JP2017129922A - Medical report preparation support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical report preparation support technique that makes an operation of double checking efficient.SOLUTION: A report information storage unit 134 is configured to store report information including report prepare information, inspection category information and input information by a report preparer. A check condition holding unit 138 is configured to hold a condition about a check necessity of the input information included in the report information, and a check necessity determination unit 104 is configured to determine whether it is necessary to check the input information included in the report information on the basis of the condition held in the check condition holding unit 138. A check relevant information management unit 106 is configured to associate a determination result by the check necessity determination unit 104 with report specification information specifying the report information. A display information creation unit 108 is configured to create display information for displaying information indicative of the determination result by the check necessity determination unit 104.SELECTED DRAWING: Figure 5

Description

  The present invention relates to a system that supports medical report creation work.

  Patent Literature 1 determines whether or not a clinician needs to approve the issuance of a test order based on the test order extracted from the interpretation report, and indicates that approval is required when the clinician needs to approve. Disclosed is a medical image system that adds information to an interpretation report and transmits the information to an electronic medical record server. Patent Document 2 analyzes the first medical report received from the terminal of the doctor in charge of creating the medical report and the second medical report received from the terminal of the doctor in charge of checking the first medical report. Disclosed is a medical report evaluation apparatus for calculating evaluation points.

JP 2009-146340 A JP 2012-63919 A

  A medical report creation support system that allows an examination result of an endoscopic examination to be input as report information has become widespread. In the medical report creation support system, the doctor can input the test result in a short time by selecting the term of the test result displayed as an option, thereby supporting efficient report input work.

  Traditionally, a medical report created by an unskilled physician or non-specialized endoscopy doctor is checked by a skilled physician or endoscopist to check whether there are any oversights of lesion findings and the contents of diagnosis. ing. The double check is performed for the purpose of improving the diagnostic accuracy, but it is also an object to further improve the diagnostic skills of the report creator.

  However, in busy sites, skilled doctors and specialists may forget to check reports, and the current system does not have means for easily confirming which reports should be checked. Furthermore, in the current system, the content corrected by skilled physicians and specialists is communicated to the report creator and used as learning material, but it is used only for the examination and is not fully utilized. hard.

  The present invention has been made in view of such circumstances, and an object of the present invention is to provide a medical report creation support technology that improves the efficiency of double check operations.

  In order to solve the above problems, a medical report creation support system according to an aspect of the present invention is a system that supports medical report creation work, and includes report creator information, examination type information, and input information by the report creator. Based on the report information storage unit that stores the report information, the confirmation condition holding unit that holds conditions regarding the necessity of confirmation of the input information included in the report information, and the conditions held in the confirmation condition holding unit, the report information A confirmation necessity determination unit that determines whether confirmation of input information included is necessary, a confirmation related information management unit that associates a determination result by the confirmation necessity determination unit with report identification information that identifies report information, and a confirmation necessity determination A display information generation unit that generates display information for displaying information indicating a determination result by the unit.

  Another aspect of the present invention is also a medical report creation support system. This medical report creation support system changes the report information storage unit that stores the report creator information and report information including the information entered by the report creator, and the input information by the report creator when the confirming doctor changes From the change information storage unit that stores the input information by the previous report creator and the input information by the confirming doctor after the change as change information, and the change information stored in the change information storage unit, A change history processing unit that generates a change history of input items, a change history storage unit that stores a change history of each input item on the report input screen for each report creator, and a report creator that inputs input items on the report input screen Display information that, when selected, notifies a predetermined message when the change history stored in the change history storage unit satisfies a predetermined condition It includes a generating unit, a.

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

  ADVANTAGE OF THE INVENTION According to this invention, the medical report preparation assistance technique which improves the operation of double check can be provided.

