JP2017187896A - Patient explanation support device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a patient explanation support device capable of supporting to efficiency explain to a patient.SOLUTION: The patient explanation support device in an embodiment includes: an identification part; and a notification part. The identification part compares a piece of inspection result information with plural pieces of inspection result information explaining the same case based on a piece of information which represents the level to understand an inspection result, and identifies a piece of inspection result information which may reduce the time required for explaining to a patient. The notification part notifies the inspection result information identified by the identification part to a display unit.SELECTED DRAWING: Figure 1

Description

  Embodiments described herein relate generally to a patient explanation support apparatus.

  When a clinician explains a test result or a treatment policy to a patient, the clinician performs an explanation based on, for example, each test data attached to an interpretation report created in advance or various medical images. Since the time to explain the test results and treatment policy to the patient is usually limited, typically the clinician selects the test data and medical images used to explain the patient based on his / her own judgment. Based on the selected examination data and medical images, the patient is explained.

  However, in this method, there is a case where the explanation for the inspection result is not performed. For example, due to a lack of consciousness of the clinician, the necessary items may be forgotten. Moreover, as a result of having explained some explanations in detail, there is a case where time is insufficient and sufficient time cannot be taken for explanation of necessary items. In addition, as a result of explanation based on information that cannot be understood without medical knowledge, insufficient understanding of the patient may occur.

JP 2011-253225 A JP 2009-187256 A

  The problem to be solved by the present invention is to provide a patient explanation support apparatus that supports efficient explanation for a patient.

  The patient explanation support device according to the embodiment includes a specifying unit and a notification unit. Based on the information indicating the ease of understanding of the test results, the identifying unit compares the time required for the explanation to the patient compared to other test result information from among the plurality of test result information explaining the same case. Identify test result information that will be shortened. The notifying unit notifies the display unit of the inspection result information specified by the specifying unit.

FIG. 1 is a block diagram illustrating an overall configuration including a patient explanation support apparatus according to an embodiment. FIG. 2 is a block diagram illustrating a configuration of the patient explanation support apparatus according to the embodiment. FIG. 3 is a diagram illustrating processing performed by the patient explanation support apparatus according to the first embodiment. FIG. 4 is a diagram illustrating processing performed by the patient explanation support apparatus according to the first embodiment. FIG. 5 is a flowchart showing a procedure of processing performed by the patient explanation support apparatus according to the first embodiment. FIG. 6 is a diagram for explaining processing performed by the patient explanation support apparatus according to the second embodiment. FIG. 7 is a diagram illustrating processing performed by the patient explanation support apparatus according to the second embodiment. FIG. 8 is a diagram illustrating processing performed by the patient explanation support apparatus according to the second embodiment. FIG. 9 is a diagram illustrating processing performed by the patient explanation support apparatus according to the second embodiment. FIG. 10 is a diagram illustrating processing performed by the patient explanation support apparatus according to the second embodiment. FIG. 11 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the second embodiment. FIG. 12 is a diagram illustrating an example of a display screen in the patient explanation support apparatus according to the third embodiment. FIG. 13 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the third embodiment. FIG. 14 is a diagram illustrating an example of a display screen in the patient explanation support apparatus according to the fourth embodiment. FIG. 15 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the fourth embodiment. FIG. 16 is a diagram illustrating an example of a display screen in the patient explanation support apparatus according to the fifth embodiment. FIG. 17 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the fifth embodiment.

  Hereinafter, a reservation management apparatus according to an embodiment will be described in detail with reference to the accompanying drawings.

(First embodiment)
The overall configuration including the patient explanation support apparatus (medical information storage apparatus 400) according to the embodiment will be described with reference to FIG. FIG. 1 is a block diagram illustrating an overall configuration including a patient explanation support apparatus according to an embodiment.

  The modality device 100 is a variety of inspection devices used in the medical field. Specific examples of the modality apparatus 100 include, for example, an X-ray CT (Computed Tomography) apparatus, an MRI (Magnetic Resonance Imaging) apparatus, an X-ray apparatus, and an ultrasonic diagnostic apparatus. The biological examination apparatus 200 is an examination that directly examines the function of the body using various instruments, and is an apparatus that performs, for example, an endoscopic examination, an electrocardiogram examination, a blood pressure measurement, an electroencephalogram examination, and the like. If necessary, a specimen testing apparatus such as a blood test may be connected to a network and communicate with a medical information storage apparatus 400 described later.

  The medical image reconstruction device 300 is a device that reconstructs a medical image based on data obtained by, for example, photographing or imaging by the modality device 100. The medical image reconstruction apparatus 300 generates a medical image based on, for example, data obtained by imaging with an MRI apparatus or imaging with an X-ray CT apparatus. For example, as an example, the medical image reconstruction apparatus 300 reconstructs 3D data from the X-ray CT image of each slice.

  The medical information storage device (patient explanation support device) 400 stores various medical data generated by the modality device 100, the biopsy device 200, and the medical image reconstruction device 300, and as will be described later, the patient explanation support device. It functions as a device. A detailed configuration of the medical information storage device 400 will be described later. The medical information reference device 500 is a device for a user to refer to a medical image. The medical information reference device 500 is, for example, a terminal device used by an interpreting doctor who is a user to create an interpretation report.

  The modality device 100, the biopsy device 200, the medical image reconstruction device 300, the medical information storage device 400, and the medical information reference device 500 are connected to be communicable with each other through a network, for example.

  The medical information storage apparatus 400 as a patient explanation support apparatus will be described in detail with reference to FIG. FIG. 2 is a block diagram illustrating a configuration of the patient explanation support apparatus according to the embodiment.

  The medical information storage device 400 includes a processing circuit 150, a storage circuit 132, an input device 134, and a display device (display) 135. In addition, the processing circuit 150 has a specific function 150a and a notification function 150b in the first embodiment. In addition, in the second embodiment, the processing circuit 150 includes a first calculation function 150c, a second calculation function 150d, and a third calculation function 150e in addition to the specifying function 150a and the notification function 150b. The storage circuit 132 has a patient information storage function 132a, a master information storage function 132b, and a supplementary information storage function 132c.

  Here, the specifying function 150a is a function for specifying predetermined test result information from a plurality of test result information that describes the same case. The notification function 150b is a function for notifying the display unit (for example, the display device 135 or an external display device) of the inspection result information and the like. The first calculation function 150c, the second calculation function 150d, and the third calculation function 150e are functions for calculating the time required for explanation to the patient, the importance of the test result, and the like. Detailed description of these functions will be described later.

  Each processing function performed by the specific function 150a, the notification function 150b, the first calculation function 150c, the second calculation function 150d, and the third calculation function 150e is stored in the storage circuit 132 in the form of a program executable by a computer. Yes. The processing circuit 120 is a processor that realizes a function corresponding to each program by reading the program from the storage circuit 132 and executing the program. In other words, the processing circuit 150 in the state where each program is read has the functions shown in the processing circuit 150 of FIG. In FIG. 2, the processing functions performed by the specific function 150a, the notification function 150b, the first calculation function 150c, the second calculation function 150d, and the third calculation function 150e are realized by a single processing circuit 150. As described above, the processing circuit 150 may be configured by combining a plurality of independent processors, and the functions may be realized by each processor executing a program.

  In other words, each function described above may be configured as a program, and one processing circuit may execute each program, or a specific function may be implemented in a dedicated independent program execution circuit. May be. Note that the specific function 150a, the notification function 150b, the first calculation function 150c, the second calculation function 150d, and the third calculation function 150e of the processing circuit 150 are respectively a specification unit, a notification unit, a first calculation unit, and a second calculation unit. This is an example of a third calculation unit.

