JP2006221471A - Medical information support system, medical information support method, and medical information support program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information support system, a medical information support method, and a medical information support program for accumulating medical data to form a database and constructing long/medium-term total evidence for allowing a doctor and a patient to easily obtain necessary information. <P>SOLUTION: This medical information support system is provided with a terminal device 7 for inputting personal information, treatment information, treatment progress information about a patient and displaying medical information, a patient information database 4a storing input information from the terminal device 7, a treatment information database 5a classifying and storing information in the patient information database 4a, and a treatment information database server 5 performing statistical processing on the data stored in the treatment information database 5a. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

The present invention relates to a medical information support system, a medical information support method, and a medical information support program that can construct clinical, mid- and long-term evidence, and can easily obtain medical information necessary for doctors and patients.

  In medical institutions such as hospitals and clinics, it is important to know not only the details of past treatment performed at your own institution but also the details of treatment performed at other medical institutions for that patient. is important. For this reason, sharing of medical information and data by a regional medical information system including a plurality of medical institutions and a data center is disclosed in Patent Document 1, for example.

  In addition, medical care should be provided to patients based on clinical and academic evidence and support for medical facts (hereinafter referred to as evidence), but is called new or uninsured treatment, folk remedies. The lack of legitimate evidence built by comparative trials, and therefore patient needs, such as research medicine under limited indications in limited research facilities, and recent immunocell therapy Even so, there are many treatments that are not suggested or approved by the attending physician.

JP2003-6341

  In today's world where treatment methods have diversified, it is impossible to centrally manage the course of treatment within the framework of a doctor or a hospital, and there are problems such as patient transfer and doctor transfer. In addition, it is only possible to obtain short-term data with a small number of parameters simply by fragmentally analyzing the course of treatment for each patient.

  In the regional medical information system disclosed in Patent Document 1, the medical information and data of the patient are shared, but the frequency of the treatment being performed at other medical institutions, clinical support of the treatment Data, medical information on treatment progress such as side effects and recurrence could not be obtained. For this reason, it was not possible to present objective data or make a treatment plan during informed consent.

  In addition, patients themselves can easily obtain treatment methods that combine various treatments from a single treatment, the number of patients, treatment progress, side effect information, survival rate, outcome, treatment experiences, etc. could not. For this reason, there is little medical information about the disease, so it is possible to examine which treatment combination should be selected by the patient and family, self-management during treatment, understanding of their own state, and their future design. There wasn't.

  Furthermore, the patient or his / her family could not provide information such as the treatment progress and the impression of the patient who received the treatment to the medical information system managed by the medical institution.

  In addition, when the attending doctor is changed to another doctor due to circumstances such as patient transfer or doctor transfer, the new attending doctor is required to take over the patient data and track the progress.

  Therefore, the present invention provides doctors and patients with medical data such as treatment methods and treatment courses via a communication network such as the Internet, accumulates medical data, creates a database, and provides comprehensive evidence over the medium to long term. It is an object of the present invention to provide a medical information support system, a medical information support method, and a medical information support program that enable doctors and patients to easily obtain necessary information.

  The medical information support system according to the present invention stores patient information input / output means for displaying patient information, treatment information, treatment progress information input and medical information, and input information from the patient information input / output means. Storage means, second storage means for classifying and storing information in the first storage means, statistical processing means for performing statistical processing of data stored in the second storage means, and statistical processing Medical information output means for outputting the result of the means.

  In the medical information support system according to the present invention, the patient information input / output means is a terminal device including a computer connected via a network.

  Further, the first storage means, the second storage means, the statistical processing means, and the medical information output means of the medical information support system according to the present invention have a database comprising computers connected via a network. It is composed of a server.

  Also, the patient information input / output means of the medical information support system according to the present invention is characterized by selecting and inputting a corresponding item of the patient's electronic medical record.

  The patient information input / output means of the medical information support system according to the present invention is characterized by selecting and inputting a corresponding item of a guideline for determining a therapeutic effect.

  Also, the patient information input / output means of the medical information support system according to the present invention is characterized in that the patient's QOL is input as a numerical value graded for each item.

  Further, the second storage means of the medical information support system according to the present invention is characterized by removing and storing the patient personal information data stored in the first storage means.

  Further, the statistical processing means of the medical information support system according to the present invention is characterized in that the frequency of treatment and the treatment effect in each stage for each disease type are totaled.

