Medical support device, medical support method, medical support program

Abstract

To provide a medical care assistance device, a medical care assistance method and a medical care assistance program in which the source of extracted information is clear.SOLUTION: A medical care assistance device 12 comprises: a medical care document generation unit for generating a hospital discharge summary which is a medical care document in which extracted data having been extracted from medical care data regarding a patient's medical care is laid out to a prescribed format; a display screen generation unit 62 for generating a medical care document display screen 90 which is a display screen having a first display region 91 where the hospital discharge summary is displayed and a second display region 92 where the original data of medical care data from the source of the extracted data is displayed. The display screen generation unit 62 displays the extracted data and the original data on the medical care document display screen 90 in such a manner that the relationship of these is identifiable.SELECTED DRAWING: Figure 6

Description

Technical Field

[0001] The present invention relates to a medical support device, a medical support method, and a medical support program.

Background Art

[0002] In the medical field, various medical documents are generated, such as an inpatient medical plan showing the medical schedule of a patient scheduled for admission, a discharge summary that is a summary of the medical treatment performed during hospitalization, and a medical information provision document that also functions as a referral letter to another medical institution. To generate these medical documents, it is necessary to select and discard various information obtained during the patient's medical treatment process, which is very time-consuming. For this reason, in Patent Document 1 below, an electronic medical record can be generated by a simple operation such as selecting the displayed examination data. Further, Patent Document 1 below also has a function of extracting and transcribing patient information from past medical records. Furthermore, Patent Document 2 below describes a configuration for generating a more complete consent document using machine learning.

Prior Art Documents

Patent Documents

[0003]

Patent Document 1

Patent Document 2

Summary of the Invention

Problems to be Solved by the Invention

[0004] In order to reduce the labor of generating medical documents, it is conceivable to perform information selection (extraction) and layout on the machine side, that is, to automatically generate medical documents. However, in this case, there is a problem that the source of the extracted information is unclear. If the source of the information is unclear in this way, even if incorrect information is extracted, it may be overlooked. Also, if the source of the information is unclear, it is difficult to identify the source, and it takes time to verify the information with the correct information.

[0005] The present invention has been made in view of the above background, and an object thereof is to provide a medical support device, a medical support method, and a medical support program in which the source of the extracted information is clear even if the information used for the medical document is automatically extracted.

Means for Solving the Problems

[0006] The medical support device of the present invention has at least one processor, and the processor generates a display screen having a first display area for displaying a medical document automatically generated from medical data related to a patient's medical treatment, the medical document having extraction data extracted from the medical data laid out in a predetermined format, and a second display area for displaying source data that is the medical data from which the extraction data is extracted.

[0007] The medical document may be a summary of a plurality of medical data related to a series of medical treatments for a common patient.

[0008] The processor may be configured to display the correspondence between the extraction data and the source data in a distinguishable manner on the display screen.

[0009] The processor may be configured to highlight, in the second display area, the source data corresponding to the selected extraction data when any of the extraction data is selected in the first display area.

[0010] For each of the medical data, the display screen shows the medical treatment related to the acquisition of each medical data It may also have a third display area that arranges and displays the medical treatment times in chronological order.

[0011] The processor may be configured to display, on the display screen, the correspondence between the extracted data and the medical treatment time in an identifiable manner.

[0012] When any of the extracted data is selected in the first display area, the processor may be configured to highlight, in the third display area, the medical treatment time corresponding to the selected extracted data.

[0013] The processor may be configured to display, on the display screen, the correspondence between the original data and the medical treatment time in an identifiable manner.

[0014] When any of the medical treatment times is selected in the third display area, the processor may be configured to highlight, in the second display area, the original data corresponding to the selected medical treatment time.

[0015] The processor may be configured to receive a change request for changing the extracted data constituting the medical treatment document and change the extracted data according to the received change request.

[0016] When making a change by replacing the pre-change data before the change with the post-change data after the change, by selecting the extracted data displayed in the first display area, the selected extracted data is selected as the pre-change data, and by selecting the medical treatment time displayed in the third display area, the medical treatment data obtained at the selected medical treatment time is selected as the post-change data. This may also be the case.

[0017] Further, the medical treatment support method of the present invention is a medical treatment support method for supporting medical treatment by a processor of a medical treatment support device, and includes a step of generating a display screen having a first display area for displaying a medical treatment document that is automatically generated from medical treatment data related to a patient's medical treatment and in which the extracted data extracted from the medical treatment data is laid out in a predetermined format, and a second display area for displaying the original data that is the medical treatment data from which the extracted data is extracted.

[0018] Furthermore, the medical support program of the present invention causes a processor of a medical support device to execute a step of generating a display screen having a first display area for displaying a medical document automatically generated from medical data related to a patient's medical treatment, the medical document having extraction data extracted from the medical data laid out in a predetermined format, and a second display area for displaying source data that is the medical data from which the extraction data is extracted.

Advantages of the Invention

[0019] According to the medical support device, medical support method, and medical support program of the present invention, even if the information used in the medical document is automatically extracted, the source of the extracted information becomes clear.

Brief Description of the Drawings

[0020]

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10

Modes for Carrying Out the Invention

[0021] [First Embodiment] As shown in FIG. 1, the medical support system 10 is a computer system that provides medical support in a medical facility such as a hospital, and includes a client terminal 11, a medical support device 12, and a server group 13. Each element constituting these medical support systems 10 is communicably connected to each other using a network 14 such as a LAN (Local Area Network) installed within the medical facility.

[0022] The client terminal 11 is a terminal for receiving the provision of services (provision of the functions of the medical support device 12) from the medical support device 12, and is a computer (including the case of a tablet terminal, etc.) directly operated by medical staff such as doctors, medical technologists, or nurses. The client terminal 11 is installed in various medical departments such as internal medicine or surgery, various examination departments such as radiology or clinical laboratory, the nursing center, the reception desk, accounting, or other necessary locations. In addition, the client terminal 11 can be provided for each medical staff, and can also be shared by a plurality of medical staff.

