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

Abstract

To present inspection items related to rehabilitation appropriate for a patient.SOLUTION: A medical information processing apparatus includes a patient information acquisition part for acquiring patient information, an examination item extraction part for extracting an examination item for evaluating the degree of disorder by a disease by searching an examination item database on the basis of the patient information, and an information output part for outputting the extracted examination item.SELECTED DRAWING: Figure 3

Description

[Technical Field]

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

[0002] In order to increase the chances of recovery for hospitalized patients, it is important to provide appropriate rehabilitation as early as possible. For example, if appropriate rehabilitation is not started early, the patient's recovery may be delayed or the degree of final recovery may be reduced. Furthermore, if the patient's recovery is delayed and hospitalization is prolonged, there is a risk that the patient will not be able to lead the same life as before hospitalization due to factors such as declining physical strength, aging, or disabilities. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Brochure of International Publication No. 2022 / 269930 [Patent Document 2] Patent Publication No. 2021-22401 [Patent Document 3] International Publication No. 2019 / 022102 Brochure Summary of the Invention [Problem to be solved by the invention]

[0004] One of the problems to be solved by the embodiments disclosed in this specification and the drawings is to present test items related to appropriate rehabilitation for patients. However, the problems to be solved by the embodiments disclosed in this specification and the drawings are not limited to the above problem. Problems corresponding to the effects of each configuration shown in the embodiments described below can also be positioned as other problems. [Means for solving the problem]

[0005] The medical information processing device according to the embodiment includes a patient information acquisition unit that acquires patient information, an examination item extraction unit that extracts examination items for evaluating the degree of damage caused by a disease by searching an examination item database based on the patient information, and an information output unit that outputs the extracted examination items. [Brief explanation of the drawings]

[0006] [Figure 1] FIG. 1 is a diagram showing an example of the configuration of a medical system according to an embodiment. [Figure 2A] FIG. 4 is a diagram showing an example of a main disease table according to the embodiment. [Figure 2B] FIG. 4 is a diagram showing an example of a basic information table according to the embodiment. [Figure 2C] FIG. 4 is a diagram showing an example of an activity index table according to the embodiment. [Figure 3] FIG. 1 is a block diagram showing an example of the configuration of a medical image processing apparatus according to an embodiment. [Figure 4] FIG. 4 is a diagram showing an example of an examination item database according to the embodiment. [Figure 5] FIG. 4 is a diagram showing an example of an examination item database according to the embodiment. [Figure 6] FIG. 2 is a block diagram showing an example of the configuration of a terminal device according to the embodiment. [Figure 7A] FIG. 10 is a diagram showing an example of a screen of a rehabilitation plan displayed on a terminal device according to the embodiment. [Figure 7B] FIG. 10 is a diagram showing an example of a screen of a rehabilitation plan displayed on a terminal device according to the embodiment. [Figure 8] FIG. 10 is a flowchart illustrating an example of a method for operating the medical system according to the embodiment. [Figure 9A] FIG. 10 is a diagram showing an example of a screen of an updated rehabilitation plan displayed on a terminal device according to the embodiment. [Figure 9B] FIG. 10 is a diagram showing an example of a screen of an updated rehabilitation plan displayed on a terminal device according to the embodiment. [Figure 10] FIG. 10 is a diagram showing an example of a screen of a rehabilitation plan displayed on a terminal device according to the embodiment. DETAILED DESCRIPTION OF THE INVENTION

[0007] Hereinafter, embodiments of a medical information processing device and a medical information processing method will be described with reference to the drawings. In the following description, components having substantially the same functions and configurations are designated by the same reference numerals, and redundant explanations will be given only when necessary.

[0008] <Medical System 1> A medical system 1 according to an embodiment will be described with reference to FIG.

[0009] The medical system 1 includes a medical information processing device 10, a terminal device 20, a medical information storage device 30, and a medical information generating device 40. The components of the medical system 1 are communicatively connected via a communication network. The medical system 1 is provided in a hospital such as an acute care hospital. The medical system 1 may also be communicatively connected to a system of another hospital such as a convalescent care hospital. The configuration and protocol of the communication network are not particularly limited. The communication network may be an in-hospital network or may include a public network such as the Internet. The number of terminal devices 20 is not limited to one, and multiple terminal devices 20 may be provided in the medical system 1.

[0010] The medical information processing device 10 is configured to acquire information about a patient (patient information) from the medical information storage device 30 or the like, extract examination items for rehabilitation from an examination item database based on the acquired patient information, and output the extracted examination items to the terminal device 20. Details of the medical information processing device 10 will be described later with reference to FIG. 3.

