JP7090293B2 - Medical support system and medical support program - Google Patents

Description

The present invention relates to a medical support system and a medical support program.

Conventionally, a medical information input device (see Patent Document 1) and a so-called in-hospital cancer registration device have been known as a device for storing information related to medical care and supporting the medical practice of a medical worker. This medical information input device was configured to store illness status data, including data from various tests performed on a patient by a healthcare professional, and output the stored data. In addition, the in-hospital cancer registration device was configured to store data on the treatment performed by the medical staff on the patient and output the stored data.

Japanese Unexamined Patent Publication No. 2014-21128

However, in the conventional medical information input device and the in-hospital cancer registration device, it is difficult to grasp the specific treatment given to the patient and the specific effect of the treatment in association with each other.

Specifically, for example, a medical information input device is configured to store disease state data including test data, but is not configured to store treatment data. , It is difficult to grasp the treatment given to the patient, and it is difficult to grasp the specific treatment given to the patient and the specific effect of the treatment in association with each other. rice field.

Further, for example, in the in-hospital cancer registration device, although it is configured to store treatment data, it is not configured to store data on the patient's illness state. It has become difficult to grasp the effect of the treatment performed, and it has been difficult to grasp the specific effect of the treatment given to the patient in association with the specific effect of the treatment.

Therefore, the decision of the treatment policy for the patient's illness has to rely on the personal experience of each medical worker, and there is room for improvement from the viewpoint of improving the quality of treatment in the entire medical field. In particular, the decision of treatment policy at each stage of disease transition has to rely heavily on the personal experience of each healthcare professional, and is particularly improved from the perspective of improving the quality of treatment throughout the medical field. There was room for.

The present invention has been made in view of the above problems, and an object of the present invention is to make it possible to improve the quality of treatment in the entire medical field.

In order to solve the above-mentioned problems and achieve the object, the medical support system according to claim 1 is a medical support system, in which patient identification information for uniquely identifying a patient and at least a patient's name are provided. A patient information storage means that stores patient information in which specific name information is interconnected, the patient identification information, stage information that specifies a stage determined according to the degree of disease progression, and treatment. The management means includes a disease state information storage means, a display means, and a management means for storing the disease state information in which the episode identification information for uniquely identifying the transition is associated with each other . A selection screen for selecting a patient, the selection screen for displaying the patient information stored in the patient information storage means is displayed on the display means, and the stage information and the selection screen are displayed. When the patient information corresponding to the patient selected by the user in the patient information is input to the medical support system, the first step of newly generating the episode identification information and the medical treatment. The second step of identifying the patient identification information that identifies the patient selected by the user based on the patient information input to the support system, the identified patient identification information, and the identified patient identification information are input to the medical support system. The third step of interassociating the stage information and the newly generated episode identification information with each other and newly storing the diseased state information in the diseased state information storage means is executed, and the management means is described as described above . In the first step, information unique to the disease state information storage means is newly generated as the episode identification information.
Further, the medical support system according to claim 2 is the medical support system according to claim 1, wherein the medical support system further includes a disease treatment information storage means, and the management means displays the selection screen. The medical support includes the disease treatment information displayed on the display means and specifying the treatment content of the disease, and the patient information corresponding to the patient selected by the user among the patient information displayed on the selection screen. When input to the system, the patient identification information that identifies the patient selected by the user is specified based on the patient information input to the medical support system, and is stored in the disease state information storage means. Based on the disease state information, the episode identification information associated with the identified patient identification information is specified, and the identified episode identification information and the disease treatment information input to the medical support system are specified. Is stored in the disease treatment information storage means in association with each other.
Further, the medical support system according to claim 3 is the medical support system according to claim 1 or 2, wherein the medical support system further includes a side effect information storage means, and the management means administers a drug. When the side effect information for specifying the side effect due to the above and the patient information corresponding to the patient selected by the user among the patient information displayed on the selection screen are input to the medical support system, Based on the patient information input to the medical support system, the patient identification information that identifies the patient selected by the user is specified, and based on the disease state information stored in the disease state information storage means. , The episode identification information associated with the identified patient identification information is identified, and the identified episode identification information and the side effect information input to the medical support system are associated with each other to obtain the side effect information. Store in the storage means.
Further, in the medical support program according to claim 4, the computer stores patient information in which patient identification information for uniquely identifying a patient and at least name information for identifying a patient's name are associated with each other. The patient information storage means, the patient identification information, the stage information that identifies the stage determined according to the degree of progression of the disease, and the episode identification information for uniquely identifying the transition of treatment are correlated with each other. It is a medical support program that functions as a medical support system, which comprises a medical condition information storage means, a display means, and a management means for storing the medical condition information, and the management means is a medical support program for a patient. A selection screen for selecting, the selection screen for displaying the patient information stored in the patient information storage means is displayed on the display means, and the stage information and the selection screen are displayed. When the patient information corresponding to the patient selected by the user in the patient information is input to the medical support system, the first step of newly generating the episode identification information and the medical support system. The second step of identifying the patient identification information that identifies the patient selected by the user based on the patient information input to the user, the identified patient identification information, and the stage input to the medical support system. The third step of interassociating the information with the newly generated episode identification information and newly storing the information as the disease state information in the disease state information storage means is executed, and the management means is the first step. In the step, information unique to the disease state information storage means is newly generated as the episode identification information.

The medical support system according to claim 1 and the medical support program according to claim 4 can improve the quality of treatment in the entire medical field.

It is a block diagram which shows the cancer chemotherapy support system which concerns on this embodiment. It is a block diagram which shows the cancer chemotherapy support DB. It is a figure exemplifying hospital facility information. It is a figure which exemplifies the patient information. It is a figure which exemplifies the cancer state information. It is a figure which exemplifies cancer treatment information. It is a figure which exemplifies the treatment content information. It is a figure exemplifying the side effect information. It is a figure which exemplifies the therapeutic effect information. It is a figure which exemplifies the blood test information. It is a figure which illustrated the vital inspection information. It is a figure which exemplifies the pathological examination information. It is a figure exemplifying the image inspection information. It is a figure exemplifying the interview information. It is a flowchart of information storage processing. It is a flowchart of information transmission processing. It is a flowchart of information analysis processing.

Hereinafter, embodiments of the medical support system according to the present invention will be described in detail with reference to the drawings. The present invention is not limited to this embodiment.

[Basic concept of the embodiment]
First, the basic concept of the embodiment will be described. The embodiments are generally related to a medical support system.

Here, the "medical support system" is a system that supports medical care, specifically, a system that outputs medical information, and is, for example, a medical worker who is engaged in medical practice (for example, a doctor). , Nurses, pharmacists, clerks, etc.), and is a system provided with reception means, storage means, and output means. In addition, this "medical support system" is to implement a function for supporting medical care in, for example, a system configured as a dedicated system for supporting medical care, or a general-purpose system (for example, a personal computer). It is a concept including a system configured by. Further, the "medical support system" is a concept including a system realized by only one device, a system realized by a plurality of distributed devices, and the like.

Further, the "medical information" is information related to medical care, specifically, information output by a medical support system, and is, for example, information including at least disease-related information and drug-related information. The "disease-related information" is information about a disease, and is a concept including, for example, hospital facility information, patient information, cancer state information, interview information, examination information, side effect information, therapeutic effect information, and the like, which will be described later. "Disease" is a concept that causes an abnormality in the physiological state of the whole body or a part of a human being, and includes any disease such as cancer, diabetes, or kidney disease. The "drug-related information" is information about a drug used for treating a disease, and is, for example, information including cancer treatment information, treatment content information, etc., which will be described later.

Further, the "reception means" is a means for accepting input of medical information including at least disease-related information and drug-related information, and specifically, a means for receiving medical information as information in line with the transition of illness treatment. For example, it accepts medical information input by a medical worker (hereinafter, “medical worker” is also referred to as “user”) using a support means. "Accepting medical information as information along the transition of disease treatment" means voluntary including various events related to disease treatment (for example, patient diagnosis, drug prescription, patient examination, patient observation, etc.). It is to accept medical information at the timing when the event) appears. The "support means" is a means for assisting the user in inputting medical information, and specifically, indicates a standard for inputting medical information, for example, information to be input. It is stored, and as an example, a cancer classification master, a cancer master, a cancer tissue master, a cancer side master, a cancer differentiation degree master, a regimen master, a drug master, a usage master, a side effect master, a therapeutic effect master, etc., which will be described later, etc. It is a concept including.

Further, the "storage means" is a means for storing medical information received by the reception means, and the "output means" is a means for outputting the medical information stored by the storage means. "Output medical information" means to display and output medical information as image information, to output medical information as voice information, to print out medical information as paper information, or to output medical information as transmission information. It is a concept that includes transmission and output.

Then, in the embodiment shown below, a case where the "disease" is cancer and the "medical support system" is a system configured as a dedicated system for supporting medical care will be described.

(Constitution)
First, the configuration of the cancer chemotherapy support system according to the present embodiment will be described. FIG. 1 is a block diagram showing a cancer chemotherapy support system according to the present embodiment. In fact, in the cancer chemotherapeutic support system 100, a plurality of medical institution systems having similar configurations to each other are connected to the server device 601. However, here, among the plurality of medical institution systems, The illustrated medical institution system 101 will be described with reference to the one medical institution system 101 of the above.

The cancer chemotherapy support system 100 shown in FIG. 1 includes, for example, a medical institution system 101 and a server device 601.

(Composition-Medical institution system)
The medical institution system 101 is a system provided in a hospital, and includes, for example, a cancer chemotherapy support device 1, an electronic medical record device 2, an in-hospital cancer registration device 3, and a medical inquiry information registration device 4.

