JP2012190147A - Medical information processing system, medical information processor and method for controlling the same - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable a manager to easily manage an inspection order in a medical information processor for receiving an inspection order.SOLUTION: This medical information processing system includes: reception means for receiving a first inspection order which is put in an inspection holding state and a second inspection order which is not put in the inspection holding state; display control means for making display means display the first inspection order and the second inspection order; and notification means for, when the first inspection order and the second inspection order are duplicate, notifying a manager that the inspection orders are duplicate.

Description

  The present invention relates to a medical information processing system and a medical information processing apparatus that process examination information.

In recent years, medical information processing systems using network connections have been constructed in medical institutions such as hospitals.
In the medical information processing system, when it is determined that X-ray imaging of a patient is necessary, an examination instruction is first input from a HIS (Hospital Information System) terminal.

  Then, the inspection instruction is transmitted to the requested radiation department. Information on this inspection instruction is called an inspection order. The examination order includes the department name of the examination requester, examination items, patient personal data, and the like.

When the radiology department receives an inspection order, it adds information such as imaging conditions to the inspection order and transfers it to an inspection system such as an X-ray inspection system. The X-ray inspection system performs X-ray imaging according to the received inspection order.
After X-ray imaging, examination-related information is added to the X-ray imaging image obtained by X-ray imaging, and transfer to PACS (Picture Archiving and Communication Systems) or print output is performed.
Some X-ray imaging systems not only sequentially process X-ray imaging according to an inspection order received from the outside, but also have an extended function in accordance with the operation method. For example, some X-ray radiographing carts can store an examination order received from outside in an online state and perform X-ray photography according to the received examination order even after switching to an offline state. In addition, when performing X-ray imaging for a plurality of patients, there is an X-ray examination system that can keep X-ray imaging for a specific patient on hold even after X-ray imaging is started.

  In such an X-ray imaging system, it is possible to temporarily hold X-ray imaging for a patient whose imaging interval needs to be kept, and to perform X-ray imaging of another patient during that time.

  In addition, this function may be used to put a patient on hold for a patient who has been unable to continue X-ray imaging due to various circumstances. In the above description, X-ray imaging is used as the inspection, but the same applies to other inspections such as MRI and ultrasonic inspection.

JP 2002-200063 A

  Some external systems that transmit inspection orders to an inspection system cannot perform appropriate inspection order management. For example, when the above-described inspection suspension is performed in the inspection system, the same inspection as the inspection in the pending state may be retransmitted to the inspection system as a new inspection order. This is due to, for example, the fact that the external system misrecognizes a pending examination order as untransmitted. This is because if the inspection order is put on hold when the external system and the inspection system are offline, the fact that the inspection order is put on hold may not be properly transmitted to the external system. When such an external system is used, a pending inspection order and a new inspection order having the same contents are duplicated on the inspection system. Therefore, there is a problem that the inspection order management becomes complicated for the inspection order administrator.

  Patent Document 1 discloses that examination orders are appropriately managed in a system having a plurality of X-ray imaging systems. However, inspection orders having the same contents overlap in one X-ray imaging system. There are no disclosures about issues that exist.

  The present invention has been made in view of the above problems, and an object of the present invention is to facilitate management of examination orders by an administrator in a medical information processing apparatus that receives examination orders.

  In order to solve the above problems, the present invention provides a receiving means for receiving a first inspection order in a test pending state, a second inspection order not in a test pending state, the first inspection order, Display control means for displaying the second inspection order on the display means, and notification means for notifying that there is an overlap in the inspection order when there is an overlap between the first inspection order and the second inspection order; It is characterized by having.

  According to the present invention, in a medical information processing apparatus that receives a test order, management of the test order by an administrator can be facilitated.

