Business support system and business support program
The business support system addresses the issue of missed patient medication requests by incorporating a reception and order processing unit to facilitate informed prescription decisions based on patient preferences.
Patent Information
- Application Number
- JP2024012872
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Filing Date
- 2024-01-31
- Publication Date
- 2025-08-13
AI Technical Summary
Existing information processing systems fail to ensure that doctors are notified of a patient's desire for a specific medication, leading to potential non-prescription of desired drugs.
A business support system and program that include a reception processing unit to receive a patient's designated prescription during a medical interview and an order processing unit to order the desired drug based on a doctor's judgment.
Facilitates easier prescription of desired medications for patients by ensuring that doctors are informed of their preferences.
Smart Images

Figure 2025117897000001_ABST
Abstract
Description
[Technical Field]
[0001] The present invention relates to a business support system and a business support program used in the medical treatment of patients. [Background technology]
[0002] Related technology includes an information processing system configured to allow a patient to use a patient terminal to take a medical interview and input responses (see, for example, Patent Document 1). In the information processing system according to the related technology, the contents of the medical interview and the responses are transmitted from the patient terminal to a server. The server extracts at least one piece of information based on the patient's medical information (including at least one of the patient information and the medical interview information related to the answers to the medical interview) from a group of information including at least treatment information related to treatments and medication information related to medications associated with each piece of medical information, and outputs medical-related information related to the extracted information and the medical information to a doctor's terminal. This allows the information processing system to provide the doctor or other user of the doctor's terminal with not only the medical information including the patient's relevant diseases, but also reference information such as medications and treatments for the medical information. [Prior art documents] [Patent documents]
[0003] [Patent Document 1] Japanese Patent Publication No. 2022-142234 Summary of the Invention [Problem to be solved by the invention]
[0004] In the information processing system related to the related technology, even if a patient wants to be prescribed a drug, such as a drug prescribed at a previous consultation or a drug different from the drug, the doctor may not be notified of this and the drug may not be prescribed.
[0005] An object of the present invention is to provide a business support system and a business support program that make it easier for patients to get the medicines they want prescribed. [Means for solving the problem]
[0006] According to one aspect of the present invention, a business support system includes a reception processing unit and an order processing unit. The reception processing unit receives a patient's designated prescription for a desired drug during a medical interview. The order processing unit orders the desired drug received by the reception processing unit based on a doctor's judgment.
[0007] A business support program according to another aspect of the present invention is a program for causing a computer to execute a reception step and an order step. In the reception step, a patient's designated desired medication is received during a medical interview. In the order step, the desired medication received in the reception step is ordered based on a doctor's judgment. [Effects of the Invention]
[0008] According to the present invention, it is possible to provide a business support system and a business support program that make it easier for patients to be prescribed the medicines they desire. [Brief explanation of the drawings]
[0009] [Figure 1] FIG. 1 is a block diagram showing an example of a business support system according to an embodiment of the present invention. [Figure 2] FIG. 2 is a conceptual diagram showing an example of the operation of the proposal processing unit and the learning processing unit of the task support system according to the embodiment of the present invention. [Figure 3] FIG. 3 is a diagram showing an example of a medical record screen displayed in the business support system according to the embodiment of the present invention. [Figure 4] FIG. 4 is a diagram showing an example of the first medical interview screen displayed in the business support system according to the embodiment of the present invention. [Figure 5]FIG. 5 is a diagram showing an example of the second medical interview screen and the third medical interview screen displayed in the business support system according to the embodiment of the present invention. [Figure 6] FIG. 6 is a diagram showing an example of the fourth medical interview screen and the fifth medical interview screen displayed in the business support system according to the embodiment of the present invention. [Figure 7] FIG. 7 is a diagram showing an example of the sixth medical interview screen and the seventh medical interview screen displayed in the business support system according to the embodiment of the present invention. [Figure 8] FIG. 8 is a diagram showing an example of the eighth and ninth medical interview screens displayed in the business support system according to the embodiment of the present invention. [Figure 9] FIG. 9 is a diagram showing an example of the tenth medical interview screen and the eleventh medical interview screen displayed in the business support system according to the embodiment of the present invention. [Figure 10] FIG. 10 is a diagram showing an example of the twelfth medical interview screen and the thirteenth medical interview screen displayed in the business support system according to the embodiment of the present invention. [Figure 11] FIG. 11 is a flowchart illustrating an example of a procedure relating to a transcription function in a business support method executed in the business support system according to an embodiment of the present invention. [Figure 12] FIG. 12 is a diagram showing an example of a proposal screen displayed in the business support system according to the embodiment of the present invention. [Figure 13] FIG. 13 is a flowchart illustrating an example of a procedure related to a desired medicine designation function in a business support method executed by the business support system according to an embodiment of the present invention. [Figure 14] FIG. 14 is a diagram showing an example of a fourteenth medical interview screen displayed in the business support system according to the embodiment of the present invention. [Figure 15] FIG. 15 is a flowchart illustrating an example of a procedure related to the DO function in the business support method executed in the business support system according to the embodiment of the present invention. [Figure 16] FIG. 16 is a diagram showing an example of an editing screen displayed in the business support system according to the embodiment of the present invention. DETAILED DESCRIPTION OF THE INVENTION
[0010] Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings to facilitate understanding of the present invention. Note that the following embodiments are examples of specific embodiments of the present invention and are not intended to limit the technical scope of the present invention. Furthermore, the configurations and processing functions described in the following embodiments can be selected and combined as desired.
[0011] [Business Support System 10] As shown in FIG. 1, a business support system 10 according to an embodiment of the present invention includes a server 1, an examination terminal 2, a patient terminal 3, and a printer 4. The server 1, the examination terminal 2, the patient terminal 3, and the printer 4 can communicate with each other via a communication network NT1, such as a local area network (LAN), a wide area network (WAN), the Internet, an intranet, or a mobile phone network. A host system 5 and the like are connected to the server 1 via the communication network NT1. The business support system 10 may include multiple servers 1, examination terminals 2, patient terminals 3, and printers 4. Furthermore, the business support system 10 may further include client terminals other than the examination terminal 2 and the patient terminal 3, such as mobile terminals.
[0012] Users of the business support system 10 are medical professionals (medical staff) such as doctors, medical clerks, medical clerks, nurses, pharmacists, or facility managers at medical institutions such as hospitals or pharmacies. In this embodiment, as an example, the business support system 10 is used in a hospital, and the doctors and patients at the hospital are the users of the business support system 10. Users basically use the business support system 10 through the examination terminal 2 or the patient terminal 3. In other words, the server 1 can accept operation inputs by users to the examination terminal 2 or the patient terminal 3, and can display various information on the examination terminal 2 or the patient terminal 3.
[0013] The business support system 10 has a function for managing electronic medical records. In this disclosure, "electronic medical record" refers to a record (medical record) that stores medical information, such as a patient's disease information, examination details, diagnosis results, medication information, test results, and progress, as electronic data. In principle, an electronic medical record is created for each patient, and multiple electronic medical records are created for multiple patients. Here, the various medical information of a patient contained in the electronic medical record is included in "medical record information." The medical record information is newly recorded (written) in the electronic medical record by the server 1 in response to, for example, a user (doctor)'s operation on the examination terminal 2. Furthermore, the medical record information recorded in the electronic medical record is added (added), deleted, changed, updated, etc., by the server 1 in response to, for example, a user's operation on the examination terminal 2. Making any changes to the medical record information contained in the electronic medical record, such as newly recording, adding, deleting, or updating the medical record information, is referred to as "editing" the medical record information. That is, in the business support system 10, the medical record information of the electronic medical record can be edited in response to a user's operation.
[0014] The business support system 10 also has a function for displaying the electronic medical record. In the business support system 10 according to this embodiment, the server 1 can display a display screen, such as a medical record screen P1 (see FIG. 3 ), including the medical record information, on the examination terminal 2 in response to a user's operation of the examination terminal 2. When the medical record screen P1 is displayed on the examination terminal 2, the electronic medical record is presented to the user (doctor), who can then view the electronic medical record through the examination terminal 2. The user can then edit the medical record information by performing an operation to edit the medical record information on the medical record screen P1 displayed on the examination terminal 2. The examination terminal 2 displays the medical record screen P1 based on display data transmitted from the server 1, or displays the medical record screen P1 by referring to various data stored in the server 1.
[0015] The business support system 10 also has a medical interview function. In this disclosure, "medical interview" refers to a doctor interviewing a patient about their subjective symptoms, medical history, current oral medications, family medical history, allergies, travel history, and other information in order to obtain clues for diagnosis. In the business support system 10 according to this embodiment, the server 1 can cause the examination terminal 2 to display a display screen, such as a medical interview screen P2 (see FIG. 4 ), which includes question information related to the medical interview. Displaying the medical interview screen P2 on the patient terminal 3 allows the user (patient) to operate the patient terminal 3 and take the medical interview on the medical interview screen P2. In other words, the business support system 10 can conduct a medical interview online, allowing, for example, a patient to complete the medical interview before visiting a medical institution.
[0016] Specifically, in this embodiment, a server-client system is configured by the server 1 and the examination terminal 2 or the patient terminal 3, and the server 1 executes various processes such as display and printing in response to user operations on the examination terminal 2 or the patient terminal 3. Therefore, in this embodiment, the "display," "operation," "selection," and "input" described below will be described as being performed using the examination terminal 2 or the patient terminal 3. Note that similar displays and operations may also be performed on the server 1.
[0017] The host system 5 is a medical-related system separate from the business support system 10, and it is sufficient that it can communicate with the business support system 10; it does not necessarily have to be in a "host" relationship with the business support system 10. The host system 5 can accept inputs such as patient data, prescription data related to the prescription or administration of medicines to patients, and test data related to the test results of various tests performed on patients. The patient data includes various information related to the patient, such as patient identification information for identifying individual patients, such as a patient ID or patient name (first and last name), as well as the patient's age, sex, medical history, prescription drug history, whether or not the patient drinks alcohol, whether or not the patient smokes, family information, and physical information such as the patient's height, weight, and body surface area.
[0018] The host system 5 inputs the patient data, prescription data, test data, etc. to the server 1 in response to a user operation, or automatically inputs them to the server 1 at a predetermined timing such as a preset closing time. However, the patient data, prescription data, test data, etc. are not limited to being input from the host system 5 to the server 1, but may be created in the server 1. Also, the server 1 may be configured to actively read the patient data, prescription data, test data, etc. from the host system 5. A plurality of host systems 5 may be provided, and further, the plurality of host systems 5 may include different types of systems. At least one of the patient data, prescription data, and test data may be directly input to the business support system 10 by a user operation of the examination terminal 2, the patient terminal 3, or the server 1.
