Biological information interpretation assistance device, biological information interpretation assistance method, and biological information interpretation assistance program

Abstract

To provide assistance in making requests for interpretation of biological information.SOLUTION: A biological information interpretation assistance device is provided, comprising an output unit for outputting biological information and / or corresponding analysis result information, a transmission unit for transmitting an interpretation request for the biological information and / or analysis result information, and a reception unit for receiving specification of feedback items requested as an interpretation result for the interpretation request, where the reception unit outputs multiple feedback items by hierarchy.SELECTED DRAWING: Figure 1

Description

Technical Field

[0001] The present invention relates to a biological information interpretation support device, a biological information interpretation support method, and a biological information interpretation support program for assisting in the interpretation of biological information.

Background Art

[0002] In order to diagnose the health state of a living body, for example, a human patient, biological information in the living body, such as an electrocardiogram waveform and a blood pressure pulse waveform, is measured by inspection devices such as an electrocardiograph and a blood pressure pulse meter. The biological information measured in this way is used as useful inspection information in a clinic or the like (Patent Document 1).

Prior Art Documents

Patent Documents

[0003]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0004] The biological information measured by the inspection devices as described above has individual differences and may not always have clear characteristics. Therefore, for medical staff in a clinic, such as nurses, medical technicians, doctors, etc., it may be difficult to interpret biological information, and even if the biological information is interpreted, it may be difficult to derive accurate inspection results. For example, electrocardiogram waveforms have individual differences, and some waveforms do not always have clear characteristics, making it difficult to interpret the waveforms and difficult to derive inspection results. This is the same for medical staff in a health diagnosis business office (hereinafter referred to as a health check business office) that conducts health checkups.

[0005] In such a case, medical staff at clinics or health examination facilities will request an expert in biological information examination to interpret the biological information. For example, in the case of an electrocardiogram waveform, a doctor specializing in cardiology (a cardiologist) or the like will be requested to interpret the electrocardiogram waveform. However, it is difficult for medical staff at clinics or health examination facilities to casually request an interpretation unless they know an expert in biological information examination. This may lead to hesitation in requesting an interpretation, and ultimately, hesitation in measurement using an examination device such as an electrocardiograph. Therefore, a system that can assist in the request for interpretation of biological information from medical staff at clinics or health examination facilities to experts in biological information examination is desired.

[0006] An object of the present invention is to provide a biological information interpretation support device, a biological information interpretation support method, and a biological information interpretation support program that can assist in the request for interpretation of biological information.

Means for Solving the Problems

[0007] The biological information interpretation support device according to the present invention includes an output unit that outputs information on biological information and / or its analysis result, a transmission unit that transmits a request for interpretation regarding the biological information and / or the information on the analysis result, a reception unit that receives a designation of feedback items required as an interpretation result based on the request for interpretation, and is provided with the reception unit outputs a plurality of the feedback items hierarchically.

[0008] In addition, the biological information interpretation support method according to the present invention is a method performed using a computer, displaying information on biological information and / or its analysis result, transmitting a request for interpretation regarding the biological information and / or the information on the analysis result, receiving a designation of feedback items required as an interpretation result based on the request for interpretation, displaying a plurality of the feedback items hierarchically, It has. Moreover, the method for assisting in the interpretation of biological information according to the present invention is a method performed using a computer, displaying biological information and / or information on its analysis results, receiving an interpretation result for the biological information and / or the information on the analysis results, receiving the drawing of the part that serves as the basis for the interpretation result in the biological information and / or the information on the analysis results, It has.

[0009] Moreover, the program for assisting in the interpretation of biological information according to the present invention causes a computer to execute the above-described method for assisting in the interpretation of biological information.

Advantages of the Invention

[0010] According to the present invention, it is possible to assist in the request for the interpretation of biological information.

Brief Description of the Drawings

[0011]

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10

Embodiments for Carrying Out the Invention

[0012] Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

[0013] [Biological Information Interpretation Support System] FIG. 1 is a block diagram for explaining a biological information interpretation support system 100. The biological information interpretation support system 100 includes a request terminal 10, a network 30, and reference terminals 41-1 to 41-n (n is a natural number).

[0014] The request terminal 10 and the reference terminals 41-1 to 41-n are connected to each other via the network 30. Further, an electrocardiograph 21, a blood pressure pulse wave meter 22, and a heart sound meter 23, which are examples of measuring devices for measuring a biological waveform that is biological information of a patient (biological entity), are connected to the request terminal 10. Here, although biological waveforms such as electrocardiogram waveforms, blood pressure pulse waveforms, and heart sound waveforms are exemplified as biological information, the biological waveforms are not limited to these, and may be, for example, electroencephalograms. Further, as biological information, information indicating the dynamics of the biological entity, for example, oxygen saturation (SpO2), information indicating the time-series change of expiratory flow, etc. may also be used.

