Medical system and medical program
The medical system addresses inefficiencies in conventional devices by using attribute-based and consent-status-driven input field display to enhance the efficiency of medical information input.
Patent Information
- Application Number
- JP2022091306
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Filing Date
- 2022-06-06
- Publication Date
- 2025-06-25
- Estimated Expiration
- 2041-07-21
AI Technical Summary
Conventional medical information input devices and in-hospital cancer registration devices have numerous input fields, making it time-consuming to find and input desired medical information, thus requiring improvements for efficient input work.
A medical system that includes a medical information storage means, type specifying information storage means, and display control means to identify and display specific input fields based on user attributes, disease information, and consent status, allowing efficient input of medical information.
Enables quick and accurate input of medical information by displaying necessary fields based on user attributes and consent status, enhancing input efficiency.
Smart Images

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Abstract
Description
Technical Field
[0001] The present invention relates to a medical system and a medical program.
Background Art
[0002] Conventionally, as devices for storing medical-related information and supporting the medical practices of medical staff, a medical information input device (see Patent Document 1) and a so-called in-hospital cancer registration device have been known. This medical information input device was configured to store data on the state of illness including data on various examinations performed by medical staff on patients, and to output the stored data. In addition, the in-hospital cancer registration device was configured to store data on treatments performed by medical staff on patients, and to output the stored data.
Prior Art Documents
Patent Documents
[0003]
Patent Document 1
Summary of the Invention
Problems to be Solved by the Invention
[0004] However, in conventional medical information input devices and in-hospital cancer registration devices, for example, since there were a large number of input fields for inputting various types of medical information, it was time-consuming to find the input fields for inputting the information desired by each inputter and input the information into the input fields, and there was room for improvement from the viewpoint of improving the efficiency of the input work.
[0005] The present invention has been made in view of the above problems, and an object thereof is to enable efficient input of medical information.
Means for Solving the Problems
[0006] In order to solve the above-described problems and achieve the object, the medical system according to claim 1 is a medical system, comprising: a medical information storage means for storing a plurality of types of medical information regarding a patient; an input person attribute information indicating the attribute of an input person who inputs medical information into the medical system, a disease information indicating the disease that the patient is suffering from, or a type specifying information storage means for storing type specifying information for specifying the type of medical information to be stored in the medical information storage means based on one or more pieces of information among consent status information indicating the consent status of the patient regarding the handling of the patient's information; and a display control means for specifying the type of medical information to be stored in the medical information storage means based on the type specifying information stored in the type specifying information storage means, and displaying, on a display means, an information input field for inputting and storing the specified type of medical information. Do and comprises a display control means , the input person attribute information includes main input person attribute information indicating the attributes of the main input person who inputs medical information into the medical system, and sub-input person attribute information indicating the attributes of the sub-input person who inputs medical information into the medical system on behalf of the main input person. The type identification information includes information that mutually associates the main input person attribute information or the sub-input person attribute information with the type of medical information to be stored in the medical information storage means. When an input person logs in to the medical system, the display control means identifies the attributes of the logged-in input person, and based on the identified attributes and the type identification information, the first type which is the type of medical information associated with the main input person attribute information indicating the identified attributes, and the second type which is the type of medical information associated with the sub-input person attribute information indicating the identified attributes are identified. Then, a first information input field which is the information input field for inputting and storing the identified first type of medical information, and a second information input field which is the information input field for inputting and storing the identified second type of medical information are displayed. . The medical system according to claim 2 is the medical system according to claim 1, wherein the display control means displays the first information input field and the second information input field on one screen of the display means. The medical system according to claim 3 is the medical system according to claim 1 or 2, wherein the display control means makes the display mode of the first information input field different from the display mode of the second information input field. The medical system according to claim 4 is a medical system, comprising: a medical information storage means for storing a plurality of types of medical information regarding a patient; a type specifying information storage means for storing type specifying information for specifying the type of medical information to be stored in the medical information storage means based on one or more pieces of information among the inputter attribute information indicating the attribute of the inputter who inputs the medical information into the medical system, the disease information indicating the disease that the patient is suffering from, or the consent status information indicating the consent status of the patient regarding the handling of the patient's information; a display control means for specifying the type of medical information to be stored in the medical information storage means based on the type specifying information stored in the type specifying information storage means, and displaying, on a display means, an information input field for inputting the specified type of medical information and storing it in the medical information storage means. The consent status information indicates whether the patient has consented to the use of the patient's information by an institution related to medicine. The type specifying information includes information that mutually associates the institution for which the use of information has been consented by the patient with the type of medical information to be stored in the medical information storage means. The display control means executes a first process of specifying, based on the consent status information, the institution for which the use of information has been consented by the patient for whom medical information is to be input into the medical information storage means, and a second process of specifying, based on the type specifying information stored in the type specifying information storage means, the type of medical information to be stored in the medical information storage means, which is associated with the institution specified in the first process in the type specifying information, and displaying the information input field for inputting the specified type of medical information and storing it in the medical information storage means. The medical program according to claim 5 is a medical program that causes a computer to function as: a medical information storage means for storing a plurality of types of medical information regarding a patient; a type-specifying information storage means for storing type-specifying information for specifying the types of medical information to be stored in the medical information storage means based on one or more pieces of information among the inputter attribute information indicating the attribute of the inputter who inputs the medical information into the computer, the disease information indicating the disease that the patient is suffering from, or the consent status information indicating the consent status of the patient regarding the handling of the patient's information; and a display control means for specifying the types of medical information to be stored in the medical information storage means based on the type-specifying information stored in the type-specifying information storage means, and displaying, on a display means, an information input field for inputting and storing the specified types of medical information. The inputter attribute information includes main inputter attribute information indicating the attribute of the main inputter who inputs the medical information into the computer and sub-inputter attribute information indicating the attribute of the sub-inputter who inputs the medical information into the computer on behalf of the main inputter. The type-specifying information includes information that mutually associates the main inputter attribute information or the sub-inputter attribute information with the types of medical information to be stored in the medical information storage means. The display control means, when an inputter logs in to the computer, specifies the attribute of the logged-in inputter, and based on the specified attribute and the type-specifying information, specifies a first type, which is the type of medical information associated with the main inputter attribute information indicating the specified attribute, and a second type, which is the type of medical information associated with the sub-inputter attribute information indicating the specified attribute, and displays a first information input field, which is the information input field for inputting and storing the specified first type of medical information, and a second information input field, which is the information input field for inputting and storing the specified second type of medical information. The medical program according to claim 6 is a medical program that causes a computer to function as: a medical information storage means for storing a plurality of types of medical information regarding a patient; a type-specifying information storage means for storing type-specifying information for specifying the types of medical information to be stored in the medical information storage means based on one or more pieces of information among the inputter attribute information indicating the attribute of the inputter who inputs the medical information into the computer, the disease information indicating the disease that the patient is suffering from, or the consent status information indicating the consent status of the patient regarding the handling of the patient's information; a display control means for specifying the types of medical information to be stored in the medical information storage means based on the type-specifying information stored in the type-specifying information storage means, and displaying, on a display means, an information input field for inputting the specified types of medical information and storing them in the medical information storage means. The consent status information indicates whether the patient has consented to the use of the patient's information by a medical institution. The type-specifying information includes information that mutually associates the institution to which the patient has consented to the use of information with the types of medical information to be stored in the medical information storage means. The display control means executes a first process of specifying, based on the consent status information, the institution to which the patient has consented to the use of information, which is the target for inputting medical information into the medical information storage means, and a second process of specifying, based on the type-specifying information stored in the type-specifying information storage means, the types of medical information to be stored in the medical information storage means that are associated with the institution specified in the first process in the type-specifying information, and displaying the information input field for inputting the specified types of medical information and storing them in the medical information storage means.
Advantages of the Invention
[0007] According to the medical system described in claim 1, by specifying the type of medical information to be stored in the medical information storage means based on the type specifying information, and displaying an information input field for inputting and storing the specified type of medical information, for example, it is possible to display necessary information input fields, so that it becomes possible to efficiently input medical information.
Brief Description of the Drawings
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Embodiments for Carrying Out the Invention
[0009] Hereinafter, embodiments of the medical system and medical program according to the present invention will be described in detail with reference to the drawings. Note that the present invention is not limited by these embodiments.
[0010] 〔Basic Concepts of the Embodiment〕 First, the basic concepts of the embodiment will be described. The embodiment generally relates to a medical system and a medical program.
[0011] Here, the "medical system" is a system related to medical care. For example, it is a concept including a system for assisting the work of medical staff (such as doctors, nurses, CRCs (Clinical Research Coordinators), medical technologists, pharmacists, or medical clerks, etc.) who are engaged in medical practice. For example, it includes a medical information storage means, a type specifying information storage means, and a display control means, and optionally includes a confirmation means and a storage control means. Note that this "medical system" is a concept including, for example, a system configured as a dedicated system related to medical care, or a system configured by implementing medical-related functions on a general-purpose system (such as a personal computer or a server computer, etc.). Also, this "medical system" is a concept including something realized by only one computer, or something realized by a plurality of distributed computers (that is, a cloud computer).
[0012] The "medical information storage means" is a means for storing a plurality of types of medical information related to patients. "Medical information" is information related to medical care, and specific information is arbitrary, but will be exemplified in the embodiment.
[0013] The "information storage means for type identification" is a means for storing information for type identification. The "information for type identification" is information for identifying the type of medical information to be stored in the medical information storage means based on one or more pieces of information among the inputter attribute information, disease information, or consent status information. For example, it is a concept including information that mutually associates the main inputter attribute information or the sub-inputter attribute information with the type of medical information to be stored in the medical information storage means, etc.
[0014] The "inputter attribute information" is information indicating the attributes of the inputter who inputs medical information into the medical system. For example, it is a concept including the main inputter attribute information and the sub-inputter attribute. The "attributes of the inputter" is a concept indicating the characteristics or properties of the inputter. For example, it is a concept including the occupation of the inputter (such as doctor, nurse, CRC, medical technician, pharmacist, or medical clerk, etc.). The "main inputter attribute information" is information indicating the attributes of the main inputter who inputs medical information into the medical system, and the "sub-inputter attribute information" is information indicating the attributes of the sub-inputter who inputs medical information into the medical system on behalf of the main inputter.
[0015] Regarding the inputter of medical information, for example, it may be divided into a main inputter and a sub-inputter as described above, or it may be only the main inputter. When divided into a main inputter and a sub-inputter, basically the main inputter is to input the information. However, when the main inputter fails to input the information to be input, the sub-inputter can also input the information on behalf of the main inputter.
[0016] The "disease information" is information indicating the disease that the patient is suffering from.
[0017] The "consent status information" is information indicating the consent status of the patient or the patient's family regarding the handling of the patient's information. For example, it is a concept including information indicating whether the patient, etc. consents to the use of the patient's information in various institutions, organizations, companies, or projects, etc. (hereinafter, various institutions, organizations, companies, or projects, etc. are also referred to as "various institutions, etc."), or information indicating the date of consent, etc.
[0018] The "display control means" is means for identifying the type of medical information to be stored in the medical information storage means based on the type-specific information stored in the type-specific information storage means, and displaying, on the display means, an information input field for inputting and storing the identified type of medical information. The "display control means" is, for example, when an inputter logs in to the medical system, identifying the attributes of the logged-in inputter, and based on the identified attributes and the type-specific information, identifying the type of medical information associated with the main inputter attribute information or the sub-inputter attribute information indicating the identified attributes, and including means for displaying an information input field for inputting and storing the identified type of medical information, etc. It is also a concept including means for displaying a plurality of information input fields for inputting and storing a plurality of types of mutually related medical information, etc.
[0019] The "confirmation means" is means for performing a process of confirming the consistency among a plurality of types of medical information input in a plurality of information input fields. Note that the "plurality of types of medical information input in a plurality of information input fields" may be interpreted as, for example, a concept including a plurality of types of medical information input in a plurality of information input fields and stored in the medical information storage means. The "storage control means" is means for storing the medical information input in the information input field in the medical information storage means.
[0020] Then, in the embodiments shown below, the case of identifying the type of medical information to be stored in the medical information storage means based on the inputter attribute information or the disease information among the inputter attribute information, the disease information, or the consent status information is exemplified and described, and the case of identifying the type of medical information to be stored in the medical information storage means based on the consent status information is described in a modification example.
[0021] (Configuration) First, the configuration of the medical-related system according to this embodiment will be described. FIG. 1 is a block diagram showing the medical-related system according to this embodiment. In practice, in the medical-related system 100, a large number of users with various attributes will access the medical support device 2 using their own terminal devices 1. However, in this embodiment, the case where a user who is a medical staff member of a single hospital accesses the medical support device 2 will be exemplified and described. For example, as shown in FIG. 1, the case where a user who is a nurse with the name "U1", a user who is a doctor with the name "U2", a user who is a CRC with the name "U3", and a user who is a medical technician with the name "U4" access the medical support device 2 using their own terminal devices 101 to 104 will be described. Note that "U1" etc. are for convenience of description. Also, when collectively referring to the terminal devices 101 to 104, they are referred to as the terminal device 1.
[0022] The medical-related system 100 shown in FIG. 1 includes, for example, a terminal device 1 and a medical support device 2.
[0023] (Configuration - Terminal Device) FIG. 2 is a block diagram showing the terminal device. The terminal device 1 in FIG. 1 is a computer used by a user and can be configured, for example, as a tablet terminal, a personal computer, etc. However, in this embodiment, the case of a tablet terminal will be described. As shown in FIG. 2, the terminal device 1 includes, for example, a communication unit 11, a touch pad 12, a display 13, a recording unit 14, and a control unit 15.
[0024] (Configuration - Terminal Device - Communication Unit) The communication unit 11 in FIG. 2 is a communication means for communicating with an external device (for example, the medical support device 2) and can be configured using, for example, a known communication circuit or the like.
[0025] (Configuration - Terminal Device - Touch Pad) The touch pad 12 in FIG. 2 is an operation means for receiving various operation inputs from the user by being pressed by the user's finger or the like. The specific configuration of this touch pad 12 is arbitrary, and for example, a known one provided with operation position detection means such as a resistive film method or a capacitance method can be used.
[0026] (Configuration - Terminal Device - Display) The display 13 in FIG. 2 is a display means for displaying various images based on the control of the control unit 15. The specific configuration of this display 13 is arbitrary, and for example, a known flat panel display such as a liquid crystal display or an organic EL display can be used. Note that the above touch pad 12 and display 13 may be integrally formed as a touch panel by overlapping each other.
[0027] (Configuration - Terminal Device - Recording Unit) The recording unit 14 in FIG. 2 is a recording means for recording programs and various data necessary for the operation of the terminal device 1, and is configured using, for example, a known recording device. As this known recording device, for example, a flash memory or the like can be used.
[0028] (Configuration - Terminal Device - Control Unit) The control unit 15 in FIG. 1 is a control means for controlling the terminal device 1. Specifically, it is a computer configured to include a CPU, various programs (including basic control programs such as an OS and application programs that are interpreted and executed on the CPU and that realize specific functions when launched on the OS), and an internal memory such as a RAM for storing programs and various data (the same applies to the control units of other devices). In particular, the program according to the embodiment is installed in the terminal device 1 via an arbitrary recording medium or network, thereby substantially configuring each part of the control unit 15 (the same applies to the control units of other devices). Note that the processing performed by this control unit 15 will be described later.
[0029] (Configuration - Medical Support Device) The medical support device 2 in FIG. 1 is a medical system and includes, for example, a communication unit 21, a recording unit 22, and a control unit 23.
[0030] (Configuration - Medical Support Device - Communication Unit) The communication unit 21 in FIG. 1 is a communication means for communicating with an external device (for example, the terminal device 1), and can be configured in the same manner as the communication unit 11 of the terminal device 1, for example.
[0031] (Configuration - Medical Support Device - Recording Unit) The recording unit 22 in FIG. 1 is a recording means for recording programs and various data necessary for the operation of the medical support device 2, and is configured using, for example, a known recording device. Examples of this known recording device include a hard disk as an external recording device, a magnetic recording medium such as a magnetic disk, an optical recording medium such as a DVD or a Blu-ray disk, or an electrical recording medium such as Flash, ROM, a USB memory, or an SD card, or any other arbitrary recording medium can be used.
[0032] This recording unit 22 includes a user information database (hereinafter, the "database" is referred to as "DB") 221, a medical information DB 222, an input information specific information DB 223, an examination item specific information DB 224, a confirmation reference information DB 225, and an input screen related information DB 226.