[0019] [Consultation Terminal 2] The examination terminal 2 is a personal computer equipped with a control unit 21, a memory unit 22, a communication I / F 23, a display unit 24, an operation unit 25, and a drive device 26. The examination terminal 2 is placed in a medical institution (a hospital in this embodiment) where the business support system 10 is used, and is an operation terminal operated by a doctor who is the user. For example, the examination terminal 2 is placed in an examination room or the like of the medical institution, and is used by a doctor at the medical institution when examining a patient. The examination terminal 2 may also be a portable information processing device such as a smartphone, a tablet terminal, a wearable terminal, or a laptop computer.
[0020] The control unit 21 has control devices such as a CPU (Central Processing Unit), ROM (Read Only Memory), RAM (Random Access Memory), and EEPROM (registered trademark). The CPU is a processor that executes various arithmetic operations. The ROM is a non-volatile storage unit that pre-stores information such as control programs for causing the CPU to execute various operations. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as temporary storage memories (work areas) for the various operations executed by the CPU. The control unit 21 then uses the CPU to execute various operations in accordance with the various control programs pre-stored in the ROM, the EEPROM, or the storage unit 22.
[0021] The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD (Solid State Drive) that stores various control programs and various data executed by the control unit 21. Specifically, the storage unit 22 includes a program storage unit that stores an operating system (OS) and application programs such as browser software. The browser software is application software that accesses the server 1 via the communication network NT1 to display various operation screens on the display unit 24 and transmits input operations on the operation screens using the operation unit 25 to the server 1. For example, when address information such as a URL (Universal Resource Locator) corresponding to the server 1 is entered in a predetermined position on the operation screen displayed by the browser software, the control unit 21 accesses the server 1 based on the address information.
[0022] The communication I / F23 is a communication interface having a network card or the like that performs wireless or wired data communication between the server 1 and external devices such as the printer 4 via the communication network NT1 in accordance with a predetermined communication protocol.
[0023] The display unit 24 is a device such as a liquid crystal display or an organic EL (Electro-Luminescence) display that displays various information in accordance with control instructions from the control unit 21. For example, the control unit 21 executes various processes in accordance with the browser software, thereby causing the display unit 24 to display various information based on the display data received from the server 1.
[0024] The operation unit 25 is a device operated by a user to input various information to the examination terminal 2. Specifically, the operation unit 25 includes a keyboard and a pointing device (such as a mouse) that accept input operations on various operation screens displayed on the display unit 24. The operation unit 25 may also include a touch panel that accepts touch operations on various operation screens displayed on the display unit 24, or a voice input device that accepts input of various information by voice recognition. The control unit 21 then executes various processes in accordance with the browser software to accept user operations on the operation unit 25 and inputs the contents of the user operations to the server 1.
[0025] The drive device 26 is a device that reads the OS or the browser software from a computer-readable recording medium 261 on which the OS or the browser software is recorded. The drive device 26 may be integrated into the examination terminal 2, or may be external to the examination terminal 2 by being removably connected to the examination terminal 2. The recording medium 261 may be a CD, DVD, BD, or USB memory, and the drive device 26 may be a CD drive, DVD drive, BD drive, or USB port. In the examination terminal 2, the control unit 21 installs the OS or the browser software read from the recording medium 261 using the drive device 26 into the program storage unit of the storage unit 22.
[0026] Specifically, the server 1 transmits data written in a web page description language such as HTML (Hyper Text Markup Language) to the examination terminal 2, thereby displaying various screens on the display unit 24 of the examination terminal 2. In addition, the control unit 21 of the examination terminal 2 transmits an operation signal to the server 1 in response to an operation input to the operation unit 25.
[0027] [Patient Terminal 3] The patient terminal 3 is a smartphone equipped with a control unit 31, a storage unit 32, a communication I / F 33, a display unit 34, and an operation unit 35. The patient terminal 3 is a terminal device owned by a patient at a medical institution (a hospital in this embodiment) that uses the business support system 10, and operated by the patient. Note that the patient terminal 3 is not limited to a smartphone, and may be, for example, a portable information processing device such as a personal computer, a tablet terminal, a wearable terminal, or a laptop computer.
[0028] The hardware configuration of the patient terminal 3 is the same as that of the examination terminal 2, and the control unit 31, the memory unit 32, the communication I / F 33, the display unit 34, and the operation unit 35 correspond to the control unit 21, the memory unit 22, the communication I / F 23, the display unit 24, and the operation unit 25 of the examination terminal 2, respectively. However, as an example in this embodiment, the patient terminal 3 is a smartphone, and therefore the operation unit 35 is a touch panel that accepts touch operations on various operation screens displayed on the display unit 34. Furthermore, the patient terminal 3 may include a drive device that corresponds to the drive device 26 of the examination terminal 2. Therefore, a detailed description of the configuration of the patient terminal 3 will be omitted here.
[0029] [Printer 4] The printer 4 is an image forming device such as a color printer or monochrome printer that can execute a printing process to record information contained in print data input from the server 1, the examination terminal 2, or the patient terminal 3 via the communication network NT1 onto a sheet of paper or the like. In this embodiment, as an example, the printer 4 is located at the reception desk of the medical institution (hospital). The printer 4 is also used to print (issue) prescriptions and the like, for example, using print data including prescription information generated by the server 1 according to the medical record information. The printer 4 also prints, for example, medical receipts using print data including medical receipt information.
[0030] [Server 1] 1, the server 1 is a computer including a control unit 11, a storage unit 12, a communication I / F 13, a display unit 14, an operation unit 15, and a drive device 16. The server 1 may be provided outside a medical institution such as a hospital or pharmacy where the business support system 10 is used, or may be realized by cloud computing or the like. The server 1 may also be an information processing device such as a laptop computer.
[0031] The control unit 11 has the same configuration as the control unit 21, and has control devices such as a CPU, ROM, RAM, and EEPROM, and uses the CPU to execute various processes in accordance with various control programs pre-stored in the ROM, the EEPROM, or the memory unit 12.
[0032] The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 11. The storage unit 12 also includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.
[0033] The program storage unit 121 is a storage area that stores a business support program for causing the control unit 11 to execute various processes related to a business support method described below. The program storage unit 121 also stores programs such as an operating system (OS).
[0034] The master storage unit 122 is a storage area in which various types of master information, such as a disease name master, a patient master, and a drug master, are stored. The disease name master, the patient master, and the drug master are appropriately edited in response to user operations of the server 1, the examination terminal 2, or the patient terminal 3 during initial setup or maintenance of the server 1, and are then stored in the master storage unit 122.
[0035] The information storage unit 123 stores various information constituting the electronic medical record, such as XML information and a medical record database. The XML information is data in which the medical record information of the electronic medical record is described using XML (Extensible Markup Language). The XML information is created in response to operations by a user, such as a doctor, using the examination terminal 2 or the patient terminal 3, and is updated as needed. The medical record database is a database for accumulating and storing the medical record information, etc. of the electronic medical record for long-term storage. For example, when a user, such as a doctor, using the examination terminal 2 or the patient terminal 3 performs an operation to save the medical record information, etc., at the end of a consultation, the medical record information, etc. included in the XML information is saved in the medical record database.
[0036] At least one of the master information, the XML information, and the medical record database may be stored in a storage device separate from the server 1. For example, at least one of the master information, the XML information, and the medical record database may be stored in an external server (or cloud computing) outside the business support system 10. The control unit 11 may then be able to access the external server via the Internet or the like.
[0037] The communication I / F 13 has the same configuration as the communication I / F 23, and executes data communication with external devices such as the examination terminal 2, the patient terminal 3, and the printer 4 via the communication network NT1. The communication I / F 13 also executes data communication with the upper system 5.
[0038] The display unit 14 is a device such as a liquid crystal display or an organic EL display that displays various information in accordance with control instructions from the control unit 11. The operation unit 15 has a configuration similar to that of the operation unit 25, and is a device that is operated by a user to input various information to the server 1. The control unit 11 accepts a user operation on the operation unit 15 and executes processing according to the content of the user operation.
[0039] The drive device 16 has the same configuration as the drive device 26, and is a device that reads the business support program from a computer-readable recording medium 161 on which the business support program is recorded. Then, in the server 1, the control unit 11 installs the business support program read from the recording medium 161 using the drive device 16 into the program storage unit 121 of the storage unit 12. The business support program may be stored in the storage unit 12 in advance, or may be received by the server 1 from an external device via the communication network NT1.
[0040] 1 , the control unit 11 of the server 1 includes an acquisition processing unit 110, a proposal processing unit 111, a transcription processing unit 112, a reception processing unit 113, an order processing unit 114, a candidate presentation processing unit 115, a history presentation processing unit 116, a selection processing unit 117, a medical record presentation processing unit 118, an interview processing unit 119, and a learning processing unit 120. Specifically, the control unit 11 executes various processes related to a business support method described below in accordance with the business support program, thereby functioning as various processing units such as the acquisition processing unit 110, the proposal processing unit 111, the transcription processing unit 112, the reception processing unit 113, the order processing unit 114, the candidate presentation processing unit 115, the history presentation processing unit 116, the selection processing unit 117, the medical record presentation processing unit 118, the interview processing unit 119, and the learning processing unit 120. That is, in this embodiment, the server 1 embodies the main functions of the business support system 10. In other words, the business support system 10 according to this embodiment only needs to include the server 1, and may not include the examination terminal 2, the patient terminal 3, the printer 4, etc. as components. The control unit 11 may include multiple processors, any one of which may function as the various processing units. Also, some or all of the various processing units may be configured as electronic circuits.
[0041] In another embodiment, some or all of the functions of the server 1 may be provided in the examination terminal 2 or the patient terminal 3. For example, some or all of the business support program may be installed in the examination terminal 2 or the patient terminal 3, and the control unit 21 of the examination terminal 2 or the control unit 31 of the patient terminal 3 may acquire necessary information from the server 1 as needed and execute various processes related to the business support method described below. In this case, the examination terminal 2 or the patient terminal 3 embodies the main functions of the business support system 10. Furthermore, in the business support system 10, the server 1 and the examination terminal 2 or the patient terminal 3 may cooperate to execute various processes related to the business support method described below.