(Configuration-Medical institution system-Cancer chemotherapy support device)
The cancer chemotherapy support device 1 is the above-mentioned medical support system, and includes, for example, a communication unit 11, an operation unit 12, a display unit 13, a recording unit 14, and a control unit 16.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Communication Department)
The communication unit 11 is a communication means for communicating with each device, and in particular, it communicates with at least a server device 601 which is a device outside the hospital, or an electronic medical record which is a device inside the hospital. It communicates with the device 2, the in-hospital cancer registration device 3, or the medical inquiry information registration device 4. The specific type and configuration of the communication unit 11 is arbitrary, but for example, a known communication circuit or the like can be provided (the same applies to the communication unit 61 described later).

(Configuration-Medical institution system-Cancer chemotherapy support device-Operation unit)
The operation unit 12 is an operation means for inputting various operation inputs from the user. The specific type and configuration of the operation unit 12 is arbitrary, but for example, a known input device such as a keyboard or a mouse can be used.

(Configuration-Medical institution system-Cancer chemotherapy support device-Display unit)
The display unit 13 is a display means for displaying information. The specific type and configuration of the display unit 13 is arbitrary, but is, for example, a transparent or semi-transparent display, for example, a flat panel display such as a known liquid crystal display or an organic EL display. Can be used.

(Composition-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department)
The recording unit 14 is a recording means for recording a program (medical support program) necessary for the operation of the cancer chemotherapy support device 1 and various data, and is configured by using, for example, a known recording device. Examples of the known recording device include a hard disk as an external recording device, a magnetic recording medium such as a magnetic disk, an optical recording medium such as a DVD or a Blu-ray disc, or a Flash, ROM, USB memory, or SD card. Such an electrical recording medium, or any other recording medium can be used. The recording unit 14 includes a cancer chemotherapy support database (hereinafter, “database” is referred to as “DB”) 15.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB)
The cancer chemotherapy support DB 15 is a storage means for storing medical information, and is configured in the same manner as the recording unit 14, for example. FIG. 2 is a block diagram showing a cancer chemotherapy support DB. The cancer chemotherapy support DB 15 shown in FIG. 2 is, for example, a hospital facility information management DB 511, a patient information management DB 512, a cancer information management DB 513, a treatment content information management DB 514, a side effect information management DB 515, a treatment effect information management DB 516, and an examination information management. DB517, interview information management DB518, cancer classification master 521, cancer master 522, cancer tissue master 523, cancer side master 524, cancer differentiation degree master 525, regimen master 526, drug master 527, usage master 528, side effect master 529, and It is equipped with a therapeutic effect master 530.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Hospital Facility Information Management DB)
The hospital facility information management DB 511 of FIG. 2 is a hospital facility information management means for storing hospital facility information. "Hospital facility information" is disease-related information, for example, information that identifies a hospital facility. FIG. 3 is a diagram illustrating hospital facility information. As shown in FIG. 3, the hospital facility information is configured by, for example, correlating the item “hospital facility ID” and the item “hospital facility name information” with the information corresponding to each item.

Here, the information corresponding to the item "hospital facility ID" is hospital facility identification information for uniquely identifying the hospital facility (hereinafter, "identification information" is referred to as "ID") (in FIG. 3, cancer). “IDh1”) that identifies the hospital facility in which the chemotherapy support device 1 is installed. Further, the item "hospital facility name information" is hospital facility name information that specifies the name of the hospital facility (in FIG. 3, "HA University" that specifies the name of the hospital facility in which the cancer chemotherapy support device 1 is installed. hospital").

Then, regarding such hospital facility information, the control unit 16 (specifically, the cancer chemotherapy management unit 161 (the same applies to each information of the medical information shown below)) controls the electronic medical record device via the communication unit 11. The hospital facility information is acquired (accepted) from 2 and stored, or the hospital facility information input by the user via the operation unit 12 is received and stored.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Patient Information Management DB)
The patient information management DB 512 of FIG. 2 is a patient information management means for storing patient information. "Patient information" is disease-related information, for example, information that identifies a patient. FIG. 4 is a diagram illustrating patient information. As shown in FIG. 4, the patient information includes, for example, the item "patient ID", the item "name information", the item "gender information", the item "date of birth information", the item "blood type information", and the item "death". The "day information" and the item "address information" and the information corresponding to each item are configured in association with each other.

Here, the information corresponding to the item "patient ID" is a patient ID for uniquely identifying the patient (in FIG. 4, "IDp1" or the like). Further, the information corresponding to the item "name information" is name information that identifies the patient's name (in FIG. 4, "AAAA" or the like). The information corresponding to the item "gender information" is gender information that identifies the gender of the patient ("male" and "female" in FIG. 4). The information corresponding to the item "date of birth information" is the date of birth information that specifies the date of birth of the patient (in FIG. 4, "1960011" that specifies January 01, 1960, etc.). In addition, the information that specifies the date or date in each of the following information shall be shown in the same way as this date of birth information. Further, the information corresponding to the item "blood type information" is blood type information that specifies the blood type of the patient (in FIG. 4, "type A" or the like). In addition, the information corresponding to the item "death date information" is the death date information that specifies the death date of the patient ("20100301" in FIG. 4, and "20100301" that specifies that the patient is alive without dying. Survival "etc.). Further, the information corresponding to the item "address information" is the address information for specifying the address of the patient (in FIG. 4, "Adr1" or the like).

Then, the control unit 16 acquires (accepts) the patient information from the electronic medical record device 2 via the communication unit 11 and stores (accepts) such patient information, or the user inputs the patient information via the operation unit 12. Accepts and stores patient information.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Information Management DB)
The cancer information management DB 513 of FIG. 2 is a cancer information management means for storing cancer state information and cancer treatment information.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Information Management DB-Cancer Status Information)
The "cancer state information" is disease-related information, for example, information for identifying cancer. FIG. 5 is a diagram illustrating cancer state information. As shown in FIG. 5, the cancer state information includes, for example, the item "episode ID", the item "patient ID", the item "cancer classification information", the item "cancer site information", the item "cancer tissue information", and the item " The item "cancer side information", the item "cancer differentiation degree information", the item "TNM classification information", and the item "stage information" are configured in association with each other. The information corresponding to the item "patient ID" is common to the information of the item having the same name in FIG.

Here, the information corresponding to the item “episode ID” is an episode ID for uniquely identifying the transition of treatment (“IDe1” or the like in FIG. 5). Further, the information corresponding to the item "cancer classification information" is cancer classification information for specifying the cancer classification, and is, for example, information stored in the cancer classification master 521 ("stomach cancer" or the like in FIG. 5). .. Further, the information corresponding to the item "cancer site information" is the cancer site information that identifies the site where the cancer is localized (existing), and is, for example, the information stored in the cancer master 522 (in FIG. 5). , "Stomach / Cardia" etc.). The information corresponding to the item "cancer tissue information" is cancer tissue information that identifies the histological type of cancer, and is, for example, information stored in the cancer tissue master 523 (in FIG. 5, "tubular adenocarcinoma". "etc). Further, the information corresponding to the item "cancer-side information" is cancer-side information that identifies the side of the cancer, and is, for example, information stored in the cancer-side master 524 (in FIG. 5, "" None "etc.). Further, the information corresponding to the item "cancer differentiation degree information" is cancer differentiation degree information for specifying the cancer differentiation degree, and is, for example, information stored in the cancer differentiation degree master 525 (in FIG. 5, " Poorly differentiated type "etc.). Further, the information corresponding to the item "TNM classification information" is TNM classification information for specifying the state of cancer for determining the degree of cancer progression, and is, for example, a UICC (Unio Internationalis Contra Cancurum) standard or other information. Information that can be determined according to any criteria, including criteria, such as cancer size and invasion information as a T factor, cancer lymph node metastasis information as an N factor, and cancer as an M factor. Information that includes information on distant metastases (in FIG. 5, for gastric cancer, "T:" that identifies factor T as "III", factor N as "III", and factor M as "I". 3, N: 3, M: 1 "etc.). In addition, the information corresponding to the item "stage information" is stage information that specifies the stage as the degree of cancer progression, and is information that can be determined according to any standard including, for example, UICC standards or other standards. (In FIG. 5, "Stage IV" etc.).

Then, with respect to such cancer state information, the control unit 16 acquires (accepts) and stores the cancer state information from the electronic medical record device 2 or the in-hospital cancer registration device 3 via the communication unit 11, or the user can store the cancer state information. The cancer state information input via the operation unit 12 is received and stored.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Information Management DB-Cancer Treatment Information)
The "cancer treatment information" is drug-related information, for example, information for specifying the overall treatment content of cancer, and information for specifying information related to the administered drug. FIG. 6 is a diagram illustrating cancer treatment information. As shown in FIG. 6, the cancer treatment information includes, for example, the item "treatment content ID", the item "episode ID", the item "start date information", the item "end date information", the item "treatment method information", and the item. The "treatment purpose information" and the item "regimen information" are configured by associating the information corresponding to each item with each other. The information corresponding to the item "episode ID" is common to the information of the item having the same name in FIG.

Here, the information corresponding to the item "treatment content ID" is a treatment content ID for uniquely identifying the treatment content ("IDt11" or the like in FIG. 6). Further, the information corresponding to the item "start date information" is start date information (such as "20081201" in FIG. 6) that specifies the date when the treatment is started. Further, the information corresponding to the item "end date information" is end date information (such as "20082141" in FIG. 6) that specifies the date when the treatment is completed. In addition, the information corresponding to the item "treatment method information" is the treatment method information for specifying the treatment method (in FIG. 6, in FIG. 6, the drug agent for cancer treatment is administered by oral administration (that is, orally) and by injection. "Chemical therapy (oral, injection)" and "chemotherapy (injection)", etc., in which a drug for cancer treatment is administered by injection). The information corresponding to the item "treatment purpose information" is treatment purpose information that specifies the purpose of treatment (in FIG. 6, "cancer reduction", which is a reduction in the size or range of cancer). The information corresponding to the item "regimen information" is regimen information that specifies a combination of drugs, and is, for example, information stored in regimen master 526 (in FIG. 6, "tegafur, gimeracil, oteracil potassium". "S-1 + CDDP" which is a combination of "S-1" which is an abbreviation of the drug name of "Cisplatin" and "CDDP" which is an abbreviation of the drug name of "cisplatin").

