JP7456610B2 - Digital medical information providing device, digital medical information providing method, and digital medical information providing program - Google Patents

Description

Article 30, Paragraph 2 of the Patent Act applies Publisher: Contrea Co., Ltd. Publication website address: https://twitter. com/kazu_bou21/status/1176858078370660352? s=20 Publication date: September 25, 2020 [Publications, etc.] Publisher: Contrea Co., Ltd. Public event: Japan Healthcare Business Contest Publication date: October 9, 2020 [Publications, etc.] Publisher: Nikkei Co., Ltd. BP public website address https://project. nikkeibp. co. jp/behealth/atcl/feature/00004/102800089/? P=7 Publication date October 29, 2020 [Publications, etc.] Publisher Contrea Co., Ltd. Public website address https://twitter. com/kazu_bou21/status/1220346915574800385? s=20 Publication date: January 23, 2020 [Publications, etc.] Publisher: Contrea Co., Ltd. Publication website address: https://www. Contrea. jp/product Release date March 14, 2020

The present invention relates to a digital medical information providing device, a digital medical information providing method, and a digital medical information providing program. Specifically, out of the video data used to provide explanations to patients, the video data deemed necessary by the medical staff is sent to the patient's operating terminal, and then the patient's level of understanding, level of interest, and questions they wish to ask are determined. The present invention relates to a digital medical information providing device that distributes questionnaires, a digital medical information providing method, and a digital medical information providing program.

Conventionally, video data showing patient information is provided on a mobile device (e.g., smartphone or tablet) from multiple data sources such as a health care provider, a health care provision facility, and a health care delivery system, as disclosed in Patent Document 1 below. Methods, systems and devices are known.

Further, as in Patent Document 2 below, a video distribution device is known that can distribute a video image of a surgical site taken during a medical treatment such as surgery to a plurality of external terminals.

Further, as shown in Patent Document 3 below, there is known a support device that can improve a patient's lifestyle through remote medical treatment. In particular, a support device is known that performs a process of transmitting and receiving information regarding remote medical treatment using video between a medical worker's terminal and an instructor's terminal of an instructor who provides remote improvement guidance.

JP 2019-75148 Publication Japanese Patent Application Publication No. 2002-58017 JP 2019-57171 Publication

The video data provision method described in Patent Document 1 above can provide video related to patient information and physiological data of the patient to the operating terminal, but cannot provide video data related to explaining symptoms of the disease or treatment plans to the patient.

Furthermore, although the video distribution device as disclosed in Patent Document 2 can distribute a surgical video to an external terminal, it cannot provide video data related to the content to be explained to a patient.

Furthermore, with the support device as disclosed in Patent Document 3 mentioned above, it is possible to perform remote medical treatment by having a video chat between a medical worker and a patient, but it is not possible to provide video data regarding the content to be explained to the patient. I can't.

SUMMARY OF THE INVENTION Therefore, an object of the present invention is to provide a digital medical information providing device, a digital medical information providing method, and a digital medical information providing program that provide video data related to explanations of patient's disease symptoms and treatment policy.

In order to solve the above problems, the digital medical information providing device of the present invention includes a receiving unit that receives medical worker information, video order information, medical record information, or patient information input by a medical worker or patient into an operation terminal; A storage unit that stores a plurality of videos related to a disease, a generation unit that generates a video related to a disease based on the medical worker information and patient information received by the reception unit, and delivers the video generated by the generation unit to a patient's communication terminal. It also has a video distribution department.

The system further includes a detection unit that detects the content of the video generated by the generation unit, and a control unit that controls when the video distribution unit distributes at least one video from the plurality of videos, and detects and detects the examination status of the patient. Based on the detection result of the unit, the control unit may control the video distributed by the video distribution unit to be transmitted to the patient's operation terminal at an appropriate timing.

The control unit may control the videos distributed by the video distribution unit to exclude duplicate videos and distribute them to the patient's operation terminal according to the patient's prescription history.

The system may further include a questionnaire distribution unit that distributes a questionnaire regarding matters to confirm the patient's level of understanding and interest and matters the patient wishes to confirm with medical personnel to the communication terminal of the patient to which the video distribution unit has distributed the video.

The reception section includes a medical worker information receiving section that receives medical worker information from a medical worker, a video order information receiving section that receives video order information from a medical worker, and a medical record information receiving section that receives medical record information from a medical worker. The medical worker information receiving section includes a medical record information receiving section that receives medical record information, and a patient information receiving section that receives patient information from the patient, and the medical worker information receiving section includes a site information receiving section that receives site information indicating the selected treatment site; and a treatment method information receiving unit that receives treatment method information indicating the selected treatment method, and the site information and treatment method information may be automatically generated based on the name and ID of the medical worker.

The generation unit may generate one video by combining videos of items selected by the medical worker from among the videos stored in the storage unit.

The generation unit may include a gaze information adding unit that adds gaze information to a portion of one video that the medical worker wants the patient to gaze at.

The questionnaire distribution unit may include a distribution item switching unit that automatically switches the questionnaire items to be distributed in response to an analysis of the patient's facial expression or voice captured by a camera provided on the terminal.

The distribution item switching unit may switch the display order of the items to be confirmed by the medical staff depending on the answers to the items for confirming the patient's level of understanding and interest.

The medical device may further include a community creation unit that creates a plurality of communities among patients.

The medical device may further include an assignment determination unit that determines which patient among the plurality of patients is assigned to which community among the plurality of communities created by the community creation unit, based on patient attributes.

The assignment destination determining unit may decide which video among the plurality of videos is to be distributed to which community among the plurality of communities.

The digital medical information providing device of the present invention further includes an acquisition unit that acquires information indicating patient examination results from an electronic medical record stored in a medical worker's terminal, and an output unit that outputs the information acquired by the acquisition unit. You may prepare.

The medical device may further include a reception unit that receives input to the electronic medical record from a medical worker, and a reflection unit that reflects the video distributed by the video distribution unit on the electronic medical record.

In order to solve the above problems, the digital medical information provision method of the present invention includes a receiving step of receiving medical professional information, video order information, medical record information, or patient information input by a medical professional or a patient to an operation terminal, a storage step of storing multiple videos related to a disease, a generating step of generating videos related to a disease based on the medical professional information and patient information received in the receiving step, and a video distribution step of distributing the videos generated in the generating step to the patient's communication terminal.

In addition, in order to solve the above problems, the digital medical information providing program of the present invention allows a computer to receive medical professional information, video order information, medical record information, or patient information input by a medical professional or patient into an operating terminal. a storage function that stores multiple videos related to the disease; a generation function that generates a video related to the disease based on the medical worker information and patient information received by the reception function; and a video generated by the generation function. and a video distribution function that delivers images to patients' communication terminals.

According to the digital medical information providing device, the digital medical information providing method, and the digital medical information providing program of the present invention, patients can receive information about disease symptoms and treatment plans.

