WO2020204140A1 - Medial information processing device and medical information processing method - Google Patents

Medial information processing device and medical information processing method Download PDF

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Publication number
WO2020204140A1
WO2020204140A1 PCT/JP2020/015212 JP2020015212W WO2020204140A1 WO 2020204140 A1 WO2020204140 A1 WO 2020204140A1 JP 2020015212 W JP2020015212 W JP 2020015212W WO 2020204140 A1 WO2020204140 A1 WO 2020204140A1
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Prior art keywords
data
medical
information processing
item
display control
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PCT/JP2020/015212
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French (fr)
Japanese (ja)
Inventor
恵太 三森
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キヤノンメディカルシステムズ株式会社
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Priority claimed from JP2020065834A external-priority patent/JP2020173801A/en
Application filed by キヤノンメディカルシステムズ株式会社 filed Critical キヤノンメディカルシステムズ株式会社
Priority to CN202080003979.1A priority Critical patent/CN112424867A/en
Publication of WO2020204140A1 publication Critical patent/WO2020204140A1/en
Priority to US17/137,628 priority patent/US20210118568A1/en

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • An embodiment of the present invention relates to a medical information processing device and a medical information processing method.
  • medical data used in the medical field, such as examination data such as physiological examination data and image data, and medical data such as electronic medical records.
  • Medical professionals such as doctors treat a subject (for example, a patient) by comprehensively looking at the medical data.
  • a medical professional describes (records) the contents of medical treatment performed on a subject in the medical data based on the contents of the test data in which the test results are recorded.
  • test results that lead to the medical treatment details can be registered so that it is possible to grasp which test result was used as the basis.
  • the operation of registering the test result as the basis every time the medical treatment contents are recorded is troublesome and lacks convenience.
  • the test results are not registered when recording the medical treatment contents, it is difficult to identify the test results that are the basis.
  • the problem to be solved by the present invention is to make it possible to easily grasp the correspondence relationship between the medical treatment content described in the medical treatment data and the test result which is the basis of the medical treatment content.
  • the medical information processing device includes a first extraction unit, a second extraction unit, a determination unit, and a display control unit.
  • the first extraction unit extracts the first data representing the medical treatment content from the medical treatment data in which the medical treatment content of the subject is described.
  • the second extraction unit selects test data including the second data representing the test result related to the first data from one or more test data in which the test result of the subject is described. Extract.
  • the determination unit compares the items included in the first data extracted by the first extraction unit with the items included in the second data of the inspection data extracted by the second extraction unit. , Judge the correspondence between both items.
  • the display control unit displays the medical data and the inspection data extracted by the second extraction unit on the same screen, and displays items that are determined by the determination unit to have a correspondence relationship so that they can be identified. Let me.
  • FIG. 1 is a diagram showing an example of a configuration of a medical information system according to an embodiment.
  • FIG. 2 is a diagram showing an example of the configuration of the medical information processing device according to the embodiment.
  • FIG. 3 is a diagram for explaining a method of generating a model related to the first extraction function and the second extraction function of the embodiment.
  • FIG. 4 is a diagram showing an example of the data structure of the inspection result DB according to the embodiment.
  • FIG. 5 is a diagram for explaining an example of the operation of the first extraction function and the second extraction function according to the embodiment.
  • FIG. 6 is a diagram showing an example of a screen displayed by the display control function of the embodiment.
  • FIG. 7 is a diagram showing an example of a screen displayed by the display control function of the embodiment.
  • FIG. 1 is a diagram showing an example of a configuration of a medical information system according to an embodiment.
  • FIG. 2 is a diagram showing an example of the configuration of the medical information processing device according to the embodiment.
  • FIG. 3
  • FIG. 8 is a diagram showing an example of a screen displayed by the display control function of the embodiment.
  • FIG. 9 is a diagram showing an example of a screen displayed by the display control function of the embodiment.
  • FIG. 10 is a diagram showing an example of a screen displayed by the display control function of the embodiment.
  • FIG. 11 is a diagram showing an example of a screen displayed by the display control function of the embodiment.
  • FIG. 12 is a flowchart showing an example of processing executed by the medical information processing apparatus of the embodiment.
  • FIG. 13 is a diagram showing an example of a screen displayed by the display control function according to the third modification of the embodiment.
  • FIG. 14 is a diagram showing an example of a screen displayed by the display control function according to the third modification of the embodiment.
  • FIG. 15 is a diagram showing an example of a screen displayed by the display control function according to the third modification of the embodiment.
  • FIG. 1 is a diagram showing an example of the configuration of the medical information system according to the present embodiment.
  • the medical information system 1 includes a medical information processing device 100, a sample testing system 200, a radiation department system 300, an integrated data server 400, and the like.
  • the medical information processing device 100, the sample test system 200, the radiation department system 300, and the integrated data server 400 are communicably connected via a network N1 such as a LAN (Local Area Network).
  • the number of medical information processing devices 100 connected to the network N1 is not particularly limited.
  • the medical information processing device 100 is prepared for each medical worker such as a doctor or a department, and is used for various purposes. For example, the medical information processing device 100 is used for displaying various medical data related to a subject such as a patient. Further, the medical information processing apparatus 100 is used for creating medical data regarding the medical treatment contents performed on a subject such as a patient. The medical care data created (generated) by the medical information processing apparatus 100 is transmitted to the integrated data server 400.
  • the medical information processing apparatus 100 is realized by a computer device such as a workstation, a personal computer, or a tablet terminal.
  • the sample test system 200 generates sample test data related to the sample test performed on the subject and stores it in the storage circuit in the sample test system 200. Then, the sample test system 200 transmits the sample test data stored in the storage circuit to the integrated data server 400.
  • the radiation department system 300 stores the image data obtained by imaging the subject in the storage circuit in the radiation department system 300.
  • the radiation department system 300 generates report data and conference data related to physiological tests and image tests performed on a subject and stores them in a storage circuit in the system.
  • the radiation department system 300 includes PACS (Picture Archiving and Communication Systems) and the like.
  • image inspection inspection using CT images captured by an X-ray CT (Computed Tomography) device, inspection using MR images captured by an MRI (Magnetic Resonance Imaging) device, and ultrasonic diagnostic equipment This includes inspections using captured ultrasonic images, inspections using X-ray images taken by an X-ray diagnostic apparatus, and the like.
  • the radiation department system 300 transmits the image data, the report data, and the conference data stored in the storage circuit to the integrated data server 400.
  • the integrated data server 400 is a computer device such as a workstation or a server device provided with a processing circuit such as a processor, a RAM (Random Access Memory), a semiconductor memory element such as a flash memory, and a storage circuit realized by a hard disk, an optical disk, or the like. Realized by.
  • a processing circuit such as a processor, a RAM (Random Access Memory), a semiconductor memory element such as a flash memory, and a storage circuit realized by a hard disk, an optical disk, or the like. Realized by.
  • the integrated data server 400 collects various data from the medical information processing device 100, the sample test system 200, the radiation department system 300, etc., and stores them in the storage circuit in the server.
  • the storage circuit of the integrated data server 400 is an integrated DB (Data Base) 410 for storing and managing various data acquired from the medical information processing device 100, the sample testing system 200, the radiation department system 300, and the like. To hold.
  • the integrated DB 410 includes medical care data, sample test data, physiological test data, image data, report data, conference data, and the like.
  • the medical care data is medical care data such as an electronic medical record regarding the medical care contents of the subject acquired from the medical information processing apparatus 100.
  • the sample test data is test data related to the sample test acquired from the sample test system 200.
  • the physiological test data is test data related to vitals acquired from the radiation department system 300.
  • the image data, the report data and the conference data are inspection data related to the image inspection acquired from the radiation department system 300.
  • medical data, sample test data, physiological test data, image data, report data, and medical data are collectively referred to as "medical data".
  • the medical data stored in the integrated DB 410 includes information such as medical treatment contents, information indicating the creation date and time, information for identifying the subject (patient ID), and information for identifying the creator (medical worker) (medical care). Worker ID) and the like are included.
  • the examination data includes information such as numerical values (measured values) and images obtained by the examination, interpretation reports, information indicating the examination date and time, and the medical staff in charge of the examination. Medical worker ID and the like are included.
  • the integrated data server 400 not only collects medical data stored in each system such as the medical information processing device 100, the sample testing system 200, and the radiation department system 300, but also directly collects the medical data obtained in each system. It may be configured to collect. Further, the integrated data server 400 may be configured to collect medical data distributed in or outside the medical information processing apparatus 100, the sample examination system 200, and the radiation department system 300.
  • the medical information processing device 100 can display the medical data managed by the integrated data server 400.
  • a medical worker hereinafter, also referred to as a user who operates the medical information processing apparatus 100 integrates test data of a subject and medical data created in the past for creating medical data and diagnosing a subject. It can be acquired from the data server 400 and displayed.
  • the configuration of the medical information processing device 100 will be described.
  • FIG. 2 is a diagram showing an example of the configuration of the medical information processing device 100.
  • the medical information processing device 100 includes a communication interface 110, a storage circuit 120, an input interface 130, a display 140, and a processing circuit 150.
  • the communication interface 110 is connected to the processing circuit 150 and controls the transmission and communication of various data performed between the medical information processing device 100 and each system. Specifically, the communication interface 110 receives medical data from each system and outputs the received medical data to the processing circuit 150.
  • the communication interface 110 is realized by a network card, a network adapter, a NIC (Network Interface Controller), or the like.
  • the storage circuit 120 is connected to the processing circuit 150 and stores various data. Specifically, the storage circuit 120 stores medical data received from each system. Further, the storage circuit 120 stores a condition setting table and the like.
  • the storage circuit 120 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.
  • the storage circuit 120 is an example of a means for realizing the storage unit.
  • the input interface 130 is connected to the processing circuit 150 and receives various instructions and various information input operations from the operator. Specifically, the input interface 130 converts the input operation received from the operator into an electric signal and outputs it to the processing circuit 150.
  • the input interface 130 includes a trackball, a switch button, a mouse, a keyboard, a touch pad for performing input operations by touching an operation surface, a touch screen in which a display screen and a touch pad are integrated, and a non-optical sensor. It is realized by a contact input circuit, a voice input circuit, and the like.
  • the input interface 130 is not limited to the one provided with physical operating parts such as a mouse and a keyboard.
  • an example of the input interface 130 includes an electric signal processing circuit that receives an electric signal corresponding to an input operation from an external input device provided separately from the device and outputs the electric signal to a control circuit.
  • the display 140 is connected to the processing circuit 150 and displays various information and various images. Specifically, the display 140 converts various information and various image data sent from the processing circuit 150 into electrical signals for display and outputs the data.
  • the display 140 is realized by a liquid crystal monitor, a CRT (Cathode Ray Tube) monitor, a touch panel, or the like.
  • the processing circuit 150 controls the components of the medical information processing device 100 in response to an input operation received from the operator via the input interface 130. Specifically, the processing circuit 150 stores the medical data output from the communication interface 110 in the storage circuit 120. Further, the processing circuit 150 reads medical data from the storage circuit 120 and displays it on the display 140.
  • the processing circuit 150 is realized by a processor.
  • the medical information processing device 100 has a function for supporting medical staff in the work of creating medical data, the work of confirming the medical contents described in the medical data, and the like.
  • the medical information processing apparatus 100 has a data management function 151, a first extraction function 152, a second extraction function 153, a determination function 154, and a display control function 155.
  • the data management function 151 is an example of a data generation unit.
  • the data management function 151 is an example of a data management unit.
  • the first extraction function 152 is an example of the first extraction unit.
  • the second extraction function 153 is an example of the second extraction unit.
  • the determination function 154 is an example of a determination unit.
  • the display control function 155 is an example of a display control unit.
  • the data management function 151 executes various processes related to the management of medical data. For example, the data management function 151 executes a process related to the creation of new medical care data in cooperation with the display control function 155. Specifically, when the medical treatment content is input (described) via the input interface 130 or the like, the data management function 151 generates medical treatment data recording the input medical treatment content and stores it in the storage circuit 120. Further, when the data management function 151 is instructed to complete the creation of medical care data, the data management function 151 transmits the medical care data stored in the storage circuit 120 to the integrated data server 400.
  • the input method of medical treatment contents is not particularly limited.
  • the medical treatment content may be input using a description method such as a SOAP format.
  • a SOAP format the medical treatment contents are input by dividing into S (Subject: subjective information), O (Object: objective information), A (Assessment: assessment), and P (Plan: plan) for each symptom of the subject. Will be done.
  • the data management function 151 executes a process for storing the input contents. Specifically, the data management function 151 stores the comment data recording the input contents in association with the medical data or the item as the input destination.
  • the first extraction function 152 extracts the first data representing the medical treatment content from the medical treatment data in which the medical treatment content of the subject is described.
  • the second extraction function 153 is related to the first data from the test data (sample test data, physiological test data, image data, report data, conference data) in which the test results of the subject are recorded.
  • the inspection data including the second data representing the inspection result is extracted.
  • the method of realizing the first extraction function 152 and the second extraction function 153 is not particularly limited, and various methods can be adopted.
  • a method of using a model such as a machine learning model will be described as a method of realizing the first extraction function 152 and the second extraction function 153.
  • FIG. 3 is a diagram for explaining a method of generating a model according to the first extraction function 152 and the second extraction function 153.
  • a model (hereinafter, first model) M1 related to the first extraction function 152 is generated from the past medical data of a plurality of subjects stored in the integrated DB 410 of the integrated data server 400. Specifically, each of the medical care data stored in the integrated DB 410 is input, and the relationship between the character strings representing the medical care contents represented in the medical care data is analyzed (machine learning) at the word level and the context level.
  • a first model M1 capable of outputting the first data representing the medical treatment content is generated.
  • the first data output from the first model M1 is generated in a format comparable to the inspection result of the inspection data (second data described later).
  • the first data is composed of items such as word groups and character strings whose relevance to the second data can be compared.
  • the first data is output as vector data in which a character string representing a medical treatment content is vectorized at a word level or a context level.
  • a rule engine or the like that recognizes the SOAP format, any one of the four categories of SOAP may be analyzed, and the first model M1 may be generated for each item.
  • FIG. 3 shows an example in which a first model M1 (first model M1a, first model M1b) is generated for each of the categories O and A as analysis targets.
  • a model (hereinafter, second model) M2 related to the second extraction function 153 is generated from the past test data of a plurality of subjects stored in the integrated DB 410. Specifically, by inputting each of the inspection data and analyzing (machine learning) the relationship between the character strings representing the inspection results represented in the inspection data at the word level and the context level, the second inspection result is represented.
  • a second model M2 capable of outputting the data of is generated.
  • the second data output from the second model M2 is generated in a format comparable to the medical treatment result (first data) of the medical treatment data.
  • the second data is composed of items such as word groups and character strings whose relevance to the first data can be compared.
  • the second data is output as vector data in which a character string representing a test result is vectorized at a word level or a context level.
  • a rule engine or the like that recognizes the format of inspection data, a specific inspection result or the like may be set as an analysis target.
  • the second model M2 may generate one second model M2 from inspection data of different types, or may generate a second model M2 for each type of inspection data.
  • FIG. 3 shows an example in which the second model M2a is generated from the physiological test data and the second model M2b is generated from the report data and the conference data.
  • a second model M2 that outputs the feature as the second data may be generated by analyzing (machine learning) the feature represented by the image. Further, when the inspection result is represented by a measured value such as vitals, it is preferable to generate a second model M2 that can be output in a format that also considers the time-series change rate of the numerical value.
  • a test result DB 420 generated by using the above-mentioned second model M2 is prepared as a data set related to the operation of the second extraction function 153.
  • the inspection result DB 420 holds the second data obtained by inputting the inspection data into the second model M2 in association with each inspection data stored in the integrated DB 410.
  • FIG. 4 is a diagram showing an example of the data structure of the inspection result DB 420.
  • the test result DB 420 includes the patient ID of the subject related to the test data D2, the second data obtained by inputting the test data D2 into the second model M2, and the test data D2. Is stored in association with the inspection result ID that identifies.
  • the device for generating the model is not particularly limited.
  • the first model M1 and the second model M2 may be generated by the integrated data server 400, or may be generated by a dedicated device for model generation.
  • the first model M1, the second model M2, and the test result DB 420 may be in a form in which each of the medical information processing devices 100 is held in the storage circuit 120 or the like, or another device such as the integrated data server 400 may be used. It may be held in a form. In the latter case, the first extraction function 152 and the second extraction function 153 execute the extraction process using the first model M1 and the inspection result DB 420 held by another device such as the integrated data server 400.
  • FIG. 5 is a diagram for explaining an example of the operation of the first extraction function 152 and the second extraction function 153.
  • the first extraction function 152 inputs the medical care data D1 to the first model M1 when the user instructs the user to check the description contents of the newly created medical care data D1 of the subject. Then, the first extraction function 152 extracts (acquires) the output result of the first model M1 as the first data D1a representing the medical treatment contents described in the medical treatment data D1.
  • FIG. 5 shows an example in which the first data D1a and D1b are extracted by using the first models M1a and M1b generated for the categories O and A among the SOAP categories constituting the medical care data D1. Is shown.
  • the second extraction function 153 refers to the test result DB 420, and the test data (test) of the subject including the second data related to the first data D1a and D1b extracted by the first extraction function 152. Result ID) is specified. Specifically, the second extraction function 153 refers to the test result DB 420 and narrows down the data entries including the patient ID of the subject related to the medical data D1. Next, the second extraction function 153 compares the first data D1a and D1b extracted by the first extraction function 152 with the second data included in the narrowed down data entry, and compares the first data D1a, The inspection result ID of the data entry containing the second data associated with each of D1b is specified. Then, the second extraction function 153 extracts the inspection data corresponding to the specified inspection result ID from the integrated DB 410.
  • the degree of relevance between the first data D1a and D1b and the second data can be calculated using a known technique. For example, when the first data D1a, D1b and the second data are both represented by vector data, the degree of relevance between the two data can be obtained based on the angle formed by both vectors.
  • the degree of relevance is an index indicating the strength of the correspondence and correlation between the first data and the second data, and the higher the degree of relevance, the more common or similar description contents are included.
  • the second extraction function 153 identifies the second data having a higher degree of relevance by using a threshold value or the like, so that the test result described as the basis of the medical treatment content described in the medical treatment data D1 is described. Identify the data.
  • the second extraction function 153 holds the specified test result ID in association with the medical record ID that identifies the medical record data D1 to be processed.
  • the second extraction function 153 may specify one second data having the maximum relevance, or all the second data. Data may be specified.
  • the first extraction function 152 extracts the first data representing the medical treatment content from the medical treatment data of the subject to be processed by using the first model M1.
  • the second extraction function 153 obtains test data including second data representing test results related to the first data extracted by the first extraction function 152, that is, test results that are the basis of medical treatment contents. Extract the included inspection data.
  • the determination function 154 includes an item included in the first data extracted by the first extraction function 152 and an item included in the second data of the inspection data specified by the second extraction function 153.
  • the items included in the first data and the second data mean, for example, character strings (including numerical values) representing medical treatment contents and test results, which are classified at the word level and the context level.
  • the determination function 154 between the items included in the first data and the items included in the second data, items having the same character string or items having similar contents as the character strings have. If it exists, it is determined that a correspondence is established between both of these items. Further, the determination function 154 determines that the correspondence relationship of the item is not established when there is an independent item for which the correspondence relationship is not established between the item included in the first data and the item included in the second data. judge.