Then, regarding such cancer treatment information, the control unit 16 acquires (accepts) and stores the cancer treatment information from the electronic medical record device 2 or the in-hospital cancer registration device 3 via the communication unit 11, or the user can store the cancer treatment information. It receives and stores cancer treatment information input via the operation unit 12.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Treatment Content Information Management DB)
The treatment content information management DB 514 of FIG. 2 is a treatment content information management means for storing the treatment content information. "Treatment content information" is drug-related information, for example, treatment content information that identifies an oral drug administered for the treatment of cancer, and specifies information related to an orally administered drug. It is treatment content information. FIG. 7 is a diagram illustrating treatment content information. As shown in FIG. 7, the treatment content information includes, for example, the item "prescription history ID", the item "patient ID", the item "prescription date information", the item "drug name information", the item "unit amount information", and the item. The "prescription amount information" and the item "usage information" are configured by associating the information corresponding to each item with each other. The information corresponding to the item "patient ID" is common to the information of the item having the same name in FIG.

Here, the information corresponding to the item "prescription history ID" is a prescription history ID that uniquely identifies information regarding a prescription instruction regarding a drug for treatment ("IDm1" or the like in FIG. 7). Further, the information corresponding to the item "prescription date information" is prescription date information that specifies the date on which the prescription is instructed ("20081,201" in FIG. 7) and the like. Further, the information corresponding to the item "drug name information" is the drug name information that specifies the name of the drug for which the prescription was instructed, and is, for example, the information stored in the drug master 527 (in FIG. 7). "S-1", which is an abbreviation for the drug name of "tegafur, gimeracil, oteracil potassium"). The information corresponding to the item "unit amount information" is unit amount information that specifies the amount of the drug to be orally administered at one time (in FIG. 7, "1" that specifies one tablet, etc.). Further, the information corresponding to the item "prescription amount information" is prescription amount information that specifies the amount of the drug for which the prescription is supported (in FIG. 7, "28" that specifies 28 tablets, etc.). Further, the information corresponding to the item "usage information" is the usage information for specifying the usage which is the administration method (that is, the administration method) of the drug, and is, for example, the information stored in the usage master 528 (FIG. 7). Then, "twice a day immediately after breakfast and dinner", etc., which specifies that the timing of administering the drug is twice a day immediately after breakfast and immediately after dinner).

Then, regarding such treatment content information, the control unit 16 acquires (accepts) the treatment content information from the electronic medical record device 2 via the communication unit 11 and stores it, or the user passes through the operation unit 12. Receives and stores the entered treatment content information.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Side Effect Information Management DB)
The side effect information management DB 515 of FIG. 2 is a side effect information management means for storing side effect information. The "side effect information" is disease-related information, and is, for example, side effect information that identifies side effects caused by administration of a drug to a patient. FIG. 8 is a diagram illustrating side effect information. As shown in FIG. 8, the side effect information includes, for example, the item “side effect ID”, the item “episode ID”, the item “side effect content information”, the item “grade information”, the item “onset date information”, and the item “peak date”. "Information" and the item "convergence date information" are configured by associating the information corresponding to each item with each other. The information corresponding to the item "episode ID" is common to the information of the item having the same name in FIG.

Here, the information corresponding to the item “side effect ID” is a side effect ID for uniquely identifying the information related to the side effect (“IDs 11” or the like in FIG. 8). Further, the information corresponding to the item "side effect content information" is the side effect content information that specifies the content of the side effect, and is, for example, the information specified by the side effect master 529 (in FIG. 8, "vomiting" that specifies the symptom of vomiting. , And "none" to specify that there are no side effects). Further, the information corresponding to the item "grade information" is grade information for specifying the grade which is the degree of side effect, and is, for example, information stored in the side effect master 529 (in FIG. 8, five grades of grade). "Grade 2" etc. that identifies the second stage from the lighter one. Further, the information corresponding to the item "expression date information" is the expression date information that specifies the date on which the symptom of the side effect appears ("20081207" or the like in FIG. 8). Further, the information corresponding to the item "peak day information" is the peak day information for specifying the date when the side effect symptom reached the peak (that is, the date when the side effect symptom was the worst) (in FIG. 8, " 20081208 "etc.). Further, the information corresponding to the item "convergence date information" is the convergence date information that specifies the date on which the symptom of the side effect has converged ("20081209" or the like in FIG. 8).

Then, regarding such side effect information, the control unit 16 acquires (accepts) the side effect information from the electronic medical record device 2 via the communication unit 11 and stores it, or the user inputs the side effect information via the operation unit 12. Receives and stores side effect information.

(Structure-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Therapeutic Effect Information Management DB)
The treatment effect information management DB 516 of FIG. 2 is a treatment effect information management means for storing the treatment effect information. The "therapeutic effect information" is disease-related information, for example, therapeutic effect information that specifies the effect of treatment given to a patient. FIG. 9 is a diagram illustrating treatment effect information. As shown in FIG. 9, the therapeutic effect information includes, for example, the item "therapeutic effect ID", the item "episode ID", the item "effect determination information", the item "exacerbation recurrence site information", and the item "determination date information". And the information corresponding to each item are associated with each other. The information corresponding to the item "episode ID" is common to the information of the item having the same name in FIG.

Here, the information corresponding to the item "therapeutic effect ID" is the therapeutic effect ID for uniquely identifying the information related to the therapeutic effect ("IDe11" or the like in FIG. 9). Further, the information corresponding to the item "effect determination information" is the effect determination information for specifying the determined therapeutic effect, and is, for example, the information stored in the therapeutic effect master 530 (in FIG. 9, all the cancer disappears). "Complete response" to identify what has been done, "partial response" to identify that the cancer has partially disappeared, and "progress" to identify that the cancer has not disappeared). In addition, the information corresponding to the item "exacerbation recurrence site information" is exacerbation recurrence site information that identifies the site where the cancer has exacerbated or recurred (in FIG. 9, it is specified that there was no site where the cancer exacerbated or recurred). "None", or "thyroid" that identifies the site of exacerbation or recurrence of cancer in the thyroid gland). Further, the information corresponding to the item "determination date information" is determination date information for specifying the date on which the therapeutic effect is determined ("20081220" or the like in FIG. 9).

Then, regarding such treatment effect information, the control unit 16 acquires (accepts) the treatment effect information from the electronic medical record device 2 via the communication unit 11 and stores it, or the user passes through the operation unit 12. Receives and stores the entered treatment effect information.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Test Information Management DB)
The test information management DB 517 of FIG. 2 is a test information management means for storing blood test information, vital test information, pathological test information, and image test information.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Test Information Management DB-Blood Test Information)
The "blood test information" is disease-related information and test information, and is, for example, information that identifies information related to a blood test performed on a patient. Here, the "blood test" is a test performed using the blood of a patient, and is a test for any item including known items. FIG. 10 is a diagram illustrating blood test information. As shown in FIG. 10, the blood test information includes, for example, an item "blood test ID", an item "patient ID", an item "test date information", and an item "blood test information", and information corresponding to each item. And are configured to be related to each other. The information corresponding to the item "patient ID" is common to the information of the item having the same name in FIG.

Here, the information corresponding to the item "blood test ID" is a blood test ID for uniquely identifying the information related to the blood test (in FIG. 10, "IDeb11" or the like). Further, the information corresponding to the item "test date information" is the test date information for specifying the date on which the blood test was performed ("20080920" or the like in FIG. 10). Further, the item "blood test information" is blood test information that identifies the item and the result of the blood test (in FIG. 10, the number of red blood cells (RBC) is about 4.2 million / μL, and the platelets. "RBC (420), PLT (16) ...", etc., which specifies that the number is about 160,000 / μL, etc.).

Then, regarding such blood test information, the control unit 16 acquires (accepts) the blood test information from the electronic medical record device 2 via the communication unit 11 and stores it, or the user passes through the operation unit 12 to store the blood test information. Accepts and stores the entered blood test information. The vital test information, pathological test information, and image test information, which will be described later, are also stored in the same manner.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Test Information Management DB-Vital Test Information)
The "vital test information" is disease-related information and test information, and is, for example, information that identifies information related to a vital test performed on a patient. Here, the "vital test" is a test for measuring the vital signs of a patient, and is a test for any item including known items. FIG. 11 is a diagram illustrating vital inspection information. As shown in FIG. 11, the vital test information includes, for example, the item “vital test ID”, the item “patient ID”, the item “test date information”, and the item “vital test information”, and the information corresponding to each item. And are configured to be related to each other. The information corresponding to the item "patient ID" is common to the information of the item having the same name in FIG. 4, and the information corresponding to the item "examination date information" is common to the information of the item having the same name in FIG. Is.

Here, the information corresponding to the item "vital inspection ID" is a vital inspection ID for uniquely identifying the information related to the vital inspection (in FIG. 11, "IDev11" or the like). Further, the item "vital test information" is vital test information that specifies the item and the result of the vital test (in FIG. 11, the body temperature (BT) is 37.5 degrees and the pulse (PR) is 65. "BT (37.5), PR (65) ...", etc. that specify the number of times / minute.

