Medical information processing apparatus, medical information processing system, and medical information processing program

Abstract

To support a person who goes the round so as to provide more appropriate medical treatment corresponding to individuality of a target person for the round.SOLUTION: A medical information processing apparatus includes an acquisition section, a generation section, and a creation section. The acquisition section acquires round record information including a confirmation result related to each of a plurality of confirmation items confirmed in a round and presence / absence of notice of a person who goes the round every time the person who goes the round performs the round to a target person for the round, and stores it in a round record storage section. The generation section generates information indicating a temporal change in the confirmation result for each confirmation item on the basis of the round record information stored in the round record storage section. The creation section creates a nursing record related to the target person for the round on the basis of the information indicating the temporal change in the confirmation result and the presence / absence of the notice of the person who goes the round included in the round record information.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The embodiments disclosed in this specification and the drawings relate to a medical information processing device, a medical information processing system, and a medical information processing program. [Background technology]

[0002] Conventionally, in medical facilities such as hospitals and clinics, nurses make rounds on inpatients on a regular basis to understand their condition. These rounds are usually made by multiple nurses in shifts. Therefore, it is common for nurses to create nursing records to share the patient's condition with other nurses after completing their own rounds.

[0003] However, because each patient has their own individual illness and pathology, it is difficult for nurses to verbalize any abnormalities they notice during rounds when creating nursing records. This makes it difficult for nurses to share with other nurses any abnormalities they notice during rounds, and as a result, important observations that could lead to a worsening of a patient's condition may be overlooked.

[0004] For these reasons, there is a need to support nurses and other people who make rounds so that they can provide more appropriate medical care tailored to the individual needs of the people they visit, such as hospitalized patients. [Prior art documents] [Patent documents]

[0005] [Patent Document 1] JP 2020-160579 A [Patent Document 2] JP 2022-113094 A [Patent Document 3] JP 2022-188457 A [Patent Document 4] JP 2006-133907 A [Patent Document 5] JP 2003-016188 A [Patent Document 6] Patent Publication No. 2021-071948 [Patent Document 7] JP 2013-109661 A Summary of the Invention [Problem to be solved by the invention]

[0006] One of the problems to be solved by the embodiments disclosed in this specification and the drawings is to support the person conducting the rounds so that they can provide more appropriate medical care according to the individuality of the person being rounded. However, the problems to be solved by the embodiments disclosed in this specification and the drawings are not limited to the above problems. Problems corresponding to the effects of each configuration shown in the embodiments described later can also be positioned as other problems. [Means for solving the problem]

[0007] A medical information processing device according to an embodiment includes an acquisition unit, a generation unit, and a creation unit. Each time a rounds is made by a rounds maker to a rounds target, the acquisition unit acquires rounds record information including a check result for each of a plurality of check items checked in the rounds and whether or not the rounds maker noticed, and stores the information in a rounds record storage unit. The generation unit generates information indicating a change over time in the check result for each of the check items based on the rounds record information stored in the rounds record storage unit. The creation unit creates a nursing record for the rounds target based on the information indicating the change over time in the check result and whether or not the rounds maker noticed, which is included in the rounds record information. [Brief description of the drawings]

[0008] [Figure 1] FIG. 1 is a diagram showing an example of the configuration of a medical information processing system according to this embodiment. [Diagram 2] FIG. 2 is a diagram showing the flow of processing performed by the medical image processing apparatus according to this embodiment. [Diagram 3]FIG. 3 is a diagram showing an example of creation of a check item performed by the acquisition function according to the present embodiment. [Figure 4] FIG. 4 is a diagram showing an example of information indicating the confirmation results for each confirmation item and changes over time in the condition of the person being examined, which is generated and displayed by the generation function according to this embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0009] Hereinafter, embodiments of a medical information processing device, a medical information processing system, and a medical information processing program will be described in detail with reference to the drawings.

[0010] FIG. 1 is a diagram showing an example of the configuration of a medical information processing system according to this embodiment.

[0011] The medical information processing system according to this embodiment is installed in a medical facility such as a hospital or a clinic, and supports the rounds implementer so that the rounds implementer can provide more appropriate medical care according to the individuality of the rounds implementer. Specifically, the medical information processing system according to this embodiment supports the rounds implementer so that the rounds implementer can share the "realization" of the rounds implementer that is difficult to verbalize due to the individuality of the rounds implementer, such as that the rounds implementer is in an unusual state.

[0012] 1, a medical information processing system 100 according to the present embodiment includes an information integration system 110 and a medical information processing device 120. Here, the information integration system 110 and the medical information processing device 120 are connected to each other so as to be able to communicate with each other via a network 130 such as a LAN (Local Area Network) or a WAN (Wide Area Network).

[0013] The information integration system 110 includes a patient information DB (Data Base) 111. For example, the information integration system 110 is realized by computer equipment such as a server or a workstation in which an electronic medical record system, a Hospital Information System (HIS), a Radiology Information System (RIS), or the like is implemented.

