JP7442977B2 - Medical information processing device and medical information processing method - Google Patents

Description

Embodiments of the present invention relate to a medical information processing device and a medical information processing method.

When medical staff such as doctors perform medical treatment on a subject (for example, a patient), they record information related to the medical treatment in an electronic medical record or the like. In this case, information that is not directly related to the medical treatment is not recorded in the electronic medical record, etc. For this reason, it is not possible to later check the situation when the medical staff performed medical treatment on the subject. However, the information collected during the medical treatment may be needed for some reason in the future.

International Publication 2012/002287 Japanese Patent Application Publication No. 2008-225712 Japanese Patent Application Publication No. 6-000178

The problem to be solved by the present invention is to enable confirmation of the situation at the time of medical treatment.

The image processing device according to the embodiment includes a stage definition section, an acquisition section, and a display control section. The stage definition section defines a plurality of treatment stages for the subject. The acquisition unit is configured to acquire, in each of the plurality of treatment stages, first information related to the medical treatment performed on the subject, and second information that is different from the first information and collected in the medical treatment. get. The display control section causes the display section to display the first information and the second information for a selected medical treatment stage among the plurality of medical treatment stages.

FIG. 1 is a diagram showing an example of the configuration of a medical information processing apparatus according to the present embodiment. FIG. 2 is a diagram showing an example of a screen displayed by the display control function. FIG. 3 is a diagram showing an example of a screen displayed by the display control function. FIG. 4 is a diagram showing an example of a medical treatment stage table. FIG. 5 is a diagram for explaining medical care-related information acquired by the acquisition function. FIG. 6 is information different from medical care related information, and is a diagram showing an example of information acquired by the acquisition function. FIG. 7 is a diagram for explaining the operation information acquired by the acquisition function. FIG. 8 is a diagram for explaining physical condition information at the time of medical examination acquired by the acquisition function. FIG. 9 is a diagram illustrating an example of a configuration for acquiring physical condition information at the time of medical examination. FIG. 10 is a diagram for explaining examination environment noise information acquired by the acquisition function. FIG. 11 is a diagram illustrating an example of a configuration for acquiring medical examination environment noise information. FIG. 12 is a diagram for explaining patient noise information acquired by the acquisition function. FIG. 13 is a diagram illustrating an example of a configuration for acquiring patient noise information. FIG. 14 is a diagram illustrating an example of a configuration for acquiring patient noise information. FIG. 15 is a diagram showing an example of a screen displayed by the display control function. FIG. 16 is a flowchart showing the procedure of processing by the medical information processing apparatus according to this embodiment. FIG. 17 is a diagram showing an example of a configuration for acquiring a subject's behavior "video file" as patient noise information. FIG. 18 is a diagram showing an example of a screen displayed by the display control function.

Hereinafter, embodiments of a medical information processing apparatus and a medical information processing method will be described in detail with reference to the accompanying drawings.

FIG. 1 is a diagram showing an example of the configuration of a medical information processing apparatus 100 according to the present embodiment. As shown in FIG. 1, a medical information processing apparatus 100 according to the present embodiment is communicably connected to each system via a network 200. For example, the medical information processing apparatus 100 according to the present embodiment is communicably connected to a sample testing system 300, an image testing system 400, an electronic medical record system 500, etc. via a network 200. The medical information processing device 100 and each system are installed in, for example, a hospital, and are interconnected by a network 200 such as an in-hospital LAN (Local Area Network).

The specimen testing system 300 generates medical data regarding specimen tests performed on a subject (for example, a patient) and stores it in a storage circuit within the system. The specimen testing system 300 then transmits the medical data stored in the storage circuit to the medical information processing apparatus 100 in response to a request from the medical information processing apparatus 100.

The image examination system 400 generates medical data regarding vital signs and image examinations performed on a subject, and stores the data in a storage circuit within the system. For example, the image inspection system 400 includes PACS (Picture Archiving and Communication Systems). In this case, image tests include tests using CT images taken by an X-ray CT (Computed Tomography) device, tests using MR images taken by an MRI (Magnetic Resonance Imaging) device, and tests using an ultrasound diagnostic device. This includes examinations using ultrasound images taken by an X-ray diagnostic device, examinations using X-ray images taken by an X-ray diagnostic device, and the like. The image inspection system 400 then transmits the medical data stored in the storage circuit to the medical information processing apparatus 100 in response to a request from the medical information processing apparatus 100.

The electronic medical record system 500 generates medical data regarding findings of the subject, prescriptions administered to the subject, and nursing records, and stores the data in a storage circuit within the system. Then, the electronic medical record system 500 transmits the medical care data stored in the storage circuit to the medical information processing apparatus 100 in response to a request from the medical information processing apparatus 100.

The medical information processing apparatus 100 acquires various medical data from the electronic medical record system 500 via the network 200, and performs various information processing using the acquired medical data. For example, the medical information processing apparatus 100 is realized by a computer device such as a workstation, a personal computer, or a tablet terminal.

Specifically, the medical information processing apparatus 100 includes an input interface 110, a display 120, a communication interface 130, a storage circuit 140, and a processing circuit 150.

The input interface 110 is connected to the processing circuit 150 and receives various instructions and input operations for various information from the operator. Specifically, the input interface 110 converts an input operation received from an operator into an electrical signal and outputs it to the processing circuit 150. For example, the input interface 110 may include a trackball, a switch button, a mouse, a keyboard, a touchpad that performs input operations by touching the operation surface, a touchscreen that integrates a display screen and a touchpad, and a non-control device that uses an optical sensor. This is realized by a touch input circuit, a voice input circuit, etc. Note that in this specification, the input interface 110 is not limited to one that includes physical operation parts such as a mouse and a keyboard. For example, examples of the input interface 110 include an electrical signal processing circuit that receives an electrical signal corresponding to an input operation from an external input device provided separately from the device and outputs this electrical signal to a control circuit. Note that the input interface 110 is an example of means for realizing an input section.

