JP2021174486A - Patient intention determination support method and system - Google Patents

Abstract

To provide a patient intention determination support method for supporting to make it possible to easily solve a problem of a patient with serious disease such as cancer, stroke or the like intending to decide or select treatment policy mainly recommended by a doctor in charge after understanding and convincing its advantages and disadvantages.SOLUTION: Communication information related to a patients P provided from a consulter C and advice information provided from a one or more advisors M therefor are combined and stored in a database as communication/advice coupling information related to the patient P. A group G is generated that includes, as members, the consultant C and the patient P related to the coupling information and one or more advisors M specified by a predetermined method. The specific coupling information related to the particular patient P retrieved from the database allows all of the consultant C, the patient P, and the one or more advisors A that are members of the group G related to the coupling information to browse and input using terminals.SELECTED DRAWING: Figure 10

Description

The present invention relates to methods and systems for assisting a patient's decision-making, and more specifically, various message information relating to his / her own disease possessed by a patient who is a recipient of a medical service, for example, a conversation between a doctor or a nurse and a patient. , Information on the medical treatment policy presented by the doctor and the patient's wishes, hesitations, anxieties, etc., and / or various file information, the counselor (the patient may be the patient himself or the patient) (Familiar) person other than the patient) can present it to one or more advisors who are medical specialists from his / her own terminal via the communication network, and can view the advice information received from the advisor on the terminal. By doing so, the present invention relates to a patient decision support method that supports the patient to appropriately make a decision regarding the content of the medical service to be received, and a patient decision support system that implements the method.

In recent years, considering that it is difficult for patients to make appropriate decisions about their own treatment policy, services that support the decisions of patients have been provided. One example is the website of Patientslikeme, Incorporated (https://www.patientslikeme.com/) in the United States. The service provided by the website is the patient community formed on the website, and the experience information possessed by patients suffering from intractable diseases such as ALS (Amyotrophic Lateral Sclerosis) and Parkinson's disease (hereinafter referred to as patient experience information). It is to collect the patient experience information and make it possible to share the patient experience information among the community members. Each community member (patient) selects a person with the same medical condition as himself / herself from the shared patient experience information, and knows its profile, temporal changes in symptoms, treatment methods used, prescription drugs / supplements, etc. There is an advantage that it becomes easy for the members themselves to predict the future, that is, to make decisions about preparations and actions that the members themselves should make in the future.

An example of a technique used to realize the above website is disclosed in Patent Document 1. The technique described in Patent Document 1 provides a database of patient information including one or more attributes, and provides a graphical interface for inputting a query (search request) to the database from a user (patient). A method of providing personal medical information in which the database is searched based on the contents of a query (inquiry) sent via a graphical interface, and patient information matching the contents of the query is returned to the user (patient) as a search result. Is.

Another example of the above service that supports patient decision-making is the AskDoctors website (https://www.askdoctors.jp/) provided by M3 Co., Ltd. of Japan. The service provided by the website is a place where you can consult doctors cheaply and easily when you are wondering whether to go to the hospital or when you want to hear the opinions of other doctors, in other words, QandA (question). It provides a place for response). The service is not only convenient in the above cases, but also easy to use for people who have difficulty going to clinics or hospitals to receive medical services, such as those who have or are suspected of having a venereal disease or entertainers. ..

Further, in Patent Document 2, a group is generated for each recipient of medical service and / or long-term care service (that is, a patient or a person requiring long-term care), and medical information and medical information relating to the corresponding recipient among the group members of each group are provided. / Or a medical / long-term care support method that enables sharing of long-term care information (hereinafter, also referred to as medical / long-term care information) is disclosed. This medical / long-term care support method is applied to one or more users of medical / long-term care services (only beneficiaries) in a group generated for each recipient of medical services and / or long-term care services (hereinafter, also referred to as medical / long-term care services). (Including medical staff and / or long-term care workers) are selectively assigned as group members, and medical / long-term care information of the beneficiaries corresponding to the group is posted only to the group members. It is viewable, and by doing so, it has the feature and advantage that medical / long-term care information related to the beneficiary can be shared among the group members while ensuring the privacy of the beneficiary.

Furthermore, in recent years, the concept of PHR (Personal Health Record) (personal health information record) has become widespread. This provides a mechanism that allows individuals to store and manage information related to their own health (health information) throughout their lives, so that medical staff can use the health information stored there for a long period of time as needed. It is based on the idea that it is possible to improve the quality of medical services provided to the individual.

In general, personal health information includes medical information (for example, medical records of doctors, medication history), health examination-related information (for example, results of health examination), and exercise-related information (for example, exercise performance of when and how much exercise was performed). ), Body-related information (for example, records of height, weight, blood pressure, etc.), but these information are usually stored separately in medical institutions, health examination institutions, sports gyms, and homes, respectively. be. Therefore, it is difficult for healthcare professionals to use this information in association with each other. Therefore, individuals continuously store and manage their own health information in an information system provided for their own personal health information record (PHR), and the medical staff in charge immediately stores and manages this system when necessary. To get the information you need. This has the advantage that it is possible to improve the health of the individual, prevent lifestyle-related diseases, facilitate the treatment of diseases, and improve efficiency.

For example, Patent Document 3 describes a medical information linking system in which medical information managed by a medical institution and medical information managed by a personal medical information management service (PHR service) are linked by a simple operation. Is disclosed. This system includes a medical information linking server, a business system server, and a PHR service server. The medical information linking server assigns a unique linking number to the medical institution ID and the patient ID received from the business system server 30, and stores the medical institution ID and the patient ID in association with the linking number. The business system server outputs information representing the assigned association number to a medium that can be read by a user terminal that uses the PHR service. The PHR service server transmits the linking number, the service ID, and the user ID read from the medium at the user terminal to the medical information linking server. The medical information linking server registers the service ID and the user ID in association with the received linking number. This medical information linking system has an advantage that by linking medical information stored in different places, users of the system can associate and utilize the medical information.

Special Table 2011-501845 Japanese Patent No. 6193659 Japanese Unexamined Patent Publication No. 2016-110287

By the way, the target of the personal medical information providing method (Website of Patients Like Me Co., Ltd.) described in Patent Document 1 is a patient with the above-mentioned intractable disease who wants to know the future prediction of his / her medical condition, and is very limited. .. On the other hand, the target of the Ask Doctors website includes those who are currently receiving medical services, but mainly those who have not received medical services (non-patients). It can also be said that the target is people (non-patients) who want to feel free to consult but are not seriously worried. However, there are people who have problems that cannot be solved by the services provided by these two websites. Those who have a serious illness such as cancer or stroke, but who want to independently determine or select the content of medical services they receive for the treatment of that illness. (I am a patient. In other words, while referring to the advice of the doctor in charge and the advice of specialists such as doctors other than the doctor in charge, which can be obtained to the extent possible, various decisions required when receiving medical services related to this type of disease. A person (patient) who has the intention of wanting to do it independently.

For example, the worries (problems) of "self-supporting" people (patients) who have the above-mentioned intentions are as follows. That is,
(I) I want to decide or select a treatment policy recommended by my doctor after fully understanding and convincing its advantages and disadvantages, but I cannot.
(Ii) I want to refer to the opinions and recommendations of the doctor in charge and make my own judgments and actions independently, but I can't.
(Iii) When the treatment policy recommended by the doctor in charge is selected or not selected, it is impossible to know what, how, and to what extent will occur in the future, so the future is uncertain and unavoidable. ,
(Iv) I don't think that the doctor in charge fully understands his own wishes, hesitations, anxieties, etc., so it is difficult to establish a relationship of trust with the doctor in charge.

The present inventors have recently suffered from the above-mentioned "self-sustaining" persons (patients) suffering from serious diseases such as cancer and stroke, and have the above-mentioned problems (i) to (iv). I learned that there is a strong need for a solution to this. However, it seems that these problems are not limited to those who have the above-mentioned intentions (patients). Even if you are a "non-independent" type of person (patient) who often agrees with the policy just because it is the treatment policy recommended by your doctor, potentially or internally, the above ( This is because it is presumed that they have problems similar to i) to (iv). Therefore, solving the problems (i) to (iv) above is an urgent matter not only for the above-mentioned "self-sustaining" person (patient) but also for the above-mentioned "non-self-supporting" person (patient). It can be said that there is.

However, the above-mentioned method for providing personal medical information (the website of Patients Like Me Co., Ltd.) described in Patent Document 1 can meet the request of the patient with the above-mentioned intractable disease who wants to know the future prediction of his / her medical condition. Since only the patient experience information is collected, the above-mentioned problems (i) to (iv) of many people (patients) suffering from serious diseases such as cancer and stroke other than the above-mentioned intractable diseases are solved. You can't.

This also applies to QandA (question and answer) provided by the Ask Doctors website mentioned above. In other words, the website is effective for people who want to consult with doctors cheaply and easily when they are wondering whether to go to the hospital or when they want to hear the opinions of other doctors. Even if it is not, it cannot be said that it is a service that solves the above-mentioned problems (i) to (iv) for a person (patient) suffering from a serious disease such as cancer or stroke.

Further, in the medical / long-term care support method described in Patent Document 2 described above, one or a plurality of users of the medical / long-term care service (one or a plurality of users ( Not only beneficiaries but also medical workers and / or long-term care workers) are selectively assigned as group members, and medical / long-term care information of the beneficiaries corresponding to the group is limited to the group members. Since it can be posted and viewed, it is possible to share medical / long-term care information related to the beneficiary among the group members while ensuring the privacy of the beneficiary. This method facilitates the sharing and communication of the medical / nursing information between health care workers and / or care workers, but many people (patients) suffering from serious illnesses such as cancer and stroke. ) Has the above-mentioned problems (i) to (iv), it is clear that it cannot be solved. Since this method focuses on improving the convenience of medical / nursing information for medical staff and / or care workers, patients and / or care recipients store their own health information. The situation of carrying around, and the patient and / or the person requiring long-term care, at their own discretion, and the patient and / or the person requiring long-term care actively store medical / nursing information related to their own disease, and engage in medical care. This is because the situation of securing / canceling the means of communication with the person and / or the care worker is not taken into consideration.

In the medical information linking system of Patent Document 3, by linking medical information stored in different places, it is possible for the user of the system to link and utilize the medical information, but the medical information is linked. Since medical information does not include communication information and advice information related to patients, the above-mentioned problems (i) to (iv) that many people (patients) suffering from serious diseases such as cancer and stroke have are solved. It cannot be solved.

The present invention has been made in consideration of the above-mentioned circumstances, and an object of the present invention is described above by a recipient of a medical service suffering from a serious disease such as cancer or stroke, that is, a patient. i) It is an object of the present invention to provide a patient decision-making support method and a system that assists in easily solving the problems of (iv).

Another object of the present invention is a communication-advice combination useful for a patient suffering from a serious disease such as cancer or stroke to solve the above-mentioned problems (i) to (iv) related to his / her own disease. Information, that is, one communication information and one or more pieces of advice information provided for it, are combined (combined) as if they were a question and an answer to it, and displayed in a state that is easy for the reader to understand. The information configured to be collected can be easily and efficiently collected and accumulated, and the collected and accumulated communication-advice combined information can be collected and accumulated by the corresponding patient for a long period of time (several years to several years). The purpose is to provide patient decision support methods and systems that can be utilized and managed for ten years or even a lifetime.

Yet another object of the present invention is for one or more patients suffering from a serious illness such as cancer or stroke to solve the above-mentioned problems (i) to (iv) relating to their own illness. A particularly useful communication-advice combination information is to provide patient decision support methods and systems that are automatically collected and accumulated over time.

Yet another object of the invention not specified herein is apparent from the following description and accompanying drawings.