[0011] The patient information includes the patient's identification information (such as name and ID number) as well as at least one of the information stored in the main disease table, basic information table, and activity index table described below. For example, the patient information includes basic information such as height, weight, age, medical history, and family history, as well as the main symptoms (injury, fracture, rheumatism, stroke, etc.), the location of the affected area, and the expected length of hospitalization. In addition, the patient information may include information regarding the patient's target activity intensity (such as METs).

[0012] Test items are those used to evaluate the degree (including recovery stage) of disability (including sequelae) caused by a disease, and refer to rehabilitation-related tests. For example, the Brunnstrom Stage (BRS) is known as a test to evaluate the degree of paralysis caused by diseases such as stroke. Also, the Functional Independence Measure (FIM) is known as a test to evaluate the amount of assistance required for Activities of Daily Living (ADL) due to disuse syndrome, etc.

[0013] The terminal device 20 is a terminal used by a medical professional such as a doctor (hereinafter also referred to as a "user"). For example, the terminal device 20 is used by the user to input interview results, test results, etc., and to present the user with recommended test items and rehabilitation plans for the patient.

[0014] The medical information storage device 30 is a device (server) equipped with a storage circuit (not shown) for storing various databases, tables, etc. For example, the medical information storage device 30 stores a main disease table, a basic information table, and an activity index table, which constitute patient information. These tables are provided for each patient. Examples of each table are shown in Figures 2A, 2B, and 2C.

[0015] The main disease table is a table that stores information about the patient's main disease, and in the example of Fig. 2A, information about the main symptom, location, and expected length of hospitalization is stored. Note that the contents of the main disease table (expected length of hospitalization) may be updated as the length of hospitalization progresses.

[0016] The basic information table is a table that stores basic information about the patient, and in the example of FIG. 2B, information on height / weight / age, medical history, smoking history, and subjective symptoms is stored. Note that the basic information table may also store other information such as family history. Furthermore, the contents of the basic information table may be updated according to the results of a medical interview after rehabilitation, etc.

[0017] The activity index table is a table that stores the patient's activity index information. Here, the activity index information is information about the patient's target activity (amount of activity), such as the occupation the patient wants to pursue after discharge, the hobbies they want to enjoy, and the METs (Metabolic Equivalents) of the desired activity. In the example of Figure 2C, the target activity intensity (METs), the patient's desired hobbies and activities, and the patient's desired occupation are stored. The contents of the activity index table may be revised depending on the test results after rehabilitation, etc.

[0018] The medical information storage device 30 may be configured to store, for example, information acquired from the terminal device 20 or an electronic medical record system communicatively connected to the medical system 1 in the various tables. Alternatively, the medical information storage device 30 may constitute the electronic medical record system.

[0019] The medical information generation device 40 is a device that generates medical information, such as a modality device that generates medical images. Here, the modality device is a medical device such as a CT (Computed Tomography) device, an MRI (Magnetic Resonance Imaging) device, or an ultrasound diagnostic device.

[0020] The medical information generation device 40 may be a device that acquires vital information such as a pulse oximeter, a blood pressure monitor, a thermometer, an electrocardiograph, a wearable device, etc. The vital information includes pulse (heart rate), respiration, blood pressure, body temperature, etc.

[0021] The medical information generating device 40 may be a camera (such as a web camera) that captures the state of the patient (images of the affected area, the patient's face, etc.).

[0022] 1 shows only one medical information generation device 40, the medical system 1 may include multiple medical information generation devices 40. Furthermore, the medical information generation device 40 may be configured to transmit the latest medical information to the medical information processing device 10, etc., when new medical information is generated.

[0023] <Medical information processing device 10> The medical information processing apparatus 10 according to the embodiment will be described in detail with reference to FIG.

[0024] The medical information processing device 10 includes a communication interface 11, a memory circuit 12, and a processing circuit 13. Each component will be described in detail below.

[0025] The communication interface 11 communicates with other components of the medical system 1 (such as the terminal device 20, the medical information storage device 30, and the medical information generation device 40) via a communication network in accordance with various communication protocols.

[0026] The memory circuitry 12 is connected to the processing circuitry 13 and stores various types of information used by the processing circuitry 13. The memory circuitry 12 is realized by, for example, a semiconductor memory element such as a RAM (Random Access Memory), a flash memory, a hard disk, an optical disk, etc. The memory circuitry 12 stores various programs required for the processing circuitry 13 to execute each function, various types of data to be processed by the programs, etc. Note that the various types of data dealt with in this specification are typically digital data.

[0027] The storage circuitry 12 stores an examination item database (examination item DB) 121, an examination result database (examination result DB) 122, a rehabilitation type database (rehabilitation type DB) 123, and a rehabilitation plan database (rehabilitation plan DB) .

