Medical information management device and program

Abstract

To present information input on a medical worker side in an easy-to-understand manner with respect to medical information including vital information input on a patient side.SOLUTION: A medical information management device acquires first medical information including vital information of a patient input from a patient terminal used by the patient, attaches annotation information 70-74 to the first medical information by an operation from an operation part by a medical worker in such a state of the first medical information (blood pressure (upper) 60, blood pressure (lower) 61, body weight 62, blood-sugar level 63, number of steps 64, medication column 65, diet column 66, feeling column 67) is displayed on a display part, and outputs the first medical information attached with the annotation information 70-74.SELECTED DRAWING: Figure 4

Description

[Technical Field]

[0001] The present invention relates to a medical information management device and a program. [Background technology]

[0002] When patients with diabetes, hypertension, etc. are examined by a doctor, they communicate their own vital signs, which they record daily, to the doctor verbally or by showing the doctor notes on which they record their vital signs, thereby conveying their own information to the medical institution. However, when patients receive advice from the medical institution, they may leave the examination room without fully understanding the advice, or may be unable to remember what was said later.

[0003] As a system that allows users to manage their daily health without visiting a medical institution, a health management support system has been proposed in which vital information is sent from the user's terminal to a center server, and the medical institution refers to the vital information on the center server and sends health management advice to the user via email (see Patent Document 1). [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Japanese Patent Application Laid-Open No. 2008-33779 Summary of the Invention [Problem to be solved by the invention]

[0005] However, in the above-mentioned conventional technology, the patient sends and registers vital information to a center server, and the doctor then sends the patient advice via separate email. In this case, even if the patient receives the email and checks it, there is a problem with visibility, in that it is difficult to tell at a glance what advice has been given about the vital information they sent.

[0006] The present invention has been made in consideration of the problems in the above-mentioned conventional technology, and aims to present information entered by medical professionals in an easy-to-understand manner in comparison with medical information including vital signs entered by patients. [Means for solving the problem]

[0007] In order to solve the above problem, the invention of claim 1 includes an acquisition unit that acquires first medical information including vital information of a patient input from a patient terminal used by the patient, an attachment unit that attaches annotation information to the first medical information in response to an operation by a medical professional from an operation unit while the first medical information is displayed on a display unit, and an output unit that outputs the first medical information to which the annotation information has been attached. The acquisition unit further acquires third medical information to be referred to in a diagnosis of the first medical information, the third medical information being selected by an operation of the operation unit by the medical professional, or the third medical information being stored in advance, and the output unit outputs second integrated information obtained by integrating at least the first medical information to which the annotation information is attached and the third medical information. It is a medical information management device.

[0008] In a second aspect of the present invention, in the medical information management device of the first aspect, the output unit displays the first medical information to which the annotation information is added on the display unit.

[0009] The invention described in claim 3 is a medical information management device described in claim 2, wherein when the annotation information is attached to the first medical information, the output unit displays the annotation information superimposed on the first medical information.

[0010] The invention described in claim 4 is a medical information management device described in claim 2, wherein when the annotation information is attached to the first medical information, the output unit embeds the annotation information in the first medical information and displays it.

[0011] The invention described in claim 5 is a medical information management device described in any one of claims 1 to 4, wherein the output unit outputs the first medical information to which the annotation information is attached to the patient terminal.

[0012] The invention described in claim 6 is a medical information management device described in any one of claims 1 to 5, wherein the attachment unit attaches the annotation information to a first area in which the first medical information is displayed.

[0013] The invention described in claim 7 is a medical information management device described in any one of claims 1 to 5, wherein the attachment unit attaches the annotation information to a second area different from the first area in which the first medical information is displayed.

[0014] The invention described in claim 8 is the medical information management device according to any one of claims 1 to 7, wherein the annotation information is an annotation, a character, a symbol, a comment, or the like. To It includes at least one of them.

[0015] The invention described in claim 9 is a medical information management device described in any one of claims 1 to 8, wherein the acquisition unit further acquires second medical information obtained by an examination on the patient, and the output unit outputs first integrated information that integrates at least the first medical information to which the annotation information is attached and the second medical information.

[0016] The invention described in claim 10 is a medical information management device described in claim 9, wherein the attachment unit attaches second annotation information to the second medical information by operation of the medical professional from the operation unit.

[0018] Claim 11 The invention described in claim Any one of 1 to 10 In the medical information management device described in the above, the attachment unit attaches third annotation information to the third medical information in response to an operation by the medical worker from the operation unit.

[0019] Claim 12 The invention described in the item (1) is a program for causing a computer to function as an acquisition unit that acquires first medical information including vital information of a patient input from a patient terminal used by the patient, an attachment unit that attaches annotation information to the first medical information in response to an operation by a medical professional from an operation unit while the first medical information is displayed on a display unit, and an output unit that outputs the first medical information to which the annotation information has been attached. The acquisition unit further acquires third medical information that is referenced in a diagnosis of the first medical information, and that is selected by the medical professional through operation of the operation unit, or that is pre-stored, and the output unit outputs second integrated information that integrates at least the first medical information to which the annotation information is attached and the third medical information. [Effects of the Invention]

[0020] According to the present invention, it is possible to present information input by a medical professional in an easily understandable manner in comparison with medical information including vital sign information input by a patient. [Brief explanation of the drawings]

[0021] [Figure 1] 1 is a system configuration diagram of a medical information management system according to a first embodiment of the present invention. [Figure 2] 3 is a ladder chart showing processing executed in the medical information management system of the first embodiment. [Figure 3] 10 is an example of a medical treatment instruction screen displayed on a doctor's terminal. [Figure 4] 10 is an example of a medical treatment guidance screen with annotation information attached. [Figure 5] FIG. 10 is a system configuration diagram of a medical information management system according to a second embodiment of the present invention. [Figure 6] 10 is a ladder chart showing processing executed in a medical information management system according to a second embodiment. [Figure 7] 10 is a ladder chart showing processing executed in a medical information management system according to a second embodiment. [Figure 8] 10 is an example of a medical treatment guidance screen in which annotation information is added to the first medical information, the second medical information, and the third medical information. [Figure 9] 10 is an example of an electrocardiogram screen in which electrocardiogram data is enlarged. [Figure 10] 10 is an example of a blood pressure classification table screen in which the blood pressure classification table is enlarged. DETAILED DESCRIPTION OF THE INVENTION

[0022] Hereinafter, an embodiment of a medical information management device according to the present invention will be described with reference to the drawings, but the scope of the invention is not limited to the illustrated examples.

