Medical support device and method, and medical support system

Abstract

The present invention aims to provide a medical work support device, method, and medical work support system that individually support the learning and information gathering necessary for medical work performed by physicians. [Solution] The medical business support device 10 according to the present invention comprises a registration processing unit 11 that registers patient information and attribute information relating to the user's physician, a storage processing unit 12 that stores medical information entered in association with patient information and updates patient information based on the medical information, a management processing unit 13 that provides management information necessary for medical treatment based on patient information, and an output processing unit 14 that provides medical-related information based on patient information and / or attribute information.

Description

Technical Field

[0001] The present invention relates to a medical service support device, a method, and a medical service support system for assisting in the management and collection of information that a doctor personally needs in performing medical services.

Background Art

[0002] In the conventional medical system, it is common for doctors to work in hospitals to perform medical services, and information about patients under the doctor's care is centrally managed in the hospital's information management system.

[0003] For example, Patent Document 1 discloses a medical information sharing system including a server capable of sharing medical information between a plurality of affiliated hospitals and a plurality of non-affiliated hospitals, a dedicated VPN line for connecting from an affiliated hospital to the server, and a software VPN line for connecting from a non-affiliated hospital to the server via a network, and describes that only medical information necessary for specialized treatment of patients is shared between affiliated hospitals and non-affiliated hospitals. Further, Patent Document 2 describes that a terminal such as a tablet is connected to an electronic medical record system operating on a server installed in a hospital via a wireless LAN or the like to perform record aggregation or reference.

[0004] In addition, doctors are required to acquire the latest medical knowledge and medical technologies in order to enhance the expertise required in performing medical services. Therefore, doctors often personally collect such medical-related information on a daily basis, and systems for assisting doctors in collecting medical-related information have also been proposed.

[0005] For example, Patent Document 3 describes an apparatus that selects and provides explanatory materials based on questionnaire results. Further, Patent Document 4 describes a support apparatus that transmits medical content to a terminal device used by a doctor.

Prior Art Documents

Patent Documents

[0006] [Patent Document 1] Patent No. 6300246 [Patent Document 2] Patent No. 7284970 [Patent Document 3] Japanese Patent Publication No. 2023-104562 [Patent Document 4] Japanese Patent Publication No. 2024-38893 [Overview of the Initiative] [Problems that the invention aims to solve]

[0007] Doctors are currently so busy with the medical care of their assigned patients that they do not have enough time to study and improve their skills in their specialized fields, nor to gather the information necessary for their specialization and medical work.

[0008] As described in Patent Documents 1 and 2, patient information is centrally managed in the electronic medical record system, but doctors cannot freely handle information about patients they are personally in charge of. For example, it is difficult to collect and organize information about the medical work performed on patients they are in charge of and use it to improve future medical work.

[0009] Furthermore, as described in Patent Documents 3 and 4, systems have been proposed to provide medical-related information and support to physicians, but they do not efficiently provide the necessary information according to the individual needs of physicians, and are therefore insufficient in terms of convenience.

[0010] Therefore, the present invention provides a medical work support device, method, and medical work support system that individually support the learning and information gathering necessary for medical work performed by physicians. [Means for solving the problem]

[0011] The medical business support device according to the present invention comprises a registration processing unit that registers patient information and attribute information relating to the user's physician, a storage processing unit that stores medical information entered in association with the patient information and updates the patient information based on the medical information, a management processing unit that provides management information necessary for medical treatment based on the patient information, and an output processing unit that provides medical-related information based on the patient information and / or attribute information. [Effects of the Invention]

[0012] This invention allows users to register patient information and attribute information about physicians they are responsible for, save medical information entered in association with patient information, update and save patient information based on the medical information, and provide management information necessary for medical treatment based on the updated patient information. As a result, users are provided with individually needed information based on the information they individually enter, enabling them to perform medical tasks efficiently.

[0013] Furthermore, because the information is individually entered by users, the saved information can be freely handled according to the user's needs. This allows users to refer to past information of their patients or collect information individually based on disease names. Therefore, it can be effectively utilized by users to improve their skills as physicians and perform medical work more efficiently.

