JP2011242912A - Diagnostic information management system and control program thereof - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a diagnostic information management system capable of calculating a completion scheduled date and taking conditions of a detailed reexamination regarding a person who needs the detailed reexamination after taking a health examination, and control program thereof.SOLUTION: The diagnostic information management system comprises: a medical examinee information acquisition part 11 for acquiring information of a medical examinee from a medical examinee information storage part 17 and preparing a medical examinee list and a similar medical examinee list; a similar medical examinee examination result acquisition part 12 for acquiring examination results related to similar medical examinees on the basis of the similar medical examinee list; a latest examination result acquisition part 13 for acquiring the latest examination result on the basis of the medical examinee list; a detailed examination degree calculation part 14 for ranking the medical examinees needing the detailed reexamination on the basis of the latest examination result; a past examination result acquisition part 15 for acquiring past examination results on the basis of the medical examinee list; and an estimation part 16 for calculating the completion scheduled date of the detailed reexamination in the future and the taking condition of the detailed reexamination on the basis of information transmitted from the similar medical examinee examination result acquisition part 12, the latest examination result acquisition part 13 and the past examination result acquisition part 15.

Description

  Embodiments of the present invention relate to a diagnostic information management system and a control program therefor that estimate a checkup status of a close checkup for a person who needs a close checkup after receiving a checkup.

  With respect to maintaining the health of employees, the establishment has an obligation to have employees undergo a health check once a year. For example, the employee receives a medical checkup at a medical checkup center, which is a facility that specializes in medical checkups, and the result of the medical checkup is delivered to the office where the employee works.

  It may be difficult to say that the results of the health check accurately reflect the physical condition of the employees who have undergone the health check, and it may also be difficult to find a relevance to the contents of the previous question. there were. As a health maintenance support system that solves this problem, an invention listed in Patent Document 1 below is disclosed.

JP 2005-182738 A

  However, in the invention disclosed in the above-mentioned Patent Document 1, an employee who has undergone a health examination exerts power when maintaining his / her own health. However, as a business office, it is difficult to help maintain the health of employees. there is a possibility.

  In particular, offices are not only obligated to receive medical examinations, but are also obliged to encourage employees who have received medical examinations as a result of medical examinations (hereinafter referred to as “obligation to follow up” for convenience). is there. Although the results of medical checkups are sent to the offices, they are often sent to private employees, and whether or not they are received even if they have to undergo a detailed checkup as a result of the medical checkup. As a general rule, it should be judged by the applicable employee.

  Therefore, in order for the establishment to fulfill the obligation to follow, it must confirm whether the establishment has received a close inspection from the employee. In that sense, for example, as a business office, for example, information on whether or not an employee who needs a close inspection actually received a close inspection, and when all employees who need a close inspection receive a close inspection, I want to know the information about completion.

  On the other hand, the inspection results of employees who have undergone a close examination are not sent directly to the office, but are sent in the form of a return from the hospital where the close examination has been received to the medical examination center. For this reason, it is difficult for business establishments to obtain accurate results in order to grasp the various types of information.

  The present invention has been made to solve the above-mentioned problems, and an object of the present invention is to manage diagnostic information that can estimate a checkup status of a detailed checkup for a person who needs a close checkup after receiving a checkup. It is to provide a system and its control program.

  A feature according to the embodiment of the present invention relates to a patient information acquisition unit that creates a patient list and a similar patient list in a diagnostic information management system, and a patient who is similar to a patient based on the similar patient list Similar testee test result acquisition unit that acquires test results, latest test result acquisition unit that acquires the latest test results based on the list of patients, and past test results that acquire past test results based on the list of patients An acquisition unit, and an estimation unit that estimates the status of future medical examination based on the acquired information are provided.

It is a block diagram which shows the internal structure of the information terminal which comprises the diagnostic information management system in embodiment of this invention. It is a block diagram which shows the internal structure of the detailed inspection information management part (diagnosis information management system) in the information terminal in embodiment of this invention. In order to describe the information used when calculating the information provided by the diagnostic information management system according to the embodiment of the present invention, it is a number line showing the information side by side in time. It is a flowchart which shows the flow which calculates the information which the diagnostic information management system in embodiment of this invention provides. It is a conceptual diagram used in order to demonstrate the grade of the close inspection in embodiment of this invention. It is an example of a screen which shows the example by which the information which the diagnostic information management system in embodiment of this invention provides was displayed on the apparatus in a workplace.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  FIG. 1 is a block diagram showing an internal configuration of an information terminal 1 constituting a diagnostic information management system S in an embodiment of the present invention. The diagnostic information management system S is configured using, for example, the information terminal 1 in the medical examination center A in which the results of the medical examination of the examinee are accumulated. By using the diagnostic information management system S, the medical examination center A provided with the information terminal 1 notifies the establishment B of the completion date of the close examination and the prediction of the medical examination status until the completion date.

  The medical examination center A is a facility that specializes in so-called medical examinations, and is a form of medical institution. The facility is called, for example, a medical checkup center or a health checkup center, and is hereinafter referred to as a medical checkup center A. There are multiple roles of the medical examination center A. Here, in addition to the results of the medical examination of employees working at the office B in the medical examination center A, the results of the employees who have undergone a close examination are also collected. And

  The medical examination center A is connected to the office B via the communication network N. Information such as the scheduled completion date of the detailed examination calculated at the medical examination center A is transmitted to the office B via the communication network N.

