JP6867147B2 - Medical information storage device, medical information retrieval device, medical information storage method, medical information storage program, and computer-readable recording medium - Google Patents

Description

The present invention relates to a medical information storage device, a medical information retrieval device, a medical information storage method, a medical information storage program, and a computer-readable recording medium.

Conventionally, a data storage device for storing various types of information has been proposed (see, for example, Patent Documents 1 and 2). For example, the device described in Patent Document 1 relates to a navigation device and stores map information. Further, the apparatus described in Patent Document 2 relates to a text processing apparatus and stores text data.

Japanese Unexamined Patent Publication No. 2001-74478 Japanese Unexamined Patent Publication No. 2011-221845

Medical information is created and stored for each individual as a medical record or the like. For example, medical records are legally required to be stored for 5 years, and are created for each visit to a medical institution. Such medical information is simply written in a medical record, for example, and even when the medical information is stored in a PC or the like other than a paper medium, the information described in the medical record is simply stored.

Here, the devices described in Patent Documents 1 and 2 as described above store information in a hierarchical manner (stored as a hierarchical data structure). More specifically, in the apparatus described in Patent Document 1, first, there are nodes A, B, C ..., And detailed information thereof is stored in these nodes. For example, the detailed information of the node A is information such as node type: intersection, depression angle information 1, connection information: E, F, J, and various information is stored as detailed information of depression angle information 1. The information stored in the device described in Patent Document 2 has a so-called tree-structured data structure, and it can be said that the data is stored in a hierarchical structure similar to the device described in Patent Document 1. Further, in Patent Document 1, the node information is layered according to the level used for the route search. Such layering of information is useful from the viewpoint of speeding up the subsequent search.

Therefore, even if it is attempted to store medical information in a layered manner as in Patent Documents 1 and 2, the medical information is composed of individual information having completely different contents in the first place, and it is difficult to layer the medical information. Specifically, medical information includes multiple individual items related to the patient's physical condition (diagnosis name, interview answer, doctor's findings, test values, etc.) or medical response (injection, infusion, prescription drug, rehabilitation, treatment, surgical method, etc.). It consists of information. These plurality of individual pieces of information do not have a magnitude relationship and are not hierarchical in the first place.

The present invention has been made to solve such a conventional problem, and an object of the present invention is to store medical information composed of a plurality of individual information as more optimal layered information. It is an object of the present invention to provide a medical information storage device, a medical information retrieval device, a medical information storage method, a medical information storage program, and a computer-readable recording medium.

The medical information storage device according to the present invention stores medical information composed of a set of a plurality of individual information relating to a patient's physical condition or medical response, and stores the plurality of individual information in a plurality of layers. An information storage device, which is an input means for inputting a plurality of individual information, and a hierarchical information indicating which layer of the plurality of layers belongs to each of the plurality of individual information input by the input means. In addition, a granting means for imparting related information indicating the relationship between adjacent layers, and a storage control means for storing medical information to which hierarchical information and related information are assigned to each of a plurality of individual information by the granting means. The giving means is such that the priority individual information, which is determined in advance as the information to be used for the judgment of the doctor later among the plurality of individual information, belongs to the upper predetermined layer among the plurality of layers. The information is given, and the storage control means sequentially deletes the individual information from the lower layer side as the creation date of the stored medical information becomes older, and the predetermined layer on the upper side to which the priority individual information belongs is the medical information. The feature is that the erasing process is not executed even if the creation date is old.

Further, according to the medical information storage method according to the present invention, in order to store medical information composed of a set of a plurality of individual information relating to a patient's physical condition or medical response, the plurality of individual information is divided into a plurality of layers. It is a medical information storage method of a medical information storage device that stores a plurality of individual information, and a hierarchy of each individual information is provided for each of an input process for inputting a plurality of individual information and a plurality of individual information input in the input process. A storage control for storing medical information in which hierarchical information is added to the indicated hierarchical information and related information indicating the relationship between adjacent layers, and medical information in which hierarchical information is added to each of a plurality of individual information in the imparting step. It is provided with a process and an erasing process in which individual information is sequentially deleted from the lower layer side as the creation date of the stored medical information becomes older. Hierarchical information is added so that the priority individual information determined in advance as information belongs to the upper predetermined layer among the plurality of layers, and in the erasing step, the medical information is given to the upper predetermined layer to which the priority individual information belongs. The feature is that the erasing process is not executed even if the creation date of is old.

Further, the medical information storage program according to the present invention is a medical information storage program for making a computer function as the above-mentioned medical information storage device, and the computer-readable recording medium according to the present invention is the above-mentioned medical information storage. A computer-readable recording medium on which a program is recorded.

According to these, among the plurality of individual information, the priority individual information determined in advance as the information to be used for the judgment of the doctor later is given the hierarchical information so as to belong to the upper predetermined layer among the plurality of layers. Here, those who have suffered from tuberculosis are more likely to develop kidney disease later, and when kidney disease is suspected, it is referred to whether or not there is tuberculosis in the past medical history. Infants who are 4 months old and do not sit on their necks may not be able to stand even when they are 3-4 years old (muscular illness). In addition, in the event of a cerebral infarction, information on how much sequelae remain will be referred to later. Since such information is made to belong to a predetermined hierarchy on the upper side as priority individual information to be used later in the judgment of a doctor, even if it is medical information consisting of individual information that does not have a magnitude relationship, it is appropriately stratified. Will be done. Therefore, medical information composed of a plurality of individual information can be stored as more optimal layered information. Furthermore, as the creation date of the stored medical information becomes older, the individual information is deleted sequentially from the lower layer side, so that the individual information in the lower layer is deleted in a form in which the priority individual information is left more, and more necessary information is obtained. It is possible to reduce the storage capacity by erasing the information while leaving the information.

Further, in the medical information storage device according to the present invention, hierarchical information indicating the hierarchy of each individual information and related information indicating the relevance between adjacent layers have been given in advance, and information input of each individual information is provided. It is provided with a storage means for storing a template in which a place is predetermined and each individual information is not input for each disease name , and the granting means provides each of a plurality of individual information in advance of the template of the corresponding disease name. It is preferable to add hierarchical information and related information by inputting to a predetermined information input location, and to add hierarchical information so that the priority individual information belongs to a predetermined layer on the upper side of a plurality of layers.

According to this medical information storage device, a template in which each individual information is not input is stored, and each of the plurality of individual information is input to a predetermined information input location of the template, thereby performing hierarchical information and related information. In addition to giving information, hierarchical information is given so that the priority individual information belongs to a predetermined layer on the upper side of a plurality of layers. Therefore, for example, when inputting individual information, it is not necessary to specify which individual information is the priority individual information and which individual information is related to each other. Simply inputting the individual information is applied to the template. Since the information is layered, the convenience can be greatly improved.

Further, the medical information retrieval device according to the present invention is a medical information retrieval device that searches for specific individual information from a plurality of medical information stored by the medical information storage device according to any one of the above. It is characterized by providing a search means for searching specific individual information by limiting the search target to individual information in a predetermined layer on the upper side of a plurality of layers among a plurality of medical information.

According to this medical information search device, in order to search for specific individual information only for individual information in a predetermined hierarchy on the upper side, a doctor performs a search limited to a place where priority individual information is stored. Information used for judgment can be searched at higher speed.

According to the present invention, a medical information storage device, a medical information search device, a medical information storage method, a medical information storage program, which can store medical information composed of a plurality of individual information as more optimal layered information. And a computer-readable recording medium can be provided.

It is an external view which shows the medical information storage device which concerns on embodiment of this invention. It is a hardware configuration diagram which shows the medical information storage device which concerns on this embodiment. It is a software block diagram which shows the medical information storage device which concerns on this embodiment. It is a block diagram which shows the details of the medical information memory function part and the 1st storage area shown in FIG. It is a block diagram which shows the detail of the pathological condition determination function part and the 2nd storage area shown in FIG. It is a conceptual diagram which shows the memory content of the symptomatology item storage part shown in FIG. It is a conceptual diagram which shows the storage content of the question content storage part shown in FIG. It is a conceptual diagram which shows an example of the memory content of the option storage part shown in FIG. 5, and shows the example of the option when the attribute classification is male and female of 13 years old or more. It is a conceptual diagram which shows an example of the storage content of the option storage part shown in FIG. 5, and shows the example of the option when the attribute classification is 12 years old or less. It is a conceptual diagram which shows an example of the memory content of the symptomatology result table storage part shown in FIG. It is a conceptual diagram which shows an example of the memory content of the symptom result table storage part shown in FIG. 5, and shows the example of the symptom result table when the attribute classification is 12 years old or less. It is a conceptual diagram which shows an example of the memory contents of the disease name candidate table storage part shown in FIG. 5, and usually shows the candidate table. FIG. 5 is a conceptual diagram showing an example of the storage contents of the disease name candidate table storage unit shown in FIG. 5, and shows a specific candidate table. It is a front view which shows the screen displayed by the 1st display control part shown in FIG. It is a front view which shows the screen which makes a symptom item selection, and shows the 1st example. It is a front view which shows the screen which makes a symptom item selection, and shows the 2nd example. It is a front view which shows the screen which displays the question content and option, and shows the 1st example. It is a front view which shows the screen which displays the question content and option, and shows the 2nd example. It is a front view which shows an example of the screen which shows the disease name candidate. It is a block diagram which shows the detail of the disease name diagnosis function part and the 3rd storage area shown in FIG. It is a conceptual diagram which shows the memory content of the medical examination act memory part shown in FIG. It is a conceptual diagram which shows the memory content of the body findings memory part shown in FIG. It is a conceptual diagram which shows the storage content of the inspection storage part shown in FIG. It is a conceptual diagram which shows the storage content of the inspection result storage part shown in FIG. It is a front view which shows the screen displayed by the 1st presentation part shown in FIG. It is a front view which shows the screen displayed by the 2nd presentation part shown in FIG. It is a front view which shows the screen displayed by the 3rd presentation part shown in FIG. It is a conceptual diagram which shows an example of the template stored in the template storage part shown in FIG. It is a conceptual diagram which shows the state which the individual information was given by the addition part to the template T stored in the template storage part. It is a flowchart which shows an example of the operation of the pathological condition judgment function part, and shows the first half part. It is a flowchart which shows an example of the operation of the pathological condition judgment function part, and shows the latter half part. It is a flowchart which shows an example of the operation of the disease name diagnosis function part which concerns on this embodiment. It is a flowchart which shows an example of the medical information storage method which concerns on this Embodiment, and shows the storage processing of medical information. It is a flowchart which shows an example of the operation of the medical information search function part which concerns on this embodiment. It is a flowchart which shows an example of the medical information storage method which concerns on this Embodiment, and shows the erasing process of medical information.