[0014] The patient information DB 111 stores various types of medical information related to patients. For example, the patient information DB 111 stores, as medical information, information on the illnesses (pre-existing conditions, complications, side effects, etc.) and symptoms (pathological conditions) of each patient for treatment (including administered drugs), connected devices, etc., for multiple patients.

[0015] The medical information processing device 120 is a device used by a person who performs rounds, and has a function for supporting the person who performs rounds when performing rounds and creating nursing records. For example, the medical information processing device 120 is realized by a smartphone, a tablet terminal, a personal computer, a small dedicated device like a smartphone, etc.

[0016] Specifically, the medical image processing device 120 includes a network (NW) interface 121, a memory circuitry 122, an input interface 123, a display 124, a camera 125, a microphone 126, and a processing circuitry 127.

[0017] The NW interface 121 controls the transmission and communication of various data transmitted and received between the medical information processing device 120 and other devices connected via the network 130. Specifically, the NW interface 121 is connected to the processing circuitry 127, and outputs medical images received from the medical image diagnostic device 10 or the medical image storage device 20 to the processing circuitry 127. For example, the NW interface 121 is realized by a network card, a network adapter, a NIC (Network Interface Controller), or the like.

[0018] The memory circuitry 122 stores various data, various programs, etc. Specifically, the memory circuitry 122 is connected to the processing circuitry 127, and stores input medical images or outputs stored medical images to the processing circuitry 127 in response to commands sent from the processing circuitry 127. For example, the memory circuitry 122 is realized by a semiconductor memory element such as a RAM (Random Access Memory) or a flash memory, a hard disk, an optical disk, etc.

[0019] Specifically, the storage circuit 122 includes a rounds record DB 122a and a nursing record DB 122b. The rounds record DB 122a stores rounds record information related to the rounds subjects. The nursing record DB 122b stores nursing record information related to the rounds subjects. Here, the rounds record DB 122a is an example of a rounds record storage unit.

[0020] The input interface 123 accepts input operations of various instructions and various information from an operator. Specifically, the input interface 123 is connected to the processing circuit 127, converts the input operation received from the operator into an electrical signal, and outputs the electrical signal to the processing circuit 127. For example, the input interface 123 is realized by a trackball for setting a region of interest (ROI), a switch button, a mouse, a keyboard, a touch pad for performing an input operation by touching the operation surface, a touch screen in which a display screen and a touch pad are integrated, a non-contact input circuit using an optical sensor, and a voice input circuit. Note that in this specification, the input interface 123 is not limited to only those having physical operation parts such as a mouse and a keyboard. For example, an electrical signal processing circuit that receives an electrical signal corresponding to an input operation from an external input device provided separately from the device and outputs the electrical signal to a control circuit is also included as an example of the input interface 123.

[0021] The display 124 displays various information and various data. Specifically, the display 124 is connected to the processing circuit 127, and displays various information and various data output from the processing circuit 127. For example, the display 124 is realized by a liquid crystal monitor, a CRT (Cathode Ray Tube) monitor, a touch panel, or the like.

[0022] The camera 125 captures images of the person to be visited and the connected device while the rounds are being made for the person to be visited.

[0023] The microphone 126 records the voices of the patients and the connected devices while the rounds are being made to the patients.

[0024] The processing circuitry 127 controls the components of the medical information processing device 120 in response to an input operation received from an operator via the input interface 123. For example, the processing circuitry 127 stores a medical image output from the NW interface 121 in the storage circuitry 122. Also, for example, the processing circuitry 127 reads out the medical image from the storage circuitry 122 and displays it on the display 124.

[0025] Specifically, the processing circuit 127 has an acquisition function 127a, a generation function 127b, a creation function 127c, a collection function 127d, an analysis function 127e, and a presentation function 127f. Here, the acquisition function 127a is an example of an acquisition unit. Also, the generation function 127b is an example of a generation unit. Also, the creation function 127c is an example of a creation unit. Also, the collection function 127d is an example of a collection unit. Also, the analysis function 127e is an example of an analysis unit. Also, the presentation function 127f is an example of a presentation unit.

[0026] The acquisition function 127a acquires rounds record information each time a rounds maker makes a rounds to a round target, the information including the confirmation results for each of the multiple confirmation items confirmed during the rounds and whether or not the rounds maker noticed the items, and stores the information in the rounds record DB 122a.

[0027] Specifically, when a round is made on a patient to be visited, the acquisition function 127a presents the patient to be visited with a number of confirmation items via the display 124, and acquires the round record information by receiving input from the patient to be visited of the confirmation results for each of the multiple confirmation items and whether or not they noticed the confirmation items via the input interface 123.

[0028] In addition, when a round is made for a patient to be visited, the acquisition function 127a analyzes the medical information and round record information for the patient to be visited, creates multiple confirmation items according to the individuality of the patient to be visited, and acquires the round record information based on the multiple confirmation items.

[0029] The generating function 127b generates information indicating a change over time in the confirmation result for each confirmation item based on the rounds record information stored in the rounds record DB 122a.

