JP2006116034A - Information retrieval device, inspection information retrieval device, method for information retrieval, and method for inspection information retrieval - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide technique for carrying out retrieval processing efficiently. <P>SOLUTION: In the subject inspection information retrieval device 400, a retrieving style setting part 706 sets a plurality of retrieval styles based on setting instruction from a user. A logic operator setting part 708 sets a logic operator between the retrieval styles based on condition-deciding instruction from the user. In this case, the logic operator setting part 708 decides the logic operator based on the number of times of clicking a mouth by the user. Whenever the user clicks the mouth selecting the retrieval style, the logic operator setting part 708 switches the logical operators of at least AND and OR periodically, and decides the logic operator depending on the number of timed of clicking the mouth to the retrieval style. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to an apparatus and method for retrieving information.

Conventionally, there is a system capable of inputting and referring to information in accordance with an endoscopic examination workflow (see, for example, Patent Document 1). In the system disclosed in Patent Literature 1, inspection execution information can be input, and the input execution information can be used for accounting processing.
Japanese Patent Laid-Open No. 2002-73615

  Data such as the execution information of each test is used for statistical processing. Although the search process is troublesome, it is preferable that the search process can be executed efficiently and easily because it is a work performed frequently in daily work.

  The present invention has been made in view of the above circumstances, and an object thereof is to provide a technique capable of efficiently executing a search process.

  In order to solve the above problems, an information search apparatus according to an aspect of the present invention has a function of searching information stored in a database according to a conditional expression. The information search apparatus according to this aspect sets a search expression setting unit that sets a plurality of search expressions based on a setting instruction from a user, and sets a logical operator between the search expressions based on a condition determination instruction from the user. A logical operator setting unit; a plurality of search expressions; and a conditional expression generation unit that determines a conditional expression by a logical operator between the search expressions. The logical operator setting unit determines the logical operator based on the number of times the user operates the input device.

  According to this aspect, the conditional expression can be set by a simple input device, and a new user interface in the search process can be realized.

  The logical operator setting unit periodically switches at least the AND and OR logical operators each time the user operates the input device while selecting a search expression, and depends on the number of times the input device is operated for the search expression. A logical operator may be determined. The setting instruction and the condition determination instruction from the user may be made from a single input device that executes only the selection instruction. For example, when the input device is a mouse, the user can determine the logical operator by simply clicking the mouse, and the input operation can be simplified.

  Another aspect of the present invention is an information search method. This method is an information retrieval method for retrieving information stored in a database in accordance with a conditional expression, and includes a step of setting a plurality of retrieval expressions based on a setting instruction from a user and a condition determination instruction from a user. And a step of setting a logical operator between the search expressions, a plurality of search expressions, and a step of determining a conditional expression by the logical operator between the search expressions. In the step of setting the logical operator, the logical operator is determined based on the number of times the user operates the input device.

  The examination information retrieval apparatus according to still another aspect of the present invention has a function of retrieving information relating to a medical examination stored in a database according to a conditional expression. The inspection information retrieval apparatus according to this aspect includes an output format setting unit that sets an output format for outputting a search result to a file from a plurality of options, a conditional expression generation unit that generates a search conditional expression, and a conditional expression Therefore, a search execution unit that executes a search and an output unit that outputs the search result to a file in a set output format are provided.

  According to this aspect, since the user can select the output format of the search result, the search result can be acquired according to the purpose of use, and for example, statistical processing can be efficiently executed.

  The plurality of output formats may include an output format that outputs related data in association with one diagnosis content. In this case, the output unit may not output the related data associated with the normal diagnosis content to the file, but may output only the related data associated with the abnormal diagnosis content to the file.

  Yet another embodiment of the present invention is an inspection information search method. This method is an examination information retrieval method for retrieving information on a medical examination stored in a database according to a conditional expression, and setting an output format for outputting a search result to a file from a plurality of options; The method includes a step of generating a search conditional expression, a step of executing a search according to the conditional expression, and a step of outputting the search result to a file in a set output format.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, etc. are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, the technique which can perform a search process efficiently can be provided.

Embodiments of the present invention will be described below with reference to the drawings.
FIG. 1 shows a hardware configuration of an endoscopic examination management system according to the present embodiment. This endoscopic examination management system mainly includes a GW (gateway) 1 for exchanging data with other departments in the hospital, an acceptance terminal 2 for accepting examinations, and an input / examination terminal for conducting examinations. 3, a search terminal 4 that displays and inputs images and various information, and a server 5 that records data. Each terminal device is connected by a network (LAN) distributed by a HUB 7.

  Each terminal device includes a personal computer 8, a monitor 9, a keyboard 10, and a mouse 11 as a basic configuration, and is connected to a network via a LAN card 18 mounted on the personal computer 8. The GW 1 includes a UPS (uninterruptible power supply) 15 in addition to the above basic configuration, and can cope with an unexpected power failure. The reception terminal 2 includes a magnetic card reader 12 in addition to the above basic configuration. This reception terminal 2 is used for inspection reception work, and is installed at a reception counter in a department.

  The input / inspection terminal 3 includes a magnetic card reader 12, a compression / expansion device 13, and an electronic endoscope device 14 in addition to the above basic configuration. The compression / decompression device 13 is connected to the electronic endoscope device 14 via a video cable and a communication cable. The compression / decompression apparatus 13 is connected to the personal computer 8 via an I / F card 19 mounted in the personal computer 8. This input / inspection terminal 3 is used at the time of inspection and is installed in the inspection room.

  The search terminal 4 has only the above basic configuration. It is mainly installed in conference rooms because it is used for conference work. The server 5 is installed in a server room and includes a UPS 15 in addition to the above basic configuration, and can cope with an unexpected power failure. For data recording, a plurality of network HDDs connected to the server 5 via the HUB 7 may be provided. At this time, a unique media number is assigned to each of the plurality of network HDDs, and the server 5 manages each network HDD.

  The electronic endoscope apparatus 14 is the same as a generally known electronic endoscope apparatus. Although not shown in detail, the electronic endoscope apparatus 14 includes an electronic endoscope and a processor device for processing and outputting a video signal. Composed. The electronic endoscope has an elongated insertion portion for insertion into the body and an operation portion provided at the rear end of the insertion portion. The operation unit is provided with a release switch for giving a release instruction, and an image can be recorded by pressing the release switch.

  FIG. 2 shows the software configuration of the present endoscopic examination management system. Various application software, databases, and the like are installed and operated in the hard disk in each terminal device. The GW application software 20 operates on the GW 1.

In the hard disk 24 on the server 5, the database 21 operates, and a compressed image 22 and inspection report information 23 captured by the input / inspection terminal 3 are recorded and stored.
The server 5 has a function of notifying another terminal device of a server failure message when some trouble occurs. The occurrence of a failure is, for example, a case where the disk capacity is full. Since no operator is basically arranged in the server room, it is necessary for the server itself to detect a server failure and notify other terminal devices.
At this time, if the network between the server 5 and another terminal device is in an offline state, the server preferably stores the message until the network is restored, and transmits the message when the network is online. Thereby, it is possible to notify the operator of the terminal device that a failure has occurred in the server, and the operator can take a quick response.

  When there are a plurality of data storage network HDDs, the server 5 may store various data in the network HDD. At this time, the server 5 periodically monitors the failure information and remaining capacity information of the network HDD based on the assigned media number. When any trouble occurs in the network HDD, the server 5 notifies the other terminal device of an HDD failure message. If the communication with another terminal device is in an offline state, it is preferable to wait for the online state and notify the other terminal device of an HDD failure message.

  The software configuration of the reception terminal 2, the input / examination terminal 3, and the search terminal 4 is common, and is used by doctors, nurses, and the like according to the purpose. On these terminal apparatuses, main application software 27 operates. The main application software 27 mainly includes a management function DLL (dynamic link library) 28, an inspection work DLL 29, a conference DLL 30, and a statistics / history DLL 31. A compressed image 36 can be temporarily stored in the hard disk 35.

  Note that the input / inspection terminal 3 is connected to a compression / decompression device 13 for image recording / compression, so that an image can be captured by inspection. On the compression / decompression apparatus 13, a compression / decompression apparatus program 37 operates, and a compressed image 38 can be temporarily stored in a memory in the apparatus. As described above, the compression / expansion device 13 is connected to the electronic endoscope device 14.

  Next, the operation of this endoscopic examination management system will be described. First, the type of information that is information relating to the inspection and that is to be managed by this system will be described. The information managed by this system mainly includes the following types 1 to 4.

1. Patient information / Patient basic information Information for specifying one patient, and includes “patient ID”, “name”, “date of birth”, “gender”, and the like. “Patient ID” is a number uniquely corresponding to each patient so that each patient can be identified.
・ Patient profile information Information indicating the patient's characteristics and status, including “blood type”, “height / weight”, “allergy”, “disorder”, “infection”, “disease, precautions”, “specimen test results "," Pre-medication information ", etc.