[0028] The test item database 121 is a database that stores rehabilitation-related test items (test names). The test item database 121 stores at least main symptoms and test items in association with each other. In the example of the test result database shown in FIG. 4, categories, main symptoms, disorders, test items (evaluation methods), and recommendation levels are stored in association with each other. Note that the "recommendation level" indicates the degree to which the test is recommended, and in this embodiment, the recommendation level has three levels: A+, A, and B. For example, A+ indicates that the test item is strongly recommended based on the current symptoms, A indicates that the test item is recommended based on the main symptoms that caused hospitalization, and B indicates that the test item is recommended based on the patient's medical history, etc. The recommendation level is set by the recommendation level setting function 133 based on patient information.

[0029] Furthermore, a database in which activity index information and test items are associated with each other may be provided as the test item database 121. In the example of the test result database shown in FIG. 5, activity details (major items and minor items), test items, and goals are stored in association with each other. In this test item database, even if the activity details of the major items are the same (hobby exercise), if the activity details of the minor items are different (hiking and mountain climbing), goals according to the activity level (different goals) are stored. The goals are set by the goal setting function 134. The test results are not limited to stages (lower limb stage V, VI, etc.), but may also be values ​​(METs, etc.) obtained by converting the stage into other indices. In the example of FIG. 5, 6 METs corresponding to lower limb stage V and 7 METs corresponding to lower limb stage VI are stored in the test item database 121.

[0030] The test result database 122 is a database that stores the results of tests (test results) related to test items. The test result database 122 stores patient identification information, test items, test dates and times, and test results (stage, evaluation value, score, test value, etc.) in association with each other. If the test item is the Brunnstrom stage, the test result is the stage evaluated in the test (e.g., lower limb stage V).

[0031] The rehabilitation type database 123 is a database in which rehabilitation application conditions based on test results and rehabilitation types (rehabilitation methods) are stored in association with each other. When the test item is FIM, the rehabilitation type database 123 stores rehabilitation application conditions based on the total score of each motor item (eating, grooming, etc.) and cognitive item (comprehension, expression, etc.) in association with the rehabilitation type. For example, a rehabilitation method of performing range of motion training on a bed at an intensity of xxx is stored in association with a rehabilitation application condition of a total score of less than 70 points, and a rehabilitation method of performing range of motion training in a standing position at an intensity of yyy is stored in association with a rehabilitation application condition of a total score of 70 points or more. When the test item is a repetitive saliva swallowing test, the rehabilitation type database 123 stores a rehabilitation method of basic training without food in association with a rehabilitation application condition of an evaluation result of level 1d, and a rehabilitation method of eating training using food in association with a rehabilitation application condition of an evaluation result of level 2b.

[0032] The rehabilitation plan database 124 is a database that stores, for each patient, a rehabilitation plan created by the rehabilitation plan creation function 135. The rehabilitation plan includes, for example, a rehabilitation method (rehabilitation content), a time when rehabilitation can be started, and points to note.

[0033] The medical information processing device 10 may be communicably connected to a terminal device (not shown) located in a recipient hospital, such as a regional rehabilitation facility or a convalescent hospital, so that the terminal device can access databases such as the rehabilitation plan database 124. Alternatively, the medical information processing device 10 may transmit databases such as the rehabilitation plan database 124 to the medical system of the recipient hospital. This allows the recipient hospital to use information such as the rehabilitation plan, enabling a smooth handover.

[0034] The processing circuitry 13 is an arithmetic circuit that performs various calculations and controls the operation of the medical information processing device 10. The processing circuitry 13 has an information acquisition function 131, an examination item extraction function 132, a recommendation level setting function 133, a goal setting function 134, a rehabilitation plan creation function 135, and an information output function 136.

[0035] The information acquisition function 131 is an example of a patient information acquisition unit within the scope of the claims. The test item extraction function 132 is an example of a test item extraction unit within the scope of the claims. The recommendation level setting function 133 is an example of a recommendation level setting unit and a recommendation level changing unit within the scope of the claims. The goal setting function 134 is an example of a goal setting unit within the scope of the claims. The rehabilitation plan creation function 135 is an example of a rehabilitation plan creation unit within the scope of the claims. The information output function 136 is an example of an information output unit within the scope of the claims.

[0036] In this embodiment, each processing function executed by the information acquisition function 131, the test item extraction function 132, the recommendation level setting function 133, the goal setting function 134, the rehabilitation plan creation function 135, and the information output function 136 is stored in the storage circuitry 12 in the form of a computer-executable program. The processing circuitry 13 is configured with a processor, and realizes the function corresponding to each program by reading and executing the program from the storage circuitry 12. In other words, the processing circuitry 13 in a state where each program has been read has each function shown in the processing circuitry 13 of FIG. 3.