[0023] [First embodiment] <Configuration of medical information management system> Figure 1 shows the system configuration of a medical information management system 100 in the first embodiment. As shown in Figure 1, the medical information management system 100 is configured to include a patient information management server 10, a patient terminal 20 used by patients, and a doctor terminal 30 (medical information management device) used by doctors at medical institutions. The patient information management server 10, the patient terminal 20, and the doctor terminal 30 are connected to each other so as to be able to communicate data via a communication network N such as the Internet. The number of patient terminals 20 and doctor terminals 30 is not limited.

[0024] The patient information management server 10 accumulates and manages medical information about patients registered from the patient terminal 20 and the doctor terminal 30. The patient information management server 10 may be a cloud server provided in a cloud environment. The patient terminal 20 is a terminal device such as a smartphone used by the patient. The doctor terminal 30 is a computer device such as a PC (Personal Computer) or a tablet terminal used by a doctor as a medical professional belonging to a medical institution.

[0025] The patient terminal 20 and the doctor terminal 30 are used when registering medical information about a patient in the patient information management server 10, when referring to medical information about a patient managed by the patient information management server 10, etc.

[0026] For example, a patient inputs first medical information including vital information, exercise information, medication information, dietary information, mood information, etc. into the patient terminal 20 at home or the like, and transmits the first medical information to the patient information management server 10.

[0027] The doctor checks the first medical information stored in the patient information management server 10 on the doctor terminal 30 before or during the consultation. During the consultation, the doctor presents the first medical information to the patient on the doctor terminal 30 and provides medical guidance while making notes on the first medical information. The doctor terminal 30 attaches annotation information (contents of notes) to the first medical information and transmits it to the patient information management server 10. The annotation information is information (graphics, arrows, etc.) for pointing out areas that should be paid attention to, explanations of the contents and trends of the medical information, supplementary explanations, etc.

[0028] The patient views the information stored in the patient information management server 10 from the patient terminal 20 at home or the like. The patient information management server 10 provides the patient terminal 20 with the first medical information of the patient corresponding to the patient terminal 20 and annotation information added by the operation of the doctor.

[0029] <Patient information management server configuration> As shown in FIG. 1, the patient information management server 10 comprises a control unit 11, a communication unit 12, a storage unit 13, etc., and each unit is connected by a bus.

[0030] The control unit 11 is composed of a CPU (Central Processing Unit), RAM (Random Access Memory), etc., and comprehensively controls the processing operations of each unit of the patient information management server 10. Specifically, the CPU of the control unit 11 reads out various processing programs stored in the storage unit 13, expands them in the RAM, and executes various processes in cooperation with the programs.

[0031] The communication unit 12 is configured by a network interface and the like, and transmits and receives data to and from external devices connected via the communication network N.

[0032] The storage unit 13 is configured with an HDD (Hard Disk Drive), an SSD (Solid State Drive), etc., and stores various processing programs, parameters and files necessary for executing the programs, etc. For example, the storage unit 13 stores a web server program for realizing the function of a web server that communicates with a web browser installed in an external device using the HTTP protocol and provides various web screens to the web browser, application programs that run on the web server, etc.

[0033] The storage unit 13 stores patient information, medical institution information, and medical worker information. The patient information is information for each patient, and includes the patient ID, the patient's name, address, telephone number, email address, the name of the medical institution currently being used (name of the medical institution), and the like. The medical institution information is information for each medical institution, and includes the name, address, telephone number, etc. of the medical institution. The medical worker information is information for each medical worker, and includes the name of the medical worker, the name of the medical institution to which the medical worker belongs (the name of the medical institution to which the medical worker belongs), a telephone number, an email address, and the like.

[0034] The storage unit 13 also stores first medical information in association with the patient information. The first medical information is data input from the patient terminal 20. Each piece of data in the first medical information is associated with a measurement date and time, an input date and time, an acquisition date and time, a target date and time, etc. The first medical information includes vital information, exercise information, medication information, dietary information, mood information, etc.

[0035] Vital information includes blood pressure, heart rate, body temperature, blood glucose level, weight, SpO2 (percutaneous arterial oxygen saturation), etc. The exercise information includes the number of steps, distance traveled, and information about the exercise the patient has performed (type, number of times, duration, etc.). Medication information is information about medications that a patient has actually taken (ingested), including whether or not a medication was taken, the medication taken by the patient, the date and time of medication, the interval between doses, and the amount. The dietary information includes images of the meals taken by the patient, the dietary contents, nutrients, calorie intake, etc. Mood information includes the patient's mood (good, normal, bad, etc.). The first medical information may include the target area of ​​pain, numbness, etc., and symptoms such as dizziness, insomnia, and diarrhea.

[0036] Furthermore, image data of a medical treatment guidance screen is stored in the storage unit 13 in association with the patient information. The image data of the medical treatment guidance screen is generated by the doctor terminal 30 and is composed of a layer including the first medical information and a layer including annotation information. When viewed from the patient terminal 20, the annotation information is displayed superimposed on the first medical information.

[0037] When the patient information includes the name of the medical institution corresponding to the doctor terminal 30, the control unit 11 permits the doctor terminal 30 to view the information associated with this patient information. The control unit 11 permits the patient terminal 20 to view the information associated with the patient information of the patient corresponding to the patient terminal 20.

[0038] <Configuration of patient terminal> As shown in FIG. 1, the patient terminal 20 comprises a control unit 21, an operation unit 22, a display unit 23, a communication unit 24, a storage unit 25, etc., and each unit is connected by a bus.

[0039] The control unit 21 is composed of a CPU, RAM, etc., and comprehensively controls the processing operations of each unit of the patient terminal 20. Specifically, the CPU of the control unit 21 reads out various processing programs stored in the storage unit 25 in response to an operation signal input from the operation unit 22 or an instruction signal received by the communication unit 24, expands the programs in the RAM, and executes various processes in cooperation with the programs.

[0040] The operation unit 22 is composed of operation keys such as a power key for turning the power on / off, and a touch panel stacked on the display unit 23, and outputs to the control unit 21 an operation signal corresponding to each operation key and an operation signal according to the position of the touch operation by the operator's finger, etc.

[0041] The display unit 23 is configured to include an LCD (Liquid Crystal Display) or the like, and displays various screens according to instructions of a display signal input from the control unit 21.

[0042] The communication unit 24 is configured with a network interface or the like, and transmits and receives data to and from external devices connected via the communication network N. The communication unit 24 also performs wireless communication using a mobile phone line or the like, and transmits and receives data to and from external devices connected via the communication network N. The communication unit 24 also performs data communication with external devices such as vital sign measuring devices by wireless communication such as NFC (Near Field Communication) or Bluetooth (registered trademark).