[0015] When the electrocardiograph 21, blood pressure and pulse wave meter 22, and phonocardiograph 23 are used to measure the biological waveforms of a patient, the measured biological waveforms are input to the request terminal 10. Then, as will be described later, medical staff (requestors) at clinics and health examination facilities will use the request terminal 10 to request an expert (interpreter) in the examination of the biological information to interpret the measured biological waveforms.

[0016] Note that the requestor is not limited to medical staff and may be, for example, a family member (relative) of the patient. Also, although it is desirable for the interpreter to be a doctor who is proficient in the interpretation of biological information, as long as they are proficient in the interpretation of biological information, they may be, for example, a technician at a company that manufactures the measuring device for measuring biological information or an inspection technician who uses the measuring device. As a doctor who is proficient in the interpretation of biological information, for example, when the biological information is an electrocardiogram waveform, a cardiologist, etc. would be applicable.

[0017] Here, the electrocardiograph 21 is a device that measures the minute electromotive force generated along with the activity of the heart using electrodes to obtain an electrocardiogram waveform. Among electrocardiographs 21, a Holter electrocardiograph (including a measuring terminal and an analysis device) is a device capable of measuring electrocardiogram waveforms for a long time (for example, 24 hours, etc.).

[0018] Also, the blood pressure and pulse wave meter 22 is a device that measures the speed of the pulsation of the blood flowing through the blood vessels and the blood pressure to measure a blood pressure and pulse waveform.

[0019] Also, the phonocardiograph 23 is a device that measures the sound (heart sound) generated by the beating heart using, for example, a heart sound microphone.

[0020] Note that since a sleep polysomnography device for examining sleep apnea syndrome (SAS) measures electrocardiogram waveforms, blood pressure and pulse waveforms, oxygen saturation, expiratory flow, etc., the measuring device used in this embodiment may also be a device capable of measuring such a plurality of items.

[0021] The electrocardiograph 21, blood pressure and pulse wave meter 22, and heart sound meter 23 may be equipped with an automatic analysis function, thereby analyzing the biological waveforms of the measured electrocardiogram waveform, blood pressure and pulse waveform, and heart sound waveform, and outputting the analysis results for the biological waveforms. For example, in the case of the electrocardiograph 21, the division points (such as P, QRS, T, etc.) of the electrocardiogram waveform are detected, measurement values (such as R-R interval, ST level, PQ, QRS width, QT, etc.) are obtained, and based on the obtained measurement values and pre-defined determination conditions, the analysis result is determined and output. Note that such an automatic analysis function may be provided not on the side of the electrocardiograph 21, blood pressure and pulse wave meter 22, and heart sound meter 23, but on the side of the requesting terminal 10, and in Modification Example 1 described later, it may also be provided on the side of the cloud server.

[0022] [Requesting Terminal] The requesting terminal 10 is an example of the biological information interpretation support device in the present invention. The requesting terminal 10 is a computer and is arranged, for example, in a clinic or a health examination institution together with the above-described electrocardiograph 21, blood pressure and pulse wave meter 22, etc. Note that the requesting terminal 10 is not limited to a computer and may be a portable terminal having a wireless communication function, for example, a smartphone or a tablet terminal.

[0023] Specifically, the requesting terminal 10 includes a control unit 11, an acquisition unit 12, an operation display unit 13, a communication unit 14, and a storage unit 15.

[0024] Although detailed illustration is omitted, the control unit 11 has a processor such as a CPU (Central Processing Unit), and memories such as a RAM (Random Access Memory) and a ROM (Read Only Memory).

[0025] The control unit 11 controls the operations of the acquisition unit 12, operation display unit 13, communication unit 14, and storage unit 15 within the requesting terminal 10.

[0026] In addition, the control unit 11 may be provided with an additional information generation function for generating additional information (see FIG. 5) to assist the requester in interpretation. For example, as will be described later, the storage unit 15 stores patient information (physical information such as age, gender, weight, and height, surgical history, medication information, current disease status, presence of other diseases, etc.), data of the patient's past biological waveforms, and data of the biological waveforms of the patient's family members and close relatives (kin). When making an interpretation request, the control unit 11 may generate additional information based on the above-described information and be able to transmit the generated additional information to the destination of the request.

[0027] The acquisition unit 12 acquires biological waveforms and the above-described analysis results from the electrocardiograph 21, blood pressure and pulse wave meter 22, and heart sound meter 23. The requester will perform a primary diagnosis on the biological waveforms based on the acquired biological waveforms and analysis results, and will also request an interpreter to interpret the acquired biological waveforms and analysis results.

[0028] The operation display unit 13 has a display screen 131 (see FIG. 3, etc.), and displays an operation screen on the display screen 131 and receives various input operations by the requester. The operation display unit 13 may be composed of, for example, an operation unit such as a keyboard and a mouse, and a display unit such as a liquid crystal display, or may be composed of an operation unit and a display unit such as a liquid crystal display with a touch panel.

