JP2001273365A - Cooperative medical service supporting method and cooperative medical service support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a cooperative medical service support system capable of performing efficient cooperative medical service by plural diagnosticians. SOLUTION: When a doctor 14 to request approval wishes the cooperative medical service by plural diagnosticians, an approval order is generates by an operation of an approval order input part 24. In this case, the order contents are created by using information inputted in an order input part 16, etc., and approval destination is selected from a shared network by retrieving an approval destination storage table set in a specified range by an order approval check part 26. The generated approval order is transferred to the side of the doctor 14A to whom the approval is requested via a doctor/section transmitting part 28, the contents are examined and an investigation result of the approval order is returned to the doctor 14 to request approval.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a cooperative medical support method and a support system, and more particularly to a support method and a support system for performing efficient cooperative medical treatment by a plurality of diagnosers.

[0002]

2. Description of the Related Art Conventionally, when a doctor performs medical treatment for a patient, it is general that one doctor examines one patient and performs various diagnoses and medical treatments. In the course, the name of the disease is determined according to the judgment of the doctor in charge, and a treatment policy and the like are established. In addition, the attending physician also prescribes various medicines, arranges tests, and if necessary, arranges hospitalization. Recently, the medical diagnosis support system using a computer has been used to convert doctors'
It is now stored as electronic data. In addition, instructions based on the diagnosis, for example, instructions on the prescription contents of medicines, instructions on injection contents, instructions on examination contents such as radiation, hospitalization instructions, instructions on meal contents, and the like are also input as various orders and stored in the database as electronic data. The information is accumulated and transmitted to the relevant departments (pharmacies, testing departments, nursing departments, etc.) and appropriate processing is performed.

[0003] As described above, in most cases, the physician's decision or treatment policy is determined by the physician in charge. However, depending on the type of the disease, the location of the disease, the condition of the patient, etc. You may need to consult your doctor's opinion. Furthermore, if necessary, it may be necessary to consult doctors in other hospitals or other departments, or rent equipment at other hospitals to carry out further workups.

[0004] In such a case, usually, a doctor contacts another doctor or another hospital via a personal network to obtain necessary information.

[0005]

The diagnosis by a doctor is required to be quick and accurate. As described above, when performing medical treatment in cooperation with a plurality of doctors, hospitals, and the like, the diagnosis and diagnosis are similarly performed quickly and accurately. Is required. However, there is a limit to the network of individual doctors, and it cannot be said that cooperation with other doctors, departments, and other hospitals is always performed efficiently. Also, even when cooperating with other doctors,
At present, "introduction letters" and "inquiry letters" are used as usual, and a great deal of effort and time is spent on creating these documents and communicating with the other party.

[0006] The size and quality of networks owned by doctors also vary. As a result, even when coordinating with multiple doctors and hospitals, the judgment and quality may vary, and some doctors may be overloaded. In some cases, it does not work.

The present invention has been made in view of the above-mentioned conventional problems, and an object of the present invention is to provide a cooperative medical support method and a support system capable of performing efficient, high-quality, stable cooperative medical treatment by a plurality of diagnosers. To provide.

[0008]

In order to achieve the above object, the present invention relates to a cooperative medical support method for performing cooperative medical treatment by a plurality of diagnosers, comprising: a data input step of inputting medical data; A requesting step of requesting cooperative medical care based on data, a content determining step of determining cooperative medical care content based on the medical care data, a cooperating party determining step of determining a cooperating party based on the determined content, It is assumed that the method includes a transmitting step of transmitting the linked medical care content first, and a receiving step of receiving a response to the transmitted linked medical care content from the link destination.

In order to achieve the above object, in the present invention, the cooperation destination determination step includes a step selection step of selecting a cooperation destination while expanding a predetermined search range in a stepwise manner.

In order to achieve the above object, according to the present invention, the step of selecting a step selects a specific cooperating destination when the corresponding cooperating destination cannot be searched even if the search range is expanded to a predetermined range. I do.

According to another aspect of the present invention, there is provided a cooperative medical support system for performing cooperative medical care by a plurality of diagnosers, comprising: a data input unit for inputting medical data; A requesting section for making a medical request, a content determining section for determining the contents of a coordinated medical treatment based on the medical treatment data, a partner determining section for determining a partner based on the determined contents, and cooperative medical treatment for the determined partner. The transmitting unit includes a transmitting unit that transmits the content and a receiving unit that receives a response from the cooperation destination to the transmitted cooperative medical treatment content.