[0043] The storage unit 25 is configured with a HDD, a non-volatile semiconductor memory, etc., and stores various processing programs, parameters and files required for executing the programs, etc. For example, the storage unit 25 stores a web browser program for realizing a web browser, various application programs, etc.

[0044] The control unit 21 transmits the first medical information (vital information, exercise information, medication information, dietary information, mood information, etc.) input from the patient terminal 20 to the patient information management server 10 via the communication unit 24. Here, "input" includes input from the operation unit 22, reception of data by the communication unit 24, reading of data from a recording medium, etc. The first medical information transmitted from the patient terminal 20 to the patient information management server 10 is associated with the measurement date and time, input date and time, acquisition date and time, target date and time, etc.

[0045] For example, the control unit 21 acquires vital sign information from a vital sign measuring device via the communication unit 24. Note that the control unit 21 may also acquire vital sign information input from the operation unit 22 by the patient. The control unit 21 calculates the number of steps and the distance traveled based on the change in acceleration obtained by the acceleration sensor mounted on the patient terminal 20. The control unit 21 acquires information about the exercise performed by the patient (type, number of times, duration, etc.) input by the patient via the operation unit 22. As for medication information and mood information, the control unit 21 acquires information input by the patient via the operation unit 22. Regarding the image of the meal, the control unit 21 acquires image data generated by a camera mounted on the patient terminal 20. The control unit 21 may also acquire the image of the meal from an external digital camera via the communication unit 24. Regarding the meal content, nutrients, and calorie intake, the control unit 21 may generate the information by analyzing the image of the meal, or may acquire information input by the patient via the operation unit 22.

[0046] The control unit 21 causes the display unit 23 to display the first medical information and annotation information (information corresponding to the patient using the patient terminal 20) stored in the patient information management server 10.

[0047] <Configuration of doctor's terminal> As shown in FIG. 1, the doctor terminal 30 comprises a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, a storage unit 35, etc., and each unit is connected by a bus. The control unit 31, display unit 33, communication unit 34, and memory unit 35 of the doctor's terminal 30 are similar to the control unit 21, display unit 23, communication unit 24, and memory unit 25 of the patient's terminal 20, respectively, and therefore will not be described here.

[0048] The operation unit 32 is configured with a keyboard equipped with cursor keys, character input keys, various function keys, etc., and a pointing device such as a mouse, and outputs operation signals input by key operations on the keyboard or mouse operations to the control unit 31. When the doctor's terminal 30 is a tablet terminal or the like, the operation unit 32 is composed of operation keys such as a power key for turning the power on / off, and a touch panel stacked on the display unit 33, and outputs to the control unit 31 an operation signal corresponding to each operation key and an operation signal according to the position of the touch operation by the operator's finger or the like.

[0049] The control unit 31 acquires first medical information including vital information of the patient input from the patient terminal 20 used by the patient. Specifically, the control unit 31 acquires the first medical information of the patient to be diagnosed stored in the storage unit 13 of the patient information management server 10 via the communication unit 34. In other words, the control unit 31 functions as an acquisition unit. The control unit 31 causes the display unit 33 to display the acquired first medical information.

[0050] With the first medical information displayed on the display unit 33, the control unit 31 accepts input of annotation information for the first medical information through operation by a medical professional from the operation unit 32, and attaches the annotation information to the first medical information. That is, the control unit 31 functions as an attaching unit. For example, the control unit 31 stores the annotation information in association with the coordinates on the display screen of the first medical information. This makes it easy to understand which position on the display screen of the first medical information the annotation information corresponds to and what information the annotation information is for.

[0051] The annotation information includes at least one of annotations, characters, symbols, comments, and audio data. The annotations are not particularly limited to shapes such as circles, triangles, and rectangles, or pre-prepared marks. Comments are information that describes what a healthcare professional wants to convey to a patient. The voice data is data that expresses in voice what the medical staff wants to communicate to the patient.

[0052] The control unit 31 outputs the first medical information to which the annotation information is added, that is, the control unit 31 functions as an output unit. The control unit 31 causes the display unit 33 to display the first medical information to which the annotation information has been added (display output). When annotation information is added to the first medical information, the control unit 31 displays the annotation information superimposed on the first medical information.

[0053] The control unit 31 attaches annotation information to the first area in which the first medical information is displayed. In this case, the annotation information is displayed on the first medical information. The control unit 31 may attach annotation information to a second area different from the first area in which the first medical information is displayed. In this case, the annotation information is displayed in an area separate from the first medical information. In addition, the position of the annotation information may indicate which part of which information in the first medical information the annotation information corresponds to, or the correspondence may be made clear by connecting the annotation information with the corresponding position (area) of the first medical information with a line, for example.

[0054] The control unit 31 outputs the first medical information with the annotation information attached to it to the patient terminal 20 of the patient related to the first medical information (external transmission). Outputting the first medical information with the annotation information attached to it to the patient terminal 20 includes not only sending it directly from the doctor terminal 30 to the patient terminal 20, but also sending it to the patient information management server 10 so that it can be referenced from the patient terminal 20 (indirect output).

[0055] <Operation in the medical information management system> Next, the operation of the medical information management system 100 will be described. Fig. 2 is a ladder chart showing the processing executed in the medical information management system 100. In addition to the patient information management server 10, the patient terminal 20, and the doctor terminal 30, Fig. 2 also shows the patient operating the patient terminal 20 and the doctor operating the doctor terminal 30.

[0056] First, the patient inputs first medical information including vital sign information from the patient terminal 20 at home (step S1). For example, the control unit 21 of the patient terminal 20 acquires the patient's vital sign information from a vital sign measuring device via the communication unit 24. The control unit 21 also acquires the number of steps and distance traveled, which are calculated according to the patient's walking and stored in the memory unit 25. The control unit 21 also acquires information about the patient's exercise (type, number of times, duration, etc.), medication information, mood information, etc., which are input by the patient from the operation unit 22. The control unit 21 also acquires images (image data) of meals generated by a camera mounted on the patient terminal 20. The first medical information is associated with the measurement date and time, input date and time, acquisition date and time, target date and time, etc.

[0057] Next, the control unit 21 of the patient terminal 20 associates the first medical information with the patient information (such as the patient ID) of the patient corresponding to the patient terminal 20 and transmits the first medical information to the patient information management server 10 via the communication unit 24 (step S2).

[0058] In the patient information management server 10, the control unit 11 receives the first medical information and the patient information from the patient terminal 20 via the communication unit 12, and stores the first medical information in the memory unit 13 in association with the patient information (step S3). The processing of steps S1 to S3 is repeated every time the patient inputs the first medical information.

[0059] Next, the process moves to when the patient visits a medical institution. While meeting the patient at the medical institution, the doctor selects the patient to be diagnosed by operating the operation unit 32 on the doctor terminal 30 (step S4).

