JP2017117294A - Endoscopic examination operation support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a technique that efficiently notifies persons in charge of examination of post-changed schedule information when reconstructing a schedule in endoscopic examination operations.SOLUTION: An examination schedule holding unit 206 is configured to hold examination schedule information on a plurality of endoscopic examinations. When the examination schedule information is changed due to re-scheduling processing, a change content acquisition unit 182 is configured to acquire a change content of the examination schedule information. A notification destination specification unit 186 is configured to specify a notification destination of the change content on the basis of the change content acquired by the change content acquisition unit 182. A notification timing determination unit 188 is configured to determine a timing notifying the change content on the basis of the specified notification destination. A notification processing unit 190 is configured to notify the notification destination of the change content of the examination schedule information.SELECTED DRAWING: Figure 61

Description

  The present invention relates to an endoscopy work support technology for scheduling an endoscopy work.

  Endoscopy orders (hereinafter also referred to as “examination orders”) are generated in a hospital information system such as an ordering system and issued to an endoscopic department system. The examination order includes order information related to an endoscopic examination, such as examination identification information (examination ID), patient identification information (patient ID), examination type information, examination doctor identification information (doctor ID), and examination room information. Is included. In a medical facility, a daily inspection schedule in an endoscopic department is created by a plurality of inspection orders.

  Patent Document 1 discloses a technique for determining whether or not a scope to be used in each inspection is insufficient according to an inspection start time specified by the inspection schedule and a cleaning end time specified by the cleaning schedule. .

  In Patent Document 2, an endoscope processor transmits inspection progress information indicating a progress status in an endoscopic inspection to a cleaning management server, and the cleaning management server cleans a used endoscope with a cleaning machine based on the inspection progress information. Estimating the estimated use time of the washing machine set in the machine, calculating the washing machine start time a predetermined time before the estimated estimated use time of the washing machine, and setting the washing machine to off or sleep mode when waiting for the washing machine, Disclosed is an endoscope cleaning machine management system that controls a cleaning machine to start at a cleaning machine start time during a cleaning operation.

JP 2010-39560 A JP 2009-254682 A

  In a medical facility, it is preferable that examination schedules and cleaning schedules are appropriately set, and medical workers including doctors perform inspection-related work and cleaning-related work according to the respective schedules.

  However, even if the inspection schedule and the cleaning schedule are set in advance, when the inspection work is actually started, it may not proceed as scheduled. For example, if the inspection takes longer than the scheduled time, it goes without saying that the subsequent schedule is distorted. Also, if the outpatient's arrival at the medical facility is delayed, the pretreatment of the test will not be in time for the scheduled start time of the test, or if the patient cannot come to the medical facility in the first place, and the test itself will be cancelled. There are various cases where the inspection work does not proceed.

  Also, if the endoscope scheduled to be used in the examination schedule breaks down or the doctor in charge becomes unable to take charge of the examination due to an unexpected reason, the examination work does not proceed as scheduled. Furthermore, when trouble occurs in the cleaning machine and the endoscope cleaning is not completed within the scheduled time, there may be a delay in the inspection for which the endoscope is scheduled to be used and the subsequent cleaning schedule. Therefore, it is preferable that the rescheduling process is executed according to the actual conditions of the examination, doctor, endoscope, washing machine, etc., and the examination schedule and the washing schedule are appropriately reviewed.

  Prior to the start of the day's inspection work, the medical staff checks the schedule by looking at the schedule table for the day. If rescheduling processing is executed due to various circumstances after the start of work, and the examination schedule and / or cleaning schedule is changed, the schedule that the medical staff knows will be shifted, so the change contents will be notified by some means It is preferable. For example, if the schedule for the current day is displayed on a large monitor, it is possible to notify the schedule change by highlighting the schedule information that has changed, but the person in charge affected by the change will be notified by the large monitor. Since it is not always possible to see this, it is desirable to realize a means for efficiently notifying the person in charge of the contents of the schedule change.

  The present invention has been made in view of such a situation, and an object of the present invention is to provide a technique for efficiently notifying a person in charge of schedule information after a change when a schedule is reconfigured in an endoscopic examination operation. is there.

  In order to solve the above problems, an endoscopic examination work support system according to an aspect of the present invention is examination schedule information for a plurality of endoscopic examinations, which includes an examination room, patient identification information, and doctor-in-charge identification information. When the inspection schedule information is changed by the rescheduling process, the inspection schedule holding unit that holds the inspection schedule information having the inspection start scheduled time information, the inspection end scheduled time information, and the inspection type information as elements. Based on the change content acquisition unit that acquires the change content of the examination schedule information, the change content acquired by the change content acquisition unit, the notification destination specifying unit that specifies the notification destination of the change content, and the specified notification destination, A notification timing determination unit that determines the timing for notifying the contents of change, and change of inspection schedule information to the specified notification destination at the determined timing Comprising a notification processing unit for notifying containers, the.

  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, when a schedule is reconfigure | reconstructed in endoscopy work, the technique which notifies a person in charge of the schedule information after a change efficiently can be provided.

It is a figure which shows the structure of the endoscopy work support system concerning embodiment of this invention. It is a figure for demonstrating the virtual status of the scope set during preparation of schedule information. It is a figure which shows the structure of the information management apparatus which produces | generates the schedule information of a scope. It is a figure which shows an example of the produced | generated test schedule. It is a figure which shows an example of a test | inspection classification master table. It is a figure which shows an example of an possession scope master table. It is a figure which shows the basic flowchart which produces | generates the schedule information of a scope. It is a figure which shows the detailed flowchart of the extraction process of the allocation object test | inspection shown to S16 of a basic flowchart. It is a figure which shows the detailed flowchart of the scope allocation process shown to S18 of a basic flowchart. It is a figure which shows the detailed flowchart of the status specific process of S50. It is a figure which shows the detailed flowchart of the search process of the scope of S52. It is a figure which shows the test | inspection schedule updated by the test | inspection schedule management part. It is a figure which shows the detailed flowchart of the washing machine allocation process shown to S20 of a basic flowchart. It is a figure which shows the cleaning schedule produced | generated by the cleaning schedule management part. It is a figure which shows the schedule information of the individual of a scope. It is a figure which shows the cleaning schedule produced | generated by the test | inspection schedule produced | generated by the test | inspection schedule management part, and the washing | cleaning schedule management part. It is a figure which shows the cleaning schedule produced | generated by the test | inspection schedule produced | generated by the test | inspection schedule management part, and the washing | cleaning schedule management part. It is a figure which shows the cleaning schedule produced | generated by the test | inspection schedule produced | generated by the test | inspection schedule management part, and the washing | cleaning schedule management part. It is a figure which shows the separate schedule of a scope. It is a figure which shows the cleaning schedule produced | generated by the test | inspection schedule produced | generated by the test | inspection schedule management part, and the washing | cleaning schedule management part. It is a figure which shows the individual schedule of the scope for 1 day. It is a figure which shows the scope order table hold | maintained at the scope order holding part. FIG. 10 is a diagram illustrating a detailed flowchart of scope search processing according to the first embodiment. It is a figure which shows the usage status table memorize | stored in the usage status memory | storage part. It is a figure which shows the detailed flowchart of S56 in the scope allocation process shown in FIG. It is a figure which shows the washing machine order | rank table hold | maintained at the washing machine order | rank holding | maintenance part. It is a figure which shows the detailed flowchart of S110 in the washing machine allocation process shown in FIG. It is a figure which shows the detailed flowchart of S114 in the washing machine allocation process shown in FIG. It is a figure which shows the cleaning schedule produced | generated by the cleaning schedule management part in Example 3. FIG. It is a figure which shows the priority scope table memorize | stored in the allocation scope information holding part. It is a figure which shows the detailed flowchart of S56 in the scope allocation process shown in FIG. It is a figure which shows the test | inspection schedule updated by the test | inspection schedule management part. It is a figure which shows an example of the usage history information displayed on a terminal device. It is a figure which shows an example of the usage history information displayed on a terminal device. It is a figure which shows the priority person in charge table memorize | stored in the assignee person information holding part. It is a figure which shows the flowchart of a person-in-charge assignment process. It is a figure which shows the cleaning schedule produced | generated by the cleaning schedule management part. It is a figure which shows the cleaning schedule updated by the cleaning schedule management part. It is a figure which shows an example of the washing | cleaning log | history information displayed on a terminal device. It is a figure which shows an example of the washing | cleaning log | history information displayed on a terminal device. It is a figure which shows the example of an inspection schedule and a cleaning schedule. It is a figure which shows an example of an possession scope master table. It is a figure which shows the structure of the process part provided with the function to perform a rescheduling process. It is a figure which shows the example which the actual test | inspection was delayed rather than the schedule. It is a figure which shows the state which delayed the test start scheduled time and test | inspection completion scheduled time of a test | inspection. It is a figure which shows the state which delayed the test start scheduled time and test | inspection completion scheduled time of a test | inspection. It is a figure which shows the state which delayed the cleaning start scheduled time and cleaning completion scheduled time of cleaning. It is a figure which shows the test | inspection schedule table | surface and cleaning schedule table | surface displayed on a display. It is a figure which shows the state which the user designated inspection start scheduled time. It is a figure which shows the inspection schedule and cleaning schedule which performed the rescheduling process. It is a figure which shows the state which deleted the test | inspection E22 from the test | inspection schedule. FIG. 20 is a diagram illustrating a flowchart of reservation advance processing in the eighth embodiment. It is a figure which shows the detailed flowchart of the candidate test | inspection extraction process shown to S302. It is a figure which shows the detailed flowchart of the advance inspection specific process shown to S306. It is a figure which shows the state which moved the test | inspection E24 to the vacant time frame. It is a figure which shows the state which moved the test | inspection E26 to the free time frame. It is a figure which shows the state which moved the test | inspection E28 to the free time frame. It is a figure which shows the reconfigure | reconstructed inspection schedule. It is a figure which shows the reconfigure | reconstructed cleaning schedule. It is a figure which shows the example of a layout of the medical facility in which endoscopy is implemented. It is a figure which shows the structure for implement | achieving the function which notifies the change content of a schedule. It is a figure which shows the change log | history of the test | inspection schedule information hold | maintained at the test | inspection change log | history holding part. It is a figure which shows a person in charge table. It is a figure which shows a doctor's test schedule. It is a figure which shows the display content displayed on a doctor's portable terminal. It is a figure which shows the display content displayed on a portable terminal of a nurse. It is a figure which shows the change log | history of the cleaning schedule information hold | maintained at the washing | cleaning change log | history holding part. It is a figure which shows the display content displayed on the mobile terminal of a cleaning staff.

  FIG. 1 is a diagram showing a configuration of an endoscopic examination work support system 1 according to an embodiment of the present invention. The endoscopic examination work support system 1 is a system for supporting an endoscopic examination work, and appropriately schedules a use schedule and a washing schedule of an individual of an endoscope (hereinafter also simply referred to as a “scope”) 30. Realize the function to do. The endoscope inspection work support system 1 includes an information management device 10, a terminal device 12, a storage 14, an endoscope observation device 22a to 22d, and a first cleaning device 50a to a fourth cleaning device 50d, which are LAN ( Interconnected by a network 2 such as a local area network.

  An endoscope observation apparatus is installed in each of the plurality of examination rooms. In this example, the first examination room 20a is the endoscope observation apparatus 22a, the second examination room 20b is the endoscope observation apparatus 22b, the third examination room 20c is the endoscope observation apparatus 22c, and the fourth examination room. 20d includes an endoscope observation device 22d. In medical facilities, laboratories are often used separately for upper examinations and lower examinations. In the example shown in FIG. 1, the first examination room 20a, the second examination room 20b, and the third examination room 20c are used for the upper examination, and the fourth examination room 20d is used for the lower examination. Hereinafter, when the first examination room 20a to the fourth examination room 20d are not particularly distinguished, they may be referred to as “examination room 20”, and when the endoscope observation apparatuses 22a to 22d are not particularly distinguished, It may also be referred to as “endoscopic observation device 22”. A scope 30 is connected to the endoscope observation apparatus 22, and an endoscopy is performed by a doctor.

  Medical facilities such as large hospitals and endoscope centers have a variety of endoscopes (scopes) to carry out many endoscopic examinations a day, and have multiple individuals for frequently used models. I own it. For example, scope models for upper examinations include upper routine machines used for routine examinations, upper high-resolution machines that can provide high-resolution images, upper nasal machines inserted from the nostrils, and fine blood vessels on the mucosal surface. There are an upper magnifier that can observe a running pattern, a structure pattern by a gland duct, and the like, an upper treatment machine that has a treatment function, and the like. In addition, the scope model for the lower examination includes a lower routine machine used for routine examination, a lower enlargement machine capable of observing a fine blood vessel running form on the mucosal surface, a structure pattern by a gland duct, etc., and a lower part having a treatment function. There are treatment machines. In medical facilities, owned scopes are registered and managed in a database.

  In the cleaning chamber 40, a plurality of cleaning machines are installed. In this example, a first cleaning machine 50a, a second cleaning machine 50b, a third cleaning machine 50c, and a fourth cleaning machine 50d are provided. Hereinafter, when the first cleaning machine 50a to the fourth cleaning machine 50d are not particularly distinguished, they may be referred to as “cleaning machines 50”. In this example, four cleaning machines 50 are installed in one cleaning chamber 40, but they may be distributed in a plurality of cleaning chambers.

  The cleaning machine 50 generally uses different chemical solutions for cleaning depending on the model. For example, typical chemicals used for cleaning are peracetic acid, phthalal, strongly acidic electrolyzed water, and the like, and the cleaning machine 50 is designed to use only a predetermined chemical solution. That is, the type of the cleaning machine 50 and the chemical solution to be used are associated one-to-one, and it is not recommended that the cleaning machine 50 use a chemical solution other than the predetermined chemical solution. In addition, the cleaning time may vary depending on the model of the cleaning machine 50, and thus the cleaning machine 50 has model-specific characteristics.

  The storage 14 stores the scope 30. Prior to the start of the day's endoscopic inspection work, all the scopes 30 are stored in the storage 14, and an inspection preparation person such as an engineer takes out the scope 30 from the storage 14 and carries it to the inspection room 20. , Connected to the endoscope observation apparatus 22. When the examination by the doctor is completed, the examination preparation person carries the used scope 30 to the washing room 40, puts it in the washing tank of the washing machine 50, performs washing, and carries the washed scope 30 to the examination room again. The doctor reuses it for new tests.

  In a medical facility, an individual name for distinguishing from an individual is generally given to an individual of the scope 30. For example, since the same type of scope 30 has the same shape, an individual name is assigned and managed. A sticker or the like on which the individual name is printed is affixed to the scope 30 so that it can be distinguished by the individual name, so that the doctor and the examination preparation person can distinguish each individual. In recent years, an RFID tag or the like is built in the endoscope body, and each individual is electronically identified when the endoscope observation apparatus 22 is connected to the camera control unit (CCU) or by reading using a tag reading means. It can be done. For such a scope 30, the same distinction as when a seal is used is obtained by acquiring individual identification information in the RFID tag at the time of connection to the CCU or before or after the start of cleaning in the cleaning machine. It is possible to

  The endoscopic examination work support system 1 of the embodiment sets schedule information that determines which examination is used and which washing machine is used for each individual of the scope 30. Thereby, the inspection preparation person can know which inspection room 20 should be carried in and which cleaning machine 50 should be used for cleaning by looking at the schedule information. At that time, the examination preparation person can appropriately move and clean the scope 30 in accordance with the schedule information based on the individual name printed on the sticker attached to the scope 30.

  The schedule information of the scope 30 is generated by the information management apparatus 10. The generation timing of the schedule information is before the start of the daily endoscopic examination work, and the examination preparation person can determine the handling of the scope 30 by looking at the schedule information displayed on the screen of the terminal device 12. The terminal device 12 may be a stationary personal computer. The endoscopy work support system 1 may have a large display that anyone can see, and schedule information may be displayed on the large display.

  A medical worker such as a doctor or a test preparation person has the portable terminal 60 and can receive a necessary notification from the information management apparatus 10. The portable terminal 60 may be a portable terminal device such as a PDA (Personal Digital Assistant) or a tablet, and is connected to an access point (hereinafter also referred to as “AP”) 3 installed in a medical facility. A wireless LAN is constructed so that data can be transmitted to and received from the information management apparatus 10. A mobile terminal 60 is lent to each medical worker in the facility, and the mobile terminal 60 and the medical worker are managed in association with each other. Therefore, when transmitting information to a specific medical worker, the information management apparatus 10 can specify the mobile terminal 60 associated with the medical worker and transmit necessary information to the mobile terminal 60.

  When the information management apparatus 10 generates schedule information, the information management apparatus 10 determines which scope 30 is assigned to an examination that is scheduled to start at a certain timing. Naturally, the scope 30 cannot be assigned to the examination. Therefore, the information management apparatus 10 sets a virtual status for each scope 30 during the scheduling process so that the status of each scope 30 can be confirmed at an arbitrary timing.

  FIG. 2 is a diagram for explaining a virtual status of the scope 30 set during creation of schedule information. The scope 30 takes one of the statuses of “in use” (ST1), “used” (ST2), “cleaning” (ST3), and “waiting” (ST4). The arrows shown in FIG. 2 indicate the status transition direction. The information management apparatus 10 grasps the statuses of all the scopes 30 at an arbitrary timing, and assigns an appropriate scope 30 to the examination at the timing.

  In the four statuses shown in FIG. 2, the scope 30 that can be assigned to the examination is a scope whose status is “waiting”, and a scope 30 in another status cannot be assigned to the examination. Note that the status of the scopes 30 stored in the storage 14 is “standby”. Therefore, it is assumed that the statuses of all the scopes 30 are “standby” when the schedule information generation process is started. And

  FIG. 3 shows a configuration of the information management apparatus 10 that generates schedule information of the scope 30. The information management apparatus 10 includes a processing unit 100 and a storage unit 200. The processing unit 100 includes an inspection schedule management unit 110, a first allocation processing unit 120, a cleaning schedule management unit 130, a second allocation processing unit 140, and a display processing unit. 150, a display content deriving unit 152, a period specifying unit 154, a usage status monitoring unit 160, and a history management unit 162.

  Each configuration of the information management apparatus 10 can be realized in hardware by a CPU, memory, or other LSI of an arbitrary computer, and is realized in software by a program loaded in the memory. Describes functional blocks realized by collaboration. Therefore, 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.

  The examination order is generated in an in-hospital information system such as an ordering system and issued to the endoscope department system. The information management device 10 obtains a one-day examination order generated in the in-hospital information system before the start of the daily endoscopic examination work, and uses each individual of the scope 30 owned in the medical facility. Schedule appointments and cleaning schedules. The acquired inspection order for one day is stored in the order information storage unit 202. For example, the scheduling timing may be before the first inspection on the inspection day or after the inspection work on the previous day, and in any case, the timing when the inspection order for one day is confirmed. If it is.

  The examination order includes order information related to endoscopy such as scheduled examination start time information, scheduled examination end time information, patient identification information (patient ID), examination type information, examination doctor, examination room, and the like. In the endoscopic examination work support system 1 shown in FIG. 1, the first examination room 20a, the second examination room 20b, and the third examination room 20c are used for the upper examination, and the fourth examination room 20d is used for the lower examination. Therefore, any one of the first examination room 20a, the second examination room 20b, and the third examination room 20c is assigned as the examination room to the upper examination order. The fourth inspection room 20d is assigned to the lower inspection order.

  At the start of the scheduling process, the inspection schedule management unit 110 first acquires a plurality of pieces of order information for one day from the order information storage unit 202, and generates an inspection schedule. Specifically, the examination schedule management unit 110 includes an examination room for performing an endoscopic examination, examination start scheduled time information and examination termination scheduled time information, examination type information regarding examination contents of the endoscopy, and a doctor in charge. Generate and manage multiple endoscopic examination schedules, including The inspection schedule management unit 110 stores the generated inspection schedule in the inspection schedule holding unit 206. Thereafter, as will be described below, the inspection schedule management unit 110 registers the information of the scope 30 assigned by the first assignment processing unit 120 for each inspection in the inspection schedule, and updates the inspection schedule.

  FIG. 4 shows an example of the generated inspection schedule. When the order information is acquired from the order information storage unit 202, the inspection schedule management unit 110 sets inspection numbers in order from the earliest inspection start time. In FIG. 4, the number of examinations for one day is 41, and examination numbers are set as E1 to E41 for each examination. Here, the examination schedule of examination number E1 is that the examination room is the first examination room 20a, the scheduled examination start time is 9:00, the scheduled examination end time is 9:10, the examination type is “upper routine examination”, and the doctor in charge “ “Doctor B” is shown.

  In the present embodiment, the inspection schedule shown in FIG. 4 is automatically derived from a plurality of inspection orders for one day, but the order information includes scheduled inspection start time information, scheduled inspection end time information, When information on the doctor in charge and the examination room is not included, the examination schedule management unit 110 may generate an examination schedule.

  For example, the storage unit 200 includes an examination type master table that stores the scheduled examination time for each examination type, a doctor in charge master table that stores the doctor in charge, and examination conditions that are performed in the examination room (that is, an upper examination or a lower examination). Information specifying whether or not). The examination order includes patient identification information (patient ID) and examination type information. When the examination schedule management unit 110 obtains the examination order for one day, the examination type master table, the responsible doctor master table, and An inspection schedule is generated with reference to the inspection conditions.

  FIG. 5 shows an example of the examination type master table 210. The scheduled examination time is recorded in the examination type master table 210 for each examination type. When patient identification information (patient ID) and examination type information are included in the examination order, the examination schedule management unit 110 first refers to examination type information of each examination included in the examination order for each examination room. Assign one test. Here, referring to the examination conditions of the examination room, if the examination type information designates the upper examination, the examination is assigned to one of the first examination room 20a, the second examination room 20b, and the third examination room 20c. If the allocation and examination type information specifies the lower examination, the examination is assigned to the fourth examination room 20d. The inspection schedule management unit 110 sets a predetermined preparation time (for example, 5 minutes) as an interval between inspections.

  In the examination type master table 210, for example, the examination scheduled time of the “upper routine examination” of the examination type number 1 is 10 minutes, and the examination scheduled time of the “upper nasal examination” of the examination type number 2 is 15 minutes. Something is recorded. The scheduled inspection time of “lower routine inspection (3 years experience)” of inspection type number 16 is set to be 5 minutes longer than the scheduled inspection time of “lower routine inspection” of inspection type number 9, When a doctor (young doctor) with less than 3 years of experience inspects, the fact that it takes about 5 minutes more than a doctor (experienced doctor) with more than 3 years of experience is incorporated as a scheduled time in advance. It may be set in the doctor-in-charge master table that the young doctor needs more time than the experienced doctor. The examination schedule management unit 110 assigns one examination to each examination room 20 according to the examination type master table 210, and sets the scheduled examination start time and scheduled examination end time.

  Next, the doctor assigning unit 129 in the first assignment processing unit 120 assigns a doctor to the examination in each examination room 20. At this time, the doctor assigning unit 129 assigns the doctor in charge to the examination so that the same doctor in charge does not overlap in the same time zone. As described above, the examination schedule management unit 110 assigns one examination to each examination room 20, and the doctor assignment unit 129 assigns a doctor to the assigned examination, thereby generating an examination schedule. When the doctor assigning unit 129 assigns a doctor to an examination, the examination schedule management unit 110 refers to examination type information of each examination included in an unprocessed examination order, and again assigns one examination for each examination room. The assigning unit 129 assigns a doctor to the assigned examination. By repeating this, the inspection schedule shown in FIG. 4 is generated.

  In the inspection schedule shown in FIG. 4, the scheduled inspection time for the lower routine inspection indicated by inspection number E12 is set to 20 minutes. This is because when the doctor E is assigned to the lower routine examination indicated by the examination number E12 by the doctor assigning unit 129, the doctor E is a young doctor with less than 3 years of experience, so the scheduled time of the examination indicated by the examination number E12 It is set 5 minutes longer than the scheduled inspection time (15 minutes) of the normal lower routine inspection. When the examination schedule management unit 110 assigns the lower routine examination indicated by examination number E12 to the fourth examination room 20d, the doctor assignment unit 129 sets the examination scheduled time to 15 minutes as usual and the doctor assignment unit 129 performs the examination. On the other hand, when the doctor E is assigned, the examination schedule management unit 110 refers to the examination scheduled time of examination type number 16 shown in FIG. Set.

  As described above, when the order information does not include laboratory information, scheduled examination start time information, scheduled examination end time information, doctor information in charge, etc., the examination schedule management unit 110 assumes that the scope 30 is assigned to the examination. By referring to the examination type master table 210 and the like as described above, the examination room to perform the examination, the scheduled examination start time, and the scheduled examination end time are set, and the doctor assigning unit 129 assigns the doctor to the examination. The processing unit 100 may have a function of automatically generating an inspection schedule.

