Medical information processing apparatus

Abstract

To assist a design of a hospital play corresponding to a clinical path.SOLUTION: A medical information processing apparatus according to an embodiment comprises: a first acquisition unit; a second acquisition unit; an identification unit; a determination unit; and an output unit. The first acquisition unit acquires data associated with a clinical path of a patient. The second acquisition unit acquires data associated with an attribute of the patient. The identification unit identifies one or more steps included in the clinical path on the basis of the clinical path. The determination unit determines a component corresponding to the attribute of the patient for each step identified by the identification unit on the basis of correspondence information in which an attribute of an object person of a hospital play is associated with a component for realizing the hospital play corresponding to each step of the clinical path. The output unit outputs information of the component determined for each step.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] An embodiment of the present invention relates to a medical image processing apparatus. [Background technology]

[0002] Traditionally, in the medical field, games and other play activities have been incorporated to support patients undergoing medical treatment. For example, hospital play, which supports children undergoing medical treatment through play, has been gaining attention.

[0003] Conventionally, in medical facilities such as hospitals, treatment plans are standardized using clinical paths. Therefore, it is desirable in the medical field that hospital plays are also designed to correspond to clinical paths. However, clinical paths are diversifying, and it is difficult to design hospital plays that correspond to individual clinical paths. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Special Publication No. 2018-533044 Summary of the Invention [Problem to be solved by the invention]

[0005] The problem that the present invention aims to solve is to provide a medical information processing device that can support the design of hospital play corresponding to clinical pathways. However, the problems solved by the embodiments disclosed in this specification are not limited to the above problems. Problems corresponding to the effects of each configuration shown in the embodiments described below can also be positioned as other problems solved by the embodiments disclosed in this specification. [Means for solving the problem]

[0006] A medical information processing device according to an embodiment includes a first acquisition unit, a second acquisition unit, an identification unit, a determination unit, and an output unit. The first acquisition unit acquires data related to a patient's clinical path. The second acquisition unit acquires data related to the patient's attributes. The identification unit identifies one or more steps included in the clinical path based on the clinical path. The determination unit determines a component corresponding to the patient's attributes for each step identified by the identification unit based on correspondence information that associates the attributes of the subject of the hospital play with components for realizing the hospital play corresponding to each step of the clinical path. The output unit outputs information on the components determined for each step. [Brief description of the drawings]

[0007] [Figure 1] FIG. 1 is a block diagram showing an example of the configuration of a medical information processing system according to an embodiment. [Diagram 2] FIG. 2 is a diagram illustrating an example of a data configuration of a clinical path database according to the embodiment. [Diagram 3] FIG. 3 is a diagram illustrating an example of a data configuration of a component database according to the embodiment. [Figure 4] FIG. 4 is a flowchart showing an example of processing executed by the medical image processing apparatus according to the embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0008] Hereinafter, embodiments of a medical information processing apparatus and a medical information processing method will be described in detail with reference to the drawings.

[0009] Fig. 1 is a block diagram showing an example of the configuration of a medical information processing device 100 according to an embodiment. For example, as shown in Fig. 1, a medical information processing system 1 according to the present embodiment includes the medical information processing device 100, a hospital system 300, and a terminal device 400.

[0010] Moreover, each device constituting the medical information processing system 1 is connected to be able to communicate with each other via a network 200. For example, the medical information processing device 100, the hospital system 300, and the terminal device 400 are installed in a hospital or the like, and are connected to each other by the network 200 such as an in-hospital LAN.

[0011] 1 shows an example in which one medical information processing device 100, one hospital system 300, and one terminal device 400 are connected, but the number of each device is not limited to this. For example, the medical information processing system 1 may have multiple terminal devices 400.

[0012] The hospital system 300 stores various types of information related to medical care. For example, the hospital system 300 is realized by a computer device such as a server device. For example, the hospital system 300 stores electronic medical record information 301 and interview information 302.

[0013] The information stored in the hospital system 300 will be described below. The electronic medical record information 301 is information in which the medical history of a patient is recorded. For example, the electronic medical record information 301 includes information for identifying a patient (patient ID), personal information such as the patient's age, sex, and family structure, the name of the disease the patient suffers from, the name of the prescribed medicine, and the treatment period.

[0014] The medical interview information 302 is information indicating the contents of the patient's answers to the medical interview. The contents of the patient's answers to the medical interview include information indicating the attributes of the patient, such as the patient's personal characteristics and information regarding the patient's preferences.

[0015] Examples of the patient's personal characteristics include age, sex, personality (active, passive, curious, quiet, etc.), comprehension, and ability to express will. Examples of the patient's preferences include favorite pastimes, favorite characters, favorite foods, favorite music, favorite colors, favorite sports, etc., selected from a number of options. Information on the patient's personal characteristics and preferences is an example of information on the patient's attributes.

[0016] For example, the medical interview information 302 includes information regarding the patient's personal characteristics and preferences, such as answers to questions about personal information such as the patient's age, sex, and family composition, answers to questions about the patient's living environment, answers to personality assessments, and answers to questions about the patient's current symptoms.

[0017] The terminal device 400 is a device used by medical professionals who design hospital plays, such as doctors and hospital play specialists, etc. For example, the terminal device 400 is realized by a computer device such as a personal computer or a tablet terminal.