  The term “processor” used in the above description is, for example, a CPU (Central Processing Unit), a GPU (Graphical Processing Unit), an application specific integrated circuit (ASIC), a programmable logic device (for example, Times such as a programmable logic device (SPLD), a complex programmable logic device (CPLD), and a field programmable gate array (FPGA). It means. The processor implements a function by reading and executing the program stored in the storage circuit 132. Instead of storing the program in the storage circuit 132, the program may be directly incorporated in the processor circuit. In this case, the processor realizes the function by reading and executing the program incorporated in the circuit. Further, the storage circuit 132 implements a patient information storage function 132a by storing patient information acquired from, for example, the network shown in FIG. Further, the storage circuit 132 realizes a master information storage function 132b by storing the acquired master information, for example. In addition, the storage circuit 132 realizes the supplemental information storage function 132c by acquiring the acquired capture information, for example. For example, the storage circuit 132 is a RAM (Random Access Memory), a semiconductor memory device such as a flash memory, a hard disk, an optical disk, or the like.

  The input device 134 receives various instructions and information input from the operator. The input device 134 is, for example, a pointing device such as a mouse or a trackball, or an input device such as a keyboard.

  The display device 135 displays various information such as image data under the control of the processing circuit 120. The display device 135 is a display device such as a liquid crystal display.

  Next, the background related to the configuration of the patient explanation support apparatus according to the embodiment will be briefly described.

  When a clinician explains a test result or a treatment policy to a patient, the clinician performs an explanation based on, for example, each test data attached to an interpretation report created in advance or various medical images. Since the time to explain the test results and treatment policy to the patient is usually limited, typically the clinician selects the test data and medical images used to explain the patient based on his / her own judgment. Based on the selected examination data and medical images, the patient is explained.

  However, in this method, there is a case where the explanation for the inspection result is not performed. For example, due to a lack of consciousness of the clinician, the necessary items may be forgotten. Moreover, as a result of having explained some explanations in detail, there is a case where time is insufficient and sufficient time cannot be taken for explanation of necessary items. In addition, as a result of explanation based on information that cannot be understood without medical knowledge, insufficient understanding of the patient may occur.

  In such a background, in the first embodiment, when there are a plurality of pieces of test result information explaining the same case by the specific function 150a, the processing circuit 150 relatively sends the information to the patient. The test result information that shortens the time required for explanation is specified.

  A case where “a plurality of pieces of test result information describing the same case are present” will be described with reference to FIG. FIG. 3 is a diagram illustrating processing performed by the patient explanation support apparatus according to the first embodiment.

  In FIG. 3, each row corresponds to one piece of test result information, and information on cases and what type of medical information is displayed as a set as a list. For example, FIG. 3 shows one examination result information in which the case is “abnormal myocardial motion due to coronary plaque” and the medical information is “CT slice image (chest / myocardial protocol)”. FIG. 3 shows one test result information in which the case is “myocardial motion abnormality due to coronary plaque” and the medical information is “3D reconstruction data”. These two pieces of one test result information are common because the symptom is “myocardial motion abnormality due to coronary artery plaque” and correspond to a plurality of test result information explaining the same case. In this example, there is a difference between “CT slice image (chest / myocardial protocol)” and “3D reconstruction data”, which is an image of one slice or three-dimensional volume data. Since the data is the same X-ray CT examination data, if one image is explained to the patient, the other image may not be explained to the patient.

  Further, the “plurality of test result information explaining the same case” as used herein is not necessarily limited to a plurality of test result information obtained with one modality. For example, the case is “inflammation caused by gallstones”, the medical information is “ultrasound diagnostic image (gallbladder)”, the case is “inflammation caused by gallstones”, and the medical information is “blood test” The test result information that is “result” may be a plurality of test result information that describes the same case.

  Here, the case “abnormal myocardial motion due to coronary artery plaque” is determined, for example, by an interpreting doctor who creates an interpretation report, for example, prior to processing the examination result information. For example, an interpreting doctor who has taken an image by the modality apparatus 100 and acquired a medical image reconstructed by the medical image reconstruction apparatus 300 through the medical information reference apparatus 500 uses the input device of the medical information reference apparatus 500 to interpret the image. Create a report. At this time, for example, the image interpretation doctor associates the case “myocardial motion abnormality due to coronary artery plaque” with the medical image that is the basis for the determination.

  FIG. 4 shows an example of creating an interpretation report by an interpreting physician. FIG. 4 is a diagram illustrating processing performed by the patient explanation support apparatus according to the first embodiment.

  FIG. 4 as a whole shows an example of an interpretation report / chart text created by an interpretation doctor. Here, the interpretation report typically refers to a document in which the interpretation doctor describes the findings for a given test result, and the medical record includes other additional information such as interaction with the patient, Typically refers to a document that a clinician has added to an interpretation report. Hereinafter, a case where an interpretation doctor creates an interpretation report will be described. However, the embodiment is not limited to this, and can be similarly applied to a case where, for example, a medical chart is created.

  In FIG. 4, an interpretation report body 11 represents an interpretation report body. For example, an interpreting doctor who has taken an image by the modality apparatus 100 and acquired a medical image reconstructed by the medical image reconstruction apparatus 300 through the medical information reference apparatus 500 uses an input device of the medical information reference apparatus 500 to interpret an interpretation report. Create In addition, the hyperlink 12a, hyperlink 12b, and hyperlink 12c that are modified by underlining and displayed in a color different from the interpretation report body text are hyperlinks generated for character strings in the description of the interpretation report. Show. As an example, the processing circuit 150 performs a pattern matching process for checking the presence / absence of a predetermined keyword corresponding to a medical image on a character string in an interpretation report created by an interpreting doctor, and a matching character string is found. If there is, the hyperlinks 12a to 12c are automatically given to the interpretation report. Further, these hyperlinks may be manually generated upon receiving an input from an interpreting doctor.

  When a user such as a clinician clicks on the hyperlinks 12a to 12c of the created interpretation report, the processing circuit 150 causes the display unit to display medical information corresponding to the hyperlinks 12a to 12c clicked by the user.

  The flow of processing performed by the patient explanation support apparatus according to the first embodiment will be described with reference to FIG. FIG. 5 is a flowchart showing a procedure of processing performed by the patient explanation support apparatus according to the first embodiment. In FIG. 5, for example, a case where the case is abnormal myocardial motion due to coronary plaque will be described as an example.

  First, the modality device 100, the biopsy device 200, and the medical image reconstruction device 300 generate medical information (step S100). For example, the modality device 100 performs imaging to generate medical information that is a medical image. Further, for example, the medical image reconstruction apparatus 300 performs a reconstruction process based on the imaging data performed by the modality apparatus 100, and generates medical information that is a medical image. The biopsy apparatus 200 performs a biopsy and generates medical information as a biopsy result.

  Subsequently, the medical information storage device 400 receives the medical information generated by the modality device 100, the biopsy device 200, and the medical image reconstruction device 300 in step S100 through the network, and stores the received medical information in the storage circuit 132. (Step S110).