  The owned scope information storage unit 220 stores information and data related to the scope 30 owned by the medical facility, and includes an owned scope master table 222, a usage status storage unit 224, a washing machine rank holding unit 226, and an assigned scope information holding unit 228. An assignee information holding unit 230 and a history recording unit 232. The owned scope master table 222 is a database for managing the scope 30 owned by the medical facility, and information on all the scopes 30 owned by the medical facility is registered.

  FIG. 6 shows an example of the owned scope master table 222. The owned scope master table 222 registers an endoscope number set in a medical facility, a model name, and an individual name in the medical facility in association with each other. Here, as the scope model for the upper examination, the upper routine machine used for routine examination, the upper high image quality machine that can provide high-resolution images, the upper nasal machine inserted from the nostril, and the movement of minute blood vessels on the mucosal surface An upper magnifying machine that can observe the form, a structure pattern by a gland duct, and the like, and an upper treatment machine that has a treatment function are registered.

  In the medical facility, six upper routine machines are owned, and each of them is G-R-1, G-R-2, G-R-3, G-R-4, G-R-5, G-R-6. The individual name is attached. In addition, there are three upper picture quality machines, each of which is named GH-1, GH-2, GH-3, and one upper nasal machine is owned by G -N-1 individual name is attached, two upper magnifiers are owned, GZ-1, GZ-2 individual names are attached, and two upper treatment machines are owned , The individual names of GT-1 and GT-2 are given respectively.

  In addition, the scope model for the lower examination includes a lower routine machine used for routine examination, a lower enlargement machine capable of observing a fine blood vessel running form on the mucosal surface, a structure pattern by a gland duct, etc., and a lower part having a treatment function. The treatment machine is registered. Three lower routine machines are owned, and individual names C-R-1, C-R-2, and C-R-3 are assigned to them respectively. One lower expansion machine is owned, and C-Z- 1 individual name is attached, one lower treatment machine is owned, and an individual name of CT-1 is attached.

  Each scope 30 is affixed with a tape or the like on which each individual name is printed, so that a doctor or a test preparation person can identify the individual visually. The means for identifying and displaying the individual is not limited to tape, but particularly when there are a plurality of scopes 30 of the same model, an allowance that allows the individual to be identified visually so that it can be distinguished within the same model. It is preferable that

  Hereinafter, the process which produces | generates the schedule information of the scope 30 is demonstrated. Note that generating the schedule information of the scope 30 means that the scope 30 is assigned to the inspection, and the scope 30 used for the inspection is assigned to the cleaning machine. As a result, the inspection schedule and the cleaning schedule are generated. The schedule of the individual of the scope 30 is also generated.

  FIG. 7 shows a basic flowchart for generating schedule information of the scope 30. The examination schedule management unit 110 acquires a plurality of pieces of order information for one day from the order information storage unit 202 (S10). The inspection schedule management unit 110 refers to the inspection start scheduled times of the plurality of pieces of order information, sets inspection numbers in order from the earliest inspection start time (S12), and generates an inspection schedule (S14). For a plurality of inspections having the same inspection start scheduled time, inspection numbers may be set in order from the smallest inspection room number. The inspection room numbers are set to “1” for the first inspection room 20a, “2” for the second inspection room 20b, “3” for the third inspection room 20c, and “4” for the fourth inspection room 20d. . The examination schedule generated in S14 is as shown in FIG. 4, and the time axis is the vertical axis and the examination room is the horizontal axis, within the time frame specified by the scheduled examination start time information and scheduled examination end time information. Will be assigned an inspection order.

  Note that the scheduled examination start time information and the scheduled examination end time information may be information on the time itself indicating the hour or minute, but may also indicate a time zone in increments of five minutes. For example, in the endoscopy department, when scheduling is performed with 5 minutes as one unit, the examination start scheduled time information and the examination end scheduled time information are respectively scheduled to start the examination on the basis of a frame having 5 minutes as one unit. The time and the scheduled end time of the inspection may be specified.

  The schedule information of the scope 30 is generated by assigning the scope 30 to the examination in the examination schedule and assigning a washing machine that performs washing after the scheduled examination end time to the assigned scope 30. For this reason, first, a process for extracting an examination to which a scope 30 is assigned in each examination room is executed (S16). When examinations in each laboratory are extracted by the assignment target examination extraction process, a process for assigning the scope 30 is executed by the first assignment processing unit 120 for the extracted examinations (S18). When the scope 30 is assigned to the inspection by the scope assignment processing, the information of the assigned scope 30 is registered in the inspection schedule, and subsequently, the washing machine 50 for cleaning is assigned to the assigned scope 30. The process is executed by the second allocation processing unit 140 (S20). Information on the cleaning machine 50 assigned to the scope 30 is registered in the cleaning schedule. Steps S16 to S20 are repeated until completion for all examinations (N in S22), and when the allocation process is completed for all examinations (Y in S22), the scheduling process of the scope 30 ends.

  When steps S <b> 16 to S <b> 20 are executed, the scope 30 is assigned to the examination in each examination room 20, and the cleaning machine 50 is assigned to the assigned scope 30. When the use schedule and the cleaning schedule of the scope 30 are determined in this way, the second assignment processing unit 140 to which the cleaning machine 50 is assigned has processed flags for the inspection number of the inspection to which the scope 30 is assigned. Set. The first assignment processing unit 120 that assigns the scope 30 to the inspection refers to the flags of the inspection numbers and executes the steps of S16 until all the inspection number flags have been processed (N in S22). If the inspection number flag is already processed (Y in S22), the scheduling process of the scope 30 is terminated without returning to the step of S16.

  Returning to FIG. 3, the first assignment processing unit 120 performs a process of assigning the scope 30 to the examination in the examination schedule. Specifically, the first assignment processing unit 120 has a function of executing steps S16 and S18 in the basic flowchart, and includes an examination extracting unit 122, a scope specifying unit 124, a scope assigning unit 126, a scope assignability checking unit 128, and a doctor. An allocation unit 129 is provided. As described above, the doctor assigning unit 129 is in charge of the process of assigning the doctor to the examination when the examination schedule is generated.

  FIG. 8 shows a detailed flowchart of the allocation target examination extraction process shown in S16 of the basic flowchart. In the first assignment processing unit 120, the examination extracting unit 122 extracts the examination that has not yet been assigned the scope 30 and has the earliest scheduled examination start time among the examinations of each examination room 20 in the examination schedule (S30). . In the examination schedule shown in FIG. 4, the scope 30 is not yet assigned to any examination, and thus the examination extraction unit 122 extracts the examination with the earliest examination start time in each examination room 20. Here, the inspection number E1 from the first inspection room 20a, the inspection number E2 from the second inspection room 20b, the inspection number E3 from the third inspection room 20c, and the inspection number from the fourth inspection room 20d. Extract E4 exam. Hereinafter, for convenience of explanation, the inspection with the inspection number E1 may be referred to as “inspection E1”, the inspection with the inspection number E2 may be referred to as “inspection E2”, and the like.

  Subsequently, the inspection extraction unit 122 sets “N = 1” (S32), and the inspection start scheduled time of the inspection next to the inspection extracted from the inspection room other than the Nth inspection room is extracted from the Nth inspection room. It is determined whether or not it is later than the scheduled inspection start time (S34). Here, the examination start scheduled time of the examination E1 extracted from the first examination room 20a and the examinations following the examinations E2, E3, E4 extracted from the second examination room 20b, the third examination room 20c, and the fourth examination room 20d. That is, by comparing the inspection start scheduled times of the inspections E6, E7, and E8, it is determined whether all the inspection start scheduled times of the inspections E6, E7, and E8 are later than the inspection start scheduled time of the inspection E1. The In the inspection schedule shown in FIG. 4, since all the inspection start scheduled times of inspections E6, E7, and E8 are later than the inspection start scheduled time of inspection E1 (Y in S34), the inspection extracting unit 122 It is specified as an examination to be assigned the scope 30 (S36). If any one of the scheduled inspection start times of the examinations E6, E7, and E8 is earlier than the scheduled examination start time of the examination E1 (N in S34), the examination extracting unit 122 performs the examination E1 as follows. The scope 30 is excluded from the examination to be assigned (S38).

  Subsequently, it is determined whether N is the same as the total number of examination rooms (in this example, the total number of examination rooms = 4) (S40). If N has not reached the total number of examination rooms (N in S40), N is incremented by one. (S42), the process returns to S34.

  In S34, the examination start scheduled time of the examination E2 extracted from the second examination room 20b and the examinations E1, E3, and E4 extracted from the first examination room 20a, the third examination room 20c, and the fourth examination room 20d. The test, that is, the test start times of the tests E5, E7, and E8 are compared to determine whether all the test start times of the tests E5, E7, and E8 are later than the test start time of the test E1. Is done. In the inspection schedule shown in FIG. 4, since all the inspection start scheduled times of inspections E5, E7, and E8 are later than the inspection start scheduled time of inspection E2 (Y in S34), the inspection extracting unit 122 It is specified as an examination to be assigned the scope 30 (S36).

  As described above, the determination process in S34 is executed for all examinations extracted from each examination room 20 in S30. Here, all examinations with examination numbers E1, E2, E3, and E4 extracted from each examination room 20 in S30 are identified as examinations to which the scope 30 is assigned (S36), and N is the total number of examination rooms at that time. (Y in S40), the allocation target examination extraction process ends. Referring to the basic flowchart shown in FIG. 7, when the extraction process of the allocation target examination in S16 is completed, the scope allocation process in S18 is started.

  FIG. 9 shows a detailed flowchart of the scope assignment process shown in S18 of the basic flowchart. In the first assignment processing unit 120, the scope assignment unit 126 assigns a scope to be used from among a plurality of owned scopes 30 to each endoscopic examination managed by the examination schedule management unit 110. Do.

  As a premise for performing this scope assignment processing, first, the scope identifying unit 124 identifies the statuses of all the scopes 30 at the scheduled start time of the examination extracted as the scope assignment target (S50). As described with reference to FIG. 2, the status of the scope 30 is specified by any one of ST1 to ST4.

  FIG. 10 shows a detailed flowchart of the status specifying process in S50. First, the scope specifying unit 124 sets the scheduled test start time of the test to be assigned (S70). Since the scheduled inspection start times of the inspections E1 to E4 are all 9:00, the time is set to 9:00 here. The scope specifying unit 124 specifies the status at the set time of all scopes of endoscope numbers 1 to 19 recorded in the owned scope master table 222.

  With reference to the schedule information of the scope 30, if the set time (9:00) is within the allocated examination time (Y in S72), the status of the scope 30 is identified as “in use”. (S74). If the set time is outside the inspection time (N in S72) and after the assigned inspection is completed and before the cleaning is started (Y in S76), the status of the scope 30 is identified as “used”. (S78). If the set time is not after the end of the inspection but before the start of cleaning (N in S76) and within the cleaning time (Y in S80), the status of the scope 30 is specified as “being cleaned” (S82). . If the set time is not within the cleaning time (N in S80), the status of the scope 30 is specified as “standby” (S84). As described above, the scope specifying unit 124 can identify which scope is “standby”, that is, an assignable scope, at the scheduled start time of the inspection by specifying the status at the set time for all the scopes.

  Returning to FIG. 9, the scope specifying unit 124 executes a search process of the owned scope and specifies the usable scope 30 (S <b> 52). Here, the scope specifying unit 124 executes the search process by focusing on the scope specified as “standby” in S50. Scopes 30 with statuses other than “waiting”, that is, “in use”, “used”, and “cleaning” status cannot be assigned to the inspection at that time. Increases efficiency.

  FIG. 11 shows a detailed flowchart of the scope search process in S52. The scope specifying unit 124 executes search processing for all the scopes 30 that have a status of “standby”. Here, the scope specifying unit 124 specifies the examination type of the examination to be assigned. Here, the scheduled examination start times of all examinations E1 to E4 to be assigned are 9:00, and it is specified in S50 that the statuses of all scopes 30 are “standby” at 9:00. Yes. Therefore, the scope identifying unit 124 determines whether or not the scope 30 having the “standby” status corresponds to the examination type for each of the examinations E1, E2, E3, and E4 (S90).

  In the embodiment, the scope specifying unit 124 specifies the usable scope 30 based on the examination type information of the endoscopic examination to be assigned. In the embodiment, the inspection type is distinguished depending on whether it is an upper inspection or a lower inspection. Therefore, in S90, when the inspection type information of the inspection indicates the upper inspection, it is determined that the upper inspection scope is compatible and the lower inspection scope is not compatible. Similarly, when the inspection type information of the inspection indicates a lower inspection, it is determined that the lower inspection scope is compatible and the upper inspection scope is not compatible.

  Referring to the owned scope master table 222 shown in FIG. 6 and the examination schedule shown in FIG. 4, the scope specifying unit 124 is an endoscope that is an upper examination scope for the upper examinations of examination numbers E1, E2, and E3. The scopes having the mirror numbers 1 to 14 are determined as candidate scopes (S92). On the other hand, the scopes having the endoscope numbers 15 to 19, which are lower inspection scopes, cannot be assigned to the examinations having the examination numbers E1, E2, and E3. Determine (S94). Further, the scope specifying unit 124 determines the scopes of the endoscope numbers 15 to 19, which are the lower inspection scopes, as candidate scopes for the lower inspection of the inspection number E4 (S92). A scope with a certain endoscope number 1 to 14 is determined to be unassignable to the examination with examination number E4 (S94). The scope specifying unit 124 notifies the scope assigning unit 126 of the correspondence between the specified candidate scope and the examination number.

  Returning to FIG. 9, the scope assigning unit 126 assigns a scope 30 to be used to each examination managed by the examination schedule management unit 110 based on the candidate scope identified by the scope identifying unit 124. Specifically, the scope assignment unit 126 assigns one of the candidate scopes specified by the scope specification unit 124 to the endoscopy. In the following example, among the plurality of candidate scopes, the endoscope scopes set in the possessing scope master table 222 shown in FIG. 6 are assigned to the examinations, but the order is limited to this order. Not intended.

  First, the scope assigning unit 126 determines that there is a scope that can be assigned to the examination E1 (Y in S54). Here, the scope specifying unit 124 is notified that the scopes of the endoscope numbers 1 to 14 can be assigned to the examinations E1, E2, and E3. The scope G-R-1 of endoscope number 1 is assigned (S56). Note that the scope assigning unit 126 sets the status of the scope GR-1 to “in use” so that the same scope GR-1 is not assigned to another examination (S58). When the status is set to “in use”, the scope G-R-1 is removed from the candidate scope at the time of assignment by the next scope assignment unit 126.

  Next, the scope assigning unit 126 determines that there is a scope that can be assigned to the examination E2 (Y in S54), and assigns the scope G-R-2 of the endoscope number 2 to the examination E2 ( In step S56, the status of the scope G-R-2 is set to “in use” (S58). Similarly, the scope assigning unit 126 assigns the scope G-R-3 of the endoscope number 3 to the examination E3 (S56), and sets the status of the scope G-R-3 to “in use” (S58). ).

  Next, the scope assigning unit 126 determines that there is a scope that can be assigned to the examination E4 (Y in S54). Here, it is notified by the scope specifying unit 124 that the scopes of the endoscope numbers 15 to 19 can be assigned to the examination E4. Accordingly, the scope assignment part 126 sends the endoscope number to the examination E4. 15 scopes CR-1 are assigned (S56), and the status of the scope CR-1 is set to "in use" (S58).

  In S54, when there is no scope that can be assigned to the examination (N in S54), the scope assigning unit 126 notifies the user that assignment is impossible (S60). Note that the timing of this notification may be after the scope 30 assignment processing is completed for all examinations. At least the user needs to recognize that there is an examination to which the scope 30 is not assigned before the start of the daily endoscopic examination work.

  The assignment process by the scope assigning unit 126 is repeated until assignment of the scope 30 is completed for all the extracted examinations to be assigned (N in S62), and the scope 30 assigns all examinations (here, E1 to E4). When this is done (Y in S62), this scope assignment process is terminated. The allocation result by the scope allocation unit 126 is notified to the examination schedule management unit 110.

  FIG. 12 shows the inspection schedule updated by the inspection schedule management unit 110. Upon receiving the assignment result from the scope assignment unit 126, the examination schedule management unit 110 registers the assigned scope 30 in the corresponding examination. Here, the scope GR-1 is used for the inspection E1, the scope GR-2 is used for the inspection E2, the scope GR-3 is used for the inspection E3, and the inspection E4 is used. It is registered that the scope C-R-1 is used. The inspection schedule management unit 110 records the updated inspection schedule in the inspection schedule holding unit 206. In this way, schedule information of the scopes GR-1, GR-2, GR-3, and CR-1 is generated.

Returning to FIG. 7, when the scope assignment process of S18 is completed, the washing machine assignment process of S20 is started.
In FIG. 3, the cleaning schedule management unit 130 manages the cleaning schedule of a plurality of scopes including the cleaning machine 50 and scheduled cleaning start time information and scheduled cleaning end time information. The second assignment processing unit 140 assigns a cleaning machine 50 for cleaning the scope 30 used in each endoscopy from among the plurality of cleaning machines 50. The cleaning schedule management unit 130 generates a cleaning schedule for the scope 30 based on the cleaning machine 50 allocated to the scope 30 by the second allocation processing unit 140 and records the cleaning schedule in the cleaning schedule holding unit 208.

  FIG. 13 shows a detailed flowchart of the washing machine assignment process shown in S20 of the basic flowchart. The second allocation processing unit 140 includes a cleaning machine specifying unit 142, a cleaning machine allocation unit 144, an end time determination unit 146, a cleaning machine allocation availability confirmation unit 148, and a person-in-charge allocation unit 149.

  The cleaning machine specifying unit 142 executes a search process for the cleaning machine 50 owned by each scope 30 assigned in S18 and specifies a usable cleaning machine 50 (S110). When the use of the cleaning machine 50 is not limited, that is, when the use of all the cleaning machines 50 is permitted for the scope 30, the cleaning machine specifying unit 142 sets all the first cleaning machines 50a to 4th. It is specified that the cleaning machine 50d can be used. At this time, the cleaning machine specifying unit 142 refers to the cleaning schedule held in the cleaning schedule holding unit 208 and acquires a usable time zone for each cleaning machine 50. The usable time zone means a time zone where no cleaning is scheduled. When the second allocation processing unit 140 executes the cleaning machine allocation process for the first time, the cleaning schedule is blank, that is, no cleaning schedule is registered in any of the cleaning machines 50. The belt is usable. The washing machine allocation unit 144 is notified of the usable washing machine 50 and its usable time zone.

  The washing machine assigning unit 144 assigns a washing machine 50 for washing the scope 30 used in each endoscopic examination from among a plurality of usable washing machines 50. Here, the cleaning machine assigning unit 144 cleans the scope 30 so that the time after the scheduled end time of the examination of the scope 30 assigned to the endoscopy by the scope assigning unit 126 becomes the scheduled cleaning start time. A washing machine 50 is assigned. In the present embodiment, from the viewpoint of operational efficiency, it is possible to set the same time as the scheduled inspection end time as the scheduled cleaning start time. However, an interval of a predetermined time is set between the scheduled inspection end time and the scheduled cleaning start time. May be provided. In this embodiment, it is assumed that the cleaning machine 50 cleans one scope 30. However, depending on the specifications, the cleaning machine 50 can clean a plurality of (for example, two) scopes 30, and the cleaning machine allocation unit 144 may assign the cleaning machine 50 to a plurality of scopes 30.

  The washing machine assigning unit 144 assigns the washing machines 50 in order from the earliest scheduled test end time among the plurality of scopes 30 to which the washing machine 50 is assigned, that is, the plurality of scopes 30 assigned to the examination in S18. . Here, since the scheduled end time of the inspections E1 to E3 is 9:10 and the scheduled end time of the inspection E4 is 9:15, the washing machine allocation unit 144 performs the order of the inspections E1, E2, E3, and E4. Then, the cleaning machine 50 is assigned to the scope to be used. In this embodiment, it is assumed that there is always an allocatable washer 50 for the scope 30 (Y in S112), but there is no allocatable washer 50 ( N) in S112 is notified that the washing machine 50 cannot be allocated to the scope 30 (S116).

  The washing machine assigning unit 144 assigns the first washing machine 50a to the scope G-R-1 used in the inspection E1 (S114). In the embodiment, the scheduled cleaning time of all the cleaning machines 50 is set to 20 minutes. However, the scheduled cleaning time may be different for each cleaning machine 50, and the planned cleaning time differs depending on the cleaning mode in the cleaning machine 50. Also good. The cleaning machine assigning unit 144 sets the scheduled end time of the inspection E1 to the scheduled cleaning start time, and sets 20 minutes later as the scheduled cleaning end time (S118). By this allocation, the status of “in use” is set for the first washing machine 50a between 9:10 and 9:30. The status of the cleaning machine 50 is either “in use” or “standby”. When the schedule information generation process is started, the status of all the cleaning machines 50 is “standby”. It is assumed. The status between 9:10 and 9:30 of the scope G-R-1 is “being washed”.

  Next, the cleaning machine assigning unit 144 assigns the second cleaning machine 50b to the scope G-R-2 used in the inspection E2 (S114). The cleaning machine assigning unit 144 sets the scheduled end time of the inspection E2 to the scheduled cleaning start time (9:10), and sets 9:30, which is 20 minutes later, as the scheduled cleaning end time (S118). By this allocation, the status of “in use” is set for the second washing machine 50b between 9:10 and 9:30.

  Next, the washing machine assigning unit 144 assigns the third washing machine 50c to the scope G-R-3 used in the inspection E3 (S114). The cleaning machine assigning unit 144 sets the scheduled end time of the inspection E3 to the scheduled cleaning start time (9:10), and sets 9:30, which is 20 minutes later, as the scheduled cleaning end time (S118). By this allocation, the status of “in use” is set for the third washing machine 50c between 9:10 and 9:30.

  Finally, the washing machine assigning unit 144 assigns the fourth washing machine 50d to the scope C-R-1 used in the inspection E4 (S114). The cleaning machine assigning unit 144 sets the scheduled end time of the inspection E4 to the scheduled cleaning start time (9:15), and sets 9:35, which is 20 minutes later, as the scheduled cleaning end time (S118). With this allocation, the status of “in use” is set for the fourth washing machine 50d between 9:15 and 9:35.

  As described above, the cleaning machine assignment process is repeated until the cleaning machines 50 are assigned to all the scopes 30 used in the inspection (N in S120). When the cleaning machines 50 are assigned to all the scopes 30 used in the inspection (Y in S120), the cleaning machine assignment process is terminated. The result of allocation by the cleaning machine allocation unit 144 is notified to the cleaning schedule management unit 130.

  FIG. 14 shows the cleaning schedule generated by the cleaning schedule management unit 130. Here, the allocation result by the cleaning machine allocation unit 144 is reflected in the cleaning schedule. Specifically, the scope GR-R-1 is cleaned by the first cleaning machine 50a between 9:10 and 9:30. The scope G-R-2 is cleaned by the second cleaning machine 50b, the scope G-R-3 is cleaned by the third cleaning machine 50c, the fourth between 9:15 and 9:35. It is registered that the scope C-R-1 is cleaned by the cleaning machine 50d. The cleaning schedule management unit 130 records the updated cleaning schedule in the cleaning schedule holding unit 208.

  FIG. 15 shows schedule information of the individual of the scope 30. Here, for ease of understanding, an example is shown in which the display processing unit 150 displays the individual schedule when the above-described processing is completed. However, in reality, the display processing is performed when all scheduling is completed. The unit 150 displays the individual schedule. In FIG. 15, C1 indicates that the first cleaning machine 50a, C2 is the second cleaning machine 50b, C3 is the third cleaning machine 50c, and C4 is the fourth cleaning machine 50d. E1, E2, etc. indicate the inspection numbers of the inspections in use. The information indicated by the individual schedule is schedule information for each individual.

Returning to FIG. 7, when the washing machine assignment process of S20 is completed, it is determined whether or not the processes for all inspection numbers have been completed (S22). If not completed, the process returns to S16 and the basic flow is repeated. .
Hereinafter, a process of generating schedule information of the scope 30 by repeatedly executing the steps S16 to S20 will be described. Note that the steps S16 to S20 described above regarding the inspections E1 to E4 are the first processing.

<Second time: S16 to S20>
In S16, the inspection extraction unit 122 extracts the inspection E5 from the first inspection room 20a, the inspection E6 from the second inspection room 20b, the inspection E7 from the third inspection room 20c, and the inspection E8 from the fourth inspection room 20d. E5 to E8 are specified as examinations to which the scope 30 is assigned.

  In S18, the scope specifying unit 124 determines the scopes of the endoscope numbers 4 to 14, which are upper inspection scopes, as the candidate scopes for the examinations E5, E6, and E7, and for the examination E8, for the lower examination. The scopes of endoscope numbers 16 to 19 that are scopes are determined as candidate scopes. It should be noted that at the scheduled start time (9:15) for the examinations E5, E6, and E7, the statuses of the scopes of the endoscope numbers 1 to 3 are “being washed”. Don't be. Further, at the scheduled start time (9:20) of the examination E8, the status of the scope of the endoscope number 15 is “being cleaned”, and thus does not become a candidate scope for the examination E8. The identified candidate scope is notified to the scope assignment unit 126.