It is a figure which shows the structure of the medical report preparation assistance system concerning an Example. It is a figure which shows the structure of the information processing apparatus for performing report preparation. It is a figure which shows the example of a report input screen. It is a figure which shows the example of an input of a report input screen. It is a figure which shows the structure of the management apparatus for making double check efficient. It is a figure which shows the example of a registration dialog box. It is a figure which shows the example of the input screen of the conditions regarding the necessity for confirmation. It is a figure which shows the example of the confirmation relevant information memorize | stored in a confirmation relevant information storage part. It is a figure which shows an example of a test | inspection list screen. It is a figure which shows another example of a test | inspection list screen. It is a figure which shows the example of the notification screen of a portable terminal. It is a figure which shows the structure of the management apparatus for utilizing the implementation result of a double check. It is a figure which shows the input information contained in a report input screen. It is a figure which shows the example which changed selection of the input item. It is a figure which shows the example of a change confirmation dialog box. It is a figure which shows the example of a notification dialog box.

  FIG. 1 is a diagram showing a configuration of a medical report creation support system 1 according to an embodiment of the present invention. The medical report creation support system 1 is a system for supporting a report creation work of an endoscopic examination, and includes an endoscope system 10, a management system 20, and an information processing device 30, which are a LAN (local area network) or the like. Are interconnected by a network 2. The information processing device 30 is a terminal device such as a personal computer assigned to each doctor, and is connected to the display device 32 so that the screen can be output. The information processing device 30 is a laptop computer integrated with the display device. It may be a portable tablet. The information processing apparatus 30 may be configured by a terminal device and a server.

  The management system 20 includes a management device 22 that manages endoscopic examination order information, examination execution information, and report information, and an examination image recording unit 24 that records examination images taken by the endoscope system 10. . The inspection image recording unit 24 records the inspection images taken by the endoscope system 10 together for each inspection. Accordingly, a plurality of inspection images photographed in one and the same inspection are recorded in the inspection image recording unit 24 in association with information (hereinafter also referred to as inspection ID) specifying the inspection order. The inspection image recording unit 24 may be configured by a large capacity HDD (hard disk drive) or may be configured by a flash memory.

  The information processing apparatus 30 can access the management system 20 and display the examination information configured by the examination order information and the execution information stored in the management apparatus 22 on the display device 32 in a list format. The doctor who creates the report selects one examination from the examination list screen and inputs the examination result on the report input screen. At this time, the information processing apparatus 30 displays the examination image recorded in the examination image recording unit 24 on the display device 32, and the doctor selects the examination image to be attached to the medical report.

  The endoscope system 10 includes an endoscope 12, an endoscope processing device 14, and a display device 16. The endoscope 12 is inserted into the patient's body, and a still image inside the body is taken at the timing when the doctor presses the release switch of the endoscope 12. The endoscope 12 includes a solid-state imaging device (for example, a CCD image sensor or a CMOS image sensor) and a signal processing circuit. The solid-state image sensor converts incident light into an electrical signal, and the signal processing circuit performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state image sensor, and the endoscope. The data is output to the processing device 14.

  The endoscope processing device 14 comprehensively controls the entire endoscope system 10. One important role of the endoscope processing device 14 is to transmit the inspection image photographed by the endoscope 12 to the management system 20 and record it in the inspection image recording unit 24, and another important role. The role is to display the video acquired by the endoscope 12 on the display device 16 in real time. In the former role, the endoscope processing apparatus 14 adds an examination ID corresponding to the examination order as metadata to the examination image. The examination image recording unit 24 receives the endoscope image data photographed by the endoscope 12 and accumulates it for each examination.

  The information processing apparatus 30 has a function of supporting report creation by a doctor in cooperation with the management system 20. A user interface such as a keyboard and a mouse is connected to the information processing apparatus 30. The information processing apparatus 30 displays the report input screen on the display device 32, and the doctor completes the report input by operating the user interface while viewing the display screen. The medical report creation support system 1 provides a term selection type report input screen, and the doctor can input the examination result as report information by selecting the term of the relevant finding content or diagnostic content. . Information input by the doctor on the report input screen is stored in the management device 22 as report information together with report creator information, examination type information, and the like.

