JP6719886B2 - Medical information display system and medical information display method - Google Patents

Description

The disclosed technology relates to a medical information display system and a medical information display method.

In recent years, in the medical field as well, there are increasing opportunities to make consensus meetings (medical conferences) when deciding diagnostic findings, treatment plans, or handing over to nursing/nursing care. The background to this is that current medical care is shifting from individual medical care by individual doctors to team medical care by multiple people. This is also promoted from a management perspective such as hospital evaluation and treatment remuneration.

On the other hand, existing medical systems such as electronic medical charts are sufficient to refer to individual patient data, but when used at a medical conference, there is a problem that usability becomes poor. For example, an electronic medical record manages and records all records relating to the patient, but at a medical conference, not all the information is required, and it is required to present the information according to the conference.

Therefore, a technique considering a medical conference has been proposed. For example, in Patent Document 1, a patient extraction condition is set in order to extract a patient as a medical conference target, and the result is displayed in accordance with the extraction condition. Specifically, it is assumed that the patient extraction conditions are “patient name (Mr. A)”, “medicine”, and “allergy”. The result is composed of a table in which “patient name”, “medicine”, and “allergy” are set as items, and the drug being used by the patient matching the patient name and the presence or absence of allergy are displayed as information. As a result, it is possible to extract a necessary patient for each medical conference and check the information of the extraction conditions by listing.

JP, 2012-226632, A

However, the technique as shown in the above background art has the following problems. In Patent Document 1, the result according to the patient extraction condition is displayed, but it is not always necessary to confirm the extraction condition as a result. For example, when a patient who has allergies and who administers a certain drug B is extracted, the displayed results include “patient name”, “allergy presence”, and “drug name” as items. However, this information is redundant when allergy is specified and the drug name is specified as the extraction condition. Alternatively, depending on the medical conference, there is a case where it is desired to know the information such as “administration period” and “administration start” as a result of the above-described patient extraction, and in this case, the work of confirming the desired information from each patient information occurs.

The disclosed technology has been made to solve the above-described problem, and one of its purposes is to display appropriate medical information (patient information).

Note that the present invention is not limited to the above-mentioned object, and it is also an effect that is obtained by each configuration shown in the embodiment for carrying out the invention to be described later and that is not obtained by the conventional technique. It can be positioned as one.

As one means for achieving the above object, the disclosed image display system has the following configuration. That is, it is a system for displaying patient information, and patient information extraction means for extracting patient information, extraction result display means for displaying a result extracted by the patient information extraction means, and display for the extraction result display means. Extraction result display condition setting means for setting a condition, the extraction result display condition setting means sets a condition as a result of extraction by the patient information extraction means, and an extraction query is the extraction result display condition. When the extraction result displayed by the extraction result display means is matched with the extraction condition set by the setting means, the extraction result is displayed according to the setting of the extraction result display condition setting means.

According to the disclosed technology, it is possible to present appropriate patient information.

It is a figure showing an example of composition of a system. It is a figure showing an example of an information processor. 6 is a flowchart showing an example of display processing according to the first embodiment. It is a figure which shows an example of the display screen which concerns on 1st Embodiment. It is a figure which shows an example of the display screen which concerns on 1st Embodiment. It is a figure which shows an example of the display screen which concerns on 1st Embodiment. It is a figure which shows an example of the display screen which concerns on 1st Embodiment. 9 is a flowchart illustrating an example of display processing according to the second embodiment. It is a figure which shows an example of the display screen which concerns on 2nd Embodiment. It is a figure which shows an example of the display screen which concerns on 2nd Embodiment.

Hereinafter, the medical information display system will be described with reference to the accompanying drawings. The configurations shown in the following embodiments are merely examples, and the present invention is not limited to the illustrated configurations.

<First Embodiment>
An example of recognizing a patient and displaying information will be described below as a first embodiment of the image display system (medical information display system) according to the present invention. FIG. 1 is a diagram illustrating an example of a device configuration according to the first embodiment. An information processing apparatus 100 has a function of displaying medical treatment contents and examination results of a patient in a form that can be used at a conference. A server device 101 manages patient information. Reference numeral 102 denotes an electronic medical chart device, which allows detailed information input and browsing of patient information. The patient information held by the electronic medical chart device 102 may be held by the server device 101, or may be held by the electronic medical chart device 102.

