JP5072606B2 - Patient management information display device and method for displaying patient management information - Google Patents

Description

  BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a display device for receiving management information and a display method for receiving management information for displaying the contents of guidance for the results of a medical checkup received by a medical checkup in order to provide health support support for the medical checkup.

  Currently, in each health checkup, determination information is obtained that the test result of the person who has received the checkup exceeds the risk value and is close to the risk value. Health guidance based on this determination information is regularly performed every time.

  In this health guidance, the health guidance is simply performed based on the determination information obtained from the examination result of the examinee, and therefore, the same guidance content is provided when the examination result of the examinee is the same at each medical examination. In this case, since the same instruction is continued every time, it is necessary to improve the instruction, narrow down the instruction content, and to search for another instruction method.

  In 2008, medical checkups and health guidance will be required for insurers. Furthermore, in a few years, depending on the degree of achievement of the reduction target of the reserve diabetics, it is planned to increase or decrease the support money for the late elderly medical system for insurers.

  The following proposals have been made to improve the guidance method and increase the effect of health guidance so as to increase the degree of achievement of the reduction target and increase the support money for the insurer.

  Conventionally, medical data related to individual patients is stored, and when past medical data is displayed in the input frame of the input screen, the input frame displaying the past medical data and the background of the input frame are displayed in a special color. The technique which performs is proposed (for example, patent document 1 and patent document 2).

  In addition, it has an input means for inputting patient identification information and user identification information, extracts electronic medical record organization information from the input user identification information, and stores patient information associated with the input patient identification information. A technique for creating electronic medical record information as patient information corresponding to electronic medical record organization information and displaying the created electronic medical record information on a display means has been proposed (for example, Patent Document 3).

  Furthermore, a technique has been proposed in which an input of a patient identifier is received via a client device, and health check result data and attribute data for the patient are acquired from each database and output (for example, Patent Document 4).

JP 2001-160110 A JP 2001-160112 A JP 2005-250713 A JP 2007-47979 A

  However, with the techniques described in Patent Document 1 and Patent Document 2, the input frame of the input screen and the background of the input frame are simply displayed in a special color, and the same medical data as past medical data is input. There is a problem that it is not a suggestion to the instructor to do so, and is not a sufficient technique for prompting a change in the instruction content.

  Moreover, in the technique described in the above-mentioned Patent Document 3, in the health guidance for the examinee, since it is necessary to perform a number of examinees in a short time by handing them by a plurality of instructors, The same leader does not always give guidance at every visit. When the test result of the examinee is the same, the examiner may receive the same instruction content from different instructors, and the same instruction is continued every time, which does not lead to improvement of the instruction.

  Furthermore, in the technique described in Patent Document 4, for example, an industrial physician can quickly obtain medical checkup result data and attribute data for a medical examiner from each database without having to interview the medical examiner. However, if the occupational physician obtains the same medical examination result data for each medical examination, the patient may receive the same instruction content, and the same instruction is continued every time. There was a problem that it did not lead to improvement.

  The present invention solves the above problem, and by displaying a warning image, the instructor is informed that the instruction contents scheduled to be instructed to the examinee are the same as the past instruction contents. It is an object of the present invention to provide a display device for receiving management information and a display method for displaying management information that can be surely suggested.

In order to solve the above-mentioned problem, the invention according to claim 1 is predetermined based on a display unit, a guidance history storage unit for storing past guidance contents instructed to the examinee, and a test result of the current medical examination. A plurality of instruction contents, at least a plurality of upper instruction contents and a plurality of lower instruction contents associated with each other and stored , an operation part, and a designation by the operation part, and a respective selectively inputting possible input screen instruction content and instruction content of said plurality of subordinate higher, and an input unit for inputting the instruction content that will instruct the testee on the basis of the test results, the A guidance content determination unit that determines whether or not the same guidance content as the scheduled guidance content is included in the past guidance content, and the input screen on which a plurality of higher-level guidance contents are arranged can be selected as the display unit Display and specify the operation unit Ri when instruction content of the upper is selected, the input screen which includes instruction content of the subordinate associated with the instruction content of the higher said selected is displayed on the display unit, and have a warning information And receiving the determination of the instruction content determination unit that the same instruction content as the scheduled instruction content is included in the past instruction content, and a display control unit for displaying the warning information on the display unit, It is a display device for medical care management information characterized by having.

  The invention according to claim 5 relates to a step of storing past instruction contents instructed by the examinee in the instruction history storage unit, and similar instruction contents similar to the past instruction contents to the past instruction contents. A step of storing the instruction contents in the instruction content storage unit, a step of inputting instruction contents to be instructed to the examinee based on the examination result of the current medical examination, and the instruction contents of the schedule are the past instruction contents. The instruction content determining unit determines whether or not the instruction content is the same as the above, and the instruction content determining unit determines that the scheduled instruction content is the same as the past instruction content, and the display control unit receives warning information. Is displayed on the display unit, the step of selecting whether or not to store the scheduled instruction content in the instruction history storage unit, and the instruction content determination unit when the scheduled instruction content is different from the past instruction content Judgment A step in which the guidance content determination unit determines whether the similar guidance content related to the past guidance content and the scheduled guidance content are the same as the similar guidance content; and the scheduled guidance content In response to the instruction content determination unit determining that the instruction content is the same as the similar instruction content, the display control unit displays warning information on the display unit, and the scheduled instruction content is stored in the instruction history storage unit. And a step of selecting whether or not to store the information.

  According to the invention according to claim 1, when the guidance content determination unit determines that the same guidance content as the guidance content to be instructed to the examinee is in the past guidance content, the warning information is displayed on the display unit. . Thereby, it is possible to reliably suggest, for example, to the leader that the scheduled guidance content is the same as the past guidance content.

  Moreover, according to the invention which concerns on Claim 5, when the guidance content determination part determines that the guidance content to be instructed to the examinee is the same as the past guidance content, in the current medical examination, the past guidance The same instruction content as the contents can be stored in the instruction history storage unit, and the examinee can be instructed intentionally with the same instruction contents.

[First Embodiment]
(Constitution)
A configuration of the display device for the patient management information according to the first embodiment of the present invention will be described with reference to FIG. FIG. 1 is a block diagram illustrating a configuration of a display device for the patient management information.

  A computer 10 serving as an operation terminal and a management computer 20 are respectively connected to a local area network (LAN) provided in a medical insurance business office or a business office acting as a medical insurance business. ing. The management computer 20 is a server that manages the database 30.