  Upon receiving the notification from the scope specifying unit 124, the scope assigning unit 126 receives the scope G-R-4 with the endoscope number 4 for the examination E5 and the scope G- with the endoscope number 5 for the examination E6. R-5 is assigned scope G-R-6 of endoscope number 6 to examination E7. In addition, the scope assigning unit 126 assigns the scope CR-2 of the endoscope number 16 to the examination E8.

  In S20, the washing machine assigning unit 144 assigns the first washing machine 50a to the scope G-R-4 of the inspection E5, assigns the second washing machine 50b to the scope G-R-5 of the inspection E6, The third cleaner 50c is assigned to the scope G-R-6 of the inspection E7, and the fourth cleaner 50d is assigned to the scope C-R-2 of the inspection E8. The cleaning machine assigning unit 144 sets the scheduled cleaning start time of the scopes GR-R-4, GR-5, and GR-6 to 9:30 and the scheduled cleaning end time of 9:50. -Set the scheduled cleaning start time of R-2 to 9:35 and the scheduled cleaning end time to 9:55.

  FIG. 16 shows the inspection schedule generated by the inspection schedule management unit 110 and the cleaning schedule generated by the cleaning schedule management unit 130. Here, the allocation result by the scope specifying unit 124 is reflected in the inspection schedule, and the allocation result by the cleaning machine allocation unit 144 is reflected in the cleaning schedule.

<Third time: S16 to S20>
In S16, the inspection extraction unit 122 extracts the inspection E9 from the first inspection chamber 20a, the inspection E10 from the second inspection chamber 20b, the inspection E11 from the third inspection chamber 20c, and the inspection E12 from the fourth inspection chamber 20d. E9 to E12 are specified as examinations to which the scope 30 is assigned.

  In S18, the scope specifying unit 124 determines the scopes of the endoscope numbers 1 to 3 and 7 to 14 that are upper inspection scopes as the candidate scopes for the examinations E9, E10, and E11, and the examination E12. The scopes of endoscope numbers 15 and 17 to 19, which are lower inspection scopes, are determined as candidate scopes. It should be noted that at the scheduled start time (9:30) of examinations E9, E10, and E11, because the statuses of the scopes of endoscope numbers 4 to 6 are “being washed”, the candidate scopes of examinations E9, E10, and E11 Don't be. In addition, at the scheduled start time of the examination E12 (9:40), the scope status of the endoscope number 16 is “being washed”, so it is not a candidate scope for the examination E12. The identified candidate scope is notified to the scope identifying unit 124.

  In the scopes of endoscope numbers 1 to 3, 9:30 is the scheduled cleaning end time, and the cleaning is completed at 9:30. Therefore, the status is “waiting”, and examinations E9 and E10 are performed. , E11 candidate scope. The scope of the endoscope number 15 is 9:35 at the scheduled cleaning end time, and the status is “waiting” at 9:40, which becomes a candidate scope for the examination E12.

  Upon receiving the notification from the scope specifying unit 124, the scope assigning unit 126 receives the scope G-R-1 having the endoscope number 1 for the examination E9 and the scope G- having the endoscope number 2 for the examination E10. R-2 is assigned scope G-R-3 of endoscope number 3 to examination E11. The scope assigning unit 126 assigns the scope C-R-1 having the endoscope number 15 to the examination E12.

  In this way, the scope assigning unit 126 can reassign a scope that has been “waiting” after the cleaning is completed at the scheduled start time of the examination to the examination. In other words, in the scheduling process, the scope allocating unit 126 performs the internal view so that the time after the scheduled cleaning end time by the cleaning machine 50 allocated to the scope 30 by the cleaning machine allocating unit 144 becomes the scheduled inspection start time. A scope 30 can be assigned to the speculum. In this third step, the washing machine allocating unit 144 efficiently assigns the washing machine 50 to the scope 30, so that the scopes G-R-1, G-R-2, G-R-3, C -R-1 is reassigned to the inspection that is started after each scheduled cleaning end time, and the scope 30 can be efficiently scheduled.

  In S20, the cleaning machine assigning unit 144 assigns the first cleaning machine 50a to the scope G-R-1 of the inspection E9, assigns the second cleaning machine 50b to the scope G-R-2 of the inspection E10, The third cleaner 50c is assigned to the scope G-R-3 of the inspection E11, and the first cleaner 50a is assigned to the scope C-R-1 of the inspection E12. The cleaning machine assigning unit 144 sets the scheduled cleaning start time of the scopes G-R-1, G-R-2, and G-R-3 to 9:50 and the scheduled cleaning end time to 10:10. -Set the scheduled cleaning start time of R-1 to 10:10 and the scheduled cleaning end time to 10:30.

  FIG. 17 shows the inspection schedule generated by the inspection schedule management unit 110 and the cleaning schedule generated by the cleaning schedule management unit 130. Here, the allocation result by the scope specifying unit 124 is reflected in the inspection schedule, and the allocation result by the cleaning machine allocation unit 144 is reflected in the cleaning schedule.

  As shown in the inspection schedule, the inspection E12 in which the scope CR-R-1 is used has an inspection end scheduled time of 10:00, while the fourth cleaning machine 50d has a fourth cleaning schedule. The washing machine 50d can be used after 9:55. Therefore, the washing machine assigning unit 144 can assign the fourth washing machine 50d from 10:00 to the scope CR-1 of the inspection E12, but the unused time of 5 minutes is assigned to the fourth washing machine 50d. Therefore, the cleaning machine assigning unit 144 assigns the first cleaning machine 50a to the scope CR-1.

<4th time: S16 to S20>
In S16, the examination extraction unit 122 extracts the examination E14 from the first examination room 20a, the examination E15 from the second examination room 20b, the examination E13 from the third examination room 20c, and the examination E19 from the fourth examination room 20d. When the step of S34 in FIG. 8 is executed, the scheduled test start time (10:00) of the test E16 next to the test E13 in the third test room 20c is the scheduled test start time of the test E19 in the fourth test room 20d. It is earlier than (10:05) (N in S34). That is, the examination E19 extracted from the fourth examination room 20d is started after the examination E16 in the third examination room 20c that has not been extracted yet. Therefore, the inspection extracting unit 122 determines that a scope should not be assigned to the inspection E19 before the inspection E16, and removes the inspection E19 from the inspection to be assigned a scope (S38). The inspections E13, E14, and E15 are specified as inspections to which the scope 30 is assigned.

  In S18, the scope specifying unit 124 determines the scopes of the endoscope numbers 7 to 14, which are upper inspection scopes, as candidate scopes for the inspection E13 whose inspection start scheduled time is 9:45. At the scheduled examination start time (9:45), the statuses of the scopes with the endoscope numbers 1 to 3 are “used” and the statuses of the scopes with the endoscope numbers 4 to 6 are “being washed”. This is not a candidate scope for inspection E13. Further, the scope specifying unit 124 determines the scopes of the endoscope numbers 4 to 14 which are upper inspection scopes as candidate scopes for the examinations E14 and E15 whose examination start scheduled time is 9:50. At the scheduled examination start time (9:50), the statuses of the scopes of the endoscope numbers 1 to 3 are “being washed”, and thus do not become candidate scopes for the examination E13. The identified candidate scope is notified to the scope identifying unit 124.

  Upon receiving the notification from the scope specifying unit 124, the scope assigning unit 126 receives the scope G-H-1 having the endoscope number 7 for the examination E13 and the scope G- having the endoscope number 4 for the examination E14. R-4 is assigned scope G-R-5 with endoscope number 5 for examination E15. The scopes G-R-4 and G-R-5 are assigned to the inspection again after completing the cleaning at 9:50.

  In S20, the washing machine assigning unit 144 assigns the fourth washing machine 50d to the scope G-H-1 of the inspection E13, assigns the second washing machine 50b to the scope G-R-4 of the inspection E14, The 3rd washing machine 50c is assigned to scope G-R-5 of inspection E15. The washing machine assigning unit 144 sets the scheduled cleaning start time of the scope GH-1 to 9:55 and the scheduled cleaning end time to 10:15, and starts cleaning of the GR-4 and GR-5. The scheduled time is set to 10:10, and the scheduled cleaning end time is set to 10:30.

  FIG. 18 shows the inspection schedule generated by the inspection schedule management unit 110 and the cleaning schedule generated by the cleaning schedule management unit 130. Here, the allocation result by the scope specifying unit 124 is reflected in the inspection schedule, and the allocation result by the cleaning machine allocation unit 144 is reflected in the cleaning schedule.

  FIG. 19 shows an individual schedule of the scope 30. As described above, the individual schedule information of the scope 30 is created as shown in FIG. 19 by repeating S16 to S20 in the basic flowchart four times.

As described above, the processes of S16 to S20 are repeated until the allocation process for the final examination is completed.
FIG. 20 shows the inspection schedule generated by the inspection schedule management unit 110 and the cleaning schedule generated by the cleaning schedule management unit 130. Here, the allocation result by the scope specifying unit 124 is reflected in the inspection schedule, and the allocation result by the cleaning machine allocation unit 144 is reflected in the cleaning schedule. As described above, the assignment of the scope 30 is completed for all the inspections, and the assignment of the cleaning machine 50 to the scope 30 is completed, whereby the schedule information generation process of the scope 30 is completed.

FIG. 21 shows an individual schedule of the scope 30 for one day.
The allocation result of the scope 30 by the scope allocation unit 126 and / or the allocation result of the cleaning machine 50 by the cleaning machine allocation unit 144 is displayed on the display of the terminal device 12 by the display processing unit 150.
For example, the display processing unit 150 may read the inspection schedule information from the inspection schedule holding unit 206 and display the inspection schedule table shown in FIG. The display processing unit 150 may read the cleaning schedule information from the cleaning schedule holding unit 208 and display the cleaning schedule table shown in FIG. The display processing unit 150 may display the inspection schedule table and the cleaning schedule table on the same screen. Thus, the doctor and the examination preparation person can easily recognize which scope 30 is used for the examination, and the examination preparation person can easily recognize which washing machine 50 is used to wash the used scope 30. become.

  The display processing unit 150 may read the inspection schedule information from the inspection schedule holding unit 206 and read the cleaning schedule information from the cleaning schedule holding unit 208 to display the individual schedule table of the scope 30 on the terminal device 12. This individual schedule table is shown in FIG. 21, and by generating such an individual schedule table, the examination preparation person can know the schedule of each individual in the scope 30. When an examination preparation person wants to know the status of the scope 30 at a certain point of time, the individual schedule table can know the status such as whether the scope 30 is being cleaned or in use.

  In addition, as shown in FIG. 21, the scope CR-1 is scheduled to be cleaned from 12:30 to 12:50. Although it depends on the medical facility, when the examination preparation person's lunch break is determined to be, for example, 12:30 to 13:30, it may be notified that this cleaning process is outside working hours.

  The end time determination unit 146 determines whether or not the scheduled cleaning end time is after the reference time (12:30) as a result of assigning the cleaning machine 50 to the scope 30 by the cleaning machine assignment unit 144. When it is determined by the end time determination unit 146 that the scheduled cleaning end time is after the reference time, the cleaning machine assignment availability confirmation unit 148 notifies the user (for example, an operator) whether or not the washing machine assignment is possible. You may go. For example, the timing of this notification may be after the scope 30 assignment process is completed for all examinations. Referring to FIG. 21, since the scheduled cleaning end time of scope GH-1 is 12:35, the cleaning machine allocation availability confirmation unit 148 also determines whether the cleaning machine allocation is possible for this cleaning schedule. Confirm with the user.

  The doctor's schedule is determined by the examination order, and the doctor grasps the scheduled start time of the next examination, the examination room, and the like from the examination schedule table. Similarly, the information management apparatus 10 may set a schedule for the examination preparation person. In this schedule, it may be set that the test preparer carries the scope 30 to the examination room 20 before starting the examination, and the scope 30 to the washing room 40 after the examination ends, and also assists the examination in the examination room. Etc. may be set.

Hereinafter, various aspects related to the scheduling process performed by the information management apparatus 10 according to the embodiment will be described.
<Example 1>
In the embodiment, in the scope search process illustrated in FIG. 11, the scope specifying unit 124 specifies the usable scope 30 based on the examination type information of the endoscopic examination to be assigned. At this time, the examination type is distinguished depending on whether it is an upper examination or a lower examination. In the first embodiment, the scope specifying unit 124, based on examination type information indicating more detailed examination contents, A usable scope 30 is specified.

  FIG. 22 shows a scope order table held in the scope order holding unit 204. The scope order table records a scope model to be preferentially assigned to the examination type in association with it. Here, “priority scope model 1” is information regarding a model that should be assigned with the highest priority, and “priority scope model 2” is information regarding a model that should be assigned with the second priority. If the scope 30 designated by “priority scope model 1” is “standby”, the scope identifying unit 124 identifies the scope 30 as a candidate scope. On the other hand, if the scope 30 specified by “priority scope model 1” is not “standby” and the scope 30 specified by “priority scope model 2” is “standby”, the scope specifying unit 124 The scope 30 of the “priority scope model 2” is specified as a candidate scope. As described above, the scope ranking holding unit 204 holds the priority order of the model of the scope 30 to be assigned to the examination type of the endoscopy, and the scope specifying unit 124 assigns the scope 30 of the model having a higher priority to the candidate scope. As specified.

  FIG. 23 shows a detailed flowchart of scope search processing in the first embodiment. The scope specifying unit 124 executes search processing for all the scopes 30 that have a status of “standby”. The scope specifying unit 124 specifies the usable scope 30 based on the examination type information of the endoscopic examination to be assigned. In S90, when the inspection type information of the inspection indicates the upper inspection, it is determined that the upper inspection scope is compatible and the lower inspection scope is not compatible. Similarly, when the inspection type information of the inspection indicates a lower inspection, it is determined that the lower inspection scope is compatible and the upper inspection scope is not compatible.

  Describing the first steps S16 to S20 in the embodiment, the scope specifying unit 124 corresponds to the scopes of endoscope numbers 1 to 14 which are upper inspection scopes for the inspections E1, E2, and E3. A scope corresponding to the scopes of endoscope numbers 15 to 19, which is a lower inspection scope, is determined for the examination E4 (S90).

  The inspection type of the inspections E1, E2, and E3 is “upper routine inspection”, and the scope specifying unit 124 refers to the scope order information held in the scope order holding unit 204 and refers to the model with the highest priority (priority scope). Recognize that model 1) is "upper routine machine". Therefore, the scope specifying unit 124 determines whether the “upper routine machine” is included in the corresponding scope (S96). Here, since the scopes of the endoscope numbers 1 to 6 exist as the upper routine machine (Y in S96), the scope specifying unit 124 determines the scopes of the endoscope numbers 1 to 6 as candidate scopes (S92). .

  The inspection type of inspection E4 is “lower routine inspection”, and the scope specifying unit 124 refers to the scope order information held in the scope order holding unit 204 and has the highest priority (priority scope model 1). Recognizes that it is a “lower routine machine”. Therefore, the scope identifying unit 124 determines whether the corresponding scope includes “lower routine machine” (S96). Here, since there is a scope with endoscope numbers 15 to 17 as a lower routine machine (Y in S96), the scope specifying unit 124 determines the scope with endoscope numbers 15 to 17 as a candidate scope (S92). .

  Regarding the inspections E1 to E3, when the scope of the priority scope model 1 is not included in the corresponding scope (N in S96), the scope specifying unit 124 refers to the scope order information held in the scope order holding unit 204 Then, it recognizes that the model with the second highest priority (priority scope model 2) is the “upper image quality machine”. Therefore, the scope specifying unit 124 determines whether or not the corresponding scope includes “upper image quality machine” (S98). If included (Y in S98), the scope specifying unit 124 determines that the upper image quality is high. The machine scope is determined as a candidate scope (S92).

  If the scope of the priority scope model 2 is not included in the corresponding scope (N in S98), the scope specifying unit 124 selects the priority among the scopes determined to be compatible with the examination type in S90. A scope of a model other than the scope model is determined as a candidate scope (S92). The scope specifying unit 124 notifies the specified candidate scope to the scope assigning unit 126, and the scope assigning unit 126 assigns the scope 30 to the examination as described in the embodiment.

  When the scope specifying unit 124 specifies the scope 30 of the low priority model and the scope assigning unit 126 assigns the specified scope to the endoscopy, the scope assignability confirmation unit 128 It is preferable to confirm with the user whether or not it is possible. For example, if the priority scope model 1 is not assigned, the scope assignment availability confirmation unit 128 may perform user confirmation that a model with a lower priority is assigned, but is set by the scope order holding unit 204. If a certain model is assigned (for example, the priority scope model 2 is assigned), the user confirmation may not be performed. That is, only when the scope specifying unit 124 determines a model other than the priority scope model as a candidate scope, and the scope assigning unit 126 assigns the candidate scope to the inspection, the scope assignability confirmation unit 128 You may make it confirm with a user whether allocation is possible. If the scope specifying unit 124 cannot determine the priority scope model as a candidate scope (N in S98), it determines that there is no candidate scope, and the scope assignment confirmation unit 128 notifies the user to that effect. May be.

  The timing of this confirmation may be after the scope 30 assignment process has been completed for all examinations. At least the user needs to be aware that there is an examination that has not been assigned an appropriate scope 30 prior to the start of a day of endoscopic examination work.

  Comparing the embodiment with Example 1, for example, in the embodiment, as shown in FIG. 17, the scope G-R-1 that is the upper routine machine is assigned to the examination E9 that is the upper nasal examination. Yes. However, according to the first embodiment, the scope specifying unit 124 refers to the scope order information held in the scope order holding unit 204, and the model (priority scope model 1) having the highest priority in the examination E9 is “upper nasal”. The scope identifying unit 124 identifies the scope GN-1 of the endoscope number 10 as the candidate scope for the examination E9. Similarly, the scope specifying unit 124 uses the scopes GH-1 to GH-3 of the endoscope numbers 7 to 9 which are upper image quality machines as candidate scopes for the inspection E10 which is the upper close inspection. Identify. Therefore, the scope assigning unit 126 assigns the scope GN-1 to the examination E9 and assigns the scope GH-1 to the examination E10. In this way, in comparison with the embodiment, in Example 1, the scope 30 having a high priority, that is, suitable for the inspection, is assigned to the endoscopic inspection, so that the inspection schedule can be completed.

<Example 2>
In the endoscope inspection work support system 1, a scope that has been worn out or aged is likely to suffer from functional deterioration or failure. In general, a case where the scope wears out or is aging is a case where the number of times and the time of use of the scope are extremely larger than those of other scopes. The purpose is to equalize the usage time.

Returning to FIG. 3, the usage status storage unit 224 stores past usage statuses of the plurality of scopes 30 owned.
FIG. 24 shows a usage status table stored in the usage status storage unit 224. The usage status table records the past usage status in association with each scope 30. This usage situation is only for the past, and the usage situation is updated when it is actually used. Here, the usage status is “use count” and “use time”, “use time” indicates the cumulative number of times used for the inspection, and “use time” indicates the cumulative time used for the inspection.

  With reference to FIG. 1, when an examination is started, the scope 30 is connected to the endoscope observation apparatus 22. At this time, the identification information (scope ID) of the scope 30 is transmitted via the network 2 to the information management apparatus 10. Sent to. When the examination end button is operated in the endoscope observation apparatus 22 (or when the scope 30 is pulled out from the endoscope observation apparatus 22) when the examination is finished, an examination completion notice is transmitted to the information management apparatus 10. Is done. In the information management apparatus 10, the usage status monitoring unit 160 monitors information transmitted from the endoscope observation apparatus 22, and uses the time from when the scope ID is transmitted to when the examination end notification is transmitted. Derived as time. When the inspection end notification is transmitted, the usage status monitoring unit 160 increments the usage count of the corresponding scope 30 in the usage status table by one, and adds the currently used test usage time to the usage time to obtain the usage status. The table is updated and recorded in the usage status storage unit 224. The usage status table is created as described above.

  Note that the usage status table shown in FIG. 24 is merely an example for easy understanding. In FIG. 24, for example, the number of times of use and the time of use of the upper routine machines having the endoscope numbers 1 to 6 are greatly different. A technique for leveling (equalizing) usage time is proposed. Therefore, it should be noted that the usage status table shown in FIG. 24 is merely an example of usage status.

  In the second embodiment, the scope assigning unit 126 displays the usage status stored in the usage status storage unit 224 when there are a plurality of scopes 30 that can be assigned to each endoscopic examination managed by the examination schedule management unit 110. Referring to the scope 30, the scope 30 having a relatively small number of past uses or the past use time is preferentially assigned to the endoscopy.

  FIG. 25 shows a detailed flowchart of S56 in the scope assignment processing shown in FIG. The scope assigning unit 126 refers to the usage status stored in the usage status storage unit 224 among the candidate scopes notified from the scope specifying unit 124, and specifies the candidate scope with the smallest number of past usages (S130). .

  Hereinafter, an example in which candidate scopes for examinations E1, E2, and E3 are specified by the scope search process described in the first embodiment will be described. In the first embodiment, the scope specifying unit 124 specifies the scopes of the endoscope numbers 1 to 6 as candidate scopes for the examinations E1, E2, and E3, and notifies the scope assigning unit 126 of the scopes.

  The scope assigning unit 126 refers to the scope usage statuses of the endoscope numbers 1 to 6 stored in the usage status storage unit 224 and uses the scopes of the endoscope numbers 1 to 6 for the examination E1. The scope G-R-3 with the endoscope number 3 is specified as the scope with the smallest number of times (S130). The scope GR-R-3 is used 40 times, more than the scopes GR-1, GR-2, GR-4, GR-5, GR-6. Since there is no other scope that is relatively small and uses 40 times (Y in S132), the scope assignment unit 126 assigns the scope G-R-3 to the examination E1 (S136). The scope assigning unit 126 contributes to equalizing the number of times the scope is used by assigning the least frequently used GR-3 in preference to the inspection E1.

  When the scope assigning unit 126 assigns the scope to the examination, the scope assigning unit 126 sets the provisional use count and the use time (provisional use situation) as the use situation of the scope (S138). Here, the number of times of using endoscope number 3 is temporarily increased by 1, and referring to the inspection type master table 210 shown in FIG. 5, the operating time is temporarily increased by 10 minutes (the scheduled inspection time of the upper routine inspection is 10 minutes). . As a result, the provisional use count of endoscope number 3 is “41”, and the provisional use time is “660 minutes”. This provisional usage status will be used thereafter in the allocation execution process shown in FIG.

  Note that the provisional usage count and usage time are not reflected in the usage status table of the usage status storage unit 224. The provisional usage status is set only for the purpose of use for scheduling of the scope 30, and may be discarded when scheduling of the scope 30 is performed for all examinations.

  Next, the scope assigning unit 126 refers to the scope usage statuses of the endoscope numbers 1, 2, 4 to 6 stored in the usage status storage unit 224, and determines the endoscope numbers 1 and 2 for the examination E2. Among the scopes 4 to 6, the scope G-R-2 with the endoscope number 2 and the scope GR-4 with the endoscope number 4 are specified as the scope with the smallest number of uses (S130). The scopes G-R-2, G-R-4 are used 50 times, which is relatively less than the scopes G-R-1, G-R-5, G-R-6, Two scopes having the same number of uses are identified (N in S132). Here, the scope allocating unit 126 refers to the scope usage status of the endoscope numbers 2 and 4 stored in the usage status storage unit 224 out of the two scopes, and sets the endoscope as the scope with the shortest usage time. The scope G-R-2 of number 2 is specified (S134), and the scope G-R-2 is assigned to the examination E2 (S136). The scope allocating unit 126 contributes to equalization of scope usage time by allocating GR-2 with the least number of uses and the least usage time among the candidate scopes in preference to the inspection E2. The scope assigning unit 126 sets a temporary use count and a use time (temporary use situation) as the use situation of the scope of the endoscope number 2 (S138). That is, the provisional use count of endoscope number 2 is “51”, and the provisional use time is “510 minutes”.

  Next, the scope assigning unit 126 refers to the scope usage statuses of the endoscope numbers 1 and 4 to 6 stored in the usage status storage unit 224, and sets the endoscope numbers 1 and 4 to 6 for the examination E3. The scope G-R-4 with the endoscope number 4 is specified as the scope with the smallest number of times of use (S130). The number of times G-R-4 is used is 50 times, which is relatively less than the number of times the scopes G-R-1, G-R-5, and G-R-6 are used. G-R-4 is assigned (S136). The scope assigning unit 126 contributes to equalization of the number of times the scope is used by assigning the least frequently used GR-4 among the candidate scopes in preference to the inspection E3. The scope assigning unit 126 sets a temporary use count and a use time (temporary use situation) as the use situation of the scope of the endoscope number 4 (S138).