[0023] Therefore, as shown in FIG. 2, the medical support system 10 includes a plurality of client terminals 11. For example, group G1 is the "Internal Medicine" department to which doctors A1 and A2 belong, and doctors A1 and A2 each possess a client terminal 11. Similarly, for example, group G2 is the "Surgery" department to which doctor B1 belongs, and group G2 has at least one client terminal 11. Also, for example, group G19 is the "Radiology" department to which technologist N1 belongs, and group G19 has at least one client terminal 11.

[0024] The medical support device 12 provides a display screen including medical data to the client terminal 11, for example, in response to a request from the client terminal 11. The medical support device 12 acquires the medical data used on the display screen from the server group 13.

[0025] Medical data refers to data related to the medical treatment of patients. More specifically, it includes images, reports, test results, and other data obtained or generated during examinations, tests, surgeries, etc., or data obtained during or as a result of medical treatment, or information indicating the location of these (such as so-called links (aliases), etc.). In addition, one medical data may be composed of only one of the above-mentioned images, reports, test results, etc. (for example, only one image), or one medical data may be composed by combining a plurality of these (for example, a plurality of images and one report obtained by one test). That is, one medical data may be composed of a collection of a plurality of medical data.

[0026] The display screen provided by the medical support device 12 to the client terminal 11 refers to the data used by the client terminal 11 to form the screen of the display unit 36 (see FIG. 3) of the client terminal 11. In addition, the display screen provided by the medical support device 12 to the client terminal 11 includes not only the data for full-screen display that the client terminal 11 uses to configure the display of the entire screen, but also the data for configuring the display related to a part of the screen. For example, in the present embodiment, the medical support device 12 provides the client terminal 11 with a display screen that can be displayed in a general window format on a part of the screen of the display unit 36.

[0027] The display screen provided by the medical support device 12 to the client terminal 11 is specifically, for example, a medical document display screen (see FIG. 9) for displaying medical documents. Medical documents include an inpatient medical treatment plan indicating the medical treatment plan of a patient scheduled for hospitalization, a discharge summary (see FIGS. 7 and 8) which is a summary of the medical treatment conducted during hospitalization, a medical information provision document that also functions as a referral letter to another medical institution, a diagnosis certificate submitted for insurance application, various public expense documents, and the like. For example, the medical document display screen 90 shown in FIG. 9 shows an example where the medical document is the discharge summary 70 shown in FIGS. 7 and 8. A medical document is a layout of extraction data extracted from medical data in a predetermined format. Each of the extraction data constituting the medical document is, for example, medical data such as an image obtained by an examination (medical treatment) or a report generated along with the examination (medical treatment). Note that these extraction data may include all (the whole) of one piece of medical data or only a part of one piece of medical data. In the former case, for example, it is all areas of one image or the whole of one report. In the latter case, for example, it is a partial area of an image cut out from one image or a part of a report excerpted from one report.

[0028] The medical support device 12 provides the display screen to the client terminal 11 in a description format using a markup language such as XML (Extensible Markup Language) data. The client terminal 11 displays the XML-formatted display screen using a web browser. Note that the medical support device 12 can provide the display screen to the client terminal 11 in other formats such as JSON (JavaScript (registered trademark) Object Notation) instead of XML.

[0029] The server group 13 searches for medical data corresponding to a request from the medical support device 12 and provides the medical data corresponding to the request to the medical support device 12. The server group 13 includes an electronic medical record server 21, an image server 22, a report server 23, and the like.

[0030] The electronic medical record server 21 has a medical record database 21A for storing electronic medical records. An electronic medical record is an aggregation of one or more pieces of medical data. Specifically, an electronic medical record includes, for example, medical data such as examination records, results of specimen tests, a patient's vital signs, orders for tests, treatment records, or accounting data. The electronic medical record can be input and viewed using the client terminal 11.

[0031] Note that an examination record is a record of the content and results of an interview or palpation, or a disease name, etc. A specimen is blood or tissue collected from a patient, and a specimen test is a blood test or a biochemical test, etc. Vital signs are data indicating a patient's state such as a patient's pulse, blood pressure, or body temperature. An order for a test, etc. is a request for a test such as a specimen test, imaging using various modalities, generation of a report, treatment or surgery, or medication. A treatment record is a record of treatment, surgery, medication, or a prescription, etc. Accounting data is data related to examination fees, drug fees, or hospitalization fees, etc.

[0032] The image server 22 is a so-called PACS (Picture Archiving and Communication System) server and has an image database 22A in which examination images are stored. Examination images are images obtained from various imaging examinations such as CT (Computed tomography) examinations, MRI (Magnetic Resonance Imaging) examinations, X-ray examinations, ultrasonic examinations, or endoscopic examinations. These examination images are recorded in a format compliant with, for example, the DICOM (Digital Imaging and Communications in Medicine) standard. The examination images can be viewed using the client terminal 11.

[0033] The report server 23 has a report database 23A that stores the reading reports. A reading report (hereinafter simply referred to as a report) is a report that summarizes the reading results of the inspection images obtained in the image inspection. The reading of the inspection images is performed by a radiologist. The report can be generated and / or viewed using the client terminal 11.

[0034] The above-mentioned electronic medical records, inspection images, and reports are each accompanied by a patient ID. In addition to the patient ID, the electronic medical record is accompanied by information for identifying the medical staff who input the medical data for each piece of medical data. The inspection image is accompanied by information for identifying the medical staff (specifically, the medical technician) who performed the inspection in addition to the patient ID. The report is accompanied by information for identifying the medical staff (specifically, the radiologist) who generated it. The information for identifying the medical staff is the name of the medical staff or the like, or an ID such as a unique number and / or symbol assigned to each medical staff (hereinafter referred to as the medical staff ID).