  The computer 10 includes a display control unit 11, a storage unit 12, an input unit 13, and a display unit 14. The management computer 20 includes a data operation unit 40 that acquires, deletes, updates, and registers data in the database 30, a storage unit 50 that stores data, and a calculation unit 60 that performs data calculation processing. ing. The calculation unit 60 includes an inspection result determination unit 61 and a guidance content determination unit 62.

  The database 30 includes a group data storage unit 31, a personal data storage unit 32, a consultation number storage unit 33, a medical examination data storage unit 34, and a determination criterion storage unit that stores determination criteria for each examination item in the medical examination. 35, an instruction content storage unit 36 for storing a plurality of predetermined instruction contents based on examination results, and an instruction history for memorizing past instruction contents instructed to examinees based on examination results of previous medical examinations The storage unit 37 is included.

  The data operation unit 40 includes an acquisition unit 41, a deletion unit 42 that deletes data in the database 30, an update unit 43 that updates data, and a registration unit 44.

  The following three stages are required in order to input the instruction contents scheduled to be instructed to the examinee. In the first stage, the medical insurance business operator registers the medical examinee who receives the medical examination, the organization to which the medical examinee belongs, the medical examination number of the medical examinee, the test result of the medical examinee, and the like. In the second stage, the inspection result and the determination information of the inspection result are displayed, and the start of guidance is input. In the third stage, input the guidance contents that are scheduled to be taught to the examinee.

  The first stage will be described with reference to FIGS. The first stage further comprises seven stages from stage 1-A to stage 1-G.

  In the 1-A stage, when the examinee belongs to an organization and the organization makes a contract with a medical examination facility (a medical examination center, a hospital, etc.), the medical examination facility assigns an organization number to the organization. The registration unit 44 of the data operation unit 40 registers group information such as a group name, address, and telephone number in the group data storage unit 31 of the database 30 for each group number. A table showing the relationship between the organization number and the organization information is shown in FIG. Even when the examinee does not belong to an organization, the registration unit 44 registers the examinee as an organization.

  In the 1-B stage, the registration unit 44 registers the personal information of the examinee in the personal data storage unit 32 of the database 30. A personal number is given to the examinee, and personal information such as name, gender and age is registered for each personal number. FIG. 3 shows a table representing the relationship between personal numbers and personal information.

  In the 1-C stage, the registration unit 44 registers the consultation information of the examinee in the consultation number storage unit 33 of the database 30. A medical examination number is given to the medical examinee, and medical examination information such as name, gender, age, medical examination date, and course is registered for each medical examination number. A table showing the relationship between the consultation number and the consultation information is shown in FIG.

  In the 1-D stage, the registration unit 44 registers the examination result for each examination item in the medical examination data storage unit 34 of the database 30. For each visit number, the name, checkup date, height, weight, waist circumference, and blood pressure are registered. A table showing the relationship between the consultation number and the test result is shown in FIG.

  In the 1-E stage, the registration unit 44 registers the determination criterion of the inspection result of each inspection item in the determination criterion storage unit 35 of the database 30. For each judgment number, a judgment criterion is registered. FIG. 6 shows a table representing the relationship between the determination number and the determination criterion. FIG. 6 shows a determination criterion for metabolic syndrome, which is an example of a determination criterion. FIG. 7 is a diagram illustrating an example in which inspection items are listed for each inspection classification.

  In the 1st-F stage, the registration unit 44 registers the instruction content based on the determination information in the instruction content storage unit 36 of the database 30. The registration unit 44 registers instruction content for each determination information.

  In the 1st-G stage, instruction 1, instruction 2,..., Which are past instruction contents, are registered in the instruction history storage unit 37 of the database 30. Register past instruction contents for each reception number. FIG. 6 shows a table showing the relationship between past instruction contents and consultation numbers. FIG. 6 shows that the guidance history storage unit 37 records past guidance contents in the fields “Guidance 1”, “Guidance 2”,... For each medical examination date. The medical examination data storage unit 34 and the instruction history storage unit 37 are the same table, but may be different tables.

  Next, the second stage will be described with reference to FIG. FIG. 8 is a diagram illustrating a screen 133 on which inspection results and determination information on the inspection results are arranged. The second stage further comprises three stages from the 2-A stage to the 2-C stage.

  In the 2-A stage, the input unit 13 inputs the consultation number of the examinee. In response to the input of the consultation number of the examinee, the computer 10 sends the consultation number of the examinee to the management computer 20.

  In the 2-B stage, the acquisition unit 41 acquires the examination result of the examinee from the medical examination data storage unit 34 based on the consultation number of the examinee. The acquisition unit 41 acquires a determination criterion from the determination criterion storage unit 35. The management computer 20 stores the examination results and determination criteria of the examinee in the acquired data storage unit 51.

  The inspection result determination unit 61 determines the inspection result of each inspection item based on the determination condition. For example, the inspection result determination unit 61 determines that a metabolic syndrome occurs when the inspection result of the inspection item corresponds to the conditions 1 and 2 of the metabolic syndrome. The management computer 20 sends the inspection result of each inspection item and the determination information of the inspection result to the computer 10.

  In the 2-C stage, the display control unit 11 causes the display unit 14 to display the inspection result of each inspection item and the determination information of the inspection result. For example, the display control unit 11 displays the examination results of the examination items of “visit number”, “name”, “health checkup”, “height”, “weight”, “abdominal circumference”, “blood pressure”, and “metabolic syndrome”. ”Is displayed on the display unit 14. A guidance input button 134 is arranged on the screen 133.

  In FIG. 8, the examination result “89.3” of “abdominal circumference” which is one of the examination items of the current medical examination is displayed, and the determination information “metabolic syndrome” of the examination result is displayed.

  Next, the determination of the inspection item performed by the inspection result determination unit 61 will be further described with reference to FIGS. For example, when determining whether the condition shown in the determination number 2 in FIG. 6 is satisfied for the patient having the diagnosis number 15 in FIG. 5, the test result determination unit 61 determines that the condition ““ male ”and“ abdominal circumference 85 cm ”is satisfied. With respect to “above”, the name of the gender in FIG. 4 is searched using the name as a search key to determine that it is “male” and that the abdominal girth in FIG. 5 is “85 cm” or more.

  Further, the test result determination unit 61 sets the blood pressure (High) item of FIG. 5 to “130 or more” for the condition ““ maximum (systolic) blood pressure 130 mmHg or more ”or“ minimum (diastolic) blood pressure 85 mmHg or more ”. Or whether the term of blood pressure (Low) is “85 or more”. In this example, the conditions 1 and conditions of the metabolic syndrome are satisfied. The inspection result determination unit 61 determines that the inspection result is metabolic syndrome. The management computer 20 stores the inspection information determination information in the determination information storage unit 52.