[0030] The creation function 127c creates a nursing record for the person being visited based on the information indicating the change over time in the confirmation result generated by the generation function 127b and the presence or absence of the visit implementer's notice included in the visit record information.

[0031] Specifically, after the rounds for the person to be visited are completed, the creation function 127c presents information indicating the change over time in the confirmation results generated by the generation function 127b to the person to be visited via the display 124, and creates a nursing record based on the results of the person to be visited's evaluation of their awareness of the confirmation items by referring to the information indicating the change over time in the confirmation results and the presence or absence of any awareness by the person conducting the rounds included in the rounds record information.

[0032] The collection function 127d collects rounds data representing the condition of the person to be visited, based on the images captured by the camera 125 and the sounds recorded by the microphone 126, while the rounds are being made for the person to be visited.

[0033] After the rounds have been made for the visit subjects, the analysis function 127e analyzes the condition of the visit subjects using the visit data collected by the collection function 127d, and further includes the analysis results in the visit record information and stores them in the visit record DB 122a.

[0034] The presentation function 127f reads out the rounds record information on the visit target from the rounds record DB 122a in response to a request from the visit implementer, and presents the read out information to the visit target via the display 124.

[0035] In this embodiment, the processing circuitry 127 is realized by, for example, a processor. In this case, each of the above-mentioned processing functions is stored in the storage circuitry 122 in the form of a program executable by a computer. Then, the processing circuitry 127 realizes a function corresponding to each program by reading and executing each program stored in the storage circuitry 122. In other words, the processing circuitry 127 has each of the processing functions shown in FIG. 1 in a state in which each program is read.

[0036] The flow of the process performed by the medical information processing device 120 according to this embodiment will be described below. Note that the following describes an example in which the person making rounds is a nurse.

[0037] For example, a nurse makes rounds 3 to 4 times during the day and 2 to 3 times at night, and creates a nursing record once in the evening. The nurse uses the medical information processing device 120 when making rounds and creating the nursing record.

[0038] Specifically, a nurse performs the following tasks (1) to (4) using the medical information processing device 120 when making rounds during the day and at night. (1) Enter the people to be visited. (2) Question the people being visited. (3) Photograph and record the status of the person being visited and the status of the connected device. (4) Input the results of the check, comments, and marks for the check items related to the status of the person being visited and the status of the connected device. In particular, input any "notices" about anything that seems out of the ordinary or different from others.

[0039] In addition, when creating the nursing record in the evening, the nurse uses the medical information processing device 120 to refer to the rounds record that was created based on the records of each round conducted in one day (a total of 5 to 7 times), corrects the contents as appropriate, and officially registers it as a nursing record.

[0040] The following describes the processing of the medical information processing device 120 in response to such tasks as when nurses make rounds and when they create nursing records.

[0041] FIG. 2 is a diagram showing the flow of processing performed by the medical image processing apparatus 120 according to this embodiment.

[0042] First, when a round is made, if a person to be visited is input by a nurse, the acquisition function 127a starts a service for making a round.

[0043] For example, the acquisition function 127a may receive voice input from a nurse via the input interface 123, and start a service when a round is performed when the voice of the nurse reading out the name, identification information, etc. of a person to be visited is input. Alternatively, the acquisition function 127a may display a list of patients transmitted in advance from another system such as an HIS or RIS on the display 124, and start a service when a round is performed when an operation to select a patient to be a person to be visited from the list via the input interface 123 is received from the nurse. Alternatively, the acquisition function 124a may start a service when a round is performed when an operation to directly input the name, identification information, etc. of a person to be visited via the input interface 123 is received from the nurse.

[0044] When the service for performing rounds is started, the acquisition function 127a acquires the input medical information on the person to be visited and information up to the time of the previous rounds.

[0045] Specifically, the acquisition function 127a acquires medical information on the visit subject from the patient information DB 111 of the information integration system 110 via the network 130. In addition, the acquisition function 127a acquires rounds record information on the visit subject from the rounds record DB 122a, and acquires nursing record information on the visit subject from the nursing record DB 122b.

[0046] The acquisition function 127a then analyzes the acquired medical information and information up to the time of the previous round, and creates a number of check items related to the state of the person being visited and the state of the connected device.

[0047] For example, the acquisition function 127a analyzes the acquired medical information and information up to the time of the previous round, and creates confirmation items such as symptoms that require attention for the patient during the round, side effects, and the status of connected devices.

[0048] FIG. 3 is a diagram showing an example of creation of confirmation items performed by the acquisition function 127a according to this embodiment.

[0049] For example, the acquisition function 127a creates confirmation items by systematizing and analyzing the correspondence between symptoms (pathological conditions) for diseases, including past diseases, complications, and side effects, and treatment methods (including administered drugs), and the correspondence between connected devices, in a tree-like relational diagram or database based on ontology as shown in Fig. 3. In this case, for example, diseases that develop during hospitalization are also managed in the same hierarchy as complications and side effects.