[0037] 3 shows a case where the processing functions of the information acquisition function 131, the test item extraction function 132, the recommendation level setting function 133, the goal setting function 134, the rehabilitation plan creation function 135, and the information output function 136 are realized by a single processing circuit 13, but the embodiment is not limited to this. For example, the processing circuit 13 may be configured as a combination of multiple independent processors, and each processor may realize each processing function by executing a respective program. Each processing function of the processing circuit 13 may be realized by being appropriately distributed or integrated into a single or multiple processing circuits.

[0038] <Terminal device 20> Next, the terminal device 20 according to the embodiment will be described in detail with reference to FIG.

[0039] The terminal device 20 includes a memory circuit 21 , a display 22 , an input interface 23 , a communication interface 24 , and a processing circuit 25 .

[0040] The memory circuit 21 is connected to the processing circuit 25 and stores various information used by the processing circuit 25. The memory circuit 21 is realized by, for example, a semiconductor memory element such as a RAM (Random Access Memory) or a flash memory, a hard disk, an optical disk, or the like.

[0041] The display 22 is a display unit for presenting information to the user of the terminal device 20. For example, the display 22 displays a GUI (Graphical User Interface) for inputting test results, interview results, etc., and displays test items and rehabilitation plans recommended for the patient.

[0042] The input interface 23 receives various input operations from the user, converts the received input operations into electrical signals, and outputs the signals to the processing circuit 25. The input interface 23 is realized by, for example, a mouse, a keyboard, a touch panel, a trackball, a manual switch, a foot switch, a button, a joystick, or the like.

[0043] The communication interface 24 communicates with other components of the medical system 1 (such as the medical information processing device 10, the medical information storage device 30, and the medical information generating device 40) via a communication network according to various communication protocols.

[0044] The processing circuitry 25 is an arithmetic circuit that performs various calculations and controls the operation of the terminal device 20. The processing circuitry 25 has an information reception function 251 and a display control function 252. The information reception function 251 receives information input by a user via the input interface 23. For example, the information reception function 251 receives operations (e.g., patient selection) on the GUI displayed on the screen of the terminal device 20 and information (e.g., patient information, test results) input via the GUI. The received information is stored in the memory circuitry 21 or transmitted to the medical information processing device 10 or the medical information generation device 40 via the communication interface 24.

[0045] The display control function 252 controls the display 22 to display desired information. For example, the display control function 252 causes the display 22 to display examination items, rehabilitation plans, and the like received from the medical information processing apparatus 10.

[0046] <Details of the medical information processing device 10> Next, each processing function of the processing circuitry 13 of the medical information processing apparatus 10 will be described in detail.

[0047] The information acquisition function 131 acquires various types of information from the components of the medical system 1. Specifically, the information acquisition function 131 acquires patient information from the terminal device 20 and / or the medical information storage device 30. The acquired patient information is, for example, information corresponding to the items (main symptom, location, expected length of hospitalization) in the main disease table. In this case, the acquired patient information includes main disease information including at least one of the main symptom, location, and expected length of hospitalization.

[0048] The information acquisition function 131 may acquire patient information stored in the basic information table. For example, the information acquisition function 131 may acquire at least one of medical history, smoking history, family history, and subjective symptoms.

[0049] The information acquisition function 131 may also acquire patient information stored in the activity index table. For example, the information acquisition function 131 may acquire at least one of the patient's target activity intensity, the patient's desired hobbies and activities, and the patient's desired occupation.

[0050] The information acquisition function 131 may acquire vital information and medical images from the medical information generation device 40. Note that information indicating possible rehabilitation positions for the patient may be acquired as vital information.

[0051] The information acquisition function 131 may be configured to continuously acquire test results and / or vital information, thereby acquiring the latest test results and / or latest vital information.

[0052] The test item extraction function 132 extracts test items by searching the test item database 121 based on the patient information acquired by the information acquisition function 131. The test items extracted here are recommended test items recommended for the patient. For example, the test item extraction function 132 extracts test items by searching the test item database 121 using the main disease information acquired by the information acquisition function 131 as a key. The test items extracted in this manner may be presented to the user as required test items. When the main symptom is stroke as in the example shown in FIG. 2A, the test item extraction function 132 searches the test item database 121 of FIG. 4 to extract test items associated with stroke, namely, the Brunnstrom stage, the stroke severity scale, and the repetitive saliva swallowing test. When the expected length of hospitalization is three months (one month or more) as in the example shown in FIG. 2A, the test item extraction function 132 searches the test item database 121 of FIG. 4 to extract the functional independence assessment method, which is a test item associated with disuse syndrome (hospitalization for one month or more).

[0053] The test item extraction function 132 may search the test item database 121 using the main disease information as a key, and extract test items with a recommendation level equal to or higher than a predetermined standard (for example, A or higher). This allows for accurate extraction of tests required for the target patient.

