JP2009245415A - Order receiving device and method, and medical network system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To enable a staff at a request source of affairs to read processing results of related affairs to be executed at other sections without causing waste of a space and cost and also without complicating operations. <P>SOLUTION: A RAD server 25 is an order receiving device of a radiological examination department, and receives a CT order addressed to a self-department to be issued from a department terminal at the request source. The RAD server 25 transfers the CT order to an ES server 28 of other department, and simultaneously receives an ES order to be transmitted from the ES server 28. The RAD server 25 registers the received CT order, the received ES order in an acceptance table 56. The RAD server 25 retrieves CT orders addressed to the self-department related to the received ES order addressed to other department, and performs association processing for associating both with each other. Each of the associated orders are displayed on a display. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an order receiving apparatus and an order receiving method provided for each department, and a medical network system.

  In a relatively large hospital, there are multiple departments such as internal medicine and surgery to which doctors mainly responsible for patients belong, and based on the ward, which is the center of clinical activities for outpatients and inpatients, A department (referred to as a central medical department or the like) that specially supports the medical activities of doctors in each department is arranged independently in the organization. The department includes examination departments such as a radiology department, an endoscopy department, and a pathology department. The Department of Radiology performs inspections that mainly handle radiation, such as CR (Computed Radiography) inspection, CT (Computed Tomography) inspection, and MRI (Magnetic Resonance Imaging) inspection. The Department of Endoscopy uses the endoscope to perform digestive and respiratory examinations.

  The information system constructed in such a hospital is mainly used by clinical department staff such as doctors and nurses of the clinical department, and manages the medical record data (electronic medical record data) of the patient. It is composed of department-specific departmental systems that are mainly used by examination department staff such as specialists (radiologists, endoscopists, etc.) and examination technicians. 1).

  The medical record system consists of a medical record server that builds a medical record DB in which medical record data for each patient is stored, and a medical department terminal that is placed in each clinical department and accesses the medical record server to browse and input medical record data. Become. The doctor in the medical department issues an order for an inspection request from the medical department terminal.

  The issued order is transmitted online to the department system. Each department system has an order reception function for receiving an order issued from a clinical department terminal and receiving the order. In the order, examination request information such as patient ID, patient name, examination type, scheduled examination date, and examination purpose is recorded. The staff of the inspection department confirms the order received by the department system, and performs the inspection according to the contents specified in the order.

  The inspection data that records the results of the inspection consists of, for example, inspection images taken by various medical inspection devices (modalities) such as CT devices, and reports that summarize the results of image diagnosis of the inspection images. Stored on a server or report server. The examination department staff sends the examination data storage destination address together with the examination completion notice to the requesting department terminal from the department system. The doctor in the medical department who has received the end notification accesses the address at the medical department terminal and browses the examination data.

In the medical network system of Patent Document 1, the chart data and the examination data are comprehensively managed so that both the chart data and the examination data can be referred to by the clinical department terminal. For example, if a patient is suspected of having gastric cancer, a doctor in the clinical department requests multiple examinations to each department depending on the patient's injury or illness, such as requesting a CT examination and endoscopic examination. May ask. According to the information system of Patent Document 1, a plurality of examination data related to one patient can be viewed together with the chart data on the medical department terminal, so that the work efficiency of the doctor in the medical department is improved.
JP 2000-348115 A

  As described above, when a plurality of examinations are performed for one patient in different examination departments, there is a demand for each examination department to refer to examination data of another examination department that has already been performed. . This is because if there is an examination already performed in another laboratory, the laboratory staff who conducts the examination later will refer to the examination data that has already been performed, where the lesion is located, It is possible to obtain information on what points are focused on and the inspection was performed. Such information is useful for carrying out an appropriate examination according to the patient's injury and illness, such as determination of examination parameters (such as imaging conditions) when the examination is performed. If an appropriate examination can be performed, the examination data becomes useful data for diagnosis by the requesting doctor and determination of a medical treatment policy.

  In the medical network system of Patent Document 1, a plurality of examination data can be viewed at the requesting department terminal, but the staff of each of the requested examination departments can view examination data of other examination departments. It is not taken into consideration. For this reason, in the examination department, there is no other way but to carry out the inspection relying only on the request information received from the requester.

  As a solution to this problem, if a terminal capable of browsing medical chart data and examination data is introduced into each examination department in the same manner as the clinical department terminal, examination data of other examination departments can be browsed.

  However, in the department, the main work is done at the department system terminals, so introducing a less-used clinical department terminal just to view the examination data of other departments is the installation space and cost. There is a lot of waste in terms of. Since the number of clinical department terminals to be introduced increases according to the number of examination departments, waste of space and cost becomes significant in a relatively large hospital.

  Even if space and cost problems are resolved and the department terminal can be introduced, the task of using the two terminals, the department system terminal and the department terminal, is very complicated for the laboratory staff. is there.

  If only medical chart software is added to the department system terminal without introducing a medical department terminal, an increase in hardware costs can be avoided, but an increase in software addition costs can be avoided. Absent. Regardless of whether you add only software or hardware, in any case, once you have access to the chart data and examined the presence or absence of tests performed by other departments, There is no change in the operation of accessing the inspection data via the chart data, such as accessing the medical record data. Such operations themselves are very complicated for examination staff, and a method of accessing examination data of other examination departments more easily has been desired.

  The present invention has been made in view of the above-described background, and the purpose of the present invention is related to the fact that the staff to whom the business is requested is carried out in another department without incurring waste of space, cost, and work complexity. It is to be able to browse the processing result of the work to be performed.

  In order to solve the above problems, an order receiving apparatus of the present invention is provided for each of a plurality of departments in a medical facility, and in an order receiving apparatus that receives an order of a business request issued from a request source via a network. In addition to the order addressed to the own department, the receiving means for receiving the order addressed to the other department, the storage means for storing the received order, and the storage means are accessed to access the own address related to the order addressed to the other department. A search means for searching for an order addressed to a department and an associating means for associating related orders addressed to other departments and to the own department searched by the search means are provided.

  It is preferable to include a transfer means for transferring the order addressed to the own department to an order receiving apparatus in another department.

  The order includes request source information and patient information, and the search means searches the related orders by comparing the items of the order addressed to the own department and the order addressed to the other department. It is preferable.

  It is preferable that display control means for displaying a list screen for displaying a list of received orders on a display is provided.

  It is preferable that an order ID of an order addressed to another department is displayed on the list screen.

  The associating means creates an address for accessing the processing result corresponding to the order addressed to the other department through the network from the order ID of the order addressed to the other department, and the created address is addressed to the own department. Are preferably associated with the order.

  It is preferable that an operation tool for inputting an operation instruction for accessing the address and displaying the processing result on the display is displayed on the list screen.

  The order of the business request is, for example, an order of an inspection request issued to each department, and the processing result is, for example, inspection data of the medical inspection.