[0050] For example, if a patient is hospitalized with pneumonia, and then develops a urinary tract infection after the progression of liver cancer, the items to be checked are those related to the urinary tract infection rather than those related to the liver function state, such as whether the patient is urinating properly, the color and properties of the urine, whether the patient has a fever, whether the patient is hydrated, etc. The items to be checked may further include items that are used based on guidelines for conducting rounds within a medical facility.

[0051] In this way, by analyzing the medical information about the person being visited and the information up to the time of the previous round, and creating check items regarding the condition of the person being visited and the status of the connected devices, it is possible to create check items that are tailored to the individual characteristics of the person being visited.

[0052] Returning to FIG. 2, the acquisition function 127a then acquires information from the information up to the time of the previous round in the background at a preset timing (for example, the previous round or the same time period on the previous day) and prepares it for reference by the nurse.

[0053] Thereafter, when the nurse asks the person to be visited, the collection function 127d activates the camera 125 and the microphone 126 to start capturing images and recording audio of the person to be visited and the connected devices.

[0054] For example, the collection function 127d analyzes the voice input via the input interface 123 to distinguish between the voice of the nurse and the voice of the person being visited, and automatically starts imaging and recording when it detects the voice of the nurse asking the person being visited. Alternatively, the collection function 127d may start imaging and recording when it receives an input operation from the nurse via the input interface 123 to instruct the start of imaging and recording.

[0055] Then, the collection function 127d generates imaging data including images and sounds of the visit subjects and connected devices based on the images captured by the camera 125 and the sounds recorded by the microphone 126, and stores the generated imaging data in the storage circuitry 122. Here, the imaging data is an example of visit data.

[0056] Thereafter, the acquisition function 127a displays on the display 140 the prepared information at the preset timing.

[0057] Furthermore, the acquisition function 127a displays the created multiple check items on the display 140 and accepts input of check results, comments, and marks for each check item from the nurse. The acquisition function 127a then saves the accepted check results, comments, and marks for each check item in the rounds record DB 122a as rounds record information. Here, the comments and marks are examples of whether or not the nurse noticed something.

[0058] For example, the acquiring function 127a accepts input of a mark for the imaging data collected by the collecting function 127d from a nurse. Then, when the acquiring function 127a accepts input of a mark for the imaging data, it creates a screenshot of the imaging data at that time point and saves the created screenshot together with the input mark.

[0059] This allows the nurse to take images and record audio of the people being visited and the connected devices, while checking the status of the people being visited and the connected devices in accordance with the confirmation items displayed on display 140, and proceed with the rounds while inputting any points that she notices.

[0060] For each check item, when the nurse notices that the patient being checked is in an unusual state, even though the reason is unclear, the nurse can add a comment or mark indicating that the nurse "noticed" the information on the check item and save it. For example, the nurse can input a mark into the captured image data, and save a screenshot indicating that the patient being checked is in an unusual state with a comment or mark.

[0061] In this way, the nurse performs the rounds for the visit subjects using the medical information processing device 120. Then, when one round for the visit subjects is completed, the acquisition function 127a ends the service during the rounds.

[0062] For example, the acquisition function 127a analyzes the voice input via the input interface 123 to distinguish between the voice of the nurse and the voice of the person being visited. Then, when the acquisition function 127a detects the voice of the nurse informing the person being visited that the rounds are over (such as "Mr. X, it's over,"), it automatically ends the service when the rounds are being performed. Alternatively, the acquisition function 124a may end the service when the rounds are being performed when an input operation instructing the end of the rounds is received from the nurse via the input interface 123.

[0063] Thereafter, the analysis function 127e acquires the imaging data stored in the memory circuitry 122 for the completed round, and analyzes the condition of the person to be visited from the acquired imaging data.

[0064] For example, the analysis function 127e transcribes the voice included in the imaging data and analyzes the transcribed text to analyze the condition of the person being examined.

[0065] In this case, for example, the analysis function 127e transcribes the voice included in the imaging data by dictating the voice using a dictation function or the like. For example, the analysis function 127e distinguishes between the voice of the nurse and the voice of the person being visited, which are included in the imaging data, and dictates them separately. In addition, for example, the analysis function 127e uses a language analysis model to sort the text of the person being visited after being transcribed into a plurality of states. For example, the analysis function 127e uses a language analysis model to convert the text of the person being visited's subjective remarks, such as "feeling good" or "feeling bad," into observation levels that represent the state of the person being visited.

[0066] Also, for example, the analysis function 127e analyzes the condition of the person to be visited by recognizing the face, bone structure, joint positions, and the like of the person to be visited from the image included in the imaging data.

[0067] In this case, for example, the analysis function 127e analyzes the facial expression and swelling state of the recognized visit target person from the face. Also, for example, the analysis function 127e roughly determines the movement of the recognized visit target person from the skeleton and joint positions of the recognized visit target person, and analyzes the response speed of the determined movement. For example, the analysis function 127e may analyze the response speed for each movement of the skeleton and joint positions, or may analyze the response speed for the entire skeleton and joint positions. Then, the analysis function 127e converts the numerical value of the analyzed response speed into a preset rank.