  As described above, the scope allocation unit 126 refers to the usage status stored in the usage status storage unit 224 when there are a plurality of scopes 30 that can be allocated to each endoscopy, and the number of past usages. Alternatively, the scope 30 having a relatively small past use time is preferentially assigned to the endoscopy, thereby contributing to leveling of the number of uses or the use time. In FIG. 25, the candidate scope with the smallest number of uses is identified in S130, and the candidate scope with the least usage time is identified in S134, but this order may be reversed. When there are a plurality of candidate scopes having the same number of times of use and use time, the scope assignment unit 126 may assign any candidate scope to the endoscopy.

In the first and second embodiments described above, the allocation mode of the scope 30 in the inspection schedule has been described. In Example 3 below, an allocation mode of the cleaning machines 50 in the cleaning schedule will be described.
<Example 3>
Returning to FIG. 3, the cleaning machine order holding unit 226 holds the priority order of the cleaning machine 50 to be assigned to the scope 30.
FIG. 26 shows a washing machine ranking table held in the washing machine ranking holding unit 226. The cleaning machine order table records the priority order of the cleaning machine 50 to be assigned to the scope 30 in association with each other. In this cleaning machine ranking table, each scope is recorded on the vertical axis and each cleaning machine is recorded on the horizontal axis, and the priority order is set for the combination of the scope and the cleaning machine. In this example, the first cleaning machine 50a and the second cleaning machine 50b use the chemical liquid A, the third cleaning machine 50c uses the chemical liquid B, and the fourth cleaning machine 50d uses the chemical liquid C. . Note that the cleaning machine ranking table may associate the priority of the cleaning machine 50 to be assigned to the scope model, not to the scope individual.

  In the third embodiment, the first cleaning machine 50a and the second cleaning machine 50b may be the same model, but may be different models. The first washing machine 50a and the second washing machine 50b, the third washing machine 50c, and the fourth washing machine 50d use different chemical solutions, and therefore, these models are different. Thus, when the some washing machine 50 is comprised by a different model, the washing machine order | rank holding | maintenance part 226 hold | maintains the priority order regarding a washing machine model.

  In the cleaning machine ranking table shown in FIG. 26, the setting value 1 indicates that the priority is the highest, and the setting value 2 indicates that the priority is the second highest. The set value 3 indicates that the priority is the third highest. The set value 0 indicates that assignment to the scope 30 is prohibited.

  In the cleaning machine ranking table shown in FIG. 26, the set value 0 is given to the fourth cleaning machine 50d that uses the chemical C. This is because, for example, since the chemical solution C has a strong attack property that easily deteriorates the scope member, it is prohibited from being used for cleaning many scopes 30 in medical facilities. In this example, although setting value 2 is given to GT-1 and GT-2 which are upper treatment machines and CT-1 which is a lower treatment machine, for other scopes In this case, the set value 0 is given and use is prohibited. For example, the chemical solution C may be strongly acidic electrolyzed water.

  In this way, in the example shown in FIG. 26, the priority order of the cleaning machine 50 to be assigned is set based on the attacking property of the cleaning chemical used in the cleaning machine 50. The cleaning machine ranking table is appropriately created according to the policy of the medical facility, and by creating the cleaning machine ranking table depending on the strength of the attack property, the life of the scope 30 can be expected to be extended. On the other hand, for example, strongly acidic electrolyzed water has a merit that it is very inexpensive as a cleaning chemical solution. Therefore, according to the policy which paid its attention to the cost concerning a chemical | medical solution, it is also possible to give setting values other than the setting value 0 with respect to the washing machine 50 which uses strongly acidic electrolyzed water. Thus, the priority order of the cleaning machine 50 held by the cleaning machine order holding unit 226 is set based on the chemical solution used in the cleaning machine 50.

  FIG. 27 shows a detailed flowchart of S110 in the washing machine assignment process shown in FIG. In S110, the washing machine specifying unit 142 executes a search process for the owned washing machine 50 for each of the scopes 30 assigned by the scope assignment process in S18 (see FIG. 7), and can be used. 50 is specified.

  Hereinafter, the scopes G-R-1, G-R-2, G-R-3, and C-R-1 are assigned to the examinations E1, E2, E3, and E4 by the scope allocation process described in the embodiment. This will be described with an example assigned. That is, the washing machine assignment process is started in a state where the inspection schedule shown in FIG. 12 is set.

  Returning to FIG. 3, in the second assignment processing unit 140, the cleaning machine specifying unit 142 refers to the cleaning machine order information held in the cleaning machine order holding unit 226, and the scopes G-R-1, G-R- 2. With respect to G-R-3 and C-R-1, washing machines 50 other than the set value 0 are extracted (S150). In S150, the washing machine 50 whose use is not prohibited is extracted. Here, for the scopes G-R-1, G-R-2, and G-R-3, which are upper routine machines, the set values of the first washing machine 50a, the second washing machine 50b, and the third washing machine 50c are 0. In addition, similarly for the scope CR-R that is the lower routine machine, the set values of the washing machine 50a, the second washing machine 50b, and the third washing machine 50c are not zero. Therefore, the cleaning machine specifying unit 142 specifies the first cleaning machine 50a, the second cleaning machine 50b, and the third cleaning machine 50c as candidate cleaning machines for each of the inspections E1 to E4 (S152). The identified candidate cleaning machines are notified to the cleaning machine allocation unit 144.

  FIG. 28 shows a detailed flowchart of S114 in the washing machine assignment process shown in FIG. In S <b> 114, the cleaning machine assignment unit 144 assigns the cleaning machine 50 to the scope 30.

  First, the cleaning machine assigning unit 144 performs the cleaning machine assignment for the scope GR-1 of the inspection E1. The cleaning machine assigning unit 144 refers to the cleaning schedule held in the cleaning schedule holding unit 208 and identifies the cleaning machine 50 that can be assigned first among candidate cleaning machines (S160). As described in the embodiment, when the cleaning machine specifying unit 142 notifies the cleaning machine allocation unit 144 of the available time zone of the candidate cleaning machine, the cleaning machine allocation unit 144 notifies the notified time. You may identify the washing | cleaning machine 50 which can be allocated at the earliest with reference to a belt | band | zone.

  Here, the candidate cleaning machines, that is, the first cleaning machine 50a, the second cleaning machine 50b, and the third cleaning machine 50c are usable in the entire time zone in the initial state, that is, the status of the all time zone is “waiting” " Therefore, the washing machine assigning unit 144 specifies that all of the first washing machine 50a, the second washing machine 50b, and the third washing machine 50c can be assigned first (S160), and the first assignable cleaning is performed. It is determined that there are a plurality of machines (Y in S162). Here, the washing machine assigning unit 144 refers to the priority order held in the washing machine order holding unit 226, and assigns the first washing machine 50a and the second washing machine 50b to the scope G-R-1 of the inspection E1. It is recognized that the set value 1 is given (S164). Thereby, the washing machine assigning unit 144 assigns the first washing machine 50a to the scope G-R-1 (S166). In this way, the washing machine assigning unit 144 assigns the first washing machine 50a having a high priority to the scope G-R-1, and thereby can be washed with a washing machine suitable for the scope. The scheduled cleaning start time is set to 9:10, and the scheduled cleaning end time is set to 9:30, which are registered in the cleaning schedule. As a result, the status between 9:10 and 9:30 of the first cleaning machine 50a becomes “in use”.

  Next, the cleaning machine allocation unit 144 performs cleaning machine allocation for the scope G-R-2 of the inspection E2. The cleaning machine assigning unit 144 refers to the cleaning schedule held in the cleaning schedule holding unit 208 and identifies the cleaning machine 50 that can be assigned first among candidate cleaning machines (S160). Here, since the use schedule of 9:10 to 9:30 is set for the first washing machine 50a, the washing machine assignment unit 144 assigns the second washing machine 50b and the third washing machine 50c first. It is determined that it is possible (S160), and it is determined that there are a plurality of washing machines that can be assigned at the earliest (Y in S162). Here, the washing machine assigning unit 144 refers to the priority order held in the washing machine rank holding unit 226, and the setting value 1 is given to the second washing machine 50b for the scope G-R-2 of the inspection E2. (S164). Thereby, the washing machine assigning unit 144 assigns the second washing machine 50b to the scope G-R-2. In this way, the cleaning machine assignment unit 144 assigns the second cleaning machine 50b having a high priority to the scope GR-2. The scheduled cleaning start time is set to 9:10, and the scheduled cleaning end time is set to 9:30, which are registered in the cleaning schedule.

  Next, the cleaning machine allocation unit 144 performs the cleaning machine allocation for the scope G-R-3 of the inspection E3. The cleaning machine assigning unit 144 refers to the cleaning schedule held in the cleaning schedule holding unit 208 and identifies the cleaning machine 50 that can be assigned first among candidate cleaning machines (S160). Here, since the use schedule of 9:10 to 9:30 is set for the first washing machine 50a and the second washing machine 50b, the washing machine assignment unit 144 assigns the third washing machine 50c first. It is determined that it is possible (S160), and it is determined that there is one specified cleaning machine 50 (N in S162). Thereby, the washing machine assigning unit 144 assigns the third washing machine 50c to the scope GR-3. The scheduled cleaning start time is set to 9:10, and the scheduled cleaning end time is set to 9:30, and is registered in the cleaning schedule.

  Regarding the scope G-R-3, the set value of the third washing machine 50c is 2, and the priority is lower than that of the first washing machine 50a and the second washing machine 50b. Therefore, the first cleaning machine 50a or the second cleaning machine 50b can be assigned to the scope G-R-3 at the time when the first cleaning machine 50a or the second cleaning machine 50b can be used. However, in such a case, cleaning of the scope G-R-3 is delayed, which is not preferable from the viewpoint of work efficiency. Therefore, the washing machine assigning unit 144 actively assigns even the washing machine 50 having a low priority, as long as assignment is not prohibited.

  Next, the cleaning machine allocation unit 144 performs the cleaning machine allocation for the scope C-R-1 of the inspection E4. The cleaning machine assigning unit 144 refers to the cleaning schedule held in the cleaning schedule holding unit 208 and identifies the cleaning machine 50 that can be assigned first among candidate cleaning machines (S160). Here, the use schedule of 9:10 to 9:30 is set in the first cleaning machine 50a, the second cleaning machine 50b, and the third cleaning machine 50c, and the cleaning machine allocation unit 144 sets the first cleaning machine 50a. The second washing machine 50b and the third washing machine 50c are all specified to be assignable at the earliest (S160), and it is determined that there are a plurality of washing machines that can be assigned at the earliest (Y in S162). .

  Here, the washing machine assigning unit 144 refers to the priority order held in the washing machine order holding unit 226, and assigns the first washing machine 50a and the second washing machine 50b to the scope C-R-1 of the inspection E4. It is recognized that the set value 1 is given (S164). Thereby, the washing machine assigning unit 144 assigns the first washing machine 50a to the scope CR-1 (S166). In this way, the washing machine assigning unit 144 assigns the first washing machine 50a having a higher priority to the scope CR-R-1, thereby allowing washing with a washing machine suitable for the scope. The scheduled cleaning start time is set to 9:30, and the scheduled cleaning end time is set to 9:50, which are registered in the cleaning schedule.

  FIG. 29 illustrates a cleaning schedule generated by the cleaning schedule management unit 130 in the third embodiment. Here, the allocation result by the cleaning machine allocation unit 144 is reflected in the cleaning schedule. Specifically, the scope GR-R-1 is cleaned by the first cleaning machine 50a between 9:10 and 9:30. The scope G-R-2 is cleaned by the second cleaning machine 50b, the scope G-R-3 is cleaned by the third cleaning machine 50c, and the first between 9:30 and 9:50. It is registered that the scope C-R-1 is cleaned by the cleaning machine 50a. The cleaning schedule management unit 130 records the updated cleaning schedule in the cleaning schedule holding unit 208.

  Compared to FIG. 14 described in the embodiment, the fourth cleaning machine 50d is not used in the cleaning schedule shown in FIG. This is because the use of the fourth washing machine 50d with respect to the scope C-R-1, in other words, the use of the chemical solution C is prohibited, so that no scope is assigned to the fourth washing machine 50d. Yes. In FIG. 26, for the scopes GT-1, GT-2, and CT-1, the setting value of the fourth cleaning machine 50d is 2, and therefore, the cleaning of these scopes is performed. In the scheduling, the fourth washing machine 50d may be assigned.

  Although the case where the use of the fourth washing machine 50d having a set value of 0 is prohibited in the washing machine rank holding unit 226 has been described above, the cleaning schedule generation process may be operated with this restriction relaxed. This is because in the above-described operation of prohibition of use, the fourth cleaning machine 50d is not normally used, and it is assumed that the scope 30 is waiting for cleaning without efficiently cleaning the scope 30. Therefore, a gentle restriction that avoids assignment to the scope 30 as much as possible may be adopted instead of a strict restriction that prohibits the washing machine 50 having the setting value 0 from being assigned to the scope 30. The strict limit and the gradual limit may be determined by, for example, a scheduling mode. When the efficiency of the cleaning process is promoted, the user selects the moderate limit mode to set the set value 0. The washing machine 50 may be assignable to the scope 30.

  In this case, it is preferable to store, for each scope 30, the number of times the usage status storage unit 224 (or history recording unit 232 described later) performs cleaning with the cleaning machine 50 having a set value 0. The cleaning machine allocating unit 144 is configured so that the number of times of cleaning with the cleaning machine 50 with the set value 0 does not protrude by the scope 30 and that the number of cleanings with the cleaning machine 50 with the set value 0 becomes equal. The washing machine 50 is preferably assigned to the scope 30. An upper limit (for example, 20 times) may be set for the number of times the cleaning machine 50 with the set value 0 performs cleaning, and the cleaning machine assigning unit 144 assigns the cleaning machine 50 with the set value 0 exceeding the upper limit. It may not be possible.

<Example 4>
In the fourth embodiment, when the scope 30 is scheduled, a certain scope 30 performs an allocation process such that it is used by a specific doctor as much as possible. By setting the scope 30 and a doctor using the scope as a set, for example, the scope 30 that has been maintained in a good condition for a long time can be analyzed that a frequently used doctor is operating well, Thus, the scope 30 or the like that is prone to failure can be analyzed such that there is some problem in the operation of a doctor who is frequently used.

Returning to FIG. 3, the assignment scope information holding unit 228 holds priority scope information related to a scope to be preferentially assigned to a doctor.
FIG. 30 shows a priority scope table stored in the allocation scope information holding unit 228. The priority scope table records, for each scope model, priority scope information that defines the priority order of the scope 30 to be assigned to each doctor in charge of endoscopy. Here, the priority order is given on the assumption that the medical facility has a plurality of scopes 30 of the same model, and the allocation scope information holding unit 228 includes a plurality of scopes 30 of the same model. The scope that is preferentially assigned to the doctor is held as priority scope information. In FIG. 30, “priority scope 1” is the scope having the first allocation priority, “priority scope 2” is the scope having the second allocation priority, and “priority scope 3” is the allocation priority. Is the third scope.

  For example, regarding the upper routine machine, the doctor A has the allocation priority of the scope G-R-2 set as the first and the allocation priority of the scope G-R-1 is set as the second. This priority scope information is information that specifies that priority scope is assigned preferentially when the priority scope can be assigned to a doctor, and the priority scope does not necessarily have to be assigned to a doctor. For example, in the examination scheduled to be performed by the doctor A, if the statuses of the scopes G-R-2 and G-R-1 are not “waiting” at the scheduled examination start time, the scope assignment unit 126 may be another upper routine machine. To avoid delays in testing.

  In the fourth embodiment, the scope assigning unit 126 performs endoscopy based on the priority scope information held in the assigned scope information holding unit 228 and the information related to the doctor in charge of endoscopy managed by the examination schedule management unit 110. Determine the scope 30 to be assigned to the speculum.

  FIG. 31 shows a detailed flowchart of S56 in the scope assignment processing shown in FIG. The scope assignment unit 126 acquires the priority scope information held in the assignment scope information holding unit 228 based on the doctor in charge of the endoscopy (S180).

  Hereinafter, an example in which candidate scopes of examinations E1, E2, E3, and E4 are specified by the scope search process described in the first embodiment will be described. In the first embodiment, the scope specifying unit 124 specifies the scopes of the endoscope numbers 1 to 6 as candidate scopes of the examinations E1, E2, and E3, and specifies the scopes of the endoscope numbers 15 to 17 as candidate scopes of the examination E4. This is notified to the scope allocation unit 126.

  The scope assigning unit 126 acquires priority scope information regarding the scope model to be used from the assigned scope information holding unit 228 for each examination based on the doctor information in charge of each of the examinations E1, E2, E3, and E4 (S180).

  Referring to the examination schedule of FIG. 4, the examination E1 is performed by the doctor B, and the scope assignment unit 126 refers to the priority scope table, and the priority scope 1 of the upper routine machine is GR-3. Recognizing that scope 2 is GR-1 and priority scope 3 is GR-2. In the examination E2, the doctor C is the doctor in charge, and the scope assigning unit 126 is such that the priority scope 1 of the upper routine machine is GR-1, the priority scope 2 is GR-5, and the priority scope 3 is GR-4. Recognize that. In the examination E3, the doctor E is the doctor in charge, and the scope assigning unit 126 is that the priority scope 1 of the upper routine machine is GR-5, the priority scope 2 is GR-6, and the priority scope 3 is GR-4. Recognize that. In the examination E4, the doctor D is the doctor in charge, and the scope assigning unit 126 recognizes that the priority scope 1 of the lower routine machine is CR-3.

  Regarding the examination E1, the scope allocating unit 126 determines that the scope G-R-3, which is the priority scope 1, is included in the candidate scopes of the endoscope numbers 1 to 6 (Y in S182), and therefore the examination. The scope G-R-3 is assigned to E1 (S186). Thereby, the doctor B comes to use the scope G-R-3 in the examination E1.

  Next, regarding the examination E2, the scope allocation unit 126 determines that the scope G-R-1 which is the priority scope 1 is included in the candidate scopes of the endoscope numbers 1, 2, 4 to 6 (S182). Y), therefore, the scope G-R-1 is assigned to the examination E2 (S186). Thereby, the doctor C comes to use the scope G-R-1 in the examination E2.

  Next, regarding the examination E3, the scope allocation unit 126 determines that the scope G-R-5, which is the priority scope 1, is included in the candidate scopes of the endoscope numbers 2, 4 to 6 (Y in S182). Therefore, the scope G-R-5 is assigned to the inspection E3 (S186). Thereby, the doctor E comes to use the scope G-R-5 in the examination E3.

  Finally, regarding the examination E4, the scope allocating unit 126 determines that the scope C-R-3 that is the priority scope 1 is included in the candidate scopes of the endoscope numbers 15 to 17 (Y in S182), Therefore, the scope CR-3 is assigned to the inspection E4 (S186). Thereby, the doctor D comes to use the scope CR-3 in the examination E4.

  As described above, when there are a plurality of priority scopes in the candidate scope, the scope assignment unit 126 assigns a priority scope having a higher priority to the examination. Note that if the priority scope is not included in the candidate scopes, that is, if any of the priority scope 1, the priority scope 2, and the priority scope 3 is not included (N in S182), the scope allocation unit 126 is other than the priority scope. Are identified (S184) and assigned to the examination (S186). In this way, if there is no assignable priority scope at the scheduled inspection start time, instead of waiting for the priority scope to become available, another scope is assigned to create an efficient inspection schedule. Is preferred. If there is no candidate scope, it is preferable to notify the user to that effect.

  FIG. 32 shows the inspection schedule updated by the inspection schedule management unit 110. Upon receiving the assignment result from the scope assignment unit 126, the examination schedule management unit 110 registers the assigned scope 30 in the corresponding examination. Here, the scope GR-3 is used for the inspection E1, the scope GR-1 is used for the inspection E2, the scope GR-5 is used for the inspection E3, and the inspection E4 is used. It is registered that the scope CR-3 is used. The inspection schedule management unit 110 records the updated inspection schedule in the inspection schedule holding unit 206.

  In the fourth embodiment, the scope assigning unit 126 preferentially assigns the specific scope 30 as much as possible to the examination that the specific doctor is in charge of, so the scope 30 is frequently used by the doctor.

  The usage status monitoring unit 160 monitors the usage status of the scope 30 used in the actually performed endoscopy and records it in the history recording unit 232. Thereby, the history recording unit 232 records the usage history information of the scope 30 used in the actual endoscopy. The history recording unit 232 associates, with respect to the scope 30, the laboratory in which the scope 30 was used, the doctor used, the date and time information used (examination start time, examination end time), the identification information of the patient used, examination type information, and the like. Record. The history recording unit 232 does not need to record these pieces of information as usage history information related to the scope 30, and corresponds to the laboratory, doctor, patient, and scope 30 that performed the endoscopic examination managed by the examination schedule management unit 110. The attached implementation information may be recorded.

  The history recording unit 232 also records a history related to the failure of the scope 30. For example, the failure history may include a doctor who was operating when the failure occurred, examination type information, and date / time information.

  The display processing unit 150 displays the usage history information of the plurality of scopes 30 recorded in the history recording unit 232 in a comparable format. At this time, the display content deriving unit 152 calculates a statistic based on the usage history information recorded in the history recording unit 232. Here, the statistic is the number of times of use, the usage time, and the like calculated for each doctor with respect to the scope 30, and the display content deriving unit 152 has a function of deriving a statistic corresponding to the content to be displayed. The display processing unit 150 displays the statistics calculated by the display content deriving unit 152.

  The period designation unit 154 designates the period of usage history information. This period is specified by the user inputting in an input frame provided on the screen of the terminal device 12. When the period designating unit 154 designates a period, the display content deriving unit 152 extracts the usage history information for that period from the history recording unit 232, calculates the statistics to be displayed, and the display processing unit 150 is designated. The usage history information for the selected period, that is, the statistic calculated by the display content deriving unit 152 is displayed on the display of the terminal device 12.

  FIG. 33 shows an example of usage history information displayed on the terminal device 12. When the user inputs a period from 2013/11/1 to 2014/10/30 as the display period, the period specifying unit 154 specifies this period, and the display content deriving unit 152 displays the usage history information of this period. Extracted from the history recording unit 232. Here, the display content deriving unit 152 calculates the usage count of the upper routine machine for each doctor, creates a usage count table, and the display processing unit 150 displays the display on the display of the terminal device 12. The display content deriving unit 152 may create a list of failure histories in this period and calculate the number of failures, and the display processing unit 150 may display the number of failures and the failure history together.

  With this use frequency table, the user can specify which scope has few failures and doctors who frequently use the scope. On the other hand, the user can specify a doctor who has many faults in the scope and frequently uses the scope. As described above, when the scope assigning unit 126 performs scope assignment processing so that a specific doctor preferentially uses a specific scope, history information on the actual use of the scope 30 is used when performing failure analysis or the like. Useful information. Further, the display processing unit 150 displays the usage history information of the plurality of scopes 30 in a comparable format, so that the user can recognize the difference in the usage state of the scope 30 at a glance.

  FIG. 34 shows an example of usage history information displayed on the terminal device 12. This use frequency graph is a graph representing the use frequency table shown in FIG. By expressing it in a graph format in this way, the difference in use state of the scope 30 can be understood at a glance.

  In FIGS. 33 and 34, the display processing unit 150 displays the scope usage count for each doctor for each scope 30 as usage history information. For example, the display processing unit 150 displays the scope usage time for each doctor as usage history information. Also good. Further, the display processing unit 150 may display the number of uses and the use time of the scope 30 used by the doctor for each doctor.

<Example 5>
In the fifth embodiment, when the scope 30 is scheduled, a process of assigning a cleaning job to the inspection preparation person is performed so that a certain scope 30 is cleaned by a specific inspection preparation person as much as possible. By setting the cleaning operation of the scope 30 and the inspection preparation person who cleans it as a set, for example, for the scope 30 that has maintained a good state for a long time, a person in charge with a high cleaning frequency is cleaning well. On the other hand, the scope 30 or the like that is prone to failure can also analyze that there is some problem in the cleaning process.

Returning to FIG. 3, the assigned person information holding unit 230 holds the priority person information related to the person who assigns the cleaning work with priority to the scope 30.
FIG. 35 shows a priority person table stored in the assigned person information holding unit 230. The priority person table stores priority person information for each scope 30 that defines the priority order of inspection preparation persons (hereinafter also referred to as “persons in charge”) to which cleaning operations are assigned. That is, the assignee information holding unit 230 holds the priority order of the assignee who assigns the cleaning work to one scope 30. In FIG. 35, “priority person in charge 1” is the person in charge with the first assignment priority, and “priority person in charge 2” is the person in charge with the second assignment priority.

  For example, in the scope G-R-1, the assignment priority order of the engineer A is set to the first, and the assignment priority order of the engineer B is set to the second. This priority person information is information that designates priority assignment when the priority person can be assigned to cleaning operations. It does not have to be assigned to a cleaning service. For example, when the inspection using the scope G-R-1 is completed and the engineer A and the engineer B are performing other tasks when cleaning the scope, the person-in-charge allocating unit 149 An engineer (for example, engineer C) is assigned to the cleaning operation so that the cleaning operation is not delayed.