1 is a diagram showing an overall configuration in which digital medical information is provided in one embodiment of the present invention. 1 is a diagram illustrating a configuration example of a digital medical information providing device according to an embodiment of the present invention. FIG. 3 is a diagram showing a video creation flow in the digital medical information providing device according to one embodiment of the present invention. FIG. 2 is a diagram illustrating the functions of a detection unit and a control unit in a digital medical information providing device according to an embodiment of the present invention. FIG. 2 is a diagram showing a screen of an operation terminal of a medical worker in one embodiment of the present invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. It is a figure which shows the screen of the medical worker's operation terminal in other embodiments of this invention. It is a figure which shows the screen of the medical worker's operation terminal in other embodiments of this invention. It is a figure showing the screen of a medical worker's operation terminal in one embodiment of the present invention. (a) is a diagram showing an example of a database of a digital medical information providing device according to an embodiment of the present invention. (b) is another diagram showing an example of the database of the digital medical information providing device according to one embodiment of the present invention. FIG. 7 is another diagram showing an example of the database of the digital medical information providing device according to one embodiment of the present invention. It is a figure which shows the screen of the medical worker's operation terminal in other embodiments of this invention. FIG. 2 is a diagram showing a screen of a patient's operation terminal in one embodiment of the present invention. It is a figure showing the screen of the patient's operation terminal in one embodiment of the present invention. It is a figure showing the screen of the patient's operation terminal in one embodiment of the present invention. It is a figure showing the screen of the patient's operation terminal in one embodiment of the present invention. It is a figure showing the screen of the patient's operation terminal in one embodiment of the present invention. It is a figure showing the screen of the patient's operation terminal in one embodiment of the present invention. It is a figure showing the screen of the patient's operation terminal in one embodiment of the present invention. It is a figure showing the screen of the patient's operation terminal in one embodiment of the present invention. FIG. 2 is a diagram showing a screen of a patient's operation terminal in one embodiment of the present invention. (a) to (c) are diagrams showing tables held by a digital medical information providing device according to one embodiment of the present invention. FIG. 3 is a diagram showing a table held by the digital medical information providing device according to one embodiment of the present invention. FIG. 2 is a diagram showing markings applied to an image in a digital medical information providing device according to an embodiment of the present invention. It is a figure showing the screen of the community of patients created by the community creation part in the digital medical information provision device concerning one embodiment of the present invention. 3 is a flowchart showing the operation of the digital medical information providing device according to one embodiment of the present invention.

[Digital medical information provision device]
FIG. 1 shows the overall configuration of a digital medical information providing system in which digital medical information is provided by the digital medical information providing device 1 of the present invention. The digital medical information providing device 1 is a device that provides medical information. The digital medical information providing device 1 is a device that distributes videos based on a plurality of stages of treatment for a patient's 2 disease so that the patient 2 can receive optimal treatment at each stage. The digital medical information providing device 1 is realized by, for example, an information processing device typified by a personal computer, a tablet terminal, a server device, and the like. A disease refers to a state in which normal mental or physical functions are disturbed, such as cancer.

As shown in FIG. 1, the patient 2 receives a letter of introduction to the second hospital 4 as a result of visiting the first hospital 3. The first hospital 3 is, for example, a small or medium-sized hospital in the area where the patient 2 lives, and the second hospital 4 is, for example, a general hospital in a large city. Patient 2 visits the second hospital 4 and is diagnosed. A medical worker at the second hospital 4 inputs the patient information of the patient 2 into the electronic medical record, and the digital medical information providing device 1 acquires the input result. In addition to doctors, medical personnel refer to all those engaged in medical care, such as nurses, physical therapists, radiographers, clinical laboratory technicians, etc.

A medical worker's operating terminal 6 is connected to the digital medical information providing device 1 via a network 7, and is, for example, a PC, a tablet, or a smartphone. The patient's operation terminal 5 is also connected to the digital medical information providing device 1 via the network 7, and is, for example, a PC, a tablet, or a smartphone. A medical worker inputs medical worker information, video order information, medical record information, or patient information into the medical worker's operation terminal 6, and when the digital medical information providing device 1 receives the input results, the patient 2 The video is distributed to the patient's operation terminal 5. Medical worker information is information for identifying a medical worker, and as described later, for example, the name and ID of a medical worker (for example, an ID issued by the Ministry of Health, Labor and Welfare, and other examples include a digital medical information providing device). 1). Video order information is information for ordering which video to distribute, and is, for example, a video number. The medical record information is information written in the medical record of the patient 2, such as medical examination records and test information. Patient information is information for identifying a patient, and as will be described later, for example, the patient's name or ID (for example, a consultation card number, and as another example, an ID issued by the digital medical information providing device 1). is good).

Next, each component of the digital medical information providing device 1 will be explained using FIG. 2. The digital medical information providing device 1 includes a receiving unit 10, an acquiring unit 20A, a receiving unit 20B, an output unit 20C, a reflecting unit 20D, a storage unit 30, a generating unit 40, a community creating unit 50, a video distribution unit 60, and a questionnaire distribution unit 70. , a detection section 80 and a control section 90. Each component will be described later.

Figure 3 shows the video creation flow of the digital medical information providing device 1 in this embodiment. Starting with a doctor, a medical professional inputs video order information into the medical professional's operation terminal 6, and the video order information is sent to the network. Then, when the network sends the video order information to the memory unit 30 of the digital medical information providing device 1, the necessary videos are picked out from the multiple videos stored in the memory unit 30 and returned to the network. Next, the detection unit 80 and control unit 90 filter the multiple videos distributed by the video distribution unit 60 and send them to the operation terminal of the patient 2.

As shown in FIG. 4, the detection unit 80 and the control unit 90 transmit the plurality of videos distributed by the video distribution unit 60 to the operating terminal 5 of the patient 2 at appropriate timing. First, the acquisition unit 20A acquires the status information of the patient 2 (for example, after the first visit and before notification), and the output unit 20C outputs the status information of the patient 2 acquired by the acquisition unit 20A to the detection unit 80. The detection unit 80 combines the plurality of videos distributed by the video distribution unit 60 and the status information of the patient 2 outputted by the output unit 20C. Specifically, as shown in the center of Figure 4, "organ function + after the first examination and before notification", "CT examination + after the first examination and before notification", "surgical method + after the first examination and before notification", and "disease The combinations are made as follows: "Explanation + After the first consultation and before notification," "Complication (1) + After the first consultation and before notification," and "Complication + After the first consultation and before notification."

The control unit 90, as shown in the center of FIG. 4, combines the multiple videos distributed by the video distribution unit 60 and the status information of the patient 2 outputted by the output unit 20C, and sends the result to the operating terminal 5 of the patient 2. Controls whether transmission is permitted. For example, as shown in the lower part of Figure 4, after the first consultation and before notification, it is determined that information such as "functions of organs," "CT examination," and "disease explanation" can be sent, and patient 2's operating terminal 5, and determines that it is too early to send information such as "surgical method," "complications (1)," and "complications (2)," and does not send them to the operation terminal 5 of patient 2. can be controlled.

Further, the control unit 90 controls the remaining videos, that is, the videos of "surgical method", "complication (1)", and "complication (2)" to be distributed after the notification. In other words, it controls so that duplicate videos are not distributed.

Below, an example of information provided to a medical worker's operation terminal 6 by the digital medical information providing device 1 and its flow will be described. The medical worker inputs medical worker information and patient information into the medical worker's operation terminal 6, as shown in FIGS. 5 to 12. Input includes direct input and selection input for selecting a desired item from the presented items. Hereinafter, the case where the disease is cancer, particularly the case where it is gastric cancer, will be specifically explained, but it is not limited to gastric cancer.