  The order receiving method of the present invention is provided for each of a plurality of departments in a medical facility, and in the order receiving method for receiving an order of a business request issued from a request source, in addition to an order addressed to its own department, A receiving step for receiving an order; a storing step for storing the received order in a storing means; and a searching step for accessing the storing means to search for an order addressed to the own department related to the received order addressed to another department; And an associating step for associating the retrieved related orders addressed to other departments and to the own department.

  The medical network system of the present invention is provided in each of a plurality of departments in a medical facility, and in a medical network system in which a plurality of order receiving devices that receive an order of a business request issued from a request source are connected via a network. Each of the order receiving devices receives a receiving means for receiving an order addressed to another department in addition to an order addressed to its own department, a storing means for storing the received order, and an access to the storing means to address the other department. Searching means for searching for an order addressed to the own department related to the order of the user, and an associating means for associating related orders addressed to the other department and addressed to the own department retrieved by the searching means. .

  The order receiving apparatus of the present invention is provided for each of a plurality of departments in an organization, and in an order receiving apparatus that receives an order of a business request issued from a request source via a network, in addition to an order addressed to its own department, Receiving means for receiving an order addressed to another department, storage means for storing the received order, and search means for accessing the storage means and searching for an order addressed to the own department related to the order addressed to the other department And an associating means for associating related orders addressed to other departments and to the own department retrieved by the retrieving means.

  According to the present invention, since the order addressed to the other department is associated with the order addressed to the own department, for example, the existence of the order addressed to the other department related to the order addressed to the own department can be easily known. This makes it easy to obtain clues for accessing the processing results of other departments. Therefore, the staff of the work request destination can browse the processing results of related work carried out in other departments without incurring waste of space and cost and complicated work.

  The medical network system shown in FIG. 1 is constructed in a medical facility such as a hospital, for example. The medical network system includes a medical chart system 11 disposed in the ward 10, department systems 16 and 17 disposed in the respective examination departments of the radiology department 12 and the endoscopy department 13, and examinations performed by the examination departments. The image server 18 and the report server 19 that store the inspection data (inspection image and report) obtained by the above are connected to be communicable through the network 20. The network 20 is, for example, a LAN (Local Area Network) laid in the hospital.

  The medical chart system 11 includes a medical record server 21 and medical department terminals 23 arranged in the respective medical departments 22 such as internal medicine and surgery. In the medical record server 21, a medical record DB (Data Base) 24 is constructed in which medical record data for each patient is stored so as to be searchable. The clinical department terminal 23 is operated by staff of the clinical department 22 such as doctors and nurses of the clinical department 22, and in addition to browsing and inputting medical records, orders for requesting examinations to the examination departments 12 and 13 are provided. Used for issuing.

  The department systems 16 and 17 are a department system (hereinafter referred to as RAD system) 16 of the radiation examination department 12 and a department system (hereinafter referred to as ES system) 17 of the endoscopic examination department 13, respectively. Each department system 16 and 17 is an order reception system that receives an order issued by the medical department terminal 23 via the network 20 and performs reception processing. The staff of each examination department 12 and 13 uses the respective department systems 16 and 17 to contact the requester such as confirming the order, reporting the completion of the examination, and reporting the examination result. The RAD system 16 is also called RIS (Radiology Information System).

  The RAD system 16 includes a RAD server 25 and a RAD terminal 26. In the RAD server 25, a RAD-DB 27 in which an order addressed to the radiology department 12 is stored is constructed. The ES system 17 includes an ES server 28 and an ES terminal 29. In the ES server 28, an ES-DB 30 in which an order addressed to the endoscopy department 13 is stored is constructed.

  In the image server 18 and the report server 19, an image DB 31 and a report DB 32 in which examination images and reports are stored for each patient are constructed. The image DB 31 stores examination images taken by modalities (not shown) such as CT apparatuses, MRI apparatuses, and endoscope apparatuses that are arranged in the examination departments 12 and 13. The report DB 32 stores report data created by a report creation terminal (not shown) arranged in each of the examination departments 12 and 13.

  In this example, the image server 18 and the report server 19 are described as being shared by the examination departments 12 and 13, but the image server 18 and the report server 19 may be provided for each examination department 12 and 13.

  Each of these servers 18, 19, 21, 25, 28 and terminals 23, 26, 29 is based on a computer such as a personal computer, a workstation, or a server computer. It is configured by installing an application program such as a program or a server program.

  As shown in FIG. 2, the basic configuration of the server and the terminal computer is substantially the same, and includes a CPU 41, a memory 42, a storage device 43, a LAN port 44, and a console 46, respectively. These are connected via a data bus 47. The console 46 includes a display 48 and an input device 49 such as a keyboard and a mouse.

  The storage device 43 is an HDD (Hard Disk Drive), for example, and stores a control program and an application program (AP) 50. In addition to the HDD that stores the program, for example, a disk array in which a plurality of HDDs are connected is provided in the server in which the DB is constructed, as the DB storage device 43. The disk array may be built in the server main body, or may be provided separately from the server main body and connected to the server main body through a cable or a network.

  The memory 42 is a work memory for the CPU 41 to execute processing. The CPU 41 loads the control program stored in the storage device 43 into the memory 42 and executes processing according to the program, thereby comprehensively controlling each part of the computer.

  The LAN port 44 is a network interface that performs transmission control with the network 20. For example, the LAN port 44 is compliant with Ethernet (registered trademark), which is a standard standard for LAN, and combines Ethernet (registered trademark) and TCP / IP (Transmission Control Protocol / Internet Protocol). Transmission control is performed based on the communication protocol.

  Data to be communicated passed between the server 50 and the AP 50 of the terminal through the network 20 is converted into the form of an IP packet in the IP protocol layer and sent out from the LAN port 44 to the network 20. In each IP packet, an IP address, which is an address on the network of the destination server or terminal, is specified at the transmission source. When the IP packet is transmitted to the LAN port 44 of the destination server or terminal specified by the IP address through the network 20, data to be communicated is extracted from the IP packet at the LAN port 44, and the destination AP 50 Is passed on.

  In the image server 18 and the report server 19, a server program is installed as an AP 50 that executes processing in response to a request from a client and responds with a processing result. The server programs of the image server 18 and the report server 19 execute storage processing in the DBs 31 and 32 in response to data storage requests from clients such as modalities and report creation terminals. In addition, in response to inspection image and report browsing requests from the medical department terminal 23, RAD terminal 26, and ES terminal 29, the requested inspection images and reports are searched from the respective DBs 31 and 32, and the searched data Is delivered to the requester.

  In the medical department terminal 23, a client program for medical charts for browsing and editing medical charts is installed as AP50. When the chart client program is started, an operation screen for charts using a GUI (Graphical User Interface) is displayed on the display of the medical department terminal 23. On the operation screen, the patient chart data selected by the input device and read from the chart DB 24 is displayed. The medical department terminal 23 receives operation instructions such as an instruction for inputting / editing medical charts and an instruction for inputting / issuing examination orders through the console. The input chart and order data are stored in the chart DB 24.