[0012]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of the present invention will be described below with reference to the drawings.

FIG. 1 is a block diagram showing a configuration concept of a cooperative medical support system (hereinafter simply referred to as a support system) 10 according to the present embodiment. The support system 10 is provided with an input / output device (for example, including input means such as a keyboard, a mouse, a pointer, and a pen input device and display output means such as a display) 12. On the display 12a of the input / output device 12, personal data (name, age, address, past illness history, etc.) of the patient and disease data (disease site, disease name, In addition to the part for inputting symptoms, degree of progress, etc., as a medical treatment order (treatment policy instructions, etc.) according to the symptoms of the disease, for example, prescription contents of medicine, injection instructions, examination contents instructions such as radiation, hospitalization instructions, An order input unit (data input unit) 16 for inputting information for transmitting a meal content instruction and the like to each department, a medical order database 18 for storing medical orders input to the order input unit 16 and the like, a medical order database Department interface 2 for transmitting instructions to each department (pharmacy, testing department, nursing department, etc.) 20 according to the contents of the medical care order stored in 18
2 and so on.

On the display 12a of the support system 10 according to the present embodiment, if the doctor 14 determines that it is necessary to cooperate with other doctors, hospitals, or related organizations according to the patient's condition. Request for co-medicine with them (medical form for requesting approval of whether or not the judgment of doctor 14 is appropriate or requesting examination of diagnosis results) and create necessary approval order (document indicating approval contents) Approval order input section (request section, content confirmation section) 24, an order to select an approval destination from affiliated hospitals, related doctors, related departments, etc. in accordance with the contents of order input, approval request, etc., and transmit the order Approval check section (cooperation destination determination section) 26, doctor / department communication section (transmission section, reception section) 28 serving as an interface for transmitting information to other doctors, hospitals, and related organizations, and other doctors for doctor 14's approval request And hospital, seki An approval / decision input unit 30 for presenting a response from an institution or the like to the doctor 14 who has requested approval, or prompting the doctor 14 to make a final decision, an order data storage unit 32 for storing data on an approval request destination, a request record, and the like. Contains.

As shown in FIG. 1, the doctor who has requested approval (hereinafter referred to as an approved doctor) 14A also sends the above-mentioned approval request to the doctor (hereinafter referred to as the doctor / section communication unit 28). A support system 10A having the same configuration as that of the approval requesting doctor 14 (the same configuration is denoted by "A" in the drawing) is provided. Note that FIG. 1 shows a configuration in which the approval requesting doctor 14 side is mainly used, so that the department interface and each section of the approved requesting doctor 14A side are omitted.

As will be described in detail later, the approved doctor 1
4A approves the contents of the approval request from the approval requesting doctor 14 /
Received on the decision input unit 30A, a response to the content of the approval request is created by the approval / decision input unit 30A, etc., and further, the order data storage unit 32A, the medical treatment order database 18
A, order approval check section 26A, doctor / department communication section 2
After 8A, etc., a reply is sent to the doctor 14 requesting approval.

The support system 10 configured as described above
The operation of (10A) will be described with reference to FIGS.

The approval requesting doctor 14 uses a keyboard, a mouse, a touch input, a pen input and the like to input patient's personal data, disease data, medical treatment order, and the like to a predetermined position on the display 12a of the support system 10. (Data entry step). Normally, the display 12a displays a personal data screen, a disease data screen, and a medical care order screen, for example, in a hierarchical manner, and the approval requesting doctor 14 places necessary data in a predetermined position for each item displayed on the screen. Will be entered. For example, in FIG.
The medical order screen 34, that is, the order input unit 16
And a screen including an approval order input unit 24.
On the upper left side of the medical treatment order screen 34, for example, touch switches 16 such as “prescription”, “examination”, and “radiation” are displayed.
a, 16b, 16c, etc. (examples of three) are formed, and when the "prescription" touch switch 16a is touched, a special screen for prescribing a drug to the patient is displayed in the lower part of the order request content list display section 36. Will be displayed. Doctor 1 requesting approval
4 inputs necessary items, for example, the type of medicine, the dosage, the administration method, etc., in accordance with the instructions on the prescription dedicated screen displayed on the order request content list display section 36. Of course, the input may be made in a free text format in a form desired by the approval requesting doctor 14. Similarly, the touch switch 16 of “inspection”
b, By operating the "radiation" touch switch 16c or the like, a dedicated screen is developed and necessary items can be input. Note that necessary order items can be added and changed as appropriate.