First, as shown in FIG. 5, a medical worker enters his or her username (name) and password (ID) for logging into the digital medical information system on the login screen.

Next, as shown in FIG. 6, the medical worker inputs the ID of the target patient 2.

As a result, as shown in FIG. 7, the name and ID of the patient 2 are displayed, and below that, site selection items and treatment method selection items are displayed that are linked to the medical worker's name and ID. For example, as shown in the figure, regions such as "stomach" and "oesophagus" are displayed, and treatment methods include "surgery," "chemotherapy," "endoscopy," and "radiation." etc. will be displayed. The medical worker selects at least one item indicating information to be provided to the patient 2 from among these site selection items and treatment method selection items. A "confirm" button 401 is displayed at the bottom right, and the medical worker presses this "confirm" button 401 after selecting an item.

When the medical worker presses the "Confirm" button 401, a screen shown in FIG. 8 is displayed. The screen shown in FIG. 8 is displayed according to the items selected by the medical worker in FIG. 7 as described above. For example, the screen shown in FIG. 8 is the display item when a medical worker selects "stomach" in the region selection in FIG. 7 and "surgical" in the treatment method selection, including "anatomy", " Items such as "pathological condition", "examination", "treatment method", "operative method", "reconstruction method", "complications", "adjuvant chemotherapy", and "adjuvant radiotherapy" are displayed.

For "anatomy", buttons for selecting items such as "function" and "structure" are displayed. The medical worker may select at least one, all, or none of these items. In addition, buttons for selecting items such as "progression level," "metastasis," and "symptoms" are displayed as "pathology." The medical worker may select at least one, all, or none of these items.

For "Examination", buttons are displayed to select items such as "Pulmonary function", "Electrocardiogram", "X-ray", "Upper endoscopy", "Lower endoscopy", "Gastric fluoroscopy", "CT", "PET/CT", and "MRI". Medical professionals may select at least one of these items, or may select all of them, or none of them. For "Treatment method", buttons are displayed to select items such as "Laparotomy", "Laparoscopy", and "Endoscopy". Medical professionals may select at least one of these items.

As the "surgical method", buttons are displayed to select items such as "total gastrectomy," "distal gastrectomy," "pylorus-preserving gastrectomy," and "cardiac gastrectomy." The medical worker selects at least one of these items. Examples of "reconstruction methods" include "Roux-en-Y method," "Billroth I method," "Billroth II method," "jejunal interposition method," "double tract method," and "gastrogastric anastomosis method." A selection button will be displayed. The medical worker selects at least one of these items.

Complications include "postoperative bleeding," "pancreatic fluid leak," "suture insufficiency," "intestinal obstruction," "cholecystitis," "intra-abdominal tumor," "damage to other organs," and "anastomotic stenosis." A button to select an item will be displayed. The medical worker may select at least one, all, or none of these items. As for "adjuvant chemotherapy," buttons are displayed for selecting "preoperative" and "postoperative" items. The medical worker may select at least one of these items, may select "none," or may not select all of these items.

For "Supplementary radiotherapy", buttons to select the items "Preoperative" and "Postoperative" are displayed. The medical professional may select at least one of these items, select "None", or may not select any of them. A "Confirm" button 501 is displayed at the bottom right, and the medical professional presses this "Confirm" button 501 after selecting an item. However, the medical professional must select at least one of the displayed items. That is, in the example of Figure 8, one of all the items shown from "Anatomy" to "Supplementary radiotherapy" must be selected.

When the medical worker presses the "Confirm" button 501, as shown in FIG. 9, for example, a video from explaining the organs of stomach cancer to treatment is displayed. This video is displayed as a single video by combining the videos that are associated with the selected item in Figure 8 by the medical worker; The videos may be displayed in a list. The keywords selected by the medical worker in FIG. 8 are displayed below the video. Here, the keywords displayed are not limited to the keywords selected by the medical worker, but are associated with the video selected according to the keyword selected by the medical worker, and include tag data indicating the content of the video. It may be. A "prescription" button 601 is displayed in the lower right corner, and the medical worker presses this "prescription" button 601.

When a medical worker presses the "prescription" button 601, a message indicating that medical information has been prescribed is displayed as shown in FIG. Prescribing medical information means transmitting the information shown in FIG. 9 to the patient's ID. Further, FIG. 11 is a diagram showing that a medical professional can (or automatically) customize and register prescription videos so that the prescription videos do not have to be input one by one in FIG. 8. Specifically, customizing the prescription video means that when the selection items shown in FIG. 8 are selected, a combined video is generated in the selected order. As shown in FIG. 11, for example, a screen showing explanation items about stomach cancer and explanation items about esophageal cancer is displayed.

FIG. 12 is a screen showing questionnaire items distributed to patients by the questionnaire distribution unit 70 of the digital medical information providing device 1, which will be described later. After the patient completes this questionnaire, the healthcare professional can view the response results. Furthermore, the patient 2 can also answer using the medical worker's operation terminal 6. This screen is created based on a questionnaire information table 36 stored in the storage unit 30, which will be described later, as shown in FIG. The questionnaire information table 36 is a table that stores information specifying the contents of a questionnaire to be asked to a patient, which is determined according to the site, disease, etc. selected by a medical worker. The questionnaire information table 36 stores questions such as parts of the stomach in the first column, diseases such as cancer in the second column, and questions about the function of the stomach in the third column. Survey items are displayed based on the information.

Inputting information by the patient 2 into the patient's operation terminal 5 will be described below. As shown in FIG. 19, the patient 2 inputs patient information into the patient's operation terminal 5. The patient information includes the patient 2's name, ID (for example, a medical card number, or as another example, an ID issued by the digital medical information providing device 1), and information for logging into the digital medical information providing system. password (re-enter for confirmation). Then, as shown in FIG. 20, a screen for selecting the attending physician is displayed. Patient 2 selects the attending physician from among them and presses the "Next Page" button 701.

When the patient 2 presses the "next page" button 701, a screen displaying a message from the attending physician is displayed, as shown in FIG. 21. If no message has been received from the attending physician, the screen shown in FIG. 21 will not be displayed, or the past medical examination results will be displayed. When the "confirm" button 801 is pressed, a message from the attending physician and a video start screen are displayed, as shown in FIG. 22. When the "play" button 901 is pressed, a video playback screen is displayed as shown in FIG. 23. Press the play button in the center to play the video.

Although FIG. 23 shows an example in which the image is enlarged and reproduced on the screen, the image portion of the moving image as shown in FIG. 24 may be reproduced. When the reproduction of the video is finished, as shown in FIG. 24, if the user wants to watch the video again, the user presses the "Watch again" button 1001, and if the user wants to view the video by item, the user presses the "View by item" button 1002. When patient 2 presses the "next" button 1003 after watching the video, a questionnaire screen as shown in FIG. 25 is displayed.