[0029] This operation display unit 13 functions as an information output unit for displaying information on the biological waveforms and / or their analysis results on the display screen 131 (see FIGS. 3 and 4 described later). In addition, the operation display unit 13 also functions as a request reception output unit for displaying on the display screen 131 an interpretation request reception unit (operation button B1 for "interpretation request" shown in FIGS. 3 and 4) for receiving an interpretation request operation for the biological waveforms. Further, the operation display unit 13 functions as a designation reception unit for receiving the designation of feedback items required as the interpretation result of the biological waveforms during the interpretation request operation (see FIG. 5 described later).

[0030] Here, the designation reception unit causes a feedback item designation unit for receiving the designation of feedback items to be displayed on the display screen 131 (see FIG. 5 described later).

[0031] Specifically, the designation reception unit causes the feedback item designation unit to display the feedback items that can be designated (see FIG. 5 described later).

[0032] Also, the designation reception unit may cause the feedback item designation unit to be displayed after a reading request operation is received. At this time, the designation reception unit may sequentially display the feedback item designation unit and a destination reception unit for receiving the designation of the destination of the reading request (see FIGS. 6 and 7 described later) in response to the reception of the reading request operation. In this case, the designation reception unit may cause the destination reception unit to display the destinations in a state where the reading request can be received, and receive the designation of the destination from among the displayed destinations.

[0033] Also, the designation reception unit may cause the feedback item designation unit to display an input field for receiving the input of additional information including at least one of the history, symptoms, prescriptions, and chief complaints regarding the living body from which the biological waveform has been acquired. Further, the designation reception unit may cause the feedback item designation unit to display an input field for receiving the input of the above additional information of the group (for example, family, relatives, region, etc.) to which the living body from which the biological waveform has been acquired belongs. For example, the history includes medical history (chief complaint, current medical history, past medical history, family history, life and social history, etc.), examination history, and the like.

[0034] Note that the above information output unit, reading request reception unit, and request reception output unit, including the designation reception unit, will be described later with reference to FIGS. 2 to 7.

[0035] The communication unit 14 communicates with the reference terminals 41-1 to 41-n via the network 30. The communication unit 14 functions as a transmission unit that transmits a reading request with the above-described biological waveform and analysis result information (biological waveform or analysis result information) added with feedback item designation, additional information, etc. to the reference terminals 41-1 to 41-n. Further, the communication unit 14 also functions as a reception unit that receives the reading result of the biological waveform from the reference terminals 41-1 to 41-n.

[0036] The storage unit 15 stores the above-described biological waveforms, analysis results, reading requests, reading results, etc. The storage unit 15 is composed of, for example, a non-volatile semiconductor memory (so-called flash memory), an HDD (hard disk drive), or the like. Further, the storage unit 15 may store patient information (for example, physical information such as age, gender, weight, and height, surgical history, medication information, current disease status, other disease prevalence status, etc.), data of the patient's past biological waveforms, and data of the biological waveforms of the patient's family and relatives.

[0037] [Network] The network 30 is a communication network such as a LAN (Local Area Network) or a telephone line. Note that the network 30 is not limited to a LAN or a telephone line, and may be a WAN (Wide Area Network) or the like, and may be wireless or wired.

[0038] [Reference Terminal] The reference terminals 41-1 to 41-n are computers and are arranged in facilities (for example, a cardiovascular specialty hospital) to which the readers who interpret the biological waveforms belong. Note that the reference terminals 41-1 to 41-n are not limited to computers, and may be portable terminals having a wireless communication function, for example, smartphones or tablet terminals.

[0039] The reading request of the biological waveform from the requester reaches any one or more of the reference terminals 41-1 to 41-n. Then, the reader who owns the reference terminal to which the request has reached returns whether or not to accept the reading request, and if the reading request is accepted, the reader will perform the reading of the biological waveform requested from the requester terminal 10 of the requester.

[0040] [Biological Information Interpretation Support Method] As described above, the biological information interpretation support system 100 includes a request terminal 10, a network 30, and reference terminals 41-1 to 41-n. Regarding the biological information interpretation support method (biological information interpretation support program) implemented by the biological information interpretation support system 100 having such a configuration, with reference to FIG. 2, FIGS. 3 to 10 will be referred to for explanation.

[0041] Note that when a requester at a clinic makes an interpretation request or when a requester at a health examination business office makes an interpretation request, the procedures are substantially the same. Therefore, hereinafter, unless otherwise specified, these requesters will be explained without distinction.

[0042] FIG. 2 is a sequence diagram for explaining the biological information interpretation support method implemented by the biological information interpretation support system 100 shown in FIG. 1.

