG. 8, the diagnostic guideline information and the treatment guideline information displayed by pressing the related diagnosis guideline information display button 64 d and the related treatment guideline information display button 64 e are based on the link destination information 109. Is displayed.

(Second embodiment)
The second embodiment of the present invention will be described below. In the following embodiments, the same components as those in the first embodiment described above are denoted by the same reference numerals, and redundant description will be omitted as appropriate.

  Also in the second embodiment of the present invention, the configuration shown in FIG. 1 can be adopted for the server device and the medical institution terminal, and the configuration shown in FIG. 2 can be adopted for the portable terminal. In carrying out the second embodiment, the server device 1 may not have the medical care information database 14 or the medical care support information database 15. It is preferable that at least one medical institution terminal 3 is provided for each medical institution in which the medical care support system of the present invention is introduced. Similarly, at least one portable terminal 130 is preferably provided for each medical institution in which the medical assistance system of the present invention is introduced.

  The communication interface 136 can be connected to the communication network 2 wirelessly or by wire, and by connecting to the communication interface 16 of the server device 1 or the communication interface 36 of the medical institution terminal 3 via the communication network 2, information communication can be performed. Send and receive.

  When the medical support system is activated on the medical institution terminal 3 or the mobile terminal 130, the medical institution terminal 3 or the mobile terminal 130 accesses the server device 1. At this time, in order to identify the accessed medical institution or medical institution terminal, the user may log in using an account and a password.

  The mobile terminal 130 is not particularly limited as long as it is portable and can communicate with other computer devices, such as a smartphone and a tablet computer. The mobile terminal 130 may transmit / receive information to / from the server apparatus 1 via the medical institution terminal 3, or may directly transmit / receive information to / from the server apparatus 1. When the mobile terminal 130 transmits and receives information to and from the server device 1 via the medical institution terminal 3, the mobile terminal 130 and the medical institution terminal 3 are synchronized, and an image displayed on the display screen 35a of the medical institution terminal 3 is displayed. It is preferable to be displayed on the display screen 142 of the mobile terminal 130.

  Then, the premise of implementation of this invention is demonstrated. FIG. 14 is a diagram showing an example of a patient information database according to the embodiment of the present invention. In the patient information database 270 provided in the server device 1, a name 272, gender 273, date of birth 274, address 275, and insurance card number 276 are stored in association with the patient ID 271. When using the system of the present invention, it is necessary to register patient information. This is because the information related to the electronic medical record is associated with one medical record information for each patient.

  FIG. 15 is a diagram showing an example of an electronic medical record database according to the embodiment of the present invention. The electronic medical record NO281 stores a patient ID 282, a visit date and time 283, a schema diagram NO284, a template 285, a main complaint NO286, and the like. The electronic medical record No. 281 basically corresponds to the patient ID 282. The visit date and time 283 is the date when a medical staff or the like performed medical care for a patient, and the system date when the electronic medical record data was registered is registered.

  The schema diagram NO284 is a number indicating the schema diagram registered in the medical practice. If there are a plurality of main complaints in one medical treatment and each of them is an unrelated medical condition, etc. A schema diagram may be registered. For example, a patient who visits a general hospital visits an ophthalmologist with dry eyes and then visits an orthopedic surgeon to improve back pain. In such a case, the visit time may be registered as the time when the first reception was received.

  A template 285 represents a template type of a schema diagram. The template will be described later. The main complaint NO286 represents the main complaint included in the schema, and is data associated with the main complaint NO331 included in the main complaint information database described later.

  Information related to a plurality of chief complaints can be registered for one schema. For example, the data in the electronic medical chart NO281 shown in FIG. 15 for the two rows of “D1400012” is the same-day visit data, and the schema diagram NO284 is the same “SH00036”, but the main complaint NO286 is different. This indicates that two main complaint information are registered in the same schema.

  On the other hand, the data of the electronic medical chart No. 281 “D1400015” is the same-day visit data, but the schema diagram No. 284 is different. This indicates that different schema diagrams have been registered, and is data corresponding to a case where consultation is made in a plurality of medical departments.

  Further, regarding the data in which the electronic chart NO281 shown in FIG. 15 is “D1400014”, the schema diagram NO284 does not include data. This is data when a medical worker or the like does not register main complaint information using a schema and directly inputs data into the electronic medical record. The system according to the present invention does not have the restriction that the schema diagram must be used.

  The illustrated database has a structure for explanation, and normalizing the table and rearranging the items are within the scope of assumptions.

  Next, a schema diagram template will be described. FIG. 16 is a diagram showing an example of a template selection screen for a schema diagram according to the embodiment of the present invention. The template selection screen of the schema diagram is displayed on the display screen 142 of the mobile terminal 130 or the display screen 35a of the medical institution terminal 3. In the present invention, when a main complaint is registered in a patient examination, a template display window 288 of a schema is first displayed. In the template display window 288, prepared templates 289a to 289d are displayed.

  A medical worker or the like can use various templates depending on the patient's condition and the status of the main complaint to be registered. For example, when the patient's chief complaint is related to the whole body and a wide range of sites, a template including a front view and a rear view of the whole body, such as the template 289a or 289d, is selected. On the other hand, when the patient's chief complaint is related to the facial part or the head part, a template including a figure of the head instead of a front view and a rear view of the whole body is selected like a template 289b or 289c. The templates are not limited to those shown in the figure, and templates such as only the head, only the hand, or only the upper body can be prepared. Moreover, it is also possible to use a schematic diagram or a photograph instead of the schema diagram.

  The template data is held in the HDD 13 of the server device 1 and is acquired by issuing an acquisition request from the medical institution terminal 3 or the mobile terminal 130 every time the medical institution terminal 3 or the mobile terminal 130 uses the template, or the medical institution terminal 3 or may be stored in the HDD by being installed or downloaded in the portable terminal 130 and called from the HDD every time it is used.

