JP2023159996A - information processing system - Google Patents

Abstract

To provide an information processing system for appropriately managing medical information.SOLUTION: An information processing system includes a disease information processing part for receiving and storing information on a patient's disease, and a treatment information processing part for receiving and storing information on disease treatment. The disease information processing part associates patient identification information for identifying a patient with characteristic identification information for identifying characteristics of the disease occurring in the patient to store the patient identification information, and the treatment information processing part receives information obtained by dividing information on disease treatment into steps including at least two or more among a treatment block, a generic term for treatment, a treatment individual plan, and a treatment execution plan, and associates the information with the patient identification information for identifying the disease of the patient to store the information.SELECTED DRAWING: Figure 1

Description

There is an application for exception to loss of novelty.

The present invention is an information processing system for appropriately managing medical information.

When treating a patient, it is required to efficiently store the patient's surgical history, diagnosis name, etc. In addition to patient attribute information, the system stores information such as surgical history, diagnosis name, side effects and adverse events that occurred due to treatment, and other information such as treatments performed on the patient and events that occurred. It is used for various searches in order to submit annual reports to academic societies.

Such a system uses, for example, a commercially available spreadsheet or database system, and an example of such a system is a database such as that described in Non-Patent Document 1 below. Further, as a patent corresponding to this, the following Patent Document 1 exists.

Patent No. 7011274

New Medical Real World Data Research Institute, Inc., “About the full-scale launch of “CyberOncology” input support system for electronic medical records, etc.”, [online], Internet <URL: https://prime-r.inc/newsrelease/125/ ＞

A typical example of the database according to Patent Document 1 and Non-Patent Document 1 mentioned above is that a diagnosis name is stored in a one-to-many relationship in a location where patient information is stored, and a treatment is stored in a one-to-many relationship for that diagnosis name. In addition, side effects and adverse reactions associated with the treatment are further stored in a one-to-many relationship.

Such a database has the advantage of being easy to understand and create due to its structure. However, there is a problem in that medical information cannot be expressed appropriately.

For example, when linking a diagnosis name to a patient, the judgment of benign or malignant may change as the treatment progresses, or the diagnosis name itself may change. Therefore, in the databases of Patent Document 1 and Non-Patent Document 1 mentioned above, data can only be entered after the diagnosis has been determined or in a situation where the diagnosis has been determined to some extent. Otherwise, it takes time to correct the information after inputting it. For example, if the pre-treatment diagnosis was colorectal cancer and surgery was performed for colorectal cancer, but the post-treatment diagnosis was ovarian cancer, in actual clinical practice additional treatment would be required as "untreated ovarian cancer." will be administered. In the database structure of Patent Document 1 and Non-Patent Document 1, the data "pre-treatment diagnosis: colorectal cancer, post-treatment diagnosis: ovarian cancer" is duplicated to create new data "pre-treatment diagnosis: ovarian cancer". Or, the data ``Pre-treatment diagnosis: Colorectal cancer'' must be revised to ``Pre-treatment diagnosis: Ovarian cancer.'' When dealing with duplication, similar data will be stored redundantly, and when dealing with modification, the content of the data itself will be modified, which is preferable in terms of the structure of the database. isn't it. Another example is when a patient is diagnosed with ``diabetes'' due to hyperglycemic symptoms and begins medical examination and treatment, but then develops diabetes as a condition of ``hyperthyroidism.'' .

In addition, in the databases of Patent Document 1 and Non-Patent Document 1, regarding treatments linked to diagnosis names, only information as a single fact such as what month, day, and type of treatment or surgery was performed can be registered. However, even with the same surgical name and the same drug at first glance, it may be performed as initial treatment or as recurrence treatment, and even if it is an anticancer drug used in initial treatment, it may be combined with surgery. (adjunctive therapy), and may be used alone (alone use). In this way, treatments include information that can be called treatment contexts (relationships between treatments), but in the databases of Patent Document 1 and Non-Patent Document 1, such treatment contexts are not structured. Particularly in recent years, multiple treatments, such as surgery, anticancer drugs, and radiation, are often combined at the same time, and there is a need to structure and preserve the relationships between these treatments. There is.

Furthermore, in the databases of Patent Document 1 and Non-Patent Document 1, the database is structured with a unidirectional flow of diagnosis, treatment, and side effects, but in actual medical care, side effects occur as a result of treatment, and those side effects occur. However, such a structure cannot be realized.

In addition, when using a database for research purposes, it is important for doctors to make judgments such as how they assigned a diagnosis and whether they performed treatment. The database only structures the medical history and practice history in electronic medical records, and although it is possible to trace back the facts that have already been performed, it is difficult to understand the process and what kind of judgment was made by the doctor. The basis cannot be saved. For this reason, simply structuring medical history and implementation history leaves the doctors' criteria for determining treatment unclear, making the database unsuitable for use for research purposes. On the other hand, unstructured decision-making grounds, such as sentences such as ``Due to the patient's wishes, we decided to perform surgical therapy in combination with anticancer drugs rather than using them alone'' are in the database. Even if it were retained, it would not be in an appropriate format for later use in research. Therefore, a mechanism is required that not only stores the basis for judgment but also stores it in a structured manner, but this cannot be done with the databases of Patent Document 1 and Non-Patent Document 1.

In view of the above problems, the present inventor invented an information processing system for appropriately managing medical information.

A first invention is an information processing system that manages medical information, and the information processing system includes a disease information processing unit that receives and stores information regarding a patient's disease, and a disease information processing unit that receives and stores information regarding treatment for the disease. and a treatment information processing unit that stores patient identification information that identifies the patient and property identification information that identifies the property of the disease that has occurred in the patient. The treatment information processing unit receives information regarding treatment for the disease divided into stages including at least two of treatment blocks, treatment generic names, treatment individual plans, and treatment implementation plans, and determines the patient's disease. This is an information processing system that stores information in association with disease identification information that identifies the disease.

By configuring as in the present invention, medical information can be appropriately related to the actual medical situation.

For example, in conventional systems as described in Patent Document 1 and Non-Patent Document 1, the information to be linked to a patient is first linked to a diagnosis name such as cancer information (malignant neoplasm). However, in actual medical practice, even if a tumor is diagnosed as benign at the clinical stage and surgery is performed, it may later be discovered that the tumor is actually malignant (cancer). Or vice versa. Additionally, when a patient undergoes surgery for a diagnosis of ovarian cancer, it may turn out to be metastasis of gastric cancer. In this way, in actual medical practice, the diagnosis of benign or malignant may change as the treatment progresses, such as before and after treatment, or the diagnosis name itself may change, but conventionally, the diagnosis name is directly linked to the patient. , information can only be registered after the diagnosis has been confirmed. Or you may need to modify the information after you have entered it. This is a burden for medical personnel and the like who perform the input, and is also undesirable when managing information in a database due to its characteristics.