(1) According to the first aspect of the present invention, a patient decision support method is provided. This method
Each counselor provides a first interface (for example, the information input screen of FIG. 11) for inputting and transmitting communication information relating to one or more patients via a communication network using a terminal.
A second for each advisor to input / transmit advice information via the communication network using a terminal for specific communication information relating to a specific patient transmitted via the first interface. An interface (for example, the information input screen of FIG. 13) is provided.
A combination of a plurality of communication information relating to a plurality of patients transmitted via the first interface and a plurality of advice information transmitted via the second interface corresponding to the plurality of communication information. , A database for storing a plurality of communication-advice combined information relating to the plurality of patients (for example, the communication information control unit 131, the communication information storage unit 132, and the communication information search unit 133 in FIG. 7) is provided.
Group generation means for generating a group that includes each counselor, one patient designated by the counselor, and one or more advisors designated by a predetermined method as group members (eg, FIG. 6). Group management subsystem 120)
A third interface for each counselor to input and transmit a search command for retrieving specific communication-advice combination information relating to a specific patient from the database using a terminal via the communication network. (For example, the patient list display screen of FIG. 9) is provided.
When the specific communication-advice combination information relating to a specific patient matching the content of the search command transmitted via the third interface is extracted from the database, the extracted communication-advice combination information becomes All of the counselors, patients, and one or more advisors who are group members of the group related to the extracted communication-advice combination information can view and input using the terminal.
Each of the plurality of communication information includes one topic information and one or more message information classified for each topic information (explanation or suggestion of doctor, question asked by patient to doctor, between doctor and patient). Specific communication-advice combination information related to a specific patient, including conversations exchanged, questions to advisors, and other language-related information) is the database using the attribute information related to the patient and the topic information as keys. It is characterized in that it can be extracted from.

In the patient decision-making support method according to the first aspect of the present invention, as described above, a plurality of communication information relating to a plurality of patients transmitted via the first interface and the plurality of communication information are supported. The plurality of advice information transmitted via the second interface is combined or associated with each other, and is stored in the database as a plurality of communication-advice combination information relating to the plurality of patients. On the other hand, the group generation means generates a group including a counselor and a patient related to the communication-advice combination information and one or more advisors designated by a predetermined method as group members. Then, when the specific communication-advice combination information relating to the specific patient matching the content of the search command transmitted via the third interface is extracted from the database, the extracted communication-advice combination information is extracted. Can be viewed and input by the counselor, the patient, and one or more advisors who are group members of the group related to the extracted communication-advice combination information using the terminal. Each of the plurality of communication information includes one topic information and one or a plurality of message information classified for each topic information, and the specific communication-advice combination information relating to a specific patient is described above. It is possible to extract from the database using the attribute information related to the patient and the topic information as keys.

Therefore, a patient suffering from a serious disease such as cancer or stroke, who is a group member of the group related to the extracted communication-advice combination information, can use the communication-advice combination information as needed. By referring to the above, the problems (i) to (iv) described above can be easily solved.

Specifically, regarding the problem (i) above, the one or more advisors are asked about the advantages and disadvantages of the treatment policy recommended by the doctor in charge, and the problem (ii) above. The patient asks the information necessary for independent judgment and action, and the above problem (iii) can occur when the treatment policy recommended by the doctor in charge is selected or not selected. Just ask that. If accurate answers to these three questions are given by the one or more advisors, communication between the doctor in charge and the patient will be smooth, and the above problem (iv) will be solved automatically. Often.

Further, in the patient decision support method according to the first aspect of the present invention, a plurality of communication information relating to a plurality of patients transmitted via the first interface and the second communication information corresponding to the plurality of communication information are supported. Cancer because the plurality of advice information transmitted via the interface is stored in the database as a plurality of communication-advice combined information relating to the plurality of patients, respectively, in combination or in association with each other. Easily and efficiently collect communication-advice combined information useful for patients suffering from serious illnesses such as stroke and stroke to solve the above-mentioned problems (i) to (iv) related to their own illness. Can be accumulated. In addition, the collected / accumulated communication-advice combination information can be viewed by the corresponding patient himself / herself as a group member, and since the viewing deadline is not set, it is a long period (several years to several decades). , Or lifelong).

Further, for each of the communication information relating to the plurality of patients input / transmitted from the plurality of counselors via the first interface, the advice information from the one or the plurality of advisors via the second interface. Is combined or associated with and stored in the database as communication-advice combined information relating to the patient, so that the input / transmission of the communication information and the input / transmission of the advice information for the communication information are performed. By repeating, the content of the communication-advice combination information relating to the patient is gradually improved, in other words, the level is raised. Therefore, good communication-advice that is particularly useful for one or more patients suffering from a serious illness such as cancer or stroke to solve the above-mentioned problems (i)-(iv) related to their own illness. Combined information will be automatically collected and accumulated over time.

(2) In a preferred example of the patient decision-making support method according to the first aspect of the present invention, the one or more message information included in each of the plurality of communication information may be sent to the search command as necessary. It is possible to add one or more first additional information (for example, snuggle stamp information) that can be included, include it in the communication-advice combination information, and store it in the database.
It is possible to search the plurality of communication-advice combination information stored in the database by using the first additional information.

(3) In another preferred example of the patient decision support method according to the first aspect of the present invention, the one or more message information included in each of the plurality of communication information may include 1 as necessary. Alternatively, a plurality of file information can be attached, and one or more second additional information (for example, tag stamp information) that can be included in the search command is added to the one or more file information. Then, it is possible to store it in the database as the communication-advice combination information.
It is possible to search the plurality of communication-advice combination information stored in the database by using the second additional information.

(4) In still another preferred example of the patient decision support method according to the first aspect of the present invention, each of the plurality of communication-advice combination information is associated with disease information relating to the corresponding patient. ,
It is possible to search the plurality of communication-advice combination information stored in the database by using the disease information.

(5) In still another preferred example of the patient decision support method according to the first aspect of the present invention, one or more file information is added to the one or more message information included in each of the plurality of communication information. Is provided with a recommendation function for inquiring whether or not to attach another one or more file information related to or similar to the one or more file information to be attached.

(6) In still another preferred example of the patient decision support method according to the first aspect of the present invention, the one or more message information included in each of the plurality of communication-advice combination information and the said one or more message information. Based on the one or more advice information provided for one or more message information, it is determined whether or not the problem of the counselor regarding the communication-advice combination information has been solved.
If it is determined that the problem has been resolved, the communication-advice combination information cannot be subsequently edited.
When a predetermined resurrection command is received after it is determined that the problem has been solved, the communication-advice combination information can be edited again.

(7) In still another preferred example of the patient decision support method according to the first aspect of the present invention, the one or more included in each of the plurality of communication-advice combination information stored in the database. The advice information is configured to be evaluated by the one or more advisors who are group members of the group related to the communication-advice combination information.

(8) In yet another preferred example of the patient decision support method according to the first aspect of the present invention, for the group related to each of the plurality of communication-advice combination information stored in the database. The counselor or the patient who is the group member of the group can add one or more advisors who are not the group member of the group as the group member of the group.
The one or more advisors added to the group are configured to be able to provide advice information to the one or more advice information included in the communication-advice combination information relating to the group.

(9) In still another preferred example of the patient decision support method according to the first aspect of the present invention, the one or a plurality of group members of the group relating to one patient selected from the plurality of patients. When the advisor of the above provides advice information for the communication information relating to the patient, the health information of the patient can be referred to.

(10) According to the second aspect of the present invention, a patient decision support system is provided. This system
A first interface (for example, the information input screen of FIG. 11) for each counselor to input / transmit communication information relating to one or more patients via a communication network using a terminal, and
A second for each advisor to input / transmit advice information via the communication network using a terminal for specific communication information relating to a specific patient transmitted via the first interface. An interface (for example, the information input screen of FIG. 13) and
A combination of a plurality of communication information relating to a plurality of patients transmitted via the first interface and a plurality of advice information transmitted via the second interface corresponding to the plurality of communication information. , A database for storing a plurality of communication-advice combined information relating to the plurality of patients (for example, the communication information control unit 131, the communication information storage unit 132, and the communication information search unit 133 in FIG. 7).
Group generation means for generating a group that includes each counselor, one patient designated by the counselor, and one or more advisors designated by a predetermined method as group members (eg, FIG. 6). Group management subsystem 120)) and
A third interface for each counselor to input and transmit a search command for retrieving specific communication-advice combination information relating to a specific patient from the database using a terminal via the communication network. (For example, the patient list display screen of FIG. 9)
When the specific communication-advice combination information relating to a specific patient matching the content of the search command transmitted via the third interface is extracted from the database, the extracted communication-advice combination information becomes All of the counselors, patients, and one or more advisors who are group members of the group related to the extracted communication-advice combination information can view and input using the terminal.
Each of the plurality of communication information includes one topic information and one or more message information classified for each topic information (explanation or suggestion of doctor, question asked by patient to doctor, between doctor and patient). Specific communication-advice combination information related to a specific patient, including conversations exchanged, questions to advisors, and other language-related information) is the database using the attribute information related to the patient and the topic information as keys. It is characterized in that it can be extracted from.

In the patient decision support system according to the second aspect of the present invention, as described above, a plurality of communication information relating to a plurality of patients transmitted via the first interface and the plurality of communication information are supported. The plurality of advice information transmitted via the second interface is combined or associated with each other, and is stored in the database as a plurality of communication-advice combination information relating to the plurality of patients. On the other hand, the group generation means generates a group including a counselor and a patient related to the communication-advice combination information and one or more advisors designated by a predetermined method as group members. Then, when the specific communication-advice combination information relating to the specific patient matching the content of the search command transmitted via the third interface is extracted from the database, the extracted communication-advice combination information is extracted. Can be viewed and input by the counselor, the patient, and one or more advisors who are group members of the group related to the extracted communication-advice combination information using the terminal. Each of the plurality of communication information includes one topic information and one or a plurality of message information classified for each topic information, and the specific communication-advice combination information relating to a specific patient is described above. It is possible to extract from the database using the attribute information related to the patient and the topic information as keys.

Therefore, a patient suffering from a serious disease such as cancer or stroke, who is a group member of the group related to the extracted communication-advice combination information, can use the communication-advice combination information as needed. By referring to the above, the problems (i) to (iv) described above can be easily solved.

Specifically, regarding the problem (i) above, the one or more advisors are asked about the advantages and disadvantages of the treatment policy recommended by the doctor in charge, and the problem (ii) above. The patient asks the information necessary for independent judgment and action, and the above problem (iii) can occur when the treatment policy recommended by the doctor in charge is selected or not selected. Just ask that. If accurate answers to these three questions are given by the one or more advisors, communication between the doctor in charge and the patient will be smooth, and the above problem (iv) will be solved automatically. Often.

Further, in the patient decision support system according to the second aspect of the present invention, a plurality of communication information relating to a plurality of patients transmitted via the first interface and the second communication information corresponding to the plurality of communication information are supported. Since the plurality of advice information transmitted via the interface is combined or associated with each other and stored in the database as a plurality of communication-advice combined information relating to the plurality of patients, cancer and cancer. Easy and efficient collection of communication-advice combined information useful for patients suffering from serious illnesses such as stroke to solve the above-mentioned problems (i) to (iv) related to their own illness. Can accumulate. In addition, the collected / accumulated communication-advice combination information can be viewed by the corresponding patient himself / herself as a group member, and since the viewing deadline is not set, it is a long period (several years to several decades). , Or lifelong).

Further, for each of the communication information relating to the plurality of patients input / transmitted from the plurality of counselors via the first interface, the advice information from the one or the plurality of advisors via the second interface. Is combined, or is associated with, and is stored in the database as communication-advice combined information relating to the patient. Therefore, the input / transmission of the communication information and the input / transmission of the advice information for the communication information are performed. By repeating the above, the content of the communication-advice combination information relating to the patient is gradually improved, in other words, the level is raised. Therefore, good communication-advice that is particularly useful for one or more patients suffering from a serious illness such as cancer or stroke to solve the above-mentioned problems (i)-(iv) related to their own illness. Combined information will be automatically collected and accumulated over time.

(11) In a preferred example of the patient decision support system according to the second aspect of the present invention, the one or a plurality of message information included in each of the plurality of communication information may be sent to the search command as necessary. It is possible to add one or more first additional information (for example, snuggle stamp information) that can be included, include it in the communication-advice combination information, and store it in the database.
It is possible to search the plurality of communication-advice combination information stored in the database by using the first additional information.

(12) In another preferred example of the patient decision support system according to the second aspect of the present invention, the one or more message information included in each of the plurality of communication information may include one or a plurality of message information as necessary. A plurality of file information can be attached, and one or more second additional information (for example, tag stamp information) that can be included in the search command is added to the one or more file information. Therefore, it is possible to store the communication-advice combination information in the database.
It is possible to search the plurality of communication-advice combination information stored in the database by using the second additional information.

