JP2008234309A - Case collection system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To register only information useful as case information to a case information database. <P>SOLUTION: A computer (physician WS 14) of a doctor who determines a diagnosis includes a determined diagnosis registration part 21 which receives input of information for a determined diagnosis and the information for the determined diagnosis in a medical examination information database 17 as one piece of medical examination information. A system 2 which performs registration of cases includes a medical examination information acquisition part 24 which acquires medical examination information of a patient containing the determined diagnosis received by the determined diagnosis registration part 21 by retrieval of the medical examination information database 17; and a case information registration part 25 which registers at least a part of the medical examination information acquired by the medical examination information acquisition part 24 to a case information database 4. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a case collection system that collects information worthy of reference as case information from clinical information acquired or generated by a hospital or clinic in the course of a diagnosis and registers the information in a case information database.

In the medical field, a medical image generated by photographing a subject is displayed on a monitor, and the presence / absence, type, or situation of a disease is diagnosed by observing a shadow in the medical image (hereinafter referred to as interpretation). ing. As a function to support such diagnosis, when interpretation is performed, information on cases with similar image characteristics obtained by examination is extracted from case information registered in the database. A function to display as reference information is provided. For example, in Patent Document 1, a lesion position is extracted from a diagnostic image, a feature amount representing an image feature of the extracted lesion position is calculated, and a feature amount of a reference image accumulated in a database and a feature of the diagnostic image are calculated. An apparatus and method for obtaining a similarity level of a reference image with respect to a diagnostic image by collating with a quantity and displaying information such as a reference image having a high similarity level and a finding on a reference image having a high similarity level are disclosed. Yes.
JP 2002-230518 A

  In the apparatus or method disclosed in Patent Document 1, it is necessary to register only information worthy of reference as case information in the database. This is because, if information including an erroneous diagnosis is registered, a misdiagnosis may be caused rather than supporting the diagnosis.

  However, there is a considerable amount of information with erroneous findings in the information generated in the process of making a diagnosis based on an image. For this reason, it is not preferable to register all images and diagnostic information generated in the course of medical treatment in the database as they are.

  In view of the above circumstances, an object of the present invention is to provide a system that extracts only useful information as case information from information generated in the course of medical care and registers it in a database.

  The case collection system of the present invention is a system configured as a part of a hospital or clinic medical care system, and accepts input of a medical care information database in which medical care information generated in the course of medical care is registered and information on definitive diagnosis And a definite diagnosis registration means for registering the definitive diagnosis information in the medical information database as one of the medical information. A definitive diagnosis is a final diagnosis when a plurality of diagnoses are made by a plurality of diagnosis methods or by a plurality of doctors. For example, a diagnosis based on the result of a pathological examination or a final diagnosis Such as the diagnosis of a doctor who has the authority to make a good judgment.

  The case collection system also includes medical information acquisition means for acquiring medical information of one patient including a confirmed diagnosis received by the confirmed diagnosis registration means, and medical information acquired by the medical information acquisition means by searching the medical information database. A case information registration means for registering at least a part of medical information in the case information database. Thereby, only the medical information for which diagnosis is confirmed can be registered in the case information database, and medical information including uncertain diagnosis can be prevented from being registered as case information and used for diagnosis.

  The case information registration unit may register all the medical information acquired by the medical information acquisition unit in the case information database. As a result, medical information for which diagnosis has been confirmed can be registered as case information.

  On the other hand, the case information registration means may select medical information and register only a part of the medical information in the case information database. For example, a doctor information storage unit that can store information of one or more doctors is further provided, and the case information registration unit stores the doctor information included in the acquired medical information and the doctor information stored in the doctor information storage unit. The medical information may be registered in the case information database only when collation with the information is performed and only when the collation result matches or does not match. As a result, case information is registered only when a predetermined doctor confirms the diagnosis or only when a doctor other than the predetermined doctor confirms the diagnosis. A particularly reliable doctor makes a diagnosis. Only cases can be registered.

  Alternatively, the case information registration unit may receive a predetermined registration request input from the outside, and register medical information in the case information database only when the registration request is received. As a result, the administrator of the case collection system inputs the registration request and registers the case information only when it is judged that it is worth registration, for example, by confirming the medical information acquired by the medical information acquisition means on the monitor. Can do.

  The medical information acquisition means may acquire time-series medical information including a plurality of confirmed diagnoses as medical information of one patient. In this case, the case information registration means registers the time-series medical information in the case information database. Thereby, those who use the case information database can also search for information on cases whose progress is similar.