  As a chart client program, a chart-dedicated program may be used, or a general-purpose Web browser compatible with HTTP (Hyper Text Transfer Protocol) may be used. When using a chart-dedicated program, the operation screen is generated based on screen data defined by the chart-dedicated program. When a general-purpose web browser is used, an operation screen is generated by downloading a web page including screen data from the chart server 21.

  The client program for medical records communicates with the medical record server 21 in accordance with an operation instruction from the input device of the medical department terminal 23, and issues a request for processing such as data reading, update, and search to the medical record server 21. In the medical record server 21, a server program is installed as an AP 50 that executes processing in response to a request from the medical department terminal 23 and responds to the processing result.

  As shown in FIG. 3, when a doctor of the medical department 22 who is a requester of an examination requests a plurality of examinations such as CT examination and endoscopic examination for one patient, the doctor of the medical department terminal 23 Enter the contents of each inspection request. The medical department terminal 23 creates a CT order 51 for CT examination and an ES order 52 for endoscopic examination based on the input contents. When the issuing instruction is input from the console, the medical department terminal 23 issues the created CT order 51 and ES order 52, and the CT order 51 and ES order 52 are sent to the requested RAD system 16 and ES system 17, respectively. Sent.

  Each of the orders 51 and 52 includes a patient ID, a patient name, an order number, a request date, requester information (“Suzuki of internal medicine”), and request destination information (“radiological examination department” or “endoscopy”). Department "), examination type (" CT "and" endoscope "), and scheduled examination date (" February 25 ").

  The order number is an order ID for identifying each order issued by the request source. In the figure, “70003” is given to the CT order 51, and “80001” is given to the ES order 52. Each order 51, 52 includes an examination department ID for identifying the requested examination department. The first digit of the five-digit order number is “7” for the radiation examination department 12, “ "8" indicates the endoscopy department 13 respectively. The CT order 51 and the ES order 52 are related orders in which the requester (“Internal Medicine Suzuki”) and the patient (“Patient ID = 1234”) are the same. Further, since it is issued on the same day, the request date is also the same day (“February 13”).

  In the RAD terminal 26 and the ES terminal 29, an order management client program for managing the order received from the medical department terminal 23 is installed as the AP 50. When the client program for order management is started, each terminal 26 and 29 displays an operation screen by GUI on each display. The operation screen includes a list screen that displays a list of a plurality of received orders (see work list 57 in FIG. 6).

  Operation instructions are input to the terminals 26 and 29 through the console. The staff members of the examination departments 12 and 13 input operation instructions through the consoles of the terminals 26 and 29, and contact the requester such as confirming the order, completing the examination corresponding to the order, and reporting the result.

  As with the clinical department terminal 23, the operation screens of the terminals 26 and 29 may be generated by a dedicated client program for order reception, or each server 25, 28 using a general-purpose Web browser. A web page for generating an operation screen may be downloaded.

  The client program for order management of each terminal 26, 29 communicates with each server 25, 28 according to an operation instruction input from the console, and requests each server 25 for processing such as data read, update, and search. , 28.

  In the RAD server 25 and the ES server 28, as the AP 50, a server program that executes a process in response to a request from each of the terminals 26 and 29 and returns a process result is installed. Further, the server program receives an order issued from the medical department terminal 23 and stores the received order in the DBs 27 and 30.

  As shown in FIG. 4, in the RAD server 25 and the ES server 28, server lists 53 and 54 in which addresses of servers as communication destinations are recorded are stored in the storage device. In the server lists 53 and 54, the names and domain names of the inspection data storage destination server and the order transfer destination server are recorded. The domain name corresponds to an IP address that is a network address on the network 20 of each server, and can be converted into each other.

  In the server lists 53 and 54, the image server 18 and the report server 19 are registered as test data storage destinations, and the respective domain names (“www.image”, “www.report”) are recorded.

  As will be described later, the RAD server 25 and the ES server 28 receive the orders addressed to the other departments in addition to the orders addressed to the own departments, which are addressed to the radiology department 12 and the endoscopy department 13, respectively. And a transfer function for transferring an order addressed to the own department to another department. For example, the RAD server 25 receives the CT order 51 addressed to its own department and also receives the ES order 52 addressed to the ES server 28. Further, the CT order 51 addressed to its own department is transferred to the ES server 28. Similarly, the ES server 28 receives the ES order 52 addressed to the own department, receives the CT order 51 addressed to the RAD server 25, and further transfers the ES order 52 addressed to the own department to the RAD server 25.

  In each of the server lists 53 and 54, the ES server 28 and the RAD server 25 are registered as servers of order transfer destinations, and the respective domain names (“www.es” and “www.rad”) are recorded. Is done.

  Hereinafter, the configurations and functions of the RAD server 25 and the ES server 28 will be described using the RAD server 25 as an example in FIGS. The received order is stored in the RAD-DB 27. As shown in FIG. 5, a reception table 56 is provided in the RAD-DB 27. Order data received by the RAD server 25 is registered in the reception table 56. In the reception table 56, for each order, items input on the medical department terminal 23 such as a patient ID, a patient name, an order number, a request date, information on a request source, a test type, and a scheduled test date are recorded in a field. In addition, there are provided fields for recording status indicating the progress of the inspection and incidental information.

  In the status field, for example, three states such as “incomplete”, “end”, and “stop” are displayed. “Incomplete” means that the inspection has not been completed after receiving the order, “End” means that the inspection has been completed, and “Cancel” means that the order has been canceled. .

  In the incidental information field, when there is an order of a related department, the order number of the related order and the storage address of the inspection data of the related order are recorded. As shown in the upper part of the figure, in the reception table 56 of the RAD-DB 27, the CT order 51 addressed to its own department is registered, and as shown in the lower part, the ES order 52 addressed to other departments is registered.

  The mutual order numbers (“70003” and “80001”) are recorded in the incidental information fields of the CT order 51 and the ES order 52, respectively. As a result, two orders are registered in association with the reception table 56. In addition to the order number of the CT order 51, a reference URL (Uniform Resource Locator) for inspection data (inspection image and report) of the ES order 52 is recorded in the incidental information field of the ES order 52.

  The reference URL includes an image reference URL and a report reference URL, and is an address for accessing the examination data of the endoscopic examination stored in the image server 18 and the report server 19 through the network 20. The URL for image and report reference includes the protocol name (“http”), the domain name “www.image or www.report” of the image server 18 or the report server 19, and endoscopy in each server 18, 19. This is composed of a combination of a path name (“es”), a patient ID (“patientID = 1234”), and an order number (“orderno = 80001”) for designating a folder in which examination data is stored.

  The protocol name, domain name, and path name are set in advance in the server program. The patient ID is uniquely determined in the hospital and is common regardless of the examination type. Therefore, if only the order number is known, the storage address of the inspection data corresponding to the order addressed to another department can be created.