The display 120 is connected to the processing circuit 150 and displays various information and images. Specifically, the display 120 converts various information and various image data sent from the processing circuit 150 into electrical signals for display, and outputs the electrical signals. For example, the display 120 is realized by a liquid crystal monitor, a CRT (cathode ray tube) monitor, a touch panel, or the like. Note that the display 120 is an example of a means for realizing a display unit.

The communication interface 130 is connected to the processing circuit 150 and controls the transmission and communication of various data between the medical information processing apparatus 100 and each system. For example, the communication interface 130 receives medical data from each system and outputs the received medical data to the processing circuit 150. The communication interface 130 is realized by, for example, a network card, a network adapter, a NIC (Network Interface Controller), or the like.

The storage circuit 140 is connected to the processing circuit 150 and stores various data. Specifically, the storage circuit 140 stores medical data received from each system. For example, the memory circuit 140 is realized by a semiconductor memory element such as a RAM (Random Access Memory) or a flash memory, a hard disk, an optical disk, or the like. Note that the memory circuit 140 is an example of means for realizing a memory section. Moreover, the storage circuit 140 does not need to be built into the medical information processing apparatus 100 as long as the medical information processing apparatus 100 can be accessed on the network 200.

The storage circuit 140 includes a medical treatment DB (Data Base) 141. The medical care DB 141 stores various medical care data acquired from the sample testing system 300, the image testing system 400, and the electronic medical record system 500. Here, the medical care data stored in the medical care DB 141 includes information such as numerical values (measured values) and medical records, and information indicating the date and time of recording thereof.

For example, the medical care data stored in the medical care DB 141 includes specimen test data, vital data, image data, prescription data, nursing record data, and the like. The specimen test data is medical data related to the specimen test acquired from the specimen test system 300. Further, the vital data is clinical data related to vitals acquired from the radiology department system 400. Further, the image data is medical data related to image examinations acquired from the radiology department system 400. Further, the prescription data is medical care data regarding prescriptions acquired from the electronic medical record system 500. Further, nursing record data is medical care data related to nursing records acquired from the electronic medical record system 500. The medical care data stored in the medical care DB 141 may be the data itself obtained from each of the specimen testing system 300, the image testing system 400, and the electronic medical record system 500, or may be data obtained by integrating data obtained from each system. It may be.

Furthermore, the storage circuit 140 stores various tables used by each processing function of the processing circuit 150, which will be described later. Various tables will be described later.

The processing circuit 150 controls the components of the medical information processing apparatus 100 according to input operations received from the operator via the input interface 110. Specifically, the processing circuit 150 causes the storage circuit 140 to store the medical care data output from the communication interface 130. Furthermore, the processing circuit 150 reads medical data from the storage circuit 140 and displays it on the display 120.

For example, the processing circuit 150 executes a display control function 151, a stage definition function 152, an acquisition function 153, and a recording processing function 154, as shown in FIG. Here, for example, each processing function executed by the display control function 151, stage definition function 152, acquisition function 153, and recording processing function 154, which are components of the processing circuit 150, is stored in the form of a computer-executable program. It is recorded in 140. The processing circuit 150 is a processor that reads each program from the storage circuit 140 and executes it to implement a function corresponding to each program. In other words, the processing circuit 150 in a state where each program is read has each function shown in the processing circuit 150 of FIG. Here, the display control function 151 is an example of a display control section. The stage definition function 152 is an example of a stage definition section. The acquisition function 153 is an example of an acquisition unit. The recording processing function 154 is an example of a recording processing section.

Note that the term "processor" used in the above description refers to, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an Application Specific Integrated Circuit (ASIC), a programmable logic device ( For example, it refers to circuits such as a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), and a field programmable gate array (FPGA). A processor realizes its functions by reading and executing a program stored in a memory circuit. Note that instead of storing the program in the memory circuit, the program may be directly incorporated into the circuit of the processor. In this case, the processor realizes its functions by reading and executing a program built into the circuit. Note that each processor of this embodiment is not limited to being configured as a single circuit for each processor, but may also be configured as a single processor by combining multiple independent circuits to realize its functions. good.

The overall configuration of the medical information processing apparatus 100 according to the present embodiment has been described above. With such a configuration, the medical information processing apparatus 100 according to the present embodiment performs the following processing in order to confirm the situation when medical treatment is performed. First, in the medical information processing apparatus 100 according to the present embodiment, the stage definition function 152 defines a plurality of treatment stages for a subject. The acquisition function 153 then acquires first information related to the medical treatment performed on the subject in each of the plurality of medical treatment stages, and second information that is different from the first information and is collected in the medical treatment. The acquisition and recording processing function 154 causes the storage circuit 140 to store the acquired first information and second information. When one of the plurality of treatment stages is selected, the display control function 151 causes the display 120 to display first information and second information for the selected treatment stage. Since the second information is information collected during medical treatment performed on the subject, it may be used for some reason in the future. In the medical information processing apparatus 100 according to the present embodiment, by storing the second information in the storage circuit 140, it is possible to confirm the situation at the time of medical treatment.

2 and 3 are diagrams showing examples of screens displayed by the display control function 151. For example, as shown in FIG. 2, the display control function 151 displays a process switching display area 11, a medical stage display area 12, a dynamic information display area 13, and a medical examination environment display area in response to a request from an operator. 14 is displayed on the display 120.

For example, the process switching display area 11 includes a selection button 11A for the operator to select a process, and a process display area 11B for displaying the currently selected process. For example, when the operator operates the selection button 11A using the input interface 110, the operator selects a process on or near the process switching display area 11, as shown in FIG. A list 11C for selection is displayed. The processes displayed in the list 11C include, for example, the process "define" that defines the treatment stage, the process "record" that defines the data items to be recorded in the memory circuit 140, and the process that displays the data recorded in the memory circuit 140 on the screen 10. Examples include "reproduction" which is a process of reproducing information in the medical treatment stage display area 12, dynamic information display area 13, and examination environment display area 14. The display contents displayed in the medical treatment stage display area 12, dynamic information display area 13, and consultation environment display area 14 of the screen 10 in the process "playback" will be described later.