[0014] Furthermore, by providing medical-related information based on stored patient information and / or registered attribute information, it is possible to efficiently provide necessary medical-related information tailored to the individual needs of users. [Brief explanation of the drawing]

[0015] [Figure 1] This is a schematic diagram relating to an embodiment of the present invention. [Figure 2] This is the attribute information registration process flow. [Figure 3] This is an example of a screen for registering attribute information for a terminal device. [Figure 4] This is the patient information registration process flow. [Figure 5] This is an example of a registration screen for patient information on a terminal device. [Figure 6] This is a processing flow related to medical treatment operations routinely performed by users. [Figure 7] These are examples of a list display screen and an input screen for inpatient information on a terminal device. [Figure 8] This is a processing flow related to management processing. [Figure 9] This is an example of a list display screen for patient information on a terminal device. [Figure 10] This is a processing flow related to the accumulation of medical-related information. [Figure 11] This is a flow related to the readout processing and provision processing of medical-related information. [Figure 12] This is an example of a list display screen for medical-related information. [Figure 13] This is another processing flow related to the provision processing of medical-related information.

Modes for Carrying Out the Invention

[0016] Hereinafter, embodiments of the present invention will be described in detail. The embodiments described below are preferred specific examples for implementing the present invention, and thus are technically limited in various ways. However, the present invention is not limited to these embodiments unless specifically stated to limit the present invention in the following description.

[0017] FIG. 1 is a schematic configuration diagram related to an embodiment of the present invention. In this example, the medical service support system is configured by connecting a medical service support device 10, a storage device 20 that stores information necessary for support processing, a portable terminal device 30 operated by a user, and an installed terminal device 40 via a known communication network 100 such as the Internet.

[0018] The medical support device 10 can implement the processing functions described later by installing a program on a known server device. Similarly, the storage device 20 can function as a storage unit by installing a program on a known server device to function as a database. The storage device 20 can be configured to be directly connected to the medical support device 10 or to be connected via the communication network 100.

[0019] Multiple portable terminal devices 30 and stationary terminal devices 40 can be connected, and can also be connected to the communication network 100 via wireless communication. The terminal devices to be connected are not particularly limited and can be any information processing device usable by the user. The portable terminal device 30 can use a known portable terminal such as a smartphone or tablet, and the stationary terminal device 40 can use a known personal computer (PC) such as a desktop or notebook.

[0020] In this example, a publicly known application provider 50, such as an app store that provides application programs, is connected to the communication network 100, and the portable terminal device 30 and the stationary terminal device 40 can obtain application programs from the application provider 50. By installing the application programs, the portable terminal device 30 and the stationary terminal device 40 can then implement necessary processing functions such as data input processing and data display processing.

[0021] Furthermore, a large-scale language model server, which is a publicly known generative AI model, is connected to the communication network 100, and is configured to generate medical-related information and respond based on prompts sent from the medical support device 10.

[0022] The medical business support device 10 includes a registration processing unit 11, a storage processing unit 12, a management processing unit 13, and an output processing unit 14.

[0023] <Regarding the registration process> ○Explanation of the attribute information registration process flow Figure 2 shows the attribute information registration process flow, and Figure 3 shows an example of the attribute information registration screen for a terminal device. User attribute information can be registered by the user entering it on the terminal device.

[0024] First, the user opens an authentication screen on the terminal device and enters authentication information such as the user's ID and password (S100). The entered authentication information is sent to the support device for authentication processing, and the authentication result is returned to the terminal device (S101).

[0025] The terminal device selects the registration menu (S102), and the user attribute information registration screen is displayed (S103). As shown in the example registration screen in Figure 3, the user attribute information includes personal information (name, age, email address, residential area, etc.) and career information as a physician (year of obtaining medical license, medical license number, medical department, specialty, areas of interest, presence or absence of specialist training / qualifications, medical institution where employed, past case experience, etc.).

[0026] Users can input the necessary attribute information by entering it into the input fields set on the registration screen (S104). The entered attribute information is sent to the support device for registration processing such as attribute information checking (S105), and the registered attribute information is stored in the storage device in association with the user ID, etc. (S106).

[0027] ○Explanation of the patient information registration process flow Figure 4 shows the patient information registration process flow, and Figure 5 shows an example of the patient information registration screen on the terminal device. Patient information can be registered by the user entering it on the terminal device.