(Configuration-Medical institution system-Cancer chemotherapy support device-Cancer chemotherapy support DB-Test information management DB-Pathological test information)
The "pathological examination information" is disease-related information and examination information, and is, for example, information for specifying information regarding a pathological examination performed on a patient. Here, the "pathological test" is a test for determining whether or not a patient has cancer by collecting a patient's tissue or cell and using the collected tissue or cell. FIG. 12 is a diagram illustrating pathological examination information. As shown in FIG. 12, the pathological examination information includes, for example, the item "pathological examination ID", the item "patient ID", the item "examination date information", and the item "pathological examination information", and the information corresponding to each item. And are configured to be associated with each other. The information corresponding to the item "patient ID" is common to the information of the item having the same name in FIG. 4, and the information corresponding to the item "examination date information" is common to the information of the item having the same name in FIG. Is.

Here, the information corresponding to the item "pathological examination ID" is a pathological examination ID for uniquely identifying the information related to the pathological examination (in FIG. 12, "IDep11" or the like). Further, the item "pathological test information" is pathological test information for specifying the judgment result in the pathological test (in FIG. 12, "cancer" for specifying that the judgment result is cancer, and the judgment result is not cancer. To identify "non-cancer").

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Test Information Management DB-Image Test Information)
The "imaging examination information" is disease-related information and examination information, and is, for example, information for specifying information regarding an imaging examination performed on a patient. Here, the "imaging examination" is an examination in which an affected portion of a patient is imaged using an X-ray apparatus, a CT apparatus, an MRI apparatus, or the like, which are devices for imaging. FIG. 13 is a diagram illustrating image inspection information. As shown in FIG. 13, the image inspection information includes, for example, the item “image inspection ID”, the item “patient ID”, the item “inspection date information”, and the item “image inspection information”, and the information corresponding to each item. And are configured to be related to each other. The information corresponding to the item "patient ID" is common to the information of the item having the same name in FIG. 4, and the information corresponding to the item "examination date information" is common to the information of the item having the same name in FIG. Is.

Here, the information corresponding to the item "image inspection ID" is an image inspection ID for uniquely identifying the information related to the image inspection (in FIG. 13, "IDei11" or the like). Further, the item "image inspection information" is information for specifying an image captured by an image inspection (in FIG. 13, it is a file name for specifying an image captured by an MRI apparatus, such as "Im11").

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Interview Information Management DB)
The inquiry information management DB 518 of FIG. 2 is an inquiry information management means for storing the inquiry information. The "questionnaire information" is disease-related information, and is, for example, interview information that identifies an interview conducted with a patient. FIG. 14 is a diagram illustrating the interview information. As shown in FIG. 14, the interview information includes, for example, the item "patient ID", the item "patient medical history information", the item "family medical history information", and the item "lifestyle information", and the information corresponding to each item. Are configured to be associated with each other. The information corresponding to the item "patient ID" is common to the information of the item having the same name in FIG.

Here, the information corresponding to the item "patient medical history information" is information for specifying the medical history of the patient (in FIG. 14, "colorectal cancer" for specifying that the medical history has colorectal cancer, and that there is no medical history. "None" to specify). The information corresponding to the item "family medical history information" is information that identifies the medical history of the patient's family (in FIG. 14, "grandfather: liver cancer" that identifies that the grandfather's medical history has liver cancer, and the grandmother. "Grandmother: Lung cancer" etc. to identify that the medical history of is lung cancer). In addition, the information corresponding to the item "lifestyle information" is information that identifies the lifestyle of the patient (in FIG. 14, there is no smoking habit and there is a habit of drinking about once a week. Also, specify that there is a habit of exercising about twice a week, "smoking: nothing, drinking: about once a week, exercise: about twice a week", and there is no habit of smoking, and every day. Identify that you have a habit of drinking and not a habit of exercising "smoking: nothing, drinking: daily, exercising: nothing", etc.).

Then, the control unit 16 acquires (accepts) the inquiry information from the inquiry information registration device 4 via the communication unit 11 and stores (accepts) such inquiry information, or the user inputs the inquiry information via the operation unit 12. It accepts and stores the interview information that was asked.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Classification Master)
The cancer classification master 521 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the cancer classification information of FIG. The specific type and configuration of the cancer classification master 521 is arbitrary, but for example, information to be input in the cancer classification information of FIG. 5 is stored, and a candidate for information for inputting the stored information can be selected. Presented to the user, when the user selects the presented information via the operation unit 12 of FIG. 1, the selected information is input to the cancer chemotherapy support device 1 as the cancer classification information input by the user. (Note that the same applies to each master other than the cancer classification master 521 in the present embodiment). The cancer classification master 521 may present arbitrary information to the user, but here, for example, an organ specified by the localization code (ICD-O-3-T) of the International Classification of Diseases Oncology 3rd Edition. -The user can store information based on tissue information, with pediatric cancer, melanoma, etc., or information that conforms to arbitrary medical standards, and as a candidate for information to enter the stored information. Can be presented to. Specifically, it is possible to present "stomach cancer" which is a cancer in the stomach, "lung cancer" which is a cancer in the lung, and the like.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Master)
The cancer master 522 in FIG. 2 is the above-mentioned support means, and specifically, supports the input of the cancer site information in FIG. The cancer master 522 may present arbitrary information to the user, but here, for example, the organ specified by the localization code (ICD-O-3-T) of the International Classification of Diseases Oncology 3rd Edition. Information on the organization, information on detailed parts (optionally), or information in accordance with arbitrary medical standards is stored and presented to the user as a candidate for information for inputting the stored information. .. Specifically, it is the "stomach / cardia" which is the cardia of the stomach, the "stomach / fundus" which is the fundus of the stomach, the "lung / upper lobe" which is the upper lobe of the lung, and the middle lobe of the lung. "Lung / middle lobe" etc. can be presented.

(Composition-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Tissue Master)
The cancer tissue master 523 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the cancer tissue information of FIG. The cancer tissue master 523 may present arbitrary information to the user, but here, for example, the histological type specified by the morphological code (ICD-O-3-M) of the International Classification of Diseases Oncology 3rd Edition. Information, (optionally) property information, or information in accordance with any medical standard is stored, and the stored information is presented to the user as a candidate for input information. Specifically, "tubular adenocarcinoma", "squamous cell carcinoma", "squamous cell carcinoma / microinfiltrating" and the like can be presented.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Side Master)
The cancer-side master 524 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the cancer-side information of FIG. The cancer side master 524 may present arbitrary information to the user, but here, it corresponds to a law or rule regarding registration of cancer information in a hospital, such as a law regarding promotion of cancer registration or the like. Information to be used, or information in accordance with any medical standard is stored, and the stored information is presented to the user as a candidate for input information. Specifically, the "right side" when the cancer originates on the right side in a lateral organ, the "left side" when the cancer originates on the left side in a lateral organ, and the cancer in a non-lateral organ. It is possible to present "none" etc. in the case of a nuclear power plant.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Cancer Differentiation Level Master)
The cancer differentiation degree master 525 in FIG. 2 is the above-mentioned support means, and specifically, supports the input of the cancer differentiation degree information in FIG. The cancer differentiation degree master 525 may present arbitrary information to the user, and here, for example, the differentiation specified by the morphological code (ICD-O-3-M) of the International Classification of Diseases Oncology 3rd Edition. Information on the degree or information in accordance with any medical standard is stored, and the stored information is presented to the user as a candidate for input information. Specifically, it is possible to present "well-differentiated type", "medium-differentiated type", "poorly differentiated type", "undifferentiated type" and the like from the one with the higher degree of differentiation to the direction with the lower degree of differentiation.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Regimen Master)
The regimen master 526 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the regimen information of FIG. The regimen master 526 may present arbitrary information to the user, but here, for example, arbitrary information defined for each hospital facility or information in accordance with an arbitrary standard regarding medical care is stored. The stored information is to be presented to the user as a candidate for input information. Specifically, the above-mentioned "S-1 + CDDP", "CDDP + PEM" which is a combination of "PEM" which is an abbreviation of the drug name of "CDDP" and "pemetrexed", and the drug name of "CDDP" and "vinorelbine""CDDP + VNR" or the like, which is a combination with "VNR" which is an abbreviation for "VNR", may be presented.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Drug Master)
The drug master 527 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the drug name information of FIG. 7. The drug master 527 may present arbitrary information to the user, but here, for example, the standard drug information defined by the Medical Information System Development Center (MEDIS-DC) or an arbitrary standard regarding medical treatment is followed. Information is stored and is presented to the user as a candidate for information for inputting the stored information. Specifically, the above-mentioned "S-1" and the like can be presented.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Usage Master)
The usage master 528 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the usage information of FIG. 7. The usage master 528 may present arbitrary information to the user, but here, for example, information specified in the standard usage glossary established by the Japan Hospital Pharmacist Association, or information in accordance with arbitrary medical standards. Is stored in the user, and the stored information is presented as a candidate for input information. Specifically, the above-mentioned "immediately after breakfast and dinner twice a day" and the like can be presented.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Side Effect Master)
The side effect master 529 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the side effect content information and the grade information of FIG. The side effect master 529 may present arbitrary information to the user, but here, for example, the information specified by the adverse event common terminology standard v4.0 Japanese translation JCOG version (CTCAEv4.0-JCOG), or , Information in accordance with any medical standard is stored, and the stored information is presented to the user as a candidate for input information. Specifically, the above-mentioned "vomiting" and "grade 2" may be presented.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Recording Department-Cancer Chemotherapy Support DB-Therapeutic Effect Master)
The therapeutic effect master 530 of FIG. 2 is the above-mentioned support means, and specifically, supports the input of the effect determination information of FIG. The therapeutic effect master 530 may present arbitrary information to the user, but here, for example, information specified by a new guideline (RECIST guideline) for determining the therapeutic effect of solid cancer, or medical treatment. Information that conforms to an arbitrary standard is stored, and the stored information is presented to the user as a candidate for input information. Here, for example, the above-mentioned "complete response", "partial response", "progress" and the like can be presented.

