JP2016221065A - Inspection work support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a technology for determining, before starting an inspection, whether or not observation similar to that in the previous inspection is possible with respect to the same patient.SOLUTION: An inspection information storage unit 142 stores setting information showing a setting value having been used in an inspection apparatus including an observation apparatus and endoscope, in association with patient information. An apparatus information storage unit 144 stores settings to be used for inspection and combinations of observation apparatuses and endoscopes, the combinations making it possible to implement the setting. An extraction unit 120 extracts setting information showing a setting value having been used in the previous inspection on the same patient, from the inspection information storage unit 142. A setting propriety determination unit 122, on the basis of the combinations of observation apparatuses and endoscopes stored in the apparatus information storage unit 144, determines whether or not an observation apparatus and endoscope that have apparatus type information acquired by an apparatus type information acquisition unit 116 make it possible to implement a setting at the time of the previous inspection, the setting being shown by the extracted setting information. A report processing unit 124 reports a result of the determination.SELECTED DRAWING: Figure 4

Description

  The present invention relates to a technique for supporting inspection work of an endoscope.

  Patent Document 1 discloses an endoscope that stores patient information, observation date and time, doctor ID that performed observation, model information of an endoscope scope and an endoscope processor, and information related to image processing as observation record data. An apparatus is disclosed. In the endoscope apparatus disclosed in Patent Document 1, when a doctor inputs a patient name, past observation record data regarding the patient is displayed.

JP 2014-113212 A

  In endoscopy, observation using conventional light has been performed conventionally, but in recent years, observation devices equipped with an observation function using special light have become widespread in order to enable precise diagnosis by doctors. . Examples of special light observation functions include the “Narrow Band Imaging (NBI)” function that highlights capillaries and fine patterns on the mucosal surface, and highlights neoplastic lesions and normal mucosa in different colors. "Fluorescence observation (AFI: Auto Fluorescence Imaging)" function and "Infrared light imaging (IRI) function" that highlights blood vessels and blood flow information in the deep mucosa, etc. Equipped with special light observation function to support early detection of lesions. In addition, dedicated endoscopes that enable special light observation are becoming widespread as the number of multifunctional observation devices increases.

  In general, in medical facilities, even if new observation devices and endoscopes that enable such special light observation are introduced, at least part of existing (old) observation devices and endoscopes are still used. All observation devices and endoscopes will not be replaced with new ones. Therefore, old and new observation devices and endoscopes are mixed in medical facilities, but special light observation cannot be performed when, for example, at least one of the observation devices or endoscope combinations is old. This situation can occur.

  By the way, in medical facilities, reexamination may be performed on patients for the purpose of follow-up. Such a reexamination is also called a follow-up inspection, and in the reexamination of the endoscope, doctors need to know the progress of the lesion site observed in the previous inspection and the treatment site where treatment such as tissue sampling and hemostasis was performed. Diagnose changes and conditions of at least the observation sites. Usually, before starting the reexamination, the doctor refers to a report that records the observation information of the observation site observed in the previous examination, and performs the reexamination after confirming the previous finding information.

  Therefore, in the reexamination, it is preferable to perform the same observation as the previous observation performed by the doctor on the same patient. For example, if special light observation was performed in the previous examination, the doctor needs to perform the same special light observation at least on the same part even in this reexamination. However, depending on the combination of the observation device and endoscope used in this examination, the observation performed in the previous examination may not be performed, and an observation apparatus or endoscope that can perform the same observation as the previous examination after the examination starts. It is not preferable to replace the battery with a new one because it increases the burden on the patient and the doctor.

  The present invention has been made in view of such circumstances, and it is an object of the present invention to provide a technique for determining whether or not the same observation as the previous examination can be performed on the same patient before the examination is started.

  In order to solve the above-described problems, an inspection work support system according to an aspect of the present invention stores setting information indicating setting values used in an inspection apparatus including an observation apparatus and an endoscope in association with patient information. Examination information storage unit, setting used in examination, device information storage unit that stores a combination of an observation apparatus and an endoscope that can realize the setting, and patient information acquisition unit that acquires patient information for starting an examination And an extraction unit that extracts setting information indicating setting values used in the previous examination of the same patient from the examination information storage unit based on the patient information acquired by the patient information acquisition unit, and before the start of the examination, Based on the model information, the model information acquisition unit that acquires the model information of the endoscope, and the model information acquired by the model information acquisition unit based on the combination of the observation device and the endoscope stored in the device information storage unit Observation device and endoscope Comprises a determination is made whether setting propriety determination unit allows realizing the setting of the previous inspection, indicated by the extracted setting information, and the notification processing unit for notifying the determination result by the setting propriety determination unit.