[0018] For example, the terminal device 400 performs operation input to the medical information processing device 100 via the network 200. In addition, the terminal device 400 displays various information under the control of the medical information processing device 100.

[0019] The medical information processing device 100 acquires electronic medical record data and interview data from the hospital system 300 via the network 200, and performs processing to support the planning of hospital play using the acquired data. For example, the medical information processing device 100 is realized by a computer device such as a workstation.

[0020] Specifically, the medical information processing device 100 includes an I / F (interface) circuit 110, a memory circuit 120, an input circuit 130, a display 140, and a processing circuit 150.

[0021] The I / F circuit 110 is connected to the processing circuit 150, and controls the transmission and communication of various data between the hospital system 300 and the terminal device 400. For example, the I / F circuit 110 is realized by a network card, a network adapter, a NIC (Network Interface Controller), or the like.

[0022] For example, the I / F circuit 110 receives electronic medical record data and interview data from the hospital system 300, and outputs the received data to the processing circuit 150. Also, for example, the I / F circuit 110 receives an operation instruction command from the terminal device 400, and outputs the received data to the processing circuit 150.

[0023] The memory circuitry 120 is connected to the processing circuitry 150 and stores various data. For example, the memory circuitry 120 is realized by a semiconductor memory element such as a random access memory (RAM) or a flash memory, a hard disk, an optical disk, or the like.

[0024] For example, the memory circuitry 120 stores a clinical path database 121 related to the configuration of a clinical path. Also, for example, the memory circuitry 120 stores a component database 122 for determining components for performing hospital play. The component database 122 is an example of correspondence information.

[0025] Also, for example, the memory circuitry 120 stores an achievement database 123 that indicates achievements of hospital play. Also, for example, the memory circuitry 120 stores medical treatment data, interview data, and the like received from the hospital system 300.

[0026] The information stored in the memory circuit 120 will be described below. First, the clinical path database 121 will be described. The clinical path database 121 associates various clinical paths with the steps included in the clinical paths. An example of the data configuration of the clinical path database 121 will be described below.

[0027] Fig. 2 is a diagram showing an example of the data configuration of the clinical path database 121. The clinical path database 121 in Fig. 2 associates a disease ID, a disease name, a clinical path ID, a clinical path name, a step ID, and a step (process) included in the clinical path.

[0028] The disease ID in Fig. 2 is information for identifying a disease. The disease name in Fig. 2 indicates the name of a disease identified by the disease ID. The clinical path ID in Fig. 2 is information for identifying a clinical path.

[0029] The clinical path name in Figure 2 indicates the name of the clinical path identified by the clinical path ID. Here, a clinical path is a tool used to evaluate and improve the content of medical care. For example, a clinical path is a schedule of medical procedures (examinations, surgeries, injections, medication, etc.) performed from admission to discharge along a chronological order.

[0030] The step ID in Fig. 2 is information for identifying steps included in the clinical path. The steps in Fig. 2 represent the contents of the step identified by the step ID. The steps of the clinical path include the actions of the patient required for examinations, surgery, injections, taking medicine, etc.

[0031] As an example, the clinical path database 121 in Fig. 2 indicates that the clinical path corresponding to "△△ disease" identified by the disease ID "D001" is "Clinical Path 1." Also, in the clinical path database 121 in Fig. 2, it indicates that "Clinical Path 1" includes five steps, "Explanation of the purpose of XX test" to "Explanation of the next treatment plan," identified by step IDs "S1-001" to "S1-005."

[0032] Next, the component database 122 will be described. The component database 122 associates attributes of the subjects of the hospital play with components corresponding to each step of the clinical path. An example of the data configuration of the component database 122 will be described below with reference to FIG. 3.

[0033] Fig. 3 is a diagram showing an example of the data configuration of the component database 122. The component database 122 in Fig. 3 associates attributes (attributes 1 to 3) of the subjects of the hospital play, a clinical path ID, a clinical path name, a step ID, a step, a theme ID of the hospital play, a theme (name), a component (content of the performance), a component ID, facilities used in the hospital play, and information indicating whether the facility can accommodate multiple patients.

[0034] Attributes 1 to 3 in Fig. 3 are information indicating attributes of the subjects of hospital play. Although three attributes are registered in Fig. 3, the number of attributes registered in the component database 122 may be two or less, or four or more.

[0035] The clinical path ID, clinical path name, step ID, and step in Fig. 3 are the same as those in Fig. 2, and therefore the description will be omitted. In the component database 122 in Fig. 3, a clinical path ID, clinical path name, step ID, and step are associated with each combination of attributes.

[0036] The theme ID in FIG. 3 is information that identifies a theme. The theme in FIG. 3 is information that represents the concept of hospital play. The concept represents, for example, a character, a worldview, a story, etc. Defining the concept of hospital play creates a sense of unity throughout the hospital play. This allows the target patients to engage in hospital play with the same feeling even if the corresponding clinical path step changes.

[0037] In addition, the component database 122 may include information associated with the theme, such as the type of activity for hospital play (exploration, sports, games, etc.), the setting for hospital play (the sea, mountains, school, secret base, etc.), and the setting for the main characters appearing in hospital play (characters appearing in television programs, manga, etc.).

