JP6426249B1 - Operation support device, operation support system, operation support method, program - Google Patents

Abstract

[Problem] To provide a treatment support system capable of accurately grasping a part where a patient feels upset even with a practitioner who has little experience or knowledge.
An operation support system includes an information processing apparatus including an input unit and a display unit, and a server communicably connected to the information processing apparatus. The information processing apparatus schematically represents a human body. Means for displaying on the display unit a human figure and a part mark representing each part of the human body in the human figure on the display unit using data acquired from the server, and from among each unit of the human figure displayed on the display unit A means for causing the display unit to display a list of malfunction patterns related to the selected first site using data acquired from the server when the first site corresponding to the malfunction is selected using the input unit Prepare.
[Selected figure] Figure 1

Description

  The present invention relates to a technique for supporting treatment for a patient who has come to, for example, an osteopathic clinic or acupuncture hospital.

  Conventionally, in the osteopathic clinic etc., the pain site of the patient who visited the hospital was examined by sprains, bruises, bruises, dislocation, etc., and the patient's pain symptoms were alleviated by giving the patient treatment such as procedure therapy and stretching. Healing is being done. In addition, in the acupuncture clinic etc., the site of pain due to neuralgia, rheumatism, low back pain, etc. of the patient who visits is examined and the patient's pain symptoms are alleviated and cured by giving the patient treatment such as procedure therapy and stretching. It is done.

  However, it may be difficult for the practitioner to accurately grasp the site of the pain and the muscle that is causing the pain only by listening to the subjective symptoms that the patient complains. In addition, there is a difference in the knowledge and experience of each practitioner. For example, it is difficult for an inexperienced practitioner to accurately grasp the patient's symptoms and perform an appropriate treatment.

  In addition, as an example of the related art that can be related, Japanese Patent Application Laid-Open No. 2002-288340 (Patent Document 1) is provided as a technology for enabling medical knowledge to be used even for persons with poor medical experience or knowledge. Using a database of symptoms and prescriptions, it is described that a computer prescribes traditional Chinese medicines suitable for the patient's symptoms. However, although this prior art is considered to be useful in achieving an accurate prescription of traditional Chinese medicine, it does not show an effective solution to the above-mentioned problem in an osteopathic clinic or the like.

JP 2002-288340 A

  The specific embodiment according to the present invention provides a technique that enables an osteopathic hospital, acupuncture hospital, etc. to accurately grasp a site where a patient feels upset regardless of the difference in the experience or knowledge of the practitioner. One of the goals.

  [1] A surgery support system according to an aspect of the present invention includes an information processing apparatus including an input unit and a display unit, and a server communicably connected to the information processing apparatus, the information processing apparatus Means for causing the display unit to display a human figure schematically representing a human body and a site mark representing each site of the human body in the human figure using data acquired from the server, and the display unit When a part corresponding to a patient's malfunction is selected using the input unit from among the displayed parts of the human body diagram, the patient feels upset according to the muscle associated with the selected part. Means for displaying on the display unit a list including one or more malfunctioning patterns, which is an image in which a possible range is superimposed and shown colored on a partial human figure, using data acquired from the server And the input unit The candidate of one or more acute sites of the patient is determined by inputting the result of the physical examination of the patient, and the candidate of the combination of the acute sites satisfying the condition that the adjacent acute sites do not exist among the candidates. When any one of the means for displaying a list on the display unit and the list of combination candidates is selected using the input unit, medical treatment is performed based on the acute region included in the selected combination candidate And a means for generating receipt information that is electronic information including information for requesting a reward.
  [2] A surgery support system according to an aspect of the present invention includes an information processing apparatus including an input unit and a display unit, and a server communicably connected to the information processing apparatus, the information processing apparatus Means for causing the display unit to display a human figure schematically representing a human body and a site mark representing each site of the human body in the human figure using data acquired from the server, and the display unit When a part corresponding to a patient's malfunction is selected using the input unit from among the displayed parts of the human body diagram, the patient feels upset according to the muscle associated with the selected part. Means for displaying on the display unit a list including one or more malfunctioning patterns, which is an image in which a possible range is superimposed and shown colored on a partial human figure, using data acquired from the server And the input unit The candidate of one or more acute sites of the patient is determined by inputting the result of physical examination of the patient, and the acute site to be received is automatically selected from the candidates according to a predetermined criterion, Means for generating recept information, which is electronic information including information for claiming medical treatment fee based on the acute site, the predetermined criterion is another acute site within the selected acute site The treatment support system is a criterion that the number of the selected acute sites is maximized under the condition that there is no adjacent one.
  [3] The treatment support apparatus according to one aspect of the present invention is a treatment support apparatus configured using an information processing apparatus including an input unit and a display unit, and a human body diagram schematically showing a human body, and the human body Means for causing the display unit to display a part mark representing each part of the human body in the figure, and a first part corresponding to a patient's malfunction among the parts of the human figure displayed on the display part is the input An image showing a range in which the patient may feel upset according to the muscle associated with the selected first site when selected using Means for causing the display unit to display a list including one or more malfunction patterns which are the same and a result of a physical examination using the input unit to receive one or more candidates for the acute site of the patient From the candidates, the adjacent acute site is Means for causing the display unit to display a list of combination candidates of the acute site that satisfy the condition that they do not exist, and any one of the combination candidate list is selected using the input unit; And a means for generating receipt information which is electronic information including information for claiming medical treatment fee based on the acute site included in the combination candidate.
  [4] The treatment support apparatus according to one aspect of the present invention is a treatment support apparatus configured using an information processing apparatus including an input unit and a display unit, the human body diagram schematically showing a human body, and the human body Means for causing the display unit to display a part mark representing each part of the human body in the figure, and a first part corresponding to a patient's malfunction among the parts of the human figure displayed on the display part is the input An image showing a range in which the patient may feel upset according to the muscle associated with the selected first site when selected using Means for causing the display unit to display a list including one or more malfunction patterns which are the same and a result of a physical examination using the input unit to receive one or more candidates for the acute site of the patient Request, and from among the candidates, Means for automatically selecting the target acute site and generating recept information which is electronic information including information for claiming medical treatment fee based on the automatically selected acute site, the predetermined criteria being The criterion is to make the number of the selected acute sites to be largest under the condition that there is no adjacent one to the other acute sites among the selected acute sites. It is a treatment support device.
  [5] The treatment support method according to one aspect of the present invention is a treatment support method using an information processing apparatus including an input unit, a display unit, and a control unit, wherein the control unit is a human body that schematically represents a human body. Displaying on the display unit a diagram and a part mark representing each part of the human body in the human figure; and the control unit, from among the parts of the human figure displayed on the display unit, the patient When a first site corresponding to a disorder is selected using the input unit, a range in which a patient may feel a disorder corresponding to a muscle associated with the selected first site is partially detected. Displaying on the display unit a list including one or more malfunctioning patterns which are images colored and shown superimposed on a figure, and the control unit is used to input the result of the physical examination using the input unit Received at one or more acute sites of the patient Determining a list of combination candidates of the acute site satisfying the condition that the adjacent acute site does not exist among the candidates, and the control unit displays the list of the combination candidates. When any one of them is selected using the input unit, generation of the receipt information is electronic information including information for claiming medical treatment fee based on the acute site included in the selected combination candidate And b.
  [6] The treatment support method according to one aspect of the present invention is a treatment support method using an information processing apparatus including an input unit, a display unit, and a control unit, wherein the control unit is a human body that schematically represents a human body. Displaying on the display unit a diagram and a part mark representing each part of the human body in the human figure; and the control unit, from among the parts of the human figure displayed on the display unit, the patient When a first site corresponding to a disorder is selected using the input unit, a range in which a patient may feel a disorder corresponding to a muscle associated with the selected first site is partially detected. A step of displaying on the display unit a list including one or more malfunctioning patterns which are images colored and shown superimposed on the figure, and the control unit inputs the result of the physical examination using the input unit Candidate for one or more acute sites of the patient Request, automatically selecting the acute site to be subjected to the recept from the candidates according to a predetermined criterion, and generating recept information which is electronic information including information for charging a medical service fee based on the automatically selected acute site And the number of the selected acute sites under the condition that the predetermined criteria are such that none of the selected acute sites is adjacent to the other acute sites. Is the criterion to make the most.
  [7] The program according to an aspect of the present invention is a program that causes the control unit to execute the steps in the above-described surgery support method in an information processing apparatus including an input unit, a display unit, and a control unit.