  When the RAD server 25 receives the ES order 52, the RAD server 25 reads the patient ID and the order number (“80001”) from the ES order 52, and creates a reference URL for images and reports from the read patient ID and the order number. To do. The created reference URL is recorded in the incidental information field of the ES order 52 in the reception table 56.

  The RAD work list 57 shown in FIG. 6 is an example of a screen that displays a list of orders registered in the reception table 56, and is displayed on the display of the RAD terminal 26. In response to the list display instruction input from the console, the RAD terminal 26 accesses the RAD-DB 27, reads the data in the reception table 56, generates the RAD work list 57 based on the read data, and displays it on the display. indicate. The staff of the radiology department 12 confirms the received order and inputs or changes information related to the order (such as an inspection execution record) using the RAD work list 57.

  The RAD work list 57 is for displaying the work performed by the staff of the radiology department 12. Therefore, in the RAD work list 57, only orders destined for its own department among orders registered in the reception table 56 are displayed, and orders destined for other departments such as the ES order 52 are not displayed.

  The RAD work list 57 is provided with a list display area 58 for displaying a list of orders, and operation buttons 59 to 62 operated by an input device such as a mouse below the list display area 58. The operation buttons 59 to 62 are operation tools constituting the GUI. The list display area 58 displays items corresponding to the fields of the reception table 56 for each order.

  In the related inspection information field, when a related order addressed to another department related to an order addressed to the own department is registered in the reception table 56, information on the related order is displayed. In the reception table 56 of FIG. 5, the ES order 52 is registered as a related order of the CT order 51 addressed to its own department. In the field of the related examination information of the CT order 51 of the RAD work list 57, information corresponding to the incidental information of the ES order 52 recorded in the reception table 56 is displayed.

  The related examination information field is divided into three subfields: order number, image and report. In the sub-field of the order number, the order number (“80001”) of the ES order 52 that is the related order of the CT order 51 is displayed. In the image and report subfields, icons 63a and 63b are displayed with the image reference URL and report reference URL of the ES order 52 as link destinations, respectively.

  The icons 63a and 63b are operation tools constituting the GUI, like the operation buttons 59 to 62, for accessing the reference URL and displaying the inspection data of orders of other departments on the display of the RAD terminal 26. Used to input operation instructions.

  The icons 63a and 63b are clicked with the mouse. When the icons 63a and 63b are clicked, the CPU of the RAD terminal 26 receives the operation instruction and issues a data distribution request with the reference URL for the link destination of the clicked icons 63a and 63b as the storage destination. . The distribution request is transmitted to the image server 18 and the report server 19 through the network 20, and the inspection image and the report are distributed from the image server 18 and the report server 19 to the requesting RAD terminal 26 and displayed on the display of the RAD terminal 26. The In this way, the RAD terminal 26 can view inspection images and reports of endoscopic inspections that are inspections of other departments.

  The operation button 59 is a button for inputting an update instruction for updating the display of the list display area 58 to the latest state. When the operation button 59 is clicked with the mouse, the data in the reception table 56 in the RAD-DB 27 is reloaded, and the list display area 58 is updated.

  The operation button 60 is a button for inputting a selection instruction for selecting an order in the list display area 58. When one order in the list display area 58 is selected with the mouse and the operation button 60 is clicked, a display screen for displaying detailed information (such as an inspection execution record) of the order is opened.

  The operation buttons 61 and 62 are buttons for inputting operation instructions for browsing inspection images and reports of the ES order 52 related to the CT order 51, similarly to the icons 63a and 63b. When an order in the list display area 58 is selected and one of the operation buttons 61 and 62 is clicked, the inspection image or report of the related order is displayed in the same manner as when the icons 63a and 63b are selected.

  In this example, an example has been described in which both icons 63a and 63b and operation buttons 61 and 62 are provided as operation tools for browsing inspection data, but either one may be used. The form of the operation tool may be, for example, a list box or a pull-down menu that can select and specify a reference URL, and may be other than the form of the icons 63a and 63b and the operation buttons 61 and 62.

  As illustrated in FIG. 7, the CPU of the RAD server 25 functions as a reception unit 25 a and an association processing unit 25 b by executing a server program that is an AP 50. The reception unit 25a receives the CT order 51 addressed to its own department transmitted from the medical department terminal 23 and the ES order 52 transferred from the ES server 28, and executes reception processing. Specifically, the reception unit 25a performs destination determination processing for determining the destination of the received order, transfer processing for transferring the order addressed to the own department to another department, and registration processing for registering the received order in the reception table 56. I do.

  In the destination determination process, it is determined whether the order addressed to the own department is the order addressed to another department based on the examination department ID included in the order number of the received order. For example, when the received order is a CT order 51 issued from the medical department terminal 23, since the first digit of the order number is (“7”), it is determined that the order is for the own department. On the other hand, when the received order is the ES order 52 transferred from the ES server 28, the first digit of the order number is (“8”), so the order is directed to another department (endoscopy). It is determined that

  In the destination determination process, when it is determined that the order is for the own department, the received order is transferred. In the transfer process, the domain name of the ES server 28 that is the order transfer destination is read from the server list 53, and the CT order 51 addressed to its own department is transferred to the ES server 28 with the domain name as the destination. In the registration process, the CT order 51 addressed to the own department and the ES order 52 addressed to the other department are registered in the reception table 56 in the RAD-DB 27, respectively.

  The association processing unit 25b performs an order search process related to the received order. In the search process, the reception table 56 is accessed, and when the received order is a CT order 51 addressed to the own department, an order addressed to another department related to the CT order 51 is searched. When the received order is an ES order 52 addressed to another department, an order addressed to the own department related to the ES order 52 is searched.

  The related order search process is performed by collating the patient ID, the request date, and the request source information included in the order. For example, when the received order is the CT order 51, the patient ID, the request date, and the request source information are read from the CT order 51, and the read items and the orders registered in the reception table 56 are read. Are matched with each item of the patient ID, request date, and request source information, and an order in which each item matches is searched. If the ES order 52 has already been registered in the reception table 56, the items of the patient ID, request date, and request source information of the ES order 52 and the items of the CT order 51 all match, so the CT order 51 and the ES The order 52 is determined to be a related order.

  When a related order is found, each order number is recorded in the field of incidental information in the reception table 56, and an association process is performed. As shown in FIG. 5, in the incidental information field of the CT order 51, the order number (“80001”) of the ES order 52 is shown, and in the incidental information field of the ES order 52, the order number of the CT order 51 ( “70003”) is recorded.

  If the received order is an ES order 52 addressed to another department, an order addressed to the own department related to the ES order 52 is searched. The search method is the same as described above.