  When the medical information received by the medical information storage apparatus 400 in step S110 is stored in the storage circuit 132, the medical information reference apparatus 500 accepts an operation from the interpreting doctor and supports interpretation report creation (step S120). Specifically, the medical information reference device 500 acquires the medical information stored in the medical information storage device 400 from the storage circuit 132 in step S110. The medical information reference device 500 displays, for example, a screen as shown in FIG. 4 on the display device of the medical information reference device 500, and accepts an operation input from an interpreting doctor. At this time, for example, the medical information reference device 500 associates the medical information stored by the medical information storage device 400 with a predetermined character string in the interpretation report text 11 generated by the interpretation doctor. For example, the medical information reference device 500 associates the medical information with a predetermined character string in the interpretation report body 11, and generates hyperlinks 12a to 12c. For example, when the user clicks the hyperlink 12a, “medical image of X1 examination” which is medical information corresponding to the hyperlink 12a is displayed on the screen.

  Subsequently, the medical information reference apparatus 500 acquires a case (step S130). Specifically, the medical information reference apparatus 500 receives an input of a case from an interpreting doctor who is creating an interpretation report, and acquires a case using the received input. For example, when the interpreting doctor who has confirmed the CT slice image and the 3D reconstruction data determines that the case is “myocardial motion abnormality due to coronary plaque”, the interpreting doctor passes the input device of the medical information reference device 500 through Enter the case as “myocardial dysfunction due to coronary plaque”. The medical information reference device 500 performs the subsequent processing based on the accepted input result.

  Note that although an example in which the case “abnormal myocardial motion due to coronary artery plaque” is input manually by an interpreting doctor has been described, the embodiment is not limited thereto. For example, the processing circuit 150 may automatically read a medical image value or the like and automatically determine a case, for example.

  Subsequently, when the medical information reference device 500 acquires a case in step S <b> 130, the acquired information on the case is transmitted to the medical information storage device 400. The processing circuit 150 of the medical information storage apparatus 400 that has received the case information from the medical information reference apparatus 500 extracts a plurality of pieces of examination result information that explain the same case, for example, as shown in FIG. S140). For example, the processing circuit 150 includes first test result information characterized by a case “myocardial motion abnormality due to coronary plaque” and medical information “CT slice image (chest / myocardial protocol)”, and a case “myocardial due to coronary plaque”. The “abnormal operation” and the second examination result information characterized by the medical information “3D reconstruction data” are extracted.

Subsequently, the processing circuit 150 compares the test result information with other test result information from among a plurality of test result information explaining the same case based on the information indicating the ease of understanding of the test result by the specific function 150a. The test result information that shortens the time required for explanation to the patient is identified. Here, an example of “information indicating the ease of understanding of the inspection result” is information related to the imaging protocol, for example, whether it is a CT image of one 2D slice or 3D reconstruction data. For example, since the 3D reconstruction data is easier to understand intuitively than the cross section of a predetermined 2D slice, the 3D reconstruction data is easier to understand the inspection result than the 2D slice image. Moreover, an example of “information indicating ease of understanding of the inspection result” is information indicating a difference in modality, for example. For example, T ₂ weighted images in MRI as compared with the X-ray CT image, the image is difficult to understand how the generated, it is difficult to understand the test results. Further, these “information indicating the ease of understanding of the inspection result” may be parameter values preset in advance for each inspection, for example.

  For example, in the example of FIG. 3, when the “CT slice image (chest / myocardial protocol)” is compared with “3D reconstruction data”, the 3D reconstruction data makes it easier to understand the test result. The test function information characterized by the case “abnormal myocardial motion due to coronary artery plaque” and medical information “3D reconstruction data” is selected from the plurality of test result information explaining the same case by the specific function 150a. Compared with the medical information “CT slice image (chest / myocardial protocol)” and “malignant myocardial motion due to coronary plaque”, the test result information is specified to shorten the time required for explanation to the patient.

  Subsequently, the processing circuit 150 notifies the specified inspection result information to the display unit by the notification function 150b (step S200). The processing circuit 150 causes the display unit to perform display processing based on the information notified in step S200 by the notification function 150b (step S210). As a specific example of this display process, for example, the specified inspection result information may be displayed in a color different from other inspection result information, or may be displayed in a sorted list. Details of these points will be described in an embodiment described later. As an example of the configuration of the display unit, for example, a display device (not shown) provided in the medical information reference device 500 can be cited. Another example of the configuration of the display unit is the display device 135 in the medical information storage device 400, for example. Another example of the configuration of the display unit is a display device connected to the medical information storage device 400 via a network.

  Thus, in the first embodiment, the processing circuit 150 shortens the time required for explanation to the patient from among the plurality of pieces of test result information explaining the same case as compared with other test result information. Inspection result information is specified, and display processing is performed on the display device based on the specified information. Thereby, the user can explain to the patient using the test result information that requires a short explanation time, and the convenience is improved.

(Second Embodiment)
In the first embodiment, a case has been described in which the processing circuit 150 identifies test result information that can be explained in a short time from a plurality of test result information that describes the same case. In the second embodiment, in addition to this, the processing circuit 150 calculates a process necessary for explaining the test result to the patient by a predetermined method.

  Such processing will be described with reference to FIGS. 6 to 10 are diagrams illustrating processing performed by the patient explanation support apparatus according to the second embodiment. FIG. 11 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the second embodiment.

  FIG. 6 is a diagram for explaining the correspondence between the cases described in the interpretation report and the time required for explanation to the patient (patient explanation time). For example, in the list shown in FIG. 6, when the case described in the interpretation report is “inflammation due to gallstones”, the default value (initial value) set as the patient explanation time is “4 minutes”. Become. Further, the default value (initial value) set as the patient explanation time when the case described in the interpretation report is “myocardial motion abnormality due to coronary artery plaque” is “3 minutes”. With the supplementary information storage function 132c, the storage circuit 132 stores, for example, a list of pairs of cases described in the interpretation report and patient explanation time in a predetermined storage medium. The processing circuit 150 acquires, from the storage circuit 132, a list of pairs of cases described in the interpretation report stored in the storage circuit 132 and patient explanation time as necessary.

  FIG. 7 is a diagram for explaining a procedure by which the processing circuit 150 calculates the patient explanation time by the first calculation function 150c from the combination of the case described in the interpretation report and the medical information. In FIG. 7, “Case” indicates a case described in the interpretation report. Further, “medical information” represents the type of medical information such as what modality is used for imaging. “Importance of patient explanation” indicates ranking of importance of patient explanation. For example, when the importance of the patient explanation is “A”, it means that the patient explanation is indispensable information. Further, when the importance level of the patient explanation is “B”, it means that the patient explanation is important information and can be the basis of the treatment policy. Further, when the importance of the patient explanation is “C”, it means that the patient explanation is preferable information and can be information that assists the understanding of the patient.

  “Reason for explanation” indicates the reason for explaining the item to the patient. “Patient explanation time” indicates the value of patient explanation time calculated by the processing circuit 150 using the first calculation function 150c and the second calculation function 150d, as will be described later.

  For example, consider a case where “case” is “inflammation caused by gallstones” and “medical information” is “ultrasound diagnostic apparatus (gallbladder part)”. In this case, “importance of patient explanation” is “A”. Further, the “reason for explanation” becomes “the cause of the case”. The “patient explanation time” is “10 minutes”. Also, consider a case where “case” is “inflammation caused by gallstones” and “medical information” is “blood test”. In this case, the “importance of the patient explanation” is “B”. Further, the “reason for explanation” is “treatment policy”. The “patient explanation time” is “1 minute”. For example, consider a case where “case” is “myocardial motion abnormality due to coronary plaque” and “medical information” is “CT slice image (chest / myocardial protocol)”. In this case, “importance of patient explanation” is “A”. Further, the “reason for explanation” becomes “the cause of the case”. The “patient explanation time” is “10 minutes”. Also, consider a case where “case” is “myocardial motion abnormality due to coronary plaque” and “medical information” is “3D reconstruction data”. In this case, “importance of patient explanation” is “A”. Further, the “reason for explanation” is “treatment policy”. The “patient explanation time” is “2 minutes”.