[0060] Next, the control unit 31 of the doctor terminal 30 acquires data of the selected patient from the patient information management server 10 via the communication unit 34 (step S5). Specifically, the control unit 31 transmits a request to acquire the first medical information of the selected patient to the patient information management server 10 via the communication unit 34. When the control unit 11 of the patient information management server 10 receives a request to acquire first medical information of a selected patient from the doctor terminal 30 via the communication unit 12, it reads out the first medical information associated with the patient information of the selected patient in the memory unit 13 and transmits the first medical information to the doctor terminal 30 via the communication unit 12. The control unit 31 of the doctor terminal 30 receives the first medical information of the patient to be diagnosed from the patient information management server 10 via the communication unit .

[0061] Next, the control unit 31 of the doctor terminal 30 causes the display unit 33 to display the first medical information (treatment guidance screen) of the patient to be diagnosed (step S6). The doctor interviews and examines the patient while referring to the first medical information displayed on the display unit 33 of the doctor terminal 30 (step S7).

[0062] The doctor inputs annotation information for the first medical information by operating the operation unit 32 while showing the first medical information displayed on the display unit 33 of the doctor terminal 30 to the patient (step S8). For example, the doctor may point out any areas in the vital information that are outside the reference range or input matters that the patient should pay attention to. The control unit 31 of the doctor terminal 30 accepts the selection of the type of annotation information (curve drawing, arrow, mark, comment, etc.) by the doctor's operation on the operation unit 32, and accepts the designation of the position of the annotation information on the display screen of the first medical information on the display unit 33. In the case of a comment, the control unit 31 further accepts the input of a character string.

[0063] The control unit 31 of the doctor terminal 30 attaches the input annotation information to the first medical information (step S9). Specifically, the control unit 31 arranges each piece of annotation information at a specified position (coordinate) on the display screen, and generates image data of a treatment guidance screen in which a layer including the annotation information is superimposed on a layer including the first medical information. In other words, the control unit 31 displays the annotation information superimposed on the first medical information.

[0064] The patient views the first medical information and annotation information displayed on the display unit 33 of the doctor terminal 30 while receiving an explanation from the doctor (step S10). The doctor diagnoses the patient (step S11).

[0065] When the doctor instructs the doctor terminal 30 to save the medical treatment guidance screen by operating the operation unit 32, the control unit 31 transmits the first medical information and annotation information (image data of the medical treatment guidance screen) to the patient information management server 10 via the communication unit 34 (step S12). The image data of the medical treatment guidance screen is composed of a layer including the first medical information and a layer including annotation information.

[0066] In the patient information management server 10, the control unit 11 receives the first medical information and annotation information from the doctor terminal 30 via the communication unit 12, and stores the first medical information and annotation information (image data of the treatment guidance screen) in the memory unit 13 in association with the patient information of the patient to be diagnosed (step S13). The patient then returns home from the medical facility.

[0067] After returning home, when the patient wants to check his or her own medical information, the patient accesses the patient information management server 10 from the patient terminal 20 at home. When the patient operates the operation unit 22 on the patient terminal 20 to specify a predetermined URL for accessing the patient information management server 10 and enters the patient ID, etc. on the login screen, the control unit 21 obtains image data of a medical treatment guidance screen from the patient information management server 10 in accordance with the application program, and displays the medical treatment guidance screen on the display unit 23. The control unit 11 of the patient information management server 10 obtains image data of the medical treatment guidance screen associated with the patient's patient information (such as the patient ID) from the storage unit 13, and provides the image data to the patient terminal 20 via the communication unit 12. In the patient terminal 20, the first medical information and annotation information of the patient corresponding to the patient terminal 20 are displayed on the display unit 23 (step S14). The patient views the first medical information and annotation information displayed on the display unit 23 of the patient terminal 20 (step S15). This completes the process.

[0068] FIG. 3 shows an example of a medical treatment instruction screen 501 displayed on the display unit 33 of the doctor terminal 30 in step S6. The medical treatment guidance screen 501 includes a first medical information area 51 . In the first medical information area 51, the first medical information is displayed. In the first medical information area 51, the horizontal axis represents the date, and line graphs show changes in blood pressure (systolic) 60, blood pressure (diastolic) 61, weight 62, and blood glucose level 63, while bar graphs show the number of steps 64 measured in half a day. The first medical information area 51 also has a medication column 65, a meal column 66, and a mood column 67. The medication column 65 displays whether or not medication has been taken for each medication timing, such as morning and evening (o: taken medication, blank: not taken medication). The meal column 66 displays a camera mark for each meal timing, and selecting the camera mark corresponding to each meal displays an image of that meal. The mood column 67 displays a mark indicating mood (good, normal, bad, etc.) for each input timing.

[0069] 4 shows an example of the treatment guidance screen 502 to which annotation information has been added in step S9. In the treatment guidance screen 502, the same configuration as that of the treatment guidance screen 501 (see FIG. 3) will not be described. The medical treatment guidance screen 502 is accompanied by annotation information 70 to 74. The annotation information 70 is an annotation (circle) for emphasizing that the blood pressure (upper) 60 has exceeded the blood pressure target (upper). Annotation information 71 is an annotation (circle) in medication column 65 to emphasize that there is no record of medication on June 25th. The annotation information 72 is an annotation (circle) for emphasizing that the blood pressure (upper) 60 has exceeded the blood pressure target (upper). Annotation information 73 is an arrow indicating the relationship between blood pressure values ​​and medication, and indicates that not taking medication is thought to be one of the causes of the rise in blood pressure. Annotation information 74 is a comment to the patient, such as "Don't forget to take your medicine!", and is associated with a portion of medication column 65 where no medication has been recorded.

[0070] On the medical treatment guidance screen 502, annotation information 70 to 73 are displayed in the first medical information area 51 (first area), and annotation information 74 is displayed in an area different from the first medical information area 51 (second area).

[0071] On the treatment guidance screen displayed on the display unit 33 of the doctor terminal 30, the user (doctor) can select via the operation unit 32 whether or not to display the annotation information together with the first medical information (display / hide). When "display" is selected for the annotation information, the control unit 31 displays the treatment guidance screen by superimposing a layer of the annotation information on a layer of the first medical information. On the other hand, when "hide" is selected for the annotation information, the control unit 31 displays only the layer of the first medical information as the treatment guidance screen without superimposing a layer of the annotation information.

[0072] When a patient views the medical treatment guidance screen at home, the screen displayed on the display unit 23 of the patient terminal 20 is the same as that shown in Figure 4. On the patient terminal 20, too, it is possible to select whether to display or hide the annotation information by operating the operation unit 22.

