JP2012146044A - Data management server and medical cooperation system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To allow examination results in the past to be utilized.SOLUTION: A data management server 1 has an examination reservation DB and a backup DB. In the examination reservation DB, a patient of an examination implemented in another facility system in response to a request from each facility system, an examination condition and an examination result are made correspondent. In the backup DB, a patient of an examination implemented in each facility system without a request from the other facility system, an examination condition and an examination result are made correspondent. Upon receiving examination reservation information from a facility system 2A, the data management server 1 retrieves, with the examination reservation DB and the backup DB as targets, an examination result corresponding to the same patient and examination condition as the patient and the examination condition contained in the examination reservation information. In the case where the examination reservation DB or the backup DB stores the relevant examination result, the data management server 1 then transmits to the facility system 2A information indicating the presence of the relevant examination result.

Description

  The present invention relates to a data management server and a medical cooperation system.

  In recent years, in the medical field, medical images captured by modalities such as CR (Computed Radiography), CT (Computed Tomography), and MRI (Magnetic Resonance Imaging) are stored as digital data. When comparing newly acquired images with past images, it is desirable that the images be captured under the same shooting conditions, so the shooting conditions are the same as the currently set shooting conditions. There has been proposed a medical image inspection apparatus capable of searching and displaying past images that have been taken and setting the shooting conditions of an image to be taken this time to the same shooting conditions as those of past images (patent) Reference 1).

JP 9-81646 A

However, since information such as medical care and examinations is managed for each hospital, the results of examinations conducted in hospitals can be referred to, but it is not possible to grasp the contents of examinations conducted in other hospitals in the past. could not. For this reason, when performing an examination, whether or not an equivalent examination has been carried out in another hospital in the past had to rely on information held by the patient. In addition, even if it is found that the examination has been performed in another hospital, the examination result cannot be used in many cases, and in that case, it is necessary to conduct the examination again.
In this way, it is time and labor for both the hospital and the patient to perform the examinations performed at other hospitals, and the physical burden and cost burden on the patient due to bombardment, blood collection, etc. increase. There was a problem to do.

  The present invention has been made in view of the above-described problems in the prior art, and an object thereof is to make it possible to use past inspection results.

  In order to solve the above-mentioned problem, the invention according to claim 1 is a data management server connected to an in-facility system provided in each of a plurality of medical facilities through a communication network so that data communication is possible, A first storage means for storing a patient and a test condition of a test performed in another in-facility system based on a request from each of the plurality of in-facility systems and a test result in association with each other; and the plurality of facilities A second storage means for storing a patient and a test condition of a test performed without a request from another in-facility system and a test result in each of the in-system, and one of the plurality of in-facility systems When the examination reservation information including the patient and examination conditions is received from the in-facility system via the communication network, the first storage means and the second storage means From the stored examination results, the examination results corresponding to the same patients and examination conditions as the patients and examination conditions included in the examination reservation information are searched, and the first storage means or the second storage means are searched. When the test result corresponding to the same patient and the test condition is stored, the information indicating that the test result corresponding to the same patient and the test condition exists via the communication network is the one facility. Control means for transmitting to the internal system.

  According to a second aspect of the present invention, in the data management server according to the first aspect, the control means is a test corresponding to the same patient and examination conditions in the first storage means or the second storage means. When a result is stored, when an acquisition request for an examination result corresponding to the same patient and examination condition is received from the one in-house system via the communication network, the first storage means or The test result corresponding to the same patient and the test condition is read from the second storage means, and the test result corresponding to the read same patient and the test condition is transmitted to the one in-facility system via the communication network. Send.

  The invention according to claim 3 is a medical cooperation system in which an in-facility system provided in each of a plurality of medical facilities and a data management server are connected via a communication network so that data communication is possible, The data management server includes a first storage unit that stores a patient and a test condition of an examination performed in another in-facility system based on a request from each of the plurality of in-facility systems and an examination result in association with each other. A second storage means for storing the patient and test conditions of the test conducted without request from another in-facility system in each of the plurality of in-facility systems in association with the test result, and the plurality of facilities When the examination reservation information including the patient and the examination condition is received from the one in-facility system through the communication network, the first storage unit And from the examination results stored in the second storage means, the examination results corresponding to the same patient and examination conditions as the patient and examination conditions included in the examination reservation information are retrieved, and the first storage means Alternatively, when test results corresponding to the same patient and test conditions are stored in the second storage means, there are test results corresponding to the same patient and test conditions via the communication network. First control means for transmitting information indicating the above to the one in-facility system, wherein the one in-facility system is configured to display the same patient from the data management server via the communication network. When the information indicating that the test result corresponding to the test condition exists is received, the display means displays the test result corresponding to the same patient and the test condition. And a second control means for.