  FIG. 17 is a diagram illustrating an interface of the mobile terminal 130 or the medical institution terminal 3 when registering the main complaint according to the present embodiment. The schema shown in FIG. 17 is obtained when the template 289a shown in FIG. 16 is selected. A medical worker or the like can input information to the schema using the input unit 134 provided in the mobile terminal 130 or the input unit 34 provided in the medical institution terminal 3.

  Next, registration of main complaint information will be described. FIG. 18 is a diagram showing an example of a flowchart of the main complaint information registration process according to the present embodiment. In this case, the mobile terminal 130 is synchronized with the medical institution terminal 130, and an image displayed on the display screen 35 a of the medical institution terminal 3 is displayed on the display screen 142 of the mobile terminal 130.

  When a medical worker or the like selects a point by clicking the schematic diagram displayed on the display screen 35a of the medical institution terminal 3 with, for example, a mouse cursor (step S101), the medical institution terminal 3 sets the coordinates of the selected point. Extraction is performed to specify a part (step S102). In addition, the input by the medical staff in steps S101 and S102 may be performed on the mobile terminal 130 synchronized with the medical institution terminal 3. When an input is made on the mobile terminal 130, information on the selected point or the specified part is transmitted from the mobile terminal 130 to the server device 1 via the medical institution terminal 3.

  Here, in order to make it easy to select a part, the part name may be displayed in text by changing the color for each part, or by moving the mouse over the part to be selected. In addition, text may be directly input using the input unit 34 of the medical institution terminal 3. The part specifying means is not limited to the determination using the coordinates, and may be a technique for determining the part clicked by overlapping the layers.

  Here, there are parts that are difficult to specify by clicking or the like, such as “whole body” and “nerve”. For such a part, if you click outside the specific range of the screen, etc., it will be treated as if you have specified "whole body", or you will have buttons for "whole body" and "nervous", and if the button is pressed, It may be considered as specified. An auxiliary design may be provided in which a list of selectable parts is displayed or a check box or the like is provided.

  Next, a process for extracting symptom candidates according to the present invention will be described. FIG. 19 is a diagram showing an example of a symptom / disease candidate database and an essential symptom database according to the embodiment of the present invention. FIG. 19A shows a symptom / disease candidate database 290 provided in the server apparatus 1. The symptom / disease candidate database 290 stores a site 291, a symptom 292, a disease candidate 293, and the like. The data included in the symptom / disease candidate database 290 indicates that there is a possibility of a disease candidate 293 when a symptom 292 appears in the main complaint site 291 of the patient.

  FIG. 19B shows an essential symptom database 295 provided in the server apparatus 1. The essential symptom database 295 stores a disease 296, a site 297, an essential symptom 298, and the like in the essential symptom database 295. Certain diseases 296 indicate that essential symptoms 298 occur at site 297. The process of extracting disease candidates will be described later.

  Here, data in the symptom / disease candidate database 290 will be described. For example, when the patient's chief complaint 291 is “whole body” and the symptom 292 is “fever”, the candidate disease candidates 293 are “mycoplasma pneumonia”, “infectious gastroenteritis”, “pertussis”, etc. . In the example of FIG. 19A, the information used to list candidates is the part 291 and the symptom 292. However, information on the initial stage of the chief complaint, the elapsed period from the initial symptom, or the history of changes in the symptom is used. It is also possible to use a database structure that can be used to extract disease candidates.

  Next, the site | part information specified in step S102 is transmitted to the server apparatus 1 (step S103). Thereafter, the server device 1 receives the symptom specifying information (step S104), and extracts a symptom candidate list based on the part information (step S105).

  Here, the symptom candidate list extraction process in step S105 will be described in more detail. From the symptom / disease candidate database 290, a symptom 292 corresponding to the part 291 that matches the part information received in step S104 is extracted. Let the extracted symptom group be a symptom candidate list. For example, in FIG. 19A, if the received site information is “pharynx”, the extracted symptoms are “dry cough” and “throat soreness”, and these are used as a list of symptom candidates.

  Next, the server apparatus 1 transmits the symptom candidate list obtained in step S105 to the medical institution terminal 3 (step S106). The medical institution terminal 3 receives the symptom candidate list from the server device 1 (step S107), and displays the symptom candidate list on the display screen 35a of the medical institution terminal 3 (step S108).

  The medical staff or the like selects the symptom related to the patient's main complaint by clicking or the like from the displayed symptom candidate list (step S109). When the symptom is not found in the list, the symptom information may be input by inputting text using the input unit 34 of the medical institution terminal 3, for example, a keyboard.

  The result of the above-described processing will be specifically described using a schema diagram. FIG. 20 is a diagram illustrating an example of a symptom selection result according to the chief complaint in the schema according to the embodiment of the present invention. The schema is displayed on the display screen 142 of the mobile terminal 130 or the display screen 35a of the medical institution terminal 3. In step S101, a point mark 301 is attached to a place pointed by a medical worker or the like, and a main complaint window 300 is displayed.

  In the main complaint window 300, the pointed part name 307 is displayed. In the main complaint information input window 302, a symptom tab 303, an “from when” tab 304, and a progress tab 305 are displayed, and the symptom tab 303 is displayed in a selected state. Further, in the main complaint information input window 302, the symptom candidate list displayed in the symptom candidate list display in step S108 is displayed.

  In the main complaint symptom selection in step S109, for example, when jaundice 306a, sweating abnormality 306b, and numbness 306c are selected, the main complaint symptom 308 is displayed in the main complaint window 300 simultaneously with the selection. Here, when selecting a plurality of main complaint symptoms, a plurality of symptoms may be selected by pressing and holding a control button, a shift button, or the like.