  In the embodiment, it is assumed that a double check is performed in which an expert doctor confirms input information input by a non-skilled doctor as a test result. Hereinafter, a doctor (skilled physician) who confirms input information by an unskilled physician is referred to as a “confirming physician”. Note that the report creator who receives the check by the confirming doctor is not limited to a non-skilled doctor, and may be a non-specialist endoscope. Hereinafter, doctor A, who is an unskilled physician, shows a procedure for creating a report.

  FIG. 2 shows the configuration of the information processing apparatus 30 for creating a report. The information processing apparatus 30 includes an input reception unit 34, an acquisition unit 36, a report input screen generation unit 38, and a registration processing unit 40. The input receiving unit 34 receives an operation input of a user interface such as a mouse or a keyboard by a doctor.

  These configurations can be realized by an arbitrary processor, memory, or other LSI in terms of hardware, and can be realized by a program loaded into the memory in terms of software, but here by their cooperation. Draw functional blocks. Accordingly, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof. As described above, the information processing device 30 may be a terminal device, but may be configured by a terminal device and a server. Therefore, each function shown as the configuration of the information processing device 30 in FIG. 2 is a device other than the terminal device. It may be realized by.

  When the doctor A finishes the endoscopy, he / she inputs a user ID and a password on the login screen displayed on the display device 32. When receiving the input user ID and password, the input receiving unit 34 transmits the received user ID and password to the management system 20, and the management system 20 performs user authentication. When the management system 20 authenticates that the user is a regular user, the doctor A logs in to the information processing apparatus 30.

  When the doctor A logs in, an examination list screen is displayed on the display device 32. On this examination list screen, examination information such as a patient name, examination type, examination date, and examining doctor is displayed in a list, and doctor A selects an examination for which a report is to be created. When one examination is selected from the examination list screen, the input reception unit 34 receives the examination selection input and specifies the examination ID, and the report input screen generation unit 38 generates a report input screen and displays the display device 32. To display.

  FIG. 3 shows an example of a report input screen. The report input screen generation unit 38 generates a report input screen for inputting the inspection result and causes the display device 32 to display the report input screen. The report input screen includes a plurality of choices of examination results, and a doctor can input examination results by selecting check boxes of input items.

  The report input screen has two areas, an examination image display area 60 for displaying thumbnails of examination images on the left side, and an examination result input area 66 for a doctor to select examination results on the right side. A comprehensive diagnosis display area 64 for displaying the comprehensive test result is arranged on the test result input area 66.

  The acquisition unit 36 acquires thumbnails of all the inspection images associated with the inspection ID from the inspection image recording unit 24, and the report input screen generation unit 38 arranges all the thumbnails 62 in the inspection image display area 60. . Each thumbnail 62 is provided with a check box. When the doctor places the mouse pointer on the check box and right-clicks, the thumbnail is selected as an attached image of the report. If the doctor places the mouse pointer on the thumbnail and right-clicks, the thumbnail can be displayed in an enlarged manner, and the doctor may view the enlarged examination image and determine whether to attach it to the report.

  In the test result input area 66, input items which are test result options regarding the observation site are displayed. The doctor places the mouse pointer on the check box of the corresponding input item and right-clicks the mouse to enter a selection mark. The test result is input. The doctor switches the observation site in the observation range selection field 68 and selects “esophagus”, “stomach”, and “duodenum”, and inputs the test results for each observation site in the test result input area 66. When the doctor operates the registration button 70 after inputting all the test results, a registration dialog box is displayed. When the doctor inputs a user ID and a password, the registration processing unit 40 reports the input test results to the report of the management device 22. Register in the information storage unit.

  FIG. 4 shows an input example of the report input screen. In the examination image display area 60, the doctor A has selected the thumbnail 62a as an attached image, and a selection mark is put in the check box of the thumbnail 62a. In the inspection result input area 66, a selection mark 72 is placed in the check mark of the reddish item. When the doctor A finishes inputting the test result, the doctor A operates the registration button 70 and performs a predetermined input in the registration dialog box displayed, thereby registering the input information in the management apparatus 22 as report information.