Hereinafter, the present invention will be described with reference to preferred embodiments. The present invention is not limited to the embodiments shown below, and can be appropriately modified without departing from the spirit of the present invention. Further, in the embodiments shown below, some parts of the configuration are omitted from the illustration and description, but the details of the omitted technology are within a range that does not conflict with the contents described below. Needless to say, publicly known or well-known techniques are appropriately applied.

FIG. 1 is an external view showing a medical information storage device according to an embodiment of the present invention. The medical information storage device 1 shown in FIG. 1 is realized as, for example, one function of a personal computer, and stores medical information. Medical information is composed of a set of a plurality of individual information regarding a patient's physical condition or medical response. The physical condition of the patient corresponds to the diagnosis name, interview response, doctor's findings, test values, and the like. Medical treatment includes injections, infusions, prescription drugs, rehabilitation, treatments, surgical methods, and the like.

In the present embodiment, the medical information storage device 1 is provided with a pathological condition determination function unit B, a disease name diagnosis function unit C, and a medical information search function unit D, which will be described later, in addition to storing medical information, and supports medical examination by a doctor. It is configured so that it can be used. Such a medical information storage device 1 is provided with input means such as a keyboard K and a mouse M, and stores a plurality of individual information in a plurality of layers through operations on the input means and the like.

In the following, the medical information storage device 1 will be described as one function of the personal computer, but the present invention is not limited to this, and the medical information storage device 1 is configured by a system in which a plurality of personal computers and servers are connected to a network. May be good.

FIG. 2 is a hardware configuration diagram showing the medical information storage device 1 according to the present embodiment. As shown in FIG. 2, the medical information storage device 1 includes a CPU (Central Processing Unit) 10, a display 20, a communication I / F (Interface) unit 30, and an HDD (Hard Disk Drive) 50.

The CPU 10 controls the entire medical information storage device 1 according to the present embodiment, and includes a ROM (Read Only Memory) 10a and a RAM (Random Access Memory) 10b as shown in FIG. The ROM 10a is a read-only memory in which a program (medical information storage program) for operating the medical information storage device 1 is stored. The RAM 10b is a read-write readable memory that stores various data and has an area required for processing work of the CPU 10.

The display 20 displays an input image by operating the keyboard K or the mouse M, or displays the name of the disease diagnosed by the medical information storage device 1. The communication I / F unit 30 is an interface for communicating with another device. The contents stored in the storage areas MA to MC, which will be described later, may be acquired from another device through the communication I / F unit 30.

The HDD 50 is an auxiliary storage device connected to a personal computer. Similar to the ROM 10a, the HDD 50 may store a medical information storage program for operating the medical information storage device 1. That is, the CPU 10 may realize each function of the medical information storage device 1 according to the present embodiment according to the program stored in the HDD 50. If possible, USB or the like may be provided in place of or in addition to the HDD.

FIG. 3 is a software configuration diagram showing the medical information storage device 1 according to the present embodiment. As shown in FIG. 3, the CPU 10 includes a medical information storage function unit A, a pathological condition determination function unit B, a disease name diagnosis function unit C, and a medical information retrieval function unit D. Further, the medical information storage device 1 includes a first storage area MA, a second storage area MB, and a third storage area MC in the ROM 10a and the HDD 50.

The first storage area MA stores various data necessary for the medical information storage function unit A to function, and the second storage area MB is required for the pathological condition determination function unit B to function. Various data are stored, and various data necessary for the disease name diagnosis function unit C to function are stored in the third storage area MC. Further, the medical information searched by the medical information search function unit D is also stored in the first storage area MA. Each part will be described in detail below.

The medical information storage function unit A is a functional unit for storing medical information, and when storing medical information, a plurality of individual information constituting the medical information is stored in layers. The pathological condition determination function unit B determines a candidate for a disease name based on input information from an operator (for example, a doctor or a nurse instructed by a doctor). The disease name diagnosis function unit C is used for diagnosing a disease name by a doctor, and narrows down the disease name when a candidate disease name is input to determine the disease name. The medical information search function unit D searches for specific individual information from a plurality of individual information hierarchically stored by the medical information storage function unit A.

FIG. 4 is a configuration diagram showing details of the medical information storage function unit A and the first storage area MA shown in FIG. As shown in FIG. 4, the medical information storage function unit A executes an input unit (input means) A1 and an granting unit (giving means) A2 by executing a medical information storage program stored in the ROM 10a or the HDD 50. The memory control unit (memory control means) A3 functions. Further, the first storage area MA includes a template storage unit MA1 and a medical information storage unit (storage means) MA2.

The input unit A1 inputs a plurality of individual information. The input unit A1 inputs information from the pathological condition determination function unit B and the disease name diagnosis function unit C, information directly input by a doctor or the like in characters, or information input in an option format as a plurality of individual information. Is. Next, in order to clarify the information input by the input unit A1, the information from the pathological condition determination function unit B and the disease name diagnosis function unit C, and the doctor, prior to explaining the details of the medical information memory function unit A. For example, the information directly input in the option format will be described.

FIG. 5 is a configuration diagram showing details of the pathological condition determination function unit B and the second storage area MB shown in FIG.

The pathological condition determination function unit B functions the display control unit B1, the symptomatological result determination unit B2, and the disease name candidate determination unit B3 by executing a program stored in the ROM 10a or the HDD 50. Further, as shown in FIG. 5, the second storage area MB includes a symptom item storage unit MB1, a question content storage unit MB2, an option storage unit MB3, a symptom result table storage unit MB4, and a disease name candidate table storage unit MB5. And have.

The symptomatology item storage unit MB1 shown in FIG. 5 stores a plurality of predetermined symptomatology items. FIG. 6 is a conceptual diagram showing the storage contents of the symptomatology item storage unit MB1 shown in FIG. As shown in FIG. 6, the symptomatology item storage unit MB1 stores X symptomatology items (X here is an integer of 2 or more, and in the example shown in FIG. 6, an integer of at least 22 or more). There is. The symptom item is an item indicating an abnormality occurring in the subject who judges the candidate of the disease name, for example, "having a fever", "coughing", "sputum", "headache", "pain in the breast". "There is pain in the joints" "Diarrhea" "Constipation" "Runny nose" "Convulsions" etc.

Further, the symptomatology item storage unit MB1 stores each symptomatology item in association with the attribute classification. Here, the attribute classification is a classification by age and gender (classification of attribute information), and five attribute classifications are set in the present embodiment. In the medical information storage device 1 according to the present embodiment, attribute information indicating age and gender can be input to the medical information storage device 1 by operating the keyboard K or the mouse M. The medical information storage device 1 determines which of the five attribute categories it belongs to from the input age and gender.

The five attribute categories are, for example, "0 to 11 months (1st category)", "1 to 3 years old (2nd category)", "4 to 12 years old (3rd category)", and "13 years old or older male (4th category)". Category) ”and“ Women over 13 years old (5th category) ”. The symptomatology item storage unit MB1 stores each symptomatology item in association with these five attribute categories. Specifically, regarding the 16th symptom item, "I have a headache", "-" for "0-11 months", "-" for "1 to 3 years old", and "4 to 12 years old". I remember "○" for "male over 13 years old" and "○" for "female over 13 years old". Similarly, regarding the 17th symptom item "pain in the breast", "-" for "0-11 months", "-" for "1 to 3 years old", and "4 to 12 years old". I remember "-" for "-", "-" for "male over 13", and "○" for "female over 13".

In the present embodiment, the attribute information means both age and gender, but is not limited to this, and may be either age or gender. Further, it goes without saying that in the case of either one, the attribute classification is different from that shown in FIG.

Refer to FIG. 5 again. The question content storage unit MB2 stores the question content set for each of the plurality of symptomatological items. FIG. 7 is a conceptual diagram showing the storage contents of the question content storage unit MB2 shown in FIG. As shown in FIG. 7, the question content storage unit MB2 stores three types of questions, a quantitative question, a qualitative question, and a time question, for each of the plurality of symptomatological items shown in FIG.

Here, the quantitative question is a question asking the quantity. That is, a quantitative question is a question in which the quantity itself such as the number of times, temperature, and frequency is the answer. For example, a question such as "how many times a day coughs?" Or "how many times a fever?" Is.

A time question is a question that asks time. That is, a time question is a question in which the time (including time, time, interval, and period) itself, such as how many days ago or around what time, is the answer, for example, "How many days ago did the fever come out?" When is the time when coughing is most severe? "

A qualitative question is a question that asks the nature. In more detail, a qualitative question is a question that asks the nature of the symptom, and in a broad sense, the answer is neither quantity nor time. For example, "Is it a dry cough?" "What color is sputum?" Are qualitative questions.

In addition, one or a plurality of quantitative questions, qualitative questions, and time questions are set for each of the symptomatological items.

For example, the question content storage unit MB2 stores two quantitative questions, "How many times do you have a fever?" And "How many times have you had a fever?" For the symptomatology item "I have a fever." In addition, the question content memory unit MB2 asks one qualitative question, "Does the fever go down at dawn?" And "Is the fever starting to come out?" For the symptomatology item of "I have a fever". I remember one time question. The question content storage unit MB2 similarly stores one or more quantitative questions, qualitative questions, and time questions for other symptom items.

Refer to FIG. 5 again. The option storage unit MB3 stores options for selecting answers to quantitative questions, qualitative questions, and time questions for each of a plurality of symptomatological items. Further, the option storage unit MB3 stores options according to the attribute classification.

8 and 9 are conceptual diagrams showing an example of the storage contents of the option storage unit MB3 shown in FIG. 5, and FIG. 8 shows an example of options when the attribute classification is male and female 13 years or older. , FIG. 9 shows an example of options when the attribute classification is 12 years or younger. In the examples shown in FIGS. 8 and 9, the options are common in the first to third categories and common in the fourth and fifth categories, but the options are not limited to this. The storage unit MB3 may store different options for each attribute category.

As shown in FIG. 8, the option storage unit MB3 stores options when the attribute classification is male or female aged 13 years or older. For example, in the quantitative question 1 ("How many times do you have a fever?") For the symptomatological item "I have a fever", "37.0 ° C or more and less than 37.5 ° C" is memorized as the first option, and "37". "5.5 ° C. or higher and lower than 38.5 ° C." is stored as the second option, and "38.5 ° C. or higher" is stored as the third option.

Similarly, in the option memory MB3, for example, in the qualitative question 1 (“What is the breathing after coughing?”) Of the symptom item “Coughing”, the first option is “There is a breathing sound of“ Hugh ””. And "Zeze" is memorized as the second option.