  Next, main complaint start information is selected (step S110). FIG. 21 is a diagram showing an example of a main complaint progress information selection or input screen in the schema according to the embodiment of the present invention. The schema is displayed on the display screen 142 of the mobile terminal 130 or the display screen 35a of the medical institution terminal 3. When the “from when” tab 304 of the main complaint information input window 302 shown in FIG. 10 is selected, the screen of FIG. 21A is displayed. The selection screen for main complaint start information includes a numerical value input window 311, a date designation button 312 and a start information unit 313.

  A medical worker or the like can input the main complaint start information by directly inputting a numerical value into the numerical value input window 311 using the input unit 34 of the medical institution terminal 3 and selecting one of the units 313. It is. Further, by clicking the date designation 312 or the like, the display can be switched to a calendar display screen as shown in FIG. The calendar display screen includes a button 314 for changing the month to be displayed and a date 315. By clicking the date 315 or the like, the date can be entered in the numerical value input window 311. FIG. 21C is an example of a screen display when a date is selected on the calendar display screen, and the selected date is displayed in the date window 316. In this case, “from” is automatically selected as the unit, and the option color may be changed as in units 318a to 318d to deactivate the option.

  Next, main complaint progress information is selected (step S111). FIG. 21D is a main complaint progress information selection screen, which is displayed by clicking the progress tab 305 of the main complaint information input window 302 shown in FIG. Four types of options related to the progress information are displayed on the main complaint progress information selection screen. In FIG. 21D, “suddenly worse” 320 is selected. You may make it change the choice of progress information for every symptom.

  In addition, the input by the medical staff in steps S109 to 111 may be performed on the mobile terminal 130 synchronized with the medical institution terminal 3. When an input is made on the mobile terminal 130, the information on the selected main complaint, the selected main complaint start information, and the selected main complaint progress information are transmitted to the server device 1 from the portable terminal 130 via the medical institution terminal 3. .

  After selecting the main complaint progress information, it is temporarily stored as main complaint information in the RAM 32 of the medical institution terminal 3 (step S112). Here, the selected main complaint information is displayed in the main complaint window 300.

  If the input of the main complaint is completed, the main complaint information can be registered in the server device 1 by pressing the OK button 309. The main complaint information registration process will be described later. On the other hand, when the cancel button 310 is pressed, information that has not been registered in the server device among the main complaint information input so far is lost. Here, a confirmation message indicating that unregistered data is lost may be displayed.

  Next, the case where selection of the main complaint information is completed and the OK button is pressed in step S113 in FIG. 18 will be described (YES in step S113). The medical institution terminal 3 transmits all input main complaint information to the server device 1 (step S114). The server device 1 receives the main complaint information (step S115), and registers the received main complaint information in the main complaint information database 320 stored in the HDD 13 (step S116).

  FIG. 22 is a diagram showing an example of the main complaint information database according to the embodiment of the present invention. The main complaint information database 320 stores a part 322, a coordinate X323, a coordinate Y324, an update date 325, a symptom 326, an initial period 327, a progress 328, and the like in association with the main complaint NO321. The part 322 represents the part name specified by the part specification in step S102, and the coordinates X323 and the coordinate Y324 represent the specified coordinates. The update date and time 325 represents the system date and time in the server device 1 when the main complaint information is registered or updated, and the symptom 326 represents the main complaint symptom selected in the main complaint symptom selection in step S109. The start period 327 and the progress 328 represent values selected in the main complaint start information selection in step S110 and the main complaint progress information selection in step S111, respectively.

  After registering the main complaint information, disease candidates are extracted from all main complaint information (step S117). Here, a plurality of extracted disease candidates may correspond.

  Next, the extracted disease candidate list is transmitted to the medical institution terminal 3 (step S118). The medical institution terminal 3 receives the disease candidate list from the server device 1 (step S119), and displays the received disease candidate list on the display screen 142 or the display screen 35a (step S120). A medical worker or the like selects the disease related to the patient's main complaint by clicking or the like from the displayed disease candidate list, and the medical institution terminal 3 accepts the selection of the disease information.

  Next, disease candidate list extraction processing executed by the server device will be described. FIG. 23 is a diagram showing an example of a disease candidate list extraction process according to the embodiment of the present invention. First, a list of disease candidates 293 is acquired from the symptom / disease candidate database 290 (step S130). Next, the presence / absence of main complaint information is determined (step S131). If there is no main complaint information (NO in step S131), all disease candidates 293 registered in the symptom / disease candidate database 290 are displayed in the disease candidate list. Alternatively, when there is no main complaint information, nothing may be extracted and a transition to another screen may be made.

  If there is main complaint information (YES in step S131), if there is a plurality of main complaint information, one main complaint information is selected to be processed from the top data included in the array (step S132). The relevant disease candidate is extracted from the symptom / disease candidate database 290 based on the main complaint information and the disease candidate list acquired in step S130 (step S133). The extracted list of disease candidates is updated by replacement with the disease candidate list acquired in step S130 (step S134).

  It is determined whether disease candidate extraction processing has been performed for all main complaint information (step S135). If incomplete main complaint information exists (NO in step S135), uncompleted main complaint information is selected again (step S135). S132), disease candidates are also extracted from the main complaint information (step S133). However, the disease candidate extraction process performed here is performed using the disease candidate list already updated in step S134.

  Repeat the above process for all chief complaints. That is, when there are a plurality of main complaints, only disease candidates common to all the main complaints are finally extracted.

  After the common disease candidates are extracted, although not shown in the figure, in order to further increase the possibility that the disease listed as a disease candidate is a symptom related to the patient's main complaint, the disease and main complaint included in the extracted disease candidate list Perform processing to ensure consistency with information.

  For example, it is assumed that “Mycoplasma pneumonia” and “Pertussis” are included in the common disease candidate list, and the chief complaint information is only the symptoms of “dry cough” in “pharynx”. Here, the essential symptom database 295 is referred to, and the inevitably existing symptom is confirmed.

  First, when confirming “mycoplasma pneumonia”, an essential symptom is “fever” in “whole body”. However, as described above, the main complaint information does not include information on “whole body” and “fever”. Therefore, “Mycoplasma pneumonia” is excluded from disease candidates.