[0042] The medical interview processing unit 119 performs medical interview processing (medical interview step) to conduct an online medical interview using the question information. That is, the medical interview processing unit 119 conducts the medical interview by presenting questions (questions) based on at least the question information to the patient and having the patient answer the questions. In the present embodiment, as an example, the medical interview processing unit 119 displays the medical interview screen P2 on the display unit 34 of the patient terminal 3 and presents the questions on the medical interview screen P2. The medical interview processing unit 119 conducts the medical interview on the medical interview screen P2, asking about, for example, subjective symptoms, medical history, current oral medications, medical history of family members, presence or absence of allergies, and travel history.
[0043] The acquisition processing unit 110 performs an acquisition process (acquisition step) to acquire a medical interview result, which is a result of a medical interview using the question information. In this embodiment, the medical interview processing unit 119 displays the medical interview screen P2 on the patient terminal 3 to conduct a medical interview, and the patient inputs a response to the medical interview into the patient terminal 3. Then, the response input into the patient terminal 3 is transmitted from the patient terminal 3 to the server 1 as the medical interview result, and is acquired by the acquisition processing unit 110.
[0044] The proposal processing unit 111 performs a proposal process (proposal step) to generate a proposal screen P3 (see FIG. 12) including proposal items to be proposed to the user based on the medical interview results. The "user" here refers to a doctor. That is, the proposal processing unit 111 determines, from the medical interview results, for example, suspected diseases or drugs for which prescriptions should be suggested as the proposal items. The proposal processing unit 111 presents the proposal items to the user (doctor) by displaying a screen including the proposal items thus determined as the proposal screen P3, for example, on the display unit 24 of the examination terminal 2.
[0045] In the present disclosure, "proposal" means presenting to the user (doctor), and if there are any proposed items, the proposal processing unit 111 presents the proposed items to the user in some manner. The manner of proposal includes, for example, display, printing, writing to memory (the storage unit 12), audio output, data output, transmission to another system (another device), writing to a database, and writing to a memory other than the storage unit 12. In this embodiment, the proposal processing unit 111 presents the proposed items by displaying the proposal screen P3 including the proposed items on the display unit 24 of the examination terminal 2. However, for example, the proposal processing unit 111 may simply write the proposed items to the information storage unit 123, and displaying the proposed items is not essential. Furthermore, the proposal processing unit 111 may output the proposed items to a device other than the business support system 10 (including the higher-level system 5).
[0046] In this embodiment, as shown in FIG. 2, the proposal processing unit 111 proposes the proposal items D2 based on the medical interview result D1 using a trained model M1 generated by machine learning. In short, the proposal processing unit 111 uses the trained model M1, which is generated by machine learning using an appropriate learning method, as an estimator to estimate the proposal items D2 from the medical interview result D1. That is, the trained model M1 determines whether there are any suspected diseases or drugs, etc., for which a prescription should be suggested, in the medical interview result D1, and if there are any suspected diseases or drugs, etc., for which a prescription should be suggested, outputs those items as the proposal items D2. In this way, the proposal processing unit 111 proposes the proposal items D2 output from the trained model M1 to the user (doctor).
[0047] The trained model M1 is generated by training (machine learning) a considerable number of the medical interview results D1 extracted from a large number of patients as a training dataset. The medical interview results D1 (the training dataset) used to generate the trained model M1 may be generated for each training unit, such as a medical institution, a medical department, or a user (doctor). This makes it possible to generate the trained model M1 for each training unit, such as a medical institution, a medical department, or a user (doctor). For example, if the training unit is the medical institution that proposes the suggestion item D2 using the trained model M1, the trained model M1 can be generated specifically for that medical institution. Furthermore, if the training unit is a specific medical department, such as "internal medicine," the trained model M1 can be generated specifically for that medical department.
[0048] The trained model M1 may be stored (stored) in the memory unit 12 of the server 1, or may be stored in a storage device separate from the server 1. For example, the trained model M1 may be stored in an external server (or cloud computing) outside the business support system 10. The control unit 11 (the proposal processing unit 111) may be able to access the external server via the Internet or the like.
[0049] The transcription processing unit 112 performs transcription processing (transcription step) to transcribe the proposed items into the medical record in accordance with the user's (doctor's) operation on the proposal screen P3. In this embodiment, since the business support system 10 manages the electronic medical record, the transcription processing unit 112 transcribes the proposed items into the electronic medical record. In this disclosure, "transcription" means reflecting original information (the proposed items) in another location (the medical record). Specifically, the transcription processing unit 112 transcribes the proposed items into a specified column of the electronic medical record by duplicating the proposed items and adding them to the medical record information recorded in the electronic medical record.
[0050] The reception processing unit 113 performs reception processing (reception step) for receiving, from a patient during a medical interview, a designation of a desired drug that the patient wishes to be prescribed. In the present disclosure, a "desired drug" refers to a drug that the patient wishes to be prescribed. For example, if a patient wishes to be prescribed the same drug as a drug prescribed in a previous consultation, the patient can designate the drug as the desired drug. Specifically, the reception processing unit 113 accepts the designation of the desired drug during a medical interview conducted on the medical interview screen P2 displayed on the patient terminal 3. That is, the reception processing unit 113 accepts the designation of the desired drug by the patient designating the drug that the patient wishes to be prescribed as the desired drug on the patient terminal. The desired drug may be input arbitrarily by the patient, or may be selected from candidates presented on the patient terminal 3. Furthermore, the reception processing unit 113 may accept, along with the designation of the desired drug, an input from the patient of the reason for requesting the desired drug (reason for request).
[0051] The order processing unit 114 performs order processing (order step) to order the desired drug received by the reception processing unit 113 based on the doctor's judgment. In other words, the desired drug is not ordered when the reception processing unit 113 simply receives the designation of the desired drug; the desired drug is only ordered when the order processing unit 114 performs the order processing. In this disclosure, "order" means a prescription order, that is, the creation of the prescription data for a doctor to prescribe a drug.
[0052] Furthermore, in this embodiment, the proposal processing unit 111 presents the proposal screen P3, which includes the designated desired medication, to the doctor. That is, the proposal screen P3 displayed on the display unit 24 of the examination terminal 2 includes the desired medication as one of the proposed items. This allows the doctor to confirm the desired medication designated by the patient using the proposal screen P3 displayed on the examination terminal 2. When the reception processing unit 113 accepts input of the reason for the request, it is preferable to include the reason for the request on the proposal screen P3 in association with the desired medication. In this case, the doctor can use the reason for the request as a reference for making a decision on ordering.
[0053] The reception processing unit 113 may also accept a patient's designation of a drug that the patient does not want to be prescribed during the medical interview. In the present disclosure, a "drug that the patient does not want to be prescribed" refers to a drug that the patient does not want to be prescribed. For example, if a patient does not want a drug prescribed in a previous medical examination to be prescribed because the drug was insufficiently effective or had severe side effects, the patient can designate the drug as the drug that the patient does not want to be prescribed. Specifically, the reception processing unit 113 accepts the designation of the drug that the patient does not want to be prescribed during the medical interview conducted on the medical interview screen P2 displayed on the patient terminal 3. That is, the reception processing unit 113 accepts the designation of the drug that the patient does not want to be prescribed as the drug that the patient does not want to be prescribed on the patient terminal. The drug that the patient does not want to be prescribed may be input by the patient or may be selected from candidates presented on the patient terminal 3 (e.g., a list of drugs previously prescribed). Furthermore, the reception processing unit 113 may accept, along with the designation of the drug that the patient does not want to be prescribed, an input from the patient of the reason for avoiding the drug (reason for avoidance).
[0054] In this case, the proposal processing unit 111 presents the proposal screen P3 including the specified avoided drug to the doctor. That is, the proposal screen P3 displayed on the display unit 24 of the examination terminal 2 includes the avoided drug as a proposal item. This allows the doctor to confirm the avoided drug specified by the patient using the proposal screen P3 displayed on the examination terminal 2. When the reception processing unit 113 accepts input of the avoidance reason, it is preferable to include the avoidance reason in the proposal screen P3 in association with the avoided drug. In this case, the doctor can use the avoidance reason as a reference for making a decision on ordering.
[0055] The candidate presentation processing unit 115 performs a candidate presentation process (candidate presentation step) of presenting the desired drug candidates to the patient based on the patient's prescription history. That is, the candidate presentation processing unit 115 selects the desired drug candidates based on the prescription history, which is a history of drugs previously prescribed to the patient. For example, a patient may wish to be prescribed the same drug as a drug prescribed in a previous consultation, and the drug the patient wishes to be prescribed may be included in the desired drug candidates. As an example in this embodiment, the candidate presentation processing unit 115 presents the desired drug candidates to the patient by displaying the desired drug candidates on the interview screen P2 displayed on the patient terminal 3.
[0056] The history presentation processing unit 116 performs a history presentation process (history presentation step) of presenting a medical interview history including one or more medical interview data to a patient. That is, when one or more medical interviews have been conducted for a certain patient in the past, data (medical interview data) relating to the one or more medical interviews is stored as the medical interview history in the storage unit 12 or the like. As an example in the present embodiment, the candidate presentation processing unit 115 presents the medical interview history to the patient by displaying the medical interview history on the medical interview screen P2 displayed on the patient terminal 3.
[0057] The selection processing unit 117 performs a selection process (selection step) to have the patient select the medical interview data from the medical interview history. That is, the selection processing unit 117 has the patient select any one of the medical interview data from the medical interview history including one or more pieces of medical interview data presented by the history presentation processing unit 116. As an example in the present embodiment, the selection processing unit 117 selects the medical interview data when the patient performs an operation to select any one of the medical interview data from the medical interview history on the medical interview screen P2 displayed on the patient terminal 3.
[0058] The medical record presentation processing unit 118 performs a medical record presentation process (medical record presentation step) of presenting medical record information corresponding to the selected medical interview data to the doctor. That is, the medical record presentation processing unit 118 presents the medical record information created at the time of the examination when the medical interview data selected by the selection processing unit 117 was obtained to the doctor. As an example in this embodiment, the medical record presentation processing unit 118 presents the medical record information to the doctor by displaying the medical record information corresponding to the medical interview data on the medical record screen P1 displayed on the examination terminal 2.
[0059] Furthermore, the medical interview processing unit 119 performs the medical interview process of presenting the medical interview screen P2 reflecting the selected medical interview data to the patient. That is, the medical interview processing unit 119 performs the medical interview by displaying the medical interview screen P2 on the display unit 34 of the patient terminal 3, and reflects the medical interview data selected by the selection processing unit 117 on the medical interview screen P2. This allows the patient to conduct the medical interview by reusing the past medical interview data.
