JP7549906B2 - Information processing system, server, terminal, information processing method and program - Google Patents

Description

This disclosure relates to an information processing system, a server, a terminal, an information processing method, and a program.

Traditionally, medical settings (such as hospitals) have a large number of paper documents, including many on which patients fill out required information. Consent forms that patients sign are one example of this, and there is a demand for digitizing paper documents to simplify their management.

In response to this situation, for example, Patent Document 1 discloses a technology that manages surgical documents for a series of surgeries as a set of electronic data.

JP 2010-097573 A

However, in the technology shown in Patent Document 1, instructions and consent forms are stored as data, and the patient's signature indicates that they have understood (approved) the contents of the instructions and consent form. However, further enhancements to the functionality of linking each piece of document data (especially linking instructions and consent forms) are desired.

The present invention therefore describes an information processing system, server, terminal, information processing method and program that can identify explanation confirmation item information corresponding to explanation record data linked to patient identification information, associate it with consent form data, and display at least a portion of the identified explanation confirmation item information superimposed on the consent form data.

The information processing system according to one aspect of the present disclosure includes an identification processing unit that identifies explanation check item information corresponding to explanation record data linked to first patient identification information indicating a first patient, an association processing unit that associates the identified explanation check item information with the consent form data linked to the first patient identification information, and a data display unit that displays at least a portion of the identified explanation check item information by superimposing it on the associated consent form data.

According to the present invention, by identifying explanation check item information based on explanatory material data in particular and associating it with consent form data, it is possible to present explanation check item information to medical personnel in advance when the patient signs the consent form, by identifying the explanation check item information. Furthermore, if the explanation check item information includes status information, it is possible to know whether the explanation related to the consent form data has been completed.

1 is a block diagram illustrating an information processing system according to an embodiment of the present disclosure. FIG. 2 is a diagram illustrating a hardware configuration of the server 100 in FIG. 3 is a block diagram illustrating the functions of a storage unit 120 and a control unit 130 of FIG. 2. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a medical worker's terminal in the embodiment of the present invention. FIG. 2 is a diagram showing a hardware configuration of the terminal device 200 (300) in FIG. 22 is a block diagram illustrating the functions of a control unit 230 in FIG. 21. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen of a patient's terminal in an embodiment of the present invention. 2 is a flowchart showing an example of a process of the information processing system 1 of FIG. 1 .

The details of the embodiment of the present invention will be listed and explained below. The information processing system according to the embodiment of the present invention has the following configuration.

[Item 1]
A specification processing unit that specifies explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
an association processing unit that associates the specified explanation confirmation item information with consent form data linked to the first patient identification information;
an information management unit that displays at least a portion of the specified explanation confirmation item information in association with the consent form data;
An information processing system comprising:
[Item 2]
The information management unit further includes a consent form data management unit that performs processing to issue the consent form data to a terminal device of a patient identified by the first patient identification information,
the consent form data management unit causes at least a part of the specified explanation confirmation item information to be displayed on a terminal device of a medical worker prior to the issuance process of the consent form data;
2. The information processing system according to item 1,
[Item 3]
The explanation confirmation item information includes completion information indicating whether an explanation regarding a corresponding explanation content has been completed,
The consent form data management unit displays, on the terminal device of the medical worker, a selection input item corresponding to the explanation item information indicating that the completion information is complete, in a selected state.
3. The information processing system according to item 2.
[Item 4]
The information management unit superimposes the specified explanation confirmation item information on the consent form data and displays it on the terminal device of the medical staff.
4. The information processing system according to any one of items 1 to 3.
[Item 5]
The completion information is set as completion when the explanation material data corresponding to the specified explanation item information is transmitted to the patient's terminal device.
4. The information processing system according to item 3.
[Item 6]
The completion information is set as completion when the explanation material data corresponding to the specified explanation item information is viewed on the patient's terminal device.
4. The information processing system according to item 3.
[Item 7]
The completion information is set as completion when an answer operation to a question regarding the explanatory material data corresponding to the specified explanatory item information is performed on the patient's terminal device.
4. The information processing system according to item 3.
[Item 8]
The completion information is set as completion by a record input operation for recording completion on the terminal device of the medical worker.
4. The information processing system according to item 3.
[Item 9]
The completion information is set as completed based on electronic medical record information linked to the patient identification information.
4. The information processing system according to item 3.
[Item 10]
A consent form data generation unit is further provided for arranging predetermined input items on the acquired original consent form data to generate the consent form data.
4. The information processing system according to any one of items 1 to 3.
[Item 11]
The input items include input items for medical staff only and input items for patients only, which include different items from each other.
11. The information processing system according to item 10.
[Item 12]
A specification processing unit that specifies explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
an association processing unit that associates the specified explanation confirmation item information with consent form data linked to the first patient identification information;
an information management unit that displays at least a portion of the specified explanation confirmation item information in association with the consent form data;
A server comprising:
[Item 13]
a display generating unit that displays at least a portion of the explanation confirmation item information identified according to the explanation record data linked to the first patient identification information, superimposed on the consent form data linked to the first patient identification information;
A terminal comprising:
[Item 14]
Identifying, by an identification processing unit, explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
A step of associating the specified explanation confirmation item information and consent form data linked to the first patient identification information by an association processing unit;
displaying at least a portion of the specified explanation confirmation item information in association with the consent form data by an information management unit;
13. An information processing method comprising:
[Item 15]
a specific processing function unit that identifies explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
an association processing function unit that associates the specified explanation confirmation item information with consent form data linked to the first patient identification information;
an information management function unit that displays at least a portion of the specified explanation confirmation item information in association with the consent form data;
A program characterized by causing a computer to realize the above.

