JP2016045833A - Endoscope work support device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To improve a work related to pretreatment of endoscope examination.SOLUTION: A pretreatment implementation information storage part 332 stores implementation information of pretreatment of endoscope examination for each patient. A patient information/parameter acquisition part 322 acquires identification information of a patient who requires pretreatment of endoscope examination, and a parameter condition of the patient. A guidance value adjustment part 323 adjusts guidance information of pretreatment acquired from the implementation information of the pretreatment to be referred, out of pieces of implementation information of pretreatment in the past of the patient who is identified by the acquired identification information, based on the acquired parameter condition. A pretreatment plan creation part 324 creates a pretreatment plan including the adjusted guidance information of pretreatment.SELECTED DRAWING: Figure 2

Description

  The present invention relates to an endoscope operation support apparatus that supports an endoscope operation.

  In endoscopy, it is important to perform a pretreatment to clean the examination site (specifically, empty the stomach and intestines) before the examination. In particular, in colonoscopy, it is necessary to switch to a fasting or easy-to-digest meal in advance and finally repeat defecation with laxatives to remove residues in the intestinal tract (such as stool).

JP-A-2005-160660 JP 2010-092344 A

  However, the amount of laxative required and the time it takes to complete the pretreatment vary depending on the type of laxative and individual differences among patients. Repeating defecation with laxatives without knowing the amount of laxative and the time it takes is a psychological burden for the patient, and makes it difficult for nurses to schedule a test. On the other hand, a small amount of residue is extremely important for finding lesions during endoscopy.

  This invention is made | formed in view of such a condition, The objective is to provide the technique which improves the work regarding the pretreatment of endoscopy.

  In order to solve the above-described problems, an endoscope operation support apparatus according to an aspect of the present invention includes a storage unit that stores, for each patient, execution information of an endoscopic examination pretreatment, and an endoscopic examination pretreatment. Identification information of a patient to be performed, an acquisition unit that acquires parameter conditions, and information obtained from the previous treatment information to be referred to among the previous treatment information of the patient specified by the acquired identification information. An adjustment unit that adjusts the guidance information for the treatment based on the acquired parameter condition, and a creation unit that creates a pretreatment plan including the guidance information for the adjusted pretreatment.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, and the like are also effective as an aspect of the present invention.

  According to the present invention, it is possible to improve work related to pretreatment for endoscopy.

It is a figure which shows the structure of the endoscope work support system which concerns on embodiment of this invention. It is a figure which shows the internal structure of the endoscope operation | work assistance apparatus which concerns on Example 1. FIG. It is a figure which shows the internal structure of the terminal device of FIG. 4A to 4C are stored in the patient information table held in the patient information storage unit, the pretreatment execution information table held in the pretreatment execution information storage unit, and the parameter condition / adjustment value storage unit. It is a figure which shows an example of a parameter condition / adjustment value table. It is a figure which shows an example of the parameter condition input screen displayed on the display part of a terminal device. FIGS. 6A to 6C are diagrams for explaining an example of adjusting the guidance value included in the pretreatment execution information. It is a figure which shows an example of the pretreatment plan guidance screen displayed on the display part of a terminal device. It is a flowchart which shows the outline of the pretreatment plan preparation and notification process which concerns on embodiment. It is a flowchart which shows the outline of the pretreatment plan preparation and notification process which concerns on a modification.

  FIG. 1 is a diagram showing a configuration of an endoscope operation support system 1 according to an embodiment of the present invention. The endoscopic work support system 1 is a system that is installed in the endoscopic department and supports the endoscopic work. The endoscope operation support system 1 includes a plurality of endoscope systems 10a and 10b (hereinafter referred to as “endoscope system 10” unless otherwise distinguished), an endoscope operation support device 30, and a plurality of terminal devices. 40a to 40d (hereinafter referred to as “terminal device 40” unless otherwise specified), which are interconnected by a network 2 such as a LAN.