  The storage circuit 132 stores, for example, a list including a plurality of sets, with “case”, “medical information”, and “patient explanation time” as one set by the supplementary information storage function 132c. For example, “inflammation caused by gallstones”, “ultrasound diagnostic apparatus (gallbladder part)”, and “10 minutes” are one set of data stored in the storage circuit 132. Further, for example, “inflammation due to gallstones”, “blood test result”, and “1 minute” are one set of data stored in the storage circuit 132. Further, for example, the storage circuit 132 stores, for example, a list including a plurality of sets, with “case”, “medical information”, and “importance of patient explanation” as one set by the supplementary information storage function 132c. Also good.

  The processing circuit 150, for example, sets “case”, “medical information”, and “patient explanation time” as one set to a list composed of a plurality of sets, for example, “case” and “medical information”. The value of “patient explanation time” is acquired using as a key. For example, when the “case” is “inflammation due to gallstones” and the “medical information” is “ultrasound diagnostic image (gallbladder part)”, the processing circuit 150 sets the value “10 minutes” of “patient explanation time”, Obtained based on a database stored in the memory circuit 132. Similarly, for example, when the “case” is “inflammation due to gallstones” and the “medical information” is “blood test result”, the value “B” of “patient explanation importance” Obtained based on a database stored in the memory circuit 132.

  In the above example, the case where the value of “patient explanation time” is determined for a given group of “case” and “medical information” has been described, but the embodiment is not limited thereto. For example, a value of “patient explanation time” may be defined for each of “case” and “medical information”. For example, the “patient explanation time” for “inflammation due to gallstones” is “6 minutes”, the “patient explanation time” for “ultrasound diagnostic apparatus (gallbladder part)” is “+4 minutes”, and the “blood test” The “patient explanation time” may be set to “1 minute”. In this case, for example, when the “case” is “inflammation due to gallstones” and the “medical information” is “ultrasound diagnostic apparatus (gallbladder)”, the “patient explanation time” is 6 minutes + 4 minutes = 10 Minutes. Further, when “case” is “inflammation caused by gallstones” and “medical information” is “blood test”, “patient explanation time” is 1 minute regardless of the case.

  FIG. 8 is a diagram illustrating correction of patient explanation time and patient explanation importance performed by the processing circuit 150 based on information representing the state of the patient to be explained. In FIG. 8, “medical information” represents the type of medical information acquired by the processing circuit 150, for example, what kind of modality was taken, as in FIG. 7 and the like. The “correction reason” indicates the reason why the processing circuit 150 corrects the patient explanation time and the patient explanation importance by the third calculation function 150e. “Patient explanation importance correction” indicates the correction amount of the patient explanation importance calculated by the processing circuit 150. “Patient explanation time correction” represents the correction amount of the patient explanation time calculated by the processing circuit 150 using the third calculation function 150e.

  In addition, examples of the reason for correction include accompanying information, progress, treatment policy, and the like. Here, an example in which the reason for correction is “accompanying information” will be described. For example, an ultrasonic diagnostic image is difficult to understand unless a learned technician or doctor learns. However, if there is ancillary information such as an annotation for marking an abnormal part and a part schema / imaging direction reference image for understanding which part was taken from which direction, the patient's understanding is promoted. Can be reduced. Therefore, when there is accompanying information, the patient explanation time is corrected. Further, an example in which the reason for correction is the degree of progression will be described. For example, when the medical condition is serious, it is necessary to explain the medical condition in more detail, so that the patient explanation time increases. Therefore, the patient explanation time is corrected according to the degree of progression of the disease. In addition, even if the medical condition is the same, if the treatment policy is different, the patient explanation time is different. Therefore, the patient explanation time is corrected according to the treatment policy. For example, as a blood test result, the necessity for treatment differs depending on the inflammatory reaction in the blood. When treatment is not necessary, it is only communicated to the patient, whereas when treatment is necessary, it is necessary to treat, whether it is necessary to be inflamed, and the drugs to be administered to suppress inflammation. Since the explanation is carried out, importance and explanation time increase.

  In FIG. 8, when the medical information is “ultrasound diagnostic apparatus (gallbladder part)” and the correction reason is “annotation”, that is, when the ultrasound diagnostic image has an annotation, understanding of the patient is promoted. Therefore, the patient explanation time correction is -2 minutes. On the other hand, since the presence / absence of annotation does not affect the importance of patient explanation, the patient explanation importance correction is zero. Further, when the medical information is “ultrasound diagnostic device (gallbladder part)” and the reason for correction is “part / imaging direction reference image”, that is, when there is a part schema / imaging direction reference image in the ultrasound diagnostic image, Patient understanding is promoted. Accordingly, the patient explanation time correction is -4 minutes. On the other hand, since the presence / absence of annotation does not affect the importance of patient explanation, the patient explanation importance correction is zero.

  From the above results, when the medical information is “ultrasound diagnostic device (gallbladder)”, the patient explanation importance correction is not affected by the annotation or the part schema / imaging direction reference image. The patient explanation importance correction is zero. On the other hand, in the patient explanation time correction, the correction of -2 minutes is performed due to the presence of the annotation, and the correction of -4 minutes is performed due to the presence of the region schema / imaging direction reference image. -6 minutes.

  Further, when the medical information is “blood test result” and the correction reason is “necessary treatment”, since the medical treatment is necessary, the patient explanation time increases as compared with the case where the result is not abnormal. Therefore, the patient explanation time correction is +5 minutes. In addition, since the medical condition is treatment required, the importance of patient explanation increases. Therefore, the patient explanation importance correction is +1. Here, +1 means correction that raises the rank to one rank higher. Specifically, what was C rank before correction becomes B rank after +1 correction, and what was B rank before correction becomes A rank after +1 correction. Also, in the case of +2 correction, what was C rank before correction becomes A rank after +2 correction.

  From the above results, when the medical information is “blood test”, the patient explanation importance correction is +1 and the patient explanation time correction is +5 minutes.

  Further, when the medical information is “CT slice image (chest / myocardial protocol)” and the correction reason is “annotation”, that is, when the CT slice image has an annotation, understanding of the patient is promoted. Therefore, the patient explanation time correction is -2 minutes. On the other hand, since the presence / absence of annotation does not affect the importance of patient explanation, the patient explanation importance correction is zero.

  In addition, when the medical information is “chest CR image (chest / lung cancer)” and the correction reason is “serious”, the importance of the patient explanation is greatly increased because it is serious. Therefore, the patient explanation importance correction is +2. On the other hand, when the medical condition is serious, compared with the case where the disease is in the early stage, abnormal findings appear clearly in the chest CR image, so the patient explanation time is shortened. Therefore, the patient explanation time correction is -5 minutes.

  In addition, in the case of terminal cancer, for example, in addition to explaining the medical condition, it is necessary to mentally encourage the patient. Therefore, this case is processed on the assumption that the medical information is “NA”, the reason for correction is “serious”, the patient explanation importance correction is 0, and the patient explanation time correction is “+30 minutes”. When the medical information is “NA”, the original patient explanation time correction is 0 minute. Therefore, when the patient explanation time correction is “+30 minutes”, the actual patient explanation is 30 minutes.