  The statistical processing means of the medical information support system according to the present invention is characterized in that the effect, side effect or QOL for each treatment method is totaled.

  In addition, the statistical processing means of the medical information support system according to the present invention is characterized in that the day when treatment for each type of treatment is started, the outcome is totaled, and the survival curve for each treatment is graphed.

  The medical information support method according to the present invention includes a patient information input / output step for displaying the patient's personal information, treatment information, treatment progress information and medical information, and first information for storing the input information from the patient information input / output step. Storage step, a second storage step for classifying and storing the information stored in the first storage step, a statistical processing step for performing statistical processing of the data stored in the second storage step, It comprises a medical information output step for outputting the result of the statistical processing step.

  The patient information input / output step of the medical information support method according to the present invention is characterized in that a corresponding item of the electronic medical record is selected and input.

  The patient information input / output step of the medical information support method according to the present invention is characterized in that a corresponding item of the guideline for determining the therapeutic effect is selected and input.

  The patient information input / output step of the medical information support method according to the present invention is characterized in that the patient's QOL is input as a numerical value graded for each item.

  The second storage step of the medical information support method according to the present invention is characterized in that the data of the patient personal information stored in the first storage step is removed and stored.

  The statistical processing step of the medical information support method according to the present invention is characterized in that the frequency of treatment and the treatment effect in each stage for each disease type are totaled.

  Further, the statistical processing step of the medical information support method according to the present invention is characterized in that the effect, side effect or QOL for each treatment method is tabulated.

  The statistical processing step of the medical information support method according to the present invention is characterized in that the survival date for each treatment is graphed by summing up the outcome and the day when treatment is started for each type of treatment.

  The medical information support program according to the present invention reads the data corresponding to the search word from the database that stores and stores the procedure information and the procedure for receiving the search word input from the terminal device connected via the network. It is characterized in that a procedure, a procedure for collecting data read from the database, a statistical process, and a procedure for transmitting a result of the statistical process to the terminal device are executed.

  According to the medical information support system, the medical information support method, and the medical information support program according to the present invention, doctors and patients provide medical data such as treatment methods and treatment progresses via a communication network such as the Internet. By accumulating data and building a database, and building medium- to long-term, comprehensive evidence, the frequency of treatment performed by the attending physician at other medical institutions, clinical support data, side effects and Medical information on the course of treatment such as recurrence can be obtained.

  In addition, according to the medical information support system, the medical information support method, and the medical information support program according to the present invention, the patient has a number of patient groups with various backgrounds, from a single treatment to a treatment combining various treatments, a treatment course, Access information such as side effect information, survival rate, outcomes, treatment experiences, etc. to the patient site on the Internet homepage, refer to which treatment combination you should select, self-management during treatment, self-management It can be useful for grasping the state and designing your future.

  Similarly, doctors can present objective data at the time of informed consent by obtaining information such as the frequency of treatment being performed, the course of treatment, and the impressions of patients who have received treatment. Alternatively, it can be a source of information when assembling a treatment plan.

  Further, according to the medical information support system, the medical information support method, and the medical information support program according to the present invention, when the primary doctor is changed to another doctor due to circumstances such as patient transfer or doctor transfer, a new By taking over the patient's data and tracking the progress, the attending physician can grasp the treatment results, the short-term and long-term effects, the side effect occurrence status, etc. as the overall treatment received by the patient.

  In addition, since a doctor sets a search word from the terminal device, data subjected to statistical processing can be extracted from the database of the medical information support system, so that the effect and side effects of the treatment method can be known.

  Further, according to the medical information support system, the medical information support method, and the medical information support program according to the present invention, the necessary medical information can be easily obtained from the terminal device connected to the network by the doctor or the patient.

  Embodiments of a medical information support system, a medical information support method, and a medical information support program according to the present invention will be described below with reference to the drawings. The medical information support system, the medical information support method, and the medical information support program according to the present invention provide medical data such as a treatment method and a course of treatment by a doctor and a patient via a communication network such as the Internet. Is accumulated to create a database, and comprehensive evidence for the medium to long term is constructed so that doctors and patients can easily obtain such information.