(Configuration-Medical Institution System-Cancer Chemotherapy Support Device-Control Department)
The control unit 16 in FIG. 1 is a control means for controlling the cancer chemotherapeutic support device 1, and specifically, a CPU, various programs interpreted and executed on the CPU (basic control programs such as an OS, and an OS). It is a computer configured with an internal memory such as a RAM (including an application program that is started above and realizes a specific function) and a RAM for storing the program and various data. In particular, the control program according to the embodiment is installed in the cancer chemotherapy support device 1 via an arbitrary recording medium or network, thereby substantially constituting each part of the control unit 16.

The control unit 16 conceptually includes a cancer chemotherapy management unit 161, an analysis result display unit 162, and an anonymization unit 163. First, the cancer chemotherapy management unit 161 is a management means for managing medical information, and in particular, a reception means for receiving input of medical information. Further, the analysis result display unit 162 is an output means for outputting medical information stored in the cancer chemotherapy support DB 15. Further, the anonymization unit 163 is an anonymization means for anonymizing patient information. The processing performed by each unit of the control unit 16 will be described later.

(Configuration-Medical institution system-Electronic medical record device)
The electronic medical record device 2 of FIG. 1 is a management means for managing medical information. The specific type and configuration of the electronic chart device 2 is arbitrary, and the known device configuration is used except for the matters specified, and in particular, it is communicably connected to the cancer chemotherapeutic support device 1. For example, an input of medical information from the user side is accepted by a known method (for example, via an input device such as a keyboard or via an information recording medium such as a memory card) and stored in a recording unit (not shown). However, it is assumed that the medical information stored in the recording unit is transmitted to the cancer chemotherapy support device 1 as necessary (the same applies to the in-hospital cancer registration device 3 and the interview information registration device 4). ). The medical information handled by the electronic chart device 2 is arbitrary, but for example, only a part of the medical information (for example, each information of the hospital facility information, each information of the patient information, and the stage information of the cancer state information). , Only the treatment method information of the cancer treatment information, only the drug name information of the treatment content information, only the side effect content information of the side effect information, only the effect judgment information of the treatment effect information, each test information) And.

(Configuration-Medical institution system-In-hospital cancer registration device)
The in-hospital cancer registration device 3 of FIG. 1 is a management means for managing medical information. The medical information handled by this in-hospital cancer registration device 3 is arbitrary, but for example, only a part of the medical information (for example, only the cancer classification information of the cancer state information and only the treatment method information of the cancer treatment information). It shall be configured to be handled.

(Configuration-Medical institution system-Interview information registration device)
The inquiry information registration device 4 of FIG. 1 is a management means for managing medical information. The medical information handled by the medical inquiry information registration device 4 is arbitrary, but for example, it is configured to handle only a part of the medical information (for example, only the patient medical history information of the medical inquiry information). do.

(Configuration-Server device)
The server device 601 in FIG. 1 is a device that provides medical support, and specifically, is a management means that receives and manages medical information from a medical institution system 101 or the like. For example, a communication unit 61, cancer chemistry. It includes a therapy information storage unit 62, an information analysis unit 63, and an analysis result display unit 64.

(Configuration-Server device-Communication unit)
The communication unit 61 is a communication means for communicating with each cancer chemotherapy support device (hereinafter, also simply referred to as “each cancer chemotherapy support device”) of a plurality of medical institution systems connected to the server device 601. be.

(Configuration-Server device-Cancer chemotherapy information storage unit)
The cancer chemotherapy information storage unit 62 is a storage means for storing medical information similar to the medical information stored in each cancer chemotherapy support device. The specific type and configuration of the cancer chemotherapy information storage unit 62 is arbitrary, but it can also be configured in the same manner as the recording unit 14 of the cancer chemotherapy support device 1, for example. Then, regarding the medical information of the cancer chemotherapeutic information storage unit 62, for example, each cancer chemotherapeutic support device periodically (for example, every 10 to 15 hours, etc.) stores each medical information. It is configured to be transmitted to the server device 601 and is stored by receiving the periodically transmitted medical information via the communication unit 61.

(Configuration-Server equipment-Information analysis department)
The information analysis unit 63 is a reception means for receiving input of medical information via the communication unit 61, and is an analysis means for analyzing medical information stored in the cancer chemotherapy information storage unit 62. The specific type and configuration of the information analysis unit 63 is arbitrary, but it can also be configured in the same manner as the control unit 16 of the cancer chemotherapy support device 1 (the analysis result display unit 64 described later is also the same). do). The information analysis unit 63 is configured to perform arbitrary analysis including, for example, a known statistical analysis.

(Configuration-Server device-Analysis result display unit)
The analysis result display unit 64 is an output means for outputting medical information stored in the cancer chemotherapy information storage unit 62, and in particular, an analysis result display unit for outputting and displaying the analysis result of the information analysis unit 63. .. Then, the analysis result display unit 64 displays, for example, the analysis result of the information analysis unit 63 via the communication unit 61 to the display unit of each cancer chemotherapy support device (that is, the display unit 13 of the cancer chemotherapy support device 1 and the like). ) Shall be configured to be displayed and output to any display unit including.

(process)
Next, the information storage process, the information transmission process, and the information analysis process executed by the cancer chemotherapy support system 100 configured as described above will be described.

(Processing-Information storage processing)
FIG. 15 is a flowchart of the information storage process (steps are abbreviated as “S” in the following description of each process). The "information storage process" is a process for storing medical information, and specifically, a process performed by the cancer chemotherapy support device 1. The timing for executing this information storage process is arbitrary, but for example, for each of the information shown in FIGS. 3 to 14, each input screen that can be switched by the tab selection operation on the screen is displayed on the display unit 13 of FIG. It is assumed that the arbitrary steps are executed in any order by the predetermined operation of the operation unit 12 by the user performed through the displayed input screen. In particular, here, for example, in a state where hospital facility information has already been stored, after newly storing patient information, interview information, cancer state information, cancer treatment information, treatment content information, etc. corresponding to this patient information, The case of storing test information, side effect information, and therapeutic effect information will be described. Further, here, for convenience of explanation, a case where the user directly inputs and stores the input via the operation unit 12 will be described.

First, as shown in FIG. 15, in SA1, the cancer chemotherapy management unit 161 stores patient information. The specific method is arbitrary, but for example, after displaying the patient information input screen for inputting the patient information on the display unit 13, the input of the patient information from the user performed via the operation unit 12 is performed. The patient information received is received and stored in the patient information management DB 512 of FIG. Here, for example, when the user inputs information other than the patient ID among the information in FIG. 4, the cancer chemotherapy management unit 161 accepts each information input by the user and is unique information as the patient ID. Is generated, and the received information and the generated patient ID are associated with each other, and as an example, the information at the top of FIG. 4 is stored.

Returning to FIG. 15, in SA2, the cancer chemotherapy management unit 161 stores the interview information. The specific method is arbitrary, but for example, after displaying the inquiry information input screen for inputting the inquiry information on the display unit 13, the input of the inquiry information from the user performed via the operation unit 12 is input. It is received and the received inquiry information is stored in the inquiry information management DB 518 of FIG. Here, for example, when the user inputs information other than the patient ID among the information in FIG. 14, the cancer chemotherapy management unit 161 accepts each information input by the user, and the accepted information and SA1. The patient IDs generated and stored in the above are associated with each other, and as an example, the information at the top of FIG. 14 is stored.

Returning to FIG. 15, in SA3, the cancer chemotherapy management unit 161 stores the cancer state information. The specific method is arbitrary, but for example, the cancer state information input screen for inputting the cancer state information is displayed on the display unit 13, and then the cancer state information from the user is performed via the operation unit 12. Is received, and the received cancer state information is stored in the cancer information management DB 513 of FIG. Here, for example, when the user inputs information other than the episode ID and the patient ID among the information in FIG. 5, the cancer chemotherapy management unit 161 accepts each information input by the user and also serves as the episode ID. Unique information is generated, and the received information, the generated episode ID, and the patient ID generated and stored in SA1 are associated with each other, and as an example, the information at the top of FIG. 5 is stored. In particular, the user uses the cancer classification master 521, the cancer master 522, and the cancer tissue master for the cancer classification information, the cancer site information, the cancer tissue information, the cancer side information, and the cancer differentiation degree information among the information of FIG. It shall be input by accessing 523, the cancer side master 524, and the cancer differentiation degree master 525, and selecting the information to be input from the candidates presented by each accessed master.

Returning to FIG. 15, in SA4, the cancer chemotherapy management unit 161 stores the cancer treatment information. The specific method is arbitrary, but for example, the cancer treatment information input screen for inputting the cancer treatment information is displayed on the display unit 13, and then the cancer treatment information from the user performed via the operation unit 12. Is received, and the received cancer treatment information is stored in the cancer information management DB 513 of FIG. Here, for example, when the user inputs information other than the treatment content ID and the episode ID among the information in FIG. 6, the cancer chemotherapy management unit 161 accepts each information input by the user and also receives the treatment content. Unique information is generated as an ID, and the received information, the generated treatment content ID, and the episode ID generated and stored in SA3 are associated with each other, and as an example, the information at the top of FIG. 6 is used. Store. In particular, among the information in FIG. 6, the user inputs the regimen information by accessing the regimen master 526 and selecting the information to be input from the candidates presented by the accessed regimen master 526. And.