[0028] First, the user opens the authentication screen on the terminal device and enters authentication information such as the user's ID and password (S110). The entered authentication information is sent to the support device for authentication processing, and the authentication result is returned to the terminal device (S111). When patient information is entered immediately after entering the user's attribute information as shown in Figure 2, the authentication process can be omitted.

[0029] On the terminal device, the registration menu is selected (S112), and the patient information registration screen is displayed (S113). As shown in the example registration screen in Figure 3, patient information includes patient attribute information (name, age, social life history, family history, patient ID, hospitalization location, admission date, discharge date, etc.) and case information (disease name, present illness history, past medical history, current condition upon admission, laboratory findings, problem list, TNM classification, gene mutation, severity, post-admission course, considerations for the case, prescription at discharge, memo, to-do list, etc.).

[0030] Regarding names, using abbreviations such as initials allows for the handling of patient information without identifying individuals. Furthermore, registering various disease-related information (gene mutations, physiological parameters (blood pressure, renal function indicators, blood marker values, etc.), immunological profiles, tissue morphological changes, imaging findings, lifestyle factors, environmental factors, etc.) as needed can contribute to accurate medical treatment.

[0031] The user can enter the necessary patient information by entering it into the input fields set on the registration screen (S114). The entered patient information is sent to the support device for registration processing such as checking the patient information (S115), and the registered patient information is stored in the storage device in association with the user ID, etc. (S116).

[0032] <About preservation processes> The saving process involves inputting and saving medical information, as well as updating patient information. During this process, an output process is performed to output inpatient information, etc., to the terminal device.

[0033] Figure 6 shows the processing flow related to medical procedures performed by users on a daily basis, and Figure 7 shows an example of a list display screen (Figure 7(a)) and an example of an input screen (Figure 7(b)) of inpatient information output to the terminal device.

[0034] First, the user opens an authentication screen on the terminal device and enters authentication information such as the user's ID and password (S200). The entered authentication information is sent to the support device for authentication processing, and the authentication result is returned to the terminal device (S201). If authentication processing is performed in other processing flows such as the registration process shown in Figure 2, these authentication processes can be omitted.

[0035] On the terminal device, a medical treatment menu is selected (S202), and on the support device, the process of reading the inpatient information assigned to the user is performed (S203). In the reading process, the relevant patient information is extracted from the storage device based on the patient's attribute information regarding hospitalization (S204). The extracted inpatient information is processed into a list (S205) and sent to the terminal device for display in a list (S206).

[0036] In Figure 7(a), patient information is displayed in a list arranged vertically. For each patient, the room number, abbreviation, and age are displayed prominently on the left side of the screen, with the patient ID, disease name, and admission date displayed above, and the first line of a memo displayed at the bottom. This allows for quick and easy viewing of all necessary information for each patient.

[0037] On the right side of the screen, specific tasks for each patient's medical treatment are listed, including recording, examination, prescription, intravenous infusion, and condition. A check box corresponding to each task is displayed, allowing for a quick overview of the progress of each patient's treatment. In addition, any points to note regarding each patient's treatment are displayed as brief notes.

[0038] Figure 7(b) shows an example of the input screen for each patient selected from a list of hospitalized patients. The patient ID, admission date, and discharge date are displayed at the top, and the patient's abbreviation, disease name, and age are displayed in large font. In the center, check boxes corresponding to each task are displayed, and completion of a task can be easily entered by checking the box. Below the check boxes, a memo field is displayed, allowing for easy entry of notes and other information. Below the memo field, the admission date and discharge date can be entered, and the status of hospitalization can be selected. Therefore, it is possible to input medical information in real time with simple operations while conducting daily medical practice.

[0039] In step S206, the inpatient information list display allows users to select individual patient information to view detailed patient information individually, and to review and modify the displayed patient information. The system also includes a function to change the order in which the displayed patient information is arranged, allowing for, for example, a list display based on case studies. Furthermore, patient information can be searched using keywords, allowing users to directly view information for a desired patient or search using a combination of disease names.

[0040] Therefore, by simply entering data in accordance with the routine medical procedures, necessary medical and patient information can be saved and referenced.