[0054] Furthermore, when the information acquisition function 131 acquires basic information including subjective symptoms and / or medical history, the test item extraction function 132 may extract test items by searching the test item database 121 using the basic information as a key. In the example shown in FIG. 2B, when the medical history is diabetes, the test item extraction function 132 searches the test item database 121 in FIG. 4 to extract the Achilles tendon reflex and vibration sense test, which is a test item associated with diabetes. Furthermore, the test item extraction function 132 extracts the repetitive saliva swallowing test, which is a test item associated with dysphagia, from the subjective symptoms (choking while eating) included in the basic information. In such a case, the test item extraction function 132 may also extract test items with a recommendation level above a predetermined standard (e.g., A or above).

[0055] When the information acquisition function 131 acquires activity index information, the test item extraction function 132 may extract test items by searching the test item database 121 using the activity index information as a key. The test items extracted in this manner may be presented to the user as additional recommended test items. As shown in the example of FIG. 2C, if the patient's desired hobby / activity is mountain climbing, the test item extraction function 132 searches the test item database 121 of FIG. 5 to extract the Brunnstrom stage, which is a test item associated with mountain climbing. In addition, at this time, the test item extraction function 132 may extract a target associated with mountain climbing, i.e., lower limb stage VI. The extracted target may be transmitted to the terminal device 20 together with the test items and presented to the user.

[0056] The recommendation level setting function 133 sets or changes the recommendation level of the test item database 121. The recommendation level setting function 133 sets the recommendation level based on patient information. For example, the recommendation level of each test item stored in the test item database 121 is set based on at least one of the patient's main symptoms, medical history, and subjective symptoms. The recommendation level is set in three levels, for example, A+, A, and B.

[0057] When the patient information is updated, the recommendation level setting function 133 may change the recommendation level based on the updated information. For example, when basic information including subjective symptoms and / or medical history is acquired, the recommendation level setting function 133 changes the recommendation level of the test item database 121 based on the basic information. When a subjective symptom of "occasionally choking while eating" is added to the patient information (basic information table), the recommendation level of the repetitive saliva swallowing test may be increased from A to A+.

[0058] The goal setting function 134 sets the test goals for the extracted test items. In this embodiment, the goal setting function 134 sets the test goals for the test items based on the information (activity index information) stored in the activity index table. For example, as shown in FIG. 5, the higher the activity intensity, the higher the goal set.

[0059] The rehabilitation plan creation function 135 extracts one or more rehabilitation methods from the rehabilitation type database 123 based on the test results of the test items extracted by the test item extraction function 132, and creates a rehabilitation plan including the extracted rehabilitation methods. In detail, the rehabilitation plan creation function 135 searches the test result database 122 using the patient's identification number, test items, etc. as keys to obtain the test results. Then, the rehabilitation plan creation function 135 searches the rehabilitation type database 123 based on the test results to extract one or more rehabilitation methods. The rehabilitation plan created by the rehabilitation plan creation function 135 is sent to the terminal device 20 and displayed on the display 22 of the terminal device 20.

[0060] The rehabilitation plan may include a start date for the rehabilitation method. In this case, the rehabilitation plan creation function 135 determines the start date for the rehabilitation method based on the test results and / or the patient's vital information and the rehabilitation method guidelines, and creates a rehabilitation plan including the start date. For example, the rehabilitation plan creation function 135 compares the start date conditions defined in the guidelines with the vital information and determines the start date based on the difference between the start date and the vital information. For example, if the rehabilitation method guidelines stipulate that the start date is a Rhythmic Auditory Stimulation (RAS) value between -2 and -1, and if the RAS value of the vital information is within this range, the rehabilitation method is determined to be ready to start immediately. On the other hand, if the RAS value of the vital information is outside this range, a start date corresponding to the difference between the start date and the vital information is determined. The start date may be determined based not only on the most recent vital information but also on the progression of the vital information.

[0061] As another example, if the rehabilitation method involves exercise while out of bed to prevent disuse syndrome, vital signs used to determine when exercise can be started include the RAS, pain index, respiratory rate, oxygen saturation, and heart rate. Pain indexes include the Numerical Rating Scale (NRS) and the Visual Analogue Scale (VAS). If the rehabilitation method involves rehabilitation for swallowing disorders, vital signs used to determine the timing include the RAS, respiratory rate, blood pressure, body temperature, and oral cavity condition. The rehabilitation method guidelines may be stored in the memory circuit 12 of the medical information processing device 10, or may be acquired by the medical information processing device 10 from a server external to the medical system 1.

[0062] The rehabilitation plan may also include points to note when implementing the rehabilitation method. In this case, the rehabilitation plan creation function 135 creates a rehabilitation plan including the points to note based on the guidelines of the rehabilitation method. Note that the points to note may be created taking into account the patient's test results and / or vital information.