Returning to FIG. 15, in SA5, the cancer chemotherapy management unit 161 stores the treatment content information. The specific method is arbitrary, but for example, the treatment content information input screen for inputting the treatment content information is displayed on the display unit 13, and then the treatment content information from the user is performed via the operation unit 12. Is received, and the received treatment content information is stored in the treatment content information management DB 514 of FIG. Here, for example, when the user inputs information other than the prescription history ID and the patient ID among the information in FIG. 7, the cancer chemotherapy management unit 161 accepts each information input by the user and also prescribes history. Unique information is generated as an ID, and the received information, the generated treatment content ID, and the patient ID generated and stored in SA1 are associated with each other, and as an example, the information at the top of FIG. 7 is used. Store. In particular, the user accesses the drug master 527 and the usage master 528 for the drug name information and the usage information among the information in FIG. 7, and inputs from the candidates presented by each of the accessed masters. It shall be input by selecting.

Returning to FIG. 15, in SA6, the cancer chemotherapy management unit 161 stores the test information. The specific method is arbitrary, but for example, after displaying the inspection information input screen for inputting the inspection information on the display unit 13, the inspection information input from the user performed via the operation unit 12 is input. It is received and the received inspection information is stored in the inspection information management DB 517 of FIG. Here, for example, when the user inputs information other than the blood test ID and the patient ID among the information in FIG. 10, the cancer chemotherapy management unit 161 accepts each information input by the user and also performs a blood test. Unique information is generated as an ID, and the received information, the generated blood test ID, and the patient ID generated and stored in SA1 are associated with each other, and as an example, the information at the top of FIG. 10 is used. Store. The information of FIGS. 11 to 13 is also stored in the same manner as the information of FIG. 10.

Returning to FIG. 15, in SA7, the cancer chemotherapy management unit 161 stores side effect information. The specific method is arbitrary, but for example, after displaying the side effect information input screen for inputting the side effect information on the display unit 13, the side effect information input from the user performed via the operation unit 12 is input. The received side effect information is stored in the side effect information management DB 515 of FIG. Here, for example, when the user inputs information other than the side effect ID and the episode ID among the information in FIG. 8, the cancer chemotherapy management unit 161 accepts each information input by the user and also serves as the side effect ID. Unique information is generated, and the received information, the generated side effect ID, and the episode ID generated and stored in SA3 are associated with each other, and as an example, the information at the top of FIG. 8 is stored. In particular, the user accesses the side effect master 529 and selects the information to be input from the candidates presented in the accessed side effect master 529 for the side effect content information and the grade information among the information of FIG. It shall be input by.

Returning to FIG. 15, in SA8, the cancer chemotherapy management unit 161 stores the therapeutic effect information. The specific method is arbitrary, but for example, the treatment effect information input screen for inputting the treatment effect information is displayed on the display unit 13, and then the treatment effect information from the user performed via the operation unit 12. Is received, and the received treatment effect information is stored in the treatment effect information management DB 516 of FIG. Here, for example, when the user inputs information other than the treatment effect ID and the episode ID among the information in FIG. 9, the cancer chemotherapy management unit 161 accepts each information input by the user and also receives the treatment effect. Unique information is generated as an ID, and the received information, the generated therapeutic effect ID, and the episode ID generated and stored in SA3 are associated with each other, and as an example, the information at the top of FIG. 9 is used. Store. In particular, the user accesses the treatment effect master 530 and selects the information to be input from the candidates presented in the accessed treatment effect master 530 for the effect determination information among the information in FIG. Shall be entered. In this way, for example, in the cancer chemotherapy support device 1, not only rough information such as whether or not chemotherapy has been performed, but also the above-mentioned medical information is precisely and without fluctuation in expression based on each master. Since it can be stored, it is possible to improve the quality of treatment throughout the medical field. This ends the information storage process.

In the above-mentioned information storage process, any information among the medical information can be stored according to the transition of the treatment of the disease, but in this case, it can also be stored as follows. Here, as an example, a case where the information of FIGS. 6 to 13 is stored along the transition of the treatment of the disease and a case where the information of FIG. 5 is stored along the transition of the treatment of the disease will be described.

First, a case where the information of FIGS. 6 to 13 is stored along with the transition of the treatment of the disease will be described. For example, when the information in the uppermost row of FIGS. 4 to 14 is already stored, the case of storing the cancer treatment information in FIG. 6 (specifically, each information in the second row from the upper side) is illustrated. explain.

Specifically, first, the cancer chemotherapy management unit 161 is a selection screen for selecting a patient whose information is to be edited, and a selection screen for displaying a list of stored patient information is displayed on the display unit 13. After displaying it, the selection of the patient to be edited is accepted from the user performed via the operation unit 12. Next, the cancer chemotherapy management unit 161 displays, for example, a cancer treatment information input screen for inputting cancer treatment information on the display unit 13 in the same manner as in the case of SA4 in FIG. It accepts the input of cancer treatment information from the user performed via 12, also generates unique information as the treatment content ID, and refers to the patient information of FIG. 4, of the patient to be edited described above. The patient ID corresponding to the input from the user for the selection is specified, then the episode ID corresponding to the specified patient ID is specified with reference to the cancer state information of FIG. 5, and the generated treatment content ID, The identified episode ID and the received cancer treatment information are associated with each other and stored in the cancer information management DB 513 of FIG. Here, for example, when the user selects a patient to be edited by the patient specified by the information in the uppermost row of FIG. 4, other than the treatment content ID and the episode ID in the upper to second rows of FIG. When each information is input, the cancer chemotherapy management unit 161 generates, for example, "IDt12" as the treatment content ID, and refers to the patient information in FIG. 4, regarding the selection of the patient to be edited described above. "IDp1" is specified as the patient ID corresponding to the input from the user, and then, referring to the cancer state information in FIG. 5, "IDe1" is specified as the episode ID corresponding to the specified patient ID "IDp1". The treatment content ID "IDt12", the identified episode ID "IDe1", and the received information are associated with each other, and as an example, the information in the second row from the upper side of FIG. To store.

Next, a case where the information of FIG. 5 is stored along with the transition of the treatment of the disease will be described. For example, when the information in the uppermost row of FIG. 5 is already stored, a case where information (not shown) is further stored in association with the stored information will be illustrated and described.

Specifically, first, the Cancer Chemotherapy Management Department 161 makes a selection for selecting a patient to edit the information in the same manner as in the case of storing the information of FIGS. 6 to 13 along the transition of the treatment of the disease. A selection screen on which a list of stored patient information is displayed is displayed on the display unit 13, and then the selection of the patient to be edited by the user performed via the operation unit 12 is performed. Accept. Next, the cancer chemotherapy management unit 161 displays, for example, a cancer state information input screen for inputting cancer state information on the display unit 13 in the same manner as in the case of SA3 in FIG. It accepts the input of the cancer state information from the user performed through 12, also generates unique information as the episode ID, and refers to the patient information of FIG. 4, and selects the patient to be edited as described above. The patient ID corresponding to the input from the user is specified, and the above-mentioned generated episode ID, the specified patient ID, and the received cancer state information are associated with each other and stored in the cancer information management DB 513 of FIG. .. Here, for example, when the user selects a patient to be edited by the patient specified by the information at the top of FIG. 4, a predetermined value (not shown) is not shown as information other than the episode ID and the patient ID in FIG. When the information is entered, the cancer chemotherapy management unit 161 generates, for example, "IDe12" as the episode ID, and refers to the patient information in FIG. 4 from the user regarding the selection of the patient to be edited. "IDp1" is specified as the patient ID corresponding to the input of, and in FIG. 5, the generated episode ID "IDe12", the specified patient ID "IDp1", and the received predetermined information (not shown) are mutually used. It is associated and stored as cancer state information.

(Processing-Information transmission processing)
FIG. 16 is a flowchart of the information transmission process. The "information transmission process" is a process of transmitting medical information, specifically, a process of transmitting medical information from the cancer chemotherapy support device 1 to the server device 601 by the cancer chemotherapy support device 1. This is the process to be performed. The timing of executing this information transmission process is arbitrary, but for example, it is repeatedly activated and executed every predetermined time (for example, 10 hours to 15 hours) after the power of the cancer chemotherapy support device 1 is turned on. This will be described from the point where the information transmission process is started.

First, as shown in FIG. 16, in SB1, the cancer chemotherapy management unit 161 determines whether or not to transmit medical information. The specific method is arbitrary, but for example, each piece of medical information stored in the cancer chemotherapy support DB 15 is associated with an identifier for identifying whether the information has been transmitted or has not been transmitted. It is determined based on this identifier. Then, focusing on the identifier, if it is determined that all the medical information stored in the cancer chemotherapy support DB 15 has been transmitted, it is determined that the medical information is not transmitted (NO of SB1), and the medical treatment is performed. SB1 is repeatedly executed until it is determined that the information is to be transmitted. Further, when it is determined that not all the medical information stored in the cancer chemotherapy support DB 15 has been transmitted by paying attention to the identifier (that is, in the medical information stored in the cancer chemotherapy support DB 15). If it is determined that there is untransmitted medical information), it is determined that the medical information is to be transmitted (YES of SB1), and the process proceeds to SB2. Here, for example, when the above-mentioned color classifier identifies that the information in the uppermost row of FIGS. 5 to 14 has not been transmitted, it is determined that the medical information is transmitted.