According to any of the configurations described above, since each part of the human body is divided by the part mark, for example, a part that feels the patient's disorder by confirming the human figure on which the part mark is overlapped while showing it to the patient. It is possible to easily and specifically identify and select the site. Then, by displaying a list of disorder patterns that are muscles related to the selected site, for example, by showing the list of the disorder patterns to the patient as well, the muscle in which the patient feels disorder is eligible Can be grasped. Therefore, regardless of the difference in the experience or knowledge of the practitioner, it is possible to accurately grasp the part where the patient feels upset. Also, the receipt can be easily generated.

FIG. 1 is a block diagram showing the overall configuration of a surgery support system of the present embodiment. FIG. 2 is a view showing a display example of a malfunction site selection image. FIG. 3 is a view showing a display example of a malfunction pattern display image. FIG. 4 is a view showing a display example of a malfunction pattern check image. FIG. 5 shows a display example of a physical examination image. FIG. 6 shows a display example of a subjective muscle link information display image. FIG. 7 shows a display example of the related muscle link information image. FIG. 8 shows a display example of the related operation link information display image. FIG. 9 shows a display example of the related manual inspection link information display image. FIG. 10 shows a display example of an inspection result image. FIG. 11 shows a display example of a medical chart image. FIG. 12 shows a display example of a medical chart image. FIG. 13 shows a display example of a medical chart image. FIG. 14 shows a display example of a medical chart image. FIG. 15 shows a display example of a medical chart image. FIG. 16 shows a display example of an acute information display image. FIG. 17 shows a display example of a receipt site selection image. FIG. 18 shows a display example of a receipt site candidate selection image. FIG. 19 shows a display example of the external force determination input image. FIG. 20 is a block diagram showing a functional configuration of the treatment support apparatus. FIG. 21 is a flowchart showing an operation example of the treatment support system. FIG. 22 is a block diagram showing a functional configuration of a treatment assistance apparatus according to a modification.

  FIG. 1 is a block diagram showing the configuration of the treatment support system 1 of the present embodiment. As shown in the figure, the treatment support system 1 includes a treatment support device 10, a printer 20, and a cloud server 30, and the treatment support device 10 and the cloud server 30 have a wireless or wired communication network. It is communicably connected via 40. The treatment support apparatus 10 and the printer 20 are connected by a wireless LAN (Local Area Network) or a communication cable. The treatment support apparatus 10 and the printer 20 are installed at an osteopathic clinic, and the cloud server 30 is installed at a business office of a business operator who operates the treatment support system.

  The treatment support apparatus 10 is configured using, for example, a portable tablet-type information processing apparatus. The treatment support apparatus 10 may be configured using, for example, a laptop personal computer or a desktop personal computer. The treatment support apparatus 10 includes, as hardware, a CPU (Central Processing Unit), a memory (ROM, RAM, non-volatile memory, etc.), a display, an input / output interface (touch panel, speaker, etc.), and a communication interface. Is equipped. Various data, programs, and the like are stored in the memory of the treatment support apparatus 10.