[0033] (Configuration - Medical Support Device - Recording Unit - User Information DB) The user information DB 221 in FIG. 1 is user information storage means for storing user information. "User information" is information regarding users of the medical-related system 100. FIG. 3 is a diagram illustrating user information. Note that "..." in FIG. 3 indicates that information is omitted (the same applies to other figures). In the user information, as shown in FIG. 3, the information corresponding to the item "user ID", the information corresponding to the item "user name", and the information corresponding to the item "occupation" are mutually associated. The information corresponding to the item "user ID" is user identification information (the identification information is also referred to as "ID") for uniquely identifying a user (in FIG. 3, "IDu1", etc.). The information corresponding to the item "user name" is information indicating the name of the user (in FIG. 3, "U1", etc., which is a description for convenience). The information corresponding to the item "occupation" is information indicating the occupation (that is, the attribute) of the user (in FIG. 3, "nurse", etc.).
[0034] And regarding, for example, the uppermost information (the combination of information of "IDu1", "U1", and "nurse") in this user information, it is information regarding the user "U1" shown in FIG. 1. For example, it is shown that the user ID of the user with the name "U1" is "IDu1", and it is also shown that the occupation of the user is "nurse". Note that the specific storage method of such user information is arbitrary. For example, when information regarding medical staff (that is, users) of a hospital to which the medical-related system 100 is applied is input to the medical support device 2 by an arbitrary method (for example, a method in which each user accesses the medical support device 2 using their own terminal device 1 and inputs, a method in which an administrator accesses the medical support device 2 using their own terminal device and inputs, or a method in which input means (such as a keyboard or mouse) (not shown) of the medical support device 2 is used for input), the control unit 23 stores based on the input information.
[0035] (Configuration - Medical Support Device - Recording Unit - Medical Information DB) The medical information DB 222 in FIG. 1 is a medical information storage means for storing medical information. As described above, "medical information" is information related to medical treatment. In this embodiment, cases where various information related to cancer, which is a disease, is medical information will be described. FIG. 4 is a diagram illustrating various tables stored as medical information. In the medical information DB 222 of FIG. 1, as medical information, for example, as shown in FIG. 4, a patient information table T1, a patient detailed information table T2, an episode information table T3, a treatment information table T4, an effect determination information table T5, a side effect information table T6, and an examination information table T7 are stored. Note that the "table" may be interpreted as a concept indicating a plurality of types of information that are mutually associated, for example.
[0036] (Configuration - Medical Support Device - Recording Unit - Medical Information DB - Patient Information Table) The patient information table T1 in FIG. 4 is a table showing information about patients. FIG. 5 is a diagram illustrating the patient information table. In the patient information table T1, as shown in FIG. 5, for example, the information corresponding to the item "patient ID", the information corresponding to the item "patient name", the information corresponding to the item "gender", the information corresponding to the item "date of birth", and the information corresponding to the item "update date" are mutually associated.
[0037] The information corresponding to the item "patient ID" is a patient ID for uniquely identifying a patient (in FIG. 5, "IDp1", etc.). The information corresponding to the item "patient name" is information indicating the patient's name (in FIG. 5, "AA", etc.). The information corresponding to the item "gender" is information indicating the patient's gender (in FIG. 5, "male", etc.). The information corresponding to the item "date of birth" is information indicating the patient's date of birth (in FIG. 5, "1960 / 1 / 1", etc., indicating January 1, 1960). The information corresponding to the item "update date" is information indicating the date on which the above-mentioned each information is stored or updated (in FIG. 5, "2020 / 6 / 20", etc., indicating June 20, 2020).
[0038] Note that each piece of information specifically illustrated in each table is for the convenience of explanation (the same applies to each piece of information specifically illustrated in each figure other than each table).
[0039] For example, regarding the information in the uppermost row of such a patient information table T1 (the combination of information of "IDp1", "AA", "male", "1 / 1 / 1960", and "6 / 20 / 2020"), for example, it is shown that the patient ID of the patient with the name "AA" is "IDp1", and it is also shown that the gender and date of birth of the patient are the dates indicated by "male" and "1 / 1 / 1960", and it is further shown that the date when each piece of this information was stored or updated is the date indicated by "6 / 20 / 2020". Note that the specific storage method of this patient information table T1 will be described later (the same applies to other tables).
[0040] (Configuration - Medical Support Device - Recording Unit - Medical Information DB - Patient Detail Information Table) The patient detail information table T2 in FIG. 4 is a table showing detailed information about a patient. FIG. 6 is a diagram illustrating the patient detail information table. In the patient detail information table T2, as shown in FIG. 6, for example, the information corresponding to the item "Patient ID", the information corresponding to the item "Consent A", the information corresponding to the item "Consent B", the information corresponding to the item "Consent C", the information corresponding to the item "Existence / Nonexistence of Smoking History", the information corresponding to the item "Number of Smoking Years", the information corresponding to the item "Number of Sticks per Day", the information corresponding to the item "Excessive Alcohol Consumption", the information corresponding to the item "Family History", and the information corresponding to the item "Update Date" are mutually associated. Note that the information corresponding to the item "Patient ID" and the information corresponding to the item "Update Date" are the same as the information with the same names in FIG. 5.
[0041] The information corresponding to the item "Consent of A", the information corresponding to the item "Consent of B", and the information corresponding to the item "Consent of C" are the above-mentioned consent status information. Specifically, it is information indicating the consent status of the patient or the patient's family regarding the handling of the patient's information in "various institutions, etc.". Specifically, the information corresponding to the item "Consent of A" is information indicating the consent status regarding the use of information by Institution A (in Figure 6, "Yes (2020 / 7 / 10)" indicating consent to use on July 10, 2020, or "No" indicating no consent to use, etc.). The information corresponding to the item "Consent of B" is information indicating the consent status regarding the use of information by Institution B, and the information corresponding to the item "Consent of C" is information indicating the consent status regarding the use of information by Institution C. In Figure 6, information similar to the information corresponding to the item "Consent of A" is exemplified.
[0042] The information corresponding to the item "Smoking history (yes / no)" is information indicating the presence or absence of a smoking habit (in Figure 6, "Yes" indicating the presence of a smoking habit, and although not shown, "No" indicating the absence of the habit, etc.). The information corresponding to the item "Number of years of smoking" is information indicating the number of years of continuous smoking (in Figure 6, "50 years", etc.). The information corresponding to the item "Number of cigarettes per day" is information indicating the number of cigarettes smoked per day (in Figure 6, "20 cigarettes", etc.). The information corresponding to the item "Excessive alcohol consumption" is information indicating whether or not a predetermined amount or more of alcoholic beverages is consumed on each occasion of drinking (in Figure 6, "No" indicating not consuming a predetermined amount or more of alcoholic beverages, and although not shown, "Yes" indicating consuming a predetermined amount or more of alcoholic beverages). The information corresponding to the item "Family history" is information indicating the history of cancer in the patient's family (in Figure 6, "No" indicating no family member having cancer, and "Yes, father, liver cancer, 80 years old" indicating that there is a family member who has cancer, the family member is the patient's father, the type of cancer is liver cancer, and the age of onset is 80 years old, etc.).
[0043] Regarding, for example, the information in the uppermost row (the combination of information "IDp1", "Yes (2020 / 7 / 10)", "Yes (2020 / 7 / 10)", "Yes (2020 / 7 / 10)", "Yes", "50 years", "20 sticks", "No", "No", "2020 / 7 / 10") in such a patient detailed information table T2, for the patient identified by "IDp1", regarding the use of information in institutions A to C, it is shown that the patient or family agreed on July 10, 2020. Also, it is shown that the patient has a smoking habit of 50 years. Also, it is shown that the number of cigarettes smoked per day is 20 sticks. Also, it is shown that the patient does not drink more than a certain amount of alcoholic beverages on one occasion of drinking. Also, it is shown that there is no family member suffering from cancer. Also, it is shown that the date when each piece of information was stored or updated is the date indicated by "2020 / 7 / 10".
[0044] (Configuration - Medical Support Device - Recording Unit - Medical Information DB - Episode Information Table) The episode information table T3 in FIG. 4 is a table showing information regarding the state of the patient's disease (cancer in this embodiment). FIG. 7 is a diagram illustrating the episode information table. In the episode information table T3, as shown in FIG. 7, for example, the information corresponding to the item "Episode ID", the information corresponding to the item "Patient ID", the information corresponding to the item "Cancer Type Classification", the information corresponding to the item "Cancer Tissue", the information corresponding to the item "Cancer Differentiation Degree", the information corresponding to the item "Cancer Site", the information corresponding to the item "TNM Classification", the information corresponding to the item "Stage", and the information corresponding to the item "Update Date" are mutually associated. Note that the information corresponding to the item "Patient ID" and the information corresponding to the item "Update Date" are the same as the information with the same name in FIG. 5.
[0045] The information corresponding to the item "episode ID" is an episode ID that uniquely identifies an episode (in FIG. 7, "IDse1", etc.). Note that the information corresponding to this "episode ID" is information used to identify the transition regarding the treatment of a disease. In the present embodiment, it is information used to identify the transition of the treatment regarding cancer, which is a disease whose state can change over time as it progresses or recovers. For example, it is also information that uniquely identifies the state of cancer. That is, in the present embodiment, "episode" may be interpreted as corresponding to "the state of cancer".
[0046] The information corresponding to the item "cancer type classification" is the aforementioned disease information and is information indicating the classification of the type of cancer (in FIG. 7, it is a classification of the type based on the site where the cancer is located (exists), such as "gastric cancer", and although not shown in the figure, "lung cancer", etc.). The information corresponding to the item "cancer tissue" is information indicating the histological type of cancer (in FIG. 7, "tubular adenocarcinoma", etc.). The information corresponding to the item "cancer differentiation degree" is information indicating the differentiation degree of cancer (in FIG. 7, "poorly differentiated type", etc.). The information corresponding to the item "cancer site" is information indicating the site where the cancer is located (exists) (in FIG. 7, "stomach - cardia", etc.). The information corresponding to the item "TNM classification" is information indicating an index regarding cancer for determining the degree of cancer progression. For example, it is information that can be determined according to any standard including the criteria of UICC (Union Internationalis Contra Cancrum) or other criteria. For example, it is information including information on the size and invasion of cancer as the T factor, information on lymph node metastasis of cancer as the N factor, and information on distant metastasis of cancer as the M factor (in FIG. 7, for gastric cancer, information specifying that the T factor is "1", the N factor is "1", and the M factor is "0", such as "T = 1, N = 1, M = 0"). The information corresponding to the item "stage" is information indicating the disease stage as the degree of cancer progression. For example, it is information that can be determined according to any standard including the criteria of UICC or other criteria (in FIG. 7, "1A", etc., indicating stage 1A).
[0047] For example, regarding the information in the uppermost row in such an episode information table T3 (the combination of information of "IDse1", "IDp1", "gastric cancer", "tubular adenocarcinoma", "poorly differentiated type", "gastric cardia", "T=1, N=1, M=0", "1A", and "2020 / 7 / 10"), for example, it is shown that the cancer type classification, cancer tissue, cancer differentiation degree, location of cancer, TNM classification, and stage of the patient identified by "IDp1" are "gastric cancer", "tubular adenocarcinoma", "poorly differentiated type", "gastric cardia", "T=1, N=1, M=0", and "1A", respectively. Also, it is shown that the episode ID is "IDse1", and it is shown that the date when each piece of information was stored or updated is the date indicated by "2020 / 7 / 10".
[0048] In addition, since the episode information table T3 contains information corresponding to the item "patient ID", as shown in FIG. 4, it is possible to associate a large number of episode information tables T3 with the patient information table T1 and the patient detailed information table T2 of one patient.
[0049] (Configuration - Medical Support Device - Recording Unit - Medical Information DB - Treatment Information Table) The treatment information table T4 in FIG. 4 is a table showing information regarding the treatment of a patient's illness. FIG. 8 is a diagram exemplifying the treatment information table. In the treatment information table T4, as shown in FIG. 8, for example, the information corresponding to the item "treatment information ID", the information corresponding to the item "episode ID", the information corresponding to the item "patient ID", the information corresponding to the item "drug name", the information corresponding to the item "prescription date", and the information corresponding to the item "update date" are mutually associated. Note that the information corresponding to the item "episode ID", the information corresponding to the item "patient ID", and the information corresponding to the item "update date" are the same as the information with the same name in FIG. 7 (the same also applies to the information with the same name in FIG. 11 described later).
[0050] The information corresponding to the item "Treatment Information ID" is a treatment information ID for uniquely identifying information related to the treatment of a patient's illness (in FIG. 8, "IDsm1", etc.). The information corresponding to the item "Drug Name" is information indicating the name of the drug used for the treatment of the patient's illness (in FIG. 8, "Drug A1", etc.). The information corresponding to the item "Prescription Date" is information indicating the date on which the drug was prescribed to the patient (in FIG. 8, "2020 / 7 / 10", etc.).
[0051] And for example, regarding the information in the uppermost row in such a treatment information table T4 (the combination information of "IDsm1", "IDse1", "IDp1", "Drug A1", "2020 / 7 / 10", and "2020 / 7 / 10"), for example, for the patient identified by "IDse1" (the patient identified by "IDp1"), it is shown that "Drug A1" was prescribed on the date indicated by "2020 / 7 / 10", and it is also shown that the treatment information ID is "IDsm1", and it is further shown that the date when each piece of information was stored or updated is the date indicated by "2020 / 7 / 10".
[0052] Also, since the treatment information table T4 includes information corresponding to the item "Episode ID" and the item "Patient ID", as shown in FIG. 4, it is possible to associate a large number of treatment information tables T4 with an episode information table T3 indicating one episode of one patient (the same applies to the inspection information table T7 described later).
[0053] (Configuration - Medical Support Device - Recording Unit - Medical Information DB - Effect Judgment Information Table) The effect determination information table T5 in FIG. 4 is a table showing information regarding the effect of the treatment performed on the patient. FIG. 9 is a diagram illustrating the effect determination information table. In the effect determination information table T5, as shown in FIG. 9, for example, the information corresponding to the item "effect determination information ID", the information corresponding to the item "episode ID", the information corresponding to the item "patient ID", the information corresponding to the item "treatment information ID", the information corresponding to the item "effect determination result", the information corresponding to the item "effect determination date", and the information corresponding to the item "update date" are mutually associated. Note that the information corresponding to the item "episode ID", the information corresponding to the item "patient ID", the information corresponding to the item "treatment information ID", and the information corresponding to the item "update date" are the same as the information with the same name in FIG. 8 (the same applies to the information with the same name in FIG. 10 described later).
[0054] The information corresponding to the item "effect determination information ID" is an effect determination information ID that uniquely identifies the information regarding the effect of the treatment performed on the patient (in FIG. 9, "IDsj1", etc.). The information corresponding to the item "effect determination result" is information indicating the determination result of the effect of the treatment performed on the patient (in FIG. 9, "progression" indicating that the effect of the treatment is relatively small and the cancer has progressed, and "success" indicating that the effect of the treatment is relatively large and the progression of the cancer has stopped or the cancer has shrunk, etc.). The information corresponding to the item "effect determination date" is information indicating the date on which the treatment performed on the patient was determined (in FIG. 9, "2020 / 8 / 15", etc.).
[0055] Then, regarding, for example, the information in the uppermost row (the combination of information of "IDsj1", "IDse1", "IDp1", "IDsm1", "Progress", "2020 / 8 / 15", "2020 / 8 / 15") in such an effect determination information table T5, it is shown that, for example, the effect determined for the treatment indicated by "IDsm1" performed on the patient who is the episode identified by "IDse1" (the patient identified by "IDp1") is "Progress", and it is also shown that the date on which the determination was made is the date indicated by "2020 / 8 / 15", and it is also shown that the effect determination information ID is "IDsj1", and it is also shown that the date on which each piece of information was stored or updated is the date indicated by "2020 / 8 / 15".
[0056] In addition, since the effect determination information table T5 contains information corresponding to the item "episode ID", the item "patient ID", and the item "treatment information ID", as shown in FIG. 4, it is possible to associate a large number of effect determination information tables T5 with the treatment information table T4 regarding the treatment in one episode of one patient (the same applies to the side effect information table T6 described later).