[0060] The learning processing unit 120 executes a re-learning process (re-learning step) to re-learn the trained model M1 based on the user's (here, the doctor's) reaction to the proposal item D2. That is, the learning processing unit 120 performs machine learning re-learning on the trained model M1 generated by machine learning, thereby improving the accuracy of the trained model M1 as an estimator. As a result, the proposal processing unit 111 can use the trained model M1, whose estimation accuracy has been improved by reflecting the user's (doctor's) reaction, to propose the proposal item D2. Therefore, the proposal item D2 can be proposed according to the user's reaction, and more appropriate proposal items D2 can be proposed.
[0061] Specifically, as shown in Fig. 2, the learning processing unit 120 re-learns the trained model M1 as needed using a training dataset including multiple pieces of evaluation information D3. The evaluation information D3 is information input by a user's operation in response to the proposal item D2 proposed by the proposal processing unit 111. The evaluation information D3 is information representing the user's (doctor's) evaluation of the proposal item D2 proposed by the proposal processing unit 111, and is generated, for example, depending on whether the user (doctor) has performed an operation to transcribe the proposal item D2 into the medical record.
[0062] [Business support method] An example of the business support method executed by the business support system 10 will be described below. The control unit 11 of the server 1 executes various processes related to the business support method when a specific, preset start operation for executing the business support program is performed on the examination terminal 2 or the patient terminal 3. The business support method may be terminated in response to a specific termination operation on the examination terminal 2 or the patient terminal 3, even while the business support method is being executed. Note that the present invention may also be understood as an invention of a method (business support method) in which a computer such as the server 1 executes part or all of the processes of the business support method.
[0063] Here, the start operation includes connecting the examination terminal 2 or the patient terminal 3 to the server 1 (launching application software), logging in with input of a user ID and password, etc. On the other hand, the end operation includes an operation to close the display screen such as the medical record screen P1 or the interview screen P2, logging out, and disconnecting the connection between the server 1 and the examination terminal 2 or the patient terminal 3, etc.
[0064] Furthermore, the control unit 11 of the server 1 basically executes the business support method using a screen (such as the medical record screen P1 or the medical interview screen P2) displayed on the display unit 24 of the examination terminal 2 or the display unit 34 of the patient terminal 3. The term "screen" in this disclosure refers to a video (image) displayed on the display unit 24 or the display unit 34, and includes icons, figures, photographs, text, and videos.
[0065] In the following, as an example, the examination terminal 2 accepts input operations on the display screen, such as the medical record screen P1, displayed on the display unit 24, using a mouse and keyboard included in the operation unit 25. Similarly, the patient terminal 3 accepts input operations on the display screen, such as the medical interview screen P2, displayed on the display unit 34, using a touch panel included in the operation unit 35.
[0066] Note that the various operation buttons on the display screen such as the medical record screen P1 are objects included in the display screen, and the operation buttons are operated by operating the operation unit 25 (or the operation unit 35) to select the operation button. For example, the user can operate the operation button by operating a mouse included in the operation unit 25 to position the cursor on any of the operation buttons on the medical record screen P1 and click the button.
[0067] [Medical record screen P1] First, the medical record screen P1 displayed on the display unit 24 of the examination terminal 2 will be described with reference to FIG.
[0068] Fig. 3 is a diagram showing an example of the medical record screen P1. As shown in Fig. 3, the medical record screen P1 includes a past medical record area A1, a current medical record area A2, a patient information area A3, a keypad area A4, a shortcut area A5, and a calendar area A6. In addition, in the drawings showing the screens displayed on the display unit 24 (or the display unit 34) such as Fig. 3, the dashed lines, lead lines, and reference symbols representing areas are added for explanatory purposes only and are not actually displayed on the display unit 24 (or the display unit 34).
[0069] The past medical record area A1 is basically an area where the medical information, such as past (previous or previous) medication information, i.e., the past medical record K2, is displayed. The current medical record area A2 is basically an area where the medical information, such as currently input medication information (current prescription), i.e., the current medical record K1, is displayed. The past medical record area A1 and the current medical record area A2 are arranged side by side horizontally (left and right) on the medical record screen P1. This allows the user to view the current medical record K1 and the past medical record K2 on one screen on the medical record screen P1, and, for example, allows the user to edit the current medical record K1 with reference to the past medical record K2. In this embodiment, as an example, the past medical record area A1 is arranged on the left and the current medical record area A2 is arranged on the right, but this arrangement may be reversed, or the past medical record area A1 and the current medical record area A2 may be arranged side by side vertically (up and down).
[0070] The patient information area A3 is an area where basic information about the patient is displayed. The keypad area A4 is an area where the keypad K4 used to edit the electronic medical record (the medical record information) is displayed. The shortcut area A5 is an area where shortcut keys and the like used to edit the electronic medical record (the medical record information) are displayed. The calendar area A6 is an area where a calendar (a seven-day calendar) that displays dates and days of the week in a tabular format is displayed. In the example of FIG. 3, the calendar area A6 displays multiple calendars (three in this case) arranged horizontally (left and right).
[0071] In the electronic medical record, various medical record information is recorded as the medical information related to one consultation, classified into the items "S," "O," "A," "P," and "guidance," as in the past medical record area A1 or the current medical record area A2 of the medical record screen P1. "S" is subjective information, which is information related to symptoms, etc., that the patient feels subjectively. "O" is objective information, which is information related to the doctor's clinical findings and test results. "A" is assessment information, which is information related to the doctor's evaluation and judgment, etc. "P" is plan information, which is information related to medication and treatment plans, etc. "Guidance" is guidance information, which is information related to patient education and guidance, etc. Note that, for convenience, the past medical record K2 is left blank in FIG. 3; however, if the items "S," "O," "A," "P," and "guidance" are entered for the past medical record K2, the entered contents will be displayed in the past medical record K2 on the medical record screen P1.
[0072] When a medical examination begins, one or more pieces of medical record information are sequentially entered into the current medical record K1 displayed in the current medical record area A2 of the medical record screen P1 in response to a user operation by a doctor or the like using the examination terminal 2. Here, if the current examination displayed in the current medical record area A2 is defined as "this time," the medical information of the past medical record K2 displayed in the past medical record area A1 is information relating to any past examination for the same patient, such as the previous one (i.e., the one before this one), the one before that (i.e., two times before this one), or an examination before that (i.e., three or more times before this one). The examination relating to which past medical record K2 is to be displayed in the past medical record area A1 can be arbitrarily selected by a user operation by a doctor or the like using the examination terminal 2.
[0073] Specifically, in the business support system 10, for example, the medical record information can be written in the electronic medical record by selecting a desired area (desired item) of the current medical record K1 displayed in the current medical record area A2 with a mouse, a touch panel, etc., and then inputting a character string from a keyboard. The medical record information can also be written by operating the keypad K4 displayed in the keypad area A4 with a mouse, a numeric keypad, a touch panel, etc. Furthermore, by copying at least some of the items of the past medical record K2 displayed in the past medical record area A1 to the current medical record K1 displayed in the current medical record area A2 by a copy operation, a drag-and-drop operation, etc., it is possible to write the same medical information as in the past medical record K2 in the medical record information of the current medical record K1.
[0074] However, the past medical record K2 displayed in the past medical record area A1 cannot be edited. In other words, on the medical record screen P1, the past medical record K2 is displayed only as reference information, and the contents of the past medical record K2 cannot be edited.
[0075] Here, since the electronic medical record is recorded for each patient, the patient's electronic medical record to be displayed is designated by a user's operation on the examination terminal 2. Specifically, when an operation to select a target patient from a patient list is performed on the examination terminal 2, the business support system 10 displays the medical record screen P1 corresponding to the selected patient. On the medical record screen P1, the past medical information and the current medical information for the selected patient are displayed in the past medical record area A1 and the current medical record area A2.
[0076] The medical record screen P1 may include, for example, a slide bar, and may be configured to enable vertical (up and down) or horizontal (left and right) scrolling by operating the slide bar. This makes it possible to present a large amount of information contained in the electronic medical record (the medical record information) to the user through the medical record screen P1.
[0077] In this embodiment, the transcription processing unit 112 performs the transcription process of transcribing the proposed items D2 to the medical record in accordance with the user's (doctor's) operation on the proposal screen P3. That is, the proposed items D2 proposed to the user (doctor) based on the medical interview result are transcribed to the medical record by the transcription process. The proposed items D2 transcribed to the medical record by the transcription process are transcribed to the current medical record K1 displayed in the current medical record area A2 of the medical record screen P1.
[0078] In short, the current medical record K1 on the medical record screen P1 contains the proposed items D2 transcribed by the transcription process in addition to one or more pieces of medical record information directly input by the user (doctor) to the examination terminal 2. Here, the proposed items D2 transcribed by the transcription process are already written in the current medical record K1 at the time when the display of the medical record screen P1 begins. In other words, the proposed items D2 transcribed by the transcription processing unit 112 are written as initial values (default values) in the current medical record K1 on the medical record screen P1. The transcription process will be described in detail in the "Transcription Function" section.
[0079] [Medical interview processing] Next, the medical interview process in which the medical interview processing unit 119 asks a question using the medical interview screen P2 will be described with reference to Figs. 4 to 10. Figs. 4 to 10 show an example of the medical interview screen P2 displayed on the display unit 34 of the patient terminal 3. The medical interview screen P2, such as the seventh medical interview screen P207 shown in Fig. 7, is not displayed in its entirety on the display unit 34 of the patient terminal 3 at the same time, but the portion below the two-dot chain line is displayed on the display unit 34 by scrolling the screen.
[0080] In this embodiment, the medical interview processing unit 119 conducts the medical interview by presenting to the patient at least questions (questions) based on the question information and having the patient answer the questions. Here, as an example, it is assumed that "Question 1" and "Question 2" are questions about the patient's basic information, and "Question 3" and onwards are questions about the patient's symptoms, etc. Furthermore, in the following, it is assumed that questions "Question 1" to "Question 8" have been prepared, and examples of the medical interview screen P2 relating to "Question 5" to "Question 7" will be omitted.
[0081] The medical interview processing unit 119 performs the medical interview process for each patient, and therefore first, as shown in Fig. 4, displays a first medical interview screen P201 as the medical interview screen P2 on the display unit 34 of the patient terminal 3. The first medical interview screen P201 is the first screen to be displayed among the medical interview screens P2, and is a screen for performing login, which is one of the start operations for starting the medical interview process.