  In the configuration example shown in FIG. 1, the endoscope system 10 a and the terminal device 40 a are installed in the examination room A, and the endoscope system 10 b and the terminal apparatus 40 b are installed in the examination room B. A terminal device 40c is installed in the nurse station. The access point 3 is connected to the network 2, and the portable terminal device 40 d can be connected to the network 2 via the access point 3.

  The endoscope operation support system 1 can be linked with another system in a medical facility. For example, a gateway device (not shown) is connected to the network 2, and the endoscope work support system 1 can cooperate with an ordering system, an electronic medical record system, a reception system, and the like via this gateway device.

  The endoscope system 10 includes an endoscope scope 11, an endoscope processing device 12, and a display device 13. The endoscope scope 11 is inserted into a patient's body, and the inside of the body is imaged at the timing when the doctor presses the release switch of the endoscope scope 11. The endoscope scope 11 includes a solid-state imaging device (for example, a CCD image sensor, a CMD image sensor, or a CMOS image sensor) and a signal processing circuit. The solid-state imaging device converts incident light into an electrical signal, and the signal processing circuit performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state imaging device to perform an endoscope processing apparatus. 12 is output.

  The endoscope processing device 12 acquires an image captured by the endoscope scope 11. The endoscope processing device 12 outputs the acquired image to the display device 13 and causes the display device 13 to display the acquired image. It is also possible to display an image being captured in real time. In addition, the endoscope processing device 12 transmits an image acquired from the endoscope scope 11 to the endoscope work support device 30 and files it in a storage unit in the endoscope work support device 30.

  The endoscope operation support apparatus 30 controls the entire endoscope operation support system 1 in an integrated manner. The endoscope work support apparatus 30 is configured by a server, for example. The terminal devices 40a-c are terminal devices used by medical personnel such as doctors and nurses, and are configured by, for example, a PC. The portable terminal device 40d is a terminal device carried by a patient, and includes, for example, a digital camera, a tablet, a smartphone, and a PDA.

  The endoscope operation support apparatus 30 receives endoscope image data transmitted from the endoscope system 10 and accumulates it in a storage unit. In addition, the endoscope work support apparatus 30 executes various application programs related to the endoscope work in accordance with operations from the terminal apparatus 40 connected to the network 2 and supports work performed by the user of the terminal apparatus 40. . For example, an examination report creation support program is executed to assist a doctor in creating an examination report. When a doctor operates the terminal device 40 to input a test report, the endoscopic work support device 30 receives the test report transmitted from the terminal device 40 and stores it in the storage unit.

  FIG. 2 is a diagram illustrating an internal configuration of the endoscope operation support apparatus 30 according to the first embodiment. The endoscope operation support apparatus 30 includes a communication unit 31, a control unit 32, and a storage unit 33. The control unit 32 includes a parameter condition setting unit 321, a patient information / parameter acquisition unit 322, a guidance value adjustment unit 323, a pretreatment plan creation unit 324, a pretreatment plan notification unit 325, and a pretreatment execution result acquisition / recording unit 326. In order to pay attention to the preparation / notification function of the pretreatment plan, only functions related to the preparation / notification function of the pretreatment plan are depicted as functional blocks of the control unit 32 in FIG.

  The function of the control unit 32 can be realized by cooperation of hardware resources and software resources. Processors, ROM, RAM, and other LSIs can be used as hardware resources. Programs such as operating systems and applications can be used as software resources.

  The storage unit 33 includes, for example, an HDD, an SSD, and the like, and includes a patient information storage unit 331, a pretreatment execution information storage unit 332, and a parameter condition / adjustment value storage unit 333. In the present embodiment, in order to pay attention to the preparation / notification function of the pretreatment plan, only the preparation / notification function of the pretreatment plan is depicted as a function block of the storage unit 33 in FIG.

FIG. 3 is a diagram showing an internal configuration of the terminal device 40 of FIG. The terminal device 40 includes a communication unit 41, a control unit 42, a storage unit 43, a display unit 44, and an operation input unit 45. 4A to 4C show a patient information table 331a held in the patient information storage unit 331, a pretreatment execution information table 332a held in the pretreatment execution information storage unit 332, and parameter condition / adjustment value storages. 6 is a diagram illustrating an example of a parameter condition / adjustment value table 333a held in a unit 333. FIG.
Hereinafter, a more specific description will be given with reference to FIGS. 2, 3, and 4 (a) to 4 (c).