  Next, the third stage will be described with reference to FIG. FIG. 9 is a diagram showing the input screen 131 before inputting the scheduled input content. The third stage further comprises three stages from the 3-A stage to the 3-C stage.

  In the 3-A stage, the instruction start button 134 on the screen 133 is used to input instruction start. In response to the instruction start input, the computer 10 sends the determination information of the inspection result to the management computer 20.

  In the third 3-B stage, the acquisition unit 41 acquires the instruction content from the instruction content storage unit 36 based on the determination information of the examination result. The management computer 20 provides guidance. Send to computer 10. The instruction content may be acquired together with the inspection result and the inspection result in the stage 2-B and sent to the computer 10.

  In the 3-C stage, the display control unit 11 causes the display unit 14 to display an input screen on which instruction content can be selectively input. For example, the display control unit 11 causes the display unit 14 to display the input screen 131 illustrated in FIG. On the input screen 131 shown in FIG. 9, a plurality of scheduled instruction contents based on the determination information are arranged to be selectively input.

  The input screen 131 shown in FIG. 9 will be further described. In the table of FIG. 5, “abdominal circumference” and “blood pressure (High)” as seen by the examinee with the examination number 1 are registered, so the display control unit 11 is shown in FIG. 9 in which the items are arranged. An input screen 131 is displayed.

  The instructor inputs instruction contents for each inspection item whose determination result information is “abnormal”. The guidance content determination unit 62 can search in FIG. 5 whether the same guidance as the past is selected after the guidance is input. In the example of FIG. 5, the guidance content determination unit 62 provides the same guidance as “meal guidance (dinner time)” as in the guidance 1 when the examinee with the consultation number 15 has received a consultation number 10 in the past. I understand that I am receiving it.

  As can be seen from the above description from the first stage to the third stage, the management computer 20 executes a series of processing procedures based on various types of information such as a consultation number and determination information sent from the computer 10. This processing procedure is compiled into a program and stored in, for example, the ROM of the management computer 20. The program executes a process in the management computer 20 by transmitting a calling command from the computer 10.

  Through the first stage to the third stage, it is possible to input the guidance contents scheduled to be taught to the examinee.

  In this embodiment, the receiver management information display device 1 includes an input unit 13 for inputting instruction contents scheduled to be instructed to the examinee based on the examination result of the current medical examination, a display unit 14 that is a monitor, A guidance history storage unit 37 for storing past guidance content, a guidance content determination unit 62 for determining whether or not the same guidance content as the guidance content scheduled to be taught to the examinee is present in the past guidance content, and a schedule The display control unit 11 displays the warning information on the display unit 14 in response to the determination by the guidance content determination unit 62 that there is the same guidance content.

  The input unit 13 includes an operation unit 132 and an input screen 131 on which a plurality of instruction contents can be selectively input by an instruction from the operation unit 132. The operation unit 132 is an input device such as a keyboard or a mouse. A plurality of instruction contents are arranged in each predetermined area of the input screen 131.

  The input unit 13 selects a predetermined instruction content arranged in the predetermined region by designating the predetermined region on the input screen 131 by the operation unit 132. The display control unit 11 displays the input screen 131 on the display unit 14. The display control unit 11 includes an internal storage device such as a CPU and a RAM and an external storage device such as an HDD.

  A case where instruction contents scheduled to be instructed to the examinee are input will be described with reference to FIGS. 9 and 10. FIG. 10 is a diagram illustrating the input screen 131 after the scheduled instruction content 100 is input. 9 and 10, the cursor is indicated by an arrow.

  The input unit 13 moves the cursor to the predetermined area where the planned instruction content 100 is arranged using the mouse as the operation unit 132 and clicks the mouse, thereby the planned instruction content 100 arranged in the predetermined area is displayed. select.

  In response to the input of the scheduled instruction content 100 by the input unit 13, the computer 10 sends the scheduled instruction content 100 to the management computer 20. The management computer 20 stores the scheduled instruction content 100 in the acquired data storage unit 51 of the storage unit 50. The acquisition unit 41 of the data operation unit 40 acquires past instruction contents from the instruction history storage unit 37. The management computer 20 stores past instruction contents in the acquired data storage unit 51. The guidance content determination unit 62 determines whether or not the scheduled guidance content 100 is the same as the past guidance content.

  Here, that the scheduled instruction content 100 and the past instruction content are the same means that the meaning of the instruction content is the same. For example, when the instruction content is a character string, the keywords included in the character string are the same, or the keywords are in a similar relationship.

  The management computer 20 sends the determination result of the instruction content determination unit 62 to the computer 10. The display control unit 11 displays the warning information 135 on the display unit 14 based on the determination result. The storage unit 12 stores warning information 135. FIG. 10 shows a state in which the display control unit 11 has arranged the warning information 135 on the input screen 131.

  The display control unit 11 causes the display unit 14 to display a dialog box 136 in which the warning information 135 is arranged. The warning information 135 is information that allows a person looking at the screen of the display unit 14 to recognize that the scheduled instruction content 100 is the same as the past instruction content. For example, as shown in FIG. 10, the warning information 135 is text information such as “The same instruction has been given in the past. 2006: meal instruction (dinner time)”. In addition, the display control unit 11 causes the display unit 14 to display a screen in which the approval button 137, the review button 138, and the save button 139 are arranged on the dialog box 136.

  When the operation unit 132 designates and inputs the approval button 137, the computer 10 causes the storage unit 12 to store the instruction content scheduled for instruction. On the other hand, when the operation unit 132 designates and inputs the reexamination button 138, the computer 10 does not cause the storage unit 12 to store the instruction content scheduled for instruction. When the save button 139 is designated and input by the operation unit 132, the computer 10 sends the instruction content stored in the storage unit 12 to the management computer 20. The registration unit 44 stores the sent instruction content in the instruction history storage unit 37.

(Operation)
Next, the operation of the display device 1 will be described with reference to FIGS. FIG. 11 is a flowchart showing a procedure for determining an inspection result, and FIG. 12 is a flowchart showing a procedure when instruction contents are input.

  The guidance contents (past guidance contents) in the previous medical examination are stored in the guidance history storage unit 37. In addition, in the current medical examination, the examination result of the examinee is stored in the medical examination data storage unit 34.

  First, the procedure for determining the inspection result will be described with reference to FIG. 11, and the instruction input procedure will be described with reference to FIG.

  As shown in FIG. 11, the test result of the recipient is searched (step S101). The input unit 13 inputs the consultation number of the current patient. The computer 10 sends the consultation number to the management computer 20. The acquisition unit 41 of the data operation unit 40 acquires the test result of the recipient from the medical examination data storage unit 34. Further, the acquisition unit 41 acquires a determination criterion from the determination criterion storage unit 35.