  The medical report creation support system 1 according to the embodiment provides a mechanism for improving the efficiency of the double check operation of the medical report created in this way, and also provides a mechanism for using the result of the double check.

  In large medical facilities, many endoscopies are performed each day, and the confirming physician may forget to check the medical report. On the other hand, there is a situation in which the confirming doctor does not have to confirm the report created by the skilled doctor or the report of the examination in which the non-skilled doctor performs only the treatment without performing the diagnosis. Therefore, it is preferable that the confirming doctor can easily distinguish between an examination that requires confirmation of a report and an examination that does not require confirmation of the report.

  FIG. 5 shows a configuration of the management device 22 for improving the efficiency of double checking. The management device 22 includes a reception unit 100, a confirmation condition setting unit 102, a confirmation necessity determination unit 104, a confirmation related information management unit 106, a display information generation unit 108, a confirmation time limit determination unit 110, a notification unit 112, and a storage unit 130. . The receiving unit 100 receives report information transmitted from the information processing apparatus 30 and an operation input by a doctor. The storage unit 130 includes an examination information storage unit 132, a report information storage unit 134, a confirmation related information storage unit 136, and a confirmation condition holding unit 138. The inspection information storage unit 132 stores inspection information including inspection order information and execution information. The order information includes a patient name, patient ID, examination date, examination type, and the like. When a doctor creates a report, the examination information is read from the examination information storage unit 132, transmitted to the information processing apparatus 30, and the report. Displayed on the input screen.

  These configurations can be realized by an arbitrary processor, memory, or other LSI in terms of hardware, and can be realized by a program loaded into the memory in terms of software, but here by their cooperation. Draw functional blocks. Accordingly, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof.

  FIG. 6 shows an example of a registration dialog box displayed after the report creation is completed. When the registration button 70 is operated by the doctor A who is the report creator, the report input screen generation unit 38 causes the display device 32 to display a registration dialog box shown in FIG. When the doctor A inputs the user ID and password in the authentication information input field 200, inputs the confirmation time limit by the checking doctor in the time limit information input field 202, and operates the OK button, the registration processing unit 40 causes the doctor A to Report information including the input information that has been input is transmitted to the management device 22. The report information includes not only input information but also examination identification information (examination ID), report creator information (user ID), examination type information, examination date, patient information, report creation date, and attached image. In addition to the report information, the registration processing unit 40 also transmits the deadline information input in the deadline information input field 202 of the registration dialog box to the management apparatus 22.

  In the management device 22, the reception unit 100 receives report information and time limit information transmitted from the information processing device 30. The report information is stored in the report information storage unit 134. The report information storage unit 134 is associated with report specifying information (report ID) for specifying report information, and includes an examination ID, a report creator ID, examination type information, an examination date, patient information, a report creation date, input information, and an attached image. Remember. In addition, since a report is produced for every test | inspection, report ID and test | inspection ID respond | correspond one-to-one. Therefore, in the embodiment, the report specifying information for specifying the report information may be a report ID or an examination ID.

  The confirmation related information management unit 106 associates time limit information indicating the confirmation time limit of the input information with the report ID. Specifically, the confirmation related information management unit 106 stores the time limit information in the confirmation related information storage unit 136 in association with the report ID. The deadline information defines the final date of the due date to be confirmed by the doctor in charge of confirmation of the report, and is the information entered by the report creator in the deadline information input field 202 of the registration dialog box.

  In the registration dialog box shown in FIG. 6, it is not necessary to input the deadline information in the deadline information input field 202. Even if the doctor A does not input the confirmation time limit in the time limit information input field 202, the doctor A can operate the OK button if the authentication information is input in the authentication information input field 200. When the time limit information is not input in the time limit information input column 202, the confirmation related information management unit 106 sets a predetermined date after the report creation date as the time limit information. As a result, the confirmation related information management unit 106 associates the time limit information with the report ID and stores it in the confirmation related information storage unit 136.

