JP2003175119A - Method for managing radiation treatment information and radiation treatment information managing system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To form a schedule from the start of treating to the end by one time reservation issue. <P>SOLUTION: The radiation treatment information managing system comprises a treatment reservation managing means 12 for inputting a radiation exposure, its total amount and attendant information on a patient as patient's radiation treatment reservation information to preserve the reservation information on the radiation treatment including the patient's exposure at each time and the number of times of the treatments, a patient's schedule forming means 22 for generating and preserving a plurality of pieces of the patient's schedule information based on the radiation treatment reservation information, a treating unit schedule forming means 24 for forming and preserving the treating unit schedule in this day of each radiation treating unit from the patient's schedule information, and a treatment conducting record forming means 26 for forming the treatment conducting record based on the treating unit schedule information. In this system, the patient's schedule information and the treating unit schedule information are supplied to the treatment reservation managing means and used as the patient's treatment information. The treatment of a series of the reservation to the treatment conducting of the treatment can be automated merely by inputting the reservation information at one time. <P>COPYRIGHT: (C)2003,JPO

Description

Detailed Description of the Invention

[0001]

TECHNICAL FIELD The present invention relates to a radiation treatment information management method and a radiation treatment information management system.
For details, enter the treatment reservation information only once to complete the treatment reservation for the patient up to the final radiation treatment, and based on this radiation treatment reservation information, the treatment schedule of each patient and the work of the treatment machine itself. In addition to automatically creating a schedule, it is possible to automate the creation of radiation therapy information and to centrally manage it by enabling modification and modification of the schedule by changing or discontinuing treatment due to changes in the patient's condition. .

[0002]

2. Description of the Related Art The frequency of radiation treatment using X-rays is increasing. When performing radiotherapy on a patient, the flow from the decision to the actual radiotherapy is usually as follows. (1) The doctor (therapeutic doctor) in charge determines whether or not to carry out radiation therapy based on the examination using the affected part image in each medical department. (2) When it is decided to perform radiation therapy,
In order to know the treatment site or position, detailed treatment information is collected based on image information obtained from a CT device or the like. (3) The treatment method (treatment plan) for the affected area, such as the dose of radiation to be applied to the affected area, the irradiation time, and the irradiation method, is determined while simulating the information given to the treatment machine. (4) Based on the prepared treatment method, a radiation treatment schedule is established and this is issued as a radiation treatment reservation. (5) When the radiation treatment reservation is issued, the radiologist creates a work schedule (treatment device schedule) for each treatment device on the day of treatment in consideration of the conditions of the radiation treatment device and the treatment site. (6) Report the implementation of radiotherapy to the patient and the implementation status to the doctor in charge. The implementation information is also circulated to the accounting staff, and the medical fee reimbursement information for the patient on that day is created based on the implementation information. (7) For each treatment, enter the implementation information in the irradiation ledger after the treatment is completed. This work is repeated for the number of treatments (days) designated by the doctor in charge. Then, such treatment reservation to implementation work are performed for all patients (inpatients and outpatients).

[0003]

By the way, as described above, with respect to radiation therapy, it is necessary to take immediate action depending on the state of the moment. For example, depending on the physical condition of the patient, it is unavoidable to change or stop the treatment. Therefore, the procedure from the medical examination to the end of the radiotherapy often does not follow the schedule, and thus it is difficult to determine the flow up to the medical treatment fee information creation processing step. For this reason, conventionally, in particular, from the formulation of the treatment method to the recording on the irradiation ledger, in reality, all are manually performed.

Radiation treatment is rarely completed in only one day, and usually, radiation treatment is often performed on different days as designated by the attending physician. Then, the specified number of times of treatment, on the day of the treatment day, the above-mentioned processing (from reservation issuance to treatment) based on the prescription (treatment reservation slip) issued on that day
I do.