  In the fifth embodiment, the person-in-charge assigning unit 149 is responsible for the scope cleaning work based on the priority person-in-charge information held in the person-in-charge person information holding unit 230 and the scope information managed by the examination schedule management unit 110. Decide who.

  FIG. 36 shows a flowchart of person-in-charge assignment processing. 36 is added as a process between S118 and S120 in the washing machine assignment process shown in FIG. In the flowchart shown in FIG. 13, after the cleaning machine allocating unit 144 allocates the cleaning machine 50 to the used scope (S114), and sets the scheduled cleaning start time and scheduled cleaning end time (S118), the person-in-charge allocation unit 149 acquires the priority person information stored in the assigned person information holding unit 230 based on the scope 30 scheduled for cleaning (S200).

  Hereinafter, the scopes G-R-3, G-R-1, G-R-5, and C-R-3 are applied to the examinations E1, E2, E3, and E4 by the scope allocation process described in the fourth embodiment. An example in which is assigned will be described.

  FIG. 37 shows the cleaning schedule generated by the cleaning schedule management unit 130. Here, the allocation result by the cleaning machine allocation unit 144 is reflected in the cleaning schedule. Specifically, the scope GR-3 is cleaned by the first cleaning machine 50a between 9:10 and 9:30. The scope G-R-1 is cleaned by the second cleaning machine 50b, the scope G-R-5 is cleaned by the third cleaning machine 50c, the fourth between 9:15 and 9:35. It is registered that the scope CR-3 is cleaned by the cleaning machine 50d.

  The cleaning schedule management unit 130 according to the fifth embodiment manages a cleaning schedule of a plurality of scopes including a cleaning person in charge of cleaning work, in addition to the cleaning machine 50, scheduled cleaning start time information, and scheduled cleaning end time information. . Hereinafter, a method for registering a person in charge of cleaning in the cleaning schedule will be described.

  The person-in-charge assignment unit 149 acquires priority person-in-charge information from the assignment person-in-charge information holding unit 230 for each scope 30 based on the scope information assigned to each of the examinations E1, E2, E3, and E4 (S200).

  Referring to the priority person table of FIG. 35, the priority person 1 of the scope GR-3 is the engineer B, the priority person 1 of the scope GR-R-1 is the engineer A, and the scope GR The priority person in charge of −5 is engineer C, and the person in charge of priority 1 in scope C-R-3 is engineer C.

  Regarding the scope G-R-3, the person-in-charge allocating unit 149 determines whether the engineer B who is the priority person in charge 1 can take charge of the cleaning work of the scope G-R-3 (S202). In the fifth embodiment, each engineer has a person-in-charge schedule, and the person-in-charge allocating unit 149 determines whether the person-in-charge schedule has a vacancy in the scheduled cleaning start time and the scheduled cleaning end time. It is determined whether B can take charge of the cleaning work of the scope G-R-3. If there is no other work at the scheduled cleaning start time and the scheduled cleaning end time of the scope GR-3, the person-in-charge allocating unit 149 allocates the cleaning work of the scope GR-3 to the engineer B. It is determined that it is possible (Y in S202), and the cleaning work of the scope is assigned to the engineer B (S206). In the person-in-charge schedule, if any other work is included in either the scheduled cleaning start time or the scheduled cleaning end time, the person-in-charge allocating unit 149 performs the cleaning service of the scope GR-3 on the engineer B. It is determined that assignment is impossible (N in S202). If the assignment to the engineer C who is the priority person in charge 2 is not possible, the person-in-charge assignment unit 149 identifies a person in charge other than the person in charge of priority who has a vacancy at the time (S204). And assigned to the cleaning work (S206).

  Next, regarding the scope G-R-1, the person-in-charge allocating unit 149 determines whether the engineer A who is the priority person in charge 1 can take charge of the cleaning work of the scope G-R-1 (S202). The person-in-charge allocating unit 149 allocates the cleaning job of the scope G-R-1 to the engineer B when the cleaning job of the scope G-R-1 can be allocated to the engineer A (Y in S202). ). In the person-in-charge schedule, if any other work is included in either the scheduled cleaning start time or the scheduled cleaning end time, the person-in-charge allocating unit 149 performs the cleaning service for the scope G-R-1 to the engineer A. It is determined that assignment is impossible (N in S202). At this time, if the assignment to the engineer B who is the priority person in charge 2 is not possible, the person-in-charge assignment unit 149 specifies a person in charge other than the priority person in charge and who has a vacancy at the time (S204). ), Assigned to the cleaning work (S206).

  Next, regarding the scope G-R-5, the person-in-charge allocating unit 149 determines whether the engineer C who is the priority person in charge 1 can take charge of the cleaning work of the scope G-R-5 (S202). The person-in-charge allocating unit 149 allocates the cleaning job of the scope G-R-5 to the engineer C when the cleaning job of the scope G-R-5 can be allocated to the engineer C (Y in S202) (S206). ). In the person-in-charge schedule, if any other work is included in either the scheduled cleaning start time or the scheduled cleaning end time, the person-in-charge allocating unit 149 performs the cleaning service for the scope G-R-5 to the engineer C. It is determined that assignment is impossible (N in S202). At this time, if the assignment to the engineer B who is the priority person in charge 2 is not possible, the person-in-charge assignment unit 149 specifies a person in charge other than the priority person in charge and who has a vacancy at the time (S204). ), Assigned to the cleaning work (S206).

  Next, regarding the scope C-R-3, the person-in-charge allocating unit 149 determines whether the engineer C who is the priority person in charge 1 can take charge of the cleaning work of the scope C-R-3 (S202). The person-in-charge assigning unit 149 assigns the cleaning work of the scope C-R-3 to the engineer C when the cleaning work of the scope CR-R-3 can be assigned to the engineer C (Y in S202) (S206). ). In the person-in-charge schedule, if any other work is included in either the scheduled cleaning start time or the scheduled cleaning end time, the person-in-charge allocating unit 149 causes the engineer C to perform the scope C-R-3 cleaning work. It is determined that assignment is impossible (N in S202). At this time, if the assignment to the engineer B who is the priority person in charge 2 is not possible, the person-in-charge assignment unit 149 specifies a person in charge other than the priority person in charge and who has a vacancy at the time (S204). ), Assigned to the cleaning work (S206).

  If both the priority person 1 and the priority person 2 can be assigned to a certain cleaning work, the person assigning unit 149 assigns a person with high priority to the cleaning work. The assigned person information is notified to the cleaning schedule management unit 130.

  FIG. 38 shows the cleaning schedule updated by the cleaning schedule management unit 130. When the assignment result is notified from the person-in-charge assignment unit 149, the cleaning schedule management unit 130 registers the person in charge assigned to the corresponding cleaning process. Here, engineer B is in charge of cleaning work for Scope G-R-3, engineer A is in charge of cleaning work for Scope G-R-1, and engineer C is in charge of cleaning work for Scope G-R-5. That the engineer C is in charge of the cleaning operation of the scope C-R-3 is registered. As described above, the cleaning schedule management unit 130 adds the person in charge who performs the cleaning operation to the cleaning schedule, and records the updated cleaning schedule in the cleaning schedule holding unit 208.

  In the fifth embodiment, the person-in-charge allocating unit 149 preferentially assigns the cleaning work for the specific scope 30 so that the specific examination preparation person is in charge as much as possible. Therefore, the person in charge performs the cleaning work for the scope 30. More opportunities.

  The usage status monitoring unit 160 monitors the actual cleaning processing status of the scope 30 and records it in the history recording unit 232. For example, each cleaning machine 50 is provided with reading means for reading the person in charge ID, and the person in charge reads the ID card or the like with the reading means so that the person in charge performing the cleaning work is specified. It has become. The usage status monitoring unit 160 monitors the cleaning processing status, and the history recording unit 232 records the cleaning history information of the cleaned scope 30. The history recording unit 232 records, with respect to the scope 30, the cleaning machine 50 that has been cleaned, the date and time information (cleaning start time, cleaning end time), the person in charge that has been cleaned, and the like. The history recording unit 232 does not need to record these pieces of information as cleaning history information regarding the scope 30, and the cleaning machine 50 that has performed the cleaning managed by the cleaning schedule management unit 130, the person in charge of cleaning, and the scope 30 that has been cleaned. May be recorded.

  The history recording unit 232 also records a history related to the failure and maintenance of the scope 30. For example, the history may include the person in charge who worked at the time of failure or maintenance and date / time information.

  The display processing unit 150 displays the cleaning history information of the plurality of scopes 30 recorded in the history recording unit 232 in a comparable format. At this time, the display content deriving unit 152 calculates a statistic based on the cleaning history information recorded in the history recording unit 232. Here, the statistics are the number of times of cleaning, the cleaning time, and the like calculated for each person in charge with respect to the scope 30, and the display content deriving unit 152 has a function of deriving statistics according to the content to be displayed. The display processing unit 150 displays the statistics calculated by the display content deriving unit 152.

  The period designation unit 154 designates the period of the cleaning history information. This period is specified by the user inputting in an input frame provided on the screen of the terminal device 12. When the period designating unit 154 designates a period, the display content deriving unit 152 extracts the cleaning history information for that period from the history recording unit 232, calculates the statistics to be displayed, and the display processing unit 150 is designated. The cleaning history information for a given period, that is, the statistic calculated by the display content deriving unit 152 is displayed on the display of the terminal device 12.

  FIG. 39 shows an example of cleaning history information displayed on the terminal device 12. When the user inputs a period from 2013/11/1 to 2014/10/30 as the display period, the period specifying unit 154 specifies this period, and the display content deriving unit 152 displays the cleaning history information of this period. Extracted from the history recording unit 232. Here, the display content deriving unit 152 calculates the number of times of cleaning of the upper routine machine for each person in charge, creates a cleaning number table, and the display processing unit 150 displays on the display of the terminal device 12. The display content deriving unit 152 may create a list of failure histories in this period and calculate the number of failures, and the display processing unit 150 may display the number of failures and the failure history together.

  With this cleaning frequency table, the user can specify an engineer who has few faults in the scope and has a high cleaning frequency for the scope. On the other hand, the user can specify an engineer who has many faults in the scope and has a high cleaning frequency of the scope. In this way, the person-in-charge allocating unit 149 preferentially assigns the cleaning work of the specific scope to the specific person in charge, so that the history information on the actual cleaning of the scope 30 is useful when performing failure analysis or the like. Information. Further, the display processing unit 150 displays the cleaning history information of the plurality of scopes 30 in a comparable format, so that the user can recognize the difference in the usage state of the scope 30 at a glance.

  FIG. 40 shows an example of the cleaning history information displayed on the terminal device 12. This cleaning frequency graph represents the cleaning frequency table shown in FIG. 39 in a graph format. By expressing it in a graph format in this way, the difference in use state of the scope 30 can be understood at a glance.

  39 and 40, the display processing unit 150 displays the scope cleaning frequency for each person in charge as to each scope 30 as the cleaning history information. For example, the scope cleaning time for each person in charge is displayed as the cleaning history information. May be. The display processing unit 150 may display the number of cleanings and the cleaning time of the scope 30 cleaned by the person in charge for each person in charge.

  In the fourth embodiment, regarding the scope 30, the history recording unit 232 includes, as scope use information, the examination room in which the scope 30 is used, the doctor used, the examination start time, the examination end time, the patient identification information used, the examination It has been described that type information and the like are recorded in association with each other. In the fifth embodiment, it has been described that the history recording unit 232 records the washing machine 50 that has been washed, the washing start time, the washing end time, and the person in charge of the washing in association with the scope 30 as scope washing information. . The history management unit 162 may manage the history of the scope 30 based on the scope usage information and the scope cleaning information recorded in the history recording unit 232. Specifically, the history management unit 162 associates the scope usage information and the scope cleaning information from the inspection end time of the scope 30 included in the scope usage information and the cleaning start time of the same scope 30 included in the scope cleaning information.

  For example, as the scope use information of the scope G-R-1, the inspection end time is 9:10 on November 6, 2014, and the scope start information is 9:12 on November 6, 2014 as the cleaning start time. If it is, the history management unit 162 manages the scope usage information and the scope cleaning information as related to each other. Further, as this scope cleaning information, the cleaning end time is 9:32 on November 16, 2014, and the inspection start time of another scope use information of G-R-1 is 9:16 November 16, 2014: In the case of 34, the history management unit 162 manages the scope cleaning information and the scope use information in association with each other. Here, managing in association corresponds to defining a temporal relationship between scope usage information and scope cleaning information. By managing in this way, the history management unit 162 allows the doctor C to use the scope G-R-1 for the patient A, and then the engineer A cleans the scope G-R-1 with the second washer. Thereafter, the history of the scope G-R-1 that the doctor B has used the scope G-R-1 for the patient B can be managed.

<Rescheduling process>
By the processes described in the embodiment and Examples 1 to 5, the inspection schedule and the cleaning schedule are generated before the start of the daily endoscopic inspection work. In a medical facility, it is ideal that inspection work proceeds according to the generated inspection schedule and cleaning schedule. However, in the field, inspection work does not proceed according to the inspection schedule and / or cleaning schedule due to various factors. There is.

  One of the typical factors is that the time when the inspection actually starts or the time when the inspection ends is earlier or delayed than the time set in the schedule. In the examination type master table 210 shown in FIG. 5, for example, the scheduled examination time of “upper routine examination” of examination type number 1 is set to 10 minutes, and therefore “upper routine examination” is the time from the start to the end of the examination. Is incorporated into the inspection schedule as 10 minutes. However, the actual examination may be earlier than the scheduled time of 10 minutes or exceed 10 minutes, and if the scheduled time is exceeded, it is necessary to reset the subsequent schedule.

  FIG. 41 shows an example of the inspection schedule generated by the inspection schedule management unit 110 and the cleaning schedule generated by the cleaning schedule management unit 130. The examination schedule shown in FIG. 41 is created by assigning a scope to each examination according to the scope ranking table by the scope assignment process described in connection with the first embodiment. In addition, the cleaning schedule shown in FIG. 41 is created by the cleaning machine assignment process described in the embodiment. In the rescheduling process described in Examples 6 to 8 below, the elements included in the inspection schedule and the cleaning schedule shown in FIG. 41 are the targets of the rescheduling process. Inspection schedules and cleaning schedules may be targeted. In any case, the rescheduling process assumes that an inspection schedule and a cleaning schedule are generated in advance. For convenience of explanation, in the cleaning schedule, the cleaning identification information (cleaning ID) of W1 to W41 is attached to the cleaning processing of each scope.

In FIG. 41, it is assumed that the medical facility has five upper high-definition machines.
FIG. 42 shows an example of the owned scope master table 222. Compared with the possessing scope master table 222 shown in FIG. 6, the medical facility is different in that it possesses five upper high-definition machines. That is, in the possessing scope master table 222 shown in FIG. 42, the possessing scope master table 222 shown in FIG. 6 differs from the upper scope high-quality device GH-4 and GH-5. 41, the scope GH-4 is assigned to the examination E36 and the scope GH-5 is assigned to the examination E37.

  FIG. 43 shows a configuration of the processing unit 100 having a function of executing rescheduling processing in the configuration of the information management apparatus 10. The processing unit 100 includes an inspection schedule management unit 110, a first allocation processing unit 120, a cleaning schedule management unit 130, a second allocation processing unit 140, a display processing unit 150, a status information acquisition unit 170, a reschedule processing unit 172, and cannot be changed. An examination specifying unit 174 and an input receiving unit 176 are provided. Although not shown in FIG. 43, the processing unit 100 includes a display content deriving unit 152, a period specifying unit 154, and a usage status monitoring unit 160 as shown in FIG. The unit 120 includes a test extraction unit 122, a scope specifying unit 124, a scope assigning unit 126, a scope assignability confirmation unit 128, and a doctor assigning unit 129. The second assignment processing unit 140 includes a washer specifying unit 142, a washer An allocation unit 144, an end time determination unit 146, a washing machine allocation availability confirmation unit 148, and a person-in-charge allocation unit 149 are included.

Each component of the processing unit 100 can be realized in hardware by a CPU, memory, or other LSI of an arbitrary computer, and is realized by a program loaded in the memory in terms of software. Describes functional blocks realized through collaboration. Therefore, 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.
The rescheduling process described below is performed according to the actual examination situation after the start of the endoscopic examination work.

<Example 6>
The status information acquisition unit 170 acquires status information regarding the status of the examination. The situation information acquisition unit 170 includes a communication unit that communicates with the endoscope observation apparatus 22 and may have a function of acquiring information transmitted from the endoscope observation apparatus 22. In this regard, the status information acquisition unit 170 may include the function of the usage status monitoring unit 160 illustrated in FIG.

  Before the start of the examination, the scope 30 is connected to the endoscope observation apparatus 22. At this time, the identification information (scope ID) of the scope 30 is information for identifying the endoscope observation apparatus 22 (observation apparatus ID) and examination. Is transmitted to the information management apparatus 10 via the network 2 together with information (inspection ID) for identifying. When the examination start button is operated in the endoscope observation apparatus 22 when the examination is started, an examination start notification is transmitted to the information management apparatus 10 together with the examination ID and the observation apparatus ID. Further, when the examination is finished, when the examination termination button is operated in the endoscope observation apparatus 22 (or when the scope 30 is pulled out from the endoscope observation apparatus 22), the examination completion notification is sent to the examination ID and the observation apparatus. It is transmitted to the information management apparatus 10 together with the ID. In the information management apparatus 10, the situation information acquisition unit 170 monitors information transmitted from the endoscope observation apparatus 22, and information on the scope ID, examination start notification information, and examination end notification as situation information on the examination implementation status. Get information. The status information acquisition unit 170 provides the acquired status information to the reschedule processing unit 172 immediately (in real time) together with the acquired time information. The status information acquisition unit 170 may periodically provide the acquired status information together with the acquired time information to the reschedule processing unit 172.

  The inspection start notification information and the inspection end notification information are input by the user and received together with time information by the input reception unit 176, and the input reception unit 176 uses the inspection start notification information and the inspection end notification information as status information as status information. You may deliver to the acquisition part 170. FIG. The examination start notification information and the examination end notification information are input to an in-hospital information system such as an ordering system, and the situation information acquisition unit 170 receives the examination start notification information and the examination end notice information as situation information from the in-hospital information system. You may get it. As described above, the status information acquisition unit 170 only needs to be able to acquire the actual status of the examination by some means, but in order to execute an efficient rescheduling process, the status information is acquired and acquired in real time. It is preferable to provide the reschedule processing unit 172 together with the time information.

  The reschedule processing unit 172 determines whether or not the elements included in the inspection schedule and / or the cleaning schedule shown in FIG. 41 need to be changed based on the situation information. For example, when the time when the status information acquisition unit 170 acquires the inspection end notification information exceeds the scheduled inspection end time of the inspection, the reschedule processing unit 172 needs to change the inspection schedule and / or the cleaning schedule. Determine that there is.

  In order to change the inspection schedule, it is necessary to know the time when the status information acquisition unit 170 acquires the inspection end notification information. However, when the situation information acquisition unit 170 exceeds the scheduled end time of the inspection, the inspection end notification information Is not acquired, the reschedule processing unit 172 can determine that at least the examination schedule needs to be changed. Therefore, the status information acquisition unit 170 refers to the inspection schedule, and if the inspection end notification information has not been acquired when the inspection end scheduled time is exceeded, information indicating that is provided to the reschedule processing unit 172. May be.

  When the reschedule processing unit 172 determines that the inspection schedule and / or the cleaning schedule needs to be changed based on the situation information, the reschedule processing unit 172 performs an inspection on at least one of the inspection schedule management unit 110 and the cleaning schedule management unit 130. Instruct the change of elements included in the schedule and / or cleaning schedule. Here, the elements included in the examination schedule are the examination specified by the examination ID, the examination room assigned to the examination, the examination scheduled start time information, the examination end scheduled time information, the doctor in charge, and the scope 30. The elements included in the cleaning schedule are a cleaning machine assigned to the scope 30, scheduled cleaning start time information, and scheduled cleaning end time information. As shown in the fifth embodiment (FIG. 38), when a person in charge is assigned to the cleaning process in the cleaning schedule, the person in charge information is also included in the elements included in the cleaning schedule.

Hereinafter, specific rescheduling processing will be described with reference to FIGS. 44 to 47.
FIG. 44 shows an example in which the actual inspection is delayed from the schedule. In the inspection schedule of inspection E22, the scheduled start time of inspection is 10:25 and the scheduled end time of inspection is 10:35. In fact, inspection E22 exceeds the scheduled time by 20 minutes. Therefore, the status information acquisition unit 170 acquires the examination end notification information from the endoscope observation apparatus 22a of the first examination room 20a at 10:55. When the status information acquisition unit 170 acquires the test end notification information, the status information acquisition unit 170 immediately notifies the reschedule processing unit 172 that the test end notification information of the test E22 is acquired at 10:55.

  Upon receiving the notification from the status information acquisition unit 170, the reschedule processing unit 172 detects that the end time of the inspection E22 has exceeded the scheduled time and a delay has occurred. It is determined that a change is required. When determining that the schedule needs to be changed, the reschedule processing unit 172 instructs the inspection schedule management unit 110 or the cleaning schedule management unit 130 to change the elements included in the schedule. In the sixth embodiment, the reschedule processing unit 172 instructs the inspection schedule management unit 110 to change the elements included in the inspection schedule, and the inspection schedule management unit 110 uses the scheduled inspection start time as an element of the inspection schedule. The process of moving the examination time frame specified by the information and the scheduled examination end time information is performed.

  At this time, the reschedule processing unit 172 specifies the scheduled end time information of the inspection E22 as an element to be changed among the elements included in the inspection schedule, and instructs the inspection schedule management unit 110 to change the specified element. May be. As described above, the reschedule processing unit 172 may specify an element to be changed based on the situation information, but the inspection schedule management unit 110 is notified of the end time of the inspection E22 from the rescheduling processing unit 172. Thus, the element to be changed may be specified.

  If the status information acquisition unit 170 refers to the inspection schedule and does not acquire the inspection end notification information when the scheduled inspection end time is exceeded, information indicating that the inspection is delayed is displayed as the reschedule processing unit. Although it may be provided to 172, the reschedule processing unit 172 may notify the examination schedule management unit 110 that the examination E22 is delayed at this time. Thereby, the inspection schedule management unit 110 needs to reset the inspection start scheduled time information and the inspection end scheduled time information of the inspections E26, E30, E33, E35, and E38 of the same laboratory scheduled after the inspection E22. It may be recognized as an element, and when the end time of the inspection E22 is known, processing for moving the inspection time frame may be performed.

  Even if the inspection schedule management unit 110 is not notified from the reschedule processing unit 172 that a delay occurs in the inspection E22, the inspection schedule management unit 110 refers to the managed inspection schedule and the inspection E22 is delayed. Can be judged by oneself. Therefore, the inspection schedule management unit 110, when the scheduled end time of the inspection E22 is exceeded, the scheduled inspection start time information and the scheduled end time information of the inspections E26, E30, E33, E35, and E38 scheduled after the inspection E22. Can be recognized as an element that needs to be reset.

  Doctors and the like often check schedule information before the start of a day's examination work and keep in mind what kind of examination is performed in which laboratory at which time. Therefore, in the sixth embodiment, rescheduling processing is basically performed in such a manner that it is basically taken over without largely changing the schedule set in advance before starting the business.

  Based on such a policy, the examination schedule management unit 110 identifies an examination room in which the examination schedule needs to be changed based on the schedule element change instruction provided from the reschedule processing unit 172, and identifies the identified examination. The examination start scheduled time information and the examination end scheduled time information of the endoscopy in the room are changed. Specifically, the schedule element change instruction includes the inspection end time of the inspection E22, and upon receiving this change instruction, the inspection schedule management unit 110 identifies the first inspection room 20a in which the inspection E22 has been performed. In the first examination room 20a, the examination start scheduled time information and the examination end scheduled time information of the examinations E26, E30, E33, E35, and E38 scheduled after the examination E22 are respectively set for the delay time of the examination E22. In the example, it is reset 20 minutes after the scheduled time.

FIG. 45 shows a state in which the inspection start scheduled time and the inspection end scheduled time of the inspections E26, E30, E33, E35, and E38 are delayed by 20 minutes.
In addition, although it is mixed in time, in the inspection schedule, the inspection start time of inspection E27 is set to 10:45. The doctor in charge of the examination E27 is the doctor C, but at the time of 10:45, the doctor C is still performing the examination E22, and thus the examination E27 has not started at the scheduled time of 10:45. If the status information acquisition unit 170 has not acquired the examination start notification information of the examination E27 from the endoscope observation device 22d of the fourth examination room 20d at 10:45, the reschedule processing unit 172 is scheduled for the examination E27. Recognizing that the test has not started, the test schedule management unit 110 is notified that the test E27 has not started. Thereby, the examination schedule management unit 110 recognizes the examination start scheduled time information and the examination end scheduled time information of the examinations E27, E34, and E41 in the fourth examination room 20d as elements that need to be reset.