2. Examination request information This is information relating to an examination request (order) when an examination request is made from another medical department to the endoscope department. Order key information (such as “order number”, “date and time of occurrence”), requester information (such as “request department name”, “request doctor name”, “request date”), order information (“request disease name”, “examination purpose”) ”,“ Examination type ”,“ Examination item ”,“ Examination site ”,“ Comment ”,“ Schema diagram ”, etc.), examination reservation information (“ Examination date ”,“ Execution time ”etc.), etc. Sent from the HIS (Hospital Information System) functioning as a management system to the department system. The order key information is information for uniquely identifying one inspection order.

3. Inspection implementation information (accounting information)
This is information related to the contents of the inspection, and includes “Performance Date / Time”, “Performer”, “Performance Location”, “Procedure”, “Chemicals”, “Equipment” and the like. Information such as the “procedure” performed, “medicine” used, and “equipment” is used for accounting. These pieces of information are transmitted from the endoscope department system to the HIS and processed by the HIS accounting system.

4). Inspection result information (report, report information)
This is information relating to the inspection result, and is information serving as a report (report) for the inspection request. It consists of "report date", "reporter", "diagnosis", "findings", "treatment", "comments", "post-inspection caution / instruction", "image", "schema image", etc. In addition to being able to refer to the medical image filing system in the endoscopic department, it is also possible to refer to each departmental system by being transmitted from this system to the HIS. Therefore, it is possible to refer to the inspection result (report) in the department that has requested the inspection.

Next, the transition of each function screen will be described.
<System startup / termination>
FIG. 3 shows a system start / end screen 90. Select the inspection work icon 52, conference icon 53, statistics / history icon 54, management function icon 55 corresponding to the DLLs 28 to 31 of the main application software 27, enter the user ID and password, and log in to activate each function. It has become.

The “inspection work” function is a function used in normal endoscopic inspection work. A series of examination operations including patient arrival confirmation, pretreatment execution input, imaging, execution input, and report input can be performed.
The “conference” function can search for inspections, display inspection images, and display and edit inspection reports.
The “statistics / history” function can perform various data aggregation (monthly report, annual report, implementation list (daily report), data list by setting free items), scope use history, and search for examinations that require follow-up.
The “management function” function is a function performed by the system administrator, and an access restriction is imposed on the execution. Various settings used in this system, order collation / integration, transmission log display, etc. can be performed.

  FIG. 4 shows the configuration of the table / master managed in the database 21 in the server 5. The user ID and password are managed on the staff master 56, and are compared with the input user ID and password. If there is no difference, each function is activated on the assumption that authentication has been made. Note that the user ID can be input directly instead of the selection input in a combo box or the like, so that the troublesome selection is reduced. Further, by selecting the end button 50, the system is terminated.

  FIG. 5 is a diagram in which the inspection work main screen 58 is activated by selecting the inspection work icon 52. Icons corresponding to the inspection work are arranged on the left side of the screen, and each screen is activated by making a selection. On the left side of the screen, a patient reception icon 59, a pretreatment input icon 60, an imaging icon 61, an execution input icon 62, a report input icon 63, an examination status list icon 64, and an examination order button 100 are arranged.

<Patient reception>
FIG. 6 shows an unarrived patient list screen 75. By selecting the patient reception icon 59, the unarrived patient list screen 75 is activated. On the unarrived patient list screen 75, an unaccepted list 67 indicating an unaccepted patient list can be displayed by referring to the examination state and the patient master 66 managed in the examination table 65 in the database 21.

  FIG. 7 shows an arrival patient list screen 72. By pressing the arrival patient list button 71 from the unarrived patient list screen 75 shown in FIG. 6, the arrival patient list screen 72 shown in FIG. 7 can be activated. Conversely, by pressing an unarrived patient list button 74 on the arrived patient list screen 72, the unarrived patient list screen 75 shown in FIG. 6 can be opened.

  On the arrival patient list screen 72, a received arrival patient list 73 is displayed. By referring to the examination table 65 in the database 21, the arrival patient list 73 can display only examinations whose examination status has been accepted.

<Pretreatment input>
FIG. 8 shows an untreated patient list screen 76. When the pretreatment input icon 60 is selected on the examination work main screen 58 of FIG. 5, the untreated patient list screen 76 shown in FIG. 8 is activated. The untreated patient list screen 76 can display a list of examinations 77 in which no pretreatment is registered. By referring to the examination table 65 in the database 21, it is possible to display a list of examinations that have been accepted and whose pretreatment has not been registered. Further, by pressing the treated patient list button 80, a list screen of pretreated patients can be displayed.

photograph
FIG. 9 shows an unphotographed patient list screen 81. When the imaging icon 61 is selected on the examination work main screen 58 of FIG. 5, the unexamined patient list screen 81 shown in FIG. 9 is activated. The unexamined patient list screen 81 can display an examination list 82 that has not been acquired. By referring to the examination table 65 in the database 21, it is possible to display a list of examinations that have been accepted and have not been photographed. In addition, by pressing the photographed patient list button 86, a list screen of photographed patients can be displayed.

<Implementation input>
FIG. 10 shows an unregistered examination list screen 87. When the execution input icon 62 is selected on the inspection work main screen 58 of FIG. 5, the execution unregistered inspection list screen 87 shown in FIG. 10 is activated. On the unregistered inspection list screen 87, an inspection list 88 that is a target of the execution work can be displayed. By referring to the examination table 65 in the database 21, it is possible to display a list of examinations that have been photographed and whose implementation information has not been registered. Further, a registered examination list can be displayed by pressing a registered examination list button 91.

<Report input>
FIG. 11 shows a report unregistered examination list screen 92. When the report input icon 63 is selected on the inspection work main screen 58 of FIG. 5, the report unregistered inspection list screen 92 shown in FIG. 11 is activated. The report unregistered examination list screen 92 can display an examination list 93 of patients who have not entered a report. By referring to the examination table 65 in the database 21, it is possible to display a list of examinations that have been photographed and for which report information has not been registered.

<List of inspection status>
FIG. 12 shows an inspection status list screen 97. By selecting the inspection status list icon 64 on the inspection work main screen 58 of FIG. 5, the inspection status list screen 97 shown in FIG. 12 is activated. The inspection status list screen 97 can display a status list 98 of each inspection. This refers to the inspection table 65 in the database 21 so that the state of each inspection can be acquired and a list can be displayed. Also, by pressing the list print button 99, the inspection status list displayed on the inspection status list screen 97 can be printed.

<Inspection order>
FIG. 13 shows the department order registration screen 101. When the inspection order button 100 is pressed on the inspection work main screen 58 of FIG. 5, the department order registration screen 101 shown in FIG. 13 is activated. The department order registration screen 101 is used to issue an inspection order in the own system when the order information from the HIS cannot be received. Patient information (patient ID, patient name, date of birth, sex, hospitalization / outpatient classification) 102, and examination information (scheduled examination date, scheduled examination time, examination type, examination item, requested disease name, examination reason, comment at request) 103 and the like can be input, and by pressing the registration button 104, the input information is registered in the database 21 as an order of examination. The patient information 102 is managed in the patient master 66, and the examination information 103 is managed in the order information table 57.

Next, the operation will be described along the inspection flow. FIG. 14 shows the flow of inspection.
<Step 1 (S1)>
When an examination request is issued from another department to the endoscopy department, patient information (patient basic information, patient profile information) and examination request information (order information, requester information, examination reservation information) are sent from the HIS. The system receives these pieces of information. Specifically, the GW application software 20 on the GW 1 receives information from the HIS, and registers the information in the examination table 65, the patient master 66, and the order information table 57 in the database 21.

If there is patient profile information, it is linked to the patient master 66 and registered in the precautions table 105. Further, when the inspection order from the HIS cannot be received, such as when the HIS is not connected, the above-described intra-department order registration screen 101 is activated, and the order can be issued within the department.
If you want to stop the inspection, start the inspection stop screen. From the inspection cancellation screen, the instructor of cancellation, the date of cancellation, and the reason for cancellation can be entered, and each is registered in the inspection table 65 in the database 21. Further, the status of the inspection on the inspection table 65 is changed to a state of inspection suspension.

<Step 2 (S2)>
In this system, it is possible to manage reservations based on the received examination reservation information and display a list of scheduled examinations according to each state. To introduce the request contents, start the order details confirmation screen. The reception terminal 2 and the input / inspection terminal 3 are both loaded with common software, and the order detail confirmation screen is inquired from either the reception terminal 2 or the input / inspection terminal 3 (or from the search terminal 4). Is possible.