The questionnaire screen displays questions to confirm the degree of understanding and interest of patient 2 after watching the video. For example, regarding the following items: ``About the functions of the stomach,'' ``About the progression and metastasis of cancer,'' ``About necessary tests,'' and ``About the treatment methods.'' '', ``3: Neutral,'' ``4: Understood,'' and ``5: Understood very well.'' In addition, there are questions you may want to ask medical professionals about, such as ``hospitalization and treatment period,'' ``treatment costs,'' ``about other treatments,'' ``about work,'' and ``about life after treatment.'' , you can receive answers by checking the checkboxes for these items.

For example, when asked about the function of the stomach, they could answer "4: Understood," when asked about the progression and metastasis of cancer, they could answer "2: Don't know," when asked about the necessary tests, they could answer "5: Understood well," and when asked about the treatment they would like to receive, they could answer "3: Neither." In addition, when asked what they would like to ask the medical staff, they could check "Length of hospitalization and treatment," "About other treatments," and "About work."

When the user presses the "Next" button 1101, the message "This concludes the questions. Please wait until you are called to see the doctor" is displayed, as shown in FIG. 26. When the "home" button is pressed, a home screen as shown in FIG. 27 is displayed. The home screen is the most basic page among multiple pages. The home screen displays items such as patient name, hospital name, medical worker name, video list, schedule, community, and settings as a basic menu. By touching each of these buttons, that is, by selecting a menu, detailed information on the selected item can be viewed. When the "video list" button is pressed, a list of videos for each item prescribed by the doctor is displayed, as shown in FIG. 30. Note that the reproduction of the video and the input to the questionnaire can also be performed using the operating terminal 6 of the medical worker.

Below, the configuration of the digital medical information providing apparatus 1 in this embodiment shown in FIG. 2 will be specifically described.

The receiving section 10 includes a medical worker information receiving section 11 , a video order information receiving section 12 , a medical record information receiving section 13 , and a patient information receiving section 14 . The medical worker information receiving unit 11 receives medical worker information as shown in FIG. 5, patient information as shown in FIG. As shown in 7, information on the item selected by the medical worker is received. The medical worker information receiving section 11 includes a site information receiving section 111 and a treatment method information receiving section 112. The video order information receiving unit 12 receives video order information that determines which video to distribute from a medical professional. The video order information is, for example, a video number. The medical record information receiving unit 13 receives medical record information written in the medical record of the patient 2 from a medical worker. The medical record information is, for example, patient 2's medical records and test results. The patient information receiving unit 14 also receives patient information identifying the patient 2 from the patient 2 . As shown in FIG. 13, the patient information that identifies the patient 2 is, for example, a name, an ID (for example, a medical card number), and another example is an ID issued by the digital medical information providing device 1. ), password, password (re-enter for confirmation), etc. The patient 2 inputs, for example, Taro Yamada as the name and 00991122 as the ID (for example, the patient card number, which may be an ID issued by the digital medical information providing device 1).

The acquisition unit 20A acquires information from an electronic medical record stored in the operating terminal 6 of a medical worker as an in-hospital system. Information from the electronic medical record is information obtained as a result of a medical worker inputting the examination results of a target patient into the electronic medical record.

The reception unit 20B receives input to the electronic medical record from medical personnel.

The output unit 20C outputs the video data generated by the generation unit 40 to the electronic medical record. The output may be simply displayed on the operating terminal 6 of the medical worker, or may be a copy of the data.

The reflection unit 20D reflects the video output by the output unit 20C in the electronic medical record.

The storage unit 30 stores a video database of disease information. Disease information is video data related to the content of a medical worker's explanation of disease symptoms and treatment policies. The video database includes a site database 31 that explains the site to be treated, and a treatment method database 32 that explains the treatment method for a predetermined disease. As shown in FIG. 16A, the region database 31 holds, for example, a stomach database 311, an esophagus database 312, a liver database 313, a pancreas database 314, etc., but is not limited to these. As shown in FIG. 16(b), the treatment method database 32 holds, for example, a surgical treatment database 321, a chemotherapy database 322, an endoscopy database 323, a radiotherapy database 324, etc. It is not limited.

As shown in FIG. 17, the surgical treatment database 321 includes, for example, an organ database 3211, a pathology database 3212, an examination database 3213, a treatment database 3214, a surgical procedure database 3215, a reconstruction method database 3216, a complication database 3217, and an auxiliary chemistry database. It holds a therapy database 3218, an auxiliary radiation therapy database 3219, and the like. The organ database 3211 is a video for explaining the function of an organ, and holds video data for explaining the function of the stomach, for example.

The disease state database 3212 is a video for explaining the state of a disease, etc., and holds video data showing the state of stomach cancer, for example. The test database 3213 is a video for explaining a test method for diagnosing a disease, and holds video data for explaining a test method such as an upper endoscopy, for example. The treatment database 3214 is a video for explaining a method of treating a disease, etc., and holds video data for explaining a treatment method such as laparotomy, for example. The surgical technique database 3215 is a video for explaining a surgical method, etc., and holds, for example, video data for explaining a total gastrectomy technique.

The reconstruction method database 3216 is a video that explains a method of reconstructing a portion removed by surgery, and holds video data that explains a reconstruction method such as the Roux-en-Y method, for example. The complication database 3217 is a video for explaining diseases that occur as a result of cancer, and holds video data for explaining complications such as postoperative bleeding, for example.

The auxiliary chemotherapy database 3218 is a video for explaining chemotherapy, etc. performed as an auxiliary to surgery, and holds, for example, video data for explaining pre-operative and post-operative auxiliary chemotherapy. The auxiliary radiation therapy database 3219 is a video for explaining radiation therapy performed as an auxiliary to surgery, and holds, for example, video data for explaining preoperative and postoperative auxiliary radiation therapy. Similarly, the chemotherapy database 322, the endoscopy database 323, and the radiotherapy database 324 hold similar databases.

The storage unit 30 also holds a medical worker information table 33 in which the names and IDs of medical workers are associated with the specialized areas (specialized parts) and specialized departments of the medical workers. As shown in Figure 28(a), the first column contains the medical worker's name, the second column contains the medical worker's ID, the third column contains the medical worker's specialty area, and the fourth column contains the medical worker's specialty area. The medical departments of medical personnel are listed.

When a medical worker inputs the name and ID of the medical worker, the medical worker information table 33 automatically generates information about the medical worker's specialized area and specialty department. This input is basically all manually entered by the medical worker, but the medical worker's ID (for example, an ID issued by the Ministry of Health, Labor and Welfare; another example is an ID issued by the digital medical information providing device 1). By simply entering a name (which may exist), the specialty field or department can be identified by crawling the Internet. For example, if AB is entered as the medical worker's name and 001 is entered as the medical worker's ID, stomach will be selected as the site and surgery will be selected as the department. Information on specialized areas and clinical departments for each medical worker is stored in a cloud computing system, and this information is acquired from the cloud computing system.

For example, as shown in FIG. 28(b), in the display item information table 34, information such as anatomy and pathological conditions is stored in "surgery", and as shown in FIG. 28(c), the video content table 34 stores information such as anatomy and pathology. 35, for example, "anatomy" stores all information such as selection, function, structure, etc. Therefore, once the data of a medical worker is input, the medical department and specialty area associated with that healthcare worker can be identified from the medical worker information table 33, and the identified clinical department and specialty area are displayed. The items to be displayed are specified from the display item information table 34 in FIG. 28(b), the content of the video to be distributed is specified from the video content table 35 in FIG. 28(c), and each It is possible to provide screens specialized for medical professionals.