  • the determination function 154 determines that the correspondence relationship of the item is not established when the content corresponding to the item included in the second data is not included in the first data. In this case, it means that the test result of the item for which the correspondence relationship is determined not to be established is not reflected in the medical treatment content of the medical treatment data. Further, for example, when the content corresponding to the item included in the first data is not included in the second data, the determination function 154 determines that the correspondence relationship of the item is not established. In this case, it means that the medical treatment content of the item for which the correspondence relationship is determined to be unsuccessful is not based on the test result of the test data.
  • the determination function 154 may be configured to determine the correspondence relationship for all the items included in the first data and the second data, or the correspondence relationship for items such as character strings and terms in a predetermined format. May be configured to determine.
  • the display control function 155 cooperates with the above-mentioned data management function 151, the first extraction function 152, the second extraction function 153, and the determination function 154 to display various screens for supporting the medical staff on the display 140. Let me.
  • FIG. 6 is a diagram showing an example of a screen displayed by the display control function 155. As shown in FIG. 6, the screen G1 has a timeline display area G11 and a data display area G12.
  • each medical action performed on the subject is displayed as an event in chronological order.
  • the events are a sample test acquisition event (sample test) by the sample test system 200, a physiological test data acquisition event (physiological test) by the radiation department system 300, and an image data, report data, and conference data acquisition event by the radiation department system 300.
  • Image inspection, report, conference means an event (carte) for acquiring medical data by the medical information processing apparatus 100, and the like.
  • the display control function 155 arranges and displays symbols symbolically representing the contents of an event of medical practice for a patient in chronological order.
  • the display control function 155 When the display control function 155 receives an operation for designating any event displayed in the timeline display area G11 via the input interface 130 or the like, the display control function 155 refers to the integrated data server 400 and responds to the designated event. Get medical data. Further, when the display control function 155 receives an operation for designating any time point or period of the display period displayed in the timeline display area G11, the display control function 155 refers to the integrated data server 400 and refers to the designated time point or period. Acquire medical data corresponding to the event held in. Then, the display control function 155 displays the acquired medical data in the data display area G12.
  • the display control function 155 displays the content of the image data in the data display area G12. Further, for example, when the medical data is sample test data, physiological test data, or the like, the display control function 155 uses the measurement value at the specified time point, each measurement value obtained in the designated period, and the measurement value. A graph or the like showing a time-series change is displayed in the data display area G12.
  • each of the medical data is displayed in the data display area G12 in a small area (hereinafter, panel) smaller than the data display area G12.
  • panel a small area
  • the data display area G12 it is possible to display a plurality of medical data in the same screen.
  • the size of the panel does not matter.
  • the size of the panel may be a fixed value determined for each data type of medical data, or may be dynamically changed according to the number of medical data to be displayed.
  • the number of panels that can be displayed in the data display area G12 is not particularly limited, and may be a fixed value, or may be dynamically increased or decreased according to the number of medical data to be displayed and the like.
  • the layout of the panel is not particularly limited, and may be a fixed layout, or may be dynamically changed according to the number of medical data to be displayed and the like.
  • the display control function 155 cooperates with the data management function 151 to display a panel for creating new medical care data in the data display area G12. Specifically, when the display control function 155 is instructed to create new medical care data via the input interface 130 or the like, the display control function 155 displays a panel capable of inputting medical care contents in the data display area G12.
  • FIG. 7 is a diagram showing an example of a screen displayed by the display control function 155, and shows an example in which the panel P11 related to the new creation of medical care data is displayed in the data display area G12.
  • characters can be input to the panel P11 via the input interface 130 or the like.
  • the user of the medical information processing apparatus 100 operates the input interface 130 and the like to input the medical treatment contents performed on the subject to the panel P11.
  • FIG. 6 shows an example in which the medical treatment content of the subject is input in the SOAP format.
  • the data management function 151 inputs the content input to the panel P11 to new medical treatment data. Is stored in the storage circuit 120. Then, for example, when new medical data is stored in the storage circuit 120, the first extraction function 152 extracts the first data from the medical data. Further, the second extraction function 153 and the determination function 154 operate with the extraction of the first data.
  • the display control function 155 displays the medical care data from which the first extraction function 152 extracted the first data and the examination data extracted by the second extraction function 153 on the same screen. Specifically, the display control function 155 displays the test data extracted by the second extraction function 153 in the data display area G12 on which new medical data (panel P11) is displayed. Further, the display control function 155 displays items that are determined by the determination function 154 that a correspondence relationship is established so that they can be identified. Further, the display control function 155 displays the items for which the correspondence relationship is determined by the determination function 154 to be identifiable.
  • FIG. 8 is a diagram showing an example of a screen displayed by the display control function 155, showing a state in which the inspection data extracted by the second extraction function 153 is displayed in the data display area G12 of FIG. 7. ..
  • the display control function 155 displays the inspection data extracted by the second extraction function 153 as the panel P2 in the data display area G12 together with the panel P11. That is, the display control function 155 displays the medical care data and the test data on which the test result that is the basis of the medical care data is displayed on the same screen.
  • the display control function 155 displays the item A1 in the panel P11 and the item A1'in the panel P2, which are determined by the determination function 154 to establish a correspondence relationship, in a distinguishable state. For example, the display control function 155 displays the corresponding items so that they can be identified by surrounding them with a frame of the same color or line type. As a result, the user of the medical information processing apparatus 100 can easily find out where in the examination data the examination result, which is the basis of the medical treatment content, exists by confirming the medical treatment data and the examination data displayed in an identifiable manner. Can be grasped.
  • the item A2 in the panel P2 is an item that exists in the second data but does not exist in the first data, and the correspondence relationship is determined to be unsuccessful. Therefore, the display control function 155 displays the corresponding item A2 in an identifiable manner. Specifically, the display control function 155 adds the mark MK1 to the corresponding item A2 and displays the item A2 in an identifiable highlight. By adding the mark MK1 to the item A2, the item A2 is highlighted and displayed. As a result, the user of the medical information processing apparatus 100 can easily grasp the items described in the examination data that are not reflected in the medical care data.
  • the display control function 155 identifiablely displays the event corresponding to the inspection data including the item for which the correspondence relationship is determined to be unsuccessful among the events displayed in the timeline display area G11. .. Specifically, the display control function 155 adds the mark MK2 to the event corresponding to the inspection data displayed on the panel P2 and displays the event so as to be identifiable and highlighted. As a result, the user of the medical information processing apparatus 100 can easily grasp which of the events displayed in the timeline display area G11 corresponds to the event related to the inspection data for which the correspondence relationship is determined to be unsuccessful. Can be done.
  • the display example when the content corresponding to the item included in the second data is not included in the first data has been described, but the content corresponding to the item included in the first data has been described.
  • the display is controlled in the same manner. Specifically, the display control function 155 highlights the corresponding item included in the first data when the content corresponding to the item included in the first data is not included in the second data. By doing so, it is displayed so that it can be identified.
  • the display control function 155 displays in the data display area G12 a user interface capable of inputting a comment regarding an item for which the correspondence relationship is determined to be unsuccessful or medical data in response to an operation or the like via the input interface 130.
  • the operation method for instructing the comment input is not particularly limited, but for example, the mark MK1 may function as an operator for inputting a comment regarding the item A2.
  • the display control function 155 displays the input area W1 in which the comment regarding the item A2 can be input in the data display area G12.
  • FIG. 9 is a diagram showing an example of a screen displayed by the display control function 155, and shows a screen example when the mark MK1 of FIG. 8 is operated.
  • characters can be input to the input area W1 via the input interface 130 or the like.
  • the user of the medical information processing apparatus 100 can input a comment regarding the item A2 or the like into the input area W1 by operating the input interface 130 or the like.
  • the content to be input to the input area W1 is not particularly limited, and any content can be input.
  • the content explaining that the test result regarding the item A2 was not described in the medical treatment content (hereinafter, the reason for non-adoption) may be input as a comment regarding the item A2.
  • the content of requesting the execution of the inspection corresponding to the inspection result of the item A2 (hereinafter referred to as the inspection request) may be input as a comment regarding the item A2.
  • the comment input to the input area W1 is stored as comment data, for example, in association with the item A2 and the medical care data including the item A2 by the data management function 151.
  • the subject is tested by the person in charge of the system from which the test data is generated confirming the contents.
  • the display control function 155 may display a dedicated input area W1 for each purpose of the comment. For example, when the display control function 155 receives an operation for the mark MK1, it displays a selected component that can select either the reason for non-adoption or the purpose of the inspection request, and displays an input area according to the selected purpose. You may. In this case, the data management function 151 may switch the comment data management method according to the selected purpose. For example, when the comment information of the inspection request is input, the comment data may be transmitted to the inspection data with the mark MK1 or the system for inspecting the item.
  • FIG. 9 has described a configuration in which comments can be input to examination data, but the present invention is not limited to this, and a configuration in which comments can be input to medical data may also be used.
  • the display control function 155 causes the input area W2 to be displayed in association with the medical care data as shown in FIG.
  • FIG. 10 is a diagram showing an example of a screen displayed by the display control function 155, and shows a screen example when a comment input instruction is given to the panel P11 of FIG.
  • the display control function 155 accepts a predetermined operation from the panel P11, the display control function 155 displays the input area W2 in association with the panel P11. Similar to the input area W1, the input area W2 can input characters via the input interface 130 or the like.
  • the user of the medical information processing apparatus 100 can input a comment regarding the item A2, medical care data, and the like into the input area W1 by operating the input interface 130 and the like.
  • the content (reason for non-adoption) explaining that the medical treatment content related to the item A2 was not reflected in the medical treatment data may be input as a comment regarding the item A2 or the medical treatment data.
  • the comment input to the input area W2 is stored as comment data by the data management function 151 in association with, for example, medical care data. It is also possible to edit the medical treatment content itself of the medical treatment data before the completion of the creation of the medical treatment data is instructed.
  • the number of medical data displayed in the data display area G12 is not limited to one, and may be plural.
  • the display control function 155 may display the plurality of medical care data in the data display area G12.
  • the display control function 155 may display the past medical care data designated from the timeline display area G11 in the data display area G12 together with the medical care data being created.
  • the past medical care data may be excluded from the processing targets of the first extraction function 152, the second extraction function 153, and the determination function 154, or may be processed as the newly created medical care data. ..
  • FIG. 11 is a diagram showing an example of a screen displayed by the display control function 155, and shows a screen example when a plurality of medical care data are displayed.
  • medical care data at different time points are displayed.
  • the test data extracted by the second extraction function 153 based on the medical care data of the panels P11, P12, P13 and P14 is displayed.
  • the contents of the panel P11 and the panel P2 are the same as those in FIG.
  • the panel P3 displays the contents of three test data (specimen tests) related to the medical care contents of the medical care data of the panels P12 to P14.
  • the item A3'displayed on the panel P3 corresponds to the item A3 included in the medical data of the panel P12.
  • the item A4'displayed on the panel P3 corresponds to the item A4 included in the medical data of the panel P13.
  • the item A5'displayed on the panel P3 corresponds to the item A5 included in the medical data of the panel P14.
  • the display control function 155 displays, as in FIG. 7, the two items for which the correspondence relationship has been established can be identified.
  • test data related to the medical data on the panels P12 to P14 show the same type of test results (sample test, blood test), they are displayed in the same panel.
  • the form is not limited to this.
  • the inspection data may be displayed in the same panel in a display form such as a graph format.
  • the panel may be displayed individually for each inspection data.
  • the display control function 155 displays the inspection data according to which of the reference range of the measured value the measured value represented by the inspection result of the inspection data belongs to.
  • the display form of may be switched.
  • the reference range is an index for determining the condition (or condition) of the subject, such as normal / abnormal determination and severity determination, and is preset for each test type and measured value.
  • the display control function 155 determines the severity, which is an example of the condition of the subject, by comparing the reference range of the measured value with the measured value represented by the test result of the test data, and the determined severity.
  • the display form of the inspection data is changed according to the above.
  • various methods can be adopted regardless of the method of changing the display form.
  • the display control function 155 may switch the display color of the test data or the color of the panel according to the condition of the subject such as the severity.
  • the display control function 155 may display an icon or a message indicating the state of the subject in association with the test data. As a result, the user of the medical information processing apparatus 100 can easily grasp the state of the subject by looking at the test data displayed in the data display area G12.
  • FIG. 12 is a flowchart showing an example of processing executed by the medical information processing apparatus 100.
  • the screen shown in FIG. 6 is displayed on the display 140 after the patient ID of the subject is input (step S11).
  • an operation example when new medical care data is created will be described.
  • the display control function 155 waits until the creation of new medical data is instructed (step S12; No). Upon receiving an instruction to create new medical care data (step S12; Yes), the display control function 155 displays data in an area (panel) into which medical care contents can be input in cooperation with the data management function 151. It is displayed in the area G12 (step S13). The user of the medical information processing apparatus 100 can also display desired medical data in the data display area G12 via the timeline display area G11 until the user gives an instruction to create medical data.
  • step S14 when the data management function 151 receives a check instruction for the newly input medical treatment content via the input interface 130 or the like (step S14; Yes), the data management function 151 stores the input medical treatment content as new medical treatment data in the storage circuit 120. Remember in. If the check is not instructed (step S14; No), the process proceeds to step S25.
  • the first extraction function 152 extracts the first data representing the medical care content from the medical care data (step S15).
  • the second extraction function 153 includes the second data representing the test contents related to the first data extracted in step S15 from the medical care data of the subject managed by the integrated data server 400.
  • Medical data is extracted (step S16).
  • the determination function 154 determines the correspondence between the items by comparing the items included in the first data with the items included in the second data (step S17).
  • the display control function 155 displays the inspection data in the data display area G12 based on the processing results of steps S15 to S17. Specifically, the display control function 155 displays the newly created medical care data and the examination data extracted by the second extraction function 153 in the data display area G12 (step S18). Further, the display control function 155 displays items that are determined to have a correspondence relationship in step S17 so that they can be identified (step S19).
  • step S20 determines in the determination process of step S17 whether or not there is an item for which the correspondence relationship is determined to be unsuccessful (step S20).
  • step S20 determines in the determination process of step S17 whether or not there is an item for which the correspondence relationship is determined to be unsuccessful (step S20).
  • step S20 determines in the determination process of step S17 whether or not there is an item for which the correspondence relationship is determined to be unsuccessful (step S20).
  • step S20 Yes
  • step S21 the display control function 155 highlights the item determined to be unsuccessful (step S21), and proceeds to step S22. If there is no item for which the correspondence relationship is determined to be unsuccessful (step S20; No), the process proceeds to step S25.
  • the display control function 155 determines whether or not the comment input is instructed via the input interface 130 or the like (step S22).
  • the display control function 155 receives the comment input instruction (step S22; Yes)
  • the display control function 155 displays the comment input area in the data display area G12 (step S23).
  • the data management function 151 stores the content input in the input area as comment data (step S24), and proceeds to step S25. If the comment input instruction is not given (step S22; No), the process immediately proceeds to step S25.
  • the data management function 151 determines whether or not the user has instructed the completion of creating the medical care data (step S25). When the completion of creation is not instructed (step S25; No), the data management function 151 continues the creation of medical care data by returning the process to step S15. In this case, since the state of the medical information data is being created, the user of the medical information processing apparatus 100 can directly edit the description of the item for which the correspondence relationship is determined to be unsuccessful with respect to the medical information processing device being created. ..
  • the data management function 151 stores the completed medical care data in the storage circuit 120 and transmits the medical care data to the integrated data server 400. Is stored in the integrated DB 410 (step S26).
  • the test data in which the test results related to the medical care content described in the medical care data of the subject are described is extracted, and the medical care data and the extracted test data are displayed on the same screen.
  • the correspondence relationship between the items included in the medical care data and the examination data is determined, and the items having a correspondence relationship between the two data are displayed so as to be distinguishable.
  • the user of the medical information processing apparatus 100 can easily grasp the test data including the test result that is the basis of the medical care content described in the medical care data, and the test result that is the basis of the medical care content can be obtained.
  • the item when there is an independent item for which a correspondence relationship is not established among the items included in the medical care data and the examination data, the item is displayed in an identifiable manner.
  • the user when there is an omission of the test result in the medical care data, or when the medical care content with insufficient grounds is described in the medical care data, the user can be made to grasp the corresponding item. Therefore, it is possible to prevent incomplete medical data from being created.
  • a user interface for inputting a comment regarding the item is provided, and the input comment content is provided. Is associated and saved.
  • the user of the medical information processing apparatus 100 can leave as a comment the reason why the test result is not reflected in the medical care data and the reason why the medical care content with insufficient grounds is described in the medical care data.
  • the user of the medical information processing device 100 provides an interface provided by the medical information processing device 100. You can request a re-examination through. Therefore, in the present embodiment, it is possible to improve the convenience of creating and decoding medical data.
  • Mode example 1 In the above-described embodiment, the mode of notifying the deficiency of the medical treatment content described in the medical treatment data (missing description, insufficient grounds) based on the judgment result of the judgment function 154 has been described. It may be used for other purposes. For example, in order to determine the proficiency level and the reliability level related to the creation of medical data, the number of items for which the correspondence relationship is determined to be unsuccessful by the determination function 154 may be recorded.
  • the data management function 151 determines the number of items for which the correspondence relationship is not established for the medical care data for each medical care data creator (medical worker) each time new medical care data is created. Accumulate to. The accumulated value is stored in the storage circuit of the integrated data server 400 or the like in association with, for example, the medical worker ID of the creator.
  • the data management function 151 may be in a form of recording the total number of created medical care data, the number of times a comment is input, and the like, in addition to the above-mentioned cumulative value.
  • the display control function 155 may display, for example, the screens shown in FIGS. 13 and 14 instead of the screen example described in the above-described embodiment.
  • FIGS. 13 and 14 are diagrams showing an example of a screen displayed by the display control function 155 of this modification.
  • the screen G2 has a timeline display area G11 and a data display area G12, similarly to the screen G1 described in the first embodiment. Further, in the data display area G12, medical care data is displayed as in the first embodiment.
  • FIG. 13 shows an example in which one medical care data is displayed on the panel P11, it is also possible to display a plurality of medical care data as described with reference to FIG.
  • the data display area G12 is provided with an inspection data display area G21 for displaying the inspection data extracted by the second extraction function 153.
  • each of the inspection data extracted by the second extraction function 153 is displayed on a panel.
  • FIG. 13 shows an example in which six inspection data are extracted, and each of the inspection data is displayed side by side as panels P41 to P46. Note that, in FIG. 13, of the panels P41 to P46, the panels P41 to P44 are displayed, and the remaining panels P45 and 46 are in a non-display state.
  • panels P41 to P46 are collectively referred to as panel P4.
  • the inspection data display area G21 is provided with a scroll bar G21a.
  • the scroll bar G21a can be scrolled in the arrangement direction of the panel P4, and the panel P4 in the inspection data display area G21 is moved according to the user operation (scrolling operation).
  • the user operation scroll operation
  • the panels P41 to P46 arranged in the inspection data display area G21 are moved upward on the screen.
  • the user of the medical information processing apparatus 100 can display the panels P45 and P46, which were hidden in FIG. 13, in the examination data display area G21.
  • the display control function 155 displays the items in the medical care data and the examination data for which the correspondence relationship is determined by the determination function 154 so as to be distinguishable, as in the above-described embodiment.