  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.

  ADVANTAGE OF THE INVENTION According to this invention, the technique which judges whether the same observation as the last test | inspection can be performed with respect to the same patient before a test | inspection start can be provided.

It is a figure which shows the structure of the test | inspection work support system concerning the Example of this invention. It is a figure which shows the functional block of an observation apparatus. It is a figure which shows the setting item of an observation apparatus. It is a figure which shows the functional block of an information management apparatus. It is a figure which shows the test | inspection information memorize | stored in the test | inspection information storage part. It is a figure which shows the example of the memory content of an apparatus information storage part. It is a figure which shows an example of the message which shows that the setting at the time of the last test | inspection is realizable. It is a figure which shows an example of the message which shows that the setting at the time of the last test | inspection is unrealizable. It is a figure which shows an example of the message which shows that the setting at the time of the last test | inspection is realizable. It is a figure which shows an example of the message which shows that the setting at the time of the last test | inspection is realizable. It is a figure which shows an example of the message which shows that the setting at the time of the last test | inspection is realizable. It is a figure which shows an example of the message which shows that the setting at the time of the last test | inspection is realizable.

  FIG. 1 is a diagram showing a configuration of an inspection work support system 1 according to an embodiment of the present invention. The examination work support system 1 is an observation support system for supporting a doctor's observation action in an endoscopic examination, and a plurality of examination apparatuses 10a, 10b, 10c (hereinafter, particularly distinguished) for performing an endoscopic examination. If not, it is referred to as “inspection apparatus 10”), and includes an image server 50 for accumulating inspection images captured by the inspection apparatus 10, and an information management apparatus 100 for managing past inspection information, and these include a LAN (local area network). ) And the like.

  The inspection device 10 includes an endoscope 12, an observation device 20, and a display device 40. The endoscope 12 includes an image sensor and an operation unit including a plurality of switches. Various functions of the observation apparatus 20 can be assigned in advance to each of the plurality of switches. When the operation unit includes three switches 1 to 3, for example, a release function for recording an endoscopic image in the switch 1, an emphasis function for adjusting irradiation light in the body in the switch 2, and an endoscopic image in the switch 3. You may assign a freeze function to freeze. The function assigned to each switch can be appropriately set by the user.

  The imaging device is provided at the distal end of the insertion portion of the endoscope 12, the insertion portion is inserted into the patient's body and images the inside of the body, and a release switch (for example, switch 1) to which the doctor is assigned the release function of the operation portion. At the timing of pressing, the observation device 20 acquires the in-vivo image as a still image. The imaging device is, for example, a CCD image sensor or a CMOS image sensor, and constitutes an imaging module together with a signal processing circuit (not shown). The image sensor 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 data photoelectrically converted by the image sensor and outputs the data to the observation apparatus 20.

  Before the start of the endoscopy, the nurse prepares for the examination such as bringing the endoscope 12 to be used in the examination to be performed into the laboratory and connecting to the observation device 20 and confirming the display on the display device 40. . Note that the observation device 20 may be a stationary type installed in the examination room, or may be a portable type. The nurse inputs patient information (patient ID) that uniquely identifies a patient to the observation apparatus 20 using a device such as a keyboard or a card reader connected to the observation apparatus 20.

  The endoscopic examination is performed according to an examination order issued by an ordering system (not shown). The observation device 20 displays a list screen of endoscopy orders on the display device 40. When the nurse selects an order to be executed from the order list, the observation device 20 displays an order detail confirmation screen on the display device 40. To do. When the nurse selects an order, the observation device 20 may determine whether the input patient ID matches the patient information included in the selected order, and may issue a warning if they do not match.

  The doctor sees the order detail confirmation screen and confirms the examination content before starting the endoscopic examination. The examination order list screen and the order detail confirmation screen may be displayed on another terminal device provided in the examination room. When the doctor recognizes that the examination to be performed is a follow-up examination, the doctor displays the report of the previous examination on the terminal device and starts the examination after confirming the previous finding information.

  One important role of the observation device 20 is to display the video acquired by the endoscope 12 on the display device 40 in real time. The doctor looks at the endoscopic image displayed on the display device 40 and performs diagnosis and diagnosis.

  Another important role of the observation device 20 is to transmit the still image captured by the endoscope 12 to the image server 50 at the timing when the doctor presses the release switch and store it in the image storage unit (database). It is. The image server 50 receives the inspection image data transmitted from the observation device 20 and stores it in the image storage unit in association with the inspection order.