The storage unit 30 also holds a questionnaire information table 36 that associates the degree of understanding and interest of the patient 2 with the questionnaire items distributed by the questionnaire distribution unit 70, which will be described later, and the order of the questionnaire items to be distributed.

The storage unit 30 also holds a history information table 37 that stores the history (log data) of information acquired by the acquisition unit 20A, log data generated by the generation unit 40, and log data distributed by the video distribution unit 60. . The output unit 20C outputs the log data stored in the history information table 37 to the electronic medical record.

The generating unit 40 allows a medical professional to select from among the plurality of videos stored in the storage unit 30 based on the medical professional information and patient information received by the receiving unit 10 using the medical professional's operation terminal 6. Based on the selected items, a plurality of videos corresponding to those items can be combined to generate one optimal video for each treatment stage of patient 2's disease. Each of the plurality of videos is stored in an external cloud computing system, and the generation unit 40 combines the plurality of videos acquired from the cloud computing system.

The generation unit 40 can generate a video to be provided to the patient 2 based on the electronic medical record information acquired by the acquisition unit 20A. For example, when a medical worker receives a letter of introduction before meeting the patient 2, the medical worker inputs the fact that the letter of introduction has been received into the electronic medical record, and when the acquisition unit 20A acquires this information, the generation unit 40 can recognize when a medical worker receives a referral letter and generate a video that provides information such as tests and explanations of organ functions. Furthermore, when electronic medical record information, for example, test ordering information, is acquired, an explanatory video of the test can be automatically generated and recommended to the doctor (or delivered directly to the patient without going through the doctor). Specifically, making a recommendation means analyzing information such as patient 2's medical condition (e.g., what disease and what stage is it in) and the stage of treatment (progressive level) from sentences included in the medical record information. Then, the video corresponding to the analysis result is specified and a synthesized video is proposed to the medical personnel (sent to the operation terminal 6).

Further, for example, when the medical worker meets the patient 2 and explains the disease, test details, etc. to the electronic medical record, and the acquisition unit 20A acquires this information, the generation unit 40 The system recognizes when a person explains a disease or test contents to patient 2, and generates a video that provides an explanation of the test and organ functions, as well as information about the characteristics of cancer and treatment methods. Further, for example, when all the tests are finished, the notification and explanation of the treatment plan are finished, and the acquisition unit 20A acquires the information, the generation unit 40 determines that all the tests are finished and the notification and explanation of the treatment plan are finished. It recognizes this and generates all the necessary information.

Further, for example, when a medical worker writes a letter of introduction to a specialized medical department, the medical worker inputs the fact that he/she wrote a letter of introduction to the specialized medical department into the electronic medical record, and the acquisition unit 20A acquires this information. Then, the generation unit 40 recognizes that it is the timing when the medical worker has written a letter of introduction to a specialized medical department, and generates a video that provides information about the treatment content, such as the pharmacological mechanism of the anticancer drug. .

Generating means combining the end of a video and the beginning of the next video to create one video. This order may be, for example, an order in which a priority has been set for videos, an order specified by a medical professional, or an order in which the patient is likely to be interested. Good too. As a method for the digital medical information providing device 1 to acquire and realize these orders, if priorities are set for videos, for example, item A has a priority of 20, item B has a priority of 30, and item C is set to have a priority of 10, and videos are generated in order of priority, that is, in the order of B→A→C. In addition, if the medical professional sets the display order (or specifies it when selecting a video) such that item A is first, item B is second, and item C is third, then In other words, videos are generated in the order of A→B→C. In addition, when a patient is receiving remote medical treatment using his or her own operating terminal 5, images of the patient 2 captured by the in-camera of the operating terminal 5 are used to create images that the patient 2 is likely to be interested in. This can be achieved by identifying a video (video) and generating images that are likely to be of interest to the user.

The generation unit 40 includes a gaze information addition unit 41 that weights, or marks, information that the medical worker particularly wants the patient 2 to see. Of the videos that are generated by combining each video, we process the chapters and moments that we want people to look at closely to make them stand out by adding effects such as marking those parts to make them stand out. 2. Call for attention. Effects may be applied by making the video blink, by coloring the frame of the video, by slow playback, or by attaching a thumbnail as a still image. It's okay. Further, as shown in FIG. 30, a medical worker may mark the frame of one image as shown by a marker 75 on this thumbnail image, or mark the frame of one image as shown by a marker 76. A medical professional may mark a portion of the body to identify, for example, that the portion has cancer. By processing the video in this way, it becomes possible for the patient 2 to pay particular attention to the parts that the medical worker wants the patient 2 to pay special attention to.

The community creation unit 50 creates a community of patients within the digital medical information system. The community creation unit 50 creates a community such as a cancer patient group via the network 7, for example. The community here refers to a place where multiple patients or patients and medical professionals can communicate, such as exchanging opinions, etc. FIG. 31 is a community created by the community creation unit 50, and is an example of a community screen showing information provided when participating in the community. As shown in Figure 31, the community screen displays identification information of users participating in the community (including medical workers, patients, etc.), the content of chats by users participating in the community, and information related to the community. This may include videos etc. The user's identification information may be the user's own name, a pseudonym, or some kind of nickname. Further, posting may be the provision of information that is considered useful to the members of the community by a user participating in the community. The file may be a WORD file or a PDF file that documents information that may be useful to community members. The community creation unit 50 creates a platform within the digital medical information system and creates a community on the platform. The creation of this community can be automatically generated by the system in addition to or instead of being specified by a healthcare professional. For example, patients can be grouped by body part, disease, or region of residence, and a community can be automatically generated for each group. For example, there is a community for a group of patients with stage 1 gastric cancer. Within the community, for example, you can view videos of experiences of ``cancer survivors'' who have completely recovered from cancer. Videos of people who have overcome cancer like this give hope to cancer patients. You can also select a user who is participating in the community and have a one-on-one chat with the selected user, or if there are multiple users selected, you can chat with multiple users. .

For example, if there are a certain number of patients (e.g., 10) who have a disease (e.g., cancer) in the same region (e.g., stomach), a community of patients with that disease in that region will be automatically created. can do. Automatically create a community of patients with the same disease (e.g., 10 patients) if there are a certain number of patients (e.g., 10 patients) who have the same disease (e.g., cancer other than the stomach) even if they are not in the same region. I can do it. Furthermore, a community can be automatically created even among patients who have other diseases (for example, diabetes) in other parts, even if they are not in the same region or have the same disease. Further, if there are a certain number of patients (for example, 10) living in the same area (for example, Tokyo), a community can be automatically created among patients living in that area. The digital medical information system sends a community invitation message to the patient's operation terminal 5, and the patient 2 can participate in the community by pressing the participation button.

The community creation section 50 includes an assignment determination section 51 . There are a plurality of communities ranging from large ones to small ones, and the assignment destination determining unit 51 determines to which community among the plurality of communities a plurality of patients will be assigned based on the attributes of the patients. For example, a patient with stage 1 gastric cancer may be assigned to a community of stage 1 gastric cancer patients. That is, as an example, the assignment destination determining unit 51 determines the attributes of the community (for example, what kind of symptoms it relates to, the degree of progression of the disease, which part it relates to, etc.) and the attributes of the patients to be assigned. (For example, what kind of medical condition you have (or don't have), what stage of progression of the current disease, which part of the body is affected, etc.) decide.