  Each of the business establishments B1 to B3 has an employee and is obliged to have the employee receive a health check as described above. In addition, in order to fulfill the duty to follow, it becomes necessary to obtain information on whether the employee has received the necessary close inspection. Therefore, the offices B1 to B3 acquire necessary information from the medical examination center A via the communication network N. Although not shown in particular in FIG. 1, the offices B1 to B3 are provided with a display unit that receives and displays information transmitted from the medical examination center A.

  In the diagnostic information management system S shown in FIG. 1, three offices B1 to B3 (hereinafter, these offices are collectively referred to as “office B” as appropriate) are connected to the communication network N. However, the number of establishments B connected to the communication network N may be singular or plural, and the number is arbitrary.

  Examples of the communication network N include a network such as a LAN (Local Area Network) and the Internet. The communication standard used in the communication network N may be any standard.

  In FIG. 1, only the office B is connected to the medical examination center A via the communication network N. The information terminal 1 in the medical examination center A is, for example, a hospital information management system (HIS: Hospital It may be connected to various management systems built in a medical institution such as an information system (Radiological Information System), a radiation department information management system (RIS), and a medical image management system (PACS: Picture Archiving Communication System). In this case, for example, DICOM (Digital Imaging and Communication in Medicine) is used for mutual communication.

  For example, a personal computer is used as the information terminal 1. This personal computer may be a general-purpose model or a model whose specifications are determined according to use at the medical examination center A.

  In the information terminal 1, a CPU (Central Processing Unit) 1a, a ROM (Read Only Memory) 1b, a RAM (Random Access Memory) 1c, and an input / output interface 1d are connected via a bus 1e. An input unit 1f, a display unit 1g, a communication control unit 1h, a storage unit 1i, and a removable disk 1j are connected to the input / output interface 1d. Further, a close inspection information management unit 10 is also connected via the input / output interface 1d.

  The CPU 1a reads out and executes a boot program for starting the information terminal 1 from the ROM 1b based on an input signal from the input unit 1f, and reads out various operating systems stored in the storage unit 1i. The CPU 1a controls various devices based on input signals from other external devices not shown in FIG. 1 via the input unit 1f and the input / output interface 1d. Further, the CPU 1a reads a program and data stored in the RAM 1c, the storage unit 1i, and the like, loads them into the RAM 1c, and executes processing for image generation and data calculation based on the program commands read from the RAM 1c. It is a processing device that realizes a series of processing such as processing.

  The input unit 1f is configured by an input device such as a keyboard and a dial through which an operator of the information terminal 1 inputs various operations. The input unit 1f creates an input signal based on the operation of the operator and sends it to the CPU 1a via the bus 1e. Sent. The display unit 1g is a liquid crystal display, for example. The display unit 1g receives an output signal from the CPU 1a via the bus 1e, and displays, for example, a processing result of the CPU 1a based on an operation of the operator.

  The communication control unit 1h is a means such as a LAN card or a modem, and is a means that enables the information terminal 1 to be connected to the communication network N described above. For example, data transmitted / received to / from the office B via the communication network 1 via the communication control unit 1h is transmitted / received to / from the CPU 1a via the input / output interface 1d and the bus 1e as an input signal or an output signal.

  The storage unit 1i is composed of a semiconductor or a magnetic disk, and stores programs and data executed by the CPU 1a.

  The removable disk 1j is an optical disk or a flexible disk, and signals read and written by the disk drive are transmitted to and received from the CPU 1a via the input / output interface 1d and the bus 1e.

  As described above, the result of the employee who has undergone the close examination is sent to the medical examination center A from the hospital where the employee has undergone the close examination. The detailed inspection information management unit 10 manages information related to consultations and the like of these employees. It also manages the results of employee health checks. As described above, in the embodiment of the present invention, the detailed inspection information management unit 10 is explained on the assumption that the inspection result of the detailed inspection and the result of the normal health check are also managed. You may make it manage a result and the result of a normal medical examination separately.

  In the embodiment of the present invention, an example in which the detailed inspection information management unit 10 is mounted on the information terminal 1 will be described below. However, in the diagnostic information management system S, a fine inspection information management program that is a control program executed by a computer included in the diagnostic information management system S may be stored in the storage unit 1i or the removable disk 1j. In this case, the diagnostic information management system S is mounted on the information terminal 1 by the fine inspection information management program being read and executed by the CPU 1a.

  As described above, even if a control program (precision inspection information management program) that is executed by a computer (information terminal) included in the diagnostic information management system is used, information regarding the precision inspection is calculated and provided to the office B. be able to.

  FIG. 2 is a block diagram illustrating an internal configuration of the detailed inspection information management unit 10 in the information terminal 1. The diagnostic information management system S described above functions by the functions of the parts constituting the fine inspection information management unit 10. The fine examination information management unit 10 mainly includes a examinee information acquisition unit 11, a similar examinee examination result acquisition unit 12, a latest examination result acquisition unit 13, a fine examination degree calculation unit 14, and a past examination result acquisition unit. 15 and an estimation unit 16.