  FIG. 2 shows functional blocks of the observation apparatus 20. The observation apparatus 20 includes an acquisition unit 22, a setting reception unit 30, a setting change unit 32, an examination information generation unit 34, a display processing unit 36, and a transmission unit 38. The acquisition unit 22 includes an information acquisition unit 24, an image acquisition unit 26, and a notification information acquisition unit 28. These configurations can be realized in hardware by an arbitrary processor, memory, auxiliary storage device, and other LSI, and in terms of software, it is realized by a program loaded in the memory. Depicts functional blocks realized by. Accordingly, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof.

  During the endoscopic examination, the image acquisition unit 26 acquires an endoscopic image of the patient imaged by the endoscope 12, and the display processing unit 36 acquires the endoscopic image acquired by the image acquisition unit 26. It is displayed on the display device 40 as a real-time video. When the doctor operates the release switch of the endoscope 12, the transmission unit 38 transmits the examination image data acquired by the image acquisition unit 26 to the image server 50 at that timing. At this time, the inspection image data includes identification information (order ID) for specifying the inspection order, and the image server 50 manages the inspection image data by the order ID.

  The setting receiving unit 30 receives a setting input from a user such as a doctor in the observation apparatus 20. The observation device 20 is provided with a user interface for inputting setting values of various setting items, and the user interface may be, for example, a button, a dial, a keyboard, or the like. The user can also input the set value of the observation device 20 by operating the operation switch of the endoscope 12.

  FIG. 3 shows setting items of the observation apparatus 20. Note that “structure enhancement”, “color enhancement”, “contrast”, “enlargement mode”, “brightness”, “NBI”, “AFI”, “IRI”, and “high-definition signal output” shown in FIG. For example, the observation apparatus 20 may be able to set the setting values of other items.

  The user can input setting values of each setting item by operating a user interface such as a button provided on the observation device 20 or the endoscope 12. Among these setting items, “NBI”, “AFI”, and “IRI” are the setting items for the special light observation mode. When the setting value of any item is turned ON, the observation mode is set to the normal light observation mode. The mode is switched to the selected special light observation mode. Some observation devices 20 are not equipped with a special light observation function, particularly in the case of older low-end models, and such observation devices 20 include “NBI”, “AFI”, “IRI”, and the like. There is no setting item. For example, there may be a model equipped with an NBI observation function but not equipped with an AFI observation function and an IRI observation function.

  When the setting receiving unit 30 receives the setting value input by the user, the setting changing unit 32 changes the setting item to the input setting value. Thus, when the doctor appropriately sets the observation environment of the observation apparatus 20 and selects any of the items “NBI”, “AFI”, and “IRI” and turns the setting value ON, the normal light observation is performed. The mode can be switched to the special light observation mode selected. During the inspection, the inspection information generation unit 34 records the setting values used in the observation device 20 and generates inspection information that summarizes the setting information of each setting item. After completion of the inspection, the transmission unit 38 transmits the inspection information generated by the inspection information generation unit 34 to the information management apparatus 100.

  The setting information recorded for each setting item includes at least used setting values. For example, when setting values 3 and 6 are used in the “color enhancement” item, the setting information of this item is information including at least “3” and “6”. Specifically, the setting information may be configured as information indicating the used setting values “3” and “6”, or may be configured as information indicating the range used as “3 to 6”.

  When the setting value ON is used in the item “AFI”, the setting information of this item is information including at least “ON”. Note that a default value is set for each setting item in the initial state. For example, the setting value OFF is set as a default in the item “AFI”, but the inspection information generation unit 34 may also include the default setting value in the setting information.

  The examination information generation unit 34 includes identification information (patient ID) for specifying the patient and identification information (observation device) for specifying the observation device 20 in the setting information indicating the setting value used in the observation device 20. ID) and identification information (scope ID) for specifying the endoscope 12 connected to the observation device 20 are added to generate examination information. Here, the observation device ID includes the model information of the observation device 20 and individual information uniquely assigned within the same model, and the scope ID is the model information of the endoscope 12 and the individual information uniquely assigned within the same model. Contains information.

  The observation device 20 holds its own observation device ID in a holding unit (not shown), and when the power is turned on, the information acquisition unit 24 acquires the observation device ID from the holding unit. Further, the information acquisition unit 24 acquires a scope ID from the endoscope 12 when the endoscope 12 is connected to the observation device 20. When the nurse inputs a patient ID from a device such as a keyboard or a card reader, the information acquisition unit 24 acquires the input patient ID. The information acquisition unit 24 provides the acquired observation device ID, scope ID, and patient ID to the examination information generation unit 34. The examination information generation unit 34 observes the observation device ID, scope ID, patient ID, and setting information after the examination is completed. The transmission unit 38 transmits the inspection information to the information management apparatus 100.