  Next, the inspection result determination unit 61 determines whether or not all the determinations are completed (step S102). When all the determinations are completed (step S102; Yes), the determination of the inspection results is finished.

  When all the determinations are not completed (step S102; No), the inspection result determination unit 61 determines the inspection result based on the determination criterion (step S103). Next, it is determined whether or not the inspection result determination unit 61 has determined an abnormality (step S104). When an abnormality has been determined (step S104; Yes), the determination information is stored in the determination information storage unit 52 ( Step S105). Next, the process returns to the determination of whether or not all the determinations have been completed (step S102).

  The management computer 20 sends the inspection result and the determination information of the inspection result to the computer 10. The computer 10 stores the inspection result and the determination information of the inspection result in the storage unit 12. The display control unit 11 causes the display unit 14 to display a screen 133 on which the inspection result, the determination information of the inspection result, and the instruction input button 134 are arranged.

  Further, the management computer 20 sends a plurality of instruction contents stored in the instruction content storage unit 36 to the computer 10 based on the determination information of the inspection result. The computer 10 stores a plurality of instruction contents in the storage unit 12.

  Furthermore, the input unit 13 designates and inputs the instruction input button 134. The display control unit 11 displays a plurality of instruction contents on the display unit 14 (step S201).

  The input unit 13 selects instruction content (step S202). The computer 10 sends the selected instruction content to the management computer 20. The management computer 20 stores the selected instruction content in the storage unit 50. The acquisition unit 41 acquires the past instruction content of the receiver (reception number) from the instruction history storage unit 37 (step S203). The management computer 20 stores the acquired past instruction content in the acquired data storage unit 51.

The guidance content determination unit 62 determines whether or not the selected guidance content is the same as the past guidance content (step S204). Upon receiving the determination by the instruction content determination unit 62 that the selected instruction content is the same as the past instruction content (step S204; Yes), the management computer 20 sends the determination result to the computer 10.
Upon receiving the determination by the instruction content determination unit 62 that the selected instruction content is different from the past instruction content (step S204; No), the computer 10 stores the selected instruction content in the storage unit 12 (step S207). ). Next, the process returns to selection of instruction content (step S202).

  The display control unit 11 causes the display unit 14 to display the input screen 131 on which the warning information 135, the approval button 137, the review button 138, and the save button 139 are arranged (step S205).

  Also, whether or not the selected instruction content is stored in the instruction history storage unit 37 is selected depending on whether the input unit 13 specifies and inputs the approval button 137 or the review button 138. (Step S206). This state is shown in FIG.

  When the approval button 137 is designated and input (step S206; Yes), the computer 10 stores the selected instruction content in the storage unit 12 (step S207). As a result, it is possible to intentionally instruct the examinee with the same instruction content. Next, the process returns to selection of instruction content (step S202).

  When the review button 138 is designated and input (step S206; No), the computer 10 does not store the selected instruction content in the storage unit 12. Next, the process returns to selection of instruction content (step S202).

  When all selections are completed and the save button 139 is designated and entered, the computer 10 sends the instruction content stored in the storage unit 12 to the management computer 20, and the instruction content sent is registered by the registration unit 44. Stored in the history storage unit 37.

  When the selected instruction content is stored in the instruction history storage unit 37, the instruction content becomes the past instruction content.

[Second Embodiment]
Next, the configuration of the patient management information display device 1 according to the second embodiment will be described with reference to FIGS. 13 to 16. In the second embodiment, a configuration different from that of the first embodiment will be described, and description of the same configuration as that of the first embodiment will be omitted.

FIG. 13 is a diagram showing a table of upper guidance contents, FIG. 14 is a diagram showing a table of middle instruction contents, FIG. 15 is a diagram showing a table of lower instruction contents, and FIG. It is a figure which shows the subsequent input screen.
The instruction content storage unit 36 stores the upper instruction contents, the intermediate instruction contents, and the lower instruction contents in a hierarchical structure (tree structure).

  In the first embodiment, the instruction content storage unit 36 stores instruction contents without relating the upper and lower levels, but in the second embodiment, the instruction content storage unit 36 includes at least a plurality of upper instructions. The contents are stored in association with a plurality of subordinate instruction contents.

  In addition, the input unit 13 includes an operation unit 132 and an input screen 131 on which a plurality of upper instruction contents and a plurality of lower instruction contents can be selectively input as specified by the operation unit 132.

  Further, the display control unit can display an input screen 131 in which a plurality of upper instruction contents are arranged on the display unit 14, receives the upper instruction contents as specified by the operation unit 132, and receives the input upper instruction contents. An input screen 131 in which lower instruction contents related to the instruction contents are arranged is displayed on the display unit 14.

  Next, with reference to FIG. 13 to FIG. 16, description will be given of selection of instruction contents divided into three levels, upper level, middle level, and higher level.

  As shown in the tables of FIGS. 13, 14, and 15, the instruction content storage unit 36 stores a list of options having a semantic hierarchical structure. Further, the upper, middle, and higher level instruction contents are related by ID, and when the upper instruction contents are selected, the display control unit 11 is lower than that related to the selected upper instruction contents. Only the guidance contents (intermediate and subordinate guidance contents) are displayed.

  For example, when “meal guidance” is selected in the large item (higher rank) in FIG. 16, the acquisition unit 41 acquires ID_DAI = 00001 using “meal guidance” as a search key in the table of FIG. , ID_DAI = 00001 is used as a search key, ID_CHU is obtained from 00001 to 00005, the management computer 20 sends the instruction content of the middle item to the computer 10, and the display control unit 11 reads the characters in the instruction_middle item. The column is displayed as an option for the item being instructed in FIG.

  Further, when “dinner” is selected in the middle item (middle) of FIG. 16, ID_CHU = 00001 is obtained using “dinner” as a search key in the table of FIG. 14, and ID_CHU = 00001 is obtained from the table of FIG. The search key is used to obtain rows with ID_SYO from 00001 to 00002, the management computer 20 sends the instruction content of the small item to the computer 10, and the display control unit 11 converts the character string in the instruction_small item to the small character in FIG. Display in the item (subordinate) options.

  In order to register the instruction content having a hierarchical structure, for example, the instruction 3 in FIG. 5 is stored in parentheses “[]” as a control symbol in order from a large item. For example, it is stored as “[meal guidance] [dinner] [not after 10 pm]”.

  In order to read the instruction content stored in this manner, the large item, the middle item, and the small item are read in the order of parentheses “[]”, and it is checked whether or not it is the same as the input instruction content.