It is a figure which shows the structure of the medical information processing system in 1st embodiment. It is a figure which shows the processing flow of the medical information processing system in 1st embodiment. It is a figure which shows the example of the inspection order input from the external device. It is a figure which shows the example of the pending | ordered inspection order. It is a figure which shows the example of the screen which displays a list of inspection orders. It is a figure which shows the example of the pending | ordered inspection order. It is a figure which shows the example of the screen which displays the list | wrist which overlaps the examination order. It is a figure which shows the example of the screen which notifies the duplication of a test order.

(First embodiment)
Next, a first embodiment of the present invention will be described with reference to the drawings.

  FIG. 1 is a diagram showing a configuration of a medical information processing system in the present embodiment. Each block shows an example of a functional configuration of the medical information processing system in the present embodiment.

  The medical information processing system in the present embodiment can be realized by the same configuration as a general personal computer. For example, it can be realized by a configuration of a CPU (Central Processing Unit), a RAM (Random Access Memory) storing a computer program for managing the inspection order, and the like.

  In FIG. 1, reference numeral 101 denotes an inspection order input unit 101 for inputting an inspection order. The inspection order input unit functions as a receiving unit that receives an inspection order from an external device. The inspection order is information indicating an inspection instruction for the inspection apparatus. The examination order includes the name of the department requesting the examination, the examination item, the patient's personal data, and the like. The inspection order is input from an external device (external system) having transmission means for transmitting an inspection order such as RIS (not shown). The external device functions as a transmission device that transmits the inspection order. The inspection order input unit 101 includes a general external input interface.

Reference numeral 102 denotes a new inspection order storage unit 102 that stores new inspections input from an external system such as RIS through the inspection order input unit 101. By storing a new inspection, it is possible to perform an inspection using the input inspection order even when the offline state is entered. The new inspection order storage unit 102 includes a storage device such as a hard disk or a RAM.
Reference numeral 103 denotes a pending inspection order storage unit 103 that stores a pending inspection. The examination input from the examination order input unit 101 can be temporarily suspended after the examination is started based on the examination instruction from the administrator of the medical information processing system. At this time, the pending inspection order is stored in the pending inspection order storage unit 103. Similar to the new inspection order storage unit 102, the pending inspection order storage unit 103 includes a storage device such as a hard disk and a RAM.
Reference numeral 104 denotes an examination order list generation unit 104. New inspections input from the inspection order input unit 101 are displayed as a list on a display unit such as a monitor by the inspection order list generation unit 104. At that time, the held examination is also merged and displayed. The inspection order list generation unit 104 functions as a data creation unit that creates data for such list display. Here, a list of new inspections and pending inspections is generated. Also, when the list is generated, if there is the same inspection information for new and pending, processing can be performed so that only the pending inspection is displayed.
A display unit 105 displays a radiation image and examination information on a display device (display unit) such as a CRT or a liquid crystal monitor. A list of inspection orders generated in 104 is also displayed on the display means. The display unit 105 functions as a display control unit for displaying the examination order on the display unit. Further, in the medical information processing system according to the present embodiment, if there is an overlap between the first examination order that is put on hold and the newly entered second examination order, a warning (notification) is issued to the administrator. Do. Therefore, the display unit 105 also functions as a notification unit for displaying information indicating notification to the administrator on the display unit.
Reference numeral 106 denotes an operation input unit 106 such as a mouse or a keyboard that gives an instruction to start, hold, or end the examination with respect to the radiographic image or examination order displayed on the display unit 105. The operation input unit 106 functions as an input unit for inputting an inspection instruction from an administrator regarding the inspection order.
Reference numeral 107 denotes an inspection state control unit 107 that controls the state of the inspection order. A new order input from the inspection order 101 can transition to states such as inspection start, hold, and end according to an instruction from the operation input unit 106. That is, the inspection state control unit 107 functions as an inspection start setting unit that sets a desired inspection order to an inspection start state, a hold setting unit that sets a hold state, an end setting unit that sets an end state, and the like. The inspection order in the inspection pending state is stored by the inspection state control unit 107 in the pending inspection order storage unit.
Reference numeral 108 denotes an inspection order input control unit. It is controlled whether or not an input is made from the inspection order input unit 101. The medical information processing system in the present embodiment also assumes round trip operations and the like. Therefore, it can be operated even when temporarily switched to an offline environment in which the network with the external device is disconnected. In the offline environment, the inspection order is not input from the external system using the inspection order input unit, but the inspection order list is generated using the inspection order stored in the new inspection order storage unit.
Reference numeral 109 denotes an image input unit that inputs a radiographic image captured by a digital X-ray imaging apparatus to a medical information processing system. There is a case where the input is made via a network or a case where the input is made via a medium such as a CD-ROM or a DVD.
Reference numeral 110 denotes an image holding unit 110 that stores an input radiation image (X-ray image). The image holding unit 110 includes a recording device that can store an image such as a hard disk.
Reference numeral 111 denotes an inspection information output unit 111 for transferring images, inspection information, and the like to the outside. The inspection information output unit 111 includes an external output interface.
A system bus 112 connects the units 101 to 111 to each other.