The confirmation condition setting unit 102 sets conditions relating to the necessity of confirmation of the input information included in the report information.
FIG. 7 shows an example of an input screen for conditions related to necessity of confirmation. When an unskilled physician joins a medical facility (employment), for example, the head of an endoscope department of the medical facility displays this input screen on the display device 32 and inputs a condition regarding necessity of confirmation. In the creator input field 204, the user ID of the non-skilled doctor is input, and in the confirming doctor input field 206, the user ID of the confirming doctor who confirms the input information of the report created by the non-skilled doctor is input. . When a supervising physician is assigned to a non-skilled physician in a medical facility, it is assumed that the confirming physician often becomes the supervising physician, but this is not a limitation. In addition, the user IDs of a plurality of skilled doctors may be input in the confirmation charge doctor input field 206. Note that the user ID may not be input to the confirmation physician input field 206. This is a case where a specific confirming doctor is not defined.

  In the confirmation condition input field 208, a condition that requires confirmation of the input information included in the report information is input. For example, a condition that requires a double check is input such that the examination type is lower endoscopy, and the number of reports created by the report creator is less than 200.

  On the other hand, in the confirmation exclusion condition input field 210, a condition that does not require confirmation of the input information included in the report information is input. For example, conditions that do not require a double check are entered, such as the examination type being an upper endoscopy, the examination being a treatment-only examination, and the number of reports created by the report creator being 200 or more. . When the registration button is operated, the confirmation condition setting unit 102 records the input condition in the confirmation condition holding unit 138. As a result, the confirmation condition holding unit 138 holds a condition regarding whether or not report information needs to be confirmed.

  The confirmation necessity determination unit 104 determines the necessity of confirmation by the confirmation person in charge of the input information included in the report information based on the condition held in the confirmation condition holding unit 138. The condition input in the confirmation condition input field 208 and the condition input in the confirmation exclusion condition input field 210 have a front-back relationship. For example, regarding an examination report that does not satisfy any of the conditions, or an examination report that satisfies both conditions, the confirmation necessity determination unit 104 may determine that confirmation by the confirming doctor is necessary. The case where both conditions are satisfied corresponds to, for example, a case where the number of reports created by the report creator is 200 or more, but the examination type is lower endoscopy. In such a case, it is preferable to determine whether to perform a double check in order to improve the diagnosis accuracy of the report.

  Note that the confirmation condition setting unit 102 may provide only one of the confirmation condition input field 208 and the confirmation exclusion condition input field 210 on the condition input screen. When only the confirmation condition input field 208 is provided, the condition input in the confirmation condition input field 208 is a condition that requires confirmation by the person in charge of confirmation, and the condition not input in the confirmation condition input field 208 is a confirmation. This is a condition that does not require confirmation by the person in charge. On the other hand, when only the confirmation exclusion condition input field 210 is provided, the condition input in the confirmation exclusion condition input field 210 is a condition that does not require confirmation by the confirmation person in charge, and is input in the confirmation exclusion condition input field 210. The condition that is not required is a condition that requires confirmation by the person in charge of confirmation. As described above, only one of the confirmation condition input field 208 and the confirmation exclusion condition input field 210 may be provided to input conditions regarding whether or not the report input information needs to be confirmed. In any case, the confirmation condition holding unit 138 holds a condition regarding whether or not to confirm the report input information.

  In the following, the doctor A is input to the creator input field 204, the doctor X is input to the confirmation doctor input field 206, the confirmation condition input field 208 is not provided, and the confirmation exclusion condition input field 210 includes the confirmation exclusion. A case will be described in which it is input that the examination is a treatment-only examination as a condition. It should be noted that the condition regarding necessity of confirmation may be set for each non-skilled doctor, and the confirmation condition holding unit 138 may hold the condition regarding necessity of confirmation for each non-skilled doctor.

  When the report information created by the doctor A is stored in the report information storage unit 134, the confirmation necessity determination unit 104 determines whether or not to confirm the report input information based on the condition held in the confirmation condition holding unit 138. Determine. Here, the report input information by the doctor A (see FIG. 4) includes diagnosis information and is not input information related to the examination only for the treatment. Therefore, the confirmation necessity determination unit 104 needs to confirm the report input information. judge. The confirmation related information management unit 106 associates the determination result by the confirmation necessity determination unit 104 with a report ID that specifies report information. Specifically, the confirmation related information management unit 106 stores information indicating the necessity of confirmation in the confirmation related information storage unit 136 in association with the report ID.

  In the above example, the confirmation condition holding unit 138 holds the confirmation necessity condition of a doctor (non-skilled doctor) who needs a double check, and holds the confirmation necessity condition of a doctor (skilled doctor) that does not need a double check. do not do. Here, the fact that the confirmation condition holding unit 138 does not hold the conditions for necessity of confirmation of the expert doctor means that the report confirmation of the expert doctor is unnecessary. Therefore, when the report information created by the expert doctor is stored in the report information storage unit 134, the confirmation necessity determination unit 104 does not hold the confirmation necessity condition regarding the expert doctor in the confirmation condition holding unit 138. It is determined that confirmation of input information is unnecessary.

  Note that the confirmation condition holding unit 138 may hold conditions for necessity of confirmation by a skilled doctor. In this case, all examination reports are registered as a check exclusion condition for the expert doctor. The confirmation necessity determination unit 104 may determine that it is unnecessary to confirm the report input information with reference to the confirmation exclusion condition regarding the report input information of the expert doctor. In the embodiment, the expert doctor does not need the double check. However, even the expert doctor may perform the double check in order to improve the diagnostic accuracy. For example, a condition for requiring a double check for the lower endoscopy may be held in the confirmation condition holding unit 138 for the skilled doctor, although a double check is unnecessary for the upper endoscopy. As described above, the confirmation condition holding unit 138 may hold a condition relating to the report creator and / or a condition relating to the examination type.

  FIG. 8 shows an example of confirmation related information stored in the confirmation related information storage unit 136. The confirmation related information storage unit 136 stores an examination ID, report creator information, report creation date, confirmation necessity information, confirmation status, confirmation charge doctor information, confirmation deadline, confirmation date, and confirmation phase in association with the report ID. . The report information by the doctor A shown in FIG. 4 is specified by the report ID “1001”. As the confirmation related information, the examination ID “0001”, the creator “doctor A”, the report creation date “2016/1/5”, the confirmation Necessity “necessary”, confirmation status “not yet”, confirmation doctor “doctor X”, and confirmation deadline “2016/1/7” are stored. The confirmation status “not yet” indicates that the report confirmation by the doctor X who is a confirmation doctor has not been performed yet, and therefore the confirmation date and the confirmation phase are blank.

  In the confirmation related information, information indicating whether or not report confirmation by the confirming doctor is necessary or not is recorded in the confirmation necessity item. Specifically, the confirmation necessity determination unit 104 holds the information in the confirmation condition holding unit 138. The determination result determined based on the condition to be input is input. In the example shown in FIG. 8, doctors A, B, and C are unskilled doctors, and report information with report IDs “1001”, “1002”, “1003”, and “1005” needs to be confirmed by the confirming doctor. Information “necessary” indicating that there is present is set. In addition, doctors X and Y are skilled doctors, and information “unnecessary” indicating that confirmation by the confirming doctor is unnecessary is set in the report information of report IDs “1004”, “1006”, and “1007”. . Note that doctor X is registered as a doctor who confirms report information of report IDs “1001”, “1003” and “1005”, and doctor Y is registered as a doctor who confirms report information of report ID “1002”. .

  In the confirmation related information, the last day of the due date when the confirming doctor confirms the report information is recorded in the item of the confirmation due date. In the confirmation status item, information indicating whether the confirming doctor has confirmed the report information or not yet confirmed is recorded. In the confirmation date field, the date on which the confirming physician confirmed the report information is recorded. Therefore, if “not yet” is registered in the confirmation status, the confirmation date field is blank, and “confirmed” is displayed in the confirmation status. If recorded, the date is recorded in the confirmation date field. In the item of the confirmation phase, information indicating whether the person in charge of the confirmation has confirmed the report information by opening a report input screen on the information processing apparatus 30 or at a conference where a plurality of doctors gathered is recorded.