  Thus, when the end of the inspection E22 is delayed from the schedule, the inspection after the scheduled end time (10:35) of the inspection E22 is performed not only in the same inspection room as the inspection E22 but also in other inspection rooms. The schedule and / or cleaning schedule may be affected. In this example, a case where the schedule of the doctor C is affected is shown, but there are other cases where the use schedule of the scope 30 and the use schedule of the cleaning machine 50 are affected. Therefore, in the sixth embodiment, paying attention to the time frame of the examination, first, the examination schedule management unit 110 firstly includes the doctor information and the scope 30 which are elements assigned to the time frame having the scheduled start time after the examination end scheduled time of the examination E22. Investigate whether or not there is a contradiction. Here, the case where a contradiction occurs is a case where the same doctor is assigned to a plurality of examinations that overlap in time in terms of doctor information. This is a case where it is assigned to a plurality of overlapping inspections, or assigned to inspection and cleaning at the same time.

  Specifically, the inspection schedule management unit 110 sets the inspection time frame after the inspection E26 in the first inspection room 20a to 20 at 10:55 when the inspection end notification information of the inspection E22 is received, as shown in FIG. As a result of delaying by minutes, it is investigated whether there is an examination time frame in which the doctor and the scope 30 overlap in time. Here, the examination schedule management unit 110 has already recognized the examination start scheduled time information and the examination end scheduled time information of the examination E27 as elements that need to be reset at 10:45, and the doctor C recognizes 10:55. Since the inspection E27 can be performed at this point, the inspection start scheduled time information of the inspection E27 is reset to 10:55 or later. At this time, the examination after the examination E27 in the fourth examination room 20d is similarly delayed, that is, the examination schedule management unit 110 specifies the fourth examination room 20d to be delayed, and the examinations of the examinations E27, E34, and E41. Each of the scheduled start time information and the scheduled inspection end time information is reset.

  FIG. 46 shows a state in which the scheduled examination start time and the scheduled examination end time of examinations E27, E34, and E41 are delayed by 10 minutes. In this example, the scheduled start time of the examination E27 is reset so that the doctor C starts the examination E27 immediately after the completion of the examination E22 (10:55). However, after an interval of 5 minutes, That is, the scheduled inspection start time for the inspection E27 may be reset at 11:00.

  Specifically, the inspection schedule management unit 110 excludes the inspection time frame that is being performed according to the schedule from the investigation target when resetting the inspection time frame. At the time of receiving the inspection end notification information of the inspection E22 (10:55), the inspection start notification information of the inspection E28 in the second inspection room 20b and the inspection start notification information of the inspection E29 in the fourth inspection room 20d are already The information is provided from the status information acquisition unit 170 via the reschedule processing unit 172 at 10:50. Therefore, the inspection is performed as scheduled in the second inspection room 20b and the third inspection room 20c. I know. Therefore, the inspection schedule management unit 110 sets the inspection end scheduled time (10:35) after the inspection E22 as the inspection start scheduled time and relates to the inspections E26, E31, E32, and E27 of each inspection room that has not yet started the inspection. Investigate whether the doctor and scope are overlapping in time. As a result, the scheduled start time of the examination E27 in the fourth examination room 20d is reset to 10:55, and is corrected to the examination schedule shown in FIG.

  Next, the cleaning schedule management unit 130 investigates whether or not there is a contradiction in the cleaning schedule of the scope having the scheduled cleaning start time after the scheduled test end time (10:35) of the test E22. Here, the case where a contradiction occurs is a case where cleaning is to be started even though the scope 30 is being used for inspection at a certain point in time. Here, the cleanings W20 to W27 are extracted as the cleaning schedule of the scope having the scheduled cleaning start time after the scheduled test end time (10:35) of the test E22.

  Similar to the inspection schedule management unit 110, the cleaning schedule management unit 130 monitors whether the cleaning is performed according to the cleaning schedule by the time (10:55) when the inspection E22 actually ends. For example, the status information acquisition unit 170 may include a communication unit that communicates with the cleaning machine 50, and may have a function of acquiring information transmitted from the cleaning machine 50. The cleaning machine 50 is provided with means for reading the scope ID of the scope 30 to be cleaned, and the person in charge of the cleaning causes the reading means to read the scope ID of the scope 30 before starting the cleaning. When the cleaning start button is operated, the cleaning machine 50 transmits the cleaning start notification information to the information management apparatus 10 via the network 2 together with the scope ID and information for identifying the cleaning machine 50 (cleaning machine ID). When the cleaning is completed, the cleaning machine 50 transmits cleaning completion notification information to the information management apparatus 10 via the network 2 together with the scope ID and the cleaning machine ID. The status information acquisition unit 170 monitors information transmitted from the cleaning machine 50, and acquires cleaning start notification information and cleaning end notification information as status information regarding the cleaning execution status. The status information acquisition unit 170 provides the acquired status information together with the acquired time information to the reschedule processing unit 172 immediately (in real time), and the reschedule processing unit 172 provides the status information together with the time information to the cleaning schedule management unit. 130 is notified.

  Accordingly, the cleaning schedule management unit 130 determines that there is cleaning that cannot be performed according to the schedule between the scheduled end time (10:35) of the inspection E22 and the actual end time (10:55). At this point, it is recognized as an element that needs to be reset. In this example, the cleanings W20 to W23 are scheduled to start at a time between 10:35 and 10:55. Here, the scope G-R-2 in the cleaning W22 is the scheduled cleaning start time. At the time of 10:50, it is still actually used in the inspection E22. Therefore, at 10:50, the cleaning schedule management unit 130 recognizes the scheduled cleaning start time information and the scheduled cleaning end time information, which are elements of the cleaning W22, as elements that need to be reset.

  At 10:55, when the reschedule processing unit 172 issues an instruction to change the elements of the cleaning schedule to the cleaning schedule management unit 130, the cleaning schedule management unit 130 sets the cleaning start scheduled time and the cleaning end of the cleaning W22. Reset the scheduled time. The cleaning schedule resetting process is executed after the above-described inspection schedule resetting process by the inspection schedule management unit 110 is performed. The cleaning schedule management unit 130 instructs the second allocation processing unit 140 to perform the reassignment processing of the scope GR-R-2 in the cleaning W22, and the cleaning machine allocation unit 144 of the second allocation processing unit 140 receives the instruction. , W22 is changed so that the scheduled start time is shifted back by 5 minutes, and the second washing machine 50b is assigned to the scope G-R-2.

  Thereafter, the cleaning schedule management unit 130 investigates whether or not there is a contradiction in the cleaning W24 to W27 scheduled to start after 10:55. Here, the scope C-Z-1 in the cleaning W27 takes a status of being used in the inspection E27 at the time of 11:10, which is the scheduled cleaning start time, with the start delay of the inspection E27. Therefore, the cleaning schedule management unit 130 resets the scheduled cleaning start time of the cleaning W27 to be the scheduled end time (11:20) of the inspection E27, that is, delays the scheduled start time by 10 minutes and restarts the cleaning schedule. Schedule.

  FIG. 47 shows a state in which the scheduled cleaning start time and the scheduled cleaning end time of cleaning W22 are delayed by 5 minutes, and the scheduled cleaning start time and scheduled cleaning end time of cleaning W27 are delayed by 10 minutes. The subsequent cleanings W26, W30, W34, and W38 in the same cleaning machine as the cleaning W22 are similarly delayed by 5 minutes, and the subsequent cleanings W31, W35, and W39 in the same cleaning machine as the cleaning W27 are similarly delayed by 10 minutes. .

  Next, the examination schedule management unit 110 investigates whether there is a duplication of the doctor in charge and the scope regarding the examinations E30, E36, E37, and E34 of each laboratory that have not yet been investigated. If there is an overlap here, the scheduled start time of the examination is delayed, but in this example, since there is no overlap in time, the schedule is fixed. Similarly, the cleaning schedule management unit 130 investigates whether or not there is a contradiction regarding the washings W28 to W31 of each washing machine that has not yet been investigated. Delay the scheduled start time. In this example, since there is no time overlap, these cleaning schedules are determined. By repeating the above, the inspection schedule and the cleaning schedule are reset. In addition, about this repeating process, you may follow the process demonstrated by embodiment.

  As described above, the inspection schedule management unit 110 and the cleaning schedule management unit 130 generate the inspection schedule and the cleaning schedule generated in advance according to the actual inspection situation based on the instruction to change the schedule element from the reschedule processing unit 172. Reschedule in real time. In the sixth embodiment, only the time frame for inspection and cleaning is changed, and the order of inspection and cleaning, and the inspection room and the washing machine to be used are not changed. By executing the rescheduling process in such a way that the schedule information before the start of the examination work is inherited in this way and not changing the schedule elements such as the examination order and the examination room, doctors etc., although there is around time, basic Specifically, the inspection room may be moved according to the schedule information confirmed before the start of the inspection work, and the work efficiency can be improved.

  In the sixth embodiment, an example is shown in which the inspection E22 takes longer than scheduled and the end time is later than the scheduled time. For example, the rescheduling process described in the sixth embodiment can be applied even in the case where the preparation for the inspection is troublesome and the start of the inspection is delayed from the scheduled time. Even if the inspection start time and the inspection end time are earlier than the scheduled time, the rescheduling process described in the sixth embodiment can be applied to improve the inspection efficiency. The rescheduling described in the sixth embodiment is also performed when, for example, the examination room 20 becomes unavailable due to a failure of the endoscope observation apparatus 22 in the examination room 20, or when the cleaning machine 50 becomes unavailable. By applying the process, it is possible to efficiently reconfigure the inspection schedule and the cleaning schedule.

<Example 7>
In the sixth embodiment, the case has been described in which the rescheduling process is necessary because the actual inspection start time or end time is earlier or delayed than the time scheduled in the schedule. In the seventh embodiment, a case is assumed in which, for example, the arrival of an outpatient at a medical facility is delayed and the scheduled examination time is changed.

  Even if the preparatory treatment is not in time by the scheduled start time of the examination due to the arrival of the outpatient, the patient is also fasting from the previous day and preparing for the examination. It is preferable to perform the inspection during the day after adjustment. For this purpose, the examination of the patient is interrupted during the schedule. On the other hand, from another patient, the examination start is delayed from the scheduled time due to the interruption of the examination. Therefore, it is preferable that the rescheduling process is performed so that the inspection is started at a time as close as possible to the scheduled time, in other words, at a time with the start delay suppressed as much as possible.

  There are also inspections in which the assigned elements cannot be changed in the inspection schedule. For example, if there is a circumstance that can be inspected only for a certain period of time due to the circumstances of the patient or doctor, the scheduled start time of the inspection cannot be moved. In addition, if a test requires special skills, only a doctor having that skill can be in charge of the test, so at least the doctor in charge of the test cannot be changed. Even if the scope 30 is the same type, there are various types from the latest type to the old type. For example, in a special inspection, only the latest type scope 30 may be used.

  Therefore, in the seventh embodiment, the unchangeable examination specifying unit 174 performs an endoscopic examination that makes it impossible to change at least one element among a plurality of elements assigned in advance to the endoscopic examination in the examination schedule. Identify. An input interface such as a keyboard or a mouse is connected to the terminal device 12, and the input receiving unit 176 receives an input operation from the user via the terminal device 12. For example, when the inspection schedule is generated, if the user specifies an inspection that cannot change the element, the input receiving unit 176 receives the specifying operation from the user, and the unchangeable inspection specifying unit 174 performs the element change. Identify which endoscopy to disallow. Note that the user may be allowed to designate an element that cannot be changed from among a plurality of elements that constitute the endoscopic examination schedule.

  Here, the elements constituting the examination schedule include at least an assigned examination room, examination start scheduled time information, examination termination scheduled time information, a doctor in charge, and a scope ID. For example, the user can specify that the change of the doctor in charge and the scheduled start time of the test among these elements is prohibited. When such designation is performed, the examination room and the scope to be used can be changed, and the non-changeable inspection specifying unit 174 specifies the inspection element that cannot be changed, and performs the inspection element during rescheduling processing. Is not changed.

  In the following, all the schedule elements of the examination E17 shown in FIG. 41, that is, the first examination room 20a to be used, the doctor C in charge, the scope G-H-2 to be used, the examination start scheduled time and the examination termination scheduled time are changed. The case where it is designated as impossible will be described. Example 7 shows a case in which the examination cannot be started from 9:50, which is the scheduled start time, because the arrival of the patient of examination E15 is delayed.

  When the user in the medical facility knows in advance that the examination E15 cannot be started at the scheduled start time, the user operates the input interface to change the reservation of the examination E15. For example, the display processing unit 150 reads out the inspection schedule information from the inspection schedule holding unit 206 and displays the inspection schedule table shown in FIG. 41 on the display of the terminal device 12. The examination schedule table is displayed as a GUI that can be operated by the user, and the user can specify an examination for changing the reservation on the examination schedule table.

  When the input receiving unit 176 receives a reservation change operation for the examination E15, the status information acquiring unit 170 acquires the reservation change information from the input receiving unit 176 as status information regarding the status of the examination, and reschedule processing. Part 172. The reschedule processing unit 172 determines that the inspection schedule and / or the cleaning schedule needs to be changed based on the situation information, and for at least one of the inspection schedule management unit 110 or the cleaning schedule management unit 130, Instruct to change elements included in inspection schedule and / or cleaning schedule. This change instruction is an instruction to change the scheduled start time of the inspection E15. Upon receiving this change instruction, the inspection schedule management unit 110 temporarily deletes the schedule information of the inspection E15 from the inspection schedule.

  FIG. 48 shows an inspection schedule table and a cleaning schedule table displayed on the display. The display processing unit 150 may display the time frame of the examination E17 forbidden to be changed specified by the unchangeable examination specifying unit 174 so that the user can recognize it. In FIG. 48, the time frame of the examination E17 is displayed as a thick frame so that the user can recognize that it cannot be changed. In the inspection schedule table, the schedule information related to the inspection E15 is once deleted.

  When the user finds that the examination E15 can be started from 10:05, the user sets the scheduled examination start time of the examination E15 so that the patient is examined as soon as possible. For example, when a nurse is performing a pretreatment for a patient of the examination E15, the user receives a report from the nurse that the completion of the pretreatment is 10:00, so that the user performs the examination E15 by 10 : Knowing that it can start from 05, it is possible to set the scheduled inspection start time.

  FIG. 49 shows a state in which the user designates the examination E15 such that 10:05 of the second examination room 20b is the scheduled examination start time. When the input receiving unit 176 receives the designation information of the scheduled start time of the inspection E15, the status information acquiring unit 170 acquires the information received by the input receiving unit 176 as the status information regarding the status of the inspection E15 and reschedules it. This is provided to the processing unit 172. Based on the status information, the reschedule processing unit 172 notifies the inspection schedule management unit 110 of the inspection start scheduled time information of the inspection E15 and instructs to change at least the element of the inspection E15.

  Upon receiving this change instruction, the inspection schedule management unit 110 resets the scheduled inspection start time for the inspection E15 to 10:05. At this time, the examination schedule management unit 110 identifies an examination room in which the examination schedule needs to be changed based on the schedule element change instruction, and the examination start scheduled time information and the examination end scheduled time information of the examination in the identified examination room. To change. The schedule element change instruction includes that the inspection E15 should be started at 10:05 in the second inspection room 20b, and therefore the inspection schedule management unit 110 needs to change the inspection schedule. By specifying the chamber 20b and starting the inspection E15 from 10:05, an inspection that requires a schedule change is specified. Referring to the examination schedule of FIG. 48, it is identified here that the schedule of examinations E18, E21, E24, E28, E31, E36, E39 scheduled in the second examination room 20b needs to be changed, and therefore As shown in FIG. 49, the inspection schedule management unit 110 adjusts the time frames of the inspections E18, E21, E24, E28, E31, E36, and E39 so as to shift backward in time. At the same time, the inspection schedule management unit 110 extracts inspections scheduled to start after the inspection start scheduled time (10:05) of inspection E15 as inspections to be reassigned, and cancels (clears) the scope assignment. ) In FIG. 49, the inspection surrounded by the frame 300 is the inspection to be reassigned to the scope.

  At this time, the unchangeable inspection specifying unit 174 specifies an inspection that cannot be changed at least one of the elements assigned in advance to the inspection. Here, the unchangeable inspection specifying unit 174 recognizes that all the elements assigned to the inspection E17 are designated as unchangeable, and specifies the inspection E17 in which the element change of the schedule information is prohibited. The reschedule processing unit 172 notifies the inspection schedule management unit 110 of an element in which the change of the inspection E17 specified by the unchangeable inspection specifying unit 174 is disabled, and prohibits the change of the element. In this example, since the change of all the elements of the inspection E17 is prohibited, the reschedule processing unit 172 notifies the inspection schedule management unit 110 that the change of all the elements of the inspection E17 is prohibited, Upon receiving this notification, the reschedule processing unit 172 cancels the scope assignment other than the examination E17 without releasing the scope assignment of the examination E17 when releasing the scope assignment.

  In addition, the cleaning schedule management unit 130 deletes the cleaning W15 of the scope GR-R-4 that was scheduled to be used in the inspection E15 in the inspection schedule before the reassignment from the cleaning schedule. In addition, the cleaning schedule management unit 130 deletes the cleanings W13, W14, and W16 to W41 scheduled to start cleaning after the scheduled inspection start time (10:05) of the inspection E15 after the reallocation from the inspection schedule. As described above, the inspection schedule and the cleaning schedule shown in FIG. 49 are generated.

  Thereafter, as described with reference to the embodiment and the like, the processing unit 100 assigns the scope 30 to each inspection from the inspection schedule and the cleaning schedule shown in FIG. 49 and assigns the cleaning machine 50 to the scope 30 used in the inspection. To repeat the inspection schedule and cleaning schedule. Specifically, the scope assignment unit 126 in the first assignment processing unit 120 assigns the scope 30 to the examination in which the examination start scheduled time information and the examination end scheduled time information are changed, and the second assignment processing unit 140 performs the cleaning. The machine assigning unit 144 assigns the cleaning machine 50 for cleaning the scope 30 so that the time after the scheduled test end time of the scope 30 allocated to the test becomes the scheduled cleaning start time. Further, the scope allocating unit 126 applies the inspection to the subsequent inspection so that the time after the scheduled cleaning end time by the cleaning machine 50 allocated to the scope 30 by the cleaning machine allocating unit 144 becomes the scheduled inspection start time. A scope 30 is assigned. As described with reference to the embodiment and the like, the first allocation processing unit 120 and the second allocation processing unit 140 repeatedly perform this processing, thereby configuring an inspection schedule and a cleaning schedule.

  FIG. 50 shows an inspection schedule and a cleaning schedule subjected to rescheduling processing. As described above, the schedule element of the inspection E17 is prohibited from being changed, and the first assignment processing unit 120 does not change the element of the schedule information. As described above, in the seventh embodiment, for the inspection in which the change of the schedule element is prohibited, the schedule element of the other inspection is changed while fixing the schedule element. In the example shown in FIG. 50, the assignment of the scope 30 is changed and the assignment of the doctor in charge is not changed. However, when the examination schedule management unit 110 changes the examination time frame, one doctor is assigned. When assigned to a plurality of examinations that overlap in time, the doctor assigning unit 129 of the first assignment processing unit 120 needs to reassign the doctor in charge.

  In the seventh embodiment, even when the inspection E15 is interrupted at an arbitrary position in the inspection schedule, the inspection schedule management unit 110 does not change the inspection order, inspection room, and the like after the interruption. As a result, in the examination room in which the examination is interrupted, the start time of the subsequent examination is delayed, but the examination order is not changed, so that the scheduled start time can be minimized. Here, the inspection E15 is interrupted at an arbitrary position in the inspection schedule. However, for example, the inspection E15 may be adjusted to be applied to another inspection time frame.

  If the doctor's schedule is inconsistent, the doctor assigning unit 129 may reassign the doctor as described above. However, as described in the sixth embodiment, the examination time frame should be adjusted. It is also possible to fix the assignment of the doctor in charge. In this case, the doctor may basically move the examination room according to the schedule information confirmed before the start of the examination work, although the time is around, and the work efficiency can be improved. .

  In the seventh embodiment, the case where the examination of a certain patient is delayed has been described. However, the rescheduling process described in the seventh embodiment can also be applied to the case where an examination such as an emergency is interrupted. In addition, by using the rescheduling process described in the seventh embodiment, it is possible to change the order of examination of two patients in the same laboratory, or to swap the examination of two patients in different laboratories. Become. Further, FIG. 41 shows an inspection schedule in which inspections are closely assigned. For example, when there is sufficient free time in the examination room 20, the inspection is interrupted in the free time and the scope is re-started. It is also possible to perform the allocation process.

  In the seventh embodiment, the non-changeable inspection specifying unit 174 that specifies the inspection that cannot change the element has been described. However, the inspection that enables the change of the element is performed in the opposite manner to the non-changeable inspection specifying unit 174. You may provide the changeable test | inspection specific part which pinpoints. In this case, the user operates the input interface to specify an examination that can change the element, and the first assignment processing unit 120 uses the elements such as the scope and the doctor in charge regarding the examination specified by the changeable examination specifying unit. May be changed.

  In addition, it has been described that the inspection that cannot change the schedule element is specified by the unchangeable inspection specifying unit 174, and the reschedule processing unit 172 notifies the inspection schedule management unit 110 of the schedule element that cannot be changed. As a result, when the inspection schedule management unit 110 changes the elements of the inspection schedule that are not allowed to be changed, there is a possibility that the scope 30 to be allocated is insufficient and the schedule is significantly delayed. .

  Therefore, the inspection schedule management unit 110 holds a predetermined rescheduling condition regarding rescheduling, and notifies the user that the inspection schedule cannot be changed when the rescheduling condition is not satisfied. The rescheduling condition may be set so that the delay of the inspection start falls within a predetermined time (for example, 1 hour). When there is a schedule element that cannot be changed by the unchangeable examination specifying unit 174, the first assignment processing unit 120 has a schedule element that is prohibited from being changed when assigning a scope 30 or a doctor. Thus, the degree of freedom of allocation is also limited. Therefore, when the inspection schedule management unit 110 causes the first allocation processing unit 120 to perform the reassignment process of the schedule elements and changes the elements of the inspection schedule, if the predetermined re-schedule condition is not satisfied, It is preferable to notify that the inspection schedule cannot be changed.

  Even when the reschedule condition is satisfied and the inspection schedule can be changed, the inspection schedule management unit 110 preferably notifies the user of the fact when the inspection time frame is adjusted. Thereby, a user such as a doctor can recognize that the end of the examination is delayed from the schedule, and can take measures such as reviewing his / her schedule after the examination is completed.

  In the seventh embodiment, the inspection schedule and the cleaning schedule shown in FIG. 50 are reconfigured by the rescheduling process. This reconstruction result is an example. For example, as described in the embodiment and Examples 1 to 6, a plurality of types of inspection schedules and cleaning schedules can be created by various scheduling algorithms proposed in the present application. . Therefore, the display processing unit 150 may display the plurality of types of created inspection schedules and cleaning schedules on the display of the terminal device 12 so that the user can select which one to employ.

<Example 8>
In the sixth and seventh embodiments, the case where the inspection cannot be performed as scheduled and the time frame of the inspection is adjusted has been described. However, in the eighth embodiment, since the inspection is canceled, the other inspections are made earlier than scheduled. Assume that the inspection schedule is reconfigured.

  When cancellation of an examination occurs, it is preferable to effectively use resources such as an examination room 20, a scope 30, and a doctor that are scheduled to be used in the canceled examination. Therefore, an object of the eighth embodiment is to realize effective use of resources and reduction of patient examination waiting time by executing rescheduling processing when examination cancellation occurs. Similar to the sixth and seventh embodiments, in the eighth embodiment, it is assumed that the inspection schedule and the cleaning schedule shown in FIG. 41 are generated in advance before the start of the inspection work.

  Referring to FIG. 41, it is assumed that cancellation of inspection E22 is notified to information management device 10 before the scheduled inspection start time (10:25) of inspection E22. When the user inputs a cancel operation for the inspection E22 from an input interface connected to the terminal device 12, the input reception unit 176 receives the cancel operation for the inspection E22. The status information acquisition unit 170 acquires the cancellation information of the reservation for the examination E22 from the input reception unit 176 as the situation information regarding the status of the examination, and provides it to the reschedule processing unit 172.

  The reschedule processing unit 172 determines that the inspection schedule and / or the cleaning schedule needs to be changed based on the situation information, and for at least one of the inspection schedule management unit 110 or the cleaning schedule management unit 130, Instruct to change elements included in inspection schedule and / or cleaning schedule. In the eighth embodiment, upon receiving this change instruction, the inspection schedule management unit 110 deletes the schedule information of the inspection E22 from the inspection schedule.

FIG. 51 shows a state in which the inspection E22 is deleted from the inspection schedule.
In the eighth embodiment, in order to effectively use the resources of the inspection canceled from the inspection schedule, rescheduling that enables the inspection with the start time to be later than the scheduled start time of the canceled inspection can be performed ahead of schedule. Propose processing.