[0063] The rehabilitation plan created as described above is stored in the rehabilitation plan database 124 together with the patient's identification information.

[0064] 7A and 7B show examples of rehabilitation plans displayed on the terminal device 20. In these examples, the rehabilitation plans include not only the rehabilitation method but also the possible start time and precautions. In more detail, in the example of FIG. 7A, the possible start time is displayed as "Can start in 3 days (grace period: up to 7 days)," the rehabilitation method is displayed as "Joint range of motion training can be performed with positioning (rehabilitation on the bed) at an intensity of xxx" (a number is actually entered in the place of xxx), and the precaution is displayed as "During the acute phase, it is necessary to proceed with rehabilitation while measuring vital signs to prevent exacerbation of symptoms and complications." In this example, the reason for the possible start time is displayed as "Although the patient has heart disease, his vital signs are stable at rest and during normal activities."

[0065] In the example of Figure 7B, the possible start date for the rehabilitation method is displayed as "Can be started in 5 days (Grace period: up to 10 days)," and the rehabilitation method is displayed as "Can be performed with basic training without food (articulated training)," with the following points of caution displayed: "Training must be done in close proximity at all times, taking into consideration choking or pneumonia due to aspiration," and "If no improvement is expected, a videofluoroscopic examination of swallowing is recommended." In this example, the supplementary information for the rehabilitation method is displayed as "Based on the results of the endoscopic examination, it is recommended to start with basic training."

[0066] The rehabilitation plan creation function 135 may extract one or more rehabilitation methods from the rehabilitation type database 123 based on the patient's vital information, and create a rehabilitation plan including the extracted rehabilitation methods. That is, the rehabilitation plan may be updated based on the patient's vital information. For example, the rehabilitation plan creation function 135 may create the first rehabilitation plan based on the test results, and create a rehabilitation plan (that is, update the previous rehabilitation plan) based on the patient's vital information until the next test results are known.

[0067] Furthermore, the rehabilitation plan creation function 135 may create a rehabilitation plan based on both the test results of the test items extracted by the test item extraction function 132 and the patient's vital information. For example, the rehabilitation plan creation function 135 determines the rehabilitation method and / or the possible start time using the latest vital information in addition to the test results. This allows for the creation of a more accurate rehabilitation plan.

[0068] The information output function 136 outputs various types of information to an external device. For example, the information output function 136 outputs the examination items extracted by the examination item extraction function 132. The information output function 136 also outputs the rehabilitation plan created by the rehabilitation plan creation function 135. The output examination items and rehabilitation plan are transmitted to the terminal device 20 via the communication interface 11. When the terminal device 20 receives the examination items or rehabilitation plan from the medical information processing device 10, the display control function 252 controls the display 22 to display the examination items or rehabilitation plan on the display 22.

[0069] The above describes the components of the medical system 1 according to the embodiment. The above configuration is an example, and various modifications are possible. For example, at least one of the databases 121, 122, 123, and 124 stored in the memory circuitry 12 of the medical information processing device 10 may be provided in the medical information storage device 30.

[0070] The medical information processing device 10 may also be configured with multiple information processing devices. For example, the medical information processing device 10 may be configured with two devices: a first medical information processing device having the examination item extraction function 132 and a second medical information processing device having the rehabilitation plan creation function 135.

[0071] The medical information storage device 30 may also be configured with multiple information storage devices. For example, the medical information storage device 30 may be configured with a first information storage device having a main disease table, a second information storage device having a basic information table, and a third information storage device having an activity index table. The medical information storage device 30 may also partially or entirely constitute at least one of an information sharing service, a pathway service for checking a patient's medical condition and history, an electronic medical record system, and a PACS (Picture Archiving and Communication System).

[0072] <Operation method of medical system 1> Next, a method for operating the medical system 1 will be described with reference to the flowchart of FIG.

[0073] Step S1: A user such as a doctor inputs patient information of a target patient from the terminal device 20. The input patient information is transmitted from the terminal device 20 to the medical information storage device 30 and stored in the medical information storage device 30. Thereafter, the information acquisition function 131 of the medical information processing device 10 acquires the patient information from the medical information storage device 30. Note that the medical information processing device 10 may acquire the patient information directly from the terminal device 20.

[0074] Step S2: The terminal device 20 presents the examination items (rehabilitation-related examination items) to a user such as a doctor. Specifically, the examination item extraction function 132 of the medical information processing device 10 extracts examination items by searching the examination item database 121 based on the patient information acquired in step S1. Thereafter, the information output function 136 transmits the extracted examination items to the terminal device 20. The terminal device 20 displays the examination items received from the medical information processing device 10 on the display 22. Note that if a recommendation level is set for the examination item, only examination items that meet or exceed a predetermined standard may be displayed, or the examination items may be displayed by recommendation level, such as by displaying the examination items with the highest recommendation level first. Furthermore, if a test goal for the examination item is set, the goal may be displayed in association with the examination item.