The medical order input on the prescription-only screen, examination-only screen, radiation-only screen, and the like is stored in the medical order database 18. Then, in the case of a normal medical order, that is, when the patient's illness state is accurately recognized and the treatment policy or the like is determined, an automatic instruction button (not shown) is operated to perform the medical treatment at a necessary timing. Necessary information is read from the order database 18 and transmitted to each department 20 via the department interface 22. As a result, appropriate treatment for the patient is performed.

On the other hand, on the upper right side of the medical treatment order screen 34, a touch switch 24a for "approval order registration" is formed as the approval order input section 24. The touch switch 24a is used when the approval requesting doctor 14 determines that it is necessary to ask other doctors, hospitals, or related organizations for an opinion or to examine the response to the patient. Touching the touch switch 24a of "approval order registration" displays an approval order screen on the lower order registration unit 38 (request step).

FIG. 2B shows an example of the approval order screen 40.
Is shown in On the approval order screen 40, an approval content selection key 40a for selecting approval content is displayed and formed. The approval content selection key 40a is a key for selecting what is required for approval. For example, items such as a disease name, a test content, a prescription content, and a hospitalization reservation are listed, and can be arbitrarily selected. Further, on the approval order screen 40, an approval destination selection key 40b is formed. The approval destination selection key 40b is a key for selecting a selection format when an approval destination is specifically selected, and includes "automatic" and "destination designation". When "automatic" is selected, the approval content selection key 40a
, An optimal destination is selected and presented from registered doctors, hospitals, related departments, etc., based on the contents of the selection by the user, that is, what approval is required. For example, when "disease name" is selected with the approval content selection key 40a,
A specialist familiar with the disease is selected. Further, when "test content" is selected, a hospital having facilities capable of performing this test and its staff are selected. The selection of the approval destination when "automatic" is selected will be described later. On the other hand, if “designate destination” is selected, the approval requesting doctor 14 can directly specify a specific approval destination desired (cooperation destination determination step).

Further, on the approval order screen 40, a touch switch 40c of "insert template" and a touch switch 40d of "order copy" are displayed and formed. When the touch switch 40c of “insert template” is touched, the approval content selection key 40a and the approval destination selection key 4
One or a plurality of templates for creating an approval request document (approval order) reflecting the contents selected in 0b are presented to the request content description unit 40e. When a plurality of templates are presented, for example, if template 1 is selected, based on the data that the approval requesting doctor 14 has already entered, “○○
Teacher, age xx year old, male, current situation, etc., and judge as ..., what do you think? Please give us your opinion. Is created. Similarly, if another type of template 2 or 3 is selected, an approval request document having a different pattern is appropriately created. Also,
If you touch the touch switch 40d of "order copy",
Various contents displayed on the order request content list display section 36 in FIG. 2A can be copied and inserted or attached to the approval request document displayed on the request content description section 40e. Of course, touch switch 40c of "template insertion"
The requesting doctor 14 can arbitrarily create the request contents without using the touch switch 40d of “Order Copy” or the like, and can modify the approval request document based on the selected template, or approve the approval. It is also possible to freely add to the request document (content determination step).

When the contents of the approval request are confirmed, if the user touches the "approval request" touch switch 40f shown in the lower part of the approval order screen 40, the contents of the approval request are transmitted to the order approval check section 26 and the doctor / department communication section 28. (See FIG. 1), the approval request destination selected, that is, the doctor 1 to be approved
It is transferred to the 4A side (transmission step).

The flowchart of FIG. 3 shows a procedure for determining a specific approval destination (cooperation destination determination step).
First, the support system 10 reads an unprocessed order (S100). Here, the unprocessed orders are all orders that are input to the order input unit 16 and stored in the medical order database 18. Then, support system 1
In the case of 0, the order type is determined (S101). That is, whether the read unprocessed order is a normal order, that is, an order that determines that cooperation (approval) with other doctors, hospitals, or related organizations is not necessary, or an approval order, that is, an order that requires cooperation (approval) Make a determination. This determination is made by referring to FIG.
Can be determined based on whether or not the “approval order registration” touch switch 24a shown in FIG. If the approval requesting doctor 14 does not use the touch switch 24a,
The support system 10 checks that the target order is
It is determined that the order is a normal order, the approval destination determination process is completed, and the corresponding order is transferred to each department 20 at a predetermined timing via the department interface 22 to perform various medical treatments.

On the other hand, if the approval requesting doctor 14 uses the “approval order registration” touch switch 24 a, it is determined that the currently targeted order is an approval order, and the order approval check of the support system 10 is performed. The part 26 is
It is determined whether a specific approval destination is specified (S10).
2). This determination is also made by the approval destination selection key 40b shown in FIG.
Judgment is made based on the usage status of When a specific approval destination is specified, the order approval check unit 26 registers information on the approval destination in the approval destination storage table of the order data storage unit 32 (S103). At this time, if the input approval destination is new, the approval destination is additionally registered in the approval destination storage table. In the case of an approval destination who has made an approval request in the past, the number of requests and the like are registered in the approval destination storage table of the order data storage unit 32 as the approval request result. Thereafter, the approval order (approval request document) created on the approval order screen 40 is completed with the specified approval destination as the destination, set as transmission data, and transferred to the doctor / department communication unit 28 (S104). As a result, the approval order is sent to the physician / department communication unit 28A on the side of the doctor 14A requesting approval.

If it is determined in (S102) that there is no designation of the approval destination, that is, if the approval destination selection key 40b
In the case where “automatic” is selected, the order approval check unit 26 first checks the approval order screen 4 shown in FIG.
According to the content selected by the approval content selection key 40a of 0, the approval destination search range is set to the minimum (S105). For example, when a disease name is selected with the approval content selection key 40a, a minimum search range is set centering on doctors who have dealt with similar diseased cases among specialists of the disease. Similarly, when an examination content is selected, a minimum search range is set around a hospital having facilities capable of performing the examination in detail. In this way, by setting the search range to be small at first, it is possible to quickly select an optimum approval destination. Then, the approval destination storage table is searched based on the set search range (S106), and the processing content of the subsequent stage is determined based on the search result (S1).
07). That is, when the search number S = 1, the order approval check unit 26 completes the approval order (approval request document) shown on the approval order screen 40 with the search result as the destination, and then transmits the search result. It is set as data and transferred to the doctor / department communication unit 28 (S10)
8). As a result, the approval order is the requested doctor 14A.
Is sent to the doctor / department communication unit 28A on the side. At this time, the order approval check unit 26 registers in the approval destination storage table of the order data storage unit 32 the number of requests to the approval destination as the approval request result.

When the number of search cases S ≧ 2, the approval requesting doctor 14 selects a true approval destination from a plurality of selected approval destinations (candidates) as an optimum approval destination for reviewing the approval order. Therefore, the destination is set to the approval requesting doctor 14 (requester), and the search result is set as transmission data (S109).
The data is transferred to the doctor / department communication unit 28 (S104). Then, the doctor / department communication unit 28 displays a plurality of approval destinations (candidates) on the display 12a. At this time, for example, the approval / decision input unit 30 appears instead of the approval destination selection key 40b (display of "automatic / address designation") shown on the approval order screen 40 of the approval requesting doctor 14. That is, the process changes to the presentation of a specific approval destination (candidate), and the approval requesting doctor 14 selects the optimum approval destination from the plurality of presented approval destinations. The selected approval destination stores the order data storage unit 32 as the number of requests to the approval destination as the approval request result.
Is registered in the approval destination storage table. When this operation is performed, an approval order (approval request document) being created on the approval order screen 40 shown in FIG. 2B is completed. in this case,
Since the approval order is an unprocessed order and an order for which an approval destination is designated, when the unprocessed order is read again in (S100) of the flowchart of FIG. Then, it is determined that there is an approval designation destination, and the flow shifts to (S103), where the processing is performed in the above-described procedure.

If the search number S = 0 in (S107), the order approval check unit 26 expands the search range of the approval destination by one step (S110) (step selection step).
Here, one-step expansion means that, for example, the search target is expanded from a specialist who has handled the same case to a specialist who has handled the same type of case (difference in disease site, difference in progress state, etc.). In the process for expanding the search target area from Tokyo to Kanto, the preset range is expanded stepwise. Thereafter, it is determined whether or not the range expansion processing has been expanded to a predetermined range (S111). Here, the predetermined range is, for example, a range in which a doctor's specialty is expanded to a quasi-specialty, or a range in which a region is expanded to the whole country. If not expanded to the predetermined range, (S11
The approval destination storage table is set based on the search range set in (0), and the process proceeds to (S106) to perform the search operation again. If the number of search cases becomes S ≧ 1 by expanding the search range, the processing of (S108) or (S109) becomes possible. According to the above-described procedure, the approval order is transmitted to the doctor / department of the doctor 14A on the side of the requesting doctor 14A. It will be sent to the unit 28A.

On the other hand, if it is determined in (S111) that the enlargement has been completed to the predetermined range, the destination is set as the request source and the reference approval destination is set as the transmission data (S11).
2) Transfer to the doctor / department communication unit 28 (S104).
Here, the search range is, for example, three stages (small range, middle range,
Limit values are set to (large range). This is because, even if the search is performed in a large range, if the number of search cases is S = 0, the possibility that an appropriate opinion (comment) cannot be obtained from the approval destination increases even if the search range is further expanded and the approval destination is selected Because you do. The reference approval destination is, for example, a specific coordination partner such as the chief responsibility of the hospital where the approval requesting doctor 14 is enrolled or the head of the medical office of a university hospital, and a person who can make a maximum study on the target approval content. To make the approval requesting doctor 14 determine whether or not to make an approval request to the person. Also in this case, the doctor / department communication unit 28 displays the reference approval destination (usually a plurality) on the display 12a. At this time, for example, the approval / decision input unit 30 appears instead of the approval destination selection key 40b (display of "automatic / address designation") shown on the approval order screen 40 of the approval requesting doctor 14. That is, it changes to the presentation of a specific reference approval destination, and the approval requesting doctor 14 determines and selects whether or not to request approval from the presented reference approval destination. The selected reference approval destination is registered in the approval destination storage table of the order data storage unit 32 as the reference approval request result. When this operation is performed, FIG.
The approval order (authorization request document) being created on the approval order screen 40 shown in (b) is completed. In this case, it is preferable that a comment such as a request for approval is given as a reference. Also in this case, the approval order is an unprocessed order and an order for which an approval destination is designated.
When the unprocessed order is read again in 100),
In (S102), it is determined that there is an approval designation destination, and (S102)
The process proceeds to 103), and the processing is performed in the above-described procedure.

When the approval destination is determined, the doctor / department communication unit 2
8, as shown in the flowchart of FIG. 4, the approval order and the approval destination are formally determined (S200), and the approval requesting doctor 14 sends the approval / recipient to the doctor / department communication unit 28A of the approval destination support system 10A (see FIG. 1). The received approval order is transferred (S201).

FIGS. 5A and 5B show the support system 1.
An example of the approval order screen 34A displayed on the display 12Aa on the 0A side is shown. Display 12
Aa also displays a variety of information on a hierarchical screen, similar to the display 12a on the support system 10 side. The configuration of the approval order screen 34A is substantially the same as the approval order screen 34 of the support system 10 shown in FIGS. 2 (a) and 2 (b).
Touch switches 16Aa, 1 for "inspection", "radiation", etc.
6Ab, 16Ac, and a touch switch 24Aa of “approval order registration” are formed as the approval order input unit 24A. The order input unit 16A uses the order request content list display unit 36A to allow the requested doctor 14A to create a new prescription order for the approval order sent from the approval requesting doctor 14 or to perform a new examination. Used to create an order. Also, this is used to create various orders, for example, when the approved doctor 14A is on the approval requesting side. Also, the touch switch 24Aa is used in the same manner as described above when the approved requesting doctor 14A is on the approval requesting side, but when the approval order from the support system 10 arrives, the "confirmation order registration" is displayed as "confirmation order". Is additionally displayed, and furthermore, the letter of "Approval order registration confirmation" is displayed.
A sound such as reverse blinking, a change in display color, or a beep sound is output to notify the requested doctor 14A of the arrival of the approval order.

When the approved requesting doctor 14A touches the touch switch 24Aa displayed as "approval order registration confirmation", an approval order arrival screen 42 shown in FIG. 5B is developed in the lower order registration section 38A. You. On the approval order arrival screen 42, the contents of the approval order from the approval requesting doctor 14 of the support system 10 are displayed in the request content description section 4.
2e. The approved doctor 14A examines the contents of the displayed approval order, and creates an appropriate reply comment as necessary.

As shown in FIG. 5B, on the approval order arrival screen 42, an approval content selection key 42a, a transfer destination selection key 42b, a comment addition key 42c, an order copy key 42d, a request content description part 42e, An approval key 42f and the like are displayed and formed. The approval content selection key 42a is
It is provided to determine whether or not it is necessary to transfer the requested approval content to another department based on the approval content.
For example, if the requested approval content relates to an examination, it is necessary to adjust the availability of the examination room of the hospital where the approved doctor 14A is registered and the schedule of the person in charge. In this case, when "automatic" is selected by the transfer destination selection key 42b, the approval contents requested by the necessary parties are transferred. Of course, if it is not necessary to transfer the other requested approval contents, the approval completion doctor 1
4, the approval requesting doctor 14 is automatically selected as the destination. Also, with the transfer destination selection key 42b,
If "designate destination" is selected, the requested approval content can be further transferred to the party whom the requested doctor 14A considers necessary. The comment addition key 42c is used to display a template (preferably a plurality) of comments for the requested approval content in the request content description section 42e, and select the template to easily reply to the requested approval content. Can be created. For example, "I think that Mr. XX's judgment is correct. I think that you can proceed with your treatment according to your current policy. Please contact me anytime if you have any. ] And "In my judgment, I think there is a suspicion of XX." Therefore, why not look at the following inspections? If you want to do the following inspections, I can prepare for the inspection. Please contact me if necessary. ] Is presented.
Then, necessary information is inserted into the blank portion, and the answer document can be completed. Also, the order copy key 42
By using d, the order request content list display section 3
It is possible to copy and attach the contents of the prescription and the contents of the inspection prepared in 6A. Of course, a comment can be freely entered in the request content description section 42e in a free text format.

By using the approval key 42f, it is possible to transmit the created answer document to the approval requesting doctor 14, but for example, the approval content selection key 42a
According to the contents selected in step (1), before giving an answer to the approval requesting doctor 14, the approved requesting doctor 14 A further checks and examines information exchange (examination status of an examination room, reservation status of hospitalization, etc.). If necessary, the approval requesting doctor 14 is excluded from the transfer destination, and after exchanging necessary information, a comprehensive answer is returned to the approval requesting doctor 14.

FIG. 6 shows a data management procedure relating to the requested approval order on the support system 10A side of the approved requesting doctor 14A. As previously mentioned,
The support system 10A first includes an approval / decision input unit 30A
(S300), the requested doctor 14A examines the contents of the displayed approval order. Then, the approved requesting doctor 14A determines whether to approve the requested approval order (S301). In the case of approval, that is, when the views of the approval requesting doctor 14 and the approval requesting doctor 14A match, the approval order is registered in the medical treatment order database 18A, and the approval requesting doctor 14A is registered.
The database on the side is constructed (S302). That is,
Remember as a professional opinion on similar cases and expand your database and network.

Then, the destination is set to the order issuer, that is, the approval requesting doctor 14, and as described above, a response document is created in the request content description section 42e based on the examination result, and the content is approved by the medical care order base 18A. It is registered as a record (S303). Thereafter, the order approval check unit 26
A, doctor 1 requesting approval via doctor / department communication unit 28A
The 4 side responds to the approval order.

On the other hand, if it is determined that the approval cannot be made in (S301), that is, if the views of the doctor 14 and the doctor 14A do not match, the destination is set to the order issuer, that is, the doctor 14. Then, a response document indicating that the approval cannot be made (a request of the doctor 14A to be approved, a request for reconsideration, etc.) is created and registered as an approval completion record in the medical treatment order base 18A (S303). Thereafter, a non-approval response to the approval order is made to the approval requesting doctor 14 via the order approval check unit 26A and the doctor / department communication unit 28A.

The approval requesting doctor 14 is a doctor / department communication unit 2
The approval / input determination unit 30 develops the response document of the requested doctor 14A sent via the server 8 (reception step),
Consider its contents. As a result of the examination, when the approval requesting doctor 14 and the approved requesting doctor 14A agree, the approval order for which approval has been requested is changed to the normal order, and the normal order processing is performed as shown in the flowchart of FIG. To respond to the patient. If the approval requesting doctor 14 and the approved requesting doctor 14A do not agree with each other, the medical treatment policy is reviewed, a further approval order is created, and the like, and an accurate medical treatment policy is established.

As described above, when the approval requesting doctor 14 determines that it is necessary to cooperate with another doctor, a hospital, or a related institution, the cooperative medical treatment (such as requesting an opinion on the judgment of the doctor 14 or diagnosing the diagnosis) is required. It is possible to promptly request a medical form for examining the results), and select the most appropriate approval destination from the shared network of hospitals, regions, etc., rather than the doctor's personal network, as well as the request destination (approval destination). can do. Further, the database can be constructed at any time while performing cooperative medical care.

It should be noted that, in the present embodiment, the medical care order screens 34, 34A and the approval order screens 40, 40A
And the like are merely examples, and it is desirable to appropriately change the contents as needed. In addition, various touch switches 16a, 1
6b, 16c, 24a, 40a, 40b, 40c, 40
d, 40e, 40f, etc. may be fixed push switches, dial switches, slide switches, or the like. Also,
The order contents indicated by the touch switches 16a, 16b, 16c and the like are also examples, and are desirably changed as appropriate. Further, in the present embodiment, an example is shown in which an approval request is made between hospitals, but the request may be made in a hospital. Further, in the present embodiment, an example has been described in which one doctor completes the process with one approval request to one doctor, but one doctor issues an approval request to a plurality of doctors, The approval may be examined between a plurality of doctors.

[0041]

As described above, according to the present invention, when it is determined that cooperation with other doctors, hospitals, and related organizations is necessary, the contents of the cooperation and the cooperation are determined based on the input medical data. Since the destination is quickly determined and the contents of the coordinated medical care are transmitted and received, efficient and prompt coordinated medical care by a plurality of diagnosers can be performed.

Further, according to the present invention, the cooperation destination is determined while gradually expanding the predetermined search range, so that a highly reliable cooperation destination can be quickly searched.

Further, according to the present invention, when the corresponding partner cannot be searched even if the search range is expanded to the predetermined range,
Since the specific cooperation destination is selected, it is possible to reliably perform the cooperative medical treatment.

[Brief description of the drawings]

FIG. 1 is a conceptual configuration diagram illustrating a cooperative medical support system according to an embodiment of the present invention.

FIG. 2 is an example of a medical care order screen displayed on a display of a doctor requesting approval of the cooperative medical support system according to the embodiment of the present invention.

FIG. 3 is a flowchart illustrating a procedure for determining a specific approval destination in the cooperative medical support system according to the embodiment of the present invention.

FIG. 4 is a flowchart illustrating an operation of a doctor / transmission unit in the cooperative medical support system according to the embodiment of the present invention.

FIG. 5 is an example of an approval order screen displayed on the display of the doctor requesting approval in the cooperative medical support system according to the embodiment of the present invention.

FIG. 6 is a flowchart illustrating a data management procedure for an approval order on the side of an approved requesting doctor in the cooperative medical support system according to the embodiment of the present invention.

[Explanation of symbols]

10, 10A Cooperative medical support system (support system), 12, 12A Input / output device, 12a, 12Aa
Display, 14 Approval requesting doctor, 14A Approved requesting doctor, 16, 16A Order input section, 18, 18A
Medical order database, 20 departments, 22 department interfaces, 24, 24A approval order input section, 2
6, 26A order approval check section, 28, 28A doctor / department communication section, 30, 30A approval / decision input section, 3
2, 32A order data storage unit.

Claims (4)

[Claims] 1. A cooperative medical support method for performing cooperative medical care by a plurality of diagnosers, a data input step of inputting medical data, a requesting step of requesting cooperative medical care based on the medical data, and the medical data. A content determination step of determining the content of the cooperative medical care based on the content of the cooperative medical care; a step of determining a cooperative medical care destination based on the content of the determination; a transmitting step of transmitting the content of the cooperative medical care to the determined cooperative medical care; A receiving step of receiving a response to the content from the cooperating destination; 2. The cooperative medical support method according to claim 1, wherein the cooperating destination determining step includes a step of selecting a cooperating destination while gradually expanding a predetermined search range. 3. The collaborative medical support method according to claim 2, wherein the step of selecting includes selecting a specific partner when the corresponding partner cannot be searched even if the search range is expanded to a predetermined range. . 4. A cooperative medical support system for performing cooperative medical care by a plurality of diagnosticians, a data input unit for inputting medical care data, a requesting unit for requesting cooperative medical care based on the medical care data, and the medical care data A content determination unit that determines the content of the cooperative medical care based on the content, a cooperation destination determination unit that determines the cooperative medical care based on the content of the determination, a transmission unit that transmits the content of the cooperative medical care to the determined cooperate, and the transmitted cooperative medical care. A cooperative medical support system, comprising: a receiving unit that receives a response to the content from the cooperating destination.