<Step 3 (S3)>
Next, the screen used when performing pre-examination treatment such as anesthesia for the patient before the examination will be described.
FIG. 15 shows a pretreatment input screen 78. The pretreatment input screen 78 can also be displayed from either the reception terminal 2 or the input / examination terminal 3 (or from the search terminal 4). The pretreatment input screen 78 mainly includes a display area 112 for patient information, a display area 114 for examination order information, a display area 113 for allergy information, diseases and precautions, and a pretreatment execution content display for inputting pretreatment information. An area 115 is included.

  Each information regarding the pretreatment acquired from the pretreatment table 116 in the database 21 is displayed, and items (contents of medication) performed in the pretreatment can be additionally input. The selected drug information can be registered in the pretreatment table 116 by acquiring selection candidates from the drug master 154 in the database 21, displaying them in a window, and making a selection.

  Some drugs are used in most pretreatments. Therefore, for drugs that are used very frequently, they may be listed in advance and at the same time, the check box may be turned on, that is, defaulted as used. This default setting is performed by executing the management function. Thereby, the trouble of checking the same medicine for each pretreatment can be omitted, and the input time related to the pretreatment can be reduced. The information input here is read from the pretreatment table 116 in the database 21 at a later timing, transmitted to the HIS together with the examination execution information, and used for accounting.

When the pretreatment instruction doctor 117 and the practitioner 118 are input and the confirmation / input of the pretreatment is completed, information can be registered in the database 21 by pressing a registration button. In addition, when the pretreatment is completed, the examination status managed on the examination table 65 is pretreated.
In addition, the patient's precautions (profile information) additionally found during the pretreatment can be corrected with respect to the received precautions (patient profile information). When the correction button 122 on the pretreatment input screen 78 is pressed, a correction window 123 for notes (patient profile information) as shown in FIG. 16 is opened.

  The information can be registered for correction by turning on / off the check box 124 of the precautions displayed here. The corrected information is registered in the notes table 105 in the database 21 as the latest information. However, the check may be turned on, but when the check is turned off, the user ID and the password are requested to be authenticated, and the staff master 56 is authenticated and left as a record. Although this is good for adding attention to the direction of attention, it is intended to prevent attention not being paid to the content that should be noted by removing the attention.

<Step 4 (S4)>
Next, the operation at the time of shooting shown in step 4 of FIG. 14 will be described.
FIG. 17 shows the shooting screen 83. In the imaging screen 83, in addition to the patient information and examination order information displayed on the left part of each screen, the laboratory / examination device information 125, the imaging image display area 126, and the examination execution information input area 127 are displayed on the right part. The

When this screen is displayed, the patient information is transmitted to the input / examination terminal 3 installed in the examination room, and the patient information is displayed on the connected electronic endoscope apparatus 14.
Furthermore, since the magnetic card reader 12 is connected to the input / examination terminal 3, the patient basic information entered from the examination list is inserted by inserting the patient's magnetic card and inputting the patient basic information. It is also possible to automatically perform inspection allocation (pull-in) control to the own terminal by collating those that match. When the transmission of the examination apparatus patient information is completed in this way, the examination can be actually performed, and imaging can be started by pressing the imaging button of the electronic endoscope apparatus 14.

In the captured image display area 126, reduced images of the captured images are sequentially displayed each time the electronic endoscope device 14 is released.
At the time of release, the photographed image is first taken into the compression / decompression device 13 and subjected to image compression processing. The compressed image is temporarily recorded in the memory in the compression / decompression device 13 together with the basic patient information, and transferred to the personal computer 8 of the input / examination terminal 3. Even if the transfer of the image fails due to a cable disconnection or the like, the image can be temporarily stored in the memory in the compression / decompression device 13, so that the shooting can be performed without interruption.

  The image transferred to the personal computer 8 of the input / inspection terminal 3 is temporarily recorded in the hard disk 35 and simultaneously transferred to the hard disk 24 in the server 5. In this case as well, even if image transfer may fail due to cable disconnection or the like, image data is stored in the hard disk 35 of the input / inspection terminal 3, so that interruption of shooting or the like can be prevented. Is possible.

  The reduced image is displayed by expanding and displaying the compressed image recorded on the hard disk 35. Then, when the examination end button on the electronic endoscope device 14 is pressed, the imaging process is completed, and the examination status information managed in the examination table 65 in the database 21 is in the imaging end state. The control of the imaging operation in the above inspection is controlled by the inspection work DLL 29 of the main application software 27 on the input / inspection terminal 3. In the captured image, pointer information indicating the storage position is registered on the image management table 128 in a form linked to the inspection on the inspection table 65.

  In addition, on this shooting screen, a characteristic representative image can be selected and registered as an image to be attached to a report described later. On the reduced image of the selected / registered image, as shown at 136, The name of the organ is attached. When an image to be selected is clicked with the mouse, a selection menu for designating an organ is displayed. By designating an organ from the selection menu, the designated organ name is displayed at the top of the image. The organ name information specified here is registered together with the image number in the selected image table 138 in the database 21. In this way, by registering the organ name for the selected image, it is possible to determine which organ (part) the image is even if it is referred to later. For insurance claims, the score changes depending on which organ (part) was examined, whether treatment or surgery was performed, and therefore, the registration information becomes valid during the accounting process. Furthermore, the information of the organ name is indispensable also when the image is displayed separately for each organ (part) on the report.

  Furthermore, as disclosed in Japanese Patent Application Laid-Open Nos. 2001-120498 and 2003-38413, the position of the tissue sampled (biopsy) is marked on the image, and the pathology department is based on this information. However, because the insurance score changes depending on the number of organs to be collected (biopsy), the registration information becomes valid at the time of accounting processing. It is also necessary information regarding accounting in the pathology department.

In addition, on the main shooting screen, the following information (1) to (5) can be input in addition to image shooting.
(1) Practicing physician By pressing the practicing physician input button 129, a window for selecting the name of the physician who performed the examination opens. When the doctor name is selected, the information is registered in the implementation table 134 in the database 21. Since the examination may be performed by a plurality of persons, the practitioner can select a plurality of persons.

(2) Scope used By pressing the scope input button 130, a window for selecting a scope used in the inspection is opened (selection candidates are acquired from the scope master 155 in the database 21 and displayed). When the usage scope is selected, the information is registered in the inspection scope table 135 in the database 21. Since scopes may be exchanged in the middle, multiple scopes can be registered.

(3) Shooting start time The time when the shooting screen was opened is displayed next to the start button 131. By pressing the start button 131, a window for inputting a shooting start time is opened, and the time can be changed. The imaging start time is registered in the inspection table 65 in the database 21.

(4) Imaging End Time By pressing the examination end button on the electronic endoscope device 14, the examination end time is displayed next to the end button 132. In addition, by pressing the end button 132, a window for inputting the shooting end time is opened, and the shooting end time can be changed. The photographing end time is registered in the inspection table 65 in the database 21.

(5) Inspection item By pressing the inspection item button 133, a window for selecting and inputting the inspection item is opened. When the inspection item is selected, the selected inspection item is registered in the inspection table 65 in the database 21.
There may be a difference between the inspection item specified at the time of the inspection order and the inspection item actually performed. In consideration of this, the inspection item actually performed can be selected and registered on the shooting screen. . For example, screening was scheduled at the time of ordering, but a lesion was discovered, so that treatment was actually performed.

  Note that (3) the imaging start time and (4) the imaging end time are automatically registered on the assumption that a patient ID is input from the electronic endoscope device 14 without opening the imaging screen. It is also possible.

  It is also possible to browse past examination images associated with the patient ID on the imaging screen. Thereby, the past state of the patient can be grasped, and a part to be particularly noted in the examination can be confirmed.

<Step 5 (S5)>
Next, the operation at the time of inputting implementation information shown in Step 5 of FIG. 14 will be described.
FIG. 18 shows an execution input screen 89. The execution input screen 89 displays patient information and examination order information on the left part of each screen, and the contents of the examination in the right part (implementing doctor 144, nurse 145, procedure 146, addition 147, medicine 148, The equipment 149 and the scope 150) can be registered.

In addition, the pretreatment input screen 78 can be opened by pressing a pretreatment input button 156.
By pressing each of the buttons 144 to 150, a window for inputting each information is opened, and it is possible to select and input implementation information to be registered.

(1) Implementing physician The selected conducting physician information can be registered in the implementation table 134 by acquiring selection candidates from the staff master 56 in the database 21, displaying them in a window, and making a selection.
Note that if the practicing doctor information has already been registered on the imaging screen 83, the information can be displayed when the practicing input screen is opened. You can also register changes from this screen.

(2) Nurse The selected nurse information can be registered in the implementation table 134 by acquiring selection candidates from the staff master 56 in the database 21, displaying them on a window, and making a selection.

(3) Procedure The selected procedure information can be registered in the implementation table 134 by acquiring selection candidates from the procedure master 151 in the database 21, displaying them in a window, and making a selection.