[0075] Step S3: Conduct the examinations and interviews related to the examination items presented in step S2.

[0076] Step S4: A user such as a doctor inputs the results of the examination performed in step S3 (examination results) from the terminal device 20. The input examination results are transmitted from the terminal device 20 to the medical information processing device 10 and stored in the examination results database 122.

[0077] Step S5: The terminal device 20 presents a rehabilitation plan to the user. Specifically, the rehabilitation plan creation function 135 of the medical information processing device 10 creates a rehabilitation plan based on the test results input in step S4 and transmits the created rehabilitation plan to the terminal device 20. The terminal device 20 displays the rehabilitation plan received from the medical information processing device 10 on the display 22. As described in FIGS. 7A and 7B, the rehabilitation plan of this embodiment includes a rehabilitation method (rehabilitation content), a possible start time, and precautions.

[0078] Step S6: The patient carries out rehabilitation according to the rehabilitation plan.

[0079] Step S7: After rehabilitation, patient information such as subjective symptoms is updated. The patient information is updated by the user inputting updated information into the terminal device 20, for example.

[0080] Step S8: Determine whether it is time for the patient to be discharged. If it is time for the patient to be discharged (S8: Yes), procedures for the patient's discharge and handover are carried out. As part of the handover procedures, the medical information processing device 10 may transmit information on the latest rehabilitation plan to the handover hospital.

[0081] On the other hand, if the time for discharge has not yet arrived (S8: No), the process returns to step S2. In step S2, the medical information processing device 10 extracts test items based on the patient information updated in step S7 and presents the test items to the user. Tests related to the extracted test items are then performed, and the rehabilitation plan is updated based on the obtained test results. Figures 9A and 9B are example screens of the terminal device 20 showing the updated rehabilitation plan. Figure 9A shows the updated screen of Figure 7A, and Figure 9B shows the updated screen of Figure 7B. The updated portions may be displayed in an identifiable manner. In Figures 9A and 9B, the updated portions are underlined. The updated portions may be made identifiable by changing the color or font of the text, for example.

[0082] FIG. 10 is another example of a screen showing a rehabilitation plan. In this example, a week's worth of rehabilitation schedules are displayed by time slot. In FIG. 10, A to D indicate the types of rehabilitation methods. This screen displays that rehabilitation D has been added and the reason for its addition. It also displays rehabilitations that are candidates for deletion so that they can be identified.

[0083] The above-described operation method is an example, and various modifications are possible. For example, the examination related to the examination item presented in step S2 may be performed after the rehabilitation is performed in step S6.

[0084] As described above, in this embodiment, the information acquisition function 131 acquires patient information, the test item extraction function 132 searches the test item database based on the patient information to extract test items for evaluating the degree of disability caused by the disease, and the information output function 136 outputs the extracted test items. This makes it possible to present to the user test items related to rehabilitation appropriate for the patient.

[0085] Furthermore, in this embodiment, by extracting test items whose recommendation level is equal to or higher than a predetermined standard, rehabilitation-related tests required for the target patient can be extracted with high accuracy.

[0086] Furthermore, in this embodiment, by extracting test items using subjective symptoms and / or medical history included in patient information, test items that take into account not only the patient's main disease but also potential diseases can be presented to the user, effectively preventing overlooking of test items. Therefore, even if you are not a rehabilitation specialist, you can provide appropriate rehabilitation to the patient without any omissions.

[0087] Furthermore, in this embodiment, by extracting test items using the patient's activity index information, it is possible to present to the user test items for providing rehabilitation that reflects the patient's wishes.

[0088] Furthermore, in this embodiment, by presenting the user with the timing at which rehabilitation can be started, even those who are not rehabilitation specialists can easily determine when rehabilitation should be started, and rehabilitation can be started at the optimal timing, thereby improving the patient's chances of recovery and the ultimate degree of recovery.

[0089] Furthermore, in this embodiment, by updating the rehabilitation plan based on the latest test results and / or the latest vital information, it is possible to always provide optimal rehabilitation for the patient.

[0090] The term "processor" used in the above description refers to a circuit such as a central processing unit (CPU), a graphics processing unit (GPU), an application specific integrated circuit (ASIC), a programmable logic device (e.g., a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), and a field programmable gate array (FPGA)). The processor realizes its function by reading and executing a program stored in the memory circuit 12. Instead of storing the program in the memory circuit 12, the processor may be configured to directly incorporate the program into its circuit. In this case, the processor realizes its function by reading and executing the program embedded in the circuit. The processor is not limited to being configured as a single circuit, but may also be configured as a single processor by combining multiple independent circuits to realize its function. Furthermore, the multiple components in FIG. 3 may be integrated into a single processor to realize its function.

[0091] The medical information processing method according to this embodiment can be realized by executing a prepared medical information processing program on a computer such as a personal computer or a workstation. This medical information processing program can be distributed via a network such as the Internet. This medical information processing program can also be recorded on a non-transitory computer-readable recording medium such as a hard disk, flexible disk (FD), CD-ROM, MO, or DVD, and executed by being read from the recording medium by a computer.

[0092] Although several embodiments have been described above, these embodiments are presented only as examples and are not intended to limit the scope of the invention. The novel apparatus and method described herein may be embodied in various other forms. Furthermore, various omissions, substitutions, and modifications may be made to the forms of the apparatus and method described herein without departing from the spirit of the invention. The appended claims and their equivalents are intended to cover such forms and modifications that fall within the scope and spirit of the invention. [Explanation of symbols]

[0093] 1 Medical Systems 10 Medical information processing device 11 Communication Interface 12 Memory circuit 121 Test Item Database 122 Test Results Database 123 Rehabilitation Type Database 124 Rehabilitation Planning Database 13 Processing circuit 131 Information Acquisition Function 132 Test item extraction function 133 Recommendation setting function 134 Goal setting function 135 Rehabilitation plan creation function 136 Information output function 20 Terminal equipment 21 Memory circuit 22 Display 23 Input Interface 24 Communication Interface 25 Processing circuit 251 Information reception function 252 Display Control Function 30 Medical information storage device 40 Medical information generation device

Claims

1. a patient information acquisition unit that acquires patient information; an examination item extraction unit that extracts examination items for evaluating the degree of damage caused by a disease by searching an examination item database based on the patient information; an information output unit that outputs the extracted test items; A medical information processing device comprising:

2. The patient information includes main disease information including at least one of main symptoms, a site, and an expected length of hospitalization; The medical information processing apparatus according to claim 1 , wherein the examination item extraction unit extracts examination items by searching the examination item database using the main disease information as a key.

3. The examination item database stores main symptoms, examination items, and recommendation levels of rehabilitation examinations in association with each other, The medical information processing device according to claim 2 , wherein the examination item extraction unit searches the examination item database using the main disease information as a key, and extracts examination items whose recommendation level is equal to or higher than a predetermined standard.

4. The medical information processing apparatus according to claim 3 , further comprising a recommendation level setting unit that sets the recommendation level based on the patient information.

5. The medical information processing apparatus according to claim 3 , further comprising a recommendation level changing unit that, when the patient information is updated, changes the recommendation level based on the updated patient information.

6. The patient information further includes basic information including subjective symptoms and / or medical history; The medical information processing apparatus according to claim 5 , wherein the recommendation level change unit further comprises a recommendation level change function for changing the recommendation level of the examination item database based on the basic information.

7. The patient information further includes basic information including subjective symptoms and / or medical history; The medical information processing apparatus according to claim 2 , wherein the examination item extraction unit extracts examination items by searching the examination item database using the basic information as a key.

8. The patient information further includes activity index information regarding an activity that the patient aims to achieve; The medical information processing apparatus according to claim 2 , wherein the examination item extraction unit extracts examination items by searching the examination item database using the activity index information as a key.

9. The medical information processing apparatus according to claim 8 , further comprising a goal setting unit that sets a goal for the examination related to the examination item based on the activity index information.

10. a rehabilitation plan creation unit that extracts one or more rehabilitation methods from a rehabilitation type database based on the test results of the extracted test items and creates a rehabilitation plan including the extracted rehabilitation methods; The medical information processing apparatus according to claim 1 , wherein the information output unit outputs the rehabilitation plan.

11. a rehabilitation plan creation unit that extracts one or more rehabilitation methods from a rehabilitation type database based on vital information of the patient and creates a rehabilitation plan including the extracted rehabilitation methods; The medical information processing apparatus according to claim 1 , wherein the information output unit outputs the rehabilitation plan.

12. The medical information processing device according to claim 10 , wherein the rehabilitation plan includes a timing at which the rehabilitation method can be started.

13. The medical information processing apparatus according to claim 10 , wherein the rehabilitation plan creating unit updates the rehabilitation plan based on the latest examination results of the examination items.

14. The medical information processing device according to claim 10 , wherein the rehabilitation plan creating unit updates the rehabilitation plan based on the latest vital sign information of the patient.

15. Obtain patient information, extracting test items for evaluating the degree of damage caused by the disease by searching a test item database based on the patient information; A medical information processing method that outputs the extracted examination items.

16. On the computer, Obtain patient information, extracting test items for evaluating the degree of damage caused by the disease by searching a test item database based on the patient information; outputting the extracted test items; A medical information processing program that executes the above.

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