  The examinee information acquisition unit 11 acquires the information of the examinee from the examinee information storage unit 17 based on a calculation request from the office B or even when there is no calculation request, for example, every predetermined time. Then, a list of examinees and a list of similar examinees are created. These examinee list and similar examinee list are the most basic lists for the detailed examination information management unit 10 to calculate (estimate) the scheduled completion date and the examination status of the detailed examination. The similar examinee examination result acquisition unit 12 obtains, from the examinee examination result storage unit 18, the examination result of the employee similar to the target examinee based on the similar examinee list. The meaning of “similar” will be described later.

  The latest test result acquisition unit 13 acquires the latest test result based on the list of examinees. Here, the “latest test result” means the latest result among the results of general medical examinations that employees receive before taking a close examination. That is, the health checkup for employees is performed once a year as described above. Accordingly, every year, the employee receives a health checkup, and if the health checkup test result includes the past health checkup, the employee has a plurality of health checkup test results. Here, the “latest test result” indicates a test result that is newest among the test results of the plurality of health examinations. Since a close inspection is performed for employees who are particularly required after completing a health checkup, information on this "latest inspection result" is necessary to estimate the scheduled completion date of the close inspection. It becomes.

  The precision inspection degree calculation unit 14 ranks the examinees who need the precision inspection based on the latest inspection result acquired by the latest inspection result acquisition unit 13. This rank is determined in advance and can be divided into, for example, “severe”, “mild”, and “normal” as described later. It should be noted that how to set the rank can be freely set.

  The past test result acquisition unit 15 acquires a past test result related to the examinee (employee) listed in the examinee list based on the examinee list. The “past test result” herein refers to a test result excluding the above-mentioned “latest test result” among the test results of the medical examination that the employee has visited. Note that it is possible to set in advance how many years the “past test results” are acquired. Generally, as the number of “past test results” to be acquired increases, the accuracy of information provided to the office B can be increased accordingly.

  The estimation unit 16, for example, based on the information transmitted from the similar examinee examination result acquisition unit 12, the latest examination result acquisition unit 13, and the past examination result acquisition unit 15, Calculate (estimate) the predicted completion date of the detailed inspection and the prediction of the detailed inspection status. The estimated completion date of the detailed examination and the estimation of the detailed examination status calculated by the estimation unit 16 are transmitted to the corresponding establishment B via the communication network N.

  Furthermore, the estimation unit 16 has a role of accepting a calculation request such as a scheduled completion date from the office B. When the estimation unit 16 receives the calculation request, the calculation of the scheduled completion date and the consultation status is started.

  In the following description, it is assumed that the estimation unit 16 estimates the scheduled completion date, etc., triggered by the request for calculating the scheduled completion date from the office B. However, provision of information such as the scheduled completion date from the medical examination center A to the establishment B is not performed without a calculation request from the establishment B. For example, every time a predetermined time elapses. It is also possible to set so that the scheduled completion date is calculated and the information is also provided.

  Further, the fine inspection information management unit 10 shown in FIG. 2 is provided with units each having a unique function in addition to the above-described units. The functions of these units will be described together in the description of the flow for calculating the scheduled completion date.

  FIG. 3 is a number showing in a time series the matters that occur between the health checkup of the employee and the checkup after the checkup to explain the information used when calculating the information provided by the diagnosis information management system S. It is a straight line.

  That is, when a health checkup for the year is carried out, the result of the checkup is sent from the hospital or the like to the checkup center A. In the medical examination center A that has received the diagnostic result of the medical examination, the diagnostic result is notified to the office B to which the employee belongs. In the office B, the diagnosis result corresponding to each employee is notified. When this notification is passed to the employee, it is known whether or not the employee himself / herself needs to undergo a close examination, and if necessary, a close examination is started. Thereafter, the results of the detailed examination that the employee consulted are sent to the medical examination center A from the hospital that received the examination, and information relating to the precise examination is managed at the medical examination center A.

  The above-mentioned “latest test result” refers to a health check performed at a time indicated by a symbol M in FIG. The test result of the past medical checkup that the employee consulted refers to the test result that is leftward (so-called past) on the number line, excluding the medical checkup M. In addition, as for the results of the detailed inspection accompanying the “past inspection results”, “the past detailed inspection” is not shown in FIG. However, like the “past test result”, it exists at a position that is leftward on the number line from the health examination M.

  In the following, it is assumed that the results of past work-ups are included in “past test results”.

  Here, the “scheduled completion date” refers to the date when the completion of the calculation calculated by the diagnostic information management system S is scheduled, when all of the examinees who need to receive the “detailed examination” complete the consultation. . The calculated “scheduled completion date” is information estimated from various conditions.

  However, the “scheduled completion date” based on the results of a detailed examination based on the latest health check-up M is that at least one person who needs to receive a “detailed examination” will receive a detailed examination as will be described later. However, it is difficult to calculate unless the time when the medical examination result is sent to the medical examination center A (the time indicated by the symbol N in FIG. 3).