[0057] (Configuration - Medical Support Device - Recording Unit - Medical Information DB - Side Effect Information Table) The side effect information table T6 in FIG. 4 is a table showing information regarding the side effects of the treatment performed on the patient. FIG. 10 is a diagram exemplifying the side effect information table. In the side effect information table T6, as shown in FIG. 10, for example, the information corresponding to the item "side effect information ID", the information corresponding to the item "episode ID", the information corresponding to the item "patient ID", the information corresponding to the item "treatment information ID", the information corresponding to the item "side effect name", the information corresponding to the item "grade", the information corresponding to the item "side effect onset date", the information corresponding to the item "side effect convergence date", and the information corresponding to the item "update date" are mutually associated.
[0058] The information corresponding to the item "Side effect information ID" is a side effect information ID that uniquely identifies information regarding the side effects of the treatment administered to the patient (in Figure 10, "IDss1", etc.). The information corresponding to the item "Side effect name" is information indicating the name of the side effect that occurred (in Figure 10, "Vomiting", etc.). The information corresponding to the item "Grade" is information indicating the degree of the side effect that occurred (in Figure 10, the degree of the side effect is divided into a predetermined number of stages, and the numerical value indicating which stage it corresponds to is used, such as "2", etc.). The information corresponding to the item "Side effect onset date" is information indicating the date on which the side effect occurred (in Figure 10, "2020 / 7 / 12", etc.). The information corresponding to the item "Side effect resolution date" is information indicating the date on which the side effect resolved (in Figure 10, "2020 / 7 / 15", etc.).
[0059] And for example, regarding the information in the uppermost row in such a side effect information table T6 (the combination of information of "IDss1", "IDse1", "IDp1", "IDsm1", "Vomiting", "2", "2020 / 7 / 12", "2020 / 7 / 15", "2020 / 7 / 20"), for example, the side effect name, grade, side effect onset date, and side effect resolution date regarding the treatment indicated by "IDsm1" administered to the patient (the patient identified by "IDp1") who is the episode identified by "IDse1" are shown as "Vomiting", "2", the date indicated by "2020 / 7 / 12", and the date indicated by "2020 / 7 / 15", respectively. Also, it is shown that the side effect information ID is "IDss1", and it is shown that the date on which each piece of information was stored or updated is the date indicated by "2020 / 7 / 20".
[0060] (Configuration - Medical support device - Recording unit - Medical information DB - Examination information table) The inspection information table T7 in FIG. 4 is a table showing information regarding inspections performed on a patient. FIG. 11 is a diagram illustrating the inspection information table. In the inspection information table T7, as shown in FIG. 11, for example, the information corresponding to the item "Inspection Information ID", the information corresponding to the item "Episode ID", the information corresponding to the item "Patient ID", the information corresponding to the item "Inspection Item Name", the information corresponding to the item "Inspection Value", the information corresponding to the item "Inspection Date", and the information corresponding to the item "Update Date" are mutually associated.
[0061] The information corresponding to the item "Inspection Information ID" is an inspection information ID that uniquely identifies information regarding inspections performed on a patient (in FIG. 11, "IDst1", etc.). The information corresponding to the item "Inspection Item Name" is information indicating the name of the inspection item that has been or will be performed on the patient (in FIG. 11, "KRAS", etc.). The information corresponding to the item "Inspection Value" is information indicating the inspection value that is the result of the inspection performed on the patient (in FIG. 11, "D1", etc.). The information corresponding to the item "Inspection Date" is information indicating the date on which the inspection was performed on the patient (in FIG. 11, "2020 / 7 / 10", etc.).
[0062] And for example, regarding the information in the uppermost row in such an inspection information table T7 (the combination of information such as "IDst1", "IDse1", "IDp1", "KRAS", "D1", "2020 / 7 / 10", and "2020 / 7 / 10"), it is shown that the name of the inspection item, the inspection value, and the inspection date of the inspection performed on the patient (the patient identified by "IDp1") for the episode identified by "IDse1" are the dates indicated by "KRAS", "D1", and "2020 / 7 / 10", and it is also shown that the inspection information ID is "IDst1", and it is further shown that the date on which each information was stored or updated is the date indicated by "2020 / 7 / 10".
[0063] (Configuration - Medical Support Device - Recording Unit - Input Information Specific Information DB) The input information specifying information DB 223 in FIG. 1 is the above-described type specifying information storage means, specifically, the input information specifying information storage means for storing input information specifying information. The "input information specifying information" is the above-described type specifying information, and is information for specifying at least the type of medical information to be stored in the medical information DB 222 based on the attributes of the inputter. FIG. 12 is a diagram illustrating the input information specifying information.
[0064] In the input information specifying information in FIG. 12, generally, the information corresponding to the item "medical information" and the information corresponding to the item "user's occupation" are mutually associated, and in the column corresponding to the occupation of the user who inputs each medical information, "main" indicating the main inputter or "sub" indicating the sub inputter is stored.
[0065] Specifically, for example, the information corresponding to the item "medical information" includes the information corresponding to the item "table" and the information corresponding to the item "information". The information corresponding to the item "table" is the information indicating each table stored as medical information shown in FIGS. 5 to 11, and the information corresponding to the item "information" indicates the types of specific information included in each of these tables. That is, for example, the information corresponding to the item "table" = "patient information" and the item "information" = "patient name" in the uppermost row of FIG. 12 indicates the information corresponding to the item "patient name" in the patient information table T1 in FIG. 5. Also, for example, the information corresponding to the item "table" = "episode information" and the item "information" = "cancer type classification" in the fourth row of FIG. 12 indicates the information corresponding to the item "cancer type classification" in the episode information table T3 in FIG. 7.
[0066] Also, for example, the information corresponding to the item "medical information" includes the information corresponding to the items "doctor", "nurse", "CRC", and "medical technologist", and at least a part of the columns corresponding to these pieces of information stores the above-mentioned "main" or "sub". It may be interpreted that the "main" stored here corresponds to the "main inputter attribute information", and the "sub" corresponds to the "sub inputter attribute information".
[0067] In the input information identification information of FIG. 12, for example, regarding the medical information indicated by the items "Table" and "Information", when "Primary" is stored in the column corresponding to the item "Doctor", it indicates that the attribute (occupation) of the primary inputter of the medical information is "Doctor". Also, when "Secondary" is stored in the column corresponding to the item "Doctor", it indicates that the attribute (occupation) of the secondary inputter of the medical information is "Doctor". Similarly, for example, regarding the medical information indicated by the items "Table" and "Information", when "Primary" is stored in the column corresponding to the item "Nurse", it indicates that the attribute (occupation) of the primary inputter of the medical information is "Nurse". Also, when "Secondary" is stored in the column corresponding to the item "Nurse", it indicates that the attribute (occupation) of the secondary inputter of the medical information is "Nurse". Similarly, for example, regarding the medical information indicated by the items "Table" and "Information", when "Primary" is stored in the column corresponding to the item "CRC", it indicates that the attribute (occupation) of the primary inputter of the medical information is "CRC". Also, when "Secondary" is stored in the column corresponding to the item "CRC", it indicates that the attribute (occupation) of the secondary inputter of the medical information is "CRC". Similarly, for example, regarding the medical information indicated by the items "Table" and "Information", when "Primary" is stored in the column corresponding to the item "Medical Technologist", it indicates that the attribute (occupation) of the primary inputter of the medical information is "Medical Technologist". Also, when "Secondary" is stored in the column corresponding to the item "Medical Technologist", it indicates that the attribute (occupation) of the secondary inputter of the medical information is "Medical Technologist".
[0068] Therefore, for example, regarding the information corresponding to the item "Table" = "Patient detailed information" in the 8th row and the item "Information" = "Presence or absence of smoking history" in FIG. 12, "Deputy" is stored in the column corresponding to the item "Physician", and "Main" is stored in the column corresponding to the item "Nurse". Also, since neither "Main" nor "Deputy" is stored in the columns corresponding to the items "CRC" and "Technician", it is shown that the main inputter is "Nurse" and the deputy inputter is "Physician" for the information corresponding to the item "Presence or absence of smoking history" in the patient detailed information table T2 in FIG. 6 corresponding to the item "Table" = "Patient detailed information" and the item "Information" = "Presence or absence of smoking history".
[0069] In addition, in FIG. 12, the items "Information" = "TNM classification (T)", "TNM classification (N)", and "TNM classification (M)" are assumed to indicate the information regarding the T factor, N factor, and M factor among the information corresponding to the item "TNM classification" in FIG. 7. Also, in FIG. 12, the item "Information" = "Test value (EGFR)" is assumed to indicate the information corresponding to the item "Test value" whose information corresponding to the item "Test item name" in FIG. 11 is "EGFR" (that is, the information of the item "Test value" associated with the item "Test item name" = "EGFR" (not shown in FIG. 11)) (the same applies to the input screen related information in FIG. 15 described later).
[0070] Note that the specific storage method of such input information specific information is arbitrary. For example, when information regarding the input information specific information is input to the medical support device 2 by any method (for example, a method in which an administrator accesses the medical support device 2 using his / her own terminal device and inputs, or a method in which an input means (such as a keyboard or a mouse, not shown) of the medical support device 2 is used for input), the control unit 23 stores based on the input information (the same applies to the test item specific information in FIG. 13 and the input screen related information in FIG. 15 described later).
[0071] (Configuration - Medical Support Device - Recording Unit - Test Item Specific Information DB) The inspection item specific information DB224 in FIG. 1 is the aforementioned type specific information storage means, specifically, the inspection item specific information storage means for storing inspection item specific information. The "inspection item specific information" is the aforementioned type specific information, and is at least information for specifying the type of medical information to be stored in the medical information DB222 based on the disease suffered by the patient. FIG. 13 is a diagram illustrating inspection item specific information. In the inspection item specific information, as shown in FIG. 13, the information corresponding to the item "cancer type classification" and the information corresponding to the item "inspection item name" are mutually associated. Note that the information corresponding to each of these items is the same as the information with the same name in FIGS. 7 and 11.
[0072] And for example, regarding the information at the uppermost level in this inspection item specific information (the information of the combination of "lung cancer" and "EGFR"), when the disease suffered by the patient is "lung cancer", it is shown that the name of the inspection item to be performed on the patient is "EGFR". That is, in this inspection item specific information, for example, when the disease suffered by the patient is "lung cancer", the names of the inspection items to be performed on the patient are "EGFR", "ALK fusion", and "ROS1", and when the disease suffered by the patient is "breast cancer", the names of the inspection items to be performed on the patient are "HER2(IHC)" and "HER2(FISH)", etc. are shown.
[0073] (Configuration - Medical Support Device - Recording Unit - Confirmation Standard Information DB) The confirmation standard information DB225 in FIG. 1 is the confirmation standard information storage means for storing confirmation standard information. The "confirmation standard information" is information serving as a standard for confirming the consistency between multiple types of medical information stored in the medical information DB222. FIG. 14 is a diagram illustrating confirmation standard information. In the confirmation standard information, as shown in FIG. 14, the information corresponding to the item "cancer type classification", the information corresponding to the item "TNM classification", and the information corresponding to the item "stage" are mutually associated. Note that the information corresponding to each of these items is the same as the information with the same name in FIG. 7.
[0074] And for example, regarding the information at the uppermost level in this confirmation reference information (the combination information of "gastric cancer", "T = 1, N = 1, M = 0", and "1A"), when the patient is suffering from the disease "gastric cancer", if the TNM classification is "T = 1, N = 1, M = 0", it is shown that the stage is "1A" (that is, when the patient is suffering from the disease "gastric cancer" and the stage is "1A", the TNM classification is "T = 1, N = 1, M = 0").
[0075] Note that the specific storage method of such confirmation reference information is arbitrary. For example, after grasping the correspondence relationship between the predetermined TNM classification and the stage in the cancer of each cancer type, when the information reflecting the grasping result is input to the medical support device 2 by an arbitrary method (such as the same input methods as described above), the control unit 23 shall store it based on the input information.
[0076] (Configuration - Medical Support Device - Recording Unit - Input Screen Related Information DB) The input screen related information DB226 in FIG. 1 is an input screen related information storage means for storing input screen related information. The "input screen related information" is information related to various input screens for the user as the inputter to input medical information into the medical support device 2. FIG. 15 is a diagram illustrating the input screen related information, and FIG. 16 is a diagram illustrating each input screen. For each input screen, input screens of types corresponding to the occupation of the user inputting medical information are displayed, and input fields (information input fields) corresponding to the occupation of the user are displayed on the input screen. However, these detailed matters will be described later. Here, with reference to each input screen in FIG. 16 as appropriate, the input screen related information will be described.
[0077] ===Input Screen=== First, the input screen will be described. The "input screen" is a screen for inputting medical information into the medical support device 2 and storing it in the medical information DB 222. For example, it is a screen displayed on the display 13 of the terminal device 1 based on input screen information (information for displaying the input screen) generated on the medical support device 2 side. The "input screen" includes, for example, as shown in FIG. 16, a case basic information input screen, a consent information input screen, a patient background information input screen, a cancer detailed information input screen, an adverse event information input screen, and a treatment history information input screen. Note that for each of these input screens, any technology (for example, a technology for switching screens using tabs, etc.) may be applied, and each screen may be configured to be switched by performing a predetermined operation on the terminal device 1 side.
[0078] = Case Basic Information Input Screen = The "case basic information input screen" in FIG. 16 is a screen for inputting basic information such as attributes related to a patient. For example, it is a screen on which input fields P11 to P14 are appropriately displayed. Each input field is a field for inputting and storing information corresponding to the name of the information displayed on the left side of each input field on the input screen (that is, information corresponding to each item in each of the tables in FIGS. 5 to 11), and is also a field capable of appropriately displaying each piece of information (the same applies to the input fields on other screens). Input fields P11 to P14 are, for example, fields for inputting information corresponding to the items "patient name", "gender", "date of birth", and the item "cancer type classification" in FIG. 7 in FIG. 5. For example, "ID11" to "ID14" are associated as input field IDs for uniquely identifying each field.
[0079] = Consent Information Input Screen = The "consent information input screen" in FIG. 16 is a screen for inputting information on the consent status regarding the handling of a patient's information. For example, it is a screen on which input fields P21 to P23 are appropriately displayed. Input fields P21 to P23 are, for example, fields for inputting information corresponding to the items "Consent A", "Consent B", and "Consent C" in FIG. 6. For example, "ID21" to "ID23" are associated as input field IDs for uniquely identifying each field.
[0080] =Patient Background Information Input Screen The "Patient Background Information Input Screen" in Fig. 16 is a screen for inputting information such as the background related to the patient's illness. For example, it is a screen on which input fields P31 to P39 are appropriately displayed. Input fields P31 to P35 are, for example, fields for inputting information corresponding to the items "Smoking History (Yes / No)", "Number of Smoking Years", "Number of Cigarettes per Day", "Excessive Alcohol Consumption", and "Family History" in Fig. 6. For example, they are fields associated with "ID31" to "ID35" as input field IDs for uniquely identifying each field. Also, input fields P36 to P39 are, for example, fields for inputting information regarding the T factor, N factor, and M factor among the information corresponding to the item "TNM Classification" in Fig. 7 and information corresponding to the item "Stage". For example, they are fields associated with "ID36" to "ID39" as input field IDs for uniquely identifying each field.
[0081] =Cancer Detailed Information Input Screen The "Cancer Detailed Information Input Screen" in Fig. 16 is a screen for inputting detailed information related to the patient's illness. For example, it is a screen on which input fields P41 to P44 are appropriately displayed and an input display area P400 is provided. Input fields P41 to P44 are, for example, fields for inputting information corresponding to the items "Cancer Tissue", "Cancer Differentiation Degree", "Cancer Site" in Fig. 7, and the item "Examination Date" in Fig. 11. For example, they are fields associated with "ID41" to "ID44" as input field IDs for uniquely identifying each field. Also, the input display area P400 is, for example, an area where input fields for inputting information corresponding to the item "Examination Value" in Fig. 11 are displayed. In Fig. 16, input fields P45 to P47 are illustrated. Input fields P45 to P47 are, for example, fields for inputting information corresponding to the item "Examination Value" associated with "KRAS", "NRAS", and "HER2", which are information corresponding to the item "Examination Item Name" in Fig. 11. For example, they are fields associated with "ID45" to "ID47" as input field IDs for uniquely identifying each field.