[0038] The components in Fig. 3 represent the production for implementing hospital play. The medical information processing device 100 according to this embodiment can support the planning of unified hospital play corresponding to individual clinical pathways by combining components with the same theme.

[0039] Here, the components may include the implementation of actual medical procedures. For example, such components may include a performance in which blood is drawn from a patient wearing a VR device such as a virtual reality (VR) goggle, while the patient is shown a VR image according to the theme of the hospital play.

[0040] Generally, after the hospital play is performed, actual medical treatment is often performed at a different time and place. For this reason, in conventional hospital play, there is a problem that the time required from the implementation of the hospital play to the start of the actual medical treatment (hereinafter, also referred to as TAT ​​(turn-around time)) is long.

[0041] In contrast, in this embodiment, the TAT can be shortened by performing actual medical procedures during hospital play. In addition, by performing actual medical procedures during hospital play, it is expected that the effect of alleviating anxiety and pain associated with medical procedures for the target patient can be achieved.

[0042] In addition, when VR technology is used for hospital play, the component may include a performance in which the target patient converses with a doctor imitating a character depicted in a virtual space. In this case, the doctor in the virtual space may be an actual doctor playing the role of a doctor character depicted in the virtual space, or may be one that uses AI technology to converse with the target patient.

[0043] In this way, by conversing in a virtual space with a doctor who has a pleasing appearance to the target patient, it is expected that even if the target patient has negative feelings toward real-life doctors, such as a lack of respect for them, they will be more likely to listen to explanations about their treatment in a positive manner and convey their wishes to the doctor.

[0044] Furthermore, the components may include a performance that actively encourages the target patient to select a treatment method, etc. In this way, by having the target patient select the treatment, even if the expected effects are similar regardless of the treatment method selected, the target patient can get a sense of having "made the choice" through hospital play, which is expected to have the effect of encouraging the patient to approach the treatment, etc. in a positive manner.

[0045] The equipment in Fig. 3 represents equipment used to realize the performance represented by the component. In Fig. 3, two pieces of equipment (equipment 1 and 2) are registered, but the number of pieces of equipment registered in the component database 122 may be one, or three or more. In this embodiment, the equipment is assumed to be prepared in advance in a medical facility such as a hospital, but is not limited to this. For example, equipment that can be prepared in a medical facility may be registered in the component database 122.

[0046] As an example, the first line in Figure 3 shows that the "Travel around the island and discover enemies" element of the theme "Adventure 1" is a component of hospital play to realize the clinical path step "Explain the purpose of the X-X test."

[0047] In addition, the first line of Figure 3 indicates that a "model island" and a "monster stuffed animal" are used as equipment to realize the theme "Adventure 1," which is to "travel around the island and discover enemies."

[0048] In addition, the first line of Figure 3 shows that the attributes of patients suitable for the theme “Adventure 1” with the theme of “Travel around the island and discover enemies” are “4 to 6 years old,” “quiet,” and “like stories.”

[0049] Similarly, the seventh line in Figure 3 shows that the “Explanation of the opponent” part of the theme “Soccer 1” is a component of the hospital play to realize the clinical path step “Explanation of the purpose of the XX test.”

[0050] In addition, the seventh line in Figure 3 indicates that "VR" will be used as a device to realize the "Explanation of the opponent" effect for the theme "Soccer 1."

[0051] In addition, the seventh line in Figure 3 shows that the attributes of patients suitable for the presentation titled “Explanation of the Opponent” on the theme “Soccer 1” are “7 to 9 years old,” “active,” and “likes physical activity.”

[0052] Returning to Fig. 1, the performance database 123 will be described. For example, the performance database 123 stores information such as the date and time when the hospital play was performed, the place where the hospital play was performed, the patient ID, the patient name, the steps of the clinical path, the theme of the hospital play, the components of the hospital play, the TAT, the movement line of the target patient during the hospital play (hereinafter also simply referred to as the movement line), and the evaluation of the planner of the hospital play (hereinafter also simply referred to as the evaluation), etc.

[0053] For example, the evaluation was conducted by the hospital play planner after implementing the hospital play, rating each item such as TAT ​​and traffic flow on a 5-point scale, with 5 being the maximum and 1 being the minimum.

[0054] As an example, if the hospital play planner can smoothly transition from the hospital play to the implementation of the medical procedure, the TAT is rated as 5, and if it takes a long time to implement the medical procedure or if the medical procedure cannot be implemented, the TAT is rated as 1. The TAT rating may be determined automatically by comparing with the average TAT calculated for each step of the clinical path.

[0055] Similarly, if the hospital play planner sees no unnecessary movements of the target patient during hospital play, he / she rates the flow line as 5, and if unnecessary movements of the target patient are seen during hospital play, he / she rates the flow line as 1. Note that the flow line rating may be determined automatically by comparing with the average flow line derived for each step of the clinical path.

[0056] The items to be evaluated are not limited to TAT and flow lines. Other items may be evaluated, or only TAT or flow lines may be evaluated. Other items to be evaluated include, for example, the state of the target patient (having fun, looking bored, etc.), the number of times the target patient speaks during hospital play, the number of times the target patient touches the character's stuffed animal during hospital play, the time it takes to perform the medical procedure, etc.