[0035] The client terminal 11, the medical support device 12, and each of the servers 21 to 23 constituting the server group 13 are configured by installing an operating system program and an application program such as a server program or a client program on a computer such as a server computer, a personal computer, or a workstation. That is, the basic configurations of the client terminal 11, the medical support device 12, and each of the servers 21 to 23 constituting the server group 13 are the same, and include a CPU (Central Processing Unit), a memory, a storage, a communication unit, etc., and a connection circuit for connecting these. The communication unit is a communication interface (such as a LAN board) for connecting to the network 14. The connection circuit is, for example, a motherboard that provides a system bus and / or a data bus, etc.

[0036] As shown in FIG. 3, in addition to a CPU 31, a memory 32, a storage 33, a communication unit 34, and a connection circuit 35, the client terminal 11 includes a display unit 36 and an operation unit 37. The display unit 36 is a display using, for example, liquid crystal or the like, and has a screen for displaying at least the display screen provided by the medical support device 12. The operation unit 37 is, for example, a pointing device such as a mouse and / or an input device such as a keyboard. The display unit 36 and the operation unit 37 can constitute a so-called touch panel.

[0037] The client terminal 11 stores, in the storage 33, in addition to an operating system program and the like, an operation program 39. The operation program 39 is an application program for receiving the provision of the functions of the medical support device 12 using the client terminal 11. In the present embodiment, the operation program 39 is a web browser program. However, the operation program 39 can be a dedicated application program for receiving the provision of the functions of the medical support device 12. Note that the operation program 39 may include one or a plurality of widget engines for controlling part or all of the display screen provided by the medical support device 12. A widget engine is a subprogram that exhibits various functions by operating in association with a web browser or the like.

[0038] When the operation program 39 is started in the client terminal 11, as shown in FIG. 4, the CPU 31 of the client terminal 11 functions as a GUI (Graphical User Interface) control unit 41 and a request issuing unit 42 in cooperation with the memory 32.

[0039] The GUI control unit 41 displays the display screen provided by the medical support device 12 on the web browser on the display unit 36. The GUI control unit 41 controls the client terminal 11 in response to an operation instruction input using the operation unit 37, such as a click operation of a button with a pointer.

[0040] The request issuing unit 42 issues requests for various processes (hereinafter referred to as process requests) for the medical support device 12 in response to operation instructions from the operation unit 37. The process requests issued by the request issuing unit 42 are, for example, a request for distributing a display screen or a request for editing a display screen. The request issuing unit 42 transmits the process requests to the medical support device 12 via the communication unit 34 and the network 14.

[0041] The request for distributing a display screen requests the medical support device 12 to distribute a display screen having a specific configuration. In the present embodiment, the distribution of a medical document display screen can be received by a request for distributing a display screen for displaying a specified type of medical document. For example, by a request for distributing a display screen (medical document display screen) for displaying a discharge summary (see FIGS. 7 and 8) as a medical document, the distribution of a medical document display screen (see FIG. 9) for displaying the discharge summary can be received.

[0042] The request for editing a display screen requests the medical support device 12 to edit (change) the content such as medical data displayed on the display screen after receiving the distribution of a display screen having a specific configuration from the medical support device 12. The editing request includes requests for changing part or all of the data constituting the display screen and / or changing the layout of the data. In addition, for example, when the display screen is a medical document display screen, the editing request also includes requests for changing part or all of the data (extracted data) constituting the medical document displayed on this medical document display screen and / or changing the layout of the extracted data. That is, the editing request also includes the change request of the present invention that requests the change of the extracted data constituting the medical document.

[0043] Note that the request for distributing a display screen and / or the request for editing, etc. include information such as the medical staff ID and the address on the network of the client terminal 11. The medical staff ID is input on a login screen (not shown) for the medical support system 10 (or the medical support device 12).

[0044] As shown in FIG. 5, the medical support device 12 includes a CPU 51, a memory 52, a storage 53, a communication unit 54, and a connection circuit 55. The medical support device 12 can be provided with a display unit and / or an operation unit as in the case of the client terminal 11 as necessary, and can attach a display unit and / or an operation unit as necessary. However, in the present embodiment, the medical support device 12 does not have a display unit and an operation unit.

[0045] The medical support device 12 stores an operating program 59 in the storage 53 in addition to an operating system and the like. The operating program 59 is an application program for causing the computer constituting the medical support device 12 to function as the medical support device 12. When the operating program 59 is started, as shown in FIG. 6, the CPU 51 of the medical support device 12 functions as a request reception unit 61, a display screen generation unit 62, a medical document generation unit 63, and the like in cooperation with the memory 52.

[0046] The request reception unit 61 receives various processing requests such as a display screen distribution request and an edit request from the client terminal 11. When the request reception unit 61 receives various processing requests, the request reception unit 61 inputs a processing instruction to each unit that executes the corresponding processing according to the content of the requested processing. For example, when there is a display screen distribution request from the client terminal 11, the request reception unit 61 inputs a generation instruction for the corresponding display screen to the display screen generation unit 62. Similarly, when there is an edit request for a display screen from the client terminal 11, the request reception unit 61 inputs an edit instruction for the corresponding display screen to the display screen generation unit 62. Note that the request reception unit 61 also receives a login request to the medical support device 12, and a login processing unit (not shown) executes login processing such as confirmation of a medical staff ID and a password.

[0047] The display screen generation unit 62 generates or edits various display screens such as a medical document display screen (see FIG. 9). Specifically, it generates XML data representing various display screens or edits the generated XML data. The display screen generation unit 62 accesses, as necessary, the server group 13, the client terminal 11, or a device or system that cooperates with other medical support systems 10 to obtain medical data used for generating or editing the display screen. Note that the display screen generation unit 62 can hold part or all of the medical data obtained from the server group 13 or the like in order to reduce the access frequency to the server group 13 or the like.

[0048] The medical document generation unit 63 generates a medical document according to an instruction from the display screen generation unit 62. When the display screen generation unit 62 generates a medical document display screen for displaying a medical document as a display screen, it inputs an instruction to generate the medical document to be displayed on this medical document display screen to the medical document generation unit 63. The medical document generation unit 63 generates a medical document of the specified type according to this instruction. Note that the medical document generation unit 63 accesses, as necessary, the server group 13, the client terminal 11, or a device or system that cooperates with other medical support systems 10 to obtain medical data (extracted data) used for generating the medical document. Also, the medical document generation unit 63 can hold part or all of the medical data (extracted data) obtained from the server group 13 or the like in order to reduce the access frequency to the server group 13 or the like. Of course, the medical document generation unit 63 can hold part or all of the generated medical documents.