  Next, confirming “pertussis”, the essential symptom is “dry cough” in “pharynx”. That is, “pertussis” remains in the disease candidate because it matches the main complaint information.

  In other words, disease candidates common to a plurality of input symptoms are extracted, the essential symptom database is referred to for the extracted disease candidates, and if the essential symptoms are input as symptoms, they are left in the disease candidates, and the essential symptoms If no is input as a symptom, it is possible to narrow down disease candidates by excluding them from the disease candidates. As described above, the information on the disease 296, the site 297, and the essential symptom 298 included in the data of the essential symptom database 295 is consistent with the information on the disease and the main complaint information included in the disease candidate, and more possible. A list of highly likely disease candidates can be provided to healthcare professionals.

  Although the extracted disease candidate list is not shown, it is displayed on the display screen 35a of the medical institution terminal 3 or the display screen 142 of the mobile terminal 130, and a medical worker or the like accepts an electronic medical record by selecting a disease candidate. Can be posted as a disease name. If a receipt disease name considered by a health care worker or the like does not exist in a disease candidate, it may be possible to respond by directly inputting characters.

  As described above, the medical care support system according to the present invention can present to a medical worker or the like a disease that can be a disease candidate based on information related to a patient's main complaint. As a result, the burden on medical personnel and the like is reduced, and it is effective in preventing medical errors such as oversight of diseases, and also has a role of medical assistance.

  By the way, the system according to the present invention is provided with a function of registering a plurality of main complaint information and a memo input function to a schema by a medical worker or the like. FIG. 24 is a diagram showing an example of a screen in which a plurality of chief complaints are registered according to the embodiment of the present invention.

  First, a function for registering a plurality of main complaint information will be described. When it is desired to add a plurality of main complaint information, the main complaint addition button 332 is pressed, and the main complaint information registration process shown in FIG. 18 is performed. When two main complaint information is registered as shown in FIG. 24, a first registered main complaint information window 331a and a next registered main complaint information window 331b are displayed. As described above, even if a plurality of main complaint information is registered in one drawing, the main complaint information windows are displayed without overlapping, and a medical worker or the like can grasp patient information at a glance.

  Next, a memo input function for drawings will be described. For example, when the toolbox icon 334 is clicked, a pencil tool 335a, an eraser tool 335b, and a clear all button 336 are displayed. When the pencil tool 335a is clicked and dragged to the schematic diagram with a mouse pointer or the like, a memo 333 can be written. The range in which memos can be written may be limited.

  When the eraser tool 335b is clicked or the like, the written content can be erased by dragging the written content with the pencil tool 335a. When the clear all button 336 is clicked, all the contents described by the pencil tool 335a in the drawing are deleted.

  By the way, the schema diagram after being registered in the server apparatus 1 by pressing the OK button can be displayed again from the electronic medical record. Here, it is also possible to update information in the schema after redisplay. However, the updated information is retained so that the history can be traced, and it is necessary to function as a medical record even if a medical worker or the like does not consciously manage in preparation for a lawsuit or the like.

  In addition, a function may be provided in which a schematic diagram of a patient is arranged in time series so that the old schematic diagram is at the bottom and the latest schematic diagram is at the top without switching the screen. By doing in this way, a medical worker etc. becomes easy to grasp the state in a patient's time series. Further, a schema diagram at a certain point in the past and a schema diagram at the latest point in time may be displayed side by side on the screen. It is possible to facilitate the comparison of symptoms and improve the convenience of medical staff and the like.

  By the way, although this invention was described as a system, it is also possible to provide the function of the server apparatus 1 to a single medical institution terminal or a portable terminal. FIG. 25 is a diagram illustrating an example of a main complaint information registration process in the medical institution terminal according to the embodiment of the present invention. As shown in FIG. 25, it is possible to cause the medical institution terminal to execute the main complaint information registration process in FIG. In this case, all the storage devices and the like provided in the server device 1 are provided in the medical institution terminal, and the medical institution terminal executes the disease candidate list extraction process illustrated in FIG. Similarly, the main complaint information registration process as shown in FIG. 25 can be executed on the portable terminal.

  Further, in the medical care support system of the present invention, the symptoms that are extracted when selecting a part of the schema diagram may be extracted and displayed in consideration of the existing main complaint information in the schema diagram. Conceivable.

  FIG. 26 is a diagram illustrating an example of a flowchart of main complaint information registration processing in the case where the medical institution terminal 3 extracts a symptom candidate list according to the embodiment of the present invention in consideration of existing main complaint information. The point selection (step S160) and part specification (step S161) processes are the same as those shown in FIG. Here, the point which extracts the existing main complaint information differs (step S162). The existing main complaint information refers to main complaint information other than the main complaint information to be registered in the same schema diagram, regardless of whether the information is registered in the server device 1 or not. That is, when registering certain main complaint information and other main complaint information, the other main complaint information is extracted when registering the main complaint information after registering the other main complaint information.

  The part information specified in step S161 and the existing main complaint information extracted in step S162 are combined into symptom specifying information and transmitted to the server device 1 (step S163). The server device 1 receives the symptom specifying information (step S164), and extracts a symptom candidate list based on the symptom specifying information (step S165). The processing from step S166 to step S180 corresponds to step S106 to step S120 in FIG.

  Here, the symptom candidate list extraction process executed in the server device 1 will be described. FIG. 27 is a diagram illustrating an example of a flowchart of symptom candidate list processing in a case where a symptom candidate list according to an embodiment of the present invention is extracted in consideration of existing main complaint information. The presence / absence of the existing main complaint information is determined (step S181), and if there is no existing main complaint information (NO in step S181), the symptom relating to the site specified in step S102 is extracted from the symptom / disease candidate database 290 (step S187). .