[0057] 1 to continue the explanation. The input circuitry 130 is connected to the processing circuitry 150, converts an input operation received from an operator into an electrical signal, and outputs the electrical signal to the processing circuitry 150. For example, the input circuitry 130 is realized by a trackball, a switch button, a mouse, a keyboard, a touch panel, or the like.

[0058] The display 140 is connected to the processing circuit 150 and displays various information output from the processing circuit 150. The display 140 is an example of a display device. For example, the display 140 is realized by a liquid crystal monitor, a CRT (Cathode Ray Tube) monitor, a touch panel, or the like.

[0059] The processing circuitry 150 controls the components of the medical information processing apparatus 100 in response to an input operation received from an operator via the terminal device 400 and the network 200. For example, the processing circuitry 150 is realized by a processor.

[0060] For example, the processing circuitry 150 stores the medical treatment data and interview data output from the I / F circuitry 110 in the storage circuitry 120. In addition, for example, the processing circuitry 150 performs control for printing a schedule for hospital play, etc.

[0061] The above describes the overall configuration of the medical information processing device 100 according to this embodiment. With this configuration, the medical information processing device 100 according to this embodiment has a function for acquiring data on the clinical path of a patient and data on the attributes of the patient, and supporting the planning of a hospital play corresponding to the clinical path of the patient based on the attributes of the patient.

[0062] In order to realize the above functions, the processing circuit 150 has a first acquisition function 151, a second acquisition function 152, a first identification function 153, a second identification function 154, a decision function 155, a display control function 156, and a print control function 157.

[0063] The first acquisition function 151 and the first identification function 153 are examples of a first acquisition unit. The second acquisition function 152 and the second identification function 154 are examples of a second acquisition unit. The first identification function 153 is an example of a identification unit. The decision function 155 is an example of a decision unit. The display control function 156 and the print control function 157 are examples of an output unit.

[0064] The first acquisition function 151 acquires data related to the clinical path of the patient. For example, the first acquisition function 151 refers to the electronic medical record information 301 of the hospital system 300 via the I / F circuit 110 and the network 200, and acquires electronic medical record data corresponding to the patient ID of the target patient. The electronic medical record data includes information for identifying the clinical path of the target patient.

[0065] The second acquisition function 152 acquires data related to the attributes of the patient. For example, the second acquisition function 152 refers to the interview information 302 of the hospital system 300 via the I / F circuit 110 and the network 200, and acquires interview data corresponding to the patient ID of the target patient. The interview data includes information for identifying the attributes of the target patient.

[0066] The first identification function 153 identifies the clinical path and the steps of the clinical path of the target patient based on the electronic medical record data acquired by the first acquisition function 151. For example, the first identification function 153 extracts words related to a disease from the electronic medical record data using a known natural language processing technique. Note that the information related to a disease includes not only the name of a disease that has been confirmed to be present, but also the name of a suspected disease.

[0067] Moreover, the first identifying function 153 refers to the clinical path database 121 and identifies a clinical path corresponding to the disease from the extracted words related to the disease. The first identifying function 153 identifies steps included in the identified clinical path.

[0068] As an example, when the first identification function 153 extracts the word "△△ disease" from the electronic medical record data, it refers to the clinical path database 121 in Figure 2 and identifies "Clinical Path 1" corresponding to "△△ disease" as the clinical path to be used for the target patient.

[0069] In addition, the first identification function 153 refers to the clinical path database 121 and identifies that "Clinical Path 1" includes the steps of "Explanation of the purpose of the XX test," "Motivation for why disease △△ should be cured," "Explanation of the medical procedure that must be endured," "Explanation of why the medical procedure leads to improvement of symptoms," and "Explanation of the next treatment plan."

[0070] The second identification function 154 identifies the attributes of the target patient based on the data on the attributes of the patient acquired by the second acquisition function 152. For example, the second identification function 154 extracts content (sentences, words) related to the attributes from the medical interview data using a known natural language processing technique.

[0071] In addition, the second identification function 154 identifies an attribute related to the extracted content as an attribute of the target patient. For example, the second identification function 154 preliminarily defines an attribute as a character string, compares the extracted content with the character string, and, if the extracted content is the same as the character string or has the same or similar meaning, identifies the attribute defined by the character string as the attribute of the target patient.

[0072] In this embodiment, the second identification function 154 identifies the attributes of the target patient from the interview data, but the second identification function 154 may identify the attributes of the target patient from other data such as electronic medical record data.

[0073] The determination function 155 determines, based on the component database 122, a component that corresponds to the attributes of the target patient for each step of the clinical pathway identified by the first identification function 153.

[0074] For example, the determination function 155 refers to the component database 122 via the I / F circuit 110 and the network 200, and determines, for each step identified by the first identification function 153, a component corresponding to one or more attributes identified by the second identification function 154.

[0075] Below, the operation of the determination function 155 will be explained using as an example a case where the first identification function 153 identifies the clinical path of the target patient as "Clinical Path 1" in Figure 2, and the second identification function 154 identifies the attributes of the target patient as "4 to 6 years old" and "Likes stories."