Embodiments of the present disclosure will be described below with reference to the drawings. Note that the embodiments described below do not unduly limit the contents of the present disclosure described in the claims. Furthermore, not all of the components shown in the embodiments are necessarily essential components of the present disclosure. Furthermore, the features shown in each embodiment can be applied to other embodiments as long as they are not mutually inconsistent.

<Configuration>
FIG. 1 is a block diagram showing an information processing system 1 according to a first embodiment of the present disclosure. In this information processing system 1, for example, a first terminal device 200 and a second terminal device 300 are connected to a server 100 via a network NW. In one example, the information processing system 1 generates various document data (particularly consent form data) and explanatory material data in the server 100 based on input information from the first terminal device 200 operated by a first user such as a medical professional, manages the data by linking it to patient identification information, and receives consent form data at the second terminal device 300 in response to an access request from a second user such as a patient, and enables the second user to view and electronically sign the data. A medical professional refers to a doctor, as well as anyone engaged in medical care, such as a nurse, physical therapist, radiologist, or clinical laboratory technician.

Note that, although two terminal devices are shown as an example, this is not limiting, and the first terminal device 200 and the second terminal device 300 may be a common terminal device that is handed over to the second user at the necessary timing, or the information system may include three or more terminal devices. Also, although the icons of the two terminal devices are different as an example, this is not limiting, and the terminals may be the same type of device.

The network NW is composed of the Internet, an intranet, a blockchain network, a wireless LAN (Local Area Network), a WAN (Wide Area Network), BLE (Bluetooth Low Energy), etc.

The server 100 is, for example, a server device that provides network services to the first terminal device 200 and the second terminal device 300 via the network NW. Details of the hardware configuration and software configuration will be described later.

The first terminal device 200 and the second terminal device 300 are information processing devices owned by each user, such as a personal computer, tablet terminal, smartphone, mobile phone, PHS, PDA, etc. A medical worker (first user) operates the first terminal device 200 of the medical worker to transmit medical worker information (particularly medical worker identification information), explanatory material order information, chart information, or patient information to the server 100. When the server 100 receives the information transmitted from the first terminal device 200 of the medical worker, it transmits explanatory material data (particularly explanatory video data) for the patient to the second terminal device 300 of the patient at an appropriate timing. The medical worker information is information for identifying the medical worker, and may be, for example, medical worker identification information (for example, the name of the medical worker, an ID issued by the Ministry of Health, Labor and Welfare, an ID issued by the server 100, etc.). The explanatory material order information is information for ordering which explanatory material data (particularly explanatory video data) to transmit, and may be, for example, information indicating the number of the explanatory material (particularly the video number). Chart information is information recorded in a patient's chart, such as medical records and examination information. Patient information is information for identifying a patient, such as patient identification information (e.g., the patient's name, patient card number, or an ID issued by server 100).

<Server 100>
Fig. 2 is a diagram showing a hardware configuration of the server 100. Fig. 3 is a block diagram showing an example of the functions of the storage unit 120 and the control unit 130. The server 100 may be a general-purpose computer such as a personal computer, or may be logically realized by cloud computing. Note that the illustrated configuration is an example, and the server 100 may have other configurations.

The server 100 includes a communication unit 110, a memory unit 120, a control unit 130, and an input/output unit 140. These functional units are realized by executing a specific program for the server 100.

The communication unit 110 is a communication interface for communicating with the first terminal device 200 and the second terminal device 300, and communication is performed according to a communication protocol such as TCP/IP (Transmission Control Protocol/Internet Protocol).

The storage unit 120 stores programs for executing various control processes and functions in the control unit 130, input data, etc., and is composed of RAM (Random Access Memory), ROM (Read Only Memory), etc. As shown in FIG. 3, the storage unit 120 includes a medical worker information storage unit 121 that stores medical worker information registered in advance when using this service in association with medical worker identification information, a patient information storage unit 122 that stores patient information registered in advance when using this service in association with patient identification information, an explanation material data storage unit 123 that stores explanation material data in association with explanation material data identification information (ID), an explanation record data storage unit 124 that stores explanation record data in association with patient identification information, and a consent form data storage unit 125 that stores consent form data in association with consent form identification information. Furthermore, the storage unit 120 temporarily stores data communicated with the first terminal device 200 and the second terminal device 300.

The control unit 130 controls the overall operation of the server 100 and is composed of a CPU (Central Processing Unit) and the like. As shown in FIG. 3, the control unit 130 includes functional units such as an information transmission/reception unit 131, an information management unit 132, an explanatory material data management unit 1321, a consent form data management unit 1322, a specific processing unit 133, an association processing unit 134, and a consent form data generation unit 135. Note that although the various functional units are illustrated as functional units in the control unit 130 of the server 100, some or all of the various functional units may be realized in the configuration of either the control unit of the first terminal device 200 or the control unit of the second terminal device 300, depending on the capabilities of the control unit of the first terminal device 200 or the control unit of the second terminal device 300.