  FIG. 4 shows functional blocks of the information management apparatus 100. The information management apparatus 100 includes an acquisition unit 110, an extraction unit 120, a setting availability determination unit 122, a notification processing unit 124, and a storage unit 140. The acquisition unit 110 includes an examination information acquisition unit 112, a patient information acquisition unit 114, and a model information acquisition unit 116, and the storage unit 140 includes an examination information storage unit 142 and an apparatus information storage unit 144. These configurations can be realized in hardware by an arbitrary processor, memory, auxiliary storage device, and other LSI, and in terms of software, it is realized by a program loaded in the memory. Depicts functional blocks realized by. Accordingly, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof.

  When the inspection apparatus 10 transmits inspection information to the information management apparatus 100 after the inspection is completed, the inspection information acquisition unit 112 acquires the inspection information and stores it in the inspection information storage unit 142 together with information indicating the acquired date and time. As described above, the examination information includes the observation device ID, the scope ID, the patient ID, and the setting information, and the examination information storage unit 142 stores the acquisition date information, the observation device ID, the scope ID, and the setting information with the patient ID. The observation device ID, the scope ID, and the setting information can be extracted using the patient ID as a search key.

  FIG. 5 shows the inspection information stored in the inspection information storage unit 142. The examination information storage unit 142 stores the examination date, observation device ID, endoscope ID (scope ID), and setting information in association with the patient ID. Here, the inspection date and time is stored as the date and time when the inspection information acquisition unit 112 acquires the inspection information.

  In the embodiment, the observation apparatus ID is composed of the model information of the observation apparatus 20 and individual information uniquely assigned within the same model. For example, “AA-100” is the model of the observation apparatus for “AA-100-0001”. “0001” indicates a serial number uniquely assigned in the same model. Similarly, the endoscope ID (scope ID) is configured by model information of the endoscope 12 and individual information uniquely assigned in the same model. For example, “BB-X80-0002” is “BB-X80”. Indicates an endoscope model, and “0002” indicates a serial number uniquely assigned in the same model.

  The inspection information storage unit 142 stores all inspection information that has been performed in the past. In the example illustrated in FIG. 5, for a patient with a patient ID “123456”, an observation apparatus with an ID “AA-100-0001” and an endoscope with an ID “BB-X80-0002” on March 23, 2015. NBI observation mode is set in the inspection apparatus combined with the ID “AA-100-0001” and the ID “BB-X100-0001” on April 20, 2015 for the same patient. In the inspection apparatus combined with this endoscope, the fact that the NBI observation mode and the magnification observation mode are set is stored as inspection information.

  In FIG. 5, it is stored as the setting information that special light observation and / or magnified observation has been performed, but information regarding setting values of other items may be stored. Referring to FIG. 3, for example, when a setting value of “high contrast” is used in the item “contrast”, inspection information storage unit 142 stores “high contrast” as setting information. When the setting values “−3” and “5” are used for the “brightness” of the illumination light, the inspection information storage unit 142 stores “−3” and “5” as the setting information.

  The inspection work support system 1 according to the embodiment has a function of determining whether the setting in the inspection apparatus 10 used in the previous inspection for the patient can be used in the current inspection before starting the inspection. When a follow-up examination is performed on a patient who has been examined in the past, the doctor needs to perform the same observation as the previous observation on the same patient. For example, the NBI observation and the enlarged observation are performed in the previous examination. If so, the doctor needs to perform “NBI observation” and “magnification observation” even in this follow-up examination. Therefore, the inspection work support system 1 provides a mechanism for determining whether the setting of the inspection apparatus 10 used in the previous inspection can be used in the current inspection before starting the inspection and notifying the user of the determination result.

  Returning to FIG. 2, when the power of the observation apparatus 20 is turned on, the information acquisition unit 24 acquires the observation apparatus ID from a holding unit (not shown) of the observation apparatus 20. When the nurse connects the endoscope 12 to the observation device 20, the information acquisition unit 24 acquires a scope ID from the endoscope 12. When the nurse inputs a patient ID from a device such as a keyboard or a card reader, the information acquisition unit 24 acquires the input patient ID. As described above, the examination order to be performed is selected from the endoscopic examination order list screen displayed on the display device 40 before the examination is started. At this time, the information acquisition unit 24 is selected. The patient ID included in the examination order may be acquired. When the information acquisition unit 24 acquires the patient ID, the observation device ID, and the scope ID, the transmission unit 38 transmits these ID information to the information management device 100. The transmitting unit 38 may transmit the ID information collectively, but at each timing when the information acquiring unit 24 acquires the scope ID and the patient ID, the combination of the scope ID and the observation device ID, the patient ID, A combination of observation device IDs may be transmitted to the information management device 100.