  According to a fourth aspect of the present invention, in the medical cooperation system according to the third aspect, the one in-facility system is an operation unit for instructing an acquisition request for a test result corresponding to the same patient and test condition. The second control means transmits the acquisition request to the data management server via the communication network when the acquisition request is instructed from the operation means, and the first control means When the acquisition request is received from the one in-facility system via the communication network, an examination result corresponding to the same patient and examination condition is obtained from the first storage means or the second storage means. Read the test result corresponding to the read same patient and test conditions to the one in-facility system via the communication network, the second control means, When the data management server via the communication network has received the inspection results corresponding to the same patient and test conditions, and displays the inspection results corresponding to the same patient and test conditions on the display means.

  According to the present invention, in the data management server, when examination results corresponding to the same patient and examination conditions as those included in the examination reservation information are stored, the same patient and examination conditions are supported. Since information indicating that the inspection result exists is transmitted from the data management server to the one in-facility system, the past inspection result can be used in the one in-facility system.

It is a system configuration figure of a medical cooperation system. It is a block diagram which shows the functional structure of a data management server. It is an example of inspection reservation DB. It is an example of backup DB. It is a block diagram which shows the functional structure of the terminal device in an in-facility system. It is a ladder chart which shows a process when there exists no test result in agreement with the patient of a test | inspection requested this time and test conditions. It is a ladder chart which shows a process when the test result in which the patient requested | required this time and a test | inspection condition corresponded exists. It is a ladder chart which shows a process when the test result in which the patient requested | required this time and a test | inspection condition corresponded exists. It is a flowchart which shows the examination reservation reception process performed in a data management server.

  Hereinafter, an embodiment of a medical cooperation system according to the present invention will be described with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

[Configuration of medical cooperation system]
In FIG. 1, the system configuration | structure of the medical cooperation system 100 in this Embodiment is shown.
As shown in FIG. 1, the medical cooperation system 100 includes a data management server 1 installed in a local data center, an in-facility system 2A provided in the medical facility A, and an in-facility system provided in the medical facility B. 2B, the in-facility system 2C provided in the medical facility C, and so on. The data management server 1, the in-facility system 2A, the in-facility system 2B, the in-facility system 2C,... Are connected via a communication network N such as the Internet so that data communication is possible.

  The data management server 1 provides a medical cooperation service between medical facilities, accepts an examination reservation in the requested in-facility system from the requesting in-facility system, and manages the result of the examination. The data management server 1 displays the examination reservation DB (DataBase) 170 (see FIG. 3), the examination result of the examination performed in the requested in-house system based on the examination patient related to the appointment, the examination condition, and the examination condition. ).

  In addition, the data management server 1 stores in the in-facility system provided in each medical facility the backup DB 180 (see FIG. 4).

  The in-facility system 2A is configured by connecting a terminal device 3A or the like to an in-facility network 4A such as a LAN (Local Area Network). The terminal device 3A is connected to the communication network N via the router 5A, and is connected to the data management server 1 via the communication network N so that data communication is possible.

  The in-facility system 2B is configured by connecting a terminal device 3B, a modality 6B, and a PACS (Picture Archiving and Communication System) 7B to each other via an in-facility network 4B such as a LAN. Each device constituting the in-facility system 2B is connected to the communication network N via the router 5B. Of the devices constituting the in-facility system 2B, at least the terminal device 3B is connected to the data management server 1 via the communication network N by the router 5B so that data communication is possible.

  The in-facility system 2C is configured by connecting a terminal device 3C, a modality 6C, and a PACS 7C to each other via an in-facility network 4C such as a LAN so that data communication is possible. Each device constituting the in-facility system 2C is connected to the communication network N via the router 5C. Of the devices constituting the in-facility system 2C, at least the terminal device 3C is connected to the data management server 1 via the communication network N by the router 5C so as to be able to perform data communication.

  Note that the number of devices in each facility system such as the facility system 2A, the facility system 2B, and the facility system 2C constituting the medical cooperation system 100 is not particularly limited.

[Data management server configuration]
FIG. 2 shows a functional configuration of the data management server 1.
As shown in FIG. 2, the data management server 1 includes a control unit 11, an operation unit 12, a display unit 13, a communication unit 14, a RAM 15, a storage unit 16, an examination reservation storage unit 17, an in-facility examination storage unit 18, and the like. Each part is connected by a bus 19.

  The control unit 11 includes a CPU (Central Processing Unit) and the like, and comprehensively controls the processing operations of the respective units of the data management server 1. Specifically, the CPU reads out various processing programs stored in the storage unit 16 in accordance with an operation signal input from the operation unit 12 or an instruction signal received by the communication unit 14, and expands it in the RAM 15. Various processes are performed in cooperation with the program.

  The operation unit 12 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and controls operation signals input by keyboard operations or mouse operations. 11 is output.

  The display unit 13 includes a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of a display signal input from the control unit 11.

  The communication unit 14 includes a network interface and the like, and transmits and receives data to and from an external device connected via the communication network N.

  The RAM 15 forms a work area that temporarily stores various programs, input or output data, parameters, and the like read from the storage unit 16 in various processes controlled by the control unit 11.

  The storage unit 16 includes an HDD (Hard Disk Drive), a semiconductor non-volatile memory, and the like, and stores various processing programs, parameters, files, and the like necessary for executing the programs.

The examination reservation storage unit 17 is configured by an HDD, a large-capacity nonvolatile memory, or the like, and stores data relating to examination reservation.
For example, in the examination reservation storage unit 17, reservation availability status information of each medical facility as a cooperation destination in the medical cooperation system 100 is stored. The reservation availability status information is information indicating the date and time when the inspection device installed in the medical facility can be reserved. The reservation availability status information in the medical facility B can be set from the terminal device 3B of the in-facility system 2B. The reservation availability status information in the medical facility C can be set from the terminal device 3C of the in-facility system 2C. Further, when an examination reservation is registered from the in-facility facility system, the registered date and time are excluded from the reservation available date and time of the reservation availability status information.

  The examination reservation storage unit 17 stores an examination reservation DB 170. FIG. 3 shows an example of the inspection reservation DB 170. The inspection reservation DB 170 corresponds to the medical facility (request source facility) of the inspection request source, the medical facility (request destination facility) of the inspection request destination, the patient of the inspection related to the reservation, the inspection date, the inspection condition, the inspection result, and the disclosure destination. Attached and stored. That is, in the examination reservation DB 170, the patient and examination conditions of the examination performed in the requested in-facility system and the examination result are associated with each other based on the request from the in-facility system. The inspection conditions include modality, part, imaging direction, and the like. The test result may be not only medical image data generated by the modality but also sample test data obtained by analyzing a sample collected from a patient. The disclosure destination is a medical facility where the test result is disclosed, and reference to the test result is permitted only to the medical facility designated as the disclosure destination. The disclosure destination of the examination managed in the examination reservation DB 170 is designated by the medical facility of the examination request source.

The in-facility examination storage unit 18 is configured by an HDD, a large-capacity nonvolatile memory, or the like, and stores data relating to examinations performed without request from the outside in each medical facility.
A backup DB 180 is stored in the in-facility inspection storage unit 18. FIG. 4 shows an example of the backup DB 180. The backup DB 180 stores, for each medical facility, the patient, the inspection date, the inspection condition, the inspection result, and the disclosure destination of the inspection performed at the medical facility in association with each other. That is, in the backup DB 180, the patient and the examination condition of the examination conducted without request from the other in-house system in each in-facility system and the examination result are associated with each other. The examination disclosure destination managed by the backup DB 180 is designated by the medical facility where the examination is performed.

  The control unit 11 receives the examination reservation information including the patient and the examination conditions from one in-facility system (for example, the in-facility system 2A) among the plurality of in-facility systems via the communication network N. And the test result corresponding to the same patient and test condition as those included in the test reservation information is searched from the test results stored in the backup DB 180. And the control part 11 is via the communication network N, when the test result corresponding to the patient and test condition which are the same as the patient and test condition included in test reservation information is memorize | stored in test reservation DB170 or backup DB180. Information indicating that there is a test result corresponding to the same patient and test condition is transmitted to one in-house system.

  When the test result corresponding to the same patient and test conditions as the patient and test conditions included in the test reservation information is stored in the test reservation DB 170 or the backup DB 180, the control unit 11 communicates with the communication network from one in-facility system. N, when receiving a test result acquisition request corresponding to the same patient and test condition, the test result corresponding to the same patient and test condition is read from the test reservation DB 170 or the backup DB 180, and the read same The test result corresponding to the patient and the test condition is transmitted to the one in-house system via the communication network N.

[Institutional system configuration]
The terminal device 3A is used when making a reservation for an examination at another medical facility with respect to the data management server 1, or when referring to an examination result stored in the examination reservation DB 170 or the backup DB 180 of the data management server 1. It is done.

FIG. 5 shows a functional configuration of the terminal device 3A.
As illustrated in FIG. 5, the terminal device 3 </ b> A includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, a RAM 35, a storage unit 36, and the like. Yes.

  The control unit 31 includes a CPU and the like, and comprehensively controls processing operations of the respective units of the terminal device 3A. Specifically, the CPU reads out various processing programs stored in the storage unit 36 in accordance with an operation signal input from the operation unit 32 or an instruction signal received by the communication unit 34, and expands it in the RAM 35. Various processes are performed in cooperation with the program.

  The operation unit 32 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 32 controls operation signals input by key operations or mouse operations on the keyboard. To 31.

  The display unit 33 includes a monitor such as an LCD, and displays various screens according to instructions of a display signal input from the control unit 31.

  The communication unit 34 includes a network interface or the like, and transmits / receives data to / from an external device connected via the in-facility network 4A or the communication network N.

  The RAM 35 forms a work area that temporarily stores various programs, input or output data, parameters, and the like read from the storage unit 36 in various processes controlled by the control unit 31.

  The storage unit 36 includes an HDD, a semiconductor non-volatile memory, and the like, and stores various processing programs, parameters, files, and the like necessary for executing the programs.

The control unit 31 uses the communication unit 34 to communicate with the data management server 1 via the communication network N the examination request destination medical facility, the examination patient related to the appointment, the examination date, the examination condition, and the disclosure destination information. Send.
The control unit 31 uses the communication unit 34 to indicate that there is an examination result corresponding to the same patient and examination conditions as those included in the examination reservation information from the data management server 1 via the communication network N. , The display unit 33 displays that there is an examination result corresponding to the same patient and examination conditions.

  When the control unit 31 is instructed by the operation unit 32 to acquire a test result corresponding to the same patient and test conditions as those included in the test reservation information, the communication unit 34 sets the communication network N. The acquisition request of the test result corresponding to the same patient and the test condition is transmitted to the data management server 1 through the network.

  The control unit 31 is the same when the communication unit 34 receives from the data management server 1 via the communication network N a test result corresponding to the same patient and test conditions as those included in the test reservation information. Test results corresponding to the patient and test conditions are displayed on the display unit 33.

  When the terminal device 3B makes a reservation for an examination at another medical facility with respect to the data management server 1, or transmits an examination result to the data management server 1, the terminal apparatus 3B stores the examination reservation DB 170 or the backup DB 180 in the data management server 1. This is used when referring to the stored test results, referring to the test results stored in the PACS 7B, and the like. Since the terminal device 3B has the same configuration as the terminal device 3A shown in FIG. 5, illustration and description thereof are omitted.

  The modality 6B is an image generation device that performs imaging using a patient's diagnosis target region as a subject, and digitally converts the captured image to generate a medical image. Examples of the modality 6B include CR, CT, and MRI.

  The PACS 7B is a computer device that includes a control unit, an operation unit, a display unit, a communication unit, a RAM, a storage unit, and the like, and is mainly medical image data, specimen test data, and interpretation data generated by the modality 6B in the medical facility B. It is an in-facility server that stores medical information such as reports in association with patient information in a storage unit.

  Since the terminal device 3C, modality 6C, and PACS 7C constituting the in-facility system 2C are the same as the terminal device 3B, modality 6B, and PACS 7B, description thereof is omitted.

[Operations in the medical cooperation system]
Next, the operation in the medical cooperation system 100 will be described.

  First, referring to FIG. 6, taking as an example a case where a medical facility A requests a medical facility B test, both the test reservation DB 170 and the backup DB 180 of the data management server 1 are requested to be tested this time. A case where there is no inspection result that matches the inspection condition will be described.

  A patient visits the medical facility A (step D1) and receives a medical examination by a doctor at the medical facility A. Then, according to the judgment of the doctor, in the terminal device 3A in the medical facility A, an examination reservation in the in-facility system 2B is made to the data management server 1 (step D2). Specifically, in the terminal device 3 </ b> A, the communication unit 34 is controlled by the control unit 31, and the medical facility (medical facility B) of the examination request destination input from the operation unit 32, patient, examination date, examination condition, disclosure The examination reservation information including the destination is transmitted to the data management server 1 via the communication network N. As the examination conditions, for example, the modality, the region, and the imaging direction are input as “CR, chest, front and side”.

  In the data management server 1, when the examination reservation information is received from the terminal device 3A via the communication network N by the communication unit 14, the past examination results stored in the examination reservation DB 170 and the backup DB 180 by the control unit 11 Are searched for the test results corresponding to the same patient and test conditions as those included in the test reservation information (step D3). Here, since the test results corresponding to the test reservation DB 170 or the backup DB 180, that is, the test results corresponding to the same patient and test conditions as those included in the test reservation information are not stored (step D4), The examination reservation based on the examination reservation information is registered in the examination reservation DB 170 by the control unit 11, and a notification that the reservation is completed is transmitted to the terminal device 3A via the communication network N (step D5). The examination reservation information related to the registered examination appointment is transmitted by the control unit 11 to the in-facility system 2B of the medical facility B via the communication network N.