[Third Embodiment]
(Constitution)
Next, the configuration of the display device management information display device 1 according to the third embodiment will be described with reference to FIGS. In the third embodiment, a configuration different from that of the first embodiment will be described, and description of the same configuration as that of the first embodiment will be omitted.

FIG. 17 is a diagram showing that past guidance content and similar guidance content are stored as pattern data, and FIG. 18 is a diagram showing an input screen after inputting scheduled guidance content.
The instruction content storage unit 36 stores similar instruction contents similar to the past instruction contents in relation to the past instruction contents.
Further, when it is determined that the scheduled guidance content is different from the past guidance content, the guidance content determination unit 62 determines whether the planned guidance content is the same as the similar guidance content related to the past guidance content. judge.
The display control unit 11 displays the warning information 135 on the display unit in response to the instruction content determination unit determining that the scheduled instruction content is the same as the similar instruction content.

  Next, the similarity determination of the instruction content determination unit 62 will be further described with reference to FIGS. 17 and 18. The instruction content storage unit 36 stores instruction contents having a similar relationship in association with each other as pattern data.

  For example, when there is at least pattern data as shown in FIG. 17, for example, in the instruction content storage unit 36 in response to an input “Dinner is taken by 9:30 pm”, the instruction content determination unit 62 is a pattern in which the combination of CONTENT1 and CONTENT2 is the same or similar. In CONTENT1 and CONTENT2, "Dinner will be taken by 9:30 pm" is used as a search key to obtain paired data.

  Data obtained as a pair in the example of FIG. 17, “Dinner is not taken after 10:00”, “Dinner is taken by 10:00”, “Dinner is taken by 9:30” The data is stored in the storage unit 51. The instruction content determination unit 62 searches whether the paired data is in the past instruction contents, and obtains “Dinner does not take after 10:00 pm” in 2006 shown in FIG. The instruction content determination unit 62 determines that these instruction contents are the same or similar. Note that the acquisition unit 41 may acquire the paired data.

(Operation)
Next, the operation of the display device 1 will be described with reference to FIG. FIG. 19 is a flowchart showing the procedure when the instruction content is input. The difference from the procedure of the first embodiment is that in step S305, the guidance content determination unit 62 determines similarity between the scheduled guidance content and the past guidance content.

As shown in FIG. 19, based on the abnormality determination of the examination result of the examinee, the display control unit 11 displays a plurality of instruction contents so as to be selectively input (step S <b> 301).
The input unit 13 selects instruction content (step S302). The computer 10 sends the selected instruction content to the management computer 20. The management computer 20 stores the selected instruction content in the storage unit 50. The acquisition unit 41 acquires the past instruction content of the receiver (reception number) from the instruction history storage unit 37 (step S303). Moreover, the acquisition part 41 acquires the similar instruction content similar to the past instruction content from the instruction content storage part 36 (step S304).

  The management computer 20 stores the acquired past instruction content in the acquired data storage unit 51. In addition, the management computer 20 stores the acquired similar instruction content in the acquired data storage unit 51.

  The guidance content determination unit 62 determines whether or not the selected guidance content is the same as or similar to the past guidance content (step S305). This same determination is a determination of whether or not the selected instruction content is the same as the past instruction content, and a similar determination is whether or not the selected instruction content is the same as the similar instruction content. It is a judgment.

  Upon receiving the determination by the instruction content determination unit 62 that the selected instruction content is the same as or similar to the past instruction content (step S305; Yes), the management computer 20 sends the determination result to the computer 10.

  In response to the determination by the instruction content determination unit 62 that the selected instruction content is different from the past instruction content (step S305; No), the computer 10 stores the selected instruction content in the storage unit 12 (step S308). ). Next, it returns to selection of instruction | indication content (step S302).

  The display control unit 11 displays the warning information 135, the approval button 137, and the review button 138 on the display unit 14 (step S306).

  Also, whether or not the selected instruction content is stored in the instruction history storage unit 37 is selected depending on whether the input unit 13 specifies and inputs the approval button 137 or the review button 138. (Step S307). This state is shown in FIG.

  When the approval button 137 is designated and input (step S307; Yes), the computer 10 stores the selected instruction content in the storage unit 12 (step S308). As a result, it is possible to intentionally instruct the examinee with the same instruction content. Next, it returns to selection of instruction | indication content (step S302).

  When the review button 138 is designated and entered (step S307; No), the computer 10 does not store the selected instruction content in the storage unit 12. Next, it returns to selection of instruction | indication content (step S302).

  When all selections are completed and the save button 139 is designated and entered, the computer 10 sends the instruction content stored in the storage unit 12 to the management computer 20, and the instruction content sent is registered by the registration unit 44. Stored in the history storage unit 37.

  When determining the same or similar instruction content, if it is exactly the same character string as the past instruction content, the warning information “same” is displayed, and not the same character string as the past instruction content. If there is similar guidance content, “similar” warning information may be displayed.

[Fourth Embodiment]
(Constitution)
Next, the configuration of the patient management information display device 1 according to the fourth embodiment will be described with reference to FIGS. 20 to 22. In the fourth embodiment, a configuration different from that of the first embodiment will be described, and description of the same configuration as that of the first embodiment will be omitted.

  FIG. 20 is a diagram showing that past guidance content and similar guidance content are stored as pattern data, and FIG. 21 is a diagram showing an input screen after inputting scheduled guidance content.

  The instruction history storage unit 37 further stores past upper instruction contents and past lower instruction contents related to the upper upper instruction contents.

  The instruction content storage unit 36 further stores upper similar instruction contents similar to the past upper instruction contents in relation to the past upper instruction contents, and the lower instruction contents similar to the past lower instruction contents. The similar instruction content is stored in relation to the previous lower instruction content.

  If the guidance content determination unit 62 determines that the higher level guidance content to be instructed to the examinee is different from the previous higher level guidance content, the higher level similar guidance related to the previous higher level guidance content. If it is determined whether the content of the instruction and the upper instruction content of the schedule are the same, and if the lower instruction content to be instructed to the examinee is different from the previous instruction contents, It is determined whether or not the lower similar instruction contents related to the instruction contents are the same as the planned lower instruction contents.

  The display control unit 11 determines the instruction content determination unit that the upper instruction content of the schedule is the same as the upper similar instruction contents and the lower instruction contents of the schedule are the same as the lower similar instruction contents. In response, the warning information 135 is displayed on the display unit.

  Next, the case where the instruction content determination unit 62 determines the similarity of the instruction contents divided into layers will be further described with reference to FIG.

  In order to register the instruction contents having a hierarchical structure, for example, the instruction 3 in FIG. 20 is stored in parentheses “[]” as a control symbol in order from a large item. For example, it is stored as “[meal guidance] [dinner] [not after 10 pm]”.