[0043] (Step S11) When a requester measures a patient's biological waveform using a measuring device (such as an electrocardiograph 21, a blood pressure and pulse wave meter 22, a phonocardiograph 23, etc.), the measured biological waveform is transmitted to the request terminal 10. At this time, if the measuring device has an automatic analysis function, the analysis result is also transmitted to the request terminal 10 together with the biological waveform.

[0044] (Step S12) The requesting terminal 10 (information output unit) causes the biological waveform to be displayed on the display screen 131. When the measuring device has an automatic analysis function, the requesting terminal 10 may cause the information on the analysis result of the biological waveform to be displayed on the display screen 131 together with the biological waveform, or may cause the information on the analysis result of the biological waveform to be displayed on the display screen 131 without displaying the biological waveform. When the measuring device does not have an automatic analysis function, for example, in the requesting terminal 10, the biological waveform may be automatically analyzed and the information on the analysis result of the biological waveform may be displayed on the display screen 131 together with the biological waveform. Also, after transmitting the biological waveform from the requesting terminal 10 to a dedicated analysis device, performing the analysis of the biological waveform by the dedicated analysis device, and receiving the analysis result from the dedicated analysis device, the requesting terminal 10 may cause the information on the analysis result of the biological waveform to be displayed on the display screen 131 together with the biological waveform.

[0045] Also, the requesting terminal 10 (request receiving and output unit) causes a reading request reception unit (operation button B1 of "reading request" shown in FIGS. 3 and 4) for receiving a reading request operation for the biological waveform to be displayed on the display screen 131.

[0046] FIG. 3 is a display screen 131 of the requesting terminal 10 in the biological information reading support system 100, and is a diagram showing an example of an electrocardiogram and an analysis result. In FIG. 3, the analysis result is displayed on the upper side, and the electrocardiogram (electrocardiogram waveform), which is a biological waveform, is displayed on the lower side thereof. And in FIG. 3, the operation button B1 of "reading request" is arranged on the upper right side, and when the operation button B1 is clicked, the process proceeds to the next step S13.

[0047] FIG. 4 is a display screen 131 of the request terminal 10 in the biological information interpretation support system 100, and is a diagram showing an example in which a heart sound waveform and a blood pressure pulse waveform are shown together with an electrocardiogram and an analysis result. In FIG. 4, the analysis result is displayed on the upper side, and the electrocardiogram (ECG waveform), the heart sound waveform, and the blood pressure pulse waveform, which are biological waveforms, are displayed on the lower side. In FIG. 4, the ECG waveform is marked as "ECG", the heart sound waveform is marked as "PCG", and the blood pressure pulse waveform is marked as "right arm", "left arm", "right foot", "left foot" indicating the measurement location. Also in FIG. 4, an operation button B1 for "interpretation request" is arranged on the upper right side, and when the operation button B1 is clicked, the process proceeds to the next step S13.

[0048] (Step S13) When the operation button B1 for "interpretation request" shown in FIGS. 3 and 4 is clicked, the request terminal 10 (designation reception unit) displays a feedback item designation window (feedback item designation unit) W1 for receiving the designation of feedback items on the display screen 131 (see FIG. 5). Then, the request terminal 10 (designation reception unit) receives the designation of feedback items required as the interpretation result of the biological waveform during the interpretation request operation.

[0049] FIG. 5 is a display screen 131 of the request terminal 10 in the biological information interpretation support system 100, and is a diagram showing an example of the feedback item designation window W1. As shown in FIG. 5, the feedback item designation window W1 shows a radio button "○" for receiving the designation of feedback items, and the feedback items are displayed beside the radio button "○". The requester can easily select the feedback items by simply clicking the radio button "○".

[0050] In FIG. 5, as major items of feedback matters, "requesting only waveform interpretation results" and "requesting detailed advice" are exemplified. Also, as minor items of "requesting detailed advice", "What are the findings and types of ischemia and arrhythmia?", "Is a precise examination or treatment necessary?", "Is it better to refer for medical treatment?", "Consultation on future medical practices", etc. are exemplified. These major and minor items are examples, and the feedback matters are not limited to these. For example, "necessity of transfer to a specialized medical institution" etc. may be used as feedback matters.

[0051] Also, for example, when the request terminal 10 is arranged at a health examination facility, different feedback matters may be required compared to the case where it is arranged at a clinic. Specifically, in a health examination facility, when a primary screening of an electrocardiogram waveform is performed, "whether the primary screening is appropriate" and "whether the results of the primary screening are appropriate" etc. may be used as feedback matters.

[0052] Also, the request terminal 10 (designated reception section) may display an additional information input field F1 for receiving input of at least one of the history, symptoms, prescription, and chief complaint regarding the living body from which the biological waveform has been acquired in the feedback matter designation window W1.