  The configuration of the medical information support system will be described below with reference to FIG. FIG. 1 is a block diagram showing a configuration of a medical information support system. As shown in FIG. 1, the medical information support system 1 includes one or more terminal devices 7 operated by a doctor, a patient, or a family of patients, a WAN (Wide Area Network) as a communication network 8, and a terminal device 7. Patient information, treatment information, etc. are stored in a database, and a medical information support apparatus 2 capable of responding to inquiries from the terminal device 7 is provided. As shown in FIG. 1, the terminal device 7 is connected to a WAN, which is a communication network 8, and the medical information support apparatus 2 is connected to a WAN, which is a communication network 8, via a router 9 as a relay device. ing.

  A terminal device 7 shown in FIG. 1 includes a personal computer, and a browser (browsing software) is incorporated in a storage device of the personal computer, and information is displayed on a display unit of the personal computer using the browser. In addition, patient information, treatment information, and the like can be input to the medical information support apparatus 2 using an input device such as a keyboard and a mouse of a personal computer.

  As shown in FIG. 1, the WAN as the communication network 8 is configured by the Internet. Thus, the WAN according to the present embodiment is not limited to the Internet, and any WAN that can communicate with other networks may be used.

  The medical information support apparatus 2 shown in FIG. 1 stores patient information, treatment information, and the like input from the terminal device 7 in a database, and responds to inquiries from the terminal device 7. It provides medical information support and services. The medical information support apparatus 2 includes a web server 3 having a registrant information database 3a in a storage device, a patient information database server 4 having a patient information database 4a in the storage device, and a treatment information database 5a in the storage device. A treatment information database server 5 is provided.

  The web server 3 is a server that manages member-specific IDs and passwords registered in the service of the medical information support apparatus 2. When accessing the database from the terminal device 7, the user who has requested browsing permission is true. This is for authenticating whether the user is a registered user. The medical information support apparatus 2 is operated in the form of a website, and doctors, patients, etc. access the home page of the web server 3 to provide medical information and obtain medical information. The registrant information database 3a of the web server 3 is a database that stores information on registrants who use the service of the medical information support apparatus 2, that is, names, IDs, passwords, and the like.

  The patient information database server 4 stores the patient information input from the terminal device 7 connected via the communication network 8 in the patient information database 4a, and the patient stored in the patient information database 4a at the request of the user. Is a server for outputting the information to the terminal device 7 via the web server 3.

  The patient information database 4a of the patient information database server 4 as the first storage means is a database for storing patient ID, patient password, patient name, age, sex, date of first visit, diagnosis date, disease name, treatment history, and the like. . In addition, patient comments and diaries for treatment can also be stored in this database. The patient information database 4a stores information on selecting necessary items from the patient's electronic medical record or electronic medical record.

  The treatment information database server 5 as a statistical processing means performs statistical processing on the treatment information stored in the treatment information database 5a in response to a user search request to the terminal device 7 connected via the communication network 8. , A server that outputs to the terminal device 7 via the web server 3. At this time, it is possible to perform selection so that personal information such as doctors and patients is not output.

  The treatment information database 5a of the treatment information database server 5 as the second storage means extracts medical data such as cancer treatment from the patient information database 4a by removing personal information such as name, ID and password from the patient information database 4a. The database stored as

  The treatment information database server 5 of the medical information support apparatus 2 can extract data such as a disease name and a treatment method from the patient medical data stored in the patient information database 4a of the patient information database server 4, and can identify each item. It is configured to be stored in the treatment information database 5a in a simple format. It should be noted that personal information data such as patient names and addresses stored in the patient information database 4a can be removed and stored in the treatment information database 5a.

  The medical information support apparatus 2 of the medical information support system 1 shown in FIG. 1 includes a web server 3 having a registrant information database 3a, a patient information database server 4 having a patient information database 4a, and a treatment information database 5a. The medical information support system 1 according to the present invention is configured with the treatment information database server 5. However, the medical information support system 1 according to the present invention is not limited to the above configuration. The structure which stored the database 4a and the treatment information database 5a may be sufficient.

  Next, clinical data for obtaining medical information necessary for a doctor to determine a treatment using the medical information support system according to the present invention and medical information on which treatment combination should be selected by the patient. We will describe how to input and clinical data database.

  Information that is useful when a doctor decides on a treatment and explains the treatment to a patient includes, for example, cancer treatment, the type of treatment, the frequency of use of the treatment method for each stage, and the therapeutic effect of each treatment method. , Side effects, progress information such as QOL (Quality of Life). The following describes the input of clinical data in cancer treatment and the creation of a database of the clinical data. The contents described below can be applied to other treatments as well as cancer treatments.