  The storage circuit 132 is composed of a plurality of sets of, for example, “medical information”, “reason for correction”, “patient explanation importance correction”, and “patient explanation time correction” as one set by the supplementary information storage function 132c. Memorize the list. For example, “ultrasound diagnostic image (gallbladder part)”, “annotation”, “0”, and “−2 minutes” are one set of data stored in the storage circuit 132. The storage circuit 132 may separately correct data including “patient explanation importance correction” and data including “patient explanation time correction”. In this case, for example, the storage circuit 132 stores “medical information”, “reason for correction”, and “patient explanation importance correction” as one set, and stores a list including a plurality of sets. At the same time, the storage circuit 132 stores a list including a plurality of sets, for example, “medical information”, “reason for correction”, and “patient explanation time correction” as one set.

  The processing circuit 150 sets “medical information”, “reason for correction”, “patient explanation importance correction”, and “patient explanation time correction” as one set to a list including a plurality of sets as necessary. For example, the value of “patient explanation importance correction” is acquired using “medical information” and “correction reason” as keys. Similarly, the processing circuit 150 acquires the value of “patient explanation time correction” using “medical information” and “correction reason” as keys. For example, when “medical information” is “ultrasound diagnostic image (gallbladder part)” and “reason for correction” is “annotation”, the processing circuit 150 sets the value “0” of “patient explanation importance correction” Obtained based on a database stored in the memory circuit 132. For example, when the “medical information” is “ultrasound diagnostic image (gallbladder part)” and the “correction reason” is “annotation”, the processing circuit 150 sets the value “−2 minutes for“ patient explanation time correction ”. Is acquired based on the database stored in the storage circuit 132.

  FIG. 9 shows the relationship between each piece of medical information and state information of each piece of medical information (information relating to the presence / absence of accompanying information used for correcting the above-described importance / explanation time). In FIG. 9, “medical information” similarly indicates the type of medical information. Further, “accompanying information” represents the type of accompanying information accompanying each medical information. Further, “Yes / No” in FIG. 9 indicates a flag for managing whether or not accompanying information accompanying each piece of medical information can be used by a patient (prepared to be viewed by a patient). For example, if the medical information is “ultrasonic image (gallbladder part)”, the accompanying information is “annotation”, and yes / no is “yes”, an annotation is added to “ultrasonic image (gallbladder part)” in the interpretation report. Means available. Also, for example, when the medical information is “ultrasonic image (gallbladder part)”, the accompanying information is “partial schema, imaging direction reference image”, and there is “none”, “ultrasonic image (gallbladder part) in the interpretation report ")" Means that the site schema and the imaging direction reference image are not available. In addition, for example, when medical information is “blood test result”, accompanying information is “supplementary material”, and yes / no is “yes”, an annotation can be used for “blood test result” in the interpretation report. Means. Similarly, these pieces of information are stored in the storage circuit 132 as necessary.

  FIG. 10 shows a result of correcting the patient explanation importance and the patient explanation time by performing the patient explanation importance correction and the patient explanation time correction shown in FIG. 8 with respect to the data of FIG. . In FIG. 10, “medical information attached to the interpretation report” and “explanation reason” represent medical information and explanation reason, respectively. “Patient explanation importance” and “patient explanation time” represent the corrected patient explanation importance and the corrected patient explanation time, respectively.

  In FIG. 10, a case where the “case” is “inflammation caused by gallstones” will be described. First, in FIG. 10, a case where “medical information attached to an interpretation report” is an “ultrasound diagnostic image (gallbladder part)” and “reason for explanation” is “cause of a case” will be described. Referring to FIG. 7, when “case” is “inflammation caused by gallstones” and “medical information” is “ultrasound diagnostic image (gallbladder part)”, “importance of patient explanation” is “A”. The “patient explanation time” is “10 minutes”. Therefore, in this case, the importance of the patient explanation before correction is A, and the patient explanation time before correction is 10 minutes.

  Next, referring to FIG. 8, when “medical information” is “ultrasound diagnostic apparatus (gallbladder)”, “patient explanation importance correction” is “0” for the correction reason “annotation”. , “Patient explanation time correction” is “−2 minutes”, and for the correction reason “part schema / imaging direction reference image”, “patient explanation importance correction” is “0”, “patient explanation time” “Correction” is “−4 minutes”. Therefore, when these two correction reasons are summed up, when “medical information” is “ultrasound diagnostic apparatus (gallbladder part)”, the total patient explanation importance correction is 0, and the total patient explanation time correction Is -6 minutes.

  Therefore, when “medical information” is “ultrasound diagnostic image (gallbladder part)”, referring to FIG. 7, the patient explanation importance before correction is “A”. Is 0, the corrected patient explanation importance is “A”. Further, referring to FIG. 7, the patient explanation time before correction is “10 minutes”, and from FIG. 8, the patient explanation time correction is −6 minutes. Therefore, the patient explanation time after correction is “10 minutes− 6 minutes = 4 minutes ".

  Similarly, in FIG. 10, a case where “medical information attached to an interpretation report” is “blood test result (A) treatment required” and “reason for explanation” is “treatment policy” will be described. Referring to FIG. 7, when “case” is “inflammation caused by gallstones” and “medical information” is “blood test result (A)”, “importance of patient explanation” is “B”. The “patient explanation time” is “1 minute”. Therefore, in this case, the importance of the patient explanation before correction is B, and the patient explanation time before correction is 1 minute.

  Next, referring to FIG. 8, when “medical information” is “blood test result (A)”, for the correction reason “necessary treatment”, “patient explanation importance correction” is “+1”, “Patient explanation time correction” is “+5 minutes”.

  Therefore, when “medical information” is “blood test result (A) treatment required”, referring to FIG. 7, the patient explanation importance before correction is “B”. Is +1, the corrected patient explanation importance is “A”. Referring to FIG. 7, the patient explanation time before correction is “1 minute”, and from FIG. 8, the patient explanation time correction is +5 minutes. Therefore, the patient explanation time after correction is “1 minute + 5 minutes”. = 6 minutes ".

  FIG. 11 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the second embodiment. The processing in steps S100 to S150 is the same as that described in FIG. 5 in the first embodiment, and thus description thereof is omitted.

  The processing circuit 150 uses the first calculation function 150c to calculate a first time that is estimated to be necessary for explaining the test result to the patient for each of the plurality of test results (step S160). In other words, the processing circuit 150 calculates the patient explanation time (first time) for the case itself based on the conclusion of the interpretation report generated in step S120, that is, the case acquired in step S130. For example, in the example of FIG. 6 and FIG. 7, the processing circuit 150 performs processing on the test result information in which the case is “inflammation caused by gallstones” and the medical information is specified by the “ultrasound diagnostic image (gallbladder)”. The first time that is estimated to be necessary for explaining the test result to the patient is calculated as “4 minutes” as shown in FIG. 6. Further, it is estimated that the processing circuit 150 is necessary to explain the test result to the patient for the test result information specified by the case “inflammation due to gallstones” and the medical information “blood test result (A)”. As shown in FIG. 6, the first time that is the time to be calculated is calculated as “4 minutes”. In addition, the processing circuit 150 responds to the examination result information in which the case is identified by “abnormal myocardial motion due to coronary artery plaque” and the medical information is identified by “CT slice image (chest / myocardial protocol)” (or “3D reconstruction data”). Then, the first time that is estimated to be necessary for explaining the test result to the patient is calculated as “3 minutes” as shown in FIG. 6. In step S160, the processing circuit 150 acquires, for example, predetermined data stored in the storage circuit 132, and calculates a first time based on the acquired data.