First, the process performed by the stage definition function 152 in the process "definition" will be explained. The stage definition function 152 defines multiple medical treatment stages for the subject.

For example, when the operator selects the process "define" from the list 11C by operating the selection button 11A using the input interface 110, the display control function 151 displays the medical treatment stage table on the display 120, The stage definition function 152 defines a medical stage for a subject (for example, a patient) by an operator operating the input interface 110 on the medical stage table.

FIG. 4 is a diagram showing an example of a medical treatment stage table. For example, as shown in FIG. 4, the treatment stage table stores patient numbers, treatment names, treatment stages, and log codes in association with each other. Identification information that uniquely identifies the subject (patient) is set in the patient number stored in the medical treatment stage table. Furthermore, the name of the medical treatment for the subject is set in the medical treatment name stored in the medical treatment stage table. Information representing the flow of medical treatment for the subject is set in the medical treatment stage stored in the medical treatment stage table.

For example, when the subject is an outpatient, the flow of medical treatment for the subject from reception to checkout is stored in the medical treatment stage table. For example, in FIG. 4, the medical treatment stage table stores the medical treatment name "gout follow-up observation" for the subject with the patient number "P1234." In addition, in the medical treatment stage table, the patient number "P1234" and the medical name "Gout follow-up observation" are associated with the medical treatment stages "Reception", "Examination", "Examination", "Examination (re)", and "Prescription". ” and “Accounting” information is stored.

Next, the processing performed by the acquisition function 153 and the recording processing function 154 in the process "recording" will be explained. The acquisition function 153 acquires, in each of a plurality of treatment stages, first information related to the medical treatment performed on the subject, and second information that is different from the first information and collected in the medical treatment. , the recording processing function 154 causes the storage circuit 140 to store the acquired first information and second information.

The acquisition function 153 acquires medical care data from each system such as the specimen testing system 300, the image testing system 400, and the electronic medical record system 500 for each medical stage, and medical care-related information related to the medical treatment performed on the subject. The recording processing function 154 stores the acquired medical treatment related information in the medical treatment stage table. The medical care-related information is defined, for example, when the operator selects the process "record" on the process switching display area 11 using the input interface 110, and is then acquired by the acquisition function 153 and processed by the record processing function 154. recorded in the stage table. Note that the medical care-related information is an example of first information.

FIG. 5 is a diagram for explaining medical care-related information acquired by the acquisition function 153. For example, if the subject is an outpatient, the medical treatment is performed in the following order: "Reception," "Examination," "Examination," "Re-examination," "Prescription," and "Accounting." "Examination" represents the first examination, and "examination (re)" represents the second examination.

For example, in the medical treatment stage "reception", the acquisition function 153 acquires the basic information of the subject from each system as medical treatment-related information, and the recording processing function 154 stores the acquired medical treatment-related information in the medical treatment stage table. The basic information includes the patient number "P1234", name, date of birth, sex, blood type, height, weight, etc. of the subject.

For example, in the medical treatment stage "Examination", the acquisition function 153 acquires the basic information of the subject, the medical treatment name "Gout follow-up observation", and the "medication history" representing the history of the subject's medication for the previous medical treatment "Gout". Based on the diagnosis result, the doctor will write the following information: ``Examination history'', which shows the history of the sample test of the subject for ``gout'', and ``Examination (previous)'', which shows the contents of the previous medical examination for ``gout''. The recording processing function 154 acquires the "instruction" representing the contents of the instructions issued as medical treatment-related information, and stores the acquired medical treatment-related information in the medical treatment stage table.

For example, in the medical treatment stage "examination", the acquisition function 153 acquires basic information about the subject, "test value (previous)" representing the test value from the previous medical treatment "gout", and the above-mentioned medical stage "examination". "Instruction (this time)" representing the instruction issued by the doctor is acquired as medical care-related information, and the recording processing function 154 stores the acquired medical care-related information in the medical treatment stage table.

For example, in the medical treatment stage “Examination (Re)”, the acquisition function 153 acquires the basic information of the subject, the medical treatment name “Gout Follow-up Observation”, and the “Examination "Value (previous)", "Test value (current)" which represents the test value when tested in the above-mentioned medical stage "Test", and "Instruction" which represents the instructions given by the doctor based on the test results. The information is acquired as related information, and the recording processing function 154 stores the acquired medical care related information in the medical treatment stage table.

For example, in the medical treatment stage "prescription", the acquisition function 153 acquires the subject's basic information, the medical treatment name "gout follow-up observation", and the "medication history" indicating the history of drugs prescribed in the previous medical treatment "gout". and "instruction (this time)" representing the contents of the instructions given by the doctor in the above-mentioned medical treatment stage "examination (re-examination)" as medical treatment-related information, and the record processing function 154 stores the acquired medical treatment-related information in the medical treatment stage table. to be memorized.

For example, in the medical treatment stage "accounting", the acquisition function 153 acquires the basic information of the subject and the medical treatment name "gout follow-up observation" as medical care-related information, and the record processing function 154 uses the acquired medical care-related information to Store it on the stage table.

In this embodiment, the case where the subject is an outpatient is exemplified, but the present invention is not limited to this. For example, when the subject is an inpatient, the flow of medical treatment for the subject during a set period from the date of admission to the date of discharge may be stored in the medical treatment stage table.

Here, if the subject is an outpatient, the information stored in the medical treatment stage table in FIG. , and "accounting", log codes "11111", "11112", "11113", "11114", "11115", and "11116" are set, respectively.

At each medical treatment stage, the acquisition function 153 acquires operation information, physical condition information at the time of consultation, consultation environment noise information, and patient noise information, which will be described later, and the recording processing function 154 stores the acquired information in the treatment stage table. let For example, as shown in FIG. 6, in the medical treatment stage "Examination", the acquisition function 153 acquires operation information, physical condition information at the time of examination during the period "March 1, 2018, 9:00 to March 1, 2018, 12:00". , examination environment noise information, and patient noise information, the recording processing function 154 stores the acquired information in the medical treatment stage table in association with the log code "11112." The operation information, medical condition information at the time of consultation, consultation environment noise information, and patient noise information are information collected during the medical treatment, unlike the above-mentioned medical treatment-related information. Here, the operation information, medical condition information at the time of medical examination, medical examination environment noise information, and patient noise information are examples of the second information.