  Currently, in the treatment of cancer, in many cases, a treatment method for each cancer type is selected in accordance with cancer treatment guidelines. When the treatment is performed in accordance with the medical treatment guidelines, the current treatment method for each stage is selected from the options. For those that do not follow the medical practice guidelines, enter in words for each case.

  These data are stored in the patient information database 4a.

  For medical treatment guidelines for cancer treatment, a booklet is published for each type of cancer. For example, as lung cancer clinical practice guidelines, there are lung cancer clinical practice guidelines by the technique of Evidence-based Medicine (EBM), and breast cancer clinical practice guidelines for breast cancer.

  The cancer type and the treatment method for each stage are totaled from the patient information database 4a and stored in the treatment information database 5a. By counting the number of cancer types and treatment methods for each stage in the treatment information database 5a, the cancer type and stage are counted. You can know the frequency of each treatment.

  The effect of the treatment should be confirmed separately for short-term and long-term effects. The short-term effect in the treatment method is determined by confirming changes in tumor size, changes in tumor markers in the blood, etc. by imaging diagnosis for 1 to 6 months.

  For example, in the image diagnosis of cancer, it is input in a format compliant with RECIST (Response Evaluation Criteria in Solid Tumors) guidelines. In the RECIST guidelines, the size of a tumor is measured from an image such as an X-ray, and how it changes after several months is expressed in the following grade.

  Grades are PD (progressive disease, progression), SD (stable disease, stable), Long SD (long stable disease, long-term stable (stable for 6 months or more)), MR (minimal response, slightly effective), PR (partial response) , Partial response): and CR (Complete Response, complete response). The effect in the treatment method is stored in the patient information database 4a in the above grade.

  The determination of the short-term effect of the treatment method is performed by counting the grades in the treatment method from the patient information database 4a and storing them in the treatment information database 5a, and counting the number of grades in the treatment method of the treatment information database 5a. It can be carried out.

  In addition, changes in tumor markers in the blood can be examined to confirm the short-term effect of the treatment method. A change in the amount of the tumor marker is examined by a blood test, and the measurement date and its numerical value are stored in the patient information database 4a. The measurement date of the tumor marker and its numerical value are aggregated from the patient information database 4a and stored in the treatment information database 5a, and the time course of the treatment information database 5a and the average value of the tumor marker amount are graphed. As the cancer becomes smaller, the amount of the tumor marker also changes, so that a graph of the average value of the time course and the amount of the tumor marker can be used as a measure of the short-term effect.

  Moreover, the long-term effect in the treatment method is determined by confirming the transition of the change in the size of the tumor, the change in the tumor marker in the blood, etc. by the 5-year image diagnosis.

  In the image diagnosis, the area of the tumor is measured from an X-ray photograph or the like, compared with the area of the tumor at the time of registration, and stored in the patient information database 4a in a format compliant with the RECIST guidelines as in the case of the short-term effect. Moreover, the tumor marker in blood measures the amount of tumor marker by a blood test, and memorize | stores a numerical value in the patient information database 4a.

  Judgment of the long-term effect in the treatment method is performed by confirming the transition of the tumor area, the change of the tumor marker in the blood, etc. by image diagnosis up to 5 years. However, in the case of breast cancer, it is determined by confirming the transition over 10 years.

  In addition, a survival curve is used as an index of the therapeutic effect. The survival curve is a graph of how many years the patient has been alive since treatment began. The type of treatment, the day when treatment was started, and the outcome (patient status. Confirmation of whether the patient is alive or died) is stored in the patient information database 4a. The survival curve is graphed by performing statistical processing, summing up the day and outcome of treatment for each type of treatment from the patient information database 4a. It should be noted that the data can be used as more effective data if the significance of the data is obtained by the Kaplan-Meier method.

  In addition, the type, strength, date of occurrence, and causal relationship of side effects for each treatment method are stored in the patient information database 4a. For example, the attending physician should write in accordance with the report form of the side effect label of the Cancer Treatment Society.

  According to the side effect labeling report format: Side effects include vomiting, chills, fever, etc. 2. The grade of side effects is a numerical value of the strength of each item. 3. On the day when the side effect occurred, how many days after the treatment the side effect appeared. The cause-and-effect relationship with treatment includes whether there is a cause-and-effect relationship between treatment and side effects, or is present, none, dark, faint or unknown. By reading these data from the patient information database 4a and storing them in the treatment information database 5a and statistically processing the data in the treatment information database 5a, it is possible to obtain information on side effects when the treatment is performed.

  The QOL for each treatment method includes a case where the attending physician observes the patient and inputs a numerical value, and a case where the patient inputs his / her state from the patient site. When inputting a numerical value, generally called PS (Performance Status) is used, and the attending physician observes the patient and records the numerical value from 0 to 4. The contents of the numerical values 0 to 4 are as follows. A numerical value of 0 is asymptomatic and allows social activities, and behaves equivalently before onset without restriction. Number 1 has mild symptoms and is restricted to manual labor, but can walk lightly or sit. For example, light housework. The number 2 can be used for walking and around, but sometimes there is a little help. Although light labor is not possible, more than 50% of the daytime are resident. The number 3 can do something around you, but it is often helped, and more than 50% of the day is in bed. The number 4 cannot be around, always needs help, and needs bed all day.

  The items that the patient inputs are about meal, sleep, behavior, mood, and pain. Each item is input from the patient personal site in the form of XX and stored in the patient information database 4a. For example, the QOL is evaluated by counting how many o are attached in one week.

  The clinical data database described above is extracted from the medical data of the patient stored in the patient information database 4a, such as the name of the disease, the course of treatment, etc., and the treatment information database in a format that can be identified for each item. This is done by storing in 5a. In response to a search request from a doctor or patient, the treatment information database server 5 serving as a statistical processing means reads out data related to the items of the search request stored in the treatment information database 5a, and aggregates and statistically processes the data. And outputting the result in a table format, a graph format, or the like.

  For example, when a search request regarding a side effect in a treatment method for a certain disease type is input from the terminal device 7 to the medical information support device 2, the treatment information database server 5 serving as a statistical processing unit is stored in the treatment information database 5a. Search for the disease type, select the treatment method for the relevant disease type, calculate the number of patients who have received the treatment method and the number of cases of side effects of the treatment method, and calculate the number of patients and the number of cases of side effects To do. The calculated results are output in a table or graph format. The treatment information database server 5 incorporates a statistical processing program in a library format, and a processing program is selected according to the contents of the statistical processing and appropriately processed.

  As described above, clinical data is digitized and symbolized in accordance with guidelines, etc., stored in the patient information database 4a, and statistically processed, thereby making it easy to digitize treatment effects and graphs. Therefore, it is possible to provide medical information useful for a doctor to determine a treatment method and explain the treatment method to a patient.

  Next, a usage pattern of a doctor in charge of patient treatment by the medical information support system 1 will be described with reference to FIGS. FIG. 2 shows a flow from accessing the medical information support apparatus 2 until the doctor reads out the patient's electronic medical record, etc., and inputs medical information such as the treatment method and treatment progress into the electronic medical record and stores it in the patient database. It is a flowchart which shows.

  As shown in FIG. 2, the doctor first connects to the medical information support homepage of the web server 3 from the terminal device 7 by a browser or the like (step S1). If the medical information is not registered in the web server 3, registration is performed. The registered doctor is given an ID and password.

  When the home page is accessed, a message indicating whether to enter the doctor page or the patient page is displayed on the display unit of the terminal device 7, and the doctor page is selected by clicking (step S2).

  When the doctor's page is selected, an ID and password input request screen as shown in FIG. 3 is displayed on the display unit of the terminal device 7, and the ID and password are input from the terminal device 7 (step S3).

  The web server 3 inquires the registrant information database 3a whether the input ID and password are correct (step S4), and if it is truly a registrant, connects to the personal page of the doctor shown in FIG. When the input ID and password are not registered in the registrant information database 3a, a request for re-input of the ID and password is transmitted to the terminal device 7.

  After collating the ID and the password, the doctor personal page is searched from the ID, and the doctor personal page shown in FIG. 4 is displayed on the display unit of the terminal device 7 (step S5).

  As shown in FIG. 4, the doctor personal page displays options for new registration, progress record, hospital transfer, and linkage regarding patient information. As the patient information to be selected, the position of the doctor of the patient in charge is selected. As shown in FIG. 4, selection is made from the attending doctor, the coordinating doctor, the attending doctor, the second opinion, and the changing of the attending doctor.