(13) In still another preferred example of the patient decision support system according to the second aspect of the present invention, each of the plurality of communication-advice combination information is associated with disease information relating to the corresponding patient.
It is possible to search the plurality of communication-advice combination information stored in the database by using the disease information.

(14) In still another preferred example of the patient decision support system according to the second aspect of the present invention, one or more file information is added to the one or more message information included in each of the plurality of communication information. At the time of attachment, a recommendation function is provided to inquire whether or not to attach other one or more file information related to or similar to the one or more file information to be attached together.

(15) In still another preferred example of the patient decision support system according to the second aspect of the present invention, the one or more message information included in each of the plurality of communication-advice combination information and the one. Alternatively, it is determined whether or not the problem of the counselor regarding the communication-advice combination information has been solved by the one or more advice information provided for the plurality of message information.
If it is determined that the problem has been resolved, the communication-advice combination information cannot be subsequently edited.
When a predetermined resurrection command is received after it is determined that the problem has been solved, the communication-advice combination information can be edited again.

(16) In yet another preferred example of the patient decision support system according to the second aspect of the present invention, the one or more advices included in each of the plurality of communication-advice combined information stored in the database. The information is configured to be evaluated by the one or more advisors who are group members of the group relating to the communication-advice combination information.

(17) In yet another preferred example of the patient decision support system according to the second aspect of the present invention, for the group related to each of the plurality of communication-advice combination information stored in the database. The counselor or the patient who is the group member of the group can add one or more advisors who are not the group member of the group as the group member of the group.
The one or more advisors added to the group are configured to be able to provide advice information to the one or more advice information included in the communication-advice combination information relating to the group.

(18) In yet another preferred example of the patient decision support system according to the second aspect of the present invention, the one or more that is a group member of the group relating to one patient selected from the plurality of patients. When the advisor of the above provides advice information for the communication information relating to the patient, the health information of the patient can be referred to.

According to the patient decision support method according to the first aspect of the present invention and the patient decision support system according to the second aspect, (a) a recipient of a medical service suffering from a serious disease such as cancer or stroke, That is, it is possible to assist the patient in easily solving the above-mentioned problems (i) to (iv), and (b) the patient suffering from a serious illness such as cancer or stroke becomes his / her own illness. Communication useful for solving the above-mentioned problems (i) to (iv) -Advice It is possible to easily and efficiently collect and accumulate combined information, and the collected and accumulated communication- It is also possible for the relevant patient to utilize and manage the advice binding information for a long period of time (years to decades, or even a lifetime). (C) Suffering from a serious illness such as cancer or stroke 1 Alternatively, good communication-advice combined information, which is particularly useful for multiple patients to solve the above-mentioned problems (i) to (iv) related to their own diseases, is automatically collected and accumulated over time. The effect of being done is obtained.

It is a conceptual diagram which shows the state which the registered user uses the patient decision support service provided by the patient decision support system which concerns on one Embodiment of this invention. It is explanatory drawing which shows the mutual relationship of the counselor, the patient and the adviser who is a user of the patient decision support service provided by the patient decision support system which concerns on one Embodiment of this invention. In the patient decision support system according to the first embodiment of the present invention, the group and timeline generated for each patient, the group members belonging to each group, and the access right to each timeline of each group member. It is explanatory drawing which shows the relationship of. In the patient decision support system according to one embodiment of the present invention, communication information (topic information and message information) and advice information related to the patient are posted / displayed on the timeline generated for each patient. It is a conceptual diagram which shows. It is a functional block diagram which shows the outline of the structure of the patient decision support system which concerns on one Embodiment of this invention. The functional block diagram showing the details of the configuration of the patient decision support system according to one embodiment of the present invention shows the internal configuration of the user management subsystem and the group management subsystem. The functional block diagram showing the details of the configuration of the patient decision support system according to one embodiment of the present invention shows the internal configuration of the communication information management subsystem. 5 is an explanatory diagram showing an example of a login screen displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a patient list display screen displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a timeline display screen displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of an information input screen displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a draft list display screen displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of an information input screen displayed on an advisor terminal in the patient decision support system shown in FIGS. 5 to 7. It is explanatory drawing which shows the example of the advice information input from the information input screen displayed on the advisor terminal of FIG. 5 is an explanatory diagram showing an example of a tag stamp selection screen used in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a close-up stamp selection screen used in the patient decision support system shown in FIGS. 5 to 7. It is explanatory drawing which shows the category of the tag stamp used in the patient decision support system shown in FIGS. It is explanatory drawing which shows the category of the side-by-side stamp used in the patient decision support system shown in FIGS. FIG. 5 is an explanatory diagram showing an example of a recommendation screen displayed on the patient decision support system shown in FIGS. 5 to 7 when file information is attached to the message information written from the counselor terminal. 5 is an explanatory diagram showing a situation in which communication information input from a counselor terminal is stored in categories in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a chat (communication between a counselor and an advisor) history display screen displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. It is explanatory drawing which shows the example of the affected part image list stored in the patient decision support system shown in FIGS. 5 is an explanatory diagram showing an example of notification of excellent communication-advice combination information displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a disease search screen of excellent communication-advice combination information displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a drug search screen for excellent communication-advice combination information displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a BOT setting screen displayed on a counselor terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a display screen when "lifestyle BOT" is selected on the BOT setting screen of FIG. 26 in the patient decision support system shown in FIGS. 5 to 7. It is explanatory drawing which shows the example of the question-and-answer template which is displayed on the consultant terminal by the function of the "lifestyle BOT" when "lifestyle BOT" is selected on the BOT setting screen of FIG. 26. It is explanatory drawing which shows the example of the answer input screen which is displayed on the consultant terminal by the function of the "lifestyle BOT" when "lifestyle BOT" is selected on the BOT setting screen of FIG. 26. 5 is a diagram showing a configuration example of a user management table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a patient management table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a chat management table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a stamp management table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of an attachment file management table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a side effect table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a know-how management table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a group table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a disease table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a drug table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a diagram showing a configuration example of a health information table used in the patient decision support system shown in FIGS. 5 to 7. 5 is a flowchart showing an operation flow of the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a new user registration screen displayed on a terminal in the patient decision support system shown in FIGS. 5 to 7. 5 is an explanatory diagram showing an example of a new advisor registration screen displayed on a terminal in the patient decision support system shown in FIGS. 5 to 7.

Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings.

(Usage of patient decision support service)
FIG. 1 shows an overall picture when a plurality of users use the patient decision support (medical consultation) service provided by the patient decision support system according to the embodiment of the present invention. The service is available only to users who have been registered as users by a predetermined method (registered users). Here, the registered users (hereinafter, also simply referred to as users) include a consultant C and an advisor M. The counselor C usually uses his / her own terminal, that is, the counselor terminal 10, to use the service, but it is also possible to use the service by using another person's terminal. The advisor M also normally uses his / her own terminal, that is, the advisor terminal 11, to use the service, but it is also possible to use the service by using another person's terminal. The patient decision-making support method according to the embodiment of the present invention is executed by the patient decision-making support system.

"Consultant C" is a person (user) who consults about one or more patients P who are recipients of medical services on the "medical consultation website" provided by the patient decision support system 100 on the Internet 20. be. The counselor C may be the patient P himself or herself as long as it is a user, or may be a person different from the patient P. Patient P may or may not be a user, but if patient P directly browses advice information on the timeline, or if patient P himself becomes a counselor C, patient P is a user. is required. Counselor C is not limited to a specific person. All users who consult on the medical consultation website can be referred to as "consultant C". An example of a person who becomes "consultant C" other than patient P is a sales person of a life insurance company. When a customer suffers from a serious illness such as cancer or stroke, a life insurance company sales representative may be consulted by the customer about treatment methods, etc., and gives an accurate answer. This is because the medical consultation website may be used for this purpose. Therefore, in this case, one counselor C often consults about a plurality of patients P. For the same reason, patient P's family members (parents, children, grandchildren), relatives, friends, etc. may also use the medical consultation website after receiving consultation from patient P, so they must also register as a user. , Can be a counselor C.

In this way, "consultant C" refers to the medical service received by one or more patients P using the patient decision support service provided by the patient decision support system 100 (medical consultation website). It means "a person (user) who consults", and may be the patient P himself (C = P) or may be other than the patient P (C ≠ P).

"Patient P" is a person (user) who has some kind of disease. Here, we mainly consider people who have serious illnesses such as cancer and stroke, but are not limited to these people. It includes people who have intractable diseases such as ALS and Parkinson's disease, and also includes people who have some minor diseases that are not serious or intractable. Some of these patients P are "self-sustaining" patients who have the desire to independently determine or select the content of medical services they receive for the treatment of their own illness, in other words. Then, while referring to the advice of the doctor in charge and the advice of specialists such as doctors other than the doctor in charge, which can be obtained to the extent possible, various decisions required when receiving medical services related to one's own disease. Includes patients who have the intention of doing it independently.

"Advisor M" is a person who gives advice (advice, advice, recommendation) to the consultation given by "Consultant C" on the medical consultation website installed on the Internet 20 by the patient decision support system 100. Yes, usually an expert in some field. Advisor M needs to be a user. The role of "Advisor M" is to give accurate advice to the requested consultation, and is mainly handled by medical staff, but it is also possible for care workers who are closely related to medical care to be in charge. However, specialists in fields other than these (for example, medical coordinators) can also be in charge. Specifically, multidisciplinary specialists such as doctors, nurses, nutritionists, social workers, care managers, and helpers can be "advisor M". Since these specialists have different specialized fields, the specialized fields are selected according to the content and severity of the problem (worry) of "Patient P" that was the subject of the consultation conducted by "Consultant C". A plurality of different experts are usually selected as "Advisor M". It should be noted that the reason why the care worker is included here is that the “patient P” whose disease has progressed often needs long-term care as well as medical care.

The advice given by Advisor M was, for example, read by Advisor M in the "conversation between the doctor and the patient (exchange of words) on a specific topic (topic)" submitted by Consultant C at the time of application, and was included in the doctor's words. Explain the intentions and thoughts in an easy-to-understand manner, point out inappropriate points in the response words of patient P, and give advice on how to correct and respond. An improvement plan (correction example) in which the response of patient P is corrected may be provided.

In the following description, when the individual patient P is distinguished, it is described as "patient P1", "patient P2", etc., and when the individual patient P is not distinguished, it is simply described as "patient P". When individual counselors C are distinguished, they are described as "consultant C1", "consultant C2", etc., and when individual counselors C are not distinguished, they are simply described as "consultant C". When distinguishing individual advisors M, it is described as "advisor M1", "advisor M2", etc., and when individual advisors M are not distinguished, it is simply described as "advisor M".

Further, when distinguishing the group G generated for each "patient P", it is expressed as "group G1", "group G2", ..., "Group Gn" (however, n is an integer of 1 or more). , If no distinction is made, simply write "Group G". Further, when distinguishing the "timeline TL" generated for each "patient P" (group G), "timeline TL (G1)", "timeline TL (G2)" ... "Timeline TL" (Gn) ”, and if no distinction is made, simply write“ timeline TL ”. (See FIG. 3).

The patient decision support system 100 provides a patient decision support service on the medical consultation website that the system 100 installs on the Internet 20. A person who wishes to use the service accesses the website using his / her own terminal, registers a new user on the website by a predetermined method, and becomes a (registered) user. As a result, the user can use the service as a consultant C or an advisor M. Those who have not registered as a user cannot use the patient decision support service.

In the present specification, the terminal operated by the consultant C who is the user (that is, the consultant terminal 12) and the terminal operated by the advisor M who is the user (that is, the advisor terminal 11) are collectively referred to as a "user terminal". be.

Since the patient decision support service is realized by the patient decision support system 100, the user who has become the counselor C or the advisor M after the above user registration is referred to as the "user" of the patient decision support system 100. You can also do it.

When an instruction is sent from any one user terminal 10 or 11 to the patient decision support system 100 via the Internet 20, the operation of the hardware and software installed in the patient decision support system 100 will be described later. Various operations such as "user registration", "group generation", "invitation to group", "sending and receiving communication information (message information, file information, stamp information and / or advice information)", and "displaying communication information". And functions are executed.