FIG. 7 is a diagram for explaining the operation information acquired by the acquisition function 153. For example, in the medical treatment stage "Examination", the acquisition function 153 acquires the operation number set for the terminal and the GUI ( The recording processing function 154 acquires operation information that associates the GUI type indicating the type of Graphical User Interface, the date and time of the operation, the content displayed by the terminal, and the operation content of the terminal, and the recording processing function 154 records the obtained operation information. It is stored in the medical treatment stage table in association with the log code "11112". The operation information is defined, for example, when the operator selects the process "Record" on the process switching display area 11 using the input interface 110, and is then acquired by the acquisition function 153, and the treatment stage is determined by the record processing function 154. recorded in the table. Since the operation information is, for example, information collected during medical treatment performed on a subject, there is a possibility that it will be used for some reason in the future.

For example, as shown in FIG. 7, in the medical treatment stage "Examination", the acquisition function 153 retrieves the operation number "L2" set for the terminal, the GUI type "Mouse", and the operation date and time "March 2018". 9 o'clock on the 1st of the month", the contents displayed by the terminal "inspection history", and the operation contents "x10, y0, cc" of the terminal are acquired as operation information, and the recording processing function 154 acquires the acquired operation information is stored in the medical treatment stage table. For example, the operation details "x10, y0, cc" represent the operation details of the terminal, "x10" and "y0" respectively represent the x and y coordinates on the screen of the terminal, and "cc" , indicates that the operator double-clicked the coordinates "x10, y0" on the screen of the terminal using the GUI type "mouse". In the medical treatment stage "Examination", the acquisition function 153 acquires operation information during the period "March 1, 2018, 9:00 to March 1, 2018, 12:00", and the recording processing function 154 acquires the acquired operation information. is associated with the log code "11112" and stored in the medical treatment stage table.

Although the operation information is an example of a mouse double-click operation, it is not limited to this, and includes cursor movement, key operations, scroll operations, etc. in addition to mouse clicks (double-clicks). Good too. Further, the operation information may include changes in display order, layout changes, print processing, and the like.

FIG. 8 is a diagram for explaining physical condition information at the time of medical examination that the acquisition function 153 acquires. For example, in the medical treatment stage "Examination", the acquisition function 153 collects information regarding the physical condition of the medical staff in charge of the subject at the time of examination, such as the staff number, type, item, date and time, and physical measurement data of the medical staff in charge of the subject. The recording processing function 154 acquires physical condition information at the time of medical examination that is associated with the medical condition information at the time of medical examination, and stores the acquired physical condition information at the time of medical examination in the medical treatment stage table in association with the log code "11112." Identification information that uniquely identifies medical staff such as doctors is set in the staff number. Physical condition information at the time of medical examination is defined, for example, when the operator selects the process "Record" on the process switching display area 11 using the input interface 110, and is then acquired by the acquisition function 153 and recorded by the recording processing function 154. Recorded in the medical stage table. Physical condition information at the time of medical examination is, for example, information collected during medical treatment performed on a subject, and therefore may be used for some reason in the future.

For example, as shown in FIG. 8, in the medical treatment stage "Examination", the acquisition function 153 retrieves the staff number "Q1" of the medical staff, the type "Vitals", the item "Pulse", the date and time "March 2018". The recording processing function 154 obtains physical condition information at the time of medical examination that associates "9 o'clock a day" with a pulse value "60, 65, 70, 80, 80, 75, ... [/1 minute]" as physical measurement data, and The acquired medical condition information at the time of medical examination is associated with the log code "11112" and stored in the medical treatment stage table. Physical measurement data is measured at set intervals. Physical measurement data is measured at set intervals. In the medical treatment stage "Examination", the acquisition function 153 acquires medical condition information during the period "March 1, 2018, 9:00 to March 1, 2018, 12:00", and the record processing function 154 acquires the acquired medical condition information. Physical condition information at the time of medical examination is associated with log code "11112" and stored in the medical treatment stage table.

Note that the physical measurement data is not limited to information on pulse and body temperature, but may also include information on the medical staff's brain waves, alcohol concentration, etc., as shown in FIG.

FIG. 9 is a diagram illustrating an example of a configuration for acquiring physical condition information at the time of medical examination. For example, the wearable terminal 20 is worn by medical staff such as doctors. The wearable terminal 20 is, for example, in the shape of a wristwatch, and is worn on the arm of a medical staff member. Wearable terminal 20 measures body measurement data such as pulse and body temperature of the medical staff member. Then, the wearable terminal 20 transmits the medical staff member's staff number “Q1”, type, item, date and time, and body measurement data (pulse, body temperature, etc.) to the medical information processing device 100 via wireless communication 21 as physical condition information at the time of medical examination. do. In the medical information processing device 100, the acquisition function 153 acquires physical condition information at the time of medical examination from the wearable terminal 20, and the recording processing function 154 associates the acquired physical condition information at the time of medical examination with the log code "11112" and stores it in the medical treatment stage table. to be memorized.

FIG. 10 is a diagram for explaining the examination environment noise information acquired by the acquisition function 153. For example, in the medical treatment stage "Examination", the acquisition function 153 acquires the environment number, type, and item as information regarding environmental noise occurring around the medical staff in charge of the subject (for example, the examination room where the medical staff works). The recording processing function 154 acquires consultation environment noise information that associates the date and time with environmental data, and stores the acquired consultation environment noise information in the medical treatment stage table in association with the log code "11112." For example, identification information that uniquely identifies a consultation room or the like where a medical staff such as a doctor works is set in the environment number. The examination environment noise information is defined, for example, when the operator selects the process "Record" on the process switching display area 11 using the input interface 110, and is then acquired by the acquisition function 153 and then by the recording processing function 154. Recorded in the medical stage table. The medical examination environment noise information is, for example, information collected during medical treatment performed on a subject, and therefore may be used for some reason in the future.