[0068] Also, for example, the analysis function 127e analyzes the state of the person being examined by analyzing the voice itself included in the imaging data.

[0069] In this case, for example, the analysis function 127e analyzes and ranks the cognitive state of the person being examined by analyzing what the person being examined said (linguistic features) and how the person being examined spoke (acoustic-prosodic features).

[0070] Also, for example, the analysis function 127e analyzes the state of the connected devices by individually recognizing the connected devices and the like connected to the patient from the images included in the imaging data.

[0071] Then, the analysis function 127e organizes the analysis results obtained by analyzing the imaging data into subjective information or objective information.

[0072] For example, the analysis function 127e organizes the analysis results using the SOAP method, which is a recommended method for writing patient records. In general, the SOAP method is composed of the following categories:

[0073] S (subjective): Subjective information (information obtained from what the patient said, etc.) O (objective): Objective information (objective information obtained from examinations, tests, etc.) A (assessment): Evaluation (comprehensive evaluation based on the doctor's diagnosis and analysis and interpretation of the contents of O and S) P (plan): Plan (treatment) (treatment policy and contents decided based on A, lifestyle guidance, etc.)

[0074] For example, the analysis function 127e divides the analysis results obtained by analyzing the imaging data into what the patient said, the subjective observations of the nurse, and objective information.

[0075] Then, the analysis function 127e further includes the organized analysis results in the rounds record information and stores the result in the rounds record DB 122a.

[0076] In this way, the medical information processing device 120 executes the above-mentioned process each time a round is made for a patient to be examined.

[0077] Then, at any time during the rounds or after the rounds are completed, the presentation function 127f reads out the rounds record information regarding the rounds target person from the rounds record DB 122a in response to a request from the nurse, and displays it on the display 124.

[0078] This allows nurses to refer to the results of confirmation of items checked during rounds and the analysis results of the condition of patients being visited based on imaging data collected during rounds at any time desired.

[0079] Next, when creating a nursing record, if the nurse inputs the person to be visited, the generating function 127b starts the service when creating the nursing record.

[0080] For example, when the generation function 127b receives an input operation from a nurse via the input interface 123 instructing the start of nursing record creation, the generation function 127b starts a service for creating a nursing record.

[0081] When the service for creating a nursing record is started, the generating function 127b acquires the rounds record information for a preset period (for example, a period from one day ago to today, a period from two days ago to today, etc.) related to the visit subject for which the nursing record is to be created from the visits record DB 122a in the memory circuit 122. Then, the generating function 127b displays the acquired rounds record information on the display 124.

[0082] Furthermore, the generation function 127b generates information indicating the confirmation results for each confirmation item and the changes over time in the analysis results of the condition of the person being visited, based on the acquired rounds record information, and displays the generated information on the display 124.

[0083] For example, the generation function 127b generates and displays distribution diagrams such as histograms, radar charts, stacked graphs, and heat maps that map the check results for each check item and the analysis results of the condition of the person being examined in a chronological order.

[0084] For example, the generation function 127b generates and displays information showing changes over time in confirmation results and analysis results regarding the symptoms, responses, behaviors, and cognitive states of patients being examined.

[0085] For example, the generation function 127b classifies information representing the confirmation results and analysis results for multiple confirmation items and the condition of the person being examined into multiple levels based on preset criteria, and generates and displays information indicating each level arranged in chronological order.

[0086] In this case, for example, the generating function 127b normalizes the information representing the confirmation result and the analysis result into three levels (within the reference range / above the reference range / below the reference range) or five levels. Also, for example, the generating function 127b uses a fixed value set with reference to medical statistics or guidelines as a standard. Alternatively, the generating function 127b may use a value obtained by adding or subtracting a set margin to a reference value (national average, average within a facility, etc.), or may use a range of 2σ above and below in the normal distribution of each piece of information shown in medical statistics or guidelines, or a range with a coefficient of variation of 80%. Alternatively, the generating function 127b may use a method of assigning a score according to the degree of influence on a disease for non-quantified information (medical history, family history, lifestyle, etc.) to perform level classification.

[0087] For example, the generation function 127b may qualitatively classify the response into multiple levels, depending on whether the response is slower or faster than the previous day. For example, the generation function 127b may evaluate the behavior based on the ADL (Activities of Daily Living) items, and may classify the behavior into multiple levels, depending on whether the behavior is at the same level or higher than the previous day, or worse than the previous day (cannot act). For example, the generation function 127b may qualitatively classify the cognitive state (facial expression, speech) into multiple levels according to the cognitive evaluation.

[0088] Also, for example, the generating function 127b may classify each piece of information into levels by associating the response, behavior, and cognitive state with the image and audio state. For example, the generating function 127b may classify each piece of information into levels by evaluating the information using an AI (Artificial Intelligence) that has learned the correspondence between the response, behavior, and cognitive state with the image and audio state.