  If there is existing chief complaint information (YES in step S181), all disease candidates 293 registered in the symptom / disease candidate database 290 are first extracted as a disease candidate list (step S182). If there is a plurality of existing main complaint information, one existing main complaint information is selected for processing from the top data included in the array (step S183), and the selected existing main complaint information and the disease candidate acquired in step S182 Based on the list, a corresponding disease candidate is extracted from the symptom / disease candidate database 290 (step S184). The extracted disease candidate list is updated by replacing the disease candidate list acquired in step S182 (step S185).

  It is determined whether disease candidates have been extracted for all existing main complaint information (step S186). If there is incomplete existing main complaint information (NO in step S186), the incomplete existing main complaint information is selected again. (Step S183), the disease candidates are extracted from the existing main complaint information (Step S184). However, the disease candidate extraction process is performed using the disease candidate list already updated in step S185.

  The above process is repeated for all existing chief complaint information. That is, when there are a plurality of main complaints, only the common diseases are finally extracted from the diseases that can be related to all the main complaint information.

  When disease candidate extraction processing has been performed for all existing main complaint information (YES in step S186), symptoms 292 associated with each disease candidate 293 are extracted from the extracted disease candidate list, and the symptom / disease candidate database 290 is displayed. (Step S187) to obtain a symptom candidate list.

  Here, in the symptom candidate list extraction process, when there is no disease candidate common to the main complaint information in the symptom candidate list, an error message indicating that the symptom related to the registered main complaint information is not found may be displayed.

  As described above, by creating a symptom candidate list in consideration of already inputted main complaint information, the number of main complaint symptom options to be selected in step S169 can be reduced, so that medical treatment can be performed efficiently. can do.

  Note that, instead of the medical institution terminal 3, the above-described S160 to 163, S167 to 174, and S179 to 180 may be executed in the mobile terminal 130. A part of the processing executed by the control unit 131 of the mobile terminal 130 may be executed by the control unit 31 of the medical institution terminal 3.

(Update of medical assistance information)
In the medical support system of the present invention, it is preferable that the medical support information is updated by a medical worker. By updating the medical assistance information by the medical staff, the user who uses the present invention can obtain the latest medical information and improve the medical standard.

  The medical assistance information is updated by the following method, for example. First, when a medical worker performs medical care using medical assistance information and information instructed by the medical worker is accumulated in the medical assistance system, a predetermined point is given to each medical worker or medical institution. Then, by allowing the accumulated points to be used for payment of a usage fee for the medical support system, the medical staff is encouraged to actively use the medical support system. Since such operation instruction information when a medical worker uses a medical assistance system is economically valuable, the system operator does not receive a system usage fee from the medical worker (or , Even if discounted), the system can be operated without hindrance. This makes it possible to improve the quality of medical practice in a medical institution. As a result, the patient can benefit from shortening the period until the disease or injury is cured, and the medical cost required for complete cure can be reduced.

  FIG. 28 is a diagram illustrating an example of a flowchart of browsing information display processing in the server device 1 and the medical institution terminal 3 according to the present embodiment. In the medical institution terminal 3, the medical staff selects browsing information desired to be browsed, and transmits a browsing information display request to the server device 1 (step S201). The server device 1 receives the browsing information display request (step S202). Then, the browsing information is transmitted to the medical institution terminal 3 through the point addition process (step S203) to the second person of the browsing information (step S204). The medical institution terminal 3 receives the transmitted browsing information (Step S205), and displays the browsing information on the display screen 35a (Step S206).

  FIG. 29 is a diagram showing an example of a flowchart of the point addition processing according to the embodiment of the present invention. The point addition function of the server device 1 receives a display request from the medical institution terminal 3 (step S211), specifies the author of the requested browsing information (step S212), and the server device 1 stores it by the point storage means. The point is added to the specified point of the publisher (step S213), and the added point is updated as the point of the publisher (step S214). The points to be added may always be constant, or may be selected and determined according to conditions such as the position of the seconded employee and the content of browsing information, for example. The publisher of the browsing information can use the accumulated points for payment of the usage fee of the medical support system or browse browsing information by other publishers.

  By synchronizing the mobile terminal 130 and the medical institution terminal 3, the browsing information displayed on the display screen 35 a of the medical institution terminal 3 can be displayed on the display screen 142 of the mobile terminal 130. Moreover, it is preferable that the above-described S201 and S205 to 206 executed on the medical institution terminal 3 can be executed also on the mobile terminal 130. In this case, a part of the above steps may be executed in the medical institution terminal 3.

(Ad display processing function)
The medical assistance system of the present invention may have the following advertisement display processing function. FIG. 30 is a diagram illustrating an example of a flowchart of advertisement display processing in the server device 1 and the mobile terminal 130 of the medical assistance system of the present invention. First, the user accesses the server device 1 by operating the mobile terminal 130 or the medical institution terminal 3, and executes login to the medical assistance system. When logging in, the user inputs a user ID and password assigned to each user (step S301). One user ID may be issued for each medical institution, and a plurality of user IDs may be issued for each user or department.

  In step S301, when a user ID and a password are input, these pieces of information are transmitted to the server device 1 (step S302). The server device 1 receives the user ID and password (step S303). If the user ID received by the server device 1 corresponds to the password, login is executed (step S304).

  Next, based on the user ID received in step S303, the attribute of the user that is the basis for selection of advertisement information to be described later is specified (step S305). For example, the server apparatus 1 is provided with a user database in which the medical institution to which the user belongs, the occupation, the specialized medical subject, the area where the medical institution is located, and the like are associated with the user ID, and the user database is referred to. Thus, the user attribute corresponding to the user ID received in step S303 can be specified.

  Next, advertisement information for generating an advertisement to be displayed on the mobile terminal 130 is selected based on the user attribute and advertisement database specified in step S305 (step S306). A plurality of pieces of advertisement information are registered in advance in the advertisement database, and a correspondence relationship between the plurality of pieces of advertisement information and user attributes suitable for each advertisement is determined in advance. Based on the user attribute specified in step S305, advertisement information is selected according to this correspondence.