[0082] Specifically, the first medical interview screen P201 includes input fields for inputting a user ID (e-mail address) and a password, a login button B11, and a new registration button B12. When the login button B11 is operated with the user ID and the password input on the first medical interview screen P201, the medical interview processing unit 119 transitions the medical interview screen P2 to a third medical interview screen P203 (see FIG. 5). On the other hand, for a patient using the business support system 10 for the first time, the medical interview processing unit 119 transitions the medical interview screen P2 to a second medical interview screen P202 (see FIG. 5) by operating the new registration button B12 on the first medical interview screen P201.
[0083] 5 is a screen for newly registering a patient. The second medical interview screen P202 includes input fields for inputting the patient name, the user ID (e-mail address), and the password, a check box for indicating agreement to the terms of use, and a new registration button B13. When the patient name, the user ID, and the password are input on the second medical interview screen P202 and the check box is checked, and the new registration button B13 is operated, the medical interview processing unit 119 transitions the medical interview screen P2 to the first medical interview screen P201.
[0084] The third medical interview screen P203 shown in Fig. 5 is the screen that is first displayed after logging in. The third medical interview screen P203 includes the patient's name ("Yamada-san" in the example of Fig. 5), information about the medical institution, a start new medical interview button B14, a reference history button B15, and a start medical interview button B16. For a patient using the business support system 10 for the first time, operating the start new medical interview button B14 on the third medical interview screen P203 causes the medical interview processing unit 119 to transition the medical interview screen P2 to a fifth medical interview screen P205 (see Fig. 6).
[0085] A patient who has used the business support system 10 for the second time or more operates the history reference button B15 or the medical interview start button B16 on the third medical interview screen P203. The history reference button B15 is a button for reusing the past medical interview data, and the medical interview start button B16 is a button for conducting a new medical interview. That is, when a patient visits the hospital with the same symptoms as in the past (the previous or earlier) medical interview, the patient operates the history reference button B15 on the third medical interview screen P203, which causes the medical interview processing unit 119 to transition the medical interview screen P2 to a fourth medical interview screen P204 (see FIG. 6). On the other hand, when a patient visits the hospital with new symptoms different from those in the past (the previous or earlier) medical interview, the patient operates the medical interview start button B16 on the third medical interview screen P203, which causes the medical interview processing unit 119 to transition the medical interview screen P2 to the seventh medical interview screen P207 (see FIG. 7).
[0086] The fourth medical interview screen P204 shown in Fig. 6 is a screen for presenting the medical interview history including one or more pieces of medical interview data to the patient. The fourth medical interview screen P204 includes a medical interview history K11 including one or more pieces of medical interview data in the past, a re-request button B17, and a back button B18. That is, the candidate presentation processing unit 115 presents the medical interview history to the patient by displaying the medical interview history K11 on the fourth medical interview screen P204 displayed on the patient terminal 3. In the example of Fig. 6, the medical interview history K11 includes information related to the medical institution name ("Sample Clinic"), date ("12 / 11"), chief complaint ("Influenza"), and prescribed drug ("Drug A") as the medical interview data.
[0087] On the fourth medical interview screen P204, when the medical interview history K11 includes the medical interview data for multiple past sessions, various display modes of the multiple medical interview data are applicable. For example, a mode in which only specific items (date, chief complaint, name of medical institution, and part of prescribed medication) of the multiple medical interview data are displayed in the medical interview history K11 as a list, or a mode in which the multiple medical interview data are displayed in a scrollable manner in the medical interview history K11, are applicable. Furthermore, various display modes are applicable regarding the display order, such as order by date, or order by frequency of chief complaint, in which the medical interview data relating to frequently complained symptoms are displayed higher. In the mode in which only the specific items are displayed, for example, when the specific item of any of the medical interview data is selected, it is preferable to transition to a detailed screen including items other than the specific item of the medical interview data.
[0088] The re-request button B17 is a button for selecting the corresponding medical interview data, and the back button B18 is a button for returning to the third medical interview screen P203. That is, when the patient wants to reuse the medical interview data displayed in the medical interview history K11 for the current interview, the patient operates the re-request button B17 on the fourth medical interview screen P204. This causes the selection processing unit 117 to select the medical interview data associated with the re-request button B17 from the medical interview history K11. Then, the medical interview processing unit 119 transitions the medical interview screen P2 to a tenth medical interview screen P210 (see FIG. 9 ) that reflects the selected medical interview data. The reuse of medical interview data will be described in detail in the "DO function" section.
[0089] The fifth medical interview screen P205 shown in FIG. 6 is a screen that asks about the patient's age as "Question 1" regarding the patient's basic information. The sixth medical interview screen P206 shown in FIG. 7 is a screen that asks about the patient's gender as "Question 2" regarding the patient's basic information. The medical interview screen P2 that asks about the patient's basic information is displayed for patients who are using the business support system 10 for the first time. In other words, for patients who are using the business support system 10 for the second time or more, the basic information already registered in the business support system 10 is used. Therefore, by operating the history reference button B15 or the medical interview start button B16 on the third medical interview screen P203, the fifth medical interview screen P205 and the sixth medical interview screen P206 can be skipped.
[0090] The seventh medical interview screen P207 shown in FIG. 7 is a screen that asks about the patient's symptoms as "Question 3." The seventh medical interview screen P207 includes a chief complaint input field K12 for inputting a summary of the symptoms, a detail input field K13 for inputting specific symptoms, and a forward button B19. The chief complaint input field K12 is a multiple-choice input field that includes multiple options for common symptoms, such as "headache," "nausea," "cough," and "fever." The detail input field K13 is a free-text input field. The patient selects a relevant symptom in the chief complaint input field K12, enters its details in the detail input field K13, and then operates the forward button B19. This causes the medical interview processing unit 119 to transition the medical interview screen P2 to an eighth medical interview screen P208 (see FIG. 8).
[0091] In addition, if the corresponding symptom does not exist in the chief complaint input field K12 on the seventh medical interview screen P207, the patient enters the symptom in free text in the detailed input field K13. The selection items displayed in the chief complaint input field K12 may be customized for each patient, each doctor, or each medical institution, for example. Alternatively, a trained model generated by machine learning may be used to estimate the correspondence between related information regarding the season (time), patient information, and / or the patient's medical history, etc., and symptoms, and symptoms suitable for the related information may be displayed as selection items in the chief complaint input field K12.
[0092] The eighth medical interview screen P208 shown in FIG. 8 is a screen that asks, as "Question 4," which part of the body the symptom is occurring in. The eighth medical interview screen P208 includes a part input field K14 and a next button B20. The part input field K14 is an input field for specifying the part of the body where the symptom is occurring in a selective manner, such as "right arm," "left arm," "right shoulder," or "left shoulder." The patient selects the corresponding part in the part input field K14 and then operates the next button B20. This causes the medical interview processing unit 119 to transition the medical interview screen P2 to a screen for the next question ("Question 5").
[0093] Similarly, the medical interview processing unit 119 sequentially conducts interviews on the medical interview screen P2 for questions from "Question 5" onwards. The ninth medical interview screen P209 shown in FIG. 8 is a screen that asks about the presence or absence of pregnancy (or possibility of pregnancy) as the final "Question 8". The ninth medical interview screen P209 includes a forward button B21. The patient selects an answer (yes / no) to "Question 8" and then operates the forward button B21. This causes the medical interview processing unit 119 to transition the medical interview screen P2 to a tenth medical interview screen P210 (see FIG. 9).
[0094] The content of the questions may be customized for each patient, each doctor, or each medical institution. Specifically, the ninth medical interview screen P209 for "Question 8" asking whether the patient is pregnant may be applied only to female patients.
[0095] The tenth medical interview screen P210 shown in Fig. 9 is a screen for confirming the contents of the answers. The tenth medical interview screen P210 includes a first confirmation field K15, a second confirmation field K16, and a confirm button B24. The first confirmation field K15 is a field for confirming the basic information answered by the patient, and includes a change button B22. The second confirmation field K16 is a field for confirming questions other than the basic information and their answers, and includes an edit button B23 for each question. Here, only the answers to the questions other than the basic information can actually be changed starting from the tenth medical interview screen P210.
[0096] The patient checks the questions and answers in the second confirmation field K16 of the tenth medical interview screen P210. If there is an incorrect answer, the patient operates the edit button B23 corresponding to the answer. This causes the medical interview processing unit 119 to transition from the medical interview screen P2 to an eleventh medical interview screen P211.
[0097] The eleventh medical interview screen P211 shown in Fig. 9 is a screen for editing the answer for which the edit button B23 has been operated. As an example in Fig. 9, the eleventh medical interview screen P211 is a screen having the same content as the medical interview screen P2 corresponding to the answer to be edited, and is displayed as a pop-up superimposed on the tenth medical interview screen P210. The example in Fig. 9 assumes that the edit button B23 for "Question 3" has been operated, and the eleventh medical interview screen P211 having the same content as the seventh medical interview screen P207 is displayed. When the patient edits the answer on the eleventh medical interview screen P211 and operates the save button B25, the medical interview processing unit 119 reflects the edited content and transitions the medical interview screen P2 to the tenth medical interview screen P210.
[0098] On the other hand, the basic information cannot be changed on the eleventh medical interview screen P211. Therefore, the patient checks the questions and answers regarding the basic information in the first confirmation field K15 of the tenth medical interview screen P210. At this time, if there is an incorrect answer regarding the basic information, the patient operates the change button B22. This causes the medical interview processing unit 119 to transition the medical interview screen P2 to a twelfth medical interview screen P212 (see FIG. 10).
[0099] The twelfth medical interview screen P212 shown in Fig. 10 is a screen for informing the patient that the medical interview needs to be restarted from the beginning in order to change the basic information. As an example in Fig. 10, the twelfth medical interview screen P212 is displayed as a pop-up superimposed on the tenth medical interview screen P210. When the patient operates the back button B26 on the twelfth medical interview screen P212, the medical interview processing unit 119 transitions the medical interview screen P2 to the third medical interview screen P203.
[0100] When the patient confirms the answer on the tenth medical interview screen P210 and operates the confirm button B24, the medical interview screen P2 is transitioned to a thirteenth medical interview screen P213 (see FIG. 10).
[0101] 10 is the last screen to be displayed among the medical interview screens P2, and is displayed when the medical interview processing unit 119 ends the medical interview process. At this point, the medical interview results including the answers to the questions are associated with the patient and stored in the information storage unit 123 of the storage unit 12.
[0102] [Posting function] Next, a function for transcribing the suggested items D2 based on the interview results obtained in the interview process into the medical record will be described with reference to FIGS.