However, with the configuration of the present invention, the diseases that occur in patients can be stored in association with their characteristics, so that even if the diagnosis name changes from benign to malignant or the name of the disease changes as the treatment progresses, it can be handled. This allows medical information to be managed appropriately in line with medical practice. In the case of neoplasms, it is effective to memorize the location, but for medical diseases where the location cannot be determined, it is better to memorize the symptoms and pathology.

Further, in conventional systems such as those described in Patent Document 1 and Non-Patent Document 1, there is only one storage location for medical information such as what month and day the surgery was performed, and what month and day the treatment was performed. This is no different from the information contained in electronic medical records, and it cannot be said that even the relevance of information regarding treatment is managed in a structured manner. In other words, it is not possible to know the relationship between a drug used in one treatment and a drug used in a different treatment, and it is necessary to decipher the relationship between the information input about the treatment, which is not something that can be easily determined.

However, with the configuration of the present invention, information regarding patient treatment can be managed as information divided into at least two of treatment blocks, treatment generic names, treatment individual plans, and treatment implementation plans. The relevance of information regarding treatment can be clarified, and information regarding treatment can be expressed in a variety of ways.

A second invention is an information processing system that manages medical information, the information processing system comprising: a disease information processing unit that receives information regarding a patient's disease; a medical information storage unit that stores the received information; The disease information processing unit causes the medical information storage unit to store patient identification information for identifying the patient and property identification information for identifying the property of the disease occurring in the patient in association with each other. , an information processing system.

In the above-described invention, the disease information processing unit is further configured as an information processing system, in which the patient identification information is stored in the medical information storage unit in association with disease identification information for identifying the disease. be able to.

In the above-described invention, the disease information processing unit may further be configured as an information processing system that stores information regarding the disease before and after treatment in the medical information storage unit.

As mentioned above, the disease diagnosis for a patient may change depending on the course of treatment, and the diagnosis name itself may change. Furthermore, even with the same diagnosis, the severity may change over time. However, with the structure of these inventions, the disease that a patient has developed can be stored in association with the nature of the disease, so that the diagnosis of benign or malignant can change over the course of treatment, or the name of a malignant diagnosis can be changed. It is possible to respond even when the disease name or severity changes, and it is possible to appropriately manage medical information in line with the medical field.

In the above invention, the information processing system further includes a treatment information processing unit that receives information regarding treatment for the disease, and the treatment information processing unit receives information regarding treatment for the disease from a treatment block, It is configured like an information processing system that receives information divided into stages including at least two of a treatment generic term, an individual treatment plan, and a treatment implementation plan, and stores the information in association with disease identification information that identifies the patient's disease. can do.

In the above invention, the information processing system further includes a treatment information processing unit that receives information regarding treatment of the disease, and the treatment information processing unit receives information regarding the treatment of the disease in association with the disease identification information. The medical information storage unit may be configured to store information regarding treatment blocks for treatment in the medical information storage unit.

In the above-described invention, the treatment information processing unit stores information regarding a generic treatment name for each treatment block in the medical information storage unit in association with treatment block identification information for identifying the treatment block. It can be configured as follows.

In the above-described invention, the treatment information processing unit stores information regarding the individual treatment plan for each treatment generic term in the medical information storage unit in association with treatment generic identification information that identifies the treatment. It can be configured as follows.

In the above invention, the treatment information processing unit causes the medical information storage unit to store information regarding the treatment implementation plan for each individual treatment plan in association with individual treatment plan identification information that identifies the individual treatment plan. It can be configured like an information processing system.

A tenth invention is an information processing system for managing medical information, and the information processing system includes a treatment information processing unit that receives and stores information regarding treatment for a patient's disease, and a medical treatment unit that stores the received information. and an information storage unit, wherein the treatment information processing unit divides information regarding treatment for the disease into stages including at least two of treatment blocks, treatment generic names, treatment individual plans, and treatment implementation plans. This is an information processing system that receives information and stores it in association with disease identification information that identifies the patient's disease.

As mentioned above, in the past, it cannot be said that even the relevance of information regarding treatment has been managed, but by configuring it as in these inventions, it is possible to clarify the relevance of information regarding patient treatment. It is also possible to express information regarding treatment in a variety of ways.

In the above invention, the information processing system further includes an event information processing unit that receives information regarding an event that occurred with respect to a patient, and the event information processing unit receives the patient identification information and the An information processing system in which event identification information for identifying an event occurring in a patient is stored in the medical information storage unit in association with the event, and the event includes any one or more of a side reaction, an adverse event, or a disease name related to treatment. It can be configured as follows.

In conventional systems such as those described in Patent Document 1 and Non-Patent Document 1, side reactions and adverse events related to treatment are stored in association with treatment information. However, with this method, only events considered to be side effects related to the treatment can be memorized. In addition, if vomiting occurs due to one treatment, and it is possible that vomiting may be caused by another treatment, it is necessary to enter the adverse event of ``vomiting'' from each treatment, resulting in double effort. .

However, as in the present invention, by using the concept of "event" that encompasses concepts such as adverse events and disease names, and by directly linking it to patients, it is possible to cover a wide range of "events" whose causal relationship to treatment is unclear. Can be memorized. In addition, even if patients visit other departments or medical institutions for other diseases or symptoms that are not directly related to the disease they have already memorized, it is possible to record the information on each patient's medical treatment, so that it can be linked to the patient. Can remember all events that occur.

In the above invention, the information processing system further includes an integrated information processing unit that stores at least two or more pieces of information stored in the medical information storage unit and their causal relationships or treatment objectives in association with each other. It can be configured like an information processing system.

In the above-described invention, the integrated dictionary processing unit may be configured as an information processing system that stores weighting in association with the causal relationship or treatment purpose.

In conventional systems such as those described in Patent Document 1 and Non-Patent Document 1, information is stored in the flow of diagnosis, treatment, and side effects. However, in actual medical practice, this direction is not a one-way street; not only do side effects occur as a result of treatment, but it is also very common for further treatment to be performed for the side effects; Unable to remember or manage treatment for.

However, as in the present invention, by associating and storing causal relationships and therapeutic objectives for information that has already been memorized, it is possible to link the causal relationships and therapeutic objectives of the stored information, and as a result, , information can be made interactive. Furthermore, by memorizing the weighting, it is also possible to evaluate the strength of the relationship between the cause and effect and the purpose of treatment.

In the above invention, the information processing system further includes a judgment information processing unit that receives information on a medical professional's judgment regarding treatment of the patient's disease, and the judgment information processing unit The present invention may be configured as an information processing system in which the patient identification information to be identified and the judgment information are stored in the medical information storage unit in association with each other.

Conventional systems such as those described in Patent Document 1 and Non-Patent Document 1 merely store medical history and practice history in electronic medical records in a database. In other words, it merely stores the results of medical treatment for the patient. Therefore, the criteria for determining ``why the medical personnel gave such treatment'' are not memorized.

In daily medical practice, various decisions are made before, during, and after treatment. Although what is best differs from patient to patient, medical professionals always select treatments based on what is ``best for the patient in front of them.'' For example, if treatment A and B are considered to be equivalent in terms of treatment effectiveness, but if treatment A is selected, this means that the medical professional has judged that treatment A is better than treatment B for some reason. Nothing but. The basis for this decision may be, for example, the patient's age or general condition, or the patient's social circumstances (such as whether the treatment is inpatient or outpatient, and the interval between visits for outpatient treatment). Therefore, no matter how much information without criteria for judgment by medical professionals is accumulated and statistical analysis performed, various biases, especially selection bias, cannot be removed when comparing the effects of treatments A and B.

Therefore, by providing a judgment processing section as in the present invention, it is possible to store judgment criteria for medical personnel. This makes it possible to eliminate bias caused by medical professionals' judgments and improve the accuracy of statistical analysis and searches in medical research.

In the above invention, the disease may be configured as an information processing system, which is a neoplasm.

Although the present invention can be used for various diseases, it is particularly effective when used for neoplasms.

The information processing system of the first invention can be realized by loading and executing the program of the invention into a computer. That is, an information processing program that causes a computer to function as a disease information processing section that receives and stores information regarding a patient's disease, and a treatment information processing section that receives and stores information regarding treatment for the disease, the program for processing the disease information. The unit stores patient identification information for identifying the patient and property identification information for identifying the property of the disease that has occurred in the patient, and the treatment information processing unit stores information regarding treatment for the disease. An information processing program that receives information divided into stages including at least two of a treatment block, a treatment generic name, an individual treatment plan, and a treatment implementation plan, and stores the information in association with disease identification information that identifies the patient's disease. It can be configured as follows.

The information processing system of the second invention can be realized by loading and executing the program of the invention into a computer. That is, an information processing program that causes a computer to function as a disease information processing unit that receives information regarding a patient's disease and stores it in a medical information storage unit, wherein the disease information processing unit is configured to perform patient identification for identifying the patient. It can be configured as an information processing program that stores information in the medical information storage unit in association with property identification information for identifying the property of the disease that has occurred in the patient.

The information processing system of the tenth invention can be realized by loading and executing the program of the invention into a computer. That is, an information processing program that causes a computer to function as a treatment information processing unit that receives information regarding treatment for a patient's disease and stores it in a medical information storage unit, wherein the treatment information processing unit receives information regarding treatment for the disease. Accepting information divided into stages including at least two of treatment blocks, treatment generic names, treatment individual plans, and treatment implementation plans, and storing the medical information in association with disease identification information that identifies the disease of the patient. It can be configured like an information processing program that is stored in the computer.

By using the information processing system of the present invention, medical information can be managed appropriately in accordance with the actual medical situation.

FIG. 1 is a block diagram schematically showing an example of the overall processing functions of the information processing system of the present invention. FIG. 1 is a block diagram schematically showing an example of the hardware configuration of a computer on which the information processing system of the present invention functions. FIG. 2 is a diagram schematically showing the relationship between each information storage unit in the medical information storage unit of the information processing system of the present invention. FIG. 3 is a diagram schematically showing an example of a patient information storage unit. It is a figure which shows typically an example of a disease characteristic information storage part. FIG. 3 is a diagram schematically showing an example of a disease diagnosis information storage section. It is a figure which shows typically an example of a treatment block information storage part. It is a figure which shows typically an example of a treatment generic information storage part. It is a figure which shows typically an example of a treatment individual plan information storage part. It is a figure which shows typically an example of a treatment implementation plan information storage part. FIG. 3 is a diagram schematically showing an example of an event information storage section. FIG. 3 is a diagram schematically showing an example of an integrated information storage unit. FIG. 3 is a diagram schematically showing an example of a judgment information storage section. FIG. 3 is a diagram schematically showing an example of a neoplasm site information storage unit when the disease property information storage unit is used for a neoplasm as a disease. FIG. 3 is a diagram schematically showing an example of a neoplasm diagnosis information storage unit when the disease diagnosis information storage unit is used for neoplasm as a disease. FIG. 7 is a diagram schematically showing an example of a treatment block information storage unit when the treatment block information storage unit is used for a neoplasm as a disease.

An example of the overall processing functions of the information processing system 1 of the present invention is shown in the block diagram of FIG. Further, FIG. 2 shows an example of the hardware configuration of a computer that implements the information processing system 1 of the present invention.

The information processing system 1 of the present invention is a computer (including a portable communication terminal such as a smartphone or a tablet computer) that executes the processing of the present invention.

The computer used in the information processing system 1 includes an arithmetic unit 70 such as a CPU that executes arithmetic processing of programs, a storage device 71 such as a RAM or hard disk that stores information, a display device 72 such as a display (screen), and a keyboard. It has an input device 73 such as a pointing device (mouse, numeric keypad, etc.), and a communication device 74 that transmits and receives processing results of the arithmetic device 70 and information stored in the storage device 71 via a network such as the Internet or a LAN. There is. Each function (each means) realized on the computer is executed by reading the means (program, module, etc.) for executing the process into the arithmetic unit 70. When each function uses information stored in the storage device 71 in its processing, the corresponding information is read from the storage device 71 and the read information is used in the processing in the arithmetic device 70 as appropriate. Furthermore, although the information processing system 1 in FIG. 1 is implemented by one computer, its functions may be distributed among multiple computers. Computers include various information processing devices such as servers, personal computers, and workstations. Alternatively, it may be in a so-called cloud format.

When the computer is equipped with a touch panel display, the display device 72 and the input device 73 may be integrally configured. Touch panel displays are often used, for example, in portable communication terminals such as tablet computers and smartphones, but are not limited thereto. The touch panel display is a device that integrates the functions of the display device 72 and input device 73 in that input can be performed directly on the display using a predetermined input device (such as a touch panel pen) or a finger.

The respective means in the present invention are only logically distinguished in their functions, and may physically or practically constitute the same area. Further, the processing described in the present invention is merely an example, and the processing process can be changed as appropriate.

The information processing system 1 is preferably used within a medical institution, but is not limited thereto. Further, the information processing system 1 may or may not be linked to other computer systems used within the medical institution, such as an electronic medical record system or an ordering system. Furthermore, the information processing system 1 of the present invention may be installed in another computer system used in a medical institution, such as an electronic medical record system, and may be implemented as a part of its functions.

The information processing system 1 includes a control processing section 10 and a medical information storage section 11.

The control information processing unit executes control over each piece of information stored in the medical information storage unit 11, which will be described later. For example, this applies to functions of a database management system (DBMS).

The medical information storage unit 11 stores medical information, and is, for example, a database. The medical information storage unit 11 stores information storage units (for example, tables) in association with each other in a relationship as shown in FIG. 3, for example. Each piece of information is stored in, for example, a table format, and the information in each information storage unit is associated with each other based on patient identification information indicating the patient. Details will be described later. Note that each of the information storage units in the medical information storage unit 11 may be configured as a single unit, or may be configured as a plurality of information storage units.

The highest level of information in the information storage section stored in the medical information storage section 11 is a patient information storage section T0 (patient information table) that shows patient attribute information. Patient attribute information such as date and month is associated with the patient. FIG. 4 shows an example of the patient information storage section T0. Note that information other than name, gender, and date of birth may be associated with the patient identification information.

The control processing unit 10 includes a disease information processing unit 100, a treatment information processing unit 101, an event information processing unit 102, an integrated information processing unit 103, and a judgment information processing unit 104.

The disease information processing unit 100 causes the medical information storage unit 11 to store information regarding the patient's disease.
The disease information processing unit 100 causes the medical information storage unit 11 to store information regarding a disease that has occurred in a patient, based on the characteristics of the disease. Characteristics refer to the location, symptoms, or pathology of a disease. If the site where the disease occurs can be specified, it is preferable to input the site as the property, and if the site cannot be specified (for example, "high blood pressure"), it is preferable to input the symptoms or pathology as the property, but this is not limiting. do not have. In the medical information storage section 11, the disease information processing section 100 stores disease characteristic information storage section T1 (disease characteristic information) in which patient identification information is associated with at least disease identification information for identifying neoplasms and characteristic identification information for identifying characteristics. information table). FIG. 5 shows an example of the disease characteristic information storage section T1. Disease identification information is information for identifying a disease, and may be assigned to a disease for each patient and condition, or may be assigned in common to all patients. The condition identification information is information that identifies the site or symptom where the disease occurs, and may be the name of the site, symptom, or pathological condition where the disease occurs, or it may be a code that encodes the site, symptom, or pathological condition. It may be indicated by Note that if the disease is a neoplasm, it is preferable to use the location as the property. Neoplasm is the concept of tumors that include benign and malignant tumors.

The disease information processing unit 100 also stores a disease diagnosis information storage unit T2 (disease diagnosis information table) in which disease identification information is associated with at least information on pre-treatment diagnosis and post-treatment diagnosis for the disease. FIG. 6 shows an example of the disease diagnosis information storage section T2. The disease diagnosis information storage unit T2 stores information regarding diagnosis before treatment and information regarding diagnosis after treatment for the disease in association with disease identification information. Information regarding diagnosis before treatment for a disease and information regarding diagnosis after treatment can be set arbitrarily. For example, assuming that a neoplasm is treated as a disease, as shown in the disease diagnosis information storage unit T2 in FIG. Prefix, T, N prefix, N, M prefix, M, classification method, classification version, and other information related to the diagnosis of the disease (neoplasm) are associated with each other. Histological type, grade of atypia, and grade of malignancy are neoplasm information that is examined pathologically. Information such as stage, T prefix, T, N prefix, N, M prefix, M, classification method, and classification version is the standard for classifying the advanced stages of malignant neoplasms, and is based on information from various academic societies. Since regulations and international classifications exist, information is stored using these methods. Since the classification method is subject to revision, it is desirable to include the classification version. Information regarding diagnosis is not limited to these, and can be selected as appropriate as long as it is information regarding diagnosis for a disease before and after treatment.

The treatment information processing unit 101 causes the medical information storage unit 11 to store information regarding treatment for a disease. The treatment information processing unit 101 preferably stores information regarding treatment in four stages: treatment block, treatment generic name, treatment individual plan, and treatment implementation plan. Although it is divided into four stages here, it is sufficient that there are two or more stages, and the number is not necessarily limited to four stages, such as two stages or three stages. It is also possible to appropriately combine the stages of treatment block, treatment generic name, treatment individual plan, and treatment implementation plan and treat them as one stage. For example, the individual treatment plan and treatment implementation plan can be combined into one stage, and the treatment block can be configured into three stages: treatment block, treatment generic name, and treatment plan (individual treatment plan and treatment implementation plan).

The treatment block in the treatment information processing unit 101 is information indicating the number of treatments for the disease, and is a comprehensive concept of treatment such as "initial treatment" and "recurrence treatment." A generic treatment term is information on a series of treatments performed on a patient, such as "uterine malignant tumor removal" and "paclitaxel/carboplatin therapy." Treatment names may be used, but customary generic treatment names used in each clinical department may also be used. An individual treatment plan is information that indicates what kind of treatment a generic treatment consists of. For “uterine malignant tumor removal”, “total hysterectomy, bilateral adnexectomy, pelvic lymph node dissection”, and for “paclitaxel/carboplatin therapy”, “date, first paclitaxel/carboplatin”, etc. It is information. The treatment implementation plan is information about how the individual treatment plan is specifically planned to be implemented and has been implemented. For example, information such as "date, total hysterectomy" or "date, bilateral adnexectomy".

The treatment information processing unit 101 stores medical information as treatment block information storage unit T3 (treatment block information table) by associating at least treatment block identification information for identifying a treatment block with disease identification information as information on the stage of the treatment block. The information is stored in the unit 11. Treatment blocks are information that indicates the number of treatments for the disease in question, and are preferably numbered in order starting with "initial onset" (when the disease first occurs), but if each treatment block can be identified, it can be numbered in order. There's no need to be there. In addition, different treatment block identification information is assigned to each recurrence of "recurrence" (when the disease occurs again). FIG. 7 shows an example of the treatment block information storage section T3. In the treatment block information storage unit T3 in FIG. 7, information such as treatment block identification information, treatment block name, number of recurrence treatments, treatment start date, outcome date, outcome details, etc. is stored in association with disease identification information. ing. The number of recurrent treatments is an indicator of how many times the patient has received recurrent treatment in total, and it is recommended to count the number of times from the initial treatment (in that case, it will be expressed as the number of times the patient has been treated for the disease). . Outcome refers to the completion of the treatment, and outcome details include information on whether the treatment was completed as planned or discontinued due to an adverse event.

The treatment information processing unit 101 stores a treatment generic name information storage unit T4 (treatment generic name information) in which treatment block identification information is associated with at least treatment generic identification information for identifying a treatment generic name for a disease, as information on the treatment generic stage for each treatment block. table) in the medical information storage unit 11. The treatment generic identification information may be any information that can identify the treatment generic names for the diseases in the treatment block, and is preferably numbered in order, but does not need to be arranged in order as long as each treatment generic name can be identified. An example of the treatment generic information storage section T4 is shown in FIG. In the treatment generic information storage unit T4 in FIG. 8, information such as treatment generic identification information, treatment name, treatment start date, outcome date, outcome details, etc. is stored in association with the treatment block identification information.

The treatment information processing unit 101 stores a treatment individual plan information storage unit T5 (treatment individual plan information storage unit T5) in which treatment generic name identification information is associated with at least treatment individual plan identification information for identifying the treatment individual plan, as information on the stage of the treatment individual plan for each treatment generic name. It is stored in the medical information storage unit 11 as an individual plan information table). The individual treatment plan identification information only needs to be information that can identify the individual treatment plans in the treatment generic name, and is preferably numbered in order, but does not need to be arranged in order as long as each individual treatment plan can be identified. FIG. 9 shows an example of the individual treatment plan information storage section T5. The individual treatment plan information storage unit T5 stores information such as individual treatment plan identification information, treatment name, treatment start date, and outcome details in association with treatment generic identification information.

The treatment information processing unit 101 stores a treatment implementation plan information storage unit T6 that associates at least individual treatment plan identification information with treatment implementation plan identification information for identifying the treatment implementation plan, as information on the stage of the treatment implementation plan for each individual treatment plan. (Treatment implementation plan information table) is stored in the medical information storage unit 11. The treatment implementation plan identification information may be any information that can identify the treatment implementation plans in the individual treatment plan, and is preferably numbered in order, but does not need to be arranged in order as long as each treatment implementation plan can be identified. FIG. 10 shows an example of the treatment implementation plan information storage unit T6. The treatment implementation plan information storage unit T6 stores information such as treatment implementation plan identification information, treatment name, treatment start date, and outcome details in association with individual treatment plan identification information.

The event information processing unit 102 causes the medical information storage unit 11 to store information regarding an event that has occurred with respect to a patient. An event is any situation that occurs to a patient, such as a treatment-related side reaction, adverse event, or disease name. The event information processing unit 102 causes the medical information storage unit 11 to store information regarding the event as an event information storage unit T7 (event information table) in which patient identification information is associated with at least event identification information for identifying the event. The event identification information may be any information that can identify patient events, and is preferably numbered in order, but does not need to be numbered in order as long as each event can be identified. FIG. 11 shows an example of the event information storage section T7. The event information storage unit T7 stores information such as event identification information, event occurrence date, and event name in association with patient identification information.

Furthermore, the event information storage unit T7 may be further linked to a disease name dictionary storage unit (disease name dictionary table) that stores disease names, an adverse event name dictionary storage unit (adverse event name dictionary table) that stores adverse event names, etc. good. In other words, by linking the event name stored in the event information storage unit T7 with the disease name stored in the disease name dictionary storage unit and the adverse event name stored in the adverse event name dictionary storage unit, the disease name can be determined from a single input of the event name. , it may be possible to convert it into an adverse event name, thereby avoiding the need for double input. For example, if "hypertension" is input as an event name, it can be converted to "hypertension" in the disease name dictionary storage section and "hypertension" in the adverse event name dictionary storage section. Further, when "increased blood pressure" is input as an event name, it can be converted to "hypertension" in the disease name dictionary storage section and "hypertension" in the adverse event name dictionary storage section. In other words, although the expressions of disease names and symptoms used in general clinical settings and the standardized disease names and adverse event names are often different, by first inputting the expressions used in clinical settings, it is possible to create a dictionary. can be converted into standardized disease names and standardized adverse event names linked by

The integrated information processing unit 103 causes the medical information storage unit 11 to store integrated identification information that links a plurality of information storage units (tables) stored in the medical information storage unit 11. The integrated identification information is information that identifies the information storage unit to be linked. The integrated information processing unit 103 causes the medical information storage unit 11 to store the integrated information storage unit T8 (integrated information table) in which at least the integrated identification information is associated with the patient identification information. The integrated identification information may be any information that can identify the cooperation between the information storage units, and is preferably numbered in order, but does not need to be arranged in order as long as the cooperation between the information storage units can be identified. FIG. 12 shows an example of the integrated information storage section T8. The integrated information storage unit T8 stores information such as integrated identification information, identification information of the information storage unit to be linked, information to which the identification information to be linked corresponds, relevance, weighting of relevance, etc. in association with the patient identification information. Remember information. The identification information of the information storage unit to be linked includes the identification information in each information storage unit, such as disease identification information, treatment block identification information, treatment generic identification information, treatment individual plan identification information, treatment implementation plan identification information, and event information. This includes identification information, judgment identification information to be described later, and the like. In addition, the information corresponding to the information storage unit that is the cooperation destination includes information regarding the corresponding characteristics and diagnosis before and after treatment in the case of disease identification information. In the case of treatment block identification information, information in the treatment block, such as treatment block name, number of recurrence treatments, treatment start date, outcome date, outcome details, etc., corresponds to the treatment block identification information. In the case of treatment generic identification information, information related to the treatment generic name, such as treatment name, treatment start date, outcome date, outcome details, etc. is applicable. In the case of individual treatment plan identification information, information related to the individual treatment plan, such as treatment name, treatment start date, outcome date, outcome details, etc., corresponds to the information. In the case of treatment implementation plan identification information, information related to the treatment implementation plan, such as treatment name, treatment start date, outcome date, outcome details, etc., corresponds to the treatment implementation plan identification information. In the case of event identification information, information related to the event, such as event date and event name, corresponds to the event identification information.

As shown in FIG. 12, the integrated information processing unit 103 may, for example, link two information storage units to store the causal relationships between treatments and adverse events, the purpose of the treatment, and the like. In this case, it is preferable to associate the two pieces of information with each other based on their relevance, the weighting of the relevance (the extent to which they are considered to be relevant), etc. For example, in the case of Figure 12, "numbness" and "post-surgery therapy" are associated as events, and "numbness" occurs as a result of "post-surgery therapy", and the weight of the relationship is "90%". ” indicates that there is a certain degree of Note that causes and effects may be stored in either order. The weighting may be a qualitative evaluation as well as a quantitative evaluation.

The judgment information processing unit 104 causes the medical information storage unit 11 to store information regarding judgments regarding treatments performed on patients. The judgment information processing unit 104 stores judgment information in the medical information storage unit 11 as judgment information storage unit T9 (judgment information table) in which patient identification information is associated with at least judgment identification information for identifying the judgment information. Judgment identification information may be any information that can identify judgment information such as treatment for patients by medical professionals such as doctors, and is preferably numbered in order, but it does not need to be arranged in order as long as each piece of judgment information can be identified. . FIG. 13 shows an example of the judgment information storage section T9. The judgment information storage unit T9 stores information such as judgment identification information, subject, object, reason, time, place, policy, etc. in association with patient identification information. The information regarding the judgment may be part or all of the so-called 5W1H information indicating when, where, who did what, how, why, and what.

Next, an example of a processing process using the information processing system 1 of the present invention will be described. Note that although the input to the information processing system 1 will be explained as an example in which a doctor who is a medical worker performs the input, it may also be performed by another medical worker such as a nurse or a research assistant. Furthermore, in the following description, the information processing system 1 according to the present embodiment will be described in the case where the disease is "neoplasm" (benign or malignant tumor). Therefore, for each of the above-mentioned configurations, "disease" is replaced with "neoplasia" and "property" is replaced with "site" when processing is performed.