For example, as shown in FIG. 10, in the medical treatment stage "Examination", the acquisition function 153 acquires the environment number "R12" set for the examination room where the medical staff in charge of the subject works, and the type "Environment". , the item "temperature", the date and time "March 1, 2018 9:00", and the value of the temperature sensor installed in the examination room as environmental data "24, 24.2, 24, 24.1, ... [degrees]" ”, and the recording processing function 154 associates the acquired consultation environment noise information with the log code “11112” and stores it in the medical treatment stage table. For example, as shown in FIG. 10, in the medical treatment stage "Examination", the acquisition function 153 retrieves the environment number "R12", the type "Fixtures", the item "Examination desk", and the date and time "March 1, 2018". Obtain examination environment noise information that associates "9 o'clock on the day" with the fluctuation value of the examination table installed in the examination room "0, 0.1, 0, -0.1, ... [cm]" as environmental data. The recording processing function 154 associates the acquired examination environment noise information with the log code "11112" and stores it in the treatment stage table. Here, the shaking of the examination table refers to vibrations in which the examination desk slightly shakes due to factors such as slight differences in the length of the legs of the examination table. For example, as shown in FIG. 10, in the medical treatment stage "Examination", the acquisition function 153 retrieves the environment number "R12", the type "Sound", the item "Examination desk", and the date and time "March 1, 2018". The recording processing function 154 acquires medical examination environment noise information that associates the sound of the examination table installed in the examination room with the "noise file" and the sound of the examination desk installed in the examination room as environmental data, and the recording processing function 154 converts the acquired examination environment noise information into the log code " 11112" and stored in the medical treatment stage table. The sound of the examination table is the sound produced when the examination table shakes slightly due to factors such as slight differences in the length of the legs of the examination table. Environmental data is measured at set intervals. In the medical treatment stage "Examination", the acquisition function 153 acquires the consultation environment noise information during the period "March 1, 2018, 9:00 to March 1, 2018, 12:00", and the recording processing function 154 acquires the acquired The medical examination environment noise information is stored in the medical treatment stage table in association with the log code "11112".

Environmental data is not limited to information on temperature, fluctuations, and sounds, but also background noise in the examination room (noise, light (changes in lighting), atmospheric pressure, humidity, and the installation status of the examination table (placement, inclination, texture (surface)). information such as roughness, reflectance, hardness, pattern) may also be included.

FIG. 11 is a diagram illustrating an example of a configuration for acquiring medical examination environment noise information. For example, in the examination room 30, an examination desk 31 and a terminal 32 are installed. Furthermore, a temperature sensor 33 is installed in the examination room 30 to measure the temperature as the air temperature of the examination room 30, and the terminal 32 collects the temperature of the examination room 30 from the temperature sensor 33. Further, a vibration sensor 34 that measures the fluctuation of the examination desk 31 is installed on the examination desk 31, and the terminal 32 collects the fluctuation of the examination desk 31 from the vibration sensor 34. Further, a sound collecting microphone 35 that collects the sounds of the examining desk 31 is installed on the examining desk 31, and the terminal 32 collects the sounds of the examining desk 31 from the sound collecting microphone 35. Then, the terminal 32 transmits the environment number "R12", type, item, date and time, and examination environment noise information (temperature of the examination room 30, fluctuation of the examination table 31, sound of the examination table 31, etc.) as examination environment noise information. 200 to the medical information processing apparatus 100. In the medical information processing apparatus 100, the acquisition function 153 acquires consultation environment noise information from the terminal 32, and the recording processing function 154 stores the acquired consultation environment noise information in the treatment stage table.

FIG. 12 is a diagram for explaining patient noise information acquired by the acquisition function 153. For example, in the medical treatment stage "Examination", the acquisition function 153 acquires patient noise information that associates the patient number, type, item, date and time, and patient behavior data as information regarding noise generated from the subject, The recording processing function 154 associates the acquired patient noise information with the log code "11112" and stores it in the medical treatment stage table. Identification information that uniquely identifies the subject (patient) is set in the patient number. The patient noise information is defined, for example, when the operator selects the process "Record" on the process switching display area 11 using the input interface 110, and is then acquired by the acquisition function 153, and the patient noise information is recorded in the stage table. Patient noise information is, for example, information collected during medical treatment performed on a subject, and therefore may be used for some reason in the future.

For example, as shown in FIG. 12, in the medical treatment stage "Examination", the acquisition function 153 acquires the patient number "P1234" of the subject, the type "Sound", the item "Individual", and the date and time "March 1, 2018". The recording processing function 154 obtains patient noise information that associates "9 o'clock on the day" with the subject's speech and behavior "noise file" as patient behavior data, and the recording processing function 154 associates the obtained patient noise information with the log code "11112" for medical treatment. Store it on the stage table. For example, as shown in FIG. 12, in the medical treatment stage "Examination", the acquisition function 153 acquires the patient number "P1234" of the subject, the type "Sound", the item "Slippers", and the date and time "March 2018". The recording processing function 154 acquires the patient noise information that associates "9 o'clock on the 1st of the month" with the "noise file" of the sound of the subject while walking as patient behavior data, and the recording processing function 154 records the acquired patient noise information with the log code "11112". It is stored in the medical treatment stage table in association with. The sound when the subject walks is the sound when the subject walks in slippers. For example, as shown in FIG. 12, in the medical treatment stage "Examination", the acquisition function 153 acquires the patient number "P1234" of the subject, the type "Trajectory", the item "Individual", and the date and time "March 2018". The recording processing function 154 obtains patient noise information that associates "9 o'clock on the 1st of the month" with the subject's behavior "video file" as patient behavior data, and the recording processing function 154 associates the obtained patient noise information with the log code "11112". and stored in the medical treatment stage table. Patient behavior data is measured at set intervals. In the medical treatment stage "Examination", the acquisition function 153 acquires patient noise information during the period "March 1, 2018, 9:00 to March 1, 2018, 12:00", and the recording processing function 154 acquires the acquired patient noise information. The noise information is associated with the log code "11112" and stored in the medical treatment stage table.