  For example, if the user attribute specified in step S305 is a doctor, the advertisement information A is selected with reference to the advertisement database, and if the attribute is a dentist, the advertisement information B is selected. In general, the content of ads that attract interest (product or service to be advertised, catchphrase, etc.) tends to differ depending on the job, so by providing ads according to user attributes, The effect can be enhanced.

  When advertisement information is selected in step S306, the selected advertisement information is transmitted from server device 1 to portable terminal 130 (step S307). The mobile terminal 130 receives the advertisement information from the server device 1 (step S308), and based on the received advertisement information, an advertisement screen on which an advertisement corresponding to the advertisement information is posted is generated (step S309). The advertisement screen thus displayed is displayed on the display unit 35 (step S310). The advertisement display process is completed through these steps S301 to S310.

  Since the medical support system of the present invention allows the user to view advertisements as well as video content and news related to medical care before starting the use of the electronic medical record, a medical worker such as a doctor. It is possible to comprehensively support improvement of knowledge and skills.

  Next, an electronic medical chart utilization process from when the electronic medical chart screen is displayed and the use of the electronic medical chart function is started until the display is switched to the advertisement screen will be described. In this case, when the advertisement screen displayed in step S310 is displayed, the electronic medical record screen is displayed by selecting a start button for starting the electronic medical record function. The user uses the electronic medical chart function such as confirming the contents of each item such as a patient's receipt disease name, medical record, prescription, image diagnosis, examination, etc., and performing a definitive diagnosis and prescription on the electronic medical chart screen.

  When an input operation is performed on the input unit of the medical staff, the elapsed time from the input operation is started. If an input operation to the input unit is performed after a predetermined time has elapsed since the start of timing, the electronic medical record function is used again. When a new input operation is performed, the elapsed time from the previous input operation is finished, and the elapsed time from the new input operation is started. In this way, the process is repeated until the elapsed time after the last input operation has reached a predetermined time.

  On the other hand, when the input operation to the input device 34 is not performed before the predetermined time elapses, the display is switched from the electronic medical record screen, and when the advertisement screen is displayed, the electronic medical record utilization process ends. . When the start button is selected again on the advertisement screen, the electronic medical record function can be used.

  When switching the display to the advertisement screen, a display switching request is transmitted from the mobile terminal 130 or the medical institution terminal 3 to the server device 1, and when the server device 1 receives the display switching request, the above processing is performed. It is executed again. That is, based on the user attribute, advertisement information is selected based on the user attribute and the advertisement database, and the selected advertisement information is transmitted from the server device 1 to the medical institution terminal 3. The advertisement information is received, an advertisement screen is generated based on the received advertisement information, and the advertisement screen is displayed on the display device. Therefore, each time an advertisement screen is newly displayed, a different advertisement is displayed at random.

  Next, an advertisement display process in a form different from the advertisement display process described with reference to FIG. 30 in the medical assistance system of the present invention will be described with reference to FIG. The user can log in to the electronic medical record system by executing the processing from step S301 to S304 in FIG. 30, but after the login, the research on the latest disease without using the electronic medical record function. It is possible to view the video contents regarding lectures of specialists on results, skills and knowledge related to examination and surgery, and medical support information.

  FIG. 31 is a diagram showing an example of a flowchart of advertisement display processing in the medical assistance system of the present invention. First, after login, an operation instruction such as selecting an icon or the like displayed on the display screen 142 of the mobile terminal 3 is performed, so that content desired by the user from content such as video content and medical assistance information is displayed. Is received (step S321). The content browsing request accepted by the mobile terminal 130 is transmitted to the server device 1 (step S322).

  When the server device 1 receives a content browsing request (step S323), advertisement information corresponding to the content that is the target of the browsing request is selected (step S324). A plurality of pieces of advertisement information are registered in advance in the advertisement database, and a correspondence relationship between the plurality of pieces of advertisement information and content information is determined in advance. Based on the content that is the object of the browsing request received in step S323, advertisement information is selected according to this correspondence.

  When the advertisement information is selected in step S324, the content information regarding the content requested to be browsed and the selected advertisement information are transmitted from the server device 1 to the mobile terminal 130 (step S325). The mobile terminal 130 receives the content information and the advertisement information from the server device 1 (step S326), the corresponding content is posted based on the received content information, and the corresponding advertisement is based on the received advertisement information. Is generated (step S327), and the generated screen is displayed on the display unit 141 (step S328). Through these steps S321 to S328, the advertisement display process ends.

  The portable terminal 130 preferably has a function of switching from the advertisement screen and displaying the electronic medical record screen on the display device 35 when a doctor or the like requests display of the electronic medical record. By having such a function, since no advertisement is posted on an electronic medical chart screen having an electronic medical chart function, a doctor or the like can prescribe or treat the electronic medical chart while using the electronic medical chart. When performing, prescription and treatment can be performed without being affected by advertisements.

  By synchronizing the mobile terminal 130 and the medical institution terminal 3, the advertisement displayed on the display screen 142 of the mobile terminal 130 can also be displayed on the display screen 35 a of the medical institution terminal 3. Further, instead of the mobile terminal 130, the above-described S301 to 302, S308 to 310, S321 to 322, and S326 to 328 can be executed by the medical institution terminal 3.