Further, as shown in FIG. 9, the option storage unit MB3 stores options when the attribute classification is 12 years or younger. For example, in the quantitative question 1 ("How many times do you have a fever?") For the symptomatological item "I have a fever", "37.0 ° C or more and less than 38.5 ° C" is memorized as the first option, and "38". "5.5 ° C. or higher and lower than 39.5 ° C." is stored as the second option, and "39.5 ° C. or higher" is stored as the third option.

Similarly, in the option memory MB3, for example, in the qualitative question 1 (“What is the breathing after coughing?”) Of the symptom item “Coughing”, the first option is “There is a breathing sound of“ Hugh ””. As a second option, "say" zeze "" is memorized as a second option, and "breathing itself becomes difficult" is memorized as a third option.

See FIG. 5 again. The symptomatology result table storage unit MB4 stores a symptomatology result table for determining the result for each symptom. This symptomatology result table stores the correspondence between the options selected for each of the quantitative question, the qualitative question, and the time question and the result for each symptomatology. Similar to the option storage unit MB3, the symptomatology result table storage unit MB4 stores the symptomatism result table of the correspondence relationship according to the attribute classification.

10 and 11 are conceptual diagrams showing an example of the storage contents of the symptomatology result table storage unit MB4 shown in FIG. 5, and FIG. 10 is a symptomatology result table when the attribute classification is male and female aged 13 years or older. FIG. 11 shows an example of a symptomatology result table when the attribute classification is 12 years or younger. In the examples shown in FIGS. 10 and 11, the symptomatology result table is common to the first to third categories, and the symptomatology result table is common to the fourth and fifth categories. Not limited to this, the symptomatology result table storage unit MB4 may store different symptomatology result tables for each attribute category. Further, although FIGS. 10 and 11 show a symptomatology result table for one symptomatology item (for example, “having a fever”), the symptomatology result table is not limited to one, and the symptomatology result table for each symptomatology item. The storage unit MB4 stores the symptomatology result table.

First, as described above, two quantitative questions, one qualitative question, and one time question were set for the symptomatological item of "having a fever". In addition, three options were provided for each of the two quantitative questions and one time question, and two options were provided for one qualitative question.

Therefore, as for the answer pattern, there are 3 × 3 × 2 × 3 = 54 patterns. The symptomatology result table storage unit MB4 stores the results (A1 to A54) for 54 response patterns in association with each other. Specifically, when the attribute classification is male and female over 13 years old, as shown in FIG. 10, all the options selected by answering the quantitative question 1, the quantitative question 2, the qualitative question 1, and the time question 1 are the first options. In the case of (described as "1" in the figure), the result "A1" is stored in association with each other. Similarly, the option selected as the answer in the quantitative question 1, the quantitative question 2, and the qualitative question 1 is the first option, and the option selected as the answer in the time question 1 is the third option (described as "3" in the figure). ), The result "A3" is stored in association with each other.

The results "A1" to "A54" may have different contents or may have some common contents. In addition, in each of the results "A1" to "A54", as information on the pathological condition, the severity and the location of the cause of the symptom (for example, when the symptom is "coughing", the location of the cause is the bronchus or trachea ) Etc. are included.

In addition, when the attribute classification is 12 years old or younger, as shown in FIG. 11, when all the options selected as answers in the quantitative question 1, the quantitative question 2, the qualitative question 1 and the time question 1 are the first options. For example, the result "A4" is stored in association with each other. Similarly, the option selected as the answer in the quantitative question 1, the quantitative question 2, and the qualitative question 1 is the first option, and the option selected as the answer in the time question 1 is the third option (described as "3" in the figure). ), The result "A5" is stored in association with each other.

In this way, even if the same option is selected as an answer, the result may differ depending on the attribute classification (of course, it may be the same).

See FIG. 5 again. The disease name candidate table storage unit MB5 is assigned disease name candidates to the results for each symptom. FIG. 12 is a conceptual diagram showing an example of the storage contents of the disease name candidate table storage unit MB5 shown in FIG. 5, and shows a normal candidate table. Further, FIG. 13 is a conceptual diagram showing an example of the storage contents of the disease name candidate table storage unit MB5 shown in FIG. 5, and shows a specific candidate table.

As shown in FIG. 12, the normal candidate table (disease name candidate table) corresponds to each of the results shown in the symptom result table stored for each symptom item with the candidate for the disease name. If the result of "is" is A1, the disease names α, β, γ, δ, and ε are assigned as candidates for the disease name, and if the result is A2, the disease names β, are assigned as candidates for the disease name. γ, ε, ζ, and φ are assigned. Other results A3 to A54 are also assigned disease name candidates in the same manner. In addition, as shown in FIG. 12, in the disease name candidate table, disease name candidates are similarly assigned to B1 to B44 as a result of "coughing". That is, candidate disease names are assigned to each of the results of other symptom items.

Further, the specific candidate table (disease name candidate table) shown in FIG. 13 is a table in which the result for each specific symptom and the candidate for the disease name are associated with each other. It is assumed that the result of "coughing" is B3. The specific candidate table stores the name of the disease that is likely to occur, for example, the name of the disease γ (for example, a cold), depending on the combination of these results. For example, if you catch a certain kind of cold, you will have a series of physical changes such as fever, coughing, and runny nose. The specific candidate table stores such a series of combinations of body changes (results for each symptom) in association with the disease name.

In the specific candidate table, the combination of specific results corresponds to one disease name, but the combination is not limited to one disease name, and a plurality of disease names may correspond to each other. In addition, for a particular combination of results, more detailed information on the pathology described above (severity and location of the cause of the symptom (eg, bronchi or trachea as the location of the occurrence when the symptom is "coughing") ) And other more detailed information) are stored in association with each other.

Refer to FIG. 5 again. The display control unit B1 controls the screen contents to be displayed on the display 20, and includes a first display control unit B11, a second display control unit B12, a third display control unit B13, and a fourth display control unit B14. ing.

The first display control unit B11 displays a screen prompting the input of attribute information. FIG. 14 is a front view showing a screen displayed by the first display control unit B11 shown in FIG. As shown in FIG. 14, the first display control unit B11 displays a display indicating that the date of birth is input, a text box 20a for inputting the date of birth, a display indicating that the gender is input, and a gender. A check box 20b for input is displayed.

The doctor inputs the date of birth in the text box 20a and specifies the gender by checking the check box 20b. Further, when the doctor specifies the "Next" button 20c displayed on the screen, the attribute information is input to the medical information storage device 1. As a result, the CPU 10 determines which attribute category it corresponds to from the input attribute information.

Refer to FIG. 5 again. The second display control unit B12 displays a screen for selecting one or more symptom items from a plurality of setting items stored in the symptom item storage unit MB1. More specifically, the second display control unit B12 extracts symptomatology items according to the attribute classification to which the input attribute information belongs from a plurality of symptomatology items stored in the symptomatology item storage unit MB1, and from the extracted symptomatology items. Display a screen that allows you to select one or more symptomatic items. As a result, the displays shown in FIGS. 15 and 16 are displayed.

15 and 16 are front views showing a screen for selecting a symptom item, FIG. 15 shows a first example, and FIG. 16 shows a second example.

When the attribute classification is "female 13 years or older", the second display control unit B12 indicates "○" in the attribute classification of "female 13 years or older" among the stored contents of a plurality of symptomatological items as shown in FIG. Extract the symptomatological items that are. Then, the second display control unit B12 generates a screen as shown in FIG. 15 based on the extracted symptomatological items and displays it on the display 20. At this time, the display 20 shows a symptom item of "pain in the breast" peculiar to a woman.

When the attribute classification is "0 to 11 months", the second display control unit B12 sets "0 to 11 months" in the attribute classification of "0 to 11 months" among the stored contents of the plurality of symptomatological items as shown in FIG. Extract the symptomatological items marked with "○". Then, the second display control unit B12 generates a screen as shown in FIG. 16 based on the extracted symptomatological items and displays it on the display 20. At this time, only the symptomatic items such as "having a fever" and "having diarrhea" that can be confirmed by the guardian are displayed on the display 20.

Here, for example, even if the symptom item of an infant under 1 year old includes something such as "I have a headache", the baby cannot tell the guardian or the like whether or not the baby has a headache, which is a meaningless symptom item. .. In addition, even if a male symptom item includes something such as "pain in the breast", it is a meaningless symptom item. In this way, by extracting and displaying the symptom items based on the data shown in FIG. 6, it is possible to have the doctor present the appropriate symptom items for each age and gender.

Further, as shown in FIGS. 15 and 16, a check box 20d for selecting the symptom item is displayed adjacent to each of the displayed symptom items. The doctor can select a symptomatological item by checking the check box 20d displayed adjacently according to the corresponding symptomatism. After the selection, the doctor confirms the selection by designating the "Next" button (not shown), and causes the medical information storage device 1 to recognize this information.

Refer to FIG. 5 again. The third display control unit B13 stores the question content set for the symptomatological item selected on the screen displayed by the second display control unit B12 (that is, the screen as shown in FIGS. 15 and 16). It is read from the unit MB2 and sequentially displayed on the screen. At this time, the third display control unit B13 also displays an option for selecting an answer for each of the quantitative question, the qualitative question, and the time question. The options to be displayed correspond to the attribute classification, and the options stored in the option storage unit MB3 are read out and displayed.

17 and 18 are front views showing screens for displaying question contents and options, FIG. 17 shows a first example, and FIG. 18 shows a second example. In the examples shown in FIGS. 17 and 18, a screen is shown when the symptomatological item "has a fever" is selected.

As shown in FIG. 17, the third display control unit B13 asks, for example, "How many times do you have a fever? (Quantitative question)" and "How many times did you get up?" (Quantitative question) "" Does the fever go down at dawn? (Qualitative question) "" When did the fever start to appear? (Time question) "is displayed.

In addition, the second display control unit B12 displays options according to the attribute classification for each question. In the example shown in FIG. 17, the options when the attribute classifications are "male 13 years old or older" and "female 13 years old or older" are shown, and specifically, "what is the current fever? (Quantitative question)". In response to "How many times did you go up? (Quantitative question)", the choices were "37.0 ° C or more and less than 37.5 ° C", "37.5 ° C or more and less than 38.5 ° C", and "38.5 ° C or more". It has become.

In addition, the choices for "Does the fever go down at dawn? (Qualitative question)" are "YES" and "NO", and the choices for "When did the fever start to appear? (Time question)" are "Today or "Yesterday," "6 days before yesterday," and "more than a week ago."