  Next, the operation of the medical information processing system in the present embodiment will be specifically described using the processing flow shown in FIG. FIG. 2 is a diagram showing a processing flow of the medical information processing system in the present embodiment. Each processing flow shown in FIG. 2 is performed by each configuration of the medical information processing system shown in FIG.

(Step S201) In step S201, it is determined whether or not the connection is currently offline with the external device. Off-line is a mode used mainly for round trip applications. If it is determined that it is not offline, the process proceeds to step S203. If it is determined to be offline, the process proceeds to step S202.
(Step 203) In step 203, an inspection order is input (received) from an external device. The inspection order can input not only one inspection but also a plurality of inspections. FIG. 3 is an example of an inspection order input from the inspection order input unit 101. In this example, as shown at 301, a plurality of examination orders including patient information and examination information are input. After inputting the inspection order, the process proceeds to step S204.
(Step S204) In step S204, the inspection order input in step S203 is stored in the new inspection order storage unit 102. By storing the inspection order in the new inspection order storage unit 102, even when the network with the external device is disconnected, the inspection can be performed according to the stored inspection order. After storing the inspection order, the process proceeds to step S205.
(Step S202) In step S202, a new inspection order is read from the new inspection order storage unit. This is a process of reading the inspection order stored when the external device is connected. After the reading process, the process proceeds to step S205.
(Step S205) In step S205, a pending inspection order is read from the pending inspection order storage unit 103. FIG. 4 is an example of a pending inspection order stored in the pending inspection order storage unit 103. In this example, as shown at 301, one examination is in a pending state. In this example, there is only one case, but it is possible to hold a plurality of examinations. After the reading process, the process proceeds to step S206.
(Step S206) In step S206, the inspection order list generation unit 104 creates an inspection list from the new inspection order obtained in step S202 or S203 and the pending inspection order read in S205.

  FIG. 5 shows an example GUI 501 in which the new inspection order shown in FIG. 3 and the pending inspection order shown in FIG. 4 are displayed as a list. New and pending inspection orders are simultaneously displayed 502 in one list. When the inspection list is generated, if there is an overlapping inspection (inspection with the same inspection content) between the new inspection and the on-hold inspection, only the on-hold inspection may be displayed. This is because if an examination order having the same content is displayed, the administrator of the medical information processing system may be confused and the management of the examination order may become complicated.

  FIG. 6 is an example of a pending inspection order stored in the pending inspection order storage unit 103. In this example, the pending examination information 601 is the same as the new examination order included in FIG. FIG. 7 shows an example GUI 701 in which the new inspection order shown in FIG. 3 and the pending inspection order shown in FIG. 6 are displayed as a list. Since the same inspection order exists for new and pending, only the pending inspection is displayed 702.

  In the present embodiment, the same examination is treated as the same examination ID, patient name, patient ID, reception number, and reserved procedure ID. However, the method for determining whether or not the inspections are the same is not limited to the above items. Further, based on an instruction from the administrator, any one of the above items may be selected, and if the selected items are the same, the inspections may be considered to be the same. After the examination list is generated, the process proceeds to step S207.

