JP2019101491A - Medical treatment support apparatus, medical treatment support method, medical treatment support program and medical treatment support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical care support device, a medical care support method, a medical care support program and a medical care support system capable of storing not only positive but also negative symptom information in an electronic medical record at the time of interview. A medical treatment support device includes a storage unit that stores a diagnostic table in which a disease name is associated with a symptom, a display control unit that outputs display information of a plurality of inquiry items to a terminal, and positive and negative symptoms from the terminal. An acquisition unit that acquires a medical inquiry answer including It was equipped with a registration unit that registers the positive and negative symptoms included in the interview answers and the suspected disease name estimated by the estimation unit as medical record information. [Selection diagram] Fig. 2

Description

  The present invention relates to a medical care support apparatus, a medical care support method, a medical care support program, and a medical care support system.

  In recent years, along with the digitization of information, at medical sites as well, efficiency of medical services has been improved by the introduction of appointment systems for hospitals and clinics using patient's mobile phones and electronic medical records etc. There is.

  For example, using the Internet, the patient's registration with the patient for a medical examination, reservation of medical examination time, settlement of medical treatment fee, designation of a dispensing pharmacy who wants to receive prescribed medicine, and charge settlement of prescribed medicine Has been disclosed a system that can be performed consistently with a smartphone (see, for example, Patent Document 1).

  In addition, for the purpose of enabling anyone to easily and quickly record and view medical information, a recording method and a display method of an electronic medical record have been proposed (see, for example, Patent Document 1 and Patent Document 2). In Patent Document 2, as a method for supporting the medical treatment of a patient, a medical worker such as a doctor or a nurse is inputting medical record information on a certain patient, and another medical worker is inputting on the same patient. An electronic medical record program capable of referring to medical record information is described. Further, Patent Document 3 reads finding data from a finding data file in which patient's past finding data is recorded, displays only information on symptoms that have not been cured, as a finding input sheet for re-examination, A method is disclosed for recording the findings data file upon receipt of the input of findings information on symptoms not included.

JP, 2016-110247, A JP, 2016-189151, A JP 2007-128552 A

  In addition to performing consultation appointment in advance using terminals such as a patient's cell phone as a method of providing more convenient medical support by utilizing these technologies, in addition to making a medical examination reservation, the patient is suspected It is conceivable to present the name of the disease to be treated and the department to be examined.

  In particular, as in the invention disclosed in Patent Document 3, it is important for performing appropriate diagnosis and treatment to display only symptoms that are currently being treated and not cured of the patient as finding data. . On the other hand, when a doctor diagnoses a disease, it is equally important to grasp the symptoms not appearing in the patient at the time of diagnosis. For example, although it was a symptom that was negative at the time of the first examination, the symptom changes or a complication is caused in the process of continuing the treatment thereafter, and a new symptom is accompanied at some point in the treatment progress Sometimes. In addition, in the case of symptoms that appear commonly in multiple disease names, diagnosis is made by a method of deleting disease names that are not applicable based on symptoms that have not appeared and narrowing down to a specific disease name . Furthermore, in cases where medical errors are suspected, there may be a case where the fact that certain symptoms have not appeared at the time of diagnosis or at the time of medical practice becomes a problem.

  However, the method described in Patent Document 3 can not solve the above-mentioned problems because symptoms not appearing in the patient are not displayed in the finding data.

  In order to solve the above problems, a medical treatment support apparatus according to the present invention includes a storage unit that stores a diagnosis table in which a disease name is associated with a symptom, a display control unit that outputs display information of a plurality of inquiry items to a terminal, From the acquisition unit that acquires a questionnaire response including positive symptoms and negative symptoms and the diagnosis table, the name of the disease associated with the positive symptom included in the inquiry response acquired by the acquisition unit is suspected And a registration unit for registering, as medical chart information, positive symptoms and negative symptoms included in the inquiry response and disease names suspected of being estimated by the estimation unit.

  According to the present invention, information on symptoms indicating not only positive but also negative at the time of inquiry can be stored in the electronic medical record.

FIG. 1 is a diagram showing an example of the entire configuration of a medical care support system according to a first embodiment. FIG. 2 is a block diagram showing an example of a functional configuration of the medical treatment support device in the first embodiment. FIG. 6 is a diagram showing an example of a medical inquiry format in the first embodiment. It is a figure which shows the example of a display screen of the inquiry and the answer output by the inquiry output rule in Embodiment 1. FIG. FIG. 6 is a diagram showing an example of a diagnosis table in the first embodiment. 5 is a view showing an example of medical chart information in Embodiment 1. FIG. FIG. 7 is a view showing an example of a display screen of an answer result in the first embodiment. FIG. 7 is a view showing an example of a display screen of medical record information in the first embodiment. 5 is a block diagram showing a functional configuration of a user terminal in Embodiment 1. FIG. FIG. 2 is a block diagram showing an example of a functional configuration of a hospital terminal in the first embodiment. FIG. 2 is a block diagram showing an example of a functional configuration of the information processing apparatus in Embodiment 1. It is a sequence diagram which shows the registration process of the chart information by the user terminal in Embodiment 1, a hospital terminal, a medical treatment assistance apparatus, and an information processing apparatus. FIG. 7 is a schematic view showing an outline of a medical care support system in a second embodiment. FIG. 13 is a block diagram showing an example of a functional configuration of the medical support device according to the second embodiment. FIG. 18 is a diagram showing an example of a diagnosis table in the second embodiment. FIG. 18 is a diagram showing an example of medical chart summary information in the second embodiment. FIG. 14 is a diagram showing an example of a simple descriptive sentence of a disease name in the second embodiment. It is a figure which shows an example of the display screen of the inquiry in Embodiment 2. FIG. FIG. 18 is a diagram showing an example of medical chart summary information in the second embodiment. FIG. 18 is a diagram showing another example of medical chart summary information in the second embodiment. It is a block diagram which shows the function structure of the user terminal in Embodiment 2. FIG. It is a sequence diagram of display processing of chart summary information by a user terminal, a medical treatment support device, and an information processor in a second embodiment. It is a sequence diagram of a process of a search of a medical institution by a user terminal, medical treatment support device, and information processor 7 in a 2nd embodiment, and a medical examination reservation. It is a hardware block diagram which shows an example of a computer which can implement | achieve the medical treatment assistance apparatus in Embodiment 1 and Embodiment 2. FIG.