[0053] For example, as shown in FIG. 5, in the additional information input field F1, input items of additional information are displayed together with "□" check boxes. Here, as input items of additional information, "past electrocardiogram", "blood test results", "symptoms / disease names", and "drug prescription details" are displayed, but these are examples of history, symptoms, prescription, and chief complaint and are not limited to these. Also, as the history, for example, medical history (chief complaint, current medical history, past history, family history, life and social history, etc.), examination history, etc. may be included.

[0054] When these check boxes are checked, corresponding additional information can be input or the data of the additional information can be attached. For example, when the check box of "Past electrocardiogram" is checked, the data of the past electrocardiogram can be attached as additional information. At this time, the data of the past electrocardiogram may be attachable by a simple selection operation from the information stored in the storage unit 15 of the request terminal 10.

[0055] The same applies to other additional information, and it may be automatically inputtable from the information stored in the storage unit 15 of the request terminal 10 or inputtable by a simple selection operation. In addition, it may be possible to input or attach the above additional information of the group (for example, family, relatives, region, etc.) to which the living body from which the biological waveform is acquired belongs.

[0056] Also, in FIG. 5, an operation button B2 of "Next" for displaying the interpretation request execution window W2 of FIG. 6 and an operation button B3 of "Cancel" for canceling the interpretation request are displayed.

[0057] In the feedback item specification window W1, when the operation button B2 of "Next" is clicked, the process proceeds to the following step S14. Also, when the operation button B3 of "Cancel" is clicked, the process returns to step S12.

[0058] (Step S14) When the operation button B2 of "Next" is clicked in the feedback item specification window W1, the request terminal 10 causes an interpretation request execution window (interpretation request execution unit) W2 (see FIG. 6) for executing an interpretation request to be displayed on the display screen 131.

[0059] FIG. 6 is a display screen 131 of the request terminal 10 in the biological information interpretation support system 100, and is a diagram showing an example of the display screen 131 that displays the interpretation request execution window W2. As shown in FIG. 6, the interpretation request execution window W2 displays an operation button B4 for "interpretation request" to execute an interpretation request, an operation button B5 for "cancel" to cancel an interpretation request, and an operation button B6 for "interpretation request destination" to select an interpretation request destination.

[0060] In the interpretation request execution window W2, when the operation button B4 for "interpretation request" is clicked, the process proceeds to step S16 described later. Also, when the operation button B5 for "cancel" is clicked, the process returns to step S12. And when the operation button B6 for "interpretation request destination" is clicked, the process proceeds to the next step S15.

[0061] (Step S15) When the operation button B6 for "interpretation request destination" shown in FIG. 6 is clicked, the request terminal 10 (request reception / output unit) displays a request destination reception window (request destination reception unit) W3 (see FIG. 7) for receiving the designation of the interpretation request destination on the display screen 131.

[0062] FIG. 7 is a display screen 131 of the request terminal 10 in the biological information interpretation support system 100, and is a diagram showing an example of the display screen 131 that displays the request destination reception window W3. As shown in FIG. 7, in the request destination reception window W3, a check box C1 of "□" is displayed together with "Make an interpretation request to an external facility" beside it. When this check box C1 is checked, the interpretation request destination facility can be selected.

[0063] Below the check box C1, an interpretation request destination facility column F2 for listing the interpretation request destination facilities, a selectable facility column F3 for listing the selectable facilities, an operation button B7 for "add", and an operation button B8 for "delete" are displayed.

[0064] In the selectable facility column F3, the selectable facilities are listed. By selecting one or more of the listed selectable facilities and clicking the operation button B7 of "Add", the facility to which the deciphering request destination is to be listed in the deciphering request destination facility column F2 is added.

[0065] In the deciphering request destination facility column F2, the deciphering request destination facilities are listed. By selecting one or more of the listed deciphering request destination facilities and clicking the operation button B8 of "Delete", the deciphering request destination facilities listed in the deciphering request destination facility column F2 are deleted.

[0066] Here, the selectable facilities listed in the selectable facility column F3 may be facilities registered in advance, or if there are facilities where the patient has received examinations etc. in the past, those facilities may be included.

[0067] Also, the selectable facilities listed in the selectable facility column F3 may be those automatically selected from the facilities registered in advance as facilities that can currently accept deciphering requests. For example, when displaying the request destination reception window W3, the status indicating whether the reference terminals 41-1 to 41-n can accept deciphering requests is confirmed, and the selectable facilities are listed in the selectable facility column F3.

[0068] For the above status, for example, the status managed by the applications of the reference terminals 41-1 to 41-n may be confirmed. Also, instead of the above status, it may be confirmed whether the application is active. This is the same even when the reference terminals 41-1 to 41-n are mobile terminals such as smartphones or tablet terminals.