On the other hand, in the example shown in FIG. 18, the options when the attribute classifications are "0 to 11 months", "1 to 3 years old", and "4 to 12 years old" are shown, and specifically, "how many times is the current fever?" For "? (Quantitative question)" and "How many times did you go up? (Quantitative question)", the choices were "37.0 ° C or more and less than 38.5 ° C", "38.5 ° C or more and less than 39.5 ° C", and " It is 39.5 ° C or higher. " That is, the content of the options is different from the example shown in FIG.

The options for "Does the fever go down at dawn? (Qualitative question)" and "When did the fever start to come out? (Time question)" are the same as in the example shown in FIG.

Further, as shown in FIGS. 17 and 18, each option has a check box 20e adjacent to it. The doctor can select an option by checking the check box 20e displayed adjacent to the corresponding option. After the selection, the doctor confirms the selected content by designating the OK button 20f, and causes the medical information storage device 1 to recognize this information.

When the OK button 20f is specified, the second display control unit B12 displays a screen for displaying the question contents and options corresponding to the following symptomatic items. For example, if the doctor has selected two symptom items, "I have a fever" and "I have a cough", the question content and options for "I have a fever" are displayed, and when the OK button 20f is specified, The third display control unit B13 displays the question contents and options for the next symptom item "coughing".

Then, the third display control unit B13 displays the question contents and options for all the selected symptom items, and sequentially displays the question contents and options for the symptom items until the OK button 20f is specified. ..

Here, it is preferable that the quantitative question, the qualitative question, and the time question ask only the symptom indicated by the symptom item. That is, it is preferable that the quantitative question, the qualitative question, and the time question do not include the content asking the symptom indicated by other symptom items.

The classification of the above symptomatological items is determined from a medical point of view. For example, as described above, the symptomatological items are predetermined as "having a fever", "coughing", "sputum", etc., and in the question about the symptomatological item "coughing", " Does not include questions about "sputum". That is, the question of the cough item does not include "Does cough involve sputum?"

Here, sputum is usually excreted from the body together with a cough. For this reason, for example, the symptom items are classified into "having a fever" and "coughing" in advance, and if the symptom item "sputum is produced" is not set, the symptom item of "coughing" is used. A qualitative question may be asked, "Does cough involve sputum?" That is, the above-mentioned "questioning only about the symptom" means that the content of the other symptom items does not matter in one symptom item based on the classification of the symptom items already defined. Therefore, when the symptom items are divided into "I have a fever", "I have a cough", and "I have a sputum", the question "Is sputum involved in the cough?" Is "Ask only about the symptom". It can not be said. On the other hand, if it is classified into "having a fever" and "coughing" and the symptom item "sputum is produced" is not set, the question "is coughing involved with sputum?" It asks only about. "

Whether or not the device itself sets "sputum output" as a symptomatological item is determined from a medical point of view as described above. Considering that medicine advances day by day, for example, the symptomatology of "sputum production" may or may not be set as a symptomatology item. Other symptoms may or may not be set as symptom items in the same way.

Refer to FIG. 5 again. The symptomatology result determination unit B2 determines the result for each symptom according to the answer result to the question content of each symptomatology item input sequentially on the screen displayed sequentially by the third display control unit B13. In more detail, the symptomatology result judgment unit B2 applies the options selected for each of the quantitative question, the qualitative question, and the time question to the symptomatology result table stored in the symptomatology result table storage unit MB4, so that the result for each symptomatology can be obtained. To judge.

Here, in the present embodiment, it is preferable that the symptomatology result determination unit B2 appropriately adjusts the response result and then determines the result for each symptomatology. There may be individual differences in the response results. For example, in response to the quantitative question "I have a fever" and "What is the current fever?" You may choose. Conversely, a modest person may choose the option of "37.0 ° C or higher and lower than 38.5 ° C". Also, not only those who intentionally choose exaggerated or conservative, such as exaggerated people and humble people, but also those who can not stand the great pain and answer exaggeratedly, or answer exaggeratedly from a mere misunderstanding. There are also people. Therefore, the present device 1 stores such a tendency of each disease name candidate for each judgment target person as, for example, a coefficient, and appropriately adjusts the response result according to the coefficient. The adjustment target is not limited to the answer results of quantitative questions, but also qualitative questions and time questions. This is because the result for each symptom can be judged more appropriately. As for the coefficient, for example, a coefficient directly input by a doctor or the like may be stored, or a calculation formula or the like may be used based on the relationship between the answer when the device 1 was used in the past and the name of the disease actually affected. It may be sought and remembered.

The disease name candidate determination unit B3 determines a disease name candidate by applying the result for each symptom determined by the symptom result determination unit B2 to the disease name candidate table stored in the disease name candidate table storage unit MB5. Here, the target to be applied is both a normal candidate table as shown in FIG. 12 and a specific candidate table as shown in FIG.

As described above, the disease name candidate table is assigned disease name candidates for each symptom result. Specifically, in the normal candidate table shown in FIG. 12, the disease name candidates of result A1 correspond to the disease names α, β, γ, δ, ε, and the disease name candidates of result B3 correspond to the disease names γ, δ, φ and ε correspond. Further, in the specific candidate table shown in FIG. 13, the disease name γ corresponds to the candidate of the disease name as a combination of the result A1 and the result B3. Therefore, when the operator selects "having a fever" and "coughing" as the symptom items and the results of the respective symptom items are A1 and B3, the disease name candidate determination unit B3 determines these. The disease name candidates are integrated and the disease name candidates are judged to be disease names α, β, γ, δ, ω, φ, and ε. In particular, in the disease name candidate determination unit B3, the disease name γ is a candidate for both the results A1 and B3 in the normal candidate table, and the disease name candidate is also listed as a combination of the result A1 and the result B3 in the specific candidate table. Therefore, it is judged that it is the name of the disease that is most likely to be affected.

Further, another example will be described. For example, in the normal candidate table shown in FIG. 12, the disease name candidates of result A54 correspond to the disease names γ, δ, ω, φ, and the disease name candidates of result B1 correspond to the disease names θ, ω, ε. .. Therefore, when the operator selects "having a fever" and "coughing" as the symptom items and the results of the respective symptom items are A54 and B1, the disease name candidate determination unit B3 has these. The disease name candidates are integrated and the disease name candidates are judged to be disease names γ, δ, ω, φ, θ, and ε. At this time, as shown in the specific candidate table of FIG. 13, there is no combination of the result A54 and the result B1, and there is no candidate for the disease name. Therefore, the disease name candidate determination unit B3 determines that the disease name candidate is the disease name γ, δ, ω, φ, θ, ε only from the normal candidate table. In this case, the disease name candidate determination unit B3 determines that the disease name ω is the disease name of the disease most likely to be affected because the disease name ω is a candidate for both the results A54 and B1.

The fourth display control unit B14 displays the candidate of the disease name determined by the disease name candidate determination unit B3 on the screen. FIG. 19 is a front view showing an example of a screen showing a disease name candidate. The fourth display control unit B14 displays, for example, the result of the symptom determined by the symptom result determination unit B2 and the disease name candidate determined by the disease name candidate determination unit B3. Specifically, as shown in FIG. 19, the fourth display control unit B14, for example, "The pharynx is inflamed. It is recommended to consult a medical institution. Possible disease names include cold, sore throat, and influenza. Can be listed. " Here, "the pharynx is inflamed" corresponds to the result for each symptom. When there are a plurality of results for each symptomatic condition, all of them may be displayed, or only one may be displayed as shown in FIG. The fourth display control unit B14 also displays the "end" button 20g. It is preferable that these disease names are displayed in order from the one with the highest possibility. In this case, it is necessary to add the possibility information to the disease name shown in the normal candidate table of FIG. That is, by adding information such as X points for the disease name γ, Y points for the disease name δ, and Z points for the disease name ω to the result A54 in FIG. 12, it is possible to display the information in order from the one with the highest possibility. Further, as in the results A54 and B1, it is preferable that the possibility points of the result A54 and the possibility points in the result B1 are added to the disease name ω. In addition, for the disease names listed in the specific candidate table, information on points larger than the points normally stored in the candidate table is given, and this is added. Therefore, when the result A1 and the result B3 are obtained, the point of the disease name γ is overwhelmingly higher than that of other disease names.

In addition, as shown in FIG. 19, the fourth display control unit B14 displays, for example, "However, although the probability is low, items that should not be overlooked include pemphigus and pharyngeal cancer." Let me. In this case, it is necessary to add information on the degree of fatality to each of the disease names shown in the normal candidate table of FIG. For example, for the result A54 in FIG. 12, information such as the disease name γ is x point, the disease name δ is y point, and the disease name ω is z point is added. Information on the degree of lethality is similarly added to other results A1 to A53 and the like. Further, it is necessary to add information on the degree of fatality to each disease name not only in the normal candidate table but also in the specific candidate table shown in FIG. Then, the fourth display control unit B14 displays that the disease name whose fatality is equal to or higher than a predetermined point should not be overlooked. That is, in the example shown in FIG. 19, it is displayed that pemphigus and pharyngeal cancer should not be overlooked.

The doctor specifies the "end" button 20g after recognizing the disease name displayed on the screen. As a result, the operation of the pathological condition determination function unit B ends. At this time, the candidate disease name is input to the disease name diagnosis function unit C. In addition, in the process of determining the candidate disease name as described above, the answers to the interviews (specifically, the selected symptom items and the quantitative questions, qualitative questions, and time questions of the symptom items) were obtained. ) Is input to the input unit A1 of the medical information storage function unit A as a plurality of individual information.

Next, the disease name diagnosis function unit C will be described. FIG. 20 is a configuration diagram showing details of the disease name diagnosis function unit C and the third storage area MC shown in FIG.

The disease name diagnosis function unit C executes a program stored in the ROM 10a or the HDD 50 to execute the first presentation unit C1, the first narrowing-down unit C2, the second presentation unit C3, the second narrowing-down unit C4, and the third presentation unit. C5 works. Further, as shown in FIG. 20, the third storage area MC includes a medical examination action storage unit MC1, a physical examination memory unit MC2, an examination storage unit MC3, and an examination result storage unit MC4.

The medical examination action storage unit MC1 shown in FIG. 20 is a storage unit that contrasts and stores the name of the disease and the medical examination action to be performed in order to determine the name of the disease. FIG. 21 is a conceptual diagram showing the memory contents of the medical examination act storage unit MC1 shown in FIG. As shown in FIG. 21, a plurality of disease names are stored in the medical examination act storage unit MC1, and medical examination actions are stored corresponding to each of these disease names.