  Subsequently, the processing circuit 150 further calculates first information representing the importance of the inspection result for each of the plurality of inspection results by the first calculation function 150c (step S170). For example, referring to the example of FIG. 7, the processing circuit 150 performs a test result on test result information characterized by “inflammation due to gallstones” and medical information “ultrasound diagnostic image (gallbladder)”. First information representing the importance (importance of patient explanation) is calculated as “A”. The processing circuit 150 also includes first information (patient) indicating the importance of the test result with respect to the test result information characterized by the case “inflammation due to gallstones” and the medical information “blood test result (A)”. The importance of the description is calculated as “B”. In addition, the processing circuit 150 displays test result information characterized by a “myocardial motion abnormality due to superarterial plaque” and medical information as “CT slice image (chest / myocardial protocol)” (or “3D reconstruction data”). On the other hand, the first information indicating the importance of the inspection result is calculated as “A”. For example, the processing circuit 150 acquires predetermined data that is stored in the storage circuit 132 and has a set of importance of the case, the medical condition, and the test result, and based on the acquired data, the first circuit Calculate time.

  Subsequently, the second calculation function 150d causes the processing circuit 150 to correct the first time calculated by the first calculation unit based on information indicating ease of understanding of the test result information. 2 is calculated (step S180). Here, “information indicating the ease of understanding of the examination result information” is, for example, information described in the column of “medical information” in the table of FIG. 7 (hereinafter, information A), for example, FIG. Among the information described in the column “Reason for correction” in the table, information indicating the presence / absence of an annotation and the presence / absence of a part schema / imaging direction reference image (hereinafter, information B). The processing circuit 150 is based on, for example, one or both of the information A and the information B as information indicating the ease of understanding the inspection result information with respect to the first time calculated by the first calculation unit. And the second time is calculated.

  First, the case where the processing circuit 150 calculates the second time by correcting the first time calculated by the first calculation unit based on the information A will be described. For example, the processing circuit 150 uses the first time (calculated in step S160) for the test result information characterized by the case “inflammation due to gallstones” and the medical information “ultrasound diagnostic image (gallbladder part)”. 4 minutes) is corrected based on the information indicating that the medical image is related to the “ultrasound diagnostic image (gallbladder part)”, which is information indicating the ease of understanding on the test result, The time of 2 is calculated as “10 minutes”. The calculated second time is described as the patient explanation time in FIG. Further, the processing circuit 150 applies the first time (4 minutes) calculated in step 160 to the test result information characterized by the case “inflammation due to gallstones” and the medical information “blood test result (A)”. ) Is corrected based on information that is a medical image related to the “blood test result”, which is information indicating ease of understanding on the test result, and the second time is set to “1 minute”. And calculate.

  Further, the processing circuit 150 calculates the first calculation result in step S160 for the examination result information characterized by the case “myocardial motion abnormality due to coronary plaque” and the medical information “CT slice image (chest / myocardial protocol)”. 1 time (3 minutes) is corrected based on information indicating that the medical image is related to “CT slice image (chest / myocardial protocol)”, which is information indicating ease of understanding on the test result To calculate the second time as “10 minutes”. Further, the processing circuit 150 applies the first time (3) calculated in step S160 to the examination result information characterized by the case “myocardial motion abnormality due to coronary plaque” and the medical information “3D reconstruction data”. And the second time is set to “2D” by performing correction based on information indicating that the medical image is related to “3D reconstruction data”, which is information indicating ease of understanding on the examination result. 2 minutes "is calculated.

  As an example, the processing circuit 150 may calculate the second time from the first time using a predetermined calculation formula without using a database. As another example, the storage circuit 132 stores a list of data as a set of “case”, “medical information”, and “patient explanation time” that is the second time, and the processing circuit 150 performs as necessary. The second time may be calculated by loading data stored from the storage circuit 132.

  When such processing is completed, for example, in the case of FIG. 7, as a test for determining inflammation due to gallstones, an ultrasonic image diagnosis of the gallbladder part and a blood test for confirming an inflammatory reaction are performed, and the process of step S120 As a result, the inspection results are attached to the interpretation report. Here, for example, the patient explanation importance of the ultrasonic diagnosis result image of the gallbladder portion is A, the patient explanation time is 10 minutes, the patient explanation importance of the blood test is B, and the patient explanation time is 1 minute.

  Next, after the processing circuit 150 corrects the first time calculated by the first calculation unit based on the information A, the processing circuit 150 further performs correction based on the information B to obtain the second time. The case of calculating will be described.

  When the medical information is “ultrasound diagnostic image (gallbladder part)” and the correction reason is “annotation”, “patient explanation time correction” is “−2 minutes” as can be read from the table of FIG. . The processing circuit 150 corrects the first time calculated by the first calculation unit based on the information A, and then information B (represents the presence / absence of an annotation and the presence / absence of a part schema / imaging direction reference image). The second time is calculated by performing correction based on the information “with annotation” belonging to “type information”. For example, when the case is “inflammation due to gallstones” and the medical information is “ultrasound diagnostic apparatus (gallbladder part)”, the patient explanation time after performing based on the information A is shown in FIG. As such, it takes 10 minutes. In addition, the processing circuit 150 further performs correction based on the information “with annotation” belonging to the information B. Specifically, as shown in the table of FIG. 8, the patient explanation time correction is −2 minutes. The processing circuit 150 calculates the patient explanation time after further correction based on the information “with annotation” belonging to the information B, that is, the second time as “10 minutes−2 minutes = 8 minutes”.

  Further, for example, the processing circuit 150 may further correct the patient explanation time based on the information “partial schema / imaging direction reference image exists” belonging to the information B. In this case, as shown in the table of FIG. 8, the patient explanation time correction is −4 minutes. Accordingly, the processing circuit 150 calculates the patient explanation time after further correction based on the information “partial schema / imaging direction reference image” belonging to the information B as “8 minutes−4 minutes = 4 minutes”. This result is displayed in FIG. 10, for example.

  Subsequently, with the third calculation function 150e, the processing circuit 150 causes the second time calculated by the second calculation function 150d in step S180 to represent information indicating the state of the patient to be explained (patient age). The third time is calculated by performing correction based on the medical history, the degree of progression of the disease, the treatment stage, the treatment policy, the presence or absence of an attendant, and the like (step S190).

  Here, as a specific example of “information indicating the state of the patient to be explained”, for example, among the descriptions shown in the column of the reason for correction in FIG. Information.

  For example, as shown in FIG. 7, when the case is “inflammation due to gallstones” and the medical information is “blood test result (A)”, the time after correction in step S180 (second time) Is 1 minute so that it can be read from the table. With the third calculation function 150e, the processing circuit 150 uses “need treatment” which is information indicating the state of the patient to be described for the second time “1 minute” calculated in step S180. Correction is performed to calculate the third time. As can be read from the table of FIG. 8, since the medical information is “blood test result (A)” and the correction reason is “need treatment”, the patient explanation time correction is +5 minutes. Further corrected patient explanation time (third time) is calculated as “1 minute + 5 minutes = 6 minutes”. This result is displayed in FIG. 10, for example.