  When new or additional input, which is a sub-menu for new registration of patient information, is performed, the patient to be input is selected (step S6), and the patient ID and password are input (step S7). The request for inputting the patient ID and password is to prevent the contents of the patient's electronic medical record and the like from being tampered with.

  When the patient ID and password are input, the web server 3 queries the registrant information database 3a (step S8). If the ID and password are correct and the doctor is the primary doctor of the patient, the patient information in the patient information database server 4 is displayed. Data is called from the database 4a (step S9), and the patient's electronic medical record is displayed on the display unit of the terminal device 7 (step S10). FIG. 5 shows a screen displayed on the display unit of the terminal device 7 when reading the patient's electronic medical record. FIG. 6 shows a personal information screen of the patient's electronic medical record displayed on the display unit of the terminal device 7. FIG.

  Necessary items are input on the electronic medical record page of the patient (step S11). The inputted electronic medical record data of the patient is stored and saved in the patient information database 4a (step S12).

  Next, retrieval of medical information of a doctor in charge of patient treatment by the medical information support system 1 will be described with reference to FIGS. The search of medical information is performed by extracting data from the data accumulated in a database such as cancer treatment and performing statistical processing according to the doctor's request, and displaying the processing result on the display unit of the terminal device 7.

  FIG. 7 shows a flow from accessing the medical information support apparatus 2 to extracting necessary data from the data stored in the database and performing statistical processing, and displaying the processing result on the display unit of the terminal device 7. It is a flowchart to show.

  First, the doctor connects from the terminal device 7 to the medical information support home page of the web server 3 through a browser or the like (step S20).

  When the home page is accessed, a medical information search page is selected by clicking a medical information search item displayed on the display unit of the terminal device 7 (step S21). When the medical information search page is selected, an ID and password input request screen shown in FIG. 3 is displayed, and the ID and password are input from the terminal device 7 (step S22).

  The web server 3 inquires the registrant information database 3a whether the input ID and password are correct (step S23), and if it is truly a registrant, connects to the medical information search page. When the input ID and password are not registered in the registrant information database 3a, a request for re-input of the ID and password is transmitted to the terminal device 7.

  A medical information page is displayed on the terminal device 7 (step S24). When a search word for information that the user wants to know is input to the medical information search page (step S25), the treatment information database server 5 reads data on the corresponding information from the treatment information database 5a (step S26). The treatment information database server 5 aggregates the data read from the treatment information database 5a and performs statistical processing (step S27), and the treatment information database server 5 sends the result of statistical processing to the terminal device 7 via the web server 3. The search result is displayed on the display unit of the terminal device 7 (step S28). 8 to 10 are diagrams illustrating examples of search results displayed on the display unit of the terminal device 7. FIG. 8 is a diagram illustrating an example of search results such as the type of treatment, the number of patients, progress information, and the life extension rate in the disease name of the disease type. FIG. 9 is a diagram showing an example in which cases and the number of side effects in the treatment method are displayed in a table and a graph. Moreover, FIG. 10 is a figure which shows an example which graphed the survival curve in the treatment method.

  By searching for medical information using the medical information support system 1, it is possible to obtain data such as the current mainstream treatment methods for cancer treatment and the survival rate of the treatment method selected by the patient. Information for correction can be obtained. It can also be presented as objective data when explaining treatment to a patient.

  The medical information search shown in FIG. 7 can be used by the patient and the patient's family. It is also possible to browse data subjected to statistical processing from the treatment information database 5a according to the patient's request. There are two types of patient sites: patient personal pages and information search pages. The patient connects to the home page through a browser or the like, and the patient or family enters the ID and password to access the home page. Select the patient page on the home page and connect to the information search page. As shown in FIG. 7, medical information can be searched in the procedure starting from step S24.

  When the patient inputs a search term related to the diseased part and treatment method, the treatment information database server 5 extracts the diseased part and treatment method from the treatment information database 5a, performs statistical processing, and displays them on the terminal device 7.

  This site allows patients to know how their current treatment is positioned. In addition, for example, for patients who are going to be treated for cancer in the future, it is possible to examine the course of treatment and the situation of side effects, so it should be a source of information for selecting treatments that suit their own needs. Can do.