In the example shown in FIG. 21, the medical examination act storage unit MC1 stores "○○ 1" as the medical examination act 1 for the disease name α, and "○○ 2" as the medical examination act 2. ○○ 1 is, for example, “palpate to check if there is pain in the lower left abdomen”, and ○○ 2 is, for example, “to perform auscultation to check if the breath sounds are disturbed”. is there. Further, the medical examination act storage unit MC1 stores "XX1" as the medical examination act 1 for the disease name β, and "Δ△ 1" as the medical examination act 1 for the disease name γ. XX1 is, for example, "palpation is performed to confirm whether there is a lump in the lower left abdomen", and Δ△ 1 is, for example, "auscultation is performed to confirm whether the heart sounds are disturbed".

See FIG. 20. The physical finding memory unit MC2 is a storage unit that stores the name of the disease and the physical findings obtained by the name of the disease in comparison with each other. FIG. 22 is a conceptual diagram showing the stored contents of the body finding storage unit MC2 shown in FIG. 20. As shown in FIG. 22, a plurality of disease names are stored in the physical finding storage unit MC2, and physical findings corresponding to each of these disease names are stored.

For example, for certain illnesses, physical findings tend to result in disturbed heart sounds and disturbed breath sounds. Furthermore, for other specific illnesses, physical findings tend to result in pain or lumps at specific locations. The physical findings memory unit MC2 stores data in which such physical findings by a doctor are compared with the name of a disease.

In the example shown in FIG. 22, the physical finding memory unit MC2 memorizes the disease name α as "pain in the lower left abdomen" as physical finding 1 and "disturbed breath sounds" as physical finding 2. There is. Further, the disease name β is memorized as "there is a lump in the lower left abdomen" as the physical finding 1, and the disease name γ is memorized as "the heart sound is disturbed" as the physical finding 1.

The physical examination memory unit MC2 memorizes the physical findings caused by performing the medical examination act stored in the medical examination act memory unit MC1. For example, the medical examination act of the disease name γ in the auscultation action memory unit MC1 is “△△”. 1 (Auscultation is performed to confirm that the heart sounds are not disturbed) ”, whereas the physical findings of the disease name γ in the physical findings memory unit MC2 are“ the heart sounds are disturbed ”. That is, the memory contents of the medical examination act memory unit MC1 and the physical examination memory unit MC2 have a corresponding relationship. Therefore, these storage units MC1 and MC2 may be integrated and configured by one storage unit.

See FIG. 20. The test storage unit MC3 is a storage unit that stores the name of the disease in comparison with the test to be performed to determine the name of the disease. FIG. 23 is a conceptual diagram showing the stored contents of the inspection storage unit MC3 shown in FIG. 20. As shown in FIG. 23, a plurality of disease names are stored in the test storage unit MC3, and tests corresponding to each of these disease names are stored.

For example, an electrocardiogram, a chest radiograph, a cardiac catheter, or the like is performed to determine whether or not the patient has heart disease. In addition, a stool test is performed to test for colorectal cancer. Furthermore, a blood test is performed for tests such as hepatitis and pancreatitis (for hepatitis, a GOT value, etc., and for pancreatitis, a serum amylase level test). The test storage unit MC3 stores data in which such test items are compared with the disease name.

In the example shown in FIG. 23, the test storage unit MC3 stores the disease name α as the test 1 as “blood test (○○ value)” and the disease name β as the test 1 as “stool test”. In addition, the disease name γ is memorized as “blood test (XX value)” as test 1. The number of tests is not limited to one for each disease name.

See FIG. 20. The test result storage unit MC4 is a storage unit that stores the name of the disease and the test result that should be obtained by the name of the disease in comparison with each other. FIG. 24 is a conceptual diagram showing the stored contents of the inspection result storage unit MC4 shown in FIG. As shown in FIG. 24, a plurality of disease names are stored in the test result storage unit MC4, and test results corresponding to each of these disease names are stored.

For example, in colorectal cancer, stool may be mixed with blood or the stool may become thin. Further, in hepatitis, for example, the GOT value is 35 IU / I or more. In pancreatitis, the serum amylase level is outside the range of 60 to 190 U / dl. The test result storage unit MC4 stores data in which such test results are compared with disease names.

In the example shown in FIG. 24, the test result storage unit MC4 stores the disease name α as the test result 1 as "the XX value is X value or more", and the disease name β as the test result 1 "blood is mixed in the stool." I remember. Further, regarding the disease name γ, it is stored as the test result 1 that “the XX value is out of the range of Y1 to Y2”.

The test result storage unit MC4 stores the results of the tests stored in the test storage unit MC3. For example, the test of the disease name α in the test storage unit MC3 becomes a "blood test (○○ value)". On the other hand, the test result of the disease name α in the test result storage unit MC4 is "○○ value is X value or more". That is, the stored contents of the inspection storage unit MC3 and the inspection result storage unit MC4 have a corresponding relationship. Therefore, these storage units MC3 and MC4 may be integrated and configured by one storage unit.

In addition, since each of the above-mentioned storage units MC1 to MC4 includes all the items of the disease name, it is composed of one database that stores the contents of the medical examination, physical findings, examinations, and examination results with the disease name as the axis. It may have been done.

Refer to FIG. 20 again. When a candidate disease name is input (for example, from the pathological condition determination function unit B), the first presentation unit C1 extracts the medical examination action corresponding to the input disease name from the medical examination action memory unit MC1 and presents it to the doctor. It is a thing. As the presentation method, there are a method of printing on a printer (not shown), a method of displaying an image on the display 20, and the like. When displayed on the display 20, for example, the image shown in FIG. 25 is displayed.

FIG. 25 is a front view showing a screen displayed by the first presenting unit C1 shown in FIG. 20. As shown in FIG. 25, for example, when α, β, γ is input as a candidate disease name, the medical examination actions corresponding to the disease names α, β, γ explained with reference to FIG. 21 are extracted and displayed as an image. To.

Specifically, as shown in FIG. 25, the medical examination action corresponding to the disease name α, "Please check if there is pain in the lower left abdomen." "Please check." Is displayed. Furthermore, the medical examination action content that corresponds to the disease name β, "Please check if there is a lump in the lower left abdomen", and the medical examination action content that "Please check if the heart sounds are disturbed." AC4 is displayed. By displaying the above-mentioned medical examination action content AC, the doctor can perform the medical examination action that should be performed without error.

In addition, input items IT1 to IT4 for inputting information on physical findings are displayed adjacent to each of the medical examination action contents AC1 to AC4. Each input item IT1 to IT4 is in the form of a radio button. Specifically, the input item IT1 of the medical examination action content AC1 is composed of radio buttons that can select either "painful" or "no pain". Similarly, the input item IT2 of the medical examination action content AC2 is composed of radio buttons that can select either "disturbed" or "no disturbance", and the input item IT3 of the medical examination action content AC3 is "lumpy". It consists of radio buttons that allow you to select either "" or "no lump". In addition, the input item IT4 of the medical examination action content AC4 is composed of radio buttons that can select either "with disturbance" or "without disturbance".

Then, when the information of the physical findings obtained by the doctor performing the medical examination is input through the input means such as the keyboard K or the mouse M, the first narrowing-down unit C2 functions.

Refer to FIG. 20 again. The first narrowing-down unit C2 becomes an input candidate based on the stored contents of the physical examination storage unit MC2 when the information of the physical findings corresponding to the examination act presented by the first presenting unit C1 is input. It narrows down the names of diseases.

For example, in the screen shown in FIG. 25, "painful" is specified in the input item IT1, "disturbed" is specified in the input item IT2, "lumpy" is specified in the input item IT3, and "lumpy" is specified in the input item IT4. Suppose that "no disturbance" is specified. In this case, the first narrowing-down unit C2 narrows down the disease name by comparing the designated input content with the stored content of the physical finding storage unit MC2.

That is, as shown in FIG. 22, the physical findings of the disease name α are "pain in the lower left abdomen" and "disturbed breath sounds". In the above, the input item IT1 specifies "painful", and the input item IT2 specifies "disturbed". Therefore, since the contents of both match, the patient may have the disease name α. Similarly, the physical findings of the disease name β are "there is a lump in the lower left abdomen." In the above, "with lump" is specified in the input item IT3. Therefore, since the contents of both match, the patient may have the disease name β. On the other hand, the physical findings of the disease name γ are "disturbed in heart sounds". On the other hand, in the input item IT4, "no disturbance" is specified. Therefore, since the contents of both are inconsistent, there is no possibility that the patient has the disease name γ. As described above, the first narrowing-down unit C2 narrows down the disease name.

The second presenting unit C3 extracts the examination corresponding to the disease name narrowed down by the first narrowing down unit C2 from the examination storage unit MC3 and presents it to the doctor. Similar to the first presentation unit C1, the presentation method includes a method of printing on a printer (not shown), a method of displaying an image on the display 20, and the like. When displayed on the display 20, for example, the image shown in FIG. 26 is displayed.

FIG. 26 is a front view showing a screen displayed by the second presentation unit C3 shown in FIG. 20. As shown in FIG. 26, for example, when the possibility of the disease name γ is denied by the first narrowing-down unit C2 and the disease name α and the disease name β are narrowed down, it corresponds to the disease names α and β described with reference to FIG. 23. The inspection is extracted and displayed as an image.

Specifically, as shown in FIG. 26, a test content IC1 called "blood test (○○ value)" which is a test corresponding to the disease name α and a test content IC2 called "stool test" which is a test corresponding to the disease name β. Is displayed. The doctor can carry out the test to be performed without error by displaying the test content IC as described above.

In addition, question items Q1 and Q2 for asking the inspection result and input items IT5 and IT6 for inputting the inspection result information are displayed adjacent to each of the inspection contents IC1 and IC2. Each input item IT5 and IT6 is in the form of a radio button. Specifically, the question item Q1 of the inspection content IC1 is displayed in characters as "Is the XX value equal to or greater than the X value?", And the input item IT5 is either "YES" or "NO". It consists of radio buttons that can be selected. Similarly, the question item Q2 of the test content IC2 has a character display of "Is blood mixed in the stool?", And the input item IT6 can select either "YES" or "NO". It is composed of various radio buttons.

Then, when the information of the test result obtained by the doctor through the test is input through the input means such as the keyboard K or the mouse M, the second narrowing-down unit C4 functions.

Refer to FIG. 20 again. The second narrowing-down unit C4 is narrowed down by the first narrowing-down unit C2 based on the stored contents of the inspection result storage unit MC4 when the inspection result corresponding to the inspection presented by the second presenting unit C3 is input. The name of the disease is further narrowed down.

For example, on the screen shown in FIG. 26, it is assumed that "YES" is specified for the input item IT5 and "NO" is specified for the input item IT6. In this case, the second narrowing-down unit C4 further narrows down the disease name by comparing the designated input content with the stored content of the test result storage unit MC4.