[0049] The medical document generation unit 63 generates, as a medical document, for example, the discharge summary 70 shown in FIGS. 7 and 8. The discharge summary 70 is a medical document issued when an in-patient is discharged, and summarizes information on the medical treatment of the patient from admission to discharge. The discharge summary 70 is provided with a patient basic information display column 71, a user information display column 72, an admission information display column 73, a referral information display column 74, a patient profile display column 75, a medical record information display column 80, and an examination / treatment content display column 81.

[0050] In the patient basic information display column 71, basic information of the patient such as the patient's name, gender, date of birth, address, etc. is displayed. In the user information display column 72, information on the hospital side such as the department where the patient was treated, the attending doctor, and the responsible doctor is displayed. In the hospitalization information display column 73, information related to admission and discharge such as the admission date, discharge date, and length of hospitalization is displayed. In the referral information display column 74, methods related to referral such as the presence or absence of the referring source, the admission route, and the discharge route are displayed. In the patient profile display column 75, the patient profile such as the main disease name and complications is displayed.

[0051] Also, in the medical record information display column 80, information extracted from the medical records of the patient from the past to the present such as the chief complaint, past medical history, and allergies is displayed. Furthermore, in the examination / treatment content display column 81, information related to the content of the examination and treatment is displayed. In this embodiment, in the examination / treatment content display column 81, there are further provided an examination column 81A, 81B for displaying information related to examinations, a surgery column 81C for displaying information related to surgeries, a findings column 81D for displaying information related to findings, and a prescription column 81E for displaying information related to prescriptions.

[0052] Among these columns 71 to 75, 80, 81 (81A to 81E), the information displayed in columns 71 to 75, including the information to be displayed in each item within each column, has a predetermined extraction source. Also, regarding the layout of columns 71 to 75, including the layout of each item within each column, it is predetermined. Therefore, the medical document generation unit 63 extracts the information to be displayed in columns 71 to 75 from the predetermined extraction source in a uniquely determined manner according to the type of column and / or the type of item within the column, and also layouts it in a uniquely determined manner, thereby generating columns 71 to 75 of the discharge summary 70.

[0053] On the other hand, the information displayed in columns 80 and 81 (81A to 81E) has multiple extraction sources and / or the amount of information from the extraction sources is more than the amount that can be displayed in each of columns 80 and 81. Also, the content of each item within the column varies depending on the type of information from the extraction source and the like. Furthermore, the layout of columns 80 and 81 and the layout of each item within each column also vary depending on the type of information from the extraction source and the like. That is, for the information displayed in columns 80 and 81, it is necessary to select the extraction source, select the extraction site (which part of the information to extract and in what amount), and select the layout of the extracted information. For this reason, the medical document generation unit 63 determines the extraction source and extraction site of the information to be displayed in columns 80 and 81 and each item in each column and extracts the information by means of a generation algorithm for generating a discharge summary constructed by learning a plurality of generated discharge summaries as learning data. Also, the medical document generation unit 63 layouts the information (that is, the extracted information (extraction data)) to be displayed in columns 80 and 81 and each item in each column by means of the aforementioned generation algorithm. Thereby, columns 80 and 81 of the discharge summary 70 are generated.

[0054] In this way, for columns (columns 80 and 81 in the above embodiment) for which the extraction source, extraction site, or layout cannot be uniquely determined, the medical document generation unit 63 generates them by means of a generation algorithm constructed using generated medical documents as learning data (generated by a so-called pre-trained AI (Artificial Intelligence)). Columns for which the extraction source, extraction site, or layout cannot be uniquely determined in this way vary depending on the type of medical document. Therefore, generation algorithms for generating such columns that cannot be uniquely determined are constructed for each type of medical document. When generating columns that cannot be uniquely determined, the medical document generation unit 63 uses a generation algorithm corresponding to the type of medical document. Although an example has been described in which some columns of the medical document are generated by a so-called pre-trained AI, all columns of the medical document may be generated by a pre-trained AI.

[0055] The display screen generation unit 62 generates a medical document display screen using medical documents such as the discharge summary 70 generated by the medical document generation unit 63. For example, as shown in FIG. 9, on the medical document display screen 90 that displays the discharge summary 70 as a medical document, there is a first display area 91 for displaying the medical document (in this example, the discharge summary 70), a second display area 92 for displaying the original data of the extraction data (the medical data from which the extraction data is extracted) that constitutes the medical document displayed in the first display area 91, and a third display area 93 for displaying, in chronological order, the medical times at which medical treatments related to the acquisition of medical data were performed for the same patient as the extraction data and the original data. Then, the display screen generation unit 62 displays, on the display screen (the medical document display screen 90 in the example of FIG. 9), the correspondence relationship between the extraction data in the first display area 91, the original data in the second display area 92, and the medical times in the third display area 93 in an identifiable manner. That is, the display screen generation unit 62 generates a display screen on which the above-described correspondence relationship can be identified. Note that the medical time at which a medical treatment related to the acquisition of medical data was performed is, for example, when examination A was performed as a medical treatment and examination data A was acquired as medical data by this examination A, the time when examination A was performed (the time (date or date and time) when examination A related to the acquisition of examination data A was performed).

[0056] As a specific mode for displaying the correspondence relationship between the extraction data and the original data in an identifiable manner, for example, when any of the extraction data displayed in the first display area 91 is selected, the original data of the selected extraction data can be highlighted in the second display area 92. The selection of the extraction data can be performed, for example, by placing the cursor on any of the extraction data, clicking the mouse while the cursor is placed on the extraction data, or specifying items such as data selection in a window that is pop-up displayed by clicking the mouse (right click, etc.) while the cursor is placed on the extraction data. Also, the highlighting can be performed, for example, by surrounding the original data of the selected extraction data with a frame, blinking the display of the original data of the selected extraction data, making the background color and / or display color of the original data of the selected extraction data different from other original data, or displaying a mark or the like over the original data of the selected extraction data.