(4) Addition The selected addition information can be registered in the implementation table 134 by acquiring selection candidates from the addition master 153 in the database 21, displaying them in a window, and making a selection.

(5) Drug information The selected drug information can be registered in the implementation table 134 by acquiring selection candidates from the drug master 154 in the database 21, displaying them in a window, and making a selection. In addition, it is preferable that the medicine master 154 sets a selection candidate as a default in advance in association with a procedure or the like. Thereby, it is possible to display drug selection candidates set as defaults, and it is possible to eliminate the labor of selection by the input person. Selection candidates may be set hierarchically.
This default setting is performed by executing a management function in the endoscopic examination management system. At this time, it is also possible to associate a drug selection candidate hierarchically set in association with a certain technique with another technique. In that sense, the default setting having a hierarchical structure can be copied between procedures, thereby simplifying the default setting of the master and reducing the possibility of setting omission.
If drug information at the time of pretreatment is already registered on the pretreatment input screen 78, the information can be displayed when the execution input screen is opened. In order to distinguish the drug administered at the time of the pretreatment and the drug administered at the time of the examination, change registration from this screen is not allowed.

(6) Equipment The selected equipment information can be registered in the implementation table 134 by acquiring selection candidates from the equipment master 152 in the database 21, displaying them in a window, and making a selection. In addition, as described regarding the medicine, the device selection candidates may be set as defaults in association with the procedure.

(7) Scope The selected scope information can be registered in the inspection scope table 135 by acquiring selection candidates from the scope master 155 in the database 21, displaying them in a window, and making a selection.
However, if the scope information is already registered on the shooting screen 83, the information can be displayed when the execution input screen is opened. Also, change registration from this screen may be possible.

  In the above, selection candidates are acquired from each master. At this time, the input person may perform a text search to narrow down the number of selection candidates. For example, when selecting a practicing doctor, the number of selection candidates listed from the staff master 56 can be reduced by text search, and the time required for selection can be reduced. The same applies to other input items. By reducing the number of selection candidates from the master, the entire input time can be greatly shortened. In particular, in a large-scale general hospital, the number of doctors and the number of drugs to be used are large, so it is an effective technique to narrow down selection candidates by search processing.

In this way, when each execution information is selectively input and information is registered, the input of the execution information is completed, and the status of the inspection status managed in the inspection table 65 in the database 21 is the execution input completed. It becomes a state.
In addition, the input implementation information is transmitted to the HIS through the LAN together with the pretreatment information input on the pretreatment input screen 78 by the GW1. In the HIS, accounting processing can be performed based on the pretreatment information and inspection execution information, and calculation processing such as insurance claim points can be performed.

  However, since the accounting process at the HIS is carried out with the transmission of the pretreatment information and the examination execution information, the accounting process has already been completed even if the pretreatment information and the examination execution information are changed / corrected. Cases arise. Therefore, in the pre-treatment input screen 78 and the implementation input screen 89, when the change input of the registered information is performed and correction registration is going to be performed, a message indicating that there is a possibility of having already been accounted for is displayed. It is preferable to notify.

<Step 6 (S6)>
Next, the operation at the time of report input shown in Step 6 of FIG. 14 will be described.
In the endoscopic examination management system according to the present embodiment, a report creation function including a user interface that can smoothly input findings, diagnosis contents, and treatment contents in a series of flows for each organ is provided. In addition, it provides a medical information recording function that records input contents linked to diagnosis contents and enables efficient data use in later statistical processing and the like.

FIG. 19 shows a report screen 300. The report screen 300 is opened by selecting a patient from the report unregistered examination list screen 92 shown in FIG. Here, the patient “Olymp Stallow” is selected, and the patient information and examination order information linked to the patient ID are displayed in the left column of the report screen 300.
In the right column of the report screen 300, three parts of “esophagus”, “stomach”, and “duodenum” are displayed as organ names of the human body to which the report is input. In addition, in the endoscopy, the “pharynx” may be inspected. When the report input about the “pharynx” is desired, the pharynx is displayed on the report screen 300 by pressing the organ addition button 301 and selecting the pharynx. It can also be added.

  As shown in FIG. 19, the report screen 300 includes an area for inputting findings, diagnosis contents, and treatment contents for each part of the human body, an area for inputting comprehensive diagnosis contents, and an area for inputting comments. . The endoscopy management system according to the embodiment realizes a user interface function that allows reports of findings, diagnoses, and treatments to be input for each organ. In other words, the doctor selects “esophagus” and inputs the findings, diagnosis and treatment details regarding the esophagus, and then selects “stomach” and inputs the findings, diagnosis and treatment details regarding the stomach. In addition, “duodenum” is selected, and the findings, diagnosis details, and treatment details regarding the duodenum are input. Note that the order of input is not limited, and findings, diagnosis details, and treatment details regarding “stomach” may be input first. The input content is linked to the diagnosis content and recorded in the recording device.

  Conventionally, when a paper-based report is created, the report format is printed in advance on the paper, and the doctor creates the report according to the format. In that format, the observation field, diagnosis field, and treatment field are each divided into three areas. It was necessary to write, then write the diagnostic contents of those organs in the diagnosis column, and finally write the treatment contents together in the treatment column. However, since findings, diagnosis, and treatment are originally performed for each organ, the work of filling in the findings, diagnosis, and treatment fields together for multiple organs does not fit the doctor's thoughts. The writing work has been troublesome.

  In view of this, the report screen 300 of the embodiment does not provide a finding column, a diagnostic column, and a treatment column, but allows the finding content, the diagnostic content, and the treatment content to be input for each examined organ. In addition, various measures are taken to speed up the input, and reports can be created in a short time.

  FIG. 20 shows a term selection screen 310. The term selection screen 310 is opened by selecting an organ name from the report screen 300 shown in FIG. For ease of understanding, the term selection screen 310 shown in FIG. 20 shows a state in which a term has already been selected for each input item, but when an organ is selected from the report screen 300 In the term selection screen 310 opened at, no input is made and it is in a blank state. Therefore, at the time when the term selection screen 310 is opened by selecting an organ, “site”, “size”, “existence diagnosis”, “property”, “PIT diagnosis”, “qualitative diagnosis”, “visual type” , Only the input items of “depth prediction”, “differential diagnosis”, “treatment”, and “comment” are displayed.

The system administrator can add this input item. For example, when “medicine” is required as a report item, a drug may be added to the input item and displayed on the term selection screen 310.
The term selection screen 310 is opened so as not to cover patient information. Thereby, the report creator (doctor) can input the report while always being conscious of the patient. Hereinafter, the process of selecting terms for each input item will be described.

FIG. 21 shows a part selection screen 312 for designating a “part” when the stomach is selected as the organ. The report creator operates the mouse 11 to select an input term.
When the report creator moves the cursor of the mouse 11 to the item “part” on the term selection screen 310, the part selection screen 312 is displayed. Terms related to parts are hierarchically registered as masters, and when a cursor is moved to each term, the terms registered in the hierarchy below are displayed. In general, an input interface using a mouse executes a designation process by clicking at a predetermined position. However, the input interface according to the embodiment can execute the designation process only by moving a cursor. Therefore, the click operation can be eliminated, and the number of clicks and the input time can be reduced. In the part selection screen 312 of FIG. 21, the terms to which the arrow in the right direction is given include terms further subdivided into lower layers.

FIG. 22 shows an example in which terms in the lower hierarchy are displayed on the part selection screen 312. The report creator can display a list of terms in the lower hierarchy by placing the cursor on the term to which the right arrow is assigned. As described above, since a mouse click operation is not necessary, it is possible to reduce the labor of selecting a term. To find and select a desired term, place the cursor on the check box and click the mouse.
Note that the report creator can select a plurality of terms. In addition, when the lower hierarchy check box is selected, the upper hierarchy check box is automatically selected. As a result, the input time can be shortened, and thus the report creation time can be shortened.

  FIG. 23 shows a state where a term is selected on the part selection screen 312. The term is selected by clicking the check box with the mouse, and as a result, the check box is marked with a checked symbol. The report creator can recognize that his / her selection has been accepted by checking this symbol.

  By determining the input items for each item as described above, the report input regarding the stomach is completed as shown in FIG. It should be noted that the findings are input in the items “existence diagnosis”, the diagnosis details are “qualitative diagnosis”, and the treatment details are input in the “treatment” items. Specifically, for the “existence diagnosis” item, the “qualitative diagnosis” item, and the “treatment” item, selection candidates are obtained from the term master 159 in the database 21 and displayed in a window for selection. The selected finding terms, diagnostic terms, and treatment terms can be registered in the table finding term information table 160, the diagnostic term information table 162, and the treatment term information table 161, respectively.

  Usually, it is considered that the report creator often inputs necessary items in the order of the input items on the term selection screen 310 shown in FIG. 20, but this report input function does not limit the input order. Therefore, for example, according to the report creator's preference, the “treatment” item can be input before the “existence diagnosis” item is input.

  In this way, by inputting the findings, diagnosis contents, and treatment contents for each organ on one term selection screen 310, the report creator can concentrate on the report input of one organ, and collects a plurality of organs. There is an advantage that the working time can be shortened rather than inputting the findings, diagnosis details, and treatment details. This can be realized by providing a user interface according to the doctor's thought, and this user interface is very suitable for report input.

  As shown in FIG. 20, when the input regarding the stomach is completed, the report creator presses the confirm button 302. By pressing the confirmation button 302, the input content in the term selection screen 310 is reflected in the report screen 300 which is the lower screen. In this case, the term selection screen 310 may be closed, but may be simply moved to the left so that the recorded content of the lower report screen 300 can be seen. If it is desired to delete the contents recorded on the term selection screen 310, all the contents recorded on the term selection screen 310 can be deleted by pressing the clear button 303.

  FIG. 24 shows a state where report input related to the organ “stomach” is completed. Thereafter, if necessary, the report creator inputs a report on the esophagus and duodenum as other organs. As described above, according to the report screen 300, the finding contents, diagnosis contents, and treatment contents concerning the stomach can be understood at a glance, and the value as a report can be increased.

  Although some patients may find abnormalities in a plurality of organs, many patients are normal, and even when abnormalities are found, they are often found in only one organ. Therefore, if the range of the observed part is specified for all organs and a detailed report is required, it takes time to create a report meaninglessly. Therefore, if it is normal, the troublesome input work may be reduced by simply selecting a check box indicating “normal”.

FIG. 25 shows the input state of comprehensive diagnosis. On the report screen 300, when the cursor of the mouse 11 is moved to the “overall diagnosis” item, the menu shown in FIG. 25 is opened. In the comprehensive diagnosis, the comprehensively evaluated diagnosis content is input. By inputting the contents of the comprehensive diagnosis and displaying it on the report screen 300, the comprehensive diagnosis result can be understood at a glance.
FIG. 26 shows a state in which the contents of the comprehensive diagnosis are input and displayed.

FIG. 27 shows a report screen 300 for inputting the results returned from the histopathological examination. When a qualitative diagnosis item is clicked on the report screen 300, a pull-down menu that enables input of pathological results is displayed as shown in FIG.
FIG. 28 shows a state in which a pathological result is selected from the menu shown in FIG. When a pathological result is selected, a pathological result input screen 320 is opened. On this input screen 320, “tissue diagnosis”, “depth”, “ly”, “v”, and “LN” can be input. The diagnosis content of the tissue diagnosis is input to “tissue diagnosis”, the depth information is input to “depth”, the degree of lymphatic vessel invasion is input to “ly”, and “v” is input to “v” The degree of venous invasion is input, and the degree of lymph node stamp is input to “LN”. When all inputs are completed, the report creator presses the confirm button 321.

  FIG. 29 shows a report screen 300 in which endoscopic diagnosis and pathological diagnosis are linked. A pathological result is displayed on the report screen 300, and when a detail display button 322 is pressed, details of the pathological result are displayed. In this way, by linking the pathological result to the result of the endoscopic diagnosis, it is possible to easily compare and verify the endoscopic diagnosis and the pathological diagnosis, and it is possible to increase the usefulness of the report. For example, the result of the pathological diagnosis is used as feedback information to the endoscopist, and the endoscopist and the pathologist can be linked.

  By placing the cursor of the mouse 11 on “comment” shown in FIG. 19, a text input window can be opened and various comments can be input. The input comment information is registered in the lesion table 168 in the database 21.

  FIG. 30 shows a state in which the schema image editing window is opened. When a schema edit button 304 on the report screen 300 is pressed, a schema edit window 184 for editing a schema image can be opened. The schema editing window 184 mainly includes a report attached image display area 185, a schema display area 186, and an editing button 187. The type of schema displayed in the schema display area 186 can be selected by pressing the schema image button 188. Is displayed, and a desired type of schema display can be selected.

  The selected schema type is registered in the selected schema table 189 in the database 21. For the selected schema, an editing tool can be selected by pressing the editing button 187, and editing using a straight line, an arrow, a rectangle, an ellipse, a text sentence, or the like is possible. The editing contents added to the schema are managed independently of the schema and are registered in the schema editing table 190 in the database 21. It is also possible to display the biopsy mark on the schema image by clicking the biopsy mark and then clicking the position on the schema display area 186 where the biopsy is taken. In the figure, <1 and <2 indicate biopsy marks.

  Further, by pressing a schema import button 191, an external image can be captured as a schema, and an image can be captured by specifying an offline medium such as a floppy disk (registered trademark) or an MO disk.

  By pressing the schema import button 191 and selecting a capture destination, a list of images stored in the designated capture destination is displayed. By selecting an image to be captured as a schema from the list, the intended schema image can be captured. The captured image is stored in the hard disk 24 in the server 5, and the pointer information is registered in the selected image table 195 in the database 21.

  When the input of report information is completed in this way, the input report information can be completed by pressing the registration button at the lower right of the report screen 300 last.

  Pointer information linked to each report information is managed in the report management table 181 in the database 21 so that a report can be constructed. In this report management table 181, the report status and version are managed, and the history can be managed without overwriting each report.

<Step 7 (S7)>
Returning to FIG. 14, the transmitted report information can be referred to in the endoscope department system as well as sent to the HIS through the LAN by the GW 1 and can also be referred to in the HIS electronic medical record system. Become.
Further, in accordance with report registration and transmission, as disclosed in Japanese Patent Laid-Open Nos. 2001-120498 and 2003-38413, a pathological order is issued based on the report information (step 10 (S10)). ) May be performed. When a pathological order is issued, the information is registered in the pathological order management table 198 in the database 21, and an image attached to the pathological order is registered in the pathological image table 199.

  FIG. 31 shows a report screen 300 in a state where a function for generating a medical information provision form is added to the report input function. A check box 306 of “Create medical information provision form” is provided at the upper left part of the report screen 300, and a medical information provision form can be created by checking this check box 306.

  When the check box 306 is checked, a medical information input screen 330 is displayed. A medical information provision form is created by inputting text in “hospital name”, “doctor name”, “sentence”, and “provided comment”. For example, a fixed sentence may be input in advance to the “sentence”. The contents of the registered report are written as they are in the medical information provision form.

  FIG. 32 shows the generated medical information provision form. The text information input on the medical information input screen 330 is written in the upper part of the medical information provision form, and the registration contents input in the report are written in the lower part.

  FIG. 33 shows a configuration of a report input device 400 in the endoscopic examination management system in the present embodiment. The report input device 400 has a function of inputting the findings content, the diagnostic content, and the treatment content as a report, and FIG. 33 shows a configuration for realizing a part of the report input function. The report input function by the report input device 400 is realized by a CPU, a memory, a program loaded in the memory, and the like in the personal computer 8, and here, a configuration realized by their cooperation is depicted. The program may be built in the personal computer 8 or supplied from the outside in a form stored in a recording medium. In the illustrated example, the CPU of the personal computer 8 has functions as a reception unit 401, a medical information provision form generation unit 402, a display control unit 404, and a report generation unit 410.

  The accepting unit 401 detects a mouse operation and a keyboard operation by the user, and accepts an input from the user. When the user selects the report input icon 63 on the inspection work main screen 58 in FIG. 5, the reception unit 401 receives the selection instruction, and the display control unit 404 monitors the report unregistered inspection list screen 92 shown in FIG. To display. When the user selects a patient in this state, the first screen display unit 406 generates a report screen 300 shown in FIG. The report screen 300 is an input screen that displays the names of human organs and allows the user to select an organ name.

  When the user selects an organ name by operating the mouse, the accepting unit 401 accepts the selection and sends an instruction to generate the term selection screen 310 to the second screen display unit 408. The second screen display unit 408 generates and displays on the monitor 9 a term selection screen 310 that allows input of findings, diagnosis details, and treatment details for the organ received by the reception unit 401. The term selection screen 310 is displayed so as to overlap the report screen 300. The user inputs necessary items while viewing the term selection screen 310. In this report input device 400, necessary information such as organ findings, diagnosis details, and treatment details can be input on one term selection screen 310. FIG. 20 shows a state in which necessary items are entered on the term selection screen 310. When the user presses the confirm button 302, the accepting unit 401 accepts a confirming instruction, and the report generating unit 410 confirms the report information of the selected organ. The first screen display unit 406 displays the content input to the term selection screen 310, that is, the confirmed report information in association with the organ name on the report screen 300. FIG. 24 shows a report screen 300 displaying the report information of the stomach.

  When the user inputs necessary items for a plurality of organs and presses the confirm button 302, the report generation unit 410 confirms report information for each organ. The first screen display unit 406 displays report information determined for each organ on the report screen 300 in association with each organ name. As a result, the findings, diagnosis, and treatment details for each organ can be understood at a glance, and an excellent user interface can be realized.

  When the receiving unit 401 receives the result of the histopathological diagnosis, the display control unit 404 displays the pathological result input screen 320 on the report screen 300. FIG. 28 shows a pathology result input screen 320. When the accepting unit 401 accepts pressing of the confirm button 321, the report generating unit 410 confirms the pathological result. The first screen display unit 406 displays the result of the histopathological diagnosis on the report screen 300 in association with the diagnosis content. This state is shown in FIG. Thereby, the diagnosis contents of the endoscopist and the diagnosis contents of the pathologist can be compared, and feedback to the endoscopist can be realized.

  When all the input items are entered, the user presses the registration button on the report screen 300. When the reception unit 401 receives the registration instruction, the reception unit 401 notifies the report generation unit 410 to that effect, and the report generation unit 410 stores the input content in the hard disk 24 as the report information 23. Thereby, a report can be generated. At this time, the findings and treatment details are recorded in the hard disk 24 in association with the diagnosis details. In this way, input contents such as findings and treatment contents are linked to and recorded with respect to diagnosis contents, thereby enabling, for example, search processing using diagnosis contents as a key, and efficient data reuse. It is possible to construct a database to be realized. Although the hard disk 24 is a recording device, the configuration including the report input device 400 and the hard disk 24 is used to identify the configuration for recording at least the findings content, the diagnostic content, and the treatment content. You may call it a device.

  Note that the report input device 400 may further include a medical information provision form generation unit 402. The medical information provision form generation unit 402 causes the contents registered as a report to be input to the medical information provision form as they are to generate a medical information provision form. By generating the medical information provision form using the contents of the report, the generation work can be simplified without creating a new medical information provision form.

Next, a method for referring to and editing the recorded and saved image and report information will be described.
FIG. 34 is a diagram showing a conference screen 201 that is activated when the conference icon 53 is selected on the system start / end screen 90 shown in FIG.
On the left side of the screen, a search button group 202 for searching for a desired examination is prepared. By selecting these icons, the database 21 is searched according to a predetermined condition, and the search result is inspected. A list 203 is displayed.

The search button group 202 includes buttons such as today, one week, two weeks, report unregistered, pathology request examination, and condition search. For example, by pressing the one week button, examinations performed within the past one week are prepared. When a list is displayed and the condition search button is pressed, a list of applicable examinations is displayed in 203 as a result of performing a narrow search with various input conditions.
In this way, when one of the examination lists 203 displayed as a list is clicked, a menu for selecting whether to display an image or a report is displayed, and when either is selected, the display of the image or report is displayed. Start the screen.

FIG. 35 shows an image display screen 204 activated by selecting “image display” from the menu. By pressing the patient change button 205, an image of the previous / next examination can be displayed in the examination list 203 displayed as a list.
In addition, a function is provided for copying the selected image to a floppy disk or an MO disk. After selecting an image, pressing the image copy button 206 opens a window for specifying the copy destination, format, and the like. be able to.

  In the upper part of the screen, a report display button 207, an image comparison display button 208, and a past examination simultaneous display button 209 are prepared for changing the layout. By pressing each button, the screen layout is as follows. Can be changed.

  When the report display button 207 is pressed, the report screen 300 is opened. At this time, if it is necessary to edit the test result (report) information as a result of the conference between a plurality of doctors, correction input is possible. In this case, the edited information is subjected to version management, and is managed with a different version number from the information before the change. When the image comparison display button 208 is pressed, comparison display of images is possible. When the past examination simultaneous display button 209 is pressed, it is possible to perform display simultaneously with an image group of past examinations of the same patient.

  The above control is controlled by the conference DLL 30 of the main application software 27 on the search terminal 4 (or the input / inspection terminal 3). The display information is called from the database 21. Registered in the database 21. The editing information is also transferred to the HIS by the GW application software 20 on the reception GW1.

  When the examination list is ended after the examination list is sorted by an arbitrary item and the user logs out, the sorted item may be stored in association with the user ID. Thereby, when this user logs in next time, it can be started on the same sort conditions as the previous time, and a desired examination list can be referred to quickly.

Next, the scope history function, which is a representative function of the statistics / history function, will be described.
FIG. 36 is a diagram showing a statistic / history screen that is activated when the statistic / history icon 54 is selected on the system start / end screen 90 shown in FIG. On the left side of the screen, there are icons 211 for selecting each statistic / history function, output function of monthly report / annual report / execution list (daily report), output function of data in EXCEL format, FollowUp period of FollowUp patient Search function by (scheduled date) and scope history display function operate.

  FIG. 36 shows a state where the scope history icon 210 is selected from the icon group 211 on the left side of the screen. When the scope history icon 210 is selected, a management number, a serial number, and a scope name are displayed on the right side of the screen. , Use start date, use count, use time, insurance claim total amount (reference value) list is displayed. These display information called from the inspection scope table 135 and the scope master 155 in the database 21.

  The use scope in the inspection is registered on the photographing screen 83 or the execution input screen 89, the inspection start / end time is registered on the photographing screen 83, and the inspection performed in the inspection on the execution input screen 89 Since the technique information is registered, the use start date, the number of uses, the use time, and the insurance claim total amount of each scope can be calculated. In the procedure master 151, insurance points for each procedure are registered.

  FIG. 37 shows a state where the EXCEL icon 220 is selected from the icon group 211. When the EXCEL icon 220 is selected, a function of outputting data in the EXCEL format for statistical processing or the like can be realized. In the endoscopy management system of this embodiment, in order to facilitate secondary use of data, information extracted by the search condition can be output to an EXCEL file in a format that is easy to process. Therefore, in the EXCEL output function, a plurality of, specifically, three types of output formats are prepared, and the user can select the output format. In the present embodiment, EXCEL is an example of spreadsheet software, and may be other spreadsheet software.

  When the EXCEL icon 220 is selected, an output content selection screen 222 is displayed on the right side of the screen. The output content selection screen 222 includes an output format selection area 223 and an output item selection area 224. There are three types of output formats: inspection (1 sheet), qualitative diagnosis (1 sheet), and inspection (1 sheet).

  The output format for each inspection (one sheet) outputs data satisfying the conditional expression for each inspection to one sheet for each output item. In the EXCEL sheet, one output item is assigned to one cell. The output item is an item selected in the selection area 224, and is selected from five types of patient information, request information, implementation information, report information, and endoscope terms. Since data is output for each examination, for example, when there are a plurality of procedure contents or a plurality of diagnosis contents, a plurality of procedure contents and diagnosis contents are output to one cell of the EXCEL file. It will be.

  The output format for each qualitative diagnosis (one sheet) outputs data satisfying the conditional expression to one sheet for each qualitative diagnosis. When a plurality of qualitative diagnoses (diagnosis contents) are present in one examination, procedure contents, treatment contents and the like are output to the EXCEL file for each qualitative diagnosis. Since doctors often use data using diagnosis contents as a key, by outputting data for each qualitative diagnosis (diagnosis contents), it becomes possible to smoothly execute statistical processing by doctors. As described with respect to the report input function, in the endoscopic examination management system of the present embodiment, findings and treatment details are associated with qualitative diagnosis. Thereby, data for each qualitative diagnosis can be extracted, and data for each lesion can be aggregated.

  The output format for each inspection (sheet division) outputs data satisfying the conditional expression for each inspection to one sheet for each output item. Therefore, the number of sheets is generated by the number of output items. If there is a plurality of data in one output item, the data is output for each cell in association with the examination. That is, one data is assigned to one cell. Thereby, details of each item can be grasped, and data effective for statistical processing and the like can be extracted.

  As described above, in the output item selection area 224, items necessary for statistical processing and the like are selected. Up to three output item selection states can be assigned and saved. In the example of FIG. 37, the selected state is saved with three names “Olympus Ichiro Output”, “Olympus Ichiro”, and “Olympus”. This can be saved for each logged-in user. For example, if you need to perform statistical processing regularly, you can save time and effort to select output items each time by registering the selection status of output items in advance using this save function, Input time for necessary items can be shortened.

FIG. 38 shows a screen for saving the output item selection state. By pressing an output item save button 225, the selected state checked in the selection area 224 can be saved.
FIG. 39 shows a screen for changing the output order of output items. By pressing the output order change button 226, the order of output to the EXCEL file can be saved. By saving the selection state and the output order, it is possible to save the time and effort for the next and subsequent inputs.

  FIG. 40 shows the condition search screen 240. When the search condition designation button 227 shown in FIG. 37 is pressed, the condition search screen 240 is opened. On the condition search screen 240, a search period specification area 241 and a search condition specification area 242 are displayed. In the search period specification area 241, an inspection start date and an inspection end date are set. If no period is specified, a check box without a period is selected. The search condition is set in order to narrow down the data to be output by patient information, request information, execution information, report information, endoscope terms, and the like.

  Up to five conditional expressions can be named and saved. In the example of FIG. 40, by pressing the search condition save button 244, the conditional expression is given with five names “Olympus Ichiro Output”, “Olympus Ichiro”, “Olympus”, “Olympus Output”, and “Ichiro Output”. It is registered. This can be saved for each logged-in user. For example, if you need to perform statistical processing regularly, registering conditional expressions in advance using this save function saves you the trouble of setting conditional expressions every time, Can be shortened.

  The user sets a search formula for narrowing down data. In the example of FIG. 40, the sex is male as the search formula for # 1, the examination type is upper endoscopy as the search formula for # 2, and the blood type is B type as the search formula for # 3. In other words, the procedure is set as the esophageal fiber copy as the retrieval formula of # 4. For the search formula, the number of searches that satisfy the search formula is automatically calculated and output to the screen. For example, in the set search period, there are 30 data whose gender is male.

  By displaying the number of searches that satisfy the search formula, the user can create a conditional expression for output by combining the search formulas using the search count as a guide. For example, when creating a paper, etc., knowing the number of searches that satisfy each search formula can determine whether or not a search formula is necessary, thus realizing efficient statistical processing. it can. The number of conditions that satisfy the conditional expression for output can be displayed by pressing the number output button 243. The judgment as to whether or not there is an error in the conditional expression for output can be made by analogy from the number of retrievals of individual retrieval expressions. It is also possible to do. This is a case where the logical operator AND is mistaken for OR, and even if an output conditional expression is created by displaying the number of search results for each search expression, it is easy to make the error. It is expected to notice.

  FIG. 41 shows a search expression input screen 250. The input screen 250 is displayed when the condition input button 245 is pressed. The user can set a search expression by selecting one or more desired items from the input screen and setting conditions. In the example of the search condition designation area 242 in FIG. 40, the user selects gender, examination type, blood type, and procedure as the items of the retrieval formula, the gender is male, and the examination type is upper endoscopy. The four retrieval formulas are set by setting conditions that the blood type is B type, the procedure is esophageal fiber copy, and so on.

In the endoscopic examination management system according to the present embodiment, the user can set a conditional expression for output with only the mouse 11 without input from the keyboard. A mouse operation for inputting the conditional expression for output ((# 1 OR # 2) AND # 4) in FIG. 40 will be described.
First, when the mouse cursor is clicked once with the search expression # 1 check box, the search expression # 1 check box is turned on. The check box to be specified first is turned on by clicking once and turned off by clicking twice.

  Next, place the cursor on the check box of search formula # 2 and click twice. For the second and subsequent check boxes, the AND condition is set by clicking once, the OR condition is set by clicking twice, and the deselection is set by clicking three times. In this way, three clicks are defined as one cycle, and therefore, an AND condition is set when clicked four times, and an OR condition is set when clicked five times. By clicking the check box of the search expression # 2 twice, a conditional expression (# 1 OR # 2) that combines the search expression # 1 and the search expression # 2 with an OR condition is set.

  Next, place the cursor on the check box of search expression # 4 and click once. Thereby, a conditional expression ((# 1 OR # 2) AND # 4) that combines the set conditional expression (# 1 OR # 2) and the search expression # 4 with the AND condition is set. Thereby, an output conditional expression is generated.

  By making it possible to determine an AND condition or an OR condition based on the number of mouse clicks, a conditional expression can be easily set. This makes it possible to realize an input interface that does not require complicated input and is intuitively understandable for the user. For example, by making it possible to set a logical operation between search expressions as a search expression, various types of conditional expressions can be created, and a highly practical search tool can be provided. For example, by making it possible to set the conditional expression (# 1 OR # 2) as the selection expression # 5, a highly versatile search tool can be realized.

  FIG. 42 shows a configuration of an examination information search apparatus 700 in the endoscopic examination management system according to the present embodiment. The examination information retrieval apparatus 700 has a function of retrieving information relating to a medical examination stored in a database according to a conditional expression, and FIG. 42 shows a configuration for realizing a part of the retrieval function. The information search function by the inspection information search apparatus 700 is realized by the CPU, the memory, the program loaded in the memory, etc. in the personal computer 8, and here, a configuration realized by their cooperation is depicted. The program may be built in the personal computer 8 or supplied from the outside in a form stored in a recording medium. In the illustrated example, the CPU of the personal computer 8 serves as a reception unit 702, an output format setting unit 704, a search expression setting unit 706, a logical operator setting unit 708, a conditional expression generation unit 710, a search execution unit 712, and an output unit 714. It has a function. Here, the examination information includes all information related to the endoscopic examination, such as patient information, request information, execution information, report information, and endoscope terms.

  The accepting unit 702 accepts a mouse operation from the user. In the examination information search apparatus 700, the user operates the mouse 11 as an input device, and does not use other input devices such as a keyboard. Thereby, the search operation can be facilitated. Note that the mouse 11 is an example of an input device that executes only a selection instruction, and may be an input device of another aspect.

  First, the receiving unit 702 receives an output format selection instruction from a user. As shown in FIG. 37, in this embodiment, three types of output formats are prepared: by inspection (1 sheet), by qualitative diagnosis (1 sheet), and by inspection (sheet division). One of these options is selected. As described above, the output format is a format in which the search result is output to a file such as EXCEL, and the user selects an output format in which data is easily processed according to the purpose. The output format selection instruction from the user is supplied to the output format setting unit 704. Upon receiving this setting instruction, the output format setting unit 704 sets the output format of the file. Next, the reception unit 702 receives an output item selection instruction from the user. The reception unit 702 supplies an output item selection instruction to the search execution unit 712. When executing the search, the search execution unit 712 extracts the output item data set from the data that matches the conditional expression. Note that the output item selection state can be saved only to a predetermined number, and when the output item save button 225 is pressed by the user, the search execution unit 712 displays the output item selection state at that time to the login user. The data are stored in the database 21 in association with each other.

  Subsequently, the receiving unit 702 receives a search period and search formula setting instruction from the user and supplies the search term and search formula setting instructions to the search formula setting unit 706. The search formula setting unit 706 sets a search period range and a search formula based on this setting instruction. When the search formula is set, a plurality of search formulas are displayed on the condition search screen 240. Each search expression is provided with a check box. The search formula setting unit 706 may refer to the database 21 to obtain the number of searches that satisfy each search formula and display it on the condition search screen 240.

  The first specification of the search formula is executed when the user clicks the mouse 11 once with the check box of the search formula set. At this time, the check box is turned on and the retrieval formula is selected. If the user clicks again, the check box is turned off, and the search formula is not selected.

  The search expression to be specified after the second is selected by the user clicking the mouse 11 once with the check box of the search expression and the relationship with the previously selected search expression becomes an AND condition. Clicking twice will result in an OR condition, and clicking three times will return to the unselected state. The accepting unit 702 accepts a user's mouse click on the search expression check box as a single condition determination instruction, and supplies it to the logical operator setting unit 708. The logical operator setting unit 708 sets a logical operator between search expressions based on this condition determination instruction. Specifically, the logical operator setting unit 708 counts the number of condition determination instructions, and determines a logical operator based on the number of times. Each time the user operates the mouse 11 while selecting a search expression, the logical operator setting unit 708 periodically switches between AND, OR, and the non-selected state, and operates (clicks) the mouse 11 on the search expression. The logical operator or the non-selected state is determined according to the number of times the operation is performed. When N is an integer, an AND condition is selected if the number of clicks of the mouse 11 is (3N + 1), an OR condition is selected if it is (3N + 2), and a non-selected state is selected if it is 3N. Other logical operators may be incorporated in this cycle, and a complex conditional expression can be created by increasing the number of logical operators. When the search condition storage button 244 is pressed, the conditional expression generation unit 710 can store the output conditional expression in the database 21 when notified by the reception unit 702 to that effect. As a result, the saved output conditional expression can be used from the next time onward, and the time and effort for inputting the same output conditional expression each time a search can be reduced.

The conditional expression generation unit 710 determines an output conditional expression using a plurality of search expressions and a logical operator between the search expressions. The generated output conditional expression is delivered to the search execution unit 712. The search execution unit 712 executes search processing according to the output conditional expression.
When the number output button 243 is pressed, the search execution unit 712 displays the number of data satisfying the output conditional expression, that is, the number of search results, on the screen when notified by the receiving unit 702 to that effect. When outputting a search result, if the amount of data is too large, it takes time to output the data. Therefore, it is practically useful to display the number of search results as a guide for the output time to the user.

  When the output button 246 is pressed, the output unit 714 outputs the search execution result in the search execution unit 712 to the EXCEL file in the output format set in the output format setting unit 704. When an output format that outputs related data in association with one diagnosis content is selected as the output format, the output unit 714 does not output related data associated with normal diagnosis content to a file. . In many cases, since statistical information requires examination information diagnosed as abnormal, it is possible to output only necessary data to a file by eliminating the data of diagnostic contents indicating normality. .

Next, an order collation / integration function, which is a representative function of the management function, will be described.
FIG. 43 is a diagram showing a management function screen that is activated when the management function icon 55 is selected on the system start / end screen 90 shown in FIG. On the left side of the screen, an icon group 212 for selecting each management function is prepared, and an order collation / integration function, an account setting function, a master setting function, and an option function operate.
The account setting function can perform registration, change, and deletion of the user account of the system, and settings related to the user level and authority, and can access the contents of the staff master 56 in the database 21.

  The master setting function can register, change, and delete each master examination type, examination item, technique, addition, medicine, equipment, etc., and examination type master 213, examination item master 214, technique master 151 in the database 21. The contents of the addition master 153, the medicine master 154, the equipment master 152, the notes master 215, the scope master 155, and the term master 159 can be accessed.

  The system administrator can set the registration contents of various masters to be unusable. For example, a term that is no longer used is basically unnecessary, and is preferably set to an invalid (ie, unusable) state in order to reduce the possibility of erroneous use. Note that the master can be reused by re-enabling it by logically invalidating it instead of deleting it from the master and re-enabling it when the situation changes later.

  The optional function is a function that can be activated by selecting an icon by setting an arbitrary application.

  FIG. 43 shows a state where the order collation / integration icon 216 is selected from the icon group 212 on the left side of the screen. When the order collation / integration icon 216 is selected, in the right part of the screen, the department order issued on the department order registration screen 101 is inspected by the electronic endoscope apparatus 14 in the absence of the order. A list 217 indicating that only the image that has started is inspected is displayed. These can be displayed by referring to the inspection status information managed in the inspection table 65 in the database 21.

  Department orders are used to issue inspection orders within the system when order information from the HIS cannot be received. After receiving a formal order from the HIS, Orders can be verified and integrated. Specifically, collation can be performed by associating various types of link information linked to the department order with information in a table other than the order information table 57 with the official order. The same applies to the comparison between the image-only inspection and the order, and the integration of the image-only inspection into other orders.

  When integrating orders, the two orders before integration and the order after integration may be displayed on the monitor 9. Thereby, since the user can confirm the orders before and after the integration on the monitor 9, it is possible to avoid a situation where orders that should not be integrated are erroneously integrated.

  Further, information registered in two orders may be compared to automatically determine which order information has priority. Specifically, when integrating the formal order and the image only order, it is necessary to link the image only order to the formal order. As a result, the integrated order can be recognized on the HIS side. Therefore, an integration algorithm is set in advance so that the priority of the formal order is set higher than the priority of the order of only the image, and the order with the lower priority is associated with the order with the higher priority. By integrating the orders using the priority, it is possible to link only the order within the department or the image to the official order.

The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.
For example, when the system is upgraded, the endoscopy management system does not convert the data of the old version of the system into the new version of the system, but has two types of masters: the old version and the new version. May correspond. For example, when a report is created with an old version, the system displays and prints the report in the format of the old version. By eliminating the need for data conversion, the risk of data loss associated with conversion can be avoided, and by possessing the processing functions of both versions, problems associated with version upgrades can be avoided.

It is a figure which shows the hardware constitutions of the endoscopic inspection management system of this Embodiment. It is a figure which shows the software structure of this endoscopic examination management system. It is a figure which shows a system starting / end screen. It is a figure which shows the structure of the table / master managed by the database in a server. It is the figure which the inspection business main screen started. It is a figure which shows a non-arrival patient list screen. It is a figure which shows an arrival patient list screen. It is a figure which shows an untreated patient list screen. It is a figure which shows a non-imaging patient list screen. It is a figure which shows an implementation unregistered test | inspection list screen. It is a figure which shows a report unregistered test | inspection list screen. It is a figure which shows a test | inspection status list screen. It is a figure which shows a department order registration screen. It is a figure which shows the flow of a test | inspection. It is a figure which shows a pretreatment input screen. It is a figure which shows the correction window of notes. It is a figure which shows an imaging | photography screen. It is a figure which shows the implementation input screen. It is a figure which shows a report screen. It is a figure which shows a term selection screen. It is a figure which shows a site | part selection screen. It is a figure which shows the example which displayed the term of the lower hierarchy on the site | part selection screen. It is a figure which shows the state which selected the term in the site | part selection screen. It is a figure which shows the state which completed report input. It is a figure which shows the input state of comprehensive diagnosis. It is a figure which shows the state which input and displayed the content of comprehensive diagnosis. It is a figure which shows the report screen which inputs the result returned from the pathological examination. It is a figure which shows the state which selected the pathology result from the menu shown in FIG. It is a figure which shows the report screen which tied endoscopic diagnosis and pathological diagnosis. It is a figure which shows the state which opened the schema image edit window. It is a figure which shows the report screen of the state which added the generation function of the medical care information provision document to the report input function. It is a figure which shows the produced | generated medical treatment information provision book. It is a figure which shows the structure of the report input apparatus in the endoscopic examination management system in this Embodiment. FIG. 4 is a diagram showing a conference screen that is activated when a conference icon is selected and logged in on the system start / end screen shown in FIG. 3. FIG. 10 is a diagram showing an image display screen activated by selecting “image display” from a menu. FIG. 4 is a diagram showing a statistic / history screen that is activated when a statistic / history icon is selected on the system start / end screen shown in FIG. It is a figure which shows the state which selected the EXCEL icon from the icon group. It is a figure which shows the preservation | save screen of the selection state of an output item. It is a figure which shows the change screen of the output order of an output item. It is a figure which shows a condition search screen. It is a figure which shows the input screen of a search expression. It is a figure which shows the structure of the test | inspection information retrieval apparatus in the endoscopic test | inspection management system in this Embodiment. FIG. 4 is a diagram illustrating a management function screen that is activated when a management function icon is selected on the system activation / termination screen illustrated in FIG.

Explanation of symbols

700 ... Examination information search device, 702 ... Reception unit, 704 ... Output format setting unit, 706 ... Search formula setting unit, 708 ... Logical operator setting unit, 710 ... Conditional expression Generation unit, 712... Search execution unit, 714.

Claims (10)

An information retrieval device for retrieving information stored in a database according to a conditional expression,
A search expression setting unit that sets a plurality of search expressions based on setting instructions from the user,
A logical operator setting unit for setting a logical operator between search expressions based on a condition determination instruction from the user;
A plurality of search expressions, and a conditional expression generation unit that determines a conditional expression by a logical operator between the search expressions,
The information search device, wherein the logical operator setting unit determines a logical operator based on the number of times the user operates the input device.   The logical operator setting unit periodically switches at least the AND and OR logical operators each time the user operates the input device while selecting a search formula, and the number of times the input device is operated with respect to the search formula The information search apparatus according to claim 1, wherein a logical operator is determined by:   3. The information search apparatus according to claim 1, wherein the setting instruction and the condition determination instruction from the user are made from a single input device that executes only a selection instruction. An information search method for searching information stored in a database according to a conditional expression,
Setting a plurality of search expressions based on setting instructions from the user;
Setting a logical operator between search expressions based on a condition determination instruction from the user;
A plurality of search expressions, and a step of determining a conditional expression by a logical operator between the search expressions,
The step of setting a logical operator determines the logical operator based on the number of times the user operates the input device. An examination information retrieval device that retrieves information related to a medical examination stored in a database according to a conditional expression,
An output format setting section for setting an output format for outputting search results to a file from a plurality of options;
A conditional expression generation unit for generating a search conditional expression;
A search execution unit that executes a search according to the conditional expression;
An output part that outputs the search results to a file in the set output format;
An inspection information retrieval apparatus comprising:   6. The examination information search apparatus according to claim 5, wherein the plurality of output formats include an output format for outputting related data in association with one diagnosis content.   The examination information search apparatus according to claim 6, wherein the output unit does not output the related data associated with the normal diagnosis content to a file.   The inspection information search apparatus according to claim 5, wherein the search execution unit has a function of displaying the number of data satisfying the conditional expression.   9. The examination information retrieval apparatus according to claim 5, wherein the generated conditional expression is storable. A test information search method for searching information related to medical tests stored in a database according to a conditional expression,
Setting the output format to output the search results to a file from multiple options;
Generating a search condition expression;
Performing a search according to the conditional expression;
Outputting search results to a file in a set output format;
An inspection information retrieval method comprising:

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