  • the display control function 155 can distinguish between the item A11 in the panel P11 and the item A11'in the panels P41 to P46, which are determined by the determination function 154 to establish a correspondence relationship. I'm letting you.
  • the medical information processing apparatus 100 according to the present modification can achieve the same effect as that of the above-described embodiment.
  • the user of the medical information processing apparatus 100 can easily find out where in the examination data the examination result, which is the basis of the medical treatment content, exists by confirming the medical treatment data and the examination data displayed in an identifiable manner. Can be grasped.
  • the display control function 155 causes the determination function 154 to identifiable the items for which the correspondence relationship is determined to be unsuccessful, as in the above-described embodiment. For example, in FIGS. 13 and 14, the display control function 155 adds the mark MK1 to the items A12 and A13 in the panels P22 and P24 that are determined by the determination function 154 that the correspondence relationship is not established. As a result, the medical information processing apparatus 100 according to the present modification can achieve the same effect as that of the above-described embodiment. As a result, the user of the medical information processing apparatus 100 can easily grasp the items described in the examination data that are not reflected in the medical care data.
  • 13 and 14 show an example in which operation panels P51 to P56, which are examples of operators, are displayed on the right side of the inspection data display area G21.
  • the operation panels P51 to P56 are collectively referred to as the operation panel P5.
  • the operation panel P5 is provided for each inspection data extracted by the second extraction function 153.
  • Information that can identify the corresponding inspection data is displayed on the operation panel P5.
  • information such as an inspection data creation date, an inspection data type, and a data name is displayed on the operation panel P5.
  • each of the operation panels P51 to P56 corresponds to each of the inspection data represented by the panels P41 to P46.
  • the data name “inspection X1” of the inspection data is displayed.
  • the user of the medical information processing apparatus 100 can easily grasp which test data is instructed to be displayed by each of the operation panels P5.
  • the display control function 155 indicates that the operation panel P5 corresponding to the inspection data is unsuccessful. Information indicating that the determined item exists is added and displayed.
  • the inspection data related to the panels P43 and P45 include items A12 and A13 for which it is determined that the correspondence relationship is not established. Therefore, the display control function 155 adds a mark MK3 indicating that an item determined to be unsuccessful exists to the operation panels P53 and P55 corresponding to the inspection data of the panels P43 and P45 to be displayed.
  • the user of the medical information processing apparatus 100 can easily grasp the operation panel P5 of the examination data having items that are not reflected in the medical treatment data.
  • the display control function 155 When the display control function 155 receives the selection operation for the operation panel P5, the display control function 155 displays the inspection data corresponding to the selected operation panel P5 in the inspection data display area G21.
  • the display method of the inspection data via the operation panel P5 is not particularly limited, and various display methods can be used.
  • the display control function 155 may automatically scroll the inspection data panel P4 corresponding to the selected operation panel P5 so that it is displayed in the inspection data display area G21.
  • the display control function 155 may automatically scroll the inspection data panel P4 corresponding to the selected operation panel P5 so as to be located at the center of the inspection data display area G21.
  • the display control function 155 may display the inspection data panel P4 corresponding to the selected operation panel P5 in an identifiable manner.
  • the display control function 155 may display only the inspection data panel P4 corresponding to the selected operation panel P5 in the inspection data display area G21.
  • FIG. 15 is a diagram showing an example of a screen displayed by the display control function 155 of this modification, and shows a display example when the operation panel P53 is selected.
  • the display control function 155 displays the panel P43 representing the inspection data corresponding to the operation panel P53 in the inspection data display area G21.
  • the operation panel P5 may be a toggle button or the like so that selection and deactivation can be switched alternately.
  • the number of inspection data that can be selected via the operation panel P5 is not limited to one, and may be a plurality.
  • the display control function 155 displays the inspection data panels P43 and P45 corresponding to these operation panels P53 and P55 side by side in the inspection data display area G21. ..
  • the arrangement order of the panel P4 may be the order of the creation date or the order of the inspection data selected on the operation panel P5.
  • the hidden portion Inspection data can be displayed with a simple operation. Therefore, in this modification, the convenience related to the creation and decoding of medical data can be improved.
  • the medical information processing apparatus 100 includes a data management function 151, a first extraction function 152, a second extraction function 153, a determination function 154, and a display control function 155.
  • a part or all of the device may be provided by a device other than the medical information processing device 100.
  • the integrated data server 400 may have a part or all of the above-mentioned functions.
  • the integrated data server 400 functions as a medical information processing device, for example, displaying various screens described above in the form of a Web service or the like on the display 140 of the medical information processing device 100.
  • the medical information processing device is not limited to one computer device, and may be realized by a plurality of computer devices connected to a network.
  • the data management unit, the first extraction unit, the second extraction unit, the determination unit, and the display control unit in the present specification are the data management functions 151 and the first of the processing circuit 150, respectively.
  • the extraction function 152, the second extraction function 153, the determination function 154, and the display control function 155 of the above is described, the embodiment is not limited to this.
  • the data management unit, the first extraction unit, the second extraction unit, the determination unit, and the display control unit in the present specification include the data management function 151, the first extraction function 152, and the second
  • the same function may be realized only by the hardware or by mixing the hardware and the software.
  • processor used in the above description is, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an integrated circuit for a specific application (Application Specific Integrated Circuit: ASIC), or a programmable logic device.
  • a circuit such as a simple programmable logic device (Simple Programmable Logic Device: SPLD), a compound programmable logic device (Complex Programmable Logic Device: CPLD), and a field programmable gate array (Field Programmable Gate Array: FPGA).
  • SPLD Simple Programmable Logic Device
  • CPLD Complex Programmable Logic Device
  • FPGA Field Programmable Gate Array
  • the processor realizes the function by reading and executing the program stored in the storage circuit 120. Instead of storing the program in the storage circuit 120, the program may be directly incorporated in the circuit of the processor.
  • the processor realizes the function by reading and executing the program embedded in the circuit.
  • the processor of the present embodiment is not limited to the case where it is configured as a single circuit, and a plurality of independent circuits may be combined to be configured as one processor to realize its function.
  • the program executed by the processor is provided in advance in a ROM (Read Only Memory), a storage circuit, or the like.
  • This program is a file in a format that can be installed or executed on these devices, such as CD (Compact Disk) -ROM, FD (Flexible Disk), CD-R (Recordable), DVD (Digital Versatile Disk), etc. It may be recorded and provided on a computer-readable storage medium. Further, this program may be provided or distributed by being stored on a computer connected to a network such as the Internet and downloaded via the network. For example, this program is composed of modules including the above-mentioned functional parts. In actual hardware, the CPU reads a program from a storage medium such as a ROM and executes it, so that each module is loaded on the main storage device and generated on the main storage device.
  • Medical information processing system 100 Medical information processing device 151 Data management function 152 First extraction function 153 Second extraction function 154 Judgment function 155 Display control function

Abstract

A medical information processing device according to an embodiment of the present invention comprises a first extraction unit (152), a second extraction unit (153), a determination unit (154), and a display control unit (155). The first extraction unit (152) extracts first data representing the medical care contents from medical care data in which medical care contents of a subject are described. The second extraction unit (153) extracts inspection data including second data representing the inspection results related to the first data from one or a plurality of inspection data in which inspection results of the subject are described. The determination unit (154) compares items included in the first data with items included in the second data and determines correspondence relation between the respective items. The display control unit (155) displays the medical care data and the extracted inspection data on the same display, and distinguishably displays the items determined to establish correspondence relation therebetween.

Description

医用情報処理装置及び医用情報処理方法Medical information processing device and medical information processing method
 本発明の実施形態は、医用情報処理装置及び医用情報処理方法に関する。 An embodiment of the present invention relates to a medical information processing device and a medical information processing method.
 従来、医療の現場で用いられている医用データには、生理検査データや画像データ等の検査データ、電子カルテ等の診療データ等の様々な種々が存在している。医師等の医療従事者は、それらの医用データを総合的に見て、被検体(例えば患者)の治療を行っている。例えば、医療従事者は、検査結果が記録された検査データの内容に基づいて、被検体に対して行った診療内容を診療データに記載(記録)している。 Conventionally, there are various types of medical data used in the medical field, such as examination data such as physiological examination data and image data, and medical data such as electronic medical records. Medical professionals such as doctors treat a subject (for example, a patient) by comprehensively looking at the medical data. For example, a medical professional describes (records) the contents of medical treatment performed on a subject in the medical data based on the contents of the test data in which the test results are recorded.
 また、医療従事者が病名等の診療内容を記録する際に、その診療内容に至った検査結果を登録することで、どの検査結果を根拠としたのかを把握できるようにする方法が知られている。しかしながら、診療内容を記録する度に根拠となる検査結果を登録する操作は煩わしく、利便性に欠ける。また、診療内容の記録時に検査結果の登録を行わなかった場合には、根拠となる検査結果を特定することは困難である。 In addition, when a medical professional records medical treatment details such as the name of a disease, a method is known in which the test results that lead to the medical treatment details can be registered so that it is possible to grasp which test result was used as the basis. There is. However, the operation of registering the test result as the basis every time the medical treatment contents are recorded is troublesome and lacks convenience. In addition, if the test results are not registered when recording the medical treatment contents, it is difficult to identify the test results that are the basis.
特開2012-155458号公報Japanese Unexamined Patent Publication No. 2012-155458
 本発明が解決しようとする課題は、診療データに記載された診療内容と、当該診療内容の根拠となる検査結果との対応関係を容易に把握できるようにすることである。 The problem to be solved by the present invention is to make it possible to easily grasp the correspondence relationship between the medical treatment content described in the medical treatment data and the test result which is the basis of the medical treatment content.
 実施形態に係る医用情報処理装置は、第1の抽出部と、第2の抽出部と、判定部と、表示制御部とを備える。第1の抽出部は、被検体の診療内容が記載された診療データから、前記診療内容を表す第1のデータを抽出する。第2の抽出部は、前記被検体の検査結果が記載された一又は複数の検査データの中から、前記第1のデータに関連する前記検査結果を表した第2のデータを含む検査データを抽出する。判定部は、前記第1の抽出部が抽出した前記第1のデータに含まれる項目と、前記第2の抽出部が抽出した前記検査データの前記第2のデータに含まれる項目とを比較し、両項目間の対応関係を判定する。表示制御部は、前記診療データと前記第2の抽出部が抽出した前記検査データとを同一の画面に表示させるとともに、前記判定部で対応関係が成立すると判定された項目同士を識別可能に表示させる。 The medical information processing device according to the embodiment includes a first extraction unit, a second extraction unit, a determination unit, and a display control unit. The first extraction unit extracts the first data representing the medical treatment content from the medical treatment data in which the medical treatment content of the subject is described. The second extraction unit selects test data including the second data representing the test result related to the first data from one or more test data in which the test result of the subject is described. Extract. The determination unit compares the items included in the first data extracted by the first extraction unit with the items included in the second data of the inspection data extracted by the second extraction unit. , Judge the correspondence between both items. The display control unit displays the medical data and the inspection data extracted by the second extraction unit on the same screen, and displays items that are determined by the determination unit to have a correspondence relationship so that they can be identified. Let me.
図1は、実施形態に係る医用情報システムの構成の一例を示す図である。FIG. 1 is a diagram showing an example of a configuration of a medical information system according to an embodiment. 図2は、実施形態に係る医用情報処理装置の構成の一例を示す図である。FIG. 2 is a diagram showing an example of the configuration of the medical information processing device according to the embodiment. 図3は、実施形態の第1の抽出機能及び第2の抽出機能に係るモデルの生成方法を説明するための図である。FIG. 3 is a diagram for explaining a method of generating a model related to the first extraction function and the second extraction function of the embodiment. 図4は、実施形態に係る検査結果DBのデータ構成の一例を示す図である。FIG. 4 is a diagram showing an example of the data structure of the inspection result DB according to the embodiment. 図5は、実施形態に係る第1の抽出機能及び第2の抽出機能の動作の一例を説明するための図である。FIG. 5 is a diagram for explaining an example of the operation of the first extraction function and the second extraction function according to the embodiment. 図6は、実施形態の表示制御機能によって表示される画面の一例を示す図である。FIG. 6 is a diagram showing an example of a screen displayed by the display control function of the embodiment. 図7は、実施形態の表示制御機能によって表示される画面の一例を示す図である。FIG. 7 is a diagram showing an example of a screen displayed by the display control function of the embodiment. 図8は、実施形態の表示制御機能によって表示される画面の一例を示す図である。FIG. 8 is a diagram showing an example of a screen displayed by the display control function of the embodiment. 図9は、実施形態の表示制御機能によって表示される画面の一例を示す図である。FIG. 9 is a diagram showing an example of a screen displayed by the display control function of the embodiment. 図10は、実施形態の表示制御機能によって表示される画面の一例を示す図である。FIG. 10 is a diagram showing an example of a screen displayed by the display control function of the embodiment. 図11は、実施形態の表示制御機能によって表示される画面の一例を示す図である。FIG. 11 is a diagram showing an example of a screen displayed by the display control function of the embodiment. 図12は、実施形態の医用情報処理装置が実行する処理の一例を示すフローチャートである。FIG. 12 is a flowchart showing an example of processing executed by the medical information processing apparatus of the embodiment. 図13は、実施形態の変形例3に係る表示制御機能によって表示される画面の一例を示す図である。FIG. 13 is a diagram showing an example of a screen displayed by the display control function according to the third modification of the embodiment. 図14は、実施形態の変形例3に係る表示制御機能によって表示される画面の一例を示す図である。FIG. 14 is a diagram showing an example of a screen displayed by the display control function according to the third modification of the embodiment. 図15は、実施形態の変形例3に係る表示制御機能によって表示される画面の一例を示す図である。FIG. 15 is a diagram showing an example of a screen displayed by the display control function according to the third modification of the embodiment.
 以下、図面を参照しながら、医用情報処理装置及び医用情報処理方法の実施形態について説明する。 Hereinafter, embodiments of the medical information processing apparatus and the medical information processing method will be described with reference to the drawings.
 図1は、本実施形態に係る医用情報システムの構成の一例を示す図である。図1に示すように、医用情報システム1は、医用情報処理装置100、検体検査システム200、放射線部門システム300及び統合データサーバ400等を有する。医用情報処理装置100、検体検査システム200、放射線部門システム300及び統合データサーバ400は、LAN(Local Area Network)等のネットワークN1を介して通信可能に接続される。なお、ネットワークN1に接続される医用情報処理装置100の個数は特に問わないものとする。 FIG. 1 is a diagram showing an example of the configuration of the medical information system according to the present embodiment. As shown in FIG. 1, the medical information system 1 includes a medical information processing device 100, a sample testing system 200, a radiation department system 300, an integrated data server 400, and the like. The medical information processing device 100, the sample test system 200, the radiation department system 300, and the integrated data server 400 are communicably connected via a network N1 such as a LAN (Local Area Network). The number of medical information processing devices 100 connected to the network N1 is not particularly limited.
 医用情報処理装置100は、例えば、医師等の医療従事者や部署毎に用意され、種々の用途に使用される。例えば、医用情報処理装置100は、患者等の被検体に係る各種医用データの表示に用いられる。また、医用情報処理装置100は、患者等の被検体に対して行われた診療内容に関する診療データの作成に用いられる。医用情報処理装置100で作成(生成)された診療データは、統合データサーバ400に送信される。例えば、医用情報処理装置100は、ワークステーションやパーソナルコンピュータ、タブレット端末等のコンピュータ機器によって実現される。 The medical information processing device 100 is prepared for each medical worker such as a doctor or a department, and is used for various purposes. For example, the medical information processing device 100 is used for displaying various medical data related to a subject such as a patient. Further, the medical information processing apparatus 100 is used for creating medical data regarding the medical treatment contents performed on a subject such as a patient. The medical care data created (generated) by the medical information processing apparatus 100 is transmitted to the integrated data server 400. 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.
 検体検査システム200は、被検体に対して行われた検体検査に関する検体検査データを生成し、検体検査システム200内の記憶回路に記憶する。そして、検体検査システム200は、記憶回路に記憶されている検体検査データを統合データサーバ400に送信する。 The sample test system 200 generates sample test data related to the sample test performed on the subject and stores it in the storage circuit in the sample test system 200. Then, the sample test system 200 transmits the sample test data stored in the storage circuit to the integrated data server 400.
 放射線部門システム300は、被検体を撮像することで得られた画像データを、放射線部門システム300内の記憶回路に記憶する。また、放射線部門システム300は、被検体に対して実施された生理検査や画像検査に関するレポートデータ、カンファレンスデータを生成し、システム内の記憶回路に記憶する。例えば、放射線部門システム300は、PACS(Picture Archiving and Communication Systems)等を含む。また、画像検査には、X線CT(Computed Tomography)装置によって撮像されたCT画像を用いた検査や、MRI(Magnetic Resonance Imaging)装置によって撮像されたMR画像を用いた検査、超音波診断装置によって撮像された超音波画像を用いた検査、X線診断装置によって撮像されたX線画像を用いた検査等が含まれる。そして、放射線部門システム300は、記憶回路に記憶されている画像データ、レポートデータ及びカンファレンスデータを統合データサーバ400に送信する。 The radiation department system 300 stores the image data obtained by imaging the subject in the storage circuit in the radiation department system 300. In addition, the radiation department system 300 generates report data and conference data related to physiological tests and image tests performed on a subject and stores them in a storage circuit in the system. For example, the radiation department system 300 includes PACS (Picture Archiving and Communication Systems) and the like. In addition, for image inspection, inspection using CT images captured by an X-ray CT (Computed Tomography) device, inspection using MR images captured by an MRI (Magnetic Resonance Imaging) device, and ultrasonic diagnostic equipment This includes inspections using captured ultrasonic images, inspections using X-ray images taken by an X-ray diagnostic apparatus, and the like. Then, the radiation department system 300 transmits the image data, the report data, and the conference data stored in the storage circuit to the integrated data server 400.
 統合データサーバ400は、プロセッサ等の処理回路、RAM(Random Access Memory)、フラッシュメモリ等の半導体メモリ素子、ハードディスク、光ディスク等によって実現される記憶回路を備る、ワークステーションやサーバ装置等のコンピュータ機器によって実現される。 The integrated data server 400 is a computer device such as a workstation or a server device provided with a processing circuit such as a processor, a RAM (Random Access Memory), a semiconductor memory element such as a flash memory, and a storage circuit realized by a hard disk, an optical disk, or the like. Realized by.
 統合データサーバ400は、医用情報処理装置100、検体検査システム200及び放射線部門システム300等から各種のデータを収集し、サーバ内の記憶回路に記憶する。具体的には、統合データサーバ400の記憶回路は、医用情報処理装置100、検体検査システム200及び放射線部門システム300等から取得した各種のデータを記憶・管理するための統合DB(Data Base)410を保持する。 The integrated data server 400 collects various data from the medical information processing device 100, the sample test system 200, the radiation department system 300, etc., and stores them in the storage circuit in the server. Specifically, the storage circuit of the integrated data server 400 is an integrated DB (Data Base) 410 for storing and managing various data acquired from the medical information processing device 100, the sample testing system 200, the radiation department system 300, and the like. To hold.
 例えば、統合DB410には、診療データ、検体検査データ、生理検査データ、画像データ、レポートデータ、カンファレンスデータ等が含まれる。診療データは、医用情報処理装置100から取得した被検体の診療内容に関する電子カルテ等の診療データである。検体検査データは、検体検査システム200から取得した検体検査に関する検査データである。また、生理検査データは、放射線部門システム300から取得したバイタルに関する検査データである。また、画像データ、レポートデータ及びカンファレンスデータは、放射線部門システム300から取得した画像検査に関する検査データである。以下では、診療データ、検体検査データ、生理検査データ、画像データ、レポートデータ及び診療データを総称して「医用データ」ともいう。 For example, the integrated DB 410 includes medical care data, sample test data, physiological test data, image data, report data, conference data, and the like. The medical care data is medical care data such as an electronic medical record regarding the medical care contents of the subject acquired from the medical information processing apparatus 100. The sample test data is test data related to the sample test acquired from the sample test system 200. The physiological test data is test data related to vitals acquired from the radiation department system 300. Further, the image data, the report data and the conference data are inspection data related to the image inspection acquired from the radiation department system 300. Hereinafter, medical data, sample test data, physiological test data, image data, report data, and medical data are collectively referred to as "medical data".
 ここで、統合DB410に記憶される診療データには、診療内容等の情報、作成日時を示す情報、被検体を識別する情報(患者ID)、作成者(医療従事者)を識別する情報(医療従事者ID)等が含まれる。また、検査データには、作成日時及び患者IDを示す情報の他、検査によって得られた数値(計測値)や画像、読影レポート等の情報、検査日時を示す情報、検査を担当した医療従事者の医療従事者ID等が含まれる。 Here, the medical data stored in the integrated DB 410 includes information such as medical treatment contents, information indicating the creation date and time, information for identifying the subject (patient ID), and information for identifying the creator (medical worker) (medical care). Worker ID) and the like are included. In addition to information indicating the creation date and time and patient ID, the examination data includes information such as numerical values (measured values) and images obtained by the examination, interpretation reports, information indicating the examination date and time, and the medical staff in charge of the examination. Medical worker ID and the like are included.
 なお、統合データサーバ400は、医用情報処理装置100、検体検査システム200及び放射線部門システム300等の各システムに記憶された医用データを収集するだけでなく、各システムで得られた医用データを直接収集する構成としてもよい。また、統合データサーバ400は、医用情報処理装置100、検体検査システム200及び放射線部門システム300内や、これらのシステム外に分散して存在する医用データを収集する構成としてもよい。 The integrated data server 400 not only collects medical data stored in each system such as the medical information processing device 100, the sample testing system 200, and the radiation department system 300, but also directly collects the medical data obtained in each system. It may be configured to collect. Further, the integrated data server 400 may be configured to collect medical data distributed in or outside the medical information processing apparatus 100, the sample examination system 200, and the radiation department system 300.
 上述した医用情報システム1の構成において、医用情報処理装置100は、統合データサーバ400が管理する医用データを表示することが可能となっている。例えば、医用情報処理装置100を操作する医用従事者(以下、ユーザともいう)は、診療データの作成や被検体の診断等のため、被検体の検査データや過去に作成された診療データを統合データサーバ400から取得し表示することができる。以下、医用情報処理装置100の構成について説明する。 In the configuration of the medical information system 1 described above, the medical information processing device 100 can display the medical data managed by the integrated data server 400. For example, a medical worker (hereinafter, also referred to as a user) who operates the medical information processing apparatus 100 integrates test data of a subject and medical data created in the past for creating medical data and diagnosing a subject. It can be acquired from the data server 400 and displayed. Hereinafter, the configuration of the medical information processing device 100 will be described.
 図2は、医用情報処理装置100の構成の一例を示す図である。図2に示すように。医用情報処理装置100は、通信インタフェース110と、記憶回路120と、入力インタフェース130と、ディスプレイ140と、処理回路150とを有する。 FIG. 2 is a diagram showing an example of the configuration of the medical information processing device 100. As shown in FIG. The medical information processing device 100 includes a communication interface 110, a storage circuit 120, an input interface 130, a display 140, and a processing circuit 150.
 通信インタフェース110は、処理回路150に接続されており、医用情報処理装置100と各システムとの間で行われる各種データの伝送及び通信を制御する。具体的には、通信インタフェース110は、各システムから医用データを受信し、受信した医用データを処理回路150に出力する。例えば、通信インタフェース110は、ネットワークカードやネットワークアダプタ、NIC(Network Interface Controller)等によって実現される。 The communication interface 110 is connected to the processing circuit 150 and controls the transmission and communication of various data performed between the medical information processing device 100 and each system. Specifically, the communication interface 110 receives medical data from each system and outputs the received medical data to the processing circuit 150. For example, the communication interface 110 is realized by a network card, a network adapter, a NIC (Network Interface Controller), or the like.
 記憶回路120は、処理回路150に接続されており、各種データを記憶する。具体的には、記憶回路120は、各システムから受信した医用データを記憶する。また、記憶回路120は、条件設定テーブル等を記憶する。例えば、記憶回路120は、RAM(Random Access Memory)、フラッシュメモリ等の半導体メモリ素子や、ハードディスク、光ディスク等によって実現される。なお、記憶回路120は、記憶部の実現手段の一例である。 The storage circuit 120 is connected to the processing circuit 150 and stores various data. Specifically, the storage circuit 120 stores medical data received from each system. Further, the storage circuit 120 stores a condition setting table and the like. For example, the storage circuit 120 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. The storage circuit 120 is an example of a means for realizing the storage unit.
 入力インタフェース130は、処理回路150に接続されており、操作者から各種指示及び各種情報の入力操作を受け付ける。具体的には、入力インタフェース130は、操作者から受け付けた入力操作を電気信号へ変換して処理回路150に出力する。例えば、入力インタフェース130は、トラックボール、スイッチボタン、マウス、キーボード、操作面へ触れることで入力操作を行うタッチパッド、表示画面とタッチパッドとが一体化されたタッチスクリーン、光学センサを用いた非接触入力回路、及び音声入力回路等によって実現される。なお、入力インタフェース130は、マウス、キーボード等の物理的な操作部品を備えるものだけに限られない。例えば、装置とは別体に設けられた外部の入力機器から入力操作に対応する電気信号を受け取り、この電気信号を制御回路へ出力する電気信号の処理回路も入力インタフェース130の例に含まれる。 The input interface 130 is connected to the processing circuit 150 and receives various instructions and various information input operations from the operator. Specifically, the input interface 130 converts the input operation received from the operator into an electric signal and outputs it to the processing circuit 150. For example, the input interface 130 includes a trackball, a switch button, a mouse, a keyboard, a touch pad for performing input operations by touching an operation surface, a touch screen in which a display screen and a touch pad are integrated, and a non-optical sensor. It is realized by a contact input circuit, a voice input circuit, and the like. The input interface 130 is not limited to the one provided with physical operating parts such as a mouse and a keyboard. For example, an example of the input interface 130 includes an electric signal processing circuit that receives an electric signal corresponding to an input operation from an external input device provided separately from the device and outputs the electric signal to a control circuit.
 ディスプレイ140は、処理回路150に接続されており、各種情報及び各種画像を表示する。具体的には、ディスプレイ140は、処理回路150から送られる各種情報及び各種画像のデータを表示用の電気信号に変換して出力する。例えば、ディスプレイ140は、液晶モニタやCRT(Cathode Ray Tube)モニタ、タッチパネル等によって実現される。 The display 140 is connected to the processing circuit 150 and displays various information and various images. Specifically, the display 140 converts various information and various image data sent from the processing circuit 150 into electrical signals for display and outputs the data. For example, the display 140 is realized by a liquid crystal monitor, a CRT (Cathode Ray Tube) monitor, a touch panel, or the like.
 処理回路150は、入力インタフェース130を介して操作者から受け付けた入力操作に応じて、医用情報処理装置100の構成要素を制御する。具体的には、処理回路150は、通信インタフェース110から出力される医用データを記憶回路120に記憶させる。また、処理回路150は、記憶回路120から医用データを読み出し、ディスプレイ140に表示する。例えば、処理回路150は、プロセッサによって実現される。 The processing circuit 150 controls the components of the medical information processing device 100 in response to an input operation received from the operator via the input interface 130. Specifically, the processing circuit 150 stores the medical data output from the communication interface 110 in the storage circuit 120. Further, the processing circuit 150 reads medical data from the storage circuit 120 and displays it on the display 140. For example, the processing circuit 150 is realized by a processor.
 また、医用情報処理装置100は、診療データの作成作業や、診療データに記載された診療内容の確認作業等に関し、医療従事者を支援するための機能を有している。具体的には、医用情報処理装置100は、データ管理機能151と、第1の抽出機能152と、第2の抽出機能153と、判定機能154と、表示制御機能155とを有する。なお、データ管理機能151は、データ生成部の一例である。また、データ管理機能151は、データ管理部の一例である。また、第1の抽出機能152は、第1の抽出部の一例である。第2の抽出機能153は、第2の抽出部の一例である。判定機能154は、判定部の一例である。表示制御機能155は、表示制御部の一例である。 In addition, the medical information processing device 100 has a function for supporting medical staff in the work of creating medical data, the work of confirming the medical contents described in the medical data, and the like. Specifically, the medical information processing apparatus 100 has a data management function 151, a first extraction function 152, a second extraction function 153, a determination function 154, and a display control function 155. The data management function 151 is an example of a data generation unit. The data management function 151 is an example of a data management unit. Further, the first extraction function 152 is an example of the first extraction unit. The second extraction function 153 is an example of the second extraction unit. The determination function 154 is an example of a determination unit. The display control function 155 is an example of a display control unit.
 データ管理機能151は、医用データの管理に係る各種の処理を実行する。例えば、データ管理機能151は、表示制御機能155と協働することで、新たな診療データの作成に係る処理を実行する。具体的には、データ管理機能151は、入力インタフェース130等を介して診療内容が入力(記載)されると、入力された診療内容を記録した診療データを生成し、記憶回路120に記憶させる。また、データ管理機能151は、診療データの作成完了が指示されると、記憶回路120に記憶した診療データを統合データサーバ400に送信する。 The data management function 151 executes various processes related to the management of medical data. For example, the data management function 151 executes a process related to the creation of new medical care data in cooperation with the display control function 155. Specifically, when the medical treatment content is input (described) via the input interface 130 or the like, the data management function 151 generates medical treatment data recording the input medical treatment content and stores it in the storage circuit 120. Further, when the data management function 151 is instructed to complete the creation of medical care data, the data management function 151 transmits the medical care data stored in the storage circuit 120 to the integrated data server 400.
 ここで、診療内容の入力方法は特に問わないものとする。例えば、診療内容は、SOAP形式等の記載方法を用いて入力されてもよい。かかるSOAP形式では、被検体の症状毎に、S(Subject:主観的情報)、O(Object:客観的情報)、A(Assessment:アセスメント)、P(Plan:計画)に分けて診療内容が入力される。 Here, the input method of medical treatment contents is not particularly limited. For example, the medical treatment content may be input using a description method such as a SOAP format. In such a SOAP format, the medical treatment contents are input by dividing into S (Subject: subjective information), O (Object: objective information), A (Assessment: assessment), and P (Plan: plan) for each symptom of the subject. Will be done.
 また、データ管理機能151は、医用データや当該医用データに含まれる特定の項目に対しコメント等の入力が行われた場合、その入力された内容を記憶するための処理を実行する。具体的には、データ管理機能151は、入力された内容を記録したコメントデータを、入力先となった医用データや項目に対応付けて記憶する。 Further, when a comment or the like is input to the medical data or a specific item included in the medical data, the data management function 151 executes a process for storing the input contents. Specifically, the data management function 151 stores the comment data recording the input contents in association with the medical data or the item as the input destination.
 第1の抽出機能152は、被検体の診療内容が記載された診療データから、診療内容を表す第1のデータを抽出する。また、第2の抽出機能153は、被検体の検査結果が記録された検査データ(検体検査データ、生理検査データ、画像データ、レポートデータ、カンファレンスデータ)の中から、第1のデータに関連する検査結果を表す第2のデータを含む検査データを抽出する。 The first extraction function 152 extracts the first data representing the medical treatment content from the medical treatment data in which the medical treatment content of the subject is described. In addition, the second extraction function 153 is related to the first data from the test data (sample test data, physiological test data, image data, report data, conference data) in which the test results of the subject are recorded. The inspection data including the second data representing the inspection result is extracted.
 ここで、第1の抽出機能152及び第2の抽出機能153の実現方法は特に問わず、種々の方法を採用することが可能である。本実施形態では、第1の抽出機能152及び第2の抽出機能153の実現方法として、機械学習モデル等のモデルを用いる方法について説明する。 Here, the method of realizing the first extraction function 152 and the second extraction function 153 is not particularly limited, and various methods can be adopted. In the present embodiment, a method of using a model such as a machine learning model will be described as a method of realizing the first extraction function 152 and the second extraction function 153.
 まず、図3を参照して、第1の抽出機能152及び第2の抽出機能153に係るモデルの生成方法について説明する。図3は、第1の抽出機能152及び第2の抽出機能153に係るモデルの生成方法を説明するための図である。 First, with reference to FIG. 3, a model generation method according to the first extraction function 152 and the second extraction function 153 will be described. FIG. 3 is a diagram for explaining a method of generating a model according to the first extraction function 152 and the second extraction function 153.
 まず、統合データサーバ400の統合DB410に記憶された複数の被検体の過去の診療データから、第1の抽出機能152に係るモデル(以下、第1のモデル)M1が生成される。具体的には、統合DB410に記憶された診療データの各々を入力とし、その診療データに表された診療内容を表す文字列の関係を単語レベルや文脈レベルで解析(機械学習)することで、当該診療内容を表す第1のデータを出力することが可能な第1のモデルM1を生成する。ここで、第1のモデルM1から出力される第1のデータは、検査データの検査結果(後述する第2のデータ)と比較可能な形式で生成される。例えば、第1のデータは、第2のデータとの関連性を比較可能な単語群や文字列等の項目で構成される。 First, a model (hereinafter, first model) M1 related to the first extraction function 152 is generated from the past medical data of a plurality of subjects stored in the integrated DB 410 of the integrated data server 400. Specifically, each of the medical care data stored in the integrated DB 410 is input, and the relationship between the character strings representing the medical care contents represented in the medical care data is analyzed (machine learning) at the word level and the context level. A first model M1 capable of outputting the first data representing the medical treatment content is generated. Here, the first data output from the first model M1 is generated in a format comparable to the inspection result of the inspection data (second data described later). For example, the first data is composed of items such as word groups and character strings whose relevance to the second data can be compared.
 なお、診療内容の解析は、例えば、Word2VecやDoc2Vec等の技術を用いることができる。かかる技術を用いた場合、第1のデータは、診療内容を表す文字列を単語レベル又は文脈レベルでベクトル化したベクトルデータとして出力される。また、SOAP形式を認識するルールエンジン等を用いることで、SOAPの4つのカテゴリのうち、何れかのカテゴリを解析対象とし、項目毎に第1のモデルM1を生成してもよい。図3では、O及びAのカテゴリを解析対象として、当該カテゴリ毎に第1のモデルM1(第1のモデルM1a、第1のモデルM1b)を生成した例を示している。 For the analysis of medical treatment contents, for example, techniques such as Word2Vec and Doc2Vec can be used. When such a technique is used, the first data is output as vector data in which a character string representing a medical treatment content is vectorized at a word level or a context level. Further, by using a rule engine or the like that recognizes the SOAP format, any one of the four categories of SOAP may be analyzed, and the first model M1 may be generated for each item. FIG. 3 shows an example in which a first model M1 (first model M1a, first model M1b) is generated for each of the categories O and A as analysis targets.
 また、統合DB410に記憶された複数の被検体の過去の検査データから、第2の抽出機能153に係るモデル(以下、第2のモデル)M2が生成される。具体的には、検査データの各々を入力とし、検査データに表された検査結果を表す文字列の関係を単語レベルや文脈レベルで解析(機械学習)することで、当該検査結果を表す第2のデータを出力することが可能な第2のモデルM2を生成する。ここで、第2のモデルM2から出力される第2のデータは、診療データの診療結果(第1のデータ)と比較可能な形式で生成される。例えば、第2のデータは、第1のデータとの関連性を比較可能な単語群や文字列等の項目で構成される。 In addition, a model (hereinafter, second model) M2 related to the second extraction function 153 is generated from the past test data of a plurality of subjects stored in the integrated DB 410. Specifically, by inputting each of the inspection data and analyzing (machine learning) the relationship between the character strings representing the inspection results represented in the inspection data at the word level and the context level, the second inspection result is represented. A second model M2 capable of outputting the data of is generated. Here, the second data output from the second model M2 is generated in a format comparable to the medical treatment result (first data) of the medical treatment data. For example, the second data is composed of items such as word groups and character strings whose relevance to the first data can be compared.
 なお、検査結果の解析は、例えば、診療内容の解析と同様、Word2VecやDoc2Vec等の技術を用いることができる。かかる技術を用いた場合、第2のデータは、検査結果を表す文字列を単語レベルや文脈レベルでベクトル化したベクトルデータとして出力される。また、検査データのフォーマットを認識するルールエンジン等を用いることで、特定の検査結果等を解析対象に設定してもよい。 For the analysis of the test result, for example, a technique such as Word2Vec or Doc2Vec can be used as in the analysis of the medical treatment content. When such a technique is used, the second data is output as vector data in which a character string representing a test result is vectorized at a word level or a context level. Further, by using a rule engine or the like that recognizes the format of inspection data, a specific inspection result or the like may be set as an analysis target.
 また、第2のモデルM2は、種別の異なる検査データから一の第2のモデルM2を生成してもよいし、検査データの種別毎に第2のモデルM2を生成してもよい。図3では、生理検査データから第2のモデルM2aを生成し、レポートデータ及びカンファレンスデータから第2のモデルM2bを生成した例を示している。 Further, the second model M2 may generate one second model M2 from inspection data of different types, or may generate a second model M2 for each type of inspection data. FIG. 3 shows an example in which the second model M2a is generated from the physiological test data and the second model M2b is generated from the report data and the conference data.
 なお、検査データが画像データの場合には、画像に表された特徴を解析(機械学習)させることで、当該特徴を第2のデータとして出力する第2のモデルM2を生成してもよい。また、検査結果がバイタル等の計測値で表される場合には、数値の時系列的な変化率も考慮した形式で出力することが可能な第2のモデルM2を生成することが好ましい。 When the inspection data is image data, a second model M2 that outputs the feature as the second data may be generated by analyzing (machine learning) the feature represented by the image. Further, when the inspection result is represented by a measured value such as vitals, it is preferable to generate a second model M2 that can be output in a format that also considers the time-series change rate of the numerical value.
 さらに、医用情報システム1では、第2の抽出機能153の動作に係るデータセットとして、上述した第2のモデルM2を用いて生成した検査結果DB420が用意される。検査結果DB420は、統合DB410に記憶された検査データ毎に、当該検査データを第2のモデルM2に入力することで得られた第2のデータを対応付けて保持する。 Further, in the medical information system 1, a test result DB 420 generated by using the above-mentioned second model M2 is prepared as a data set related to the operation of the second extraction function 153. The inspection result DB 420 holds the second data obtained by inputting the inspection data into the second model M2 in association with each inspection data stored in the integrated DB 410.
 図4は、検査結果DB420のデータ構成の一例を示す図である。図4に示すように、検査結果DB420は、検査データD2に係る被検体の患者IDと、検査データD2を第2のモデルM2に入力することで得られた第2のデータと、検査データD2を識別する検査結果IDとを対応付けて記憶する。 FIG. 4 is a diagram showing an example of the data structure of the inspection result DB 420. As shown in FIG. 4, the test result DB 420 includes the patient ID of the subject related to the test data D2, the second data obtained by inputting the test data D2 into the second model M2, and the test data D2. Is stored in association with the inspection result ID that identifies.
 なお、上述した第1のモデルM1及び第2のモデルM2は、予め生成されているものとするが、モデルを生成する装置は特に問わないものとする。例えば、第1のモデルM1及び第2のモデルM2は、統合データサーバ400が生成してもよいし、モデル生成用の専用の装置が生成してもよい。また、第1のモデルM1、第2のモデルM2及び検査結果DB420は、医用情報処理装置100の各々が記憶回路120等に保持する形態としてもよいし、統合データサーバ400等の他の装置が保持する形態としてもよい。後者の場合、第1の抽出機能152及び第2の抽出機能153は、統合データサーバ400等の他の装置が保持する第1のモデルM1や検査結果DB420を用いて抽出処理を実行する。 It is assumed that the first model M1 and the second model M2 described above are generated in advance, but the device for generating the model is not particularly limited. For example, the first model M1 and the second model M2 may be generated by the integrated data server 400, or may be generated by a dedicated device for model generation. Further, the first model M1, the second model M2, and the test result DB 420 may be in a form in which each of the medical information processing devices 100 is held in the storage circuit 120 or the like, or another device such as the integrated data server 400 may be used. It may be held in a form. In the latter case, the first extraction function 152 and the second extraction function 153 execute the extraction process using the first model M1 and the inspection result DB 420 held by another device such as the integrated data server 400.
 次に、図5を参照して、上述の第1のモデルM1及び検査結果DB420を用いた、第1の抽出機能152及び第2の抽出機能153の動作について説明する。ここで、図5は、第1の抽出機能152及び第2の抽出機能153の動作の一例を説明するための図である。 Next, with reference to FIG. 5, the operations of the first extraction function 152 and the second extraction function 153 using the above-mentioned first model M1 and the inspection result DB 420 will be described. Here, FIG. 5 is a diagram for explaining an example of the operation of the first extraction function 152 and the second extraction function 153.
 例えば、第1の抽出機能152は、新たに作成された被検体の診療データD1について、記載内容のチェック等がユーザから指示されると、診療データD1を第1のモデルM1に入力する。そして、第1の抽出機能152は、第1のモデルM1の出力結果を、診療データD1に記載された診療内容を表す第1のデータD1aとして抽出(取得)する。図5では、診療データD1を構成するSOAPのカテゴリのうち、O及びAのカテゴリ用に生成された第1のモデルM1a、M1bを用いることで、第1のデータD1a、D1bが抽出された例を示している。 For example, the first extraction function 152 inputs the medical care data D1 to the first model M1 when the user instructs the user to check the description contents of the newly created medical care data D1 of the subject. Then, the first extraction function 152 extracts (acquires) the output result of the first model M1 as the first data D1a representing the medical treatment contents described in the medical treatment data D1. FIG. 5 shows an example in which the first data D1a and D1b are extracted by using the first models M1a and M1b generated for the categories O and A among the SOAP categories constituting the medical care data D1. Is shown.
 一方、第2の抽出機能153は、検査結果DB420を参照し、第1の抽出機能152が抽出した第1のデータD1a、D1bに関連する第2のデータを含んだ被検体の検査データ(検査結果ID)を特定する。具体的には、第2の抽出機能153は、検査結果DB420を参照し、診療データD1に係る被検体の患者IDを含んだデータエントリを絞り込む。次いで、第2の抽出機能153は、第1の抽出機能152が抽出した第1のデータD1a及びD1bと、絞り込んだデータエントリに含まれる第2のデータとを比較し、第1のデータD1a、D1bの各々に関連する第2のデータを含んだデータエントリの検査結果IDを特定する。そして、第2の抽出機能153は、特定した検査結果IDに対応する検査データを統合DB410から抽出する。 On the other hand, the second extraction function 153 refers to the test result DB 420, and the test data (test) of the subject including the second data related to the first data D1a and D1b extracted by the first extraction function 152. Result ID) is specified. Specifically, the second extraction function 153 refers to the test result DB 420 and narrows down the data entries including the patient ID of the subject related to the medical data D1. Next, the second extraction function 153 compares the first data D1a and D1b extracted by the first extraction function 152 with the second data included in the narrowed down data entry, and compares the first data D1a, The inspection result ID of the data entry containing the second data associated with each of D1b is specified. Then, the second extraction function 153 extracts the inspection data corresponding to the specified inspection result ID from the integrated DB 410.
 なお、第1のデータD1a、D1bと第2のデータとの間の関連度は、公知の技術を用いて算出することができる。例えば、第1のデータD1a、D1bと第2のデータとが共にベクトルデータで表される場合、両ベクトルのなす角度等に基づき両データ間の関連度を求めることができる。ここで、関連度は、第1のデータと第2のデータとの対応関係や相関関係の強さを示す指標であり、関連度が高いほど共通する記載内容や類似する記載内容が多く含まれることを意味する。つまり、第2の抽出機能153は、閾値等を用いて関連度がより高い第2のデータを特定することで、診療データD1に記載された診療内容の根拠となる検査結果が記載された検査データを特定する。そして、第2の抽出機能153は、特定した検査結果IDを、処理対象となった診療データD1を識別するカルテIDと対応付けて保持する。なお、第2の抽出機能153は、関連度が閾値を上回る第2のデータが複数存在する場合、関連度が最大の第2のデータを一つ特定してもよいし、全ての第2のデータを特定してもよい。 The degree of relevance between the first data D1a and D1b and the second data can be calculated using a known technique. For example, when the first data D1a, D1b and the second data are both represented by vector data, the degree of relevance between the two data can be obtained based on the angle formed by both vectors. Here, the degree of relevance is an index indicating the strength of the correspondence and correlation between the first data and the second data, and the higher the degree of relevance, the more common or similar description contents are included. Means that. That is, the second extraction function 153 identifies the second data having a higher degree of relevance by using a threshold value or the like, so that the test result described as the basis of the medical treatment content described in the medical treatment data D1 is described. Identify the data. Then, the second extraction function 153 holds the specified test result ID in association with the medical record ID that identifies the medical record data D1 to be processed. When there are a plurality of second data whose relevance exceeds the threshold value, the second extraction function 153 may specify one second data having the maximum relevance, or all the second data. Data may be specified.
 このように、第1の抽出機能152は、第1のモデルM1を用いることで、処理対象なった被検体の診療データから診療内容を表す第1のデータを抽出する。また、第2の抽出機能153は、第1の抽出機能152が抽出した第1のデータに関連する検査結果を表した第2のデータを含む検査データ、つまり診療内容の根拠となる検査結果を含んだ検査データを抽出する。 As described above, the first extraction function 152 extracts the first data representing the medical treatment content from the medical treatment data of the subject to be processed by using the first model M1. In addition, the second extraction function 153 obtains test data including second data representing test results related to the first data extracted by the first extraction function 152, that is, test results that are the basis of medical treatment contents. Extract the included inspection data.
 図2に戻り、判定機能154は、第1の抽出機能152が抽出した第1のデータに含まれる項目と、第2の抽出機能153が特定した検査データの第2のデータに含まれる項目とを比較し、両項目間の対応関係を判定する。ここで、第1のデータ及び第2のデータに含まれる項目は、例えば、単語レベルや文脈レベルで区分された、診療内容や検査結果を表す文字列(数値も含む)を意味する。 Returning to FIG. 2, the determination function 154 includes an item included in the first data extracted by the first extraction function 152 and an item included in the second data of the inspection data specified by the second extraction function 153. To determine the correspondence between the two items. Here, the items included in the first data and the second data mean, for example, character strings (including numerical values) representing medical treatment contents and test results, which are classified at the word level and the context level.
 具体的には、判定機能154は、第1のデータに含まれる項目と第2のデータに含まれる項目との間で、文字列が一致する項目や文字列が意味する内容が類似する項目が存在する場合、それらの両項目間で対応関係が成立すると判定する。また、判定機能154は、第1のデータに含まれる項目と第2のデータに含まれる項目との間で、対応関係の成立しない独立した項目が存在する場合、当該項目の対応関係が不成立と判定する。 Specifically, in the determination function 154, between the items included in the first data and the items included in the second data, items having the same character string or items having similar contents as the character strings have. If it exists, it is determined that a correspondence is established between both of these items. Further, the determination function 154 determines that the correspondence relationship of the item is not established when there is an independent item for which the correspondence relationship is not established between the item included in the first data and the item included in the second data. judge.
 例えば、判定機能154は、第2のデータに含まれた項目に対応する内容が第1のデータに含まれない場合、当該項目の対応関係が不成立と判定する。この場合、対応関係が不成立と判定された項目の検査結果が、診療データの診療内容に反映されていないことを意味する。また、例えば、判定機能154は、第1のデータに含まれた項目に対応する内容が第2のデータに含まれない場合、当該項目の対応関係が不成立と判定する。この場合、対応関係が不成立と判定された項目の診療内容が、検査データの検査結果に基づいていないことを意味する。なお、判定機能154は、第1のデータ及び第2のデータに含まれる全ての項目について対応関係を判定する構成としてもよいし、予め定められたフォーマットの文字列や用語等の項目について対応関係を判定する構成としてもよい。 For example, the determination function 154 determines that the correspondence relationship of the item is not established when the content corresponding to the item included in the second data is not included in the first data. In this case, it means that the test result of the item for which the correspondence relationship is determined not to be established is not reflected in the medical treatment content of the medical treatment data. Further, for example, when the content corresponding to the item included in the first data is not included in the second data, the determination function 154 determines that the correspondence relationship of the item is not established. In this case, it means that the medical treatment content of the item for which the correspondence relationship is determined to be unsuccessful is not based on the test result of the test data. The determination function 154 may be configured to determine the correspondence relationship for all the items included in the first data and the second data, or the correspondence relationship for items such as character strings and terms in a predetermined format. May be configured to determine.
 表示制御機能155は、上述したデータ管理機能151、第1の抽出機能152、第2の抽出機能153及び判定機能154と協働し、医療従事者を支援するための各種画面をディスプレイ140に表示させる。 The display control function 155 cooperates with the above-mentioned data management function 151, the first extraction function 152, the second extraction function 153, and the determination function 154 to display various screens for supporting the medical staff on the display 140. Let me.
 図6は、表示制御機能155によって表示される画面の一例を示す図である。図6に示すように、画面G1は、タイムライン表示領域G11と、データ表示領域G12とを有する。 FIG. 6 is a diagram showing an example of a screen displayed by the display control function 155. As shown in FIG. 6, the screen G1 has a timeline display area G11 and a data display area G12.
 タイムライン表示領域G11には、被検体に対して行われた医療行為の各々がイベントとして時系列順に表示される。イベントは、検体検査システム200により検体検査の取得イベント(検体検査)、放射線部門システム300による生理検査データの取得イベント(生理検査)、放射線部門システム300による画像データ、レポートデータ及びカンファレンスデータの取得イベント(画像検査、レポート、カンファ)、医用情報処理装置100による診療データの取得イベント(カルテ)等を意味する。例えば、表示制御機能155は、患者に対する診療行為のイベントの内容を象徴的に表す図柄を、時系列順に配置して表示する。 In the timeline display area G11, each medical action performed on the subject is displayed as an event in chronological order. The events are a sample test acquisition event (sample test) by the sample test system 200, a physiological test data acquisition event (physiological test) by the radiation department system 300, and an image data, report data, and conference data acquisition event by the radiation department system 300. (Image inspection, report, conference), means an event (carte) for acquiring medical data by the medical information processing apparatus 100, and the like. For example, the display control function 155 arranges and displays symbols symbolically representing the contents of an event of medical practice for a patient in chronological order.
 表示制御機能155は、入力インタフェース130等を介して、タイムライン表示領域G11に表示された何れかのイベントを指定する操作を受け付けると、統合データサーバ400を参照し、指定されたイベントに対応する医用データを取得する。また、表示制御機能155は、タイムライン表示領域G11に表示された表示期間のうちの何れかの時点又は期間を指定する操作を受け付けると、統合データサーバ400を参照し、指定された時点又は期間で実施されたイベントに対応する医用データを取得する。そして、表示制御機能155は、取得した医用データをデータ表示領域G12に表示させる。 When the display control function 155 receives an operation for designating any event displayed in the timeline display area G11 via the input interface 130 or the like, the display control function 155 refers to the integrated data server 400 and responds to the designated event. Get medical data. Further, when the display control function 155 receives an operation for designating any time point or period of the display period displayed in the timeline display area G11, the display control function 155 refers to the integrated data server 400 and refers to the designated time point or period. Acquire medical data corresponding to the event held in. Then, the display control function 155 displays the acquired medical data in the data display area G12.
 例えば、医用データが画像データである場合、表示制御機能155は、当該画像データの内容をデータ表示領域G12内に表示させる。また、例えば、医用データが検体検査データや生理検査データ等である場合、表示制御機能155は、指定された時点の計測値や、指定された期間に得られた各計測値、当該計測値の時系列的変化を示すグラフ等をデータ表示領域G12に表示させる。 For example, when the medical data is image data, the display control function 155 displays the content of the image data in the data display area G12. Further, for example, when the medical data is sample test data, physiological test data, or the like, the display control function 155 uses the measurement value at the specified time point, each measurement value obtained in the designated period, and the measurement value. A graph or the like showing a time-series change is displayed in the data display area G12.
 ここで、医用データの各々は、データ表示領域G12において、データ表示領域G12よりも小さな小領域(以下、パネル)内に表示される。これにより、データ表示領域G12では、複数の医用データを同一の画面内に表示することが可能となっている。 Here, each of the medical data is displayed in the data display area G12 in a small area (hereinafter, panel) smaller than the data display area G12. As a result, in the data display area G12, it is possible to display a plurality of medical data in the same screen.
 なお、パネルの大きさは特に問わないものとする。例えば、パネルの大きさは、医用データのデータ種別毎に定めた固定値であってもよいし、表示する医用データの個数に応じて動的に変化させてもよい。また、データ表示領域G12内に表示可能なパネルの個数も特に問わず、固定値であってもよいし、表示する医用データの個数等に応じて動的に増減させてもよい。また、パネルのレイアウトも特に問わず、固定のレイアウトであってもよいし、表示する医用データの個数等に応じて動的に変化させてもよい。 The size of the panel does not matter. For example, the size of the panel may be a fixed value determined for each data type of medical data, or may be dynamically changed according to the number of medical data to be displayed. Further, the number of panels that can be displayed in the data display area G12 is not particularly limited, and may be a fixed value, or may be dynamically increased or decreased according to the number of medical data to be displayed and the like. Further, the layout of the panel is not particularly limited, and may be a fixed layout, or may be dynamically changed according to the number of medical data to be displayed and the like.
 また、表示制御機能155は、データ管理機能151と協働することで、新たな診療データを作成するためのパネルをデータ表示領域G12に表示させる。具体的には、表示制御機能155は、入力インタフェース130等を介して新たな診療データの作成が指示されると、診療内容を入力することが可能なパネルをデータ表示領域G12に表示させる。 Further, the display control function 155 cooperates with the data management function 151 to display a panel for creating new medical care data in the data display area G12. Specifically, when the display control function 155 is instructed to create new medical care data via the input interface 130 or the like, the display control function 155 displays a panel capable of inputting medical care contents in the data display area G12.
 図7は、表示制御機能155によって表示される画面の一例を示す図であり、診療データの新規作成に係るパネルP11をデータ表示領域G12に表示した例を示している。ここで、パネルP11には、入力インタフェース130等を介して文字を入力することが可能となっている。医用情報処理装置100のユーザは、入力インタフェース130等を操作して、被検体に実施した診療内容をパネルP11に入力する。なお、図6では、被検体の診療内容がSOAP形式で入力された例を示している。 FIG. 7 is a diagram showing an example of a screen displayed by the display control function 155, and shows an example in which the panel P11 related to the new creation of medical care data is displayed in the data display area G12. Here, characters can be input to the panel P11 via the input interface 130 or the like. The user of the medical information processing apparatus 100 operates the input interface 130 and the like to input the medical treatment contents performed on the subject to the panel P11. Note that FIG. 6 shows an example in which the medical treatment content of the subject is input in the SOAP format.
 診療内容がパネルP11に入力された後、入力インタフェース130等を介して記載内容のチェックや作成完了等の指示を受け付けると、データ管理機能151は、パネルP11に入力された内容を新規の診療データとして記憶回路120に保存する。そして、例えば、第1の抽出機能152は、記憶回路120に新規の診療データが保存されると、当該診療データから第1のデータを抽出する。また、第1のデータの抽出に伴い、第2の抽出機能153及び判定機能154が動作する。 After the medical treatment content is input to the panel P11, when an instruction such as checking the description content or completing the creation is received via the input interface 130 or the like, the data management function 151 inputs the content input to the panel P11 to new medical treatment data. Is stored in the storage circuit 120. Then, for example, when new medical data is stored in the storage circuit 120, the first extraction function 152 extracts the first data from the medical data. Further, the second extraction function 153 and the determination function 154 operate with the extraction of the first data.
 表示制御機能155は、第1の抽出機能152が第1のデータの抽出を行った診療データと、第2の抽出機能153が抽出した検査データとを同一の画面に表示させる。具体的には、表示制御機能155は、新たな診療データ(パネルP11)が表示されたデータ表示領域G12内に、第2の抽出機能153が抽出した検査データを表示させる。また、表示制御機能155は、判定機能154で対応関係が成立すると判定された項目同士を識別可能に表示させる。さらに、表示制御機能155は、判定機能154で対応関係が不成立と判定された項目を識別可能に表示させる。 The display control function 155 displays the medical care data from which the first extraction function 152 extracted the first data and the examination data extracted by the second extraction function 153 on the same screen. Specifically, the display control function 155 displays the test data extracted by the second extraction function 153 in the data display area G12 on which new medical data (panel P11) is displayed. Further, the display control function 155 displays items that are determined by the determination function 154 that a correspondence relationship is established so that they can be identified. Further, the display control function 155 displays the items for which the correspondence relationship is determined by the determination function 154 to be identifiable.
 図8は、表示制御機能155によって表示される画面の一例を示す図であり、図7のデータ表示領域G12に第2の抽出機能153で抽出された検査データが表示された状態を示している。図8において、表示制御機能155は、第2の抽出機能153で抽出された検査データをパネルP2として、パネルP11とともにデータ表示領域G12に表示させて。つまり、表示制御機能155は、診療データと当該診療データの根拠となる検査結果が表された検査データとを同一の画面に表示させる。 FIG. 8 is a diagram showing an example of a screen displayed by the display control function 155, showing a state in which the inspection data extracted by the second extraction function 153 is displayed in the data display area G12 of FIG. 7. .. In FIG. 8, the display control function 155 displays the inspection data extracted by the second extraction function 153 as the panel P2 in the data display area G12 together with the panel P11. That is, the display control function 155 displays the medical care data and the test data on which the test result that is the basis of the medical care data is displayed on the same screen.
 また、表示制御機能155は、判定機能154により対応関係が成立すると判定されたパネルP11中の項目A1と、パネルP2中の項目A1’とを識別可能な状態で表示させている。例えば、表示制御機能155は、対応関係にある項目同士を、同じ色や線種の枠線で囲うことで識別可能に表示させる。これにより、医用情報処理装置100のユーザは、識別可能に表示された診療データと検査データとを確認することで、診療内容の根拠となる検査結果が、検査データ中のどこに存在するかを容易に把握することができる。 Further, the display control function 155 displays the item A1 in the panel P11 and the item A1'in the panel P2, which are determined by the determination function 154 to establish a correspondence relationship, in a distinguishable state. For example, the display control function 155 displays the corresponding items so that they can be identified by surrounding them with a frame of the same color or line type. As a result, the user of the medical information processing apparatus 100 can easily find out where in the examination data the examination result, which is the basis of the medical treatment content, exists by confirming the medical treatment data and the examination data displayed in an identifiable manner. Can be grasped.
 また、パネルP2中の項目A2は、第2のデータに存在するが第1のデータには存在しない、対応関係が不成立と判定された項目である。そのため、表示制御機能155は、該当する項目A2を識別可能に表示させる。具体的には、表示制御機能155は、該当する項目A2にマークMK1を付加して表示させることで、項目A2を識別可能に強調表示させている。項目A2にマークMK1を付加することで、当該項目A2を強調して表示させている。これにより、医用情報処理装置100のユーザは、検査データに記載された項目のうち、診療データに反映されていない項目を容易に把握することができる。 Further, the item A2 in the panel P2 is an item that exists in the second data but does not exist in the first data, and the correspondence relationship is determined to be unsuccessful. Therefore, the display control function 155 displays the corresponding item A2 in an identifiable manner. Specifically, the display control function 155 adds the mark MK1 to the corresponding item A2 and displays the item A2 in an identifiable highlight. By adding the mark MK1 to the item A2, the item A2 is highlighted and displayed. As a result, the user of the medical information processing apparatus 100 can easily grasp the items described in the examination data that are not reflected in the medical care data.
 また、図8では、表示制御機能155は、タイムライン表示領域G11に表示されたイベントのうち、対応関係が不成立と判定された項目を含む検査データに対応するイベントを識別可能に表示させている。具体的には、表示制御機能155は、パネルP2に表示した検査データに対応するイベントに対しマークMK2を付加して表示させることで、当該イベントを識別可能に強調表示させている。これにより、医用情報処理装置100のユーザは、タイムライン表示領域G11に表示されたイベントのうち、対応関係が不成立と判定された検査データに係るイベントがどれに該当するかを容易に把握することができる。 Further, in FIG. 8, the display control function 155 identifiablely displays the event corresponding to the inspection data including the item for which the correspondence relationship is determined to be unsuccessful among the events displayed in the timeline display area G11. .. Specifically, the display control function 155 adds the mark MK2 to the event corresponding to the inspection data displayed on the panel P2 and displays the event so as to be identifiable and highlighted. As a result, the user of the medical information processing apparatus 100 can easily grasp which of the events displayed in the timeline display area G11 corresponds to the event related to the inspection data for which the correspondence relationship is determined to be unsuccessful. Can be done.
 なお、図8では、第2のデータに含まれた項目に対応する内容が第1のデータに含まれない場合の表示例を説明したが、第1のデータに含まれた項目に対応する内容が第2のデータに含まれない場合も同様に表示が制御される。具体的には、表示制御機能155は、第1のデータに含まれた項目に対応する内容が第2のデータに含まれない場合、第1のデータに含まれた該当する項目を強調表示等することで、識別可能に表示させる。 In addition, in FIG. 8, the display example when the content corresponding to the item included in the second data is not included in the first data has been described, but the content corresponding to the item included in the first data has been described. Is not included in the second data, the display is controlled in the same manner. Specifically, the display control function 155 highlights the corresponding item included in the first data when the content corresponding to the item included in the first data is not included in the second data. By doing so, it is displayed so that it can be identified.
 また、表示制御機能155は、入力インタフェース130を介した操作等に応じて、対応関係が不成立と判定された項目や医療データに関するコメントを入力することが可能なユーザインタフェースをデータ表示領域G12に表示させる。コメント入力を指示する操作方法は特に問わないものとするが、例えば、マークMK1を項目A2に関するコメントを入力するための操作子として機能させてもよい。この場合、表示制御機能155は、マークMK1に対する操作を受け付けると、図9に示すように、項目A2に関するコメントを入力することが可能な入力領域W1をデータ表示領域G12に表示させる。 Further, the display control function 155 displays in the data display area G12 a user interface capable of inputting a comment regarding an item for which the correspondence relationship is determined to be unsuccessful or medical data in response to an operation or the like via the input interface 130. Let me. The operation method for instructing the comment input is not particularly limited, but for example, the mark MK1 may function as an operator for inputting a comment regarding the item A2. In this case, when the display control function 155 receives the operation for the mark MK1, as shown in FIG. 9, the display control function 155 displays the input area W1 in which the comment regarding the item A2 can be input in the data display area G12.
 図9は、表示制御機能155によって表示される画面の一例を示す図であり、図8のマークMK1が操作された場合の画面例を示している。図9において、入力領域W1には、入力インタフェース130等を介して文字を入力することが可能となっている。医用情報処理装置100のユーザは、入力インタフェース130等を操作することで、項目A2等に関するコメントを入力領域W1に入力することができる。 FIG. 9 is a diagram showing an example of a screen displayed by the display control function 155, and shows a screen example when the mark MK1 of FIG. 8 is operated. In FIG. 9, characters can be input to the input area W1 via the input interface 130 or the like. The user of the medical information processing apparatus 100 can input a comment regarding the item A2 or the like into the input area W1 by operating the input interface 130 or the like.
 入力領域W1に入力する内容は特に問わず、任意の内容を入力することができる。例えば、項目A2に関する検査結果を診療内容に記載しなかったことを説明する内容(以下、不採用理由)を、項目A2に関するコメントとして入力してもよい。また、例えば、項目A2の検査結果に対応する検査の実施を依頼する内容(以下、検査依頼)を、項目A2に関するコメントとして入力してもよい。入力領域W1に入力されたコメントは例えばコメントデータとして、データ管理機能151により、項目A2や当該項目A2を含む診療データに対応付けて記憶される。例えば、検査依頼のコメントデータについては、検査データの生成元のシステムの担当者がその内容を確認することで、被検体の検査が実施される。 The content to be input to the input area W1 is not particularly limited, and any content can be input. For example, the content explaining that the test result regarding the item A2 was not described in the medical treatment content (hereinafter, the reason for non-adoption) may be input as a comment regarding the item A2. Further, for example, the content of requesting the execution of the inspection corresponding to the inspection result of the item A2 (hereinafter referred to as the inspection request) may be input as a comment regarding the item A2. The comment input to the input area W1 is stored as comment data, for example, in association with the item A2 and the medical care data including the item A2 by the data management function 151. For example, with respect to the comment data of the test request, the subject is tested by the person in charge of the system from which the test data is generated confirming the contents.
 また、表示制御機能155は、コメントの目的毎に専用の入力領域W1を表示させてもよい。例えば、表示制御機能155は、マークMK1に対する操作を受け付けると、不採用理由及び検査依頼の何れか一方の目的を選択可能な選択部品を表示させ、選択された目的に応じた入力領域を表示させてもよい。この場合、データ管理機能151は、選択された目的に応じて、コメントデータの管理方法を切り替えてもよい。例えば、検査依頼のコメント情報が入力された場合には、マークMK1が付された検査データや項目に係る検査を行うシステム宛にコメントデータを送信してもよい。 Further, the display control function 155 may display a dedicated input area W1 for each purpose of the comment. For example, when the display control function 155 receives an operation for the mark MK1, it displays a selected component that can select either the reason for non-adoption or the purpose of the inspection request, and displays an input area according to the selected purpose. You may. In this case, the data management function 151 may switch the comment data management method according to the selected purpose. For example, when the comment information of the inspection request is input, the comment data may be transmitted to the inspection data with the mark MK1 or the system for inspecting the item.
 なお、図9では、検査データに対しコメントを入力可能な構成を説明したが、これに限らず、診療データに対してもコメントを入力可能な構成としてもよい。例えば、表示制御機能155は、データ表示領域G12に表示された診療データに対して所定の操作が行われると、図10に示すように、その診療データに対応付けて入力領域W2を表示させる。 Note that FIG. 9 has described a configuration in which comments can be input to examination data, but the present invention is not limited to this, and a configuration in which comments can be input to medical data may also be used. For example, when a predetermined operation is performed on the medical care data displayed in the data display area G12, the display control function 155 causes the input area W2 to be displayed in association with the medical care data as shown in FIG.
 図10は、表示制御機能155によって表示される画面の一例を示す図であり、図8のパネルP11に対しコメント入力指示が行われた場合の画面例を示している。表示制御機能155は、パネルP11に対し所定の操作を受け付け付けると、パネルP11に対応付けて入力領域W2を表示させる。入力領域W2は、入力領域W1と同様、入力インタフェース130等を介して文字を入力することが可能となっている。医用情報処理装置100のユーザは、入力インタフェース130等を操作することで、項目A2や診療データ等に関するコメントを入力領域W1に入力することができる。 FIG. 10 is a diagram showing an example of a screen displayed by the display control function 155, and shows a screen example when a comment input instruction is given to the panel P11 of FIG. When the display control function 155 accepts a predetermined operation from the panel P11, the display control function 155 displays the input area W2 in association with the panel P11. Similar to the input area W1, the input area W2 can input characters via the input interface 130 or the like. The user of the medical information processing apparatus 100 can input a comment regarding the item A2, medical care data, and the like into the input area W1 by operating the input interface 130 and the like.
 例えば、項目A2に関する診療内容を診療データに反映しなかったことを説明する内容(不採用理由)を、項目A2や診療データに関するコメントとして入力してもよい。入力領域W2に入力されたコメントはコメントデータとして、データ管理機能151により、例えば診療データに対応付けて記憶される。なお、診療データの作成完了が指示される前であれば、診療データの診療内容自体を編集することも可能である。 For example, the content (reason for non-adoption) explaining that the medical treatment content related to the item A2 was not reflected in the medical treatment data may be input as a comment regarding the item A2 or the medical treatment data. The comment input to the input area W2 is stored as comment data by the data management function 151 in association with, for example, medical care data. It is also possible to edit the medical treatment content itself of the medical treatment data before the completion of the creation of the medical treatment data is instructed.
 また、データ表示領域G12に表示する診療データの個数は、一に限らず複数であってもよい。例えば、作成途中の診療データが複数存在する場合、表示制御機能155は、それら複数の診療データをデータ表示領域G12に表示させてもよい。また、例えば、表示制御機能155は、タイムライン表示領域G11から指定された過去の診療データを、作成中の診療データとともにデータ表示領域G12に表示させてもよい。なお、過去の診療データについては、第1の抽出機能152、第2の抽出機能153及び判定機能154の処理対象から除外してもよいし、新規作成の診療データと同様に処理対象としてもよい。 Further, the number of medical data displayed in the data display area G12 is not limited to one, and may be plural. For example, when there are a plurality of medical care data being created, the display control function 155 may display the plurality of medical care data in the data display area G12. Further, for example, the display control function 155 may display the past medical care data designated from the timeline display area G11 in the data display area G12 together with the medical care data being created. The past medical care data may be excluded from the processing targets of the first extraction function 152, the second extraction function 153, and the determination function 154, or may be processed as the newly created medical care data. ..
 図11は、表示制御機能155によって表示される画面の一例を示す図であり、複数の診療データが表示された場合の画面例を示している。ここで、データ表示領域G12の左方のパネルP11、P12、P13、P14には、互いに異なる時点の診療データが表示されている。また、データ表示領域G12の右方のパネルP2、P3には、パネルP11、P12、P13、P14の診療データに基づき第2の抽出機能153で抽出された検査データが表示されている。なお、パネルP11及びパネルP2の内容は図8と同様である。 FIG. 11 is a diagram showing an example of a screen displayed by the display control function 155, and shows a screen example when a plurality of medical care data are displayed. Here, on the left panels P11, P12, P13, and P14 of the data display area G12, medical care data at different time points are displayed. Further, in the panels P2 and P3 on the right side of the data display area G12, the test data extracted by the second extraction function 153 based on the medical care data of the panels P11, P12, P13 and P14 is displayed. The contents of the panel P11 and the panel P2 are the same as those in FIG.
 図11において、パネルP3には、パネルP12~P14の診療データの診療内容に関連する3つの検査データ(検体検査)の内容が表示されている。具体的には、パネルP3に表示された項目A3’は、パネルP12の診療データに含まれた項目A3に対応する。また、パネルP3に表示された項目A4’は、パネルP13の診療データに含まれた項目A4に対応する。また、パネルP3に表示された項目A5’は、パネルP14の診療データに含まれた項目A5に対応する。ここで、表示制御機能155は、図7と同様に、対応関係が成立した両項目間を識別可能に表示させている。 In FIG. 11, the panel P3 displays the contents of three test data (specimen tests) related to the medical care contents of the medical care data of the panels P12 to P14. Specifically, the item A3'displayed on the panel P3 corresponds to the item A3 included in the medical data of the panel P12. Further, the item A4'displayed on the panel P3 corresponds to the item A4 included in the medical data of the panel P13. Further, the item A5'displayed on the panel P3 corresponds to the item A5 included in the medical data of the panel P14. Here, the display control function 155 displays, as in FIG. 7, the two items for which the correspondence relationship has been established can be identified.
 なお、図10では、パネルP12~P14の診療データに関連する検査データが、同種の検査結果(検体検査、血液検査)示すものであるため、同一のパネル内に表示する形態としたが、表示形態はこれに限らないものとする。例えば、検査データはグラフ形式等の表示形態で同一パネル内に表示させてもよい。また、例えば、検査データ毎に個別にパネル表示させてもよい。 In FIG. 10, since the test data related to the medical data on the panels P12 to P14 show the same type of test results (sample test, blood test), they are displayed in the same panel. The form is not limited to this. For example, the inspection data may be displayed in the same panel in a display form such as a graph format. Further, for example, the panel may be displayed individually for each inspection data.
 また、例えば検査データが計測値等の数値データである場合、表示制御機能155は、検査データの検査結果が表す計測値が、当該計測値の基準範囲の何れに属するかに応じて、検査データの表示形態を切り替えてもよい。ここで、基準範囲は、正常/異常の判定や重篤度の判別等、被検体の容態(又は状態)を判別するための指標であり、検査種別や計測値毎に予め設定されているものとする。 Further, for example, when the inspection data is numerical data such as a measured value, the display control function 155 displays the inspection data according to which of the reference range of the measured value the measured value represented by the inspection result of the inspection data belongs to. The display form of may be switched. Here, the reference range is an index for determining the condition (or condition) of the subject, such as normal / abnormal determination and severity determination, and is preset for each test type and measured value. And.
 例えば、表示制御機能155は、計測値の基準範囲と、検査データの検査結果が表す計測値とを比較することで被検体の容態の一例である重篤度を判別し、判別した重篤度に応じて、検査データの表示形態を変更する。ここで、表示形態の変更方法は特に問わず、種々の方法を採用することが可能である。例えば、表示制御機能155は、重篤度等の被検体の状態に応じて、検査データの表示色やパネルの色を切り替えてもよい。また、例えば、表示制御機能155は、被検体の状態を表すアイコンやメッセージを、検査データに対応付けて表示させてもよい。これにより、医用情報処理装置100のユーザは、データ表示領域G12に表示された検査データを見ることで、被検体がどのような状態にあるかを容易に把握することができる。 For example, the display control function 155 determines the severity, which is an example of the condition of the subject, by comparing the reference range of the measured value with the measured value represented by the test result of the test data, and the determined severity. The display form of the inspection data is changed according to the above. Here, various methods can be adopted regardless of the method of changing the display form. For example, the display control function 155 may switch the display color of the test data or the color of the panel according to the condition of the subject such as the severity. Further, for example, the display control function 155 may display an icon or a message indicating the state of the subject in association with the test data. As a result, the user of the medical information processing apparatus 100 can easily grasp the state of the subject by looking at the test data displayed in the data display area G12.
 次に、図12を参照して、上述した医用情報処理装置100の動作例について説明する。図12は、医用情報処理装置100が実行する処理の一例を示すフローチャートである。なお、本処理の前提として、被検体の患者IDが入力された後、図6に示す画面がディスプレイ140に表示されているものとする(ステップS11)。また、本処理では、診療データが新たに作成される場合の動作例について説明する。 Next, an operation example of the medical information processing apparatus 100 described above will be described with reference to FIG. FIG. 12 is a flowchart showing an example of processing executed by the medical information processing apparatus 100. As a premise of this process, it is assumed that the screen shown in FIG. 6 is displayed on the display 140 after the patient ID of the subject is input (step S11). In addition, in this process, an operation example when new medical care data is created will be described.
 表示制御機能155は、新たな診療データの作成が指示されるまで待機する(ステップS12;No)。新たな診療データの作成指示を受け付けると(ステップS12;Yes)、表示制御機能155は、データ管理機能151と協働することで、診療内容を入力することが可能な領域(パネル)をデータ表示領域G12に表示させる(ステップS13)。なお、医用情報処理装置100のユーザは、診療データの作成を指示するまでの間、タイムライン表示領域G11を介し、所望の医用データをデータ表示領域G12に表示させることもできる。 The display control function 155 waits until the creation of new medical data is instructed (step S12; No). Upon receiving an instruction to create new medical care data (step S12; Yes), the display control function 155 displays data in an area (panel) into which medical care contents can be input in cooperation with the data management function 151. It is displayed in the area G12 (step S13). The user of the medical information processing apparatus 100 can also display desired medical data in the data display area G12 via the timeline display area G11 until the user gives an instruction to create medical data.
 続いて、データ管理機能151は、入力インタフェース130等を介し、新たに入力された診療内容のチェック指示を受け付けると(ステップS14;Yes)、入力された診療内容を新たな診療データとして記憶回路120に記憶する。なお、チェックが指示されない場合には(ステップS14;No)、ステップS25に移行する。 Subsequently, when the data management function 151 receives a check instruction for the newly input medical treatment content via the input interface 130 or the like (step S14; Yes), the data management function 151 stores the input medical treatment content as new medical treatment data in the storage circuit 120. Remember in. If the check is not instructed (step S14; No), the process proceeds to step S25.
 第1の抽出機能152は、記憶回路120に新たな診療データが記憶されると、当該診療データから診療内容を表す第1のデータを抽出する(ステップS15)。また、第2の抽出機能153は、統合データサーバ400が管理する被検体の診療データの中から、ステップS15で抽出された第1のデータに関連する検査内容を表す第2のデータを含んだ診療データを抽出する(ステップS16)。次いで、判定機能154は、第1のデータに含まれる項目と、第2のデータに含まれる項目とを比較することで、両項目間の対応関係を判定する(ステップS17)。 When new medical care data is stored in the storage circuit 120, the first extraction function 152 extracts the first data representing the medical care content from the medical care data (step S15). In addition, the second extraction function 153 includes the second data representing the test contents related to the first data extracted in step S15 from the medical care data of the subject managed by the integrated data server 400. Medical data is extracted (step S16). Next, the determination function 154 determines the correspondence between the items by comparing the items included in the first data with the items included in the second data (step S17).