  In the patient information table 331a held in the patient information storage unit 331, patient identification information and attribute information of the patient are described in association with each other. Patient information can be received from an electronic medical chart system. Information input from the terminal device 40 may be used. As the patient identification information, information such as a serial number that can uniquely identify the patient is used.

  The pretreatment execution information table 332a held in the pretreatment execution information storage unit 332 describes pretreatment execution information for endoscopy for each patient. In the pretreatment execution information, the patient identification information of the examination already performed, the examination date, the pretreatment drug name, the drug amount, the number of defecations, the pretreatment time, and the residual amount at the time of the examination are recorded. The pretreatment execution information may be managed in a unified manner with the endoscopic examination execution information.

  Hereinafter, in this specification, lower endoscopy is assumed as endoscopy, and laxatives such as NIFREC (registered trademark) and MAGCOROLL (registered trademark) are assumed as pretreatment agents. The date of the lower endoscopy is recorded on the examination date. In the pretreatment drug name, the drug name used in the pretreatment of the lower endoscopy is recorded. The amount of drug used is recorded in the drug amount. In the number of defecations, the number of defecations performed by the patient who has been administered laxative as a pretreatment until the end of washing of the lower gastrointestinal tract is recorded. The time taken for intestinal irrigation as a pretreatment is recorded in the pretreatment time. The amount of residue at the time of examination records the amount of residue in the lower digestive tract of the patient determined by the doctor who performed the lower endoscopy. Only one of the number of defecations and the pretreatment time may be recorded.

  In the parameter condition / adjustment value table 333a held in the parameter condition / adjustment value storage unit 333, a plurality of parameter conditions and guidance value adjustment values included in the pretreatment execution information are linked and recorded. The parameter condition / adjustment value table 333a is set for each type of medicine. There are several types of drugs used as laxatives, and the drugs used vary depending on the facility.

  The parameter condition / adjustment value table 333a shown in FIG. 4C describes the precondition parameter conditions and adjustment values in the XXX medicine in a matrix. The patient's sex, the patient's defecation frequency, and the amount of residue at the time of examination are set as parameter conditions. As the adjustment value, a drug amount change, a defecation frequency change, and a pretreatment time change are set. For example, in the parameter condition / adjustment value table 333a shown in FIG. 4C, if the defecation frequency is about once a day for men and the amount of residue at the time of the previous examination is small, the adjustment value is the drug amount ± 0 ml. The number of times is +1 and the pretreatment time is +10 minutes.

  The parameter condition / adjustment value table 333a shown in FIG. 4C is an example. For example, the patient condition, weight, dietary habits, presence or absence of stenosis, physical condition of the day, operation history, etc. are set as the parameter conditions. Also good. Further, the amount of medicine taken on the previous day may be set as an adjustment value.

  The parameter condition setting unit 321 sets the relationship between the parameter condition and the guidance value adjustment amount according to the operation of the medical staff on the terminal device 40. Each value of the parameter condition / adjustment value table 333a is determined based on various statistical data and / or doctor's empirical rules. If the parameter condition / adjustment value table 333a is set once, it is not necessary to set the parameter condition / adjustment value table 333a every inspection, but it may be updated periodically by learning data after the operation is started.

  The user operates the operation input unit 45 of the terminal device 40 to set “inputtable items” and “displayable items” on the parameter condition input screen. For example, patient identification information, pretreatment drug name, and defecation frequency are set as “inputtable items”, and name, gender, and date of birth are set as “displayable items”.

  FIG. 5 is a diagram illustrating an example of the parameter condition input screen 44 a displayed on the display unit 44 of the terminal device 40. In FIG. 5, hatched boxes indicate “items that can only be displayed”, and blank boxes indicate “items that can be input”.