The counselor terminal 10 is usually a mobile terminal such as a mobile phone or a smartphone, and each counselor C owns his / her own terminal, but a desktop or notebook type personal computer (personal computer) or a touch panel. Type terminals can also be used. Since the advisor terminal 11 is often installed in a medical-related facility (may be a nursing-related facility) to which the advisor M belongs, it is usually a desktop type or notebook type personal computer, but a touch panel type terminal or a mobile phone. Needless to say, mobile terminals such as smartphones can also be used. In short, these terminals 10 and 11 may be any terminal device capable of inputting and displaying information and transmitting / receiving the information to / from the patient decision support system 100 via the Internet 20, regardless of the form or configuration. ..

In FIG. 1, it is depicted that the counselor C owns the counselor terminal 10 and the advisor M owns the advisor terminal 11, but the present invention is not limited to this. Since the counselor C and the advisor M each have uniquely identifiable identification information (for example, a user number), they can be distinguished from each other even if they log in and access the patient decision support system 100 from the same user terminal 10 or 11. Therefore, the same terminal 10 or 11 may be shared by a plurality of people.

FIG. 2 shows the mutual relationship between the counselor C and the advisor M, who are users of the patient decision support system 100. FIG. 3 shows the relationship between the group G and the timeline TL generated for each patient P, the group members belonging to each group G, and the access right of each group member to each timeline TL.

In FIGS. 2 and 3, the consultant C1 is a sales representative of a life insurance company, and is a customer of two persons on the medical consultation website generated by the patient decision support system 100 on the Internet 20. We are consulting about problems related to the diseases of patients P1 and P2 (C1 ≠ P1, C1 ≠ P2, P1 ≠ P2). Group G1 and timeline TL (G1) are generated in patient P1, and group G2 and timeline TL (G2) are generated in patient P2. In group G1 of patient P1, counselor C1 and four advisors M1, M2, M3 and M8 are group members (patient P1 is not a group member), and these four advisors M1 , M2, M3 and M8 access the timeline TL (G1) to advise on problems with one or more diseases of patient P1. In group G2 of patient P2, counselor C1 and six advisors M1, M2, M3, M4, M5 and M6 are group members (patient P2 is not a group member), and these 6 Human advisors M1, M2, M3, M4, M5 and M6 access the timeline TL (G2) to advise on issues relating to one or more diseases of patient P2. By invitation of the counselor C1, any user (including patient P and advisor M) can be added to the group members of group G1 or G2 at any time as needed, and the group members. Can be deleted from. For example, the counselor C1 can invite the patient P1 himself to the group G1 so that the patient P1 can access the timeline PL (G1). In addition, the counselor C1 can invite the patient P2 himself to the group G2, so that the patient P2 can access the timeline PL (G2). After becoming a group member of its own group G1 or G2, the patient P1 or P2 invites any user who is not a group member (including an advisor M and a user other than the advisor M) to the group. It can be made a member or removed from a group member.

In FIGS. 2 and 3, the counselor C2 is the patient P3 himself (C2 = P3), and he consults on the medical consultation website about problems related to his own illness. Group G3 and timeline TL (G3) have been generated for patient P3. In group G3 of patient P3, counselor C2 (= patient P3) and five advisors M3, M5, M6, M7 and M8 are group members (patient P3 = counselor C2 is a group. Members), these five advisors M3, M5, M6, M7 and M8 access the timeline TL (G3) to advise on problems with one or more diseases of patient P3. By inviting the counselor C2 (= patient P3), any user (including users other than Advisor M and Advisor M) can be added to the group members of Group G3 at any time as needed. It can also be removed from that group member.

In FIGS. 2 and 3, the counselor C3 is a family member (for example, a parent or a child) of the patient P4, and consults on the medical consultation website regarding the problem related to the disease of the patient P4. Group G4 and timeline TL (G4) have been generated for patient P4. In group G4 of patient P4, counselor C3, patient P4, and three advisors M6, M7, and M8 are group members, and these three advisors M6, M7, and M8 are on the timeline. TL (G4) is used to advise on problems with one or more diseases of patient P4. By inviting the counselor C3, any user (including patient P4 and advisor M) can be added to or removed from the group members of group G4 at any time as needed. can do. After becoming a group member of its own group G4, patient P4 invites any user who is not a group member (including advisor M and users other than advisor M) to become a group member. It can be removed from group members.

FIG. 4 shows an example of communication information posted to the timeline TL of group G.

As is clear from FIG. 4, in each of the timelines TL (G1), TL (G2), ..., TL (Gn), one or more message information is provided for each topic information. One or more pieces of advice information are posted and displayed separately. In this way, each communication information is
(A) Topic information of 1
(B) Includes one or more message information related to the topic information. This is the basic form.

One or more file information or one or more stamp information (for example, close-up stamp information) may be attached to each message information. One or more stamp information (for example, tag stamp information) may be attached to each file information. Therefore, in this case, each communication information is
(A) Topic information of 1
(B) One or more message information related to the topic information,
(C) One or more stamp information attached to the one or more message information, and
(D) One or more file information attached to the one or more message information,
(E) One or more stamp information attached to the one or more file information will be included.

Each message information or file information may include a part of the health information stored in the PHR of the patient P. Therefore, in this case, the communication information includes health information. The health information of patient P is not included in the communication information, but is registered (stored) in the decision support system 100 or externally PHR via a predetermined graphical interface (not shown). It may be linked to the information system for reading and displayed on the timeline TL when necessary.

The communication information of 1 and the one or more advice information provided for the communication information of 1 are combined (combined) with each other to form 1 "communication-advice combined information", which will be described later. Stored in the database. "Communication-advice combined information" is a combination (combined or associated) of one communication information and one or more pieces of advice information provided for the question as if it were a question and an answer to it. Information that is configured to be displayed in a state that is easy for the reader to understand. What is important is the state when one communication information and one or more advice information provided for it are displayed on the timeline TL and can be viewed, and one communication information and one or more pieces of advice information are provided for it. The state at the time of storage with one or more pieces of advice information, and the method of combining or combining the information does not matter.

(Configuration and function of patient decision support system)
Next, the configuration and function of the patient decision support system 100 of the present embodiment will be described with reference to FIGS. 5 to 7.

As shown in FIG. 5, the patient decision support system 100 of the present embodiment is roughly divided into a user management subsystem 110, a group management subsystem 120, and a communication information management subsystem 130. The patient decision support system 100 is driven by a processor 160 and a memory 170 (that is, a computer) connected to the outside of the patient decision support system 100. Inside the patient decision support system 100, as shown in FIG. 6, in addition to the user management subsystem 110, the group management subsystem 120, and the communication information management subsystem 130, the authentication unit 140 and the communication control unit 150 And are provided.

The communication control unit 150 communicates between the system 100 and a plurality of user terminals (that is, the counselor terminal 10 and the advisor terminal 11) via the Internet 20 as a communication network provided outside the patient decision support system 100. This is a section that enables the transmission and reception of information. Since the communication control process of the communication control unit 150 is executed by a known method, the description thereof will be omitted.

The authentication unit 140 authenticates whether or not a person who has accessed the patient decision support system 100 from the user terminal 10 or 11 via the Internet 20 is a legitimate user who has been registered as a user in the system 100. Is.

The authentication unit 140 is connected to the Internet 20 outside the patient decision support system 100 via the communication control unit 150. The user management subsystem 110, the group management subsystem 120, and the communication information management subsystem 130 are with the counselor terminal 10 or the advisor terminal 11 outside the system 100, provided that the authentication unit 140 obtains a predetermined authentication. Send and receive information between. Then, only when the authentication unit 140 authenticates as a legitimate user, the person is allowed to access the user management subsystem 110, the group management subsystem 120, and the communication information management subsystem 130. Only then will the user be able to use the patient decision support service provided by the system 100.

Next, the user management subsystem 110 will be described with reference to FIG.

The user management subsystem 110 is a subsystem that registers individual users who use the patient decision support service, that is, the counselor C and the advisor M (user registration), and manages the registered users. The user management subsystem 110 includes a registration unit 111, a user information storage unit 112, a patient information storage unit 113, a disease information storage unit 114, and a health information storage unit 115.

The registration unit 111 is formed of, for example, software that controls the operation, and controls the operation related to the overall user registration in the user management subsystem 110. For example, a person who wants to use the decision-making support service by displaying a predetermined new user registration screen (see, for example, FIG. 42) on the user terminal 10 or 11 that has accessed the patient decision-making support system 100. ) Is prompted to enter and send the specified personal information. In response to this, when predetermined personal information is transmitted from the user terminal 10 or 11 to the system 100, the personal information is stored in the user information storage unit 112 as "user information" of the person who wants to use the personal information. Further, the registration unit 111 reads and uses the user information stored in the user information storage unit 112 as necessary, and also corrects / deletes the user information. Further, the registration unit 111 reads and uses the patient information, the disease information, and the health information stored in the patient information storage unit 113, the disease information storage unit 114, and / or the health information storage unit 115, as needed. , Modify / delete user information, etc.

The user information storage unit 112 is formed of, for example, an information storage medium and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and responds to instructions from the registration unit 111 to display user information. That is, the necessary information of the consultant C and the advisor M as users is stored. At this time, the user information storage unit 112 assigns a uniquely identifiable "user number" (user identification information) to each user. The user information is stored, for example, in the form of a user management table as shown in FIG. In order to distinguish the counselor C and the advisor M from each other, the user management table is provided with a "type" column in which the characters of the counselor or the advisor are entered.

The patient information storage unit 113 is formed of, for example, an information storage medium and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and the consultant C is instructed by the registration unit 111. Memorize the personal information of patient P provided by. "Patient information" refers to basic personal information related to each patient P, such as the name of each patient P (it does not have to be the real name, but may be a nickname, etc.), age, gender, address, family structure, etc. .. The patient information storage unit 113 assigns a uniquely identifiable "patient number" (patient identification information) to each patient P at the time of storage. The personal information of patient P is stored, for example, in the form of a patient management table as shown in FIG. 31.

The disease information storage unit 114 is formed of, for example, an information storage medium and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and receives disease information in response to instructions from the registration unit 111. Remember. The "disease information" is in the form of a disease name list that lists disease names such as type II diabetes and colorectal cancer. The disease information storage unit 114 assigns a "disease number" (disease identification information) that can be uniquely identified to each disease at the time of storage. The disease information is stored, for example, in the form of a disease table as shown in FIG. 38. The disease table and the patient management table (see FIG. 31) are associated with each other through the disease number.

The health information storage unit 115 is formed of, for example, an information storage medium and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is formed by a consultant C in response to an instruction from the registration unit 111. Memorize the health information of patient P provided by (or patient P himself). "Health information" is information related to the health of individual patient P, and is medical-related information (for example, doctor's medical record, medication history), health examination-related information (for example, result of health examination), exercise-related information (for example). Includes exercise results of when and how much exercise was performed), body-related information (for example, records of height, weight, blood pressure, etc.). The health information storage unit 115 assigns a uniquely identifiable "health information number" (health information identification information) to each patient P at the time of storage. The health information of patient P is stored, for example, in the form of a health information table as shown in FIG. 41.

The reason why the health information storage unit 115 is provided inside the patient decision support system 100 is that when the advisor M provides advice information for specific communication information of a specific patient P, the health information of the patient P is referred to. This is to be able to do it. This is because more accurate advice information can be provided to the patient P as compared with the case where the health information cannot be referred to. The health information may be posted as message information or attached to the message information as file information when the patient P posts communication information to the timeline TL of the group G to which the patient P belongs.

Needless to say, the health information storage unit 115 does not have to be provided inside the patient decision support system 100. This is because the health information related to the patient P is often owned and managed outside the patient decision support system 100. In this case, since it is necessary to make the information system in which the health information is stored accessible from the system 100 as needed, for example, the authentication information used when accessing the health information (for example, The password) is input and transmitted by the patient P, and is stored in the user information storage unit 112.

Next, the group management subsystem 120 will be described with reference to FIG.

The group management subsystem 120 is a subsystem that manages the group G generated and registered for each individual patient P in the patient decision support system 100. For example, in addition to new group registration, many functions such as memory of group member information, invitation of group members, display of timeline TL, display of stamp information, control of BOT, etc. are executed. The group management subsystem 120 includes a registration unit 121, a group information storage unit 122, an advice request control unit 123, an invitation control unit 124, a timeline control unit 125, a stamp control unit 126, and a BOT control unit 127.