  In this step, the processing circuit 150 may correct the first information (information indicating the importance of the inspection result) calculated by the first calculation function 150c in step S170. For example, as shown in FIG. 7, when the case is “inflammation due to gallstones” and the medical information is “blood test result (A)”, the first information in step S170 (the importance of the test result) Information) represents “B” so that it can be read from the table. By the third calculation function 150e, the processing circuit 150 corrects the first information “B” produced in step S170 by using “need treatment” which is information indicating the state of the patient to be explained. To calculate information indicating the importance of the corrected inspection result. As can be read from the table of FIG. 8, since the medical information is “blood test result (A)” and the correction reason is “necessary treatment”, the patient explanation importance correction is +1. The corrected patient explanation importance is increased by one step from “B” and calculated as “A”. This result is displayed in FIG. 10, for example.

  When the calculation of these patient explanation times is completed up to step S190, the processing circuit 150 subsequently calculates the total explanation time for the interpretation report. In the example of FIG. 10, when the medical information incidental to the interpretation report is “ultrasound diagnostic image (gallbladder part)”, the calculation of the corrected patient explanation time is completed up to step S180, and the patient explanation time is 4 minutes. When the medical information attached to the interpretation report is “blood test result (A) treatment required”, the corrected patient explanation time is calculated in step S190, and the patient explanation time is 6 minutes. Also, it takes about 4 minutes to explain the interpretation report itself. From the above, the processing circuit 150 calculates the integrated value of the explanation time for the interpretation report as 4 minutes + 6 minutes + 4 minutes = 14 minutes.

  When these processes are completed, the processing circuit 150 notifies the display unit of the inspection result information specified by the specifying function 150a in Step S150 by the notification function 150b (Step S200). Further, the processing circuit 150 notifies the display unit of the third time calculated by the third calculation function 150e in step S190 by the notification function 150b. The processing circuit 150 may notify the display unit of the second time calculated by the second calculation function 150d in step S180 by the notification function 150b. Further, the processing circuit 150 may notify the display unit of the first information calculated by the first calculation function 150c in step S170.

  Subsequently, the processing circuit 150 causes the display device to perform display processing by the notification function 150b. Variations of this processing will be described in detail in the third to fifth embodiments. As an example of the configuration of the display unit, for example, a display device (not shown) provided in the medical information reference device 500 can be cited. Another example of the configuration of the display unit is the display device 135 in the medical information storage device 400, for example. Another example of the configuration of the display unit is a display device connected to the medical information storage device 400 via a network.

  The embodiment is not limited to the above-described processing. For example, Steps S140 to S150 and Steps S160 to S190 are independent processes. For example, the processing circuit 150 may omit Steps S140 to S150. Further, the processing circuit 150 may omit step S190. For example, the processing circuit 150 may omit steps S180 and S190. Further, steps S140 to S150 and steps S160 to S190 need not be executed in the order described in FIG. For example, the processing circuit 150 may perform steps S140 to S150 after performing the processing of steps S160 to S190.

  Further, for example, step S180 can be omitted. In this case, in step S190, the processing circuit 150 corrects the first time instead of the second time based on the information indicating the state of the patient to be described, and sets the third time. calculate. In this case, the processing circuit 150 may further perform a process corresponding to step S180 after performing the process of step S190.

  As described above, in the second embodiment, the processing circuit 150 further calculates the time required to explain the test result to the patient for each of the plurality of result information. Thereby, the user can make a prediction in advance for the explanation time to the patient, and convenience is improved.

(Third embodiment)
In the third to fifth embodiments, a method for displaying the information specified or calculated by the processing circuit 150 in the first and second embodiments will be described. That is, the third to fifth embodiments correspond to various variations in step S210 in FIG.

  FIG. 12 is a diagram illustrating an example of a display screen in the patient explanation support apparatus according to the third embodiment. In FIG. 12, an interpretation report is displayed. In the displayed interpretation report, hyperlinks are generated for words such as “X1 inspection”, “3D reconstruction data by X2 method”, “X3 inspection”, and the like. These hyperlinks are generated by a predetermined method in step S120 of FIGS. 5 and 11, for example. An arrow in FIG. 12 indicates a mouse cursor. For the hyperlink “X1 examination”, a character string “There is medical information effective for explanation! CT slice image expected explanation time: 8 minutes” pops up and displayed. For the hyperlink “3D reconstruction data based on the X2 system”, a character string “3D reconstruction data expected explanation time: 2 minutes” is displayed in a pop-up.

  FIG. 13 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the third embodiment. In the third embodiment, processes other than the processing circuit 150 causing the display unit to display are performed in the same manner as the process shown in FIG. That is, the patient explanation support apparatus according to the third embodiment performs the processes of steps S211a to S211c after performing the same processes as steps S100 to S200 of FIG.

  First, the clinician displays an interpretation report. After performing the processing corresponding to step S100 to step S200 in FIG. 11, the processing circuit 150 performs the markup condition (markup color or the like) based on the second length of time calculated in step S180 in FIG. Is determined (step S211a). For example, by the notification function 150b, the processing circuit 150 causes the display device as the display unit to perform predetermined markup so that the medical information with a long patient explanation time and the medical information with a short patient explanation time are marked in different colors. Send a notification. The processing circuit 150 stands by until a mouse-over device for the hyper ring is detected through the display unit. When the processing circuit 150 detects a mouse-over operation on the hyperlink through the display unit (step S211b), the processing circuit 150 performs markup based on the determined markup condition for the examination result information that requires a short time for patient explanation. Conditions are set, and each medical information name and explanation time are displayed on the display unit (step S211c). That is, the notification circuit 150b causes the processing circuit 150 to change and display the hyperlink color of the test result information in which the time required for patient explanation is short among the test result information specified by the specifying function 150a in step S150 of FIG. Notify the department. For example, as shown in FIG. 12, the processing circuit 150 changes the hyperlink color when there is medical information that can be explained more efficiently if the importance of the case, patient explanation, and explanation reason are the same. Each medical information name and explanation time are displayed.

(Fourth embodiment)
In the third embodiment, the case where the hyperlink color or the like is changed by moving the mouse over the hyperlink has been described. In the fourth embodiment, when there is medical information that can be explained more efficiently with the same importance of case, patient explanation, and explanation reason, the processing circuit 150 changes the hyperlink color in advance to the display unit. The case where it does is demonstrated. Moreover, when the time required for the explanation to the patient exceeds a predetermined threshold, for the medical information that cannot be explained, a case where the explanation to the patient is omitted will be described.

  FIG. 14 is a diagram illustrating an example of a display screen in the patient explanation support apparatus according to the fourth embodiment. In FIG. 14, as in FIG. 12, hyperlinks are generated on the interpretation report, but the hyperlink color is determined and changed in advance regardless of whether or not the mouse-over process is performed.

  FIG. 15 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the fourth embodiment. As in the case of the third embodiment, the patient explanation support apparatus according to the fourth embodiment performs the processes of steps S212a to S212d after performing the same processes as steps S100 to S200 of FIG. .

  By the specifying function 150a, the processing circuit 150 specifies test result information that omits the explanation to the patient from a plurality of test result information based on the upper limit value of the time that can be used for the explanation to the patient (step) S212a). Further, the processing circuit 150 determines a markup condition (markup color or the like) based on the second time length by the second calculation function 150d (step S212b). Subsequently, by the notification function 150b, the processing circuit 150 turns off the hyperlink for the test result information that omits the explanation to the patient and causes the display unit to display the hyperlink. (Step S212c). Subsequently, the display unit performs markup based on the determined markup condition for the test result information having a short time required for patient explanation. For example, by the notification function 150b, the processing circuit 150 marks up the test result information specified by the specifying function 150a according to the second time length calculated by the second calculation function 150d and displays it. Notify FIG. 14 shows such an example, for example. In the example of FIG. 14, the hyperlink “X1 inspection” and the hyperlink “3D reconstruction data based on the X2 method” are displayed in different markup colors.