[0069] By confirming such a status, for example, when it is desired to quickly return the deciphering result, by requesting deciphering to a facility or a decipherer that can accept the deciphering request, the deciphering result can be quickly obtained, and the time burden on the requester is reduced. In such a case, the decipherer may be notified of the deciphering request using push notifications or pop-up notifications.

[0070] By performing the above operations, one or more interpretation request destination facilities are selected. When this selection is completed, the interpretation request execution window W2 shown in FIG. 6 is displayed again. When the operation button B4 of "Interpretation Request" is clicked, the process proceeds to step S16 described later.

[0071] Here, the feedback item specification window W1, the interpretation request execution window W2, and the request destination reception window W3 are displayed in this order, but this order may be reversed. That is, the order of steps S13, S14, and S15 may be reversed, and the order of steps S14 → S15 → S13 may also be used. This order may be changed according to the reception of the interpretation request operation. Also, for example, when the interpretation request destination facility is predetermined, there is no need to select the interpretation request destination facility, so step S15 may be skipped.

[0072] When the order is steps S14 → S15 → S13, for example, in the additional information input field F1 shown in FIG. 5, the additional information required by the selected interpretation request destination facility may be displayed.

[0073] (Step S16) When the operation button B4 of "Interpretation Request" is clicked in the interpretation request execution window W2 shown in FIG. 6, the request terminal 10 (transmission unit) transmits the interpretation request to the selected interpretation request destination facility. The interpretation request is the biological waveform and the analysis result information (biological waveform or analysis result information) with the designation of the feedback item added. If there is the above-mentioned additional information, the additional information is also included. At this time, the request terminal 10 (transmission unit) may transmit the interpretation request to the reference terminals 41-1 to 41-n by email.

[0074] When the request terminal 10 is arranged in a health examination facility, the biological waveforms and analysis results input to the request terminal 10 may be dozens or hundreds. In such a case, after selecting a plurality of biological waveforms and analysis results together, the above-mentioned input may be performed, and the interpretation requests may be collectively transmitted to the selected interpretation request destination facility.

[0075] (Step S17) The reference terminals 41-1 to 41-n display a decoding request window indicating the decoding request transmitted from the requesting terminal 10 on their display screens 411. Here, although the illustration of the decoding request window is omitted, the decoding request window displays, for example, buttons (such as an approval button and a disapproval button) for replying whether to approve the decoding request. At this time, the reference terminals 41-1 to 41-n may pop up and display the decoding request window on their display screens 411 to notify the decoder that a decoding request has been received. This is the same even when the reference terminals 41-1 to 41-n are mobile terminals such as smartphones or tablet terminals.

[0076] (Step S18) When buttons (such as an approval button and a disapproval button) for replying whether to approve the decoding request are clicked by the decoder of the decoding request destination facility on the reference terminals 41-1 to 41-n, the reference terminals 41-1 to 41-n reply to the requesting terminal 10 whether to approve the decoding request.

[0077] (Step S19) When the reference terminals 41-1 to 41-n approve the decoding request, they display a decoding result input window (decoding result input section) W4 (see FIG. 8) on their display screens 411.

[0078] FIG. 8 is a diagram showing an example of the display screen 411 of the reference terminals 41-1 to 41-n in the biological information decoding support system 100, which is a display screen 411 for displaying the decoding result input window W4.

[0079] As shown in FIG. 8, the decoding result input window W4 displays a requesting facility column F4 for list-displaying the requesting facility and related information, a decoding display column F5 for displaying the content of the decoding result from the decoding request destination facility and the content of the decoding request from the requesting facility, and a decoding result input column F6.

[0080] Figure 8 shows the display screen 411 on the reference terminal of the ○○ interpretation service. In this state, the interpretation result has been entered into the input field F6 in response to an interpretation request from Clinic B. Therefore, in the requesting facility column F4, the row of Clinic B is selected, and in the interpretation display column F5, the comment (interpretation result) of the interpreter A of the ○○ interpretation service and the comment (interpretation request) of the requester ×××× of Clinic B are displayed.

[0081] Also, in the interpretation result input window W4, an "OK" operation button B9 for sending the interpretation result entered in the input field F6 and a "Clear" operation button B10 for deleting the interpretation result entered in the input field F6 are displayed.

[0082] Here, the interpreter A of the ○○ interpretation service will perform an interpretation and consultation on the biological waveform based on the interpretation request of the requester ×××× of Clinic B, enter them into the input field F6, and click the "OK" operation button B9. If there are items for electrocardiogram waveform consultation in the interpretation request from the requester, the interpreter A will enter, for example, recommending the use of a Holter electrocardiograph, recommending the implementation of a cardiac echocardiogram examination, or recommending a visit to a specialized medical institution into the interpretation result. Regarding the interpretation result, if there are coded disease names or comments, etc., codes may be used.