[0076] In this case, the determination function 155 refers to the component database 122 in Fig. 3 and extracts a component corresponding to each step included in "Clinical Path 1". For example, when determining a component related to "Explanation of the purpose of XX test" of S1-001 included in "Clinical Path 1", the determination function 155 extracts "Discover enemies around the island" of "Adventure 1" and "Explanation of opponent" of "Soccer 1", which have different theme IDs (themes).

[0077] Next, the determination function 155 identifies corresponding attributes for "discovering enemies while traveling around the island" and "description of current opponent." For "discovering enemies while traveling around the island," the determination function 155 identifies "ages 4 to 6," "quiet," and "likes stories," which are associated with theme ID "T001," as corresponding attributes. Similarly, for "description of current opponent," the determination function 155 identifies "ages 7 to 9," "aggressive," and "likes physical activity," which are associated with theme ID "T010," as corresponding attributes.

[0078] Next, the determination function 155 compares the attributes of the target patient identified by the second identification function 154, "age 4 to 6" and "likes stories", with the attributes corresponding to "discover enemies around islands". Similarly, the determination function 155 compares the attributes of the target patient identified by the second identification function 154 with the attributes corresponding to "description of opponent this time". Then, the determination function 155 determines "discover enemies around islands", which has the greatest number of matching attributes, as the component corresponding to "description of purpose of XX test".

[0079] When there are multiple components with the same number of matching attributes, the determination function 155 may automatically determine one component, or may allow the operator to select one. In the former case, for example, the determination function 155 may determine a component with a smaller number included in the component ID as the component corresponding to the step.

[0080] In the above case, the determination function 155 may refer to the performance database 123, calculate statistical values ​​(average values, etc.) of the TAT and flow line evaluation of multiple patients for each component, and determine the component with the highest statistical value as the component corresponding to the step.

[0081] In addition, if the target patient has a history of performing a candidate component, the component corresponding to the step may be determined based on the performance history. As an example, if the sum of the TAT and the evaluation of the flow line of the candidate component is less than a threshold value and there is another candidate component of the same theme that has not been performed, the determination function 155 may determine the unperformed component as the component corresponding to the step.

[0082] In addition, it is preferable that the determination function 155 uses components with a common theme for other steps belonging to the same clinical path. For example, the determination function 155 performs the same process as above with components with the same theme as "discover enemies around the island" as candidates, and determines components for each step included in "Clinical Path 1".

[0083] When the determination function 155 receives an instruction from the user to implement hospital play for multiple people, it performs the same process as above to determine the components that can be used by multiple people as candidates.

[0084] Furthermore, in this embodiment, the attributes are judged on a component-by-component basis to determine the component to be used, but the decision function 155 may also judge the attributes on a theme-by-theme basis to determine the component to be used.

[0085] In this way, by implementing hospital play with the same concept for multiple people, for example, patients can share the events that occurred during hospital play, which is expected to increase empathy and solidarity. In addition, by increasing empathy and solidarity, it is expected that multiple target patients can work on treatment while encouraging each other. Furthermore, for example, for hospitals that implement hospital play, the number of times hospital play is implemented can be reduced, which is expected to reduce the burden on medical staff.

[0086] The display control function 156 controls the display of various information on a display device. For example, the display control function 156 displays information indicating the components determined for each step by the determination function 155 on the display of the terminal device 400 via the I / F circuit 110 and the network 200.

[0087] Here, the user may present the information to the target patient himself / herself, the guardian of the target patient, etc., other than the user. This is expected to make it easier for the target patient himself / herself and the guardian of the target patient to understand the meaning of performing hospital play, for example. In addition, for example, by presenting a plan for hospital play to the guardian before performing hospital play, it is thought that improvement suggestions from the guardian's perspective can be obtained more easily.

[0088] Also, for example, the display control function 156 displays, together with information representing the components determined for each of the above steps, correction input buttons for correcting the determined components on the display of the terminal device 400. For example, the correction input buttons are arranged for each pair of a step and a component.

[0089] For example, the modification input button displays a list of components when the user clicks it, etc. In this case, when the user selects a component from the list, the display showing the combination of the step and component corresponding to the modification input button is modified to a display that reflects the user's selection.

[0090] In addition, if a component with a theme different from the theme of the component before the modification is selected as described above, the display control function 156 may display a warning screen on the display of the terminal device 400 prompting the user to select a component with the same theme as the component before the modification.

[0091] In this case, the display control function 156 may also cause a warning screen to be displayed on the display of the terminal device 400, indicating that components corresponding to other steps also need to be revised to components with the same theme as the revised component.

[0092] In addition, the display control function 156 displays a button for confirming the input of the component for each step on the correction input screen. The component for each step is confirmed by the user clicking the button.

[0093] The print control function 157 controls a printer (not shown) to print a hospital play plan (hereinafter, simply referred to as a plan). For example, when the print control function 157 receives an instruction to confirm the plan of the hospital play from the terminal device 400 via the I / F circuit 110 and the network 200, it generates print data of the plan according to the components determined for each step by the determination function 155.

[0094] The print data may consist of only a character string expressing the component (the presentation of hospital play), or may include an image expressing the presentation of hospital play. The print data may also be in the form of a comic book that shows the flow of hospital play.