First, patient identification information (PHR-001) that can uniquely identify the patient and its attribute information (patient name "AAA", gender "male", date of birth "January 1, 1980") are provided to the patient in advance. ), etc. are stored in the medical information storage unit 11 as the patient information storage unit T0 (FIG. 4).

Next, a process for inputting information regarding a neoplasm (disease) that has occurred in the patient will be explained.

If it is determined that the patient has a neoplasm, the doctor enters information on the site (characteristics) where the neoplasm has occurred from a predetermined input screen. When the disease information processing unit 100 receives this input, the disease information processing unit 100 assigns neoplasia identification information (Neoplasia-001) (disease identification information (Disease-001)) to the neoplasm and identifies the patient. Neoplasm identification information (Neoplasia-001) and information on the site (uterine body) as a property are stored in the neoplasm site information storage unit T10 (FIG. 14) in association with the information (PHR-001). The neoplasm site information storage section T10 in FIG. 14 is a storage section in which the disease identification information in the disease property information storage section T1 is used as neoplasm identification information, and the property is used as the site.

The doctor also inputs information regarding the diagnosis of the neoplasm before treatment from a predetermined input screen. When the disease information processing unit 100 receives this input, the disease information processing unit 100 associates it with the neoplasm identification information (Neoplasia-001) assigned to the neoplasm, and associates it with the received input pre-treatment diagnosis information ( Diagnosis name: “uterine cancer”, histological type: “endometrioid carcinoma”, atypia grade: “G1”, malignancy grade: “malignant”, time of diagnosis: “before treatment”, stage: “IA”, T prefix: “c”, T “ 1a'', N prefix ``c'', N ``0'', M prefix ``c'', M ``0'', classification method ``UICC'', classification version ``8'') in the neoplasm diagnosis information storage unit T11 (Figure 15 ). At this time, information indicating that the time of diagnosis is before treatment is also associated and stored. Note that the neoplasm diagnosis information storage section T11 in FIG. 15 is a storage section in which the disease identification information in the disease diagnosis information storage section T2 is used as neoplasm identification information.

As will be described later, when the neoplasm has been treated, the doctor again inputs information regarding the post-treatment diagnosis of the neoplasm from a predetermined input screen. When the disease information processing unit 100 receives this input, the disease information processing unit 100 associates it with the neoplasm identification information (Neoplasia-001) assigned to the neoplasm, and associates it with the information regarding the diagnosis after the received treatment ( Diagnosis name: “uterine body cancer”, histological type: “endometrioid carcinoma”, atypia grade: “G1”, malignancy grade: “malignant”, diagnosis time: “after treatment”, stage: “IA”, T prefix: “p”, T “ 1a'', N prefix ``p'', N ``0'', M prefix ``p'', M ``0'', classification method ``UICC'', classification version ``8'') in the neoplasm information and diagnosis storage unit T11 (Fig. 15) and store it. At this time, information indicating that the diagnosis time is after treatment is also associated and stored.

By performing the above-described processing, it is possible to input information regarding a neoplasm that has occurred in a patient.

Next, a description will be given of a process for inputting information when a patient is treated. In the following explanation, the patient has a malignant neoplasm that has developed in the uterine body, and the patient is treated with a total hysterectomy and bilateral salpingo-oophorectomy as initial treatment for the uterine malignant tumor. Explain what would happen if you did.

A doctor who performs treatment for a neoplasm inputs information on the treatment block stage, treatment generic stage, treatment individual planning stage, and treatment implementation planning stage from a predetermined input screen, and when the input is received by the treatment information processing unit 101, The information for each stage is stored in the treatment block information storage unit T12 (Fig. 16), treatment generic information storage unit T4 (Fig. 8), treatment individual plan information storage unit T5 (Fig. 9), and treatment implementation plan information storage unit T6 (Fig. 10). The treatment block information storage unit T12 in FIG. 16 is a storage unit in which the disease identification information (Disease-001) in the treatment block information storage unit T3 in FIG. 7 is changed to neoplasia identification information (Neoplasia-001).

First, when inputting information on the treatment block stage for a neoplasm, the doctor inputs information such as the treatment block name, number of recurrence treatments, and treatment start date from a predetermined input screen. The treatment block has information of "initial treatment" and the number of recurrent treatments is "0". When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 assigns treatment block identification information (Block-001) to the treatment block and associates it with the neoplasia identification information (Neoplasia-001). Then, the treatment block identification information (Block-001) and the received information (treatment block name "first onset", number of recurrence treatments "0", treatment start date "June 1, 2000") are stored in the treatment block information. When each stage of the treatment generic name, treatment individual plan, and treatment implementation plan described later is completed and the treatment block is finally completed, the doctor stores the treatment block identification information ( Block-001), the posting date (January 1, 2001) and outcome details (finished as planned) are entered, and when the treatment information processing unit 101 accepts the input, the treatment for the neoplasm identification information is performed. The input information is stored in the treatment block information storage unit T3 in association with the block identification information (Block-001).

If recurrence, etc. occurs for the same neoplasm, the doctor selects the neoplasm (Neoplasia-001) from the specified input screen and provides information such as treatment block name, number of recurrence treatments, and treatment start date. Enter. When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 allocates new treatment block identification information (Block-002) to the neoplasm identification information, and ), the treatment block identification information (Block-002) and the information that was accepted (treatment block name "Recurrence", number of recurrence treatments "1", treatment start part "January 1, 2002)" It is stored in the treatment block information storage section T3.

When entering information on the treatment generic stage in a treatment block, the doctor enters information such as treatment name, treatment start date, considerations before starting treatment, and final treatment transcription from a designated input screen. . When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 assigns treatment generic identification information (Therapy-001) to the treatment generic stage in the treatment block, and assigns the treatment block identification information (Block-001) to the treatment generic stage in the treatment block. ), the treatment generic identification information (Therapy-001) and the input information (treatment name "uterine malignant tumor surgery", treatment start date "June 1, 2000") are stored in the treatment generic name information memory. It is stored in section T4. In addition, when each stage of the individual treatment plan and treatment implementation plan described below is completed and the treatment is finally completed, the doctor will be able to record the outcome date (June 2000) in association with the treatment generic identification information. 1 day), the outcome details (finished as planned) are input, and when the treatment information processing unit 101 receives the input, the input is associated with the treatment generic identification information (Theapy-001) of the neoplasm identification information. The received information (posting date "June 1, 2000", outcome content "finished as scheduled") is stored in the treatment generic information storage unit T4.

In addition, when performing a new treatment (general term for treatment) at the treatment block stage, the doctor selects the treatment block (Block-001) from the specified input screen and enters information such as treatment name and treatment start date. I do. When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 assigns treatment generic identification information (Therapy-002) to the new treatment in the treatment block (Block-001), and identifies the treatment block In association with the information (Block-002), the treatment generic identification information (Therapy-002) and the input information (treatment name "post-operative therapy", treatment start date "July 1, 2000") is stored in the treatment generic information storage unit T4.