Returning to FIG. 16, the analysis result display unit 162 in SB2 transmits medical information. Although the specific method is arbitrary, the analysis result display unit 162 first, for example, focuses on the identifier and identifies the medical information stored in the cancer chemotherapy support DB 15 that has not been transmitted. The specified information is acquired, and the hospital facility information in FIG. 3 and the patient information in FIG. 4 are acquired, and these acquired information are associated with each other. Next, from the viewpoint of protecting the privacy of the patient or the patient's relatives, the anonymization unit 163 may use arbitrary information on the patient information in FIG. 4 so that the patient cannot be identified by the patient information included in the associated information. Mask (ie, hide) (at least part of the name information and optionally part of the address information (eg, address, etc.)). Next, the analysis result display unit 162 transfers the above-mentioned associated information (with the patient information in FIG. 4 masked as described above) to the server device via the communication unit 11. It is transmitted and output to 601. Here, for example, the information at the top of FIGS. 5 to 14 is acquired, the information at the top of FIGS. 3 and 4 is acquired, and these acquired information are associated with each other. Mask the name information of 4 and send it. On the other hand, the information analysis unit 63 of the server device 601 receives the information from the cancer chemotherapy management unit 161 via the communication unit 61, and stores the received information in the cancer chemotherapy information storage unit 62. Here, for example, the information at the top of FIGS. 3 to 14 (the name information in FIG. 4 is masked) is received and stored. This ends the information transmission process.

(Processing-Information analysis processing)
FIG. 17 is a flowchart of the information analysis process. The "information analysis process" is a process for analyzing medical information, for example, a process for analyzing medical information from each hospital facility on the server device 601 side in response to a request from the cancer chemotherapy support device 1 side. Is. The timing of executing this information analysis process is arbitrary, but for example, the information analysis process is assumed to be activated and executed when an analysis request operation is performed to the operation unit 12 of the cancer chemotherapy support device 1 by the user. I will explain from the place where was started. Here, the "analysis request operation" is an operation performed by the user, specifically, an operation for requesting an arbitrary analysis of medical information. Here, for example, "analysis" is performed. When the "request operation" is an operation in which each information of medical information is cross-aggregated based on the cancer state information of FIG. 5, arbitrary statistical processing including known statistical processing is performed, and the result of the statistical processing is requested. Will be explained.

First, as shown in FIG. 17, in SC1, the analysis result display unit 162 of the cancer chemotherapy support device 1 transmits an analysis request, which is a request for analyzing medical information. The specific processing is arbitrary, but for example, it is assumed that the episode ID used as the reference for the analysis of the cancer state information in FIG. 5 is specified in the "analysis request operation" at the start of the information analysis processing. , Each information associated with this designated episode ID in FIG. 5 (specifically, all information other than the episode ID and the patient ID in each information in FIG. 5 (hereinafter, "analysis request"). (Referred to as "cancer information")), an analysis request including each of the acquired information is generated, and the generated analysis request is transmitted to the server device 601 via the communication unit 11. Here, for example, when "IDe1" is specified in the "analysis request operation", all the information other than "IDe1" and "IDp1" among the information in the uppermost row of FIG. 5 is acquired and acquired. Generate and send an analysis request containing each piece of information.

Returning to FIG. 17, on the other hand, in SD1, the information analysis unit 63 of the server device 601 receives the analysis request. The specific processing is arbitrary, but for example, the analysis request from the cancer chemotherapy support device 1 is received via the communication unit 61. Here, for example, an analysis request including all the information other than "IDe1" and "IDp1" among the information in the uppermost row of FIG. 5 is received.

Returning to FIG. 17, the information analysis unit 63 of the server device 601 performs information analysis in SD2. The specific processing is arbitrary, but for example, information analysis is performed based on the analysis request received by SD1. Specifically, "cancer information in the analysis request" is acquired from the analysis request received in SD1, and cancer status information including the same or similar information as the acquired "cancer information in the analysis request" is obtained as cancer chemotherapy information. It is acquired from all the medical information in the storage unit 62, and the acquired medical information is aggregated for each information (that is, for each information such as cancer treatment information) and arbitrarily statistically processed. Here, for example, all the cancer state information including the same or similar information as all the information other than "IDe1" and "IDp1" in the uppermost information of FIG. 5 is collected in all the cancer chemotherapy information storage units 62. It is acquired from medical information, and the acquired medical information is aggregated and statistically processed.

Returning to FIG. 17, the analysis result display unit 64 of the server device 601 in SD3 transmits the analysis result. The specific processing is arbitrary, but for example, the cancer chemotherapy support device 1 that acquires the result of statistical processing in SD2 and transmits the acquired result to the analysis request received in SD1 via the communication unit 61. It is sent and output as an analysis result. Here, for example, the statistical result of SD2 is transmitted to the cancer chemotherapy support device 1 as an analysis result.

Returning to FIG. 17, on the other hand, in SC2, the analysis result display unit 162 of the cancer chemotherapy support device 1 receives the analysis result. The specific processing is arbitrary, but for example, the analysis result from the server device 601 is received via the communication unit 11. Here, for example, the analysis result regarding "cancer information in the analysis request" is received.

Returning to FIG. 17, the analysis result display unit 162 of the cancer chemotherapy support device 1 displays the analysis result in SC3. The specific processing is arbitrary, but for example, the analysis result received in SC2 is displayed as image information on the display unit 13 of FIG. 1 and output. Here, for example, the analysis result regarding "cancer information in the analysis request" is displayed on the display unit 13 as text information or drawing information such as a graph. This ends the information analysis process.

(Effect of embodiment)
As described above, according to the present embodiment, by outputting medical information including at least disease-related information and drug-related information, for example, a medical worker is used for information on a disease and treatment of a disease. Since it is possible to grasp the information related to the drug in association with it, it is possible to uniformly grasp the appropriate drug for the treatment of the disease regardless of the personal experience of each medical worker, and the quality of treatment. Can be improved in the entire medical field. In particular, by accepting medical information as information along the transition of illness treatment, for example, the medical staff can obtain appropriate drugs at each stage of the transition of illness treatment, and each medical staff's personal experience. It is possible to further improve the quality of treatment in the entire medical field because it can be grasped uniformly regardless of the situation.

Further, the drug-related information is information including information on the drug administered to the patient, and the disease-related information is information including information on side effects caused by administering the drug to the patient, for example. Since the medical staff can grasp the appropriate drug for the treatment of the disease in consideration of the side effects of the administration of the drug, the burden of the patient's treatment can be reduced, and the quality of the treatment can be improved in the entire medical field. It will be possible to further improve.

Further, by accepting the medical information input by the user using each master of the cancer chemotherapeutic support DB 15, for example, the medical information can be stored based on a predetermined standard, so that the medical information is stored in the cancer chemotherapeutic support DB 15. It is possible to prevent fluctuations in the expression of the information and output medical information that can be easily used by all medical professionals.

(Comparison between the conventional general electronic medical record system and the medical support system of the present application)
In addition, with regard to the conventional general electronic medical record system, the prescription history and treatment progress as medical records are all scattered textual information (that is, what is the information storage method in the cancer chemotherapeutic support DB 15 of the present application? Since it was stored (by a completely different method), it quantitatively changes the state of the disease and the temporal changes (that is, changes along with the transition of treatment of the disease) such as the prescribed drug and the side effects caused by the drug. It was difficult to analyze. In addition, in the conventional general electronic medical record system, the description format of medical records and the particle size of information are not unified, and because it depends on the information recorder, various description formats and grain size information are mixed. It was not suitable for information analysis. On the other hand, since the medical support system of the present application is provided with at least the cancer chemotherapy support DB 15, the illness state and the temporal changes such as the prescribed drug and the side effects caused by the drug are quantitatively determined. Can be easily analyzed.

(About the role of medical information)
Also, in general, there can be more than hundreds of millions of combinations of patient attributes, cancer types, cancer conditions, drug or regimen types, and drug usage or dosage. Although it was practically difficult to consider all of them one by one for the treatment of the patient and present the best drug candidate for the patient, the medical support system of the present application was used to support cancer chemotherapy. By performing the above-mentioned information analysis process in consideration of information such as DB15, it is possible to easily present the most suitable drug candidate for the patient. In addition, the therapeutic effect and side effects are generally in a trade-off, and in order to quantitatively present the limit (for example, the limit dose, etc.) regarding the administration of the drug for the treatment of the patient, it is necessary to quantitatively present the limit. It is indispensable to perform statistical analysis based on a large amount of therapeutic effect data and side effect data, but the above-mentioned information is used in consideration of information such as cancer chemotherapy support DB 15 using the medical support system of the present application. By performing the analytical process, it is possible to quantitatively present the limits regarding the administration of the drug for the treatment of the patient, and it is possible to predict the side effects appearing at the time of treatment and prepare the coping method.

[Variation example with respect to the embodiment]
Although the embodiments according to the present invention have been described above, the specific configuration and means of the present invention shall be arbitrarily modified and improved within the scope of the technical idea of each invention described in the claims. Can be done. Hereinafter, such a modification will be described.

(About the problem to be solved and the effect of the invention)
First, the problem to be solved by the invention and the effect of the invention are not limited to the above-mentioned contents, and may differ depending on the implementation environment and the details of the configuration of the invention, and only a part of the above-mentioned problems. May be resolved or only some of the above effects may be achieved.

(About distribution and integration)
Further, the above-mentioned configuration is a functional concept, and does not necessarily have to be physically configured as shown in the figure. That is, the specific form of dispersion or integration of each part is not limited to the one shown in the figure, and all or a part thereof can be functionally or physically dispersed or integrated in any unit. The term "system" in the present application is not limited to a system composed of a plurality of devices, but includes a system composed of a single device. Further, the "device" in the present application is not limited to a device composed of a single device, but includes a device composed of a plurality of devices. Specifically, the functions of one or more of the devices of the medical institution system 101 of FIG. 1 are mounted and realized on only one device arranged inside and outside the hospital facility so as to be able to communicate with each other. Alternatively, it may be implemented and realized on a plurality of distributed cloud computers.