[0089] FIG. 4 is a diagram showing an example of information indicating the confirmation result for each confirmation item and the change over time in the analysis result of the condition of the person being examined, which is generated and displayed by the generating function 127b according to this embodiment.

[0090] For example, as shown in Fig. 4, the generating function 127b generates a heat map showing the levels of multiple types of vital signs, responses, behaviors, and cognitive states in each round from the first round on the previous day to the third round on the current day using a color tone, and displays the heat map on the display 124. Here, the vital signs are an example of the confirmation results of the confirmation items. Also, the responses, behaviors, and cognitive states are an example of the analysis results of the state of the person being visited.

[0091] For example, with such a heat map, it is possible to easily determine whether the confirmation or analysis results of a particular round are abnormal by comparing the color tones of the confirmation or analysis results of previous and subsequent rounds.

[0092] Returning to FIG. 2, the creation function 127c then extracts "notices" indicating an abnormal condition of the person being visited based on the confirmation results for each confirmation item, information indicating changes over time in the analysis results of the condition of the person being visited, and comments and marks included in the visit record information.

[0093] Specifically, the creation function 127c receives from the nurse via the input interface 123 the evaluation results in which the nurse evaluates whether or not to adopt the comments or marks contained in the rounds record information as "notices" to be recorded in the nursing record, by referring to the information showing changes over time in the confirmation results and analysis results displayed on the display 124.

[0094] For example, for a confirmation item that has a comment or mark attached in the rounds record information, the nurse refers to the information showing the change over time in the confirmation results displayed on display 124, and if there is a change compared to the previous and next rounds, the nurse evaluates that the comment or mark should be adopted as an "observation" to be recorded in the nursing record, and if there is no change compared to the previous and next rounds, the nurse evaluates that the comment or mark should not be adopted as an "observation" to be recorded in the nursing record.

[0095] Or, for example, for a check item that has a comment or mark attached in the rounds record information, the nurse refers to the information showing the change over time in the check result displayed on display 124, and if there is a tendency for the condition to worsen, evaluates that the comment or mark should be adopted as an "observation" to be recorded in the nursing record, and if there is no tendency for the condition to worsen, evaluates that the comment or mark should not be adopted as an "observation" to be recorded in the nursing record.

[0096] Then, the creating function 127c updates the rounds record information stored in the rounds record DB 122a based on the evaluation results received from the nurses. Specifically, the creating function 127c leaves the comments and marks that the nurses have evaluated as being adopted as "notices" to be written in the nursing record in the rounds record information without making any changes, and deletes the comments and marks that the nurses have not evaluated as being adopted as "notices" to be written in the nursing record from the rounds record information.

[0097] Next, the creation function 127c creates a draft of the nursing record based on the confirmation results for each confirmation item, information indicating changes over time in the analysis results of the condition of the person being visited, and the updated rounds record information, and displays the created draft of the nursing record on the display 124. For example, the creation function 127c creates and displays the draft of the nursing record using guidelines, medical ontologies, etc.

[0098] Thereafter, the creation function 127c accepts corrections to the draft nursing record from the nurse via the input interface 123. For example, the creation function 127c accepts additional comments on the contents of the confirmation items included in the draft nursing record and the analysis results of the condition of the person being visited via the input interface 123.

[0099] Then, the creation function 127c stores nursing record information indicating the content of the nursing record finally approved by the nurse in the nursing record DB 122b.

[0100] In this way, the nurse uses the medical information processing device 120 to create one day's nursing records regarding the patients for whom the nurse made rounds.

[0101] Here, as described above, when the processing circuitry 127 is realized by a processor, each process shown in FIG. 2 is realized by the processing circuitry 127 appropriately reading out and executing a program corresponding to each of the acquisition function 127a, the collection function 127d, the analysis function 127e, the presentation function 127f, the generation function 127b, and the creation function 127c from the memory circuitry 122.

[0102] As described above, in this embodiment, the acquisition function 127a acquires rounds record information including the check results for each of the multiple check items checked during the rounds and whether the rounds implementer noticed the checks, and stores the information in the rounds record DB 122a, each time the rounds implementer makes a round for the target person. The generation function 127b generates information indicating the change over time in the check results for each check item based on the rounds record information stored in the rounds record DB 122a. The creation function 127c creates a nursing record for the target person based on the information indicating the change over time in the check results generated by the generation function 127b and the whether the rounds implementer noticed the checks, which is included in the rounds record information.

[0103] Specifically, when a round is made on a patient to be visited, the acquisition function 127a presents the patient to be visited with a number of confirmation items via the display 124, and acquires the round record information by receiving input from the patient to be visited of the confirmation results for each of the multiple confirmation items and whether or not they noticed the confirmation items via the input interface 123.

[0104] In addition, after the rounds for the person to be visited are completed, the creation function 127c presents information indicating the change over time in the confirmation results generated by the generation function 127b to the person to be visited via the display 124, and creates a nursing record based on the result of the person to be visited's evaluation of his / her awareness of the confirmation items based on the information indicating the change over time in the confirmation results and the presence or absence of the rounds maker's awareness included in the rounds record information.