(Step S207) In step S207, it is determined whether or not there is a duplication check that is currently connected to an external device (online state). As a determination method, the determination is made based on whether or not the items mentioned in the above description are the same. If it is determined that there is a duplicate inspection, the process proceeds to step S208. If it is determined that there is no duplicate inspection, the process proceeds to step S209.
(Step S208) In step S208, since it is determined in step S207 that there is a duplicate inspection, a warning (notification) is given to the administrator. As a warning method, for example, a warning screen as shown in FIG. 8 may be displayed on a display means such as a monitor. FIG. 8 is a screen displayed when only the pending inspection is displayed for the duplicate inspection shown in FIG. 7 in the online state. A confirmation dialog 801 having a title 802, a message 803, and a confirmation button 804 is displayed.
(Step S209) In step S209, the inspection list of the inspection order generated in step S206 is displayed on the display means under the control of the display unit 105. In the examination list, a new examination and a pending examination are displayed at the same time. After the examination list is displayed, the process proceeds to step S210.
(Step S210) In step S210, an inspection order is selected from the inspection list displayed in S209 based on the inspection instruction of the administrator, and an inspection corresponding to the selected inspection order is started. Here, the inspection state control unit 107 functions as an inspection start unit. The inspection here is, for example, X-ray imaging, MRI, ultrasonic diagnosis, or the like. When the inspection is started, information indicating that the inspection is started is transmitted to the external device. After the inspection starts, the process proceeds to step S211.
(Step S211) In step S211, it is determined whether or not there is an instruction from the administrator to place the inspection order on hold. If there is an instruction to enter the hold state, the process proceeds to step S212. If there is no instruction to enter the hold state, the process proceeds to step S213.
(Step S212) In step S212, the inspection order instructed to be put on hold by the administrator is put on hold. Then, the inspection order that has been put on hold is stored in the hold inspection order storage unit 103. After storing in the pending inspection order storage unit 103, the process returns to step S201.
(Step S213) In step S213, it is determined whether online / offline switching between the external apparatus and the medical information processing apparatus has been performed. If online / offline switching has been performed, the process proceeds to step S214. If online / offline switching has not been performed, the process proceeds to step S215.
(Step S214) In step S214, an online / offline switching process is performed, and the process returns to step S211. The current system state is switched, and the switched state is used for the determination in step S201.
(Step 215) In step S215, it is determined whether or not the administrator has instructed the end of the inspection. If it is determined that the inspection end is not instructed, the process proceeds to step S216. If it is determined that the end of the inspection has been instructed, the process proceeds to step S217.
(Step S216) In step S216, other processing is performed. After the other processes, the process returns to step S211.
(Step S217) In step S217, information acquired by the inspection (X-ray imaging is an image or the like) and inspection information are displayed on the display means. After the display, the process proceeds to step S218.
(Step S218) In step S218, the examination state of the medical information processing apparatus is changed to the examination end state, and the examination is terminated.

  As described above, according to the processing of the present embodiment, even if the external device cannot manage the appropriate inspection order, the warning is displayed to alert the administrator and the administrator can Inspection order management can be facilitated. In addition, when there is an overlap between a new inspection order and a pending inspection order, the visibility of the inspection list display can be secured by not displaying the new inspection order, and the administrator can be prevented from being confused. .

(Second embodiment)
In the first embodiment, the patient name, the patient ID, the reception number, and the reserved procedure ID are used as the determination of the same examination order, but the present invention is not limited to this. For example, unique ID information for determining the same inspection may be added to each inspection order.

  In the first embodiment, the GUI shown in FIG. 8 is displayed as a warning (notification) when there is an overlap between a new inspection order and a pending inspection order. However, different forms of notification such as voice may be performed.

  Further, in the first embodiment, when there is an overlap between a new inspection order and a pending inspection order, a process of not displaying the new inspection order is performed (prohibition of display of new inspection order). However, only the new inspection order part in the inspection list may be displayed in a different display form such as semi-transparent display or different color display.