(About inputting information, etc.)
Further, each master is stored in the electronic medical record device 2, the in-hospital cancer registration device 3, or the interview information registration device 4 of the above embodiment so that the information presented by each master is stored in each master. May be provided to store information in each device using each of the provided masters. Further, regarding the electronic medical record device 2, the in-hospital cancer registration device 3, or the medical inquiry information registration device 4 of the above embodiment, in addition to or in place of some of the medical information shown in the embodiment, It may be configured to handle other medical information. Further, each information handled by the electronic chart device 2, the in-hospital cancer registration device 3, or the interview information registration device 4 is the same information as the medical information stored in the cancer chemotherapy support device 1 of FIG. If there is a variation in the expression, it is configured to be converted into the information presented by each master using each master of the cancer chemotherapy support DB 15 (cancer classification master 521, etc.) and the converted information is stored. You may.

(About information analysis processing)
Further, in the above embodiment, the case where the medical information is analyzed on the server device 601 side in the information storage process of FIG. 17 has been described, but the analysis result display unit 162 is stored in the cancer chemotherapeutic support device 1. The medical information may be analyzed and the analysis result may be displayed on the display unit 13. Further, the analysis result display unit 162 simply displays and outputs the medical information stored in the cancer chemotherapy support device 1 without performing analysis in response to a request from the user, or displays it in a sorted manner. And output.

(About medical information (1))
Further, the medical information (FIGS. 3 to 14) of the above embodiment may be configured to be stored in each DB different from each DB described in the embodiment. For example, the cancer treatment information of FIG. 6 may be stored in the treatment content information management DB 514 of FIG. 2, or the patient information management DB 512 and the interview information management DB 518 of FIG. 2 may be integrated into one DB. The patient information of 4 and the interview information of FIG. 14 may be stored in the one DB.

(About medical information (2))
Further, the TNM classification information and the stage information in the cancer state information of FIG. 5 of the above embodiment may be separately stored as the TNM classification information and the stage information before the surgery and the TNM classification information and the stage information after the surgery. ..

(Interpretation of medical support system)
Further, in the above embodiment, the case where the cancer chemotherapy support device 1 is interpreted as a "medical support system" has been described, but the present invention is not limited to this. For example, the cancer chemotherapy support system 100, the medical institution system 101, or the server device 601 may be interpreted as a "medical support system".
(About features)
Further, the features of the above-described embodiment and the features of the modified examples may be arbitrarily combined.

(Additional note)
The medical support system of Appendix 1 is a reception means that accepts input of medical information including at least disease-related information that is information about a disease and drug-related information that is information about a drug used for treating the disease, and the above-mentioned medical support system. The receiving means includes a storage means for storing the medical information received by the receiving means and an output means for outputting the medical information stored by the storing means, and the receiving means serves as information along the transition of the treatment of the disease. Accept the medical information.

In the medical support system described in Appendix 1, the drug-related information is information including information on a drug administered to a patient, and the disease-related information is information on administering a drug to a patient. Information that includes information about side effects caused by doing so.

The medical support system according to the appendix 3 includes, in the medical support system according to the appendix 1 or 2, a support means for assisting the user to input the medical information, and the reception means uses the support means. The medical information input by the user is accepted.

The medical support program of Appendix 4 is a medical support program in which a computer includes at least disease-related information which is information about a disease and drug-related information which is information about a drug used for treating the disease. It functions as a reception means for receiving input of information and an output means for outputting the medical information stored by the storage means for storing the medical information received by the reception means, and the reception means is used for treating the disease. The medical information is accepted as information in line with the transition.

(Effect of appendix)
According to the medical support system described in Appendix 1, by outputting medical information including at least disease-related information and drug-related information, for example, a medical worker can be used for information on a disease and treatment of a disease. Since it is possible to grasp the appropriate drug for the treatment of the disease in association with the information about the drug, it is possible to uniformly grasp the appropriate drug for the treatment of the disease regardless of the personal experience of each medical worker. It will be possible to improve quality throughout the medical field. In particular, by accepting medical information as information along the transition of illness treatment, for example, the medical staff can obtain appropriate drugs at each stage of the transition of illness treatment, and each medical staff's personal experience. It is possible to further improve the quality of treatment in the entire medical field because it can be grasped uniformly regardless of the situation.

According to the medical support system described in Appendix 2, the drug-related information is information including information on the drug administered to the patient, and the disease-related information is information on the side effects caused by administering the drug to the patient. By using the information including, for example, the medical staff can grasp the appropriate drug for the treatment of the disease in consideration of the side effect of the administration of the drug, so that the burden of treatment of the patient can be reduced. It is possible to further improve the quality of treatment in the entire medical field.

According to the medical support system described in Appendix 3, by receiving the medical information input by the user using the support means, for example, the medical information can be stored based on a predetermined standard, so that the medical information can be stored in the storage means. It is possible to prevent fluctuations in expression from occurring in the information being provided, and to output medical information that can be easily used by all medical personnel.

According to the medical support program described in Appendix 4, by outputting medical information including at least disease-related information and drug-related information, for example, a medical worker can be used for information on a disease and treatment of a disease. Since it is possible to grasp the appropriate drug for the treatment of the disease in association with the information about the drug, it is possible to uniformly grasp the appropriate drug for the treatment of the disease regardless of the personal experience of each medical worker, so that the treatment can be grasped. It will be possible to improve the quality of the disease throughout the medical field. In particular, by accepting medical information as information along the transition of illness treatment, for example, the medical staff can obtain appropriate drugs at each stage of the transition of illness treatment, and each medical staff's personal experience. It is possible to further improve the quality of treatment in the entire medical field because it can be grasped uniformly regardless of the situation.

1 Cancer chemotherapy support device 2 Electronic medical record device 3 In-hospital cancer registration device 4 Questionnaire information registration device 11 Communication section 12 Operation section 13 Display section 14 Recording section 15 Cancer chemotherapy support DB
16 Control Department 61 Communication Department 62 Cancer Chemotherapy Information Storage Department 63 Information Analysis Department 64 Analysis Result Display Unit 100 Cancer Chemotherapy Support System 101 Medical Institution System 161 Cancer Chemotherapy Management Department 162 Analysis Result Display Department 163 Anonymous Department 511 Hospital Facilities Information management DB
512 Patient information management DB
513 Cancer information management DB
514 Treatment content information management DB
515 Side effect information management DB
516 Therapeutic effect information management DB
517 Inspection information management DB
518 Questionnaire information management DB
521 Cancer Classification Master 522 Cancer Master 523 Cancer Tissue Master 524 Cancer Side Master 525 Cancer Differentiation Master 526 Regimen Master 527 Drug Master 528 Usage Master 522 Side Effect Master 530 Therapeutic Effect Master 601 Server Equipment

Claims (4)

It ’s a medical support system.
A patient information storage means for storing patient information in which patient identification information for uniquely identifying a patient and at least name information for identifying a patient's name are associated with each other.
Stores disease state information in which the patient identification information, stage information that identifies a stage determined according to the degree of disease progression, and episode identification information for uniquely identifying the transition of treatment are interrelated. Illness status information storage means and
Display means and
With management means,
The management means
It is a selection screen for selecting a patient, and the selection screen for displaying the patient information stored in the patient information storage means is displayed on the display means.
When the stage information and the patient information corresponding to the patient selected by the user among the patient information displayed on the selection screen are input to the medical support system,
The first step of newly generating the episode identification information and
A second step of identifying the patient identification information that identifies the patient selected by the user based on the patient information input to the medical support system.
The identified patient identification information, the stage information input to the medical support system, and the newly generated episode identification information are associated with each other and newly stored in the disease state information storage means as the disease state information. Perform the third step and
In the first step, the management means newly generates information unique to the disease state information storage means as the episode identification information.
Medical support system. The medical support system is
Further equipped with a means for storing illness treatment information,
The management means
The selection screen is displayed on the display means, and the selection screen is displayed.
When the disease treatment information for specifying the treatment content of the disease and the patient information corresponding to the patient selected by the user among the patient information displayed on the selection screen are input to the medical support system. To,
Based on the patient information input to the medical support system, the patient identification information that identifies the patient selected by the user is specified.
Based on the disease state information stored in the disease state information storage means, the episode identification information associated with the identified patient identification information is identified.
The identified episode identification information and the disease treatment information input to the medical support system are associated with each other and stored in the disease treatment information storage means.
The medical support system according to claim 1. The medical support system is
Further equipped with side effect information storage means,
The management means
The side effect information for specifying the side effect due to the administration of the drug and the patient information corresponding to the patient selected by the user among the patient information displayed on the selection screen are input to the medical support system. If so,
Based on the patient information input to the medical support system, the patient identification information that identifies the patient selected by the user is specified.
Based on the disease state information stored in the disease state information storage means, the episode identification information associated with the identified patient identification information is identified.
The identified episode identification information and the side effect information input to the medical support system are associated with each other and stored in the side effect information storage means.
The medical support system according to claim 1 or 2. Computer,
A patient information storage means for storing patient information in which patient identification information for uniquely identifying a patient and at least name information for identifying a patient's name are associated with each other.
Stores disease state information in which the patient identification information, stage information that identifies a stage determined according to the degree of disease progression, and episode identification information for uniquely identifying the transition of treatment are interrelated. Illness status information storage means and
Display means and
It is a medical support program that has management means and functions as a medical support system.
The management means
It is a selection screen for selecting a patient, and the selection screen for displaying the patient information stored in the patient information storage means is displayed on the display means.
When the stage information and the patient information corresponding to the patient selected by the user among the patient information displayed on the selection screen are input to the medical support system,
The first step of newly generating the episode identification information and
A second step of identifying the patient identification information that identifies the patient selected by the user based on the patient information input to the medical support system.
The identified patient identification information, the stage information input to the medical support system, and the newly generated episode identification information are associated with each other and newly stored in the disease state information storage means as the disease state information. Perform the third step and
In the first step, the management means newly generates information unique to the disease state information storage means as the episode identification information.
Medical support program.

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