[0082] =Adverse Event Information Input Screen The "Harmful Event Information Input Screen" in Fig. 16 is a screen for inputting information regarding harmful events (i.e., side effects) of a patient. For example, it is a screen on which input fields P51 to P54 are appropriately displayed. The input fields P51 to P54 are, for example, fields for inputting information corresponding to the items "Side Effect Name", "Grade", "Side Effect Onset Date", and "Side Effect Resolution Date" in Fig. 10. For example, they are fields associated with "ID51" to "ID54" as input field IDs for uniquely identifying each field.
[0083] =Treatment History Information Input Screen= The "Treatment History Information Input Screen" in Fig. 16 is a screen for inputting information regarding the treatment of a patient. For example, it is a screen on which input fields P61 to P64 are appropriately displayed. The input fields P61 to P64 are, for example, fields for inputting information corresponding to the items "Drug Name", "Prescription Date" in Fig. 8, the item "Effect Judgment Result" in Fig. 9, and the item "Effect Judgment Date". For example, they are fields associated with "ID61" to "ID64" as input field IDs for uniquely identifying each field.
[0084] ===Input Screen - Related Information=== Next, the input screen - related information will be described. In the input screen - related information in Fig. 15, for example, the information corresponding to the item "Input Screen", the information corresponding to the item "Input Field ID", the information corresponding to the item "Table" of the item "Medical Information", and the information corresponding to the item "Information" of the item "Medical Information" are mutually associated.
[0085] The information corresponding to the item "Input Screen" is the information indicating each of the above - mentioned input screens (in Fig. 15, "Case Basic Information" indicating the case basic information input screen, etc.). The information corresponding to the item "Input Field ID" is the above - mentioned input field ID. The information corresponding to the item "Table" of the item "Medical Information" and the information corresponding to the item "Information" of the item "Medical Information" are the same as the information with the same name in Fig. 12.
[0086] Then, regarding, for example, the topmost information (information in the combination of "Case Basic Information", "ID11", "Patient Information", and "Patient Name") in such input screen-related information, for example, on the case basic information input screen indicated by "Case Basic Information", an input field P11 (Fig. 16) identified by "ID11" is appropriately displayed. It is shown that the input field P11 identified by the "ID11" is associated with information corresponding to the item "Patient Name" in Fig. 5 indicated by "Patient Information" in the patient information table T1 indicated by "Patient Information". Note that for some input field IDs in Fig. 15, for the convenience of explanation, they are illustrated as "···" and the description of specific information is omitted.
[0087] (Configuration - Medical Support Device - Control Unit) The control unit 23 in Fig. 1 is a control means for controlling the medical support device 2. Conceptually in terms of functions, for example, it includes a display control unit 231, a confirmation unit 232, and a storage control unit 233. The display control unit 231 is a display control means for identifying the type of medical information to be stored in the medical information DB222 based on the input information identification information stored in the input information identification information DB223 and the inspection item identification information stored in the inspection item identification information DB224, and displaying an input field for inputting the identified type of medical information and storing it in the medical information DB222 on the display 13 of the terminal device 1. The confirmation unit 232 is a confirmation means for performing a process of confirming the consistency between multiple types of medical information input in a plurality of input fields. The storage control unit 233 is a storage control means for storing the medical information input in the input field in the medical information DB222. Note that the processes performed by each part of this control unit 23 will be described later.
[0088] (Process) Next, the nurse information storage process, doctor information storage process, CRC information storage process, medical technician information storage process, and information confirmation process executed by the medical-related system 100 configured as described above will be described.
[0089] Here, for example, when a medical staff member (a user not shown in FIG. 1) uses his or her computer to input a patient's name, gender, and date of birth, the computer sends the input information to the medical support device 2. When the control unit 23 of the medical support device 2 receives the sent information, in the patient information table T1 of FIG. 5, a unique patient ID is generated. Also, after specifying the current date by an arbitrary method (for example, a method using the time measurement result of a timekeeping means such as a timer not shown), it is assumed that the information corresponding to each item of the patient information table T1 of FIG. 5 is stored based on the generated patient ID, the received information, and the specified date. As an example, it is assumed that the information in the uppermost row of FIG. 5 (the combination of information of "IDp1", "AA", "male", "1 / 1 / 1960", and "6 / 20 / 2020") is stored, and the case of inputting or storing information regarding the patient identified by this "IDp1" will be exemplified and explained.
[0090] (Processing - Information Storage Processing for Nurses) FIG. 17 is a flowchart of the information storage processing for nurses (in the following explanations of each process, the steps are abbreviated as "S"). The "information storage processing for nurses" is generally a process executed by the medical support device 2, and specifically, it is a process of having a nurse input medical information and storing the information.
[0091] The timing for executing this nurse information storage process is arbitrary. For example, when a nurse, who is the user, inputs their own name and the name of the patient whose information is to be stored via the touch pad 12 of their terminal device 1 and then performs a predetermined operation (an operation for starting the nurse information storage process) to log in, the control unit 15 of the terminal device 1 transmits the user name information indicating the input user's name and the patient name information indicating the input patient's name to the medical support device 2 as login information. On the other hand, the control unit 23 of the medical support device 2 receives the user name information and the patient name information, which are the login information transmitted from the terminal device 1, refers to the user information in FIG. 3, and identifies the information of the item "occupation type" associated with the information of the item "user name" in which the same information as the received user name information is stored (that is, identifies the occupation type of the logged-in user). When the identified information of the item "occupation type" is "nurse", it is set to start, and the nurse information storage process will be described from the point where it is started. Note that the expression "information of the item 'user name'" here is described as indicating "information corresponding to the item 'user name'" (note that the information of each other item is the same).
[0092] Here, for example, when a nurse who is the user with the name "U1" in FIG. 1 inputs "U1", which is their own name, and "AA", which is the name of the patient for whom information is to be stored, via the touch pad 12 of their terminal device 101 and then performs a predetermined operation (an operation for starting the nurse information storage process) to log in, the control unit 15 of the terminal device 101 transmits "user name information" = "U1" and "patient name information" = "AA" as login information to the medical support device 2. On the other hand, the control unit 23 of the medical support device 2 receives the login information "user name information" = "U1" and "patient name information" = "AA" transmitted from the terminal device 1, refers to the user information in FIG. 3, and identifies "nurse" as the information in the item "occupation" associated with the information in the item "user name" where the received "user name information" = "U1" is stored (that is, identifies the occupation of the user with the logged-in name "U1" as "nurse"). Since the information in the identified item "occupation" is "nurse", the nurse information storage process is started.
[0093] ===SA1=== In SA1 of FIG. 17, the display control unit 231 of the medical support device 2 identifies the patient ID of the patient for whom information is to be stored. Specifically, although it is arbitrary, for example, when starting the nurse information storage process, it acquires the patient name information received at that time, refers to the patient information table T1 in FIG. 5, and identifies the information in the item "patient ID" associated with the information in the item "patient name" where the same information as the acquired patient name information is stored as the patient ID of the patient for whom information is to be stored.
[0094] Here, for example, when starting the nurse information storage process, it acquires "patient name information" = "AA" received at that time, refers to the patient information table T1 in FIG. 5, and identifies "IDp1", which is the information in the item "patient ID" associated with the information in the item "patient name" where the same information as the acquired "patient name information" = "AA" is stored, as the patient ID of the patient for whom information is to be stored.
[0095] ===SA2=== In SA2 of FIG. 17, the display control unit 231 of the medical support device 2 generates input screen information for nurses. The "input screen information for nurses" is input screen information for displaying an input screen for nurses that includes input fields corresponding to information to be input by nurses.
[0096] Although the specific processing is arbitrary, generally, for example, based on the occupation of the user specified at the start of the nurse information storage process (that is, the occupation of the logged-in user) and the input information specifying information in FIG. 12, the type of medical information for which the specified occupation is the main inputter or sub-inputter is specified, and input screen information for displaying an input screen having input fields for inputting the specified type of medical information is generated as the input screen information for nurses. Specifically, for example, "the first process of SA2" to "the second process of SA2" are executed.
[0097] =The First Process of SA2= In "the first process of SA2", with reference to the input information specifying information in FIG. 12, among the columns corresponding to the item "occupation of the user", the type of medical information in which "main" or "sub" is stored in the column of the item "nurse" corresponding to the occupation of the user specified at the start of the nurse information storage process (that is, the occupation of the logged-in user) is specified as the type of medical information for which the logged-in user's occupation is the main inputter or sub-inputter.
[0098] Here, for example, in the input information specifying information in FIG. 12, the medical information in which "sub" is stored in the column of the item "nurse" is the items "information" = "patient name", "gender", and "date of birth", and the medical information in which "main" is stored in the column of the item "nurse" is the items "information" = "smoking history", "number of years of smoking", "number of cigarettes per day", "heavy alcohol consumption", and "family history". Therefore, these items of information "patient name", "gender", "date of birth", "smoking history", "number of years of smoking", "number of cigarettes per day", "heavy alcohol consumption", and "family history" are specified.
[0099] =The Second Process of SA2= In the "Second Process of SA2", with reference to the input screen related information in Fig. 15, the information of the item "Input Screen" and the information of the item "Input Field ID" associated with the item "Information" of the item "Medical Information" in which the same type of medical information identified in the "First Process of SA2" is stored are identified, and the input screen information for displaying the input screen indicated by the information of the identified item "Input Screen" and including the input field identified by the information of the identified item "Input Field ID" is generated as the input screen information for nurses.
[0100] Fig. 18 is a diagram illustrating an input screen for nurses. Here, for example, since "Patient Name", "Gender", "Date of Birth", "Existence of Smoking History", "Number of Smoking Years", "Number of Sticks per Day", "Alcohol Abuse", and "Family History" are identified in the "First Process of SA2", with reference to the input screen related information in Fig. 15, the items "Input Screen" = "Case Basic Information" and "Patient Background Information" are identified, and also the items "Input Field ID" = "ID11" to "ID13" and "ID31" to "ID35" are identified. As shown in Fig. 18, the input screen information for displaying the case basic information input screen including the input fields P11 to P13 identified by the identified "ID11" to "ID13" and the patient background information input screen including the input fields P31 to P35 identified by the identified "ID31" to "ID35" is generated as the input screen information for nurses. Note that the input screen information for nurses here may be configured such that each input screen can be switched by a so-called tab as described above (the same applies to other input screen information).
[0101] Regarding the input fields P11 to P13 on the case basic information input screen, for the convenience of inputting various types of information, the information already stored in the medical information DB222 may be configured to be displayed. In this case, for example, the display control unit 231 refers to the patient information table T1 in FIG. 5, and acquires the information of the item "patient name", the information of the item "gender", and the information of the item "date of birth" that are associated with the information of the item "patient ID" in which the same information as the patient ID specified by SA1 is stored, and generates the input screen information for the nurse so that the acquired information is displayed in the input fields P11 to P13 corresponding to the respective information (the same applies to the input screen information for other screens).
[0102] ===SA3=== In SA3 of FIG. 17, the display control unit 231 of the medical support device 2 transmits the input screen information for the nurse generated in SA2 to the terminal device 1 of the nurse who is the logged-in user. Specifically, although it is arbitrary, for example, the input screen information for the nurse generated in SA2 is transmitted to the terminal device 1 that transmitted the login information at the start of the nurse information storage process.
[0103] On the other hand, when the control unit 23 of the terminal device 1 of the logged-in user receives the transmitted input screen information for the nurse, it displays the input screen for the nurse on the display 13 based on the received input screen information for the nurse.
[0104] Here, for example, for the terminal device 101 that transmitted the login information at the start of the nurse information storage process (that is, the terminal device 101 carried by the nurse who is the user with the name "U1" in FIG. 1), the input screen information for the nurse for displaying the input screen for the nurse in FIG. 18 generated in SA2 is transmitted.
[0105] On the other hand, when the control unit 23 of the terminal device 101 of the logged-in user receives the transmitted input screen information for the nurse, it displays the input screen for the nurse in FIG. 18 on the display 13 based on the received input screen information for the nurse.
[0106] In this case, since each input field for inputting medical information of the type in which a nurse is the main inputter or the sub-inputter is displayed on the nurse input screen, it becomes possible to quickly and accurately cause the nurse, who is the user, to input the type of medical information that the nurse should input among many types of medical information.
[0107] ===SA4=== In SA4 of FIG. 17, the storage control unit 233 of the medical support device 2 receives and acquires medical information and the like input to the input fields of the nurse input screen by the logged-in user. Specifically, although it is arbitrary, for example, when the user inputs medical information corresponding to the input field to the input field of the nurse input screen displayed on the display 13 of the terminal device 1 in SA3 via the touch pad 12, the control unit 15 of the terminal device 1 transmits information on a combination of the input medical information and the input field ID for identifying the input field in which the medical information was input to the medical support device 2. Then, the storage control unit 233 of the medical support device 2 receives and acquires the information on the combination of the medical information and the input field ID transmitted from the terminal device 1.
[0108] Here, for example, when the user, who is a nurse named "U1", inputs "yes", "50 years", "20 pieces", "no", and "no" to the input fields P31 to P35 of the patient background information input screen shown in FIG. 18 displayed on the display 13 of the terminal device 101 in SA3 based on the information described in the relevant documents of the patient in the waiting room or the like when the patient comes to the hospital, and taps a recording button (a button for transmitting and storing the input information to the medical support device 2) (not shown), the control unit 15 of the terminal device 101 transmits information on each combination of "yes" and "ID31", "50 years" and "ID32", "20 pieces" and "ID33", "no" and "ID34", and "no" and "ID35" to the medical support device 2.
[0109] In the nurse input screen of FIG. 18, although the case basic information input screen is also included, the user with the name "U1" who is a nurse grasps that he / she is a secondary inputter for each piece of information in input fields P11 to P13 as part of his / her job content. Specific information is displayed in these input fields P11 to P13, and since medical information has already been stored in the medical information DB222, no information will be input into these input fields P11 to P13 (the same applies to other processes described later).
[0110] Then, the storage control unit 233 of the medical support device 2 receives and acquires the information of the combinations of "Yes" and "ID31", "50 years" and "ID32", "20 pieces" and "ID33", "No" and "ID34", and "No" and "ID35" transmitted from the terminal device 101.
[0111] ===SA5=== In SA5 of FIG. 17, the storage control unit 233 of the medical support device 2 stores the medical information input by the user in the medical information DB222 based on the information received and acquired in SA4. Specifically, although it is arbitrary, generally, for example, referring to the input screen related information in FIG. 15, the table for storing the medical information received in SA4 and the type of medical information in the table are specified, and storage is performed based on the specified results. Specifically, for example, "the first process of SA5" to "the second process of SA5" are executed for each combination of information received in SA4.
[0112] =The first process of SA5= In "the first process of SA5", referring to the input screen related information in FIG. 15, the information of the item "table" and the item "information" associated with the information of the item "input field ID" in which the same information as the input field ID among the medical information and the input field ID received in SA4 is stored are specified. The table indicated by the specified information of the item "table" is specified as the table for storing the medical information received in SA4, and the specific type of medical information indicated by the specified information of the item "information" is specified as the type of medical information for storing the medical information received in SA4.
[0113] Here, for example, regarding "Yes" and "ID31" received by SA4, in the input screen related information of FIG. 15, since the item "Input field ID" = "ID31" is associated with the item "Table" = "Patient detailed information" and the item "Information" = "Smoking history presence / absence", the "Patient detailed information table T2" is specified as the table for storing the medical information "Yes" received by SA4. Also, "Smoking history presence / absence" is specified as the type of medical information for storing the medical information "Yes" received by SA4. Similarly, regarding the medical information "50 years", "20 sticks", "No", and "No" received by SA4, the "Patient detailed information table T2" is specified as the table for storing them. Also, "Smoking years", "Number of sticks per day", "Excessive alcohol consumption", and "Family history" are specified as the types of medical information for storing each medical information.
[0114] =Second process of SA5= In the "Second process of SA5", according to the identification result of the "First process of SA5", the medical information received by SA4 is stored. Specifically, in the patient detailed information table T2 of FIG. 6, when the same information as the patient ID identified by SA1 is stored as the information of the item "Patient ID", the medical information received by SA4 is stored in association with the information of the item "Patient ID" that is the same as the patient ID identified by SA1. On the other hand, when the same information as the patient ID identified by SA1 is not stored as the information of the item "Patient ID", the patient ID identified by SA1 is stored as the information of the item "Patient ID", and then the medical information received by SA4 is stored in association with the stored patient ID. Also, after specifying the current date by an arbitrary method, the information indicating the specified date is stored as the information of the item "Update date".