[0073] In addition, when voice data is attached to the first medical information as annotation information in the doctor terminal 30, the voice uttered by the doctor is acquired by a microphone mounted on (or connected to) the doctor terminal 30. Then, the voice data (annotation information) is transmitted from the doctor terminal 30 to the patient information management server 10, together with image data of the treatment guidance screen (first medical information) and a position specified by the doctor on the treatment guidance screen (position of the annotation information). In the patient information management server 10, the image data of the treatment guidance screen, the position of the annotation information, and the voice data are stored in the storage unit 13 in association with the patient information of the patient to be diagnosed. When referring to the first medical information of the patient information management server 10 from the patient terminal 20, for example, a speaker mark is displayed on the display unit 23 at the position specified by the doctor on the medical treatment guidance screen, and when the speaker mark is pressed using the operation unit 22, audio based on the audio data is played.

[0074] As described above, according to the first embodiment, the control unit 31 of the doctor's terminal 30, while the first medical information is displayed on the display unit 33, attaches annotation information to the first medical information through operation by a medical professional from the operation unit 32, and outputs the first medical information with the annotation information attached.Therefore, the information (annotation information) input by the medical professional can be presented in an easy-to-understand manner in relation to the medical information (first medical information) including vital information input by the patient.

[0075] Furthermore, the control unit 31 of the doctor terminal 30 causes the display unit 33 to display the first medical information to which the annotation information is added, so that the annotation information can be presented together with the first medical information. In addition, the control unit 31 of the doctor's terminal 30 can generate image data for the treatment guidance screen by separating the layer of the first medical information from the layer of the annotation information, and can display the annotation information superimposed on the first medical information. Furthermore, annotation information for the first medical information can be switched between display and non-display.

[0076] Furthermore, the control unit 31 of the doctor terminal 30 outputs the first medical information with the annotation information attached to the patient information management server 10 so that it can be referenced from the patient terminal 20 (i.e., the first medical information with the annotation information attached is indirectly output to the patient terminal 20), so the patient can view the first medical information and the annotation information on the patient terminal 20. This makes it easier for the patient to recognize the details pointed out by the doctor regarding the first medical information, such as vital sign information, that the patient has input, improving visibility.

[0077] Furthermore, by attaching annotation information to the first area where the first medical information is displayed (such as the first medical information area 51 in Figure 4), it is possible to clearly indicate which part of which first medical information the annotation information corresponds to. Furthermore, by attaching annotation information to a second area different from the first area in which the first medical information is displayed, the annotation information can be presented without interfering with the display of the first medical information.

[0078] [Second embodiment] <Configuration of medical information management system> Next, a second embodiment to which the present invention is applied will be described. Figure 5 shows the system configuration of a medical information management system 200 in the second embodiment. As shown in Figure 5, the medical information management system 200 is configured to include a patient information management server 10, a patient terminal 20 used by patients, a doctor terminal 30 (medical information management device) used by doctors at the medical institution, and a medical institution management server 40 that manages information within the medical institution. The patient information management server 10, the patient terminal 20, and the doctor terminal 30 are connected to each other so that they can communicate data with each other via a communication network N such as the Internet. Furthermore, the doctor terminal 30 and the medical institution management server 40 are connected to each other so that they can communicate data with each other via a communication network N2 such as a LAN (Local Area Network) within the medical institution.

[0079] In the medical information management system 200, components similar to those in the medical information management system 100 shown in the first embodiment are denoted by the same reference numerals, and descriptions thereof will be omitted. The following describes the configuration and processing characteristic of the second embodiment.

[0080] The doctor's terminal 30 acquires first medical information (vital information, etc.) input from the patient's terminal 20, acquires second medical information (examination data, etc.) from a device within the medical institution (medical institution management server 40), and acquires third medical information (reference information, comment information, etc.). Furthermore, the doctor terminal 30 is capable of attaching annotation information (such as annotations) not only to the first medical information but also to the second medical information and the third medical information.

[0081] <Configuration of medical institution management server> As shown in FIG. 5, the medical institution management server 40 comprises a control unit 41, a communication unit 42, a storage unit 43, etc., and each unit is connected by a bus.

[0082] The control unit 41 is composed of a CPU, RAM, etc., and comprehensively controls the processing operations of each unit of the medical institution management server 40. Specifically, the CPU of the control unit 41 reads out various processing programs stored in the storage unit 43, expands them in the RAM, and executes various processes in cooperation with the programs.

[0083] The communication unit 42 is configured by a network interface or the like, and transmits and receives data to and from external devices such as the doctor terminal 30 connected via the communication network N2.

[0084] The storage unit 43 is configured with an HDD, an SSD, etc., and stores various processing programs, parameters and files required for executing the programs, etc. The storage unit 43 stores second medical information (examination data, etc.) obtained by examinations on patients, in association with the patient information. The second medical information includes examination data such as medical images generated by imaging examinations using modalities (ultrasound, X-ray photography, CT, MRI, scintigraphy, etc.) and measurement values ​​obtained by examinations (electrocardiogram, spirometer, etc.).

[0085] <Configuration of doctor's terminal> The control unit 31 (acquisition unit) of the doctor terminal 30 acquires the second medical information obtained by an examination on the patient. Specifically, the control unit 31 acquires the second medical information of the patient to be diagnosed stored in the storage unit 43 of the medical institution management server 40 via the communication unit 34.

[0086] The control unit 31 (attachment unit) attaches annotation information (second annotation information) to the second medical information in response to an operation from the operation unit 32 by a medical professional. The control unit 31 (output unit) outputs first integrated information obtained by integrating the first medical information and the second medical information, each of which has at least annotation information attached thereto. Here, annotation information may be attached to the second medical information included in the first integrated information.

[0087] The control unit 31 (acquisition unit) acquires third medical information (reference information, comment information, etc.) related to the first medical information. The third medical information includes reference information (general materials, etc.) that is referred to in diagnosing the first medical information, and comment information freely input by a medical professional about the first medical information or the patient to be diagnosed. For example, the control unit 31 acquires the third medical information selected by a medical professional through an operation of the operation unit 32. The control unit 31 may acquire the third medical information stored in an external device via the communication unit 34, or may acquire the third medical information stored in the storage unit 35. Furthermore, the control unit 31 acquires third medical information input by a medical professional operating the operation unit 32.

[0088] The control unit 31 (attachment unit) attaches annotation information (third annotation information) to the third medical information in response to an operation from the operation unit 32 by a medical professional. The control unit 31 (output unit) outputs second integrated information obtained by integrating the first medical information and the third medical information to which at least annotation information is attached. Here, annotation information may be attached to the third medical information included in the second integrated information.