  The nurse inputs identification information of a patient to be subjected to endoscopic examination pretreatment from the operation input unit 45 of the terminal device 40 into the patient identification information column of the parameter condition input screen 44a. The control unit 42 of the terminal device 40 notifies the endoscope operation support apparatus 30 of the input patient identification information.

  The patient information / parameter acquisition unit 322 of the endoscope operation support apparatus 30 acquires patient identification information from the terminal device 40. The patient information / parameter acquisition unit 322 accesses the patient information storage unit 331, acquires patient information associated with the acquired patient identification information, and notifies the terminal device 40 of it. The control unit 42 of the terminal device 40 acquires patient information from the endoscope work support apparatus 30 and displays it in the corresponding column of the parameter condition input screen 44a.

  The nurse inputs the pretreatment drug name to be used this time in the pretreatment drug name column of the parameter condition input screen 44a from the operation input unit 45 of the terminal device 40, and inputs the patient's defecation frequency in the defecation frequency column. The patient's defecation frequency is asked to the patient and the answer obtained from the patient is input. If the frequency of defecation is described in the questionnaire, the defecation frequency may be input. The control unit 42 of the terminal device 40 notifies the endoscope work support device 30 of patient identification information, sex, pretreatment drug name, and defecation frequency.

  The patient information / parameter acquisition unit 322 of the endoscope operation support apparatus 30 acquires patient identification information, sex, pretreatment drug name, and defecation frequency from the terminal device 40. In this embodiment, patient identification information and pretreatment drug name are search keys, and sex and defecation frequency are parameter conditions.

  The pretreatment plan creation unit 324 searches the pretreatment execution information table 332a, and pretreatment that should refer to the latest pretreatment execution information in the pretreatment execution information that matches the acquired patient identification information and pretreatment drug name. Obtained as implementation information.

  FIGS. 6A to 6C are diagrams for explaining an example of adjusting the guidance value included in the pretreatment execution information. For example, when the patient identification information acquired from the terminal device 40 is “00001” and the pretreatment drug name is XXX medicine, the pretreatment execution information included in the pretreatment execution information table 332a shown in FIG. The latest pretreatment execution information is as shown in FIG.

  The pretreatment plan creation unit 324 determines the parameter condition / adjustment value table 333a based on the gender, pretreatment drug name, defecation frequency acquired from the terminal device 40, and the amount of residue at the time of inspection acquired from the pretreatment execution information table 332a. To obtain the hit parameter condition and adjustment value. For example, if the gender is male, the pretreatment drug name is XXX drug, the stool frequency is about once a day, and the amount of residue at the time of the test is large, the corresponding parameter conditions and adjustment values are as shown in FIG. Become.

  The guidance value adjustment unit 323 obtains the drug amount, the number of defecations, and the pretreatment time acquired as the guidance values from the pretreatment execution information table 332a, and the drug amount change and the number of defecations acquired as adjustment values from the parameter condition / adjustment value table 333a. Adjust using the change and pretreatment time change. Specifically, the drug amount, the number of defecations, and the pretreatment time are calculated by adding the drug amount change, the defecation frequency change, and the pretreatment time change to the drug amount, the number of defecations, and the pretreatment time, respectively. . In the example described above, the scheduled drug amount, scheduled stool frequency, and scheduled pretreatment time are as shown in FIG.

  The pretreatment plan creation unit 324 determines the pretreatment start scheduled time based on the reception time of the patient. The pretreatment plan creation unit 324 calculates the pretreatment end scheduled time by adding the scheduled pretreatment time to the scheduled pretreatment start time. The pretreatment plan creation unit 324 acquires the scheduled examination start time and the scheduled examination end time from an unillustrated ordering system or examination reservation table. If the calculated pretreatment end scheduled time is greater than or equal to a set value earlier or later than the scheduled examination start time, the pretreatment plan creation unit 324 sets the scheduled examination start time and scheduled examination end time as the scheduled pretreatment end time. Adjust accordingly.

  The pretreatment plan notifying unit 325 is a terminal for the nurse to refer to the scheduled drug amount, the scheduled number of defecations, the scheduled pretreatment time, the scheduled pretreatment start time, the scheduled pretreatment end time, the scheduled test start time, and the scheduled test end time. At least one of the device 40 and the portable terminal device 40d referred to by the patient is notified.