The registration unit 121 is formed from, for example, software that controls the operation, and controls the operation related to the overall group registration in the group management subsystem 120. For example, at the time of consultation application by the counselor C, one group G and one timeline TL are generated and registered for each registered patient P. At this time, the registration unit 121 sets the counselor C and one or more advisors M designated by the counselor C or designated according to a predetermined rule as group members of the group G. .. That is, the counselor C and one or more advisors M designated by the counselor C or designated according to a predetermined rule are the default group members of the group G (hereinafter, simply default). It is also called a member). The counselor C can give advice to the registered patient P by one or more advisors M who are group members. Patient P is not a default member unless specified by the counselor C at the time of application for consultation.

The group information storage unit 122 is formed of, for example, an information storage medium and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and group information, that is, a group number of each group G ( (Group identification information), information related to the corresponding patient P and the group member to which it belongs, for example, the patient number of the corresponding patient P (patient identification information), the patient number of the group member (patient identification information), etc. are stored. do. The group information is stored, for example, in the form of a group table as shown in FIG. 37.

The advice request control unit 123 is formed of, for example, software that controls its operation, an information storage medium, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. It controls the operation of creating an "advice request" according to the designation from any advisor M, storing it, and transmitting it to one or a plurality of designated advisor Ms. The "advice request" is sent, for example, in the form of an email to one or more advisors M who wish to provide advice on the patient P's problem with the designated group G. Each advisor M who received the "advice request" opens the timeline TL of the patient P specified in the timeline TL, and the communication information displayed in the timeline TL (specifically, posted by the counselor C). Message information, file information, stamp information, advice information posted by another advisor M, etc.) are browsed on the user terminal 11 of the user, and appropriate advice is input and transmitted. In order to give advice, it is necessary to participate in the group G of the patient P specified in the "advice request" and become a group member. Therefore, here, the invitation control unit 124, which will be described later, is the advice request control unit 123. In cooperation with, one or more applicable advisors M are automatically invited to the group of the patient P.

The invitation control unit 124 is formed of, for example, software that controls its operation, an information storage medium, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is a member of the group G. Controls the behavior related to the invitation of. For example, when the above-mentioned "advice request" is created and transmitted to the designated one or more advisors M, the one or more advisors M specified in the "advice request" is referred to as the "advice request". Invite to Group G of Patient P specified in and make him / they a group member of that Group G. Further, when it becomes necessary to add an arbitrary registered user to a group member of an arbitrary group G other than when creating / transmitting the above-mentioned "advice request", the invitation control unit 124 operates and the registration thereof. Invite users to the specified group G. The invitation control unit 124 also operates when excluding a designated group member of an arbitrary group G from the group G. This exclusion is performed by canceling the invitation to the group G for the specified group member. Further, for the invitation control unit 124, for example, the same configuration as that described in Patent Document 2 can be used.

The timeline control unit 125 is formed of software that controls its operation, an information storage medium, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is an operation related to the timeline TL. Control the whole thing. For example, at the time of consultation application by the counselor C, one group G and one timeline TL are generated and registered by the registration unit 121 for each registered patient P. At this time, the timeline control unit 125 generates and registers one timeline TL. The generated / registered timeline TL is displayed on each user terminal 10 or 11 in a predetermined format as needed. In addition, communication information posted on the timeline TL (for example, message information, file information, stamp information posted by the consultant C, advice information posted by another advisor M, etc.) is specified in the timeline TL. It can be displayed in a place or the communication information can be edited on the timeline TL. Information (excluding communication information) necessary for executing the above-mentioned operation related to the timeline is stored in the timeline control unit 125.

The stamp control unit 126 is formed of, for example, software that controls its operation, an information storage medium, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and each timeline TL. It controls the overall operation related to the stamp, such as storing the stamp information for displaying various stamps and displaying the specified stamp at the specified location on the specified timeline TL. Examples of stamps used here are shown in FIGS. 17 and 18. The stamp control unit 126 may, for example, (i) place a predetermined “stamp” icon (tag stamp in FIG. 17 and FIG. 18) at a predetermined location inside or near the message information and / or data information displayed on the timeline TL. Show (see Nestling Stamps), (ii) remove the "stamp" icon displayed on the timeline L, (iii) control which stamps are active (enabled) and which are deactivated. To do. This control is performed in response to an instruction from the user terminal 10 or 11.

The BOT control unit 127 is formed of, for example, software that controls its operation, an information storage medium, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and each timeline TL. BOT information for setting various BOTs is stored in, the specified BOT is set at the specified location on the specified timeline TL, the operation of the set BOT is controlled, and the operation of the set BOT is controlled according to the operation of the BOT. It controls all operations related to BOT, such as storing input information. Examples of BOTs used herein are shown in FIGS. 26-29. For example, in the case of a medication BOT, when a template containing a message urging medication to be taken at a predetermined time is displayed on the timeline TL and an instruction of "drug completion" (or "drug incomplete") is received from the counselor C or patient P. , "Medication completed" (or "Medication not completed") is automatically written in the corresponding part of the timeline TL. The BOT control unit 127 (i) activates (operates) which BOT and deactivates which BOT according to a predetermined trigger, and (ii) a message or template to be displayed by each BOT. , Where to place icons, etc. in the timeline TL, and how to process the execution result of the function corresponding to (iii) BOT. This control is performed in response to an instruction from the user terminal 10 or 11.

Subsequently, the communication information management subsystem 130 will be described with reference to FIG. 7.

The communication information management subsystem 130 includes communication information (that is, topic information, message information, file information and / or stamp information) input by the consultant C in the patient decision support system 100, and advice information input by the advisor M. It is a subsystem that manages. Since the combination of the communication information and the advice information provided for the communication information is "communication-advice combination information", the communication information management subsystem 130 uses the communication information, the advice information, and the communication-. It can also be said that it is a subsystem that manages the advice combination information.

The communication information management subsystem 130 includes a communication information control unit 131, a communication information storage unit 132, a communication information search unit 133, and a draft control unit 134. The communication information control unit 131, the communication information storage unit 132, and the communication information search unit 133 of the communication information management subsystem 130 combine (associate) a plurality of communication information with advice information corresponding to them. It is stored as "communication-advice combined information" and functions as a "database" that enables searching for them.

The communication information control unit 131 is formed of, for example, software that controls its operation, and is between the counselor C (= patient P) and the advisor M in each timeline TL, or between the counselor C, the patient P, and the advisor. Various communication information exchanged with M (for example, message information, file information, stamp information posted by consultant C, advice information posted by another advisor M, etc.), advice information, and communication- Advice Controls processing such as input (write), edit, display, save, and output (read) of join information. For example, message information (doctor-patient conversation information) related to communication between a doctor and a patient, file information attached to the message information (doctor-patient conversation information) input / transmitted from counselor C or patient P, and input / transmission from advisor M. The advice information related to the advice to be given, the stamp information specified by the counselor C or the patient P or the advisor M, the information related to the BOT set by the counselor C or the patient P, the communication information and the advice information. The communication-advice combination information, which is a combination, is displayed on the corresponding timeline TL, stored in the communication information storage unit 132, or read from the communication information storage unit 132.

The communication information storage unit 132 is formed of, for example, an information storage medium and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and each of the communication information storage units 132 is instructed by the communication information control unit 131. Stores various communication information, advice information, and communication-advice combination information exchanged between the counselor C and the advisor M, or between the counselor C, the patient P, and the advisor M in the timeline TL. do.

The communication information search unit 133 is formed of, for example, software that controls its operation, and according to a designated search condition, the communication information search unit 133 includes the corresponding communication information from various communication information stored in the communication information storage unit 132. It controls the processing of all operations related to the search of such information, such as searching for advice information and communication-advice combination information and displaying the search results on the corresponding user terminal 11 or 12. The initial communication information is surely improved by exchanging various communication information and advice information between the counselor C and the advisor M in each timeline TL, or between the counselor C and the patient P and the advisor M. (Level up), resulting in a high level of communication-advice combination information. Therefore, among those high-level communication-advice combination information, there are many "excellent communication-advice combination information" that can be effectively utilized by people other than the counselor C and the patient P. .. The communication information retrieval unit 133 is used when extracting information that meets a predetermined purpose from such "excellent communication-advice combination information". Further, when the counselor C, the patient P, or the advisor M extracts the advice information previously given by the specific advisor M from a large number of communication-advice combination information stored in the communication information storage unit 132. Is also used.

The draft control unit 134 is formed of, for example, software that controls its operation, an information storage medium, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. The topic information and message information being created on the terminal 10 of the above, and the "sending schedule information" including the necessary attached file information, stamp information, etc. are appropriately saved or saved as a "draft" until the editing is completed. It controls all draft-related processing, such as reading the draft (transmission schedule information) and returning it to the editable state again. Since the draft control unit 134 can be easily realized in the same manner as the message draft storage function in well-known e-mail software, detailed description thereof will be omitted.

(Operation of patient decision support system)
Next, the operation of the patient decision support system 100 having the above configuration will be described with reference to the flowchart of FIG. 41.

The communication information posted and displayed on the timeline TL of each patient P includes messages (comments) of counselor C, patient P, and advisor M (all are group members of the group G) and counselors. There is conversation between C or patient P and a doctor or nurse, and information in file format accompanying those messages and conversations.

In the following description, the information related to these messages and conversations will be referred to as "message information", and the file format data associated with those messages and conversations will be referred to as "file information". These "message information" and "file information" are displayed in time (in order of posting date and time) on the timeline TL. Since the information related to the advice provided by the advisor M, that is, the "advice information" is displayed inside or near the related or corresponding "message information", it is not always displayed in the order of posting date and time.

The "message information" includes, for example, a doctor's message (explanation) describing the result of the doctor's diagnosis of patient P and the treatment taken according to the result, or exchanged between the doctor and patient P with the diagnosis. The conversation that was made, the message (explanation) of the nurse that described the state and symptoms of the patient P that he noticed, and the conversation that was exchanged between the nurse and the patient P (and the doctor), the patient P himself or herself or There is a message that the family describes the physical condition and mood of the patient P and its changes, and a conversation between the doctor and the patient P or his / her family. The "message information" may include health information of patient P.

The "file information" includes, for example, a file of patient P's chart created by a doctor, a file of patient P's chest X-ray photograph taken by an X-ray engineer, a file of patient P's care plan created by care manager, and the like. There is information contained in. The "file information" may include health information of patient P.

As communication information other than "message information" and "file information", in the present embodiment, stamp information additionally displayed on the timeline TL by designation of counselor C or patient P or advisor M, counselor C or patient There is BOT information related to BOT that is additionally set in the timeline TL by the designation of P. However, not limited to these, all the information exchanged on the timeline TL for communicating something can be said to be communication information.

In the communication-advice combination information, for example, as shown in FIG. 11, one communication information and one or more advice information provided for the communication information are combined (combined) as if a question and an answer to the question. ), Refers to information displayed in a state that is easy for the reader to understand.

As shown in the flowchart of FIG. 41, the patient decision support system 100 is always waiting for the arrival of communication information related to a specific patient P transmitted by one of the counselors C from its own counselor terminal 10. (Step S1). This standby operation is executed by the communication information control unit 131 of the communication information management subsystem 130.

When the communication information control unit 131 of the system 100 detects the arrival of communication information related to a specific patient P transmitted by a counselor C from his / her counselor terminal 10, the arrived communication information becomes a consultation target. The communication information control unit 131 reads the attribute information of the patient P from the patient management table of the user information storage unit 112. Then, as shown in FIG. 20, after associating with the arrived communication information, the information is stored in the communication information storage unit 132 for each category (step S2). The communication information may include the health information of the patient P.

Next, based on the attribute information of the patient P stored in the communication information storage unit 132, the group G and the timeline TL for the patient P are generated and registered (step S3). This is executed by the registration unit 121 and the timeline control unit 125 of the group management subsystem 120. The information related to the group G and the timeline TL is stored in the group information storage unit 122.

Next, the counselor C and one or more advisors M designated by the counselor C or designated by the registration unit 121 according to a predetermined rule are combined with the group members of the group G of the patient P. (Step S4). This is executed by the registration unit 121. The patient P may be included in the group members of the group G by the designation of the counselor C.

Next, an advice request is sent to the one or more advisors M who are group members of the group G of the patient P, and advice is given to the message information posted on the timeline TL of the patient P. Request the provision of information (step S5). This is executed by the advice request control unit 123.

