JP6809803B2 - Patient explanation support device - Google Patents

Description

An embodiment of the present invention relates to a patient explanation support device.

When the clinician explains the test result and the treatment policy to the patient, the clinician gives the explanation based on, for example, each test data accompanying the interpretation report prepared in advance and various medical images. Because the time to explain test results and treatment strategies to patients is usually limited, clinicians typically select test data and medical images to use for explanation to patients at their own discretion. , Explain to the patient based on the selected test data and medical images.

However, this method may result in unexplained test results. For example, due to a clinician's lack of consciousness, he may forget to explain the necessary information. In addition, as a result of explaining some of the explanations in detail, the time may be insufficient and sufficient time may not be taken to explain the necessary items. In addition, as a result of explanations based on information that cannot be understood without medical knowledge, inadequate understanding of patients may occur.

Japanese Unexamined Patent Publication No. 2011-253225 JP-A-2009-187256

An object to be solved by the present invention is to provide a patient explanation support device that supports efficient explanation to a patient.

The patient explanation support device according to the embodiment includes a specific unit and a notification unit. Based on the information indicating the ease of understanding of the test results, the specific part takes time to explain to the patient from among multiple test result information explaining the same case as compared with other test result information. Identify the test result information that will be shortened. The notification unit notifies the display unit of the inspection result information specified by the specific unit.

FIG. 1 is a block diagram showing an overall configuration including a patient explanation support device according to an embodiment. FIG. 2 is a block diagram showing a configuration of a patient explanation support device according to an embodiment. FIG. 3 is a diagram illustrating the processing performed by the patient explanation support device according to the first embodiment. FIG. 4 is a diagram illustrating the processing performed by the patient explanation support device according to the first embodiment. FIG. 5 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the first embodiment. FIG. 6 is a diagram illustrating the processing performed by the patient explanation support device according to the second embodiment. FIG. 7 is a diagram illustrating the processing performed by the patient explanation support device according to the second embodiment. FIG. 8 is a diagram illustrating the processing performed by the patient explanation support device according to the second embodiment. FIG. 9 is a diagram illustrating the processing performed by the patient explanation support device according to the second embodiment. FIG. 10 is a diagram illustrating a process performed by the patient explanation support device according to the second embodiment. FIG. 11 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the second embodiment. FIG. 12 is a diagram illustrating an example of a display screen in the patient explanation support device according to the third embodiment. FIG. 13 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the third embodiment. FIG. 14 is a diagram illustrating an example of a display screen in the patient explanation support device according to the fourth embodiment. FIG. 15 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the fourth embodiment. FIG. 16 is a diagram illustrating an example of a display screen in the patient explanation support device according to the fifth embodiment. FIG. 17 is a flowchart illustrating a procedure of processing performed by the patient explanation support device according to the fifth embodiment.

Hereinafter, the reservation management device according to the embodiment will be described in detail with reference to the attached drawings.

(First Embodiment)
The overall configuration including the patient explanation support device (medical information storage device 400) according to the embodiment will be described with reference to FIG. FIG. 1 is a block diagram showing an overall configuration including a patient explanation support device according to an embodiment.

The modality device 100 is various inspection devices used in the medical field. Specific examples of the modality device 100 include an X-ray CT (Computed Tomography) device, an MRI (Magnetic Resonance Imaging) device, an X-ray device, an ultrasonic diagnostic device, and the like. The biopsy device 200 is a test for directly examining the function of the body using various instruments, for example, an device for performing endoscopy, electrocardiography, blood pressure measurement, electroencephalogram, and the like. If necessary, a sample testing device such as a blood test may be connected to a network to communicate with the medical information storage device 400 described later.

The medical image reconstructing device 300 is a device that reconstructs a medical image based on data obtained by, for example, photographing or imaging with a modality device 100. The medical image reconstructing device 300 generates a medical image based on, for example, data obtained by imaging with an MRI device or imaging with an X-ray CT device. Further, for example, as an example, the medical image reconstructing device 300 reconstructs 3D data from the X-ray CT image of each slice.

The medical information storage device (patient explanation support device) 400 stores various medical data generated by the modality device 100, the biopsy device 200, and the medical image reconstruction device 300, and as will be described later, the patient explanation support device. It is a device that functions as. The detailed configuration of the medical information storage device 400 will be described later. The medical information reference device 500 is a device for a user to refer to a medical image. The medical information reference device 500 is, for example, a terminal device used by an image interpretation doctor who is a user to create an image interpretation report.

The modality device 100, the biopsy device 200, the medical image reconstruction device 300, the medical information storage device 400, and the medical information reference device 500 are connected to each other so as to be able to communicate with each other through, for example, a network.

The medical information storage device 400 as a patient explanation support device will be described in more detail with reference to FIG. FIG. 2 is a block diagram showing a configuration of a patient explanation support device according to an embodiment.

The medical information storage device 400 includes a processing circuit 150, a storage circuit 132, an input device 134, and a display device (display) 135. Further, the processing circuit 150 has a specific function 150a and a notification function 150b in the first embodiment. Further, in the second embodiment, the processing circuit 150 has a first calculation function 150c, a second calculation function 150d, and a third calculation function 150e in addition to the specific function 150a and the notification function 150b. Further, the storage circuit 132 has a patient information storage function 132a, a master information storage function 132b, and a supplementary information storage function 132c.

Here, the specific function 150a is a function of specifying predetermined test result information from a plurality of test result information explaining the same case. The notification function 150b is a function for notifying a display unit (for example, a display device 135 or an external display device) of inspection result information or the like. The first calculation function 150c, the second calculation function 150d, and the third calculation function 150e are functions for calculating the time required for explanation to the patient, the importance of the test result, and the like. A detailed description of these functions will be described later.

Each processing function performed by the specific function 150a, the notification function 150b, the first calculation function 150c, the second calculation function 150d, and the third calculation function 150e is stored in the storage circuit 132 in the form of a program that can be executed by a computer. There is. The processing circuit 120 is a processor that realizes a function corresponding to each program by reading a program from the storage circuit 132 and executing the program. In other words, the processing circuit 150 in the state where each program is read out has each function shown in the processing circuit 150 of FIG. In FIG. 2, a single processing circuit 150 realizes the processing functions performed by the specific function 150a, the notification function 150b, the first calculation function 150c, the second calculation function 150d, and the third calculation function 150e. Although described as those, a plurality of independent processors may be combined to form a processing circuit 150, and each processor may execute a program to realize a function.

In other words, each of the above-mentioned functions may be configured as a program, and one processing circuit may execute each program, or a specific function may be implemented in a dedicated and independent program execution circuit. You may. The specific function 150a, the notification function 150b, the first calculation function 150c, the second calculation function 150d, and the third calculation function 150e of the processing circuit 150 are the specific unit, the notification unit, the first calculation unit, and the second calculation unit, respectively. , This is an example of the third calculation unit.

The term "processor" used in the above description refers to, for example, a CPU (Central Processing Unit), a GPU (Graphical Processing Unit), an integrated circuit for a specific application (Application Special Integrated Circuit: ASIC), a programmable logic device (for example, a simple programmable logic device, etc.). A circuit of a programmable logic device (Single Programmable Logical Device: SPLD), a composite programmable logic device (Complex Programmable Logic Device: CPLD), and a field programmable gate array (field programmable gate array (meaning FPGA)). The processor realizes the function by reading and executing the program stored in the storage circuit 132. Instead of storing the program in the storage circuit 132, the program may be directly incorporated in the circuit of the processor. In this case, the processor realizes the function by reading and executing the program embedded in the circuit. Further, the storage circuit 132 realizes the patient information storage function 132a by storing the patient information acquired from the network shown in FIG. 1, for example. Further, the storage circuit 132 realizes the master information storage function 132b by storing the acquired master information, for example. Further, the storage circuit 132 realizes the supplementary information storage function 132c by, for example, acquiring the acquired captured information. For example, the storage circuit 132 is a RAM (Random Access Memory), a semiconductor memory element such as a flash memory, a hard disk, an optical disk, or the like.

The input device 134 receives various instructions and information inputs from the operator. The input device 134 is, for example, a pointing device such as a mouse or a trackball, or an input device such as a keyboard.

The display device 135 displays various information such as image data under the control of the processing circuit 120. A display device 135, for example, a display device such as a liquid crystal display.

Next, the background related to the configuration of the patient explanation support device according to the embodiment will be briefly described.

When the clinician explains the test result and the treatment policy to the patient, the clinician gives the explanation based on, for example, each test data accompanying the interpretation report prepared in advance and various medical images. Because the time to explain test results and treatment strategies to patients is usually limited, clinicians typically select test data and medical images to use for explanation to patients at their own discretion. , Explain to the patient based on the selected test data and medical images.

However, this method may result in unexplained test results. For example, due to a clinician's lack of consciousness, he may forget to explain the necessary information. In addition, as a result of explaining some of the explanations in detail, the time may be insufficient and sufficient time may not be taken to explain the necessary items. In addition, as a result of explanations based on information that cannot be understood without medical knowledge, inadequate understanding of patients may occur.

Against this background, in the first embodiment, when there are a plurality of test result information explaining the same case by the specific function 150a, the processing circuit 150 relatively informs the patient from among them. Identify test result information that reduces the time required for explanation.

“When there are a plurality of test result information explaining the same case” will be described with reference to FIG. FIG. 3 is a diagram illustrating the processing performed by the patient explanation support device according to the first embodiment.

In FIG. 3, each line corresponds to one test result information, and information on a case and what type of medical information is displayed as a set as a list. For example, FIG. 3 shows one test result information in which the case is "myocardial dysfunction due to coronary plaque" and the medical information is "CT slice image (chest / myocardial protocol)". Further, one test result information in which the case is "myocardial dysfunction due to coronary plaque" and the medical information is "3D reconstruction data" is shown in FIG. Since the symptom is "myocardial dysfunction due to coronary plaque" and is common to these two single test result information, it corresponds to a plurality of test result information explaining the same case. In this example, the "CT slice image (chest / myocardial protocol)" and the "3D reconstruction data" are basically one-slice images or three-dimensional volume data, although there is a difference. Since the data are the same X-ray CT examination data, if one image is explained to the patient, it may not be necessary to explain the other image to the patient.

Further, the "plurality of test result information explaining the same case" referred to here is not necessarily limited to a plurality of test result information obtained by one modality. For example, test result information in which the case is "gallstone inflammation" and the medical information is "ultrasonic diagnostic image (gallbladder)", and the case is "gallstone inflammation" and the medical information is "blood test". The test result information, which is the "result", may be a plurality of test result information explaining the same case.

Further, here, the case "myocardial dysfunction due to coronary plaque" is determined, for example, by an image interpreting doctor who prepares an image interpretation report prior to processing the test result information. For example, an image interpreter who has taken a picture with the modality device 100 and acquired a medical image reconstructed by the medical image reconstructing device 300 through the medical information reference device 500 can interpret the image using the input device of the medical information reference device 500. Create a report. At this time, the interpreting doctor associates, for example, the case "myocardial dysfunction due to coronary plaque" with the medical image used as the criterion for the judgment.

FIG. 4 shows an example of creating an interpretation report by an interpretation doctor. FIG. 4 is a diagram illustrating the processing performed by the patient explanation support device according to the first embodiment.

FIG. 4 as a whole shows an example of an interpretation report / medical record sentence created by an interpretation doctor. Here, the interpretation report typically refers to a document in which the interpretation doctor describes his / her findings regarding a predetermined test result, and the medical record is, in addition to this, other additional information such as communication with the patient. It typically refers to the document that the clinician has added to the interpretation report. Hereinafter, the case where the interpretation doctor creates the interpretation report will be described, but the embodiment is not limited to this, and the same applies to the case where, for example, a medical record is created.

In FIG. 4, the interpretation report body 11 represents the image interpretation report body. For example, an image interpreter who has taken a picture with the modality device 100 and acquired a medical image reconstructed by the medical image reconstructing device 300 through the medical information reference device 500 uses an input device of the medical information reference device 500 to perform an interpretation report. To create. In addition, hyperlinks 12a, hyperlinks 12b, and hyperlinks 12c, which are qualified by underlining and displayed in a color different from the text of the interpretation report, are hyperlinks generated for the character string in the description of the interpretation report. Shown. As an example, the processing circuit 150 performs pattern matching processing for checking the presence or absence of a predetermined keyword corresponding to a medical image on a character string in an image interpretation report created by an image interpretation doctor, and a matching character string is obtained. If there is, hyperlinks 12a to 12c are automatically added to the interpretation report. Also, these hyperlinks may be manually generated by accepting input from the radiologist.

Further, when a user such as a clinician clicks the hyperlinks 12a to 12c of the created image interpretation report, the processing circuit 150 causes the display unit to display the medical information corresponding to the hyperlinks 12a to 12c clicked by the user.

The flow of processing performed by the patient explanation support device according to the first embodiment will be described with reference to FIG. FIG. 5 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the first embodiment. In FIG. 5, for example, a case where the case is a myocardial dysfunction due to coronary plaque will be described as an example.

First, the modality device 100, the biopsy device 200, and the medical image reconstruction device 300 generate medical information (step S100). For example, the modality device 100 takes a picture and generates medical information which is a medical image. Further, for example, the medical image reconstructing device 300 performs a reconstructing process based on the imaging data performed by the modality device 100 to generate medical information which is a medical image. In addition, the biopsy apparatus 200 performs a biopsy and generates medical information as a result of the biopsy.

Subsequently, the medical information storage device 400 receives the medical information generated by the modality device 100, the biopsy device 200, and the medical image reconstruction device 300 in step S100 through the network, and stores the received medical information in the storage circuit 132. (Step S110).

When the medical information received by the medical information storage device 400 in step S110 is stored in the storage circuit 132, the medical information reference device 500 receives an operation from the interpretation doctor and supports the creation of the interpretation report (step S120). Specifically, the medical information reference device 500 acquires the medical information stored by the medical information storage device 400 in step S110 from the storage circuit 132. The medical information reference device 500 causes the display device of the medical information reference device 500 to display a screen as shown in FIG. 4, for example, and accepts an operation input from an image interpreting doctor. At this time, for example, the medical information reference device 500 associates the medical information stored by the medical information storage device 400 with a predetermined character string in the image interpretation report text 11 generated by the image interpretation doctor. For example, the medical information reference device 500 associates the medical information with a predetermined character string in the interpretation report main body 11 to generate hyperlinks 12a to 12c. When the user clicks, for example, the hyperlink 12a, the "medical image of the X1 examination", which is the medical information corresponding to the hyperlink 12a, is displayed on the screen.

Subsequently, the medical information reference device 500 acquires a case (step S130). Specifically, the medical information reference device 500 receives input of a case from an image interpretation doctor who creates an image interpretation report, and acquires a case using the received input. For example, when the interpreter who confirmed the CT slice image and the 3D reconstruction data determines that the case is "myocardial dysfunction due to coronary plaque", the interpreter determines through the input device included in the medical information reference device 500. Enter that the case is "myocardial dysfunction due to coronary plaque". The medical information reference device 500 performs the subsequent processing based on the received input result.

In addition, although the case "myocardial dysfunction due to coronary plaque" has been described, for example, an example in which a radiographer manually inputs the case, the embodiment is not limited to this. For example, the processing circuit 150 may automatically read the value of the medical image and the like, and automatically determine the case, for example.

Subsequently, when the medical information reference device 500 acquires a case in step S130, the information of the acquired case is transmitted to the medical information storage device 400. The processing circuit 150 of the medical information storage device 400, which has received the case information from the medical information reference device 500, extracts a plurality of test result information explaining the same case, for example, as shown in FIG. 3 (step). S140). For example, the processing circuit 150 includes first test result information characterized by the case "myocardial dysfunction due to coronary plaque" and medical information "CT slice image (chest / myocardial protocol)", and the case "myocardium due to coronary plaque". The second test result information characterized by "operation abnormality" and medical information "3D reconstruction data" is extracted.

Subsequently, the processing circuit 150 compares the test result information with other test result information from among a plurality of test result information explaining the same case based on the information indicating the ease of understanding of the test result by the specific function 150a. Identify test result information that reduces the time required to explain to the patient. Here, an example of "information representing the ease of understanding of the inspection result" is information related to the imaging protocol, such as whether it is a CT image of one 2D slice or 3D reconstruction data. For example, since the 3D reconstruction data is easier to understand intuitively than the cross section of a predetermined 2D slice, the 3D reconstruction data is easier to understand than the 2D slice image. Further, an example of "information indicating the ease of understanding of the inspection result" is, for example, information indicating a difference in modality. For example, T ₂ weighted images in MRI as compared with the X-ray CT image, the image is difficult to understand how the generated, it is difficult to understand the test results. Further, these "information indicating the ease of understanding the inspection result" may be, for example, a parameter value preset for each inspection.

For example, in the example of FIG. 3, when the "CT slice image (chest / myocardial protocol)" and the "3D reconstruction data" are compared, the 3D reconstruction data is easier to understand the test result. From a plurality of test result information explaining the same case by the specific function 150a, the test result information characterized by the case "myocardial dysfunction due to coronary plaque" and the medical information "3D reconstruction data" is obtained from the case ". By comparing "myocardial dysfunction due to coronary plaque" with the medical information "CT slice image (chest / myocardial protocol)", it is identified as test result information that shortens the time required for explanation to the patient.

Subsequently, the processing circuit 150 notifies the display unit of the specified inspection result information by the notification function 150b (step S200). The processing circuit 150 causes the display unit to perform display processing based on the information notified in step S200 by the notification function 150b (step S210). As a specific example of this display process, for example, the specified inspection result information may be displayed in a color different from that of other inspection result information, or may be sorted and displayed in a list. Details of these points will be described in the embodiments described later. As an example of the configuration of the display unit, for example, a display device (not shown) provided in the medical information reference device 500 can be mentioned. Further, as another example of the configuration of the display unit, for example, the display device 135 in the medical information storage device 400 can be mentioned. Further, as another example of the configuration of the display unit, there is a display device connected to the medical information storage device 400 via a network.

As described above, in the first embodiment, the processing circuit 150 takes less time to explain to the patient than other test result information from among the plurality of test result information explaining the same case. The inspection result information is specified, and the display device is made to perform the display process based on the specified information. As a result, the user can explain to the patient using the test result information that requires a short explanation time, which improves convenience.

(Second Embodiment)
In the first embodiment, a case where the processing circuit 150 identifies test result information that can be explained in a short time from a plurality of test result information explaining the same case has been described. In the second embodiment, in addition to this, the processing circuit 150 calculates the processing necessary to explain the test result to the patient by a predetermined method.

Such processing will be described with reference to FIGS. 6 to 11. 6 to 10 are diagrams illustrating the processing performed by the patient explanation support device according to the second embodiment. FIG. 11 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the second embodiment.

FIG. 6 is a diagram illustrating a correspondence relationship between the case described in the interpretation report and the time required for explanation to the patient (patient explanation time). For example, in the list shown in FIG. 6, when the case described in the interpretation report is "inflammation due to gallstones", the default value (initial value) set as the patient explanation time is "4 minutes". Become. In addition, the default value (initial value) set as the patient explanation time in which the case described in the interpretation report is "myocardial dysfunction due to coronary plaque" is "3 minutes". With the supplementary information storage function 132c, the storage circuit 132 stores, for example, a list of a set of the case described in the interpretation report and the patient explanation time in a predetermined storage medium. If necessary, the processing circuit 150 acquires from the storage circuit 132 a list of pairs of the case described in the interpretation report stored in the storage circuit 132 and the patient explanation time.

FIG. 7 is a diagram for explaining a procedure in which the processing circuit 150 calculates the patient explanation time by the first calculation function 150c from the combination of the case described in the interpretation report and the medical information. In FIG. 7, “case” indicates the case described in the interpretation report. In addition, "medical information" represents the type of medical information such as what kind of modality was taken. “Patient explanation importance” indicates the ranking of the importance of patient explanation. For example, when the importance of the patient explanation is "A", it means that the patient explanation is indispensable information, and if the explanation is neglected, the information can be the subject of a proceeding. When the importance of the patient explanation is "B", it means that the patient explanation is important information and can be the basis of the treatment policy. Further, when the importance of the patient explanation is "C", it means that the patient explanation is preferable information and can be information that assists the understanding of the patient.

The "reason for explanation" indicates the reason for explaining the item to the patient. Further, the "patient explanation time" indicates a value of the patient explanation time calculated by the processing circuit 150 by the first calculation function 150c and the second calculation function 150d, as will be described later.

For example, consider a case where the "case" is "inflammation due to gallstones" and the "medical information" is an "ultrasonic diagnostic device (gallbladder)". In this case, the "importance of patient explanation" is "A". In addition, the "reason for explanation" becomes the "cause of the case". The "patient explanation time" is "10 minutes". Further, consider the case where the "case" is "inflammation due to gallstones" and the "medical information" is "blood test". In this case, the "importance of patient explanation" is "B". In addition, the "reason for explanation" is the "treatment policy". The "patient explanation time" is "1 minute". For example, consider the case where the "case" is "myocardial dysfunction due to coronary plaque" and the "medical information" is "CT slice image (chest / myocardial protocol)". In this case, the "importance of patient explanation" is "A". In addition, the "reason for explanation" becomes the "cause of the case". The "patient explanation time" is "10 minutes". Further, consider the case where the "case" is "myocardial dysfunction due to coronary plaque" and the "medical information" is "3D reconstruction data". In this case, the "importance of patient explanation" is "A". In addition, the "reason for explanation" is the "treatment policy". The "patient explanation time" is "2 minutes".

The storage circuit 132 stores a list composed of a plurality of sets by, for example, "case", "medical information", and "patient explanation time" as one set by the supplementary information storage function 132c. For example, "inflammation due to gallstones", "ultrasonic diagnostic device (gallbladder portion)", and "10 minutes" are a set of data stored in the memory circuit 132. Further, for example, "inflammation due to gallstones", "blood test result", and "1 minute" are a set of data stored in the memory circuit 132. Further, for example, the storage circuit 132 stores a list composed of a plurality of sets by using the supplementary information storage function 132c, for example, with "case", "medical information" and "importance of patient explanation" as one set. May be good.

The processing circuit 150 sets "case", "medical information", and "patient explanation time" as one set as needed, and for a list composed of a plurality of sets, for example, "case" and "medical information". Is used as a key to obtain the value of "patient explanation time". For example, in the processing circuit 150, when the "case" is "gallstone inflammation" and the "medical information" is "ultrasonic diagnostic image (gallbladder)", the value "10 minutes" of "patient explanation time" is set. Acquired based on the database stored in the storage circuit 132. Similarly, for example, when the "case" is "inflammation due to gallstones" and the "medical information" is "blood test result", the processing circuit 150 sets the value "B" of "patient explanation importance". It is acquired based on the database stored in the storage circuit 132.

In the above example, the case where the value of "patient explanation time" is set for the given set of "case" and "medical information" has been described, but the embodiment is not limited to this. For example, the value of "patient explanation time" may be set for each of "case" and "medical information". For example, the "patient explanation time" for "gallstone inflammation" is "6 minutes", the "patient explanation time" for "ultrasonic diagnostic equipment (gallbladder)" is "+4 minutes", and for "blood test". The "patient explanation time" may be set as "1 minute". In this case, for example, when the "case" is "inflammation due to gallstones" and the "medical information" is the "ultrasonic diagnostic device (gallbladder)", the "patient explanation time" is 6 minutes + 4 minutes = 10 It will be minutes. When the "case" is "inflammation due to gallstones" and the "medical information" is "blood test", the "patient explanation time" is 1 minute regardless of the case.

FIG. 8 is a diagram showing the correction of the patient explanation time and the patient explanation importance performed by the processing circuit 150 based on the information representing the state of the patient to be explained. In FIG. 8, the “medical information” represents, for example, the type of medical information acquired by the processing circuit 150, such as what modality the image was taken with, as in FIG. 7. Further, the "reason for correction" indicates the reason why the processing circuit 150 corrects the patient explanation time and the patient explanation importance by the third calculation function 150e. "Patient explanation importance correction" indicates the correction amount of the patient explanation importance calculated by the processing circuit 150. Further, the "patient explanation time correction" represents the correction amount of the patient explanation time calculated by the processing circuit 150 by the third calculation function 150e.

Further, as the reason for correction, for example, incidental information, degree of progression, treatment policy, and the like can be mentioned. Here, to explain an example in which the reason for correction is "accompanying information", for example, the ultrasonic diagnostic image is difficult to understand except for the learned engineer or doctor. However, if there is accompanying information such as annotations that mark abnormal parts and reference images of site schema / imaging direction to show which part was taken from which direction, the patient's understanding will be promoted. Can be reduced. Therefore, if there is accompanying information, the patient explanation time is corrected. Further, to explain an example in which the reason for correction is the degree of progression, for example, when the medical condition is serious, it is necessary to explain the medical condition in more detail, so that the patient explanation time increases. Therefore, the patient explanation time is corrected according to the progress of the disease. Further, even if the medical condition is the same, if the treatment policy is different, the patient explanation time is different, so that the patient explanation time is corrected according to the treatment policy. For example, as a result of a blood test, the need for treatment differs depending on the inflammatory reaction in the blood. When treatment is not necessary, only inform the patient to that effect, while when treatment is necessary, the fact that treatment is necessary, the need for inflammation, and the medicines to be administered to suppress inflammation Since the explanation is given, the importance and the explanation time increase.

In FIG. 8, when the medical information is the "ultrasonic diagnostic apparatus (gallbladder portion)" and the reason for correction is "annotation", that is, when the ultrasonic diagnostic image has annotations, the patient's understanding is promoted. Therefore, the patient explanation time correction is -2 minutes. On the other hand, since the presence or absence of annotation does not affect the importance of patient explanation, the patient explanation importance correction is 0. In addition, when the medical information is "ultrasonic diagnostic device (gallbladder)" and the reason for correction is "site / imaging direction reference image", that is, when the ultrasonic diagnostic image has a site schema / imaging direction reference image. Promotes patient understanding. Therefore, the patient explanation time correction is -4 minutes. On the other hand, since the presence or absence of annotation does not affect the importance of patient explanation, the patient explanation importance correction is 0.

From the above results, when the medical information is "ultrasound diagnostic device (gallbladder)", the patient explanation importance correction is not affected by the annotation or the site schema / imaging direction reference image, so the total The patient explanation importance correction of is 0. On the other hand, the patient explanation time correction is corrected by -2 minutes due to the presence of the annotation, and is corrected by -4 minutes due to the presence of the site schema / imaging direction reference image. -6 minutes.

Further, when the medical information is "blood test result" and the reason for correction is "treatment required", the patient explanation time is increased as compared with the case where the result is no abnormality because the treatment is required. Therefore, the patient explanation time correction is +5 minutes. In addition, since the medical condition requires treatment, the importance of patient explanation increases. Therefore, the patient explanation importance correction is +1. Here, +1 means a correction that raises the rank to the next higher rank. Specifically, what was C rank before the correction becomes B rank after the correction of +1 and what was B rank before the correction becomes A rank after the correction of +1. Further, in the case of +2 correction, what was C rank before the correction becomes A rank after the correction of +2.

From the above results, when the medical information is "blood test", the patient explanation importance correction is +1 and the patient explanation time correction is +5 minutes.

Further, when the medical information is "CT slice image (chest / myocardial protocol)" and the reason for correction is "annotation", that is, when the CT slice image has annotation, the understanding of the patient is promoted. Therefore, the patient explanation time correction is -2 minutes. On the other hand, since the presence or absence of annotation does not affect the importance of patient explanation, the patient explanation importance correction is 0.

In addition, when the medical information is "chest CR image (chest / lung cancer)" and the reason for correction is "serious", the importance of patient explanation is greatly increased because it is serious. Therefore, the patient explanation importance correction is +2. On the other hand, when the condition is serious, the patient explanation time is shortened because the abnormal findings are clearly shown on the chest CR image as compared with the case where the disease is in the early stage. Therefore, the patient explanation time correction is -5 minutes.

In addition, in the case of terminal cancer, for example, in addition to explaining the medical condition, it is necessary to mentally encourage the patient, which requires time. Therefore, this case is treated as if the medical information is "NA", the reason for correction is "serious", the patient explanation importance correction is 0, and the patient explanation time correction is "+30 minutes". When the medical information is "NA", the original patient explanation time correction is 0 minutes, so when the patient explanation time correction is "+30 minutes", the actual patient explanation is 30 minutes.

The storage circuit 132 is composed of a plurality of sets by the supplementary information storage function 132c, for example, with "medical information", "reason for correction", "correction of importance of patient explanation" and "correction of patient explanation time" as one set. Remember the list. For example, "ultrasonic diagnostic image (gallbladder)", "annotation", "0", and "-2 minutes" are a set of data stored in the storage circuit 132. Further, the storage circuit 132 may separately correct the data including the “patient explanation importance correction” and the data including the “patient explanation time correction”. In this case, the storage circuit 132 stores a list composed of a plurality of sets, for example, with "medical information", "reason for correction", and "correction of importance of patient explanation" as one set. At the same time, the storage circuit 132 stores a list composed of a plurality of sets, for example, with "medical information", "reason for correction", and "correction of patient explanation time" as one set.

The processing circuit 150 sets "medical information", "reason for correction", "correction of importance of patient explanation", and "correction of patient explanation time" as one set as necessary for a list consisting of a plurality of sets. For example, the value of "patient explanation importance correction" is acquired by using "medical information" and "reason for correction" as keys. Similarly, the processing circuit 150 acquires the value of the "patient explanation time correction" by using the "medical information" and the "correction reason" as keys. For example, in the processing circuit 150, when the "medical information" is the "ultrasonic diagnostic image (gallbladder)" and the "reason for correction" is the "annotation", the value "0" of the "patient explanation importance correction" is set. It is acquired based on the database stored in the storage circuit 132. Further, for example, in the processing circuit 150, when the "medical information" is the "ultrasonic diagnostic image (gallbladder part)" and the "correction reason" is the "annotation", the value "-2 minutes of the patient explanation time correction". Is acquired based on the database stored in the storage circuit 132.

FIG. 9 shows the relationship between each medical information and the state information of each medical information (information regarding the presence / absence of incidental information used for correcting the above-mentioned importance / explanation time). In FIG. 9, “medical information” similarly indicates the type of medical information. In addition, "accompanying information" represents the type of incidental information associated with each medical information. Further, “with / without” in FIG. 9 indicates a flag for managing whether or not the accompanying information accompanying each medical information is available to the patient (whether it is prepared to be viewable by the patient). For example, if the medical information is "ultrasound image (gallbladder)", the accompanying information is "annotation", and the presence / absence is "yes", the annotation is for the "ultrasound image (gallbladder)" in the interpretation report. Means available. Also, for example, if the medical information is "ultrasound image (gallbladder)", the accompanying information is "site schema, reference image for imaging direction", and the presence / absence is "none", the "ultrasound image (gallbladder)" in the interpretation report ) ”, Which means that the site schema and the imaging direction reference image are not available. In addition, for example, when the medical information is "blood test result", the accompanying information is "supplementary material", and the presence / absence is "yes", the annotation can be used for the "blood test result" in the interpretation report. Means. Similarly, this information is stored in the storage circuit 132 as needed.

FIG. 10 shows the results of correcting the patient explanation importance and the patient explanation time by performing the patient explanation importance correction and the patient explanation time correction shown in FIG. 8 on the data of FIG. 7. .. In FIG. 10, the "medical information incidental to the interpretation report" and the "reason for explanation" represent the medical information and the reason for explanation, respectively. In addition, "patient explanation importance" and "patient explanation time" represent the corrected patient explanation importance and the corrected patient explanation time, respectively.

In FIG. 10, a case where the “case” is “inflammation due to gallstones” will be described. First, in FIG. 10, a case where the “medical information accompanying the interpretation report” is the “ultrasonic diagnostic image (gallbladder portion)” and the “reason for explanation” is the “cause of the case” will be described. Referring to FIG. 7, when the "case" is "inflammation due to gallstones" and the "medical information" is "ultrasound diagnostic image (gallbladder)", the "importance of patient explanation" is "A". The "patient explanation time" is "10 minutes". Therefore, in this case, the importance of the patient explanation before correction is A, and the patient explanation time before correction is 10 minutes.

Next, referring to FIG. 8, when the "medical information" is the "ultrasonic diagnostic device (gallbladder)", the "patient explanation importance correction" is "0" for the correction reason "annotation". , "Patient explanation time correction" is "-2 minutes", and for the reason for correction "site schema / imaging direction reference image", "patient explanation importance correction" is "0", "patient explanation time" "Correction" is "-4 minutes". Therefore, when these two reasons for correction are totaled, when the "medical information" is the "ultrasonic diagnostic device (gallbladder)", the total patient explanation importance correction is 0, and the total patient explanation time correction. Is -6 minutes.

Therefore, when the "medical information" is the "ultrasonic diagnostic image (gallbladder)", the patient explanation importance before correction is "A" with reference to FIG. 7, and the patient explanation importance correction is performed from FIG. Is 0, so the corrected patient explanation importance is "A". Further, referring to FIG. 7, the patient explanation time before correction is "10 minutes", and from FIG. 8, the patient explanation time correction is -6 minutes. Therefore, the patient explanation time after correction is "10 minutes-". 6 minutes = 4 minutes ".

Similarly, in FIG. 10, a case where the “medical information accompanying the interpretation report” is the “blood test result (A) treatment required” and the “reason for explanation” is the “treatment policy” will be described. Referring to FIG. 7, when the "case" is "inflammation due to gallstones" and the "medical information" is "blood test result (A)", the "importance of patient explanation" is "B". , "Patient explanation time" is "1 minute". Therefore, in this case, the importance of the patient explanation before correction is B, and the patient explanation time before correction is 1 minute.

Next, referring to FIG. 8, when the "medical information" is the "blood test result (A)", the "patient explanation importance correction" is "+1" for the correction reason "treatment required". The "patient explanation time correction" is "+5 minutes".

Therefore, when the "medical information" is "blood test result (A) treatment required", the importance of patient explanation before correction is "B" with reference to FIG. 7, and the importance of patient explanation is corrected from FIG. Is +1 so the corrected patient explanation importance is "A". Further, referring to FIG. 7, the patient explanation time before correction is "1 minute", and from FIG. 8, the patient explanation time correction is +5 minutes. Therefore, the patient explanation time after correction is "1 minute + 5 minutes". = 6 minutes ".

FIG. 11 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the second embodiment. Since the processes of steps S100 to S150 are the same as those described in FIG. 5 in the first embodiment, the description thereof will be omitted.

The processing circuit 150 calculates, for each of the plurality of test results, a first time, which is an estimated time required to explain the test results to the patient, by the first calculation function 150c (step S160). In other words, the processing circuit 150 calculates the patient explanation time (first time) for the case itself based on the conclusion of the interpretation report generated in step S120, that is, the case acquired in step S130. For example, in the examples of FIGS. 6 and 7, the processing circuit 150 refers to the test result information in which the case is identified by "inflammation due to gallstones" and the medical information is identified by "ultrasonic diagnostic image (gallbladder)". The first time, which is the estimated time required to explain the test results to the patient, is calculated as "4 minutes" as shown in FIG. Further, it is presumed that the processing circuit 150 is necessary for explaining the test result to the patient with respect to the test result information specified by the case as "inflammation due to gallstone" and the medical information as "blood test result (A)". The first time, which is the time required, is calculated as "4 minutes" as shown in FIG. In addition, the processing circuit 150 is for test result information in which the case is "myocardial dysfunction due to coronary plaque" and the medical information is "CT slice image (chest / myocardial protocol)" (or "3D reconstruction data"). Therefore, the first time, which is the estimated time required to explain the test result to the patient, is calculated as "3 minutes" as shown in FIG. In step S160, the processing circuit 150 acquires, for example, predetermined data stored in the storage circuit 132, and calculates the first time based on the acquired data.

Subsequently, the processing circuit 150 further calculates the first information indicating the importance of the inspection results for each of the plurality of inspection results by the first calculation function 150c (step S170). For example, in the example of FIG. 7, in the processing circuit 150, the test result is obtained with respect to the test result information in which the case is characterized by "gallstone inflammation" and the medical information is characterized by "ultrasonic diagnostic image (gallbladder)". The first information indicating the importance (importance of patient explanation) is calculated as "A". In addition, the processing circuit 150 is the first information (patient) indicating the importance of the test result with respect to the test result information characterized by the case being "inflammation due to gallstones" and the medical information being "blood test result (A)". The importance of the explanation) is calculated as "B". In addition, the processing circuit 150 provides test result information characterized by "myocardial dysfunction due to hyperarterial plaque" in the case and "CT slice image (chest / myocardial protocol)" (or "3D reconstruction data") for medical information. On the other hand, the first information indicating the importance of the inspection result is calculated as "A". The processing circuit 150 acquires predetermined data stored in the storage circuit 132, for example, in which the importance of the case, the medical rule, and the test result is a set, and based on the acquired data, the first Calculate the time.

Subsequently, the processing circuit 150 corrects the first time calculated by the first calculation unit by the second calculation function 150d based on the information indicating the ease of understanding of the inspection result information. The time of 2 is calculated (step S180). Here, the "information indicating the ease of understanding of the test result information" is, for example, the information described in the "medical information" column of the table of FIG. 7 (hereinafter, information A), for example, FIG. Among the information described in the "Reason for correction" column of the table, the information indicating the presence / absence of annotation and the presence / absence of the site schema / imaging direction reference image (hereinafter, information B). The processing circuit 150 is based on, for example, one or both of information A and information B as information indicating the ease of understanding the inspection result information with respect to the first time calculated by the first calculation unit. And make corrections to calculate the second time.

First, a case where the processing circuit 150 corrects the first time calculated by the first calculation unit based on the information A and calculates the second time will be described. For example, in the processing circuit 150, the first time calculated in step S160 with respect to the test result information in which the case is characterized by "gallstone inflammation" and the medical information is characterized by "ultrasonic diagnostic image (gallbladder)" ( 4 minutes) is corrected based on the information that it is a medical image related to the "ultrasound diagnostic image (gallbladder part)", which is information indicating the ease of understanding on the test result, and the second The time of 2 is calculated as "10 minutes". The calculated second time is shown in FIG. 7 as the patient explanation time. Further, in the processing circuit 150, the first time (4 minutes) calculated in step 160 with respect to the test result information characterized by the case being "inflammation due to bile stone" and the medical information being "blood test result (A)". ) Is corrected based on the information that is a medical image related to the "blood test result", which is information indicating the ease of understanding of the test result, and the second time is set to "1 minute". Is calculated.

Further, the processing circuit 150 is the first calculated in step S160 with respect to the test result information in which the case is characterized by "myocardial dysfunction due to coronary plaque" and the medical information is characterized by "CT slice image (chest / myocardial protocol)". Corrected for 1 time (3 minutes) based on the information that it is a medical image related to "CT slice image (chest / myocardial protocol)", which is information indicating the ease of understanding on the test result. Is performed, and the second time is calculated as "10 minutes". Further, in the processing circuit 150, the first time (3) calculated in step S160 with respect to the test result information in which the case is characterized by "myocardial dysfunction due to coronary plaque" and the medical information is characterized by "3D reconstruction data". Minutes) are corrected based on the information that the image is a medical image related to "3D reconstruction data", which is information indicating the ease of understanding on the test results, and the second time is set to ". Calculate as "2 minutes".

As an example, the processing circuit 150 may calculate the second time from the first time using a predetermined calculation formula without using a database. As another example, the storage circuit 132 stores a list of data as a set of "case", "medical information", and "patient explanation time" which is the second time, and the processing circuit 150 stores the data list as needed. The second time may be calculated by loading the data stored from the storage circuit 132.

When such a process is completed, for example, in the case of FIG. 7, an ultrasonic image diagnosis of the gallbladder and a blood test for confirming an inflammatory reaction are performed as a test for confirming inflammation due to gallstones, and the process of step S120 is performed. As a result, those inspection results are attached to the interpretation report. Here, for example, the patient explanation importance of the ultrasonic diagnosis result image of the gallbladder is A, the patient explanation time is 10 minutes, the patient explanation importance of the blood test is B, and the patient explanation time is 1 minute.

Next, the processing circuit 150 corrects the first time calculated by the first calculation unit based on the information A, and then further corrects the time based on the information B to set the second time. The case of calculation will be described.

When the medical information is "ultrasound diagnostic image (gallbladder)" and the reason for correction is "annotation", the "patient explanation time correction" is "-2 minutes" as can be read from the table in FIG. .. The processing circuit 150 corrects the first time calculated by the first calculation unit based on the information A, and then indicates the presence / absence of information B (presence / absence of annotation and presence / absence of site schema / imaging direction reference image). The second time is calculated by making corrections based on the information "with annotation" belonging to (type information). For example, when the case is "inflammation due to gallstones" and the medical information is "ultrasound diagnostic device (gallbladder)", the patient explanation time after performing based on the information A is shown in FIG. It will be 10 minutes. In addition, the processing circuit 150 further corrects based on the information "annotated" belonging to the information B. Specifically, as shown in the table of FIG. 8, the patient explanation time correction is -2 minutes. The processing circuit 150 calculates the patient explanation time, that is, the second time after further correction based on the information "with annotation" belonging to the information B, as "10 minutes-2 minutes = 8 minutes".

Further, for example, the processing circuit 150 may further correct the patient explanation time based on the information “with site schema / imaging direction reference image” belonging to the information B. In this case, as shown in the table of FIG. 8, the patient explanation time correction is -4 minutes. Therefore, the processing circuit 150 calculates the patient explanation time after further correction based on the information "site schema / imaging direction reference image" belonging to the information B as "8 minutes-4 minutes = 4 minutes". This result is shown, for example, in FIG.

Subsequently, by the third calculation function 150e, the processing circuit 150 uses the information representing the state of the patient to be explained (the age of the patient) with respect to the second time calculated by the second calculation function 150d in step S180. , Medical history, disease progression, treatment stage, treatment policy, presence / absence of attendant, etc.) to calculate the third time (step S190).

Here, as a specific example of "information representing the condition of the patient to be explained", for example, among the descriptions shown in the column of the reason for correction in FIG. 8, for example, "treatment required", "serious", etc. Information can be mentioned.

For example, as shown in FIG. 7, when the case is "inflammation due to gallstones" and the medical information is "blood test result (A)", the corrected time in step S180 (second time). Is 1 minute so that it can be read from the table. By the third calculation function 150e, the processing circuit 150 uses "treatment required" which is information indicating the state of the patient to be explained with respect to the second time "1 minute" calculated in step S180. Make corrections and calculate the third time. As can be read from the table of FIG. 8, when the medical information is "blood test result (A)" and the reason for correction is "treatment required", the patient explanation time correction is +5 minutes, so that the processing circuit 150 has a processing circuit 150. The patient explanation time (third time) after further correction is calculated as "1 minute + 5 minutes = 6 minutes". This result is shown, for example, in FIG.

Further, in this step, the processing circuit 150 may correct the first information (information indicating the importance of the inspection result) calculated by the first calculation function 150c in step S170. For example, as shown in FIG. 7, when the case is "inflammation due to gallstones" and the medical information is "blood test result (A)", the first information in step S170 (importance of the test result). Information) is "B" so that it can be read from the table. By the third calculation function 150e, the processing circuit 150 corrects the first information "B" produced in step S170 by using "treatment required" which is information indicating the state of the patient to be explained. Is performed to calculate the information indicating the importance of the corrected inspection result. As can be read from the table of FIG. 8, when the medical information is "blood test result (A)" and the reason for correction is "treatment required", the patient explanation importance correction is +1. Therefore, the processing circuit 150 has a processing circuit 150. The corrected importance of patient explanation is increased by one level from "B" and calculated as "A". This result is shown, for example, in FIG.

When the calculation of these patient explanation times is completed by step S190, the processing circuit 150 subsequently calculates the total explanation time for the interpretation report. In the example of FIG. 10, when the medical information attached to the interpretation report is "ultrasound diagnostic image (gallbladder part)", the calculation of the corrected patient explanation time is completed up to step S180, and the patient explanation time is It will be 4 minutes. When the medical information attached to the interpretation report is "blood test result (A) treatment required", the corrected patient explanation time is calculated in step S190, and the patient explanation time is 6 minutes. Also, it takes about 4 minutes, for example, to explain the interpretation report itself. From the above, the processing circuit 150 calculates the integrated value of the explanation time for the interpretation report as 4 minutes + 6 minutes + 4 minutes = 14 minutes.

When these processes are completed, the processing circuit 150 notifies the display unit of the inspection result information specified by the specific function 150a in step S150 by the notification function 150b (step S200). Further, the processing circuit 150 notifies the display unit of the third time calculated by the third calculation function 150e in step S190 by the notification function 150b. Further, the processing circuit 150 may notify the display unit of the second time calculated by the second calculation function 150d in step S180 by the notification function 150b. Further, the processing circuit 150 may notify the display unit of the first information calculated by the first calculation function 150c in step S170.

Subsequently, the processing circuit 150 causes the display device to perform display processing by the notification function 150b. Variations of this process will be described in detail in the third to fifth embodiments. As an example of the configuration of the display unit, for example, a display device (not shown) provided in the medical information reference device 500 can be mentioned. Further, as another example of the configuration of the display unit, for example, the display device 135 in the medical information storage device 400 can be mentioned. Further, as another example of the configuration of the display unit, there is a display device connected to the medical information storage device 400 via a network.

The embodiment is not limited to the above-mentioned processing. For example, steps S140 to S150 and steps S160 to S190 are independent processes, and for example, the processing circuit 150 may omit steps S140 to S150. Further, the processing circuit 150 may omit step S190. Further, for example, in the processing circuit 150, steps S180 and S190 may be omitted. Further, steps S140 to S150 and steps S160 to S190 do not need to be executed in the order shown in FIG. For example, the processing circuit 150 may perform steps S140 to S150 after performing the processing of steps S160 to S190.

Further, for example, step S180 can be omitted. In this case, in step S190, the processing circuit 150 corrects the first time instead of the second time based on the information representing the condition of the patient to be explained, and sets the third time. calculate. In this case, the processing circuit 150 may further perform the processing of step S190 and then the processing corresponding to step S180.

As described above, in the second embodiment, the processing circuit 150 further calculates the time required to explain the test result to the patient for each of the plurality of result information. As a result, the user can predict the explanation time to the patient in advance, which improves convenience.

(Third Embodiment)
In the third to fifth embodiments, the method of displaying the information specified or calculated by the processing circuit 150 in the first and second embodiments will be described. That is, the third to fifth embodiments correspond to various variations in step S210 in FIG.

FIG. 12 is a diagram illustrating an example of a display screen in the patient explanation support device according to the third embodiment. In FIG. 12, an interpretation report is displayed. Further, in the displayed interpretation report, hyperlinks are generated for words such as "X1 inspection", "3D reconstruction data by the X2 method", and "X3 inspection". These hyperlinks are generated by a predetermined method, for example, in step S120 of FIGS. 5 and 11. The arrow in FIG. 12 indicates the mouse cursor. Also, for the hyperlink "X1 examination", the character string "There is effective medical information for explanation! CT slice image expected explanation time: 8 minutes" is displayed in a pop-up. Further, for the hyperlink "3D reconstruction data by the X2 method", the character string "3D reconstruction data expected explanation time: 2 minutes" is displayed in a pop-up manner.

FIG. 13 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the third embodiment. In the third embodiment, the same processing as that shown in FIG. 11 is performed except that the processing circuit 150 causes the display unit to display. That is, the patient explanation support device according to the third embodiment performs the same processing as in steps S100 to S200 of FIG. 11, and then performs the processing in steps S211a to S211c.

First of all, the clinician displays the interpretation report. After performing the processes corresponding to steps S100 to S200 of FIG. 11, the processing circuit 150 sets the markup conditions (markup color, etc.) based on the length of the second time calculated in step S180 of FIG. Is determined (step S211a). For example, by the notification function 150b, the processing circuit 150 is predetermined to the display device as a display unit so that the medical information having a long patient explanation time and the medical information having a short patient explanation time are marked up in different colors. Send a notification. Further, the processing circuit 150 waits until the mouse over device for the hyper ring is detected through the display unit. When the processing circuit 150 detects a mouseover operation on the hyperlink through the display unit (step S211b), the processing circuit 150 marks up the test result information, which takes a short time to explain the patient, based on the determined markup conditions. Conditions are performed, and the medical information name and the explanation time for each are displayed on the display unit (step S211c). That is, by the notification function 150b, the processing circuit 150 changes and displays the color of the hyperlink of the test result information in which the time required for explaining the patient is short among the test result information specified by the specific function 150a in step S150 of FIG. Notify the department. As shown in FIG. 12, for example, the processing circuit 150 changes the hyperlink color when there is medical information that has the same case, importance of patient explanation, reason for explanation, and can be explained more efficiently. , Display the medical information name and explanation time for each.

(Fourth Embodiment)
In the third embodiment, the case where the hyperlink color or the like is changed by mouse over the hyperlink has been described. In the fourth embodiment, when the case, the importance of the patient explanation, and the reason for explanation are the same and there is medical information that can be explained more efficiently, the processing circuit 150 changes the hyperlink color in advance with respect to the display unit. The case of doing so will be described. Further, when the time required for explanation to the patient exceeds a predetermined threshold value, the case where the explanation to the patient is omitted will be described for the medical information that cannot be explained.

FIG. 14 is a diagram illustrating an example of a display screen in the patient explanation support device according to the fourth embodiment. In FIG. 14, a hyperlink is generated on the interpretation report as in FIG. 12, but the hyperlink color is determined and changed in advance regardless of the presence or absence of mouse over processing.

FIG. 15 is a flowchart showing a procedure of processing performed by the patient explanation support device according to the fourth embodiment. Similar to the case of the third embodiment, the patient explanation support device according to the fourth embodiment performs the same processes as in steps S100 to S200 of FIG. 11, and then performs the processes of steps S212a to S212d. ..

With the specific function 150a, the processing circuit 150 identifies the test result information from the plurality of test result information, which omits the explanation to the patient, based on the upper limit of the time available for the explanation to the patient (step). S212a). Further, by the second calculation function 150d, the processing circuit 150 determines the markup conditions (markup color and the like) based on the length of the second time (step S212b). Subsequently, the notification function 150b causes the processing circuit 150 to turn off the hyperlink to the test result information, which omits the explanation to the patient, and display it on the display unit. (Step S212c). Subsequently, the display unit marks up the test result information, which takes a short time to explain the patient, based on the determined markup conditions. For example, the notification function 150b causes the processing circuit 150 to mark up the inspection result information specified by the specific function 150a according to the length of the second time calculated by the second calculation function 150d, and display the display unit. Notify to. FIG. 14, for example, shows such an example. In the example of FIG. 14, the hyperlink "X1 inspection" and the hyperlink "3D reconstruction data by the X2 method" are displayed in different markup colors.

(Fifth Embodiment)
In the third and fourth embodiments, the case where the processing circuit 150 causes the display unit to display medical information through a hyperlink has been described. In the fifth embodiment, a case where the processing circuit 150 causes the display unit to display various medical information in a list will be described.

FIG. 16 is a diagram illustrating an example of a display screen in the patient explanation support device according to the fifth embodiment. In FIG. 16, various information is displayed in a list. For example, the case explanation time for explaining the case, the incidental doctor information time which is the time for explaining the incidental information, and the total scheduled explanation time including the case explanation time and the incidental doctor information time are displayed. In addition, the importance and patient explanation time are displayed for each medical information. In addition, a check box that can be clicked by the user is prepared for each medical information so that the user can confirm the item to be explained.

FIG. 17 is a flowchart illustrating a procedure of processing performed by the patient explanation support device according to the fifth embodiment. Similar to the case of the previous embodiments, the patient explanation support device according to the fifth embodiment performs the same processes as in steps S100 to S200 of FIG. 11, and then performs the processes of steps S213a to S213g. ..

The processing circuit 150 causes the display unit to display the patient explanation preparation screen (step S213a). With the notification function 150b, the processing circuit 150 includes the test result information (medical information, reason for explanation) specified by the specific function 150a and the first information (importance of the test result) calculated by the first calculation function 150c. , The second time (corrected patient explanation time) calculated by the second calculation function 150d is displayed in a list on the display unit (step S213b). Subsequently, the processing circuits 150 are grouped for the reason of explanation (step S213c). Subsequently, the processing circuit 150 sorts based on the importance of the test result (first information), the patient explanation time, and the like, and the test result information specified by the notification function 150b and the specific function 150a and the first 1 The first information calculated by the calculation function 150c and the second time calculated by the second calculation function 150d are displayed in a list on the display unit. For example, the processing circuit 150 organizes medical information into "causes of cases" and "treatment policies", sorts them in order of importance for each item, and displays them in a list on the display unit. At this time, for example, the processing circuit 150 causes the display unit to list the types of medical information, the importance of explanation, and the patient explanation time for each item. (Step S213d). Further, the processing circuit 150 checks the medical information at the highest level of the explanation reason and highlights it on the display unit. In the example of FIG. 17, for example, the check box displayed in the item of "Explanation schedule" corresponds to this. Further, by the notification function 150b, the processing circuit 150 calculates the integrated value of the time required to explain the test result information related to the predetermined case to the patient and notifies the display unit. (Step S213f) For example, in FIG. 17, the processing circuit 150 displays a total explanation time of “14 minutes” on the display unit as an integrated value of the time required to explain the test result information to the patient. In addition, the processing circuit 150 further displays points to be noted in carrying out the explanation to the patient (step S213g).

(program)
The instructions given in the processing procedure shown in the above-described embodiment can be executed based on a program that is software. A general-purpose computer system stores this program in advance, and by reading this program, it is possible to obtain an effect similar to the effect of the medical information storage device 400 of the above-described embodiment. The instructions described in the above-described embodiments can be executed by a computer as a program such as a magnetic disk (flexible disk, hard disk, etc.) or an optical disk (CD-ROM, CD-R, CD-RW, DVD-ROM, DVD). ± R, DVD ± RW, etc.), semiconductor memory, or similar recording medium. The storage format may be any form as long as it is a storage medium that can be read by a computer or an embedded system. If the computer reads the program from this recording medium and causes the CPU to execute the instructions described in the program based on this program, it is possible to realize the same operation as the medical information storage device 400 of the above-described embodiment. it can. Of course, when the computer acquires or reads the program, it may be acquired or read through the network.

In addition, the OS (operating system) running on the computer based on the instructions of the program installed in the computer or the embedded system from the storage medium, the database management software, the MW (middleware) of the network, etc. are the above-described embodiments. You may execute a part of each process to realize.

Further, the storage medium is not limited to a medium independent of a computer or an embedded system, but also includes a storage medium in which a program transmitted by a LAN (Local Area Network), the Internet, or the like is downloaded and stored or temporarily stored.

Further, the storage medium is not limited to one, and when the processing in the above-described embodiment is executed from a plurality of media, the storage medium in the embodiment is included, and the configuration of the medium may be any configuration. ..

The computer or embedded system in the embodiment is for executing each process in the above-described embodiment based on the program stored in the storage medium, and is a device including one such as a personal computer and a microcomputer. The device may have any configuration such as a system connected to a network.

Further, the computer in the embodiment is not limited to a personal computer, but also includes an arithmetic processing unit, a microcomputer, etc. included in an information processing device, and is a general term for devices and devices capable of realizing the functions in the embodiment by a program. ..

As described above, according to at least one embodiment, it is possible to support efficient explanation to the patient.

Although some embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the gist of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, as well as in the scope of the invention described in the claims and the equivalent scope thereof.

150 Processing circuit 150a Specific function 150b Notification function

Claims (11)

Based on information that indicates the ease of understanding of test results, among multiple test result information that explains the same case, the time required to explain to the patient is shorter than other test result information. A specific part that identifies information and
A notification unit that notifies the display unit of the inspection result information specified by the specific unit, and
For each of the plurality of test result information, the test result is explained to the patient based on a list of a set of a case, medical information indicating the modality used for imaging, and the time required for explanation to the patient. The first calculation unit that calculates the first time, which is the estimated time required for
It is provided with a second calculation unit that calculates a second time by correcting the first time calculated by the first calculation unit based on information indicating the ease of understanding of the inspection result information. ,
The notification unit notifies the display unit of the second time calculated by the second calculation unit.
Patient explanation support device. The second calculation unit is further provided with a third calculation unit that calculates the third time by correcting the second time calculated by the second calculation unit based on the information representing the state of the patient to be explained.
The notification unit notifies the display unit of the third time calculated by the third calculation unit.
The patient explanation support device according to claim 1. The information representing the patient's condition is information including at least one of the patient's age, medical history, disease progression, treatment stage, treatment policy, and presence / absence of an attendant.
The patient explanation support device according to claim 2. The notification unit notifies the display unit of the inspection result information specified by the specific unit by marking up according to the length of the second time calculated by the second calculation unit.
The patient explanation support device according to claim 1. Among the test result information specified by the specific unit, the notification unit changes the color of the hyperlink of the test result information that takes a short time to explain to the patient and notifies the display unit.
The patient explanation support device according to claim 4. The notification unit notifies the display unit of the first information indicating the importance of the inspection result acquired for each of the plurality of inspection result information.
The patient explanation support device according to claim 1. The notification unit displays the inspection result information specified by the specific unit, the first information indicating the importance of the inspection result, and the second time calculated by the second calculation unit. List in
The patient explanation support device according to claim 6. When the total explanation time exceeds the upper limit of the time that can be used for explanation to the patient, the specific unit determines that the explanation to the patient is omitted, and thereby, from the plurality of test result information, to the patient. Further identification of test result information, which omits the explanation of
The notification unit turns off the hyperlink to the omitted test result information and displays it on the display unit.
The patient explanation support device according to claim 1. Fourth calculation unit that calculates the integrated value of the plurality of test result information in the predetermined case, which is the time required to explain the plurality of test result information related to the predetermined case to the patient, based on the list. With more
The notification unit notifies the display unit of the integrated value calculated by the fourth calculation unit.
The patient explanation support device according to claim 1. The notification unit sorts based on the first information, and the inspection result information specified by the specific unit, the first information indicating the importance of the inspection result, and the second calculation unit The calculated second time is displayed in a list on the display unit.
The patient explanation support device according to claim 7. The notification unit further displays on the display unit points to be noted when giving an explanation to the patient.
The patient explanation support device according to claim 7.

Images