  FIG. 1 shows a schematic configuration of a case collection system according to an embodiment of the present invention. As shown in the figure, this case collection system includes clinical systems 1a, 1b, and 1c that generate and manage medical information in a hospital or clinic, registration of case information in the case information database 4, and cases from the case information database 4. The system includes a case registration / search system 2 that executes information search and a network 3 (Internet or dedicated line) that connects them. The case information database 4 may be directly connected to the case registration / search system 2 as illustrated in the figure, or may be connected to the local area network 19.

  FIG. 2 shows a configuration of a medical care system 1a as a configuration example of the medical care system. Note that the medical systems 1b and 1c also have the same or similar configuration as the medical system 1a.

  The medical system 1a includes an imaging device (hereinafter referred to as modality) (M) 11, a laboratory technician workstation (WS: WorkStation) 12, a radiologist workstation (WS) 13, a diagnostic medical workstation (WS) 14, and image information. The database 15, the interpretation report database 16, the medical record information database 17, and a database management server 18 (DBMS: DataBase Management Server) that manages these three types of databases are configured. Each device is connected to be communicable with each other via the local area network 19. For convenience of explanation, FIG. 2 shows a configuration in which only one device is provided, but a plurality of types of modalities are connected to the local area network 19 as the modality 11. In addition, it is assumed that there are a plurality of inspection technician workstations 12, radiologist workstations 13, and examination physician workstations 14 according to the number of examination technicians, radiologists, and examination physicians.

  The modality 11 is a device that generates image data by photographing a subject, adds incidental information defined by the DICOM standard to the image data, and outputs the image information as image information. The modality 11 is a type of modality that collectively performs processing from subject shooting to image data generation, and an imaging device that records a captured image on a recording sheet and a reading device that reads the image from the recording sheet and generates image data. May be a separate type of modality. Specific examples include an X-ray simple imaging apparatus, CT (Computed Tomography), MR (Magnetic Resonance), PET (Positron Emission Tomography), and an ultrasonic imaging apparatus.

  The inspection engineer workstation 12 includes a general-purpose processing device (computer), one or two high-definition displays, and input devices such as a keyboard and a mouse. The processing apparatus incorporates software for supporting the work of the laboratory technician. The inspection engineer workstation 12 receives the DICOM-compliant image information from the modality 11 and displays the image data included in the received image information and the contents of the incidental information on the screen by the function of the software program. Encourage engineers to confirm. Then, the image information confirmed by the inspection engineer is transferred to the DBMS 18 via the local network 19 and the registration of the image information in the image information database 15 is requested.

  The DBMS 18 is a general-purpose computer having a relatively high processing capability and incorporating a software program that provides the functions of the DBMS. The DBMS 18 stores data requested for registration in a large-capacity storage connected to the DBMS 18, and extracts and provides data suitable for the search condition when there is a browsing request for the registered data. However, the data storage location may be NAS (Network Attached Storage) or SAN (Storage Area Network) connected to the local area network 19.

  When the DBMS 18 receives a registration request for image information, the DBMS 18 arranges the image information in a database format and registers it in the image information database 15.

  The image information is managed as XML or SGML data, for example, and includes image data representing a subject image, at least a patient number for identifying the subject, an examination number for identifying the examination, and an image number for identifying each image. And incidental information including As the incidental information, in addition to this, a unique ID (UID) assigned for each image information, the examination date when the image information was generated, the examination time, and the type of modality used in the examination for obtaining the image information , Patient information such as patient name, age, gender, examination site (imaging site), imaging conditions (contrast agent used / used dye, radionuclide, radiation dose, etc.) Multiple images in one examination Information such as the series number or collection number at the time of acquisition is included.

  When the DBMS 18 receives a browsing request from the radiologist workstation 13 via the local area network 19, the DBMS 18 searches the image information registered in the image information database 15 and uses the extracted image information as the requesting radiation. Transmit to the physician workstation 3.

  The radiologist workstation 13 is an apparatus used by the radiologist for interpretation of images, and includes a processing device, one or two high-definition displays, and input devices such as a keyboard and a mouse. This processing apparatus incorporates a function for supporting diagnosis by a radiologist, for example, a function for automatically detecting and highlighting a portion that appears to be a lesion in an image, and a function for supporting the creation of an interpretation report. When an operation for requesting browsing of an image to be interpreted or other information used for diagnosis is performed on the interpretation screen, the radiologist workstation 13 transmits a viewing request to the DBMS 18 to obtain image information necessary for interpretation or diagnosis. get. Then, the image information is displayed on the monitor screen, and an automatic lesion detection process is executed in response to a request from the radiologist.