Upon receiving the advice request, the one or more advisors M appropriately browse the message information posted on the timeline TL of the patient P on their own advisor terminal 11, and of the timeline TL. Enter the advice information in the desired location and send it. The one or more advisors M are stored in the health information storage unit 115 or stored outside the patient decision support system 100, if necessary, when creating the advice information. The health information of patient P can be read out and referred to. When the system 100 receives the one or more advice information transmitted in this way, the one or more advice information is combined (combined) with the communication information stored in the communication information storage unit 132, and the communication information is combined. It is stored in the storage unit 132 (step S6). The communication information control unit 131 executes the reception and storage of the one or a plurality of advice information.

Next, the counselor C is notified that the advice information has been provided by the one or more advisors M who are group members of the group G of the patient P, and posted on the timeline TL of the patient P. Tell them to browse the one or more advice information provided (step S7). The counselor C browses the one or more advice information posted on the timeline TL in response to the advice provision notification. As a result, the counselor C can determine whether or not his / her own problem has been solved. When the counselor C determines that his / her problem has been solved at this stage, he / she gives a notification (problem solving notification) that "the problem has been solved" to the patient decision support system 100 (for example, the communication information control unit 131). ) Send to the address. When it is determined that the problem has not been solved, a notification that "the problem has not been solved" (problem unsolved notification) is sent to the system 100.

When the system 100 (for example, the communication information control unit 131) receives the "problem solution notification", the system 100, for example, the communication information control unit 131 sends the patient P of the counselor C who received / stored in step S2. It is determined that the problem inherent in the communication information has been solved by the one or more advice information provided by the one or more advisors M, and the process related to the problem is terminated. On the other hand, when the system 100 receives the "problem unresolved notification", the system 100 has not solved the problem by the one or more advice information provided by the one or more advisors M. The process (steps S1 to S8) related to the problem is repeated until the determination is made, the process returns immediately before step S1, and the "problem solving notification" is received.

(User operation)
Next, the operation of the user using the patient decision support system 100 that performs the above-described operation will be described with reference to FIGS. 8 to 40 and 42 to 43.

First, a person who wishes to use the decision support service provided by the patient decision support system 100 (consultation applicant) needs to register as a new user on the new user registration screen as shown in FIG. 42. The display of this new user registration screen is executed by the registration unit 111 of the user management subsystem 110. The new user registration is executed by the registration unit 111 provided in the user management subsystem 110. It is not necessary to enter the real name of the person who wishes to consult in the "your name" field of the new user registration screen, and the nickname or pseudonym may be used. Therefore, the person who wishes to consult can consult anonymously without revealing his / her real name.

In the "Your profile" field of the new user registration screen, enter information that tells the advisor M what kind of person (profile) the person who wants to consult is. Examples of profiles of applicants for consultation include the age, occupation, place of origin, career, and preferences of the applicant for consultation.

In the "Patient Profile" column of the new user registration screen, if the person who wants to consult is not the patient P himself / herself, what kind of person (profile) the patient P who is the subject of consultation of the person who wants to consult is the advisor M. Enter the information to be conveyed. If the person who wishes to consult is the patient P himself / herself, he / she may enter the same information as that entered in the “your profile” field.

In the "patient's disease" field of the new user registration screen, information (disease name) relating to one or more diseases in which the patient P to be consulted by the consultation applicant is affected is input. For example, the name of a disease such as diabetes, hypertension, or lung cancer may be input. The "patient's disease" field may be in a format that displays a list of disease names and prompts the user to select the appropriate one, instead of directly inputting the format.

In the "Patient Summary" field of the new user registration screen, information (summary information) that briefly organizes the medical history, examination record, and treatment history of the patient P to be consulted by the consultation applicant is input. For the summary information such as the medical history, test record, and treatment history of patient P entered in the "patient summary" field, one or more advisors M provide accurate advice regarding the disease specified in the "patient's disease" field. The minimum information necessary to provide the information is sufficient, but in addition to that, it is preferable to input the purpose of the consultation and the information expected by the consultation. This is because the advice of the advisor M becomes easy, and it is also easy for the advisor M to provide accurate advice information.

Personal information of the person who wants to consult (consultant C) who is newly registered as a new user as described above, that is, information related to the name, email address, password, gender, registration type, profile, and the person who wants to consult (consultant C). ), That is, the personal information of the patient P to be consulted, that is, the information related to the gender, the disease name, the profile and the summary, is the user information storage unit 112 of the user management subsystem 110 and the patient information in response to the instruction of the registration unit 111. It is divided and stored in the storage unit 113 and the disease information storage unit 114.

If desired, the counselor C can register the health information of one or more patients P designated by himself / herself in the decision support system 100, for example, in a file format, at the same time as the user registration. .. The health information registered in this way is stored in the health information storage unit 115 by the registration unit 111. If the health information of one or more patients P designated by the counselor C is stored in an information system (including the computer and mobile terminal of the patient P) outside the decision support system 100, the relevant information is applicable. The counselor C can also register the authentication information necessary for accessing the storage location of the health information in the information system. Since the method of registering the health information and the authentication information in the system 100 can be realized by using a well-known one, the description thereof will be omitted.

Even if the patient P is not the counselor C, after the patient P becomes a group member of his / her own group G, the patient P himself / herself can register his / her own health information and authentication information. ..

On the other hand, in the decision support service provided by the patient decision support system 100, specialists (advisor applicants) such as medical professionals who wish to act as advisor M have registered as new users as described above. After that, it is necessary to further register a new advisor on the new advisor registration screen as shown in FIG. 43. The new advisor registration is also executed by the registration unit 111 provided in the user management subsystem 110. In the "Your user number" field of the new advisor registration screen, enter the user number of the advisor applicant (the one assigned in the above user registration). In the "Your name" field, you need to enter the real name of the adviser applicant. However, the real name can be hidden from the timeline TL at the request of the advisor applicant. In that case, the nickname or pseudonym specified by the advisor applicant or the nickname or pseudonym prepared in advance in the system 100 is displayed on the timeline TL. In this way, the advisor applicant can act as an advisor M without disclosing his / her real name or disclosing his / her real name. If necessary, it is possible that a predetermined judge examines whether or not the advisor applicant is appropriate as an advisor M, and only those who have passed the advisor applicant are allowed to act as an advisor M.

In the "Your profile" field of the new advisor registration screen, enter information that conveys to the counselor C, patient P, and other advisor M what kind of person the advisor applicant is (profile). Examples of profiles of applicants for advisors include the age, occupation, place of origin, career, specialty (specialty) field, and period of work experience of the applicant for advisors. If necessary, the intention of the adviser applicant regarding the advisor activity may be included.

The personal information of the advisor applicant (advisor M) registered as a new user as described above, that is, the information related to the name, e-mail address, password, gender, occupation, and profile is the user according to the instruction of the registration unit 111. It is stored in the information storage unit 112.

Here, a plurality of advisors M have already been registered in the decision support service as described above, and a consultation applicant (consultant) who has become a registered user through new user registration as described above. It is assumed that C) is trying to access the medical consultation website provided by the patient decision support system 100 on the Internet 20.

The counselor C, who is a registered user who has accessed the medical consultation website, is urged to input / transmit the attribute information and communication information related to the patient P by the guidance text (not shown) displayed on the website. .. In response to this, the counselor C opens a login screen (see FIG. 8) using his / her own user terminal 10 (that is, the counselor terminal 10, in this case, a smartphone), and enters his / her password on the screen. After entering, single tap the "Login" button. If the login is successful in this way, the decision support service becomes available.

At the time of login, the patient list display screen as shown in FIG. 9 is displayed on the counselor terminal 10 of the counselor C. On the patient list display screen of FIG. 9, a patient list related to an unresolved consultation is displayed among a plurality of consultations by the counselor C. By single-tapping and selecting any of the lists, the communication information of the selected patient can be viewed. You can also search by keyword. For example, when a patient P labeled "58-year-old (lung cancer) bow notch" is selected (single tap), the terminal 10 of the counselor C is connected to a timeline TL for the counselor related to the selected patient P (FIG. 10). See) is displayed. The patient name (label) "58 years old (lung cancer) bow notch" means that the patient P's age and disease are 58 years old and lung cancer, respectively, and that the patient P's nickname is "bow notch". Means.

On the timeline display screen of FIG. 10, the message information related to the patient P "58-year-old (lung cancer) bow notch" and the advice given by the nurse AD-A as the advisor M to the message information are displayed on the timeline TL. Is displayed adjacent to the top and bottom. Normally, the input (posting) of message information by the counselor C and the input (posting) of the advice information by the advisor M are repeated a plurality of times as necessary. A plurality of combinations of advice information (communication information) by the advisor M are arranged in parallel. Therefore, the exchange of these message information and advice information is a dialogue performed between the counselor C and the advisor M, and therefore, a "chat" performed between the counselor C and the advisor M. Can be called.

Here, in order for the counselor C to add message information to the current communication information relating to the selected patient P, "58-year-old (lung cancer) bow notch," it is displayed at the upper right end of the timeline display screen of FIG. You need to single-tap the "Create" button. Then, the information input screen as shown in FIG. 11 is displayed on the counselor terminal 10 of the counselor C. This is a graphical interface for inputting and transmitting communication information. Since a strip-shaped timeline TL extending in the vertical direction is arranged on the information input screen, the counselor C inputs (posts) desired message information at a desired location on the timeline TL. Can be done.

Specifically, the theme or title of the message information to be input (posted) in the timeline TL is input in the "topic" field at the upper part of the information input screen of FIG. In the example of FIG. 11, the characters "I'm worried whether the inspection should be continued" are input. After that, the desired message information may be input to the timeline TL below the "topic" field of the information input screen. At this time, if a close-up stamp (see FIG. 18) is selected and attached as necessary, communication with the advisor M by the message information can be facilitated. It is also possible to attach a necessary file, but at this time, a tag stamp (see FIG. 17) corresponding to the content and type of the attached file is attached. If you want to input (post) message information or the like on different topics for the same patient P, the same operation as above may be repeated. Then, when the input and attachment of these information are completed, when the "send" icon is single-tapped (or clicked), the topic information and the message information, and the attached file information and stamp information can be obtained by the consultant C. It is transmitted from the terminal 10 to the patient decision support system 100.

In the example of the timeline TL of FIG. 11, in addition to the message information input by the counselor C, the message information input by the counselor C is referred to in the vicinity of the lower end of the message information. URL (Uniform Resource Locator) to be referred to, the file name of the attached file attached by the counselor C to be referred to with the message information, and the stamp added by the counselor C to be referred to with the message information. Is displayed.

FIG. 12 shows a draft list display screen. The figure shows a list of drafts of multiple communication information related to patient P labeled "58-year-old (lung cancer) bow notch" created and saved by the counselor C on his counselor terminal 10. It is displayed. These drafts (drafts) have received advice from Advisor M, but include those related to consultations that have not yet been resolved and those that have not received advice from Advisor M. The communication information determined by the counselor to be resolved will not be displayed on the draft list display screen.

This draft saving function is realized by the draft control unit 134 provided in the communication information management subsystem 130 of the patient decision support system 100, but it is the same as the well-known e-mail draft saving function. The detailed description thereof will be omitted. This is prepared in consideration of the case where multiple patients P are consulted at the same time or in a short period of time, or when one patient P is consulted on multiple topics (themes or titles). be. On the draft list display screen of FIG. 12, the stamp information attached to the message information created by the poster C is also displayed, so that it is easy to understand. If you want to edit a specific draft in the draft list, just single-tap the draft string to select it. Then, the selected draft is displayed on the information input screen of FIG. 11, and can be re-edited.

FIG. 13 shows an example of an information input screen displayed on the advisor terminal. When the advisor M provides advice information for the message information relating to the patient P labeled "58-year-old (lung cancer) bow notch" described above, the advice information is input on the information input screen. In the example of FIG. 13, the timeline TL of patient P called "58-year-old (lung cancer) bow notch" is opened, so when a single tap is performed on a desired place near the message information displayed there, an advice entry field is displayed. You will be able to enter advice information. This information input screen is a graphical interface for inputting and transmitting advice information provided for specific communication information. An example of the input advice information is shown in FIG. As described above, on the information input screen, the advisor M can easily write the advice information at an appropriate place in the conversation between the patient and the doctor.

FIG. 16 shows a close-up stamp selection screen, and FIG. 18 shows a close-up stamp category.