1 server device 11 control unit 12 RAM
13 HDD
14 Medical Information Database 15 Medical Support Information Database 16 Communication Interface 2 Communication Network 3 Medical Institution Terminal 31 Control Unit 32 RAM
33 HDD
34 input unit 35 display unit 35a display screen 36 communication interface 130 portable terminal 131 control unit 132 RAM
133 Storage unit 134 Sound processing unit 135 Graphic processing unit 136 Communication interface 137 Interface unit 138 External memory 139 Video memory 140 Sound output device 141 Display unit 142 Display screen 143 Touch input unit 4 Diagnostic guide information display window 5 Diagnostic guide information display window 6 Drug information display window 70 Medical information data record 80 Diagnosis guideline information data record 90 Treatment guideline information data record 100 Drug information data record 270 Patient information database 280 Electronic medical record database 288 Template display window 290 Symptom / disease candidate database 295 Essential symptom database 300 Main complaint Window 320 Main complaint information database

Claims (13)

A medical assistance system comprising a portable terminal having a display unit for browsing medical care related information including medical care support information referred to by medical personnel in medical care and / or medical care information related to medical care received by a patient, and a server device There,
Medical-related information storage means for storing medical-related information;
In response to an operation instruction to the mobile terminal, medical-related information specifying means for specifying medical-related information to be browsed from medical-related information stored in the medical-related information storage means;
An information selecting means for selecting at least a part of information from the medical treatment related information displayed on the display unit of the portable terminal in response to an operation instruction to the portable terminal;
Mobile device
A display means for displaying the specified medical treatment related information on the display unit;
Medical assistance information is diagnostic guideline information that is referred to when a medical worker makes a diagnosis, treatment guideline information that is referred to when a treatment policy is determined based on a diagnosis made by a medical worker, and a medical worker Contains drug information about drugs prescribed to patients based on the treatment policy determined by
When the selection information selected by the information selection unit is a part of the diagnostic guideline information, the medical treatment related information specifying unit uses a part of the diagnostic guideline information as the next operation instruction and is a treatment to be subjected to the next browsing. Guideline information or drug information is specified as medical treatment related information, and when the selection information selected by the information selection means is part of the treatment guideline information, a part of the treatment guideline information is used as the next operation instruction. If the diagnostic guideline information or drug information to be browsed next is specified as medical treatment related information, and the selection information selected by the information selection means is a part of the drug information, a part of the drug information , As the next operation instruction, the diagnostic guideline information or treatment guideline information to be read next is specified as the medical treatment related information.
Medical support system. The medical care related information storage means stores tagged medical care related information,
Tag storage means for storing a tag attached to medical-related information;
Tag extraction means for extracting, from the tags stored in the tag storage means, tags having a predetermined relationship with input information input in response to an operation instruction to the mobile terminal,
The medical care related information specifying means specifies the medical care related information tagged with the extracted extraction tag from the medical care related information stored in the medical care related information storage means.
The medical assistance system according to claim 1. The medical care related information specifying means specifies a plurality of medical care related information tagged with the extraction tag,
Mobile device
Identification information display means for displaying a plurality of identification information capable of respectively identifying a plurality of specified medical treatment-related information on a display unit;
An identification information selecting means for selecting at least one identification information from among a plurality of displayed identification information in response to an operation instruction to the mobile terminal;
The display means displays medical treatment related information corresponding to the selected identification information on the display unit,
The medical treatment related information specifying unit specifies the medical treatment related information to be browsed next, using the identification information selected by the identification information selection unit as the next operation instruction.
The medical assistance system according to claim 2. In response to an operation instruction to the mobile terminal, generates clinical test instruction information for instructing the patient to perform a clinical test, treatment instruction information for instructing treatment to the patient, and / or prescription instruction information for instructing prescription to the patient Instruction information generating means for
Instruction information storage means for storing clinical test instruction information, treatment instruction information, and / or prescription instruction information generated by the instruction information generation means,
The medical assistance system in any one of Claims 1-3 . A portable terminal having a display unit for browsing medical care-related information including medical assistance information referred to by medical personnel in medical care and / or medical information related to medical care received by a patient;
In response to an operation instruction to the mobile terminal, medical-related information specifying means for specifying medical-related information to be browsed,
Display means for displaying the specified medical treatment related information on the display unit;
An information selecting means for selecting at least a part of information from the medical treatment related information displayed on the display unit of the portable terminal in response to an operation instruction to the portable terminal;
Medical assistance information is diagnostic guideline information that is referred to when a medical worker makes a diagnosis, treatment guideline information that is referred to when a treatment policy is determined based on a diagnosis made by a medical worker, and a medical worker Contains drug information about drugs prescribed to patients based on the treatment policy determined by
When the selection information selected by the information selection unit is a part of the diagnostic guideline information, the medical treatment related information specifying unit uses a part of the diagnostic guideline information as the next operation instruction and is a treatment to be subjected to the next browsing. Guideline information or drug information is specified as medical treatment related information, and when the selection information selected by the information selection means is part of the treatment guideline information, a part of the treatment guideline information is used as the next operation instruction. If the diagnostic guideline information or drug information to be browsed next is specified as medical treatment related information, and the selection information selected by the information selection means is a part of the drug information, a part of the drug information , As the next operation instruction, the diagnostic guideline information or treatment guideline information to be read next is specified as the medical treatment related information.
Mobile device. A program executed on a portable terminal having a display unit for browsing medical care related information including medical care support information referred to by medical personnel in medical care and / or medical information on medical care received by a patient,
Medical-related information specifying means for specifying medical-related information to be browsed in response to an operation instruction to the mobile terminal;
Display means for displaying the specified medical treatment related information on the display unit;
In response to an operation instruction to the mobile terminal, function as information selection means for selecting at least part of information from the medical-related information displayed on the display unit of the mobile terminal,
Medical assistance information is diagnostic guideline information that is referred to when a medical worker makes a diagnosis, treatment guideline information that is referred to when a treatment policy is determined based on a diagnosis made by a medical worker, and a medical worker Contains drug information about drugs prescribed to patients based on the treatment policy determined by