  The cloud server 30 includes, as hardware, a CPU, a storage device such as a memory and a hard disk, and a communication interface. The storage device of the cloud server 30 stores a database of various data used in the treatment support apparatus 10, a database of various data such as patient information, medical record information, and receipt information transmitted from the treatment support apparatus 10. In the storage device of the cloud server 30, data necessary for displaying various images described below on the display of the treatment support apparatus 10 are stored in association with each other.

  FIG. 2 is a view showing an example of a malfunction site selection image for selecting a site where a patient who has visited the osteopathic clinic feels a malfunction from among the sites of the human body diagram. FIG. 3 is a view showing an example of a malfunction pattern display image in which a list of malfunction patterns, which is a muscle related to a malfunction site of a patient, is displayed. FIG. 4 is a view showing an example of a malfunction pattern confirmation image for confirming selection contents in the malfunction pattern display image. When the save button 31 displayed in the upper right is selected after the malfunction pattern 300 is selected in the malfunction pattern display image D3 shown in FIG. 3, a transition is made to the malfunction pattern confirmation image D4 shown in FIG. The content of the malfunction pattern 300 displayed by the malfunction pattern confirmation image D4 is confirmed, and when only the malfunction pattern 300 where the patient feels malfunction is displayed, selecting the confirmation button 41 causes the physics shown in FIG. 5 described later. Transition to the inspection screen. In addition, when the patient has a malfunction pattern 300 in which the patient does not feel a malfunction and wants to correct it, the user can return to the malfunction pattern display image D3 by selecting the cancel button 42. In the malfunction pattern confirmation image D4, the priority of the malfunction pattern 300 can also be designated using the priority button 43.

  FIG. 5 is a view showing an example of a physical examination image that supports physical examination (manual examination) of a disorder pattern, and the disorder pattern (subject muscle) in which the patient feels upset, muscle related to the subject muscle (related muscle ), Movement related to the subject muscle (related action), and each information 510, 520, 530, 540 of the manual test (related hand test) related to the subject muscle (eg, mitral muscle, thorax crest muscle, shoulder A plurality of joint elevations and an Eden test are displayed for each row. The physical examination image D5 is transitioned by the confirmation button 41 being selected in the malfunction pattern confirmation image D4.

  FIG. 6 is a diagram showing an example of a subjective muscle link information display image that displays information related to the subjective muscle. FIG. 7 is a view showing an example of a related muscle link information display image displaying information related to a related muscle. FIG. 8 is a view showing an example of a related operation link information display image displaying information related to the related operation. FIG. 9 is a diagram showing an example of a related manual inspection link information display image displaying information related to the related manual inspection.

  FIG. 10 is a view showing an example of an examination result image displaying the examination result of the patient. In the test result image D10, the date, the failure pattern, the performed manual test, the degree of pain, the information on the applied treatment, and the like are displayed for each failure site of the patient. 11 to 15 are diagrams showing an example of a chart image. The display of each medical chart image shown in FIGS. 11 to 15 is transitioned by a predetermined operation. In the medical chart image D11a of FIG. 11, the manual examination performed, the change in the degree of pain of the patient, and the like are displayed for each date and each malfunction site. On the medical chart image D11a, the date of diagnosis (treatment day) is displayed, the diagnostic human figure showing the diagnostic result is displayed in the left column, and the diagnostic result is substituted for each site to be received in the right column. A human figure is displayed. Further, in the illustrated example, the left knee is recommended to be highlighted (relatively dark display) based on the physical determination.

  In the medical chart image D11b of FIG. 12, the diagnostic human figure is displayed in the left column, the diagnostic content and the treatment content are displayed in the right column, and the change in the degree of pain of the patient is displayed by the pain scale 111. In the illustrated example, the pane scale 111 is an image of a face whose degree of pain can be visually recognized by an expression. In the medical chart image D11c of FIG. 13, the diagnostic human figure is displayed large (full screen display). Similarly, in the medical record image D11d of FIG. 14, the replacement human figure is displayed large (full screen display). In the chart image D11e of FIG. 15, a list of diagnostic human figure is displayed. In the list, there are displayed a main complaint, a physical examination, each category of pain scale, and a plurality of patterns of human figure classified based on each of the malfunction site and the muscle category.

  FIG. 16 is a diagram showing an example of an acute information display image in which a region determined as acute (or subacute) is displayed as a result of diagnosis. FIG. 17 is a view showing an example of a receipt site selection image for allowing the practitioner to manually select one site as a recept target site from among the sites determined to be acute. FIG. 18 is a diagram showing an example of a receipt site candidate selection image for a practitioner to select a combination candidate to be a receipt target from among a list of combination candidates for the target of the receipt. FIG. 19 is a view showing an example of an external force determination input image for inputting whether the external force applied to the injured site is impact, impact, fall, traction, compression, bending, or torsion.

  As the program stored in the memory of the treatment support apparatus 10, a program for displaying the various images described above, a program for exchanging data with the cloud server 30, and a combination candidate of a part to be a receipt target are generated There are programs to do this, programs to generate receipts, and so on. These programs can be downloaded from a server designated by a vendor or the like who operates the treatment support system 1 and installed. Each function block shown in FIG. 20 is realized in the treatment support apparatus 10 by the CPU of the treatment support apparatus 10 executing the program stored in the storage device.