When the counselor C inputs message information on the information input screen of FIG. 11, if he / she wants to add a stamp to the message information, he / she may single-tap the character "select" at the lower end of the screen. Then, the close-up stamp selection screen of FIG. 16 is displayed, and the counselor C selects a desired close-up stamp (for example, an “important” stamp) by single-tapping on the selection screen. Then, the selected close-up stamp information is added to the message information and displayed at the lower end of the message information as shown in FIG. When the addition of the necessary snuggle stamps is completed, the snuggle stamp information is automatically attached to the input message information by a single tap of the "send" button, and is transmitted to the patient decision support system 100.

FIG. 15 shows the tag stamp selection screen, and FIG. 17 shows the tag stamp category.

When the consultant C wants to attach a file (for example, an image file of inspection results) together with inputting message information on the information input screen of FIG. 11, single-tap the "+" button at the lower end of the screen. Just do it. Then, a predetermined file selection screen (not shown) is displayed. On that screen, a single tap is performed to select a desired file name. At this time, since the tag stamp selection screen of FIG. 15 is subsequently displayed, the consultant C selects the tag stamp of the "inspection result" by single-tapping on the selection screen. Then, the selected tag stamp information is added to the inspection result file information. When the addition of the required file and tag stamp is completed, by single-tapping the "Send" button, the file information and the tag stamp information are automatically attached to the input message information, and the patient decision support system It is sent to 100.

When the "inspection result" file is attached as described above, the recommendation screen as shown in FIG. 19 can be displayed. This is useful because you can attach all of the multiple "test result" files that contain relevant information.

When the counselor C repeatedly exchanges communication information (that is, chats) on various topics with one or more advisors M, the chat history of the counselor C is formed. The chat history of the counselor C is displayed on the counselor terminal 10 of the counselor C in the form of a topic list as shown in the chat history display screen of FIG. You can easily re-edit the desired chat (unresolved) from the topic list by single-tapping it. A topic labeled "solved" means that the problem (worry) associated with that topic has already been resolved. In addition, the character labels "prescription", "test result", and "affected part image" on the same screen are shortcuts for accessing the file having the corresponding contents. For example, when the "affected part image" label is selected, thumbnails showing the contents of the saved attached file are displayed as shown in FIG. When the thumbnail of the desired attached file is selected by single tapping, the contents can be viewed on the counselor terminal 10 of the counselor C.

(Saving communication information)
FIG. 20 shows a situation in which the communication information written by the counselor C on the counselor terminal 10 is stored in the patient decision support system 100. This saving operation is executed by the communication information control unit 131 of the communication information management subsystem 130. The communication information is stored in the communication information storage unit 132, and is stored in the form of the chat management table shown in FIG. 32, for example.

As shown in FIG. 20, when the counselor C writes communication information on his / her counselor terminal 10, (1) the group G of the patient P to be consulted is selected. This is done by selecting one patient label on the patient list display screen of FIG. Next, (2) create a topic. This is done by entering the desired characters in the "topic" field on the information input screen of FIG. After that, (3) enter message information for each topic. This is done by inputting a desired character at a desired position on the timeline TL on the information input screen of FIG. At this time, it is possible to select a desired draft from the draft list on the draft list display screen of FIG. 12 and re-edit it. It is also possible to attach one or more cuddly stamps shown in FIG. 18 to the input message information. Further, it is possible to attach a desired file to the input message information, but at this time, in order to distinguish the content (type) of the attached file information from the outside, it is shown in FIG. It is essential to attach one or more tag stamps. When the input of the communication information by the counselor C is completed in this way, (4) the input and the attached communication information are transmitted to the patient decision support system 100. This is done by single-tapping the "Send" button on the information input screen of FIG.

The communication information transmitted from the counselor C as described above is classified and stored for each patient P in three items of disease name, topic information and message information. The message information is stored in combination with the added close-up stamp information. The file information attached to the message information is stored in combination with the added tag stamp information. A specific example thereof is shown in the frame of FIG.

That is, in the example of FIG. 20, when storing communication information relating to patient P (nickname is Bownotch) labeled "58-year-old (lung cancer) Bownotch", the topic "diet" of the disease "hypertension" is discussed. In the message A provided to the timeline TL in consultation with, the close-up stamp information is combined and saved. As a result, not only the message information itself but also the counselor C or the advisor M who provided the message information considers the message information to be "important" (thought or intention of the counselor C or the advisor M). Since it can be saved, there is an advantage that the intention of providing the message information can be more accurately transmitted to the other party and contribute to facilitation of communication. This also applies to consultations on the other two topics of the disease "lung cancer, diabetes", "should I be tested" and "blood sugar levels have risen".

In addition, the tag stamp information "prescription" is added to the attached file posted on the timeline TL in consultation on the topic "should I be tested" for the patient Bonotch's "lung cancer, diabetes" disease. Therefore, there is an advantage that the contents of the attached file can be known without opening it, and it becomes easy to classify the attached files having different contents and types. This also applies to attachments in consultations on the topic "blood sugar levels have risen" for the same disease.

(Good communication-utilization of advice combination information)
Next, the utilization of excellent communication-advice combination information will be explained.

The patient decision support system 100, which has the advantage of facilitating patient decision making, accumulates a large amount of communication-advice combined information through continuous reception of a large number of consultations. , Good Communication-Advice Combined information is included. This is because the content of the initial communication information posted on the timeline TL is always improved (level up) by exchanging one or more communication information from the counselor C and one or more advice information from the advisor M. Because it is done. Therefore, some of the improved communication-advice combination information can be effectively used for patients different from the patient P who is the subject of consultation by the counselor C. These are called "good communication-advice combined information". The evaluation and selection of "excellent communication-advice combination information" is set to be performed by, for example, a predetermined skilled advisor or supervisor.

When good communication-advice combined information is newly selected, the fact is that the patient decision support system 100 has consulted with all users (all counselors C and advisor M) or about related topics. Only C will be notified. FIG. 23 shows a state in which the selection of the excellent communication-advice combination information is notified to the terminal 10 of one counselor C. The counselor C can know that the excellent communication-advice combination information has been newly selected simply by accessing the "medical consultation website" on his / her terminal 10 and logging in.

FIG. 24 shows an example of a disease search screen of excellent communication-advice combination information displayed on the counselor terminal 10. This screen is a graphical interface for retrieving good communication-advice combination information. On the disease search screen shown in FIG. 24, if the displayed "search button" is single-tapped and selected, only the excellent communication-advice combination information related to the selected disease can be extracted. For example, when the counselor C selects the "search button" called "treatment policy", only the excellent communication-advice combination information created through the consultation related to the determination of the "treatment policy" is extracted, so the search is performed on the screen. There is a possibility that the desired information can be obtained quickly just by doing so, which is very useful for the consultant C. Communication information and advice information can also be searched on the disease search screen shown in FIG. 24.

FIG. 25 shows an example of a drug search screen for excellent communication-advice combination information displayed on the counselor terminal 10. This screen is also a graphical interface for retrieving good communication-advice combination information. On the drug search screen shown in FIG. 25, one or more "search buttons" in the three categories of "side effects", "patient attributes", and "disease names" displayed can be selected by single-tapping. Only the excellent communication-advice combination information corresponding to the contents of the selected one or more "search buttons" can be extracted. For example, if the counselor C selects three "search buttons", "numbness" in the "side effect" category, "male" in the "patient attribute" category, and "cancer" in the "disease name" category, these Good communication-advice that meets the three requirements Only combined information is extracted, so for pharmaceutical companies that want to know the side effects of drugs used to treat "cancer", their own (or other companies') drugs It is very useful because it has the advantage that the knowledge about the side effects of can be obtained for each patient attribute and disease.

(Utilization of BOT)
FIG. 26 shows an example of a BOT setting screen displayed on the consultant terminal 10. On this screen, it is possible to set three BOTs: a hypertension BOT, an anticancer drug BOT, and a lifestyle BOT. For example, when "hypertension BOT" is selected, a screen related to a question as shown in FIG. 27 is displayed on the counselor terminal 10. Therefore, when "BOT1" is selected on the same screen, for example, the question and answer as shown in FIG. 28 are displayed. The template is displayed on the consultant terminal 10. Therefore, the answer can be made as shown in FIG. 29. The BOT setting on the BOT setting screen can be effectively used when the counselor C is the patient P himself / herself. For example, after receiving advice information from one or more advisors M for their own message information posted on the timeline TL, take a specific drug regularly in a trial and inform the advisor M of the progress. This is convenient when you want to obtain further advice information.

As is clear from the details described above, in the patient decision support system 100 according to the above embodiment of the present invention, each consultation is provided by the communication information control unit 131 (reception means) of the communication information management subsystem 130. After receiving the communication information related to one or more patients P transmitted from the person C, the communication information storage unit 132 (first storage means) stores the communication information in association with the corresponding attribute information of the patient P. Further, the registration unit 121 (group and timeline generation means) of the group management subsystem 120 specifies 1 or a predetermined method with the counselor C based on the corresponding attribute information of the patient P stored. Generate a timeline TL and a group G that includes a plurality of advisors M as group members. Then, the advice request control unit 123 (advice information request means) of the group management subsystem 120 provides the advice information for the communication information to one or more advisors M who are group members of the group G of the corresponding patient P. Requested to be provided to the timeline TL, and further, by combining the one or more advice information obtained by the communication information storage unit 132 (the second storage means) with the communication information, "communication-advice combination information". Remember as. After that, the communication information control unit 131 (notification means) notifies the group member of the corresponding group G that the one or more advice information has been provided, and the communication information relating to the corresponding patient P. And the one or more pieces of advice information provided for it are combined to generate "communication-advice combination information", and the group member of the corresponding group P is displayed in the display format as shown in FIG. Everyone can browse on the timeline TL using the user terminal 10 or 11. By doing so, when the corresponding patient P makes a decision, the communication information and the one or a plurality of advice information provided to the communication information can be referred to as necessary.

Further, the communication information relating to the corresponding patient P includes one or a plurality of message information divided for each topic information, and the one or a plurality of message information includes one or a plurality of close-up stamp information. When (first additional information) is added and stored in combination with the one or more advice information, the one or more message information, the one or more side-by-side stamp information, and the one or more advice The information is combined for each topic information and stored as "communication-advice combined information". Further, the communication information relating to the corresponding patient P is a combination of the one or more message information and the one or more advice information based on the topic information and / or the close-up stamp information. -Advice combination information "can be searched.

Therefore, by searching using the topic information and / or the close-up stamp information (first additional information), the communication information relating to the patient P to be consulted by the counselor C and the communication information combined with the communication information are combined. One or more pieces of advice information can be easily and quickly obtained. Therefore, the patient P, that is, the recipient (patient) of the medical service suffering from a serious disease such as cancer or stroke, has the above-mentioned problems (i) to (iv), that is, ( i) I want to decide or select a treatment policy recommended by my doctor after fully understanding its advantages and disadvantages, but I cannot. (Ii) Keep in mind the opinions and recommendations of my doctor, and my own I want to make decisions and actions independently, but I can't. (Iii) What will happen, how, and to what extent in the future when the treatment policy recommended by the doctor in charge is selected or not selected? Because I can't know, I can't help feeling uneasy about the future. (Iv) I don't think the doctor in charge fully understands his own hopes, hesitations, anxieties, etc. It is possible to help solve problems that are difficult to do.

Specifically, regarding the problem (i) above, one or more advisors M are asked about the advantages and disadvantages of the treatment policy recommended by the doctor in charge, and the problem (ii) above. The patient asks the information necessary for independent judgment and action, and the above problem (iii) can occur when the treatment policy recommended by the doctor in charge is selected or not selected. Just ask that. If accurate answers to these three questions are given by the one or more advisors, communication between the doctor in charge and the patient will be smooth, and the above problem (iv) will be solved automatically. Often.

Further, as described above, the medical service recipient (patient P) suffering from a serious disease such as cancer or stroke can easily solve the problems (i) to (iv) described above. Therefore, the communication obstacle between the beneficiary (patient P) and the medical worker can be easily reduced or eliminated.