  Returning to FIG. 4, in the information management apparatus 100, the patient information acquisition unit 114 acquires the patient ID of the patient who starts the inspection from the inspection apparatus 10, and provides the acquired patient ID to the extraction unit 120. Further, the model information acquisition unit 116 acquires the observation device ID and scope ID in the inspection device 10 from the inspection device 10, and provides the acquired observation device ID and scope ID to the setting availability determination unit 122. As described above, the observation apparatus ID includes at least information for specifying the model information of the observation apparatus 20, and the scope ID includes at least information for specifying the model information of the endoscope 12.

  Based on the patient ID provided from the patient information acquisition unit 114, the extraction unit 120 extracts setting information indicating the setting value used in the previous examination of the same patient from the examination information storage unit 142. In the examination information storage unit 142, the examination information is stored in association with the date / time information, and when the plurality of examination information of the same patient is stored in the examination information storage unit 142, the extraction unit 120 sets the current date and time. The setting information associated with the date / time information indicating the closest date / time is extracted. The extraction unit 120 provides the extracted setting information of the previous examination to the setting availability determination unit 122.

  For example, it is assumed that the patient ID of the patient who will start the examination is “123456”. The extraction unit 120 refers to the stored content of the examination information storage unit 142 and searches for examination information associated with the patient ID “123456”. In the example shown in FIG. 5, inspection information whose inspection date is March 23, 2015 and inspection information whose inspection date is April 20, 2015 are stored in the inspection information storage unit 142, and an extraction unit 120 extracts the latest inspection information, that is, inspection information whose inspection date is April 20, 2015, and provides the extracted information to the setting availability determination unit 122.

The apparatus information storage unit 144 stores settings used in the inspection and the configuration of the inspection apparatus that can realize the settings.
FIG. 6 shows an example of the contents stored in the device information storage unit 144. The apparatus information storage unit 144 stores a combination of an observation apparatus and an endoscope that can realize the setting for the setting used in the examination. In this example, the combination of the model information of the observation device and the model information of the endoscope is stored as the combination of the observation device and the endoscope, but the combination of the observation device ID of the observation device and the scope ID of the endoscope May be stored.

  “AA-100” and “AA-80” stored with respect to the observation apparatus are model information indicating the model of the observation apparatus, and the number following “AA-” represents the version of the observation apparatus, and the number is large. Indicates that it is a newer model. The upper model is a multifunctional and expanded function compared to the lower model, and has at least all the functions of the lower model.

  In addition, “BB-X100”, “BB-X80”, “BB-X60”, “BB-Y100”, “BB-Z100”, and “BB-Z80” stored for the endoscope are endoscope models. The alphabets X, Y, and Z following “BB-” represent the types of endoscopes, and the numbers following the alphabets X, Y, and Z are the numbers in the endoscopes of that type. Expressing the version, the larger number indicates the newer model. The upper model is a multifunctional and expanded function compared to the lower model, and has at least all the functions of the lower model.

  The combination of the observation device and the endoscope stored in the device information storage unit 144 defines the following. For example, in order to perform “NBI observation and magnified observation” in endoscopy, the observation apparatus uses either “AA-100” or “AA-80”, and the endoscope uses “BB-X100”. Need to use. In other words, in order to perform “NBI observation and magnified observation”, the nurse must use a combination of “AA-100” and “BB-X100” or “AA-80” and “BB-X100” before starting the examination. You must prepare one of the combinations. For example, in order to perform “AFI observation”, it is necessary to use “AA-100” as an observation apparatus and “BB-Y100” as an endoscope. That is, in order to perform “AFI observation”, there is only a combination of “AA-100” and “BB-Y100”, and the nurse must prepare this combination in the examination room.

  Note that FIG. 5 shows a combination of an observation apparatus and an endoscope that can realize special light observation and / or magnified observation, but the apparatus information storage unit 144 is an observation that can realize other various settings. A combination of the device and the endoscope may be stored.