[0057] Also, for example, by attaching a common mark "〇" to the extracted data A and the original data A of this extracted data A, and attaching a common mark "△" to the extracted data B and the original data B of this extracted data B, attaching a common mark to the extracted data and the original data of this extracted data, or surrounding the extracted data and the original data of this extracted data with a frame of a common form, or making the display modes (background color, display color, and / or lighting (flashing) mode, etc.) of the extracted data and the original data of this extracted data common, etc., the correspondence between the extracted data and the original data may be made distinguishable. In this way, by providing a common part in the display forms of the extracted data and the original data of this extracted data to make the correspondence distinguishable, the correspondence between the extracted data and the original data can be made distinguishable without selecting the extracted data. Furthermore, by connecting the extracted data and the original data of this extracted data with a line segment (displaying a linear indicator (mark) connecting the extracted data and the original data of this extracted data), etc., the correspondence between the extracted data and the original data may be made distinguishable without selecting the extracted data. Of course, when any of the extracted data is selected, the correspondence between the extracted data and the original data may be made distinguishable by providing a common part in the display forms of the extracted data and the original data of this extracted data, and / or connecting the extracted data and the original data of this extracted data with a line segment.

[0058] In addition, when the extracted data is extracted from a part of the original data (for example, a part of an image or a part of a series of sentences), the part of the original data that is extracted as the extracted data may be highlighted so that it can be identified which part of the original data corresponds to the extracted data. In this embodiment, the configuration will be described in which the original data of the extracted data displayed in the first display area 91 is displayed in the second display area 92. However, in the second display area 92, not only the original data but also all the medical data of the same patient as the original data may be displayed. Further, a fourth display area may be provided, and medical data other than the original data among the medical data of the same patient as the original data may be displayed in this fourth display area. In this embodiment, a plurality of original data are displayed in the second display area 92. However, the second display area 92 may be configured to display only one original data corresponding to the selected extracted data. Further, in the second display area 92, instead of or together with the original data, information indicating the location of the original data (for example, a link to the storage source, the name of the terminal of the storage source, the directory name, the folder name, etc.) may be displayed.

[0059] Regarding the specific manner of displaying the correspondence between the extracted data and the medical treatment time in an identifiable manner, the same configuration as described above can be adopted. That is, when the extracted data is selected, the medical treatment time of the selected extracted data may be highlighted in the third display area 93. Further, by providing a common part in the display forms of the extracted data and the medical treatment time of this extracted data, the correspondence between the extracted data and the medical treatment time may be made identifiable. Furthermore, the correspondence between the extracted data and the medical treatment time may be made identifiable by connecting the extracted data and the medical treatment time with a line segment or the like.

[0060] Regarding the specific manner of visibly identifying the correspondence between the original data and the medical treatment time, the same configuration as described above can be adopted. That is, when either the original data or the medical treatment time is selected, the other data (original data or medical treatment time) corresponding to the selected one may be highlighted. Also, by providing a common part in the display forms of the original data and the medical treatment time, the correspondence between the original data and the medical treatment time may be made identifiable. Further, by connecting the original data and the medical treatment time with a line segment or the like, the correspondence between the original data and the medical treatment time may be made identifiable.

[0061] Regarding the specific manner of visibly identifying all the correspondence relationships among the extracted data, the original data, and the medical treatment time, the same configuration as described above can be adopted. That is, when any one of the extracted data, the original data, and the medical treatment time is selected, the remaining two may be highlighted. Also, by providing a common part in the display forms of the extracted data, the original data, and the medical treatment time, the correspondence relationships among the extracted data, the original data, and the medical treatment time may be made identifiable. Further, by connecting the extracted data, the original data, and the medical treatment time with a line segment or the like, the correspondence relationships among the extracted data, the original data, and the medical treatment time may be made identifiable.

[0062] In this way, the display screen generation unit 62 visibly displays the correspondence relationships among the extracted data, the original data, and the medical treatment time on the medical document display screen 90. For example, in the example of FIG. 9, the extracted data at the movement destination where the cursor 95 has moved is treated as the selected one, and this extracted data is surrounded by, for example, a green square frame 96. Also, the original data corresponding to the selected extracted data (the extracted data surrounded by the frame 96) is surrounded by a green square frame 97 in the same manner as the frame 96. Further, the medical treatment time corresponding to the extracted data surrounded by the frame 96 is surrounded by a green square frame 98 in the same manner as the frames 96 and 97. Thereby, the correspondence relationships among the extracted data, the original data, and the medical treatment time are visibly displayed. Also, in the example of FIG. 9, the selected extracted data, the original data corresponding to the selected extracted data, and the medical treatment time corresponding to the selected extracted data are colored in a common color (for example, blue), and thereby, the correspondence relationships among the extracted data, the original data, and the medical treatment time are also made identifiable.

[0063] In the example of FIG. 9, all the medical treatment times when medical treatment related to the acquisition of medical data was performed for the same patient as the extracted data are displayed in the third display area 93. However, only the medical treatment times when the medical treatment related to the acquisition of the extracted data displayed in the first display area 91 was performed among the medical treatment times when the medical treatment related to the acquisition of medical data was performed may be displayed in the third display area 93. Further, in the example of FIG. 9, in addition to the medical treatment times, the patient's vital information (body temperature and blood pressure in this embodiment) is also displayed in chronological order in the third display area 93. Furthermore, other medical data (for example, vital information such as pulse, and / or medical data other than vital information (for example, test data such as blood glucose level)) may be displayed. Of course, only the medical treatment times may be displayed in the third display area 93 without displaying vital information or the like.

[0064] The display screen generation unit 62 distributes the generated display screen to the client terminal 11 via the communication unit 54. Thereby, the client terminal 11 displays the display screen provided from the display screen generation unit 62 on the display unit 36.