  Next, a form in which the patient inputs information such as the progress status of the medical condition and QOL to the medical information support apparatus 2 will be described. In this site, the patient inputs information relating to QOL such as appetite and activity status, and the input information is stored in the patient information database 4 a via the patient information database server 4. FIG. 11 is a flowchart showing a flow from accessing the medical information support apparatus 2 until the patient inputs information such as progress status and QOL and stores the information in the patient database.

  As shown in FIG. 11, the patient first connects to the medical information support home page of the web server 3 from the terminal device 7 by a browser or the like (step S40).

  When accessing the homepage, the patient's personal page displayed on the display unit of the terminal device 7 is clicked to select the patient's personal page (step S41).

  When the medical information search page is selected, an ID and password input request screen shown in FIG. 12 is displayed, and the patient or his / her family inputs the ID and password from the terminal device 7 (step S42).

  The web server 3 inquires the registrant information database 3a whether the input ID and password are correct (step S43), and if it is truly a registrant, connects to the medical information search page. When the input ID and password are not registered in the registrant information database 3a, a request for re-input of the ID and password is transmitted to the terminal device 7.

  The patient's personal page is displayed on the terminal device 7 (step S44). On this page, the patient inputs information related to QOL such as appetite and activity status. In addition, an answer to the question screen, an impression, and the like are input in a diary format (step S45). The input information is stored and saved in the patient information database 4a in the database via the patient information database server 4 (step S46).

  It should be noted that data related to daily life entered by the patient can be made public or private. When the release is selected, the data is copied to the treatment database 5a, and is linked to the disease site and treatment method of the patient and stored.

  Thereby, data from the patient is accumulated in the patient information database 4a. Patients undergoing the same disease site and treatment can know about the side effects and appetite of other patients, and they will not be worried about whether they are alone. In addition, it becomes possible for a patient who is about to start a similar treatment to obtain information on the patient side regarding the therapy.

  Furthermore, the attending physician can know the patient's condition even outside the examination by viewing this information.

  In the medical information support system according to the present invention, it is possible to create an evaluation sheet for determining the therapeutic effect at the first visit of a patient or after the end of each treatment period (cool). FIG. 13 is a diagram illustrating an example of an evaluation sheet. Each item on the evaluation sheet is read out from the patient's electronic medical record stored in the patient information database 4a of the patient information database server 4 and transferred. Thereby, the creation of the evaluation sheet can be performed in a short time, and a transcription mistake or the like when creating the evaluation sheet by a person can be prevented.

  As described above, according to the medical information support system, the medical information support method, and the medical information support program according to the present invention, doctors and patients can store medical data such as treatment methods and treatment progresses via a communication network such as the Internet. By providing data, accumulating medical data, creating a database, and building medium- to long-term and comprehensive evidence, the frequency of treatment performed by the attending physician at other medical institutions and the clinical practice of that treatment Medical information on treatment progress such as target support data, side effects and recurrence can be obtained.

  Patients also have information on the number of cancer patient groups, treatment progress, side effect information, survival rate, and treatment experiences etc. You can access the site to find out what combination of treatments you should choose, and to help you manage yourself during treatment, understand your condition, and design your future.

  Similarly, doctors can present objective data at the time of informed consent by obtaining information such as the frequency of treatment being performed, the course of treatment, and the impressions of patients who have received treatment. Or as a source of information when assembling a treatment plan.

  In addition, when the attending doctor is changed to another doctor due to circumstances such as patient transfer or doctor transfer, the new attending doctor takes over the patient's data and tracks the progress of the patient. It is possible to grasp the treatment results, the short-term and long-term effects, the occurrence of side effects, etc. as a whole treatment.

  In addition, necessary medical information can be easily obtained from a terminal device connected to a network by a doctor or patient.