[0089] The annotation information attached to the second medical information and the third medical information includes at least one of annotations, characters, symbols, comments, and voice data, similar to the annotation information attached to the first medical information.

[0090] <Operation in the medical information management system> Next, the operation of the medical information management system 200 will be described. 6 and 7 are ladder charts showing the processing executed in the medical information management system 200. In addition to the patient information management server 10, the patient terminal 20, the doctor terminal 30, and the medical institution management server 40, Figures 6 and 7 also show the patient operating the patient terminal 20 and the doctor operating the doctor terminal 30.

[0091] First, the processing of steps S21 to S23 in which a patient registers first medical information such as vital signs from a patient terminal 20 at home to a patient information management server 10 is the same as the processing of steps S1 to S3 in Figure 2, and therefore a description thereof will be omitted.

[0092] Next, the processing of steps S24 to S27 after the patient visits the medical institution is the same as the processing of steps S4 to S7 in FIG. 2, and therefore a description thereof will be omitted. While being examined by the doctor, the patient views the first medical information displayed on the display unit 33 of the doctor terminal 30 (step S28).

[0093] In order to use the information held by the medical institution (medical institution management server 40), the doctor selects a patient to be diagnosed by operating the operation unit 32 on the doctor terminal 30 (step S29).

[0094] Next, the control unit 31 of the doctor terminal 30 acquires the data of the selected patient from the medical institution management server 40 via the communication unit 34 (step S30). Note that it is also possible to acquire only the test data selected by the doctor from the test data stored in the medical institution management server 40. Specifically, the control unit 31 transmits a request to acquire the test data of the selected patient to the medical institution management server 40 via the communication unit 34. When the control unit 41 of the medical institution management server 40 receives a request to obtain test data of a selected patient from the doctor's terminal 30 via the communication unit 42, it reads out the test data associated with the patient information of the selected patient in the memory unit 43 and transmits the test data to the doctor's terminal 30 via the communication unit 42. The control unit 31 of the doctor terminal 30 receives the test data of the patient to be diagnosed from the medical institution management server 40 via the communication unit .

[0095] Next, the control unit 31 of the doctor terminal 30 causes the display unit 33 to display the test data of the patient to be diagnosed (step S31). The doctor explains the test results to the patient while referring to the test data displayed on the display unit 33 of the doctor terminal 30 (step S32). The patient views the examination data displayed on the display unit 33 of the doctor's terminal 30 while receiving an explanation from the doctor (step S33).

[0096] 7, the doctor operates the operation unit 32 of the doctor terminal 30 to paste the test data onto the display screen of the first medical information displayed on the display unit 33 (step S34). Specifically, when the doctor operates the operation unit 32 to specify the position on the display screen where the test data is to be pasted, the test data is displayed at the specified position.

[0097] Furthermore, the doctor operates the operation unit 32 to input the first medical information and annotation information for the examination data (step S35). The control unit 31 of the doctor terminal 30 attaches the input annotation information to the first medical information and the test data (step S36). Specifically, the control unit 31 arranges each piece of annotation information at a specified position (coordinate) on the display screen, and generates image data of a treatment guidance screen in which a layer including the annotation information is superimposed on a layer including the first medical information and the test data. The image data of the treatment guidance screen including the first medical information, the test data, and the annotation information for the first medical information corresponds to first integrated information that integrates at least the first medical information to which the annotation information is attached and the second medical information.

[0098] The patient views the first medical information, the examination data, and the annotation information displayed on the display unit 33 of the doctor terminal 30 while receiving an explanation from the doctor (step S37). The doctor diagnoses the patient (step S38).

[0099] When the doctor instructs the doctor terminal 30 to save the treatment guidance screen by operating the operation unit 32, the control unit 31 transmits the first medical information, test data, and annotation information (image data of the treatment guidance screen) to the patient information management server 10 via the communication unit 34 (step S39). The image data of the treatment guidance screen is composed of a layer including the first medical information and test data, and a layer including annotation information.

[0100] In the patient information management server 10, the control unit 11 receives the first medical information, test data, and annotation information from the doctor terminal 30 via the communication unit 12, and stores the first medical information, test data, and annotation information (image data of the treatment guidance screen) in the memory unit 13 in association with the patient information of the patient to be diagnosed (step S40). The patient then returns home from the medical facility.

[0101] After returning home, when the patient wants to check his or her own medical information, the patient accesses the patient information management server 10 from the patient terminal 20 at home. When the patient operates the operation unit 22 on the patient terminal 20 to specify a predetermined URL for accessing the patient information management server 10 and enters the patient ID and the like on the login screen, the control unit 21 obtains image data of a medical treatment guidance screen from the patient information management server 10 in accordance with the application program, and displays the medical treatment guidance screen on the display unit 23. The control unit 11 of the patient information management server 10 obtains image data of the medical treatment guidance screen associated with the patient's patient information (patient ID and the like) from the storage unit 13, and provides the image data to the patient terminal 20 via the communication unit 12. In the patient terminal 20, the first medical information, test data, and annotation information of the patient corresponding to the patient terminal 20 are displayed on the display unit 23 (step S41). The patient views the first medical information, the examination data, and the annotation information displayed on the display unit 23 of the patient terminal 20 (step S42). This completes the process.

[0102] 6 and 7, the case where the first medical information and test data (second medical information) are included in the treatment guidance screen has been described, but the treatment guidance screen may also include third medical information. Image data of the treatment guidance screen including the first medical information, the third medical information, and annotation information for the first medical information corresponds to second integrated information that integrates at least the first medical information with the annotation information and the third medical information. Also, the treatment guidance screen may not include the second medical information, but may include the first medical information and the third medical information.

[0103] FIG. 8 shows an example of a medical treatment instruction screen 503 with annotation information attached, which is displayed on the display unit 33 of the doctor terminal 30. The treatment guidance screen 503 includes a first medical information area 51, a second medical information area 52, and a third medical information area 53. Here, the treatment guidance screen 503 is prepared in a predetermined format, and the doctor pastes medical information into the second medical information area 52 and the third medical information area 53 while explaining to the patient.

[0104] The first medical information area 51 has the same content as that explained in the medical treatment guidance screen 501 (see FIG. 3).

[0105] The second medical information area 52 is an area for displaying second medical information. However, the second medical information area 52 is blank until the doctor selects the second medical information. For example, in step S34, the doctor can paste the test data selected by the doctor into the second medical information area 52 by dragging and dropping the test data displayed on the display unit 33 of the doctor terminal 30 onto the second medical information area 52 on the treatment guidance screen 503 through the operation unit 32.