By providing the community creation section 50 and the assignment destination determination section 51 in this manner, it becomes possible to create a community and select a community for distributing a video.

The video distribution unit 60 distributes the video generated by the generation unit 40 to the patient's operation terminal 5. Note that video distribution is not limited to the patient's operating terminal 5, but can also be distributed to medical personnel's operating terminal 6, or to anyone the patient wishes to receive distribution, such as a family member or family doctor. You can go. Further, the video distribution unit 60 can also distribute the video to a community of patients created by the community creation unit 50.

The questionnaire distribution unit 70 sends a questionnaire to the operation terminal 5 of the patient 2 who has viewed the video distributed by the video distribution unit 60 regarding matters to confirm the patient's 2's level of understanding and interest and matters to be confirmed by the medical staff. To deliver.

As shown in FIG. 25, patient 2 will watch the video and then answer the questions. Questions include, for example, ``About the function of the stomach,'' ``About the progress and metastasis of cancer,'' ``About necessary tests,'' and ``About the treatment method.'' Regarding these questions, the level of understanding and interest was determined on a five-point scale: ``1: I don't understand at all,'' ``2: I don't understand,'' ``3: Neither,'' ``4: Understood,'' and ``5: Understood well.'' Answer the degree. In addition, there are questions you may want to ask medical professionals about, such as ``hospitalization and treatment period,'' ``treatment costs,'' ``about other treatments,'' ``about work,'' and ``about life after treatment.'' , you can receive answers by checking the checkboxes for these items.

The questionnaire distribution unit 70 obtains the patient's 2's permission, captures an image of the patient's facial expression, and acquires the audio. Then, the emotions of the patient 2 at the time are analyzed from the photographed images of the patient 2. Furthermore, the emotion of the patient 2 is also analyzed by voice recognition. A distribution item switching unit 71 is provided which specifies the patient's 2's level of understanding and interest through analysis, and switches the questionnaire items according to the identified level of understanding and interest by tracking facial expressions and analyzing voice of the patient. In this switching of distribution items, distribution items corresponding to the degree of understanding and interest are ordered based on the questionnaire information table 36 held in the storage unit 30 described above. For example, if Patient 2 does not have much support when explaining the explanation, it is determined that the level of understanding and interest is low, or the patient is anxious, and ``About the progress and metastasis of cancer'' is displayed at the top. I can do it. Furthermore, a questionnaire regarding videos in which the patient 2 has shown interest may be displayed. This can be done by remote control, and this remote control may be done by a web service or by using an application. With this configuration, medical professionals can distribute questionnaires according to the patient's level of understanding and interest.

The delivery item switching unit 71 can also link the items on the level of understanding and interest at the top of the questionnaire screen with the items on which the user wishes to ask the medical professional at the bottom. This linking with the items on which the user wishes to ask the medical professional is carried out by ranking the items on which the user wishes to ask the medical professional corresponding to the level of understanding and interest based on the table stored in the storage unit 30 described above. For example, if the level of understanding on "About the progression and metastasis of cancer" is "1: Not sure at all" or "2: Not sure", "Length of hospitalization and treatment" can be displayed at the top. Also, for example, if the level of understanding on "About the treatment to be received" is "4: Understood" or "5: Understood well", "About other treatments" can be displayed at the top.

Furthermore, the distribution item switching unit 71 can also change the order of the items that the patient 2 wants to ask the medical worker, depending on the age of the patient 2. For example, if you are an elderly person in your 70s or 80s, ``About work'' may be displayed at the bottom, and if you are in your 30s or 40s and in the prime of your career, ``About work'' may be displayed at the top.

``Anatomy'' shown in Figure 8 is shown in ``About the function of the stomach'' shown in Figure 12, and ``Pathology'' shown in Figure 8 is shown in ``About cancer progression/metastasis'' shown in Figure 12. "Examination" is shown in "About necessary tests" shown in Fig. 12, "Treatment method, surgical method, reconstruction method" shown in Fig. 8 is shown in "About treatment method" shown in Fig. 8. "Complications" corresponds to "About complications" shown in FIG. 12, respectively.

According to the digital medical information providing device 1 in this embodiment, by having the above-described configuration, it is possible to receive optimal medical information customized for each patient in each state of treatment of the patient 2's disease. I can do it.
[Digital medical information provision method]

The digital medical information providing method according to the present invention will be described below using FIG. 32. The digital medical information providing method according to the present invention is a process of distributing a video based on multiple stages of treatment for a patient's disease so that the patient 2 can receive optimal treatment at each stage.

First, in receiving step S11, the receiving unit 10 receives medical worker information as shown in FIG. 5 and patient information as shown in FIG. , the information on the items selected by the medical worker as shown in FIG. (For example, it may be an ID issued by the digital medical information providing device 1), and patient information such as a password is received.

Next, in acquisition step S12, the acquisition unit 20A acquires information from the electronic medical record stored in the medical worker's operating terminal 6 as an in-hospital system.

Next, in reception step S13, the reception unit 20B receives input to the electronic medical record from a medical worker.

Next, in output step S14, the output unit 20C outputs the video data generated by the generation unit 40 to the electronic medical record.

Next, in a reflection step S15, the reflection unit 20D reflects the moving image outputted by the output unit 20C in the output step S14 on the electronic medical record.

Next, in generation step S16, the generation unit 40 combines and processes a plurality of videos from among the multiple videos stored in the storage unit 30 to create an optimal one for each stage of treatment of the patient's 2 disease. Generate a video of.

The generation step S16 may include a gaze information addition step S161. In the gaze information addition step S161, the gaze information addition unit 41 weights, or marks, information that the medical worker particularly wants the patient to see. Of the videos that are generated by combining individual videos, you can highlight chapters and moments that you want to see closely by applying effects such as marking to those parts. stand up and alert the patient. Effects may be applied by, for example, making the video blink, coloring the frame of the video, slow playback, or adding a thumbnail as a still image. It may be. Further, as shown in FIG. 30, a medical worker may mark the frame of one image as shown by a marker 75 on this thumbnail image, or mark the frame of one image as shown by a marker 76. A medical professional may mark a portion of the body to identify, for example, that the portion has cancer. By processing the video in this way, it becomes possible for the patient to pay particular attention to the parts that the medical professional wants the patient to pay special attention to.

In detection step S17, the detection unit 80 detects the content of the video generated by the generation unit 40. The details will be described later.

In control step S18, the video distribution unit 60 controls the timing at which the video is distributed. The details will be described later.

In the video distribution step S19, the video distribution unit 60 distributes the one video generated in the generation step S16 to the patient's operation terminal 5.

In the video distribution step S19, the video distribution unit 60 distributes the video generated by the generation unit 40 in the generation step S16 to the patient's operation terminal 5. Note that the distribution of the video is not limited to the patient's operating terminal 5, but may also be performed to the medical worker's operating terminal 6.