  The model information acquisition unit 116 provides the observation device ID and the scope ID acquired from the inspection device 10 to the setting availability determination unit 122. The model information acquisition unit 116 identifies the model information of the observation device 20 from the observation device ID, identifies the model information of the endoscope 12 from the scope ID, and provides each model information to the setting availability determination unit 122. May be. In addition, the setting availability determination unit 122 is provided with setting information of a previous examination of a patient who will start an examination from the extraction unit 120. When this information is provided, the setting availability determination unit 122 realizes the setting at the time of the previous inspection indicated by the setting information extracted by the extraction unit 120 by the combination of the observation device 20 and the endoscope 12 in the inspection device 10. Determine whether it is possible. Specifically, the setting availability determination unit 122 specifies the setting at the time of the previous inspection (setting of special light observation and / or magnified observation in the embodiment) from the setting information, and stores the contents stored in the device information storage unit 144 illustrated in FIG. With reference to this, it is determined whether the specified setting at the previous inspection is feasible.

  When performing endoscopy for the patient with the patient ID “123456”, the extraction unit 120 sets the setting value of NBI observation and magnification observation to ON in the latest setting information, that is, the inspection dated April 20, 2015. Information indicating that this has been done is provided to the setting availability determination unit 122. The setting availability determination unit 122 refers to the contents stored in the device information storage unit 144 (see FIG. 6), and the configuration of the inspection apparatus that can set the set values for NBI observation and magnification observation to ON, that is, the observation apparatus and the endoscope The combination of is extracted. In the example shown in FIG. 6, in order to perform “NBI observation and magnified observation”, the observation apparatus uses either “AA-100” or “AA-80”, and the endoscope uses “BB-X100”. It is stipulated to use.

  The setting availability determination unit 122 determines whether or not the combination of the observation device 20 and the endoscope 12 can perform NBI observation and magnified observation. Specifically, the setting availability determination unit 122 determines whether the observation device 20 is “AA-100” or “AA-80”, and whether the endoscope is “BB-X100”. If the observation device 20 is not “AA-100” or “AA-80”, the setting availability determination unit 122 indicates that the setting at the previous inspection (that is, NBI observation and magnification observation) cannot be realized. judge. If the endoscope 12 is not “BB-X100”, the setting availability determination unit 122 determines that the setting at the previous inspection cannot be realized. On the other hand, if the observation device 20 is “AA-100” or “AA-80” and the endoscope 12 is “BB-X100”, the setting availability determination unit 122 determines whether or not the previous inspection is performed. It is determined that the setting can be realized.

  The setting availability determination unit 122 provides the determination result to the notification processing unit 124, and the notification processing unit 124 notifies the inspection apparatus 10 of the determination result as notification information. In the embodiment, the notification processing unit 124 notifies message data for displaying the determination result on the display device 40 in the inspection apparatus 10, but notifies the audio data for outputting the determination result by sound from the speaker in the inspection apparatus 10. May be.

Returning to FIG. 2, in the inspection apparatus 10, the notification information acquisition unit 28 acquires notification information from the information management apparatus 100 and provides the notification information to the display processing unit 36. The display processing unit 36 displays a message indicating the determination result on the display device 40 based on the notification information.
FIG. 7 shows an example of a message indicating that the setting at the previous inspection can be realized. By confirming this message, the nurse in the examination room recognizes that the observation apparatus 20 and the endoscope 12 that can be set at the previous examination are prepared.

  FIG. 8 shows an example of a message indicating that the setting at the previous inspection cannot be realized. By confirming this message, the nurse recognizes that the observation device 20 needs to be replaced in order to be able to realize the setting at the previous examination. This message is displayed because the observation apparatus 20 is not “AA-100” or “AA-80”, but is a lower model, for example, “AA-60”. is there. Therefore, the nurse carries the portable “AA-100” or “AA-80” into the examination room or changes the examination room to the examination room where “AA-100” or “AA-80” is installed. To prepare for NBI observation and magnified observation.

  Note that the message example shown in FIG. 8 indicates that the setting at the time of the previous examination cannot be performed by the observation device 20, but if the endoscope 12 is not “BB-X100”, the endoscope 12 uses the previous time. It is shown that the setting at the time of inspection cannot be performed.

  As described above, in the inspection work support system 1, the setting availability determination unit 122 obtains the model information acquired by the model information acquisition unit 116 based on the combination of the observation apparatus and the endoscope stored in the apparatus information storage unit 144. By determining whether the observation apparatus 20 and the endoscope 12 can realize the setting at the previous examination of the same patient before the examination starts, the endoscopic examination is efficiently and smoothly advanced. It becomes possible.

  When the functions of “AA-100” and “AA-80” are compared, since “AA-100” is a higher-level model, the image resolution is higher than “AA-80” and a clear image can be displayed. Prior to the start of re-examination, the doctor confirms the inspection image of the previous inspection. However, if the model used is different between the current inspection and the previous inspection, the sharpness of the image also changes. Therefore, the setting availability determination unit 122 not only determines whether the setting at the previous inspection can be realized in the current inspection, but also notifies the model information of the current inspection and the previous inspection when the setting is possible. 124 may be provided.