Note that the patient behavior data is not limited to information on the subject's words, sounds, and actions, but may also include information such as the subject's line of sight and blurring when walking.

FIG. 13 is a diagram illustrating an example of a configuration for acquiring a subject's speech and behavior "noise file" as patient noise information. For example, the wearable terminal 40 is attached to the subject. The wearable terminal 40 is, for example, in the shape of a wristwatch, and is worn on the subject's arm. The wearable terminal 40 is provided with a sound collecting microphone 41, and the wearable terminal 40 collects speech and behavior of the subject from the sound collecting microphone 41. The wearable terminal 40 then stores, as patient noise information, the subject's patient number "P1234," the type "sound," the item "person," the date and time "March 1, 2018, 9:00," and the patient behavior data. The speech and behavior "noise file" of the subject is transmitted to the medical information processing apparatus 100 via wireless communication 42. Here, the wearable terminal 40 may measure physical measurement data such as the subject's pulse and body temperature, and transmit the measured data to the medical information processing apparatus 100 as medical treatment data. In the medical information processing apparatus 100, the acquisition function 153 acquires patient noise information from the wearable terminal 40, and the recording processing function 154 stores the acquired patient noise information in the medical treatment stage table.

FIG. 14 is a diagram illustrating an example of a configuration for acquiring a "noise file" of sounds during walking of a subject as patient noise information. For example, a wearable terminal 43 is attached to the subject. The wearable terminal 43 is, for example, in the shape of a wristwatch, and is worn on the ankle of the subject. The wearable terminal 43 is provided with a sound collecting microphone 44, and the wearable terminal 43 collects the sound from the sound collecting microphone 44 when the subject walks in slippers. The wearable terminal 43 then stores the subject's patient number "P1234", the type "sound", the item "slippers", the date and time "March 1, 2018 9:00", and the patient behavior data as patient noise information. The sound "noise file" made when the subject walks is transmitted to the medical information processing apparatus 100 via wireless communication 45. In the medical information processing apparatus 100, the acquisition function 153 acquires patient noise information from the wearable terminal 43, and the recording processing function 154 stores the acquired patient noise information in the medical treatment stage table.

Next, the process performed by the display control function 151 in the process "playback" will be described. When one of the plurality of medical treatment stages is selected, the display control function 151 displays first information (medical treatment related information) and second information (operation information, physical condition information at the time of medical examination, Examination environment noise information and patient noise information) are displayed on the display 120 (screen 10). Here, the display contents displayed in the medical treatment stage display area 12, dynamic information display area 13, and examination environment display area 14 of the screen 10 in the process "playback" will be explained.

First, the medical treatment stage display area 12 on the screen 10 will be explained. As shown in FIG. 15, for example, the medical treatment stage display area 12 includes a basic information display column 12A, a medical treatment name display column 12B, a medical treatment status display column 12C, and a stage bar display column 12D. The basic information display field 12A displays basic information of the subject among the medical care related information stored in the medical stage table. The medical treatment name display column 12B displays information representing the medical treatment name of the subject out of the medical treatment related information stored in the medical treatment stage table. The medical treatment status display column 12C displays the name of the medical treatment stage specified by the operator among the plurality of treatment stages stored in the medical treatment stage table.

The stage bar display column 12D displays the flow of medical treatment for the subject, from reception to checkout. In other words, the stage bar display column 12D displays the medical treatment stages "reception", "examination", "examination", "examination (re)", "prescription", and "accounting" for the subject stored in the treatment stage table. Display in series. Furthermore, the stage bar display field 12D displays selection fields for selecting the medical treatment stages "Reception", "Examination", "Examination", "Examination (re-examination)", "Prescription", and "Accounting".

For example, when the operator selects the process "playback" on the process switching display area 11 using the input interface 110, the selection field of the stage bar display field 12D selects the medical stage "reception", "examination", and "examination". , "Examination (re-examination)," "Prescription," and "Accounting." For example, when the operator uses the input interface 110 to select the medical treatment stage "Examination" in the selection field of the stage bar display field 12D, the display control function 151 displays the medical treatment stage "Examination" in the medical status display field 12C. . In addition, the display control function 151 displays, among the medical care related information stored in the medical treatment stage table, the basic information of the subject and the medical treatment name in the medical treatment stage "Examination" in the basic information display column 12A and the medical treatment name display column 12B, respectively. do.

Next, the dynamic information display area 13 of the screen 10 will be explained. As shown in FIG. 15, for example, the dynamic information display area 13 includes five display areas 13-1, 13-2, 13-3, 13-4, and 13-5.

For example, when the medical treatment stage "Examination" is selected in the selection field of the stage bar display field 12D, the display control function 151 selects the patient in the medical treatment stage "Examination" from among the medical care related information stored in the medical stage table. The history of sample tests is displayed in the display area 13-1, and detailed information thereof is displayed in the display area 13-4. Further, the display control function 151 displays, for example, the history of medication for the subject in the medical treatment stage "Examination" among the medical care related information stored in the medical treatment stage table in the display area 13-2.

Further, when the medical treatment stage "Examination" is selected in the selection field of the stage bar display field 12D, the display control function 151 displays information representing noise generated from the subject in the medical treatment stage "Examination" (patient noise information). , is read from the medical treatment stage table in the storage circuit 140 and displayed in the display area 13-3, for example. Here, if the patient noise information is the subject's speech and behavior "noise file", the processing circuit 150 may output the subject's speech and behavior "noise file" from the speaker, or the display control function of the processing circuit 150 may output the subject's speech and behavior "noise file". 151 may convert the subject's speech and behavior "noise file" into characters and display them in the display area 13-3.

