Medical inquiry generation system and method

Abstract

To provide proper inquiry items that take medical treatments so far into consideration.SOLUTION: A medical inquiry generation system includes: an operation terminal 2 that includes transmission means of transmitting a prompt 51 including command sentences 51a and 51c commanding generation of a summary of an electronic medical chart, and a command sentence 51b commanding generation of an inquiry item to be used in a medical inquiry from the generated summary of the electronic medical chart according to the command sentences 51a and 51c to a medical treatment summary generation server together with an electronic medical chart 51d; summary generation means of generating the summary according to the prompt 51 from the operation terminal 2 and the electronic medical chart 51d; the medical treatment summary generation server 3 that includes transmission means of transmitting the summary generated by the summary generation means to a medical inquiry summary generation server 4 together with a prompt 53 including the command sentence 51b included in the prompt 51; and the medical inquiry generation server 4 that includes question item generation means of generating a summary from the medical treatment summary generation server 3 and according to the prompt 53.SELECTED DRAWING: Figure 4

Description

[Technical Field]

[0001] The present invention relates to a system and method for generating a questionnaire. [Background technology]

[0002] When a doctor provides medical care, he or she creates a medical record (patient record) that records details of the medical treatment. The medical record chronologically records the patient's condition up to the present, the medical procedures provided to the patient each time, and the doctor's analysis and considerations. Medical records are typically categorized into four sections: subjective information such as the patient's chief complaint (Subject), objective information such as test findings (Object), an assessment of the above two pieces of information (Assessment), and a treatment plan (Plan) created based on the above three pieces of information.

[0003] Patent Document 1 discloses a system that aims to reduce the labor required for recording in an electronic medical record template. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Patent No. 7385320

[0005] In the system described in Patent Document 1, structured data that associates input items and input contents of an electronic medical record template is prepared in advance, thereby reducing the labor required for recording in the electronic medical record. However, medical records, including electronic medical records, can contain disorganized records of matters related to medical treatment, and if a patient visits a medical institution over a long period of time, the records can become enormous.

[0006] For example, when a patient is transferred from one medical institution to another, the first medical institution may prepare a handover document that summarizes the patient's history, medical history, condition, etc. However, if the medical records are prepared in a disorganized manner and the volume is enormous, preparing the handover document can take a very long time.

[0007] In addition, the handover document itself is merely a summary of the patient's history, condition, medical history, etc., and it can be difficult for the other medical institution that takes over the patient to quickly determine what questions they should ask the patient (medical interview questions). Summary of the Invention [Problem to be solved by the invention]

[0008] The present invention typically aims to provide appropriate questions (medical interview items) that take into account the results of medical treatment to date for a patient.

[0009] The medical interview generation system of the present invention is characterized by including: an operation terminal having a transmission means for transmitting a first prompt, including a first command statement instructing the generation of a summary of an electronic medical record and a second command statement instructing the generation of questions to be used in the medical interview from the summary of the electronic medical record generated in accordance with the first command statement, together with the electronic medical record to a first generation server; a first generation server having a summary generation means for generating the summary in accordance with the first prompt from the operation terminal and the electronic medical record, and a transmission means for transmitting the summary generated by the summary generation means to a second generation server together with a second prompt including the second command statement included in the first prompt; and a second generation server having a question item generation means for generating the question items in accordance with the summary from the first generation server and the second prompt.

[0010] The method for generating a medical interview according to the present invention involves transmitting a first prompt including a first command statement instructing the generation of a summary of an electronic medical record and a second command statement instructing the generation of questions to be used in the medical interview from the summary of the electronic medical record generated in accordance with the first command statement from an operation terminal to a first generation server together with the electronic medical record, generating a summary in accordance with the electronic medical record and the first prompt in the first generation server, transmitting the generated summary together with a second prompt including the second command statement included in the first prompt from the first generation server to a second generation server, and generating questions in accordance with the summary and the second prompt in the second generation server.

[0011] According to this invention, rather than generating questions to be used in the medical interview directly from the electronic medical record, a summary (medical treatment summary) is first created from the electronic medical record, and then questions to be used in the medical interview are generated from the created summary. By first creating a summary as a preliminary step to generating questions, and then using this summary to generate questions, it becomes easier to generate comprehensive questions about the condition of a patient, rather than questions about detailed numerical values, for example. However, since the questions generated originate from the electronic medical record created for each patient, their content will be in line with the history, condition, medical history, etc. of a specific patient. It is possible to provide appropriate questions (medical interview items) that take into account the results of medical treatment to date.