  In order to read the instruction content stored in this manner, the large item, the middle item, and the small item are read in the order of parentheses “[]”, and it is checked whether or not it is the same as the input instruction content.

  For example, if there are two or more similar items, the guidance content determination unit 62 determines that the items are similar. If the large item and the medium item are the same, the instruction content determination unit 62 determines that the item is similar even if the small items are different.

(Operation)
Next, the operation of the display device 1 will be described with reference to FIG. FIG. 22 is a flowchart showing a procedure when instruction content is input. The difference from the procedure of the third embodiment is that, in steps S410 and S412, the guidance content determination unit 62 performs the same or similar determination of the guidance content on the higher level guidance content and the higher level guidance content. For the convenience of explanation, the following procedure will be described using an example in which the content of instruction is divided into upper and lower levels.

  In the previous health checkup, when the examinee is instructed, the input unit 13 inputs the instruction content to be instructed to the examinee, and the computer 10 sends the scheduled instruction content to the management computer 20. The registration unit 44 of the data operation unit 40 registers the scheduled instruction content in the instruction history storage unit 37. The registered instruction content corresponds to the past instruction content.

  The registration unit 44 registers the instruction contents by storing them in the instruction history storage unit 37. The registration unit 44 stores the past upper guidance content and the past lower guidance content related to the past higher guidance content in the guidance history storage unit 37 (step S401).

  In addition, the registration unit 44 stores the upper similar instruction content similar to the upper upper instruction content in the instruction content storage unit 36 in association with the past upper instruction content. Further, the registration unit 44 stores the lower similar instruction content similar to the past lower instruction content in the instruction content storage unit 36 in association with the past lower instruction content (step S402).

  The input unit 13 inputs the consultation number of the current patient. The computer 10 sends the consultation number to the management computer 20. The acquisition unit 41 of the data operation unit 40 acquires the test result of the recipient from the medical examination data storage unit 34. Further, the acquisition unit 41 acquires a determination criterion from the determination criterion storage unit 35. The inspection result determination unit 61 determines the inspection result based on the determination criterion. The management computer 20 sends the inspection result and the determination information of the inspection result to the computer 10. The computer 10 stores the inspection result and the determination information of the inspection result in the storage unit 12. The display control unit 11 causes the display unit 14 to display a screen 133 on which the inspection result, the determination information of the inspection result, and the instruction input button 134 are arranged.

  The management computer 20 sends to the computer 10 a plurality of higher level instruction contents stored in the instruction content storage unit 36 and lower order instruction contents related to each of the upper instruction contents based on the determination information of the test results. . The computer 10 stores a plurality of high-level instruction contents in the storage unit 12.

  The input unit 13 designates and inputs the instruction input button 134. The display control unit 11 displays a plurality of high level instruction contents on the display unit 14 (step S403).

  The input unit 13 selects one higher level instruction content from a plurality of higher level instruction contents displayed on the display unit 14 (step S404). The computer 10 reads the lower instruction content related to the selected upper instruction content from the storage unit 12 (step S405).

  The display control unit 11 causes the display unit 14 to display a plurality of read instruction contents (step S406).

  Next, the input unit 13 selects one lower instruction content from the plurality of lower instruction contents displayed on the display unit 14 (step S407).

  The computer 10 sends the selected upper instruction content and lower instruction content to the management computer 20. The management computer 20 stores the selected upper instruction content and lower instruction content in the storage unit 50.

  The acquisition unit 41 acquires the past upper instruction content and past lower instruction content of the receiver (reception number) from the instruction history storage unit 37. The management computer 20 stores the acquired past upper instruction content and the past lower instruction content in the acquired data storage unit 51.

  The instruction content determination unit 62 determines whether or not the selected upper instruction content is the same as the past upper instruction content. Further, the guidance content determination unit 62 determines whether or not the selected lower level guidance content is the same as the past lower level guidance content (step S408).

  The instruction content determination unit 62 determines that the selected upper instruction content is the same as the previous upper instruction contents and that the selected lower instruction contents are the same as the past lower instruction contents. (Step S408; Yes), the management computer 20 sends the determination result to the computer 10.

  The display control unit 11 displays the warning information 135, the approval button 137, and the review button 138 on the display unit 14, and the input unit 13 specifies and inputs the approval button 137 or inputs the review button 138. Whether or not the selected upper instruction content and lower instruction content are stored in the instruction history storage unit 37 is selected (step S409).

  When the approval button 137 is designated and input (step S409; Yes), the computer 10 stores the selected instruction content in the storage unit 12 (step S415). As a result, it is possible to intentionally instruct the examinee with the same instruction content. Next, it returns to selection of instruction | indication content (step S404).

  When the review button 138 is designated and input (step S409; No), the computer 10 does not store the selected instruction content in the storage unit 12. Next, it returns to selection of instruction | indication content (step S404).

  When the instruction content determination unit 62 determines that the selected upper instruction content is different from the past upper instruction content (step S408; No), the selected upper instruction content relates to the past upper instruction content. The guidance content determination unit 62 determines whether or not it is the same as the attached upper similar guidance content (step S410).

  When the selected upper instruction content is different from the upper similar instruction contents (step S410; No), the computer 10 stores the selected upper instruction contents and lower instruction contents in the storage unit 12 (step S411). ). Then, it returns to selection of instruction | indication content (step S404).

  When the selected upper instruction content is the same as the upper similar instruction content (step S410; Yes), the selected lower instruction content is the same as the lower similar instruction contents related to the past lower instruction contents. Whether or not the instruction content determination unit 62 determines whether or not (step S412).

  When the instruction content determination unit 62 determines that the selected lower instruction content is different from the lower similar instruction contents (step S412; No), the computer 10 displays the selected upper instruction contents and lower instruction contents. It memorize | stores in the memory | storage part 12 (step S413). Then, it returns to selection of instruction | indication content (step S404).

  When the instruction content determination unit 62 determines that the selected lower instruction content is the same as the lower similar instruction contents (step S412; Yes), the management computer 20 sends the determination result to the computer 10.

  The display control unit 11 displays the warning information 135, the approval button 137, and the review button 138 on the display unit 14, and the input unit 13 specifies and inputs the approval button 137 or inputs the review button 138. Whether or not to store the selected upper instruction content and lower instruction content in the instruction history storage unit 37 is selected (step S414).

  When the approval button 137 is designated and input (step S414; Yes), the computer 10 stores the selected instruction content in the storage unit 12 (step S415). As a result, it is possible to intentionally instruct the examinee with the same instruction content. Next, it returns to selection of instruction | indication content (step S404).