As described above, in the medical information processing apparatus 100 according to the present embodiment, information regarding noise generated from the subject is acquired as patient noise information, and recorded in the medical treatment stage table of the storage circuit 140. It is possible to check changes, etc. in the patient). For example, by acquiring the subject's speech and behavior "noise file" as patient noise information and recording it in the medical treatment stage table of the memory circuit 140, it is possible to confirm that the subject is suspected of having dementia and that the subject is the same patient. If the subject says the same thing many times, it is possible to check how long the subject has been saying the same thing. Therefore, in the medical information processing apparatus 100 according to the present embodiment, by storing patient noise information in the storage circuit 140, it is possible to store patient noise information in the storage circuit 140, so that it can be used as a situation when the medical staff performs medical treatment on the subject. You can check the noise.

Further, when the medical treatment stage "Examination" is selected in the selection column of the stage bar display field 12D, the display control function 151 is installed in the examination room where the medical staff in charge of the subject works in the medical treatment stage "Examination". Information regarding the operation of the terminal (operation information) is read from the medical treatment stage table in the storage circuit 140 and displayed, for example, in the display area 13-5.

In this manner, in the medical information processing apparatus 100 according to the present embodiment, information such as the operation details of the terminal of the medical staff in charge of the subject is acquired as operation information, and is recorded in the medical treatment stage table of the storage circuit 140. By doing so, it is possible to confirm what the medical staff was paying attention to with respect to the subject at each treatment stage. Therefore, in the medical information processing apparatus 100 according to the present embodiment, by storing the operation information in the storage circuit 140, the situation when the medical staff performs medical treatment on the subject is determined by the terminal of the medical staff. You can check the operation.

Next, the examination environment display area 14 on the screen 10 will be explained. As shown in FIG. 15, for example, the examination environment display area 14 includes two display areas 14-1 and 14-2.

For example, when the medical treatment stage "Examination" is selected in the selection field of the stage bar display field 12D, the display control function 151 displays information regarding the physical condition of the medical staff in charge of the subject in the medical treatment stage "Examination" (physical condition at the time of examination). information) is read from the medical treatment stage table in the storage circuit 140 and displayed in the display area 14-1.

As described above, in the medical information processing apparatus 100 according to the present embodiment, information regarding the physical condition of the medical staff in charge of the subject at the time of examination is acquired as physical condition information at the time of examination, and is recorded in the medical treatment stage table of the storage circuit 140. By recording the information, it is possible to check the physical condition of the medical staff at each stage of treatment. For example, by acquiring the pulse rate of the medical staff in charge of the subject as physical condition information at the time of medical examination and recording it in the medical treatment stage table of the memory circuit 140, it is possible to check whether the medical staff concerned was calm during the medical treatment. I can do it. For example, by acquiring the body temperature of the medical staff in charge of the subject as physical condition information at the time of medical examination and recording it in the medical treatment stage table of the memory circuit 140, it is possible to determine whether the medical staff was in good physical condition at the time of medical treatment. etc. can be confirmed. Therefore, in the medical information processing apparatus 100 according to the present embodiment, by storing physical condition information at the time of medical examination in the storage circuit 140, the medical staff's physical condition information can be stored as the situation when the medical staff performs medical treatment on the subject. You can check your physical condition.

In addition, when the medical treatment stage "Examination" is selected in the selection field of the stage bar display field 12D, the display control function 151 displays the environment that has occurred in the examination room where the medical staff in charge of the subject works in the medical treatment stage "Examination". Information regarding noise (diagnosis environment noise information) is read from the medical treatment stage table in the storage circuit 140 and displayed in the display area 14-2. Here, if the examination environment noise information is the sound of the examination desk 31, the display control function 151 converts the sound of the examination desk 31 into a graph showing the relationship between time and noise level, and converts the sound of the examination desk 31 into a graph showing the relationship between time and noise level. 2, or the processing circuit 150 may output the sound of the examination table 31 from a speaker.

In this manner, the medical information processing apparatus 100 according to the present embodiment acquires information regarding environmental noise generated around the medical staff in charge of the subject as examination environment noise information, and records it in the treatment stage table of the storage circuit 140. By doing so, it is possible to check the environment in which medical staff were working at each treatment stage. For example, by acquiring the vibrations and sounds of the examination table 31 as examination environment noise information and recording them in the treatment stage table of the memory circuit 140, it can be confirmed whether the medical staff in charge of the patient is under stress. can do. Therefore, in the medical information processing apparatus 100 according to the present embodiment, by storing examination environment noise information in the storage circuit 140, the medical staff can use the You can check the environmental noise generated in the examination room where you work.

FIG. 16 is a flowchart showing the procedure of processing by the medical information processing apparatus 100 according to the present embodiment.

Step S101 in FIG. 16 is a step in which the processing circuit 150 of the medical information processing apparatus 100 reads a program corresponding to the stage definition function 152 from the storage circuit 140 and executes it. In step S101, the stage definition function 152 defines multiple medical stages for the subject.

Step S102 in FIG. 16 is a step in which the processing circuit 150 of the medical information processing apparatus 100 reads and executes programs corresponding to the acquisition function 153 and the recording processing function 154 from the storage circuit 140. In step S102, the acquisition function 153 acquires first information (medical treatment-related information) related to the medical treatment performed on the subject at each of a plurality of treatment stages, and information that is different from the first information and that is collected in the medical treatment. The recording processing function 154 stores the acquired first information and second information in the storage circuit 140. .

Step S103 in FIG. 16 is a step in which the processing circuit 150 of the medical information processing apparatus 100 reads a program corresponding to the display control function 151 from the storage circuit 140 and executes the program. In step S103, the display control function 151 reproduces the first information and second information of the specified medical treatment stage among the plurality of medical treatment stages. That is, when one of the plurality of treatment stages is selected, the display control function 151 reads out first information and second information for the selected treatment stage from the storage circuit 140 and displays it on the display 120. let

As described above, the second information is information collected during medical treatment performed on the subject, and therefore may be used for some reason in the future. In the medical information processing apparatus 100 according to the present embodiment, by storing the second information in the storage circuit 140, it is possible to confirm the situation at the time of medical treatment.

(Modified example)
In the medical information processing apparatus 100 according to the present embodiment, the patient noise information has been described using as an example the noise generated from a subject in the examination room in the medical treatment stage "examination". However, the present invention is not limited to this, and in the medical information processing apparatus 100 according to the present embodiment, noise generated from the subject while the subject is moving in the hospital is also acquired as patient noise information, and the memory circuit It can be recorded in 140 clinical stage tables.