[0103] Fig. 11 is a flowchart showing an example of the operation of the business support system 10 from the medical interview process until the proposed item D2 is transcribed into the medical record. That is, the control unit 11 executes the acquisition process, the proposal process, and the transcription process in accordance with the flowchart shown in Fig. 11. Note that the flowchart shown in Fig. 11 is merely an example, and processes may be added or omitted as appropriate, and the order of processes may be changed as appropriate.
[0104] <Step S1> First, in step S1, the control unit 11 determines whether the medical interview result D1 has been finalized. Specifically, when the Confirm button B24 is operated on the tenth medical interview screen P210, the control unit 11 determines that the medical interview result D1 has been finalized (S1: Yes), and proceeds to step S2. On the other hand, if the medical interview result D1 has not been finalized (S1: No), the control unit 11 repeatedly executes step S1.
[0105] <Step S2> In step S2, the acquisition processing unit 110 of the control unit 11 executes the acquisition processing to acquire the confirmed medical interview result D1. Specifically, the answers input to the patient terminal 3 in the medical interview processing are transmitted from the patient terminal 3 to the server 1 as the medical interview result D1, and are acquired by the acquisition processing unit 110.
[0106] <Step S3> In step S3, the proposal processing unit 111 of the control unit 11 executes the proposal process to generate the proposal screen P3 including the proposal items D2 based on the medical interview result D1 acquired by the acquisition processing unit 110. At this time, the proposal processing unit 111 uses the trained model M1 to propose the proposal items D2 based on the medical interview result D1. As a result, if there is a suspected disease or a drug or the like for which a prescription should be suggested in the medical interview result D1, the item is included in the proposal screen P3 as the proposal item D2.
[0107] <Step S4> In step S4, the proposal processing unit 111 of the control unit 11 displays the generated proposal screen P3 on the display unit 24 of the examination terminal 2. As a result, the proposal screen P3 including the proposal items D2 is presented to the user (doctor), and the proposal items D2 proposed by the proposal processing unit 111 are presented to the user.
[0108] <Step S5> In step S5, the transcription processing unit 112 of the control unit 11 determines whether or not a transcription operation has been performed by the user (doctor). When a predetermined operation is performed on the proposal screen P3 displayed on the display unit 24 of the examination terminal 2, the transcription processing unit 112 determines that the transcription operation has been performed (S5: Yes) and proceeds to step S6. On the other hand, if the transcription operation has not been performed (S5: No), the transcription processing unit 112 repeatedly executes step S5.
[0109] <Step S6> In step S6, the transcription processing unit 112 of the control unit 11 executes the transcription processing of transcribing the proposed items D2 to the medical record information recorded in the medical record (the electronic medical record). At this time, the transcription processing unit 112 transcribes only the proposed items D2 selected by the user from among the proposed items D2 to the medical record. As a result, the proposed items D2 are transcribed to the medical record screen P1 displayed on the examination terminal 2. Specifically, the proposed items D2 are transcribed to the current medical record K1 in the current medical record area A2 of the medical record screen P1.
[0110] As described above, the business support system 10 includes the acquisition processing unit 110, the proposal processing unit 111, and the transcription processing unit 112. The acquisition processing unit 110 acquires the medical interview result, which is the result of a medical interview using the question information. The proposal processing unit 111 generates the proposal screen P3 including the proposal items D2 to be proposed to the user based on the medical interview result. The transcription processing unit 112 transcribes the proposal items D2 into the medical record in accordance with the user's operation on the proposal screen P3.
[0111] As a result, the suggested items D2 proposed from the medical interview results can be transcribed into the medical record (the electronic medical record) in accordance with the user's operation (the transcription operation). Therefore, the medical interview results can be effectively utilized to support the work of the user (doctor), which has the advantage of reducing the burden on the doctor in checking medical information.
[0112] 12 shows an example of the proposal screen P3 displayed on the display unit 24 of the examination terminal 2. The proposal screen P3 includes a patient information area A31, a medical interview area A32, a disease name proposal area A33, and an order proposal area A34.
[0113] The patient information area A31 is an area where basic information of the patient is displayed, and the medical interview area A32 is an area where the medical interview result consisting of a combination of questions and answers in the medical interview process is displayed.
[0114] The disease name proposal area A33 is an area where a disease name (injury / illness name) is displayed among the proposal items D2 proposed by the proposal processing unit 111 based on the medical interview result D1. The order proposal area A34 is an area where information related to prescription orders, such as drug names, is displayed among the proposal items D2 proposed by the proposal processing unit 111 based on the medical interview result D1.
[0115] In short, the proposal items D2 include disease information related to a disease. The disease information is, for example, the disease name (name of illness or injury) and is displayed in the disease name proposal area A33 of the proposal screen P3. This allows the disease information related to a disease, such as the disease name estimated from the medical interview results, to be proposed to the user (doctor) and transcribed into the medical record (electronic medical record) in conjunction with the transcription operation. This reduces the burden on the doctor in determining the disease information.
[0116] The proposal items D2 also include drug information related to drugs. The drug information, such as the drug name, is displayed in the order proposal area A34 of the proposal screen P3, for example. This allows the drug information related to drugs, such as the drug name to be prescribed estimated from the medical interview results, to be proposed to the user (doctor) and transcribed into the medical record (electronic medical record) in conjunction with the transcription operation. This reduces the burden on the doctor in determining the drug information.
[0117] Specifically, the disease name suggestion area A33 can display a plurality of the suggestion items D2 (disease names), and each suggestion item D2 has the following columns: "Selection," "Special Disease," "Number," "Disease Name," "Major / Secondary," "Modifier," and "Suspicion." Of these, the disease name (disease name) as the suggestion item D2 is displayed in the "Disease Name" column, and check boxes are displayed in the "Selection," "Modifier," and "Suspicion" columns.
[0118] The order proposal area A34 can display multiple proposal items D2 (e.g., drug names), and each proposal item D2 has columns for "Selection," "Name," "Dose," "Unit," "Points," "Generic," and "Receipt Comments." The "Name" column displays the drug name, etc., of the proposal item D2, and the "Selection" column displays a check box. The order proposal area A34 also includes a tab TB1 for "Examination Set," a tab TB2 for "Drugs," a tab TB3 for "Examination Procedure," a tab TB4 for "Past Orders," and a tab TB5 for "Patient's Preferences." Operating the tabs TB1 to TB5 allows the information displayed in the order proposal area A34 to be switched. For example, when the "Patient's Preferences" tab TB5 is selected, the drug information for the drug designated by the patient as the desired prescription drug during the medical interview process is displayed in the order proposal area A34.
[0119] Checking the "Select" checkbox for a certain proposed item D2 selects that proposed item D2. Then, when one of the proposed items D2 is selected and the medical record transcription button B31 on the proposal screen P3 is operated, the transcription processing unit 112 transcribes the selected proposed item D2 to the medical record. In other words, operating the medical record transcription button B31 is an example of the transcription operation.
[0120] Therefore, the patient can transcribe the proposed items D2 to the medical record by, for example, checking the "Select" checkboxes of "Suspected chronic gastritis" and "Suspected ileus" in the disease name proposal area A33 and the proposed items D2 of "Treatment set" in the order proposal area A34, and then operating the Chart Transcription button B31 (the transcription operation). For the proposed items D2 whose "Selection" checkboxes are unchecked, they will not be transcribed to the medical record even if the Chart Transcription button B31 is operated. Alternatively, when the close button B32 on the proposal screen P3 is operated, none of the proposed items D2 will be transcribed to the medical record, regardless of whether the "Selection" checkboxes are checked.
[0121] In other words, when the transcription operation is performed with one of the proposed items D2 selected on the proposal screen P3, the transcription processing unit 112 transcribes the proposed item D2 to the medical record. This allows the user (doctor) to select, at their own discretion, which of the multiple proposed items D2 to transcribe to the medical record on the proposal screen P3. Therefore, only the proposed items D2 approved by the user can be transcribed to the medical record.
[0122] However, the disease name suggestion area A33 also displays as continuing illnesses the names of diseases that have already been diagnosed at the previous examination and are recorded in the medical record. In the example of Figure 12, "suspected COVID-19" and "suspected influenza" in the disease name suggestion area A33 are continuing illnesses. Since the continuing illnesses are originally recorded in the medical record, they cannot be subject to transcription, and the check boxes in the "Select" column are omitted.
[0123] Furthermore, in the disease name proposal area A33, checking the "Modifier" checkbox for a certain proposed item D2 causes the "Disease Name" of the proposed item D2 to include the modifier. Also, checking the "Suspicion" checkbox for a certain proposed item D2 causes the "Disease Name" field of the proposed item D2 to include "Suspicion of." For example, for the proposed item D2 "Suspected Chronic Gastritis" shown in FIG. 12, unchecking the "Modifier" checkbox removes the modifier "chronic" and the "Disease Name" field reads "Suspected Gastritis." Unchecking the "Suspicion" checkbox removes the modifier "chronic" and the "Disease Name" field reads "Suspected Gastritis." For the proposed item D2 whose description on the proposal screen P3 has been changed, the changed description is transcribed into the medical record.
[0124] In this way, the proposed item D2 can be edited on the proposal screen P3. That is, the user can edit the proposed item D2 on the proposal screen P3 by selecting, for example, whether or not to add the modifier, and the proposed item D2 that suits the user's preferences can be transcribed into the medical record. Here, the modifiers include, in addition to "chronic" and "idiopathic," terms that indicate the affected area, such as "right thigh" and "left shoulder."
[0125] The transcription processing unit 112 may also transcribe items other than the proposed items D2 on the proposal screen P3 into the medical record. For example, the transcription processing unit 112 may transcribe part or all of the medical interview results, which are combinations of questions and answers displayed in the medical interview area A32, into the medical record. When the transcription processing unit 112 transcribes the medical interview results for only some of the questions, the questions to be transcribed may be predetermined or may be specified by the doctor on the proposal screen P3. Furthermore, the proposal screen P3 may include a findings field for the doctor to input findings. In this case, the transcription processing unit 112 may transcribe part or all of the findings entered in the findings field into the medical record.
[0126] In the medical interview process, the patient may select a future visit date (and time) to make an appointment for medical treatment (consultation). In this case, the transcription processing unit 112 creates a new medical record for the visit date and transcribes the items to be transcribed, such as the suggested item D2, into the new medical record.
[0127] [Preferred medication specification function] Next, a function for a patient to specify the desired medicine that he / she wishes to be prescribed during the medical interview process will be described with reference to FIGS.