  In the terminal device 3A in the medical facility A, when the communication unit 34 receives a notification that the reservation is completed from the data management server 1 via the communication network N, the control unit 31 sets the examination reservation on the display unit 33. Information is displayed (step D6). The doctor at the medical facility A confirms the examination reservation information displayed on the display unit 33. Thereafter, the patient returns home (step D7).

  The patient visits the medical facility B on the examination day (step E1), and the examination of the patient is performed by the modality 6B based on the examination conditions (modality, part, imaging direction, etc.) included in the examination reservation information (step). E2). The inspection result generated by the modality 6B is transmitted to the data management server 1 via the communication network N by the control unit of the terminal device 3B based on the operation from the operation unit of the terminal device 3B (step E3). In the data management server 1, the test result is received by the communication unit 14 from the terminal device 3B via the communication network N, and the test result is associated with the patient, the test condition, and the like of the corresponding test by the control unit 11. And stored in the inspection reservation DB 170. Thereafter, the patient returns home (step E4).

  Later, the patient visits the medical facility A (step F1). In the terminal device 3A in the medical facility A, the communication unit 34 is controlled by the control unit 31 based on the operation from the operation unit 32 of the doctor in the medical facility A, and is performed in the medical facility B (in-facility system 2B). The acquisition request for the inspection result of the inspection is transmitted to the data management server 1 via the communication network N (step F2).

  In the data management server 1, when the communication unit 14 receives an acquisition request for a test result of a test performed at the medical facility B from the terminal device 3 </ b> A via the communication network N, the control unit 11 reads from the test reservation DB 170. The corresponding inspection result is read out, and the read out inspection result is transmitted to the terminal device 3A via the communication network N (step F3).

  In the terminal device 3A in the medical facility A, when the test result of the test performed in the medical facility B is received from the data management server 1 via the communication network N by the communication unit 34, the control unit 31 displays the display unit. The inspection result is displayed at 33 (step F4). The doctor at the medical facility A makes a diagnosis by looking at the test result displayed on the display unit 33 (step F5). Thereafter, the patient returns home (step F6).

  Next, referring to FIG. 7 and FIG. 8, taking the case where the medical facility A requests an inspection at the medical facility B as an example, the patient of the inspection requested this time to the inspection reservation DB 170 or the backup DB 180 of the data management server 1 A case where an inspection result that matches the inspection condition exists will be described.

  This patient has been examined in the past in the in-facility system 2C of the medical facility C under the same examination conditions as the current examination. Specifically, the patient visits the medical facility C on the inspection day (step G1), and the patient is inspected by the modality 6C based on predetermined inspection conditions (modality, part, imaging direction, etc.) ( Step G2). The inspection result generated by the modality 6C is transmitted to the data management server 1 via the communication network N by the control unit of the terminal device 3C based on the operation from the operation unit of the terminal device 3C (step G3). Thereafter, the patient returns home (step G4).

  When the examination performed in the in-facility system 2C is based on a request from a medical facility other than the medical facility C, the data management server 1 causes the communication unit 14 to communicate from the terminal device 3C via the communication network N. The test result is received, and the test result is stored in the test reservation DB 170 by the control unit 11 in association with the patient, test conditions, and the like of the corresponding test stored in the test reservation DB 170 at the time of the test reservation. In addition, the medical facility A is included in the disclosure destination of this examination.

  On the other hand, when the inspection performed in the in-facility system 2C is performed without a request from another medical facility other than the medical facility C, the patient, the inspection date, the inspection, together with the inspection result from the terminal device 3C. Conditions, disclosure destinations, and the like are transmitted to the data management server 1. In the data management server 1, the communication unit 14 receives the test result, the patient, the test date, the test condition, the disclosure destination, and the like from the terminal device 3C via the communication network N. Then, the test result is associated with the patient, the test date, the test condition, the disclosure destination, and the like by the control unit 11 and stored in the backup DB 180 as the test performed at the medical facility C. In addition, the medical facility A is included in the disclosure destination of this examination.

  Thereafter, the patient visits the medical facility A (step H1) and receives a medical examination by a doctor at the medical facility A. Then, according to the judgment of the doctor, in the terminal device 3A in the medical facility A, an examination reservation in the in-facility system 2B is made to the data management server 1 (step H2). Specifically, in the terminal device 3 </ b> A, the communication unit 34 is controlled by the control unit 31, and the medical facility (medical facility B) of the examination request destination input from the operation unit 32, patient, examination date, examination condition, disclosure The examination reservation information including the destination is transmitted to the data management server 1 via the communication network N.

  In the data management server 1, when the examination reservation information is received from the terminal device 3A via the communication network N by the communication unit 14, the past examination results stored in the examination reservation DB 170 and the backup DB 180 by the control unit 11 The examination result corresponding to the patient and the examination condition identical to the patient and the examination condition included in the examination reservation information is searched (step H3). Here, since the test results corresponding to the test reservation DB 170 or the backup DB 180, that is, the test results corresponding to the same patient and test conditions as those included in the test reservation information are stored (step H4), The control unit 11 transmits information indicating that the corresponding inspection result exists and information on the past inspection (hereinafter referred to as past inspection information) to the terminal device 3A via the communication network N ( Step H5). The past examination information includes examination dates, examination conditions, medical facilities, and the like on which past examinations were performed.

  In the terminal device 3A in the medical facility A, when the communication unit 34 receives information indicating that a corresponding test result exists from the data management server 1 via the communication network N and past test information, the control unit 31 By this, it is displayed on the display unit 33 that there are test results corresponding to the same patient and test conditions (step H6). For example, the display unit 33 displays “I photograph the chest (front) at the medical facility C on the day of the month × day” and “I photograph the chest (side) at the medical facility C on the day of the month × the day”. Is done.

  Moving to FIG. 8, whether or not to refer to the past examination is selected by an operation from the operation unit 32 of the doctor (step H7). When referring to a past examination (step H7; YES), that is, when a request to obtain an examination result corresponding to the same patient and examination condition included in the examination reservation information is instructed from the operation unit 32 The communication unit 34 is controlled by the control unit 31, and the acquisition request for the test result (the test result of the test performed in the in-facility system 2C) corresponding to the same patient and test conditions is transmitted via the communication network N. It is transmitted to the management server 1 (step H8). For example, any of the past examinations such as “○ month × day chest (front)”, “○ month × day chest (side)” displayed on the display unit 33 is operated by the operation from the operation unit 32. When the inspection is selected as a reference target, the control unit 31 transmits an acquisition request for the selected inspection result to the data management server 1.

  In the data management server 1, when the communication unit 14 receives an acquisition request for an examination result corresponding to the same patient and examination condition from the terminal device 3A via the communication network N, the control unit 11 causes the examination reservation DB 170 or Test results corresponding to the same patient and test conditions are read from the backup DB 180, and the read test results are transmitted to the terminal device 3A via the communication network N (step H9).

  In the terminal device 3A in the medical facility A, when test results corresponding to the same patient and test conditions are received from the data management server 1 via the communication network N by the communication unit 34, the control unit 31 displays the display unit. The test result corresponding to the same patient and test conditions is displayed in 33 (step H10). Next, whether or not to refer to another past examination is selected by an operation from the operation unit 32 of the doctor (step H11). When referring to another past examination (step H11; YES), the process returns to step H8 and the same processing is repeated.

  In step H11, when other past examinations are not referred to (step H11; NO) (including cases where other past examinations do not exist), or in step H7, when past examinations are not referred to (step H7; NO), whether or not to continue the examination reservation is selected by an operation from the operation unit 32 of the doctor (step H12). For example, a “reservation continuation” button and a “reservation suspend” button are displayed on the screen displayed on the display unit 33, and either button is pressed. If diagnosis can be performed based on the past examination results displayed on the display unit 33, an instruction to interrupt the examination reservation is input from the operation unit 32 (eg, “Reservation interruption” button is pressed) (step H12; NO) ) The doctor makes a diagnosis (step H13). Thereafter, the patient returns home (step H17).

  On the other hand, if a predetermined period has passed since the examination date of the past examination result displayed on the display unit 33, or if the past examination result is not suitable for the current diagnosis, the examination is performed again. I need to fix it. In Step H12, when the examination reservation is continued (Step H12; YES), that is, in the terminal device 3A in the medical facility A, when an instruction to continue the examination reservation is input from the operation unit 32 (“ The communication unit 34 is controlled by the control unit 31 and the examination reservation continuation request is transmitted to the data management server 1 via the communication network N (step H14).

  In the data management server 1, when the communication unit 14 receives the inspection reservation continuation request from the terminal device 3A via the communication network N, the control unit 11 adds the inspection reservation information transmitted from the terminal device 3A in step H2. Based on this, the examination reservation is registered in the examination reservation DB 170, and a notification that the reservation is completed is transmitted to the terminal device 3A via the communication network N (step H15). The examination reservation information related to the registered examination appointment is transmitted by the control unit 11 to the in-facility system 2B of the medical facility B via the communication network N.

In the terminal device 3A in the medical facility A, when the communication unit 34 receives a notification that the reservation is completed from the data management server 1 via the communication network N, the control unit 31 sets the examination reservation on the display unit 33. Information is displayed (step H16). The doctor at the medical facility A confirms the examination reservation information displayed on the display unit 33, and then the patient returns home (step H17).
When the inspection reservation is continued, processing similar to the processing in steps E1 to E4 and steps F1 to F6 in FIG. 6 is performed.

  Next, with reference to FIG. 9, the examination reservation acceptance process executed in the data management server 1 will be described. This processing is realized by software processing by cooperation between the control unit 11 and a program stored in the storage unit 16.

  First, the control unit 11 determines in the communication unit 14 whether examination reservation information has been received from any in-facility system within the medical cooperation system 100 (step S1). When the examination reservation information is received (step S1; YES), the control unit 11 causes the patient and examination included in the examination reservation information from the past examination results stored in the examination reservation DB 170 and the backup DB 180. Test results corresponding to the same patient and test conditions as the conditions are searched (step S2), and test results corresponding to the same patients and test conditions as the patients and test conditions included in the test reservation information are stored in the test reservation DB 170 or backup DB 180. Is stored (step S3).

  When examination results corresponding to the same patient and examination conditions as those included in the examination reservation information are stored in the examination reservation DB 170 or the backup DB 180 (step S3; YES), the control unit 11 performs the examination. Whether or not the requesting facility, that is, the medical facility that transmitted the examination reservation information received in step S1 is included in the examination disclosure destination corresponding to the same patient and examination conditions stored in the reservation DB 170 or the backup DB 180 Is determined (step S4).

  If the requesting facility is included in the examination disclosure destination corresponding to the same patient and examination conditions stored in the examination reservation DB 170 or the backup DB 180 (step S4; YES), the control unit 11 causes the communication unit to 14 is controlled, and information indicating that the corresponding test result exists, and past test information corresponding to the test result (test date, test condition, medical facility, etc.) are requested via the communication network N. It is transmitted to the internal system (step S5). When there are a plurality of corresponding inspection results, a plurality of past inspection information is transmitted.

  Next, the control unit 11 acquires the test result corresponding to the patient and the test condition identical to the patient and the test condition included in the test reservation information from the requesting in-house system via the communication network N in the communication unit 14. It is determined whether a request has been received (step S6). When there are a plurality of inspection results corresponding to the inspection reservation DB 170 and the backup DB 180, a request for acquiring the inspection results is transmitted from the requesting in-house system together with information indicating which inspection result it is.

  When an acquisition request for an examination result corresponding to the same patient and examination conditions is received (step S6; YES), the examination corresponding to the same patient and examination conditions from the examination reservation DB 170 or the backup DB 180 is performed by the control unit 11. The result is read, the communication unit 14 is controlled, and the read test result is transmitted to the requesting facility system via the communication network N (step S7). Then, the process returns to step S6.

  In step S6, when a test result acquisition request corresponding to the same patient and test conditions is not received (step S6; NO), the control unit 11 causes the communication unit 14 to communicate from the requesting in-house system to the communication network. It is determined whether an examination reservation continuation request has been received via N (step S8). When the inspection reservation continuation request is not received (step S8; NO), the inspection reservation is interrupted by the control unit 11, and the inspection reservation acceptance process is terminated.

In step S3, when the examination result corresponding to the same patient and examination conditions as the patient and examination conditions included in the examination appointment information is not stored in the examination appointment DB 170 or backup DB 180 (step S3; NO), in step S4, If the requesting facility is not included in the examination disclosure destination corresponding to the same patient and examination conditions stored in the examination reservation DB 170 or the backup DB 180 (step S4; NO), or the examination reservation is continued in step S8 When the request is received (step S8; YES), the control unit 11 registers the inspection reservation in the inspection reservation DB 170 based on the inspection reservation information received in step S1 (step S9).
This completes the examination reservation acceptance process.

  As described above, according to the medical cooperation system 100, when a test in another in-facility system is reserved from any in-facility system in the medical cooperation system 100, the data management server 1 uses the inspection reservation DB 170 or The backup DB 180 determines whether or not examination results corresponding to the same patient and examination conditions as the patient and examination conditions included in the examination reservation information are stored, and the examination results corresponding to the same patient and examination conditions are stored. Information indicating that there is a test result corresponding to the same patient and test condition is transmitted from the data management server 1 to the requesting in-house system. The test results can be used.

  When examination results corresponding to the same patient and examination conditions as those included in the examination appointment information are stored in the examination appointment DB 170 or the backup DB 180, the doctor refers to the past examination results and re-executes them. It can be determined whether or not an inspection is necessary. When re-examination is unnecessary, by referring to the previous inspection result, materials necessary for diagnosis are prepared, so that unnecessary inspection can be omitted, and diagnostic efficiency is improved. Moreover, it is possible to minimize the time, labor, and exposure required for patient examination.

  The description in the above embodiment is an example of the data management server and the medical cooperation system according to the present invention, and is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be changed as appropriate without departing from the spirit of the present invention.

  In the above description, an example in which an HDD or a non-volatile memory is used as a computer-readable medium storing a program for executing each process is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a portable recording medium such as a CD-ROM can be applied. A carrier wave may be applied as a medium for providing program data via a communication line.

1 Data management server 2A, 2B, 2C In-facility system 3A, 3B, 3C Terminal equipment 4A, 4B, 4C In-facility network 5A, 5B, 5C Router 6B, 6C Modality 7B, 7C PACS
11 Control unit 12 Operation unit 13 Display unit 14 Communication unit 15 RAM
16 storage unit 17 inspection reservation storage unit 18 in-facility inspection storage unit 19 bus 31 control unit 32 operation unit 33 display unit 34 communication unit 35 RAM
36 storage unit 37 bus 100 medical cooperation system 170 examination reservation DB
180 Backup DB
N communication network

Claims (4)

A data management server connected to an in-facility system provided in each of a plurality of medical facilities via a communication network so that data communication is possible,
First storage means for storing a patient and an inspection condition of an examination performed in another in-facility system based on a request from each of the plurality of in-facility systems and an examination result in association with each other;
A second storage means for storing a patient and a test condition of a test performed without a request from another in-facility system in each of the plurality of in-facility systems and a test result in association with each other;
When examination reservation information including a patient and examination conditions is received from one of the plurality of in-facility systems via the communication network, the information is stored in the first storage means and the second storage means. A test result corresponding to the same patient and test condition as the patient and the test condition included in the test reservation information is retrieved from the test results that have been stored, and the first storage unit or the second storage unit stores the test result. When test results corresponding to the same patient and test conditions are stored, information indicating that test results corresponding to the same patient and test conditions exist via the communication network is stored in the one facility. Control means to send to the system;
A data management server comprising: When the test result corresponding to the same patient and the test condition is stored in the first storage unit or the second storage unit, the control unit sends the communication network from the one in-facility system. Via the first storage means or the second storage means, the test results corresponding to the same patient and test conditions are received from the first storage means or the second storage means. Reading, and transmitting the test result corresponding to the read same patient and test condition to the one in-house system via the communication network,
The data management server according to claim 1. A medical cooperation system in which an in-facility system provided in each of a plurality of medical facilities and a data management server are connected so that data communication is possible via a communication network,
The data management server
First storage means for storing a patient and an inspection condition of an examination performed in another in-facility system based on a request from each of the plurality of in-facility systems and an examination result in association with each other;
A second storage means for storing a patient and a test condition of a test performed without a request from another in-facility system in each of the plurality of in-facility systems and a test result in association with each other;
When examination reservation information including a patient and examination conditions is received from one of the plurality of in-facility systems via the communication network, the information is stored in the first storage means and the second storage means. A test result corresponding to the same patient and test condition as the patient and the test condition included in the test reservation information is retrieved from the test results that have been stored, and the first storage unit or the second storage unit stores the test result. When test results corresponding to the same patient and test conditions are stored, information indicating that test results corresponding to the same patient and test conditions exist via the communication network is stored in the one facility. First control means for transmitting to the system;
With
The one in-house system is:
Display means;
When the information indicating that the test result corresponding to the same patient and test condition exists is received from the data management server via the communication network, the test result corresponding to the same patient and test condition exists. Second control means for displaying on the display means;
Medical cooperation system with The one in-house system includes an operation means for instructing an acquisition request for a test result corresponding to the same patient and test conditions,
The second control unit transmits the acquisition request to the data management server via the communication network when the acquisition request is instructed from the operation unit.
When the first control unit receives the acquisition request from the one in-facility system via the communication network, the first control unit receives the same patient and examination from the first storage unit or the second storage unit. Reading out the test result corresponding to the condition, and transmitting the test result corresponding to the read same patient and the test condition to the one in-house system via the communication network,
When the second control means receives the test result corresponding to the same patient and the test condition from the data management server via the communication network, the second control means displays the test result corresponding to the same patient and the test condition. Displaying on the display means;
The medical cooperation system of Claim 3.

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