[0115] Here, for example, in the patient detailed information table T2 of FIG. 6, if the information of "patient ID" specified by SA1 is not stored as the information of the item "patient ID" in the information of the item "patient ID", as shown in the uppermost row of FIG. 6, the item "patient ID" = "IDp" is stored, and also, the item "smoking history (yes / no)" = "yes", the item "number of smoking years" = "50 years", the item "number of cigarettes per day" = "20 cigarettes", the item "heavy alcohol consumption" = "no", the item "family history" = "no", and the item "update date" = "2020 / 6 / 20" are stored. With this, the information storage process for nurses is completed.
[0116] (Process - Information Storage Process for Doctors) FIG. 19 is a flowchart of the information storage process for doctors. The "information storage process for doctors" is, generally speaking, a process executed by the medical support device 2. Specifically, it is a process of having a doctor input medical information and storing the information.
[0117] The timing for executing this information storage process for doctors is arbitrary and is the same as the information storage process for nurses. For example, when a doctor, who is a user, inputs his / her own name and the name of the patient for whom information is to be stored via the touchpad 12 of his / her terminal device 1 and then performs a predetermined operation (an operation for starting the information storage process for doctors) to log in, the control unit 15 of the terminal device 1 transmits the input user's user name information and the input patient's patient name information to the medical support device 2 as login information. On the other hand, the control unit 23 of the medical support device 2 receives the user name information and the patient name information, which are the login information transmitted from the terminal device 1, refers to the user information in FIG. 3, and identifies the information of the item "occupation type" associated with the information of the item "user name" in which the same information as the received user name information is stored (that is, identifies the occupation type of the logged-in user). When the identified information of the item "occupation type" is "doctor", it is set to start, and the information storage process for doctors will be described from the point where the process is started.
[0118] Here, for example, when a doctor who is the user with the name "U2" in FIG. 1 inputs "U2", which is his own name, and "AA", which is the name of the patient whose information is to be stored, via the touch pad 12 of his terminal device 102 and then performs a predetermined operation (an operation for starting the doctor information storage process) to log in, the control unit 15 of the terminal device 102 transmits "user name information" = "U2" and "patient name information" = "AA" as login information to the medical support device 2. On the other hand, the control unit 23 of the medical support device 2 receives "user name information" = "U2" and "patient name information" = "AA", which are the login information transmitted from the terminal device 1, refers to the user information in FIG. 3, and identifies "doctor" as the information in the item "occupation" associated with the information in the item "user name" where the received "user name information" = "U2" is stored (that is, identifies the occupation of the user with the logged-in name "U2" as "doctor"). Since the information in the identified item "occupation" is "doctor", the doctor information storage process is started.
[0119] ===SB1=== In SB1 of FIG. 19, the display control unit 231 of the medical support device 2 identifies the patient ID of the patient whose information is to be stored. Specifically, although it is arbitrary, for example, the same process as SA1 in FIG. 17 is performed. Here, for example, "IDp1" corresponding to "patient name information" = "AA" is identified as the patient ID of the patient whose information is to be stored.
[0120] ===SB2=== In SB2 of FIG. 19, the display control unit 231 of the medical support device 2 generates doctor input screen information. The "doctor input screen information" is input screen information for displaying a doctor input screen including input fields corresponding to the information that the doctor should input.
[0121] Although the specific process is arbitrary, generally, for example, the same process as SA2 in FIG. 17 is performed. Specifically, for example, "the first process of SB2" to "the second process of SB2" are executed.
[0122] =The first process of SB2= In the "First Process of SB2", it is basically the same as the "First Process of SA2" in FIG. 17. That is, referring to the input information specifying information in FIG. 12, among the columns corresponding to the item "User's Occupation", in the column corresponding to the occupation of the user specified at the start of the medical information storage process for doctors (i.e., the occupation of the logged-in user), the type of medical information in which "main" or "sub" is stored in the column of the item "Doctor" is specified as the type of medical information for which the occupation of the logged-in user is the main inputter or sub-inputter.
[0123] Here, for example, in the input information specifying information in FIG. 12, the medical information in which "sub" is stored in the column of the item "Doctor" is information such as "Item" = "Patient Name", "Gender", "Date of Birth", and "Existence of Smoking History", etc., and the medical information in which "main" is stored in the column of the item "Doctor" is information such as "Item" = "Cancer Type Classification", "Stage", "Cancer Tissue", and "Degree of Cancer Differentiation", etc. Therefore, the information of these items "Information" is specified.
[0124] =Second Process of SB2= In the "Second Process of SB2", the same process as the "Second Process of SA2" in FIG. 17 is performed to generate doctor input screen information.
[0125] FIG. 20 is a diagram illustrating a doctor input screen. Here, for example, as shown in FIG. 20, input screen information for displaying a case basic information input screen, a patient background information input screen, a cancer detailed information input screen, a harmful event information input screen, and a treatment history information input screen is generated as doctor input screen information.
[0126] ===SB3=== In SB3 of FIG. 19, the display control unit 231 of the medical support device 2 transmits the doctor input screen information generated in SB2 to the terminal device 1 of the doctor who is the logged-in user. Specifically, although it is arbitrary, for example, the same process as SA3 in FIG. 17 is performed.
[0127] Here, for example, for the terminal device 102 that transmitted login information when starting the doctor information storage process (that is, the terminal device 102 carried by the doctor who is the user with the name "U2" in FIG. 1), doctor input screen information for displaying the doctor input screen of FIG. 20 generated by SB2 is transmitted.
[0128] On the other hand, when the control unit 23 of the terminal device 102 of the logged-in user receives the transmitted doctor input screen information, based on the received doctor input screen information, it displays the doctor input screen of FIG. 20 on the display 13.
[0129] In this case, since each input field for inputting various types of medical information for which the doctor is the main inputter or the sub-inputter is displayed on the doctor input screen, it is possible to quickly and accurately cause the doctor as the user to input the types of medical information that the doctor should input among the many types of medical information.
[0130] ===SB4=== In SB4 of FIG. 19, the storage control unit 233 of the medical support device 2 receives and acquires the medical information and the like input in the input fields of the doctor input screen by the logged-in user. Specifically, although it is arbitrary, for example, the same processing as SA4 in FIG. 17 is performed.
[0131] Here, for example, when a user who is a doctor makes a diagnosis and inputs information about a disease (hereinafter, "at the time of diagnosis"), when starting treatment for the diagnosed disease and inputting information about the treatment (hereinafter, "at the start of treatment"), when inputting information about the progress of treatment (hereinafter, "during follow-up observation"), and when inputting information about the effect of treatment (hereinafter, "when inputting the effect"), it is assumed that in each of these cases, when the user who is a doctor inputs the medical information for which the user himself / herself is the main inputter, it will be described.
[0132] <At the time of diagnosis> For example, at the time of "diagnosis", the user with the name "U2" diagnoses the patient considering various pieces of information about the patient. Based on the diagnosis result, via the touchpad 12, the user inputs "gastric cancer" into the input field P14 of the case basic information input screen shown in FIG. 20 on the display 13 of the terminal device 102 at SB3. Also, the user inputs "tubular adenocarcinoma", "poorly differentiated type", and "stomach / cardia" into the input fields P41 to P43 of the cancer detailed information input screen. Further, when the user inputs "1A" into the input field P39 of the patient background information input screen and taps a recording button (not shown), the control unit 15 of the terminal device 102 transmits information on each combination of "gastric cancer" and "ID14", "tubular adenocarcinoma" and "ID41", "poorly differentiated type" and "ID42", "stomach / cardia" and "ID43", "1A" and "ID39" to the medical support device 2. In this case, the storage control unit 233 of the medical support device 2 receives and acquires the information on each combination transmitted from the terminal device 102.
[0133] <At the start of treatment> For example, at the time of "start of treatment", the user with the name "U2" prescribes a drug corresponding to the treatment policy of the patient. Based on the prescription, via the touchpad 12, when the user inputs "Drug A1" and "2020 / 7 / 10" into the input fields P61 to P62 of the treatment history information input screen shown in FIG. 20 on the display 13 of the terminal device 102 at SB3 and taps a recording button (not shown), the control unit 15 of the terminal device 102 transmits information on each combination of "Drug A1" and "ID61", "2020 / 7 / 10" and "ID62" to the medical support device 2. In this case, the storage control unit 233 of the medical support device 2 receives and acquires the information on each combination transmitted from the terminal device 102.
[0134] <During follow-up observation> For example, at the time of follow-up observation, user "U2" based on the results of the patient's follow-up observation, via the touchpad 12, enters "vomiting", "2", "2020 / 7 / 12", and "2020 / 7 / 15" into input fields P51 to P54 of the adverse event information input screen in FIG. 20 displayed on the display 13 of the terminal device 102 at SB3 and taps a recording button (not shown). In this case, the control unit 15 of the terminal device 102 transmits information of each combination of "vomiting" and "ID51", "2" and "ID52", "2020 / 7 / 12" and "ID53", "2020 / 7 / 15" and "ID54" to the medical support device 2. In this case, the storage control unit 233 of the medical support device 2 receives and acquires the information of each combination transmitted from the terminal device 102.
[0135] <At the time of effect input> For example, at the time of "effect input", user "U2" based on the results of the patient's follow-up observation, via the touchpad 12, enters "progress" and "2020 / 8 / 15" into input fields P63 to P64 of the treatment history information input screen in FIG. 20 displayed on the display 13 of the terminal device 102 at SB3 and taps a recording button (not shown). In this case, the control unit 15 of the terminal device 102 transmits information of each combination of "progress" and "ID63", "2020 / 8 / 15" and "ID64" to the medical support device 2. In this case, the storage control unit 233 of the medical support device 2 receives and acquires the information of each combination transmitted from the terminal device 102.
[0136] ===SB5=== In SB5 of FIG. 19, the storage control unit 233 of the medical support device 2 stores the medical information input by the user in the medical information DB222 based on the information received and acquired at SB4. Specifically, although it is arbitrary, schematically, for example, the same processing as SA5 in FIG. 17 is performed. In detail, for example, "the first process of SB5" to "the second process of SB5" are executed for the information of each combination received at SB4.
[0137] =The first process of SB5= In "the first process of SB5", the same processing as "the first process of SA5" in FIG. 17 is performed.
[0138] <At the time of diagnosis> In the "First process of SB5" at the "time of diagnosis", regarding "gastric cancer" and "ID14" which are the medical information received by SB4, in the input screen related information of Figure 15, since the item "input field ID" = "ID14" is associated with the item "table" = "episode information" and the item "information" = "cancer type classification", "episode information T3" is specified as the table for storing "gastric cancer" which is the medical information received by SB4, and "cancer type classification" is specified as the type of medical information for storing "gastric cancer" which is the medical information received by SB4. Similarly, regarding "tubular adenocarcinoma", "poorly differentiated type", "stomach / cardia", and "1A" which are the medical information received by SB4, "episode information T3" is specified as the table for storing them, and "cancer tissue", "cancer differentiation degree", "cancer site", and "stage" are specified as the types of medical information for storing each medical information.
[0139] <At the start of treatment> In the "First process of SB5" at the "time of diagnosis", regarding "Drug A1" and "2020 / 7 / 10" which are the medical information received by SB4, in the same way, "treatment information table T4" is specified as the table for storing them, and "drug name" and "prescription date" are specified as the types of medical information for storing each medical information.
[0140] <During follow-up observation> In the "First process of SB5" at the "time of follow-up observation", regarding "vomiting", "2", "2020 / 7 / 12", and "2020 / 7 / 15" which are the medical information received by SB4, in the same way, "side effect information table T6" is specified as the table for storing them, and "side effect name", "grade", "side effect onset date", and "side effect resolution date" are specified as the types of medical information for storing each medical information.
[0141] <At the time of effect input> In the "First Process of SB5" at the time of "Effect Input", for "Progression", which is the medical information received by SB4, and "2020 / 8 / 15", in the same way, identify the "Effect Judgment Information Table T5" as the table to be stored, and also identify "Effect Judgment Result" and "Effect Judgment Date" as the types of medical information to which each medical information is to be stored.
[0142] =Second Process of SB5= In the "Second Process of SB5", basically perform the same process as the "Second Process of SA5" in Figure 17, that is, store the medical information received by SB4 according to the specific result of the "First Process of SB5".
[0143] <At the time of diagnosis> In the "Second Process of SB5" at the time of "diagnosis", since new information of the episode information table T3 in Figures 4 and 7 is to be stored, generate a unique episode ID, and after specifying the current date by any method, in the episode information table T3 in Figure 7, as the information of the item "Episode ID", the information of the item "Patient ID", and the information of the item "Update Date", store the generated episode ID, the patient ID specified by SB1, and the information indicating the specified date, and store the medical information received by SB4 in association with each of the stored information.
[0144] Here, for example, generate "Episode ID" = "IDse1", and after specifying "2020 / 7 / 10" as the current date by any method, as shown in the uppermost row of Figure 7, store the item "Episode ID" = "Dse1", the item "Patient ID" = "IDp1" (the patient ID specified by SB1), and the item "Update Date" = "2020 / 7 / 10", and also store the item "Cancer type classification" = "Gastric cancer", the item "Cancer tissue" = "Tubular adenocarcinoma", the item "Cancer differentiation degree" = "Poorly differentiated type", the item "Cancer site" = "Stomach - Cardia", and the item "Stage" = "1A".
[0145] <At the start of treatment> In the "Second Process of SB5" at the "Start of Treatment", since the information in the treatment information table T4 in FIGS. 4 and 8 will be newly stored, a unique treatment information ID is generated, and the episode ID is identified by the method described later. Also, after identifying the current date by any method, in the treatment information table T4 in FIG. 8, as the information in the item "Treatment Information ID", the information in the item "Episode ID", the information in the item "Patient ID", and the information in the item "Update Date", the generated treatment information ID, the identified episode ID, the patient ID identified by SB1, and the information indicating the identified date are stored. Associated with each of the stored information, the medical information received by SB4 is stored.
[0146] Note that the method for identifying the episode ID is arbitrary. For example, referring to the episode information table T3 in FIG. 7, the information in the item "Episode ID" associated with the information in the item "Patient ID" in which the same information as the patient ID identified by SB1 is stored may be identified. In this case, for example, when the patient's cancer progresses, when the patient currently has a different cancer from the previously suffered cancer, or when the patient has multiple types of cancer, etc., in the episode information table T3 in FIG. 7, it is assumed that there may be multiple episode IDs associated with the patient ID identified by SB1 (that is, the patient ID that identifies the patient for whom the information is to be stored). In this case, one episode ID may be identified using the following "First Method" or "Second Method".
[0147] The "First Method" is a method that focuses on the information in the item "Update Date" in the episode information table T3 in FIG. 7. In this method, for example, when there are multiple pieces of information in the item "Episode ID" associated with the patient ID identified by SB1 in the episode information table T3, as the information in the item "Update Date" associated with each piece of information in the item "Episode ID", the information in one item "Episode ID" in which the date closest to the current date is stored is identified.
[0148] The "second method" is a method that allows the user to make a selection. In this method, for example, in the episode information table T3, when there are multiple pieces of information in the item "episode ID" associated with the patient ID specified by SB1, each piece of information associated with the multiple items "episode ID" (that is, the information of each item shown in FIG. 7) is transmitted to the terminal device 1 and displayed on the display 13. When the user taps and selects the information of one item "episode ID" via the touch pad 12, the terminal device 1 transmits the information of the tapped item "episode ID" to the medical support device 2, and identifies the transmitted information of the item "episode ID".
[0149] Here, for example, "treatment information ID" = "IDsm1" is generated, and referring to the episode information table T3 in FIG. 7, the item "episode ID" = "IDse1" associated with the information of the item "patient ID" in which the same information as the "patient ID" = "IDp1" specified by SB1 is stored is identified. Also, after specifying "2020 / 7 / 10" as the current date by an arbitrary method, the information in the uppermost row of FIG. 8 is stored.
[0150] <During follow-up observation> In the "second process of SB5" during "follow-up observation", since new information in the side effect information table T6 in FIGS. 4 and 10 will be stored, a unique side effect information ID is generated. Also, the episode ID is identified by the method described in the above-mentioned "<At the start of treatment>", the treatment information ID is identified by the method described later, and after specifying the current date by an arbitrary method, in the side effect information table T6 in FIG. 10, as the information of the item "side effect information ID", the item "episode ID", the item "patient ID", the item "treatment information ID", and the item "update date", the above-mentioned generated side effect information ID, the above-mentioned identified episode ID, the patient ID specified by SB1, the above-mentioned identified treatment information ID, and the information indicating the above-mentioned specified date are stored, and the medical information received by SB4 is stored in association with each of the stored pieces of information.