  Therefore, at the stage where none of the examinees who need to undergo a “detailed examination” have undergone a detailed examination and the result does not exist, a request for calculating the scheduled completion date is issued from the establishment B, for example. In such a case, the “scheduled completion date” is calculated based on the latest health examination M and past test results. The scheduled completion date calculated in this way is hereinafter referred to as “initial scheduled completion date” for convenience. In other words, the “scheduled initial completion date” is such that the result of the first close examination after the latest health check M is performed reaches the medical checkup center A, and the result can be used for calculation of the expected completion date. This is the scheduled date calculated in the period up to (period P shown in FIG. 3).

  On the other hand, if at least one person who needs to undergo a “detailed examination” has undergone a detailed examination and the result is sent to the medical examination center A (the time indicated by the symbol N in FIG. 3 has passed). For example, it is possible to calculate the scheduled completion date based on the result of the close examination based on the latest medical examination M. The scheduled completion date calculated in this way is hereinafter referred to as “latest scheduled completion date” for convenience. Accordingly, the “latest scheduled completion date” is calculated after the result of the first close examination reaches the medical examination center A and the result can be used for calculation of the scheduled completion date (after the symbol N). It is a scheduled date.

  The diagnosis information management system S also presents a diagnosis status as information presented to the office B. “Consultation status” here indicates whether or not a patient who needs to undergo a “detailed examination” has undergone a precision examination. The number of people will decrease.

  Next, the flow of calculating information (scheduled completion date and medical checkup status) provided by the diagnostic information management system S will be described with reference to the flowchart shown in FIG. Moreover, FIG. 2 which shows the internal structure of the detailed inspection information management part 10 and FIG. 3 mentioned above etc. are utilized suitably.

  First, a request for calculating a scheduled completion date is transmitted from the office B. When the calculation request from the office B to the medical examination center A is transmitted is unknown. However, as described above, when the calculation request is transmitted to the detailed inspection information management unit 10 before the result of the first detailed inspection reaches the medical examination center A, the “initial scheduled completion date” is calculated. It will be. On the other hand, for the calculation request issued after the result of the detailed examination is sent to the medical examination center A and becomes available for calculation of the scheduled completion date, the completion schedule calculated by the detailed examination information management unit 10 The date will be the “date of latest completion”.

  An information terminal 1 including a close examination information management unit 10 in a medical examination center A is connected to an office B via a communication network N. Therefore, the calculation request from the office B is sent to the close inspection information management unit 10 via the communication control unit 1 h of the information terminal 1. In the fine inspection information management unit 10, a calculation request is transmitted to the estimation unit 16 via the reception unit 19 provided therein. The estimation unit 16 that has received the calculation request (ST1) transmits the calculation request to the examinee information acquisition unit 11.

  The calculation request includes information that can specify the establishment B that has issued the calculation request, such as an establishment code or an establishment name. Based on this information, the examinee information acquisition unit 11 acquires information on the person who received the health checkup M from the examinee information storage unit 17 and creates a “examinee list” and a “similar examinee list”.

  In the examinee information storage unit 17, information for identifying the business office B for each business office B and information regarding employees working at the business office B are stored in association with each other. Therefore, based on the calculation request including the information specifying the office B, the examinee information acquisition unit 11 acquires information on the employee (recipient) related to the office B that has issued the calculation request. (ST2).

  The information related to the medical checkup M acquired by the medical checkup information acquisition unit 11 includes, for example, information that can specify the business office B, as well as a code, location, type of work, etc., given to each medical checkup , Information is included. The type of information stored in the patient information storage unit 17 can be arbitrarily set. In addition, although the information regarding the patient acquired by the patient information acquisition unit 11 from the patient information storage unit 17 is hereinafter referred to as a “list of patient” for the sake of convenience, it is not particularly necessary to make a list.

  The examinee information acquisition unit 11 holds the acquired examinee list and also transmits a calculation request to the examinee information analysis unit 20. This is because, based on the information that can specify the business location included in the calculation request, the examinee who is similar to the employee (examiner) who received the medical examination M included in the examinee list is identified. The information on the identified similar examinee is transmitted again from the examiner information analysis unit 20 to the examinee information acquisition unit 11, and the examinee information acquisition unit 11 performs the examinee information storage unit 17 based on the sent information. To obtain information on similar examinees (ST2). In addition, although the information regarding the similar examinee acquired by the examiner information acquisition unit 11 from the examiner information storage unit 17 is hereinafter referred to as a “similar examinee list” for convenience, it is not particularly required to be a list.

  Here, the “similar examinee” is a person who is doing the same kind of work in the same area as the examinee, and has undergone a medical examination (the examination result of the medical examination is stored in the examination result storage unit 18 of the examinee). Is stored). “Same type of work” means work of the same way. For example, a person who works in a store that is open all night and a person who works at night can be said to be a person who works late at night and is engaged in the same type of work.

  In this way, the examinee information acquisition unit 11 creates the “similar examinee list” in addition to the “examinee list” in order to increase the accuracy of information related to the scheduled completion date and the examination status transmitted to the office B. It is. If it is possible to refer to how a similar examinee is undergoing a close examination, it will be easier to estimate the form of the close examination related to the examinee, and more accurate information can be calculated. Seem.

  The “examinee list” created by the examinee information acquisition unit 11 is transmitted to the latest examination result acquisition unit 13 and the past examination result acquisition unit 15. On the other hand, the “similar examinee list” is transmitted to the similar examinee examination result acquisition unit 12.