As described above, even if the total irradiation dose is designated in advance by the doctor in charge and the information is known in advance, the same content is written in the prescription on the day of treatment and is referred to the radiation department. Therefore, it is possible that the dose to be actually irradiated is wrong or the designated number of times is counted wrongly due to a mistake in writing the irradiation dose on the day. this is,
This is because the system is such that the reservation information for radiation treatment is issued each time treatment is performed.

Therefore, the present invention solves such a conventional problem, in particular, the reservation information for radiotherapy is first issued only once, and thereafter the contents of the schedule are determined from the contents of the reservation. At the same time, when there is a change in the reservation information, the changed contents are reflected in the subsequent schedule to avoid treatment mistakes, and it is possible to automate the process from the radiation treatment reservation to the entry of the irradiation ledger. And a management system is proposed.

[0007]

In order to solve the above-mentioned problems, in the radiation treatment information management method according to the present invention described in claim 1, basic information for radiation treatment and radiation irradiation used for one treatment are provided. A step of creating radiation treatment appointment information using the dose, the total irradiation dose in the series of treatments, and the incidental information of the patient, and generating a treatment schedule for each of multiple patients based on the radiation treatment appointment information of multiple patients Step, creating a treatment machine schedule for each treatment day for each radiation treatment machine from the patient schedule information, creating a treatment implementation record based on the treatment machine schedule information, the patient schedule information, the treatment Adding machine schedule information and treatment implementation record information as treatment management information. To.

Further, in the radiation treatment information management system according to the present invention as defined in claim 4, there is provided basic information for radiation treatment, radiation dose used for one treatment, and total radiation dose or treatment in a series of treatments. The number of times is input as radiation therapy appointment information, and the treatment appointment information management means for storing the information is generated, and treatment schedule information for each patient of a plurality of patients to be treated is generated based on the radiation treatment appointment information of a plurality of patients. , A patient schedule creating means for saving the same, a therapy machine schedule creating means for creating and saving a therapy machine schedule for each treatment day for each radiation therapy machine from the patient schedule information, and a therapy based on the therapy machine schedule information A treatment implementation record creating means for creating an implementation record is provided. It is fed back to the treatment reservation information management unit, the information, characterized in that it is utilized as a patient treatment information.

According to the present invention, the radiation treatment information (one irradiation dose and the total amount, and therefore the number of treatments) determined by the doctor in charge is reserved only once. After that, the irradiation dose on the treatment day is confirmed from this reservation information, and the treatment is performed. This is done until the last day of treatment. Therefore, there is no need to worry about receiving radiation treatment information from the doctor in charge on the treatment day, and it is possible to prevent erroneous entry of treatment details.

In order to realize radiotherapy for a plurality of patients based on the issuance of a reservation only once, a treatment schedule for each patient, that is, a patient schedule is created on a weekly basis from the reservation information. Schedule for each treatment device specified from this patient schedule information (treatment device schedule)
To create.

Since the treatment machine schedule information includes the irradiation dose of the patient automatically extracted from the reservation information, a rudimentary mistake such as treating the patient with an incorrect irradiation dose does not occur.

Since the treatment device schedule information is created from the patient schedule information, there is no inconvenient situation in which the treatment device reservation is full on the day and the treatment cannot be performed at the date and time designated by the doctor in charge. .

The patient schedule information, the treatment machine schedule information and the like can be modified and changed after they are created. After treatment, a treatment record is created. It is possible to create a record ledger or a medical treatment remuneration slip based on the treatment record. The doctor in charge and the like can view the patient schedule information, the treatment device schedule information, and the treatment implementation record information.

[0014]

BEST MODE FOR CARRYING OUT THE INVENTION Next, one embodiment of a radiation therapy information management method and a radiation therapy information management system according to the present invention will be described in detail with reference to the drawings. FIG. 1 is a systematic diagram of essential parts showing an embodiment of a radiation therapy information management system according to the present invention. This radiation therapy information management system 10 functions as a treatment reservation management means for issuing reservations.
The browsing unit 12 and the radiation treatment information management unit 14 are included.