  Further, the radiologist workstation 13 displays a report creation screen for supporting the creation of an interpretation report on the monitor, and text indicating the contents of diagnosis (findings, etc.) based on the interpretation is input from the radiologist. In some cases, an interpretation report is generated in which the input information and an image to be interpreted (hereinafter referred to as an interpretation target image) are recorded. When there are a plurality of interpretation target images, a representative image (hereinafter referred to as a representative image) having the greatest influence on the diagnosis is recorded in the interpretation report. The radiologist workstation 13 transfers the generated interpretation report to the DBMS 18 via the local area network 19 and requests registration of the interpretation report in the interpretation report database 16. When the DBMS 18 receives the interpretation report registration request, the DBMS 18 arranges the interpretation report in a database format and registers it in the interpretation report database 16.

  The interpretation report is managed as XML or SGML data, for example, image data representing the image to be interpreted or representative image, and examination number, patient number, and image number acquired by referring to the supplementary information of the image information at the time of image interpretation And information indicating the findings and the certainty of the findings. Of these, the image data may be a copy of the image data included in the image information as it is, or may be reduced image data having a smaller number of pixels (thinned out) than the image data included in the image information. . Further, the image data may be link information indicating a storage location (folder or the like) of the image data in the image information database 15 and a file name. Moreover, it is preferable to record coordinate information indicating a region of interest (ROI) set for the image data together with the image data in the image interpretation report. The coordinate information indicating the region of interest may be recorded not only in the interpretation report but also in the accompanying information of the image information.

  When the DBMS 18 receives a browsing request from the diagnostic medical workstation 14 via the network, the DBMS 18 searches the interpretation report registered in the interpretation report database 6 and sends the extracted image information to the requesting diagnostic medical workstation 14. Send.

  The medical doctor workstation 14 is an apparatus used by the medical doctor to refer to an interpretation report and an image to be interpreted, and includes an input of a processing device, one or two high-definition displays, and a keyboard / mouse. Consists of equipment. This processing device includes a medical record information creation function for recording the history of examinations, examinations, and treatments (medications, etc.) of each patient as electronic data, and an order system for radiology by creating examination order information. The inspection order function to transmit to (not shown) is incorporated.

  The medical doctor workstation 14 newly creates medical chart information recording patient information, the purpose of medical examination, etc. at the first visit of the patient, transfers it to the DBMS 18 via the local area network 19, and sends it to the medical chart information database 17 of the medical chart information. Request registration. When the DBMS 18 receives a medical record information registration request, the DBMS 18 arranges the medical chart information in a database format and registers it in the medical chart information database 17.

  Further, when an examination is ordered by the examination order function in the course of the examination, the examination medical workstation 14 adds the examination number and examination date notified from the radiology system to the medical chart information. Furthermore, when the examination is completed and an interpretation report is created by the radiologist and the interpretation report is referred to by the doctor, some information recorded in the interpretation report (for example, radiologist's findings information) , Add to the chart information.

  On the other hand, the medical record information also records the history and results of tests such as blood tests and pathological tests (histological tests) that do not involve imaging. Such information may be input by a nurse, a technician, or a doctor who has performed an examination, or may be input by a doctor who requested an examination and received the examination result. In addition, not only the test results but also the names of diseases diagnosed by the doctor based on the test results are added to the chart information. The final judgment when diagnosis is made by a plurality of diagnosis methods or by a plurality of doctors, that is, information on a definitive diagnosis is also input from the medical doctor workstation 14 (provided that the doctor who performed the pathological examination is not input by the doctor). May be recorded) in the medical chart information. In addition, records of medication and other treatments are also recorded in the medical record information. The medical doctor workstation 14 transfers the chart information updated by inputting each information or the difference information indicating only the information added or changed by the input to the DBMS 18 and requests the update of the corresponding chart information.

  When the DBMS 18 receives an update request for the chart information, the DBMS 18 retrieves the chart information database 17 to call the corresponding chart information on the memory, updates the contents on the memory, and writes the updated chart information to the storage. Thereby, the contents of the medical chart information database 7 are updated.