  FIG. 7 is a diagram illustrating an example of the pretreatment plan guidance screen 44 b displayed on the display unit 44 of the terminal device 40. The control unit 42 of the terminal device 40 receives the scheduled amount of medicine, the scheduled number of stools, the scheduled pretreatment time, the scheduled pretreatment start time, the scheduled pretreatment end time, the scheduled test start time, and the scheduled test end from the endoscope work support device 30. The time is acquired and displayed in the corresponding column of the pretreatment plan guidance screen 44b.

  When the pretreatment plan guidance screen 44b is displayed on the portable terminal device 40d, the patient ingests the medicine while looking at the planned amount of medicine, the number of scheduled stool and the scheduled pretreatment time, Press the call button and ask the nurse to check the excrement status. When the camera function is installed in the portable terminal device 40d, the excrement may be photographed with the camera and transmitted to the endoscope work support device 30.

  In the endoscope work support system 1 that does not include the portable terminal device 40d, the pretreatment plan guidance screen 44b is displayed on the terminal device 40 referred to by the nurse, and the nurse guides the patient. When a printer is connected to the terminal device 40, the pretreatment plan guidance screen 44b may be printed and handed to the patient and the attendant. The attendant who sent the patient can use the estimated time of the test as an indication of the time to come.

  The nurse determines the completion of the pretreatment from the state of the excrement, and when the pretreatment is completed, the actual amount of medicine, the actual number of defecations, and the actual pretreatment time are input from the operation input unit 45 of the terminal device 40. The control unit 42 of the terminal device 40 notifies the endoscope work support device 30 of the patient identification information, the examination date, the pretreatment drug name, the actual drug amount, the actual number of defecations, and the actual pretreatment time. The examination date may be acquired from the system date of the terminal device 40 or may be input by a nurse.

  When the pretreatment execution result acquisition / recording unit 326 acquires the patient identification information, the examination date, the pretreatment drug name, the actual drug amount, the actual number of defecations, and the actual pretreatment time from the terminal device 40, the pretreatment execution information is acquired. Record in the storage unit 332.

  The doctor performs an endoscopy of the patient who has completed the pretreatment. After the examination, the doctor or the nurse who received the instruction from the doctor inputs patient identification information and the amount of residue from the operation input unit 45 of the terminal device 40. The control unit 42 of the terminal device 40 notifies the patient identification information, the examination date, and the amount of residue to the endoscope work support device 30.

  When the pretreatment execution result acquisition / recording unit 326 acquires the patient identification information, the examination date, and the amount of residue from the terminal device 40, the pretreatment execution result acquisition / recording unit 326 accesses the pretreatment execution information storage unit 332 to match the acquired patient identification information and the examination date. Search for pre-treatment execution information. The pretreatment execution result acquisition / recording unit 326 adds the acquired amount of residue to the hit pretreatment execution information.

  FIG. 8 is a flowchart showing an outline of pretreatment plan creation / notification processing according to the embodiment. The patient information / parameter acquisition unit 322 acquires identification information and parameter conditions of a patient to be subjected to endoscopic pretreatment from the terminal device 40 (S10). The parameter condition includes at least one of the patient's gender and the patient's defecation frequency.

  The pretreatment plan creation unit 324 acquires the latest pretreatment execution information in the pretreatment execution information in the pretreatment execution information storage unit 332 in which the identification information of the patient matches the name of the pretreatment drug to be used (S11). ). The guidance value adjustment unit 323 determines the parameter based on the parameter condition acquired by the patient information / parameter acquisition unit 322 and the amount of residue at the time of examination included in the pretreatment execution information acquired by the pretreatment plan creation unit 324. An adjustment value is acquired from the condition / adjustment value storage unit 333 (S12).

  The guidance value adjustment unit 323 adjusts the guidance value included in the pretreatment execution information acquired by the patient information / parameter acquisition unit 322 based on the adjustment value acquired from the parameter condition / adjustment value storage unit 333 ( S13). The guidance value includes at least one of the amount of medicine used, the number of stool passes of the patient, and the pretreatment time.