  As shown in FIG. 5, the examination information storage unit 142 stores an observation apparatus ID and an endoscope ID in addition to setting information used in the examination in association with the patient ID. The observation device ID and the endoscope ID include the respective model information, and the setting availability determination unit 122 can realize the setting at the time of the previous inspection for the observation device 20 and the endoscope 12 used in the current inspection. If it is determined, the model information of each device in the current inspection is compared with the model information of each device in the previous inspection, and the comparison result is provided to the notification processing unit 124. For example, the comparison result is information indicating whether the model information of the current inspection is the same as the model information at the previous inspection, or whether the model information of the current inspection is higher (new style) or lower (old style) It may be.

  When the determination result and the comparison result are provided from the setting availability determination unit 122, the notification processing unit 124 notifies the inspection apparatus 10 of the determination result and the comparison result as notification information. At this time, the notification processing unit 124 stores information indicating the relationship between the model information of the observation apparatus and the model information of the endoscope in the previous examination, the model information of the observation apparatus 20 and the model information of the endoscope 12 in the current examination, Notification may be included in the notification information.

  FIG. 9 shows an example of a message indicating that the setting at the previous inspection can be realized. In this example, an observation device 20 and an endoscope 12 of the same model as the previous examination are connected, and a message indicating that the setting at the previous examination is possible is displayed.

  FIG. 10 shows an example of a message indicating that the setting at the previous inspection can be realized. In this example, a higher-level observation device 20 than the previous examination is connected, a setting at the time of the previous examination is possible, and a message indicating that an endoscopic image clearer than the previous examination is displayed is displayed. Is done.

  FIG. 11 shows an example of a message indicating that the setting at the previous inspection can be realized. In this example, a lower-level observation device 20 is connected to the previous examination, and a message indicating that an endoscope image that is clearer than the previous examination is displayed can be set at the previous examination. Is done.

  In this way, by notifying the user of the relationship between the model information in the previous inspection and the current inspection, the user can know the relationship between the image of the previous inspection to be confirmed before the inspection and the image in the current inspection. In particular, when the sharpness is lowered in the examination this time, there is an effect that it is possible to raise awareness about performing observation more carefully.

  In the above, this invention was demonstrated based on the Example. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to the combination of each component and each processing process, and such modifications are also within the scope of the present invention. .

  The reason why the setting availability determination unit 122 determines whether or not the setting at the previous inspection can be realized before the start of the inspection is that there is a situation that the follow-up inspection wants to perform the same inspection as the previous inspection. Therefore, if it is not a follow-up inspection, it is not necessary to perform the same inspection as the previous inspection.

  Therefore, the extraction unit 120 does not extract the examination information including the setting information from the examination information storage unit 142 when the examination date of the previous examination of the same patient or the examination type of the previous examination does not satisfy the predetermined condition. The follow-up inspection is performed within a predetermined period of about one month from the previous inspection, so if the period from the previous inspection date to the current inspection date of the same patient exceeds the predetermined period, the current inspection will be followed up. You can see that it is not an inspection. Therefore, the extraction unit 120 does not extract the inspection information at the previous inspection from the inspection information storage unit 142 if the period from the previous inspection date to the current inspection date exceeds a predetermined period.

  Further, since the follow-up inspection performs the same observation as the previous inspection, the inspection type of the endoscopic inspection is the same as the previous inspection. Here, for example, there are upper endoscopy and lower endoscopy, but if the previous examination type is lower endoscopy and the current examination type is upper endoscopy, It turns out that this test is not a follow-up test. Therefore, the extraction unit 120 does not extract the inspection information at the previous inspection from the inspection information storage unit 142 when the inspection types of the previous inspection and the current inspection are different. When the extraction unit 120 operates as described above, the inspection information storage unit 142 needs to store information for specifying the inspection type as inspection information.

  In the embodiment, the inspection information storage unit 142 stores information regarding special light observation and / or magnified observation as setting information, but may also store information regarding setting values of other items. Referring to FIG. 3, for example, when a setting value of “high contrast” is stored for the item of “contrast” of the previous inspection, setting availability determination unit 122 determines that inspection apparatus 10 of the current inspection is “high contrast”. It is determined whether or not the set value can be used. In this case, the device information storage unit 144 shown in FIG. 6 only needs to store a combination of an observation device and an endoscope that can realize the “high contrast” setting. That is, the device information storage unit 144 stores each setting. By storing combinations of observation devices and endoscopes that can be realized for all setting values of the items, the setting availability determination unit 122 is not limited to the setting of special light observation and / or magnification observation, For setting items, it can be determined whether the same setting as the previous inspection can be realized.