Next, in the delivery item switching step S20, the delivery item switching unit 71 switches the questionnaire items depending on the patient's 2's level of understanding and interest. With the camera installed in the aforementioned medical worker's operation terminal 6, with the permission of the patient 2, the facial expression of the patient 2 is captured and the voice is acquired. Then, the emotions of the patient 2 at the time are analyzed from the captured images of the patient 2. Furthermore, the emotion of the patient 2 is also analyzed by voice recognition. Then, the degree of understanding and interest of the patient 2 is determined through the analysis, and the distribution items can be switched according to the specified degree of understanding and interest by tracking the patient's facial expressions and analyzing the voice. In this switching of distribution items, distribution items corresponding to the degree of understanding and interest are ordered based on the table held in the storage unit 30 described above. For example, if Patient 2 does not have much support when explaining the explanation, it is determined that the level of understanding and interest is low, or the patient is anxious, and ``About the progress and metastasis of cancer'' is displayed at the top. I can do it. Furthermore, a questionnaire regarding videos in which the patient 2 has shown interest may be displayed. This can be done by remote control, and this remote control may be done by a web service or by using an application.

Furthermore, in the distribution item switching step S20, it is also possible to link the items of understanding level and interest level in the upper part of the questionnaire screen with the items in the lower part that the user wants to ask the medical staff. In conjunction with the items to be asked to the medical personnel, the items to be asked to the medical personnel corresponding to the level of understanding and interest are ordered based on the table held in the storage unit 30 described above. For example, if the level of understanding for "Cancer progression/metastasis" is "1: I don't understand at all" or "2: I don't understand," it is possible to display "hospitalization/treatment period" at the top. can.

Next, in the questionnaire distribution step S21, the questionnaire distribution unit 70 distributes questionnaires regarding items to confirm the patient's level of understanding and interest and items to be confirmed by the medical staff in the order determined in the distribution item switching step S20. do. This questionnaire distribution step S21 is performed in order to ascertain the patient's level of understanding and interest after receiving the medical examination. As shown in FIG. 25, the patient watches the video and then answers the questions. Questions include, for example, ``About the function of the stomach,'' ``About the progression and metastasis of cancer,'' ``About necessary tests,'' ``About the treatment method,'' and ``About complications.'' For these questions, answer the level of understanding on a five-point scale: ``1: I don't understand at all,'' ``2: I don't understand,'' ``3: Neither,'' ``4: Understood,'' and ``5: Understood well.'' do. In addition, there are questions you may want to ask medical professionals about, such as ``hospitalization and treatment period,'' ``treatment costs,'' ``about other treatments,'' ``about work,'' and ``about life after treatment.'' , you can receive answers by checking the checkboxes for these items.

In control step S18, the detection unit 80 and the control unit 90 transmit the plurality of videos distributed by the video distribution unit 60 to the operating terminal 5 of the patient 2 at appropriate timing.

According to this configuration of the present embodiment, by providing the above configuration, it is possible to receive optimal medical information customized for each patient in each condition of the patient 2.
[Digital medical information provision program]

The digital medical information providing program according to the present invention causes a computer to implement the functions of the digital medical information providing device 1 of the present invention.
[Other embodiments]

In this embodiment, the patient's disease is cancer, and the cancer is stomach cancer or esophageal cancer. However, the present invention is not limited to this. For example, liver cancer, gallbladder cancer, bile duct cancer, It can also be applied to cases of cancer and pancreatic cancer. In FIG. 13, buttons such as "liver", "gallbladder", "bile duct", and "pancreas" are displayed as part selections. The medical worker may select at least one, all, or none of these items. In addition, buttons such as "surgery", "chemotherapy", and "radiation" are displayed as treatment options. The medical worker may select at least one, all, or none of these items. A "Confirm" button 1201 is displayed at the lower right, and the medical worker presses this "Confirm" button 1201.

In addition, in this embodiment, a screen in which selection items as shown in FIG. 8 are displayed has been described, but the present invention is not limited to this, and a screen in which selection items as shown in FIG. 14 are displayed is also possible. In FIG. 14, items to be selected are displayed according to the item selected by the medical staff in FIG. 13.

On this screen, instead of "Surgical method", "Reconstruction method", "Complications", "Adjuvant chemotherapy" and "Adjuvant radiotherapy" that were displayed in Figure 8, "Type of anticancer drug" is displayed. and "Side effects" items are displayed. The medical worker may select at least one, all, or none of these items. For "anatomy", buttons for selecting items such as "function" and "structure" are displayed. As for the "pathological condition," buttons are displayed to select items such as "progressive stage," "metastasis," and "symptoms." The medical worker may select at least one, all, or none of these items.

Tests include "ultrasound", "EUS", "X-ray", "upper endoscopy", "lower endoscopy", "gastric fluoroscopy", "CT", "PET/CT", and "MRI". Buttons are displayed to select items such as. The medical worker may select at least one, all, or none of these items. As the "type of anticancer drug," buttons are displayed to select items such as "FOLFRINOX," "Gem/nab-PTX," "gemcitabine," and "S1." The medical worker may select at least one, all, or none of these items. For "side effects," buttons are displayed to select items such as "bone marrow suppression," "nausea/vomiting," "mucositis," "numbness," "hair loss," "diarrhea," and "interstitial pneumonia." . The medical worker may select at least one, all, or none of these items. When the "confirm" button 1301 is pressed, a single video is generated by combining the videos of the selected items. However, you must select at least one from "anatomy" and "side effects."

In this case, the surgical treatment database 321 further includes an anticancer drug type database 3220 and a side effect database 3221.

In addition, the surgical treatment database 321 further includes a rehabilitation database 3222 and a nutritional guidance database 3223. The rehabilitation database 3222 is for use by medical professionals in charge of rehabilitation, such as physical therapists, occupational therapists, speech therapists, etc., and the nutritional guidance database 3223 is for use by nutritionists.

Next, in this embodiment, a screen on which questionnaire items as shown in FIG. 12 are displayed has been described, but the present invention is not limited to this, and questionnaire items as shown in FIG. It may be a displayed screen. As shown in FIG. 18, it is sufficient to confirm the patient's level of understanding using only three items: ``About the progress and metastasis of the cancer,'' ``About necessary tests,'' and ``About the treatment method.'' Regarding these three items, patients answered on a five-point scale: ``1: I don't understand at all,'' ``2: I don't understand,'' ``3: I don't know,'' ``4: I understand,'' and ``5: I understand very well.'' Answer the level of understanding.

In this embodiment, a case has been described in which the patient's disease is cancer, but the present invention is not limited to this, and may be a disease other than cancer. For example, it can be applied to infectious diseases such as respiratory infections, gastrointestinal infections, urinary tract infections, and skin infections, as well as hypertension, arrhythmia, angina pectoris, ischemic heart disease such as myocardial infarction, etc. Cardiovascular disease, systemic lupus erythematosus, collagen diseases such as rheumatoid arthritis, diabetes, metabolic syndrome such as hyperlipidemia and hypercholesterolemia, Parkinson's disease (PD), amyotrophic lateral sclerosis (ALS), multiple It can also be applied to cases of neurological diseases such as sexual sclerosis (MS).

In addition, it is not limited to doctors who prescribe videos; medical professionals such as physical therapists for rehabilitation, nutritionists for nutritional guidance, radiographers and clinical laboratory technicians for test explanations, nurses for hospitalization explanations, etc. Prescriptions can be made according to the area of expertise.