  The pretreatment plan creation unit 324 creates a pretreatment plan including the guidance value adjusted by the guidance value adjustment unit 323 (S14). The pretreatment plan notification unit 325 notifies the terminal device 40 of the pretreatment plan created by the pretreatment plan creation unit 324 (S15). The pretreatment execution result acquisition / recording unit 326 acquires the pretreatment execution result from the terminal device 40 and records it in the pretreatment execution information storage unit 332 (S16).

  As described above, according to the present embodiment, a pre-treatment plan customized for each patient is created and notified to the terminal device 40, thereby improving work efficiency related to the pre-treatment of endoscopy. Can do. In addition, it is possible to create a highly accurate pretreatment plan by updating the guidance value of the pretreatment used in the next inspection by feeding back from the amount of residue at the time of the inspection.

  For example, when the nurse refers to the pretreatment plan, a large amount of the drug can be prepared on a day when there are many patients who need a large amount of the drug. For patients with long pretreatment time, the visit time can be specified earlier.

  The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.

  In the above-described embodiment, the example in which the guidance value included in the latest pretreatment execution information of the target patient is adjusted based on the residual amount and the parameter condition after the pretreatment has been described. This example assumes that the latest pretreatment execution information is appropriate data. When the latest pretreatment execution information is abnormal data, the guidance value of the current pretreatment plan indicates an abnormal value.

  For example, when the pretreatment time included in the latest pretreatment execution information is 4 hours, the pretreatment time of the current pretreatment plan is also close to 4 hours. The pretreatment time is usually about 2 hours. When the pretreatment time is 4 hours, it is considered that the abnormal constitution, eating something that is difficult to digest on the day of the examination or the day before, is the cause. In the former case, the pretreatment time of this pretreatment plan should also be a value close to 4 hours, but in the latter case, the original pretreatment time should be presented after ignoring the previous examination. .

  In the modified example, a mechanism for avoiding that an inappropriate guidance value is presented is introduced. In the modified example, the guidance value adjustment unit 323 includes the number of defecations included in the latest pretreatment execution information among the identification information of the patient acquired from the pretreatment execution information storage unit 332 and the pretreatment execution information that matches the medicine, or If the pretreatment time exceeds the upper threshold and if the number of defecations or pretreatment time included in the pretreatment execution information immediately before the pretreatment does not exceed the upper threshold, the most recent pretreatment is performed. Information is excluded from the basic information of guidance information. When either one of the above two conditions is not satisfied, the latest pretreatment execution information is directly adopted as the basic information of the guidance information.

  FIG. 9 is a flowchart showing an outline of pretreatment plan creation / notification processing according to the modification. The patient information / parameter acquisition unit 322 acquires identification information and parameter conditions of a patient to be subjected to endoscopic pretreatment from the terminal device 40 (S10). The pretreatment plan creation unit 324 obtains the latest (previous) pretreatment execution information in the pretreatment execution information in the pretreatment execution information storage unit 332 in which the identification information of the patient matches the name of the pretreatment drug to be used. (S11).

  The pretreatment plan creation unit 324 determines whether or not the guidance value included in the acquired latest (previous) pretreatment execution information exceeds the upper threshold (S111). When it exceeds (Y of S111), the pretreatment plan creation unit 324 acquires the pretreatment execution information of the previous time out of the pretreatment execution information in which the identification information of the patient and the name of the pretreatment drug to be used match (S112). The pretreatment plan creation unit 324 determines whether or not the guidance value included in the acquired previous pretreatment execution information exceeds the upper threshold (S113). When not exceeding (N of S113), the pretreatment plan preparation part 324 employ | adopts the guidance value contained in the acquired pretreatment execution information of 2 times before, and makes a previous guidance value non-adopt (S114).

  If the guidance value included in the previous pretreatment execution information does not exceed the upper limit threshold value in step S111 (N in S111), the processes in steps S112 to S114 are skipped. If the guidance value included in the previous pretreatment execution information exceeds the upper limit threshold value in step S113 (Y in S113), the process in step S114 is skipped.