That is, as shown in FIG. 26, the test result of the disease name α is “○○ value is X value or more” (that is, “YES” in the input item IT5 for the question item Q1). In the above, "YES" is specified in the input item IT5. Therefore, since the contents of both match, it can be said that the patient has the disease name α. On the other hand, the test result of the disease name β is "blood is mixed in the stool" (that is, "YES" in the input item IT6 for the question item Q2). In the above, "NO" is specified in the input item IT6. Therefore, since the contents of both are inconsistent, there is no possibility that the patient has the disease name β. As described above, the second narrowing-down unit C4 narrows down the disease name.

See FIG. 20 again. The third presenting unit C5 presents the result narrowed down by the second narrowing down unit C4 to the doctor. Similar to the first presentation unit C1, the presentation method includes a method of printing on a printer (not shown), a method of displaying an image on the display 20, and the like. When displayed on the display 20, for example, the image shown in FIG. 27 is displayed.

FIG. 27 is a front view showing a screen displayed by the third presentation unit C5 shown in FIG. 20. As shown in FIG. 27, for example, when the possibility of the disease name β is denied by the second narrowing-down unit C4 and the disease name is narrowed down to the disease name α, the third presentation unit C5 can determine, for example, that the disease name is α. The final result FR is displayed as an image.

As described above, if the candidate for the disease name is input, the doctor performs the presented medical examination and examination, and if the physical findings and the examination result are input, the final result FR can be obtained. Moreover, since it is possible to prevent erroneous examinations and examinations, the name of the disease can be diagnosed more accurately.

In the above explanation, one disease with the disease name α remains as the final result FR, but the disease is not limited to this, and a disease that can occur simultaneously in a plurality of places such as cancer, that is, a plurality of diseases. In the case of co-occurrence, a plurality of diseases will be displayed as the final result FR. Further, in the above, the input format of the inspection result is a method of selecting an option, but if possible, a format in which a numerical value or the like is directly input may be used.

Here, the disease name (diagnosis name) specified as described above is input to the input unit A1 of the medical information memory function unit A. Further, the doctor's findings, the test contents, and the test values obtained in the process of identifying the diagnosis name are also input as individual information into the input unit A1 of the medical information memory function unit A.

As described above, at least the information of the inquiry and answer from the pathological condition judgment function unit B is input to the medical information memory function unit A as individual information constituting the medical information, and the doctor's findings and examinations from the disease name diagnosis function unit C are performed. The content and test value information are input as individual information constituting medical information.

In addition, in the medical information storage function unit A, information directly input by a doctor or the like in characters or information input in an option format is input as a plurality of individual information. At this time, information on medical correspondence regarding infusion, prescription drug, rehabilitation, treatment and surgical method is input by the input unit A1. On the information input screen at this time, for example, the characters "injection / drip" and a blank adjacent to it are displayed, and by inputting information in this blank, the entered information is individually related to "injection / drip". It is input to the input unit A1 as information (information corresponding to medical treatment). In addition, a blank is displayed for the "ingredient / amount" of "injection / infusion", and by inputting information in this blank, the entered information is individual information regarding the "ingredient / amount" (information for medical treatment). Is input to the input unit A1. Other individual information is also entered in a format that uses blanks and the like.

Specifically, for example, when the patient's disease name is determined to be "cerebral infarction" by the disease name diagnosis function unit C and "carotid artery occlusion removal surgery" is performed, information on the surgical method called "carotid artery occlusion removal surgery" (Medical correspondence information) will be input to the input unit A1 through input in the blanks and the like. Furthermore, for example, "stent surgery" and "bypass surgery" as surgery to prevent recurrence of cerebral infarction, and information (medical response information) such as the type and amount of prescribed antithrombotic drug are also entered through blanks. It will be input to the part A1.

In addition, when it is judged as "cerebral infarction" and drug therapy (treatment) is performed, for example, information on the drug therapy performed such as "antithrombotic therapy", "anti-edema therapy", and "brain protection therapy" (medical treatment). Correspondence information) is also input to the input unit A1 through input in the blank or the like.

Furthermore, in addition to the doctor's findings at the time of diagnosing the name of the disease, information on the subsequent patient's progress (individual information) can also be input to the input unit A1 by inputting in the blanks, for example, the doctor makes a judgment. It is also possible to enter information such as aftereffects. To give a specific example, when the patient's disease name is determined to be "cerebral infarction" by the disease name diagnosis function unit C, and the doctor determines that the patient's disease name is "sequelae: severe", such "sequelae: severe" information Will also be input to the input unit A1 as a doctor's finding. In some cases, sequelae such as the inability to raise the arm can be obtained by answering a question from the patient. In such a case, the information may be input to the input unit A1 as the information of the answer to the question. ..

See FIG. 4 again. The information (individual information) input to the input unit A1 is as described above. It goes without saying that personally identifiable information (name, ID, etc.), date information, and the like are input to the input unit A1, and medical information is managed by the medical information storage device 1 for each individual and each date. ..

The granting unit A2 has hierarchical information indicating which of the plurality of layers it belongs to for each of the plurality of individual information input by the input unit A1, and related information indicating the relationship between adjacent layers. Is given. In the present embodiment, the granting unit A2 grants hierarchical information and related information by using the template stored in the template storage unit MA1.

FIG. 28 is a conceptual diagram showing an example of a template stored in the template storage unit MA1 shown in FIG. The template shown in FIG. 28 is an example, and various structures other than those shown in the figure can be adopted.

For example, the template storage unit MA1 stores the template T shown in FIG. 28. In this template T, hierarchical information indicating the hierarchy of each individual information and related information indicating the relationship between adjacent layers are given in advance, and the information input location of each individual information is predetermined. , Each individual information has not been input.

More specifically, in the template T shown in FIG. 28, for example, first to fourth layer information is provided, and the “disease name (diagnosis name)” HD is set as the first layer. In addition, derived from the disease name (diagnosis name) HD of the first layer, "question answer 1 (symptomatology)" HS1, "question answer 2 (symptomatology)" HS2, "doctor's finding 1" HO1, "doctor" Findings 2 "HO2," Examination 1 "HI1," Examination 2 "HI2," Doctor's response 1 (surgical method) "HC1," Doctor's response 2 (injection / drip) "HC2, and" Doctor's response 3 ( Prescription drug) ”HC3 is set. In the template T, the line segment indicating this derivation is the related information.

In addition, "Question Answer 1 (Symptomatism)" HS1 in the second layer is derived from "Question Answer 1-1 (Answer to qualitative question)" HS11, "Question Answer 1-2 (Answer to quantitative question)" in the third layer. "HS12" and "Question answer 1-3 (answer to time question)" HS13 are set. The same applies to "Questionnaire Answer 2 (Symptomatology)" HS2 in the second layer.

Further, "Doctor's findings 1-1" HO11 and "Doctor's findings 1-2" HO12 of the third layer are set by deriving from "Doctor's findings 1" HO1 of the second layer. Further, "Doctor's Findings 1-1-1" HO111 and "Doctor's Findings 1-1-2" HO112 of the 4th layer are set by deriving from "Doctor's Findings 1-1" HO11 of the 3rd layer. There is. Similarly, "Doctor's Findings 1-2-1" HO121 and "Doctor's Findings 1-2-2" HO122 in the 4th layer are set by deriving from "Doctor's Findings 1-2" HO12 in the 3rd layer. ing. The second layer "Doctor's Findings 2" HO2 is also derived in the same manner.

Further, the "inspection 1" HI1 of the second layer is derived and the "inspection result 1 (inspection value)" HR1 of the third layer is set, and the "inspection 2" HI2 of the second layer is derived from the third layer. "Inspection result 2 (inspection value)" HR2 is set.

In addition, "Doctor's response 1 (surgical method)" HC1 in the second layer is derived from "Doctor's response 1-1 (surgical instrument)" HC11 in the third layer, and "Doctor's response 1-2 (surgical method)". Surgical instruments) ”is set. The third layer "Doctor's response 1-1 (surgical instrument)" HC11 is derived from the fourth layer "Doctor's response 1-1-1 (usage amount)" HC111, and the third layer is set. From the "Doctor's response 1-2 (surgical instrument)" HC12 in the hierarchy, the "Doctor's response 1-2-1 (usage amount)" HC112 in the fourth hierarchy is derived and set.

In addition, the second layer "Doctor's response 2 (injection / drip)" HC2 is derived from the third layer "Doctor's response 2-1 (ingredient / amount)" HC21, and the second layer is set. Derived from "Doctor's response 3 (prescription drug)" HC3, the third layer "Doctor's response 3-1 (quantity)" HC31 is set.

As described above, the template T is provided with hierarchical information and related information in advance. Therefore, the granting unit A2 grants hierarchical information and related information to the individual information by inputting information to the information input location of each individual information predetermined in the template T.

FIG. 29 is a conceptual diagram showing a state in which individual information is added to the template T stored in the template storage unit MA1 by the addition unit A2. Specifically, for example, "cerebral infarction" is input in the "disease name (diagnosis name)" HD of the first layer. Further, for example, "there is numbness in the arm" is input in the "question answer 1 (symptom)" HS1 of the second layer. For example, "arms can only be raised to the shoulders" is entered in "question answer 1-1 (answers to qualitative questions)" HS11 in the third layer, and "question answer 1-2 (answers to quantitative questions)" HS12 is entered. For example, "about once every three times" is input, and "question answer 1-3 (answer to time question)" HS13 is input, for example, "from 3 days ago". Similarly, in the second layer "question answer 2 (symptomatology)" HS2, for example, "slurred speech" is input. In the third layer, "question answer 2-1 (answer to qualitative question)" HS21, for example, "what you are talking about is unknown" is entered, and in "question answer 2-2 (answer to quantitative question)" HS22, for example. "Every time" is input, and "question answer 2-3 (answer to time question)" HS23 is input, for example, "from 3 days ago".

Other information is entered in the same way. Here, in the case where the patient is treated without surgery and the drug is prescribed afterwards, the second level "Doctor's response 1 (surgery method)" HC1 "Doctor's response 1-1 (surgical instrument)" HC11 in the third layer, "Doctor's response 1-2 (surgical instrument)" HC12, and "Doctor's response 1-1-1" in the fourth layer. The columns of "(Usage amount)" HC111 and "Doctor's response 1-2-1 (Usage amount)" HC112 are left blank. Similarly, some of the doctor's findings (see codes HO11, HO111, HO112, HO12, HO121, HO122) are also left blank. That is, there is also information that is blank.