[0095] The print control function 157 also controls a printer to print out the generated print data. The printer is preferably installed in the vicinity of the terminal device 400.

[0096] In this way, by outputting the schedule, for example, when a user is present during hospital play, the user can easily check the progress of the hospital play. Also, by printing out the schedule in advance and providing it to the target patient or the guardian of the target patient, the target patient or the guardian of the target patient can easily imagine what they will actually do in the hospital play, and it is expected that the hospital play will be carried out smoothly. Also, by printing it out, it is possible to check the plan and progress of the hospital play even in situations where the use of electronic devices is restricted.

[0097] The above describes each processing function of the processing circuitry 150. Each of the above-mentioned processing functions is stored in the storage circuitry 120 in the form of a program executable by a computer, for example. The processing circuitry 150 reads each program from the storage circuitry 120 and executes the read program to realize the processing function corresponding to each program. In other words, the processing circuitry 150 in a state in which each program has been read has each processing function shown in FIG. 1.

[0098] 1, an example in which each of the above-mentioned processing functions is realized by a single processing circuit 150 has been described, but the embodiment is not limited to this. For example, the processing circuit 150 may be configured by combining multiple independent processors, and each processor may execute a program to realize each processing function. Furthermore, each processing function of the processing circuit 150 may be appropriately distributed or integrated and realized in a single or multiple processing circuits.

[0099] Furthermore, the term "processor" used in the above explanation refers to circuits such as a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), or 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)).

[0100] The processor realizes its functions by reading and executing a program stored in the storage circuitry 120. Instead of storing a program in the storage circuitry 120, the program may be directly built into the circuitry of the processor. In this case, the processor realizes its functions by reading and executing a program built into the circuitry. In addition, each processor in this embodiment is not limited to being configured as a single circuit, and may be configured as a single processor by combining multiple independent circuits to realize its functions.

[0101] Here, the program executed by the processor is provided by being pre-installed in a ROM (Read Only Memory), a storage circuit, etc. Note that this program may be provided by being recorded in a computer-readable 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.

[0102] This 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, this program is composed of modules including each of the functional units described below. In terms of actual hardware, a CPU reads out the program from a storage medium such as a ROM and executes it, whereby each module is loaded into a main storage device and generated on the main storage device.

[0103] Next, there will be described processes executed by the medical information processing apparatus 100. Fig. 4 is a flowchart showing an example of processes executed by the medical information processing apparatus 100 according to the embodiment.

[0104] First, the first acquisition function 151 acquires electronic medical record data of a target patient (step S101). For example, the first acquisition function 151 acquires electronic medical record data corresponding to the patient ID of the target patient from the electronic medical record information 301 of the hospital system 300 via the network 200.

[0105] Next, the second acquisition function 152 acquires the medical interview data of the target patient (step S102). For example, the second acquisition function 152 acquires the medical interview data corresponding to the patient ID of the target patient from the medical interview information 302 of the hospital system 300 via the network 200.

[0106] Next, the first identification function 153 identifies a clinical path to be used for the target patient based on the acquired electronic medical record data (step S103). For example, the first identification function 153 uses a known natural language processing technique to extract words related to a disease from the electronic medical record data acquired in step S101. The first identification function 153 also refers to the clinical path database 121 and identifies a clinical path corresponding to the extracted information related to the disease as the clinical path to be used for the target patient.

[0107] Next, the first identification function 153 identifies steps included in the clinical path used for the target patient (step S104). For example, the first identification function 153 refers to the clinical path database 121 and identifies one or more steps corresponding to the clinical path identified in step S103 as steps included in the clinical path used for the target patient.

[0108] Next, the second identification function 154 identifies attributes of the target patient (step S105). For example, the second identification function 154 uses a known natural language processing technique to extract content related to the attributes of the target patient from the medical interview data acquired in step S102. The second identification function 154 also identifies attributes related to the content as attributes of the target patient.

[0109] Next, the determination function 155 determines the components to be used in the hospital play for each step based on the attributes of the identified target patient (step S106).

[0110] For example, the determination function 155 refers to the component database 122 and determines, for each step, a component that corresponds to the attributes of the identified target patient as a component to be used in the hospital play.

[0111] In addition, when there are multiple components corresponding to the attributes of the identified target patient, the determination function 155 may determine the component having the largest number of attributes matching the attributes of the target patient as the component to be used in the hospital play. The determination function 155 may also refer to the performance database 123 and determine the component taking into account the performance of the hospital play.

[0112] Next, the display control function 156 performs control to display a list of the components determined for each step in step S106 on the display of the terminal device 400 (step S107).

[0113] Furthermore, the display control function 156 causes the display of the terminal device 400 to display, together with the list of components, correction input buttons for correcting the components and a button for confirming the components to be used in hospital play.

[0114] When the user presses the correction input button, the display control function 156 displays a selection list of components corresponding to the step. Then, when the user selects a component from the selection list, the display control function 156 changes the display of the list of components displayed in step S107 to a display that matches the user's selection.

[0115] Next, the display control function 156 determines whether or not a confirmation input for the components used in the hospital play has been received (step S108). For example, when the user presses a button for confirming the components used in the hospital play, the display control function 156 determines that a confirmation input has been received.