FIG. 17 is a diagram illustrating an example of a configuration for acquiring a subject's behavior "video file" as patient noise information. For example, a wristband 45 is attached to the arm of the subject, and the wristband 45 is provided with a communication section that transmits the patient number "P1234" of the subject. Further, in the hospital, photographing terminals 47 having cameras 46 are installed in each room such as the reception/accounting room, examination room, and shop, as well as in the hallway, toilet, smoking room, and the like. Each photographing terminal 47 is equipped with a short-range wireless communication function that performs short-range wireless communication with a communication section provided on the wristband 45. For example, if the communication unit provided on the wristband 45 is within the short-range wireless communication range, each imaging terminal 47 can receive the patient number “P1234” transmitted from the communication unit. In this case, when each imaging terminal 47 receives the patient number "P1234" transmitted from the communication section provided on the wristband 45, it photographs the subject wearing the wristband 45, and The video file is sent to the medical information processing device 100. Specifically, each imaging terminal 47 stores, as patient noise information, the patient number "P1234" of the subject, the type "trajectory", the item "person", and the date and time "March 1, 2018 9:00". , and transmits the subject's behavior "video file" to the medical information processing apparatus 100 as patient behavior data. In the medical information processing apparatus 100, the acquisition function 153 acquires patient noise information from each imaging terminal 47, and the recording processing function 154 stores the acquired patient noise information in the medical treatment stage table.

For example, as shown in FIG. 18, the operator uses the input interface 110 of the medical information processing apparatus 100 to select the process "playback" on the process switching display area 11 of the screen 10, and the selection field of the stage bar display field 12D When the user selects the arrow "→" between the medical treatment stages "Reception" and "Examination", the display control function 151 displays the medical treatment stage "Transferring to the examination" in the medical treatment status display field 12C. At this time, the display control function 151 reads the subject's behavior "video file" from the medical treatment stage table in the storage circuit 140 as patient noise information of the subject when the subject moves to the examination room, and reads the dynamic information It is displayed in the display area 13. Here, the display control function 151 edits the "video file" of the subject's behavior from each imaging terminal 47, and displays a hospital facility map depicting the subject's trajectory 50 as shown in FIG. It may be displayed in the target information display area 13 (display area 13-5 in FIG. 18).

As described above, in the medical information processing apparatus 100 according to the present embodiment, information regarding noise generated from the subject is recorded in the medical treatment stage table of the storage circuit 140 as patient noise information, so that the information regarding the noise generated from the subject (patient ) changes etc. can be confirmed. For example, by recording the subject's behavior "video file" as patient noise information in the medical treatment stage table of the memory circuit 140, it is possible to detect whether the subject is suspected of having dementia and who frequently When taking an action, it is possible to check how long the subject has been taking the same action. Therefore, in the medical information processing apparatus 100 according to the present embodiment, by storing patient noise information in the storage circuit 140, it is possible to store patient noise information in the storage circuit 140, so that it can be used as a situation when the medical staff performs medical treatment on the subject. You can check the noise.

Note that each component of each device illustrated in this embodiment is functionally conceptual, and does not necessarily need to be physically configured as illustrated. In other words, the specific form of distributing and integrating each device is not limited to what is shown in the diagram, and all or part of the devices can be functionally or physically distributed or integrated in arbitrary units depending on various loads and usage conditions. Can be integrated and configured. Furthermore, all or any part of each processing function performed by each device can be realized by a CPU and a program that is analyzed and executed by the CPU, or can be realized as hardware using wired logic.

Further, the display method described in this embodiment can be realized by executing a previously prepared information processing program on a computer such as a personal computer or a workstation. This information processing program can be distributed via a network such as the Internet. In addition, this information processing program is recorded on a computer-readable non-temporary recording medium such as a hard disk, flexible disk (FD), CD-ROM, MO, DVD, etc., and is executed by being read from the recording medium by the computer. You can also.

As described above, according to this embodiment, the situation at the time of medical treatment can be confirmed.

Although embodiments of the present invention have been described, the embodiments are presented as examples and are not intended to limit the scope of the invention. This embodiment can be implemented in various other forms, and various omissions, substitutions, and changes can be made without departing from the gist of the invention. This embodiment and its modifications are included within the scope and gist of the invention as well as within the scope of the invention described in the claims and its equivalents.

100 Medical information processing device 120 Display 150 Processing circuit 151 Display control function 152 Stage definition function 153 Acquisition function 154 Recording processing function

Claims (6)

a stage definition unit that defines multiple medical stages for the subject;
an acquisition unit that acquires, in each of the plurality of medical treatment stages, first information related to medical treatment performed on the subject and second information that is different from the first information and collected in the medical treatment; and,
a display control unit that causes a display unit to display the first information and the second information for a selected medical treatment stage among the plurality of medical treatment stages;
Equipped with
The second information includes information regarding the behavior of the subject while the subject is moving within the hospital .
Medical information processing equipment. The display control unit causes the display unit to display a trajectory of the subject within the hospital as information regarding the behavior of the subject.
The medical information processing device according to claim 1. The second information includes information regarding the operation of a terminal used by the medical staff in charge of the subject;
The medical information processing device according to claim 1 or 2 . The second information includes information regarding the physical condition of the medical staff in charge of the subject;
The medical information processing device according to any one of claims 1 to 3 . The second information includes information regarding environmental noise generated around the medical staff in charge of the subject.
The medical information processing device according to any one of claims 1 to 4 . a stage definition step of defining multiple medical stages for the subject;
In each of the plurality of treatment stages, first information related to the medical treatment performed on the subject, and information collected in the medical treatment that is different from the first information , an acquisition step of acquiring second information including information regarding the behavior of the subject while moving within the hospital ;
a display control step of displaying the first information and the second information in the selected medical treatment stage among the plurality of medical treatment stages on a display unit;
A medical information processing method in which each function of a computer executes the following.

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