[0151] Note that the method for specifying the treatment information ID is arbitrary. For example, referring to the treatment information table T4 in FIG. 8, the information in the item "Patient ID" where the same information as the patient ID specified by SB1 is stored, and the information in the item "Treatment Information ID" associated with the specified episode ID described above may be specified. In this case, for example, in various cases such as when treating by administering multiple drugs, in the treatment information table T4 in FIG. 8, there may be multiple treatment information IDs associated with the patient ID specified by SB1 (that is, the patient ID that identifies the patient for whom information is to be stored) and the specified episode ID. In this case, similar to the "first method" and "second method" in the case of the above-mentioned episode ID, a method that focuses on the information in the item "Update Date" in the treatment information table T4 in FIG. 8, or a method that allows the user to select may be used to specify one treatment information ID.
[0152] Here, for example, "Side Effect Information ID" = "IDss1" is generated, and "Episode ID" = "IDse1" is specified, and "Treatment Information ID" = "IDsm1" is specified. After specifying "2020 / 7 / 20" as the current date by an arbitrary method, the information in the uppermost row of FIG. 10 is stored.
[0153] <At the time of effect input> In the "Second Process of SB5" at the "At the time of effect input", since the information in the effect determination information table T5 in FIGS. 4 and 9 will be newly stored, a unique effect determination information ID is generated, and the episode ID is specified by the method described in the above-mentioned "<At the start of treatment>", and the treatment information ID is specified by the method described in the above-mentioned "<During follow-up observation>". After specifying the current date by an arbitrary method, in the effect determination information table T5 in FIG. 9, as the information in the item "Effect Determination Information ID", the information in the item "Episode ID", the information in the item "Patient ID", the information in the item "Treatment Information ID", and the information in the item "Update Date", the generated effect determination information ID, the specified episode ID, the patient ID specified by SB1, the specified treatment information ID, and the information indicating the specified date are stored, and the medical information received by SB4 is stored in association with each of the stored information.
[0154] Here, for example, "Effect Judgment Information ID" = "IDsj1" is generated, "Episode ID" = "IDse1" is specified, "Treatment Information ID" = "IDsm1" is specified, and after arbitrarily specifying "2020 / 7 / 20" as the current date, the information in the uppermost row of FIG. 10 is stored. With this, the doctor information storage process is completed.
[0155] (Process - CRC Information Storage Process) FIG. 21 is a flowchart of the CRC information storage process. The "CRC information storage process" is generally a process executed by the medical support device 2. Specifically, it is a process of inputting medical information into the CRC and storing the information.
[0156] The timing for executing this CRC information storage process is arbitrary and is the same as the nurse information storage process. For example, when the CRC, which is the user, inputs their own name and the name of the patient for whom information is to be stored via the touchpad 12 of their terminal device 1 and then performs a predetermined operation (an operation for starting the CRC information storage process) to log in, the control unit 15 of the terminal device 1 transmits the input user's user name information and the input patient's patient name information to the medical support device 2 as login information. On the other hand, the control unit 23 of the medical support device 2 receives the user name information and the patient name information, which are the login information transmitted from the terminal device 1, refers to the user information in FIG. 3, and specifies the information in the item "Occupation" associated with the information in the item "User Name" where the same information as the received user name information is stored (that is, specifies the occupation of the logged-in user). When the information in the specified item "Occupation" is "CRC", it is set to start, and the CRC information storage process will be described from when it is started.
[0157] Here, for example, when CRC, who is the user with the name "U3" in FIG. 1, inputs his own name "U3" and the name of the patient "AA" who is the target for storing information via the touch pad 12 of his own terminal device 103 and then performs a predetermined operation (an operation for starting the CRC information storage process) to log in, the control unit 15 of the terminal device 103 transmits "user name information" = "U3" and "patient name information" = "AA" as login information to the medical support device 2. On the other hand, the control unit 23 of the medical support device 2 receives the login information "user name information" = "U3" and "patient name information" = "AA" transmitted from the terminal device 1, refers to the user information in FIG. 3, and identifies "CRC" as the information of the item "occupation" associated with the information of the item "user name" in which the same information as the received "user name information" = "U3" is stored (that is, identifies the occupation of the user with the logged-in name "U3" as "CRC"). Since the information of the identified item "occupation" is "CRC", the CRC information storage process is started.
[0158] ===SC1=== In SC1 of FIG. 21, the display control unit 231 of the medical support device 2 identifies the patient ID of the patient who is the target for storing information. Specifically, although it is arbitrary, for example, the same process as SA1 in FIG. 17 is performed. Here, for example, "IDp1" corresponding to "patient name information" = "AA" is identified as the patient ID of the patient who is the target for storing information.
[0159] ===SC2=== In SC2 of FIG. 21, the display control unit 231 of the medical support device 2 generates CRC input screen information. The "CRC input screen information" is input screen information for displaying a CRC input screen including input fields corresponding to the information that CRC should input.
[0160] Although the specific process is arbitrary, generally, for example, the same process as SA2 in FIG. 17 is performed. Specifically, for example, "the first process of SC2" to "the second process of SC2" are executed.
[0161] =The first process of SC2= In the "First Process of SC2", it is basically the same as the "First Process of SA2" in FIG. 17. That is, referring to the input information specifying information in FIG. 12, among the columns corresponding to the item "User's Occupation", in the column of the item "CRC" corresponding to the user's occupation specified at the start of the CRC information storage process (i.e., the occupation of the logged-in user), the type of medical information in which "primary" or "secondary" is stored is specified as the type of medical information for which the logged-in user's occupation is the primary inputter or secondary inputter.
[0162] Here, for example, in the input information specifying information in FIG. 12, the medical information in which "secondary" is stored in the column of the item "CRC" is the items "Information" = "Patient Name", "Gender", and "Date of Birth", and the medical information in which "primary" is stored in the column of the item "CRC" is the items "Information" = "Consent A", "Consent B", and "Consent C". Therefore, the information of these items "Information" is specified.
[0163] =Second Process of SC2= In the "Second Process of SC2", the same process as the "Second Process of SA2" in FIG. 17 is performed to generate CRC input screen information.
[0164] FIG. 22 is a diagram illustrating a CRC input screen. Here, for example, as shown in FIG. 22, input screen information for displaying a case basic information input screen and a consent information input screen is generated as CRC input screen information.
[0165] ===SC3=== In SC3 of FIG. 21, the display control unit 231 of the medical support device 2 transmits the CRC input screen information generated in SC2 to the terminal device 1 of the CRC, which is the logged-in user. Specifically, although it is arbitrary, for example, the same process as SA3 in FIG. 17 is performed.
[0166] Here, for example, when starting the CRC information storage process, CRC input screen information for displaying the CRC input screen of FIG. 22 generated by SC2 is transmitted to the terminal device 103 that transmitted the login information (that is, the terminal device 103 carried by CRC, who is the user with the name "U3" in FIG. 1).
[0167] On the other hand, when the control unit 23 of the terminal device 103 of the logged-in user receives the transmitted CRC input screen information, based on the received CRC input screen information, the CRC input screen of FIG. 22 is displayed on the display 13.
[0168] In this case, since each input field for inputting medical information of the type where CRC is the main inputter or sub-inputter is displayed on the CRC input screen, for the user CRC, it is possible to quickly and accurately input the type of medical information that CRC should input among many types of medical information.
[0169] ===SC4=== In SC4 of FIG. 21, the storage control unit 233 of the medical support device 2 receives and acquires the medical information etc. input in the input fields of the CRC input screen by the logged-in user. Specifically, although it is arbitrary, for example, the same process as SA4 in FIG. 17 is performed.
[0170] Here, for example, when the patient visits the hospital, based on the information described in the relevant documents by the patient in the waiting room etc., the user CRC with the name "U3" inputs "Yes (2020 / 7 / 10)" to all of the input fields P21 to P23 of the consent information input screen of FIG. 22 displayed on the display 13 of the terminal device 103 via the touch pad 12 and taps a recording button (not shown), the control unit 15 of the terminal device 103 transmits the information of each combination of "Yes (2020 / 7 / 10)" and "ID21", "Yes (2020 / 7 / 10)" and "ID22", and "Yes (2020 / 7 / 10)" and "ID23" to the medical support device 2. In this case, the storage control unit 233 of the medical support device 2 receives and acquires the information of each combination transmitted from the terminal device 103.
[0171] ===SC5=== In SC5 of FIG. 21, the storage control unit 233 of the medical support device 2 stores the medical information input by the user in the medical information DB222 based on the information received and acquired in SC4. Specifically, although it is arbitrary, generally, for example, the same processing as SA5 in FIG. 17 is performed. Specifically, for example, "the first process of SC5" to "the second process of SC5" are executed for the information of each combination received in SC4.
[0172] =The First Process of SC5= In "the first process of SC5", the same processing as "the first process of SA5" in FIG. 17 is performed. Here, for example, for "Yes (2020 / 7 / 10)", "Yes (2020 / 7 / 10)", and "Yes (2020 / 7 / 10)" received in SC4, "Patient Detail Information Table T2" is specified as the table to be stored, and "A Consent", "B Consent", and "C Consent" are specified as the types of medical information to be stored for each medical information.
[0173] =The Second Process of SC5= In "the second process of SC5", the same processing as "the second process of SA5" in FIG. 17 is performed. Here, for example, in the patient detail information table T2 of FIG. 6, when the same information as "Patient ID" = "IDp1" specified in SC1 is stored as the information of the item "Patient ID" in the information of the item "Patient ID", in association with the "IDp1", the item "A Consent" = "Yes (2020 / 7 / 10)", the item "B Consent" = "Yes (2020 / 7 / 10)", and the item "C Consent" = "Yes (2020 / 7 / 10)" are stored. Thus, the information storage process for nurses is completed.
[0174] (Process - Information Storage Process for Medical Technicians) FIG. 23 is a flowchart of the information storage process for medical technicians. "The information storage process for medical technicians" is generally a process executed by the medical support device 2. Specifically, it is a process of having medical technicians input medical information and storing the information.
[0175] The timing for executing this information storage process for laboratory technicians is arbitrary and is the same as that for the information storage process for nurses. For example, when a laboratory technician who is a user inputs his / her name and the name of the patient whose information is to be stored via the touch pad 12 of his / her terminal device 1 and then performs a predetermined operation (an operation for starting the information storage process for laboratory technicians) to log in, the control unit 15 of the terminal device 1 transmits the input user's name information and the input patient's name information to the medical support device 2 as login information. On the other hand, the control unit 23 of the medical support device 2 receives the user's name information and the patient's name information, which are the login information transmitted from the terminal device 1, refers to the user information in FIG. 3, and identifies the information of the item "occupation" associated with the information of the item "user name" in which the same information as the received user's name information is stored (that is, identifies the occupation of the logged-in user). When the identified information of the item "occupation" is "laboratory technician", the process is started, and the information storage process for laboratory technicians will be described from the point where it is started.
[0176] Here, for example, when a laboratory technician who is the user with the name "U4" in FIG. 1 inputs his / her own name "U4" and the name of the patient "AA" whose information is to be stored via the touch pad 12 of his / her terminal device 104 and then performs a predetermined operation (an operation for starting the information storage process for laboratory technicians) to log in, the control unit 15 of the terminal device 104 transmits "user name information" = "U4" and "patient name information" = "AA" to the medical support device 2 as login information. On the other hand, the control unit 23 of the medical support device 2 receives "user name information" = "U4" and "patient name information" = "AA", which are the login information transmitted from the terminal device 1, refers to the user information in FIG. 3, and identifies "laboratory technician" as the information of the item "occupation" associated with the information of the item "user name" in which the same information as the received "user name information" = "U4" is stored (that is, identifies the occupation of the user with the logged-in name "U3" as "laboratory technician"). Since the identified information of the item "occupation" is "laboratory technician", the information storage process for laboratory technicians is started.
[0177] ===SD1=== In SD1 of FIG. 23, the display control unit 231 of the medical support device 2 identifies the patient ID of the patient for whom information is to be stored. Specifically, although it is arbitrary, for example, the same processing as SA1 in FIG. 17 is performed. Here, for example, "IDp1" corresponding to "patient name information" = "AA" is identified as the patient ID of the patient for whom information is to be stored.
[0178] ===SD2=== In SD2 of FIG. 23, the display control unit 231 of the medical support device 2 generates input screen information for the examining technician. The "input screen information for the examining technician" is input screen information for displaying an input screen for the examining technician that includes input fields corresponding to the information to be input by the examining technician.
[0179] Although the specific processing is arbitrary, generally, for example, the same processing as SA2 in FIG. 17 is performed. Specifically, for example, "the first process of SD2" to "the third process of SD2" are executed.
[0180] =The first process of SD2= In "the first process of SD2", basically, it is the same as "the first process of SA2" in FIG. 17, that is, referring to the input information identification information in FIG. 12, among the columns corresponding to the item "user's occupation", the type of medical information in which "main" or "sub" is stored in the column of the item "examining technician", which is the column corresponding to the occupation of the user specified at the start of the information storage process for the examining technician (that is, the occupation of the logged-in user), is identified as the type of medical information for which the logged-in user is the main inputter or the sub inputter.
[0181] Here, for example, in the input information identification information of FIG. 12, medical information with "deputy" stored in the column of the item "examining technician" has the items "information" = "patient name", "gender", "date of birth", and medical information with "main" stored in the column of the item "examining technician" has the items "information" = "TNM classification (T)", "TNM classification (N)", "TNM classification (M)", "examination date", "examination value (EGFR)", ···, "examination value (KRAS)", "examination value (NRAS)", "examination value (HER2)", etc. Therefore, the information of these items "information" is identified.
[0182] =Second Process of SD2= In the "First Process of SD2", the examination items corresponding to the disease the patient is suffering from are identified. Specifically, although it is arbitrary, for example, referring to the episode information table T3 in FIG. 7, the information of the item "episode ID" associated with the information of the item "patient ID" in which the same information as the patient ID identified in SD1 is stored is identified. As described in SB5 above, in the episode information table T3 in FIG. 7, it is also assumed that there may be multiple episode IDs associated with the patient ID identified in SD1 (that is, the patient ID that identifies the patient for whom information is to be stored). In this case, one episode ID may be identified using the "first method" or "second method" described in SB5. Next, referring to the episode information table T3 in FIG. 7, the information of the item "cancer type classification" associated with the information of the item "episode ID" identified above is identified, and referring to the examination item identification information in FIG. 13, the information of the item "examination item name" associated with the information of the item "cancer type classification" in FIG. 13 in which the same information as the information of the item "cancer type classification" identified above is stored is identified.
[0183] Here, for example, referring to the episode information table T3 in FIG. 7, the information of the item "episode ID" = "IDse1" associated with the item "patient ID" = "IDp1" in which the same information as the "patient ID" = "IDp1" specified by SD1 is stored is specified. Next, referring to the episode information table T3 in FIG. 7, the item "cancer type classification" = "gastric cancer" associated with the previously specified item "episode ID = "IDse1" is specified, and referring to the test item specification information in FIG. 13, the items "test item name" = "KRAS", "NRAS", and "HER2" associated with the information of the item "cancer type classification" in FIG. 13 in which the same information as the specified item "cancer type classification" = "gastric cancer" is stored are specified.
[0184] =Third Process of SD2= In the "third process of SD2", basically the same process as the "second process of SA2" in FIG. 17 is performed for areas other than the test value input field to generate the input screen information for the test technician. That is, the following "process regarding test values", "process regarding other than test values", and "input screen information generation process" are performed.
[0185] <Process regarding test values> In the "process regarding test values", among the types of medical information specified in the "first process of SD2", the medical information corresponding to the type of test value (that is, the type of medical information in which the term "test value" is included in this embodiment such as "test value (EGFR)", and the type of medical information corresponding to the information of the item "test value" in the test information table T7 in FIG. 11) is specified, the type of medical information corresponding to the information of the item "test item name" in FIG. 13 specified in the "second process of SD2" among the specified medical information is selected, and referring to the input screen related information in FIG. 15, the information of the item "input screen" and the information of the item "input field ID" associated with the item "information" of the item "medical information" in which the same information as the selected type of medical information is stored are specified.