When inputting information on the individual treatment plan in the treatment generic stage, the doctor inputs information such as the specific treatment name and treatment start date from a predetermined input screen. When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 assigns individual treatment plan identification information (Plan-001) to the individual treatment plan at the relevant treatment stage, and assigns the treatment generic name (Therapy-001). The individual treatment plan identification information (Plan-001) and the input information (treatment name "total hysterectomy + bilateral salpingo-oophorectomy", treatment start date "June 1, 2000") are It is stored in the treatment individual plan information storage section T5. In addition, when the treatment implementation planning stage described below is completed and the individual treatment plan is finally completed, the doctor should input the outcome date and outcome details in association with the individual treatment plan identification information. When the treatment information processing unit 101 receives the input, the input information (outcome content “completed as planned”) is stored in the individual treatment plan information storage unit T5 in association with the individual treatment plan identification information (Plan-001). to be memorized. In this embodiment, "total hysterectomy + bilateral salpingo-oophorectomy" is stored as an individual treatment plan, as described above, in association with "uterine malignant tumor surgery" as a general treatment term. Additionally, additional information about the surgeon, such as the amount of blood lost during the surgery, can be entered.

In addition, when inputting information on a new individual treatment plan at the treatment generic stage, the doctor selects the treatment generic identification information (Therapy-001) from the specified input screen and enters the new specific treatment plan information. Enter information such as treatment name and treatment start date. When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 assigns new individual treatment plan identification information to the new individual treatment plan at the relevant treatment stage, associates it with the treatment generic identification information, The individual treatment plan identification information and the input information are stored in the individual treatment plan information storage section T5.

When inputting information on a treatment implementation plan at the individual treatment planning stage, the doctor inputs information such as the specific treatment name and treatment start date in the individual treatment plan from a predetermined input screen. When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 assigns treatment implementation plan identification information (Implementation-001) to the treatment implementation plan at the relevant treatment individual plan stage, and (Plan-001), and the treatment implementation plan identification information (Implementation-001) and the information that was input (treatment name "total hysterectomy", treatment start date "June 1, 2000"). It is stored in the treatment implementation plan information storage unit T6. When the stage of this treatment implementation plan is completed, the doctor inputs the outcome contents in association with the treatment implementation plan identification information, and when the treatment information processing unit 101 receives the input, the doctor starts the treatment implementation. The input information (outcome content "completed as planned") is stored in the treatment implementation plan information storage unit T6 in association with the plan identification information (Implementation-001). As mentioned above, in this example, each treatment implementation plan of "total hysterectomy" and "bilateral salpingo-oophorectomy" is linked to "total hysterectomy + bilateral salpingo-oophorectomy" as an individual treatment plan. It will be stored. At this stage, by linking the names of standardized surgical procedures in various treatment implementation plans, it is possible to store a list of various surgical procedures that have different notations depending on each academic society and classification in Japan. In other words, for the treatment plan name "total hysterectomy," the Japanese Society of Obstetrics and Gynecology uses various expressions such as simple total hysterectomy (intrafascial), simple total hysterectomy (extrafascial), and total hysterectomy. There are various expressions, and in the National Clinical Database (NCD) registration, there are many expressions that are not unified, such as total hysterectomy (laparotomy) and total hysterectomy (vaginal method), but it is possible to manage them so that they are linked as a whole. It is.

In addition, when entering information on a new treatment implementation plan at the individual treatment planning stage, the doctor selects the individual treatment plan identification information (Plan-001) from the specified input screen and enters the new specific treatment plan. Enter information such as treatment name and treatment start date. When the treatment information processing unit 101 receives this input, the treatment information processing unit 101 assigns new treatment implementation plan identification information (Implementation-002) to the new treatment implementation plan at the individual treatment planning stage, and In association with the plan identification information (Plan-001), the treatment implementation plan identification information (Implementation-002) and the input information (treatment name "bilateral salpingo-oophorectomy", treatment start date "June 1, 2000") ”) is stored in the treatment implementation plan information storage unit T6.

By performing the above-described processing by the treatment information processing unit 101, it is possible to input and manage information divided into four stages: treatment block, treatment generic name, treatment individual plan, and treatment implementation plan.

Next, a process for inputting information about events that have occurred with respect to a patient will be explained. In the following explanation, a case will be described in which numbness (event) that occurs as a result of post-operative therapy for a neoplasm is input to a patient.

A doctor who examines a patient for numbness selects the patient from a prescribed input screen, and information about the event (numbness) that occurred for that patient and the date of its occurrence (November 1, 2000) When the input is received by the event information processing unit 102, the event processing unit assigns event identification information (Occurrence-001) to the event and corresponds to the patient identification information (PHR-001) of the patient. Then, information on event identification information (Occurrence-001), event occurrence date (November 1, 2000), and event name (numbness) is stored in the event information storage unit T7 (FIG. 11).

Furthermore, when inputting information that associates causal relationships between events that have occurred with respect to a patient, the doctor first selects the patient from a predetermined input screen. The integrated information processing unit 103 that has received the selection of patient information extracts each piece of information stored in the medical information storage unit 11 that is associated with the patient's identification information (PHR-001). Then, the doctor inputs at least two pieces of information for inputting the causal relationship, for example, the event (numbness) of the event identification information (Occurrence-001) stored in the event information storage unit T7, and the event (numbness) stored in the treatment block information storage units T3 and T12. Select the treatment name (post-surgery therapy) in the treatment generic identification information (Therapy-002), and input information indicating its relevance and the weighting of the relevance. This input is accepted by the integrated information processing unit 103. The integrated information processing unit 103 that has received the input allocates the integrated identification information (Unity-001), associates it with the patient identification information (PHR-001), and stores the integrated identification information (Unity-001) and the identification information of the associated information. (Occurrence-001, Therapy-002), corresponding information (numbness, post-surgery therapy), information indicating relevance (results), and information on relevance weighting (90%) are stored in an integrated information memory. The data is stored in section T8 (FIG. 12). In the information processing system 1 of the present invention, various types of information are segmented and stored, thereby producing the effect of defining more detailed relationships. For example, in the past, it was not possible to stipulate that the complication of ``bladder injury'' occurred during ``uterine malignant tumor surgery,'' whereas in ``uterine malignant tumor surgery,'' ``total hysterectomy + bilateral appendices'' was not specified. It will be possible to store information that bladder injury occurred during the process of "insurgical excision."

Next, when the doctor inputs the information about the judgment he made for the patient, he selects the patient from the prescribed input screen, and also the judgment information (object ``lymph node dissection'', reason ``Lymph node dissection'', reason ``Lymph node dissection'', When the judgment information processing unit 104 receives the input information such as “old age” and policy “omitted”), the judgment information processing unit 104 assigns judgment identification information (Consideration-001) to the judgment, In association with the patient identification information (PHR-001) of the patient, the judgment identification information (Consideration-001) and judgment information (object "lymph node dissection", reason "old age", policy "omitted") are It is stored in the judgment information storage section T9 (FIG. 13). Although the object, reason, and policy are input here, it is preferable to input information on when, who, where, what, why, and how (5W1H) as judgment information.