  FIG. 12 shows an example of a message indicating that the setting at the previous inspection can be realized. In this example, the examination information storage unit 142 stores setting values relating to the items of “contrast” and “brightness” in addition to the setting of the NBI observation mode and the magnification observation mode as the setting information of the previous examination. ing. Specifically, a setting value of “high contrast” is stored for the “contrast” item, and a setting value of “5” is stored for the “brightness” item.

  The setting availability determination unit 122 can set whether or not the combination of the observation apparatus 20 and the endoscope 12 in the inspection apparatus 10 of this examination can perform NBI observation and magnified observation, and can set “high contrast”. It is determined whether or not “brightness” can be set to “5”. If the setting availability determination unit 122 determines that the setting at the previous inspection can be realized, the determination result is provided to the notification processing unit 124, and the notification processing unit 124 uses the determination result as notification information. Notify In the inspection device 10, the notification information acquisition unit 28 acquires notification information from the information management device 100, and the display processing unit 36 displays the message shown in FIG. 12 on the display device 40.

  As shown in FIG. 12, a message indicating that the setting at the previous inspection can be realized is displayed, and a message for inquiring whether to reflect the setting at the previous inspection on the observation apparatus is also displayed. Here, when the user operates the user interface and selects to reflect (specifically, when “Yes” is selected), the setting receiving unit 30 receives the setting at the previous inspection, and the setting changing unit 32 Then, the setting item is changed to the received setting value at the previous inspection. Here, the item “contrast” is set to “high contrast”, and the item “brightness” is set to “5”. When the setting at the time of the previous inspection is possible in this way, the setting changing unit 32 sets the setting value when the user agrees to reflect the setting at the time of the previous inspection on the current inspection apparatus 10 and to reflect the setting. By automatically changing the setting, it is possible to save the user from performing the setting operation, and to reduce the chance of setting manually by mistake.

DESCRIPTION OF SYMBOLS 1 ... Inspection work support system, 10 ... Inspection apparatus, 12 ... Endoscope, 20 ... Observation apparatus, 22 ... Acquisition part, 24 ... Information acquisition part, 26 ... Image acquisition unit, 26 ... inspection information generation unit, 28 ... notification information acquisition unit, 30 ... setting reception unit, 32 ... setting change unit, 34 ... inspection information generation unit, 36 Display processing unit, 38 ... transmission unit, 40 ... display device, 50 ... image server, 100 ... information management device, 110 ... acquisition unit, 112 ... inspection information acquisition unit, 114 ... Patient information acquisition unit, 116 ... Model information acquisition unit, 120 ... Extraction unit, 122 ... Setting availability determination unit, 124 ... Notification processing unit, 140 ... Storage unit, 142 ... Inspection information storage unit, 144 ... Device information storage unit.

Claims (4)

An examination information storage unit that stores setting information indicating setting values used in an examination apparatus including an observation apparatus and an endoscope in association with patient information;
A device information storage unit for storing a setting to be used in the examination, and a combination of an observation device and an endoscope that can realize the setting;
A patient information acquisition unit for acquiring patient information for starting an examination;
Based on the patient information acquired by the patient information acquisition unit, an extraction unit that extracts setting information indicating a setting value used in the previous examination of the same patient from the examination information storage unit;
Before starting the inspection, the model information acquisition unit for acquiring the model information of the observation apparatus and the model information of the endoscope,
Based on the combination of the observation device and the endoscope stored in the device information storage unit, the observation device having the model information acquired by the model information acquisition unit and the endoscope are indicated by the extracted setting information last time. A setting availability determination unit that determines whether the setting at the time of inspection can be realized;
A notification processing unit for notifying the determination result by the setting availability determination unit;
An inspection work support system characterized by comprising: The examination information storage unit stores the model information of the observation apparatus used in the examination and the model information of the endoscope in association with the patient information,
The notification processing unit has the relationship between the model information of the observation device and the endoscope model information in the previous examination, and the model information of the observation device and the endoscope model information in the current examination acquired by the model information acquisition unit. Notify the information shown,
The inspection work support system according to claim 1, wherein:   The extraction unit does not extract setting information from the examination information storage unit when the examination date of the previous examination of the same patient or the examination type of the previous examination does not satisfy a predetermined condition. The inspection work support system according to 1 or 2.   The examination operation support system according to claim 1, wherein the examination information storage unit stores setting information used in various setting items in the examination apparatus in association with patient information.

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