Further, in the medical consultation website configured by using the patient decision support system 100, communication information transmitted from a large number of counselors C and one or more advisors M provide the communication information. One or a plurality of advice information is stored in the database as "communication-advice combination information" in a state of being appropriately combined. Therefore, regarding the conversation between the medical service recipient (patient P) who is suffering from a serious illness such as cancer or stroke and the medical staff, which is presented by the consultant C on the website, the website Through the process of giving advice by an advisor consisting of experts, it is stored in the database as multiple "communication-advice combined information" related to patient P, so that patients suffering from serious illnesses such as cancer and stroke are self-sufficient. Communication-advice binding information useful for solving the above-mentioned problems (i) to (iv) relating to the above-mentioned diseases can be easily and efficiently collected and accumulated. In addition, the collected and accumulated "communication-advice combined information" can be viewed by the corresponding patient P himself becoming a group member, and the viewing deadline is not set, so that it is a long period of time (several years or more). It can also be utilized and managed for decades or even a lifetime.

Further, each of the communication information relating to one or more patients P input / transmitted from each counselor C via the website contains advice information from one or more advisors M via the same website. Combined or associated, it is stored in the database as "communication-advice combined information" relating to the one or more patients P, so that communication information is input / transmitted and advice information for the communication information is input. -By repeating the process of transmission, the content of the "communication-advice combination information" relating to the one or more patients P is gradually improved, in other words, the level is raised. Therefore, one or more patients suffering from a serious illness such as cancer or stroke are particularly useful in solving the above-mentioned problems (i) to (iv) related to their own illness. "Advice combination information" will be automatically collected and accumulated over time.

Furthermore, in the above-mentioned patient decision support system 100, one or a plurality of file information can be attached to the one or a plurality of message information, and the one or a plurality of file information can be attached. One or more tag stamp information (second additional information) can be added. Then, when the information is stored in combination with the provided one or more advice information, the one or more message information, the one or more side-by-side stamp information (first additional information), and the one or more advice are given. In addition to the information, the one or more file information and the one or more tag stamp information (second additional information) are combined and stored for each topic information. Then, the communication information relating to the corresponding patient P searches for the one or more message information and the one or more file information based on the topic information, the snuggle stamp information and / or the tag stamp information. It is possible to do. Therefore, by making it possible to attach the tag stamp information (second additional information), it becomes possible to search the file information attached to the one or more message information, which is more convenient.

Further, in the patient decision support system 100 described above, the disease information of the patient P is extracted from the attribute information of the corresponding patient P, and the disease information of the patient P is the above 1 or the disease information of the patient P. The communication information related to the patient P, which is stored in association with the topic information of a plurality of message information, is based on the topic information, the disease information, and / or the close-up stamp information (first additional information). It is possible to search the one or more message information. Therefore, the one or more message information can be searched for the disease information, which is more convenient.

Further, when attaching one or more file information to the one or more message information, whether to attach another one or more file information related to or similar to the file information to be attached together. Since the recommendation function for inquiring whether or not it is provided is provided, it becomes possible to attach a plurality of related or similar file information together, which is more convenient.

Further, it is possible to set the BOT to be operated by the consultant using the user terminal, and the information obtained by the operation of the BOT is stored in association with the close-up stamp information (first additional information). It will be more convenient because it will be done.

Further, whether or not the problem of the counselor C is solved by the one or a plurality of advice information provided for the one or a plurality of message information included in the communication information relating to the corresponding patient P. The step (step S8 in FIG. 41) is included, and when it is determined that the problem has been solved, the one or more message information and the one or more side-by-side stamp information (first additional information) are included. The combination of the above-mentioned one or a plurality of advice information and the above-mentioned topic information is configured so that subsequent editing is impossible, and when a predetermined resurrection command is received, subsequent editing is possible. Therefore, there is an effect that the resolved communication information and the unsolved communication information can be reliably distinguished and provided to the user.

Further, the one or more advice information provided for the one or more message information is evaluated by the one or more advisors who are members of the group G of the corresponding patient P. It has the effect of facilitating the selection of good communication-advice combined information.

Further, for the group G of the corresponding patient P, one or more advisors who are not the group members of the group G can be added as the group members of the group G. Since the counselor C is configured to become a group member of the group G by inviting the counselor C to the group G of the corresponding patient P, the adviser information is provided. There is an effect that one or a plurality of advisors M can be easily and flexibly added.

(Modification example)
The above-described embodiment shows an example embodying the present invention. Therefore, it goes without saying that the present invention is not limited to this embodiment, and various modifications can be made without departing from the gist of the present invention.

For example, in the above-described embodiment, the stamp information (first additional information) is added to the message information, and the tag stamp information (second additional information) is added to the attached file information. However, the present invention is not limited to this. Needless to say, additional information other than these can be added.

10 Consultant terminal (user terminal)
11 Advisor terminal (user terminal)
20 Internet 100 Patient decision support system 110 User management subsystem 111 Registration unit 112 User information storage unit 113 Patient information storage unit 114 Disease information storage unit 115 Health information storage unit 120 Group management subsystem 121 Registration unit 122 Group information storage unit 123 Advice request control unit 124 Invitation control unit 125 Timeline control unit 126 Stamp control unit 127 BOT control unit 130 Communication information management subsystem 131 Communication information control unit 132 Communication information storage unit 133 Communication information search unit 134 Draft control unit 140 Authentication unit 150 Communication control unit 160 Processor 170 Memory C, C1, C2, C3 Consultant G, G1, G2, G3, G4, Gn Group TL Timeline M, M1, M2, M3, M4, M5, M6, M7 Advisor P, P1 , P2, P3, P4 patients

Claims (18)

Each counselor provides a first interface for inputting and transmitting communication information relating to one or more patients specified by the counselor via a communication network using a terminal.
A second for each advisor to input / transmit advice information via the communication network using a terminal for specific communication information relating to a specific patient transmitted via the first interface. Provide an interface,
A plurality of communication information relating to a plurality of patients transmitted via the first interface and a plurality of advice information transmitted via the second interface corresponding to the plurality of communication information are combined. Therefore, a database for storing a plurality of communication-advice combined information relating to the plurality of patients is provided.
A group generation means for generating a group including each counselor, one patient designated by the counselor, and one or more advisors designated by a predetermined method as group members is provided.
A third interface for each counselor to input and transmit a search command for searching a specific communication-advice combination information relating to a specific patient from the database using a terminal via the communication network. Provided
When the specific communication-advice combination information relating to a specific patient matching the content of the search command transmitted via the third interface is extracted from the database, the extracted communication-advice combination information becomes All of the counselors, patients, and one or more advisors who are group members of the group related to the extracted communication-advice combination information can view and input using the terminal.
Each of the plurality of communication information includes one topic information and one or a plurality of message information classified for each topic information, and the specific communication-advice combination information relating to a specific patient is described above. A patient decision support method characterized in that it is possible to extract from the database using the attribute information related to the patient and the topic information as keys. The communication- Advice It is possible to include it in the join information and store it in the database.
The patient decision-making support method according to claim 1, wherein the plurality of communication-advice combination information stored in the database can be searched by using the first additional information. One or more file information can be attached to the one or more message information included in each of the plurality of communication information as needed, and the one or more file information can be attached to the one or more file information. , One or more second additional information that can be included in the search command can be added and stored in the database as the communication-advice combination information.
The patient decision-making support method according to claim 1 or 2, wherein the plurality of communication-advice combination information stored in the database can be searched by using the second additional information. Each of the plurality of communication-advice combined information is associated with disease information relating to the corresponding patient.
The patient decision-making support method according to any one of claims 1 to 3, wherein the plurality of communication-advice combined information stored in the database can be searched using the disease information. When attaching one or more file information to the one or more message information included in each of the plurality of communication information, another one related to or similar to the one or more file information to be attached. The patient decision support method according to any one of claims 1 to 4, wherein a recommendation function for inquiring whether or not to attach a plurality of file information together is provided. The communication-advice is based on the one or more message information included in each of the plurality of communication-advice combined information and the one or more advice information provided for the one or more message information. It is judged whether or not the problem of the counselor regarding the combined information has been solved.
If it is determined that the problem has been resolved, the communication-advice combination information cannot be subsequently edited.
The patient decision support method according to any one of claims 1 to 5, wherein when a predetermined resurrection command is received after it is determined that the problem has been solved, the communication-advice combination information can be edited again. .. For the one or more advice information included in each of the plurality of communication-advice combination information stored in the database, the one or the group member of the group related to the communication-advice combination information. The patient decision support method according to any one of claims 1 to 6, wherein evaluation is performed by a plurality of advisors. For the group related to each of the plurality of communication-advice combination information stored in the database, the counselor or the patient who is the group member of the group is the group member of the group. No one or more advisors can be added as said group members of the group.
The one or more advisors added to the group can provide advice information for the one or more advice information included in the communication-advice combination information related to the group. The patient decision support method according to any one item. The one or a plurality of advisors who are group members of the group relating to the specific patient can refer to the health information of the patient when providing advice information to the communication information relating to the patient. The patient decision support method according to any one of claims 1 to 8. A first interface for each counselor to input / transmit communication information relating to one or more patients specified by the counselor via a communication network using a terminal.
A second for each advisor to input / transmit advice information via the communication network using a terminal for specific communication information relating to a specific patient transmitted via the first interface. Interface and
A plurality of communication information relating to a plurality of patients transmitted via the first interface and a plurality of advice information transmitted via the second interface corresponding to the plurality of communication information are combined. A database for storing multiple communication-advice combined information relating to the plurality of patients,
A group generation means for generating a group including each counselor, one patient designated by the counselor, and one or more advisors designated by a predetermined method as group members.
A third interface for each counselor to input and transmit a search command for searching a specific communication-advice combination information relating to a specific patient from the database using a terminal via the communication network. With and
When the specific communication-advice combination information relating to a specific patient matching the content of the search command transmitted via the third interface is extracted from the database, the extracted communication-advice combination information becomes All of the counselors, patients, and one or more advisors who are group members of the group related to the extracted communication-advice combination information can view and input using the terminal.
Each of the plurality of communication information includes one topic information and one or more message information classified for each topic information (explanation or suggestion of doctor, question asked by patient to doctor, between doctor and patient). Specific communication-advice combination information related to a specific patient, including conversations exchanged, questions to advisors, and other language-related information) is the database using the attribute information related to the patient and the topic information as keys. A patient decision support system characterized in that it can be extracted from. The communication- Advice It is possible to include it in the join information and store it in the database.
The patient decision support system according to claim 10, wherein the plurality of communication-advice combination information stored in the database can be searched by using the first additional information. One or more file information can be attached to the one or more message information included in each of the plurality of communication information as needed, and the one or more file information can be attached to the one or more file information. , One or more second additional information that can be included in the search command can be added and stored in the database as the communication-advice combination information.
The patient decision support system according to claim 10 or 11, wherein the plurality of communication-advice combination information stored in the database can be searched by using the second additional information. Each of the plurality of communication-advice combined information is associated with disease information relating to the corresponding patient.
The patient decision support system according to any one of claims 10 to 12, wherein the plurality of communication-advice combined information stored in the database can be searched by using the disease information. When attaching one or more file information to the one or more message information included in each of the plurality of communication information, another one related to or similar to the one or more file information to be attached. The patient decision support system according to any one of claims 10 to 13, which is provided with a recommendation function for inquiring whether or not a plurality of file information is attached together. The communication-advice is based on the one or more message information included in each of the plurality of communication-advice combined information and the one or more advice information provided for the one or more message information. It is judged whether or not the problem of the counselor regarding the combined information has been solved.
If it is determined that the problem has been resolved, the communication-advice combination information cannot be subsequently edited.
The patient decision support system according to any one of claims 10 to 14, wherein when a predetermined resurrection command is received after it is determined that the problem has been solved, the communication-advice combination information can be edited again. .. For the one or more advice information included in each of the plurality of communication-advice combination information stored in the database, the one or the group member of the group related to the communication-advice combination information. The patient decision support system according to any one of claims 10 to 15, wherein evaluation is performed by a plurality of advisors. For the group related to each of the plurality of communication-advice combination information stored in the database, the counselor or the patient who is the group member of the group is the group member of the group. No one or more advisors can be added as said group members of the group.
The one or more advisors added to the group can provide advice information for the one or more advice information included in the communication-advice combination information related to the group. The patient decision support system according to any one item. The one or more advisors who are group members of the group relating to the specific patient can refer to the health information of the patient when providing advice information to the communication information relating to the patient. The patient decision support system according to any one of claims 10 to 17.

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