  The latest examination result acquisition unit 13 acquires the latest health check result regarding the examinee from the examinee examination result storage unit 18 based on the “examinee list” transmitted from the examinee information acquisition unit 11 (ST3). Here, the latest health check result (latest test result) indicates the result of the health check M shown in FIG. In the medical examination, since a plurality of items are usually inspected, the inspection results are also provided for each inspection item. The latest test result acquisition unit 13 acquires information regarding all items of the test results for each testee listed in the testee list. Here, the information relating to the inspection result item depends on the inspection item, but for example, when the inspection result is indicated by a numerical value, it represents the numerical value.

  Information acquired by the latest test result acquisition unit 13 from the examinee test result storage unit 18 is transmitted to the latest test result analysis unit 21. The latest inspection result analysis unit 21 compares the information (numerical value) for each inspection item acquired from the latest inspection result acquisition unit 13 with a reference value determined for each inspection item. Therefore, the latest inspection result analysis unit 21 stores in advance a reference value for each inspection item. However, regarding the storage location of the reference value, a separate storage unit or the like may be provided and stored therein.

  The latest inspection result analysis unit 21 performs analysis by comparing information (numerical values) for each inspection item with a reference value determined for each inspection item (ST4). As a result of the comparison, for example, a patient having an abnormal value and a patient having no abnormal value are calculated. Further, the analysis result is transmitted to the close inspection degree calculation unit 14. The precision inspection degree calculation unit 14 calculates the degree of precision examination of the examinee who has the abnormal value analyzed by the latest inspection result analysis part 21 (ST5).

  Here, the “degree of close inspection” will be described based on the conceptual diagram shown in FIG. In the conceptual diagram in FIG. 5, the vertical axis and the horizontal axis are divided into four regions by being orthogonal to each other in the vicinity of the center. Here, the horizontal axis represents the degree of urgency. In other words, the urgency increases as the distance from the vertical axis in the right region of the vertical axis from the intersection with the vertical axis increases, and the urgency increases as the distance from the vertical axis in the left region of the vertical axis from the intersection with the vertical axis. Get smaller. This “urgency” represents a difference between information (numerical value) for each inspection item analyzed by the latest inspection result analysis unit 21 and a reference value determined for each inspection item. On the other hand, the vertical axis represents the magnitude of the risk. That is, the risk increases as the distance from the horizontal axis increases in the upper region of the horizontal axis from the intersection with the horizontal axis, and the risk decreases as the distance from the horizontal axis decreases in the lower region of the horizontal axis from the intersection with the horizontal axis. This “risk” represents the possibility of getting a disease.

  The degree of scrutiny is expressed by using the “urgency” and “risk”. The degree of the close inspection may be ranked in any way, but in the embodiment of the present invention, it is specified that the grade is classified into three grades of “severe”, “normal”, and “mild”. Yes. In calculating the degree of precision inspection, the precision inspection degree calculation unit 14 first determines whether or not both the “urgency level” and the “risk” are large (ST6).

  As a result, for example, if there is a large difference between the test result and the reference value, and if the difference appears for the first time (both “Urgent” and “Risk” are large), the person undergoing the close examination will be ill. It is judged that there is a high possibility of suffering from (YES in ST6). For example, the difference between the value of the examination result relating to the chest X-ray and the reference value is large, and this corresponds to the case where an abnormality is found for the chest X-ray for the first time in the examination result of this time. In this case, the precision inspection degree calculation unit 14 defines the degree of precision inspection as “severe” (ST7). In the conceptual diagram shown in FIG. 5, the upper right region divided by the horizontal axis and the vertical axis corresponds. In the business office B, an obligation to follow up so that a person who has undergone such a detailed inspection is immediately subjected to a detailed inspection is generated. In addition, it is good also as putting together the examinee judged as "severe" to a list.

  If neither “urgency level” nor “risk” is large (NO in ST6), it is next determined whether or not both “urgency level” and “risk” are small. (ST8). For example, the difference between the value of the inspection result and the reference value is small and the abnormality is detected every year, but there is no abnormality as a result of the close inspection. For example, if an abnormality is found every year in the examination result of the chest X-ray, but the difference between the examination result and the reference value is small (YES in ST8), the precision examination degree calculation unit 14 recognizes “mild”. (ST9). In the conceptual diagram shown in FIG. 5, the lower left area divided by the horizontal axis and the vertical axis corresponds to this. In addition, it is good also as putting together the examinee judged to be "mild" in a list.

  When neither “urgency level” nor “risk” is small (NO in ST8), the precision inspection degree calculation unit 14 recognizes the degree of such precision inspection as “normal” (ST10). It is possible to collect the examinees judged to be “normal” into a list in the same manner as in the case of “severe” and “mild”.

  The test results differ greatly from the reference value. For example, if the test results are detected every year and there are no abnormalities and there is no change compared to the test results of the previous year, or there is little change (high urgency) Small risk), or the difference between the test results and the reference value is small, but if you have a similar illness in your family (low urgency, high risk) The degree of close inspection is defined as “normal”. As an example of the former, there may be an abnormality in the examination result of the chest X-ray and the difference from the reference value is large, but the same phenomenon may occur every year. As an example of the latter, it is conceivable that the blood pressure value is high for the first time in this test result, but there is a person with hypertension in the family. These are all classified as “normal”. In the conceptual diagram shown in FIG. 5, it is a region surrounded by an ellipse at the lower right and upper left divided by the horizontal axis and the vertical axis.