  Hereinafter, embodiments of a medical care support apparatus, a medical care support method, a medical care support program, and a medical care support system according to the present invention will be described using the drawings. The present invention is not limited by the embodiment.

  FIG. 1 is a schematic view showing an outline of a medical care support system according to the first embodiment. As shown in FIG. 1, in the medical treatment support system 1, the medical treatment support apparatus 100 includes a hospital terminal (medical institution terminal) 300, an information processing apparatus 400 a of medical institution A to an information processing apparatus 400 d of medical institution D, and a network 10. Are communicably connected to each other. In addition, the hospital terminal 300 is a mobile terminal of a patient or a user terminal 200 (user terminal 200a to user terminal 200c) such as a tablet for hospital acceptance and the network 30 capable of short distance communication such as Bluetooth (registered trademark) in the hospital. It is mutually connected communicably through each other. Although one hospital terminal 300 and three user terminals 200a to 200c and four information processing apparatuses 400a to 400d are illustrated in FIG. 1, the number is not limited thereto. In the following description, the user terminals 200a to 200c are collectively referred to as the user terminal 200, and the information processing apparatuses 400a to 400d of the medical institution are collectively referred to as the information processing apparatus 400, unless otherwise specified.

  FIG. 2 is a block diagram showing an example of a functional configuration of the medical treatment support apparatus 100 in the first embodiment. Hereinafter, the functional configuration of the medical treatment support apparatus 100 will be described using FIG. 2.

  As shown in FIG. 2, the medical treatment support apparatus 100 includes a control unit 101, a storage unit 110, and a communication control interface unit 120.

  The storage unit 110 stores a medical inquiry information database 111, a diagnostic information database 112, a medical record information database 113, and a medical institution information database 114.

  The inquiry information database 111 stores inquiry format information and an inquiry output rule. Here, the inquiry format information is information on an inquiry format including a plurality of inquiry items, and identification information of the inquiry items is associated with identification information of answers to each inquiry. FIG. 3 is a diagram showing an example of the inquiry format in the first embodiment. As shown in FIG. 3, the answer ID is associated with the inquiry ID indicating the identification information of the inquiry item. For example, for the interview ID 1001 "when is it from?", The reply ID 3001 "from today's # ♯ # time", answer ID 3002 "from 日前 # # day before", answer ID 3003 "from 前 # 週 間 week before", answer Five answer IDs of ID 3004 "From about ### months ago" to answer ID 3005 ### years ago "are associated with each other.

  In addition, the inquiry output rule is, for example, the next output when the user ID 200 selects "throw pain" as a response to the inquiry ID "which is the hardest of cough, runny nose, and throat". The interview ID 1006 is assigned as a target. Further, the inquiry output rule is a rule that defines the next inquiry to be displayed according to the answer selected by the user terminal 200, and the identification information of the next inquiry item corresponds to the identification information of the selected answer. It is attached. FIG. 4 is a view showing an example of a display screen of an inquiry and an answer outputted by the inquiry output rule. Among the question items “What happened today? Please select one from the following” shown in Fig. 4 (a), the second item from the top by the user terminal 200 is “symptoms like cold”. When it is selected, detailed inquiry items on "symptoms like cold" shown in FIG. 4 (b) are displayed.

  The diagnostic information database 112 stores diagnostic information. Here, the diagnostic information includes related information of the disease name and a diagnosis table. Related information of a disease name is information such as an explanatory note of the disease name, an examination for finding the disease, and a drug used for treating the disease. The diagnosis table is a table in which identification information of a disease name is associated with identification information of a response to a question item. FIG. 5 is a diagram showing an example of a diagnosis table in the first embodiment. FIG. 5A is a diagram showing an example of the relevant information of the disease name. As shown in FIG. 5A, a disease name, a test ID, and a test name are associated with the disease name ID. Although not shown in FIG. 5 (a), a descriptive text of a disease name, a drug ID and a drug name may be further associated. FIG. 5B is a diagram showing an example of a diagnosis table. As shown in FIG. 5B, the score and the weighting score are associated with "answer ID + disease name ID" to which the disease name ID is added subsequently to the answer ID. For example, for the response ID + disease name ID 301311, the response ID 3013 is an ID in which the disease name ID 11 "influenza" is added to the answer "Yes" to the inquiry ID 1004 "may there be people in influenza around and contact?" The score is "500". Furthermore, as a weighting score, "December-Mar = 10 / December-March-10" is set, and 10 points will be added if the interview time falls in December to March, and the interview time Indicates that 10 points will be deducted if it does not fall from December to March. This weighting score is set for each disease name ID for which weighting is required, and in addition to illnesses that emphasize the season when it is diagnostically endemic like influenza, in response ID + disease name ID 30194 "bacterial pharyngitis", weighting is used. As the score “age <15 years old = 1” is set, it is set according to the age, gender, etc. depending on the type of disease.

  The chart information database 113 stores chart information. Here, the medical record information is information of an electronic medical record in which a date of birth, a first examination date, a re-examination date, an answer to a medical inquiry, a disease name, and the like are associated with identification information of a patient. FIG. 6 is a diagram showing an example of medical record information in the first embodiment. As shown in FIG. 6, the patient ID corresponds to the date of birth, first examination date, re-examination date, answer ID (positive), answer ID (negative), disease name ID, score, examination ID, medication ID, treatment ID, etc. It is attached. Although not shown in FIG. 6, past medical history, contraindications, test result data, etc. are further correlated.

  The medical institution information database 114 stores medical institution information. Here, the medical institution information is information in which a medical institution name, a medical department handled by the medical institution, a contact address, and a doctor name are associated with identification information of the medical institution. For example, in the medical institution information database 114, medical institution information of the medical institution A, the medical institution B, the medical institution C, and the medical institution E connected to the medical treatment support system 1 is registered.

  Next, the control unit 101 includes a display control unit 102, an acquisition unit 103, an extraction unit 104, an estimation unit 105, a registration unit 106, a search unit 107, and a transmission / reception unit 108.

  The transmission / reception unit 108 transmits / receives various information to / from external devices such as the user terminal 200, the hospital terminal 300, and the information processing apparatus 400 via the communication control interface unit 120. For example, the transmitting / receiving unit 108 transmits display information of a medical inquiry to the user terminal 200, receives response information from the user terminal 200 via the hospital terminal 300, and transmits medical chart information to the information processing apparatus 400. The response information includes the identification information of the response and the identification information of the patient. In addition, the transmitting and receiving unit 108 receives an introduction request of another medical institution from the medical institution belonging to the medical care support system 1 or the like. For example, when the medical institution A is an internal medicine department and a diagnosis requiring a surgical operation is made, if the medical institution B is a medical institution including a surgery, the transmitting / receiving unit 108 requests the referral request received from the medical institution A. The referral information of the medical institution B is transmitted to the information indicating.

  The display control unit 102 converts various types of information into display information, and outputs the converted display information to an external device such as the user terminal 200, the hospital terminal 300, and the information processing apparatus 400 via the communication control interface unit 120. For example, the display control unit 102 outputs the display information of the inquiry item identified by the inquiry ID as shown in FIG. 4A to the user terminal 200 or the display information of the suspected disease name (main complaint) to the user terminal And 200 and the hospital terminal 300. FIG. 7 is a view showing an example of a display screen of an answer result in which the answer information received from the user terminal 200 is displayed and output on the hospital terminal 300. As shown in FIG. As shown in FIG. 7, on the display screen of the answer result, the patient's name, date of birth, mobile phone number, inquiry date, main complaint, present medical history, positive symptoms, negative symptoms related to the main complaint, and the like are displayed.

  In addition, the display control unit 102 converts the medical record information registered in the medical record information database 113 by the registration unit 106 into display information in the information processing apparatus 400, and the converted medical record information is registered in advance in the same medical institution. Output to all information processing apparatuses 400. Here, when the medical record information output by the display control unit 102 includes the patient ID already registered in the information processing apparatus 400, the display control unit 102 updates the medical record information of the patient ID already registered. Do.

  Further, the display control unit 102 may output display information of information related to the suspected disease name estimated by the estimation unit 105 together with the chart information. FIG. 8 is a view showing an example of a display screen of medical chart information. The display control unit 102 displays the display information obtained by converting the medical record information including the disease name suspected to be estimated by the estimation unit 105 and the positive symptom and the negative symptom identified by the response ID acquired by the acquisition unit 103. The data is output to the processing device 400 and displayed on the display device of the information processing device 400 as shown in FIG. In the medical chart information shown in FIG. 8, "the symptom like cold" is displayed as the main complaint on the left side of the screen, but a disease to be noted as information related to "the symptom like cold" on the right side of the screen Etc. may be displayed.

  The acquisition unit 103 acquires identification information of a response included in the response information received from the user terminal 200 via the communication control interface unit 120. Specifically, the acquisition unit 103 acquires all the response IDs included in the response information. Further, the acquisition unit 103 acquires, from the diagnostic information database 112, related information of the disease name associated with the suspected disease name estimated by the estimation unit 105.

  The extraction unit 104 extracts an answer ID identifying a positive symptom and an answer ID indicating a negative and identifying a symptom among the answer IDs acquired by the acquiring unit 103.

  The estimation unit 105 refers to the diagnosis table stored in the diagnosis information database 112 and estimates that the disease name associated with the positive symptom extracted by the extraction unit 104 is the suspected disease name. Specifically, the estimation unit 105 calculates the sum of the score and the weighting score for every disease name ID associated with all the answer IDs acquired by the acquisition unit 103, and the disease name ID corresponding to the highest score Is presumed to be a suspected disease name. Alternatively, the estimation unit 105 estimates a disease name ID whose score corresponds to a plurality of upper ranks as a plurality of suspected disease names.

  The registration unit 106 is a medical chart in which an answer ID indicating a positive result associated with the suspected disease name, an answer ID indicating a negative result, an answer ID indicating a negative result, and a patient ID are identified with the suspected disease name estimated by the estimation unit 105 as the main complaint. Information is registered in the medical record information database 113. In addition, the registration unit 106 may register the related information of the suspected disease name acquired by the acquisition unit 103 in the medical record information together with the answer ID.

  When the search unit 107 receives information indicating a request for introduction of a medical institution from the information processing apparatus 400 via the transmission / reception unit 108, the search unit 107 searches the medical institution information database 114 for the medical institution. The referral request for medical institutions includes medical information and medical services to be introduced. The search unit searches the medical institution information database 114 based on these pieces of information, and transmits the relevant medical institution information to the medical institution that has sent the introduction request of the medical institution via the transmission / reception unit 108.

  The communication control interface unit 120 is an interface connected to a communication device (not shown) such as an antenna or a router connected to a communication line or a telephone line. That is, the communication control interface unit 120 has a function of communicating data with an external device such as the user terminal 200, the hospital terminal 300, the information processing device 400 and the like via the communication line. In the first embodiment, the medical treatment support apparatus 100 is configured to be connected to the user terminal 200 and the network 30 such as a wireless LAN in the hospital, and display information such as an inquiry is transmitted to the user terminal 200 via the network 30. However, other configurations may be used. For example, the display information of the medical inquiry output to the user terminal 200 by the display control unit 102 may be configured to be output to the user terminal 200 through an application installed in the user terminal 200 in advance or the hospital terminal 300.

  Next, the functional configuration of the user terminal 200 will be described. The user terminal 200 is a mobile terminal such as a mobile phone or a terminal such as a touch pad. FIG. 9 is a block diagram showing a functional configuration of the user terminal 200 in the first embodiment. As shown in FIG. 9, the user terminal 200 includes a control unit 201, a storage unit 210, a communication control interface unit 220, an input / output control interface unit 230, a display unit 231, and an input unit 232.

  The display unit 231 is a monitor configured with a liquid crystal screen or the like, a screen that outputs information such as a touch panel, or the like. The input / output control interface unit 230 performs input / output control of various information to the display unit 231 and the input unit 232.

  The storage unit 210 stores various information. For example, when the user terminal 200 is a mobile phone, various applications, a telephone directory, picture data, etc. are stored.

  The control unit 201 includes a reception unit 202, a display control unit 203, and a transmission / reception unit 204.

  The receiving unit 202 receives various information and the like input by an input operation from the input unit 232 by the user of the user terminal 200 as a patient. For example, the reception unit 202 receives, via the input / output control interface unit 230, input information on a response input from the input unit 232 by the user, an operation of pressing the transmission button displayed on the display unit 231, and the like.

  The display control unit 203 displays various information received by the reception unit 202, information received from the external device by the transmission / reception unit 204, and the like on the display unit 231 via the input / output control interface unit 230. For example, the display control unit 203 displays on the display unit 231 a display screen of a medical inquiry as shown in FIG. 4A and a display screen showing an input result of an answer to the medical inquiry as shown in FIG. 4B.

  The transmission / reception unit 204 transmits / receives various types of information to / from external devices such as the medical treatment support apparatus 100, the hospital terminal 300, and the information processing apparatus 400 via the communication control interface unit 220. For example, the transmission / reception unit 204 receives display information of a medical inquiry from the medical treatment support apparatus 100, and transmits response information to the hospital terminal 300.

  The communication control interface unit 220 is a communication device such as an antenna or a router connected to a short distance wireless communication line such as Bluetooth (registered trademark) in a hospital or a wireless LAN usable in a hospital such as Wi-Fi ( (Not shown) interface. That is, the communication control interface unit 220 has a function of communicating data via a communication line with an external device capable of near field communication in a hospital such as the medical treatment support apparatus 100, the hospital terminal 300, the information processing apparatus 400 and the like. Have.

  Next, the functional configuration of the hospital terminal 300 will be described. The hospital terminal 300 is a mobile terminal such as a mobile phone or a terminal such as a touch pad. FIG. 10 is a block diagram showing an example of a functional configuration of the hospital terminal 300 in the first embodiment. As shown in FIG. 10, the hospital terminal 300 includes a control unit 301, a storage unit 310, a communication control interface unit 320, an input / output control interface unit 330, a display unit 331, and an input unit 332.

  The display unit 331 is a monitor configured with a liquid crystal screen or the like, a screen that outputs information such as a touch panel, or the like. The input / output control interface unit 330 performs input / output control of various information to the display unit 331 and the input unit 332.

  The storage unit 310 stores various types of information. For example, when the user terminal 200 is a mobile phone, various applications, patient identification information, patient information including contact information, and the like are stored.

  The control unit 301 includes a reception unit 302, a display control unit 303, and a transmission / reception unit 304. The transmitting and receiving unit 304 corresponds to the transmitting unit of the terminal in the present invention.

  The reception unit 302 receives various information and the like input from the input unit 332 of the hospital terminal 300 by an input operation by a hospital staff or the like. For example, the reception unit 302 receives, via the input / output control interface unit 230, an operation of pressing the “send chart” icon on the display screen shown in FIG. 7 displayed on the display unit 331.

  The display control unit 303 displays various information received by the receiving unit 302, information received from the external device by the transmitting / receiving unit 304, and the like on the display unit 331 via the input / output control interface unit 330. For example, the display control unit 303 displays, on the display unit 331, a display screen or the like indicating the result of the answer to the medical inquiry received from the user terminal 200 shown in FIG.

  The transmission / reception unit 304 transmits / receives various information to / from external devices such as the medical treatment support apparatus 100, the user terminal 200, and the information processing apparatus 400 via the communication control interface unit 320. For example, the transmitting and receiving unit 304 transmits the answer information to the medical treatment support apparatus 100. The transmitting / receiving unit 304 encrypts the response information received from the user terminal 200 by near field communication, and transmits the encrypted response information to the medical treatment support apparatus 100.

  The communication control interface unit 320 is an interface connected to a communication device (not shown) such as an antenna or a router connected to a communication line, a telephone line, a short distance wireless communication line or the like. For example, the communication control interface unit 320 communicates data with an external device such as the medical treatment support apparatus 100 or the information processing apparatus 400 via the communication line using the network 10 or uses the user terminal 200 and the network 30. It has a function to communicate data via the short distance wireless communication line.

  Next, the functional configuration of the information processing apparatus 400 will be described. The information processing apparatus 400 is a personal computer (Personal Computer) or the like used by a doctor or the like in a doctor's office. FIG. 11 is a block diagram showing an example of a functional configuration of the information processing apparatus 400 in the first embodiment. As illustrated in FIG. 11, the information processing apparatus 400 includes a control unit 401, a storage unit 410, a communication control interface unit 420, an input / output control interface unit 430, a display unit 431, and an input unit 432.

  The display unit 431 is a screen or the like that outputs information of a monitor or the like configured from a liquid crystal screen or the like. The input / output control interface unit 430 performs input / output control of various information to the display unit 431 and the input unit 432.

  The storage unit 410 stores a chart information database 411 and various other information. The storage unit 410 also stores medical chart information. For example, the medical record information database 411 stores, in addition to medical record information, information related to medical treatment such as linked medical institutions.

  The control unit 401 includes a reception unit 402, a display control unit 403, and a transmission / reception unit 404.

  The reception unit 402 receives various information and the like input from the input unit 432 by an input operation by a doctor or the like. For example, the reception unit 402 receives, via the input / output control interface unit 430, information such as a doctor's diagnosis or examination result in a medical examination input from the input unit 432. In addition, when the medical record information is received from the medical treatment support apparatus 100, the reception unit 402 registers the received medical record information in the medical record information database 411 or updates the medical record information of the same patient ID to the medical record information received. To

  The display control unit 403 causes the display unit 431 to display, via the input / output control interface unit 430, various information received by the reception unit 402, information received from the external device by the transmission / reception unit 404, and the like. For example, the display control unit 403 causes the display unit 431 to display a display screen or the like indicating medical chart information received from the medical treatment support apparatus 100 illustrated in FIG. 8.

  The transmission / reception unit 404 transmits / receives various information to / from an external apparatus such as the medical treatment support apparatus 100 or the hospital terminal 300 via the communication control interface unit 420. For example, the transmitting and receiving unit 404 receives medical chart information from the medical treatment support apparatus 100. When the medical institution A is an internal medicine department and the diagnosis result requires a surgical operation, the transmitting and receiving unit 404 transmits an introduction request of the medical institution including the surgery to the medical treatment support apparatus 100.

  The communication control interface unit 420 is an interface connected to a communication device (not shown) such as an antenna or a router connected to a communication line, a telephone line, a short distance wireless communication line or the like. For example, the communication control interface unit 420 communicates data via the communication line using the network 10 with an external device such as the medical treatment support apparatus 100, the hospital terminal 300, or the information processing apparatus 400 belonging to another medical institution. Or has a function of communicating data via a short distance wireless communication circuit using the user terminal 200 and the network 30.

  Next, the flow of registration processing of medical chart information by the medical treatment support apparatus 100 will be described. FIG. 12 is a sequence diagram showing registration processing of medical chart information by the user terminal 200, the hospital terminal 300, the medical treatment support apparatus 100, and the information processing apparatus 400 in the first embodiment.

  The transmitting and receiving unit 204 of the user terminal 200 transmits the answer result in which the answer to each interview is selected and input as the answer information to the hospital terminal 300 (step S1). Here, the user terminal 200 communicates with the hospital terminal 300 via a short distance wireless communication circuit such as a wireless LAN or Bluetooth (registered trademark) in a hospital. The transmission / reception unit 304 of the hospital terminal 300 performs encryption processing on the response information received from the user terminal 200, and transmits the response information to the medical treatment support apparatus 100 (step S2).

  The estimation unit 105 of the medical care support device 100 estimates a suspected disease name from the response information received from the hospital terminal 300 in step S2 (step S3). The acquisition unit 103 of the medical care support device 100 acquires related information of the suspected disease name estimated in step S3 (step S4). The registration unit 106 of the medical care support device 100 registers the response information and the disease name in the medical record information (step S5). Specifically, the registration unit 106 of the medical care support device 100 sets the suspected disease name or symptom as the main complaint, and the response ID indicating the positive, the response ID indicating the negative, and the related information of the disease name. And the patient ID are registered as medical record information in association with each other. The transmission / reception unit 108 of the medical treatment support apparatus 100 transmits the chart information registered in step S5 to the information processing apparatus 400 (step S6). The accepting unit 402 of the information processing device 400 accepts the chart information received in step S6, and updates the chart information database 411 (step S7).

  As described above, according to the first embodiment, the medical treatment support apparatus 100 receives an answer including positive symptoms and negative symptoms from the hospital terminal 300 and registers negative symptoms as well as positive symptoms in medical chart information. Can also be stored in electronic medical records. As a result, it is possible to record when negative symptoms in the first visit became positive in subsequent multiple reexaminations. Further, according to the first embodiment, the hospital terminal 300 receives the answer information to the inquiry from the user terminal using the short distance communication line, and the medical care support device 100 receives the encrypted answer information from the hospital terminal 300. Can prevent information leakage due to external attacks. Furthermore, according to the first embodiment, since the inquiry displayed on the user terminal is changed according to the answer selected for the previous inquiry by the user, an appropriate answer can be made while shortening the time of the inquiry answer. It can be acquired.

Second Embodiment
FIG. 13 is a schematic view showing an outline of the medical care support system in the second embodiment. As shown in FIG. 13, in the medical treatment support system 2, the medical treatment support device 500, the user terminals 600 a and 600 b, and the information processing devices 700 a and 700 b are communicably connected to each other via the network 10. Although two user terminals 600a and 600b and two information processing apparatuses 400a and 400b are illustrated in FIG. 13, the number is not limited to this. In the following description, the user terminals 600a and 600b are collectively referred to as the user terminal 600, and the information processing apparatuses 400a and 400b are collectively referred to as the information processing apparatus 400, unless otherwise specified.

  FIG. 14 is a block diagram illustrating an example of a functional configuration of the medical support device 500 according to the second embodiment. Hereinafter, the functional configuration of the medical care support device 500 will be described using FIG. 14. In addition, about the structure and function similar to Embodiment 1, the same code | symbol is attached | subjected and description is abbreviate | omitted.

  As shown in FIG. 14, the medical treatment support apparatus 500 includes a control unit 501, a storage unit 510, and a communication control interface unit 120.

  The storage unit 510 stores a medical inquiry information database 111, a diagnostic information database 512, medical chart information 513, and medical institution information 514.

  The diagnostic information stored in the diagnostic information database 512 is similar in basic configuration to the diagnostic information in the first embodiment, but in the second embodiment, more simplified diagnostic information is stored. FIG. 15 is a diagram illustrating an example of a diagnosis table in the second embodiment. FIG. 15A is a diagram showing an example of information on symptoms. As shown in FIG. 5A, the symptom ID is associated with the symptom name. FIG. 5B is a diagram showing an example of a diagnosis table. As shown in FIG. 15 (b), a disease name ID and a score are associated with the symptom ID.

  The chart information 513 stores chart summary information. Here, medical chart summary information is information finally obtained using terms that can be easily understood even by medical staff who are not doctors and not engaged in medical institutions, and disease names, medical departments, urgency levels, etc. Information. FIG. 16 is a diagram showing an example of medical chart summary information in the second embodiment. FIG. 16A is a diagram showing an example of identification information of a medical department. As shown in FIG. 16A, the name of the medical department is associated with the medical department ID. FIG. 16B is a diagram showing an example of the identification information of the urgency level. As shown in FIG. 16B, the degree of urgency expressed in three levels of low: medium: high is associated with the degree of urgency ID and an explanatory note of the degree of urgency. Next, FIG. 16C is a diagram showing an example of medical chart summary information. As shown in FIG. 16C, in the medical record summary information, a disease name, a medical department ID, and an emergency degree ID are associated with the disease name ID. Moreover, FIG. 17 is a figure which shows an example of the simple description sentence of a disease name. For example, the first line in FIG. 17 is divided into an influenza non-pandemic period and an influenza pandemic period as the explanation associated with the disease name ID “1” and the disease name “viral sore throat (typical cold type)” Descriptions of disease names are written in sentences that can be easily understood by general patients who are not engaged in

  The medical institution information database 514 stores medical institution information. For example, in the medical institution information stored in the medical institution information database 514, medical institution information related to medical institutions not belonging to the medical care support system 2 in addition to the medical institution A and the medical institution B connected to the medical care support system 2. Is also registered.

  Next, the control unit 501 includes a display control unit 502, an acquisition unit 103, an extraction unit 104, an estimation unit 105, a registration unit 106, a search unit 107, and a transmission / reception unit 508.

  The transmitting and receiving unit 508 transmits and receives various types of information to and from the user terminal 600 and an external apparatus such as the information processing apparatus 700 via the communication control interface unit 120. For example, the transmitting / receiving unit 508 transmits display information of a medical inquiry to the user terminal 600, receives answer information from the user terminal 600, transmits medical chart summary information to the user terminal 600, or the transmitting / receiving unit 508 Receive a search request for a medical institution or a medical examination reservation request from 600. Here, the search request of the medical institution includes identification information of the medical department, and the medical examination reservation request includes identification information of the medical institution.

  The display control unit 502 converts various types of information into display information, and outputs the converted display information to the user terminal 600 or an external device such as the information processing apparatus 700 via the communication control interface unit 120. FIG. 18 is a view showing an example of a display screen of an inquiry in the second embodiment. For example, the display control unit 502 outputs a symptom selection screen as shown in FIG. 18A to the user terminal 600. When the symptom "cough (3 weeks or more)" is selected by the user terminal 600, the display control unit 502 is a detailed item related to the appearance of the symptom "cough (3 weeks or more)" according to the inquiry output rule Output a display screen on which you can select and enter, such as “?” Or “How did it start?”

  Further, the display control unit 502 converts the chart summary information registered in the chart information database 113 by the registration unit 106 into display information in the user terminal 600, and outputs the converted chart information to the user terminal 600. FIG. 19 is a diagram showing an example of medical chart summary information in the second embodiment. As shown in FIG. 19 (a), the display control unit 502 determines that the diagnosis level is “medium”, the medical department to be consulted “respiratory department”, suspected disease name (displayed in the order of suspected diseases) “asthma”, etc. The display information is output to the user terminal 600. In addition, an icon of "Find a clinic of respiratory department" capable of requesting a search for a clinic that can diagnose suspected disease names is also displayed. Further, on the subsequent screen, the display control unit 502 also outputs, to the user terminal 600, display information indicating whether the suspected disease name is displayed on the basis of which question and answer, as the “answer having a relation with diagnosis”. Furthermore, FIG. 20 is a figure which shows the other example of medical chart summary information. In FIG. 20, display information of the main complaint and the current disease history is displayed as “Answer summary (medical chart style)” as another example of medical chart summary information or following the medical chart summary information shown in FIG. As shown in FIG. 20, in the medical chart summary information as well as the medical chart information in the first embodiment, not only positive symptoms but also negative symptoms are displayed.

  The registration unit 506 is mainly based on the disease name suspected of being estimated by the estimation unit 105, and an answer ID indicating a positive that is associated with the suspected disease name, an answer ID indicating a negative, a patient ID, and a simple disease name. Medical chart summary information associated with a descriptive text is registered in the medical chart information database 513.

  Next, the functional configuration of the user terminal 600 will be described. The user terminal 600 is a mobile terminal such as a mobile phone or a terminal such as a touch pad. FIG. 21 is a block diagram showing a functional configuration of the user terminal 600 in the second embodiment. As shown in FIG. 21, the user terminal 600 includes a control unit 601, a storage unit 210, a communication control interface unit 620, an input / output control interface unit 230, a display unit 231, and an input unit 232. In addition, about the function and structure similar to the user terminal 200 in Embodiment 1, the same code | symbol is attached | subjected and description is abbreviate | omitted.

  The control unit 601 includes a reception unit 202, a display control unit 603, and a transmission / reception unit 604.

  The display control unit 603 displays various information received by the reception unit 202, information received from the external device by the transmission / reception unit 604, and the like on the display unit 231 via the input / output control interface unit 230. For example, the display control unit 603 displays the display screen of the medical inquiry shown in FIGS. 18 (a) and 18 (b), the display screen of the chart summary information as shown in FIGS. 19 (a) and 19 (b) and FIG. It is displayed on the display unit 231.

  The transmission / reception unit 604 transmits / receives various information to / from external devices such as the medical treatment support apparatus 500 and the information processing apparatus 700 via the communication control interface unit 620. For example, the transmission / reception unit 604 receives display information of medical inquiry and medical chart summary information from the medical treatment support apparatus 500, and transmits response information to the medical treatment support apparatus 500.

  The communication control interface unit 620 is an interface connected to a communication device (not shown) such as an antenna or a router connected to a communication line or a telephone line. That is, the communication control interface unit 620 has a function of communicating data with an external device such as the medical treatment support device 500 or the information processing device 700 via the communication line.

  Next, display processing of chart summary information by the user terminal 600 in the second embodiment will be described. FIG. 22 is a sequence diagram of display processing of chart summary information by the user terminal 600, the medical care support device 500, and the information processing device 700 in the second embodiment.

  The transmission / reception unit 604 of the user terminal 600 transmits the response information to the medical care support device 500 (step S11). The estimation unit 105 of the medical care support device 500 estimates a suspected disease name from the response information received from the user terminal 600 in step S11 (step S12). The acquisition unit 103 of the medical care support device 500 acquires related information of the suspected disease name estimated in step S12 (step S13). The registration unit 506 of the medical care support device 500 registers the response information and the disease name in the chart summary information (step S14). Specifically, the registration unit 506 of the medical care support device 500 sets the suspected disease name or symptom as the main complaint, and indicates an answer ID indicating a positive that is associated with this, an answer ID indicating a negative, and related information of the disease name. And the patient ID are registered as medical chart summary information in association with each other. The transmission / reception unit 508 of the medical care support device 500 transmits the chart summary information registered in step S14 to the user terminal 600 (step S15). The display control unit 602 of the user terminal 600 displays the chart summary information received in step S15 on the display unit 231.

  Next, a process of searching for a medical institution and a medical examination reservation by the user terminal 600 in the second embodiment will be described. FIG. 23 is a sequence diagram of a process of search for a medical institution and medical examination reservation by the user terminal 600, the medical care support device 500, and the information processing device 700 in the second embodiment.

  The transmission / reception unit 604 of the user terminal 600 transmits a search request for a medical institution to the medical treatment support apparatus 500 (step S21). The search unit 107 of the medical care support apparatus 500 searches the medical institution information database 514 for a medical institution including the medical department included in the search request of the medical institution received in step S21 (step S22). The transmission / reception unit 508 of the medical treatment support apparatus 500 transmits the medical institution information indicated by the search result in step S22 to the user terminal 600 (step S23). The medical institution information may be plural.

  The transmission / reception unit 604 of the user terminal 600 transmits a medical examination reservation request to the medical treatment support apparatus 500 (step S24). Here, the request for medical examination reservation can be made when the candidate for the medical institution connected to the medical care support system 2 is received in step S23. In addition, when receiving a plurality of medical institution information, the transmission / reception unit 604 of the user terminal 600 selects one medical institution from the plurality of medical institution information, and then requests an examination reservation including the selected medical institution information Is transmitted to the medical treatment support apparatus 500. The display control unit 502 of the medical care support device 500 converts the medical chart summary information associated with the user of the user terminal 600, that is, the identification information of the patient into medical chart information (step S25). The transmission / reception unit 508 of the medical treatment support apparatus 500 transmits a medical examination reservation request including medical chart information to the information processing apparatus 700 which is a reservation target for medical examination (step S26).

  The information processing apparatus 700 transmits, to the user terminal 600, information indicating candidates for the date and time on which a doctor appointment can be made (step S27). The transmission / reception unit 604 of the user terminal 600 transmits, to the information processing apparatus 700, information indicating the appointment date and time for which a medical examination is desired, from among the information indicating the candidates for the appointment date and time for consultation available in step S27 (step S28). The information processing apparatus 700 executes a process for accepting a medical examination reservation on the reservation date and time received in step S28 (step S29).

  FIG. 24 is a hardware configuration diagram showing an example of a computer 20 capable of realizing the medical care support device 100, 500 in the first embodiment and the second embodiment. As shown in FIG. 24, the computer 20 includes a central processing unit (CPU) 21, a random access memory (RAM) 22, a read only memory (ROM) 23, a hard disk drive (HDD) 24, and a communication interface (I / F). 25, an input / output interface (I / F) 26, and a media interface (I / F) 27.

  The CPU 21 operates according to a program stored in the ROM 23 or the HDD 24, and controls each part. The ROM 23 stores a boot program executed by the CPU 21 when the computer 20 starts up, a program depending on the hardware of the computer 20, and the like.

  The HDD 24 stores programs executed by the CPU 21 and data used by the programs. The communication interface 25 sends the data received from the external device to the CPU 21 through the communication line, and transmits the data generated by the CPU 21 to the external device through the communication line.

  The CPU 21 controls an output device such as a display or a printer and an input device such as a keyboard or a mouse through the input / output interface 26. The CPU 21 acquires data from the input device via the input / output interface 26. The CPU 21 also outputs the generated data to an output device via the input / output interface 26.

  The media interface 27 reads the program or data stored in the storage medium 28 and provides it to the CPU 21 via the RAM 22. The CPU 21 loads the program from the storage medium 28 via the media interface 27 onto the RAM 22 and executes the loaded program. The storage medium 28 is, for example, an optical storage medium such as a DVD (Digital Versatile Disc), a magnetic storage medium, a semiconductor memory, or the like.

  When the computer 20 functions as the medical treatment support apparatus 100, 500 in the present embodiment, the CPU 21 of the computer 20 executes the program loaded on the RAM 22 to display control units 102 and 502, an acquisition unit 103, and an extraction unit. The functions of the estimation unit 105, the registration units 106 and 506, the search units 107 and 507, and the transmission and reception units 108 and 508 are realized. The HDD 24 also stores data in the medical inquiry information database 111, the diagnostic information databases 112 and 512, the medical record information databases 113 and 513, and the medical institution information databases 114 and 514.

  The medical support program is a file in an installable format or an executable format, and is used as a computer-readable storage medium such as a CD-ROM, a CD-R, a memory card, a DVD (Digital Versatile Disk), and a flexible disk (FD). It is stored and provided. The CPU 21 of the computer 20 reads these programs from the storage medium via the media interface 27 and executes them, but as another example, they may acquire these programs from an external device through a communication line. Good.

  The medical support program may be, for example, a script language such as ActionScript, JavaScript (registered trademark), Python, Ruby, a compiler language such as C language, C ++, C #, Objective-C, Swift, or Java (registered trademark). It can be implemented using

  As described above, according to the second embodiment, as in the first embodiment, since the medical care support device 500 acquires response information indicating not only positive but also negative symptoms, information on not only positive but also negative symptoms at the time of inquiry Can also be stored in electronic medical records. The medical care support device 500 outputs medical chart summary information and search results of medical institutions to the user terminal 600, so that the user can grasp an indication of the degree of urgency of symptoms before going to a medical institution and search for medical institutions that can receive a medical examination. It is possible to make an appointment or to make an appointment.

1 medical care support system 10 network 30 network (near distance communication line)
100, 500 medical treatment support apparatus 101, 201, 301, 401, 501, 601 control unit 102, 202, 302, 402, 502, 602 display control unit 103 acquisition unit 104 extraction unit 105 estimation unit 106, 506 registration unit 107 search unit 108, 204, 304, 504, 604, 508 Transmission / reception unit 110, 210, 310, 410, 510 Storage unit 111 Questionnaire information database 112, 512 Diagnostic information database 113, 513 Medical record information database 114, 514 Medical institution information database 120, 220 , 320, 420, 520, 620 communication control interface unit 200, 600 terminal 202, 302 reception unit 230, 330, 430 input / output control interface unit 231 display unit 232 input unit 300 hospital terminal 400 700 information processing apparatus

Claims (16)

A medical support apparatus connected to a terminal via a network,
A storage unit that stores a diagnosis table in which a symptom name is associated with a symptom;
A display control unit that outputs display information of a plurality of medical interview items to the terminal;
An acquisition unit for acquiring a questionnaire response including positive symptoms and negative symptoms from the terminal;
An estimation unit that estimates a disease name associated with a positive symptom included in the medical inquiry response acquired by the acquisition unit with reference to the diagnosis table as a suspected disease name;
A registration unit for registering as the medical record information positive symptoms and negative symptoms included in the inquiry response and disease names suspected of being estimated by the estimation unit;
A medical treatment support apparatus comprising: The terminal is a medical institution terminal connected so as to be capable of near field communication with a user terminal in the hospital,
The acquisition unit acquires the inquiry response from the user terminal via the medical institution terminal.
The medical treatment support device according to claim 1, characterized in that The storage unit stores inquiry information in which identification information of an inquiry item and identification information of an answer option for the inquiry item are associated with each other, and a diagnosis table in which identification information of an answer option is associated with identification information of a disease name ,
The estimation unit refers to the diagnosis table, and a disease name associated with identification information of a disease name associated with identification information of an answer option indicating a positive symptom included in the inquiry response acquired by the acquisition unit. Presume that the name of the disease identified by the identification information of
The medical treatment support device according to claim 1 or 2, characterized by In the diagnosis table, identification information of the answer option is associated with identification information of a plurality of disease names and a predetermined value given to each identification information of the disease names,
The estimation unit refers to the diagnosis table and acquires, for each identification information of a disease name, a value associated with identification information of an answer option indicating a positive symptom included in the medical inquiry response acquired by the acquisition unit. Presuming that the disease name associated with the highest value among the acquired values, or the top values is a suspected disease name,
The medical treatment support device according to claim 3, characterized in that In the diagnosis table, a predetermined weighting value is further given to the predetermined value according to the predetermined condition,
The estimation unit refers to the diagnosis table, and adds a total value of a value associated with identification information of an answer option indicating the positive symptom acquired by the acquisition unit and a weighting value according to the condition. Acquiring for each identification information of disease name, and estimating the disease name of the highest value among the acquired total values, or the upper multiple values as the suspected disease name,
The medical treatment support device according to claim 4, characterized in that The predetermined condition is at least one of age or a predetermined month.
The medical treatment support device according to claim 5, characterized in that The storage unit further stores an inquiry output rule in which identification information of the answer option is associated with identification information of a medical inquiry item to be output next time,
The display control unit refers to the inquiry output rule, and displays display information of a medical examination item identified by identification information of a medical inquiry item to be output next according to the identification information of the inquiry response acquired by the acquisition unit. Output to the user terminal,
The medical treatment support device according to any one of claims 3 to 6, characterized in that The display control unit outputs, to the terminal, display information indicating an inquiry response associated with the disease name, together with the disease name suspected to be estimated by the estimation unit.
The medical treatment support device according to any one of claims 1 to 7, characterized in that In the diagnosis table, identification information indicating a degree of urgency is associated with identification information of a disease name,
The display control unit outputs display information of the degree of urgency indicated by the identification information of the degree of urgency associated with the disease name, together with the suspected disease name estimated by the estimation unit.
The medical treatment support device according to any one of claims 1 to 8, characterized in that In the diagnosis table, at least one of a predetermined examination and a predetermined medicine is further associated with the disease name,
The display control unit outputs at least one display information of an examination or a medicine associated with the suspected disease name estimated by the estimation unit.
The medical treatment support device according to any one of claims 1 to 9, characterized in that The terminal is a user terminal, and
The acquisition unit acquires the inquiry response from the user terminal,
The display control unit outputs display information of the suspected disease name estimated by the estimation unit to the user terminal.
The medical treatment support device according to claim 1, characterized in that A receiving unit that receives a search request for a medical institution from the user terminal;
A search unit for searching a medical institution including a medical care department handling medical treatment of a disease name suspected of being estimated by the estimation unit when the reception unit receives the search request;
A transmitter configured to transmit the medical institution searched by the search unit to the user terminal;
The medical treatment support apparatus according to claim 11, further comprising: The medical treatment support apparatus is further connected to an information processing apparatus of a medical institution via a network.
The receiving unit receives an admission request for a medical examination reservation from the user terminal,
When the transmission unit receives the reception request by the reception unit, the transmission unit transmits the reception request and the medical record information registered by the registration unit to the medical institution searched by the search unit.
The medical treatment support device according to claim 12, characterized in that A medical treatment support method for supporting medical treatment in a medical treatment support device connected to a terminal via a network, the medical treatment support method comprising:
A storage step of storing in a storage unit a diagnosis table in which a symptom name is associated with a symptom;
A display control step of outputting display information of a plurality of interview items to the terminal;
Obtaining an inquiry response including positive symptoms and negative symptoms from the terminal;
Estimating the disease name associated with the positive symptom included in the medical inquiry response acquired by the acquisition step as the suspected disease name with reference to the diagnosis table;
A registration step of registering, as medical chart information, positive symptoms and negative symptoms included in the inquiry response and disease names suspected to have been estimated by the estimation step;
And a medical care support method characterized by including. In the medical support device connected with the terminal and the network,
A storage function for storing in a storage unit a diagnosis table in which a disease name is associated with a symptom;
A display control function of outputting display information of a plurality of medical interview items to the terminal;
An acquisition function of acquiring a questionnaire response including positive symptoms and negative symptoms from the terminal;
An estimation function of referring to the diagnosis table and estimating a disease name associated with a positive symptom included in a medical inquiry response acquired by the acquisition function as a suspected disease name;
A registration function for registering, as medical chart information, positive symptoms and negative symptoms included in the inquiry response and disease names suspected to have been estimated by the estimation function;
Medical treatment support program characterized by making it realize. A medical treatment support system in which a terminal and a medical treatment support device are connected via a network,
The medical treatment support apparatus
A storage unit that stores a diagnosis table in which a symptom name is associated with a symptom;
A display control unit that outputs display information of a plurality of medical interview items to the terminal;
An acquisition unit for acquiring a questionnaire response including positive symptoms and negative symptoms from the terminal;
An estimation unit that estimates a disease name associated with a positive symptom included in the medical inquiry response acquired by the acquisition unit with reference to the diagnosis table as a suspected disease name;
A registration unit for registering as the medical record information positive symptoms and negative symptoms included in the inquiry response and disease names suspected of being estimated by the estimation unit;
Equipped with
The terminal is
A display control unit for displaying display information of the inquiry item on a display unit;
An input / output control unit that receives an input of the inquiry response;
A transmitting unit that transmits the medical inquiry response whose input has been received by the input / output control unit to the medical care support device;
The medical care support system characterized by having.

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