  The human figure display unit 11 divides a human figure schematically representing a human body into parts, and displays a malfunction site selection image D2 (see FIG. 2) including an image on the display of the treatment support apparatus 10. In the malfunction site selection image D2 illustrated in FIG. 2, a view of the human body as viewed from the front is displayed on the left side, and a view of the human body as viewed from the back is displayed on the right. Each human figure is divided into a neck, head, face, trunk, spine, shoulder, back, arm, hand, tendon, hip, leg, foot. Further, contour marks (part marks) 22 respectively corresponding to the respective parts are shown superimposed on the human figure so as to make it easy to grasp these divided parts. The outline mark 22 of each part is displayed in a different color for each part, for example.

  The practitioner or patient selects one or more sites corresponding to locations where the patient feels sick from among a plurality of sites in the human figure while referring to the outline marks 22 of each site. Do. The human figure display unit 11 that has detected that one or more regions have been selected displays the inside of the outline mark 22 corresponding to the selected region so that it can be identified that it has been selected. .

  In addition, the method of division of the site | part of the human body figure shown in FIG. 2 is an example, and may increase or decrease the number of the site | part to divide. Also, instead of coloring and displaying the inside of the outline mark 22 of the selected part, for example, some selected mark (for example, * mark etc.) may be put inside the part, or the inside of the part may be shaded. A pattern such as may be attached.

  The disordered pattern presenting unit 12 selects one or more sites where the patient feels disordered from the portion of the human figure displayed on the disordered site selection image D2, and displays the pattern displayed in the upper right of the disordered site selected image D2 When it is detected that the selection button 21 is selected, a malfunction pattern display image D3 (see FIG. 3) indicating one or more malfunction patterns related to the selected malfunction site is displayed on the display of the treatment support apparatus 10.

  On the left side of the malfunctioning pattern display image D3, the human figure displayed in the malfunctioning region selection image D2 is displayed in a reduced size, and the malfunctioning pattern presentation unit 12 displays the colored portion of the human body diagram. A list of malfunction patterns related to the part pointed by the pointer 32 is displayed on the display of the treatment support apparatus 10. The portion pointed to by the pointer 32 can be appropriately changed by a tap or the like.

  The patient or practitioner can select one or more malfunction patterns in which the patient feels malfunction from the displayed list of malfunction patterns. The name of each muscle (for example, "Mitral muscle (right)" etc.) is displayed together with each malfunction pattern. In addition, in each disorder pattern, a range in which pain or other disorder may be felt corresponding to the muscle is shown superimposed on a partial view of the human figure and colored. It is expressed by the gradation which made the central part which feels a malfunction darker. The colored display in the range corresponding to such a line makes it easier to identify the site where the patient feels upset.

  When a malfunction pattern is selected from the malfunction pattern display image D3, the subject muscle related information presentation unit 13 causes the display of the operation support device 10 to display related muscle information, motion information, manual examination information, etc. related to the malfunction pattern. . As shown in the physical examination image D5 of FIG. 5, the information of the subject muscle which is the selected disordered pattern, the information of the related muscle which is the muscle related to the subject muscle, and the information of the motion related to the subject muscle Information on manual examination related to the subject muscle is displayed.

  In the physical examination image D5 illustrated in FIG. 5, four types of information on the subject muscle are displayed in the leftmost first row region R1, and a plurality of types of related muscle information are displayed in the second row region R2. A plurality of types of information on related operations are displayed in the region R3 in the third column, and a plurality of types of information on related manual inspection are displayed in the region R4 in the fourth column. Here, the "related muscle information" is information regarding a muscle that is likely to cause a failure in relation to a failure pattern selected by the patient, that is, the subject's own conscious target muscle. The "related motion information" is information on a motion that uses a subjective muscle during the motion. The "related manual inspection information" is information on the manual inspection that the practitioner should perform to determine whether or not there is a defect in the subject muscle.

  Physical examination image D5 (see FIG. 5), subjective muscle link information display image D6 (see FIG. 6), related muscle link information display image D7 (see FIG. 7), related operation link information display image D8 (see FIG. 8), A link mark 51 is displayed in association with each piece of information displayed as the related manual inspection link information display image D9 (see FIG. 9). In the present embodiment, the link mark 51 is displayed on the upper right of the display area of each information.

  When the link mark 51 is selected, the link information presentation unit 14 causes the display of the treatment support apparatus 10 to display information related to each piece of information associated with the link mark 51. In detail, for example, when the link mark 51 associated with the information on the subject muscle displayed in the region R1 in the first row is selected, the link information presentation unit 14 receives, for example, the subject muscle link information in FIG. As shown in the display image D6, the information of the related muscle related to the subject muscle, the information on the motion related to the subject muscle, and the information on the manual examination related to the subject muscle are displayed on the display of the operation support device 10. .

  In the subjective muscle link information display image D6 shown in FIG. 6, when the information of "mitral muscle" is displayed as one of the subjective muscles, the link mark 51 associated with the mitral muscle is selected. Is a display example of the case where In this subjective muscle link information display image D6, the information on the related muscle related to the "mitral muscle" is displayed in the region R2 of the second example, and the information on the operation related to the "mitral muscle" is in the third column The information of the manual examination including the action of using the "mitral muscle" is displayed in the fourth column of the area R4.

  In addition, when the link mark 51 associated with the information of “related muscle” displayed in the second row region R2 is selected, the link information presenting unit 14 displays, for example, the related muscle link information display image of FIG. As shown in D7, the display of the operation support device 10 causes the information of the motion related to the related muscle, the information on the manual examination related to the related muscle, and the information on the muscle related to the related muscle to be displayed. .

  The related muscle link information display image D7 shown in FIG. 7 is a display example in the case where the link mark 51 associated with the "chest-kasi mandibular muscle" displayed in the region R2 of the second row is selected. In this related muscle link information display image D7, the information on the related muscle related to "Chectoris clavius muscle" is displayed in the region R2 of the second example, and the information on the motion related to "Cherbial mastoid muscle" is the third Information of the manual examination which is displayed in the region R3 of the row and includes an operation using the "plesiostidus muscle" is displayed in the region R4 of the fourth row.