By performing the above-described processing and storing each piece of information in the medical information storage unit 11, medical information can be appropriately managed.

The information processing system 1 of Embodiment 1 has a particularly large effect when a neoplasm occurs in a certain part of the patient, so this was explained as an example. However, as explained at the beginning, it is not limited to neoplasms, It can be applied to general medical diseases in general.

Note that the above-described embodiment is an example, and processes can be added, changed, deleted, etc. as appropriate within the scope of the technical idea of the present invention.

By using the information processing system 1 of the present invention, medical information can be managed appropriately in accordance with the actual medical situation.

1: Information processing system 10: Control processing section 11: Medical information storage section 70: Arithmetic device 71: Storage device 72: Display device 73: Input device 74: Communication device 100: Disease information processing section 101: Treatment information processing section 102: Event information processing section 103: Integrated information processing section 104: Judgment information processing section T0: Patient information storage section T1: Disease characteristic information storage section T2: Disease diagnosis information storage section T3: Treatment block information storage section T4: Treatment generic information storage section T5: Treatment individual plan information storage unit T6: Treatment implementation plan information storage unit T7: Event information storage unit T8: Integrated information storage unit T9: Judgment information storage unit T10: Neoplasm site information storage unit T11: Neoplasm diagnosis information storage unit T12: Treatment block information storage unit

Claims (18)

An information processing system that manages medical information,
The information processing system includes:
a disease information processing unit that receives and stores information regarding a patient's disease;
a treatment information processing unit that receives and stores information regarding treatment of the disease;
The disease information processing unit includes:
storing patient identification information for identifying the patient and property identification information for identifying the property of the disease occurring in the patient;
The treatment information processing unit includes:
Receive information on treatment for the disease divided into stages including at least two of treatment blocks, generic treatment names, individual treatment plans, and treatment implementation plans, and match the information with disease identification information that identifies the patient's disease. memorize it,
An information processing system characterized by: An information processing system that manages medical information,
The information processing system includes:
a disease information processing unit that receives information regarding a patient's disease;
and a medical information storage unit that stores the received information,
The disease information processing unit includes:
storing in the medical information storage unit patient identification information that identifies the patient and property identification information that identifies the property of the disease that has occurred in the patient;
An information processing system characterized by: The disease information processing unit further includes:
causing disease identification information for identifying the disease to be associated with the patient identification information and stored in the medical information storage unit;
The information processing system according to claim 2, characterized in that: The disease information processing unit further includes:
storing information regarding the disease before and after treatment in the medical information storage unit;
The information processing system according to claim 3, characterized in that: The information processing system further includes:
a treatment information processing unit that receives information regarding treatment of the disease;
The treatment information processing unit includes:
Receive information on treatment for the disease divided into stages including at least two of treatment blocks, generic treatment names, individual treatment plans, and treatment implementation plans, and match the information with disease identification information that identifies the patient's disease. memorize it,
The information processing system according to claim 3, characterized in that: The information processing system further includes:
a treatment information processing unit that receives information regarding treatment of the disease;
The treatment information processing unit includes:
storing information regarding a treatment block for treatment of the disease in the medical information storage unit in association with the disease identification information;
The information processing system according to claim 3, characterized in that: The treatment information processing unit includes:
storing information regarding a generic treatment name for each treatment block in the medical information storage unit in association with treatment block identification information for identifying the treatment block;
7. The information processing system according to claim 6. The treatment information processing unit includes:
storing information regarding the individual treatment plan for each treatment generic term in the medical information storage unit in association with treatment generic identification information that identifies the treatment;
The information processing system according to claim 7, characterized in that: The treatment information processing unit includes:
storing information regarding a treatment implementation plan for each individual treatment plan in the medical information storage unit in association with individual treatment plan identification information that identifies the individual treatment plan;
9. The information processing system according to claim 8. An information processing system that manages medical information,
The information processing system includes:
a treatment information processing unit that receives and stores information regarding treatment for a patient's disease;
and a medical information storage unit that stores the received information,
The treatment information processing unit includes:
Receive information on treatment for the disease divided into stages including at least two of treatment blocks, generic treatment names, individual treatment plans, and treatment implementation plans, and match the information with disease identification information that identifies the patient's disease. memorize it,
An information processing system characterized by: The information processing system further includes:
It has an event information processing unit that receives information regarding events that have occurred with respect to patients.
The event information processing unit includes:
storing patient identification information and event identification information for identifying an event that occurred in the patient in the medical information storage unit;
The said event is
including any one or more of treatment-related side effects, adverse events, and disease names;
The information processing system according to claim 1, claim 2, claim 5, or claim 10. The information processing system further includes:
an integrated information processing unit that associates and stores at least two or more of the information stored in the medical information storage unit and their causal relationship or treatment purpose;
The information processing system according to claim 1, claim 2, claim 5, or claim 10. The integrated dictionary processing unit includes:
storing the weighting in association with the causal relationship or therapeutic purpose;
13. The information processing system according to claim 12. The information processing system further includes:
a judgment information processing unit that receives information on a medical worker's judgment regarding treatment of the patient's disease;
The judgment information processing unit includes:
storing patient identification information for identifying the patient and information on the judgment in the medical information storage unit in association with each other;
The information processing system according to claim 1, claim 2, claim 5, or claim 10. said disease is a neoplasm;
The information processing system according to claim 1, claim 2, claim 5, or claim 10. computer,
a disease information processing unit that receives and stores information regarding a patient's disease;
An information processing program that functions as a treatment information processing unit that receives and stores information regarding treatment of the disease,
The disease information processing unit includes:
storing patient identification information for identifying the patient and property identification information for identifying the property of the disease occurring in the patient;
The treatment information processing unit includes:
Receive information on treatment for the disease divided into stages including at least two of treatment blocks, generic treatment names, individual treatment plans, and treatment implementation plans, and match the information with disease identification information that identifies the patient's disease. memorize it,
An information processing program characterized by: computer,
a disease information processing unit that receives information regarding a patient's disease and stores it in a medical information storage unit;
An information processing program that functions as
The disease information processing unit includes:
storing in the medical information storage unit patient identification information that identifies the patient and property identification information that identifies the property of the disease that has occurred in the patient;
An information processing program characterized by: computer,
a treatment information processing unit that receives information regarding treatment for a patient's disease and stores it in a medical information storage unit;
An information processing program that functions as
The treatment information processing unit includes:
Receive information on treatment for the disease divided into stages including at least two of treatment blocks, generic treatment names, individual treatment plans, and treatment implementation plans, and match the information with disease identification information that identifies the patient's disease. and storing it in the medical information storage unit,
An information processing program characterized by: