JP2002065614A - Examination system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an examination system that inhibits and prevents the delay of diagnosis by an examiner who diagnoses depending on the result in examinations. SOLUTION: This system judges an examination data D inputted from an examination device 21 based on a criterion DO stored in a criterion DB 31 and stores the judgment result H and the examination data D in an electronic clinical chart K, and the system is also provided with an examination data processor WS 32 that outputs the judgment result H and the contents in the electronic clinical chart K, an electronic clinical chart DB 33 that stores the outputted electronic clinical chart K, an alarm 41 that issues a warning depending on the judgment result H inputted from the examination data processor WS 32, a means 42 for inputting a request Y to inspect the contents in the electronic clinical chart K and a terminal display 43 that displays the electronic clinical chart K stored in the electronic clinical chart DB 33 according to a request Y.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an inspection system, and more particularly, to an inspection system that outputs test data and a judgment result in response to a request for output of the test data and the judgment result by a diagnostician who makes a diagnosis based on the test data and the judgment result. It is related to the improvement of.

[0002]

2. Description of the Related Art Conventionally, various tests and measurements (measurements) have been performed in hospitals and clinics in order to identify a disease of a visiting patient and to diagnose the progress or cure of the disease. I have.

[0003] That is, a patient who comes to a hospital or the like first
In the consultation room, a doctor consults, palpates, and performs a simple visual examination.Based on the results, various tests and measurements such as blood tests, urine tests, radiographic images, electrocardiogram tests, and ultrasonic tomography tests are performed by the doctors. The patient receives these tests in a dedicated laboratory separate from the consultation room, and returns to the consultation room again after the examination to receive a detailed diagnosis by a doctor based on the test data. become.
At the time of this diagnosis, since the diagnosis is performed based on the test data as described above, it must be performed after the test data is output. Therefore, doctors generally examine other patients or compile medical records until test data is available.

[0004]

However, in recent years, automatic determination of test data in hospitals, computerization,
Networking has progressed, and the examination data obtained in the examination room is automatically judged by examination data processing means and the like, and the examination data and the judgment result are stored in a database such as a file server. Can access the database from the terminal device in the examination room through a network built in the hospital, and display the inspection data and the determination result on the terminal device in the examination room so that they can be browsed.

[0005] Conventionally, inspection data and judgment results are browsed through the above-mentioned network only when a doctor who views them issues the request. Unless the doctor inputs the request, that is, the doctor, Unless the user spontaneously accesses the database, the user cannot browse the inspection data and the determination result.

The examination room and the examination room are generally separated from each other, and the examination data is obtained in the examination room. Therefore, the doctor in the examination room asks when the examination data is obtained and when the judgment result is output. Since the doctor has no knowledge of the fact and is busy busy examining other patients until the test data and the judgment result are obtained, the doctor cannot spontaneously access the database in a timely manner.

[0007] On the other hand, when test data that requires urgent treatment is output for a certain patient, the physician should make an immediate diagnosis based on the test data and take appropriate measures (treatment) thereafter. There is a need. However, as described above, since the doctor cannot access the database in a timely manner, there is a concern that the timing of diagnosis is delayed and the response is delayed.

The present invention has been made in view of the above circumstances, and has as its object to provide an inspection system capable of suppressing or preventing a delay in diagnosis by a diagnostician who makes a diagnosis according to a test result. It is.

[0009]

The test system of the present invention, when the test result is not good, issues a warning before the diagnostician performs an operation of browsing the test data, and provides the diagnostic data to the diagnostician. By prompting the user to browse the results, the delay of the response is suppressed or prevented.

That is, the inspection system of the present invention makes a determination on input test data based on the criterion storage means for storing the criterion for the inspection data and outputs the result of this determination. Test data processing means, result storage means for storing the test data and the result of the determination, result output means for outputting the test data and the result of the determination stored in the result storage means in response to a request, Irrespective of the presence or absence of the output by the result output means, an alarm means for outputting an alarm in accordance with the result of the determination outputted from the test data processing means, wherein at least the alarm means and the result output means , Which is arranged in an examination room for performing a diagnosis based on the test data.

Here, the test data includes a blood test,
Not only data (white blood cell count, HDL / LDL cholesterol level, protein, sugar, TP level, uric acid, etc.) obtained by so-called tests and analysis such as urinalysis, hearing test, and intraocular pressure test Data (cardiothoracic ratio, spinal curvature, bone density, etc.)
The concept also includes a result of computer-aided image diagnosis processing using a radiological image (eg, the presence or absence of an abnormal shadow candidate), and is intended to include any data as long as the data is a basis for diagnosis.

The criterion stored in the criterion storage means means a reference value required to determine whether the test data is in a normal range or an abnormal range (abnormal range, required follow-up observation range, etc.). Things. It should be noted that a reference value required to determine whether the abnormal range is an abnormal range or a follow-up observation range may also be included.

When a plurality of types of inspection data are inputted, the inspection data processing means may make a judgment for each of the plurality of inspection data, or two out of the plurality of inspection data. The determination may be performed on data obtained by combining the above. Of course, in this case, it is needless to say that it is necessary to apply a reference storage unit in which reference values corresponding to data obtained in such a combination are stored in advance.

It is preferable to apply, as the examination data processing means, means for further recording the examination data and the results of the judgment in an electronic medical record for each patient in accordance with a predetermined format. As the storage means, an electronic medical record in which the test data and the result of the judgment are recorded is stored in place of the test data and the result of the judgment, or together with the result of the test data and the judgment. Instead of the results or together with the test data and the results of the judgment,
An electronic medical record in which the inspection data and the result of the determination are recorded may be output.

The result output means is a display device for displaying the inspection data and the result of the judgment (including the above-mentioned electronic medical record, the same applies hereinafter), a printer for printing on a recording medium such as paper, and the like. To output in response to a request means to output (display, display,
Print etc.). Therefore, the configuration may further include output request input means for inputting the request to the result output means. As such an output requesting means, an input device such as a mouse used in a computer interface can be applied.

Specifically, the alarm means is for issuing an alarm when the judgment result indicates that the test data is in an abnormal range. The alarm means an audible effect (sound generation) or a visual effect (light effect). Is preferred. Because it is appropriate to draw attention. For example, there is a method of emitting a sound from a speaker or emitting a red light or a strobe. Of course, when a terminal device such as a workstation or a personal computer is applied as the result output means, an alarm may be issued by a speaker or a monitor device provided in the terminal device.

The examination room is a representative area or space in which a doctor examines a patient or examines examination data or an electronic medical record on a monitor or the like to make a diagnosis. This is a room or the like where a doctor who has read the above inspection data and the like. Therefore, "examination room"
The name itself is not tied. In the examination room, at least a warning unit and a result output unit may be provided, but a reference storage unit and a test data processing unit may be further provided. It is only necessary that the device for transmitting the test data is arranged in a place different from the examination room (for example, a test room or an analysis room).

In the inspection system of the present invention,
When the result of the determination indicates a range in which the inspection data is not normal, an alarm is output by the alarm unit, and the inspection data and the determination result are also output to the result output unit regardless of the presence or absence of the output request. You may do so. In this case, a result output unit that outputs the test data and the determination result according to the request or the determination result may be applied instead of the result output unit that outputs the inspection data and the determination result according to the request. That is, when the result of the determination indicates a range in which the test data is not normal, as described above, the result output means outputs the test data and the determination result regardless of the presence or absence of the output request, and When the result indicates that the inspection data is within the normal range, the inspection data and the determination result may be output in response to the output request.

[0019]

According to the inspection system of the present invention, the inspection data processing means derives a judgment result by comparing the input inspection data with the reference value stored in the reference storage means, and derives the judgment result. While storing the determination result in the result storage means, and outputting the determination result to the alarm means in the examination room,
The alarm means outputs an alarm when the determination result is a result indicating that the test data is not in a normal range, and instructs the diagnostician in the examination room to output the test data and the determination result to the result output means. Can be prompted, and the diagnosis can be made faster than before. In particular, when test data that requires urgent action is issued, the diagnostician has forgotten to make a request to output the test data and the determination result even though the test data has already been issued, or the timing of the request. Therefore, it is not possible to make an immediate diagnosis due to delay in browsing the inspection data and the determination result, and it is possible to prevent the user from being left without taking appropriate measures.

That is, in the prior art, even if the test data and the judgment result are output and these are already stored in the result storage means, the diagnostician inputs an output request to the result output means. Unless otherwise, it was not possible to browse the judgment results, for example, concurrently examining other patients or writing medical records,
Although the timing of inputting the output request may be delayed, as described above, according to the inspection system of the present invention,
For example, even if the examination of another patient is performed in parallel, the judgment result is output, and if the judgment result indicates that it is not good, an alarm is output in the examination room Therefore, the diagnostician can interrupt the examination of another patient or the like, input the test data and the output request of the determination result at an appropriate timing, and can take appropriate measures for the test data.