[0041] In this example, the patient information list display screen in step 206 allows for the provision of medical-related information (S207), described later, to be performed in parallel. For example, when individual patient information is selected, medical-related information corresponding to the patient's disease name is provided. In the input screen of Figure 7(b), a bookmark-like icon is displayed in the lower right corner of the display screen, indicating that medical-related information can be displayed. Clicking the icon displays medical-related information related to the selected patient's disease name. Similarly, when displaying a list of cases, medical-related information corresponding to the selected case can be provided, or medical-related information corresponding to the keywords used in the search can be provided.

[0042] In this way, medical-related information is provided in response to the user's operational information during the input process of the user's medical information. This ensures that the necessary information for performing medical procedures is provided in a timely manner, enabling the medical procedures to be carried out quickly and accurately.

[0043] When a list of inpatient information is displayed, medical information is entered (S208), the entered medical information is sent to the support device for saving the medical information (S209), and the medical information is stored in the storage device (S210). In addition, if patient information has changed during medical treatment, a patient information update process is performed (S211), and the updated patient information is stored in the storage device (S212). Furthermore, if a new case is added to the user's experienced cases, a carrier information update process is performed (S213), and the updated carrier information is stored in the storage device (S214).

[0044] <Regarding management processing> The management process involves reading patient information and creating management information. During this process, an output process is performed to output patient information to the terminal device, and another output process is performed to change the arrangement of the patient information and output a case list.

[0045] Figure 8 shows the processing flow for management processing, and Figure 9 shows an example of the patient information list display screen of the terminal device.

[0046] First, the user opens an authentication screen on the terminal device and enters authentication information such as the user's ID and password (S300). The entered authentication information is sent to the support device for authentication processing, and the authentication result is returned to the terminal device (S301). If authentication processing is performed in other processing flows such as the registration process shown in Figure 2, these authentication processes can be omitted.

[0047] On the terminal device, the management menu is selected (S302), and on the support device, the process of reading the saved patient information is performed (S303). In the reading process, the patient information that the user has saved so far is read and the corresponding patient information is extracted from the storage device (S304). The extracted patient information is processed into a list (S305) and sent to the terminal device and displayed in a list (S306).

[0048] Step S306 displays a list of saved patient information and includes a sorting function that rearranges the list based on each item of the patient information. For example, by rearranging the list based on disease name, disease-related information (TNM classification, gene mutation, severity, etc.), or by rearranging the list by combining these items as appropriate, users can efficiently refer to their past medical records.

[0049] In this example, the patient information list display screen in step 306 allows for the provision of medical-related information (S307), which will be described later, to be performed in parallel. As explained in step S207, medical-related information is provided, and users can refer to it as needed.

[0050] When the search menu is selected on the terminal device (S308), the search screen is displayed (S309) and the search word is entered (S310). The entered search word is sent to the support device, and the patient information containing the search word is read (S311). The storage device extracts the stored patient information based on the read process (S312), and the extracted patient information is processed into a list (S313) and sent to the terminal device for display (S314).

[0051] In step S314, a list of patient information is displayed, similar to step S306, and processing such as rearranging the patient information is possible as needed. In parallel, the process of providing medical-related information (S315), which will be described later, is performed, and as explained in step S207, medical-related information is provided, allowing the user to refer to it as needed.

[0052] Because the user's past clinical experience as a physician is accumulated in this way, even if they change hospitals, their past clinical experience will be saved and can be referenced.

[0053] Furthermore, when users acquire specialized training in each clinical department, the case records and other information required for acquisition can be efficiently created by organizing the accumulated clinical performance information to match the training program. For example, in response to physicians' specialized training, treatment records can be displayed in a list based on accumulated past patient information, categorized by disease name, disease group, and clinical department, thereby reducing the burden of creating materials for specialized training.

[0054] <Regarding the processing of the product> In the provision process, medical-related information is stored, and then the stored medical-related information is extracted and provided to the terminal device in an output process.