[0106] In FIG. 8, the second medical information area 52 includes an ultrasound image 81 and electrocardiogram data 82. The ultrasound image 81 is a medical image obtained by performing an ultrasound examination on the carotid artery of a patient, and is used to diagnose the degree of blockage of the blood vessel. Electrocardiogram data 82 is the measurement result obtained by performing an electrocardiogram test on a patient. Annotation information 75 is attached to abnormal parts of the electrocardiogram data 82. The annotation information 75 is obtained by surrounding the "two consecutive ventricular premature contractions" part on the electrocardiogram measurement data with a line and adding an arrow.

[0107] The third medical information area 53 is an area for displaying the third medical information, but the third medical information area 53 is blank until the doctor selects or inputs the third medical information.

[0108] In FIG. 8, the third medical information area 53 includes a blood pressure classification table 91, food material information 92, and comments 93. Blood pressure classification table 91 is a document for explaining the state of a patient's blood pressure values ​​based on the relationship between diastolic and systolic blood pressure. Annotation information 76 is attached to the blood pressure classification table 91 at the locations corresponding to the patient's blood pressure values ​​(measured values). Annotation information 76 clearly indicates the locations in blood pressure classification table 91 that correspond to the patient's combination of diastolic and systolic blood pressure, and an arrow has been added. Food material 92 is a material to explain "foods that are surprisingly high in salt." Comment 93 is a doctor's comment to a patient.

[0109] It should be noted that medical information corresponding to vital information of the patient to be diagnosed or medical information corresponding to changes (trends) in the vital information may be automatically extracted as the second medical information displayed in the second medical information area 52 and the third medical information displayed in the third medical information area 53. For example, when blood pressure is high, an image of the blood vessels of the patient to be diagnosed is displayed as medical information corresponding to changes in the vital information. For example, when blood pressure has risen sharply or remains high, appropriate medical information such as information about predicted diseases is presented as medical information corresponding to changes in the vital information.

[0110] The image data of the medical treatment guidance screen generated in the doctor terminal 30 is composed of a layer including medical information (first medical information, second medical information, third medical information) and a layer including annotation information. On the treatment guidance screen displayed on the display unit 33 of the doctor terminal 30, the user (doctor) can select via the operation unit 32 whether or not to display (display / hide) annotation information together with the medical information (first medical information, second medical information, third medical information). When "display" is selected for the annotation information, the control unit 31 displays the treatment guidance screen by superimposing a layer of annotation information on a layer of medical information. On the other hand, when "hide" is selected for the annotation information, the control unit 31 displays only the layer of medical information as the treatment guidance screen without superimposing a layer of annotation information.

[0111] The ultrasound image 81, electrocardiogram data 82, blood pressure classification table 91, food ingredient information 92, and comments 93 are provided with delete buttons 81A, 82A, 91A, 92A, and 93A, respectively, and the user (doctor) can delete the ultrasound image 81, electrocardiogram data 82, blood pressure classification table 91, food ingredient information 92, and comments 93 by pressing the delete buttons 81A, 82A, 91A, 92A, and 93A. Here, it is possible to delete information from each of the second medical information and the third medical information, but it is also possible to delete individual data from the first medical information.

[0112] In addition, image data (data used for display) corresponding to the individual data of the second medical information displayed in the second medical information area 52 and the third medical information displayed in the third medical information area 53 may also be transmitted from the doctor's terminal 30 to the patient information management server 10 and stored in the memory unit 13 of the patient information management server 10.

[0113] For example, when electrocardiogram data 82 in the second medical information area 52 is designated on the medical treatment guidance screen 503 by operating the operation unit 32 on the doctor terminal 30, an electrocardiogram screen 504 is displayed in which the electrocardiogram data 82 is enlarged, as shown in Fig. 9. In order to display the electrocardiogram screen 504, not only the image data of the medical treatment guidance screen 503 but also the image data of the electrocardiogram data alone is stored in the memory unit 13 of the patient information management server 10.

[0114] Furthermore, when the blood pressure classification table 91 in the third medical information area 53 is designated on the medical treatment guidance screen 503 by operating the operation unit 32 on the doctor terminal 30, a blood pressure classification table screen 505 is displayed in which the blood pressure classification table 91 is enlarged, as shown in Fig. 10. In order to display the blood pressure classification table screen 505, not only the image data of the medical treatment guidance screen 503 but also the image data of the blood pressure classification table alone is stored in the memory unit 13 of the patient information management server 10.

[0115] When a patient views the treatment guidance screen at home, the screen displayed on the display unit 23 of the patient terminal 20 is the same as that shown in Fig. 8. On the patient terminal 20 as well, it is possible to select whether to display or hide annotation information by operating the operation unit 22. Also on the patient terminal 20 as well, as shown in Figs. 9 and 10, by specifying the second medical information and the third medical information on the treatment guidance screen, the second medical information and the third medical information can be enlarged and displayed.

[0116] As described above, according to the second embodiment, the control unit 31 of the doctor's terminal 30, while at least the first medical information is displayed on the display unit 33, attaches annotation information to the first medical information through operation by a medical professional from the operation unit 32, and outputs the first medical information with the annotation information attached.Therefore, the information (annotation information) input by the medical professional can be presented in an easy-to-understand manner in relation to the medical information (first medical information) including vital information input by the patient.

[0117] In addition, when second medical information is pasted onto the display screen of first medical information on the doctor's terminal 30 and annotation information is attached to the first medical information, first integrated information (image data of a treatment guidance screen including the first medical information with annotation information attached and the second medical information) can be output, which integrates at least the first medical information with annotation information attached and the second medical information.

[0118] Furthermore, when third medical information is pasted onto the display screen of the first medical information on the doctor's terminal 30 and annotation information is attached to the first medical information, second integrated information (image data of a medical treatment guidance screen including the first medical information with annotation information attached and the third medical information) can be output, which integrates at least the first medical information with annotation information attached and the third medical information.

[0119] In addition, the control unit 31 of the doctor's terminal 30 displays the medical information (first medical information, second medical information, third medical information) to which annotation information is attached on the display unit 33, so that the annotation information can be presented together with the medical information. Furthermore, the control unit 31 of the doctor terminal 30 can generate image data for the treatment guidance screen by separating the medical information layer from the annotation information layer, and can display the annotation information superimposed on the medical information. In addition, annotation information for medical information can be switched between display and non-display.

[0120] In addition, the control unit 31 of the doctor's terminal 30 outputs the medical information with the annotation information attached to the patient information management server 10 so that it can be referenced from the patient's terminal 20 (i.e., the medical information with the annotation information attached is indirectly output to the patient's terminal 20), so that the patient can view the medical information and annotation information on the patient's terminal 20.