When the selection information selected by the information selection means is diagnostic guideline information, the medical treatment related information specifying means specifies treatment guideline information or pharmaceutical information as medical treatment related information, and the selection selected by the information selection means When the information is treatment guideline information, diagnostic guideline information or drug information is specified as medical treatment related information, and when the selection information selected by the information selection means is drug information, the diagnosis guideline information or treatment guideline To identify information as medical-related information,
program. A medical record creation support system comprising a medical institution terminal installed in a medical institution, and a server device and a portable terminal that can be connected to the medical institution terminal by communication,
Mobile device
A symptom accepting means for accepting a symptom according to a user's input operation ;
Main complaint information transmitting means for transmitting main complaint information including the symptoms received by the symptom receiving means to the medical institution terminal and / or the server device ,
A medical institution terminal and / or a server device,
A disease candidate storage means for associating and storing a symptom and a disease candidate that can be identified from the symptom;
An essential symptom storage means for associating and storing a disease and an essential symptom that is necessarily present with respect to the disease;
A main complaint information receiving means for receiving main complaint information transmitted from a mobile terminal;
A second disease candidate extraction means for extracting a disease corresponding to the symptom included in the main complaint information received by the main complaint information receiving means as a disease candidate from the diseases stored in the disease candidate storage means;
Refer to the disease and essential symptoms stored in the essential symptom storage means, and if the essential symptoms corresponding to the disease candidate extracted by the second disease candidate extraction means are included in the main complaint symptom, the extracted disease candidate is the disease If the essential symptoms are not included in the main complaint symptoms, the disease candidate narrowing means for narrowing down disease candidates by excluding the extracted disease candidates from the disease candidates.
A medical record creation support system. Mobile device
Part information receiving means for receiving part information related to a part constituting the living body in response to a user's input operation;
Site information transmitting means for transmitting the received site information to the medical institution terminal and / or the server device;
Symptom candidate receiving means for receiving a symptom candidate transmitted from a medical institution terminal and / or a server device;
A symptom selection receiving means for receiving a symptom selection from the received symptom candidates in accordance with a user input operation;
With
A medical institution terminal and / or a server device,
A symptom candidate storage means for storing a part constituting a living body and a symptom that may develop at the part in association with each other;
Site information receiving means for receiving site information transmitted from the mobile terminal;
Symptom candidate extraction means for extracting a symptom corresponding to a part included in the received part information as a symptom candidate from the symptom stored in the symptom candidate storage means;
Symptom candidate transmission means for transmitting the extracted symptom candidates to the mobile terminal;
With
The main complaint information storage means for storing other main complaint information about a part different from the part,
The disease candidate storage means stores a symptom and a disease candidate that can be specified from the symptom in association with each site,
A medical institution terminal and / or a server device,
A first disease candidate extraction means for extracting, as a disease candidate, a disease corresponding to a symptom included in other main complaint information stored in the main complaint information storage means from the disease stored in the disease candidate storage means;
The symptom candidate extraction means is a symptom corresponding to the part included in the received part information, and the symptom corresponding to the disease candidate extracted by the first disease candidate extraction means is extracted in the disease candidate storage means .
The medical record creation support system according to claim 7 . Mobile device
Part information receiving means for receiving part information related to a part constituting the living body in response to a user's input operation;
Site information transmitting means for transmitting the received site information to the medical institution terminal and / or the server device;
Drawing display means for displaying on the display device a drawing relating to the external appearance or inside of the living body,
A medical institution terminal and / or a server device,
A symptom candidate storage means for storing a part constituting the living body and a symptom that can develop in the part in association with each other;
Part information receiving means for receiving part information transmitted from portable terminal
And
9. The medical record creation support system according to claim 7 or 8 , wherein the part information receiving means receives selection of a part in the drawing displayed on the drawing display means in response to a user's input operation. Mobile device
Main complaint information display means for displaying accepted symptoms on the display device as main complaint information;
With
The part information receiving means specifies a point corresponding to the affected part of the patient in the drawing displayed on the drawing display means in response to a user's input operation, and accepts the selection of the part according to the specified point And
The medical record creation support system according to claim 9 , wherein the main complaint information display means displays main complaint information in association with the identified point. Mobile device
Depending on the user's input operation, on the displayed drawing by drawing display means, and a drawing means for drawing the points or lines, medical record creation support system according to claim 9 or 10. A computer device capable of communication connection with a mobile terminal,
Computer equipment
A disease candidate storage means for associating and storing a symptom and a disease candidate that can be identified from the symptom;
An essential symptom storage means for associating and storing a disease and an essential symptom that necessarily exists for the disease;
A main complaint information receiving means for receiving main complaint information including symptoms transmitted from a mobile terminal;
A second disease candidate extraction means for extracting a disease corresponding to the symptom included in the main complaint information received by the main complaint information receiving means as a disease candidate from the diseases stored in the disease candidate storage means;
Refer to the disease and essential symptoms stored in the essential symptom storage means, and if the essential symptoms corresponding to the disease candidate extracted by the second disease candidate extraction means are included in the main complaint symptom, the extracted disease candidate is the disease If the essential symptoms are not included in the main complaint symptoms, the disease candidate narrowing means for narrowing down disease candidates by excluding the extracted disease candidates from the disease candidates.
A computer apparatus comprising: A program executed in a computer device that can be connected to a mobile terminal by communication,
Computer equipment,
A disease candidate storage means for storing a symptom and a disease candidate that can be identified from the symptom
An essential symptom storage means for associating and storing a disease and an essential symptom that always exists for the disease,
Chief complaint information receiving means for receiving chief complaint information including symptoms transmitted from a mobile terminal,
A second disease candidate extraction means for extracting a disease corresponding to the symptom included in the main complaint information received by the main complaint information receiving means from the diseases stored in the disease candidate storage means, as a disease candidate;
Refer to the disease and essential symptoms stored in the essential symptom storage means, and if the essential symptoms corresponding to the disease candidate extracted by the second disease candidate extraction means are included in the main complaint symptom, the extracted disease candidate is the disease Disease candidate narrowing means for narrowing down disease candidates by leaving them as candidates and excluding the extracted disease candidates from the disease candidates when the essential symptoms are not included in the main complaint symptoms
A program that functions as

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