  The medical record information is managed as, for example, XML or SGML data. As described above, the patient information registered at the first visit, the patient's reception history, examination history, treatment history including medication, etc., other past illnesses, chronic diseases, allergies Information necessary for medical examination and treatment is recorded. In the present embodiment, it is assumed that at least two pieces of information, that is, a patient number and an examination number that identifies examinations performed in the past are recorded in the chart information. In the medical record information, reduced image data similar to the interpretation report is recorded as one item of the inspection history. However, link information to image information may be recorded instead of reduced image data.

  As described above, the image information registered in the image information database 15 and the interpretation report registered in the interpretation report database 16 are associated with each other in the course of image diagnosis by the radiologist workstation 13. The interpretation report registered in the interpretation report database 16 and the chart information registered in the chart information database 17 are associated with each other in the process of creating and updating the chart information by the medical doctor workstation 14. Thereby, three types of information, image information, image interpretation report, and medical record information, are associated with each other, and a set of medical information is generated.

  FIG. 3 is a diagram showing the configuration of the case collection system of FIG. 1 focusing on the case collection function. As shown in this figure, the diagnostic medical workstation 14 constituting the medical care system 1 a includes a confirmed diagnosis registration unit 21 and a diagnosis support unit 22. The definite diagnosis registration unit 21 and the diagnosis support unit 22 may be a device or a circuit built in the workstation. In this embodiment, the definitive diagnosis registration unit 21 and the diagnosis support program are incorporated into the diagnostic medical workstation 14 to perform diagnosis. The medical workstation 14 is operated as a confirmed diagnosis registration unit 21 and a diagnosis support unit 22.

  The case registration / search system 2 also includes a medical information acquisition unit 24, a case information registration unit 25, a search request reception / output unit 26, and a similar case search unit 27. The case / search system 2 is a general-purpose computer having a relatively high processing capability and incorporating a software program that provides DBMS functions. The functions of the medical information acquisition unit 24, the case information registration unit 25, the search request reception / output unit 26, and the similar case search unit 27 are realized by the software program that executes the processing of each unit and the function of the DBMS. In addition, a doctor list 23 is stored in a memory included in the case registration / search system 2. In the doctor list 23, names or identification codes of doctors are recorded.

  Hereinafter, a form in which medical chart information including a definite diagnosis is unconditionally collected and registered in the case information database 4 will be described with reference to FIGS. 3 and 4. As shown in FIGS. 3 and 4, the definitive diagnosis registration unit 21 receives definitive diagnosis information input from the keyboard (S101), and registers the definitive diagnosis information in the medical record information database 17 (S102). The procedure for registration in the medical chart information database 17 is as described with reference to FIG. Subsequently, the confirmed diagnosis registration unit 21 reports that the diagnosis is confirmed to the medical care information acquisition unit 24 of the case registration / search system 2 (S103). The reporting is performed by transmitting report data in a predetermined format in which predetermined information is recorded from the confirmed diagnosis registration unit 21 to the medical information acquisition unit 24. The report data includes information on the patient number of the patient whose diagnosis is confirmed and the date on which the diagnosis is confirmed.

  When receiving the report data (S201), the medical care information acquisition unit 24 of the case registration / search system 2 searches the medical record information database 17 using the patient number included in the report data as a search key (S202), and reports the diagnosis confirmation. The chart information of the patient who has received is acquired (S203). For example, when this patient has received two final diagnoses in the past, three chart information 31, 32, and 33 are acquired as illustrated in FIG. As described above, in the present embodiment, the reduced image data 34 is recorded in the chart information. Along with the reduced image data 34, information on the region of interest 35 focused on when the radiologist performed image diagnosis is also recorded. For convenience of explanation, FIG. 5 shows a region of interest 35 superimposed on the reduced image data 34, but the region of interest 35 is actually recorded as coordinate data representing the region.

  In this embodiment, only the patient number is used as a search key, and time-series chart information is acquired including past chart information, but date information included in report data is also used as a search key, It is good also as acquiring only the medical chart information containing the confirmed diagnosis reported. Further, when image information is not included in the medical record information, or when it is desired to register further image information as case information, the image information database 15 and the interpretation report database 16 are also searched to acquire other medical information together. Also good.

  When the medical information acquisition unit 24 acquires medical chart information (medical information) in step S203, the medical information acquisition unit 24 instructs the case information registration unit 24 to register a case (S204). The medical record information acquired in step S203 is supplied from the medical care information acquisition unit 24 to the case information registration unit 25 together with the registration instruction.