[0055] ○Explanation of the medical information storage and processing flow Medical-related information includes a variety of information necessary for users to carry out medical practice as physicians. Examples include medical-related information published in various media such as medical books, papers, and academic journals, and pharmaceutical-related information published in various media such as pharmaceutical books, papers, and academic journals. In the pharmaceutical field, materials on therapeutic drugs published by pharmaceutical companies can also be provided as medical-related information, and advertising information such as job postings for physicians can also be provided as medical-related information.

[0056] As mentioned above, it is desirable to store medical-related information in storage devices categorized as medical information, pharmaceutical information, and advertising information. When storing this information, it is possible to efficiently provide the information by assigning tags associated with patient information and user attribute information. For example, it is a good idea to assign general keywords related to patient information and user attribute information as tags.

[0057] Figure 10 shows the processing flow for the storage of medical-related information. The support device reads the medical-related information stored in the storage device (S400) and extracts the stored medical-related information (S401). Tags are assigned to the extracted medical-related information in relation to the patient's case information and the user's career information, corresponding to the content of the information (S402).

[0058] For example, by assigning tags to medical information corresponding to medical departments, specialties, age groups, symptoms, diseases, severity, pathogens, treatment plans, test results, etc., medical information can be efficiently provided according to the user's needs. Medical information with tags is stored in a storage device with the tags attached (S403).

[0059] Next, the process of reading pharmaceutical-related information is performed (S404), the stored pharmaceutical-related information is extracted (S405), and relevant tags are applied (S406).

[0060] For example, by assigning tags to each aspect of the medical department where the medicine is prescribed, specialty, experience with the medicine, renal function, hepatic function, affected organ, severity, gene mutation, performance status, age, TNM classification, drug selection status, guideline recommendation level, information provided by pharmaceutical companies, and drug supply restrictions, medical information can be efficiently provided according to the user's needs. Medical information with tags is stored in a storage device with the tags attached (S407).

[0061] Similarly, advertising information such as job postings for doctors can be stored with relevant tags. For example, by assigning tags corresponding to the recruitment area, medical department, specialty, age, etc., job postings can be efficiently provided to users according to their needs.

[0062] ○Explanation of the processing flow for reading and providing medical-related information Figure 11 shows the flow chart for the reading and provision of medical-related information. When the terminal device performs input processing of operation information related to patient case information or user's career information by selecting patient information or entering search words (S500), the support device performs a search process for tags related to the operation information (S501), and medical-related information related to the searched tags is extracted from the storage device (S502). The extracted medical-related information is processed into a list by the support device (S503) and displayed in a list on the terminal device (S504).

[0063] For example, when case information is selected, medical-related information is extracted and displayed in a list based on the medical department, specialty, target disease, etc. This allows for analysis of the displayed past information and its application to medical treatment, enabling physicians to continuously improve their skills.

[0064] Furthermore, by displaying a list combining disease names and related pathology information (e.g., TNM classification, gene mutations, severity), it becomes possible to appropriately provide drug-related information such as therapeutic drugs in accordance with case information, thereby accurately supporting users' medical practices.

[0065] When a user operates on the list display screen shown in Figure 9, the system automatically extracts medical-related information based on the operation information. If medical-related information exists, a bookmark-like icon is displayed in the lower right corner of the display screen shown in Figure 9 to notify the user. Clicking the icon then takes the user to the medical-related information list display screen. Figure 12 shows an example of the medical-related information list display screen. In this example, drug-related information is displayed in accordance with case information, and relevant drug-related information can be displayed sequentially by scrolling the screen. As a result, users can quickly obtain the information necessary for medical work, improving the quality and efficiency of medical work.

[0066] Furthermore, by accumulating browsing history information based on user operation data, it is possible to provide medical-related information based on case information of patients with frequently viewed history or the user's career information. In this case, medical-related information will be provided for information that is frequently accessed, making it possible to provide medical-related information to users at an appropriate time as medical work progresses.

[0067] Figure 13 shows another processing flow for the provision of medical-related information. In this example, a known large-scale language model is used as the generative AI model to provide medical-related information. These large-scale language models are deep learning models that are pre-trained on a vast amount of data using language models that model human spoken language by its occurrence probability. When a prompt question is presented, the probability of generating the next word from the sentence contained in the prompt is statistically estimated and the estimated result is provided as an answer.

[0068] Examples of well-known large-scale language models include GPT, LLaMA, Claude, and PaLM, and these models can be used via the internet.