The information transmission/reception unit 131 receives various information and requests from each terminal device and transmits various information and requests to each terminal device. Various information particularly includes, but is not limited to, input information from the terminal device and information transmitted to the terminal device. For example, the information transmission/reception unit 131 may receive user identification information for identifying the user of each terminal device (e.g., a user account issued by user registration), time information associated with each piece of information (e.g., time information when the various pieces of information were generated or stored (including date information as appropriate)), and linked information sent from a linked database based on user operations of each terminal device (e.g., electronic medical record information, etc.).

The information management unit 132 stores the received information in an appropriate storage unit, and reads information from the storage unit in response to the received request. The information management unit 132 includes an explanatory material data management unit 1321 and a consent form data management unit 1322.

When the explanatory material data management unit 1321 receives medical worker information (particularly medical worker identification information), explanatory material order information, medical record information, patient information, etc. from the medical worker's first terminal device 200, it selects and reads explanatory material data (particularly explanatory video data) for the target patient from the multiple explanatory material data (particularly explanatory video data) stored in the explanatory material data storage unit 123, and requests the information transmission/reception unit 131 to transmit the explanatory material data to the patient's second terminal device 300.

A more specific example of the explanatory material data management unit 1321 is described below. First, as shown in FIG. 4, the medical worker enters medical worker identification information (e.g., the medical worker's own user name or medical worker ID) and a password for logging in to this service on the login screen.

Next, as shown in FIG. 5, the medical professional inputs the patient identification information (e.g., patient card number, etc.) of the target patient. Note that this is not limited to this method, and any method that can identify the patient may be used. For example, a list of patients linked to the medical professional identification information may be displayed, and the target patient may be selected.

As a result, as shown in Figure 6, the patient's name and ID are displayed, and below that, site selection items and treatment method selection items linked to the medical professional's name and ID are displayed. For example, as shown in the figure, sites such as "stomach" and "esophagus" are displayed, and treatment methods such as "surgery," "chemotherapy," "endoscopy," and "radiation" are displayed. The medical professional selects at least one of these site selection items and treatment method selection items that indicates the information they wish to provide to the patient. A "Confirm" button 401 is displayed at the bottom right, and the medical professional presses this "Confirm" button 401 after selecting an item.

When the medical professional presses the "Confirm" button 401, the screen shown in FIG. 7 is displayed. The screen shown in FIG. 7 is displayed according to the item selected by the medical professional in FIG. 6, as described above. For example, the screen shown in FIG. 7 displays items when the medical professional selects "Stomach" in the site selection in FIG. 6 and selects "Surgery" in the treatment method selection, and displays items such as "Anatomy," "Pathology," "Examination," "Treatment Method," "Operative Procedure," "Reconstruction Method," "Complications," "Adjuvant Chemotherapy," and "Adjuvant Radiotherapy."

For "anatomy," buttons are displayed to select items such as "function" and "structure." Medical professionals may select at least one of these items, or may select all or none of them. Additionally, for "pathology," buttons are displayed to select items such as "stage of progression," "metastasis," and "symptoms." Medical professionals may select at least one of these items, or may select all or none of them.

For "Examination", buttons are displayed to select items such as "Pulmonary function", "Electrocardiogram", "X-ray", "Upper endoscopy", "Lower endoscopy", "Gastric fluoroscopy", "CT", "PET/CT", and "MRI". Medical professionals may select at least one of these items, or may select all of them, or none of them. For "Treatment method", buttons are displayed to select items such as "Laparotomy", "Laparoscopy", and "Endoscopy". Medical professionals may select at least one of these items.

For "operative procedure," buttons to select items such as "total gastrectomy," "proximal gastrectomy," "proximal gastrectomy," and "proximal gastrectomy" are displayed. The medical professional selects at least one of these items. For "reconstruction method," buttons to select items such as "Roux-en-Y procedure," "Billroth I procedure," "Billroth II procedure," "jejunal interposition," "double tract procedure," and "gastrogastrostomy" are displayed. The medical professional selects at least one of these items.

For "Complications," buttons are displayed to select items such as "Postoperative bleeding," "Pancreatic juice leakage," "Suture failure," "Intestinal obstruction," "Cholecystitis," "Intraperitoneal tumor," "Injury to other organs," and "Anastomotic stenosis." Healthcare professionals may select at least one of these items, all of them, or none of them. For "Adjuvant chemotherapy," buttons are displayed to select the items "Preoperative" and "Postoperative." Healthcare professionals may select at least one of these items, all of them, or none of them.

For "Supplementary radiotherapy", buttons to select the items "Preoperative" and "Postoperative" are displayed. The medical professional may select at least one of these items, select "None", or may not select any of them. A "Confirm" button 501 is displayed at the bottom right, and the medical professional presses this "Confirm" button 501 after selecting an item. However, the medical professional must select at least one of the displayed items. That is, in the example of Figure 7, one of all the items shown from "Anatomy" to "Supplementary radiotherapy" must be selected.

When the medical worker presses the "Confirm" button 501, explanatory material order information is sent to the server 100 according to the selected item. Then, the explanatory material data management unit 1321 of the server 100 selects and reads explanatory material data (particularly explanatory video data) for the target patient from the multiple explanatory material data (particularly explanatory video data) stored in the explanatory material data storage unit 123 according to the explanatory material order information, and requests the information transmission and reception unit 131 to transmit the explanatory material data to the second terminal device 300 of the patient. Then, for example, as shown in FIG. 8, a video from the organ explanation to the treatment of stomach cancer is displayed. This video may be a single video associated with the item selected by the medical worker in FIG. 8, or a video that combines multiple videos selected according to each item and displays them as one video, which may be a video that lists each of the videos associated with the selected items. Below the video, the keyword selected by the medical worker in FIG. 7 is displayed. Here, the displayed keyword is not limited to the keyword selected by the medical worker, but may be tag data that corresponds to the video selected according to the keyword selected by the medical worker and indicates the content of the video. In this example, explanatory video data is used as an example of explanatory material data, but the data is not limited to this and may be explanatory text data (including text pages viewable on web pages or applications) composed of text and figures, explanatory audio data composed of only audio data without video, etc. Furthermore, each item may be linked to multiple explanatory material data of the same or different types (for example, two explanatory video data, explanatory text data and explanatory video data, explanatory text data and explanatory audio data, etc.), or different types of explanatory material data may be linked to each item.

As shown in FIG. 8, a "Prescription" button 601 is displayed at the bottom right, and the medical worker presses this "Prescription" button 601. When the medical worker presses the "Prescription" button 601, as shown in FIG. 9, a display is displayed indicating that medical information has been prescribed. Prescribing medical information means sending the explanatory material data shown in FIG. 8 to the patient's ID. In the above description, the process of selecting items one by one in FIG. 7 is performed when prescribing, but instead of this, one or more explanatory material data templates for each disease or surgery may be registered in advance in the explanatory material data storage unit 123. In that case, as shown in FIG. 10, the medical worker may select the explanatory material data to be prescribed from the explanatory material data template. The explanatory material data template may be registered in advance by the medical worker through the selection process shown in FIG. 7, or a template created in advance by the system provider may be read in advance and registered, or these may be combined.

The identification processing unit 133 identifies the explanation confirmation item information corresponding to the explanation record data linked to the first patient identification information indicating the first patient.

The explanatory record data linked to the first patient identification information is recorded data including completion information indicating that the sending or explanation has been completed (at least before the consent form data described below is displayed), and may be, for example, record data related to explanatory material data transmitted in response to a request by the explanatory material data management unit 1321, and may store explanatory record data including completion information related to the explanatory material data transmitted in association with the patient identification information in the explanatory record data storage unit 124 at the time of transmission. Alternatively, the explanatory record data linked to the first patient identification information may be stored in the explanatory material data storage unit 124 when the explanatory material data management unit 1321 determines that the transmitted explanatory material data has been viewed (for example, when the explanatory video data is played to the end, the explanatory text data is displayed to the end, or when a completion operation such as pressing a button indicating completion of viewing is performed by the patient), and the explanatory record data related to the explanatory material data determined in association with the patient identification information is stored in the explanatory material data storage unit 124 at the time of determination. Alternatively, as described below, when an answering operation is performed on the first terminal device 200 to a question regarding the explanatory material data (such as a question asking about the level of understanding), answer result information based on the answering operation is sent to the server 100, and when the explanatory material data management unit 1321 receives the answer result information and determines that the level of understanding is equal to or above a reference value, the explanatory record data storage unit 124 may store explanatory record data regarding the explanatory material data determined at the time of determination, linked to the patient identification information. In addition, taking into consideration cases where a medical professional provides an explanation directly verbally or using paper documents, for the explanation record data linked to the first patient identification information, the medical professional may perform a record input operation on the first terminal device 200 to record completion information indicating that the explanation regarding the explanatory material data has been completed, and the completion information regarding the corresponding explanatory material data may be linked to the patient identification information and stored directly in the explanation record data storage unit 124; alternatively or in addition, completion information indicating that the explanation regarding the explanatory material data has been completed may be determined in the medical record information stored in an electronic medical record system linked to this system (for example, by determining completion check information in a checkbox corresponding to the explanatory material data in an electronic medical record linked to the patient identification information of the corresponding patient, or by determining based on language analysis result information of the electronic medical record content), and the explanation record data regarding the explanatory material data determined to be linked to the patient identification information may be stored in the explanation record data storage unit 124 at the time of determination. The format of any of these explanation record data may be set or selectable for each medical institution identification information, each medical staff identification information, each patient identification information, etc., or two or more formats may be used in combination.

The explanation check item information is information indicating the explanation check items for the explanation contents that need to be explained in advance in relation to the consent form, for example, the explanation check item displayed superimposed on the consent form (details will be described later). The explanation check item information is stored in the explanation record data storage unit 124 in correspondence with the explanation material data, and it is possible to identify the explanation check item information from the explanation material data. For example, information indicating check items for the corresponding content explanation is associated with the explanation material data regarding the contents (methods) related to at least one of a specific disease, a specific operation, an examination, and a treatment, the explanation material data (particularly text page data) regarding the doctor in charge, and the explanation material data (particularly text page data) regarding various precautions at the time of hospitalization. As a more specific example, for example, when the explanation record data indicating that patient A has completed viewing the explanation video data including an explanation about the disease of stomach cancer and an explanation about the treatment of stomach cancer is stored in the explanation record data storage unit 124, the explanation check item information about the explanation about the disease of stomach cancer and the explanation check item information about the explanation about the treatment of stomach cancer are identified.

Furthermore, the explanation check item information may be linked to the completion information included in the explanation record data, or may be included as status information (e.g., explanation completed, incomplete, etc.) indicating whether the explanation corresponding to the identified explanation check item information has been completed. The status information may also be set based on an input operation from the first terminal device 200 of the medical professional. In this case, by identifying the explanation check item information, it becomes possible to present the medical professional with the explanation check items to be checked in advance when the patient signs the consent form.

The association processing unit 134 associates the identified explanation confirmation item information with the consent form data linked to the first patient identification information.

In addition, there may be explanation confirmation item information that is pre-associated with the consent form data, regardless of the association processing unit 134. That is, regardless of the type of illness, surgery, etc., the medical professional will always need to explain something (such as the doctor in charge, among the examples above), so this may be pre-associated with the consent form data.

In this way, by identifying explanation confirmation item information based particularly on the explanatory material data and associating it with the consent form data, it becomes possible to present the explanation confirmation items that should be confirmed by the medical professional in advance when the patient signs the consent form, as the explanation confirmation item information is identified. Furthermore, if the explanation confirmation item information includes status information, it becomes possible to know whether the explanation related to the consent form data has been completed.

The consent form data generation unit 135 generates consent form data including predetermined input items based on the input information received from the first terminal device 200 of the medical professional. The consent form data generation unit 135 then generates the consent form data such that at least a portion of the identified explanation confirmation item information is displayed superimposed on the associated consent form data.

A more specific example of the consent form data generation unit 135 will be described below. First, a medical professional who is logged in to this service executes the consent form creation function, and as shown in FIG. 11, inputs original consent form data (e.g., consent form data obtained by digitizing a paper consent form by scanning it with a scanner or camera, consent form data that has been previously printed, and consent form data that has not been edited, such as by arranging electronic input fields, consent form data being edited, etc. Hereinafter, this may be referred to as "consent form data" without distinction from the edited consent form data) before editing is completed by the creation function (including before editing is started by this creation function, or after editing is started by this creation function but before editing is completed). In addition, the original consent form data is not limited to, for example, consent form data that has been converted into an image file, but may also be one or more pieces of consent form configuration information (e.g., text data, which may be consent form configuration information that is initially set before editing, such as by arranging electronic input fields), or consent form display data that is configured and displayed by the consent form configuration information, etc. The consent form configuration information may be, for example, consent form body information regarding the consent form body, or, if the consent form body has been registered in advance, consent form type information for selecting a template type for the consent form body, but is not limited to these, and may be any information that constitutes the consent form. The consent form configuration information may be information entered via an input operation on the first terminal, or information obtained by character recognition from data captured from a paper consent form using a scanner, camera, etc. The original consent form data is stored in the consent form data storage unit 125.

Next, as shown in FIG. 12-14, the medical staff selects and places input items related to the consent form from the "physician input field" and the "patient input field" on the original consent form data. The input items for the "physician input field" (input items exclusively for medical staff) and the input items for the "patient input field" (input items exclusively for patients) each include different exclusive input items, as shown in FIG. 12-14. FIG. 12-14 shows an anesthesia consent form as an example. In FIG. 12, optional input items (so-called check boxes) are placed according to the contents (types of anesthesia) that are optional items in the original consent form, and each optional input item is linked and stored with respect to which content it corresponds (in FIG. 12, the optional input item placed at the left end is linked and stored with "general anesthesia"). In FIG. 13, other optional input items (a total of five in the example) and input items exclusively for medical staff that are entered only by medical staff, such as an input item for inputting the attending physician and an input item for inputting the explaining physician, are placed. In addition, Figures 13-14 also include patient-specific input fields that can only be filled in by the patient, such as an input field for entering the patient signature and an input field for entering the consent date.

As shown in FIG. 15, a consent document title is set for the edited consent document data and registered, thereby creating a consent document template; that is, generating consent document data. The consent document data may be data in an image file format, or may be one or more pieces of consent document configuration information (e.g., text data, particularly consent document configuration information including input item information such as content information indicating the content of electronic input items added by editing and placement information indicating the placement) that correspond to a predetermined consent document format rule for displaying the consent document on a web browser or application. The consent document data is stored in the consent document data storage unit 125. The consent document data may also include item input information entered for the input items placed on the consent document (e.g., signature-related information entered in the signature input item).

Also, as shown in FIG. 16, the above-mentioned specified explanation confirmation item information may be read out and arranged as an input item on the consent form data. In FIG. 16, explanation confirmation item information "About the doctor in charge of the medical procedure", "Disease name and patient's condition", and "Content and method of surgery, examination, and treatment" are arranged as input items (particularly optional input items) on the consent form data, and an example is shown in which each optional input item has been selected as "explained". Note that the method of selecting the optional input item corresponding to the explanation confirmation item information (i.e., the method of selecting "explained") will be described later.

Based on the input information received from the medical professional's first terminal device 200, the consent form data management unit 1322 links the specified consent form data to patient identification information, transmits the consent form data to the patient's second terminal device 300, and enables confirmation and input operations for the consent form data.

A more specific example of the consent form data management unit 1322 is described below. First, a medical professional who is logged in to this service executes the consent form transmission function and inputs the patient identification information of the recipient patient, as shown in FIG. 17.

Next, as shown in FIG. 18, the consent form data management unit 1322 reads information related to the consent form data from the consent form data storage unit 125 and transmits explanatory information for the consent form data to the first terminal device 200 of the medical professional, thereby presenting and enabling selection of a template list information for the consent form data. In FIG. 18, explanatory information (in this example, title and summary information) for the consent form data for "anesthesia," "total gastrectomy," and "emergency" is displayed, and it is shown that "anesthesia" has been selected.

Next, as shown in FIG. 19, the consent form data management unit 1322 accepts input of basic information and the like corresponding to the selected consent form from the first terminal device 200 of the medical worker. At this time, the consent form data management unit 1322 can read the explanation confirmation item information associated with the consent form data and present it to the first terminal device 200 of the medical worker. In the example of FIG. 19, the explanation confirmation item information is only presented, and the selection of whether or not the explanation has actually been completed is set based on the input from the first terminal device 200 of the medical worker. Alternatively, as described above, when completion information is linked to the explanation confirmation item information, a selection indicating that the explanation has been completed (input into a check box in the example of FIG. 19) may be made for the explanation confirmation item information linked to the completion information indicating completion. Alternatively, explanation check item information groups that are linked to completion information and explanation check item information groups that are not linked to completion information may be displayed separately in a distinguishable manner (for example, by displaying each explanation check item information group side-by-side, either vertically or horizontally), and in particular, a selection input section (check box) may be provided only for explanation check item information groups that are not linked to completion information.

As shown in FIG. 20, the consent form data management unit 1322 presents the contents for confirmation (so-called preview display) before issuing the consent form (i.e., allowing the patient to confirm and enter the consent form data). When the consent form issue button on the bottom right is pressed, the issued consent form data is associated with the patient identification information, and the patient can log in with their patient account from the second terminal device 300 and view the consent form. Note that if the selection input items corresponding to some or all of the explanation confirmation item information have not been selected, the consent form issuance operation may be restricted (for example, the consent form issue button cannot be pressed, or if pressed, an alert is displayed and the patient cannot proceed), or a notification (alert) may be displayed on the screen to the effect that the selection input items corresponding to some or all of the explanation confirmation item information have not been selected during the consent form issuance operation.

The input/output unit 140 is an information input device such as a keyboard and mouse, and an output device such as a display. However, this does not apply if the device is constructed using a cloud server.

In this way, by identifying explanation confirmation item information based particularly on the explanatory material data and associating it with the consent form data, it becomes possible to present the explanation confirmation items that should be confirmed by the medical staff in advance when the patient signs the consent form, as the explanation confirmation item information is identified. Furthermore, if the explanation confirmation item information includes status information (completion information), it becomes possible to know whether the explanation related to the consent form data has been completed. Next, each terminal device will be described.

<Terminal Device 200 (300)>
FIG. 21 is a diagram showing the hardware configuration of the terminal device 200 (300). FIG. 22 is a block diagram showing the functions of the control unit 230. The main hardware configuration of the terminal device 200 (300) includes, for example, a communication unit 210, a storage unit 220, a control unit 230, and an input/output unit 240, and the description of the same parts as those of the server 100 is omitted. These functional units are realized by executing a predetermined program or application for the terminal device 200 (300). Note that the illustrated configuration is an example, and other configurations may be used.

The terminal device 200 (300) may be, for example, an information processing device such as a personal computer, tablet terminal, smartphone, mobile phone, PHS, or PDA, and the input/output unit 240 is, for example, configured with an information output device (e.g., a display) and an information input device (e.g., a keyboard or a mouse) if the terminal device 200 (300) is configured as a personal computer, and is configured with an information input/output device such as a touch panel if the terminal device is configured as a smartphone or tablet terminal.

The control unit 230 controls the overall operation of the terminal device 200 (300) and is composed of a CPU (Central Processing Unit) and the like. As shown in FIG. 22, the control unit 230 includes functional units such as an information transmission/reception unit 231, a request generation unit 232, and a display generation unit 233.

The information transmission/reception unit 231 receives various information and requests from the server 100 and transmits the generated information and requests to the server 100.

The request generation unit 232 generates various requests to be sent from the terminal device 200 (300).

The display generation unit 233 generates a display in a display area displayed on the display device of the input/output unit 240 of the terminal device 200 (300) of various information received from the server 100 based on predetermined screen display rule information (e.g., layout information, etc.) stored in the storage unit 220 of the terminal device 200 (300). Note that the display generation unit 233 is configured as a functional unit of the server 100, not a functional unit of the terminal device 200 (300), and each piece of information may not be received by the terminal device 200 (300), but may receive a display image generated within the server 100.

The following describes the patient inputting information via the patient's second terminal device 300 to the display generated by the display generation unit 233. As shown in FIG. 23, the patient inputs patient information such as patient identification information to the patient's second terminal device 300. The patient information includes the patient's name, ID (for example, a patient card number, or as another example, an ID issued by the server 100), a password for logging into this system, and a password (re-entered for confirmation). Then, as shown in FIG. 21, a screen for selecting a doctor is displayed. The patient selects a doctor from the screen and presses the "Next page" button 701. Note that a doctor may be automatically selected based on the patient identification information, or the doctor to whom a message has been received may be visualized by highlighting the image of the doctor to whom a message has been received (for example, a different color (especially a bright color), a larger font, a bold font, etc.).

When the patient presses the "Next page" button 701, a screen showing a message from the patient's doctor is displayed, as shown in FIG. 25. If no message has been received from the patient's doctor, the screen shown in FIG. 25 will not be displayed, or the results of the previous examination will be displayed. When the "Confirm" button 801 is pressed, a start screen for a message from the doctor (which may be text explanatory material data) and a video (which may be video explanatory material data) is displayed, as shown in FIG. 26. When the "Play" button 901 is pressed, a video playback screen is displayed, as shown in FIG. 27. Pressing the play button in the center plays the video.

While FIG. 27 shows an example where the image is enlarged and played back on the screen, it is also possible to play back only the image portion of the video as shown in FIG. 28. When the video playback has finished, as shown in FIG. 28, if the patient wishes to watch the video again, he or she presses the "Watch Again" button 1001, or if the patient wishes to view the video by item, he or she presses the "View by Item" button 1002. After the patient has watched the video, he or she presses the "Next" button 1003, and a questionnaire screen (question and answer screen) as shown in FIG. 29 is displayed.

The questionnaire screen displays questions to gauge the patient's level of understanding and interest after watching the video. For example, for items such as "About the function of the stomach," "About the progression and metastasis of cancer," "About necessary tests," and "About the treatment to be received," patients are asked to indicate their level of understanding and interest on a five-point scale: "1: Don't know at all," "2: Don't know," "3: Neither," "4: Understood," or "5: Understood very well." In addition, there are items such as "Length of hospitalization and treatment," "Treatment costs," "About other treatments," "About work," and "About life after treatment," and patients can receive answers by checking the boxes for these items.

As shown in Figure 29, for example, when asked about the function of the stomach, they can answer "4: Understood," when asked about the progression and metastasis of cancer, they can answer "2: Don't know," when asked about the necessary tests, they can answer "5: Understood well," and when asked about the treatment they would like to receive, they can answer "3: Neither." In addition, when asking questions to medical professionals, they can check "Length of hospitalization and treatment," "About other treatments," and "About work."

When the "Next" button 1101 is pressed, the related consent form data is displayed as shown in FIG. 30. If it is determined that some or all of the understanding does not reach the standard value, the transition to confirmation of the consent form data may be restricted (for example, the "Next" button 1101 cannot be pressed, or an alert appears when pressed and the patient cannot proceed). In that case, the patient may press the "Return to video" button, deepen their understanding by watching the video again, and answer the questions again on the questionnaire screen. Alternatively, for example, a "Request further explanation" button (not shown) may be provided, and by pressing this button, the answering of the questions may be interrupted (and the answering results up to that point may be saved in the memory unit 120 of the server 100 if necessary), and the screen may transition to a hospital appointment screen, or to a screen where messages (particularly chat) with a medical professional or a chatbot can be exchanged.

30, for example, the "personal signature field" (which may be capable of inputting text data or may transition to an electronic signature input screen), the "agent signature field" and the "date of birth" are shown, but the "agent signature field" may not be shown. In addition, the consent form data shows that the optional input field corresponding to the explanation confirmation item has been selected, but in case the patient has doubts about this, a "request explanation from medical staff" button (not shown) may be provided, and by pressing this button, the signing of the consent form may be interrupted (if necessary, the input results up to that point may be saved in the memory unit 120 of the server 100), and the screen may transition to a hospital appointment screen, or to a screen where messages (particularly chat) can be exchanged with a medical staff or a chatbot. Alternatively or in addition to this, a list of explanatory material data linked to the patient identification information may be presented, and the contents may be confirmed again by selecting explanatory material data.

Access to the consent form data is not limited to transition from the explanatory material data described above. For example, access information for accessing the consent form data (e.g., a URL, link, two-dimensional code, one-dimensional code, etc.) may be presented to the patient, and the consent form data may be accessible via the access information. Alternatively, the access information may be for accessing a setting page for setting the destination email address or setting up SNS linkage, in which case access information to the consent form data may be further sent to the set email address or linked SNS to enable access. Alternatively, a password (particularly a one-time password) may be sent instead of the access information, and the consent form data may be accessible from a specified password input screen.

Then, as shown in FIG. 31, consent form data reflecting input information such as the signature is presented on the patient's second terminal device 300, and the signing process for the consent form data may be completed by pressing an "Agree" button.

<Processing flow>
A process flow of the information processing method executed by the information processing system 1 will be described with reference to the example of Fig. 32. Fig. 32 is a flowchart showing an example of the process of the information processing system 1 of Fig. 1 .

In step S101, the server 100 accepts input of patient information (particularly patient identification information) from the terminal device 200.

In step S102, the server 100 displays a list of consent form data so that it can be viewed from the terminal device 200.

In step S103, the server 100 accepts a consent form selection operation (particularly a selection operation from a list) from the terminal device 300.

As part of the processing of step S104, the server 100 displays the input items (basic information) and explanation confirmation item information related to the selected consent form data so that they can be viewed from the terminal device 200.

In step S105, the server 100 accepts a consent form issuance request from the terminal device 200.

In step S106, the server 100 receives a request to access the consent form data from the terminal device 300.

In step S107, the server 100 displays the requested consent form data so that it can be viewed from the terminal device 300.

In step S108, the consent form data is displayed on the terminal device 300, and input into input fields such as a signature is accepted.

In step S109, the server 100 receives a request to submit consent form data from the terminal device 300.

＜Effects＞
As described above, the information processing system etc. according to this embodiment identifies explanation check item information based particularly on the explanatory material data and associates it with the consent form data, thereby making it possible to present explanation check item information to the medical staff to check in advance when the patient signs the consent form by identifying the explanation check item information. Furthermore, if the explanation check item information includes status information, it becomes possible to know whether the explanation related to the consent form data has been completed.

In the above-mentioned information processing system and the like according to the embodiment, the explanation is mainly given using "consent form data" as an example, but any hospital-related document data (particularly, hospital-related document data accompanied by a signature, such as hospitalization plan (including hospitalization treatment plan) data) that requires confirmation from a visitor (mainly a patient) that a specific explanation has been given may be used, and in the above-mentioned embodiment, "consent form data" may be interpreted as any hospital-related document data. This makes it possible to use the present information processing system for various hospital-related document data that requires confirmation from a visitor (mainly a patient) that a specific explanation has been given, and by identifying explanation confirmation item information based on the explanatory material data and associating it with the hospital-related document data, it becomes possible to present explanation confirmation items that should be confirmed by medical personnel in advance when the patient signs the hospital-related document.

Although the disclosed embodiments have been described above, they can be embodied in various other forms and can be implemented with various omissions, substitutions, and modifications. These embodiments and variations, as well as omissions, substitutions, and modifications, are included in the technical scope of the claims and their equivalents.

Reference Signs List 1 Information processing system 100 Server 200 First terminal device 300 Second terminal device NW Network

Claims (9)

A specification processing unit that specifies explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
an association processing unit that associates the specified explanation confirmation item information with consent form data linked to the first patient identification information;
an information management unit that displays at least a portion of the specified explanation confirmation item information in association with the consent form data;
Equipped with
The explanation record data is
(1) Data to be recorded including completion information indicating that the explanatory material data has been sent to the user associated with the first patient identification information;
(2) data to be recorded including completion information indicating that the user has completed viewing of the explanatory material data;
(3) recorded data including information indicating that the user's level of understanding was determined to be equal to or higher than the standard as a result of the user's answer to a question regarding the explanatory material data;
(4) data to be recorded including completion information indicating that the medical professional has completed an explanation of the explanatory material to the user;
At least one of the following is included:
The explanation confirmation item information is information indicating explanation confirmation items regarding explanation contents that need to be explained in advance in relation to the consent data.
An information processing system comprising: The information management unit further includes a consent form data management unit that performs processing to issue the consent form data to a terminal device of a patient identified by the first patient identification information,
the consent form data management unit causes at least a part of the specified explanation confirmation item information to be displayed on a terminal device of a medical worker prior to the issuance process of the consent form data;
2. The information processing system according to claim 1 . The consent form data management unit displays, on the terminal device of the medical worker, a selection input item corresponding to the explanation item information indicating that the completion information is complete, in a selected state.
3. The information processing system according to claim 2. The information management unit superimposes the specified explanation confirmation item information on the consent form data and displays it on the terminal device of the medical staff.
4. The information processing system according to claim 1, wherein the information processing system is a data processing system. A consent form data generation unit is further provided for arranging predetermined input items on the acquired original consent form data to generate the consent form data.
4. The information processing system according to claim 1, wherein the information processing system is a data processing system. The input items include input items for medical staff only and input items for patients only, which include different items from each other.
6. The information processing system according to claim 5. A specification processing unit that specifies explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
an association processing unit that associates the specified explanation confirmation item information with consent form data linked to the first patient identification information;
an information management unit that displays at least a portion of the specified explanation confirmation item information in association with the consent form data;
Equipped with
The explanation record data is
(1) Data to be recorded including completion information indicating that the explanatory material data has been sent to the user associated with the first patient identification information;
(2) data to be recorded including completion information indicating that the user has completed viewing of the explanatory material data;
(3) recorded data including information indicating that the user's level of understanding was determined to be equal to or higher than the standard as a result of the user's answer to a question regarding the explanatory material data;
(4) data to be recorded including completion information indicating that the medical professional has completed an explanation of the explanatory material to the user;
At least one of the following is included:
The explanation confirmation item information is information indicating explanation confirmation items regarding explanation contents that need to be explained in advance in relation to the consent data.
A server comprising: Identifying, by an identification processing unit, explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
A step of associating the specified explanation confirmation item information and consent form data linked to the first patient identification information by an association processing unit;
displaying at least a portion of the specified explanation confirmation item information in association with the consent form data by an information management unit;
Including,
The explanation record data is
(1) Data to be recorded including completion information indicating that the explanatory material data has been sent to the user associated with the first patient identification information;
(2) data to be recorded including completion information indicating that the user has completed viewing of the explanatory material data;
(3) recorded data including information indicating that the user's level of understanding was determined to be equal to or higher than the standard as a result of the user's answer to a question regarding the explanatory material data;
(4) data to be recorded including completion information indicating that the medical professional has completed an explanation of the explanatory material to the user;
At least one of the following is included:
The explanation confirmation item information is information indicating explanation confirmation items regarding explanation contents that need to be explained in advance in relation to the consent data.
23. An information processing method comprising: a specific processing function unit that identifies explanation confirmation item information corresponding to explanation record data linked to the first patient identification information;
an association processing function unit that associates the specified explanation confirmation item information with consent form data linked to the first patient identification information;
an information management function unit that displays at least a portion of the specified explanation confirmation item information in association with the consent form data;
Realize this on a computer,
The explanation record data is
(1) Data to be recorded including completion information indicating that the explanatory material data has been sent to the user associated with the first patient identification information;
(2) data to be recorded including completion information indicating that the user has completed viewing of the explanatory material data;
(3) recorded data including information indicating that the user's level of understanding was determined to be equal to or higher than the standard as a result of the user's answer to a question regarding the explanatory material data;
(4) data to be recorded including completion information indicating that the medical professional has completed an explanation of the explanatory material to the user;
At least one of the following is included:
The explanation confirmation item information is information indicating explanation confirmation items regarding explanation contents that need to be explained in advance in relation to the consent data.
A program characterized by: