JP2012008889A - Schedule management device, method and program for heavy particle beam therapy - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a schedule management technique for a heavy particle beam therapy with which states before and after a change can be checked on a screen when a working schedule is changed.SOLUTION: A schedule management device 10 for a heavy particle beam therapy comprises: a database 30 for registering first information 33 which associates each schedule of multiple processes with a patient ID 31; a transmitting/receiving part 11 for receiving a change request a of the schedule from a network N; a new information retaining part 19 for retaining the first information after a change which is received with the change request a; a transmitting/receiving part 11 for transmitting the first information after the change which is retained by the new information retaining part 19 and the first information 33 before the change which is registered in the database 30, to the network N; and a data management part 21 for updating the registered content of the database 30 with the first information after the change when an update request b from the network N is received at the transmitting/receiving part 11.

Description

  The present invention relates to a technique for managing a work schedule of a staff member involved in heavy ion beam therapy.

The work related to heavy ion radiotherapy involves actual irradiation (treatment) through preparations such as fixture preparation, simulation, CT imaging, and rehearsal. In addition, work related to the workflow such as screening and approval by the Ethics Committee is also included during this period.
Many staff members involved in medical work are required to accurately grasp information related to the work schedule of heavy ion beam therapy and to share the entire information with all members.

For this reason, the work schedule is managed in the schedule management apparatus for heavy particle beam therapy.
By the way, as a conventional heavy particle beam therapy schedule management apparatus, an invention that efficiently manages and manages accessories used for radiation therapy is known (for example, Patent Document 1). In addition, an invention for inputting and referring to information on general work in radiation therapy is known (for example, Patent Document 2).

JP 2009-183504 A JP 2008-262428 A

  By the way, the schedule management apparatus creates an efficient business schedule through optimization processing at the initial stage of planning a treatment process. When the treatment schedule needs to be changed according to the patient's convenience and the status of the work progress in the hospital, the work schedule is reviewed as appropriate.

  However, in the conventional schedule management device for heavy ion beam therapy, it is difficult to restore the schedule once changed because the initial state before the change is not accurately stored in the change work of the complicated work schedule. there were.

In other words, conventionally, when it is desired to return the contents of the work schedule to the initial state or to grasp the state before the change, it is necessary to output the old information in advance on a paper form or the like.
In addition, when a staff member confirms his / her work schedule, all the work schedules of other staff members are displayed, and it is difficult to find work related to him / her from the disclosed information.
As described above, in the prior art, there is a concern that the work efficiency is lowered and that a human error occurs in the process of confirming the information associated with the paper form.

  The present invention has been made in consideration of such circumstances, and it is an object of the present invention to provide a heavy ion beam treatment schedule management technique that allows a user to check the state before and after the change when the work schedule is changed. And

  The heavy ion beam therapy schedule management apparatus according to the present invention includes a database for registering first information in which a schedule of a plurality of processes associated with a patient ID is associated, a receiving unit for receiving a schedule change request from a network, New information holding unit that holds first information after change received together with the change request, first information after change held in the new information holding unit, and before change registered in the database A transmission unit that transmits first information to the network, and a data management unit that updates the registration contents of the database to the changed first information when an update request is received from the network by the reception unit. It is characterized by that.

  According to the present invention, there is provided a schedule management technique for heavy particle beam therapy that allows the user to check the state before and after the change when the work schedule is changed.

The flowchart which shows the several process in a heavy particle beam therapy. The block diagram which shows embodiment of the schedule management apparatus of the heavy particle beam therapy which concerns on this invention. The table which shows patient information and the 1st information which linked | related the schedule of each process of heavy particle beam therapy with patient ID. The table which shows the staff information and the 2nd information which linked | related the staff ID in charge of each of the process of heavy particle beam therapy. Schedule screen displayed on the monitor. Schedule screen displayed on the monitor. (A) Schedule display form showing all processes on the display screen of the monitor, (B) Schedule display form selectively displaying processes linked to a specific staff ID. (A) Schedule display form on monitor display screen, (B) Text display form showing detailed information in specific process. The flowchart which shows embodiment in the case of changing a schedule in the schedule management apparatus of heavy particle beam therapy. The flowchart which shows embodiment in the case of performing the browsing of a schedule in the schedule management apparatus of a heavy particle beam therapy.

(First embodiment)
Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings.
As shown in FIG. 1, the heavy ion radiotherapy is performed through a plurality of steps.
First, the attending doctor inquires the outpatient about the progress and nature of the cancer and examines eligibility as to whether or not it is suitable for heavy particle beam therapy (S11). On the other day, the irradiation policy of the heavy particle beam is examined by a plurality of specialists (S12).

Next, the patient is visited on the other day, and an individual fixture for accurately irradiating the lesion with the heavy particle beam while keeping the patient in a certain posture is created (S13). On the other day, CT imaging is performed from the direction examined by the irradiation policy using the created fixture (S14).
Next, the target affected area is input on the computer based on the image result obtained by CT imaging, and a treatment plan such as creation of a dose distribution is made (S15).

And on the other day, a treatment study meeting was conducted to create a protocol such as the patient's posture at the time of treatment, the direction, number and interval of heavy particle beam irradiation, and to select irradiation field forming tools such as ridge filter, patient collimator, bolus etc Perform (S16).
Next, on the other day, in the rehearsal room, the patient takes the same posture as the actual heavy particle beam irradiation, and a treatment rehearsal is performed to confirm whether there is any inconvenience during the actual operation (S17).

  In parallel with the flow of (S12) to (S17) described above, the patient and their relatives will be explained in detail about heavy ion radiotherapy, and the consent form will be signed and stamped at the place of informed consent. Is performed (S22). Further, in the ethical review at the conference by experts inside and outside the hospital, it is determined whether to permit / stop heavy particle beam irradiation for the patient (S23).

In this ethical review, heavy particle beam irradiation can be stopped (S18: Yes) if heavy particle beam irradiation is stopped (S18: No).
The heavy particle beam irradiation is executed in several times depending on the case, and the patient is irradiated with the heavy particle beam according to the created protocol for the patient who takes the posture determined by the treatment rehearsal (S19).
Then, after leaving the patient, the effect is determined by observing the state of the lesion and the whole body by CT imaging, MRI imaging, etc. in an outpatient (S20), and the result is reported to the committee (S21).

  As shown in FIG. 2, the heavy ion beam treatment schedule management apparatus 10 (hereinafter simply referred to as “management apparatus 10”) is connected to a communication network N together with a terminal 40 operated by a staff member.

  The management apparatus 10 includes a database 30 for registering first information (see FIG. 3) in which each schedule of a plurality of processes associated with a patient ID is registered, and a reception unit (transmission / reception unit 11) that receives a schedule change request a from the network N. ), The new information holding unit 19 that holds the changed first information (not shown) received together with the change request a, and the changed first information and database held in the new information holding unit 19 When the transmission unit (transmission / reception unit 11) transmits the first information (reference numeral 33) before the change registered in 30 to the network N, and the update request b is received from the network N by the reception unit (transmission / reception unit 11). A data management unit 21 that updates the registered content of the database 30 to the first information after the change.

Furthermore, the management device 10 includes an authentication unit 12, an access authority monitoring unit 13, a display control unit 14, an information selection unit 15, a schedule display form storage unit 16, and a text display management unit 17. ,
The database 30 registers patient information 31, staff information 32, patient schedule information 33 (first information), and staff charge information 34 (second information).

In the database 30, as shown in FIG. 3, patient schedule information which is a collection of patient information 31 in which a patient ID is associated with a patient name and the like, and first information indicating the schedule of each step of the heavy ion radiotherapy. 33 are managed as table data.
Further, as shown in FIG. 4, the staff information 32 in which the staff ID (SF-1 to SF-m) is associated with the staff name, etc., and each step of the heavy ion beam therapy (the first process to the nth process; FIG. Staff management information 32, which is an aggregate of second information indicating 1), is managed as table data.

As shown in FIG. 2, the terminal 40 has a monitor 41 for displaying a schedule screen or the like (FIGS. 5 to 8) transmitted from the management apparatus 10, and various requests (change requests a, An input unit 42 for inputting an update request b, a browsing request c, a selection request d, a text information request e), a communication unit 43 for transmitting these various requests to the network N and receiving a response from the management apparatus 10, and these The monitor 41, the input part 42, and the input / output processing part 44 which processes the data output or input into the communication part 43 are provided.
When the terminal 40 logs in to the management apparatus 10 via the network N, the terminal 40 requests input of a staff ID and a password.

In the management apparatus 10, the authentication unit 12 confirms that the staff ID and password transmitted from the terminal 40 match the staff information 32 registered in advance, and identifies the staff who tries to log in and prevents spoofing. .
The access authority monitoring unit 13 monitors the authority of the logged-in staff, such as whether only the browsing request c of the schedule screen (FIGS. 5 to 8) is permitted or whether the disclosed information change request a is also permitted.

The display control unit 14 displays the first information included in the database 30, the new information holding unit 19, or the old information holding unit 20 so that the information before the change and the information after the change can be distinguished from each other.
That is, the display control unit 14 responds to requests from the terminal 40 (change request a, update request b, browsing request c, selection request d, text information request e), the new information holding unit 19 and the old information holding unit 20. And / or 1st information (FIG. 3) is extracted from a database, and it allocates to the schedule display form in the storage part 16 so that it can identify for each origin.
Then, the data of the web page in which the first information is pasted on the schedule display form is transmitted from the transmission / reception unit 11 and displayed on the monitor 41 of the terminal 40 as a schedule image (FIG. 5).

  As shown in FIG. 5, in the schedule image, patient heading items are arranged in the vertical direction, and marks for identifying each process (first process,... N process) in the horizontal direction are along the time axis of the schedule. Assigned. In addition, by scrolling the schedule image in the vertical direction or the horizontal direction, it is possible to view a patient that is not displayed hidden or the schedule of another process.

  In addition, when a schedule change operation is performed, the schedule image displays the schedule before the change as indicated by reference numeral 47 so that the schedule before the change is indicated by the reference numeral 48. Further, when other processes or other patient processes are changed, display is also made so that the dates before and after the change can be identified.

In addition, as the schedule of a plurality of processes is changed, the schedule after the change of a certain process may overlap with the schedule before the change of another process. In such a case, FIG. As shown, another window is displayed so that the dates before and after the change can be identified.
Then, by selecting the registration button 45, the changed first information is updated as the patient schedule information 33 registered in the database 30.

This corresponds to the fact that even if the schedule of one process is changed, the schedule of other processes is forced to be changed in a chain, and it is often necessary to review the entire schedule of heavy ion radiotherapy. is there. In addition, after changing the schedule of one process, it is possible to cope with frequent changes of the changed schedule due to the relationship with other processes.
The staff who changes the process needs to consider the balance of the schedule setting of each process, and rationally updates the registered content of the database 30 of the management apparatus 10 after the change of the entire schedule is confirmed. Schedule management can be performed.

Based on the flowchart of FIG. 9, the operation | movement in the case of performing the schedule change in the schedule of a heavy particle beam treatment is demonstrated (refer FIG. 2 suitably).
Patient schedule information 33 (first information) that associates each schedule of a plurality of processes with the patient ID is registered in the database 30. When a schedule change occurs in a certain process of a patient, a change request a is transmitted from the terminal 40 by operating the input unit 43 by the staff (S31).

  When the change request a is transmitted, a staff ID and a password necessary for logging in are transmitted. Then, it is checked against the staff information 32 (staff ID) stored in the database 30 to confirm the staff's authentication and change authority (S32: Yes, S33: Yes). If these are not confirmed, the schedule change operation cannot be performed (S32: No, S33: No).

  When the management device 10 receives the change request a from the network N, the patient schedule information 33 (first information) stored in the database 30 is assigned to the schedule display form of the storage unit 16. The schedule screen data created in this way is transmitted from the transmission / reception unit 11 and displayed on the monitor 41 of the terminal 40 (S34).

  The staff changes the schedule from the input unit 42 while referring to the schedule screen. The data of the schedule after the change (first information) is transmitted from the terminal 40 to the network N one by one (S35: No). Then, the first information after the change is received as new information by the management apparatus 10 and held in the new information holding unit 19 (S36).

Then, the management device 10 displays the first information after the change held in the new information holding unit 19 and the old information (the first information before the change) registered in the database 30 in the schedule display of the storage unit 16. The form is allocated and transmitted to the network N (S37).
Each time a schedule change is input in this way, the schedule screen (FIG. 5) displayed so that the first information after the change (new information) and the first information before the change (old information) can be distinguished from each other, A new screen is displayed on the monitor 41 (S34, S35: No).

When the schedule change operation for the entire schedule is completed (S35: Yes) and the registration button 45 (FIG. 5) on the schedule screen is operated, an update request b is transmitted from the terminal 40 (S38).
When receiving the update request b from the network N, the management apparatus 10 transfers the first information (old information) before the change registered in the database to the old information holding unit 20 and holds it (S39). Then, the registered content of the database 30 is updated to the first information (new information) after the change (S40).

  Further, the changed first information (new information) held in the new information holding unit 19 is deleted. Although not reflected in the flowchart, the registration content of the database 30 updated to the first information (new information) after the change may be reflected on the schedule screen and displayed on the monitor 41 of the terminal 40 for confirmation.

As described above, in the embodiment, it is possible to adjust the entire schedule while confirming the schedule change of a plurality of processes before and after the change. As a result, the efficiency of schedule management is improved and the risk of human error is reduced.
In the above, the embodiment when changing the schedule of the process in the heavy particle radiotherapy has been described.

(Second Embodiment)
Next, referring to FIG. 2 again, the case of browsing the schedule of heavy ion beam therapy will be described.
The management apparatus 10 further includes an old information holding unit 20 that holds the first information before the change when the update request b is received.
And when the transmission / reception part 11 receives the browsing request c of a schedule from the network N, the 1st information (new information) after the change registered in the database 30 and the before change held in the old information holding part 20 The first information (old information) is transmitted to the network N.

As a result, whenever a change request a is made and new information is registered in the database 30 from one to the next, the old information registered in the database 30 is transferred to the old information holding unit 20 and held there. Is done.
When the staff displays the schedule image (FIG. 5) on the monitor 41 of the terminal 40, the first information (old information) before the change is displayed in addition to the first information (new information) after the change. Therefore, it can be recognized that the schedule has been changed in the process.

Furthermore, the management device 10 includes a browsing history storage unit 18 that stores history information of a browsing request c accompanied by a staff ID.
Then, based on the history information, the transmission unit (transmission / reception unit 11) selectively selects the one associated with the staff ID from among the plurality of first information before the change held in the old information holding unit 20. Send to.

In other words, the process schedule may be changed a plurality of times across days. Then, a plurality of pieces of data corresponding to the first information (old information) before the change are held in the old information holding unit 20.
In such a case, which data is assigned to the schedule screen as the first information (old information) before the change is performed based on the browsing history information related to the staff ID.
In many cases, it can be said that it is reasonable in schedule management to recognize the patient schedule information 33 registered in the database 30 at the time of the last browsing by the staff as the first information (old information) before the change.

Furthermore, the management apparatus 10 includes an information selection unit 15 that selects information on the process associated with the staff ID associated with the selection request d when receiving the selection request d from the network N.
And the information selection part 14 will allocate only the information of the said process which the information selection part 15 selected to this schedule display form, if this selection request | requirement d is received. The data of the schedule screen created in this way is transmitted from the transmission / reception unit 11 to the network N.

That is, when the selection button 46 is operated on the schedule screen showing the schedule information of all the processes shown in FIG. 7A, the selection request d is transmitted from the terminal 40, and as shown in FIG. Only the schedule information of the process for which the staff ID is in charge is selectively displayed.
As described above, the management apparatus 10 can selectively display information important for the staff operating the terminal 40 on the schedule screen, and achieves improvement of work efficiency and reduction of risk of human error.

  Furthermore, the management apparatus 10 includes a text display management unit 17 that, when receiving a text information request e from the network N, transmits text information included in at least one of the database 30 and the old information holding unit 20 to the network N. Yes.

That is, the text information is displayed from the terminal 40 by performing an operation of specifying any one process (mark) of any patient on the schedule screen showing the schedule information of all the processes shown in FIG. The request e is transmitted and detailed information on the process is displayed as shown in FIG.
The detailed information on the process displayed here is the patient information 31 registered in the database 30 and other useful information in addition to the history of the change information so far held in the old information holding unit 20. Information applies.

Further, the information disclosed in the text information form shown in FIG. 8 is not limited to the information related to the specified process, but information related to the related process or the entire process may be disclosed. Good.
As a result, the management apparatus 10 can comprehensively display a lot of information related to a specific process on the schedule screen, thereby improving work efficiency and reducing the risk of human error.

Based on the flowchart of FIG. 10, the operation | movement at the time of browsing the schedule in the schedule of a heavy particle beam therapy is demonstrated (refer FIG. 2 suitably).
Registered in the database 30 is patient schedule information 33 (first information) that associates each schedule of a plurality of processes with a patient ID, and staff information 34 (second information) that associates a staff ID assigned to each of the plurality of processes. Has been.
When the staff tries to browse the schedule screen for heavy ion beam therapy, the browsing request c is transmitted from the terminal 40 by operating the input unit 43 (S51).

  When the browsing request c is transmitted, a staff ID and a password necessary for logging in are transmitted. Then, the staff is authenticated against the staff information 32 (staff ID) stored in the database 30 (S52: Yes). If this authentication is not permitted, the schedule screen cannot be browsed (S52: No).

  When the management device 10 receives the browsing request c from the network N, the browsing history storage unit 18 is referred to for the staff ID associated with the browsing request c (S53). Then, when the old information holding unit 20 has the first information (old information) before being changed and linked to the staff ID with reference to the previous browsing time (S54: Yes), the previous browsing is performed. The oldest first information after the reference time is selected and acquired from the old information holding unit 20 (S55).

Then, the management apparatus 10 allocates the changed first information (new information) registered in the database 30 together with the acquired old information to the schedule display form and transmits it to the terminal 40 (S56).
On the other hand, in the old information holding unit 20, when there is no first information (old information) before the change that is held after that with reference to the previous browsing and is associated with the staff ID (S54: No) The device 10 assigns only the changed first information (new information) registered in the database 30 to the schedule display form and transmits it to the terminal 40 (S56).

When the schedule screen is displayed on the monitor 41 of the terminal 40 (S57) and the selection button 46 (FIG. 7A) is operated, the selection request d is transmitted from the terminal 40 to the network N and managed. Received by the device 10 (S58: Yes).
The information selection unit 15 selects the second information associated with the staff ID associated with the received selection request d from the staff charge information 34 (second information) registered in the database 30 and further associates it. First information is selected (S59).
Then, the information selected in this way is allocated to the schedule display form and transmitted to the terminal 40 (S56).
Then, as shown in FIG. 7B, information on only the processes handled by the staff operating the terminal 40 is displayed on the schedule screen (S57).

  Next, as shown in FIG. 8A, when selecting any step (mark) of any patient displayed on the schedule screen and obtaining more detailed information (S58: No), The text information request e is transmitted from the terminal 40 to the network N and is received by the management apparatus 10 (S60: Yes).

Then, the text display management unit 17 acquires text information included in at least one of the database 30 and the old information holding unit 20 (S61), assigns the text information to a text display form, and transmits it to the terminal 40 (S56). .
Then, as shown in FIG. 8B, a lot of information is displayed on the screen in detail by text (S57).

This text information request can be repeated for other displayed processes (S60: No, S62: No). And when browsing of a schedule screen is complete | finished (S62: Yes), the old information currently hold | maintained at the old information holding | maintenance part 20 is deleted, and it complete | finishes (S63).
The timing at which the old information held in the old information holding unit 20 is deleted may be the time when a predetermined holding period has elapsed or the time when all other staff members have confirmed the old information.

The present invention is not limited to the above-described embodiments, and can be appropriately modified and implemented within the scope of the common technical idea.
For example, the heavy particle beam therapy schedule management apparatus can also realize each functional unit by a computer, and can operate the computer by a heavy particle beam therapy schedule management program.

  The schedule screen is created as a web page in the management apparatus 10, and the terminal 40 browses the web page by a browser function. However, it is also possible to install a program in the terminal 40 so that the terminal 40 has the functions of the display control unit 14, the information selection unit 15, the schedule display form storage unit 16, and the text display management unit 17 described above.

  DESCRIPTION OF SYMBOLS 10 ... Schedule management apparatus (management apparatus), 11 ... Transmission / reception part, 12 ... Authentication part, 13 ... Access authority monitoring part, 14 ... Display control part, 15 ... Information selection part, 16 ... Schedule display form storage part, 17 ... Text Display management unit, 18 ... browsing history storage unit, 19 ... new information holding unit, 20 ... old information holding unit, 21 ... data management unit, 30 ... database, 31 ... patient information (patient ID), 32 ... staff information (staff) ID), 33 ... Patient schedule information (first information), 34 ... Staff charge information (second information), 40 ... Terminal, 41 ... Monitor, 42 ... Input unit, 43 ... Communication unit, 44 ... Input / output processing unit, 45 ... Registration button, 46 ... Selection button, a ... Change request, b ... Update request, c ... Browsing request, d ... Selection request, e ... Text information request, N ... Network.

Claims (8)

A database for registering first information in which a schedule of a plurality of processes associated with a patient ID is associated;
A receiving unit for receiving the schedule change request from the network;
A new information holding unit for holding first information after change received together with the change request;
A transmission unit that transmits the first information after the change held in the new information holding unit and the first information before the change registered in the database to the network;
And a data management unit that updates the registered content of the database to the first information after the change when an update request is received from the network. . In the heavy ion beam therapy schedule management apparatus according to claim 1,
An old information holding unit for holding the first information before the change when the update request is received;
The receiving unit receives the schedule browsing request from the network,
When the browsing request is received, the transmission unit transmits the first information after the change registered in the database and the first information before the change held in the old information holding unit to the network. A heavy particle radiotherapy schedule management apparatus characterized by: In the heavy ion beam therapy schedule management device according to claim 2,
A storage unit that stores history information of the browsing request accompanied by a staff ID;
The transmission unit selectively transmits, based on the history information, one associated with the staff ID from among the plurality of first information before the change held in the old information holding unit. A heavy particle beam therapy schedule management device. In the schedule management apparatus for heavy ion beam therapy according to any one of claims 1 to 3,
The database further registers second information relating staff IDs in charge of each of the plurality of processes,
A schedule management apparatus for heavy particle beam therapy, comprising: an information selection unit that selects information on the process associated with a staff ID associated with a selection request received from the network. The heavy ion beam therapy schedule management device according to any one of claims 2 to 4,
When receiving a text information request from the network, the system includes a text display management unit that transmits text information included in at least one of the database and the old information holding unit to the network. Schedule management device. In the heavy ion beam therapy schedule management device according to any one of claims 1 to 5,
The first information included in the database, the new information holding unit, or the old information holding unit is displayed so that the information before the change and the information after the change can be distinguished from each other on the schedule display form. The schedule management apparatus for heavy particle beam therapy, wherein the schedule is transmitted from the transmitter to the network. Registering, in a database, first information that associates each schedule of a plurality of processes with a patient ID;
Receiving the schedule change request from the network;
Holding the changed first information received together with the change request as new information;
Transmitting the first information after the change held as the new information and the first information before the change registered in the database to the network;
Updating a registered content of the database to the changed first information when an update request is received from the network, comprising: Computer
Means for registering, in a database, first information associated with each schedule of a plurality of steps in a patient ID;
Means for receiving said schedule change request from the network;
Means for holding the first information after the change received together with the change request as new information;
Means for transmitting the first information after the change held as the new information and the first information before the change registered in the database to the network;
When the update request is received from the network, the schedule management program for heavy ion beam therapy is caused to function as means for updating the registered content of the database to the first information after the change.

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