[0186] Here, for example, among the types of medical information specified in the "First Process of SD2", as medical information corresponding to the type of test value, "Test Value (EGFR)", ···, "Test Value (KRAS)", "Test Value (NRAS)", "Test Value (HER2)", etc. are specified. However, since the items "Test Item Name" = "KRAS", "NRAS", and "HER2" are specified in the "Second Process of SD2", "Test Value (KRAS)", "Test Value (NRAS)", and "Test Value (HER2)" are selected. Referring to the input screen related information in Fig. 15, the item "Input Screen" = "Cancer Detailed Information" is specified, and also the items "Input Field ID" = "ID45" to "ID47" are specified.
[0187] <Processing related to non-test values> In the "Processing related to non-test values", among the types of medical information specified in the "First Process of SD2", medical information corresponding to types other than the type of test value (that is, medical information of types not including the term "test value" in this embodiment such as "Patient Name", etc.) is specified. Referring to the input screen related information in Fig. 15, the information of the item "Input Screen" and the information of the item "Input Field ID" associated with the item "Information" of the item "Medical Information" where the same information as the specified type of medical information is stored are specified.
[0188] Here, for example, among the types of medical information specified in the "First Process of SD2", as medical information corresponding to types other than the type of test value, "Patient Name", "Gender", "Date of Birth", "TNM Classification (T)", "TNM Classification (N)", "TNM Classification (M)", and "Test Date" are specified. Referring to the input screen related information in Fig. 15, the items "Input Screen" = "Case Basic Information", "Patient Background Information", and "Cancer Detailed Information" are specified, and also the items "Input Field ID" = "ID11" to "ID13", "ID36" to "ID38", and "ID44" are specified.
[0189] <Input screen information generation process> In the "input screen information generation process", input screen information for displaying an input screen indicated by the information of the item "input screen" specified in the "process related to test values" or "process related to other than test values", and including an input field identified by the information of the item "input field ID" specified in the "process related to test values" or "process related to other than test values" is generated as input screen information for the test technician.
[0190] FIG. 24 is a diagram illustrating an input screen for a test technician. Here, for example, as shown in FIG. 24, input screen information for displaying a basic case information input screen, a patient background information input screen, and a cancer detailed information input screen is generated as input screen information for the test technician. In particular, for the cancer detailed information input screen, input screen information in which input fields P45 to P47 identified by "ID45" to "ID47" specified in the above-mentioned "process related to test values" are displayed in the input display area P400 is generated.
[0191] ===SD3=== In SD3 of FIG. 23, the display control unit 231 of the medical support device 2 transmits the input screen information for the test technician generated in SD2 to the terminal device 1 of the test technician who is the logged-in user. Specifically, although it is arbitrary, for example, the same process as SA3 in FIG. 17 is performed.
[0192] Here, for example, for the terminal device 104 that transmitted login information at the start of the test technician information storage process (that is, the terminal device 104 carried by the test technician who is the user with the name "U4" in FIG. 1), input screen information for displaying the input screen for the test technician in FIG. 24 generated in SD2 is transmitted.
[0193] On the other hand, when the control unit 23 of the terminal device 104 of the logged-in user receives the transmitted input screen information for the test technician, based on the received input screen information for the test technician, the input screen for the test technician in FIG. 24 is displayed on the display 13.
[0194] In this case, since each input field for inputting medical information of the type where the medical examiner is the main inputter or the sub-inputter will be displayed on the input screen for medical examiners, it becomes possible to quickly and accurately have the medical examiner, who is the user, input the type of medical information that the medical examiner should input among many types of medical information.
[0195] ===SD4=== In SD4 of FIG. 23, the storage control unit 233 of the medical support device 2 receives and acquires medical information and the like input in the input fields of the input screen for medical examiners by the logged-in user. Specifically, although it is arbitrary, for example, the same processing as SA4 in FIG. 17 is performed.
[0196] Here, for example, based on the information of the patient's test results, a user who is a medical examiner named "U4" inputs "1", "1", "0" to the input fields P36 to P38 of the patient background information input screen shown in FIG. 24 displayed on the display 13 of the terminal device 104 in SD3 via the touch pad 12. Also, after inputting "2020 / 7 / 10", "D1", "D2", and "D3" to the input fields P44 to P47 of the cancer detailed information input screen and tapping a recording button (not shown), the control unit 15 of the terminal device 104 transmits information of each combination of "1" and "ID36", "1" and "ID37", "0" and "ID38", "2020 / 7 / 10" and "ID44", "D1" and "ID45", "D2" and "ID46", and "D3" and "ID47" to the medical support device 2. In this case, the storage control unit 233 of the medical support device 2 receives and acquires the information of each combination transmitted from the terminal device 104.
[0197] ===SD5=== In SD5 of FIG. 23, the storage control unit 233 of the medical support device 2 stores the medical information input by the user in the medical information DB222 based on the information received and acquired in SD4. Specifically, although it is arbitrary, generally, for example, the same processing as SA5 in FIG. 17 is performed. Specifically, for example, "the first process of SD5" to "the second process of SD5" are executed for the information of each combination received in SD4.
[0198] =First Process of SD5 In the "First Process of SD5", the same process as the "First Process of SA5" in FIG. 17 is performed.
[0199] Here, for example, regarding the medical information of "1" and "ID36", "1" and "ID37", "0" and "ID38" received by SD4, that is, "1", "1", "0", the "Episode Information Table T3" is specified as the table to be stored, and the T factor, N factor, and M factor of the "TNM classification" are specified as the types of medical information to which the medical information of "1", "1", "0" is to be stored.
[0200] Also, for example, regarding the medical information of "2020 / 7 / 10" and "ID44", "D1" and "ID45", "D2" and "ID46", and "D3" and "ID47" received by SD4, that is, "2020 / 7 / 10", "D1", "D2", and "D3", the "Examination Information Table T7" is specified as the table to be stored. For "2020 / 7 / 10", "Examination Date" is specified as the type of medical information to be stored. For "D1", the "Examination Value" associated with the item "Examination Item" = "KRAS" (see FIG. 11) is specified as the type of medical information to be stored. Similarly, for "D2" and "D3", the "Examination Values" associated with the items "Examination Item" = "NRAS" and "HER2" (see FIG. 11) are specified as the types of medical information to be stored.
[0201] =Second Process of SD5 In the "Second Process of SD5", the same process as the "Second Process of SA5" in FIG. 17 is performed. Specifically, information in the inspection information table T7 in FIGS. 4 and 11 will be newly stored. However, for the number of identified "inspection values" as the types of medical information to be stored in the "First Process of SD5" (that is, for the number of pieces of information entered in the input fields displayed in the input display area P400 on the cancer detailed information input screen in FIG. 24), a unique inspection information ID is generated. Also, one episode ID is identified using the same method as the method described for SB5 above. Further, after identifying the current date by any method, in the inspection information table T7 in FIG. 11, as the information in the item "Inspection Information ID", the information in the item "Episode ID", the information in the item "Patient ID", and the information in the item "Update Date", one of the generated inspection information IDs, the identified episode ID, the patient ID identified by SD1, and the information indicating the identified date are stored. Associated with each of the stored information, the medical information received by SD4, etc. is stored.
[0202] Here, for example, since the number of identified "test values" as the types of medical information to be stored in the "first process of SD5" is 3 corresponding to "D1" to "D3", "test information IDs" = "IDst1", "IDst2", and "IDst3" are generated. Also, referring to the episode information table T3 in FIG. 7, the item "episode ID" = "IDse1" associated with the information of the item "patient ID" where the same information as the "patient ID" = "IDp1" identified by SD1 is stored is identified. Also, after identifying "2020 / 7 / 10" as the current date by an arbitrary method, the following process is performed. Specifically, although "D1" to "D3" will be stored individually, in the test information table T7 in FIG. 11, as the information of the item "test information ID", the item "episode ID", the item "patient ID", and the item "update date", for example, "IDst1" among the previously generated "test information IDs" = "IDst1", "IDst2", and "IDst3", the previously identified "episode ID" = "IDse1", the "patient ID" = "IDp1" identified by SD1, and the information indicating the previously identified date, which is "2020 / 7 / 10", are stored. Also, as the information of the item "test item name", "KRAS" as the test item of the test value medical information "D1" is stored. Also, "D1" is stored as the information of the item "test value". Also, by storing "2020 / 7 / 10" as the information of the item "test date", the information in the uppermost row of FIG. 11 is stored. Then, by performing the same process for "D2" and "D3" as well, the information in the second and third rows illustrated in FIG. 11 is also stored. Thus, the information storage process for the test technician is completed.
[0203] (Process - Information Confirmation Process) FIG. 25 is a flowchart of the information confirmation process. The "information confirmation process" is generally a process executed by the medical support device 2. Specifically, it is a process for confirming the consistency among multiple types of medical information. Note that the types of medical information for which the consistency is to be confirmed are arbitrary. In this embodiment, the case of confirming the consistency among the information of the item "cancer type classification", the item "TNM classification", and the item "stage" in the episode information table T3 in FIG. 7 will be described.
[0204] The timing for executing this information confirmation process is arbitrary. For example, it is activated at an arbitrary timing after the information to be confirmed for consistency (hereinafter referred to as "information to be confirmed for consistency") (that is, for example, the information in the item "cancer type classification", the information in the item "TNM classification", and the information in the item "stage" of the episode information table T3 in FIG. 7) is stored, and the explanation will start from when the information confirmation process is activated.
[0205] In SE1 of FIG. 25, the confirmation unit 232 of the medical support device 2 acquires the "information to be confirmed for consistency". Specifically, although it is arbitrary, for example, by referring to the episode information table T3 in FIG. 7, the combined information of the information in the item "cancer type classification", the information in the item "TNM classification", and the information in the item "stage" that are mutually associated is acquired.
[0206] Here, for example, the item "cancer type classification" = "gastric cancer", the item "TNM classification" = "T = 1, N = 1, M = 0", and the item "stage" = "1A" are acquired.
[0207] In SE2 of FIG. 25, the confirmation unit 232 of the medical support device 2 confirms the consistency between the "information to be confirmed for consistency" acquired in SE1. Specifically, although it is arbitrary, for example, by referring to the confirmation reference information in FIG. 14, the consistency is confirmed based on whether the combined information that matches the "information to be confirmed for consistency" acquired in SE1 is stored in the confirmation reference information. And when there is matching combined information, it is confirmed that the "information to be confirmed for consistency" is mutually consistent, while when there is no matching combined information, it is confirmed that the "information to be confirmed for consistency" is not mutually consistent.
[0208] Here, for example, the topmost information of the reference information for confirmation in FIG. 14 (that is, the information of the combination of "gastric cancer", "T = 1, N = 1, M = 0", and "1A") is the item "cancer type classification" = "gastric cancer", the item "TNM classification" = "T = 1, N = 1, M = 0", and the item "stage" = "1A" in the "information to be confirmed for consistency" obtained by SE1. Since they match, it is confirmed that the "information to be confirmed for consistency" is mutually consistent.
[0209] In SE3 of FIG. 25, the confirmation unit 232 of the medical support device 2 appropriately outputs the confirmation result of SE2. Specifically, it is arbitrary. For example, when it is confirmed in SE2 that the "information to be confirmed for consistency" is consistent (hereinafter, "consistency confirmation result"), or when it is confirmed in SE2 that the "information to be confirmed for consistency" is inconsistent (hereinafter, "inconsistency confirmation result"), it may be configured to output both or only either one of them. However, in this embodiment, the case of outputting only the "inconsistency confirmation result" will be described.
[0210] Specifically, the information regarding the patient associated with the "information to be confirmed for consistency" confirmed to be inconsistent in SE2 and the information indicating that it has been confirmed to be inconsistent are output to an arbitrary output target. Here, as the output target, for example, it is assumed that there is an administrator who manages the medical information stored in the medical information DB222, and it is transmitted to the computer of the administrator, and each of the above-mentioned information (that is, the information regarding the patient and the information indicating that it has been confirmed to be inconsistent) is displayed and output via the display of the computer, or output as sound via a speaker.
[0211] More specifically, with reference to the episode information table T3, identify the patient ID associated with the information on the item "cancer type classification", the information on the item "TNM classification", and the information on the item "stage", which were obtained as "information to be verified for consistency" in SE1. Then, with reference to the patient information table T1, after identifying the information on the item "patient name", the information on the item "gender", and the information on the item "date of birth", which are associated with the information on the item "patient" where the same information as the identified patient ID is stored, output information indicating that the identified information on the item "patient name", the information on the item "gender", and the information on the item "date of birth" do not match the information on the item "cancer type classification", the information on the item "TNM classification", and the information on the item "stage". With this, the information verification process is completed.
[0212] (Effects of the Embodiment) As described above, according to this embodiment, by identifying the type of medical information to be stored in the medical information DB222 based on the input information identification information or the inspection item identification information, and displaying an input field (information input field) for inputting and storing the identified type of medical information, for example, it is possible to display the necessary input fields, so that it is possible to efficiently input medical information.
[0213] Also, when the user (inputter) logs in, identify the occupation (attribute) of the logged-in user, and based on the identified occupation and the input information identification information, identify the type of medical information associated with "main" (main inputter attribute information) or "sub" (sub inputter attribute information) indicating the identified occupation. By displaying an input field for inputting and storing the identified type of medical information, for example, it is possible to display the input fields related to the medical information for which the logged-in user is responsible for input, so that it is possible to efficiently input medical information.
[0214] Also, by checking the consistency between multiple types of medical information, for example, it is possible to maintain the consistency of multiple types of medical information.
[0215] Also, by storing the medical information input in the input field, for example, it becomes possible to appropriately store the medical information.
[0216] [Modifications to the Embodiment] As described above, the embodiments of the present invention have been described. However, the specific configurations and means of the present invention can be arbitrarily modified and improved within the scope of the technical idea of each invention described in the claims. Hereinafter, such modifications will be described.
[0217] (Regarding the problems to be solved and the effects of the invention) First, the problems to be solved by the invention and the effects of the invention are not limited to the above-described content, and may vary depending on the implementation environment and details of the configuration of the invention. It may solve only some of the above-described problems or exhibit only some of the above-described effects.
[0218] (Regarding dispersion and integration) Also, the above-described configuration is a functional concept, and it is not necessarily physically configured as illustrated. That is, the specific form of dispersion and integration of each part is not limited to that shown in the figure, and all or part of it can be functionally or physically dispersed or integrated in any unit. The "system" in the present application is not limited to that constituted by a plurality of devices, but includes that constituted by a single device. Also, the "device" in the present application is not limited to that constituted by a single device, but includes that constituted by a plurality of devices.
[0219] (Regarding the display related to the main input person and the sub-input person) Also, on each input screen of the above-described embodiment, the display mode of the input field (hereinafter, "main input field") related to the type of medical information for which each user himself / herself is the main input person and the display mode of the input field (hereinafter, "sub-input field") related to the type of medical information for which each user himself / herself is the sub-input person may be made different from each other. Specifically, for example, the background color of the "main input field" may be white and the background color of the "sub-input field" may be gray, or the "main input field" may be made more prominent than the "sub-input field".
[0220] The specific processing in this case is arbitrary. For example, when applying this concept to the nurse information storage processing in FIG. 17, in SA2 after SA1 in FIG. 17, in the input information specifying information in FIG. 12, for the input field P11 etc. in FIG. 18 for inputting items such as "information" = "patient name" which are medical information with "deputy" stored in the column of "nurse" in the input information specifying information, the background color becomes gray, and for the input field P31 etc. in FIG. 18 for inputting items such as "information" = "smoking history presence / absence" which are medical information with "main" stored in the column of "nurse", the background color becomes white, and the nurse input screen information may be configured to be generated. Note that the same may be applied to other information storage processing in the same way.
[0221] (Regarding the distinction between the main inputter and the deputy inputter) Also, in the above embodiment, the case where there are a main inputter and a deputy inputter has been described, but it is not limited to this. For example, only "main" may be stored in the input information specifying information in FIG. 12, and it may be configured to execute each process assuming that only the main inputter exists.
[0222] (Regarding the consent status information) Also, in the above embodiment, it may be configured to specify the type of medical information to be stored in the medical information storage means based on the consent status information. FIG. 26 is a diagram illustrating other input information specifying information. The input information specifying information (type specifying information) in FIG. 26 may be stored in the input information specifying information DB223 in FIG. 1, and it may be configured to use the input information specifying information to specify the type of medical information to be stored in the medical information DB222.