[0012] In one embodiment, the second command statement includes a reply destination for a question item generated in the second generation server in accordance with the second command statement, and the second generation server includes a sending means for sending the question item generated by the question item generating means to the reply destination included in the second command statement. Even if a connection is established between the operation terminal and the first generation server by handshake communication, and on the other hand a connection by handshake communication is not established between the operation terminal and the second generation server, the question item generated by the second generation server can be sent to any terminal including the operation terminal by using a reply destination, for example, an email address. [Brief explanation of the drawings]

[0013] [Figure 1] FIG. 1 is a block diagram showing the hardware configuration of an automatic personal medical questionnaire generation system. [Figure 2] A portion of the electronic medical record is shown. [Figure 3] 10 is a flowchart showing the flow of processing of the medical interview generation system. [Figure 4] 1 shows a prompt that is created on the operation terminal and sent from the operation terminal to the medical summary generation server. [Figure 5] Shows medical summary. [Figure 6] 10 shows a prompt sent from the medical summary generation server to the personal interview generation server. [Figure 7] An example of a personal medical interview is shown below. [Example]

[0014] FIG. 1 is a block diagram showing the hardware configuration of an automatic personal medical interview generation system (hereinafter referred to as the medical interview generation system).

[0015] The medical interview generation system includes an operation terminal 2 operated by a doctor or other medical professional, which are connected to a network 1 (such as the Internet), a medical summary generation server 3, a personal medical interview generation server 4, and an electronic medical record database 5. The medical summary generation server 3 and the personal medical interview generation server 4 are directly or indirectly connected to the operation terminal 2 via the network 1, and the operation terminal 2 can receive the processing results. The electronic medical records used for processing (described in detail below) in the medical summary generation server 3 and the personal medical interview generation server 4 are stored in the electronic medical record database 5. Each time a patient is examined, the patient's condition, the medical treatment provided to the patient, and the doctor's analysis and considerations that form the basis for these treatments are recorded in the electronic medical record. Although one operation terminal 2 is shown in Figure 1, multiple operation terminals 2 may be included in the medical interview generation system.

[0016] The operation terminal 2, medical summary generation server 3, and personal medical interview generation server 4 are all computer devices equipped with a CPU, RAM, storage device, communication device, etc. However, since the operation terminal 2 is a computer device operated by a medical professional such as a doctor, it includes an input device such as a keyboard and a display device for displaying electronic medical records, etc., whereas the medical summary generation server 3 and personal medical interview generation server 4 are not computer devices operated by a medical professional, and do not necessarily require an input device or display device.

[0017] FIG. 2 shows a part of the electronic medical record 11 stored in the electronic medical record database 5.

[0018] The electronic medical record 11 is created for each patient and records in chronological order the patient's condition up to the present, the medical treatment provided to the patient each time, and the doctor's analysis and considerations that form the basis for these treatments. The electronic medical record 11 includes a date (treatment date) column, and associated with this date column are four columns for entering information: a column for subjective data (Subject) such as the patient's chief complaint and a column for free notes, a column for recording objective data (Object) such as test findings, a column for recording an assessment of the above two pieces of information, and a column for recording a treatment plan (Plan) created based on the above three pieces of information.

[0019] In medical practice, appropriate information is not always recorded in the appropriate record column (information entry column), and the same type of information may be recorded in different record columns depending on the recorder (doctor). For example, in the electronic medical record 11 shown in Figure 2, the hemoglobin value is recorded in the subjective data and free record column ("S or Free" column). However, because the hemoglobin value is the result of a blood test, it should more accurately be recorded in the objective data (Object) record column ("O" column).

[0020] If one attempts to generate medical interview questions directly from an electronic medical record 11 such as that shown in Figure 2, it may not be possible to generate the questions appropriately, since there are some messy electronic medical records in which appropriate information is not recorded in the appropriate record fields, as described above. Furthermore, since the electronic medical record 11 contains very detailed information such as blood test data values, if one attempts to generate medical interview questions directly from the electronic medical record 11, detailed questions tend to be generated. Therefore, the medical interview generation system does not generate medical interview questions directly from the electronic medical record 11, but instead generates a summary from the electronic medical record 11 and then executes processing to generate medical interview questions from the generated summary. Below, the processing of the medical interview generation system (processing of the operation terminal 2, medical treatment summary generation server 3, and personal medical interview generation server 4) will be explained in detail.

[0021] FIG. 3 is a flowchart showing the processing flow of the medical interview generation system.

[0022] The operation terminal 2 is used to select the electronic medical record 11 of the patient for which a medical interview is to be generated (step 21). The selected electronic medical record 11 is read from the electronic medical record database 5 and sent from the operation terminal 2 via the network 1 to the medical summary generation server 3 together with a prompt (processing command statement) (step 22).