[0069] As explained in Figure 11, when the terminal device processes the input of operation information (S600), the support device processes the user's carrier information (S601), and the user's carrier information is extracted from the storage device (S602).

[0070] The support device performs a generation process that generates extraction prompts instructing a large-scale language model to extract medical-related information using keywords related to patient information included in the operation information and keywords included in the carrier information (S603).

[0071] For example, in the case of a diagnostic method for a specific disease, a prompt question like this might be generated: "A 40-year-old male presents with persistent chest pain, and changes (information about the specific progression) have been observed on his electrocardiogram. List possible diagnoses based on these symptoms and suggest the appropriate diagnostic method for each."

[0072] Furthermore, in the case of treatment strategies for specific diseases, prompts are generated with questions such as, "For the case of (specific case information), please provide a treatment protocol based on the latest guidelines. Also, please compare the risks and benefits of each treatment option."

[0073] When obtaining medical information tailored to the user, or when obtaining pharmaceutical information about a specific disease, prompts for questions should be generated based on career information and patient information.

[0074] The generated extraction prompt is sent to the large-scale language model server to retrieve the generated medical-related information (S604). The retrieved medical-related information is processed into a list and provided to the terminal device for display (S605).

[0075] By using patient information and user attribute information assigned to the user to extract and provide medical-related information from a vast amount of data, medical professionals can perform their duties while referring to a wide range of information as needed. [Industrial applicability]

[0076] As explained above, users can easily input individually needed information through their daily medical practice, and the saved information can be used to improve the efficiency of medical work and enhance their skills as physicians. In addition, medical-related information tailored to the user's needs is provided, allowing for detailed support in performing individual medical tasks quickly and accurately. [Explanation of Symbols]

[0077] 10...Medical business support device, 11...Registration processing unit, 12...Storage processing unit, 13...Management processing unit, 14...Output processing unit, 20...Storage unit, 30...Portable terminal device, 40...Desktop terminal device, 50...Application provisioning device, 60...Large-scale language model server

Claims

1. A medical business support device comprising: a registration processing unit for registering patient information and attribute information of the user's physician; a storage processing unit for storing medical information entered in association with the patient information and updating the patient information based on the medical information; a management processing unit for providing management information necessary for medical treatment based on the patient information; and an output processing unit for providing medical-related information based on the patient information and / or attribute information.

2. The medical business support device according to claim 1, wherein the output processing unit creates and provides a case list based on the case information of the patient information or the carrier information of the attribute information.

3. A medical business support device according to claim 1 or 2, comprising a storage unit for storing the medical-related information in association with the case information and the carrier information, wherein the output processing unit provides the medical-related information based on the case information or the carrier information.

4. The medical business support device according to claim 3, wherein the output processing unit provides the medical-related information based on the browsing history of the case information or the carrier information.

5. A medical support method performed in a medical support device that provides information to a terminal device to support medical operations based on information entered by a user from the terminal device, A medical work support method comprising: a registration processing step for registering patient information and attribute information of the user's physician; a storage processing step for saving medical information entered in association with the patient information and updating the patient information based on the medical information; a management processing step for providing management information necessary for medical treatment to the terminal device based on the patient information; and an output processing step for providing medical-related information to the terminal device based on the patient information and / or attribute information.

6. A medical business support system comprising at least one terminal device into which information is entered by a user, and a medical business support device that provides the terminal device with information to support medical operations based on the information entered from the terminal device, The medical business support device includes a registration processing unit that registers patient information assigned to the user and attribute information relating to the user's physician; a storage processing unit that stores medical information entered in association with the patient information and updates the patient information based on the medical information; a management processing unit that provides the terminal device with management information necessary for medical treatment based on the patient information; and an output processing unit that provides the terminal device with medical-related information based on the patient information and / or attribute information. A medical business support system equipped with the following features.

7. The medical business support system according to claim 6, wherein the output processing unit comprises a generation processing unit that generates an extraction prompt that instructs a generation AI model to extract medical-related information using keywords contained in the patient information and attribute information, and an acquisition processing unit that acquires medical-related information from the generation AI model using the extraction prompt, and provides the acquired medical-related information to the terminal device.

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