It is a block diagram which shows the structure of a medical information assistance system. It is a flowchart which shows a flow until it accesses a medical information assistance apparatus, a doctor reads a patient's electronic medical record etc., inputs medical information, such as a treatment method and treatment progress, into an electronic medical record, and stores it in a patient database. . It is a figure which shows the screen of the input request of ID and a password displayed on the display part of a terminal device. It is a figure which shows the first screen of the doctor's personal page displayed on the display part of a terminal device. It is a figure which shows the screen displayed on the display part of the terminal device at the time of reading a patient's electronic medical chart. It is a figure which shows the screen of the personal information of a patient's electronic medical chart displayed on the display part of a terminal device. It is a flowchart which shows a flow from accessing a medical information assistance apparatus, extracting required data from the data accumulate | stored in the database, performing a statistical process, and displaying a process result on the display part of a terminal device. It is a figure which shows an example of search results, such as the kind of treatment in the disease name of a disease type, the number of patients, progress information. It is a figure which shows an example which displayed the case of the side effect by the treatment method, and the number of persons with the table | surface and the graph. It is a figure which shows an example which graphed the survival curve by the treatment method. It is a flowchart which shows the flow until it accesses the medical information assistance apparatus 2, a patient inputs information, such as progress condition and QOL, and stores it in a patient database. It is a figure which shows the screen of the input request of ID and a password displayed on the display part of a terminal device. It is a figure which shows an example of the evaluation sheet | seat for determining the therapeutic effect at the time of a patient's first medical examination or after completion | finish of each treatment period (cool).

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Medical information support system 2 Medical information support apparatus 3 Web server 3a Registrant information database 4 Patient information database server 4a Patient information database 5 Treatment information database server 5a Treatment information database 7 Terminal device 8 Communication network 9 Router

Claims (19)

  Patient information input / output means for displaying personal information, treatment information, treatment progress information and medical information of a patient, first storage means for storing input information from the patient information input / output means, and the first Second storage means for classifying and storing information in the storage means; statistical processing means for performing statistical processing of data stored in the second storage means; and medical information output for outputting results of the statistical processing means And a medical information support system.   The medical information support system according to claim 1, wherein the patient information input / output means is a terminal device including a computer connected via a network.   The first storage unit, the second storage unit, the statistical processing unit, and the medical information output unit are configured by a server having a database including computers connected through a network. The medical information support system according to claim 1.   The medical information support system according to claim 1, wherein the patient information input / output unit selects and inputs a corresponding item of the patient's electronic medical record.   2. The medical information support system according to claim 1, wherein the patient information input / output means selects and inputs a corresponding item of a guideline for determining a therapeutic effect.   2. The medical information support system according to claim 1, wherein the patient information input / output means inputs the patient's QOL by a numerical value graded for each item.   The medical information support system according to claim 1, wherein the second storage unit is configured to remove and store the personal information of the patient stored in the first storage unit.   2. The medical information support system according to claim 1, wherein the statistical processing means is configured to tabulate the frequency of treatment and the treatment effect in each stage for each disease type.   2. The medical information support system according to claim 1, wherein the statistical processing means totals the effects, side effects or QOL for each treatment method.   The medical information support system according to claim 1, wherein the statistical processing unit is configured to graph the survival curve for each treatment by counting the outcome and the day when the treatment is started for each treatment type.   Patient information input / output step for displaying patient personal information, treatment information, treatment progress information and medical information, a first storage step for storing input information from the patient information input / output step, and the first A second storage step for classifying and storing the information stored in the storage step; a statistical processing step for performing statistical processing on the data stored in the second storage step; and outputting a result of the statistical processing step A medical information support method comprising a medical information output step.   12. The medical information support method according to claim 11, wherein the patient information input / output step selects and inputs a corresponding item of the electronic medical record.   12. The medical information support method according to claim 11, wherein the patient information input / output step selects and inputs a corresponding item of a guideline for determining a therapeutic effect.   12. The medical information support method according to claim 11, wherein in the patient information input / output step, the QOL of the patient is input as a numerical value graded for each item.   12. The medical information support method according to claim 11, wherein in the second storage step, the personal information data of the patient stored in the first storage step is removed and stored.   12. The medical information support method according to claim 11, wherein in the statistical processing step, the frequency of treatment and the treatment effect in each stage for each disease type are totaled.   12. The medical information support method according to claim 11, wherein in the statistical processing step, an effect, a side effect, or a QOL for each treatment method is totaled.   12. The medical information support method according to claim 11, wherein the statistical processing step is configured to graph the survival curve for each treatment by counting the outcome and the day when the treatment is started for each treatment type. A procedure for accepting a search term input from a terminal device connected via a network, a procedure for reading data corresponding to the search term from a database in which treatment information is classified and stored, and data read from the database A medical information support program characterized by executing a procedure for performing aggregation and statistical processing and a procedure for transmitting a result of the statistical processing to the terminal device.

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