  When the review button 138 is designated and entered (step S414; No), the computer 10 does not store the selected instruction content in the storage unit 12. Next, it returns to selection of instruction | indication content (step S404).

  When all selections are completed and the save button 139 is designated and entered, the computer 10 sends the instruction content stored in the storage unit 12 to the management computer 20, and the instruction content sent is registered by the registration unit 44. Stored in the history storage unit 37.

[Fifth Embodiment]
Next, the configuration of the patient management information display device 1 according to the fifth embodiment will be described with reference to FIGS. Also in the fifth embodiment, a configuration different from that of the first embodiment will be described, and description of the same configuration as that of the first embodiment will be omitted.

  FIG. 23 is a diagram showing a table showing the relationship between the consultation number and the test result, FIG. 24 is a diagram showing a ratio of the past instruction content in the planned instruction content, and FIG. 25 is an occupation of the past instruction content. It is the figure which made the degree into a graph.

  Also in the fifth embodiment, the instruction content storage unit 36 has a hierarchical structure (a tree structure) for instruction contents of large items (upper), instruction contents of middle items (medium), and instruction contents of small items (lower). Saved with.

  In 5th Embodiment, it is reference information when selecting the instruction | indication content of the schedule which is instruct | inspected to a examinee, Comprising: The reference information showing the grade which the same instruction | indication content as schedule identification information exists in the said previous instruction | indication content 141. The display control unit 11 causes the display unit 14 to display the scheduled instruction content and the reference information 141.

  An input screen 131 illustrated in FIG. 24 corresponds to the input screen 131 illustrated in FIG. 16 described in the third embodiment. In the input screen 131 shown in FIG. 24, input boxes 142 are arranged corresponding to large items, medium items, and small items, respectively. For example, when the input unit 13 specifies the input box 142 for a large item, the display control unit 11 displays a plurality of instruction contents for the large item. In FIG. 24 (b), the display control unit 11 displays the major instruction contents of “meal guidance”, “exercise guidance”, and “smoking cessation guidance”.

  For example, the input unit 13 inputs the guidance content of the large item “meal guidance”, the guidance content of the middle item “dinner”, and the guidance content of the small item “not after 9:00 pm”. If the instruction content of the large item “exercise instruction”, the instruction content of the medium item “walk”, and the instruction content of the small item “20 minutes every day” are specified, the registration unit 44 will input the large item, the medium item, and the small item that are input. Each instruction content of the item is recorded in the instruction history storage unit 37 as past instruction contents. FIG. 23 shows a state where the instruction contents of the large item, the medium item, and the small item are recorded in the instruction history storage unit 37 as past instruction contents.

  FIG. 24A shows a state where the input unit 13 does not designate the input box 142, and FIG. 24B shows a state where the input unit 13 designates the input box 142. As shown in FIG. 24B, the display control unit 11 displays the input box 142 with different background colors depending on whether the scheduled instruction content is the same as or similar to the past instruction content.

  Further, the display control unit 11 displays reference information corresponding to each input box 142. Here, the reference information is information indicating the degree to which the guidance content that is the same or similar to the past guidance content is included in the scheduled guidance content, or the past guidance content in the past guidance content. It is the information showing the degree which does not contain the guidance content which is the same as or similar to the content.

  In FIG. 24A, reference information 141 of “2/3” is displayed next to the large item input box 142. This indicates that two instruction contents that are the same as or similar to the past instruction contents are included in the three instruction contents.

  When the acquisition unit 41 reads the scheduled instruction content from the instruction content storage unit 36 based on the determination information of the inspection result, the calculation unit 60 includes the large item, the middle item, Reference information 141 corresponding to each instruction content of the small item is calculated.

  In FIG. 24, the display control unit 11 represents the reference information 141 as a numerical value. However, as illustrated in FIG. The reference information 141 shown in FIGS. 25A and 25B corresponds to the reference information 141 shown in FIGS. 24A and 24B, respectively.

  In FIGS. 24 and 25, the reference information 141 is set to a degree in which the guidance content that is the same as or similar to the past guidance content is included in the scheduled guidance content. It is good also as a degree which does not contain the guidance content which is the same as or similar to the guidance content.

  The first to fifth embodiments have been described above. In these embodiments, the operation unit 132 and the display unit 14 are on the computer 10 side. However, the operation unit 132 and the display unit 14 are on the management computer 20 side, and the operation unit on the management computer 20 side. 132 may input the scheduled instruction content, and the input screen 131 may be displayed on the display unit 14 on the management computer 20 side.

  Moreover, when the guidance content determination part 62 determined the same or similar of the guidance content, the guidance content was compared as a character string. Not limited to this, an identifier is assigned to the instruction content, and the instruction content determination unit 62 determines whether the instruction contents are the same or similar depending on whether the identifiers are the same or whether the identifiers are related to each other. May be.

  Further, based on the determination criteria stored in the determination criterion storage unit 35, it is determined whether or not the inspection result is abnormal. For example, the determination criterion is set on the source code for determining the inspection result. You can leave it.

  Further, in the embodiment, the instruction content is divided into upper, middle, and lower three layers, but may be divided into upper and lower two layers, or may be divided into four or more layers.

  Furthermore, although the similarity of instruction | indication content was determined based on the similar instruction | indication content memorize | stored in the instruction | indication content memory | storage part 36, a synonym, a synonym, a related word, etc. are registered beforehand, Based on those words, Similarity determination may be performed. Further, in the similarity determination, the Perceptrons Engine of Sematics Co., Ltd. using the topology concept technology, or the server software “Indentity System” of the intelligent sync that performs fuzzy search may be used.

  Furthermore, in the said embodiment, when the input part 13 inputs the instruction | indication input button 134 of the screen 133, the display control part 11 changed into the input screen 131 from the screen 133, and displayed on the display part 14 was shown. Not limited to this, the display control unit 11 may display the screen 133 and the input screen 131 on the display unit 14 simultaneously or by switching. Thereby, the instructor can select the instruction content on the input screen 131 while referring to the inspection result on the screen 133.