  FIG. 52 is a flowchart of the reservation advance processing in the eighth embodiment. The inspection schedule management unit 110 specifies the canceled inspection time frame as an empty time frame (S300), and performs a process of extracting inspection candidates to be moved to the empty time frame (S302). If one or more examinations that can be moved to an empty time frame are extracted by the candidate examination extraction process (Y in S304), the examination schedule management unit 110 performs a process of specifying the examination to be moved (S306). When the inspection to be moved is specified, the specified inspection is moved to an empty time frame (S308). By this moving process, the resources of the canceled inspection time frame can be used for another inspection. In this reservation advance processing, the time frame of the inspection that has been further moved is specified as an empty time frame (S300), and the process of assigning another inspection to the empty time frame is repeated. If the examination that can be moved to the empty time frame cannot be extracted by the candidate examination extraction process (N in S304), the reservation advance process is terminated.

  FIG. 53 shows a detailed flowchart of the candidate examination extraction process shown in S302. The inspection schedule management unit 110 specifies the inspection scheduled to start the inspection after the start time of the vacant time frame specified in S300 from the inspections of the inspection rooms 20 in the inspection schedule (S320). For example, when an examination reservation is advanced, it is often impractical to carry out an examination scheduled two hours ahead of schedule because the pretreatment may not be in time. Therefore, the inspection schedule management unit 110 identifies the inspection scheduled to start the inspection earliest after the start time of the vacant time frame among the inspections in each inspection room 20.

  Subsequently, the inspection schedule management unit 110 sets “N = 1” (S322), and determines whether the inspection specified in the Nth inspection room satisfies a predetermined advance condition (S324). Here, one of the advanced conditions is set such that the inspection type scheduled for the vacant time frame matches the inspection type specified in the Nth laboratory. If the inspection types match (Y in S324), the scheduled inspection time is the same, and the model of the scope 30 to be used is the same, so the schedule elements such as the scope 30 set in the free time frame are not changed. The examination specified in the Nth examination room can be moved to an empty time frame. As another advance condition, a condition related to the skill of the doctor may be set. For example, when a test to be moved to an empty time frame requires special skills, an inexperienced young doctor may not be able to handle it. Therefore, if the skill of the doctor in charge set in the free time frame is compared with the skill required for the examination to be moved and the skill of the doctor in charge is sufficient (Y in S324), the examination concerned It is determined that can be moved to a free time frame. If the above carry condition is not satisfied (N in S324), the process proceeds to S328.

  If the predetermined advance condition is satisfied (Y in S324), the inspection schedule management unit 110 extracts the inspection as a candidate inspection that can be moved to an empty time frame (S326). Subsequently, it is determined whether N is the same as the total number of examination rooms (in this example, the total number of examination rooms = 4) (S328). If N has not reached the total number of examination rooms (N in S328), N is incremented by one. (S330), the process returns to S324.

  As described above, the candidate examination extraction process in S302 is performed until N reaches the total number of examination rooms (Y in S328), that is, is executed for all examinations extracted from each examination room 20.

  Returning to FIG. 52, the examination schedule management unit 110 determines whether or not the extracted candidate examination exists (S304). If a candidate examination has not been extracted (N in S304), the reservation advance process ends. On the other hand, if one or more candidate examinations are extracted (Y in S304), the examination schedule management unit 110 performs a process of specifying examinations that move to an empty time frame (S306).

  FIG. 54 shows a detailed flowchart of the advanced inspection specifying process shown in S306. When there is one examination extracted in S304 (Y in S340), the examination schedule management unit 110 identifies the one examination as an examination to be moved to an empty time frame (S346). In addition, when there are a plurality of examinations extracted in S304 (N in S340) and one of them has the earliest scheduled start time (Y in S342), the examination schedule management unit 110 checks the examination with the earliest scheduled start time. Is specified as an inspection to be moved to an empty time frame (S346). If there are a plurality of examinations with the earliest scheduled start time (N in S342), and there is an examination scheduled in the same laboratory as the examination room in the free time frame (Y in S344), the examination schedule management unit 110 Then, the examination scheduled in the same examination room is specified as the examination to be moved to the empty time frame (S346). If there is no examination scheduled in the same laboratory (N in S344), for example, the examination schedule management unit 110 may specify an examination with a smaller laboratory number as an examination to be moved to an empty time frame (S346). ).

  Returning to FIG. 52, the examination schedule management unit 110 moves the examination specified in S306 to an empty time frame (S308). The flow returns to S300, and the inspection schedule management unit 110 identifies the moved inspection time frame as an empty time frame (S300), and repeats the processing of S302 to S308. This process is repeated until no candidate examination is extracted in S302.

Hereinafter, a specific process when the inspection E22 is canceled will be described.
When the input accepting unit 176 accepts the cancel operation for the examination E22, the status information obtaining unit 170 obtains the cancel information for the reservation for the examination E22 from the input accepting unit 176 as situation information regarding the status of the examination, and reschedules. This is provided to the processing unit 172.

  The reschedule processing unit 172 determines that the inspection schedule and / or the cleaning schedule needs to be changed based on the situation information, and for at least one of the inspection schedule management unit 110 or the cleaning schedule management unit 130, Instruct to change elements included in inspection schedule and / or cleaning schedule. In the eighth embodiment, upon receiving this change instruction, the inspection schedule management unit 110 deletes the inspection E22 from the inspection schedule. The examination schedule management unit 110 deletes the examination ID of the examination E22 from the examination schedule, and other schedule information, that is, the doctor in charge assigned to the examination E22, the scope ID, the scheduled examination start time information, and the scheduled examination end time information. Leave. Thus, the time frame to which the inspection E22 is assigned is empty, and the inspection schedule management unit 110 identifies the time frame from 10:25 to 10:35 in the first inspection room 20a as an empty time frame (S300).

  Subsequently, the examination schedule management unit 110 extracts examination candidates that move to an empty time frame (S302). Referring to FIG. 53, the examination schedule management unit 110 identifies the examination scheduled to start the examination after the start time of the vacant time frame for each examination room (S320). The inspections specified here are inspections E26, E24, E25, and E27.

Hereinafter, it is assumed that the advance condition used in S324 is related to the inspection type, that is, the same as the inspection type of the inspection set in the empty time frame.
First, the inspection E26 of the first inspection room 20a is the same as the canceled inspection E22 (upper routine inspection) (Y in S324), and therefore the inspection schedule management unit 110 sets the inspection E26 as a candidate inspection. Extract (S326). Similarly, the inspection E22 in the second inspection room 20b and the inspection E25 in the third inspection room 20c have the same inspection type as the inspection E22 (Y in S324), and therefore the inspection schedule management unit 110 also includes the inspections E24 and E25. A candidate examination is extracted (S326). On the other hand, the examination E27 in the fourth examination room 20d is different from the examination E22 and the examination type (N in S324), so the examination E27 is not extracted as a candidate examination. Thus, candidate examinations are extracted as examinations E26, E24, and E25.

Returning to FIG. 52, since the number of extracted candidate examinations is three (Y in S304), the examination schedule management unit 110 executes the advanced examination identification process shown in FIG.
Here, the number of extractions is three (N in S340), and the scheduled start times of inspections E26, E24, and E25 are 10:40 for inspection E26, and 10:35 for inspection E24 and inspection E25, respectively. Accordingly, there are two inspections E24 and E25 having the earliest scheduled start time (N in S342). Since the examinations E24 and E25 are performed in an examination room different from the same examination room as the vacant time frame (that is, the first examination room 20a) (N in S344), the examination schedule management unit 110 has the examination room number. The small inspection E24 is specified as the inspection to be moved (S346). Returning to FIG. 52, the examination schedule management unit 110 moves the identified examination E24 to an empty time frame (S308). Specifically, the inspection schedule management unit 110 determines to perform the inspection E24 in an empty time frame, and thereby, schedule information of the inspection E24 is set to 10:25 to 10:35 in the first inspection room 20a. In the meantime, it is determined that the doctor C in charge uses the scope G-R-2.

FIG. 55 shows a state in which the inspection E24 is moved to an empty time frame.
Subsequently, the examination schedule management unit 110 specifies the time frame of 10:35 to 10:45 of the second examination room 20b assigned to the examination E24 before moving as a vacant time frame (S300), and vacant time. A candidate for examination to be moved to the frame is extracted (S302). Referring to FIG. 53, the examination schedule management unit 110 identifies the examination scheduled to start the examination after the start time of the vacant time frame for each examination room (S320). The inspections specified here are inspections E26, E28, E29, and E27.

  Among these, the inspection E27 does not satisfy the advance condition (N in S324), but the inspections E26, E28, and E29 satisfy the advance condition (Y in S324), so the inspection schedule management unit 110 performs the inspections E26 and E28. , E29 are extracted as candidate examinations (S326).

  Referring to FIG. 54, the number of extracted candidate examinations is three (N in S340), and the scheduled start times of examinations E26, E28, and E29 are 10:40 for examination E26, examination E28, and examination E29. Are 10:50 respectively. In this case, since the inspection at the earliest scheduled start time is one of the inspections E26 (Y in S342), the inspection schedule management unit 110 identifies the inspection E26 as the inspection to be moved (S346). 52, the inspection schedule management unit 110 moves the specified inspection E26 to an empty time frame (S308).

FIG. 56 shows a state in which the inspection E26 is moved to an empty time frame.
Subsequently, the examination schedule management unit 110 specifies the time frame of 10:40 to 10:50 of the first examination room 20a assigned to the examination E26 before moving as a vacant time frame (S300), and vacant time. A candidate for examination to be moved to the frame is extracted (S302). Referring to FIG. 53, the examination schedule management unit 110 identifies the examination scheduled to start the examination after the start time of the vacant time frame for each examination room (S320). The inspections specified here are inspections E30, E28, E29, and E27.

  Among these, the inspection E27 does not satisfy the advance condition (N in S324), but the inspections E30, E28, and E29 satisfy the advance condition (Y in S324), so the inspection schedule management unit 110 performs the inspections E30 and E28. , E29 are extracted as candidate examinations.

  Referring to FIG. 54, the number of extracted candidate examinations is three (N in S340), and the scheduled start times of examinations E30, E28, E29 are 10:55 for examination E30, examination E28, examination E29. Are 10:50 respectively. In this case, the inspections at the earliest scheduled start time are two inspections E28 and E29 (N in S342), and the inspections E28 and E29 are the same inspection room as the empty time frame (that is, the first inspection room 20a). Since the examination is performed in a different examination room (N in S344), the examination schedule management unit 110 identifies the examination E28 having a smaller examination room number as the examination to be moved (S346). Returning to FIG. 52, the examination schedule management unit 110 moves the identified examination E28 to an empty time frame (S308).

FIG. 57 shows a state where the inspection E28 has been moved to an empty time frame.
By repeating the above processing, the advance processing of the inspection reservation is completed.
FIG. 58 shows the reconfigured inspection schedule. As shown in the eighth embodiment, when an inspection reservation is canceled, an efficient inspection schedule can be reconfigured by moving up the same type of inspection scheduled after the canceled inspection. It becomes. By moving up the same type of examination, it is possible to use it as it is without changing the resources such as the allocated scope 30. Therefore, although the examination (patient) is changed by the doctor in charge, the doctor There is almost no change in the schedule itself, and the inspection work can be progressed.

The cleaning schedule management unit 130 cleans the scope G-R-4 in the cleaning W38 in response to the fact that the scope G-R-4 scheduled to be used in the inspection E38 of the original inspection schedule is no longer used. Cancel the appointment. By this cancellation, the cleaning schedule management unit 130 determines that the scope C-Z-1 scheduled for the cleaning W41 can be advanced to the time frame of the cleaning W38, and changes the cleaning schedule.
FIG. 59 shows the reconstituted cleaning schedule.

  The rescheduling process of the present invention has been described based on the sixth to eighth embodiments. 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. .

  In Examples 6 to 8, it has been described that the inspection schedule and the cleaning schedule are reconfigured by the rescheduling process. In the present invention, it is possible to create a plurality of types of inspection schedule and cleaning schedule candidates by various proposed rescheduling algorithms. Therefore, the display processing unit 150 has a function of displaying the changed inspection schedule and / or cleaning schedule on the display of the terminal device 12, and when there are a plurality of inspection schedule and / or cleaning schedule candidates, It may be displayed on the display so that the user can select one of the candidates. When the user selects one of the candidates, the inspection schedule management unit 110 and the cleaning schedule management unit 130 confirm the change of the selected inspection schedule and / or cleaning schedule.

<Example 9>
In Examples 6 to 8, the method of reconfiguring the inspection schedule and / or the cleaning schedule has been described. In the ninth embodiment, in the reconfigured examination schedule and / or cleaning schedule, the contents of the original examination schedule and / or the original washing schedule are changed, and medical personnel such as doctors and nurses affected by the change are used. Provide a mechanism to notify

  FIG. 60 shows a layout example of a medical facility where endoscopy is performed. For example, an endoscope center provided in a medical facility has such a layout. A reception desk is provided at the entrance of the endoscope center, and the patient accepts the examination and waits for the turn in the waiting room. The nurse in charge takes the patient to the pretreatment room and starts the pretreatment when the scheduled start time of the next test to be performed is approaching. The nurse in charge prepares the laboratory in charge and guides the patient who has been pre-treated to the laboratory.

  Medical personnel such as doctors, nurses, and technicians are waiting in the backyard. When the scheduled examination start time approaches, the doctor in charge enters the scheduled examination room and starts the examination at the scheduled examination start time. When the scheduled inspection end time is reached, the engineer in charge of the cleaning goes to the inspection room, and the used scope is bedside cleaned in the inspection room and then carried to the cleaning room. Machine wash with. The cleaning chamber 40 is provided with a display device 71 for displaying a cleaning schedule and a scheduled test end time of each test chamber.

  A display device 70 is provided in the backyard, and an inspection schedule and a cleaning schedule are displayed on the display device 70. Here, when there is a change in the inspection schedule and / or the cleaning schedule, the changed schedule information may be highlighted so that the change can be recognized. The display device 70 is a large display device and does not need to display all schedule information, but it is preferable to display schedule information for at least several hours before and after the current time.

  In this way, medical workers including doctors, nurses, and technicians who are engaged in endoscopic examination work perform their respective duties according to the examination schedule and / or the cleaning schedule. In particular, doctors and nurses in charge of the laboratory check schedule information before the start of work on the day, and after considering what kind of tests will be performed in which laboratory at what time, Conduct the charge. For this reason, when there is a change in the content of the schedule information, it is preferable that the change content is surely communicated to the medical staff affected by the change content.

  FIG. 61 shows a configuration for realizing a function of notifying the medical staff of changes in the schedule among the configurations of the information management apparatus 10. In addition to the inspection schedule management unit 110 and the cleaning schedule management unit 130, the processing unit 100 further relates the contents that have been changed when the inspection schedule and / or the cleaning schedule are further reconfigured in the ninth embodiment. A notification control unit 180 for notifying the worker is provided. The notification control unit 180 includes a change content acquisition unit 182, a notification content generation unit 184, a notification destination identification unit 186, a notification timing determination unit 188, a notification processing unit 190, and a confirmation reception unit 192. The storage unit 200 includes an inspection schedule holding unit 206, a cleaning schedule holding unit 208, an inspection change history holding unit 240, a cleaning change history holding unit 242, and a person-in-charge table 244.

  Each component of the processing unit 100 can be realized in hardware by a CPU, memory, or other LSI of an arbitrary computer, and is realized by a program loaded in the memory in terms of software. Describes functional blocks realized through collaboration. Therefore, 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.

  The examination schedule holding unit 206 is examination schedule information for a plurality of endoscopic examinations, and includes an examination room, patient identification information (patient ID), charge doctor identification information (doctor ID), and examination start scheduled time information. The test schedule information having the scheduled test end time information and the test type information as elements is held. In Example 9, a combination of an examination room, patient identification information, doctor identification information in charge, scheduled examination start time information, scheduled examination end time information, and examination type information in one endoscopic examination is obtained. Each piece of information constituting the examination schedule information is called an element of the examination schedule information. The inspection schedule information may include information regarding the scope to be used. The inspection schedule is composed of a plurality of inspection schedule information. The inspection schedule holding unit 206 holds the latest inspection schedule information. The latest examination schedule information means examination schedule information after reconfiguration when rescheduling processing is performed.

  The inspection schedule management unit 110 manages inspection schedule information. When the inspection schedule is changed by the rescheduling process, the inspection schedule management unit 110 records the latest inspection schedule information after the change in the inspection schedule holding unit 206 and the change history in the inspection change history holding unit 240. The change history relates to the inspection schedule information that has been changed, and the inspection schedule information before the change and the inspection schedule information after the change are associated with each other and recorded in the inspection change history holding unit 240. It should be noted that at least the element of the inspection schedule information before the change and the element of the inspection schedule information after the change are recorded in the inspection change history holding unit 240 in association with each other. For example, when only the examination doctor is changed, the examination change history holding unit 240 records the examination ID, the doctor ID before change, and the doctor ID after change in association with each other.

  The cleaning schedule holding unit 208 holds cleaning schedule information of a plurality of scopes, and includes cleaning schedule information including a cleaning machine, scheduled cleaning start time information, and scheduled cleaning end time information. In the ninth embodiment, a combination of a cleaning machine, scheduled cleaning start time information, and scheduled cleaning end time information in one cleaning process is referred to as cleaning schedule information, and each piece of information constituting the cleaning schedule information is referred to as cleaning schedule information. Called the element. The cleaning schedule information may include information regarding a scope to be cleaned, and may include identification information on a person in charge of cleaning that performs cleaning as described in the fifth embodiment. The cleaning schedule includes a plurality of cleaning schedule information. The cleaning schedule holding unit 208 holds the latest cleaning schedule information. The latest cleaning schedule information means cleaning schedule information after reconfiguration when rescheduling processing is performed.

  The cleaning schedule management unit 130 manages cleaning schedule information. When the cleaning schedule is changed by the rescheduling process, the cleaning schedule management unit 130 records the latest cleaning schedule information after the change in the cleaning schedule holding unit 208 and the change history in the cleaning change history holding unit 242. The change history relates to the changed cleaning schedule information, and the cleaning schedule information before the change and the cleaning schedule information after the change are associated with each other and recorded in the cleaning change history holding unit 242. The cleaning change history holding unit 242 only needs to record at least the element of the cleaning schedule information before the change and the element of the cleaning schedule information after the change in association with each other. For example, when only the scope to be cleaned is changed, the cleaning change history holding unit 242 records the cleaning ID, the scope ID before the change, and the scope ID after the change in association with each other.

  When the rescheduling process as described in the sixth to eighth embodiments is completed, the notification control unit 180 is notified that the rescheduling process is completed. For example, the end notification is supplied from the inspection schedule management unit 110 or the cleaning schedule management unit 130 to the notification control unit 180. Upon receiving this end notification, the notification control unit 180 recognizes that the rescheduling process has ended, and executes notification control to the medical staff.

<Inspection schedule change notification>
When the inspection schedule information is changed by the rescheduling process, the change content acquisition unit 182 acquires the change content of the inspection schedule information. Specifically, the change content acquisition unit 182 acquires the change history of the inspection schedule information from the inspection change history holding unit 240.

  Hereinafter, specific notification control will be described using the rescheduling process described in the sixth embodiment as an example. In Example 6, FIG. 41 shows the schedule before the change, and FIG. 47 shows the schedule after the change by the rescheduling process. In Example 6, when the scheduled test start time of the test E22 was 10:25 and the scheduled test end time was 10:35, as shown in FIG. 47, the test E22 exceeded the scheduled time by 20 minutes and 10: A case is shown in which the process ends at 55 and the rescheduling process is performed. The schedule after the change shown in FIG. 47 is reconfigured at 10:55 (strictly speaking, after 10:55 and after the computation time required for the rescheduling process).

When comparing the schedule before and after the change, the following inspection schedule information has changed.
<Changed inspection>
E26, E27, E30, E33, E34, E35, E38, E41

  FIG. 62 shows the change history of the inspection schedule information held in the inspection change history holding unit 240. In the inspection change history holding unit 240, information before change and information after change of each change element of inspections E26, E27, E30, E33, E34, E35, E38, and E41 are recorded as change history. Yes. In the sixth embodiment, among the elements of the inspection schedule information, the inspection start scheduled time information and the inspection end scheduled time information are changed. Therefore, the change history of the information element is recorded in the inspection change history holding unit 240. ing. For example, when there is a change in the doctor in charge or the laboratory, the change history of the doctor in charge or the laboratory is also included.

  The change content acquisition unit 182 acquires the change history of the inspection schedule information from the inspection change history holding unit 240. The notification content generation unit 184 generates the change content to be notified from the change history acquired by the change content acquisition unit 182. When there is a change in the examination schedule information, the contents of the change need to be notified to the doctor in charge who performs the examination and the person in charge who prepares the examination.

  The notification content generation unit 184 has a template for notifying the change content. The notification content generation unit 184 has the following template 1 to notify the doctor in charge of the scheduled examination start time information and examination completion scheduled time information after the change.

<Template 1>
[Inspection room] (Inspection room information)
[Examination start] (Scheduled examination start time information after change) ← (Scheduled examination start time information before change)
[Examination end] (Scheduled inspection end time information after change) ← (Scheduled inspection end time information before change)
[Examination type] (Examination type information)
Since the template 1 is for the doctor, it only needs to include information necessary for the doctor. In this example, information on the examination room, the scheduled examination start time, the scheduled examination end time, and the examination type is included. The notification content generation unit 184 inputs the inspection schedule information element and the inspection change history element in parentheses of the template.

The notification content generation unit 184 generates the change content to be notified as follows using the template 1 from the schedule information element and the inspection change history of the inspection E26.
[Inspection Room] First Inspection Room [Inspection Start] 11: 00 ← 10: 40
[End of inspection] 11: 10 ← 10: 50
[Inspection Type] Upper Routine Inspection The notification content generation unit 184 provides the generated change content to the notification processing unit 190.

  In addition, the notification content generation unit 184 includes the following template 2 in order to notify the person in charge of the inspection start scheduled time information and the inspection end scheduled time information after the change.

<Template 2>
[Inspection room] (Inspection room information)
[Examination start] (Scheduled examination start time information after change) ← (Scheduled examination start time information before change)
[Examination end] (Scheduled inspection end time information after change) ← (Scheduled inspection end time information before change)
[Patient] (Patient ID)
[Doctor in charge] (Doctor ID)
[Scope] (Scope ID)
Since template 2 is for the person in charge (nurse), it only needs to contain information necessary for the nurse. In this example, the laboratory, the scheduled start time, the scheduled end time, the patient, the doctor in charge , Information about the scope is included. Since the nurse needs to prepare for the examination, the template 2 contains more information than the template 1. The notification content generation unit 184 inputs the inspection schedule information element and the inspection change history element in parentheses of the template.

The notification content generation unit 184 generates the change content to be notified as follows using the template 2 from the schedule information element of the inspection E26 and the inspection change history.
[Inspection Room] First Inspection Room [Inspection Start] 11: 00 ← 10: 40
[End of inspection] 11: 10 ← 10: 50
[Patient] Patient X
[Doctor] Doctor A
[Scope] G-R-5
The notification content generation unit 184 provides the generated change content to the notification processing unit 190.

  Here, although two types of templates for notifying the scheduled inspection start time information and the scheduled inspection end time information after the change are shown, these templates may be shared. That is, the change content using the common template may be generated for the doctor in charge and the worker in charge.

  In the above description, it has been described that the notification content generation unit 184 generates the change content to be notified using the template from the schedule information element and the inspection change history of the inspection E26, but other inspections, that is, inspections E27, E30, and E33. , E34, E35, E38, E41 are also generated at the same time. The notification content generation unit 184 provides the change processing generated for each examination to the notification processing unit 190.

  The notification destination specifying unit 186 specifies the notification destination of the change content based on the change content acquired by the change content acquisition unit 182. Specifically, the notification destination specifying unit 186 specifies the notification destination of the change content by specifying a medical worker who is affected by the change content of the examination schedule information. In the endoscopic examination work support system 1, each medical worker has the mobile terminal 60, and the notification destination specifying unit 186 manages the address of the mobile terminal 60 that the medical worker has. Yes. Therefore, the notification destination specifying unit 186 can specify the mobile terminal 60 of the medical worker as the notification destination by specifying the medical worker to be notified of the change contents.

  The following shows the doctor in charge of the examination whose schedule has been changed. The notification destination specifying unit 186 specifies the doctor in charge of each test with reference to the test schedule information held in the test schedule holding unit 206 and the test change history held in the test change history holding unit 240.