[0105] With this configuration, the person being visited can be supported so that they can share the "realizations" of the person being visited that are difficult to put into words due to the individuality of the person being visited, such as that the person is in an unusual condition.

[0106] In addition, the patients on rounds can create more optimal nursing records with less of a burden. For example, it is possible to record in the nursing records "notices" that are difficult to verbalize, difficult to notice in the short time during rounds, have many variations, are likely to be overlooked or difficult to share due to lack of knowledge, etc., and that may lead to the worsening of the condition.

[0107] In addition, in this embodiment, when a round is made for a patient to be visited, the acquisition function 127a analyzes the medical information and the round record information regarding the patient to be visited, creates a plurality of confirmation items according to the individuality of the patient to be visited, and acquires the round record information based on the plurality of confirmation items.

[0108] With this configuration, the person being visited can check and record appropriate confirmation items tailored to the individual person during the limited time during the rounds (routine rounds).

[0109] In this way, according to this embodiment, it is possible to support the person conducting the rounds so that more appropriate medical care can be provided according to the individual characteristics of the person being visited.

[0110] (Other embodiments) In the above-described embodiment, an example is described in which the medical information processing device 120 executes the above-described processing via the input interface 123, the display 124, the camera 125, and the microphone 126 that the medical information processing device 120 is equipped with, but the embodiment is not limited to this.

[0111] For example, the above-described processing can also be applied to a medical information processing system including a terminal device used by a person performing rounds and a medical information processing device communicatively connected to the terminal device.

[0112] In that case, the terminal device has the same configuration as the input interface 123, the display 124, the camera 125, and the microphone 126 described as components of the medical information processing device 120 in the above-mentioned embodiment. For example, the terminal device is realized by a smartphone, a tablet terminal, a personal computer, a small dedicated device such as a smartphone, or the like.

[0113] Furthermore, the medical image processing device executes, via a terminal device, the processes that the medical image processing device performs in the above-described embodiment via the input interface 123, the display 124, the camera 125, and the microphone 126. For example, the medical image processing device is realized by computer equipment such as a server or a workstation.

[0114] The terminal device and the medical image processing device are connected to be able to communicate with each other via the Internet, for example. In this case, the medical information processing system may be constructed in the form of cloud computing in which the medical image processing device provides a service in response to a request from the terminal device.

[0115] In addition, in the above-mentioned embodiment, an example in which the acquisition unit, generation unit, creation unit, collection unit, analysis unit, and presentation unit in this specification are realized by the acquisition function 127a, generation function 127b, creation function 127c, collection function 127d, analysis function 127e, and presentation function 127f of the processing circuit 127 has been described, but the embodiment is not limited to this. For example, the acquisition unit, generation unit, creation unit, collection unit, analysis unit, and presentation unit in this specification may be realized by the acquisition function 127a, generation function 127b, creation function 127c, collection function 127d, analysis function 127e, and presentation function 127f of the processing circuit 127 described in the embodiment, or may be realized by only hardware, only software, or a combination of hardware and software.

[0116] In the above embodiment, an example in which the processing circuitry 127 is realized by a single processor has been described, but the embodiment is not limited to this. For example, the processing circuitry 127 may be configured by combining multiple independent processors, and each processor may execute a program to realize each processing function. In addition, each processing function of the processing circuitry 127 may be appropriately distributed or integrated and realized in a single or multiple processing circuits. In addition, each processing function of the processing circuitry 127 may be realized by a mixture of hardware and software such as a circuit. In addition, an example in which a program corresponding to each processing function is stored in a single storage circuitry 122 has been described here, but the embodiment is not limited to this. For example, a configuration in which a program corresponding to each processing function is distributed and stored in multiple storage circuits, and the processing circuitry 127 reads out and executes each program from each storage circuit may be used.

[0117] The term "processor" used in the description of the above-mentioned embodiment means a circuit such as a central processing unit (CPU), a graphics processing unit (GPU), an application specific integrated circuit (ASIC), a programmable logic device (e.g., a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), and a field programmable gate array (FPGA)). Here, instead of storing a program in a memory circuit, the program may be directly built into the circuit of the processor. In this case, the processor realizes its function by reading and executing the program built into the circuit. Furthermore, each processor in the present embodiment is not limited to being configured as a single circuit for each processor, and may be configured as a single processor by combining multiple independent circuits to realize its function.

[0118] Here, the program executed by the processor is provided in advance in a ROM (Read Only Memory) or a storage circuit. The program may be provided by being recorded in a computer-readable non-transitory storage medium such as a CD (Compact Disk)-ROM, a FD (Flexible Disk), a CD-R (Recordable), or a DVD (Digital Versatile Disk) in a format that can be installed in these devices or in a format that can be executed. The program may also be provided or distributed by being stored on a computer connected to a network such as the Internet and downloaded via the network. For example, the program is composed of modules including each of the above-mentioned processing functions. As actual hardware, a CPU reads out the program from a storage medium such as a ROM and executes it, so that each module is loaded onto a main storage device and generated on the main storage device.

[0119] In addition, in the above-mentioned embodiment and modified examples, each component of each device shown in the figure is a functional concept, and does not necessarily have to be physically configured as shown in the figure. In other words, the specific form of distribution or integration of each device is not limited to that shown in the figure, and all or a part of it can be functionally or physically distributed or integrated in any unit according to various loads, usage conditions, etc. Furthermore, all or any part of each processing function performed by each device can be realized by a CPU and a program analyzed and executed by the CPU, or can be realized as hardware using wired logic.

[0120] Furthermore, among the processes described in the above-mentioned embodiments and modifications, all or part of the processes described as being performed automatically can be performed manually, or all or part of the processes described as being performed manually can be performed automatically by a known method. In addition, the information including the processing procedures, control procedures, specific names, various data and parameters shown in the above documents and drawings can be changed arbitrarily unless otherwise specified.

[0121] The various data handled in this specification are typically digital data.

[0122] According to at least one of the embodiments described above, it is possible to support the person conducting the rounds so as to provide more appropriate medical care according to the individual characteristics of the person being visited.

[0123] Although some embodiments 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, substitutions, modifications, and combinations of embodiments can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope of the invention and its equivalents as described in the claims, as well as in the scope and spirit of the invention. [Explanation of symbols]

[0124] 100 Medical Information Processing System 120 Medical information processing device 122 Memory circuit 122a Medical rounds record DB 122b Nursing record DB 127 Processing Circuit 127a Acquisition function 127b Generation function 127c Creation Function 127d Collection function 127e Analysis functions 127f Presentation function

Claims

1. An acquisition unit that acquires rounds record information including a confirmation result for each of a plurality of confirmation items confirmed in the rounds and whether or not the rounds implementer noticed each of the confirmation items each time the rounds implementer makes a rounds for a round target person, and stores the information in a rounds record storage unit; a generating unit that generates information indicating a change over time in the confirmation result for each of the confirmation items based on the rounds record information stored in the rounds record storage unit; A creating unit that creates a nursing record for the visit target based on information indicating a change over time in the confirmation result and the presence or absence of the notice of the visit implementer included in the visit record information; A medical information processing device comprising:

2. The acquisition unit, when a round is made for the round target, analyzes medical information and the round record information regarding the round target to create a plurality of confirmation items according to the individuality of the round target, and acquires the round record information based on the plurality of confirmation items. The medical information processing device according to claim 1 .

3. After the rounds for the patient are completed, the creation unit presents the patient with information indicating the change over time in the confirmation result, and creates the nursing record based on the result of the patient's evaluation of the confirmation item by referring to the information indicating the change over time in the confirmation result and the presence or absence of the notice of the patient by the patient rounds implementer included in the rounds record information. The medical information processing device according to claim 1 .

4. The acquisition unit presents the plurality of check items to the visit target when a round is made to the visit target, and acquires the visit record information by receiving an input of a check result for each of the plurality of check items and an input of whether or not the visit target noticed the check items from the visit target. The medical information processing device according to claim 1 .

5. A collection unit that collects rounds data representing a state of the rounds target person while the rounds are being performed on the rounds target person; an analysis unit that analyzes the state of the visit target person using the visit data after the visit to the visit target person is performed, and further includes an analysis result in the visit record information and stores the analysis result in the visit record storage unit; The medical information processing device according to claim 1 , further comprising:

6. A presentation unit is further provided which, in response to a request from the rounds implementer, reads out rounds record information relating to the rounds target from the rounds record storage unit and presents the read out rounds record information to the rounds target. The medical information processing device according to claim 1 .

7. A medical information processing system including a terminal device used by a medical rounds implementer and a medical information processing device communicably connected to the terminal device, The medical information processing device, An acquisition unit that acquires from the terminal device, each time the rounds are made by the rounds implementer to the rounds target person, rounds record information including the confirmation results for each of the multiple confirmation items confirmed in the rounds and the presence or absence of the rounds implementer's notice, and stores the information in a rounds record storage unit; a generating unit that generates information indicating a change over time in the confirmation result for each of the confirmation items based on the rounds record information stored in the rounds record storage unit; A creating unit that creates a nursing record for the visit target based on information indicating a change over time in the confirmation result and the presence or absence of the notice of the visit implementer included in the visit record information; A medical information processing system comprising:

8. A procedure for acquiring rounds record information including a confirmation result for each of a plurality of confirmation items confirmed in the rounds and whether or not the rounds implementer noticed each of the confirmation items each time the rounds implementer makes a rounds for a rounds target person, and storing the information in a rounds record storage unit; generating information indicating a change over time in the confirmation result for each of the confirmation items based on the rounds record information stored in the rounds record storage unit; A procedure for creating a nursing record for the person to be visited based on information indicating a change over time in the confirmation result and the presence or absence of the notice of the person to be visited, which is included in the visit record information; A medical information processing program that causes a computer to execute the above.

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