It is a block diagram which shows the structure of the display apparatus of a patient management information. It is a figure which shows the table showing the relationship between a group number and group information. It is a figure which shows the table showing the relationship between a personal number and personal information. It is a figure which shows the table showing the relationship between a consultation number and consultation information. It is a figure which shows the table showing the relationship between a consultation number and a test result. It is a figure which shows the table showing the relationship between a determination number and a determination reference | standard. It is a figure which shows an example which enumerated the inspection item for every inspection classification. It is a figure which shows the screen on which the inspection information and the determination information of the inspection result are displayed. It is a figure which shows the input screen before inputting the instruction | indication content of schedule. It is a figure which shows the input screen after inputting the schedule instruction | indication content. It is a flowchart which shows the procedure which determines a test result. It is a flowchart which shows the procedure at the time of inputting guidance content. It is a figure which shows the table of a high-order instruction | indication content in the display apparatus of the attendee management information which concerns on 2nd Embodiment. It is a figure which shows the table of the middle instruction | indication content. It is a figure which shows the table of a low-order instruction | indication content. It is a figure which shows the input screen after inputting the schedule guidance content. It is a figure explaining having related and memorize | stored the past guidance content and the similar guidance content similar to the past guidance content in the display apparatus of the patient management information which concerns on 3rd Embodiment. It is a figure which shows the input screen after inputting the schedule guidance content. It is a flowchart which shows the procedure at the time of inputting guidance content. Explained that in the display device for examinee management information according to the fourth embodiment, past instruction contents and similar instruction contents similar to the past instruction contents are stored in association with each other at the upper, middle, and lower positions. It is a figure to do. It is a figure which shows the input screen after inputting the schedule guidance content. It is a flowchart which shows the procedure at the time of inputting guidance content. It is a figure which shows the table showing the relationship between a consultation number and a test result. It is the figure which displayed the ratio for which the past guidance content accounts among the scheduled guidance content in the display apparatus of the attendee management information which concerns on 5th Embodiment. It is the figure which made the graph the degree which the past guidance content shown in FIG. 24 occupies.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Display apparatus 10 Computer 11 Display control part 12 Memory | storage part 13 Input part 131 Input screen 132 Operation part 133 Screen 134 Guidance input button 135 Warning information 136 Dialog box 137 Acknowledgment button 138 Review button 139 Save button 14 Display part 141 Reference information 142 Input box 20 Management computer 30 Database 31 Group data storage unit 32 Personal data storage unit 33 Medical examination number storage unit 34 Medical examination data storage unit 35 Judgment criteria storage unit 36 Instruction content storage unit 37 Instruction history storage unit 40 Data operation unit 41 Acquisition Unit 42 Deletion unit 43 Update unit 44 Registration unit 50 Storage unit 51 Acquisition data storage unit 52 Determination information storage unit 60 Calculation unit 61 Examination result determination unit 62 Instruction content determination unit 100 Scheduled instruction content

Claims (5)

A display unit;
An instruction history storage unit for storing past instruction contents instructed to the examinee;
A guidance content storage unit that stores a plurality of predetermined guidance contents based on the examination results of the current medical examination in association with at least a plurality of upper guidance contents and a plurality of lower guidance contents ;
An operation screen, and an input screen that can selectively input the plurality of upper instruction contents and the plurality of lower instruction contents, respectively, as specified by the operation section , to the examinee based on the examination result An input unit for inputting instruction contents scheduled to be instructed;
A guidance content determination unit that determines whether or not the same guidance content as the scheduled guidance content is in the past guidance content;
The input screen in which a plurality of upper instruction contents are arranged is displayed on the display section so as to be selectable, and when the upper instruction contents are selected by designation of the operation section, the selected upper instruction contents are displayed. Displaying the input screen on which the related instruction contents related to each other are displayed on the display unit, and having warning information, and having the same instruction contents as the scheduled instruction contents in the past instruction contents A display control unit that displays the warning information on the display unit in response to the determination by the instruction content determination unit. A display unit;
An instruction history storage unit for storing past instruction contents instructed to the examinee;
A guidance content storage unit that stores similar guidance content similar to the past guidance content in association with the past guidance content ;
Determine whether the same guidance content as the scheduled guidance content is in the past guidance content ,
Further, when it is determined that the scheduled instruction content is different from the past instruction content, it is determined whether the scheduled instruction content is the same as the similar instruction content related to the past instruction content. A guidance content determination unit to
It has warning information and the guidance content determination unit determines that the same guidance content as the scheduled guidance content is in the past guidance content, or the scheduled guidance content is the same as the similar guidance content A display control unit that displays the warning information on the display unit in response to the determination by the instruction content determination unit . The instruction history storage unit further stores past upper instruction contents and past lower instruction contents related to the past upper instruction contents,
The instruction content storage unit further stores upper similar instruction contents similar to the previous upper instruction contents in relation to the past upper instruction contents, and the past lower instruction contents. Similar similar lower instruction contents are stored in relation to the previous lower instruction contents,
The instruction content determination unit further relates to the past upper instruction content when it is determined that the upper instruction content to be instructed to the examinee is different from the past upper instruction content. It is determined whether the upper similar instruction content and the upper instruction content of the schedule are the same, and it is determined that the lower instruction content to be instructed to the examinee is different from the previous lower instruction content. And determining whether the lower similar instruction content related to the previous lower instruction content and the planned lower instruction content are the same,
The display control unit is configured such that the upper instruction content of the schedule is the same as the upper similar instruction content, and the lower instruction content of the schedule is the same as the lower similar instruction content. in response to determination of the determination unit, examinee management information of the display device according to the warning information to claim 1, characterized in that to be displayed on the display unit. A display unit;
An instruction history storage unit for storing past instruction contents instructed to the examinee;
An input unit for inputting instruction contents scheduled to be instructed to the examinee based on the examination result of this medical examination,
A guidance content determination unit that determines whether or not the same guidance content as the scheduled guidance content is in the past guidance content;
A calculation unit for obtaining reference information indicating the degree that the same guidance content as the scheduled identification information exists in the past guidance content;
Display the scheduled instruction content and the reference information on the display unit,
And a warning information, display the same instruction content and teaching contents of the scheduled receiving determination of the instruction content determination section of that there into the instruction content of the past, to display the warning information on the display unit And a control unit for displaying the management information of the examinee. Memorizing past instruction contents instructed to the examinee in the instruction history storage unit;
Storing similar instruction contents similar to the past instruction contents in the instruction contents storage unit in relation to the past instruction contents;
A step of inputting instruction contents scheduled to be instructed to the examinee based on the test result of this medical examination,
A step in which a guidance content determination unit determines whether or not the scheduled guidance content is the same as the past guidance content;
In response to the determination of the instruction content determination unit that the scheduled instruction content is the same as the past instruction content, the display control unit displays warning information on the display unit, and the instruction instruction content is indicated by the instruction Selecting whether to store in the history storage unit;
When the guidance content determination unit determines that the scheduled guidance content is different from the past guidance content, the similar guidance content and the scheduled guidance content related to the past guidance content are the similar guidance content. The instruction content determination unit determines whether or not the same,
In response to the determination of the instruction content determination unit that the scheduled instruction content is the same as the similar instruction content, the display control unit displays warning information on the display unit, and the scheduled instruction content is And a step of selecting whether or not to store in the instruction history storage unit.