[0116] If the confirmed input has not been received (step S108: No), the process of step S108 is repeated. On the other hand, if the confirmed input has been received (step S108: Yes), the print control function 157 controls the printer to print a hospital play schedule according to the components used for the hospital play determined for each step (step S109), and ends this process.

[0117] For example, the print control function 157 generates text print data that expresses in sentences the contents of the components used in the hospital play that were determined for each step in step S106 or that were modified by the user after S107. Then, the print control function 157 controls the printer to print out a schedule for the hospital play based on the print data.

[0118] As described above, the medical information processing device 100 of this embodiment identifies one or more steps included in a patient's clinical path based on the clinical path, determines a component for each step included in the clinical path based on the patient's attributes and a component database 122 that associates the patient's attributes with components used in hospital play, and outputs information on the components determined for each step.

[0119] In this way, by determining the components corresponding to each step included in the clinical path, it is possible to support the design of a hospital play corresponding to the clinical path to be used for the target patient. In addition, since the components are determined according to the attributes of the target patient, hospital play can be carried out using components that match the personality of the target patient.

[0120] The above-described embodiment can be modified as appropriate by changing a part of the configuration or function of each device of the medical information processing system 1. Therefore, some modified examples of the above-described embodiment will be described below as other embodiments. The following mainly describes the differences from the above-described embodiment, and the details of the commonalities with the contents already described will be omitted. The modified examples described below may be implemented individually or in appropriate combination.

[0121] (Variation 1) In the above embodiment, a configuration in which components are determined based on the attributes of the target patient himself / herself has been described. In this modified example, a configuration in which components are determined taking into consideration the attributes of the guardian of the target patient as well as the attributes of the target patient himself / herself will be described.

[0122] In this modification, the attributes of the guardian are associated with the component database 122. The attributes of the guardian include, for example, values, economic power, and religious beliefs.

[0123] The operation of each function of the processing circuit 150 in this modified example will be described below. As a premise, in this modified example, the interview information 302 includes information capable of identifying the attributes of the guardian. For example, the second identification function 154 identifies the attributes of the guardian of the target patient from the interview data of the target patient.

[0124] Also, for example, the determination function 155 refers to the component database 122 and extracts a component associated with at least one attribute among one or more attributes of the guardian identified by the second identification function 154. After that, the determination function 155 determines a component for each step using the extracted components as candidates in the same process as in the above-described embodiment.

[0125] In addition, if there is no corresponding component using the above method and the component cannot be determined, the determination function 155 may determine the component without taking into account the attributes of the guardian of the target patient, as in the embodiment.

[0126] Furthermore, the determination function 155 may refer to the component database 122 and extract a component associated with at least one attribute of one or more attributes of the target patient identified by the second identification function 154. In this case, for example, the determination function 155 determines, as a component to be used for hospital play, a component having the largest number of attributes matching the attributes of the guardian of the target patient identified by the second identification function 154, from the extracted components as candidates.

[0127] According to this modification, it is possible to support the design of hospital play that takes into account the characteristics of the guardian who is considered to have a strong influence on the target patient of the hospital play. As a result, for example, it is possible to provide the target patient with a hospital play that is favorable not only to the target patient himself but also to the guardian.

[0128] (Variation 2) In the above-mentioned modified example, the components are determined in consideration of the attributes of the guardian of the target patient. In this modified example, the components are determined in consideration of the location, date and time of the hospital play, and the facilities.

[0129] In this modification, the component database 122 is associated with information on the location where the hospital play is performed.

[0130] Furthermore, the component database 122 according to this modified example includes information (hereinafter also referred to as a schedule) regarding the location where the hospital play is performed and the planned use of the facilities for the hospital play. For example, the schedule records the planned use time of each location where the hospital play is performed and each facility for the hospital play. For example, the schedule is updated every time a plan for the hospital play is output.

[0131] The operation of each function of the processing circuit 150 in this modified example will be described below. The decision function 155 in this modified example accepts an input of a scheduled date and time for the hospital play from the terminal device 400 via the I / F circuit 110 and the network 200. The decision function 155 in this case is an example of a reception unit.

[0132] In addition, the decision function 155 excludes from the candidates any components that are associated with a location or facility for hospital play that is scheduled to be used on the accepted scheduled date and time and that is physically difficult to use (share) at the same time.

[0133] In addition, equipment includes software that can be shared among multiple patients. Even if such software is scheduled for use on the accepted scheduled date and time, the associated components will not be subject to exclusion.

[0134] Thereafter, the determination function 155 performs the same process as in the above embodiment to determine a component for each step. If there is no corresponding component by the above method and the component cannot be determined, the determination function 155 may cooperate with the display control function 156 to display a message on the display of the terminal device 400 to prompt the user to change the scheduled date and time of the hospital play.

[0135] Furthermore, when there is a similar component associated with an implementation location or facility that can be used on the originally scheduled implementation date and time, the determination function 155 may present the component to the user as an alternative. Whether the components are similar to each other may be determined in advance, or may be determined by a method such as evaluating the similarity of sentences that explain the components using a known natural language processing technique. In this case, the determination function 155 is an example of a presentation unit.