The reservation issuing / viewing unit 12 stores reservation information (at least one dose of radiation irradiation of the patient and total irradiation dose (total irradiation dose) of the patient at the time of reserving the radiation treatment, and therefore, up to the last treatment date. The number of treatments), the patient schedule information and the treatment machine schedule information created based on the reservation information are stored as browsing information.

The radiation treatment information management unit 14 creates and saves patient schedule information and treatment machine schedule information, and creates and saves treatment execution record information, as will be described later, and manages these information.

Explaining from the reservation issuing / viewing unit 12, the reservation issuing / viewing unit 12 saves the patient's radiation therapy reservation information in file units for each patient as described above, and based on the reservation information. The created patient schedule information, treatment machine schedule information, and the like are saved as files, and these files are open to a large number of specified persons (doctors, nurses, radiologists, etc.) for free viewing.

The reservation issuing / browsing unit 12 functions as a treatment reservation management unit. Therefore, the treatment reservation management unit is constructed by a control unit such as a personal computer, and also has a relatively large capacity for storing a large amount of information. Means such as a hard disk device HDD 16 is provided. This storage means 16 stores information such as radiation therapy reservation information and treatment results, and can be added at any time.

A plurality of terminal devices 18 (18A to 18N) are connected to the reservation issuing / browsing unit 12. The terminal device 18 is installed in each of the medical departments, and is in charge of the doctor in charge (the attending doctor).
Or, it can be operated by a person who has the consent of the doctor in charge,
You can enter the details of the radiotherapy reservation and browse the results of the treatment saved in the reservation issuing / viewing unit 12. The terminal device 18 is usually connected to the reservation issuing / browsing unit 12 by a network such as a LAN.

The reservation issuing / browsing unit 12 is also connected to a terminal device 20 for accounting processing which functions as a medical fee creating means, and based on the radiation treatment implementation record information stored in the storage means 16. , A medical fee card for each patient is automatically created.

The radiotherapy information management unit 14 includes a patient schedule creating means 22 and a treatment machine schedule creating means 24.
And a database manager unit 26 including a treatment implementation record creating unit.

The patient schedule creating means 22 creates patient schedule information of all patients in the treatment facility that requires radiation therapy in units of a predetermined number of days based on the issued reservation information for each patient for radiation therapy. To do. Details will be described later. The created patient schedule information is saved (stored) in the storage means 23 such as the hard disk device HDD.

The treatment machine schedule preparation means 24 prepares a treatment schedule for the specified radiation treatment machine on the day. Even in the case of radiation therapy, the treatment machine to be used differs depending on the treatment content, and since the treatment machine is specified by the doctor in charge, it is necessary to create a schedule on the day of treatment for each treatment machine. Is. The treatment device schedule information is stored in the storage means 25 such as the hard disk device HDD.

The database manager section 26 functions as a section for creating and managing treatment record information.
Until the radiation treatment is completed, it is stored in the same file as treatment execution information. In addition, the treatment record information is stored for any designated period such as monthly or yearly.
Therefore, in addition to the first storage unit 27 that stores the treatment implementation record information for each patient in relation to the database manager unit 26, a second storage unit 27 that stores the treatment implementation record information as cumulative information in the medium to long term. Storage means 28 is provided. As the storage means 27 and 28, storage means such as a hard disk device HDD can be used.

A plurality of terminal devices 30 (30A to 30N) are connected to the radiation treatment information management section 14 via a LAN line or the like. These terminal devices 30 are used to correct the created patient schedule information, treatment device schedule information, and the like, and to obtain the treatment implementation information on the day. Of course, all of these information are terminal devices. It can be printed out by a printer (not shown) attached to 30.

Further, any of the patient schedule information, the treatment machine schedule information, the treatment execution record information and the like created and stored by the radiation treatment information management unit 14 are transferred to the reservation issuing / viewing unit 12 for internal storage. Means 16
Stored in. Therefore, the patient schedule creating means 2
2. The treatment machine schedule creating means 24 and the database manager section 26 are all connected to the reservation issuing / browsing section 12 using a LAN or the like.

Now, a processing example in the radiotherapy information management system 10 configured as described above will be described in detail with reference to FIG. FIG. 2 is an example of input information when reserving radiation therapy. As described in the related art, the reservation information is input when the treatment content is confirmed. In FIG. 2, in addition to the creation date, the patient name, and the doctor in charge, the treatment site (affected part) of the patient determined by the doctor in charge and radiation to the treatment site (for example, X-ray)
The irradiation dose (unit is gray Gy), the total irradiation dose (Gy), the treatment start date, the treatment interval, etc. are input using the terminal device 18. When two treatment machines are installed in the treatment facility as in the embodiment, one of the treatment machines is designated. In addition, the irradiation technique such as whether to perform the treatment in a fixed state or the treatment while rotating is specified.

Among these pieces of information, items such as energy, treatment start date, designated treatment machine, and irradiation technique are treated as basic information in the treatment reservation information. When these pieces of input information are confirmed, the medical doctor in charge is approved. Only after the approval of this doctor is given,
A reservation is issued for radiation therapy for the patient, and when the reservation is issued, the information is transferred from the terminal device 18 side to the reservation issuing / browsing unit 12 and stored.

Since the total irradiation dose is described in addition to the irradiation dose for one time when the reservation of radiation therapy is issued, the total number of irradiation doses determines the number of treatments. All the reservations for radiation therapy for the patient have been made just by issuing. Then, the issued treatment information is used as it is without being processed to create an actual treatment machine schedule.

In the prior art, since the irradiation dose for the patient on the day of treatment is designated and reserved for each radiation treatment, the burden of reservation can be eliminated as compared with the prior art, and the dose to be irradiated and the treatment can be eliminated. There is no mistake in the number of times.

FIG. 3 shows an example of a patient schedule. In this embodiment, a patient schedule for every week, next week, etc. is created. In this example, it is an example of a schedule table when there are 7 patients from Mr. A to Mr. G, and Saturday is a medical holiday.

In generating the patient schedule, information such as the treatment start date and the total dose (and thus the number of treatments) is created from the reservation information. Figure 2
Although only the treatment start date is described in, the medical doctor often specifies the treatment interval such as every other day or every three days, so the patient schedule shown in FIG. 3 is generated from such information. To be done. This patient schedule information is saved and can be modified.

FIG. 4 shows an example of a treatment machine schedule for the day. FIG. 4 illustrates the treatment machine A. Since the treatment machine is directly specified in the reservation information and the irradiation energy is specified, necessary information is extracted from this reservation information and patient schedule information and used as the treatment machine schedule information. . In this embodiment, information is collected for each patient, and the doctor in charge of the patient, the treatment site, the irradiation dose, etc. are described.

The radiologist uses this treatment machine schedule information to perform radiation treatment on the day. When performing radiation treatment, the radiologist creates a treatment record. FIG. 5 is an example of this treatment record. The treatment record is also organized on a patient-by-patient basis, and the doctor in charge of the patient, the presence or absence of treatment, the implementation dose for the designated dose, the irradiation energy, the technician in charge, and the like are described using the terminal device 30. Depending on the patient's physical condition, the treatment may be stopped or the dose may be smaller than the irradiation dose instructed by the doctor in charge. Therefore, the description items prepared for such a case are prepared.

This treatment record is stored in the first storage means 27 which is stored for each treatment machine, and therefore this treatment record can also be used as a recording ledger. The treatment implementation record information, which is the record ledger, is transferred to the reservation issuing / browsing unit 12 together with the patient schedule information and the treatment machine schedule information described above, and is stored therein. Therefore, the doctor in charge can understand the treatment status of the patient by browsing the information in the reservation issuing / browsing unit 12 from the terminal device 18. Further, if the accounting system is activated using the terminal device 20, it is possible to automatically create a medical treatment remuneration slip for the patient by referring to the treatment implementation record information.

FIG. 6 shows an embodiment of a radiation treatment information management procedure for realizing the radiation treatment information management method according to the present invention. First, when it is decided to perform radiotherapy for a patient, the patient's treatment information is input to issue a patient's treatment reservation, and the information is stored (step 41).

Next, a patient schedule, which is a treatment schedule for a plurality of patients, is automatically created and saved based on the reserved and issued radiation treatment information (step 42). At the same time, this patient schedule information is transmitted to and stored in the reservation issuing / browsing unit 12. When the patient schedule information is changed, the patient schedule information is updated. If not changed (step 43),
A work schedule for each treatment machine, that is, a treatment machine schedule is created and saved (step 44). The treatment machine schedule information (including update information) is also transferred to and stored in the reservation issuing / viewing unit 12.

When the radiotherapy is performed on the basis of the schedule of the treatment machine, the treatment record information is created thereafter.
This medical treatment record information is transferred to the reservation issuing / browsing unit 12 and stored therein, and at the same time, a medical treatment remuneration slip for a patient designated in response to a request from the accounting system is created and stored (steps 45, 46, 47). ).

As described above, when the management system using the radiation treatment information management method according to the present invention is used, only one appointment input by the doctor in charge of radiation treatment is required to manage the patient schedule, carry out the treatment, and further perform the treatment. It is possible to automate the processes involved in a series of radiation treatments up to the accounting process.

In other words, the radiation treatment information (one irradiation dose and its total amount, and therefore the number of treatments) determined by the doctor in charge is input and stored only once in the reservation issuing / browsing unit 12,
After that, it is only necessary to confirm the irradiation dose on the treatment day from this reservation information and perform the treatment. Therefore, there is no need to receive the radiation treatment information from the doctor in charge each day on the treatment day for treatment, and it is possible to prevent erroneous entry of the treatment details.

Since the patient information which is reserved and issued only once includes information necessary for subsequent processing,
By using the patient schedule creating means 22 and the treatment machine schedule creating means 24, it is possible to easily generate the treatment schedule for each patient only by extracting necessary information from the patient information stored therein. At this time, the treatment machine schedule information using the specific treatment machine includes the irradiation dose of the patient automatically extracted from the reservation information, and since only that information is copied, the patient with the wrong irradiation dose is treated. There are no rudimentary mistakes to treat.

Since the treatment machine schedule information is created from the patient schedule information, there will be no inconvenient situation that the treatment machine cannot be executed at the date and time designated by the doctor in charge because the reservation of the treatment machine on the day is full. .

After the treatment, a treatment execution record is created, and since the treatment execution record includes information necessary for medical fees such as the patient name, treatment site, and irradiation dose, it functions as a treatment execution record creating means. Database manager unit 26
By using the accounting system, it is possible to automatically create a medical treatment fee voucher for the patient.

The patient schedule information, the treatment machine schedule information, the treatment record information and the like are collectively stored in the reservation issuing / viewing unit 12, so that the doctor in charge can view the information at any time. The progress status of the treatment can be grasped in real time, and can be utilized for the subsequent treatment.

In the above-mentioned embodiment, X is used as the radiation.
Although a line is shown as an example, radiation other than X-rays can be similarly applied.

[0046]

As described above, according to the present invention, at least the radiation irradiation dose and the total irradiation dose thereof are input so that the entire treatment schedule from the start to the end of the treatment of the patient is created. It is a thing.

According to this, a series of processes related to radiation therapy from the reservation to the patient schedule management and the accounting system can be automated by making only one appointment of the doctor in charge of radiation therapy.

In other words, the radiation treatment information (one irradiation dose and the total amount thereof and therefore the number of treatments) decided by the doctor in charge is input only once, and thereafter the irradiation dose on the treatment day is confirmed from this reservation information. , You just have to treat. Therefore, there is no hassle of receiving radiation treatment information from the doctor in charge each time on the treatment day and performing treatment,
It is possible to prevent erroneous entry of treatment details.

Since the patient information that has been reserved and issued only once includes information necessary for subsequent processing,
By extracting the necessary information from the patient information, the treatment schedule for each patient can be easily generated. At this time, the treatment machine schedule information using the specific treatment machine includes the irradiation dose of the patient automatically extracted from the reservation information, and since only that information is copied, the patient with the wrong irradiation dose is treated. There are no rudimentary mistakes to treat.

Since the treatment machine schedule information is created from the patient schedule information, there is no inconvenient situation in which the treatment machine is reserved for the day and the treatment cannot be performed at the date and time designated by the doctor in charge. .

After the medical treatment, a medical treatment record is created, and since the medical treatment record includes information necessary for medical fee such as patient name, treatment site and irradiation dose, the medical fee record for the patient is recorded from this record. Can be created automatically.

Since the patient schedule information, the treatment machine schedule information, the treatment record information, and the like are collectively stored in the reservation issuing / viewing unit, the doctor in charge can view the information at any time. It has features that it can grasp the progress status of treatment in real time and can be utilized for subsequent treatment.

[Brief description of drawings]

FIG. 1 is a systematic diagram of a main part of a radiation therapy information management system according to the present invention.

FIG. 2 is a diagram showing an input example of treatment appointment information.

FIG. 3 is a diagram showing a patient schedule table.

FIG. 4 is a diagram showing a treatment device schedule table.

FIG. 5 is a diagram showing a recording ledger for each treatment machine.

FIG. 6 is a flowchart showing an embodiment of a radiation treatment information management method according to the present invention.

[Explanation of symbols]

10 Radiation Treatment Information Management System 12 Reservation Issuing / Browsing Unit 14 Radiation Treatment Information Management Unit 18, 30 Terminal Device 22 Patient Schedule Creating Unit 24 Treatment Machine Schedule Creating Unit 26 Database Manager Unit Including Treatment Implementation Record Creating Unit

Claims (7)

[Claims] 1. A step of creating radiation treatment appointment information using basic information for radiation treatment, radiation dose used for one treatment, total irradiation dose in the series of treatments, and patient's accompanying information. A step of generating a treatment schedule for each of a plurality of patients based on the radiation treatment appointment information of a plurality of patients; a step of creating a treatment device schedule for each treatment day for each radiation treatment device from the patient schedule information; A radiotherapy information management method comprising: a step of creating a treatment implementation record based on machine schedule information; and a step of adding the patient schedule information, the treatment machine schedule information and the treatment implementation record information as treatment management information. . 2. The radiation treatment information management according to claim 1, further comprising a step of correcting and changing the radiation treatment reservation information, the patient schedule information, and the treatment machine schedule information based on input information from a terminal device. Method. 3. The radiation treatment information management method according to claim 1, further comprising the step of creating medical treatment remuneration information for the patient based on the treatment implementation record information. 4. A treatment reservation in which basic information for radiotherapy, radiation dose used for one treatment, total irradiation dose in a series of treatments or the number of treatments are inputted as radiotherapy reservation information and stored. Information management means, a patient schedule creation means for generating treatment schedule information for each patient of a plurality of patients to be treated based on the radiation treatment reservation information of the plurality of patients, and storing the information, and a radiation schedule based on the patient schedule information. A treatment machine schedule creating means for creating and storing a treatment machine schedule for each treatment day for each treatment machine, and a treatment execution record creating means for producing a treatment execution record based on the above-mentioned treatment machine schedule information. The schedule information and the treatment machine schedule information are fed back to the treatment reservation information management means, and the information is provided to the patient. Radiotherapy information management system characterized in that it is utilized as a care information. 5. A plurality of terminal devices are connected to the treatment reservation information management means, and the radiation treatment reservation information can be input and the treatment management information can be browsed using these terminal devices. The radiotherapy information management system according to claim 4. 6. A plurality of terminal devices are connected to the patient schedule creating means and the therapy machine schedule creating means, and the patient schedule information is modified and acquired and the therapy machine schedule information is modified using these terminal devices. The radiation treatment information management system according to claim 4, wherein the information is acquired. 7. The radiotherapy information management system according to claim 4, wherein the medical treatment record information is supplied to a medical treatment fee creating means to automatically calculate the medical treatment fee of the patient.