 表示制御機能155は、ステップS15~S17の処理結果に基づき、検査データをデータ表示領域G12に表示させる。具体的には、表示制御機能155は、新たに作成された診療データと、第2の抽出機能153が抽出した検査データとをデータ表示領域G12に表示させる(ステップS18)。また、表示制御機能155は、ステップS17で対応関係が成立すると判定された項目同士を識別可能に表示させる(ステップS19)。 The display control function 155 displays the inspection data in the data display area G12 based on the processing results of steps S15 to S17. Specifically, the display control function 155 displays the newly created medical care data and the examination data extracted by the second extraction function 153 in the data display area G12 (step S18). Further, the display control function 155 displays items that are determined to have a correspondence relationship in step S17 so that they can be identified (step S19).
 続いて、表示制御機能155は、ステップS17の判定処理で、対応関係が不成立と判定された項目が存在するか否かを判定する(ステップS20)。対応関係が不成立と判定された項目が存在する場合(ステップS20;Yes)、表示制御機能155は、不成立と判定された項目を強調して表示させ(ステップS21)、ステップS22に移行する。なお、対応関係が不成立と判定された項目が存在しない場合には(ステップS20;No)、ステップS25に移行する。 Subsequently, the display control function 155 determines in the determination process of step S17 whether or not there is an item for which the correspondence relationship is determined to be unsuccessful (step S20). When there is an item for which the correspondence relationship is determined to be unsuccessful (step S20; Yes), the display control function 155 highlights the item determined to be unsuccessful (step S21), and proceeds to step S22. If there is no item for which the correspondence relationship is determined to be unsuccessful (step S20; No), the process proceeds to step S25.
 続いて、表示制御機能155は、入力インタフェース130等を介し、コメント入力が指示されたか否かを判定する(ステップS22)。表示制御機能155は、コメント入力の指示を受け付けると(ステップS22;Yes)、コメント入力用の領域をデータ表示領域G12に表示させる(ステップS23)。そして、コメント入力完了の指示を受け付けると、データ管理機能151は、入力領域に入力された内容をコメントデータとして記憶し(ステップS24)、ステップS25に移行する。なお、コメント入力の指示が行われない場合には(ステップS22;No)、ステップS25に直ちに移行する。 Subsequently, the display control function 155 determines whether or not the comment input is instructed via the input interface 130 or the like (step S22). When the display control function 155 receives the comment input instruction (step S22; Yes), the display control function 155 displays the comment input area in the data display area G12 (step S23). Then, upon receiving the instruction to complete the comment input, the data management function 151 stores the content input in the input area as comment data (step S24), and proceeds to step S25. If the comment input instruction is not given (step S22; No), the process immediately proceeds to step S25.
 続いて、データ管理機能151は、ユーザから診療データの作成完了が指示されたか否かを判定する(ステップS25)。作成完了が指示されない場合(ステップS25;No)、データ管理機能151は、ステップS15に処理を戻すことで、診療データの作成を継続させる。この場合、診療データの状態は作成中となるため、医用情報処理装置100のユーザは、作成中の診療データに対し、対応関係が不成立と判定された項目に関する記載等を直接編集することもできる。 Subsequently, the data management function 151 determines whether or not the user has instructed the completion of creating the medical care data (step S25). When the completion of creation is not instructed (step S25; No), the data management function 151 continues the creation of medical care data by returning the process to step S15. In this case, since the state of the medical information data is being created, the user of the medical information processing apparatus 100 can directly edit the description of the item for which the correspondence relationship is determined to be unsuccessful with respect to the medical information processing device being created. ..
 一方、ユーザから作成完了が指示された場合(ステップS25;Yes)、データ管理機能151は、作成が完了した診療データを記憶回路120に記憶し、当該診療データを統合データサーバ400に送信することで統合DB410に記憶させる(ステップS26)。 On the other hand, when the user instructs the completion of creation (step S25; Yes), the data management function 151 stores the completed medical care data in the storage circuit 120 and transmits the medical care data to the integrated data server 400. Is stored in the integrated DB 410 (step S26).
 上述したように、本実施形態では、被検体の診療データに記載された診療内容に関連する検査結果が記載された検査データを抽出し、診療データと抽出した検査データとを同一の画面に表示させる。また、本実施形態では、診療データと検査データとに含まれる項目の対応関係を判定し、両データの間で対応関係にある項目同士を識別可能に表示させる。これにより、医用情報処理装置100のユーザは、診療データに記載された診療内容の根拠となる検査結果を含んだ検査データを容易に把握することができるとともに、診療内容の根拠となる検査結果が、検査データ中のどこに存在するかを容易に把握することができる。したがって、本実施形態では、診療データの作成及び解読に係る利便性を向上させることができる。 As described above, in the present embodiment, the test data in which the test results related to the medical care content described in the medical care data of the subject are described is extracted, and the medical care data and the extracted test data are displayed on the same screen. Let me. Further, in the present embodiment, the correspondence relationship between the items included in the medical care data and the examination data is determined, and the items having a correspondence relationship between the two data are displayed so as to be distinguishable. As a result, the user of the medical information processing apparatus 100 can easily grasp the test data including the test result that is the basis of the medical care content described in the medical care data, and the test result that is the basis of the medical care content can be obtained. , It is possible to easily grasp where it exists in the inspection data. Therefore, in the present embodiment, it is possible to improve the convenience of creating and decoding medical data.
 また、本実施形態では、診療データと検査データとに含まれる項目で、対応関係の成立しない独立した項目が存在する場合、当該項目を識別可能に表示させる。これにより、本実施形態では、診療データに検査結果の記載もれがある場合や、根拠の不十分な診療内容が診療データに記載されている場合に、該当する項目をユーザに把握させることができるため、不備のある診療データが作成されてしまうことを防止することができる。 Further, in the present embodiment, when there is an independent item for which a correspondence relationship is not established among the items included in the medical care data and the examination data, the item is displayed in an identifiable manner. As a result, in the present embodiment, when there is an omission of the test result in the medical care data, or when the medical care content with insufficient grounds is described in the medical care data, the user can be made to grasp the corresponding item. Therefore, it is possible to prevent incomplete medical data from being created.
 また、本実施形態では、診療データと検査データとの間に、対応関係が不成立と判定された項目が存在する場合、当該項目に関するコメントを入力可能なユーザインタフェースを提供し、入力されたコメント内容を対応付けて保存する。これにより、医用情報処理装置100のユーザは、診療データに検査結果を反映しなかった理由や、根拠の不十分な診療内容を診療データに記載した理由を、コメントとして残すことができる。また、医用情報処理装置100のユーザは、例えば、検査データに記載された検査結果の精度に疑義があるため、診療内容に反映しなかったような場合、医用情報処理装置100が提供するインタフェースを介して再検査を依頼することができる。したがって、本実施形態では、診療データの作成及び解読に係る利便性を向上させることができる。 Further, in the present embodiment, when there is an item for which it is determined that the correspondence relationship is not established between the medical care data and the examination data, a user interface for inputting a comment regarding the item is provided, and the input comment content is provided. Is associated and saved. As a result, the user of the medical information processing apparatus 100 can leave as a comment the reason why the test result is not reflected in the medical care data and the reason why the medical care content with insufficient grounds is described in the medical care data. Further, when the user of the medical information processing device 100 has doubts about the accuracy of the test result described in the test data and therefore does not reflect it in the medical treatment content, the user of the medical information processing device 100 provides an interface provided by the medical information processing device 100. You can request a re-examination through. Therefore, in the present embodiment, it is possible to improve the convenience of creating and decoding medical data.
 なお、上述した実施形態は、医用情報処理装置100が有する構成又は機能の一部を変更することで、適宜に変形して実施することも可能である。そこで、以下では、上述した実施形態に係るいくつかの変形例を説明する。なお、以下では、上述した実施形態と異なる点を主に説明することとし、既に説明した内容と共通する点については詳細な説明を省略する。また、以下で説明する変形例は、個別に実施されてもよいし、適宜組み合わせて実施されてもよい。 It should be noted that the above-described embodiment can be appropriately modified and implemented by changing a part of the configuration or function of the medical information processing apparatus 100. Therefore, in the following, some modifications according to the above-described embodiment will be described. In the following, points different from the above-described embodiment will be mainly described, and detailed description of points common to the contents already described will be omitted. Moreover, the modification described below may be carried out individually or in combination as appropriate.
(変形例1)
 上述した実施形態では、判定機能154の判定結果に基づき、診療データに記載された診療内容の不備(記載もれ、根拠不十分)を報知する形態を説明したが、判定機能154の判定結果は他の用途に用いてもよい。例えば、診療データの作成に係る習熟度や信頼度を判断するため、判定機能154で対応関係が不成立と判定された項目の個数を記録してもよい。
(Modification example 1)
In the above-described embodiment, the mode of notifying the deficiency of the medical treatment content described in the medical treatment data (missing description, insufficient grounds) based on the judgment result of the judgment function 154 has been described. It may be used for other purposes. For example, in order to determine the proficiency level and the reliability level related to the creation of medical data, the number of items for which the correspondence relationship is determined to be unsuccessful by the determination function 154 may be recorded.
 具体的には、データ管理機能151は、新たな診療データが作成される度に、当該診療データについて対応関係が不成立と判定された項目の個数を、診療データの作成者(医療従事者)毎に累計する。累計された値は、例えば、作成者の医療従事者IDと対応付けて、統合データサーバ400の記憶回路等に記憶される。 Specifically, the data management function 151 determines the number of items for which the correspondence relationship is not established for the medical care data for each medical care data creator (medical worker) each time new medical care data is created. Accumulate to. The accumulated value is stored in the storage circuit of the integrated data server 400 or the like in association with, for example, the medical worker ID of the creator.
 これにより、本変形例では、累計された値を参照することで、診療データの作成に係る各医療従事者の習熟度や信頼度を判断することができる。なお、データ管理機能151は、上述した累計値とともに、作成された診療データの総数や、コメントの入力回数等も記録する形態としてもよい。 As a result, in this modified example, the proficiency level and reliability of each medical worker involved in the creation of medical care data can be determined by referring to the accumulated values. The data management function 151 may be in a form of recording the total number of created medical care data, the number of times a comment is input, and the like, in addition to the above-mentioned cumulative value.
(変形例2)
 上述した実施形態では、第1の抽出機能152が第1のデータの抽出を行った診療データを表示する画面に、第2の抽出機能153が抽出した検査データを表示する形態を説明した。しかしながら、第2の抽出機能153が抽出した検査データの個数又は情報量によっては、全ての検査データを画面内に表示することができない場合がある。
(Modification 2)
In the above-described embodiment, the embodiment in which the test data extracted by the second extraction function 153 is displayed on the screen on which the first extraction function 152 displays the medical care data from which the first data has been extracted has been described. However, depending on the number or amount of information of the inspection data extracted by the second extraction function 153, it may not be possible to display all the inspection data on the screen.
 そこで、表示制御機能155は、上述の実施形態で説明した画面例に代えて、例えば図13及び図14に示す画面を表示させてもよい。ここで、図13及び図14は、本変形例の表示制御機能155によって表示される画面の一例を示す図である。 Therefore, the display control function 155 may display, for example, the screens shown in FIGS. 13 and 14 instead of the screen example described in the above-described embodiment. Here, FIGS. 13 and 14 are diagrams showing an example of a screen displayed by the display control function 155 of this modification.
 図13に示すように、画面G2は、第1の実施形態で説明した画面G1と同様にタイムライン表示領域G11と、データ表示領域G12とを有する。また、データ表示領域G12には、第1の実施形態と同様に、診療データが表示される。なお、図13では、一の診療データをパネルP11に表示した例を示しているが、図11で説明したように、複数の診療データを表示することも可能である。 As shown in FIG. 13, the screen G2 has a timeline display area G11 and a data display area G12, similarly to the screen G1 described in the first embodiment. Further, in the data display area G12, medical care data is displayed as in the first embodiment. Although FIG. 13 shows an example in which one medical care data is displayed on the panel P11, it is also possible to display a plurality of medical care data as described with reference to FIG.
 また、データ表示領域G12には、第2の抽出機能153が抽出した検査データを表示するための検査データ表示領域G21が設けられている。具体的には、検査データ表示領域G21には、第2の抽出機能153で抽出された検査データの各々がパネル表示される。図13では、6つの検査データが抽出された例を示しており、検査データの各々がパネルP41~P46として並べて表示される。なお、図13では、パネルP41~P46のうち、パネルP41~P44までが表示された状態を示している、残りのパネルP45、46は非表示の状態となっている。以下、パネルP41~P46を総称してパネルP4ともいう。 Further, the data display area G12 is provided with an inspection data display area G21 for displaying the inspection data extracted by the second extraction function 153. Specifically, in the inspection data display area G21, each of the inspection data extracted by the second extraction function 153 is displayed on a panel. FIG. 13 shows an example in which six inspection data are extracted, and each of the inspection data is displayed side by side as panels P41 to P46. Note that, in FIG. 13, of the panels P41 to P46, the panels P41 to P44 are displayed, and the remaining panels P45 and 46 are in a non-display state. Hereinafter, panels P41 to P46 are collectively referred to as panel P4.
 ここで、検査データ表示領域G21には、スクロールバーG21aが設けられている。スクロールバーG21aは、パネルP4の配列方向にスクロール操作することが可能となっており、ユーザ操作(スクロール操作)に応じて検査データ表示領域G21内のパネルP4を移動させる。例えば、図13の検査データ表示領域G21において、スクロールバーG21aが画面下方向にスクロール操作されると、検査データ表示領域G21内に配列されたパネルP41~P46が画面上方向に移動される。これにより、医用情報処理装置100のユーザは、図14に示すように、図13で非表示となっていたパネルP45、P46を、検査データ表示領域G21内に表示させることができる。 Here, the inspection data display area G21 is provided with a scroll bar G21a. The scroll bar G21a can be scrolled in the arrangement direction of the panel P4, and the panel P4 in the inspection data display area G21 is moved according to the user operation (scrolling operation). For example, in the inspection data display area G21 of FIG. 13, when the scroll bar G21a is scrolled downward on the screen, the panels P41 to P46 arranged in the inspection data display area G21 are moved upward on the screen. As a result, as shown in FIG. 14, the user of the medical information processing apparatus 100 can display the panels P45 and P46, which were hidden in FIG. 13, in the examination data display area G21.
 また、表示制御機能155は、上述した実施形態と同様に、判定機能154により対応関係が成立すると判定された診療データ及び検査データ中の項目を識別可能に表示させる。例えば、図13及び図14では、表示制御機能155は、判定機能154で対応関係が成立すると判定されたパネルP11中の項目A11と、パネルP41~P46中の項目A11’とを識別可能に表示させている。これにより、本変形例に係る医用情報処理装置100では、上述した実施形態と同様の効果を奏することができる。これにより、医用情報処理装置100のユーザは、識別可能に表示された診療データと検査データとを確認することで、診療内容の根拠となる検査結果が、検査データ中のどこに存在するかを容易に把握することができる。 Further, the display control function 155 displays the items in the medical care data and the examination data for which the correspondence relationship is determined by the determination function 154 so as to be distinguishable, as in the above-described embodiment. For example, in FIGS. 13 and 14, the display control function 155 can distinguish between the item A11 in the panel P11 and the item A11'in the panels P41 to P46, which are determined by the determination function 154 to establish a correspondence relationship. I'm letting you. As a result, the medical information processing apparatus 100 according to the present modification can achieve the same effect as that of the above-described embodiment. As a result, the user of the medical information processing apparatus 100 can easily find out where in the examination data the examination result, which is the basis of the medical treatment content, exists by confirming the medical treatment data and the examination data displayed in an identifiable manner. Can be grasped.
 また、表示制御機能155は、上述した実施形態と同様に、判定機能154により対応関係が不成立と判定された項目を識別可能に表示させる。例えば、図13及び図14では、表示制御機能155は、判定機能154で対応関係が不成立と判定されたパネルP22、P24中の項目A12、A13にマークMK1を付加して表示させている。これにより、本変形例に係る医用情報処理装置100では、上述した実施形態と同様の効果を奏することができる。これにより、医用情報処理装置100のユーザは、検査データに記載された項目のうち、診療データに反映されていない項目を容易に把握することができる。 Further, the display control function 155 causes the determination function 154 to identifiable the items for which the correspondence relationship is determined to be unsuccessful, as in the above-described embodiment. For example, in FIGS. 13 and 14, the display control function 155 adds the mark MK1 to the items A12 and A13 in the panels P22 and P24 that are determined by the determination function 154 that the correspondence relationship is not established. As a result, the medical information processing apparatus 100 according to the present modification can achieve the same effect as that of the above-described embodiment. As a result, the user of the medical information processing apparatus 100 can easily grasp the items described in the examination data that are not reflected in the medical care data.
 また、データ表示領域G12には、第2の抽出機能153が抽出した検査データの表示を指示するための操作子が表示される。図13及び図14では、検査データ表示領域G21の右方に、操作子の一例である操作パネルP51~P56を表示させた例を示している。以下、操作パネルP51~P56を総称して操作パネルP5とも表記する。 Further, in the data display area G12, an operator for instructing the display of the inspection data extracted by the second extraction function 153 is displayed. 13 and 14 show an example in which operation panels P51 to P56, which are examples of operators, are displayed on the right side of the inspection data display area G21. Hereinafter, the operation panels P51 to P56 are collectively referred to as the operation panel P5.
 操作パネルP5は、第2の抽出機能153で抽出された検査データ毎に設けられる。操作パネルP5には、対応する検査データを識別可能な情報が表示される。例えば、操作パネルP5には、検査データの作成日、検査データの種別、データ名等の情報が表示される。ここで、操作パネルP51~P56の各々は、パネルP41~P46で表された検査データの各々に対応する。一例として、操作パネルP51には、対応する検査データ(パネルP41の検査データ)の作成日の他、その検査データのデータ名「検査X1」が表示されている。これにより、医用情報処理装置100のユーザは、操作パネルP5の各々が、どの検査データの表示を指示するものかを容易に把握することができる。 The operation panel P5 is provided for each inspection data extracted by the second extraction function 153. Information that can identify the corresponding inspection data is displayed on the operation panel P5. For example, information such as an inspection data creation date, an inspection data type, and a data name is displayed on the operation panel P5. Here, each of the operation panels P51 to P56 corresponds to each of the inspection data represented by the panels P41 to P46. As an example, on the operation panel P51, in addition to the creation date of the corresponding inspection data (inspection data of the panel P41), the data name “inspection X1” of the inspection data is displayed. As a result, the user of the medical information processing apparatus 100 can easily grasp which test data is instructed to be displayed by each of the operation panels P5.
 また、表示制御機能155は、第2の抽出機能153が抽出した検査データの中に、対応関係が不成立と判定された項目が含まれる場合、当該検査データに対応する操作パネルP5に、不成立と判定された項目が存在することを示す情報を付加して表示させる。上述したように、図13、図14の例では、パネルP43及びP45に係る検査データの中に、対応関係が不成立と判定された項目A12、A13が含まれる。そのため、表示制御機能155は、パネルP43及びP45の検査データに対応する操作パネルP53及びP55に対し、不成立と判定された項目が存在することを示すマークMK3を付加して表示させている。これにより、医用情報処理装置100のユーザは、診療データに反映されていない項目を有する検査データの操作パネルP5を容易に把握することができる。 Further, when the inspection data extracted by the second extraction function 153 includes an item for which the correspondence relationship is determined to be unsuccessful, the display control function 155 indicates that the operation panel P5 corresponding to the inspection data is unsuccessful. Information indicating that the determined item exists is added and displayed. As described above, in the examples of FIGS. 13 and 14, the inspection data related to the panels P43 and P45 include items A12 and A13 for which it is determined that the correspondence relationship is not established. Therefore, the display control function 155 adds a mark MK3 indicating that an item determined to be unsuccessful exists to the operation panels P53 and P55 corresponding to the inspection data of the panels P43 and P45 to be displayed. As a result, the user of the medical information processing apparatus 100 can easily grasp the operation panel P5 of the examination data having items that are not reflected in the medical treatment data.
 表示制御機能155は、操作パネルP5に対する選択操作を受け付けると、選択された操作パネルP5に対応する検査データを、検査データ表示領域G21内に表示させる。ここで、操作パネルP5を介した検査データの表示方法は特に問わず、種々の表示方法を用いることができる。 When the display control function 155 receives the selection operation for the operation panel P5, the display control function 155 displays the inspection data corresponding to the selected operation panel P5 in the inspection data display area G21. Here, the display method of the inspection data via the operation panel P5 is not particularly limited, and various display methods can be used.
 例えば、図13で示したように、第2の抽出機能153で抽出された検査データが、スクロール可能な形態で予め検査データ表示領域G21に表示されている場合、以下の表示方法の何れか又は全てを用いてもよう。一例として、表示制御機能155は、選択された操作パネルP5に対応する検査データのパネルP4が検査データ表示領域G21内に表示されるよう自動でスクロールさせてもよい。この場合、表示制御機能155は、選択された操作パネルP5に対応する検査データのパネルP4が、検査データ表示領域G21の中央に位置するよう自動でスクロールさせてもよい。また、表示制御機能155は、選択された操作パネルP5に対応する検査データのパネルP4を識別可能に表示させてもよい。 For example, as shown in FIG. 13, when the inspection data extracted by the second extraction function 153 is displayed in advance in the inspection data display area G21 in a scrollable form, any of the following display methods or You can use all of them. As an example, the display control function 155 may automatically scroll the inspection data panel P4 corresponding to the selected operation panel P5 so that it is displayed in the inspection data display area G21. In this case, the display control function 155 may automatically scroll the inspection data panel P4 corresponding to the selected operation panel P5 so as to be located at the center of the inspection data display area G21. Further, the display control function 155 may display the inspection data panel P4 corresponding to the selected operation panel P5 in an identifiable manner.
 また、他の表示方法として、表示制御機能155は、図15に示すように、選択された操作パネルP5に対応する検査データのパネルP4のみを検査データ表示領域G21内に表示させてもよい。ここで、図15は、本変形例の表示制御機能155によって表示される画面の一例を示す図であり、操作パネルP53が選択された場合の表示例を示している。 Further, as another display method, as shown in FIG. 15, the display control function 155 may display only the inspection data panel P4 corresponding to the selected operation panel P5 in the inspection data display area G21. Here, FIG. 15 is a diagram showing an example of a screen displayed by the display control function 155 of this modification, and shows a display example when the operation panel P53 is selected.
 図15に示すように、操作パネルP53の選択を受け付けると、表示制御機能155は、この操作パネルP53に対応する検査データを表したパネルP43を、検査データ表示領域G21に表示させる。この場合、例えば、操作パネルP5をトグルボタン等とすることで、選択と解除とを交互に切り替え可能な構成としてもよい。 As shown in FIG. 15, when the selection of the operation panel P53 is accepted, the display control function 155 displays the panel P43 representing the inspection data corresponding to the operation panel P53 in the inspection data display area G21. In this case, for example, the operation panel P5 may be a toggle button or the like so that selection and deactivation can be switched alternately.
 なお、図15の表示方法の場合、操作パネルP5を介して選択可能な検査データの個数は一個に限らず複数個であってもよい。例えば、操作パネルP53、P55が選択された場合には、表示制御機能155は、これらの操作パネルP53、P55に対応する検査データのパネルP43、P45を、検査データ表示領域G21内に並べて表示させる。ここで、パネルP4の配列順序は、作成日の順であってもよいし、操作パネルP5で選択された検査データの順であってもよい。 In the case of the display method of FIG. 15, the number of inspection data that can be selected via the operation panel P5 is not limited to one, and may be a plurality. For example, when the operation panels P53 and P55 are selected, the display control function 155 displays the inspection data panels P43 and P45 corresponding to these operation panels P53 and P55 side by side in the inspection data display area G21. .. Here, the arrangement order of the panel P4 may be the order of the creation date or the order of the inspection data selected on the operation panel P5.
 以上のように、本変形例によれば、第2の抽出機能153が抽出した検査データの全てを、同一の画面内に一度に表示させることができないような場合であっても、非表示分の検査データを簡易な操作で表示させることができる。したがって、本変形例では、診療データの作成及び解読に係る利便性を向上させることができる。 As described above, according to the present modification, even if it is not possible to display all the inspection data extracted by the second extraction function 153 on the same screen at once, the hidden portion Inspection data can be displayed with a simple operation. Therefore, in this modification, the convenience related to the creation and decoding of medical data can be improved.
(変形例3)
 上述した実施形態では、医用情報処理装置100が、データ管理機能151、第1の抽出機能152、第2の抽出機能153、判定機能154及び表示制御機能155を備える形態としたが、これら機能の一部又は全てを、医用情報処理装置100以外の装置が具備する形態としてもよい。
(Modification 3)
In the above-described embodiment, the medical information processing apparatus 100 includes a data management function 151, a first extraction function 152, a second extraction function 153, a determination function 154, and a display control function 155. A part or all of the device may be provided by a device other than the medical information processing device 100.
 例えば、統合データサーバ400が、上述した各機能の一部又は全てを備える形態としてもよい。この場合、統合データサーバ400は、医用情報処理装置として機能し、例えば、Webサービス等の形態で上述した各種の画面を医用情報処理装置100のディスプレイ140に表示させる。また、医用情報処理装置は一のコンピュータ装置に限らず、ネットワーク接続された複数のコンピュータ装置により実現されてもよい。 For example, the integrated data server 400 may have a part or all of the above-mentioned functions. In this case, the integrated data server 400 functions as a medical information processing device, for example, displaying various screens described above in the form of a Web service or the like on the display 140 of the medical information processing device 100. Further, the medical information processing device is not limited to one computer device, and may be realized by a plurality of computer devices connected to a network.
 なお、上述した各実施形態では、本明細書におけるデータ管理部、第1の抽出部、第2の抽出部、判定部及び表示制御部を、それぞれ、処理回路150のデータ管理機能151、第1の抽出機能152、第2の抽出機能153、判定機能154及び表示制御機能155によって実現する場合の例を説明したが、実施形態はこれに限られない。例えば、本明細書におけるデータ管理部、第1の抽出部、第2の抽出部、判定部及び表示制御部は、実施形態で述べたデータ管理機能151、第1の抽出機能152、第2の抽出機能153、判定機能154及び表示制御機能155によって実現する他にも、ハードウェアのみ、又は、ハードウェアとソフトウェアとの混合によって同機能を実現するものであっても構わない。 In each of the above-described embodiments, the data management unit, the first extraction unit, the second extraction unit, the determination unit, and the display control unit in the present specification are the data management functions 151 and the first of the processing circuit 150, respectively. Although the case of being realized by the extraction function 152, the second extraction function 153, the determination function 154, and the display control function 155 of the above is described, the embodiment is not limited to this. For example, the data management unit, the first extraction unit, the second extraction unit, the determination unit, and the display control unit in the present specification include the data management function 151, the first extraction function 152, and the second In addition to being realized by the extraction function 153, the determination function 154, and the display control function 155, the same function may be realized only by the hardware or by mixing the hardware and the software.
 また、上述した説明で用いた「プロセッサ」という文言は、例えば、CPU(Central Processing Unit)、GPU(Graphics Processing Unit)、或いは、特定用途向け集積回路(Application Specific Integrated Circuit:ASIC)、プログラマブル論理デバイス(例えば、単純プログラマブル論理デバイス(Simple Programmable Logic Device:SPLD)、複合プログラマブル論理デバイス(Complex Programmable Logic Device:CPLD)、及びフィールドプログラマブルゲートアレイ(Field Programmable Gate Array:FPGA))等の回路を意味する。プロセッサは、記憶回路120に保存されたプログラムを読み出して実行することで、機能を実現する。なお、記憶回路120にプログラムを保存する代わりに、プロセッサの回路内にプログラムを直接組み込むように構成しても構わない。この場合は、プロセッサは回路内に組み込まれたプログラムを読み出して実行することで機能を実現する。また、本実施形態のプロセッサは、単一の回路として構成される場合に限らず、複数の独立した回路を組み合わせて一つのプロセッサとして構成され、その機能を実現するようにしてもよい。 Further, the word "processor" used in the above description is, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an integrated circuit for a specific application (Application Specific Integrated Circuit: ASIC), or a programmable logic device. (For example, it means a circuit such as a simple programmable logic device (Simple Programmable Logic Device: SPLD), a compound programmable logic device (Complex Programmable Logic Device: CPLD), and a field programmable gate array (Field Programmable Gate Array: FPGA). The processor realizes the function by reading and executing the program stored in the storage circuit 120. Instead of storing the program in the storage circuit 120, the program may be directly incorporated in the circuit of the processor. In this case, the processor realizes the function by reading and executing the program embedded in the circuit. Further, the processor of the present embodiment is not limited to the case where it is configured as a single circuit, and a plurality of independent circuits may be combined to be configured as one processor to realize its function.
 ここで、プロセッサによって実行されるプログラムは、ROM(Read Only Memory)や記憶回路等に予め組み込まれて提供される。なお、このプログラムは、これらの装置にインストール可能な形式又は実行可能な形式のファイルでCD(Compact Disk)-ROM、FD(Flexible Disk)、CD-R(Recordable)、DVD(Digital Versatile Disk)等のコンピュータで読み取り可能な記憶媒体に記録されて提供されてもよい。また、このプログラムは、インターネット等のネットワークに接続されたコンピュータ上に格納され、ネットワーク経由でダウンロードされることにより提供又は配布されてもよい。例えば、このプログラムは、上述した各機能部を含むモジュールで構成される。実際のハードウェアとしては、CPUが、ROM等の記憶媒体からプログラムを読み出して実行することにより、各モジュールが主記憶装置上にロードされて、主記憶装置上に生成される。 Here, the program executed by the processor is provided in advance in a ROM (Read Only Memory), a storage circuit, or the like. This program is a file in a format that can be installed or executed on these devices, such as CD (Compact Disk) -ROM, FD (Flexible Disk), CD-R (Recordable), DVD (Digital Versatile Disk), etc. It may be recorded and provided on a computer-readable storage medium. Further, this program may be provided or distributed by being stored on a computer connected to a network such as the Internet and downloaded via the network. For example, this program is composed of modules including the above-mentioned functional parts. In actual hardware, the CPU reads a program from a storage medium such as a ROM and executes it, so that each module is loaded on the main storage device and generated on the main storage device.
 以上説明した少なくとも1つの実施形態及び変形例によれば、診療データに記載された診療内容と、当該診療内容の根拠となる検査結果との対応関係を容易に把握することができる。 According to at least one embodiment and modification described above, it is possible to easily grasp the correspondence between the medical treatment content described in the medical treatment data and the test result that is the basis of the medical treatment content.
 本発明のいくつかの実施形態を説明したが、これらの実施形態は、例として提示したものであり、発明の範囲を限定することは意図していない。これらの実施形態は、その他の様々な形態で実施されることが可能であり、発明の要旨を逸脱しない範囲で、種々の省略、置き換え、変更を行うことができる。これらの実施形態やその変形は、発明の範囲や要旨に含まれると同様に、請求の範囲に記載された発明とその均等の範囲に含まれるものである。 Although some embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other embodiments, and various omissions, replacements, and changes can be made without departing from the gist of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention as well as the invention described in the claims and the equivalent scope thereof.
 1 医用情報処理システム
 100 医用情報処理装置
 151 データ管理機能
 152 第1の抽出機能
 153 第2の抽出機能
 154 判定機能
 155 表示制御機能
1 Medical information processing system 100 Medical information processing device 151 Data management function 152 First extraction function 153 Second extraction function 154 Judgment function 155 Display control function

Claims (11)

  1.  被検体の診療内容が記載された診療データから、前記診療内容を表す第1のデータを抽出する第1の抽出部と、
     前記被検体の検査結果が記載された一又は複数の検査データの中から、前記第1のデータに関連する前記検査結果を表した第2のデータを含む検査データを抽出する第2の抽出部と、
     前記第1の抽出部が抽出した前記第1のデータに含まれる項目と、前記第2の抽出部が抽出した前記検査データの前記第2のデータに含まれる項目とを比較し、両項目間の対応関係を判定する判定部と、
     前記診療データと前記第2の抽出部が抽出した前記検査データとを同一の画面に表示させるとともに、前記判定部で対応関係が成立すると判定された項目同士を識別可能に表示させる表示制御部と、
     を備える医用情報処理装置。
    A first extraction unit that extracts the first data representing the medical treatment content from the medical treatment data in which the medical treatment content of the subject is described, and a first extraction unit.
    A second extraction unit that extracts test data including second data representing the test results related to the first data from one or more test data in which the test results of the subject are described. When,
    The items included in the first data extracted by the first extraction unit and the items included in the second data of the inspection data extracted by the second extraction unit are compared, and between the two items. And the judgment unit that determines the correspondence between
    A display control unit that displays the medical data and the inspection data extracted by the second extraction unit on the same screen, and displays items that are determined by the determination unit to have a correspondence relationship in an identifiable manner. ,
    Medical information processing device equipped with.
  2.  前記判定部は、前記第1のデータに含まれる項目と前記第2のデータに含まれる項目との間で、その内容が一致又は類似する場合、当該項目間で対応関係が成立すると判定する請求項1に記載の医用情報処理装置。 A claim that the determination unit determines that a correspondence relationship is established between the items included in the first data and the items included in the second data when the contents match or are similar. Item 1. The medical information processing apparatus according to item 1.
  3.  前記判定部は、前記第1のデータに含まれる項目と前記第2のデータに含まれる項目との間に、対応関係の成立しない独立した項目が存在する場合、当該項目の対応関係が不成立と判定し、
     前記表示制御部は、前記判定部で対応関係が不成立と判定された項目を識別可能に表示させる請求項1に記載の医用情報処理装置。
    When the determination unit has an independent item for which a correspondence relationship is not established between the item included in the first data and the item included in the second data, the correspondence relationship of the item is not established. Judge,
    The medical information processing device according to claim 1, wherein the display control unit displays items for which a correspondence relationship is determined to be unsuccessful by the determination unit in an identifiable manner.
  4.  前記判定部は、前記第2のデータに含まれた項目に対応する内容が前記第1のデータに含まれない場合、又は前記第1のデータに含まれた項目に対応する内容が前記第2のデータに含まれない場合、当該項目の対応関係が不成立と判定し、
     前記表示制御部は、前記判定部で対応関係が不成立と判定された項目を識別可能に表示させる請求項1に記載の医用情報処理装置。
    In the determination unit, when the content corresponding to the item included in the second data is not included in the first data, or the content corresponding to the item included in the first data is the second. If it is not included in the data of, it is judged that the correspondence of the item is not established, and
    The medical information processing device according to claim 1, wherein the display control unit displays items for which a correspondence relationship is determined to be unsuccessful by the determination unit in an identifiable manner.
  5.  前記表示制御部は、前記判定部で対応関係が不成立と判定された項目に関するコメントを入力することが可能なユーザインタフェースを前記画面に表示させる請求項3又は4に記載の医用情報処理装置。 The medical information processing device according to claim 3 or 4, wherein the display control unit displays a user interface on the screen capable of inputting a comment regarding an item for which the correspondence relationship is determined not to be established by the determination unit.
  6.  前記表示制御部は、前記第2の抽出部が抽出した前記検査データ毎に当該検査データの表示を指示するための操作子を前記画面に表示させ、前記操作子に対する操作に応じて当該操作子に対応する前記検査データを前記画面に表示させる請求項1に記載の医用情報処理装置。 The display control unit displays on the screen an operator for instructing the display of the inspection data for each of the inspection data extracted by the second extraction unit, and the operator responds to an operation on the operator. The medical information processing apparatus according to claim 1, wherein the test data corresponding to the above is displayed on the screen.
  7.  前記表示制御部は、前記第2の抽出部が抽出した前記検査データの中に、前記判定部で対応関係が不成立と判定された項目が含まれる場合、当該検査データに対応する前記操作子に、不成立と判定された項目が存在することを示す情報を付加して表示させる請求項6に記載の医用情報処理装置。 When the inspection data extracted by the second extraction unit includes an item for which the correspondence relationship is determined not to be established by the determination unit, the display control unit causes the operator corresponding to the inspection data. The medical information processing apparatus according to claim 6, wherein information indicating that an item determined to be unsuccessful exists is added and displayed.
  8.  前記表示制御部は、前記検査データが数値データである場合、前記検査データの検査結果が表す計測値と、前記被検体の容態判別に係る前記計測値の基準範囲とを比較することで判別した前記被検体の容態に応じて、前記検査データの表示形態を切り替える請求項1に記載の医用情報処理装置。 When the test data is numerical data, the display control unit determines by comparing the measured value represented by the test result of the test data with the reference range of the measured value related to the condition determination of the subject. The medical information processing apparatus according to claim 1, wherein the display form of the test data is switched according to the condition of the subject.
  9.  新たな前記診療データの作成に係る処理を実行するデータ管理部を更に備え、
     前記第1の抽出部は、前記データ管理部により前記診療データの作成に係る処理が実行された場合に、当該診療データから前記第1のデータを抽出する請求項1に記載の医用情報処理装置。
    Further equipped with a data management unit that executes processing related to the creation of the new medical care data,
    The medical information processing apparatus according to claim 1, wherein the first extraction unit extracts the first data from the medical data when the data management unit executes a process related to the creation of the medical data. ..
  10.  前記データ管理部は、前記判定部で対応関係が不成立と判定された前記項目の個数を、前記診療データを作成した医療従事者毎に累計する請求項9に記載の医用情報処理装置。 The medical information processing device according to claim 9, wherein the data management unit accumulates the number of the items for which the correspondence relationship is determined by the determination unit for each medical worker who created the medical data.
  11.  被検体の診療内容が記載された診療データから、前記診療内容を表す第1のデータを抽出し、
     前記被検体の検査結果が記載された一又は複数の検査データの中から、前記第1のデータに関連する前記検査結果を表した第2のデータを含む検査データを抽出し、
     前記第1のデータに含まれる項目と、抽出された前記検査データの前記第2のデータに含まれる項目とを比較し、両項目間の対応関係を判定し、
     前記診療データと抽出した前記検査データとを同一の画面に表示させるとともに、対応関係が成立すると判定された項目同士を識別可能に表示させる、
     ことを含む医用情報処理方法。
    From the medical care data in which the medical care contents of the subject are described, the first data representing the medical care contents is extracted, and the first data is extracted.
    From one or more test data in which the test results of the subject are described, test data including the second data representing the test results related to the first data is extracted.
    The item included in the first data is compared with the item included in the second data of the extracted inspection data, and the correspondence between the two items is determined.
    The medical care data and the extracted test data are displayed on the same screen, and items determined to have a correspondence relationship are displayed in an identifiable manner.
    Medical information processing methods including that.
PCT/JP2020/015212 2019-04-05 2020-04-02 Medial information processing device and medical information processing method WO2020204140A1 (en)

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JP2008305359A (en) * 2007-06-11 2008-12-18 Nidek Co Ltd Medical information management system
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