  When receiving the registration instruction from the medical information acquisition unit 24 (S301), the case information registration unit 25 generates case information based on the supplied medical record information (S302). FIG. 6 illustrates case information generated by the case information registration unit 25. The medical record information includes information unique to the medical care system such as a patient number in addition to image information and information on a definitive diagnosis. It may also contain personal information such as the patient's name. These pieces of information are unnecessary or inappropriate information as case information. The case information registration unit 25 first copies data that can be directly registered as case information, such as image data, among the data included in the chart information, to a predetermined area of the memory. Further, after editing a part of the data included in the chart information, it is arranged in a predetermined area of the memory. Thereby, case information of a predetermined format is configured on the memory.

  For example, in the example of FIG. 6, a case number is assigned instead of information for identifying a patient, information indicating a rough flow of time is provided instead of an accurate date on which a diagnosis is confirmed, and reduced image data is left as it is. Case information is generated by copying. The case information registration unit 25 registers the case information generated in this way in the case information database 4 (S303).

  In addition, the registration to the case information database 4 may register time series information including the chart information 41, 42, 43 as one case information, or each of the chart information 41, 42, 43 as one case information. You may register.

  Next, referring to FIG. 3 and FIG. 7, a description will be given of a form in which only information that has been confirmed by a predetermined doctor among the chart information including the confirmed diagnosis is registered as case information. In FIG. 7, steps denoted by the same reference numerals as those in FIG. 4 are the same as the steps shown in FIG.

  In this form, when the medical information acquisition unit 24 acquires medical chart information (medical information) in step S203, the medical information acquisition unit 24 refers to the name of the doctor who has confirmed the diagnosis, and collates with the doctor list 23 stored in the memory ( S205). Based on the result of the collation, it is determined whether registration as case information is possible (S206). The determination method of whether or not registration is possible may be determined according to the type of doctor recorded in the doctor list 23. For example, when the doctor list 23 is a list in which the names of doctors with high trust are recorded, it is determined that registration is possible if the matching results match, and registration is not possible if they do not match. On the other hand, when the doctor list 23 is a list in which the names of doctors who have experience of misdiagnosis or medical mistakes are recorded, it is determined that registration is not possible if the matching results match, and registration is possible if they do not match. Only when the determination in step S206 is a determination that registration is possible, the case information registration unit 25 is instructed to register (S207).

  Next, a form in which a doctor is involved in registration of case information will be described with reference to FIGS. 3 and 8. In FIG. 8, steps denoted by the same reference numerals as those in FIG. 4 are the same as the steps shown in FIG.

  In this mode, when the medical information acquisition unit 24 acquires medical chart information (medical information) in step S203, the acquired information is displayed on a monitor in a predetermined display format (S208), and a registration request is received from a keyboard or other input device. Accept (S209). For example, the registration request is accepted when an operation button is displayed on the screen and a click operation is performed on the operation button. Only when there is a registration request, the case information registration unit 25 is instructed to register (S210).

  It should be noted that the modes shown in FIGS. 7 and 8 can be implemented in combination. In other words, a form in which medical chart information determined to be registerable by collation with a doctor list is displayed on a monitor and registered as case information only when a registration request is accepted can be considered.

  Hereinafter, referring to FIG. 3 again, use of the case information registered in the case information database 4 will be described. As described above, the medical doctor workstation 14 includes the diagnosis support unit 22. The diagnosis support unit 22 displays the medical chart information of the patient being examined on the monitor screen. For example, when the patient has received two definitive diagnoses in the past, as shown in FIG. 9, all chart information relating to the patient is displayed on the monitor screen. In addition, the diagnosis support unit 22 receives information specified by a mouse click on the display screen or information input from the keyboard as a search query. For example, in the example of FIG. 9, when a disease name recorded as definitive diagnosis information is clicked with a mouse, character information such as “gastritis” and “gastric ulcer” is set as a search query. When the reduced image data 34 is designated by mouse click or the like, the image data itself is set as a search query. When the region of interest 35 is designated, feature amount data extracted from the region of interest 35 is set as a search query. In the present embodiment, a plurality of character information and image information can be set as a search query. When the search query is set, the diagnosis support unit 22 generates a search request having a predetermined data format including the set search query, and transmits the search request to the case registration / search system 2.

  The search request reception / output unit 26 of the case registration / search system 2 supplies the search query included in the received search request to the similar case search unit 27. The similar case search unit 27 searches the case information database 4 based on the supplied search query, and is the same as the case information including the same character information as the character information included in the search query or the image information included in the search query. Case information including image information is extracted, and the extracted case information is returned to the search request reception / output unit 26. For example, in the display illustrated in FIG. 9, four pieces of information of the image data of the medical record information 51 and the characters “gastritis” indicating the definite diagnosis and the image data of the medical record information 52 and the characters of “gastric ulcer” indicating the definite diagnosis are used as a search query. When designated, case information including image data having features similar to those of the same or similar confirmed diagnosis is extracted as illustrated in FIG.