[0023] Figure 4 shows a prompt 51 that is created on the operation terminal 2 and sent from the operation terminal 2 to the medical summary generation server 3. Figure 4 shows the prompt 51 in a format that includes electronic medical record data 51d read from the electronic medical record database 5, but the electronic medical record data 51d may also be sent to the medical summary generation server 3 in a file separate from the prompt 51.

[0024] The prompt 51 sent from the operation terminal 2 to the medical summary generation server 3 includes three processing command sections.

[0025] The first paragraph 51a ("Try... the electronic medical record data...") and the third paragraph 51c ("Enter the output format...") of the prompt 51 shown in Figure 4 are processing instructions for the medical summary generation server 3. On the other hand, the second paragraph 51b ("Please send back the text you have created...") of the prompt 51 is a processing instruction for the medical summary generation server 3, but it also contains a processing instruction for the personal medical interview generation server 4. This makes it possible to further control the operation of the personal medical interview generation server 4 by using the processing results of the medical summary generation server 3 as input, as will be explained below.

[0026] Upon receiving the prompt 51, the medical summary generation server 3 generates a medical summary in accordance with the processing instructions contained in the prompt 51 (step 31).

[0027] 5 shows an example of a medical summary 52 generated by the medical summary generation server 3. In the medical summary 52, the detailed numerical values ​​recorded in the electronic medical record 11 are omitted, and the main points from a medical perspective are summarized.

[0028] The medical summary 52 generated by the medical summary generation server 3 is sent from the medical summary generation server 3 to the personal medical interview generation server 4 together with a prompt representing a processing instruction for the personal medical interview generation server 4, which is contained in the prompt 51 previously sent from the operation terminal 2 to the medical summary generation server 3 (step 32).

[0029] 6 shows a prompt 53 sent from the medical summary generation server 3 to the personal medical interview generation server 4. The prompt 53 includes a processing command section 53a for the personal medical interview generation server 4, which is also included in the prompt 51, and a medical summary section 53b representing the medical summary 52 generated by the medical summary generation server 3.

[0030] Upon receiving the prompt 53, the personal medical interview generation server 4 generates a personal medical interview based on the medical summary section 53b identical to the medical summary 52 generated by the medical summary generation server 3, in accordance with the processing instruction section 53a in the prompt 53 (step 41).

[0031] FIG. 7 shows an example of a personal questionnaire 54 generated by the personal questionnaire generation server 4. As shown in FIG.

[0032] The generated personal medical interview 54 is sent from the personal medical interview generation server 4 to the operation terminal 2, addressed to the reply address (aaa@bbb.com) included in the processing command unit 53a (step 42), and is stored in the storage device of the operation terminal 2 (step 23). The personal medical interview 54 is passed on, for example, to a medical institution to which the patient will be transferred. The medical institution that takes over the patient can ask the patient appropriate questions (medical interview items) that take into account the results of medical treatment up to that point.

[0033] The medical summary generation server 3 and the personal medical interview generation server 4 can use generation AI (artificial intelligence) such as "ChatGPT," "Bard," or "Bing AI" that is available via the Internet, etc. Furthermore, the medical summary generation server 3 and the personal medical interview generation server 4 do not necessarily have to be separate servers; a single server can function as the medical summary generation server 3 and the personal medical interview generation server 4. [Explanation of symbols]

[0034] 1 Network 2. Operation terminal 3 Medical summary generation server 4 Personal medical interview generation server 11 Electronic medical records 51,53 prompt 52 Medical Summary

Claims

1. an operation terminal including a transmission means for transmitting a first prompt including a first command statement for commanding generation of a summary of an electronic medical record and a second command statement for commanding generation of question items to be used in a medical interview from the summary of the electronic medical record generated in accordance with the first command statement, together with the electronic medical record to a first generation server; a first generation server including a summary generation means for generating the summary in accordance with a first prompt from the operation terminal and an electronic medical record, and a transmission means for transmitting the summary generated by the summary generation means to a second generation server together with a second prompt including a second command statement included in the first prompt; a second generation server having a question item generation means for generating the question items in accordance with the summary and the second prompt from the first generation server; A questionnaire generation system.

2. the second command statement includes a reply destination for a question item generated in the second generation server in accordance with the second command statement; The second generation server a sending means for sending the question item generated by the question item generating means to a reply destination included in the second command statement, The questionnaire generation system according to claim 1 .

3. a first prompt including a first command statement instructing the generation of a summary of the electronic medical record and a second command statement instructing the generation of question items to be used in a medical interview from the summary of the electronic medical record generated in accordance with the first command statement, together with the electronic medical record, transmitted from the operation terminal to a first generation server; generating a summary in the first generating server in accordance with the electronic medical record and the first prompt, and transmitting the generated summary together with a second prompt including the second command statement included in the first prompt from the first generating server to a second generating server; generating questionnaire items in the second generation server according to the summary and the second prompt; Question generation method.

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