[0121] In addition, on the medical treatment guidance screen displayed on the display unit 33 of the doctor's terminal 30, it may be determined whether the patient information (such as patient information included in the header of the medical information) associated with the second medical information selected by the doctor as the target to be pasted matches the patient information associated with the first medical information, and if there is at least a mismatch, the determination result (warning) may be presented.

[0122] Furthermore, when a doctor selects a medical image to be pasted on the doctor terminal 30, the display unit 33 may display only medical images that have already been interpreted (images that can be used as diagnostic results) as candidates. Furthermore, when a doctor selects a medical image to be pasted on the doctor's terminal 30, it may be possible to determine whether the selected medical image has been interpreted or not, and to permit pasting only if the image has been interpreted.

[0123] The above-described embodiments are examples of the medical information management device according to the present invention, and the present invention is not limited to these. The detailed configuration and operation of each device constituting the system can be modified as appropriate without departing from the spirit of the present invention.

[0124] For example, in each of the above embodiments, the first medical information input from the patient terminal 20 is stored in the patient information management server 10, and the control unit 31 (acquisition unit) of the doctor terminal 30 (medical information management device) acquires the first medical information from the patient information management server 10, but the control unit 31 of the doctor terminal 30 may also acquire the first medical information directly from the patient terminal 20. Furthermore, the doctor terminal 30 may have the functions of the patient information management server 10.

[0125] Furthermore, in each of the above embodiments, medical information (first medical information, second medical information, third medical information) to which annotation information is attached in the doctor terminal 30 is stored in the patient information management server 10, and the medical information to which annotation information is attached stored in the patient information management server 10 is referenced from the patient terminal 20, but the medical information to which annotation information is attached may be sent directly from the doctor terminal 30 to the patient terminal 20. Alternatively, the control unit 21 of the patient terminal 20 may directly access the doctor terminal 30 to obtain the medical information to which annotation information is attached.

[0126] In addition, in the above embodiments, as a method of associating annotation information with a specific position of medical information, an example has been described in which annotation information is stored in association with coordinates on the display screen of the medical information, but annotation information may also be stored in association with the date or day of the week of the first medical information (vital information, etc.). For example, by leaving the position of the annotation (circle, etc.) as it is and changing the display range by turning the page of the display data, it may be possible to make a comparison with data from last month (the same day of the previous month), data from the same day of the week of the previous week, etc.

[0127] Furthermore, the final output destination where at least the first medical information (vital information, etc.) and annotation information are displayed does not have to be the patient terminal 20. For example, by displaying medical information and annotation information on a terminal used by a radiologist, the radiologist can share the information with a doctor and take note of it the next time he or she takes an image. In addition, by displaying medical information and annotation information on the terminal used by the nurse, the patient's condition can be grasped.

[0128] In addition, in each of the above embodiments, the medical information (including at least the first medical information, and optionally the second and third medical information) and the annotation information are separated by layers, and the annotation information is displayed superimposed on the medical information. However, the annotation information may be embedded in the medical information and displayed. In this case, the control unit 31 of the doctor terminal 30 embeds the annotation information in the medical information in response to the annotation information being added to the medical information, and generates image data for a medical treatment guidance screen. Specifically, the control unit 31 generates image data in a format such as PDF (Portable Document Format) or PNG (Portable Network Graphics) with the annotation information added to the medical information. This image data for the medical treatment guidance screen is stored in the storage unit 13 of the patient information management server 10 in association with the patient information and can be referenced from the patient terminal 20.

[0129] The programs for executing the processes in each device may be stored on a portable recording medium, and a carrier wave may be used as a medium for providing program data via a communication line. [Explanation of symbols]

[0130] 10. Patient Information Management Server 11 Control section 12 Communications Department 13 Storage section 20 Patient terminals 21 Control Unit 22 Control section 23 Display section 24 Communications Department 25 Memory section 30 Doctor's terminal 31 Control Unit 32 Operation section 33 Display section 34 Communications Department 35 Storage section 40 Medical institution management server 41 Control Unit 42 Communications Department 43 Storage section 100 Medical Information Management System 200 Medical Information Management System N Communication Network N2 communication network

Claims

1. an acquisition unit that acquires first medical information including vital information of a patient input from a patient terminal used by the patient; an attachment unit that attaches annotation information to the first medical information in response to an operation by a medical professional from an operation unit while the first medical information is displayed on a display unit; an output unit that outputs the first medical information to which the annotation information is added; Equipped with the acquisition unit further acquires third medical information that is referenced in a diagnosis of the first medical information, the third medical information being selected by an operation of the operation unit by the medical professional, or the third medical information that is stored in advance; The output unit outputs second integrated information obtained by integrating at least the first medical information to which the annotation information is attached and the third medical information.

2. The medical information management device according to claim 1 , wherein the output unit causes the display unit to display the first medical information to which the annotation information is added.

3. The medical information management device according to claim 2 , wherein when the annotation information is added to the first medical information, the output unit displays the annotation information superimposed on the first medical information.

4. The medical information management device according to claim 2 , wherein when the annotation information is added to the first medical information, the output unit embeds the annotation information in the first medical information and displays the first medical information.

5. The medical information management device according to claim 1 , wherein the output unit outputs the first medical information to which the annotation information is added to the patient terminal.

6. The medical information management device according to claim 1 , wherein the attachment unit attaches the annotation information to a first area in which the first medical information is displayed.

7. The medical information management device according to claim 1 , wherein the attachment unit attaches the annotation information to a second area different from a first area in which the first medical information is displayed.

8. The medical information management device according to claim 1 , wherein the annotation information includes at least one of annotations, characters, symbols, and comments.

9. the acquiring unit further acquires second medical information obtained by an examination on the patient; The medical information management device according to any one of claims 1 to 8, wherein the output unit outputs first integrated information that integrates at least the first medical information to which the annotation information is attached and the second medical information.

10. The medical information management device according to claim 9 , wherein the attachment unit attaches second annotation information to the second medical information in response to an operation by the medical worker from the operation unit.

11. The medical information management device according to claim 1 , wherein the attachment unit attaches third annotation information to the third medical information in response to an operation by the medical worker from the operation unit.

12. Computer, an acquisition unit that acquires first medical information including vital information of the patient input from a patient terminal used by the patient; an attachment unit that attaches annotation information to the first medical information in response to an operation by a medical professional from an operation unit while the first medical information is displayed on a display unit; an output unit that outputs the first medical information to which the annotation information is added; A program for functioning as the acquisition unit further acquires third medical information that is referenced in a diagnosis of the first medical information, the third medical information being selected by an operation of the operation unit by the medical professional, or the third medical information that is stored in advance; The output unit is a program that outputs second integrated information obtained by integrating the first medical information to which at least the annotation information is attached and the third medical information.

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