In particular, "sequelae: severe" is input in "Doctor's Findings 2" HO2 in the second layer. Here, in the case of cerebral infarction, information on how much sequelae remain is later referred to by a doctor and used for judgment such as rehabilitation. The individual information used for the doctor's judgment after such is called priority individual information. In the template T, the priority individual information is predetermined, and the hierarchy information is already assigned so that the priority individual information belongs to the upper predetermined hierarchy (for example, the first and second layers) among the plurality of layers. ing. That is, in the present embodiment, the hierarchical information is added so that the priority individual information later used for the judgment of the doctor becomes a predetermined layer on the upper side of the plurality of layers.

In addition, since those who have suffered from tuberculosis tend to develop kidney disease later, it is often used for the judgment of doctors later, and such individual information (information with the diagnosis name of tuberculosis) is also prioritized and individualized. It is regarded as information. Similarly, infants who are 4 months old and do not sit on their necks are muscular diseases and may not be able to stand even at the age of 3-4 years, so they are often used later in the judgment of doctors. Individual information (information with a diagnosis of tuberculosis) is also given priority individual information. Then, in the present embodiment, the granting unit A2 grants the hierarchical information so that the priority individual information becomes a predetermined layer on the upper side of the plurality of layers.

See FIG. 4 again. The memory control unit A3 stores medical information to which hierarchical information and related information are added to each of a plurality of individual information by the granting unit A2. The memory control unit A3 stores medical information in the medical information storage unit MA2. At this time, it goes without saying that medical information is stored for each individual and each date. Further, since medical information is stored for each visit to a medical institution, for example, a plurality of medical information is stored (accumulated) in the medical information storage unit MA2.

In addition, the memory control unit A3 deletes the individual information sequentially from the lower layer side as the created date (stored date) of the stored medical information becomes older. For example, the memory control unit A3 stores all the information until 5 years have passed since the medical information was stored, and then deletes the individual information in the lowermost layer every 5 years. To go. At this time, it is preferable that the storage control unit A3 does not delete the priority individual information, that is, does not delete the predetermined layer on the upper side of the plurality of layers. Specifically, it is assumed that there are four layers and the predetermined layers on the upper side are the first layer and the second layer. In this case, the memory control unit A3 stores the information of all layers for the first five years. Then, the memory control unit A3 erases the individual information of the fourth layer after 5 years have passed. Further, the memory control unit A3 erases the individual information of the third layer after another five years have passed. The erasure by the memory control unit A3 ends at this stage. That is, the predetermined layer on the upper side of the plurality of layers is not deleted so that the priority individual information is not deleted even after the next 5 years or the like.

Next, refer to FIG. The medical information search function unit D is a functional unit that searches for specific individual information from a plurality of medical information stored in the medical information storage unit MA2 by the medical information storage function unit A, and is stored in the ROM 10a or the HDD 50. By executing the program, the search unit (search means) D1 functions. The search unit D1 searches for specific individual information based on, for example, character information input via the keyboard K and information selected via the mouse M. At this time, a search such as an exact match, a prefix match, or a suffix match is performed as in the existing search system. In addition, specific information may be embedded in the individual information and a search may be performed based on the specific information. For example, specific information such as "cerebral infarction" or "myocardial infarction" is inherent in "disease name (diagnosis name)" HD, and "vascular disease" is selected via mouse M. If so, "cerebral infarction", "myocardial infarction", etc. may be searched as specific individual information. In addition, the individual to be searched may be specified and searched.

Further, the search unit D1 searches for specific individual information by limiting the search target to the individual information of the predetermined layer on the upper side of the plurality of layers among the plurality of set information. For example, when medical information is stored as shown in FIG. 29 and the predetermined layers on the upper side are the first layer and the second layer, the search unit D1 is the first layer "disease name (diagnosis name)". HD "cerebral infarction" and the second level "question answer 1 (symptom)" HS1 "arm numbness", "question answer 2 (symptom)" HS2 "slurred speech", " Doctor's Findings 1 HO1's "Babinsky Reflex", "Doctor's Findings 2" HO2's "Symptoms: Severe", "Test 1" HI1's "ECG", "Test 2" HI2's "Blood Test", " Specific individual information is searched from "Doctor's response 2 (injection / drip)" HC2 "drip" and "Doctor's response 3 (prescription drug)" HC3 "Pletal Ketus". This is because the search can be performed only in the hierarchy including the priority individual information that the doctor will use later for the judgment, and the search speed can be increased.

Next, the operation of the medical information storage device 1 according to the present embodiment will be described. 30 and 31 are flowcharts showing an example of the operation of the pathological condition determination function unit B, FIG. 30 shows the first half portion, and FIG. 31 shows the second half portion.

As shown in FIG. 30, first, the first display control unit B11 displays the attribute information input screen (S1). At this time, the first display control unit B11 displays a screen as shown in FIG. 14, for example. Then, the CPU 10 determines whether the attribute information has been input (S2). In the case of the example shown in FIG. 14, the CPU 10 determines whether the "Next" button 20c is specified with the date of birth entered in the text box 20a and the check box 20b checked. ..

If it is determined that the attribute information has not been input (S2: NO), the process proceeds to step S1. On the other hand, when it is determined that the attribute information has been input (S2: YES), the second display control unit B12 displays the symptom item selection screen (S3). At this time, the second display control unit B12 displays a symptomatology item selection screen according to the attribute classification, for example, as shown in FIGS. 15 and 16.

After that, the CPU 10 determines whether or not the symptom item has been selected (S4). In the case of the examples shown in FIGS. 15 and 16, one or more of the check boxes 20d arranged adjacent to the symptomatological items are checked, and the “Next” button (not shown) is designated. It will be judged. When it is determined that the symptomatic item is not selected (S4: NO), this process is repeated until it is determined that the symptomatic item is selected.

On the other hand, when it is determined that the symptomatological item is selected (S4: YES), the CPU 10 sets the selected number of the plurality of symptomatological items displayed in step S3 to _imax (S5). That is, in the case of the examples shown in FIGS. 15 and 16, the CPU 10 sets the number of checked check boxes 20d to _imax . After that, the CPU 10 initializes the variable i to "1" (S6).

Next, the third display control unit B13 reads the question and option of the i-th symptom item (S7), and displays the question / option screen based on the read data (S8). At this time, the third display control unit B13 displays a screen including options according to the attribute classification, as shown in FIGS. 17 and 18, for example.

After that, the CPU 10 determines whether or not there is an answer (S9). In the case of the examples shown in FIGS. 17 and 18, the CPU 10 determines whether the OK button 20f is specified for each question in a state where any one of the check boxes 20e adjacent to the options is checked.

If it is determined that there is no answer (S9: NO), this process is repeated until it is determined that there is an answer. On the other hand, when it is determined that there is an answer (S9: YES), the symptomatism result determination unit B2 adjusts the answer (FIG. 31: S10). This response adjustment is performed based on the tendency of those who respond exaggeratedly or respond conservatively as described above, and is adjusted based on, for example, a coefficient that reflects such a tendency. If the coefficient is not stored for the judgment target person of the disease name candidate being processed this time, the answer adjustment process is not executed and the process proceeds to step S11.

Then, the symptomatology result determination unit B2 determines the result of the symptomatology based on the (adjusted) answer (S11). At this time, the symptom result determination unit B2 reads the symptom result table of the i-th symptom item according to the attribute classification, applies the selected option to the table, and determines the result of the symptom.

Next, the CPU 10 _{determines whether the variable i is imax} (S12). When it is determined that the variable i is not _imax (S12: NO), the CPU 10 increments the variable i (S13), and the process proceeds to step S7 shown in FIG. That is, the variable i is added by "1", and questions and options are read for the number of symptom items after the addition.

On the other hand, _{when it is determined that the variable i is imax} (S12: YES), the disease name candidate determination unit B3 corresponds to the specific combination shown in the specific candidate table by the result for each symptom determined in step S11. Is determined (S14). When it is determined to be applicable (S14: YES), the disease name candidate determination unit B3 extracts the disease name corresponding to the specific combination from the specific candidate table (S15). Then, the process proceeds to step S16.

On the other hand, when it is determined that the combination does not correspond to the specific combination shown in the specific candidate table (S14: NO), the process proceeds to step S16, and the disease name candidate determination unit B3 determines the result for each symptomatology determined in step S11. By applying to the normal candidate table shown in FIG. 12, candidates for disease names are extracted (S16).

Then, the fourth display control unit B14 displays the disease name candidates extracted in steps S15 and S16 (S17). Then, the processes shown in FIGS. 30 and 31 are completed. When the fourth display control unit B14 is displaying the screen as shown in FIG. 19, the operation shown in FIGS. 30 and 31 can be performed by the operator designating the "end" button 20g. It will end. Further, as shown in FIG. 19, it is preferable to display not only the candidate of the disease name but also the result for each symptom.

FIG. 32 is a flowchart showing an example of the operation of the disease name diagnosis function unit C according to the present embodiment. As shown in FIG. 32, the CPU 10 first determines whether or not a candidate for a disease name has been input (S21). Here, it is determined whether the disease name candidates extracted in step S17 shown in FIG. 31 are automatically input. When it is determined that the disease name candidate has not been input (S21: NO), this process is repeated until it is determined that the disease name candidate has been input.

On the other hand, when it is determined that the candidate for the disease name has been input (S21: YES), the first presenting unit C1 performs a medical examination act corresponding to the candidate disease name based on the stored contents stored in the medical examination act storage unit MC1. Extract and present to the doctor (S22). As a result, a doctor will perform a medical examination and obtain physical findings.

Next, the CPU 10 determines whether the information on the physical findings corresponding to the medical examination act presented in step S22 has been input (S23). If it is determined that the physical findings information has not been input (S23: NO), this process is repeated until it is determined that the information has been input.

When it is determined that the physical findings information has been input (S23: YES), the first narrowing-down unit C2 obtains physical findings corresponding to the candidate disease names based on the stored contents stored in the physical findings storage unit MC2. It is determined whether or not the disease is present, and the names of candidate diseases are narrowed down (S24).

Next, the second presentation unit C3 extracts the test contents for determining the disease name narrowed down in step S24 from the test storage unit MC3 and presents it to the doctor (S25). As a result, the examination will be performed on the patient.

After that, the CPU 10 determines whether the result information corresponding to the inspection presented in step S25 has been input (S26). If it is determined that the inspection result information has not been input (S26: NO), this process is repeated until it is determined that the information has been input. The test result here does not have to be manually input by a doctor, and may be automatically input from an inspection device or the like.

When it is determined that the test result information has been input (S26: YES), the second narrowing-down unit C4 is assigned to the disease name narrowed down by the first narrowing-down unit C2 based on the stored contents stored in the test result storage unit MC4. It is determined whether the corresponding inspection result is obtained, and further narrowing down is performed (S27).

After that, the third presentation unit C5 presents the final result FR obtained in step S27 to the doctor (S28). The third presentation unit C5 is not limited to presenting one diagnostic disease name as the final result FR, and may present that no disease name applies, or presents a plurality of diagnostic disease names. It may be like this.

FIG. 33 is a flowchart showing an example of the medical information storage method according to the present embodiment, and shows the storage processing of medical information. As shown in FIG. 33, first, the input unit A1 inputs a plurality of individual information (S31). Here, the individual information to be input is the information of the inquiry and answer from the pathological condition determination function unit B, the diagnosis name from the disease name diagnosis function unit C, the doctor's findings, the test contents, and the test value information. Further, the individual information to be input is medical correspondence information such as injection, infusion, prescription drug, rehabilitation, treatment, and surgical method directly input by a doctor or input in an option format or the like.

Next, the granting unit A2 reads the template T from the template storage unit MA1 (S32). Here, a plurality of templates T are stored in the template storage unit MA1, and the granting unit A2 selects and reads an appropriate template T from the plurality of templates T stored in the template storage unit MA1. For example, in the template T, the first layer is all "disease name (diagnosis name)" HD, and the template storage unit MA1 is a template T for each diagnosis name (for example, a template T for cerebral infarction or a template T for myocardial infarction). Is stored, the granting unit A2 selects and reads an appropriate template T based on the information of the diagnosis name input in step S31. The template storage unit MA1 stores not only the template T for each diagnosis name but also the template T for each other individual information, and the granting unit A2 is based on other individual information input to the input unit A1. You may decide which template T is appropriate for you.

Next, the granting unit A2 inputs the individual information input in step S31 to the template T (S33). As a result, the granting unit A2 grants hierarchical information and related information to each of the plurality of individual information.

After that, the memory control unit A3 stores the medical information storage unit MA2 with medical information including a plurality of individual information to which hierarchical information and related information are added (S34). Then, the process shown in FIG. 33 ends.

In the above, the granting unit A2 uses the template T to assign hierarchical information and related information to each of the plurality of individual information, but the present invention is not limited to this, and at the stage where the individual information is input in step S31. , A plurality of input individual information is displayed on the display 20, and through the operation of a doctor or the like, hierarchical information is input to each individual information and related individual information is selected (that is, related information is input). You may. Then, the granting unit A2 may grant the hierarchical information and the related information to the plurality of individual information according to the input hierarchical information and the related information. This is because the template T can be eliminated.

FIG. 34 is a flowchart showing an example of the operation of the medical information retrieval function unit D according to the present embodiment. As shown in FIG. 34, first, the medical information search function unit D inputs the search information (S41). In this process, for example, a doctor inputs search information by character input or option format. Further, in this process, search conditions such as exact match and partial match may also be input. In addition, in this process, an individual to be searched may be identified.

It is considered that the search information input in step S41 is often information for hitting the priority individual information, but the present invention is not limited to this, and the search information that is not the priority individual information is hit. May be good.

Next, the search unit D1 performs a search limited to a predetermined layer on the upper side of each of a large number of medical information stored in the medical information storage unit MA2 (S42). At this time, it goes without saying that the search conditions input in step S41 are followed.

After that, the medical information search function unit D causes the display 20 to display the search result (S43). Then, the process shown in FIG. 34 ends.

FIG. 35 is a flowchart showing an example of the medical information storage method according to the present embodiment, and shows the medical information erasing process. The processing shown in FIG. 35 is performed for each medical information.

As shown in FIG. 35, when the medical information is first stored, the memory control unit A3 sets the variable i to "0" for the medical information (S51). Next, the memory control unit A3 determines whether a predetermined period has elapsed from the process of step S51 or step S56 described later (S52).

If it is determined that the predetermined period has not elapsed (S52: NO), this process is repeated until it is determined that the predetermined period has elapsed. On the other hand, when it is determined that the predetermined period has elapsed (S52: YES), the storage control unit A3 determines the target layer (S53). At this time, the storage control unit A3 uses the calculation formula of the maximum layer −i to determine the target layer. To determine.

After that, the storage control unit A3 determines whether or not the target layer belongs to a predetermined layer on the upper side (S54). When it is determined that the target layer does not belong to the upper predetermined layer (S54: NO), the memory control unit A3 deletes the individual information of the target layer from the medical information (S55). After that, the variable i is incremented (S56), and the process proceeds to step S52.

On the other hand, when it is determined that the target layer belongs to the upper predetermined layer (S54: YES), the process shown in FIG. 35 ends so that the priority individual information is not deleted.

In this way, according to the medical information storage device 1, the medical information storage method, the medical information storage program, and the computer-readable recording medium according to the present embodiment, of the plurality of individual information, the information is later used for the judgment of the doctor. Hierarchical information is added so that the prioritized individual information determined in advance as the information to be obtained belongs to a predetermined hierarchy on the upper side of the plurality of hierarchies. Here, those who have suffered from tuberculosis are more likely to develop kidney disease later, and when kidney disease is suspected, it is referred to whether or not there is tuberculosis in the past medical history. Infants who are 4 months old and do not sit on their necks may not be able to stand even when they are 3-4 years old (muscular illness). In addition, in the event of a cerebral infarction, information on how much sequelae remain will be referred to later. Since such information is made to belong to a predetermined hierarchy on the upper side as priority individual information to be used later in the judgment of a doctor, even if it is medical information consisting of individual information that does not have a magnitude relationship, it is appropriately stratified. Will be done. Therefore, medical information composed of a plurality of individual information can be stored as more optimal layered information.

Further, by storing the template T in which each individual information is not input and inputting each of the plurality of individual information into the predetermined information input location of the template T, the hierarchical information and the related information are added. , Priority individual information is given so that it belongs to a predetermined layer on the upper side of a plurality of layers. Therefore, for example, when inputting individual information, it is not necessary to specify which individual information is the priority individual information and which individual information is related to each other, and if the individual information is simply input, it is applied to the template T. Since the information is hierarchically arranged, the convenience can be greatly improved.

In addition, as the creation date of the stored medical information becomes older, the individual information is deleted sequentially from the lower layer side, so that the individual information in the lower layer is deleted in a form in which the priority individual information is left more, and more necessary information is obtained. It is possible to reduce the storage capacity by erasing the information while leaving the information.

Furthermore, in order to search for specific individual information only in the individual information of the predetermined hierarchy on the upper side, the search is limited to the place where the priority individual information is stored, and the information used by the doctor for judgment is searched at a higher speed. can do.

Although the present invention has been described above based on the embodiments, the present invention is not limited to the above-described embodiments, and modifications may be made without departing from the spirit of the present invention, or combinations of the respective embodiments may be made. May be good. Furthermore, known or well-known techniques may be combined.

For example, the medical information storage device 1 according to the above embodiment has been described on the premise that it is operated by a doctor in a medical institution, but the present invention is not limited to this, and may be used in other institutions such as local governments and fire departments. However, it may be operated by something other than a doctor.

Further, in the above embodiment, the medical information storage program is not limited to the ROM 10a of the medical information storage device 1, and may be stored in other types of recording media such as HDD, USB, CD-ROM, and CD-R.

In addition, the medical information storage device 1 according to the above embodiment does not have to include other functional units B, C, and D as long as it includes the medical information storage function unit A. Further, one device (that is, a medical information retrieval device) may be configured only by the medical information retrieval function unit D.

1: Medical information storage device 10: CPU
10a: ROM
10b: RAM
20: Display 30: Communication I / F unit 50: HDD
A: Medical information memory function unit A1: Input unit (input means)
A2: Granting part (granting means)
A3: Memory control unit (memory control means)
D: Medical information search function unit D1: Search unit (search means)
K: Keyboard M: Mouse MA: First storage area MA1: Template storage unit MA2: Medical information storage unit (memory means)
T: Template

Claims (6)

A medical information storage device that stores a plurality of individual information in a plurality of layers when storing medical information composed of a set of a plurality of individual information related to a patient's physical condition or medical response.
Input means for inputting multiple individual information and
For each of the plurality of individual information input by the input means, hierarchical information indicating which layer of the plurality of layers belongs to and related information indicating the relationship between adjacent layers are added. Granting means and
A storage control means for storing medical information to which hierarchical information and related information are added to each of a plurality of individual information by the giving means is provided.
The granting means grants hierarchical information so that among the plurality of individual information, the priority individual information predetermined as information to be used later for the judgment of the doctor belongs to a predetermined layer on the upper side of the plurality of layers.
The memory control means sequentially deletes individual information from the lower layer side as the stored medical information creation date becomes older, and the medical information creation date becomes older for the upper predetermined layer to which the priority individual information belongs. A medical information storage device characterized in that it does not perform erasing processing. Hierarchical information indicating the hierarchy of each individual information and related information indicating the relevance between adjacent hierarchies have been given in advance, the information input location of each individual information is predetermined, and each individual information is Equipped with a storage means that stores templates that have not been entered for each disease name
The giving means gives hierarchical information and related information by inputting each of the plurality of individual information into a predetermined information input location of the template of the corresponding disease name, and at the same time, the priority individual information is in a plurality of layers. The medical information storage device according to claim 1, wherein the hierarchy information is given so as to belong to a predetermined hierarchy on the upper side of the above. A medical information retrieval device that searches for specific individual information from a plurality of medical information stored by the medical information storage device according to either claim 1 or 2.
A medical information search device characterized in that a search means for searching specific individual information is provided by limiting the search target to individual information in a predetermined layer on the upper side of a plurality of layers among a plurality of medical information. It is a medical information storage method of a medical information storage device that stores a plurality of individual information in a plurality of layers when storing medical information composed of a set of a plurality of individual information related to a patient's physical condition or medical response. hand,
An input process for inputting multiple individual information and
A granting step of assigning hierarchical information indicating the hierarchy of each individual information and related information indicating the relationship between adjacent layers to each of the plurality of individual information input in the input step.
In the addition step, a memory control step of storing medical information to which hierarchical information is added to each of a plurality of individual information, and
It is equipped with an erasing process in which individual information is sequentially deleted from the lower layer side as the creation date of the stored medical information becomes older.
In the adding step, the hierarchical information is added so that the priority individual information, which is determined in advance as the information to be used for the doctor's judgment later, belongs to the upper predetermined layer among the plurality of layers .
In the erasing step, a medical information storage method is characterized in that the erasing process is not executed even if the creation date of the medical information becomes old for the predetermined layer on the upper side to which the priority individual information belongs. A medical information storage program for causing a computer to function as the medical information storage device according to any one of claims 1 to 3. A computer-readable recording medium on which the medical information storage program according to claim 5 is recorded.

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