  In this example, all three items of patient ID, request date, and request source information are used as collation items, and when all match, it is determined as a related order. Since it may be issued, it may be determined by only two items of patient ID and request source information. In addition, when the request date is used as a verification item, a range of days is set as a reference for determining the related order so that the related order is determined even if there is a date difference of several days. May be. In this case, the association processing unit 25b performs search and association based on the setting. The requesting doctor often determines the necessity of the next examination based on the examination result of one examination. Therefore, since there is a high possibility that a plurality of examinations with different request dates are related, such a setting is effective.

  The association processing unit 25b further performs a reference URL creation process when a related order is found. In the reference URL creation process, a reference URL for inspection data relating to an order addressed to another department is created. As described above, when the ES order 52 related to the CT order 51 is found, the order number is read from the ES order 52, and based on the order number and the domain name of the inspection data storage destination read from the server list 53 , URLs for reference of images and reports are created. Then, the created reference URL is recorded in the incidental information field of the ES order 52 in the reception table 56.

  The RAD server 25 has been described as an example in FIGS. 5 to 7, but the ES server 28 is the same as the RAD server 25. Although not described in detail, in brief, the CPU of the ES server 28 functions as a reception unit and an association processing unit similar to the reception unit 25a and the association processing unit 25b by executing a server program that is the AP 50. The ES-DB 30 of the ES server 28 is provided with a reception table for registering an order addressed to its own department, that is, the ES order 52. In addition to the ES order, it is addressed to other departments transferred from the RAD server 25. An order, that is, a CT order 51 is registered. An ES work list similar to the RAD work list 57 is displayed on the display of the ES terminal 29. In the ES work list, icons and operation buttons for referring to the inspection data of the CT order 51 related to the ES order 52 are displayed.

  Hereinafter, the operation of the above configuration will be described with reference to the flowchart shown in FIG. When a doctor of the medical department 22 requests CT examination and endoscopic examination for one patient, the medical department terminal 23 is used to input the contents of each examination request and to issue an order issue instruction. do. The clinical department terminal 23 creates a CT order 51 and an ES order 52 according to the input contents, and issues the created CT order 51 and ES order 52 to respective destinations (RAD server 25 and ES server 28).

  The RAD server 25 and the ES server 28 receive the CT order 51 and the ES server 28 from the medical department terminal 23, respectively. The RAD server 25 registers the received CT order 51 in the reception table 56 of the RAD-DB 27, and the ES server 28 registers the received ES order 52 in the reception table of the ES-DB 30.

  The RAD server 25 searches for orders related to the received CT order 51 from the orders registered in the reception table 56. At this time, since there is no order related to the CT order 51, the association process is not executed. Similarly, the ES server 28 searches for orders related to the received ES order 52 from the orders registered in the reception table, but at this point, there is no order related to the ES order 52, so the association processing is performed. Is not executed.

  As a result of the destination determination, the RAD server 25 transfers the CT order 51 to the ES server 28 because the received CT order 51 is addressed to its own department. Similarly, the ES server 28 also transfers the received ES order 52 to the RAD server 25.

  When the RAD server 25 receives the ES order 52, the RAD server 25 registers the ES order 52 in the reception table 56. Since the ES order 52 is an order addressed to another department, no transfer is performed. The RAD server 25 searches for related orders of the ES order 52. Since the CT order 51 is registered in the reception table 56, the RAD server 25 performs an association process between the CT order 51 and the ES order 52.

  If the reception order is reversed (ES order 52 is first and CT order 51 is later), when the RAD server 25 receives the CT order 51, the CT order 51 and the ES order 52 that have already been registered. Perform the association process.

  As a result of the associating process, as shown in FIG. 5, in the reception table 56, mutual order numbers are recorded in the fields of the incidental information of the CT order 51 and the ES order 52. Further, a reference URL for the inspection data of the ES order 52 is created, and the created reference URL is recorded in the field of incidental information.

  Similarly, when receiving the CT order 51, the ES server 28 registers it in the reception table and searches for related data. Since the ES order 52, which is a related order, has already been registered in the reception table, an association process with the CT order 51 is performed. As a result of the association processing, the mutual order number is recorded in the reception table, and the reference URL for the inspection data of the CT order 51 is recorded.

  Thus, when the RAD work list 57 is displayed on the display of the RAD terminal 26, icons 63a and 63b with reference URLs as link destinations and reference operation buttons 61 and 62 are displayed. The staff of the radiology department 12 can browse the examination data of the endoscopic examination based on the ES order 52 on the RAD terminal 26 by operating these icons 63a and 63b. On the other hand, the staff of the endoscopy department 13 can view the examination data based on the CT order 51 through the work list displayed on the display of the ES terminal 29.

  As described above, since the department systems 16 and 17 of the examination departments 12 and 13 associate the order addressed to the own department with the orders of other departments related thereto, the department systems 16 and 17 are configured. The inspection data of orders of other departments can be confirmed at the console of each terminal. Therefore, the staff of each examination department 12 and 13 is freed from the complicated work of accessing the chart data and checking the order number addressed to the other department in order to view the examination data of the other department as in the past. The In addition, since inspection data of other departments can be viewed on the terminals constituting the department system, it is not necessary to introduce a medical chart terminal to each of the examination departments 12 and 13, and there is no waste of space and cost.

  In the above-described embodiment, in each department system, in the process of associating an order addressed to its own department with an order addressed to another department, each order is associated with an order addressed to another department in addition to associating each order with an order number. Although the reference URL that is the storage address of the inspection data is created, the reference URL need not be created. If even the order number of the related order can be displayed in the work list, a reference URL can be manually created based on the order number. The operation of creating a reference URL by manual input is easier than the labor of examining medical chart data.

  Further, even if the reference URL created based on the order number is accessed, the inspection data cannot be browsed. However, even in this case, it is possible to easily check whether or not a related order exists by performing the association process as compared with the conventional case. Since the staff of the examination department can grasp the clues for accessing the examination data from the information of the order, access to the examination data becomes easier than before.

  In the above embodiment, the reference URL is created based on the order number of the related order. However, in this method, the domain name of the server or the path name in the server that stores the inspection data of the related order is stored. This is a method for estimating a reference URL (storage destination address) based on an order number of a related order, on the assumption that it is determined in advance. Therefore, when the domain name or path name is changed in accordance with the change of the storage location of the inspection data, the inspection data of the related order cannot be browsed even if the estimated storage destination address is accessed. Therefore, when the domain name or the path name is changed, it is preferable that the server list stored in the server of each department system is updated according to the change.

  In this case, if the domain name or path name is changed, a change notification is sent from the management server that centrally manages the hospital information system to the servers of each department connected to the network 20. To be done. The server of each department receives the change notification and updates the information registered in the server list based on the change notification.