[0223] The input information specific information in FIG. 26 is information obtained by further associating information corresponding to the item "consent status" in the input information specific information in FIG. 12. In the item "A consent" of this item "consent status", when consent is given to use the information at Institution A, a "〇" mark is placed in the column corresponding to the medical information to be stored in the medical information DB222. Similarly, in the items "B consent" and "C consent", when consent is given to use the information at Institution B and Institution C, respectively, a "〇" mark is placed in the column corresponding to the medical information to be stored in the medical information DB222. That is, in the input information specific information in FIG. 26, for example, regarding the item "information" = "stage" described in the middle of the drawing, even if the patient or family has consented to use the information at Institution A or Institution B, it will not be subject to storage in the medical information DB222. On the other hand, if consent has been given to use the information at Institution C, it will be subject to storage in the medical information DB222, etc. It should be noted that the medical information to which the "〇" mark is attached as shown here may be arbitrarily determined, and the "〇" mark may be attached to the types of medical information required for research at each institution, etc., or the "〇" mark may be attached in any other arbitrary pattern other than the pattern shown.
[0224] The method for realizing the features shown here is arbitrary. For example, it may be implemented as an arbitrary process of each information storage process. For example, the case of implementing it as the process of SB2 in FIG. 19 will be representatively described. Except for the specifically noted parts, the same processes as in the embodiment will be performed. For example, the case where at least the information of the item "patient ID", the information of the item "A consent", the information of the item "B consent", and the information of the item "C consent" in the patient detailed information table T2 in FIG. 6 are stored will be described.
[0225] Specifically, in SB2 after SB1 in FIG. 19, the display control unit 231 of the medical support device 2 first refers to the patient detailed information table T2 in FIG. 6, and obtains the information of item "A consent", item "B consent", and item "C consent" that are associated with the information of item "patient ID" in which the same information as the patient ID (the patient ID of the patient whose information is to be stored) specified in SB1 is stored. Based on the obtained information, the institution that has obtained consent as the institution that uses the information of the patient whose information is to be stored is specified. Then, referring to the columns of each piece of information in the item "consent status" of the input information specifying information in FIG. 26, the column corresponding to the above-specified institution that has obtained consent among the columns of item "A consent", item "B consent", or item "C consent" is referred to, and the information of item "information" in item "medical information" in which a "〇" mark is stored is specified. After that, basically, the same processing as the "first processing of SB1" described in the embodiment is performed, that is, referring to the input information specifying information in FIG. 26, from among the types of medical information corresponding to the information of item "information" in the above-specified item "medical information", the type of medical information in which "main" or "sub" is stored in the column of item "physician" is specified as the type of medical information for which the physician, who is the occupation of the logged-in user, is the main inputter or the sub-inputter. Further after that, the same processing as the "second processing of SB2" is performed.
[0226] FIG. 27 is a diagram illustrating an input screen for a doctor. Here, for example, for the item "Patient ID" = "IDp1" in FIG. 6, although not shown in FIG. 6, information where the item "A consent" = "None", the item "B consent" = "Yes (2020 / 7 / 10)", and the item "C consent" = "None" are stored (that is, when the patient with "IDp1" has consented to the use of information only by Institution B) will be exemplified and described. In this case, in SB2 of FIG. 19, the display control unit 231 of the medical support device 2 first refers to the patient detailed information table T2 in FIG. 6, and obtains the item "A consent" = "None", the item "B consent" = "Yes (2020 / 7 / 10)", and the item "C consent" = "None" that are associated with the information of the item "Patient ID" in which the same information as "Patient ID" = "IDp1" specified in SB1 is stored. Based on the obtained information, "Institution B" is specified as the institution where the use of the information of the patient whose information is to be stored has been consented, and referring to the column of "B consent" corresponding to the aforementioned specified "Institution B" in the column of each information of the item "Consent status" of the input information specifying information in FIG. 26, information such as "Patient name" and "Gender" is specified as the information of the item "Information" in the item "Medical information" in which an "〇" mark is stored in the column of the item "B consent". Then, after that, basically the same processing as the "first processing of SB1" described in the embodiment is performed, that is, referring to the input information specifying information in FIG. 26, from among the types of medical information corresponding to the information of the item "Information" in the aforementioned specified item "Medical information" (that is, from among the information in which an "〇" mark is stored in the column of the item "B consent"), the type of medical information in which "Primary" or "Sub" is stored in the column of the item "Doctor" is specified as the type of medical information for which the doctor who is the occupation of the logged-in user is the primary inputter or the sub-inputter. In this case, although the items "Information" = "Existence / non-existence of smoking history" and "Number of smoking years", etc. have "Sub" stored in the column of the item "Doctor", since an "〇" mark is not stored in the column of the aforementioned item "B consent", they will not be specified here. Also, although the item "Information" = "Stage", etc. has "Primary" stored in the column of the item "Doctor", since an "〇" mark is not stored in the column of the aforementioned item "B consent", they will not be specified here.After that, by performing the same processing as the "second processing of SB2", for example, as shown in FIG. 27, input screen information for displaying a case basic information input screen, a cancer detailed information input screen, a harmful event information input screen, and a treatment history information input screen is generated as doctor input screen information. Then, after that, the processing of SB3 to SB5 is performed.
[0227] Note that the target for implementing the processing for realizing the features here is not limited to the doctor information storage processing, and it may be implemented in the nurse information storage processing or the medical technologist information storage processing.
[0228] (Regarding information input) Also, in each input screen such as FIG. 18 in the above embodiment, each user may input information in any input field displayed on the input screen, that is, it is not necessary to input information in all input fields.
[0229] (Regarding the medical information DB) Also, in the above embodiment, the case where each table shown in FIG. 4 etc. is stored in the medical information DB222 has been described, but as the data structure stored in this medical information DB222, any other data structure may be adopted.
[0230] Also, in the above embodiment, each table shown in FIG. 4 etc. has been illustrated and described as the medical information DB222, but the number of types of medical information illustrated here is for convenience of explanation, and the concept described in the above embodiment may be applied when there are a larger number (for example, 200 or more etc.) of types of medical information.
[0231] (Regarding features) Also, the features of the above embodiment and the features of the modification examples may be arbitrarily combined.
[0232] (Supplementary note) The medical system of Supplementary Note 1 is a medical system, comprising: a medical information storage means for storing multiple types of medical information regarding a patient; a type-specifying information storage means for storing type-specifying information for specifying the types of medical information to be stored in the medical information storage means based on one or more pieces of information among inputter attribute information indicating the attribute of an inputter who inputs medical information into the medical system, disease information indicating the disease the patient is suffering from, or consent status information indicating the consent status of the patient regarding the handling of the patient's information; and a display control means for specifying the types of medical information to be stored in the medical information storage means based on the type-specifying information stored in the type-specifying information storage means, and displaying, on a display means, an information input field for inputting and storing the specified types of medical information.
[0233] The medical system of Supplementary Note 2 is the medical system according to Supplementary Note 1, wherein the inputter attribute information includes main inputter attribute information indicating the attribute of a main inputter who inputs medical information into the medical system, and sub-inputter attribute information indicating the attribute of a sub-inputter who inputs medical information into the medical system on behalf of the main inputter; the type-specifying information includes information that mutually associates the main inputter attribute information or the sub-inputter attribute information with the types of medical information to be stored in the medical information storage means; and the display control means, when an inputter logs in to the medical system, specifies the attribute of the logged-in inputter, and based on the specified attribute and the type-specifying information, specifies the types of medical information associated with the main inputter attribute information or the sub-inputter attribute information indicating the specified attribute, and displays the information input field for inputting and storing the specified types of medical information.
[0234] The medical system of Supplementary Note 3 is the medical system according to Supplementary Note 1 or 2, wherein the display control means displays a plurality of the information input fields for inputting and storing multiple types of mutually related medical information, and the medical system further comprises a confirmation means for performing a process of confirming the consistency among the multiple types of medical information input into the plurality of the information input fields.
[0235] The medical system of Supplementary Note 4 further includes storage control means for storing the medical information input in the information input field in the medical information storage means in the medical system according to any one of Supplementary Notes 1 to 3.
[0236] The medical program of Supplementary Note 5 is a medical program that causes a computer to function as medical information storage means for storing a plurality of types of medical information regarding a patient, inputter attribute information indicating the attribute of an inputter who inputs medical information into the computer, disease information indicating the disease that the patient is suffering from, or consent status information indicating the consent status of the patient regarding the handling of the patient's information, and type specification information storage means for storing type specification information for specifying the types of medical information to be stored in the medical information storage means based on one or more pieces of information among them, and display control means for specifying the types of medical information to be stored in the medical information storage means based on the type specification information stored in the type specification information storage means and displaying, on a display means, an information input field for inputting and storing the specified types of medical information.
[0237] (Effect of Supplementary Note) According to the medical system described in Supplementary Note 1 and the medical program described in Supplementary Note 5, by specifying the types of medical information to be stored in the medical information storage means based on the type specification information and displaying an information input field for inputting and storing the specified types of medical information, for example, it is possible to display necessary information input fields, so that it becomes possible to efficiently input medical information.
[0238] According to the medical system described in Supplementary Note 2, when an inputter logs in, the attribute of the logged-in inputter is specified, and based on the specified attribute and the type specification information, the types of medical information associated with the main inputter attribute information or the sub-inputter attribute information indicating the specified attribute are specified, and by displaying an information input field for inputting and storing the specified types of medical information, for example, it is possible to display an information input field regarding the medical information for which the logged-in inputter is responsible for input, so that it becomes possible to efficiently input medical information.
[0239] According to the medical system described in Supplementary Note 3, by checking the consistency among multiple types of medical information, for example, it becomes possible to maintain the consistency of multiple types of medical information.
[0240] According to the medical system described in Supplementary Note 4, by storing the medical information input in the information input field, for example, it becomes possible to appropriately store the medical information.
Explanation of Signs
[0241] 1 Terminal device 2 Medical support device 11 Communication unit 12 Touch pad 13 Display 14 Recording unit 15 Control unit 21 Communication unit 22 Recording unit 23 Control unit 100 Medical-related system 101 Terminal device 102 Terminal device 103 Terminal device 104 Terminal device 221 User information DB 222 Medical information DB 223 Input information specific information DB 224 Examination item specific information DB 225 Confirmation reference information DB 226 Input screen related information DB 231 Display control unit 232 Confirmation unit 233 Storage control unit P11~P14 Input field P21~P23 Input field P31~P39 Input field P41~P44 Input field P45~P47 Input field P51~P54 Input field P61~P64 Input field P400 Input display area T1 Patient Information Table T2 Patient Detail Information Table T3 Episode Information Table T4 Treatment Information Table T5 Efficacy Judgment Information Table T6 Adverse Reaction Information Table T7 Examination Information Table
Claims
1. A medical system, a medical information storage means for storing a plurality of types of medical information regarding a patient, type specifying information storage means for storing type specifying information for specifying the type of medical information to be stored in the medical information storage means based on one or more pieces of information among inputter attribute information indicating the attribute of an inputter who inputs medical information into the medical system, disease information indicating the disease from which the patient is suffering, or consent status information indicating the consent status of the patient regarding the handling of the patient's information, display control means for specifying the type of medical information to be stored in the medical information storage means based on the type specifying information stored in the type specifying information storage means, and displaying, on a display means, an information input field for inputting and storing the specified type of medical information, wherein the inputter attribute information includes main inputter attribute information indicating the attribute of a main inputter who inputs medical information into the medical system, and sub-inputter attribute information indicating the attribute of a sub-inputter who inputs medical information into the medical system on behalf of the main inputter, wherein the type specifying information includes information that mutually associates the main inputter attribute information or the sub-inputter attribute information with the type of medical information to be stored in the medical information storage means, wherein when an inputter logs in to the medical system, the display control means specifies the attribute of the logged-in inputter, and based on the specified attribute and the type specifying information, specifies a first type which is the type of medical information associated with the main inputter attribute information indicating the specified attribute, and a second type which is the type of medical information associated with the sub-inputter attribute information indicating the specified attribute, and displays a first information input field which is the information input field for inputting and storing the specified first type of medical information, and a second information input field which is the information input field for inputting and storing the specified second type of medical information, A medical system.
2. The display control means displays the first information input field and the second information input field on one screen of the display means. The medical system according to Claim 1.
3. The display control means makes the display mode of the first information input field different from the display mode of the second information input field. The medical system according to Claim 1 or 2.
4. A medical system, Medical information storage means for storing multiple types of medical information about a patient, Input person attribute information indicating the attribute of the input person who inputs medical information into the medical system, disease information indicating the disease the patient is suffering from, or type-specifying information storage means for storing type-specifying information for specifying the types of medical information to be stored in the medical information storage means based on one or more pieces of information among consent status information indicating the consent status of the patient regarding the handling of the patient's information, Display control means for specifying the types of medical information to be stored in the medical information storage means based on the type-specifying information stored in the type-specifying information storage means and displaying, on a display means, an information input field for inputting and storing the specified types of medical information in the medical information storage means, The consent status information indicates whether the patient has consented to the use of the patient's information by an institution related to medical care, The type-specifying information includes information indicating the institution that has been consented by the patient to use the information and information that mutually associates the types of medical information to be stored in the medical information storage means, The display control means, Based on the consent status information, performs a first process of specifying the institution that has been consented by the patient to use the information for the patient for whom medical information is to be input into the medical information storage means, Based on the type-specifying information stored in the type-specifying information storage means, specifies the types of medical information to be stored in the medical information storage means, which are the types of medical information associated with the institution specified in the first process in the type-specifying information, and performs a second process of displaying the information input field for inputting and storing the specified types of medical information in the medical information storage means, A medical system.
5. A medical program, The computer is made to, Medical information storage means for storing multiple types of medical information about a patient, Input person attribute information indicating the attribute of the input person who inputs medical information into the computer, disease information indicating the disease the patient is suffering from, or type-specifying information storage means for storing type-specifying information for specifying the types of medical information to be stored in the medical information storage means based on one or more pieces of information among consent status information indicating the consent status of the patient regarding the handling of the patient's information, A display control means that identifies the type of medical information to be stored in the medical information storage means based on the type-specific information stored in the type-specific information storage means, and displays an information input field for inputting and storing the identified type of medical information on a display means, functions as, The input person attribute information includes main input person attribute information indicating the attribute of the main input person who inputs medical information into the computer, and sub-input person attribute information indicating the attribute of the sub-input person who inputs medical information into the computer on behalf of the main input person. The type-specific information includes information that associates the main input person attribute information or the sub-input person attribute information with the type of medical information to be stored in the medical information storage means. When an input person logs in to the computer, the display control means identifies the attribute of the logged-in input person, and based on the identified attribute and the type-specific information, identifies a first type which is the type of medical information associated with the main input person attribute information indicating the identified attribute, and a second type which is the type of medical information associated with the sub-input person attribute information indicating the identified attribute, and displays a first information input field which is the information input field for inputting and storing the identified first type of medical information, and a second information input field which is the information input field for inputting and storing the identified second type of medical information. Medical program.
6. A medical program, A computer, A medical information storage means for storing multiple types of medical information regarding a patient, Type-specific information storage means for storing type-specific information for identifying the type of medical information to be stored in the medical information storage means based on one or more pieces of information among input person attribute information indicating the attribute of an input person who inputs medical information into the computer, disease information indicating the disease the patient is suffering from, or consent status information indicating the consent status of the patient regarding the handling of the patient's information, A display control means that identifies the type of medical information to be stored in the medical information storage means based on the type-specific information stored in the type-specific information storage means, and displays an information input field for inputting and storing the identified type of medical information on a display means, functions as, The consent status information indicates whether the patient has consented to the use of the patient's information by an institution related to medical care. The type identification information includes information that mutually associates information indicating the institution to which the patient has consented to use the information with the type of medical information to be stored in the medical information storage means. The display control means Based on the consent status information, a first process of identifying the institution to which the patient whose information is to be input into the medical information storage means has consented to use the information; Based on the type identification information stored in the type identification information storage means, a type of medical information to be stored in the medical information storage means, which is associated with the institution identified in the first process in the type identification information, is identified, and a second process of displaying an information input field for inputting and storing the identified type of medical information in the medical information storage means is executed. Medical program.
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