[0083] When additional information is included in the interpretation request, the interpreter will consider the additional information and perform the interpretation of the biological waveform. For example, when the additional information includes a past electrocardiogram, the interpretation will be performed by comparing it with the past electrocardiogram. For example, as a risk of taking the prescribed drug, it is known that the QT on the electrocardiogram is prolonged, but by comparing it with the past electrocardiogram, it is possible to evaluate whether the QT prolongation is due to taking the drug.

[0084] Also, for example, when the additional information includes the electrocardiogram of a relative, the interpretation is performed by comparing it with the electrocardiogram of the relative. For arrhythmia, myocardial infarction, etc., in order to stratify the risk, it is recommended to listen to the medical history of the relatives. However, the patient himself / herself does not always know the medical history of the relatives. Also, it is not always possible to confirm the medical history of the relatives at the time of listening. If such information is stored, for example, in the storage unit 15 and can be included in the interpretation request as additional information, the interpretation can be performed considering the medical history of the relatives, and the quality of medical care can be improved.

[0085] Also, for example, when the additional information includes past blood pressure pulse waveforms, the interpretation is performed by comparing them with the past blood pressure pulse waveforms. For example, in the case of the narrowing tendency of the lower limbs or the evaluation after surgery, etc., the absolute values such as blood pressure values may not be able to grasp the tendency. In such a case, by comparing with the past blood pressure pulse waveforms and evaluating the waveform changes, the pathological condition and the evaluation after surgery can be performed.

[0086] Also, the reference terminals 41-1 to 41-n may be provided with a drawing function capable of displaying the biological waveforms and analysis results as shown in FIGS. 3 and 4 on the display screen 411 and performing a drawing showing the part serving as the basis for the above interpretation result.

[0087] Also, the reference terminals 41-1 to 41-n may be provided with a zoom function capable of enlarging or reducing the biological waveform in order to view the biological waveform in detail. For example, as shown in FIG. 9, when it is desired to enlarge a specific part of the electrocardiogram waveform, if the part is selected with the selection regions R1 and R2, the enlarged windows W5 and W6 showing the enlarged views of the part surrounded by the selection regions R1 and R2 are pop-up displayed. And when the interpreter wants to reply to the requester with the interpretation result of "atrial fibrillation is suspected", as the basis for the interpretation result, a specific lead of the electrocardiogram waveform is selected, and the presence or absence of the P wave, etc. is specified by the drawing function and the zoom function.

[0088] Also, when there are multiple interpretation results (e.g., disease names, etc.), the drawing function changes the marks and colors so as to correspond to each interpretation result, and thereby, the portions corresponding to each interpretation result may be displayed in a distinguishable manner using marks or colors.

[0089] Also, when the biological waveform to be interpreted includes a heart sound waveform, a blood pressure pulse waveform, etc., as shown in FIG. 10, when an arbitrary portion of the heart sound waveform or the blood pressure pulse waveform is selected by a selection region R3, a window W7 showing a comparison example for comparison with the portion surrounded by the selection region R3 may be pop-up displayed.

[0090] Also, when multiple interpreters perform interpretation at one interpretation destination facility, for example, the interpretation may be performed step by step from a technician to a specialist doctor, and the final responsible doctor may approve the interpretation result.

[0091] (Step S20) When the operation button B9 of "transmission" is clicked, the reference terminals 41-1 to 41-n transmit the interpretation result to the request terminal 10. At this time, the reference terminals 41-1 to 41-n may transmit the interpretation result to the request terminal 10 by email.

[0092] (Step S21) The request terminal 10 displays the transmitted interpretation result on the display screen 131. At this time, the transmitted interpretation result is displayed so as to be associated with the corresponding biological waveform and analysis result. Also, the transmitted interpretation result is stored in the storage unit 15 so as to be associated with the corresponding biological waveform and analysis result. At this time, the request terminal 10 may pop-up display the interpretation result on the display screen 131 to notify the requester that the interpretation result has been replied. By confirming the interpretation result displayed in association with the biological waveform and analysis result, the requester can determine a more accurate diagnosis and future treatment policy for the patient.

[0093] Note that the requesting terminal 10 can print the interpretation result using a printer (not shown). Further, the requesting terminal 10 may be provided with a function of editing the interpretation result so that it can be used for applications and the like necessary for visiting a specialized medical institution.

[0094] In addition, when the requester is satisfied with the interpretation result, the requesting terminal 10 may be provided with a function of sending a reply of acceptance to the interpretation result, and when the requester is not satisfied, the requesting terminal 10 may be provided with a function of sending an interpretation request to another interpretation request destination or interpreter.

[0095] As described above, when the requester requests an interpretation, the requesting terminal 10 enables the content of the interpretation request to be easily selected. Further, when the requester requests an interpretation, the requesting terminal 10 enables the request destination to be easily selected. In this way, the requesting terminal 10 can support the request for the interpretation of the biological waveform. As a result, the requester will no longer hesitate to request an interpretation, and the psychological burden on the requester can be reduced.