[0128] Fig. 13 is a flowchart showing an example of the operation of the business support system 10 up to the time when the desired medicine specified by the patient in the medical interview process is ordered. That is, the control unit 11 executes the reception process and the order process in accordance with the flowchart shown in Fig. 13. Note that the flowchart shown in Fig. 13 is only an example, and processes may be added or omitted as appropriate, and the order of processes may be changed as appropriate.
[0129] <Step S11> First, in step S11, the control unit 11 determines whether the medical interview process has started. Specifically, when the medical interview screen P2 is displayed on the patient terminal 3, the control unit 11 determines that the medical interview process has started (S11: Yes) and proceeds to step S12. On the other hand, if the medical interview process has not started (S11: No), the control unit 11 repeatedly executes step S11.
[0130] <Step S12> In step S12, the candidate presentation processing unit 115 of the control unit 11 executes the candidate presentation processing for presenting the desired drug candidates to the patient. Specifically, the medical interview processing unit 119 sets a question asking about the desired drug in the medical interview processing using the medical interview screen P2. Then, the candidate presentation processing unit 115 presents the desired drug candidates to the patient by displaying the desired drug candidates in the medical interview screen P2 for the question asking about the desired drug.
[0131] Here, the candidate presentation processing unit 115 determines the desired drug candidates to be presented to the patient based on at least the patient's prescription history. That is, the candidate presentation processing unit 115 selects the desired drug candidates based on the prescription history, which is a history of drugs previously prescribed to the patient. Specifically, the candidate presentation processing unit 115 refers to the patient's medical record information, checks the patient's prescription history, and sets drugs included in the prescription history as the desired drug candidates.
[0132] At this time, the candidate presentation processing unit 115 may narrow down the desired drug candidates according to, for example, answers to other questions in the medical interview process. That is, if, for example, "fever" is reported as the main complaint in the medical interview process, the candidate presentation processing unit 115 narrows down the desired drug candidates to drugs related to the symptom of "fever" and presents them. Furthermore, the candidate presentation processing unit 115 may present, together with the desired drug candidates, information on what symptoms the desired drug is effective for (i.e., efficacy) and / or dosage and administration for each desired drug.
[0133] Alternatively, the candidate presentation processing unit 115 may check the prescription history of the patient from the dispensing history of drugs actually dispensed at the pharmacy instead of the patient's medical record information. In this case, the candidate presentation processing unit 115 sets drugs included in the dispensing history as candidates for the desired drug.
[0134] Furthermore, the candidate presentation processing unit 115 can apply various methods to the order in which the desired drug candidates are presented, such as by frequency, in which the more frequently prescribed drugs are presented higher up the list, or by date, in which the more recently prescribed drugs are presented higher up the list.
[0135] Furthermore, the candidate presentation processing unit 115 presents the desired drug candidates based on the prescription history of patients other than the patient, in addition to the prescription history of the patient. That is, drugs presented as desired drug candidates in the medical interview process for patient "A" may be determined based not only on the prescription history of patient "A" but also on the prescription history of one or more specified or unspecified patients other than patient "A." This makes it possible to present, for example, drugs that do not exist in the prescription history of the patient undergoing the medical interview process as desired drug candidates.
[0136] <Step S13> In step S13, the reception processing unit 113 of the control unit 11 accepts the designation of the desired medicine in the medical interview conducted on the medical interview screen P2 displayed on the patient terminal 3. Specifically, the reception processing unit 113 accepts the designation of the desired medicine by the patient in accordance with the patient's operation of the patient terminal 3 on the medical interview screen P2 for the question asking about the desired medicine.
[0137] In this embodiment, since candidates for the desired drug are displayed in the medical interview screen P2 for the question asking about the desired drug, the patient can select the candidate for the desired drug on the medical interview screen P2 and designate the candidate as the desired drug. Furthermore, if the drug desired by the patient is not included in the candidate for the desired drug, the patient may arbitrarily input a drug as the desired drug on the medical interview screen P2.
[0138] <Step S14> In step S14, the proposal processing unit 111 of the control unit 11 presents the proposal screen P3 including the specified desired medication to the doctor. That is, the proposal screen P3 that the proposal processing unit 111 causes to be displayed on the display unit 24 of the examination terminal 2 includes the desired medication accepted in step S13 in addition to the proposal item D2. Specifically, in the order proposal area A34 of the proposal screen P3, the drug specified as the desired medication is displayed with the tab TB5 of "Patient's preference" selected. As a result, the proposal screen P3 including the specified desired medication is presented to the doctor, and the desired medication that the patient wishes to be prescribed is presented to the doctor.
[0139] Furthermore, it is preferable that the display manner of the desired drug on the proposal screen P3 differs depending on whether the drug has been prescribed for the patient in the past. The display manner can be distinguished, for example, by display color, font, or the presence or absence of a mark. As an example, on the proposal screen P3, drugs that have been prescribed for the patient in the past are displayed in black, and drugs that have not been prescribed for the patient in the past are displayed in red. This allows the doctor to distinguish and recognize the desired drug on the proposal screen P3 based on whether it has been prescribed for the patient in the past. For example, a doctor is more likely to order a drug that has been prescribed for the patient in the past than a drug that is being prescribed for the patient for the first time.
[0140] Furthermore, the proposal screen P3 preferably includes recommended drug information generated based on the prescription drugs specified by the patient. That is, what is displayed on the proposal screen P3 is not limited to the drug specified by the patient as the desired drug, but may also include the recommended drug information related to the drug. This allows the doctor to be presented with not only the desired drug but also the related recommended drug information, making it easier for the doctor to decide whether to order the desired drug.
[0141] Here, the recommended drug information includes information on at least one of a prescription set, an alternative drug, and dosage and administration. That is, the recommended drug information included in the proposal screen P3 includes, for example, at least one of a prescription set, an alternative drug, and dosage and administration related to the desired drug. Specifically, generic drugs and the like as alternative drugs to the desired drug are displayed on the proposal screen P3 as the recommended drug information. This makes it easier for doctors to decide whether or not to order the desired drug.
[0142] <Step S15> In step S15, the order processing unit 114 of the control unit 11 determines whether or not the doctor has placed an order for the specified desired medication. When a predetermined operation is performed on the proposal screen P3 displayed on the display unit 24 of the examination terminal 2, the order processing unit 114 determines that the order operation has been performed (S15: Yes) and proceeds to step S16. On the other hand, if the order operation has not been performed (S15: No), the transcription processing unit 112 repeatedly executes step S15.
[0143] In this embodiment, the transcription operation for the desired drug displayed on the proposal screen P3 is an example of the order operation. That is, the doctor checks the "Select" checkbox for the desired drug displayed with the "Patient's preference" tab TB5 selected in the order proposal area A34 of the proposal screen P3, and then operates the Chart Transcription button B31 (the transcription operation), thereby performing the order operation for the desired drug.
[0144] <Step S16> In step S16, the order processing unit 114 of the control unit 11 executes the order processing to place an order for the desired drug for which the ordering operation was performed. At this time, the order processing unit 114 executes the order processing by transcribing the desired drug displayed on the proposal screen P3 to the medical record (the electronic medical record). Specifically, the desired drug is transcribed into the current medical record K1 in the current medical record area A2 of the medical record screen P1.
[0145] As described above, the business support system 10 includes the reception processing unit 113 and the order processing unit 114. The reception processing unit 113 receives a designation of the desired drug that the patient wishes to be prescribed during a medical interview. The order processing unit 114 places an order for the designated desired drug based on the doctor's judgment.
[0146] This allows a patient to request a drug, such as a drug prescribed during a previous consultation or a different drug, and this information is communicated to the doctor as the desired drug.The doctor can then place an order for the desired drug simply by performing the ordering operation when he or she wishes to allow the prescription of the desired drug.This has the advantage of making it easier for the patient to receive the desired drug.
[0147] FIG. 14 shows a fourteenth medical interview screen P214, which is an example of the medical interview screen P2 displayed on the display unit 34 of the patient terminal 3. As shown in FIG.
[0148] The fourteenth medical interview screen P214 shown in FIG. 14 is a screen that asks, as "Question 5," the patient about the drug they wish to be prescribed (the desired drug). The fourteenth medical interview screen P214 includes a candidate presentation field K17 in which candidates for the desired drug are presented, a drug input field K18 for inputting a specific drug name, and a forward button B27. The candidate presentation field K17 is a selection-based input field that includes multiple candidates for the desired drug extracted from the patient's prescription history, such as "Antebate Ointment," "Rebamipide Tablets," "Loxonin Tablets," and "Atorvastatin Tablets." The drug input field K18 is a free-text input field. The patient selects the drug they wish to be prescribed in the candidate presentation field K17 or inputs it into the drug input field K18, and then operates the forward button B27. As a result, the reception processing unit 113 accepts the designation of the desired drug.
[0149] Furthermore, if there is no drug that the patient wishes to be prescribed on the 14th medical interview screen P214, the patient does not select any drug in the candidate presentation field K17, leaves the drug input field K18 blank, and operates the forward button B27.
[0150] In this way, the reception processing unit 113 accepts the designation of the desired drug by the patient selecting one or more options from multiple options (the desired drug candidates) (displayed in the candidate presentation field K17). This makes it easier for the patient to designate the desired drug even if they do not remember the official name of the drug, etc.
[0151] In a configuration in which the display of the order proposal area A34 can be switched using the tabs TB1 to TB5, the "Patient's preference" tab TB5 may not be selected, and the patient may operate the chart transcription button B31 or the close button B32 without presenting the desired medication to the doctor. In such a case, it is preferable to prompt the doctor to confirm the desired medication by, for example, displaying an alert on the proposal screen P3 indicating that there is an unconfirmed desired medication.
[0152] [DO function] Next, the function for reusing the past medical interview data will be described with reference to FIGS. Fig. 15 is a flowchart showing an example of the operation of the business support system 10 relating to the reuse of the past medical interview data. That is, the control unit 11 executes the history presentation process, the selection process, etc. in accordance with the flowchart shown in Fig. 15. Note that the flowchart shown in Fig. 15 is merely an example, and processes may be added or omitted as appropriate, and the order of processes may be changed as appropriate.
[0153] <Step S21> First, in step S21, the control unit 11 determines whether the medical interview process has started. Specifically, when the medical interview screen P2 is displayed on the patient terminal 3, the control unit 11 determines that the medical interview process has started (S21: Yes) and proceeds to step S12. On the other hand, if the medical interview process has not started (S21: No), the control unit 11 repeatedly executes step S21.