Each device has a communication function inside and is connected to the network 103. In addition, in all cases, the patient information is not managed by the server apparatus 101 and may be managed by the information processing apparatus 100, and the server apparatus 101 is not necessarily required. Similarly, the information processing apparatus 100 may have the function of the electronic medical chart apparatus 102, and the electronic medical chart apparatus 102 is not necessarily required.

FIG. 2 is a diagram illustrating an example of the configuration of the information processing device according to the first embodiment. The information processing device 100 includes a CPU 201, a memory 202, a storage device 203, an input device 204, a display device 205, and a communication I/F unit 206, which are mutually connected by a bus 207.

The CPU 201 executes various functions described below by executing the program 208 stored in the storage device 203. The memory 202 temporarily stores programs and data read by the CPU 201 from the storage device 203. The memory 202 is also used as an area for the CPU 201 to execute various programs.

The storage device 203 stores an operating system (OS), various programs, control programs, data, and the like. The control program 208 is stored, for example, as a part of data in the storage device 203.

Examples of the program include various recognition processing, extraction and display processing of patient information and materials, and processing related to cooperation processing with the electronic medical chart apparatus 102. Examples of the data include images and documents related to the patient.

The functions and processing of the information processing apparatus 100 described later are realized by the CPU 201 reading a program stored in the storage device 203 and executing the program.

The input device 204 mainly accepts conditions of patient information to be displayed and operations such as memos recorded during a meeting.

The display device 205 displays various kinds of information, for example, the information input by the input device 204 and the execution result of the program executed by the CPU 201.

The communication I/F unit 206 performs communication processing with the server device 101 and the electronic medical chart device 102.

FIG. 3 is a flowchart showing display processing by the information processing device 100. Note that, hereinafter, the information processing apparatus 100 according to the present embodiment will be described as managing patient information.

In S300, the CPU 201 of the information processing apparatus 100 waits until the condition of the patient information to be extracted is input. When the CPU 201 detects the completion of the input of the extraction condition (Yes in S300), the process proceeds to S301. That is, the CPU 201 detects whether or not the condition of the patient information to be extracted by the input device 204 is received, and when the reception of the condition of the patient information to be extracted by the input device 204 is detected, the process proceeds to S301.

FIG. 4 shows an example of a screen when the operator inputs the extraction conditions via the input device 204 in step S301. FIG. 4A is a condition setting screen for acquiring a patient list, and in the screen 400, a first-level list 401 of patient extraction conditions is listed. When one condition is set from this list, the second hierarchy 402 can be set so that a more detailed condition can be set. In the example shown in FIG. 4A, a patient who has already been image-acquired and is in the hospital for radiation, an endoscope, and an ultrasonic order is extracted. In addition, it is also possible to set a target period for which medical departments and patients should be extracted. The condition setting screen for patient extraction is not limited to the display form of FIG.

FIG. 4B is a condition setting screen 410 for acquiring materials such as a test image of a patient, a test report, and an electronic medical record. Similar to the screen 400, the list 410 of the first layer of the extraction condition of the patient's material is enumerated in the screen 410, and the second layer 421 can be set so that the detailed condition can be set for each condition. Has become. In addition to this, there are cases in which the extraction screens are selectively used according to the usage scene, such as a screen for inputting an extraction keyword using a character string. That is, the material acquisition condition setting screen is not limited to the display form of FIG.

There is no problem if the CPU 201 confirms whether or not the operator has input on each screen, and reflects the condition input on a certain extraction condition input screen in another screen in conjunction. For example, in the case where a list of patients and the material of the patient are simultaneously extracted at a medical conference and “image” is included in the patient extraction condition in FIG. 4A, the condition of the patient material extraction screen 410 is also “ "Image" is set. This is a process for making the extraction result consistent so as to obtain the patient list and the patient data at the same time. Further, it becomes possible for the operator to save time and effort for inputting on each of the screen of FIG. 4A and the screen of FIG. 4B. Further, since the patient extraction condition setting screen of FIG. 4A and the material extraction condition setting screen of FIG. 4B are separately provided, the CPU 201 can meet the demands of the operator such as a doctor. Accordingly, the setting of the extraction condition can be accepted.

In S301, the CPU 201 waits until receiving an extraction instruction. When the extraction instruction is detected (Yes in S301), the CPU 201 advances the process to S302. For example, the CPU 201 detects whether the extraction start button displayed on the display device 205 has been selected by the operator, so that the determination in S301 can be performed.

In S302, the CPU 201 confirms whether or not the display setting of the extraction result associated with the extraction condition exists. Here, the display setting indicates, for example, at least the setting of information to be displayed in the remarks column. When the extraction result display setting is present (Yes in S302), the CPU 201 advances the process to S303. If it does not exist, extraction is performed under the given extraction conditions, and the result is displayed in the specified item. FIG. 5 is an example of the patient extraction result display 500 and the patient material extraction result display 510, in which no processing is performed when the display setting of the extraction result does not exist (in other words, no processing is performed). In the patient extraction result display 500 shown in FIG. 5A, a patient name corresponding to the extraction condition and reference information regarding the patient are displayed as a remarks column 501. More specifically, the display device 205 displays the patient ID and/or the patient identification information such as the patient name and the reference information side by side. That is, the display device 205 corresponds to an example of a display unit that displays the patient identification information and the patient reference information side by side. Further, in the patient material extraction result display 510 shown in FIG. 5B, information on a certain patient is displayed, and in addition to the basic patient information 511, the material 512 belonging to the patient is displayed. In this case, no matter what condition is used for extraction, since there is no setting related to display, the remarks 501 and 511 always display the same item of information. Therefore, if the remarks columns 501 and 511 of the display 500 are determined to be “first: surgery day, second: blood pressure on surgery day, third: department, fourth: attending physician”, the information is displayed. To be done.

FIG. 6 is an example of the extraction result display setting screens 600 and 610. There is no problem even if it is integrated with the extraction condition setting screen of FIG. 4 as shown in FIG. As shown in FIG. 6( a ), for example, a patient corresponding to “hospitalization” is extracted, and as a result, information on “hospitalization date”, “hospital discharge date”, “operative doctor”, “medical department” is remarked. An example of a procedure for displaying in a column will be described below. As the extraction condition, “hospitalization” is selected in the list 601, the detailed conditions are arbitrarily set in the list 602, and then the items to be displayed as the extraction result are set in the list 603. In this case, the CPU 201 accepts the items of the list 603 input via the input device 204. That is, the CPU 201 functions as an example of a receiving unit that receives the setting of the item displayed as the reference information on the screen displayed on the display unit on which the extraction condition of the patient displayed on the display unit can be set.

Here, for example, "admission date", "discharge date", "operative doctor", "medical department" are set to be displayed. That is, the display setting of the extraction result is performed. When it is desired to specify the display order, the display order can be set on the screen such as the list 613 shown in FIG. 6B. The screens of FIGS. 6A and 6B may be switchable. Further, when an item to be displayed in the remarks is set in the list 603, the display may be switched to that in FIG. 6B.

In S303, the CPU 201 adds the condition to the extraction condition input in S300 and executes extraction so as to obtain the information necessary for display from the extraction result display setting in S302, and the process proceeds to S304. .. For example, the CPU 201 uses the conditions set via the screens of FIGS. 4A, 4B, 6A, and 6B as search keys to store the patient information and the electronic medical chart device held by the server device 101. The patient information held by 102 is extracted. That is, the patient information held by the server apparatus 101 and the patient information held by the electronic medical chart apparatus 102 are, for example, a plurality of pieces which can be set on the screens of FIGS. 4(a), (b), 6(a), and (b). It contains at least one of the information. For example, when “hospitalization date”, “hospitalization date”, “surgeon”, and “medical department” are set on the screen of FIG. 6, the CPU 201 determines “hospitalization date”, “hospitalization date”, and “surgery date”. Information of “medicine” and “medical department” is acquired from the server device 101 and the electronic medical chart device 102.

In step S304, the CPU 201 causes the display device 205 to display the extracted result.

FIG. 7 is an example of the result display in S304 after performing S303. According to the settings shown in FIG. 6, when the “hospitalization”, “hospitalization”, “surgical doctor”, and “medical department” are displayed in the patient extraction of “hospitalization”, the result is displayed as the items set as shown in FIG. 7. It becomes the street. Depending on the extraction conditions, the display differs from the normal extraction result shown in FIG. If there is an extraction result display setting of another condition under another condition, the items according to the setting are displayed. That is, since the information desired by the operator can be displayed in the remarks column, appropriate medical information desired by the operator such as a doctor can be displayed.

In the present embodiment, the extraction condition necessary for display is added at the time of extraction, but any means can be used as long as the information to be displayed can be acquired. For example, there is no problem in a method in which extraction is performed so as to obtain all information regarding a patient, and information necessary for display is extracted from the extraction result and displayed.

<Second Embodiment>
The first embodiment is an example in which the extraction result display condition (display setting) is singularly matched, but an example in the case where a plurality of extraction result display conditions are matched will be described below. Since the device configuration and the information processing device are the same as those in the first embodiment, the description thereof will be omitted.

FIG. 8 is a flowchart showing a display process by the information processing device 100. Since the steps up to S802 are the same as those in the first embodiment, the description thereof will be omitted.

In step S<b>803, the CPU 201 confirms whether there are a plurality of extraction result display settings associated with the extraction condition. When there are a plurality of extraction result display settings (Yes in S803), the CPU 201 advances the process to S805. If it does not exist, the processing from S804 onward is performed, but the processing from S804 onward is the same as that in the first embodiment, and therefore the description thereof is omitted.

FIG. 9 is an example of the extraction result display setting screen 900 set in S802. As shown in FIG. 9, items to be displayed as extraction results corresponding to one condition of the list 601 of the first layer can be set from the list 603. That is, the plurality of items included in the first-level list 601 correspond to the plurality of items as patient extraction conditions to be displayed on the display unit. The CPU 201, which is an example of a reception unit, receives setting of items to be displayed as reference information for each of a plurality of items as extraction conditions. When a plurality of conditions for the first layer are set, the list 901 is used to set which condition the display setting is to be prioritized. That is, the CPU 201 sets the priority order to the reference information through the setting in the list 901. That is, the CPU 201 corresponds to an example of a setting unit that sets the priority order for a plurality of items as extraction conditions.

Note that the list 901 may be set by dragging and dropping the items of the list 601 to the list 901 using an operation means such as a mouse included in the input device 204. Alternatively, the priority order may be set by dragging and dropping the items in the list 601 to change the vertical display positions of the items in the list 601. For example, the item located at the top of the list 601 may have the highest priority. That is, the higher the vertical position of the plurality of items, the higher the priority. In the example shown in FIG. 9, when the priority order is set in the list 601, the order of priority is “hospitalization/discharge”, “specimen test”, and “medication”. That is, the display device 205 displays a plurality of items as extraction conditions side by side in the vertical direction and moves the plurality of items as extraction conditions in the vertical direction by using a mouse or the like, which is an example of an operating unit, to set the priority order. Can be changed. That is, the CPU 201, which is an example of the setting unit, can change the priority order according to the change of the vertical position of the plurality of items as the extraction condition by the operation unit.

The priority can be set for each medical conference, and the priority of information displayed in the remarks column can be set according to the conference. That is, it is possible to display appropriate medical information according to the situation.

As a specific example, the list 601 is set to extract patients including any of “hospitalization/discharge”, “medicine”, and “specimen test” as extraction conditions of the first layer. Then, as described with reference to FIG. 6, the extraction result display setting is performed using the list 603 for each of the extraction conditions “hospitalization/discharge”, “medication”, and “specimen test”. At this time, since there are various applicable patterns depending on the combination of the extraction conditions such as the patients corresponding to “medication” and “specimen test” and the patients corresponding to “hospital discharge” and “specimen test”, it corresponds to the plurality of extraction conditions. In this case, the extraction result display priority order may be set together. If the order of priority is “Medication”, “Sample test”, and “Hospital discharge”, if the patient corresponds to “Medication” and “Sample test”, set the display setting of “Medication” to “Hospital discharge”, “Sample” If the patient corresponds to "examination", apply the display setting of "specimen examination". That is, the display device 205, which is an example of a display unit, displays an item to be displayed as reference information set for an item having a high priority among a plurality of items as extraction conditions.

Here, an example in which the extraction condition is OR has been described, but the same can be applied to the case of AND extraction. In the above embodiment, the operator uses the list 603 to set the display, but each item in the list 601 may be associated with each item in the list 603 in advance.

In S805, the CPU 201 performs the extraction according to the extraction condition, and then advances the processing to S806. Since S805 is substantially the same as S303, detailed description will be omitted.

In step S806, the CPU 201 determines which extraction condition is satisfied for the extraction result. After the determination, the information to be displayed is extracted according to the display setting of the extraction result associated with the extraction condition. At this time, if a plurality of extraction conditions are satisfied, the display setting of the extraction result to be applied is changed according to the priority order set in FIG. 9, and the process proceeds to S806. The result extracted in S807 is displayed.

FIG. 10 is an example of the result display in S807 after performing S806. FIG. 10A shows a patient extraction result display 1000. The remarks column 1001 differs for each patient depending on the extracted conditions. Therefore, the remarks column 1001 also displays information indicating what the displayed information means.

FIG. 10B shows a patient material extraction result display 1010. When a patient is selected from the patient extraction result display 1000, the display is switched to the display shown in FIG. In a medical conference, the necessary information varies depending on the patient situation and the content of the conference, so the displayed information is switched depending on the extraction conditions. Therefore, when the information of a different patient is referred to, information suitable for the situation or conference of the patient is displayed. In addition, when a record is left in an external system such as the electronic medical chart 102 in the conference, the CPU 201 calls a function for inputting the content from the patient material extraction result display 1010 as shown in FIG. A transfer instruction is given to 102 or the like. By doing so, it is possible to leave a record in an external system such as the electronic medical chart apparatus 102 without switching the system during the conference.

In this embodiment, the information processing device 100 selects the information to be displayed after the extraction, but the device (for example, the server device 101) that executes the extraction process selects the information to be displayed during the extraction. There is no problem with the method of outputting the result to the information processing apparatus 100.

<Other embodiments>
Although the exemplary embodiments have been described in detail above, the present invention can be embodied as a system, an apparatus, a method, a program, a recording medium (storage medium), or the like. Specifically, it may be applied to a system including a plurality of devices (for example, a host computer, an interface device, an imaging device, a Web application, etc.), or may be applied to a device including one device. good.

Needless to say, the object of the present invention can be achieved by the following. That is, a recording medium (or storage medium) recording a program code (computer program) of software that realizes the functions of the above-described embodiments is supplied to the system or apparatus. Needless to say, such a storage medium is a computer-readable storage medium. Then, the computer (or CPU or MPU) of the system or apparatus reads and executes the program code stored in the recording medium. In this case, the program code itself read from the recording medium realizes the functions of the above-described embodiments, and the recording medium recording the program code constitutes the present invention.

Although the preferred embodiments of the present invention have been described above in detail, the present invention is not limited to the specific embodiments, and various modifications are possible within the scope of the gist of the present invention described in the claims. -Can be changed.

100 information processing device 201 CPU
202 memory 203 storage device 204 input device 205 display device 206 communication I/F unit

Claims (4)

Display means for displaying the patient identification information and the patient reference information side by side,
Receiving means for accepting the setting of the item to be displayed as the reference information for each of the plurality of items on the screen displayed on the display device capable of setting a plurality of items as patient extraction conditions to be displayed on the display device When,
A medical information display system comprising: The display unit further includes setting means for setting a priority order for the plurality of items as the extraction conditions, and the display means is set for an item having a high priority order among the plurality of items as the extraction conditions. The medical information display system according to claim 1, wherein an item to be displayed as the reference information is displayed. Further comprising operating means capable of moving the plurality of items as the extraction condition,
The display means displays the plurality of items as the extraction conditions side by side in a vertical direction,
The medical information display system according to claim 2, wherein the setting unit changes the priority order according to a change in vertical position of the plurality of items as the extraction condition by the operation unit. The medical information display system according to claim 3, wherein the higher the vertical position of the plurality of items, the higher the priority.

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