  The search request reception / output unit 26 generates a search result in a predetermined data format in which the address of the search request source is added to the extracted case information, and returns the search result to the diagnostic medical workstation 14 that is the transmission source of the search request. The returned search result is received by the diagnosis support unit 22 of the medical doctor workstation 14 and displayed on the monitor.

  The method for realizing the diagnosis support function of the clinician workstation has been described above. However, since the diagnosis support function is a function useful not only to the doctor but also to other doctors who perform diagnosis, the workstation 13 for the radiology doctor is used. First, it is preferable that another workstation used for diagnosis also includes the diagnosis support unit 22.

  As described above, in the case collection system of the present embodiment, the diagnosis is confirmed for the case registration / retrieval system 2 that registers the case information from the diagnostician workstation 14 to which the information of the definite diagnosis is input. Only reliable medical information including a definitive diagnosis is registered in the case information database 4 as case information. As a result, information is not registered in the case information database 4 when the diagnosis is uncertain.

  Further, by collating with the doctor list 23, it is also possible to collect only information that a predetermined doctor has confirmed diagnosis from among the medical information including a confirmed diagnosis. This makes it possible to construct a database that collects only case information that is highly reliable and truly useful in diagnosis.

  In addition, collection of case information is automatically performed between the definitive diagnosis registration unit 21 and the medical care information acquisition unit 24, so that the burden on the doctor and system administrator is small. On the other hand, a display for confirmation can be performed before registration in the case information database 4 and a registration request can be accepted, thereby making it possible to incorporate a doctor's judgment on whether or not registration is possible.

  Furthermore, since the medical information acquisition unit 24 also acquires past medical chart information of the same patient when acquiring information, time-series medical information can be registered as case information. Thereby, when presenting a similar case and supporting a diagnosis, it is also possible to present time-series case information indicating the progress of the diagnosis.

  In the embodiment described above, the diagnosis confirmation report data is transmitted from the confirmed diagnosis registration unit 21 to the medical information acquisition unit 24, but the report data is not transmitted, and the medical information acquisition unit 24 periodically checks the chart information. A form in which the database 17 is searched to obtain medical information including a definitive diagnosis is also conceivable. In addition, as the embodiment of the present invention, various forms obtained by changing the above-described embodiment are conceivable.

The figure which shows the outline | summary of the case collection system in one Embodiment of this invention The figure which illustrated the medical care system which constitutes the case collection system Diagram showing configuration of case collection system Flow chart showing an example of case collection / registration process The figure which shows an example of the medical treatment information which a medical treatment information acquisition part acquires The figure which shows an example of the case information which a case information registration part produces | generates Flow chart showing another example of case collection / registration process Flow chart showing yet another example of case collection / registration process Illustration to explain case search

Explanation of symbols

3, 19 network, 4 case information database, 31-33 medical information,
34 images, 35 regions of interest, 41-43 case information,
51, 52 Case search target

Claims (5)

A medical information database in which medical information generated in the medical process is registered;
Definitive diagnosis registration means for receiving input of definitive diagnosis information, and registering the definitive diagnosis information as one of the medical information in the medical information database;
Medical information acquisition means for acquiring medical information of one patient including a confirmed diagnosis accepted by the confirmed diagnosis registration means by searching the medical information database;
A case collection system comprising: case information registration means for registering at least part of the medical information acquired by the medical information acquisition means in a case information database.   2. The case collection system according to claim 1, wherein the case information registration unit registers all the medical information acquired by the medical information acquisition unit in the case information database. Further comprising doctor information storage means capable of storing one or more doctor information,
The case information registration unit collates the doctor information included in the acquired medical information with the doctor information stored in the doctor information storage unit, and only when the collation results match or does not match The case collection system according to claim 1, wherein the medical care information is registered in the case information database only when   2. The case according to claim 1, wherein the case information registration means accepts a predetermined registration request inputted from the outside, and registers the medical care information in the case information database only when the registration request is accepted. Collection system. The medical information acquisition means acquires time series medical information including a plurality of confirmed diagnoses as the medical information of the one patient,
The case collection system according to any one of claims 1 to 4, wherein the case information registration unit registers the time-series medical information in the case information database.

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