Furthermore, in this embodiment, a case has been described in which the digital medical information providing device 1 is used in an on-premises environment, but the present invention is not limited to this, and can be applied in a case where the digital medical information providing device 1 is used in an environment using a cloud computing system. can also be applied.

1 Digital medical information providing device 2 Patient 3 First hospital 4 Second hospital 5 Patient operation terminal 6 Medical worker operation terminal 7 Network 10 Receiving section 11 Medical worker information receiving section 12 Video order information receiving section 13 Medical record Information receiving section 14 Patient information receiving section 20A Acquisition section 20B Reception section 20C Output section 20D Reflection section 30 Storage section 31 Site database 32 Treatment method database 33 Medical worker information table 34 Display item table 35 Video content table 36 Questionnaire information table 40 Generation Section 41 Gaze information addition section 50 Community creation section 51 Assignment destination determination section 60 Video distribution section 70 Questionnaire distribution section 71 Distribution item switching section 111 Site information reception section 112 Treatment method information reception section 321 Surgical treatment database 322 Chemotherapy database 323 Inside Endoscopy database 324 Radiotherapy database 311 Stomach database 312 Esophageal database 313 Liver database 314 Pancreas database 3211 Organ database 3212 Pathological database 3213 Test database 3214 Treatment database 3215 Surgical procedure database 3216 Reconstruction database 3217 Complications database 3218 Adjuvant chemotherapy Database 3219 Adjunctive radiotherapy database 3220 Anticancer drug type database 3221 Side effect database 3222 Rehabilitation database 3223 Nutritional guidance database

Claims (11)

a receiving unit that receives medical record information or patient information including medical worker information, video order information, and electronic medical record information entered by a medical worker into the operating terminal, and patient information entered by the patient into the operating terminal ;
a storage unit that stores multiple videos related to the disease;
A generation unit that generates a video related to the disease based on the medical worker information and the patient information received by the receiving unit, Based on the items selected by the medical worker using the operation terminal of the medical worker from among the plurality of videos stored in the storage unit, a plurality of videos corresponding to those items are combined and the a generation unit that generates an optimal video for each treatment stage of a patient's disease;
a video distribution unit that distributes the video generated by the generation unit to the patient's operating terminal;
Equipped with
further comprising a questionnaire distribution unit that distributes a questionnaire regarding items to confirm the patient's level of understanding and interest and items to be confirmed by medical personnel to the patient's communication terminal to which the video distribution unit has distributed the video;
The questionnaire distribution unit includes a distribution item switching unit that automatically switches questionnaire items to be distributed according to an analysis of facial expressions or voices of the patient photographed or collected by a camera provided in the operation terminal. Device. a detection unit that detects the content of the video generated by the generation unit;
further comprising a control unit that controls when the video distribution unit distributes at least one video from the plurality of videos,
The detection unit detects the examination status of the patient, and based on the detection result of the detection unit, the control unit controls to transmit the video distributed by the video distribution unit to the patient's operating terminal at an appropriate timing. The digital medical information providing device according to claim 1, characterized in that: 3. The control unit controls the videos distributed by the video distribution unit to exclude duplicate videos and distribute them to the patient's operating terminal, depending on the patient's status . digital medical information provision device. The receiving section includes a medical worker information receiving section that receives the medical worker information from the medical worker, a video order information receiving section that receives the video order information from the medical worker, and a video order information receiving section that receives the video order information from the medical worker. a medical record information receiving unit that receives the medical record information from the patient; and a patient information receiving unit that receives the patient information from the patient; The video that provides the site information and the treatment information includes a site information receiving section that receives information, and a treatment method information reception section that receives treatment method information indicating the selected treatment method, and the video that provides the site information and the treatment method information is The digital medical information providing device according to claim 1, wherein the information is automatically generated based on the name and ID of the worker. The digital medical device according to claim 1 , wherein the generation unit generates one video by combining videos of items selected by the medical worker from among the videos stored in the storage unit. Information provision device. The digital medical information according to claim 5 , wherein the generation unit includes a gaze information adding unit that adds gaze information to a part of the one video that the medical worker wants the patient to gaze at. Providing device. The digital medical care according to claim 1, wherein the distribution item switching unit switches the display order of the items to be confirmed to the medical worker according to the answers to the items for confirming the patient's level of understanding and interest. Information provision device. The digital medical information providing device of claim 1 , further comprising an acquisition unit that acquires information indicating the results of a patient's examination from an electronic medical record stored on a medical professional's terminal, and an output unit that outputs the information acquired by the acquisition unit. 9. The digital medical information providing device according to claim 8 , further comprising: a reception unit that receives input to the electronic medical record from the medical worker; and a reflection unit that reflects the video distributed by the video distribution unit on the electronic medical record. A digital medical information providing method executed by a digital medical information providing device including a receiving unit, a storage unit, a generating unit, and a video distribution unit, the method comprising:
The digital medical information providing method includes:
a receiving step in which the receiving unit receives medical record information or patient information including medical worker information, video order information, and electronic medical record information input by the medical worker into the operating terminal, and patient information input by the patient into the operating terminal ;
a storage step in which the storage unit stores a plurality of videos related to the disease;
a generating step in which a generating unit generates a video related to the disease based on the medical worker information and the patient information received in the receiving step, the generating unit Based on the items selected by the medical worker on the operation terminal of the medical worker from among the plurality of videos stored in the storage unit based on the information and the patient information, a generation step of combining a plurality of videos to generate one optimal video for each treatment stage of the patient's disease;
a video distribution step in which a video distribution unit distributes the video generated in the generation step to a patient's operating terminal ;
further comprising a questionnaire distribution step of distributing a questionnaire regarding matters to confirm the patient's level of understanding and interest and matters to be confirmed by medical personnel to the communication terminal of the patient to which the video distribution unit has distributed the video;
The questionnaire distribution step includes a distribution item switching step of automatically switching questionnaire items to be distributed according to analysis of facial expressions or voices of the patient photographed or collected by a camera provided in the operation terminal. Method. to the computer,
a reception function that receives medical record information or patient information including medical worker information, video order information, and electronic medical record information entered by a medical worker into the operating terminal, and patient information entered by the patient into the operating terminal ;
A memory function that stores multiple videos related to diseases,
A generation function that generates a video related to the disease based on the medical worker information and the patient information received by the receiving function, the generating function generating a video related to the disease based on the medical worker information and the patient information received by the receiving function , combining a plurality of videos corresponding to the items selected by the medical worker on the operating terminal of the medical worker from among the plurality of videos stored by the storage function, a generation function that generates an optimal video for each treatment stage of the patient's disease;
a video distribution function that distributes the video generated by the generation function to a patient's operation terminal ;
further comprising a questionnaire distribution function for distributing, to the communication terminal of the patient to which the video has been distributed, a questionnaire regarding matters to confirm the degree of understanding and interest of the patient and matters to be confirmed by medical personnel;
The questionnaire distribution function realizes a distribution item switching function that automatically switches questionnaire items to be distributed according to analysis of facial expressions or voices of the patient photographed or collected by a camera installed in the operation terminal. Digital medical information provision program.

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