  Further, as a more reliable method for acquiring the storage destination address, as shown below, a method using a modality of each examination department or a work completion notification transmitted from the report creation terminal to the request source can be considered. The department system of each examination department is connected with a modality and a report creation terminal. According to the order received by the department system, photographing by the modality and report creation using the report creation terminal are performed. The modality or report creation terminal transmits a work completion notification to the department system when uploading of the captured inspection image or created report to the server is completed. In many cases, the work completion notification includes the storage address of each data of the photographed inspection image and the created report.

  This work completion notification is sent from the department system to the request source. Each department system sends the work completion notice to the request source, and, similarly to the above-described order, the work completion notice is sent to the other department. By transferring to the department system, each department system can acquire a reliable storage destination address from the work completion notification. Since the work completion notification includes the patient ID and the requester information, it is possible to search and associate the related order corresponding to the work completion notification by comparing these items with the related order.

  For example, the RAD server receives a report creation completion notification from a report creation terminal of the radiology department. The RAD server transmits the received work completion notification to the requesting medical department terminal and transfers it to the ES server. The ES server reads the item of patient ID (for example, “1234”) and requester information (“Internal Medicine Suzuki”) from the received work completion notification, and stores the CT order and ES order that match the item in the reception table. Search from registered orders. When an order that matches the item is found, the order is associated with the work completion notification. Thereby, a reliable storage destination address can be acquired.

  In the above embodiment, the example in which the request source assigns an order ID for identifying each order has been described. However, the order ID may be assigned by the request destination. For example, the RAD server of the requested radiology department receives the order issued from the requesting department terminal. The RAD server assigns a reception ID to the order for each received order. This reception ID is an order ID. Then, after giving the reception ID, the order is transferred to another department.

  In the above-described embodiment, when the server of each department system receives an order addressed to another department, all the received orders are registered in the reception table regardless of whether there is a related order. For this reason, there is a possibility that there is no related order or an order that cannot be found among orders registered for other departments. If such orders continue to be registered in the reception table, the data capacity in the DB may be under pressure. Therefore, it is preferable to delete orders from other departments for which a related order is not found even after a predetermined period has elapsed from the reception table. The CPU of the RAD server or ES server counts the registration period from the time when the received order addressed to another department is registered in the reception table, and deletes the order addressed to the other department when a predetermined period has elapsed.

  In the above-described embodiment, the order receiving apparatus of the present invention is described using an example in which the receiving server that receives an order addressed to its own department, such as a RAD server or an ES server, has an order transfer function for transferring an order addressed to another department. However, the order transfer function may be separated from the reception server, and may be configured by two servers: a reception server and an order transfer server having the order transfer function. This order transfer server may be provided for each department or may be shared by a plurality of departments. When the order transfer server is separated from the reception server, the departmental or shared order transfer server is communicably connected to both the RAD server and the ES server via the network. The order from the clinical department terminal is transmitted to the RAD server or ES server via the order transfer server. The order transfer server transmits the order received from the clinical department terminal to both the RAD server and the ES server regardless of the destination.

  Further, without providing an order transfer server, the department terminal may transmit the issued order to a plurality of departments regardless of the order request destination. For example, when a clinical department terminal issues a CT order with the radiology department as a request destination, the clinical department terminal transmits the CT order to the RAD system and also to the ES system of the endoscopic examination department.

  In the above embodiment, the two department systems of the RAD system and the ES system have been described as an example of the department system, but three or more department systems may be used.

  In the above embodiment, the example has been described in which the DBs of the medical record system, each department system, the image server, and the report server are constructed on separate servers. However, each department system DB can be constructed on one server, Each DB used in a plurality of systems may be integrated into one server, for example, the server and report server DBs are constructed in one server. In addition, although the example in which the medical record system and each department system are configured by a client server type computer system including a client terminal and a server has been described, the system may be configured by a single computer in which a DB is built in an internal storage. Thus, the physical configuration of the computer system can be changed as appropriate.

  In the above embodiment, the LAN is described as an example of the network. However, when the ward and the examination department are distributed in a plurality of bases, the LAN and the WAN (Wide Area Network) are used in combination. May be.

  In the above embodiment, CT examination and ES (endoscope) examination have been described as examples. However, examination types are not limited to the above examples, and other examination types such as CR examination, MRI examination, and physiological examination may be used. In addition, for example, in the case of a physiological examination, there are various kinds of examination data depending on the examination type so that an electrocardiogram or numerical data becomes examination data, and the examination data may be other than images and reports.

  In addition, the inspection is described as an example of the work and the inspection data is described as an example of the processing result of the work. However, the present invention may be applied to a work related to diagnosis and treatment other than the inspection. In addition to the examination department, there are departments that carry out work other than examinations, such as a pharmacy department that prepares and dispenses drugs according to prescriptions and a rehabilitation department that guides patient rehabilitation according to physical therapy. The present invention may be applied to work performed by these departments. The processing results of these tasks are, for example, details of lumbering / dispensing and rehabilitation records. Of course, a plurality of related tasks may be a combination of these different tasks.

  Furthermore, although the business of the present invention has been described by taking the business performed at a medical facility as an example, the present invention may be applied to other than the business of a medical facility. For example, when a department system is set up in each department such as the accounting department, human resources department, accounting department, and sales department in a corporate organization such as a company or association, and each department system accepts the order of the requesting business. The present invention can be applied to.

  As shown in the above embodiment, the present invention naturally extends to a program form and further to a storage medium for storing the program.

  The following description relates to a technique for controlling the display order of inspection data corresponding to each order in a display device that displays inspection data corresponding to those orders when there are a plurality of related orders. This technique can be applied to a plurality of orders accepted by different examination departments, but can also be applied to a plurality of orders accepted by one examination department. Hereinafter, for the sake of convenience, an example will be described in which the present invention is applied to a single examination department, specifically, a plurality of orders accepted by a radiation examination department. In addition, about the structure similar to the said embodiment shown in FIGS. 1-8, description is abbreviate | omitted and it demonstrates centering around difference.

  First, the association of a plurality of orders accepted by the radiology department will be described with reference to FIGS. The RAD server 110 illustrated in FIG. 9 includes the computer illustrated in FIG. Like the RAD server 25, the CPU of the RAD server 110 functions as a reception unit 110a and an association processing unit 110b.

  The accepting unit 110a accepts the order received from the medical department terminal 23 and registers it in the accepting table 56 in the RAD-DB 27. The association processing unit 110b accesses the reception table 56 to search for an order related to the received order, determines whether there is a related order, and executes an association process when there is a related order.

  The association processing unit 110b collates the items of the patient ID, the request date, and the request source information included in the order, and determines the presence or absence of the related order. The condition table 110c is a table in which the related order determination conditions for each requested doctor are registered, and is stored in the storage of the RAD server 110. The condition table 110c is referred to by the association processing unit 110b. As the determination condition, for example, items of a period and an imaging region are set.