[0065] In addition, the display screen generation unit 62 edits the display screen according to an editing request for the display screen input from the client terminal 11. As described above, the editing request for the display screen is a request for editing (changing) the content of medical data or the like to be displayed on the display screen. For example, it is a request to change part or all of the extracted data constituting the discharge summary 70 displayed on the medical document display screen 90, or to change the layout of the extracted data. The editing request is input from the operation unit 37 of the client terminal 11 via, for example, a GUI. The editing request is preferably made by operating the display screen in a state where the medical document display screen 90 is displayed.

[0066] Specifically, when changing the extracted data that makes up the discharge summary 70 displayed on the medical document display screen 90, first, select the extracted data to be changed (hereinafter referred to as the pre-change data) and give an instruction to change it. The selection of the pre-change data and the instruction to change it are performed, for example, in the first display area 91 by moving the cursor 95 onto the pre-change data (selection of the pre-change data) and then right-clicking to select data change from the edit menu that appears (instruction to change the pre-change data). Next, select the data to replace the pre-change data (hereinafter referred to as the post-change data). The selection of the post-change data is performed, for example, in the third display area 93 by moving the cursor 95 onto the medical treatment time of the medical treatment that triggered the acquisition of the post-change data and performing a click operation (by selecting the medical treatment time, the medical treatment data acquired at the selected medical treatment time is selected as the post-change data). In this way, when the selection of the pre-change data and the instruction to change it, as well as the selection of the post-change data are made, an edit request (change request) to replace the pre-change data with the post-change data is issued by the request issuing unit 42.

[0067] The edit request issued as described above is received by the request reception unit 61, and an edit instruction following the edit request is input from the request reception unit 61 to the display screen generation unit 62. The display screen generation unit 62 edits the display screen, such as changing the extracted data that makes up the discharge summary 70, in accordance with this edit instruction, that is, the edit request input from the client terminal 11, and distributes the edited display screen to the client terminal 11. In this way, the display screen generation unit 62 also functions as the change unit of the present invention that changes the extracted data in accordance with a change request to change the extracted data that makes up the medical document.

[0068] Note that, in the example described above, by selecting the medical treatment period displayed in the third display area 93, the medical treatment data acquired during the selected medical treatment period is selected as the changed data. However, for example, it may be configured to access the server group 13 and select the changed data from the data stored in the server group 13. Further, it may be configured to select the changed data from the medical treatment data displayed in the fourth display area (i.e., the area for displaying medical treatment data other than the original data among the medical treatment data of the same patient as the original data) described above. Furthermore, it may be configured to select the changed data from the data displayed in the second display area 92.

[0069] In addition, in the example described above, all the processes for editing (changing) the display screen are performed by the display screen generation unit 62. However, for example, in a display screen for displaying a medical document (i.e., a medical document display screen), when an edit (change) of the medical document is requested, the medical document generation unit 63 performs the edit (change) process of the medical document, and the display screen generation unit 62 reflects the medical document edited (changed) by the medical document generation unit 63 on the display screen, so that the display screen can be edited.

[0070] The medical treatment support system 10 with the above configuration operates as follows. When a medical staff logs in to the medical treatment support system 10 using the client terminal 11 and requests the delivery of a medical document display screen by specifying a medical document through the GUI or the like of the client terminal 11, the display screen generation unit 62 instructs the medical document generation unit 63 to generate the specified medical document. The medical document generation unit 63 generates a medical document by extracting (extracting data) and laying out the medical treatment data (extracted data) necessary for the configuration of the medical document from the server group 13 or the like according to the generation algorithm corresponding to the type of the specified medical document.

[0071] The display screen generation unit 62 generates a medical document display screen including the medical document using the medical document generated by the medical document generation unit 63 and provides it to the client terminal 11. As a result, the client terminal 11 displays the medical document display screen on the screen of the display unit 36. For example, when a delivery request for a medical document display screen is made by designating a discharge summary as the medical document, the medical document generation unit 63 generates a discharge summary 70 shown in FIGS. 7 and 8, for example, and the display screen generation unit 62 generates a medical document display screen 90 including the discharge summary 70 as shown in FIG. 9, for example. Then, this medical document display screen 90 is displayed on the display unit 36.

[0072] In FIG. 9, the medical document display screen 90 has a first display area 91 for displaying the discharge summary 70, a second display area 92 for displaying the original data of the extraction data constituting the discharge summary 70, and a third display area 93 for displaying the medical treatment times at which the medical treatment related to the acquisition of the extraction data and the original data are arranged in chronological order. In generating the medical document display screen 90, the display screen generation unit 62 displays the discharge summary 70 generated by the medical document generation unit 63 in the first display area 91. Further, the display screen generation unit 62 displays the original data of the extraction data constituting the discharge summary 70 in the second display area 92. Furthermore, the display screen generation unit 62 arranges and displays the medical treatment times of the medical treatment data of the same patient as the extraction data and the original data in the third display area 93.

[0073] In addition, in each of the first to third areas 91 to 93, when all of the content to be displayed does not fit within the area, a scroll bar 99 is displayed in the vicinity of the area. The scroll bar 99 is a GUI that is operated when transitioning the display content of the list display column 74 in the horizontal or vertical direction and displaying the non-displayed part.

[0074] In addition, the display screen generation unit 62 edits the medical document display screen 90 in accordance with operations on the client terminal 11 (such as movement of the cursor 95, click operation, drag operation, drop operation, operation via the GUI, etc.). In the example of FIG. 9, when the cursor 95 is moved onto any of the extracted data constituting the discharge summary 70 displayed in the first display area 91 and this extracted data is selected, in the first display area 91, this extracted data, in the second display area 92, the original data of this extracted data, and in the third display area 93, the medical treatment time of this extracted data are each surrounded by rectangular frames 96, 97, 98 and colored with a common background color. Thereby, the correspondence relationship among the extracted data, the original data, and the medical treatment time is displayed in an identifiable manner.

[0075] Furthermore, when an edit request (change request) to change the medical document is made due to an operation on the client terminal 11 or the like, the display screen generation unit 62 edits the display screen according to this change request. For example, when a change request such as a change to the extracted data constituting the discharge summary 70 displayed on the medical document display screen 90 is made, the display screen generation unit 62 performs an edit to change the content of the discharge summary 70 displayed on the medical document display screen 90 according to this change request.

[0076] As described above, according to the present invention, by providing the second display area 92 on the medical document display screen 90 for displaying the medical document and displaying the original data of the extracted data constituting the medical document here, even if the extracted data is automatically extracted (for example, automatically extracted by a learned AI (generation algorithm)), the extraction source of the extracted data becomes clear. Also, by displaying the correspondence relationship between the extracted data and the original data in an identifiable manner, it is possible to prevent confusion of the extraction sources of the plurality of extracted data included in the medical document, and the extraction sources of the extracted data become clearer. Furthermore, by providing the third display area 93 and displaying the medical treatment time at which the medical treatment related to the acquisition of the medical data was performed, the correspondence relationship among the extracted data, the original data, and the medical treatment time can be grasped. Also, by displaying the correspondence relationship among the extracted data, the original data, and the medical treatment time in an identifiable manner, these correspondence relationships can be grasped more clearly.

[0077] [Second Embodiment] In the first embodiment described above, with respect to the medical document automatically generated by the medical document generation unit 63 using the generation algorithm, it is possible to perform editing such as changing the extraction data constituting the medical document. However, as shown in FIG. 10, it is preferable to provide a change content learning unit 100 and reflect the result of the above-described editing in the generation algorithm used by the medical document generation unit 63. The change content learning unit 100 is one function of the operation program 59 (see FIG. 5), and the CPU 51 and the memory 52 cooperate to function as the change content learning unit 100. The generation algorithm is constructed by learning the generated medical document as learning data. However, depending on the number, content, and / or other factors of the learning data, a medical document in a desired form may not be generated. Therefore, as in this embodiment, by reflecting the edited medical document that has become a medical document in a desired form by editing in the generation algorithm, a generation algorithm can be constructed that can generate a medical document closer to the desired form. Note that reflecting the edited medical document in the generation algorithm means using the edited medical document as new learning data, increasing the total number of learning data, and reconstructing the generation algorithm, and / or learning that the state before editing (changing) is incorrect and the state after editing (changing) is correct for the edited (changed) part, and reconstructing the generation algorithm, etc.

[0078] In the above-described first embodiment and the like, the client terminal 11 directly sends requests for distribution, editing, etc. of a display screen such as the medical document display screen 90 to the medical support device 12. However, the client terminal 11 can also indirectly send requests for distribution, editing, etc. of the display screen via another device or system that cooperates with the medical support device 12. For example, since the client terminal 11 can operate the electronic medical record server 21, etc., the client terminal 11 can operate the electronic medical record server 21 and send requests for distribution, editing, etc. of the display screen to the medical support device 12 from the electronic medical record server 21. In this case, the medical support device 12 generates and / or edits the display screen according to the request from the electronic medical record server 21 and distributes the display screen via the electronic medical record server 21 or directly to the client terminal 11.

[0079] The medical support system 10 in the above-described first embodiment and the like includes a medical document generation unit 63 that generates a medical document (discharge summary 70) in which extraction data extracted from medical data related to a patient's medical treatment is laid out in a predetermined format, and a display screen generation unit 62 that generates a display screen (medical document display screen 90) having a first display area 91 for displaying the medical document and a second display area 92 for displaying the original data that is the medical data from which the extraction data is extracted.

[0080] Also, the operation program 59 of the medical support device 12 in the above-described first embodiment and the like causes the CPU 51, or the CPU 51 and the memory 52, to function as a medical document generation unit 63 that generates a medical document (discharge summary 70) in which extraction data extracted from medical data related to a patient's medical treatment is laid out in a predetermined format, and a display screen generation unit 62 that generates a display screen (medical document display screen 90) having a first display area 91 for displaying the medical document and a second display area 92 for displaying the original data that is the medical data from which the extraction data is extracted.

[0081] The operation method of the medical support device 12 according to the first embodiment includes a medical document generation step in which the medical document generation unit 63 generates a medical document (discharge summary 70) in which the extracted data extracted from the medical data related to the patient's medical treatment is laid out in a predetermined format, and a display screen generation step in which the display screen generation unit 62 generates a display screen (medical document display screen 90) having a first display area 91 for displaying the medical treatment and a second display area 92 for displaying the original data which is the medical data from which the extracted data is extracted.

[0082] The operation method of the medical support system 10 according to the first embodiment etc. includes a medical document generation step in which the medical document generation unit 63 generates a medical document (discharge summary 70) in which the extracted data extracted from the medical data related to the patient's medical treatment is laid out in a predetermined format, and a display screen generation step in which the display screen generation unit 62 generates a display screen (medical document display screen 90) having a first display area 91 for displaying the medical treatment and a second display area 92 for displaying the original data which is the medical data from which the extracted data is extracted.

[0083] In the above first embodiment etc., the hardware structure of the processing unit that executes various processes such as the GUI control unit 41, the request issuing unit 42, the request receiving unit 61, the display screen generation unit 62, the medical document generation unit 63, and the change content learning unit 100 etc. are various processors as shown below. The various processors include a CPU (Central Processing Unit) which is a general-purpose processor that executes software (program) and functions as various processing units, a programmable logic device (PLD) which is a processor whose circuit configuration can be changed after manufacturing such as an FPGA (Field Programmable Gate Array), and a dedicated electric circuit which is a processor having a circuit configuration designed specifically for executing various processes.

[0084] One processing unit may be composed of one of these various processors, or may be composed of a combination of two or more processors of the same or different types (for example, a plurality of FPGAs, or a combination of a CPU and an FPGA). Also, a plurality of processing units may be composed of one processor. As an example of configuring a plurality of processing units with one processor, first, as represented by a computer such as a client or a server, one processor is configured by a combination of one or more CPUs and software, and this processor functions as a plurality of processing units. Second, as represented by a System On Chip (SoC), there is a form in which a processor that realizes the functions of an entire system including a plurality of processing units with one integrated circuit (IC) chip is used. Thus, various processing units are configured by using one or more of the above various processors as a hardware structure.

[0085] Furthermore, the hardware structure of these various processors is more specifically an electrical circuit (circuitry) in the form of a combination of circuit elements such as semiconductor elements.

Explanation of Signs

[0086] 10 Medical support system 11 Client terminal 12 Medical support device 13 Server group 14 Network 21 Electronic medical record server 21A Medical record database 22 Image server 22A Image database 23 Report server 23A Report database 31 CPU 32 Memory 33 Storage 34 Communication unit 35 Connection circuit 36 Display unit 37 Operation unit 39 Operation Program 41 GUI Control Unit 42 Request Issuing Unit 51 CPU 52 Memory 53 Storage 54 Communication Unit 55 Connection Circuit 59 Operation Program 61 Request Reception Unit 62 Display Screen Generation Unit (Modification Unit) 63 Medical Document Generation Unit 70 Discharge Summary (Medical Document) 71 Patient Basic Information Display Column 72 User Information Display Column 73 Admission Information Display Column 74 Introduction Information Display Column 75 Patient Profile Display Column 80 Medical Record Information Display Column 81 Examination / Treatment Content Display Column 81A, 81B Examination Columns 81C Surgery Column 81D Findings Column 81E Prescription Column 90 Medical Document Display Screen 91 First Display Area 92 Second Display Area 93 Third Display Area 95 Cursor 96, 97, 98 Frames 99 Scroll Bar 100 Modification Content Learning Unit A1 Doctor A2 Doctor B1 Doctor N1 Technician G1, G2, G19 Groups

Claims

1. having at least one processor, wherein the processor generates a display screen having a first display area for displaying a medical document in which a plurality of extraction data extracted from medical data related to a patient's medical treatment are laid out in a predetermined format, and a second display area for displaying a plurality of original data which are the medical data from which the plurality of extraction data are extracted, when any one of the plurality of extraction data is selected in the first display area, the original data corresponding to the selected extraction data is highlighted relatively to the original data corresponding to the unselected extraction data in the second display area, the display screen has a third display area for displaying, for each of the medical data, the medical treatment times at which the medical treatment related to the acquisition of each medical data was performed, arranged in chronological order, the processor receives a change request for changing the extraction data constituting the medical document, changes the extraction data according to the received change request, when performing the change by replacing the pre-change data before the change with the post-change data after the change, by selecting the extraction data displayed in the first display area, the selected extraction data is selected as the pre-change data, and a medical support device in which, by selecting the medical treatment time displayed in the third display area, the medical data acquired at the selected medical treatment time is selected as the post-change data.

2. the medical document is a summary of a plurality of medical data related to a series of medical treatments for a common patient, the medical support device according to claim 1.

3. the processor displays, on the display screen, the correspondence relationship between the extraction data and the original data in an identifiable manner, the medical support device according to claim 1.

4. The processor displays, on the display screen, the correspondence relationship between the extracted data and the medical treatment time period in an identifiable manner. The medical treatment support device according to claim 1.

5. When any one of the plurality of extracted data is selected in the first display area, the processor highlights, in the third display area, the medical treatment time period corresponding to the selected extracted data relative to the medical treatment time periods corresponding to the unselected extracted data. The medical treatment support device according to claim 4.

6. The processor displays, on the display screen, the correspondence relationship between the original data and the medical treatment time period in an identifiable manner. The medical treatment support device according to any one of claims 1 to 5.

7. When any one of the medical treatment time periods is selected in the third display area, the processor highlights, in the second display area, the original data corresponding to the selected medical treatment time period. The medical treatment support device according to claim 6.

8. The extracted data is obtained by automatically extracting a predetermined amount from among the information extraction parts of the medical treatment data. The medical treatment support device according to any one of claims 1 to 7.

9. In a medical treatment support method for supporting medical treatment by a processor of a medical treatment support device, A step of generating a display screen having a first display area for displaying a medical treatment document in which a plurality of extracted data extracted from medical treatment data related to a patient's medical treatment are laid out in a predetermined format, and a second display area for displaying original data that is the medical treatment data from which the extracted data is extracted. When any one of the plurality of extracted data is selected in the first display area, the processor highlights, in the second display area, the original data corresponding to the selected extracted data relative to the original data corresponding to the unselected extracted data. The display screen has a third display area that displays, for each of the medical data, the medical treatment times at which the medical treatment related to the acquisition of each medical data was performed, arranged in chronological order. Receive a change request to change the extracted data that constitutes the medical document. Change the extracted data according to the received change request. When performing the change by replacing the pre-change data before the change with the post-change data after the change, By selecting the extracted data displayed in the first display area, the selected extracted data is selected as the pre-change data. A medical support method in which, by selecting the medical treatment time displayed in the third display area, the medical data obtained at the selected medical treatment time is selected as the post-change data.

10. Cause the processor of the medical support device to execute a step of generating a display screen having a first display area that displays a medical document in which a plurality of pieces of extracted data extracted from medical data related to a patient's medical treatment are laid out in a predetermined format, and a second display area that displays the original data that is the original medical data of the extracted data, When any one of the plurality of pieces of extracted data is selected in the first display area, execute a step of relatively highlighting, in the second display area, the original data corresponding to the selected extracted data with respect to the original data corresponding to the unselected extracted data. The display screen has a third display area that displays, for each of the medical data, the medical treatment times at which the medical treatment related to the acquisition of each medical data was performed, arranged in chronological order. Receive a change request to change the extracted data that constitutes the medical document. Change the extracted data according to the received change request. When performing the change by replacing the pre-change data before the change with the post-change data after the change, By selecting the extracted data displayed in the first display area, the selected extracted data is selected as the data before the change, A medical support program in which, by selecting the medical treatment time period displayed in the third display area, the medical treatment data acquired at the selected medical treatment time period is selected as the data after the change.

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