JP5199801B2 - Medical support system - Google Patents

Description

This invention also relates to the medical support system to give an explanation to the description of the doctor to the patient.

  In medical care, communication between a patient and a doctor is important for grasping an accurate medical condition, determining a treatment policy, and informed consent. The doctor communicates with the patient for interviews and explanations of medical conditions, and asks the patient for understanding.

  Doctor explanations can be difficult to understand for several reasons. One reason for this is when doctors and patients understand different languages. As a result, foreigners who have not been able to speak and understand the language used by doctors can receive simple interviews even when they go to the hospital, simplifying the conversation between patients and doctors. A translation system is proposed (see, for example, “Patent Document 1”). This technique is to translate a medical questionnaire using a dictionary for translation stored in advance. Thereby, it is possible to eliminate communication troubles caused by language differences.

  However, another possible cause of communication failure is that medical terms used by doctors are difficult to understand in the first place, and the meaning of the terms may not be understood. In this case, it is not possible to eliminate communication obstacles by simple translation. Therefore, it is necessary for the doctor to explain in an easy-to-understand manner using terms that can be understood by the patient, but the burden on the doctor is increased accordingly.

JP 2004-310663 A

The present invention has been made in view of the problems described above, and an object is to provide a medical support system which imparts explanation in the description of the physician to the patient.

In order to solve the above-described problem, the medical support system according to the first aspect of the present invention includes an acquisition unit that acquires description information in a voice data format for a patient, and a voice that analyzes the description information and replaces it with a character data format. Recognizing means, dictionary storage means for associating a term with its commentary , and preliminarily storing a commentary dictionary associated with the doctor identification information and the disease identification information for each doctor and disease, and a term representing the doctor and the disease From the explanation information in the character data format, select the explanation dictionary associated with the doctor identification information and the disease identification information, and each term included in the explanation information in the character data format, by comparing the selected the commentary dictionary, to generate a description with explanatory information from said commentary corresponding to terms contained in this description information and the explanation information live Further comprising means, and output means for outputting the commentary with explanatory information, and characterized.
According to a second aspect of the present invention, in the first aspect of the invention, the generation unit extracts each term included in the explanation information, and reads out a comment sentence corresponding to the extracted term from the comment dictionary. The commentary with commentary is generated by editing the read commentary into the sentence including the extracted term in the explanation information replaced with the character data format.

  A transmission / reception terminal having the acquisition unit, the voice recognition unit, and the output unit; a dictionary storage unit and the generation unit; and a server connected to the network so as to be able to transmit and receive the transmission / reception terminal. (It may be equivalent to the invention described in claim 3).

  According to the present invention, it is possible for a patient to receive an explanation from a doctor or the like, which is difficult to understand because various medical terms are included, as an explanation with the explanation of the medical terms added. It becomes possible to understand.

  DESCRIPTION OF EMBODIMENTS Hereinafter, preferred embodiments of a medical support system and a description providing method thereof according to the present invention will be specifically described with reference to the drawings.

  FIG. 1 is a diagram illustrating a configuration of a medical support system. The medical support system 1 recognizes the explanation to the patient spoken by a doctor or the like as explanation information and generates explanation information with explanation by adding explanation to the explanation information. The explanation information with explanation is obtained by adding explanation to the explanation to the explanation information.

  The medical support system 1 includes a transmission / reception terminal 2 and a server 3. The transmission / reception terminal 2 and the server 3 are communicably connected via a wireless or wired network. The server 3 analyzes the explanation information in the character data format and generates explanation information with explanation. The transmission / reception terminal 2 acquires the description information in a voice data format, and converts the voice data into character data. The transmission / reception terminal 2 displays the explanatory information with explanation.

  The transmission / reception terminal 2 is, for example, a portable terminal such as a mobile phone, a PDA, or a laptop computer owned by a patient. The transmission / reception terminal 2 includes a microphone 21a that acquires description information in a voice data format, a voice recognition processing unit 22 that analyzes voice data and converts it into character data, a transmission / reception unit 23 that communicates with the server 3, and a description. And a monitor 24a for displaying supplementary explanation information.

  The server 3 is, for example, an EHR (Electronic Health Record) that is installed in each region and accumulates electronic medical records of patients in that region. The server 3 includes a transmission / reception unit 31 that communicates explanation information and explanation information with explanation with the transmission / reception terminal 2, a generation unit 32 that generates explanation information with explanation, and a dictionary storage unit that stores an explanation dictionary 5 to be described later. 33.

  The medical support system 1 acquires explanation information in a voice data format by collecting explanation information about a patient uttered by a doctor or the like with a microphone 21a. That is, the microphone 21a is an acquisition unit that acquires the description information in the audio data format. The acquired explanation information is analyzed by the voice recognition processing unit 22 and is replaced with a character data format. At the time of replacement with the character data format, the description information text may be replaced with bullets. The speech recognition processing unit 22 stores an acoustic model corresponding to various words and phrases, matches the acoustic model with the explanation information, and replaces the matched portion with character data of the corresponding phrase.

  The description information in the character data format is transmitted to the server 3 by the transmission / reception unit 23. In the server 3, the explanation information is received by the transmission / reception unit 31. Communication between the transmission / reception terminal 2 and the server 3 is performed by a protocol by socket communication on TCP / IP. Also, standardized communication protocols such as RPC (Remote Procedure Call), SOAP (Simple Object Access Protocol), IIOP (Internet Inter-ORB Protocol), RMI (Remote Method Invocation) may be used. Also, encrypted communication such as SSL (Secure Socket Layer) / TLS (Transport Layer Security) may be used.

  In the server 3, the received explanation information is input to the generation unit 32. The generation unit 32 analyzes the explanation information with reference to the explanation dictionary 5 stored in the dictionary storage unit 33, and generates explanation information with explanation. The generated explanatory information with explanation is transmitted to the transmission / reception terminal 2 by the transmission / reception unit 31.

  In the transmission / reception terminal 2, the explanation information with explanation is received by the transmission / reception unit 23. The monitor 24a is a liquid crystal display or an organic EL display, and displays the received explanatory information with explanation.

  2 to 6 show in detail the generation of explanatory information with explanation by the generation unit 32. FIG. 2 is a diagram illustrating a detailed configuration of the generation unit 32. As illustrated in FIG. 2, the generation unit 32 includes a dictionary selection unit 321, an extraction unit 322, a search unit 323, and an edit processing unit 324.

  The extraction unit 322 extracts terms from the description information in the character data format. The extraction unit 322 divides the explanation information for each sentence and extracts terms in sentence units. For sentence delimiters, the extraction unit 322 uses a punctuation mark as a mark. For term extraction, the extraction unit 322 stores various term data in advance, and searches for a term that matches the term data in one sentence. Terms include words, phrases, and phrases. For example, “disease name”, “disease name”, “pharynx”, “pharyngeal conjunctival fever”, “pharyngeal conjunctival fever”, “disease name is pharyngeal conjunctival fever”, “disease name is pharyngeal conjunctival fever”, etc. Is stored in advance, and if there is a sentence that states that the disease name is “pharyngeal conjunctival fever”, “disease name”, “disease name”, “pharynx”, “pharyngeal conjunctival fever”, “pharyngeal conjunctival fever” The term is extracted in various patterns such as “Disease name is pharyngeal conjunctival fever” and “Disease name is pharyngeal conjunctival fever”.

  The dictionary selection unit 321 selects the explanation dictionary 5 used for analysis from the dictionary storage unit 33. The explanation dictionary 5 is stored in the dictionary storage unit 33 for each doctor, disease, and hospital to which the doctor belongs. The dictionary selection unit 321 stores the dictionary selection table 4 shown in FIG. 3 in advance, and selects the explanation dictionary 5 corresponding to the hospital, doctor, and disease indicated by the explanation information with reference to the dictionary selection table 4. To do.

  As shown in FIG. 3, selection information 41 and commentary dictionary specifying information 42 are associated with the dictionary selection table 4. The explanation dictionary specifying information 42 is information for specifying the explanation dictionary 5. The selection information 41 is information for selecting the explanation dictionary 5. The selection information 41 includes hospital identification information 411, doctor identification information 412, and disease identification information 413. The dictionary selection unit 321 acquires the selection information 41 from the description information, and selects the description dictionary 5 specified by the description dictionary specifying information 42 associated with the selection information 41.

  In acquiring the selection information 41 from the description information, the dictionary selection unit 321 uses the terms extracted by the extraction unit 322, the hospital name as the hospital identification information 411, the doctor name as the doctor identification information 412, and the disease identification information 413. The disease name which becomes becomes the search information 41. Specifically, it is checked whether the selection information 41 stored in the dictionary selection table 4 matches the extracted term.

  Then, the dictionary selection unit 321 reads the commentary dictionary specifying information 42 associated with the matched selection information 41. Further, the dictionary selection unit 321 reads the commentary dictionary 5 specified by the commentary dictionary specifying information 42 from the dictionary storage unit 33.

  The search unit 323 searches the comment sentence 52 corresponding to each extracted term using the read comment dictionary 5. FIG. 4 is a diagram showing the data structure of the explanation dictionary 5. The explanation dictionary 5 is associated with various registered terms 51 and explanation sentences 52 explaining the registered terms 51. The search unit 323 searches the explanation dictionary 5 for a registered term 51 that matches the extracted term, and if there is a corresponding registered term 51, obtains an explanation sentence 52 corresponding thereto.

  The edit processing unit 324 edits the explanation information and generates explanation information with explanation. The editing processing unit 324 creates one sentence in which the commentary sentence 52 acquired by the search part 323 and one sentence including the term explained by the commentary sentence 52 are combined.

  The generation of commentary-added explanatory information by the generation unit 32 will be specifically described with reference to FIGS.

  As shown in FIG. 5, AA hospital ((1) in the figure) and H. When doctor T ((2) in the figure) and pharyngeal conjunctival fever ((3) in the figure) are extracted, the dictionary for explanation that is associated with the selection information 41 from the dictionary selection table 4 shown in FIG. 4 is specified. As information 42, AA_HT_pharyngeal conjunctival heat is read. Then, the explanation dictionary 5 as shown in FIG. 6 specified by the explanation dictionary specifying information 42 is selected.

  For example, when the term adenovirus ((7) in the figure) is extracted from the explanation information, the explanation sentence 52 corresponding to the registered term 51 of adenovirus “a virus that grows in the tonsils and lymph nodes” is explained in the explanation dictionary 5. Read from. Then, as shown in FIG. 6, a sentence is generated by combining this commentary sentence 52 ((17) in the figure) with one sentence including the term adenovirus. In this one sentence, for example, the sentence end of the explanation information is replaced with a conjunction such as “So”, and then the explanation sentence 52 is inserted. In addition, as the explanation information with explanation, a series of character string data in which the explanation sentence 52 is closed in parentheses may be inserted after the corresponding term.

  The operation of such a medical support system 1 is shown in FIG.

  First, on the transmission / reception terminal 2 side, the explanation information is collected in the audio data format by the microphone 21a (S01). When the description information is acquired, the voice recognition processing unit 22 replaces the description information in the voice data format with the character data format (S02). When the description information is converted into the character data format, the transmission / reception unit 23 transmits the description information in the character data format to the server 3 (S03).

  On the server 3 side, when the description information is received (S04), the extraction unit 322 acquires the selection information 41 from the description information if the selection information 41 is not acquired (S05, No) (S06). When the description information is acquired, the dictionary selection unit 321 refers to the dictionary selection table 4 and searches the description dictionary specifying information 42 corresponding to the selection information 41 (S07), and specifies the corresponding description dictionary specifying information 42. The commentary dictionary 5 is acquired from the dictionary storage unit 33 (S08).

  If the selection information 41 has been acquired (S05, Yes), the extraction unit 322 extracts one sentence from the explanation information to the reading point (S09), and extracts a term from the one sentence (S10). The search unit 323 searches the commentary dictionary 5 for the comment sentence 52 corresponding to the extracted term (S11). When the comment sentence 52 is searched, the edit processing unit 324 generates a sentence in which the corresponding comment sentence 52 and one sentence including the extracted registered term 51 are combined (S12).

  If S09 to S12 are not completed for all rows (S13, No), the next row is extracted from the description information, and S09 to S12 are repeated.

  If S09 to S12 have been completed for all the rows (S13, Yes), the editing processing unit 324 generates explanatory information with explanation that summarizes the combined sentences (S14).

  The transmission / reception unit 31 transmits the generated explanatory information with explanation to the transmission / reception terminal 2 (S15). On the transmission / reception terminal 2 side, when the transmission / reception unit 23 receives the explanation information with explanation (S16), the received explanation information with explanation is displayed on the monitor 24a (S17).

  This makes it easy for patients to receive explanations from doctors, etc., which were difficult to understand by including various medical terms, as explanations with explanations of medical terms added. Is possible.

  In addition, since the data is transmitted to the server 3 after being previously converted into the character data format on the transmission / reception terminal 2 side, the amount of transmission can be reduced. Furthermore, in order to reduce the transmission amount, not all of the voices spoken by the doctor but only a part of the voices may be replaced with the text data format as the explanatory information. FIG. 8 is a diagram illustrating a modified example of the medical support system 1 for further reducing the transmission amount.

  As shown in FIG. 8, the transmission / reception terminal 2 has a keyword storage unit 221. The keyword storage unit 221 stores a keyword indicating start and a keyword indicating end. The voice recognition processing unit 22 first converts the description information into the character data format, and then searches the description information for a keyword indicating the start and a keyword indicating the end. When the corresponding keyword is found, only the range between the keywords is extracted, and the extracted range is output to the transmission / reception unit 23 as explanatory information.

  The keyword storage unit 221 may store various medical terms as keywords. The speech recognition processing unit 22 once converts the description information into the character data format, then extracts only the sentence including the keyword stored in the keyword storage unit 221, and transmits / receives the set of extracted sentences as the description information To 23.

  According to the above, since only the range required for the explanation can be transmitted to the server 3 as the explanation information, it is possible to further reduce the transmission amount.

  Moreover, as an output mode of the explanatory information with explanation, in addition to the display on the monitor 24a, audio may be output. That is, as shown in FIG. 9, the transmission / reception terminal 2 may have an output unit including a speaker 24b and a conversion unit 24c instead of the monitor 24a.

  The conversion unit 24c converts the explanatory data with explanation in the character data format into the voice data format. Similarly to the speech recognition processing unit 22, the conversion unit 24 c stores the correspondence between the acoustic model and the term in advance, and replaces the term included in the explanatory explanation information with the associated acoustic model. The speaker 24b outputs explanation information with explanation in an audio data format.

  In addition, the output unit may be a transmission / reception device that can communicate with other devices, or a media drive that can write to a portable storage medium such as a CD-R.

  Further, as shown in FIG. 10, the microphone 21a collects the explanation information, and also has a memory 21b that stores the explanation information in advance as acquisition means, and the explanation information is sent from the memory 21b to the voice recognition processing unit 22. It may be output.

  Furthermore, as shown in FIG. 11, the transmission / reception terminal 2 is provided with a description information storage unit 26 with explanation, which is a nonvolatile storage medium such as a flash memory, and the explanation information with explanation received by the transmission / reception unit 23 is temporarily stored. Alternatively, it may be read according to the operation and output to the output means such as the monitor 24a.

  In addition, the generation unit 32 refers to the selection information 41 included in the description information when selecting the explanation dictionary 5. In addition, the transmission / reception terminal 2 includes an operation unit 25 that can input characters such as buttons and a touch panel. In this way, the selection information 41 input by the operation unit 25 may be referred to. In the transmission / reception terminal 2, in addition to the description information, the selection information 41 input using the operation unit 25 is transmitted to the server 3 together. The dictionary selection unit 321 acquires commentary dictionary specifying information 42 associated with the received selection information 41 from the dictionary selection table 4 and selects the commentary dictionary 5 specified by the commentary dictionary specifying information 42.

  In the medical support system 1 described above, the portable terminal is described as an example of the transmission / reception terminal 2, but it may be a desktop PC used when a doctor views the electronic medical record. Further, the function of this embodiment of the server 3 may be applied to this desktop PC.

It is a figure which shows the structure of a medical assistance system. It is a figure which shows the detailed structure of a production | generation part. It is a figure which shows an example of a dictionary selection table. It is a figure which shows an example of the dictionary for description. It is a figure which shows an example of description information. It is a figure showing an example of explanation information with explanation. It is a flowchart which shows operation | movement of a medical assistance system. It is a figure which shows the 1st modification of a medical assistance system. It is a figure which shows the 2nd modification of a medical assistance system. It is a figure which shows the 3rd modification of a medical assistance system. It is a figure which shows the 4th modification of a medical assistance system. It is a figure which shows the 5th modification of a medical assistance system.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Medical assistance system 2 Transmission / reception terminal 21a Microphone 21b Memory 22 Speech recognition process part 221 Keyword memory | storage part 23 Transmission / reception part 24a Monitor 24b Speaker 24c Conversion part 25 Operation part 26 Explanation information storage part with description 3 Server 31 Transmission / reception part 32 Generation part 321 Dictionary Selection unit 322 Extraction unit 323 Search unit 324 Edit processing unit 33 Dictionary storage unit 4 Dictionary selection table 41 Selection information 411 Hospital identification information 412 Physician identification information 413 Disease identification information 42 Explanation dictionary specific information 5 Explanation dictionary 51 Term 52 Explanation text

Claims (11)

Acquisition means for acquiring explanation information in a voice data format for a patient;
Voice recognition means for analyzing the explanation information and replacing it with a character data format;
Dictionary storage means for preliminarily storing commentary dictionaries associated with terms and their identification sentences and associated with doctor identification information and disease identification information for each doctor and disease ;
A term representing a doctor and a disease is searched from the explanation information in the character data format, the corresponding doctor identification information and the explanation dictionary associated with the disease identification information are selected, and the explanation information in the character data format Generating means for generating explanation information with explanation from the explanation information and the explanation sentence corresponding to the term contained in the explanation information, comparing each term included in the dictionary with the selected explanation dictionary;
Output means for outputting the explanation information with explanation,
Providing
A medical support system characterized by The generating means includes
Each term included in the explanation information is extracted, the explanation sentence corresponding to the extracted term is read from the explanation dictionary, and the explanation information read out is replaced with the character data format. Generating the explanation information with explanation by performing an edit to be inserted into the sentence including the term ,
The medical support system according to claim 1. A transmission / reception terminal comprising the acquisition means, the voice recognition means, and the output means;
A server that has the dictionary storage means and the generation means, and is connected to the network so as to be able to transmit and receive to the transmission and reception terminals;
Providing
The medical support system according to claim 1. The dictionary selecting means includes
A term representing a doctor and a disease is searched from the explanation information in the character data format, and the explanation dictionary associated with the doctor identification information and the disease identification information is selected.
The medical support system according to claim 1 . An operation means for receiving an input operation of the doctor identification information and the disease identification information;
The dictionary selecting means includes
Selecting the commentary dictionary associated with the doctor identification information and the disease identification information input by the operation means;
The medical support system according to claim 1 . The voice recognition means
Pre-store keywords indicating start and end, analyze the explanation information and replace the range between the keywords with character data format,
The medical support system according to claim 1. The voice recognition means
Storing a keyword in advance, analyzing the explanation information, and replacing a sentence including the keyword with a character data format;
The medical support system according to claim 1. The acquisition means includes
Including a microphone for collecting the explanation information;
The medical support system according to claim 1. The acquisition means includes
Including explanatory information storage means for storing explanatory information in the audio data format;
The medical support system according to claim 1. The output means includes
Conversion means for converting the explanation information with comment in the character data format generated by the generation means into a voice data format;
A speaker that outputs the explanation information with comment converted by the conversion means;
Including,
The medical support system according to claim 1. Further comprising explanation information storage with explanation for storing the explanation information with explanation generated by the generation means,
The output means includes
Reading and outputting the explanation information with explanation stored in the explanation information storage means with explanation,
The medical support system according to claim 1.

Images