(Fifth embodiment)
In the third and fourth embodiments, the case where the processing circuit 150 displays medical information on the display unit through a hyperlink has been described. In the fifth embodiment, a case will be described in which the processing circuit 150 displays a list of various medical information on the display unit.

  FIG. 16 is a diagram illustrating an example of a display screen in the patient explanation support apparatus according to the fifth embodiment. In FIG. 16, various information is displayed in a list. For example, a case explanation time for explaining a case, a supplementary medical information time for explaining supplementary information, and a total scheduled explanation time including a case explanation time and a supplementary medical information time are displayed. In addition, importance and patient explanation time are displayed for each medical information. In addition, a check box that can be clicked by the user is prepared for each piece of medical information, so that the user can check items to be explained.

  FIG. 17 is a flowchart illustrating a procedure of processing performed by the patient explanation support apparatus according to the fifth embodiment. As in the case of the previous embodiments, the patient explanation support apparatus according to the fifth embodiment performs the processes of steps S213a to S213g after performing the same processes as steps S100 to S200 of FIG. .

  The processing circuit 150 displays a patient explanation preparation screen on the display unit (step S213a). By the notification function 150b, the processing circuit 150 causes the examination result information (medical information, explanation reason) identified by the identification function 150a and the first information (importance of the examination result) calculated by the first calculation function 150c, The second time (corrected patient explanation time) calculated by the second calculation function 150d is displayed as a list on the display unit (step S213b). Subsequently, the processing circuit 150 performs grouping for explanation reasons (step S213c). Subsequently, the processing circuit 150 performs sorting based on the importance (first information) of the test results, the patient explanation time, and the like, and the test result information specified by the specifying function 150a and the first result by the notification function 150b. The display unit displays a list of the first information calculated by the first calculation function 150c and the second time calculated by the second calculation function 150d. For example, the processing circuit 150 organizes the medical information into “cause of case” and “treatment policy”, sorts each item in order of importance, and displays the list on the display unit. At this time, for example, the processing circuit 150 causes the display unit to display a list of types of medical information, importance of explanation, and patient explanation time for each item. (Step S213d). In addition, the processing circuit 150 puts a check on the top-level medical information for explanation reasons and highlights it on the display unit. In the example of FIG. 17, for example, a check box to be displayed corresponds to the item “Explanation Schedule”. Further, by the notification function 150b, the processing circuit 150 calculates an integrated value of the time required to explain the test result information related to the predetermined case to the patient, and notifies the display unit of the integrated value. (Step S213f) For example, in FIG. 17, the processing circuit 150 displays a total explanation time “14 minutes” on the display unit as an integrated value of the time required to explain the test result information to the patient. In addition, the processing circuit 150 further displays points to be noted when explaining the patient (step S213g).

(program)
The instructions shown in the processing procedure shown in the above-described embodiment can be executed based on a program that is software. The general-purpose computer system stores this program in advance and reads this program, so that the same effect as that obtained by the medical information storage apparatus 400 of the above-described embodiment can be obtained. The instructions described in the above-described embodiments are, as programs that can be executed by a computer, magnetic disks (flexible disks, hard disks, etc.), optical disks (CD-ROM, CD-R, CD-RW, DVD-ROM, DVD). ± R, DVD ± RW, etc.), semiconductor memory, or a similar recording medium. As long as the computer or embedded system can read the storage medium, the storage format may be any form. If the computer reads the program from the recording medium and causes the CPU to execute instructions described in the program based on the program, the same operation as the medical information storage apparatus 400 of the above-described embodiment can be realized. it can. Of course, when the computer acquires or reads the program, it may be acquired or read through a network.

  Further, an OS (operating system) operating on a computer based on instructions from a program installed in a computer or an embedded system from a storage medium, database management software, MW (middleware) such as a network, etc. A part of each process for realizing the above may be executed.

  Furthermore, the storage medium is not limited to a medium independent of a computer or an embedded system, but also includes a storage medium in which a program transmitted via a LAN (Local Area Network) or the Internet is downloaded and stored or temporarily stored.

  Further, the number of storage media is not limited to one, and the processing in the embodiment described above is executed from a plurality of media, and the configuration of the medium may be any configuration included in the storage medium in the embodiment. .

  The computer or the embedded system in the embodiment is for executing each process in the above-described embodiment based on a program stored in a storage medium, and includes a single device such as a personal computer or a microcomputer. The system may be any configuration such as a system connected to the network.

  In addition, the computer in the embodiment is not limited to a personal computer, and includes an arithmetic processing device, a microcomputer, and the like included in an information processing device, and is a generic term for devices and devices that can realize the functions in the embodiment by a program. .

  As described above, according to at least one embodiment, efficient explanation for a patient can be supported.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

150 Processing Circuit 150a Specific Function 150b Notification Function

Claims (12)

Based on information that indicates the ease of understanding of the test results, the test results that shorten the time required to explain to the patient compared to other test result information from multiple test result information that describes the same case A specific part for identifying information;
A notification unit for notifying the display unit of the test result information specified by the specifying unit;
Patient explanation support device. For each of the plurality of test result information, a first calculation unit that calculates a first time that is estimated to be necessary for explaining the test result to the patient;
A second calculation unit that corrects the first time calculated by the first calculation unit on the basis of information representing ease of understanding of the test result information and calculates a second time; Prepared,
The notification unit notifies the display unit of the second time calculated by the second calculation unit.
The patient explanation support apparatus according to claim 1. A third calculation unit that calculates the third time by performing correction on the second time calculated by the second calculation unit based on information representing the state of the patient to be explained;
The notification unit notifies the display unit of the third time calculated by the third calculation unit;
The patient explanation support device according to claim 2. The information representing the patient's condition is information including at least one of the patient's age, medical history, disease progression, treatment stage, treatment policy, presence of an attendant,
The patient explanation support device according to claim 3. The notifying unit marks the test result information specified by the specifying unit according to the length of the second time calculated by the second calculating unit and notifies the display unit of the markup.
The patient explanation support device according to claim 2. The notification unit changes the hyperlink color of the test result information with a short time required for explanation to the patient among the test result information specified by the specifying unit, and notifies the display unit of the change.
The patient explanation support apparatus according to claim 5. The first calculation unit further calculates, for each of the plurality of inspection result information, first information indicating the importance of the inspection result,
The notification unit notifies the display unit of the first information calculated by the first calculation unit;
The patient explanation support device according to claim 2. The notifying unit displays the inspection result information specified by the specifying unit, the first information calculated by the first calculating unit, and the second time calculated by the second calculating unit. Display a list in the
The patient explanation support device according to claim 7. The specifying unit further specifies test result information that omits explanation to the patient from the plurality of test result information based on an upper limit of time that can be used for explanation to the patient,
The notification unit turns off the hyperlink to the omitted test result information and causes the display unit to display the hyperlink.
The patient explanation support device according to claim 2. A fourth calculating unit that calculates an integrated value of time required to explain the test result information related to the predetermined case to the patient;
The notification unit notifies the display unit of the integrated value calculated by the fourth calculation unit;
The patient explanation support apparatus according to claim 1. The notifying unit performs sorting based on the first information, the inspection result information specified by the specifying unit, the first information calculated by the first calculating unit, and the second calculating unit. The display unit displays a list of the second time calculated by
The patient explanation support device according to claim 8. The notification unit further displays on the display unit points to be noted when carrying out an explanation to a patient.
The patient explanation support device according to claim 8.

Images