  The degree of fine inspection for each inspection item is calculated by the fine inspection degree calculation unit 14, and the calculation result is transmitted to the estimation unit 16 (ST14).

  The examinee list is transmitted not only to the latest test result acquisition unit 13 but also to the past test result acquisition unit 15. The past test result acquisition unit 15 acquires information related to the past test results of the corresponding examinee from the testee test result storage unit 18 based on the received list of the examinees (ST11). Here, “the past test result of the examinee” is, for example, information on a close examination visit in the past year. Specifically, for example, information such as the number of people who have undergone a close examination, the degree of close examination of each examinee, and the status of receiving a close examination. The acquired past test results of these examinees are transmitted to the past test result analysis unit 22 (ST12).

  Based on the transmitted past test results, the past test result analysis unit 22 classifies the past test results according to, for example, the level of the detailed test, the time of receiving the detailed test, and transmits the result to the estimation unit 16 (ST14).

  The similar examiner examination result acquisition unit 12 to which the similar examinee list is transmitted from the examiner information acquisition unit 11 acquires information on the examination result regarding the similar examinee from the examiner examination result storage unit 18 (ST13). Information on the examination result regarding the similar examinee acquired by the similar examinee examination result acquisition unit 12 is transmitted to the estimation unit 16 (ST14).

  As described above, the estimation unit 16 at this point relates to the degree of the detailed examination of the examinee who has received a medical examination from the latest examination result acquisition unit 13 (the latest examination result analysis unit 21 and the detailed examination degree calculation unit 14). Information gathers (ST14). In addition, from the past examination result acquisition unit 15 (past examination result analysis unit 22), information on the past examination result of the person who has undergone a detailed examination in the past is further similar from the similar examination result examination unit 12 Test results relating to the examinee are collected (ST14).

  The estimation unit 16 further confirms whether or not there is a result of a close examination for a person who needs to receive a close examination (ST15). As indicated by the number line in Fig. 3, the stage where the employee has just received a medical checkup (time M in Fig. 3), and the examinee who needs a detailed checkup receives a close checkup, and the results are Until it is sent to the medical examination center A (period P shown in FIG. 3), regarding the estimation of the scheduled completion date and the like, the employee is treated as not having undergone a close examination. Therefore, even in the diagnostic information management system S, it is not possible to calculate the estimated date of completion of the detailed examination using the information on the result of the detailed examination.

  On the other hand, if the period P shown in FIG. 3 elapses, the information on the detailed inspection is stored in the detailed inspection reception result storage unit 24. Therefore, when the estimation unit 16 confirms the presence or absence of a checkup result, if the checkup result is present (YES in ST15), the estimation unit 16 passes the checkup through the fine checkup result acquisition unit 23. Information on the result of the detailed examination is obtained from the examination result storage unit 24 (ST16).

  The estimation unit 16 uses the collected information to calculate the scheduled completion date of the detailed inspection for each degree of the detailed inspection and the prediction of the consultation status until the scheduled completion date (ST17). However, since the information collected in the estimation unit 16 differs depending on the timing as described above, the information is divided into whether the scheduled completion date to be calculated is an “initial scheduled completion date” or “latest completed scheduled date”. This will be described below.

  If the estimation unit 16 confirms whether or not there is a checkup result, if the checkup result does not exist (NO in ST15), the scheduled date of completion of the checkup for each grade of the checkup without using the information Then, the estimation of the consultation status up to the scheduled completion date is calculated (ST17). In this case, the scheduled completion date calculated by the estimation unit 16 is the “initial scheduled completion date”.

  The information that is the basis for the estimation unit 16 to calculate the initial scheduled completion date includes the degree of the detailed examination of the examinees who need a detailed examination as a result of the latest health check, and the examinees who need the detailed examination. These are the past test results at the establishment B and the test results of similar examinees. By grasping the general tendency of the examination status from the past examination result and the examination result of similar examinees to the initial completion scheduled date and the initial completion scheduled date, and combining with the degree of detailed examination, the results of the latest health examination can be implemented. Calculate the initial scheduled completion date and the status of medical examination up to the initial scheduled date for the detailed work that occurred.

  As a calculation method, for example, the following method can be employed. First, past test results include the total number of patients who have undergone a close examination. In addition, information on dates indicating when each of these examinees has completed a close examination, It also includes information about the date the examinee completed the work-up. Furthermore, these pieces of information can be grasped for each degree of close inspection. Therefore, from the day of the health check (the day indicated by the symbol M shown in FIG. 3), how many examinees have undergone a close examination, for example, after 2 weeks, 4 weeks, and 6 weeks. It is possible to grasp information such as the completion date of the examination, or the date when the examinee who has been judged to be “severe” of the precision examination has completed the examination of the precision examination. This can also be grasped with respect to similar examinees from the test results of similar examinees.

  Therefore, by using information on past test results and the degree of detailed examination, for example, by comparing the number of all examinees in the past test results with the total number of examinees in this detailed examination, Based on the date when all examinees in the results have completed the detailed examination, the scheduled completion date in the detailed examination of the current examination result can be calculated.

  Similarly, even if the test results of similar examinees are used, it is possible to calculate the scheduled completion date in the detailed test of the current test result. Furthermore, combining the past test results and the test results of similar examinees, for example, taking the average of the two, it is possible to calculate the scheduled completion date in the retest by applying this test result.

  The past test results include information on the date on which the close examination was actually completed and information on the scheduled completion date. From these pieces of information, it is also possible to set a correction coefficient for bringing the scheduled completion date closer to the date when the close examination is actually completed.

  As an example of correction coefficient calculation, for example, a period from a health check up to completion of a close examination in a certain year (hereinafter, this period is referred to as “total period” for convenience) is divided into a plurality of periods. Ratio of the number of examinees per period in the total number of examinees by using the total number of examinees (total number of examinees) who have undergone a detailed examination within the total period as the numerator, Can be requested. These obtained ratios for each period are averaged and further reciprocal to obtain a correction coefficient. However, the correction coefficient calculation method described above is merely an example, and may be based on another calculation method.

  Further, the correction coefficient may be the same correction coefficient applied to all the inspection items in calculating the initial scheduled completion date, or different correction coefficients may be applied for each inspection item. good. By using the correction coefficient, more accurate calculation can be performed on the initial scheduled completion date.

  The initial completion scheduled date and the consultation status until the initial completion scheduled date are calculated and estimated by the estimation unit 16 using the method described above (ST17), and the estimation unit 16 to the transmission unit 26, the communication control unit 1h, the communication network N Is transmitted to the corresponding establishment B via (ST18). The transmitted information is displayed on a display unit installed in the office B.

  FIG. 6 shows an example of a screen displayed by the display unit at the office B. The title of the screen example is “Present inspection status display” and is displayed at the upper left of the screen. Below that, there is a column for displaying the “establishment code” and “establishment name”, and further below that, a column for “display date” that is the date on which the scheduled completion date is displayed, and the content to be displayed. There is also a “display graph” field that can be selected. By inputting an arbitrary date as the “display date”, it is possible to display, for example, a past initial scheduled completion date.

  As described above, it is possible to display on the display unit not only for the number of medical examinations for all the medical examinees but also for each degree of the detailed examination. In the “Display graph” column, a pull-down menu is provided. By operating this pull-down menu, for example, only when the degree of detailed inspection is “severe”, or when it is “mild” Can be displayed only. In the screen example shown in FIG. 6, since “all” is selected as the “display graph”, the graph also displays all the checkup statuses according to the degree of the close examination, including the total number of examinees.

  A column indicating “scheduled completion date” is provided under “display date”. Furthermore, a graph is displayed at the bottom. In this graph, the vertical axis indicates the number of persons who have undergone a close examination, and the horizontal axis indicates the period. The period on the horizontal axis is between October 2009 and October 2010 in the screen example of FIG. The number of persons who have undergone a close examination is displayed to be “0” at the date indicated on September 15, 2010, which is the date indicated in the “scheduled completion date” column. In addition, a line graph showing the status of medical checkups of the examinees for each grade of “all examinees”, “severe”, “normal”, and “mild” detailed examinations from mid-October 2009, when the health examination was conducted. Indicated by.

  In the business office B, the “business office code” or “business office name”, “display date”, and “display graph” are entered or selected in the respective fields, and the “display” displayed in the lower right of the screen. By depressing the button, it is possible to display “scheduled completion date” and “consultation status until the scheduled completion date” on the screen.

  Furthermore, it is good also as an aspect by which only the information which the line graph shows by selecting either of the displayed line graphs is displayed. In addition to these pieces of information, for example, the consultation status may be indicated by a ratio such as a consultation rate. For example, in the screen example of FIG. 6, a “Consultation rate” field is provided at the bottom of the “Display graph” field, and the ratio of the number of persons who have undergone a close examination in the total number of patients on the displayed date is shown. Yes. There is also a separate column called “Consultation Status” below the displayed line graph. In this column, the total number of patients (400) and the number of patients who have undergone a close examination (65) are actually shown. The number of people and the bar is displayed. For example, the “consultation rate” and the “consultation status” columns can be calculated by the estimation unit 16 based on information from the detailed examination consultation result analysis unit 25.

  Note that the screen example shown in FIG. 6 is merely an example of the display mode, and the layout and selection of display items can be arbitrarily set. For example, in the screen example shown in FIG. 6, the number of unexamined people is shown as a line graph, so the graph is generally right-down. However, for example, when the number of examinees is shown, the graph goes up to the right Will be represented.

  The case of calculating the “initial completion scheduled date” has been described above. Next, the calculation of the “latest scheduled completion date” will be described. The “latest scheduled completion date” is a scheduled date calculated after any of the examinees who need to undergo a close examination actually receive a close examination and the result is stored in the medical examination center A. Therefore, in calculating the “latest scheduled completion date”, in addition to the information used in the calculation of the “initial scheduled completion date”, information on the result of the close examination is taken into consideration. Therefore, it is possible to present to the establishment B the scheduled completion date and the consultation status up to the scheduled completion date that are more realistic.

  The estimation unit 16 receives the degree of the detailed examination, the past examination result, and the examination result of the similar examinee (ST14), and then confirms the presence / absence of the examination result of the precision examination performed based on the current examination result (ST14). ST15). As a result of the confirmation, if there is a result of a close inspection (YES in ST15), the latest detailed inspection information is acquired and used for calculation of the scheduled completion date (ST16).

  Specifically, the estimating unit 16 issues an acquisition request for a detailed examination reception result to the detailed inspection reception result acquiring unit 23. Based on this acquisition request, the precision examination consultation result acquisition unit 23 acquires the examination result of the precision inspection from the precision inspection consultation result storage unit 24. The results of this examination include, for example, “number of people who have completed a detailed examination”, “number of persons who have not yet undergone a medical examination”, “degree of detailed examination of each person undergoing examination”, “schedule of a precise examination”, “ Items such as “results of consultation” are included.

  The precision inspection consultation result acquisition unit 23 that has acquired the precision inspection consultation result sends the information to the precision inspection consultation result analysis unit 25. The result of the close examination that has been analyzed is sent to the estimation unit 16 and used as basic information when calculating the latest scheduled completion date and the latest completed planned date.

  As described above, the estimation unit 16 has three pieces of information (the degree of the detailed examination of the examinee who needs to undergo a detailed examination as a result of the latest health examination, and the examination of the detailed examination as the basis for calculating the initial scheduled completion date). Calculate the results of the latest completion date and the latest completion date by adding the results of the detailed examination to the past inspection results at the establishment B to which the necessary examinees belong and the inspection results of similar examinees) . By taking into account the result of the close examination, it is possible to grasp the scheduled completion date to some extent in real time.

  The calculation method is the same as the above-described calculation method for the initial scheduled completion date. Further, the calculation result is displayed on the display unit of the office B.

  By adopting the configuration and calculation method described above, a diagnostic information management system capable of calculating the scheduled date of completion of a precise reexamination and the status of a medical examination for a person who needed a precise reexamination after receiving a medical examination, and The control program can be provided. Therefore, the establishment can grasp the scheduled completion date of the detailed inspection and the status of the medical check-up until the scheduled completion date without frequently making inquiries to employees and the medical checkup center, and employees who need to receive a detailed inspection. Can be followed appropriately.

  The present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. For example, the detailed examination information management unit shown in FIG. 2 has a function of storing various types of information such as a patient information storage unit, but these pieces of information are collectively stored in, for example, a storage unit of an information terminal. Anyway.

  Various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the above embodiments. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, you may combine the component covering different embodiment suitably.

DESCRIPTION OF SYMBOLS 1 Information terminal 10 Detailed examination information management part 11 Examiner information acquisition part 12 Similar examinee examination result acquisition part 13 Latest examination result acquisition part 14 Detailed examination degree calculation part 15 Past examination result acquisition part 16 Estimation part 17 Examiner information storage part 18 Examiner Examination Result Storage Unit 19 Receipt Unit 20 Examiner Information Analysis Unit 21 Latest Examination Result Analysis Unit 22 Past Examination Result Analysis Unit 23 Precision Examination Examination Result Acquisition Unit 24 Precision Examination Examination Result Storage Unit 25 Precision Examination Examination Result Analysis Unit 26 Transmitter A Health check center B Office N Communication network S Diagnostic information management system

Claims (6)

A patient information acquisition unit for acquiring information of a patient from the patient information storage unit and creating a patient list and a similar patient list;
A similar examinee test result acquisition unit for acquiring a test result related to a examinee similar to the examinee based on the similar examinee list;
Latest test result acquisition unit for acquiring the latest test result based on the list of patients,
A past test result acquisition unit that acquires a past test result based on the list of examinees;
Based on the information from the similar testee test result acquisition unit, the latest test result acquisition unit, and the past test result acquisition unit, an estimation unit that estimates the status of a future close examination,
A diagnostic information management system comprising:   2. The diagnostic information management system includes a precision test degree calculation unit that ranks examinees who need a precision test based on the latest test result acquired by the latest test result acquisition unit. Diagnostic information management system described in 1. The diagnostic information management system includes:
A detailed examination consultation result acquisition unit is provided for acquiring a consultation result when the examinee who needs the detailed examination receives the precision examination,
The diagnosis information management system according to claim 1, wherein the estimation unit estimates a consultation status of the detailed examination in consideration of information from the detailed examination consultation result acquisition unit.   The said estimation part calculates the consultation rate of the said detailed examination from the number of persons who have received a medical examination which needs the said detailed examination, and the number of persons who have not received a medical examination. Diagnostic information management system.   5. The diagnostic information management system according to claim 4, wherein the consultation rate for the fine examination can be calculated according to the rank classification of the examinees of the fine examination calculated by the precision examination degree calculation unit. Obtaining the information of the examinee from the examinee information storage unit, and creating a examinee information list and a similar examinee list,
A similar test result acquisition step for acquiring a test result related to a test subject similar to the test subject based on the similar test recipient list; and
Latest test result acquisition step for acquiring the latest test result based on the list of patients,
A past test result obtaining step for obtaining a past test result based on the list of examinees;
Based on the information obtained in the similar examinee examination result acquisition step, the latest examination result acquisition step, and the past examination result acquisition step, an estimation step for calculating a future fine examination visit status;
Is executed by a computer included in the diagnostic information management system.

Images