  In addition, when the link mark 51 associated with the information of the operation displayed in the region R3 in the third row is selected, the link information presenting unit 14 displays, for example, the related operation link information display image D8 in FIG. In this way, the display of the operation support device 10 causes the display of the operation support device 10 to display muscle information related to the operation and manual inspection information related to the operation.

  The related operation link information display image D8 shown in FIG. 8 is a display example when the link mark 51 associated with the operation “cervical bending” displayed in the region R3 in the third row is selected. In this related operation link information display image D8, information of the related muscle used in the “cervical lateral flexion” is displayed in the region R2 of the second example, and the information on the manual examination including “cervical lateral flexion” is It is displayed in the fourth column.

  Further, when the link mark 51 associated with the information on the manual inspection displayed in the region R4 in the fourth column is selected, the link information presenting unit 14 displays, for example, the related manual inspection link information display image D9 in FIG. As shown in (1), the display of the operation support device 10 is made to display the information of the muscle related to the manual inspection and the information of the operation related to the manual inspection.

  The related manual inspection link information display image D9 shown in FIG. 9 is a display example when the link mark 51 associated with the “sparing test” displayed in the region R4 of the fourth row is selected. In this related manual inspection link information display image D9, information of the muscle that can be inspected by the "sparing test" is displayed in the region R1 of the first row and the region R2 of the second example, and included in the "sparing test". The information on the operation to be performed is displayed in the region R3 of the third column. In this related manual inspection link information display image D9, it is possible to select a malfunction pattern from the region R1 of the first row and the region R2 of the second example.

  Thus, the practitioner changes the physical examination image D5 and various images (the subject muscle link information display image D6, the related muscle link information display image D7, the related action link information display image D8, and the related images transitioned from the physical examination image D5). By appropriately selecting the link mark 51 associated with each information displayed in the manual inspection link information display image D9), various information related to the information associated with the link mark 51 is referred to in a list As a result, it is possible to carry out more accurate examinations, diagnoses and treatments regardless of the difference in the experience or knowledge of the practitioner.

  The acute information presentation unit 15 determines a candidate of a site considered to be acute (acute site) from among the sites where the patient complains of a disorder, for example, as shown in the acute information display image D12 of FIG. The candidate of the acute site of is displayed on the display of the operation support device 10. Here, the term "acute site" refers to a site that has a patient's symptom of disorder and is determined to be positive by physical examination such as operation test and manual examination.

  In the example of the acute information display image D12 shown in FIG. 16, the candidate for the acute region is shown by highlighting in which the inside of the outline mark 123 associated with the region is relatively dark.

  When a predetermined button of the acute information display image D12 is selected, a transition is made to a receipt site selection image D13 shown in FIG. Contour marks 132 are superimposed on the respective acute site candidates. The practitioner can select an acute site to be a target of the receipt based on his / her judgment by performing an operation such as tapping or clicking from among the acute site candidates shown in the receipt site selection image D13. In the illustrated example, the inside of the outline mark 132 corresponding to the selected acute site is shown in a relatively dark highlight. When the predetermined button displayed on the receipt site selection image D13 is selected, the screen transitions to a receipt site candidate selection image D14 shown in FIG.

  The receipt candidate presentation unit 16 determines a combination of acute regions to be a receipt target from among the selected one or a plurality of acute region candidates based on a preset rule, for example, as a receipt region candidate selection image D14. As shown, a list of combination candidates of the parts to be recepted is displayed on the display of the treatment support apparatus 10. In the display example shown in FIG. 18, there are eight acute sites adjacent in the front view of the human body and two in the rear view. Here, for example, assuming that there is a criterion (arrangement) that two adjacent parts can not be taken as a receipt target, for example, the receipt candidate presentation unit 16 receives, for example, every other part in order from the right foot While being displayed as a combination candidate which becomes, one part near the waist is displayed as a combination candidate to be a receipt object. The practitioner can select one combination candidate as a receipt target from among the combination candidates displayed in the receipt site candidate selection image D14.

  In addition, when there is only one acute site and there is only one site to be recepted, the receipt candidate presentation unit 16 operates only the one acute site as a combination candidate of the sites to be recepted. Display on 10 displays. In addition, when there are a plurality of combination candidates to be subjected to the receipt, the receipt candidate presenting unit 16 may arrange and display the combination candidates to be subjected to the receipt in the order in which the chargeable medical service fee amount increases. Alternatively, it may be displayed so as to indicate which combination candidate with the largest amount of medical service fee that can be billed is. When a predetermined button is selected in the receipt site candidate selection image D14, a transition is made to a receipt site selection image D13 shown in FIG.

  When an acute site to be a receipt target is selected in the receipt site selection image D13, the receipt generation unit 17 generates receipt information in which the selected acute site is a billing target for medical treatment fee. In addition, when one combination candidate is selected from combination candidates to be recepted in the receipt site candidate selection image D14, the receipt generation unit 17 charges the acute site included in the selected combination candidate as a medical care reward target Generate receipt information. Then, the receipt generation unit 17 outputs data for printing the generated receipt information to the printer 20. The printer 20 prints a receipt based on the data received from the receipt generation unit 17 of the treatment support apparatus 10. Further, the receipt generation unit 17 transmits the receipt information to the information processing apparatus (not shown) of the payment institution of the medical treatment fee, and also transmits the receipt information to the cloud server 30.