The following shows the doctors in charge of each examination whose schedule was changed.
E26: Doctor A
E27: Doctor C
E30: Doctor A
E33: Doctor A
E34: Doctor E
E35: Doctor C
E38: Doctor E
E41: Doctor A

Next, the notification destination specifying unit 186 specifies a worker in charge of each inspection whose schedule has been changed.
FIG. 63 shows the person-in-charge table 244. The person-in-charge table 244 stores the relationship between the person in charge and the person in charge in the inspection work and the cleaning work. The person-in-charge table 244 may be updated every day, and may be changed according to the time of day. Here, the worker in charge of the first laboratory 20a is nurse A, the worker in charge of the second laboratory 20b is nurse B, the worker in charge of the third laboratory 20c is nurse C, and the fourth laboratory 20d. It is shown that the person in charge is nurse D, and the persons in charge of cleaning are engineers A, B, and C. Regarding the cleaning, as described in the fifth embodiment, any one of the engineers A to C may be assigned to each cleaning process, but in the ninth embodiment, all of the engineers A to C are cleaned. It is set as a charge (cleaning staff). Here, the person-in-charge table 244 associates the person-in-charge range with the person in charge, but the person-in-charge range may be associated with the portable terminal 60 of the person in charge.

  In treatment-related examinations, nurses may assist with examinations. Therefore, the person-in-charge table 244 may further store the relationship between the inspection assistance and the person in charge. Note that the number of persons required for examination assistance varies depending on the examination type and has high expertise. Therefore, the person-in-charge table 244 may hold the relationship between the examination assistance and the person in charge for each examination type.

The notification destination specifying unit 186 specifies the examination room of each examination with reference to the examination schedule information held in the examination schedule holding unit 206 and the examination change history held in the examination change history holding unit 240.
The following shows the laboratory of each examination that has been changed in schedule.
E26: First examination room E27: Fourth examination room E30: First examination room E33: First examination room E34: Fourth examination room E35: First examination room E38: First examination room E41: Fourth examination room

The notification destination specifying unit 186 specifies the person in charge of each laboratory with reference to the person-in-charge table 244.
The following shows the personnel in charge of each inspection whose schedule was changed.
E26: Nurse A
E27: Nurse D
E30: Nurse A
E33: Nurse A
E34: Nurse D
E35: Nurse A
E38: Nurse A
E41: Nurse D

As described above, the notification destination specifying unit 186 specifies a medical worker who is affected by the change contents of the schedule information. The following is a summary of affected physicians and workers.
E26: Doctor A Nurse A
E27: Doctor C Nurse D
E30: Doctor A Nurse A
E33: Doctor A Nurse A
E34: Doctor E Nurse D
E35: Doctor C Nurse A
E38: Doctor E Nurse A
E41: Doctor A Nurse D
When the notification destination specifying unit 186 specifies the notification destination of the change contents of each inspection, the notification destination specifying unit 186 provides the notification processing unit 190 with the notification destination.

  The notification timing determination unit 188 determines the timing for notifying the change contents based on the specified notification destination. Considering the notification to the doctor in charge, even if the doctor's mobile terminal 60 is notified during the examination, the doctor in charge does not have room to check the portable terminal 60 because the doctor in charge is concentrated on the examination. For this reason, it is not preferable to notify the doctor in charge during the test, and it is preferable to notify after the end of the test. Therefore, the notification timing determination unit 188 determines the timing after the examination is completed as the notification timing if the doctor in charge performs the examination at the timing (10:55) when the change content is confirmed.

  The doctors in charge of examinations E26, E27, E30, E33, E34, E35, E38, and E41 are doctor A, doctor C, and doctor E, and each doctor's changed schedule before and after the change is confirmed (see FIG. 47).

  FIG. 64 shows a doctor's examination schedule. Physician A and Physician C have not performed the inspection at the time when the contents of change are confirmed (10:55). The doctor C is scheduled to start the examination from 10:55 by rescheduling. This is because the examination E27 next to the doctor C of the examination E22 in which the delay has occurred is not sandwiched between intervals. The reason is that rescheduling is started at 10:55, and when the doctor C finishes the examination E22, the examination E27 has not yet started.

  When the examination start button of the endoscope observation apparatus 22 is operated in the examination room, examination start notification information is transmitted to the information management apparatus 10 together with the examination ID and the observation apparatus ID. Therefore, if the start notification information is not transmitted to the information management apparatus 10, the information management apparatus 10 recognizes that the inspection has not been started yet. The notification timing determination unit 188 monitors the arrival of the inspection start notification information, and if the start notification information of the examination E27 in the fourth examination room 20d is not transmitted, the doctor C has not yet started the examination E27. Recognize Therefore, at the time when the change contents of the schedule are confirmed (10:55), the notification timing determination unit 188 determines that the change contents may be notified to the doctors A and C, and determines that time as the notification timing. To do. The notification timing determination unit 188 provides the determined notification timing to the notification processing unit 190.

  On the other hand, the doctor E performs the examination E28 at the time when the change content is confirmed. The notification timing determination unit 188 monitors the end notification information of the examination E28, and if the end notification information is not transmitted to the information management apparatus 10, the notification timing determination unit 188 notifies the change content to 10:55. Determine what should not be. The notification timing determination unit 188 monitors the arrival of the end notification information of the inspection E28 and determines the time point when the end notification information is transmitted to the information management apparatus 10 as the notification timing. The notification timing determination unit 188 provides the determined notification timing to the notification processing unit 190.

  As described above, the notification timing determination unit 188 determines the timing for notifying the change contents of the schedule based on the situation of the medical worker who is the notification destination, in this case, the doctor in charge.

  The notification processing unit 190 acquires the change content to be notified from the notification content generation unit 184, acquires the notification destination of the change content from the notification destination specifying unit 186, and notifies the change content from the notification timing determination unit 188. To get. The notification processing unit 190 notifies the change destination generated by the notification content generation unit 184 to the notification destination specified by the notification destination specifying unit 186 at the timing determined by the notification timing determination unit 188.

  FIG. 65 shows display contents displayed on the portable terminal 60 of the doctor A. The portable terminal 60 has a touch panel, and the doctor A indicates the intention of understanding by operating the displayed OK button. The confirmation receiving unit 192 receives a confirmation notification from the doctor A, and recognizes that the notified change has been transmitted to the doctor A.

  As described above, according to the ninth embodiment, the change contents are individually notified only to the health care workers who are affected by the change contents, and the health care workers who are not affected by the change contents are not individually notified. It is possible to eliminate the possibility that an unrelated medical worker receives the change contents and misunderstands the change contents. In addition, the notification timing determination unit 188 determines an appropriate timing for notification in accordance with the medical worker's situation, so that the medical worker can confirm the change contents at an appropriate timing.

  Although it has been described that the mobile terminal 60 has a touch panel and that the confirmation is made by operating the touch panel is transmitted to the information management apparatus 10, the mobile terminal 60 is provided with a mechanical button for indicating the confirmation. It may be. In addition, when the notification processing unit 190 notifies the change content, the mobile terminal 60 may be set to receive a reception sound, so that the medical worker can know that there is a notification. . Note that the portable terminal 60 may activate the vibrator function together with the output of the received sound.

  After the notification by the notification processing unit 190, if the confirmation receiving unit 192 does not receive a confirmation notification from the medical staff within a predetermined time, the notification processing unit 190 notifies the change content again. For example, the predetermined time may be set to 30 seconds. At this time, the notification processing unit 190 may notify again and notify other medical workers. For example, if the confirmation receiving unit 192 does not receive a confirmation notification from the doctor in charge, the notification processing unit 190 notifies the nurse in the examination room 20 where the examination is performed. This makes it possible for the nurse in charge to notify the doctor in charge verbally.

  As described above, the notification timing determination unit 188 determines the notification timing so as to notify the change content of the examination closest to the time when the change content is confirmed as quickly as possible. There are four examinations changed for the doctor A, examinations E26, E30, E33, and E41, but the notification timing determination unit 188 has the same timing as the timing for notifying the change contents of the latest examination E26. You may decide to notify the change content of three examinations.

  However, although it is necessary to promptly notify the change contents of the latest inspection E26, it is not always necessary to notify the change contents of the inspections E30, E33, and E41 scheduled after that at the same timing as the inspection E26. In addition, when the doctor A is notified of the change contents of the examination E26, it can be inferred that there has been a change in other examinations scheduled thereafter. In that case, the doctor A can confirm the future schedule by looking at the examination schedule table after the change again. Therefore, the notification timing determination unit 188 does not need to determine the notification timing by determining not to notify the change contents of the examinations E30, E33, and E41. That is, the notification timing determination unit 188 may determine only the notification timing of the change contents of the latest examination E26.

  In this example, regarding doctor A, doctor C, and doctor E, the scheduled end time of the final examination is later than the original schedule. Regarding the doctor A, the scheduled end time of the final examination E41 is 12:05 to 12:15 (see FIG. 62). Since the doctor may make another schedule after the end of the examination work, the final time of the examination is also important information for the doctor. Therefore, the notification timing determination unit 188 may determine to notify the change contents of the last examination of each doctor at the same timing as the change contents of the latest examination. Thereby, the doctor can know the change content of the latest test | inspection and the change content of the last test | inspection simultaneously.

  Next, the timing of notification to the staff in charge of the inspection preparation will be considered. The person in charge may assist the examination in the examination room during the examination. Therefore, as with the doctor in charge, it is not preferable to notify the person in charge of the schedule change during the examination, and it is preferable to notify after completion of the examination. Therefore, the notification timing determination unit 188 determines, as the notification timing, the timing after completion of the inspection if the inspection in charge of the person in charge is performed at the timing when the change is confirmed (10:55). .

  Here, the examination rooms whose schedules have been changed are the first examination room 20a and the fourth examination room 20d, and the notification timing determination unit 188 confirms the status of each examination room. At 10:55, neither the first examination room 20a nor the fourth examination room 20d is inspected, so the notification timing determination unit 188 changes the contents of the change to the nurses A and D at 10:55. Is determined as the notification timing. The notification timing determination unit 188 provides the determined notification timing to the notification processing unit 190.

  In this example, as in the case of notification to the doctor in charge, notification to the person in charge is not performed during the examination, but the person in charge has room to confirm the portable terminal 60 while assisting the examination. There are many cases. Therefore, the notification timing determination unit 188 may determine the time when the change content is confirmed as the notification timing regardless of the situation of the person in charge. The notification timing determination unit 188 provides the determined notification timing to the notification processing unit 190.

  The notification processing unit 190 notifies the change destination generated by the notification content generation unit 184 to the notification destination specified by the notification destination specifying unit 186 at the timing determined by the notification timing determination unit 188.

  FIG. 66 shows display contents displayed on the portable terminal 60 of the nurse A. The nurse A indicates the intention of understanding by operating the displayed OK button. The confirmation receiving unit 192 receives a confirmation notification from the nurse A and recognizes that the notified change content has been transmitted to the nurse A.

  Thus, the person in charge can confirm the contents of the change by notifying the person in charge of the portable terminal 60 of the contents of the change. According to Example 9, only the person in charge who is affected by the change content is notified individually, and the health care worker who is not affected is not notified individually, so that an unrelated medical worker can notify the change content. Receive and eliminate the possibility of misinterpreting changes. In addition, the notification timing determination unit 188 determines the notification timing for each medical worker to be notified, so that each of the related medical workers can confirm the change contents at an appropriate timing.

  After the notification by the notification processing unit 190, if the confirmation receiving unit 192 does not receive a confirmation notification from the nurse A within a predetermined time, the notification processing unit 190 notifies the change content again. For example, the predetermined time may be set to 30 seconds. At this time, the notification processing unit 190 may notify again and notify other nurses.

  The notification timing determination unit 188 determines the notification timing in order to notify the change content of the examination closest to the time when the change content is confirmed, as quickly as possible. For example, there are five examinations E26, E30, E33, E35, and E38 that have been changed for the nurse A, but the notification timing determination unit 188 has the same timing as the timing for notifying the change contents of the latest examination E26. Thus, it may be decided to notify the change contents of the other four examinations.

  However, although it is necessary to promptly notify the change contents of the latest inspection E26, it is not always necessary to notify the change contents of the subsequent inspections E30, E33, E35, and E38 at the same timing as the inspection E26. Absent. In addition, when the nurse A receives notification of the change contents of the examination E26, the nurse A can guess that the other examinations scheduled thereafter have also been changed. In that case, nurse A can confirm the future schedule by looking at the examination schedule table after the change. Therefore, the notification timing determination unit 188 does not need to determine the notification timing by determining not to notify the change contents of the examinations E30, E33, E35, and E38. That is, the notification timing determination unit 188 may determine only the notification timing of the change contents of the latest examination E26.

  Note that the notification processing unit 190 displays the change contents of the inspection schedule on the display device 70 installed in the backyard (see FIG. 60) separately from the timing of the individual notification determined by the notification timing determination unit 188. At this time, it is preferable to display the person in charge and clearly indicate to whom the change contents are displayed. In addition, the display apparatus 70 is comprised with the touchscreen, and when a medical worker touches the display location of a change content, a touch operation will be transmitted to the information management apparatus 10 as a confirmation notification which shows a medical worker's consent. The confirmation receiving unit 192 receives a confirmation notification from the medical worker and recognizes that the notified change content has been transmitted to the worker.

  On the display device 70, a list of changes notified by the notification processing unit 190 may be displayed. At this time, it is preferable that the change content for which the confirmation reception unit 192 has received the confirmation notification and the change content for which the confirmation notification has not been received yet be displayed separately. As a result, if a health care worker in the backyard knows that the latest examination changes have not yet been confirmed by the doctor in charge or the person in charge, he or she can take action such as verbally telling the person in charge. .

<Notification of cleaning schedule change>
When the cleaning schedule information is changed by the rescheduling process, the change content acquisition unit 182 acquires the changed content of the cleaning schedule information. Specifically, the change content acquisition unit 182 acquires the change history of the cleaning schedule information from the cleaning change history holding unit 242.

When comparing the schedule before and after the change, the following cleaning schedule information is changed.
<Changed cleaning>
W22, W26, W27, W30, W31, W34, W35, W38, W39

  FIG. 67 shows a change history of the cleaning schedule information held in the cleaning change history holding unit 242. The cleaning change history holding unit 242 records, as change history, information before and after change of each change element of the cleaning W22, W26, W27, W30, W31, W34, W35, W38, and W39. Has been. In the sixth embodiment, the cleaning start scheduled time information and the cleaning end scheduled time information are changed among the elements of the cleaning schedule information. Therefore, the change history of the information element is recorded in the cleaning change history holding unit 242. ing. For example, when there is a change in the scope to be cleaned, the scope change history is also included.

  The change content acquisition unit 182 acquires the change history of the cleaning schedule information from the cleaning change history holding unit 242. The notification content generation unit 184 generates the change content to be notified from the change history acquired by the change content acquisition unit 182. When there is a change in the cleaning schedule information, it is necessary to notify the person in charge (cleaning staff) who carries out the cleaning process of the changed content.

  The notification content generation unit 184 has a template for notifying the change content. The notification content generation unit 184 has the following template 3 to notify the person in charge of the scheduled cleaning start time information and the scheduled cleaning end time information after the change.

<Template 3>
[Start cleaning] (Scheduled cleaning start time information after change) ← (Scheduled cleaning start time information before change)
[Cleaning end] (Scheduled end time information after change) ← (Scheduled end time information before change)
[Scope] (Scope ID)
The notification content generation unit 184 inputs the inspection schedule information element and the cleaning change history element in the parentheses of the template.

The notification content generation unit 184 generates the change content to be notified as follows using the template 3 from the schedule information element and the cleaning change history of the cleaning W22, for example.
[Start of washing] 10: 55 ← 10: 50
[End of washing] 11: 15 ← 11: 10
[Scope] G-R-2
The notification content generation unit 184 provides the generated change content to the notification processing unit 190.

  In the above description, it has been described that the notification content generation unit 184 generates the change content to be notified using the template from the schedule information element and the cleaning change history of the cleaning W22, but other cleaning processes, that is, the cleaning W26 and W27. , W30, W31, W34, W35, W38, and W39 are also generated at the same time. The notification content generation unit 184 provides the notification processing unit 190 with the changed content generated for each cleaning process.

  The notification destination specifying unit 186 specifies the notification destination of the change content based on the change content acquired by the change content acquisition unit 182. Specifically, the notification destination specifying unit 186 specifies the notification destination of the change content by specifying a medical worker who is affected by the change content of the cleaning schedule information.

  The notification destination specifying unit 186 specifies the worker in charge of the cleaning process with reference to the person-in-charge table 244 shown in FIG. Here, the engineer A, engineer B, and engineer C are set as the workers in charge of the cleaning process (cleaning staff). The notification destination specifying unit 186 specifies the notification destination of the change contents of each cleaning process as the engineer A, the engineer B, and the engineer C, and provides them to the notification processing unit 190.

  The notification timing determination unit 188 determines the timing for notifying the change contents based on the specified notification destination. Here, considering the notification to the cleaning staff, the cleaning staff is responsible for carrying the scope and machine cleaning by the cleaning machine 50, and it is preferable to notify immediately if there is a change in the cleaning schedule information. Therefore, the notification timing determination unit 188 may determine to notify the change content when the change content is confirmed.

  The notification processing unit 190 acquires the change content to be notified from the notification content generation unit 184, acquires the notification destination of the change content from the notification destination specifying unit 186, and notifies the change content from the notification timing determination unit 188. To get. The notification processing unit 190 notifies the change destination generated by the notification content generation unit 184 to the notification destination specified by the notification destination specifying unit 186 at the timing determined by the notification timing determination unit 188.

  FIG. 68 shows display contents displayed on the mobile terminal 60 of the cleaning staff. The portable terminal 60 has a touch panel, and the cleaning staff operates the displayed OK button to indicate the consent. The confirmation receiving unit 192 receives a confirmation notification from the cleaning staff and recognizes that the notified change has been transmitted to the cleaning staff. The change notification is transmitted to all of the engineers A to C, and the confirmation receiving unit 192 may receive the confirmation notification from any engineer.

  In this way, by notifying the cleaning staff of the mobile terminal 60 of the change contents, the cleaning staff can quickly know the change contents after the schedule change. According to the ninth embodiment, by notifying only the cleaning staff affected by the change contents individually, it is possible to eliminate the possibility that the cleaning staff who is not affected by the change contents receive the change contents and misunderstand.

  After the notification by the notification processing unit 190, if the confirmation receiving unit 192 does not receive a confirmation notification from the cleaning staff within a predetermined time, the notification processing unit 190 notifies the change content again. For example, the predetermined time may be set to 30 seconds. When notifying the change content again, the notification processing unit 190 may notify the other engineer (for example, engineer D) of the change content.

  The notification timing determination unit 188 determines the notification timing in order to notify the change content of the cleaning process closest to the time when the change content is determined as quickly as possible. There are nine cleaning processes, cleaning W22, W26, W27, W30, W31, W34, W35, W38, and W39. The notification timing determination unit 188 has a timing for notifying the latest cleaning W22 change contents. It may be decided to notify the change contents of the other eight cleanings at the same timing.

  Although it is necessary to immediately notify the change contents of the latest cleaning W22, the change contents of the cleaning process scheduled thereafter are not necessarily notified at the same timing as the cleaning W22. When receiving the notification of the change contents of the cleaning W22, the cleaning staff can infer that there has been a change in other cleaning processes scheduled thereafter. In that case, the cleaning staff can confirm the future schedule by looking at the changed cleaning schedule table. Therefore, the notification timing determination unit 188 does not need to determine the notification timing by determining not to notify the change contents of the cleanings W26, W27, W30, W31, W34, W35, W38, and W39. That is, the notification timing determination unit 188 may determine only the notification timing of the latest change content of the cleaning W22.

  In addition, the notification processing unit 190 displays the changed content on the display device 71 installed in the cleaning room (see FIG. 60) separately from the timing of the individual notification determined by the notification timing determination unit 188. The display device 71 is configured by a touch panel, and when the cleaning staff touches the display portion of the change content, the touch operation is transmitted to the information management apparatus 10 as a confirmation notification indicating the approval of the cleaning staff. The confirmation receiving unit 192 receives a confirmation notification from the cleaning staff and recognizes that the notified change has been transmitted to the cleaning staff.

  On the display device 71, a list of changes notified by the notification processing unit 190 may be displayed. At this time, it is preferable that the change content for which the confirmation reception unit 192 has received the confirmation notification and the change content for which the confirmation notification has not been received yet be displayed separately. As a result, the cleaning staff can touch the display location of the change content that has not been confirmed to confirm the change.

  In the above-described example, it has been described that the status information acquisition unit 170 notifies the change contents of the scheduled cleaning start time and the scheduled cleaning end time. Enter the room and collect the used scope. Therefore, the notification processing unit 190 may notify the cleaning staff of the change contents of the inspection whose inspection end scheduled time information has been changed.

  In the ninth embodiment, the case where the inspection is delayed from the schedule has been described. However, as illustrated in the eighth embodiment, the rescheduling process is performed so that the other inspections are earlier than scheduled because the inspection is canceled. The case of reconfiguring is also included. Even in this case, the notification control unit 180 can identify a medical worker who is affected by the change contents of the schedule information and promptly notify the change contents individually, thereby realizing a smooth examination progress.

  In the above, this invention was demonstrated based on embodiment and an Example. It is understood by those skilled in the art that the embodiments and examples are exemplifications, and that various modifications can be made to combinations of the respective components and processing processes, and such modifications are also within the scope of the present invention. It is a place. For example, the information management apparatus 10 may be constructed on a cloud and may realize the endoscopic examination work support system 1 by communicating with the mobile terminal 60 and the terminal apparatus 12 in the medical facility. It should be understood by those skilled in the art that the information management apparatus 10 performs time synchronization in order to implement the embodiments and examples.

  In the ninth embodiment, the notification destination specifying unit 186 specifies a medical worker who is affected by the change contents of the schedule information, and specifies the mobile terminal 60 of the specified medical worker as the notification destination. Instead, the terminal device 12 of the medical staff may be specified as the notification destination.

  Further, in the ninth embodiment, the case where the inspection schedule and / or the cleaning schedule is changed due to the delay or cancellation of the inspection is shown. However, the scope that was scheduled to be used is broken or the washing machine 50 is broken. In some cases, the inspection schedule and / or the cleaning schedule are changed. The notification control unit 180 according to the ninth embodiment notifies the person in charge at an appropriate timing of the change contents when the inspection schedule and / or the cleaning schedule are changed regardless of the reason for the rescheduling process. Smooth inspection progress is achieved.

DESCRIPTION OF SYMBOLS 1 ... Endoscopy work support system, 10 ... Information management apparatus, 12 ... Terminal device, 60 ... Portable terminal, 70, 71 ... Display apparatus, 100 ... Processing part, DESCRIPTION OF SYMBOLS 110 ... Inspection schedule management part, 130 ... Cleaning schedule management part, 180 ... Notification control part, 182 ... Change content acquisition part, 184 ... Notification content generation part, 186 ... Notification destination Identifying unit, 188... Notification timing determining unit, 190... Notification processing unit, 192... Confirmation receiving unit, 200... Storage unit, 206. Holding unit, 240... Inspection change history holding unit, 242... Cleaning change history holding unit, 244.

Claims (6)

Examination schedule information of a plurality of endoscopic examinations, including an examination room, patient identification information, doctor identification information in charge, scheduled examination start time information, scheduled examination end time information, and examination type information An inspection schedule holding unit for holding inspection schedule information to be performed;
When the inspection schedule information is changed by the rescheduling process, a change content acquisition unit that acquires the change content of the inspection schedule information;
Based on the change content acquired by the change content acquisition unit, a notification destination specifying unit that specifies a notification destination of the change content,
A notification timing determination unit that determines the timing of notifying the change content based on the identified notification destination;
A notification processing unit that notifies the specified notification destination of the change contents of the inspection schedule information at the determined timing;
An endoscopy work support system characterized by comprising: An inspection change history holding unit that holds an element of the inspection schedule information before the change and an element of the inspection schedule information after the change,
The change content acquisition unit acquires the change content of the inspection schedule information from the inspection change history holding unit.
The endoscopy work support system according to claim 1. A cleaning schedule information of a plurality of endoscopes, further comprising: a cleaning machine, a cleaning schedule holding unit that holds cleaning schedule information having a cleaning start scheduled time information and a cleaning end scheduled time information as elements;
The change content acquisition unit acquires the change content of the cleaning schedule information when the cleaning schedule information is changed by the rescheduling process,
The notification destination specifying unit specifies a notification destination of the change content based on the change content acquired by the change content acquisition unit,
The notification timing determination unit determines the timing for notifying the change content,
The notification processing unit notifies the changed notification of the cleaning schedule information to the specified notification destination at the determined timing.
The endoscopy work support system according to claim 1 or 2. A cleaning change history holding unit that holds an element of the cleaning schedule information before the change and an element of the cleaning schedule information after the change,
The change content acquisition unit acquires the change content of the cleaning schedule information from the cleaning change history holding unit.
The endoscopy work support system according to claim 3.   The endoscopic examination work support system according to claim 1, further comprising a confirmation receiving unit that receives a confirmation notification after notification by the notification processing unit. The notification destination specifying unit specifies a notification destination of the change content by specifying a medical worker who is affected by the change content of the schedule information.
The endoscopy work support system according to any one of claims 1 to 5.

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