[0021]

DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, specific embodiments of the inspection system of the present invention will be described with reference to the drawings.

FIG. 1 is a diagram showing the configuration of an embodiment of the inspection system of the present invention. The illustrated inspection system 10 includes an inspection apparatus 21 provided in an inspection room 20 of a hospital and a criterion database (hereinafter, referred to as a criterion DB) provided in a data processing room 30 and storing a criterion D0 for test data D. .) 31 and a determination criterion D0 stored in the determination criterion DB 31 to make a determination on the inspection data D input from the inspection apparatus 21 via the network 50, and to make a determination result H and the inspection data D Is recorded in the electronic medical record K, and an inspection data processing workstation (hereinafter referred to as an inspection data processing WS) 32 for outputting the determination result H and the electronic medical record K, and a test data processing WS 32
An electronic medical record database (hereinafter, referred to as an electronic medical record DB) 33 for storing the electronic medical record K output from the medical device, and a determination result H input from the test data processing WS32 via the network 50 provided in the examination room 40. An alarm 41 that emits a warning sound in response to the request, a request input unit 42 that inputs a viewing request Y for the electronic medical record K stored in the electronic medical record DB 33, and a network that responds to the request Y input from the request input unit 42. Electronic medical record D through 50
The electronic medical record K stored in B33 is read out, and a display terminal 43 for displaying the electronic medical record K is provided.

The inspection device 2 provided in the inspection room 20
Reference numeral 1 denotes an integrated configuration of an inspection device itself and a terminal into which inspection data obtained by the inspection device itself is input (may be automatic or manually input by an operator). It was done.

The request input means 42, the display terminal 43, and the alarm 41 provided in the consultation room 40 may be of an integral construction as a consultation terminal.

Similarly, the reference DB 31 and the medical record DB 33 provided in the data processing room 30 may be an integrated database, or may be built in the inspection data processing WS 32.

Inspection data D sent from the inspection device 21
The electronic medical record K stored in the medical record DB 33 includes, as header information, an ID (identi) corresponding to each patient.
fication) is electronic data in which a number is recorded.

Next, the operation of the inspection system 10 of the present embodiment will be described.

First, a patient who has been instructed by a physician to perform an examination in an examination room 40 of a hospital, for example, has a disease of cardiac hypertrophy
In the examination room 20 of the examination room hospital, a radiographic image of the chest is taken by the examination device 21, and the operator interprets the obtained radiographic image to measure the width of the heart and the width of the rib cage. Guo ratio to test data (measurement data) D
Is input to the inspection device 21. Here, since each patient is given an ID number for identifying the patient, the operator inputs the examination data D into the examination apparatus 21 in association with the ID number of the patient, and the ID number is the header of the examination data D. Information. The test data D input to the test device 21 is transmitted to the network 50 constructed in the hospital.
The data is transferred to the data processing room 30 through.

The examination data D transferred to the data processing room 30 is inputted to the examination data processing WS32, and the examination data processing WS32 receives the inputted examination data D (type of examination data; "cardiothoracic ratio" in the present description). Criteria D corresponding to
0 is read from the criterion DB 31, and the inputted test data D is compared with the criterion D0 to determine whether or not the test data D is in the normal range.

The examination data processing WS32 includes the patient ID recorded in the header information of the inputted examination data D.
Based on the number, the electronic medical record K associated with the same ID number as the ID number is read from the electronic medical record DB 33, and the inspection data D and the determination result H as to whether the inspection data D are within the normal range are read out by the electronic medical record. Append to Chart K. Because the patient with this ID number is the first visit, the chart DB
If the electronic medical record K corresponding to the ID number does not exist in the ID 33, the inspection data processing WS32 creates a new electronic medical record K in association with the ID number, and sets the inspection data D and the determination in the created medical record K. The result H may be recorded.

The inspection data processing WS32 further adds the inspection data D and the determination result H to the medical record K,
In addition to storing the result in B33, the determination result H is transmitted to the consultation room 40 where the doctor is located via the network 50. The determination result H sent to the examination room 40 is input to the alarm 41.

When the judgment result H indicates that the test data D is within the normal range, the alarm device 41 to which the judgment result H is input has no effect. Indicates that the inspection data D is in an abnormal range, a warning sound is issued.

That is, since the doctor in the examination room 40 is examining another patient or the like, even if the examination data D of the patient who has undergone the examination has a distracted attention, the examination is not performed. The determination result H that the patient's test data D is not normal can be immediately recognized by the warning sound emitted from the alarm 41, and the examination of other patients is interrupted, and the request input means 42 is used. By inputting the request Y for displaying the electronic chart K of the patient who has undergone the examination to the display terminal 43, the display terminal 43 transmits the electronic chart K of the patient who has undergone the examination from the medical chart DB 33 via the network 50. Can be read out and displayed on the display surface. Thereby, the doctor can view the electronic medical record K of the patient who has undergone the examination, which is displayed on the display terminal 43, on the display terminal 43 with good timing after the examination, and can make a quick diagnosis and take appropriate treatment. Can be taken in a timely manner.

On the other hand, when the judgment result H indicating that the test data D of the patient who has undergone the test is normal is input, the alarm 41 does not emit a warning sound, so that the doctor interrupts the examination of another patient. When the patient who has undergone the examination finishes the examination and returns to the examination room 40 again, the doctor uses the request input means 42 to view the examination data D and the judgment result H. , Electronic medical records K of patients who have been examined
Is input to the display terminal 43, and the display terminal 43 reads out the electronic medical record K of the patient who has undergone the examination from the medical record DB 33 via the network 50 and displays it on the display surface.

As described above, the inspection system 10 of the present embodiment
According to the above, the alarm 41 outputs a warning sound when the determination result H is a result indicating that the test data D is in an abnormal range.
In addition, it is possible to encourage the user to view the determination result H, and to speed up the diagnosis. In particular, when test data D requiring an urgent response is output, the doctor forgets to request the output of the test data D and the determination result H even though the test data D has already been output. Since the timing of the request is bad, the inspection data D and the judgment result H are delayed to be viewed, so that it is not possible to make an immediate diagnosis, and it is possible to prevent the inspection data D and the determination result H from being left without taking appropriate measures. .

In the inspection system 10 of this embodiment, when the judgment result H indicates that the inspection data D is not normal, the alarm 41 outputs a warning sound and the request input means 42 A configuration for controlling the examination data processing means 32 and the display terminal 43 so that the electronic chart K of the patient who has undergone the examination is automatically displayed on the display terminal 43 regardless of the presence or absence of the input of the output request Y. May be adopted.

Also, regardless of the contents of the judgment result H, the electronic medical record K of the patient who has undergone the examination is automatically displayed on the display terminal 43.
A configuration may be adopted in which the test data processing means 32 and the display terminal 43 are controlled so as to be displayed on the screen.

[Brief description of the drawings]

FIG. 1 is a diagram showing a configuration of an embodiment of an inspection system of the present invention.

[Explanation of symbols]

 10 Inspection system 20 Inspection room 21 Inspection device 30 Data processing room 31 Inspection data processing WS 32 Judgment criteria DB 33 Medical chart DB 40 Examination room 41 Alarm 42 Request input means 43 Display terminal 50 Network

 ────────────────────────────────────────────────── ─── Continuing on the front page (72) Inventor Takeshi Okubo Takeshi 798, Kaisei-cho, Ashigara-gun, Kanagawa, Japan Fuji Photo Co., Ltd. F-term (reference) 5C087 AA02 AA12 AA22 AA24 AA44 BB03 BB74 DD03 DD29 EE05 EE18 FF18 FF02 FF19 FF20 GG08 GG19 GG23 GG66

Claims (4)

[Claims] A reference storage unit for storing a criterion for test data; a test data processing unit for making a determination on input test data based on the criterion, and outputting a result of the determination; A result storage unit that stores the test data and the result of the determination, a result output unit that outputs the test data and the result of the determination stored in the result storage unit as required, and a result output unit. Irrespective of the presence or absence of the output, comprising: an alarm unit that outputs an alarm according to the result of the determination output from the inspection data processing unit, wherein at least the alarm unit and the result output unit are based on the inspection data. An examination system, wherein the examination system is arranged in a consultation room for performing diagnosis. 2. The examination system according to claim 1, wherein an examination room for transmitting the examination data input to the examination data processing means is different from the examination room. 3. The test data processing means further performs a process of recording the test data and the result of the determination in an electronic medical record for each patient according to a predetermined format. In place of the test data and the result of the determination or together with the test data and the result of the determination, the electronic medical record in which the test data and the result of the determination are recorded, wherein the result output means, 2. An electronic medical record in which the test data and the result of the determination are recorded in place of the test data and the result of the determination or together with the test data and the result of the determination. Or the inspection system according to 2. 4. The inspection system according to claim 1, wherein the warning unit outputs the warning by an auditory effect and / or a visual effect.