  In addition, an apparatus connected to the various devices or a computer in the system may be used so that the various devices are operated so as to realize the functions of the above embodiments. For example, a program code of software for realizing the functions of the embodiment (for example, the function realized by the flowchart of FIG. 2) is supplied, and the computer of the system or apparatus (CPU or MPU) is stored in accordance with the stored program. You may implement by operating the said various devices.

  In this case, the program code of the software itself realizes the functions of the above-described embodiment. Therefore, the program code itself and means for supplying the program code to the computer, for example, a storage medium storing the program code also constitute the present invention.

As a storage medium for storing the program code, for example, floppy (registered trademark)
A disk, hard disk, optical disk, magneto-optical disk, CD-ROM, magnetic tape, nonvolatile memory card, ROM, or the like can be used. These are all computer-readable storage media.

  Further, by executing the program code supplied by the computer, not only the functions of the above-described embodiment are realized, but also an OS (operating system) in which the program code is running on the computer is included in the embodiment. . The program code is also included in the embodiment of the present invention when the functions of the above-described embodiment are realized in cooperation with other application software.

Claims (11)

Receiving means for receiving a first inspection order in a test pending state and a second inspection order not in a test pending state;
Display control means for causing the display means to display the first inspection order and the second inspection order;
A medical information processing apparatus, comprising: an informing means for notifying that there is an overlap in the inspection order when there is an overlap between the first inspection order and the second inspection order.   The display control means prohibits display of the second inspection order on the display means when there is an overlap between the first inspection order and the second inspection order. The medical information processing apparatus according to 1.   When there is an overlap between the first inspection order and the second inspection order, the display control means displays the second inspection order on the display means in a display form different from that of the first inspection order. The medical information processing apparatus according to claim 1.   The medical information processing apparatus according to claim 1, wherein the notification unit notifies that there is an overlap in the examination order by displaying a warning on the display unit.   The medical information processing apparatus according to claim 1, further comprising: a test start unit that starts a test corresponding to a test order that has received an instruction to start a test from among the test orders displayed on the display unit.   The informing means informs that there is an overlap in the inspection order when the inspection ID of the first inspection order and the inspection ID of the second inspection order are the same. The medical information processing apparatus described.   In the case where the medical information processing device and the external device that transmits the test order are in an online state and the first test order and the second test order are duplicated, The medical information processing apparatus according to claim 1, wherein an order is reported to be duplicated. A receiving step for receiving a first inspection order in a test pending state and a second inspection order not in a test pending state;
A display control step for causing the display control means to display the first inspection order and the second inspection order on the display means;
And a notifying step for notifying that there is an overlap in the test order when there is an overlap between the first test order and the second test order. Control method. Computer
Receiving means for receiving a first inspection order in a test pending state and a second inspection order not in a test pending state;
Display control means for causing the display means to display the first inspection order and the second inspection order;
In order to function as a medical information processing apparatus, comprising: an informing means for notifying that there is an overlap in the test order when there is an overlap in the first test order and the second test order Computer program. Computer
Receiving means for receiving a first inspection order in a test pending state and a second inspection order not in a test pending state;
Display control means for causing the display means to display the first inspection order and the second inspection order;
In order to function as a medical information processing apparatus, comprising: an informing means for notifying that there is an overlap in the test order when there is an overlap in the first test order and the second test order A computer-readable storage medium storing a computer program. A medical information processing system having a transmitting device for transmitting an examination order and a medical information processing device for receiving the examination order,
The transmitter is
Transmission means for transmitting the examination order to the medical information processing apparatus;
The medical information processing apparatus includes:
Receiving means for receiving a first inspection order in a test pending state and a second inspection order not in a test pending state;
Display control means for causing the display means to display the first inspection order and the second inspection order;
A medical information processing system comprising: an informing means for notifying that there is an overlap in the inspection order when there is an overlap between the first inspection order and the second inspection order.

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