[0154] <Step S22> In step S22, the history presentation processing unit 116 of the control unit 11 executes the history presentation process of presenting the medical interview history including one or more pieces of medical interview data to the patient. Specifically, in the medical interview process using the medical interview screen P2, the history presentation processing unit 116 presents the medical interview history to the patient by displaying the medical interview history on the medical interview screen P2.
[0155] As an example, the fourth medical interview screen P204 shown in Fig. 6 includes the medical interview history K11. The medical interview history K11 includes one or more past medical interview data, and for each medical interview data, includes information related to the name of the medical institution ("Sample Clinic"), date ("12 / 11"), chief complaint ("Influenza"), and prescribed medication ("Drug A"). In the example of Fig. 6, the medical interview history K11 includes only one medical interview data, but may include two or more medical interview data.
[0156] Here, the history presentation processing unit 116 presents at least one of the chief complaint and the time period of the medical interview data. In the example of Fig. 6, the fourth medical interview screen P204 includes both the chief complaint ("influenza") and the time period ("12 / 11") of the medical interview data. This allows the patient to easily find the medical interview data with the same symptoms as the current medical interview based on the chief complaint and / or the time period.
[0157] <Step S23> In step S23, the selection processing unit 117 of the control unit 11 selects one of the medical interview data in accordance with a selection operation by the patient. That is, the selection processing unit 117 causes the patient to select the medical interview data when a medical interview using the question information is conducted for the patient. When a predetermined operation is performed on the medical interview screen P2 displayed on the display unit 34 of the patient terminal 3, the selection processing unit 117 determines that the selection operation has been performed (S23: Yes) and shifts the process to step S24. On the other hand, if the selection operation has not been performed (S23: No), the selection processing unit 117 repeatedly executes step S23.
[0158] 6, the operation of the re-request button B17 displayed for each piece of medical interview data is the selection operation for selecting the medical interview data. In other words, when the patient wants to reuse the medical interview data displayed in the medical interview history K11 for the current medical interview, the patient operates the re-request button B17, which causes the selection processing unit 117 to select the medical interview data from the medical interview history K11.
[0159] 6, the medical interview history includes information about a prescription drug ("drug A") prescribed to the patient in accordance with the medical interview data. In this way, when the medical interview history includes information about the prescription drug, the selection processing unit 117 can select a drug that the patient wishes to be prescribed (the desired drug) from the prescription drugs included in the medical interview history. This allows the patient to specify the desired drug after viewing the past medical interview content (the medical interview history).
[0160] <Step S24> In step S24, the medical interview processing unit 119 of the control unit 11 presents the medical interview screen P2 reflecting the selected medical interview data to the patient. That is, the medical interview processing unit 119 reflects the medical interview data selected by the patient in step S23 on the medical interview screen P2, and displays the medical interview screen P2 on the display unit 34 of the patient terminal 3. Specifically, the medical interview processing unit 119 displays the tenth medical interview screen P210 (see FIG. 9 ) reflecting the medical interview data on the patient terminal 3.
[0161] Here, it is preferable that the medical interview screen P2 includes items that reflect the medical interview data and items that do not reflect the medical interview data. That is, for example, it is not necessary for all of the medical interview data selected from the medical interview history to be reflected on the medical interview screen P2, and some items may not be reflected on the medical interview screen P2. For example, since an item such as "body temperature" changes from day to day, it is preferable that such an item not be reflected on the medical interview screen P2. This makes it possible to conduct a new interview for an item that needs to be interviewed again in the medical interview process without reusing the medical interview data selected from the medical interview history.
[0162] Furthermore, it is preferable that whether or not to reflect the medical interview data can be set for each item. For example, when the questions used in the medical interview process can be edited using an edit screen P4 (see FIG. 16) described later, it is possible to set whether or not to reflect the medical interview data for each item on the edit screen P4. As a result, for items that require a new interview in the medical interview process, by setting the medical interview data not to be reflected, it becomes possible to conduct a new interview without reusing the medical interview data selected from the medical interview history.
[0163] <Step S25> In step S25, the medical record presentation processing unit 118 of the control unit 11 presents the medical record information corresponding to the selected medical interview data to the doctor. Specifically, the medical record presentation processing unit 118 reads out the medical record information created at the time of the examination when the medical interview data selected by the selection processing unit 117 was obtained from the information storage unit 123 of the storage unit 12, and displays the medical record information on the medical record screen P1 displayed on the examination terminal 2.
[0164] As described above, the business support system 10 includes the history presentation processing unit 116 and the selection processing unit 117. The history presentation processing unit 116 presents the medical interview history including one or more pieces of medical interview data to the patient. The selection processing unit 117 allows the patient to select the medical interview data from the medical interview history.
[0165] This allows the patient to select the interview data from when they had symptoms similar to the current one, and the interview data can be reused. This has the advantage of simplifying the work involved in the interview and reducing the burden involved in the interview.
[0166] [Editing function] Next, the function of editing questions used in the medical interview process will be described with reference to FIG.
[0167] 16 shows an example of the editing screen P4 for editing questions used in the medical interview process. The editing screen P4 is displayed, for example, on the display unit 24 of the examination terminal 2. A user (doctor) can change the questions used in the medical interview process on the editing screen P4 of the examination terminal 2.
[0168] The editing screen P4 has columns for each question, such as "Classification," "Adoption," "Patient Interview Display Name," "Medical Record Transcription Name," "Input Type," "Unit (Numeric Value)," "Display Condition," and "Standard." Of these, the "Patient Interview Display Name" column displays text data to be displayed on the medical interview screen P2, and the "Medical Record Transcription Name" column displays text data to be used when transcribing the interview results to the medical record (the electronic medical record). A check box is displayed in the "Adoption" column.
[0169] By checking the "Use" checkbox for a question, the question will be used in the medical interview process. In addition, the "Category," "Patient medical interview display name," "Medical record transcription name," "Input type," "Unit (numerical value)," and "Display conditions" can be edited by the user.
[0170] [Variations] The plurality of components included in the task support system 10 may be distributed across a plurality of housings. Conversely, the plurality of components (such as the control unit 11 and the display unit 24) distributed across a plurality of housings in the above embodiment may be integrated into a single housing.
[0171] Furthermore, it is not essential that the display screens such as the medical record screen P1 are displayed on the display unit 24 of the examination terminal 2 or the display unit 34 of the patient terminal 3, and the medical record screen P1 may be displayed on the display unit 14 of the server 1, for example. Furthermore, the display screens such as the medical record screen P1 are not limited to the display unit 24, such as a liquid crystal display or an organic EL display, and may be projected and displayed by a display device such as a projector.
[0172] Furthermore, the display screens such as the medical record screen P1 are not limited to the configuration described above. For example, the proposal screen P3 is not limited to being configured such that the order proposal area A34 can switch the display contents using the tabs TB1 to TB5, and may display a list of display contents such as "Examination Set," "Medicine," "Examination Procedure," "Past Orders," and "Patient's Request."
[0173] Furthermore, it is not essential that the proposal processing unit 111 proposes both the disease information and the drug information as the proposal items D2, and it may propose only one of the disease information and the drug information.
[0174] It is not essential for the proposal processing unit 111 to propose the proposal item D2 using the trained model M1 generated by machine learning. In other words, the proposal processing unit 111 may propose the proposal item D2 without using the trained model M1. Furthermore, the learning processing unit 120, which re-trains the trained model M1 based on the user's response to the proposal item D2, is not essential and can be omitted as appropriate.
[0175] [Appendix to the invention] The following is a summary of the invention extracted from the above-described embodiment. Note that the configurations and processing functions described in the following supplementary notes can be selected and combined as desired.
[0176] <Appendix 1> a reception processing unit that receives a designation of a desired drug to be prescribed from a patient during a medical interview; an order processing unit that orders the desired medicine received by the reception processing unit based on a doctor's judgment, Business support system.
[0177] <Appendix 2> a candidate presentation processing unit that presents candidates of the desired drug to the patient based on the prescription history of the patient; A business support system as described in Appendix 1.
[0178] <Appendix 3> The candidate presentation processing unit presents candidates for the desired drug based on prescription histories of persons other than the patient in addition to the prescription history of the patient. The business support system described in Appendix 2.
[0179] <Appendix 4> the reception processing unit receives the designation of the desired medicine by the patient selecting one or more options from a plurality of options; A business support system according to any one of appendices 1 to 3.
[0180] <Appendix 5> The system further includes a proposal processing unit that presents a proposal screen including the designated desired medicine to the doctor. A business support system according to any one of appendices 1 to 4.
[0181] <Appendix 6> The display mode of the desired drug on the proposal screen differs depending on whether the desired drug has been prescribed to the patient in the past. A business support system as described in Appendix 5.
[0182] <Appendix 7> the proposal screen has recommended drug information generated based on the desired drug designated by the patient; A business support system as described in Appendix 6.
[0183] <Appendix 8> The recommended drug information includes information regarding at least one of a prescription set, an alternative drug, and a dosage regimen. A business support system as described in Appendix 7.
Claims
1. a reception processing unit that receives a designation of a desired drug to be prescribed from a patient during a medical interview; an order processing unit that orders the desired medicine received by the reception processing unit based on a doctor's judgment, Business support system.
2. a candidate presentation processing unit that presents candidates of the desired drug to the patient based on the prescription history of the patient; The business support system according to claim 1 .
3. The candidate presentation processing unit presents candidates for the desired drug based on prescription histories of persons other than the patient in addition to the prescription history of the patient. The business support system according to claim 2 .
4. the reception processing unit receives the designation of the desired medicine by the patient selecting one or more options from a plurality of options; The business support system according to any one of claims 1 to 3.
5. The system further includes a proposal processing unit that presents a proposal screen including the designated desired medicine to the doctor. The business support system according to any one of claims 1 to 3.
6. The display mode of the desired drug on the proposal screen differs depending on whether the desired drug has been prescribed to the patient in the past. The business support system according to claim 5 .
7. the proposal screen has recommended drug information generated based on the desired drug designated by the patient; The business support system according to claim 6.
8. The recommended drug information includes information regarding at least one of a prescription set, an alternative drug, and a dosage regimen. The business support system according to claim 7.
9. a reception step of receiving a designation of a desired drug to be prescribed from the patient during the medical interview; an ordering step of ordering the desired medicine accepted in the accepting step based on a doctor's judgment; A business support program that allows a computer to execute the above.
Citation Information
Patent Citations
Program, information processing method, and information processor
JP2022142234A