[0096] In addition, for a health examination establishment, even if an interpreter is not secured within the health examination establishment, the biological information interpretation support system 100 can be used to easily request an interpreter outside the health examination establishment, and the cost of securing an interpreter can be reduced. Further, even if a plurality of interpreters are secured within the health examination establishment, it may be difficult to maintain the quality of the interpretation due to differences in the interpretation ability depending on the experience of the interpreters. In such a case, for example, by using the biological information interpretation support system 100 to select an interpreter with a certain number of years of experience or more and request an interpretation, homogenization and quality maintenance of the interpretation can be achieved.

[0097] <Modification Example 1> In the above embodiment, the requesting terminal 10 in the biological information interpretation support system 100 functions as the biological information interpretation support device of the present invention. However, a server may be provided in the biological information interpretation support system 100, and a configuration in which the server has some functions of the requesting terminal 10 may be adopted.

[0098] For example, a server such as a cloud server is connected to the network 30, and the server is configured to handle the part related to the communication between the request terminal 10 and the reference terminals 41-1 to 41-n.

[0099] Alternatively, instead of the measuring device (such as the electrocardiograph 21) and the request terminal 10, the server may be configured to have an automatic analysis function for biological information (biological waveforms).

[0100] In the above embodiment, as an example, the request terminal 10 and the reference terminals 41-1 to 41-n are shown in a 1-to-n configuration. However, by providing the above server, it is possible to easily change the configuration to an m-to-n configuration between m (m is a natural number) request terminals 10 and the reference terminals 41-1 to 41-n.

[0101] Also, a database server connected to the network 30 may be provided, and the above-described information stored in the storage unit 15 may be accumulated in the database server so that the necessary information can be referred to from the reference terminals 41-1 to 41-n.

[0102] In the above embodiment, a biological waveform is exemplified as the biological information. However, it is not limited to the biological waveform, and for example, information on numerical values constituting the biological waveform (for example, numerical values at specific locations of the biological waveform) may be used, or information indicating the dynamics or time-series changes of the living body may also be used.

[0103] It should be noted that the above embodiments are merely examples of the implementation of the present invention, and the technical scope of the present invention should not be limitedly interpreted by these. That is, the present invention can be implemented in various forms without departing from the gist or main features thereof.

Explanation of Reference Numerals

[0104] 10 Request terminal 11 Control unit 12 Acquisition unit 13 Operation display unit 14 Communication unit 15 Storage unit 21 Electrocardiograph 22 Sphygmomanometer 23 Phonocardiograph 30 Network 41-1 to 41-n Reference terminals 100 Biological information interpretation support system

Claims

1. An output unit that outputs biological information and / or information on the analysis result thereof; A transmission unit that transmits a request for interpretation regarding the biological information and / or the information on the analysis result; A reception unit that receives designation of feedback items required as an interpretation result by the interpretation request; Comprising: The reception unit outputs a plurality of the feedback items in a hierarchical manner. A biological information interpretation support device.

2. The reception unit receives a group to which the living body from which the biological information is obtained belongs and additional information regarding the group. The biological information interpretation support device according to Claim 1.

3. The additional information includes at least one of history, symptoms, prescriptions, and chief complaints regarding the group. The biological information interpretation support device according to Claim 2.

4. The reception unit outputs request information required by the destination of the interpretation request. The biological information interpretation support device according to any one of Claims 1 to 3.

5. The reception unit can select the destination or the interpreter based on destination information regarding the interpreter belonging to the destination of the interpretation request. The biological information interpretation support device according to any one of Claims 1 to 4.

6. Comprising an input unit that receives the interpretation result, The input unit receives the interpretation result and can draw a part that is the basis of the interpretation result in the biological information and / or the information on the analysis result. The biological information interpretation support device according to any one of Claims 1 to 5.

7. The output unit can output the interpretation result in association with the biological information and / or the information on the analysis result. The biological information interpretation support device according to Claim 6.

8. A method performed using a computer, comprising: Displaying biological information and / or information on the analysis result thereof; Transmitting a request for interpretation regarding the biological information and / or the information on the analysis result; Receiving designation of feedback items required as an interpretation result by the interpretation request; Displaying a plurality of the feedback items in a hierarchical manner. Having: A biological information interpretation support method.

9. A method performed using a computer, comprising: Displaying biological information and / or information on the analysis result thereof; Receiving an interpretation result regarding the biological information and / or the information on the analysis result; Receiving drawing of a part that is the basis of the interpretation result in the biological information and / or the information on the analysis result. Having: A biological information interpretation support method.

10. A biological information interpretation support program that causes a computer to execute the biological information interpretation support method according to claim 8 or claim 9. Biological information interpretation support program.

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