  The guidance value adjustment unit 323 is based on the parameter condition acquired by the patient information / parameter acquisition unit 322 and the residual amount at the time of examination included in the adopted pretreatment execution information, and the parameter condition / adjustment value storage unit 333. The adjustment value is acquired from (S12). The guidance value adjustment unit 323 adjusts the guidance value included in the adopted pretreatment execution information based on the adjustment value acquired from the parameter condition / adjustment value storage unit 333 (S13). The processing of step S14 to step S16 is the same as the flowchart of FIG.

  As described above, according to the modification, when a guidance value exceeding the upper limit threshold is extracted, by checking the past guidance value, whether the latest guidance value is appropriate data or abnormal data. Can be confirmed. Therefore, it can be avoided that an abnormal guidance value is presented.

  DESCRIPTION OF SYMBOLS 1 Endoscope work support system, 2 Network, 3 Access point, 10 Endoscope system, 11 Endoscope, 12 Endoscope processing apparatus, 13 Display apparatus, 30 Endoscope work support apparatus, 31 Communication part, 32 control unit, 321 parameter condition setting unit, 322 patient information / parameter acquisition unit, 323 guidance value adjustment unit, 324 pretreatment plan creation unit, 325 pretreatment plan notification unit, 326 pretreatment execution result acquisition / recording unit, 33 storage Unit, 331 patient information storage unit, 332 pretreatment execution information storage unit, 333 parameter condition / adjustment value storage unit, 40 terminal device, 40d portable terminal device, 41 communication unit, 42 control unit, 43 storage unit, 44 display unit 45 Operation input unit.

Claims (6)

A storage unit that stores the execution information of the pretreatment of the endoscopy for each patient;
Identification information of a patient to be subjected to a pretreatment for endoscopy, an acquisition unit for acquiring a parameter condition,
An adjustment unit that adjusts pretreatment guidance information obtained from pretreatment execution information to be referred to, based on the acquired parameter conditions, among the past pretreatment execution information of the patient specified by the acquired identification information When,
A creation unit that creates a pre-treatment plan including adjusted pre-treatment guidance information;
An endoscopy operation support apparatus comprising: The endoscopy is a lower endoscopy,
The pretreatment execution information includes the drug used in the pretreatment, the amount of the drug used, and the amount of residue in the lower gastrointestinal tract of the patient determined by the doctor who performed the examination,
The parameter conditions include at least one of patient gender and patient defecation frequency,
The adjustment unit adjusts the usage amount of the medicine included in the pretreatment execution information to be referred to based on the parameter condition and the residual amount contained in the pretreatment execution information to be referred to. The endoscope work support apparatus according to claim 1. The pretreatment execution information further includes at least one of the number of defecations until the end of washing of the lower gastrointestinal tract and the pretreatment time taken for washing of the lower gastrointestinal tract,
The adjustment unit sets at least one of the number of defecations included in the pretreatment execution information to be referred to last time and the pretreatment time, and the amount of residue included in the parameter condition and the pretreatment execution information to be referred to. The endoscopic operation support apparatus according to claim 2, wherein the adjustment is performed based on the adjustment. A notification unit for notifying a terminal device referred to by a patient and / or a healthcare professional of the pretreatment plan created by the creation unit;
The endoscope work support apparatus according to claim 1, further comprising:   The creation unit determines the latest pretreatment execution information to be referred to as the pretreatment execution information to be referred to from among the pretreatment execution information that matches the acquired patient identification information and medicine. Item 5. The endoscope operation support apparatus according to any one of Items 1 to 4.   The creation unit is a case where the number of defecations or pretreatment time included in the latest pretreatment execution information out of the pretreatment execution information that matches the acquired patient identification information and the medicine exceeds the upper threshold, When the number of defecations or pretreatment time included in the pretreatment information immediately before the pretreatment does not exceed the upper threshold, the latest pretreatment information is excluded from the basic information of the guidance information. The endoscope work support apparatus according to any one of claims 1 to 4.

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