[0136] The determination function 155 may further determine the components in consideration of the season, time period, etc. in which the hospital play is performed. In this case, the component database 122 associates information representing an appropriate season with information representing an appropriate time period.

[0137] The determination function 155 may further determine the components by considering the time required to perform the hospital play and the travel time from the target patient's home to the location where the hospital play is performed. In this case, information indicating the time required to perform the hospital play is associated with the component database 122. For example, the time required to perform the hospital play is a statistical value of the time taken to actually perform the component.

[0138] When considering the time required to perform the hospital play and the travel time from the target patient's home to the place where the hospital play is performed, for example, the determination function 155 estimates the target patient's planned return home time from the planned date and time of the hospital play, the time required to perform the hospital play, and the travel time from the target patient's home to the place where the hospital play is performed. In addition, the determination function 155 performs a process of determining a component after excluding components whose planned return home time exceeds a predetermined time from the candidates.

[0139] In addition, by using a VR device or the like, it may be possible to perform part of the hospital play during the travel time from the target patient's home to the hospital play implementation location. In this case, for example, by allowing the target patient to experience a part of the main hospital play or a trailer that will be performed at the hospital play implementation location in VR, it is possible to encourage the target patient to prepare himself / herself and organize his / her feelings. The determination function 155 may determine the components taking into consideration the travel time of the target patient, including such circumstances.

[0140] In this way, by taking into account the time required to perform hospital play and the travel time from the target patient's home to the location where hospital play is performed, hospital play can be planned so that, for example, the target patient does not return home too late.

[0141] According to this modified example, it is possible to assist in the design of hospital play that takes into account the facility's usage status and the lifestyles of the target patients.

[0142] (Variation 3) In the above embodiment, a form in which a plan table for hospital play is printed out has been described. In this modified example, a form in which an image expressing a plan for hospital play is displayed will be described.

[0143] In this modified example, instead of printing out a hospital play plan, the display control function 156 displays an image expressing the hospital play plan on the display of the terminal device 400. For example, the image expressing the hospital play plan is an image of a hospital play that was actually performed in the past.

[0144] According to this modified example, since it is possible to see how hospital play is actually being carried out, for example, by providing the video to the target patient or the guardian of the target patient, it is possible to enhance the target patient's or the guardian's understanding of hospital play.

[0145] According to at least one of the embodiments described above, it is possible to assist in the design of hospital play corresponding to clinical pathways.

[0146] 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, substitutions, and modifications 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 described in the claims, as well as in the scope and spirit of the invention. [Explanation of symbols]

[0147] 100 Medical information processing device 120 Memory circuit 121 Clinical Path Database 122 Component Database 123 Performance Database 150 Processing circuit 151 First Acquisition Function 152 Second Acquisition Function 153 1st specific function 154 Second specific function 155 Decision Function 156 Display control function 157 Printing control function 200 Network 300 Hospital Systems 301 Electronic medical record information 302 Medical Interview Information 400 Terminal Equipment

Claims

1. A first acquisition unit that acquires data related to a patient's clinical pathway; A second acquisition unit that acquires data regarding attributes of the patient; An identification unit that identifies one or more steps included in the clinical pathway based on the clinical pathway; a determination unit that determines the components corresponding to the attributes of the patient for each step identified by the determination unit based on correspondence information that associates attributes of a subject of a hospital play with components for realizing the hospital play corresponding to each step of a clinical pathway; an output unit that outputs information on the components determined for each process; A medical information processing device comprising:

2. the output unit prints out information on the components determined for each process. The medical information processing device according to claim 1 .

3. the output unit controls a display device to display information about the components determined for each process. The medical information processing device according to claim 1 .

4. The clinical pathway is defined according to the disease. The medical information processing device according to claim 1 .

5. The steps include patient actions necessary for testing or treatment related to the disease. The medical information processing device according to claim 4 .

6. The attributes include information on personal characteristics including at least one of age, sex, and personality, and preference information representing a preference selected from a plurality of options. The medical image processing device according to claim 1 .

7. The components include a direction for performing a medical procedure. The medical image processing device according to claim 1 .

8. The second acquisition unit acquires data regarding attributes of a guardian of the patient, the determination unit determines the components for each of the steps based on the correspondence information and taking into account information on attributes of the guardian of the patient. The medical image processing device according to claim 1 .

9. the correspondence information associates a time suitable for performing the hospital play with the component, a reception unit for receiving an input of a scheduled date and time for the hospital play from a user, the determination unit determines the components for each of the processes based on the received scheduled implementation date and time and the corresponding information. The medical image processing device according to claim 1 .

10. the correspondence information associates at least one of a place where the hospital play is performed and a facility used for the hospital play with the component; the determination unit identifies at least one of the one or more implementation locations and the equipment that is scheduled to be used on the scheduled implementation date and time based on the received scheduled implementation date and time and schedule information indicating a planned use of at least one of the implementation locations and the equipment, and excludes a component corresponding to at least one of the one or more implementation locations and the equipment from implementation candidates. The medical information processing device according to claim 9 .

11. a presentation unit that presents a component as an alternative when there is a component that is similar to the component excluded from the implementation candidates and that is associated with at least one of the implementation location and the facility that is available on the scheduled implementation date and time; The medical information processing device according to claim 10.

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