  In the period item, a range of days is set as a reference for determining the related order. In the example shown in FIG. 9, for the doctor “Nagashima” of “Pediatrics”, the range of the number of days is “2 days”, and the contents allow the deviation of the requested dates between orders to be collated only for one day. ing. For example, even if the request date of one order is February 13 and the other is February 14, both orders are determined to be related orders if other conditions are satisfied. For the “Internal Medicine” “Suzuki” doctor, the range of days is “1 day”, and no deviation of the requested date is allowed, and the request date is set as a criterion for the related order. It is required to be on the same day.

  Also, in the item of the imaging region, whether or not to add the identity of the imaging region to the related order determination condition is set. In the example shown in FIG. 9, the contents for adding the imaging region to the related order determination condition are set for both doctors.

  The association processing unit 110b determines whether or not there is a related order in consideration of the conditions registered in the condition table 110c. Specifically, when the order requester is “Suzuki” doctor of “Internal Medicine”, the patient ID, the request date, and the imaging region are collated, and when all of them match, it is determined as the related order. The determination condition shown in the condition table 110c of this example is an example, and the content of the determination condition can be changed as appropriate.

  When the association processing unit 110b determines that the order is a related order, the order number is recorded in the field of the incidental information in the reception table 56 for each of the orders, and the association processing is performed.

  The work list 111 shown in FIG. 10 is a work list distributed from the RAD server 110 and displayed on the console of the terminal, similarly to the work list 57 (see FIG. 6). As shown in the list display area 112 of the work list 111, the order number of the corresponding order is displayed for each order having a related order. In this example, orders with order numbers “70003” and “70006” are related orders, and the corresponding order number is displayed in each order. Thereby, it can confirm that both are related orders.

  As a method of displaying the related order, in addition to displaying the order number, when an order is selected in the list display area 112, both the selected order and the related order may be highlighted. As a highlighting method, there is a method of changing a color, making a frame line thicker, or blinking so that a display frame of a related order can be distinguished from other orders.

  The work list 111 is provided with a collective display button 115 in addition to the display update button 113 and the order selection button 114 which are the same as those of the work list 57. The collective display button 115 is an operation tool that configures a GUI for collectively instructing inspection image distribution requests and display instructions corresponding to a plurality of related orders. In the list display area 112, when an order with an order number of “70003” or “70006” is selected, and the collective display button 115 is clicked with the pointer 116 in this state, the inspection images corresponding to both orders are distributed. Requests are sent to the image server 18 in a batch. Then, when the inspection image to be distributed is distributed from the image server 18 to the requesting terminal, the received inspection image is displayed on the display at the requesting terminal.

  When diagnosing by observing a plurality of examination images with different examination types, there is a display order suitable for diagnosis depending on the combination of examination types (such as CR examination and CT examination). Therefore, when examination images corresponding to a plurality of orders are displayed in a batch, if the examination images to be displayed are automatically displayed in a display order suitable for diagnosis, the interpretation doctor or the requesting doctor who makes the diagnosis Is very convenient. However, conventionally, when inspection images corresponding to a plurality of orders are collectively displayed, the images are often displayed in the order in which they were taken or in the order in which inspections were requested, and cannot be displayed in a display order suitable for diagnosis. There was a problem.

  A report creation terminal 121 shown in FIG. 11 is a terminal for creating a report in which an interpretation doctor of a radiology department summarizes the interpretation results of an examination image, for example, and has a display order control function serving as a solution to the above problem. It is a display device. The report creation terminal 121 has the same configuration as the computer shown in FIG. 3, and an AP 40 has an image display program installed in addition to the report editing program, and functions as an image display terminal. The report creation terminal 121 controls the display order of the inspection images displayed on the display when the inspection images corresponding to the plurality of related orders include a plurality of inspection images having different inspection types.

  When the image display program is activated, the CPU of the report creation terminal 121 functions as the display control unit 121a. The display control unit 121a refers to the display configuration information 121b and the display order control table 121c, and performs display control of the display of the report creation terminal 121. The display configuration information 121b and the display order control table 121c are stored in the storage device 43 of the report creation terminal 121, for example.

  The display configuration information 121b is information in which the specifications and the number of the image display display 122 (see FIGS. 13 and 14) of the report creation terminal 121 are set. In the case of a single display (see FIG. 13) with one display 122 connected, information such as “single”, and in the case of a dual display (see FIG. 14) with two displays 122 connected, information such as “dual” is displayed. Is set. Further, the display 122 is assigned to the display 122, and the display No is also set in the display configuration information 121b. For example, in the case of a single display, “1” is assigned to the display No., and in the case of “dual”, “1” and “2” are assigned sequentially.

  In the display order control table 121c, the display order of inspection images of each inspection type is set according to the combination of inspection types of related orders. The display order control table 121c has information of one record for each combination code. The combination code is a code indicating the combination content of the examination type, and FIG. 12 illustrates a combination of a CR image obtained by the CR examination and a CT image obtained by the CT examination.

  The combination code is systematized so that differences in imaging regions can be identified in addition to the examination type. This is suitable for diagnosis even if the combination of examination types is the same, such as a combination of CR images and CT images of the chest area and a combination of CR images and CT images of the abdomen. This is because the displayed order may change. The combination code “1” in this example indicates a combination of a CR image and a CT image obtained by photographing the chest. In the case of this combination, the display order is set to “1” for the CR image and “2” for the CT image.

  When receiving a batch display instruction through the work list 111, the display control unit 121a reads the examination type and the imaging region from each of the selected orders, and refers to the display order control table 121c to select the plurality of selected items. The record corresponding to the order combination is specified, and the display order recorded in the record is read. When the examination images corresponding to the plurality of selected orders are a CR image and a CT image of the chest, it is specified that the combination code is “1”.

  In the display order control table 121c, the display order corresponding to the display configuration is recorded for each record. When the display configuration is a single display, the display order is set as 1, 2, 3,... According to the priority order of a plurality of types of inspection images. When the display configuration is a dual display, since there are two display screens, it is possible to display two types of inspection images at the same time. Therefore, in the case of a combination of two types of inspection images, the display order of each of the two displays (No 1 and No 2) is set to “1”.

  In the display order control table 121c, for each record, in addition to the display No. and the display order, two items of the number of screen divisions and the order within the divided area are recorded. The number of screen divisions is the number of divisions when the screen of one display is divided into a plurality of areas. Since a tomographic image such as a CT image is handled as a set of dozens of tomographic images, it is common to divide the display screen and display a plurality of tomographic images simultaneously on one screen. is there. In the item of the screen division number, the division number adopted as a standard is set. In this example, it is “12”. The order in the divided areas is the display order in each divided area when the screen is divided. Since the tomographic image is a series image along a specific direction such as the body axis direction, the imaging order is set.

  The operation of the above configuration will be described with reference to FIGS. When creating a report, the radiology doctor of the radiology department accesses the RAD server 110 at the report creation terminal 125 and acquires the work list 111. The work list 111 is displayed on the console of the report creation terminal 121. The related orders are related by the RAD server 110, and the work list 111 displays the order numbers corresponding to the related orders.

  From the work list 111 displayed on the report creation terminal 125, an order for creating a report is selected. When there is an order related to the selected order, when the collective display button 115 is clicked, the report creation terminal 121 transmits a distribution request for a plurality of related orders to the image server 18 and performs a corresponding examination. Receive image data.

  The display control unit 121a reads the examination type and the imaging region from the order corresponding to the received examination images of the plurality of examination types, and determines the combination of the examination images. Then, the display control unit 121a reads the display configuration information 121b and determines the display configuration of the report creation terminal 121. The display control unit 121a reads the record corresponding to the determined combination with reference to the display order table 121c, and determines the display order of the received inspection images of the plurality of inspection types.

  As shown in FIG. 13, when the report creation terminal 121 is a single display, inspection images are displayed one by one according to the display order. If the combination is a combination of a CR image obtained by photographing the chest and a CT image, first, the CR image whose display order is first is displayed. When an image switching instruction is input from the console, the display control unit 121a switches the image to be displayed to a CT image with a later display order. As shown in FIG. 14, when the report creation terminal 121 is a dual display, two types of inspection images are assigned to the respective displays and simultaneously displayed. Accordingly, the inspection images can be displayed in an order suitable for diagnosis regardless of the imaging order and the order request order.

  In the above embodiment, a combination of two types of inspection images has been described as an example, but a combination of three or more types of inspection images may be used. Moreover, although the example of the combination in which the imaging region is also distinguished in addition to the examination type has been described, the imaging region may not be distinguished. In addition, although a single display and a dual display have been described as examples of the display configuration, three or more multi-displays may be used.

  Moreover, although the report creation terminal has been described as an example of the display device, a display terminal having no report creation function may be used. Moreover, the display terminal arrange | positioned at medical departments, such as the medical department terminal which a request doctor uses, may be sufficient.

  In addition, although the examination image has been described as an example, examination data obtained by other than the image examination such as an electrocardiogram and a physiological examination may be used, and it is also possible to apply to various examination result data including report data.

The following invention can be understood from the above description.
"Invention 1"
Display means for displaying test results of a plurality of medical tests corresponding to a plurality of related orders, and display control means for controlling the display order of the test results displayed on the display means according to the combination of the test results And a display device.
"Invention 2"
A determination step for determining a display order of each test result according to a combination of test results of a plurality of medical tests corresponding to a plurality of related orders;
A display method comprising: a display step of displaying each inspection result on a display means in accordance with the determined display order.
"Invention 3"
A display function for displaying test results of a plurality of medical tests corresponding to a plurality of related orders, and a display control function for controlling the display order of the test results displayed on the display means according to the combination of the test results. A display program that causes a computer to execute.

It is a block diagram of a medical network system. It is a block diagram which shows the outline of the computer which comprises each server and each terminal. It is explanatory drawing of the order which a medical chart system issues. It is explanatory drawing of a server list. It is explanatory drawing of the reception table in RAD-DB. It is explanatory drawing of the work list displayed on a RAD terminal. It is a functional block diagram of a RAD server. It is a flowchart which shows the procedure from order issuing to the correlation process in each department system. It is a functional block diagram of the RAD server of an example different from FIG. FIG. 6 is an explanatory diagram of another example of the work list. It is a functional block diagram of a report creation terminal. It is a flowchart which displays a test | inspection image with a report preparation terminal. It is explanatory drawing in the case of displaying on one display. It is explanatory drawing in the case of displaying on two displays.

Explanation of symbols

10 Wards 11 Medical Record System 12 Department of Radiology 13 Department of Endoscopy 16 RAD System (Department System)
17 ES system (department system)
18 Image Server 19 Report Server 20 Network 25, 111 RAD Server 25a Reception Unit 25b Association Processing Unit 26 RAD Terminal 27 RAD-DB
28 ES server 29 ES terminal 30 ES-DB
56 reception table 57 RAD work list 58 list display area 59 to 62 operation buttons 63a and 63b icon 121 report creation terminal 121a display control unit 121b display configuration information 121c display order control table

Claims (11)

In an order reception device that is provided for each of a plurality of departments in a medical facility and receives an order of a business request issued from a request source via a network,
A receiving means for receiving orders directed to other departments in addition to orders directed to the own department;
Storage means for storing received orders;
Search means for accessing the storage means and searching for an order addressed to the own department related to an order addressed to the other department;
An order receiving apparatus comprising: an associating means for associating related orders addressed to other departments and to the own department, searched by the searching means.   2. The order receiving apparatus according to claim 1, further comprising transfer means for transferring an order addressed to the own department to an order receiving apparatus in another department. The order includes requester information and patient information,
3. The order receiving apparatus according to claim 1, wherein the search unit searches the related orders by comparing the items of the order addressed to the own department and the order addressed to the other department.   4. The order receiving apparatus according to claim 1, further comprising display control means for displaying a list screen for displaying a list of received orders on a display.   5. The order receiving apparatus according to claim 4, wherein an order ID of an order addressed to another department is displayed on the list screen.   The associating means creates an address for accessing the processing result corresponding to the order addressed to the other department through the network from the order ID of the order addressed to the other department, and the created address is addressed to the own department. The order receiving apparatus according to claim 1, wherein the order receiving apparatus is associated with the order.   7. The order receiving apparatus according to claim 6, wherein an operation tool for inputting an operation instruction for accessing the address and displaying the processing result on the display is displayed on the list screen.   The order reception according to claim 6 or 7, wherein the order of the business request is an order of an inspection request issued to each department, and the processing result is inspection data of the medical inspection. apparatus. In an order receiving method that is provided for each of a plurality of departments in a medical facility and receives an order of a business request issued from a request source,
In addition to receiving orders for own departments, receiving steps for receiving orders for other departments;
A storing step of storing the received order in the storing means;
A search step of accessing the storage means and searching for an order addressed to the own department related to the received order addressed to another department;
An order receiving method, comprising: an associating step for associating related orders addressed to other departments and to the own department. In a medical network system in which a plurality of order receiving devices that are provided for each of a plurality of departments in a medical facility and receive an order of a business request issued from a request source are connected via a network,
Each of the order receiving devices is
A receiving means for receiving orders directed to other departments in addition to orders directed to the own department;
Storage means for storing received orders;
Search means for accessing the storage means and searching for an order addressed to the own department related to an order addressed to the other department;
A medical network system characterized by comprising association means for associating related orders addressed to other departments and to the own department retrieved by the retrieval means. In the order reception device that is provided for each of a plurality of departments in the organization and receives the order of the business request issued from the request source via the network,
A receiving means for receiving orders directed to other departments in addition to orders directed to the own department;
Storage means for storing received orders;
Search means for accessing the storage means and searching for an order addressed to the own department related to an order addressed to the other department;
An order receiving apparatus comprising: an associating means for associating related orders addressed to other departments and to the own department, searched by the searching means.

Images