(Operation)
Next, with reference to a flowchart shown in FIG. 21, an operation example performed in the treatment support system 1 when a patient visits an implant clinic will be described. In addition, prior to treatment, for example, the treatment support apparatus 10 is connected to the cloud server 30 before the hospital is opened that day, and patient authentication is performed. By doing this, data necessary for the operation can be provided only to the treatment support apparatus 10 of the patient who accepts as a member, for example, a company or the like who operates the cloud server 30, and other members (e.g. ) Can not provide data.

  In response to the operation of the practitioner or the like, the human figure display unit 11 of the treatment support apparatus 10 causes the display of the treatment support apparatus 10 to display the malfunction site selection image D2 (see FIG. 2) (step S1).

  The practitioner performs an interview with the patient, and among the portions of the human figure displayed in the malfunction region selection image D2, a contour mark corresponding to a region (a malfunction region) where the patient feels malfunction Let 22 be selected. The selection of the outline mark 22 corresponding to the malfunction site may be performed by a practitioner who has heard the malfunction site from the patient. When the outline mark 22 corresponding to the malfunctioning site is selected by an operation such as tap on the display, the human figure display unit 11 displays the inside of the outline mark 22 of the selected site in a colored manner. For example, the display color of the outline mark 22 is changed to the same color in the outline mark 22.

  When one or more outline marks 22 corresponding to the malfunction site are selected and the button 21 displayed in the malfunction site selection image D2 is selected by the practitioner, the malfunction pattern presentation unit 12 selects the selected contour mark 22. Data for displaying one or more malfunction patterns related to the corresponding malfunction site is acquired from the cloud server 30, and a malfunction pattern display image D3 as shown in FIG. 3 is displayed on the display of the treatment support apparatus 10 ( Step S2). For example, a malfunction pattern corresponding to any one malfunction site is displayed, and a pointer 32 indicating the currently selected malfunction site is displayed along with a human figure on the left side thereof.

  The patient or the practitioner selects a malfunction pattern in which the patient feels malfunction from the list of malfunction patterns displayed in the malfunction pattern display image D3. When the malfunction pattern is selected, the practitioner presses the button 31 displayed on the upper right of the malfunction pattern display image D3. When the button 31 is pressed, the malfunction pattern presentation unit 12 causes the display of the surgery support device 10 to display a malfunction pattern confirmation image D4 as shown in FIG. 4.

  When the malfunction pattern displayed in the malfunction pattern confirmation image D4 is confirmed and it is confirmed that the malfunction pattern in which the patient feels the malfunction is displayed, the practitioner confirms the malfunction pattern confirmation image D4. The button 41 is pressed. When the determination button 41 is pressed, the subject muscle related information presentation unit 13 acquires, from the cloud server 30, data for displaying related muscle information, operation information, manual examination information, etc. related to the malfunction pattern. The physical examination image D5 (see FIG. 5) including the information is displayed on the display of the treatment support apparatus 10 (step S3).

  While referring to this physical examination image D5, the practitioner performs a manual examination on the patient corresponding to each part (step S4). The practitioner confirms whether the test result by the physical test such as the motion test or the manual test is positive or negative, and inputs the test result using the test result image D10 as shown in FIG. When the input of the test result is completed, the practitioner presses a predetermined button of the test result image D10. Thereby, the treatment support apparatus 10 transmits the data of the inputted examination result to the cloud server 30. The cloud server 30 stores the data of the inspection result received from the treatment support apparatus 10 in the storage device.

  The practitioner performs an operation of displaying the acute information image D12 shown in FIG. 16 in order to generate a receipt after the examination of the patient is completed. Thereby, the acute information presentation unit 15 determines the candidate of the acute site of the patient, and displays the acute information image D12 including the outline mark 123 corresponding to the candidate of the acute site on the display of the operation support device 10 (step S5). ).

  The practitioner inputs the injury date of the acute site in the injury date input field in the acute information image D12, and then presses the receipt site selection button. When the receipt site selection button is pressed, the acute information presentation unit 15 of the treatment support apparatus 10 causes the display to display a receipt site selection image D13 (see FIG. 17).

  The practitioner selects the outline mark 123 corresponding to the acute site to be the target of the receipt, from among the acute site candidates displayed in the receipt site selection image D13. Thereby, the receipt generation unit 17 generates receipt information based on the acute region corresponding to the selected contour mark 123 (step S6). The generated receipt information is printed by the printer 20 as appropriate. The receipt information is also transmitted to the cloud server 30 and stored in the cloud server 30.

  When automatically selecting an acute site to be a receipt target from combination candidates to be a target of receipt, the practitioner selects an automatic selection button displayed on the receipt site selection image D13. When the automatic selection button is pressed, the receipt candidate presentation unit 16 causes the display of the treatment support device 10 to display the receipt site candidate selection image D14. The practitioner selects one combination candidate from the displayed list of combination candidates. Thereby, the receipt generation unit 17 generates receipt information for requesting medical treatment fee based on the acute site included in the selected combination candidate.

  As described above, since the malfunction site selection image D2 shown in FIG. 2 is displayed in the operation support apparatus 10, the patient who has visited the osteopathic clinic has his or her own disorder from among the sites presented in the malfunction site selection image D2. By selecting the site, it is possible to accurately transmit the patient's own disordered site to the practitioner. In addition, even when the practitioner can not accurately grasp the malfunctioning part of the patient through verbal communication with the patient, the practitioner can properly grasp the part where the patient feels malfunctioning by using the malfunctioning part selection image D2. Can.

  Also, when a site where the patient feels upset is selected from among the sites displayed in the upset site selection image D2, the upset pattern display image D3 is displayed, so the patient is displayed in the upset pattern display image D3. By looking at the list of malfunction patterns, it is possible to visually confirm which line the user feels to be malfunctioning. In addition, regardless of the difference in the experience or knowledge of the practitioner, it is possible to properly grasp the line where the patient feels upset.

  In addition, the physical examination image D5 displays the related muscle related to the patient's selected disorder pattern (subjective muscle), the related motion and the related manual examination, so the practitioner can obtain information related to the patient's subject muscle. It can be easily grasped.

  In addition, when the link mark 51 associated with each piece of information is selected, the information on the muscle related to the information, the information on the operation, the information on the manual examination, etc. are displayed in a list. Even if you have low experience, you can refer to the relevant information of each piece of information to make an appropriate examination and use it for treatment.

  In addition, the practitioner can communicate with the patient while referring to the information presented in the malfunction site selection image D2, the malfunction pattern display image D3, the physical examination image D5, etc., and can be used for better treatment. .

  In addition, it is possible to easily create a receipt by selecting the site to be treated by the practitioner as the receptive target from the acute sites to be recepted displayed in the recept site selection image D13 by the practitioner. In addition, the practitioner can easily create a receipt by selecting any combination candidate from the list of combination candidates of the target parts of the receipt displayed in the receipt region candidate selection image D14.

  Although both the receipt site selection image D13 and the receipt site candidate selection image D14 require input by the practitioner, the treatment support apparatus 10 automatically selects a site to be a receipt target according to a certain rule, and thus the receipt target The selection of the site to be performed may be completely automated.

  For example, as shown in FIG. 22, a receipt site automatic selection unit 18 may be provided as a functional block of the treatment support apparatus 10. This functional block is realized by the CPU of the treatment support apparatus 10 executing a program stored in the memory. The receipt site automatic selection unit 18 selects an acute site to be a receipt target according to a certain rule from the candidates for the acute site. As the “certain rule”, for example, when there are three or more adjacent acute sites of a patient, a rule is selected such that the largest number of sites are selected so as not to be adjacent to each other as the target sites for receipt. Conceivable. In addition, a “recept generation mode” is provided as data that can be preset in the memory, and this “completely automatic” mode and a “manual” mode in which the practitioner selects a site one by one in the receipt site selection image D13 shown in FIG. One of “automatic” mode in which the practitioner selects any combination candidate in the receipt site candidate selection image D14 shown in FIG. 18 may be set as the “recept generation mode”.

  Further, since the patient information, the medical record information and the receipt information are collectively managed by the cloud server 30, it is possible to smoothly carry over when the practitioner in charge of the patient is changed.

  The treatment support system 1 can also be used as an educational tool. Since it can be confirmed in the medical chart image D11 what patient the treatment was performed on, etc., the understanding of the person receiving education is deepened. In addition, the treatment support system 1 can be used not only at the osteopathic clinic but also at the orthopedic clinic, except for the function of generating the receipt.

  The present invention is not limited to the contents of each embodiment described above, and various modifications can be made within the scope of the present invention. For example, the layout of the image described in the above-described embodiment is merely an example, and the display position of characters and figures can be arbitrarily changed. Moreover, in the embodiment described above, information such as malfunction patterns, related muscles, motion, manual examination and the like is displayed on the image, but such information may be presented by, for example, voice guidance without being displayed on the image.

  In the above-described embodiment, the patient information, the medical record information, and the receipt information are stored in the cloud server 30, but a part or all of the information is installed in a hospital such as an osteopathic clinic and the treatment support device 10 It may be stored in an in-hospital server (not shown) communicably connected to each other, or may be stored in both the cloud server 30 and the in-hospital server.

  In the embodiment described above, various images in the treatment support apparatus 10 are displayed using data acquired each time from the cloud server 30, but data necessary for image display are stored in the treatment support apparatus 10 in advance. During treatment, the treatment support apparatus 10 may be used standalone without being connected to the cloud server 30.

  In the above-described embodiment, the treatment support apparatus is configured by installing the program in a general-purpose tablet information processing apparatus, but the treatment support apparatus is configured as a dedicated apparatus in which the program is incorporated in advance. May be

  Further, the application object of the present invention is not limited to the above-mentioned osteopathic clinic, and general body work such as osteopathic, bone grafting, tailoring, massage, acupuncture and the like can be applied.

1: Operation support system 10: Operation support device 11: Human figure display section 12: Malfunction pattern presentation section 13: Subject muscle related information presentation section 14: Link information presentation section 15: Acute information presentation section 16: Receipt candidate presentation section 17: Receipt generation unit 18: Receipt site automatic selection unit 20: Printer 30: Server 40: Communication network D2: Malfunction site selection image D3: Malfunction pattern display image D4: Malfunction pattern confirmation image D5: Physical examination image D6: Subject muscle link information display Image D7: Related muscle link information display image D8: Related operation link information display image D9: Related manual inspection link information display image D10: Test result image D11a, D11b, D11c, D11d, D11e: Medical record image D12: Acute information display image D13 : Recept site selection image D14: Recept site candidate selection Image D15: External force judgment input image R1: Region of first row R2: Region of second row R3: Region of third row R4: region of fourth row

Claims (10)

An information processing apparatus including an input unit and a display unit;
A server communicably connected to the information processing apparatus;
Including
The information processing apparatus is
Means for causing the display unit to display a human figure schematically showing a human body and a part mark representing each part of the human body in the human figure using data acquired from the server;
When a region corresponding to a patient's malfunction is selected using the input unit from among the regions of the human figure displayed on the display unit, the patient corresponding to the muscle associated with the selected region The display unit using data acquired from the server, a list including one or more malfunctioning patterns, which is an image in which a range in which the user may feel malfunctioning is colored and shown superimposed on a partial human body view Means for displaying
Receiving the input of the result of the physical examination using the input unit, the candidate of one or more acute sites of the patient is determined, and the acute conditions satisfying the condition that the adjacent acute sites do not exist among the candidates A unit for displaying a list of combination candidates of parts on the display unit;
Electronic information including information for claiming medical service fee based on the acute region included in the selected combination candidate when any one of the list of combination candidates is selected using the input unit Means for generating receipt information that is
Operation support system.   In the list of combination candidates at the acute site, the combination candidates are arranged in order of increasing the chargeable medical service fee,
  The operation support system according to claim 1.   An information processing apparatus including an input unit and a display unit;
  A server communicably connected to the information processing apparatus;
Including
  The information processing apparatus is
  Means for causing the display unit to display a human figure schematically showing a human body and a part mark representing each part of the human body in the human figure using data acquired from the server;
  When a region corresponding to a patient's malfunction is selected using the input unit from among the regions of the human figure displayed on the display unit, the patient corresponding to the muscle associated with the selected region The display unit using data acquired from the server, a list including one or more malfunctioning patterns, which is an image in which a range in which the user may feel malfunctioning is colored and shown superimposed on a partial human body view Means for displaying
  Based on the input of the result of the physical examination using the input unit, a candidate of one or more acute sites of the patient is determined, and the acute site to be received is automatically selected from the candidates according to a predetermined criterion. And means for generating receipt information which is electronic information including information for claiming medical treatment fee based on the automatically selected acute site,
  The predetermined criteria ensure that the number of the selected acute sites is greatest under the condition that none of the selected acute sites is adjacent to the other acute sites. It is a standard that
  Operation support system. A treatment support apparatus configured using an information processing apparatus including an input unit and a display unit,
Means for displaying on the display unit a human figure schematically showing a human body, and a part mark representing each part of the human body in the human figure;
When the first part corresponding to the patient's malfunction is selected using the input part from among the parts of the human figure displayed on the display part, the muscle associated with the selected first part is selected. Means for displaying on the display unit a list including one or more malfunction patterns, which is an image in which a range in which the patient may feel malfunction is superimposed and shown on a partial human figure ;
Receiving the input of the result of the physical examination using the input unit, the candidate of one or more acute sites of the patient is determined, and the acute conditions satisfying the condition that the adjacent acute sites do not exist among the candidates A unit for displaying a list of combination candidates of parts on the display unit;
Electronic information including information for claiming medical service fee based on the acute region included in the selected combination candidate when any one of the list of combination candidates is selected using the input unit Means for generating receipt information that is
Operation support device.   In the list of combination candidates at the acute site, the combination candidates are arranged in order of increasing the chargeable medical service fee,
  The treatment support apparatus according to claim 1. A treatment support apparatus configured using an information processing apparatus including an input unit and a display unit,
Means for displaying on the display unit a human figure schematically showing a human body, and a part mark representing each part of the human body in the human figure;
When the first part corresponding to the patient's malfunction is selected using the input part from among the parts of the human figure displayed on the display part, the muscle associated with the selected first part is selected. Means for displaying on the display unit a list including one or more malfunction patterns, which is an image in which a range in which the patient may feel malfunction is superimposed and shown on a partial human figure ;
Based on the input of the result of the physical examination using the input unit, a candidate of one or more acute sites of the patient is determined, and the acute site to be received is automatically selected from the candidates according to a predetermined criterion. And means for generating receipt information which is electronic information including information for claiming medical treatment fee based on the automatically selected acute site,
The predetermined criteria ensure that the number of the selected acute sites is greatest under the condition that none of the selected acute sites is adjacent to the other acute sites. It is a standard that
Operation support device. An operation support method using an information processing apparatus including an input unit, a display unit, and a control unit,
Causing the display unit to display a human body diagram that schematically represents a human body, and a part mark that represents each part of the human body in the human body diagram.
When the control unit selects, using the input unit, a first portion corresponding to a patient's malfunction out of each portion of the human body diagram displayed on the display unit, the selected first portion In the display unit, a list including one or more disordered patterns, which is an image that is shown by coloring and overlaying a range on which a patient may feel disordered corresponding to a line related to Step of displaying
The control unit receives an input of a result of a physical examination using the input unit to obtain one or more candidates for the acute site of the patient, and among the candidates, the adjacent acute site does not exist. Displaying on the display unit a list of combinations of acute site combinations that satisfy the conditions;
When the control unit is selected using the input unit from the list of combination candidates, the control unit may request medical treatment fee based on the acute site included in the selected combination candidate. Generating receipt information, which is electronic information including information ;
Operation support method.   In the list of combination candidates at the acute site, the combination candidates are arranged in order of increasing the chargeable medical service fee,
  The operation support method according to claim 1. An operation support method using an information processing apparatus including an input unit, a display unit, and a control unit,
Causing the display unit to display a human body diagram that schematically represents a human body, and a part mark that represents each part of the human body in the human body diagram.
When the control unit selects, using the input unit, a first portion corresponding to a patient's malfunction out of each portion of the human body diagram displayed on the display unit, the selected first portion In the display unit, a list including one or more disordered patterns, which is an image that is shown by coloring and overlaying a range on which a patient may feel disordered corresponding to a line related to Step of displaying
The control unit receives an input of a result of a physical examination using the input unit to obtain one or more acute site candidates of the patient, and the acute site to be subjected to a receptive target according to a predetermined standard among the candidates. And c) automatically selecting, and generating recept information, which is electronic information including information for claiming medical service fee based on the automatically selected acute site.
The predetermined criteria ensure that the number of the selected acute sites is greatest under the condition that none of the selected acute sites is adjacent to the other acute sites. It is a standard that
Operation support method.   The program which the said control part performs the each step in the operation assistance method in any one of Claims 7-9 in the information processing apparatus provided with the input part, the display part, and the control part.