  The confirmation related information management unit 106 manages each item in the confirmation related information storage unit 136. When the receiving unit 100 receives report information from the information processing apparatus 30, the confirmation related information management unit 106 creates a record of the report information in the confirmation related information storage unit 136. Records are managed by report ID. The confirmation related information management unit 106 registers information on each item of the examination ID, the creator, and the report creation date from the report information. The determination result by the confirmation necessity determination unit 104 is recorded in the confirmation necessity item in association with the report ID. At this time, if it is determined that confirmation is unnecessary, “unnecessary” is entered in the confirmation necessity item, and data is entered in the confirmation status, confirmation physician, confirmation deadline, confirmation date, confirmation phase items. It will not be recorded.

  On the other hand, if it is determined by the confirmation necessity determination unit 104 that confirmation is necessary, “required” is recorded in the confirmation necessity item, and “not yet” is confirmed in the confirmation status item. “Confirming doctor” held in the confirmation condition holding unit 138 is input to the item “No.”, and “Time limit information” received by the receiving unit 100 is input to the item of the confirmation deadline.

  Thereafter, the confirming doctor logs into the information processing apparatus 30 and checks the input information included in the report information created by the unskilled doctor on the report input screen (see FIG. 4). At this time, if there is an oversight or error of the unskilled doctor, the confirming doctor changes the information input by the unskilled doctor on the report input screen. When the confirming doctor confirms the input information by the unskilled doctor and operates the registration button 70, a registration dialog box shown in FIG. 6 is displayed. When the confirming doctor inputs the user ID and password in the authentication information input field 200 and operates the OK button, the registration processing unit 40 outputs the report information including the input information confirmed by the confirming doctor to the management apparatus 22. Send to. Note that the confirming doctor does not input the time limit information in the time limit information input field 202. The transmitted report information includes the user ID of the doctor in charge of confirmation as the report creator.

  In the management device 22, the reception unit 100 receives report information transmitted from the information processing device 30. The report information is stored in the report information storage unit 134. When managing the version number of the report, the version number of the report is incremented by one when the confirming doctor confirms the report. The report information storage unit 134 stores an examination ID, report creator ID, examination type information, examination date, patient information, report creation date, input information, and attached image in association with the report ID.

  The confirmation related information management unit 106 refers to the report ID of the report information and determines that a record has already been created in the confirmation related information storage unit 136. Subsequently, the confirmation related information management unit 106 refers to the report creator ID included in the report information and determines whether the user ID of “creator” in the created record matches the report creator ID. . If they match, the report information is corrected by the same report creator, not a double check. For example, when the report information with the report ID “1002” is re-registered in the report information storage unit 134, if the report creator ID included in the report information indicates the doctor B, the re-registration is performed by the same doctor B. It is determined that this is done. Therefore, if the user ID registered in the “creator” item matches the report creator ID included in the report information, the confirmation related information management unit 106 still performs a double check by the confirming physician. Determine that it has not been done.

  If the user ID registered in the “creator” item does not match the report creator ID included in the report information, the confirmation related information management unit 106 determines that the double check has been performed. Then, the confirmation status item is changed to “done”, and the report creation date included in the report information is entered in the confirmation date item. Also, if the confirmation of the report information is performed from the information processing device 30 of the confirming physician, “Report” is registered in the confirmation phase, and if it is performed in the conference, “Conference” is registered in the confirmation phase. In this way, the confirmation related information management unit 106 manages records and fields in the confirmation related information storage unit 136. The confirmation related information management unit 106 preferably updates the confirmation related information storage unit 136 to the latest state every time the reception unit 100 receives report information, that is, every time the report information storage unit 134 is updated. The confirmation related information management unit 106 performs a double check when the user ID registered in the item “confirming doctor” in the confirmation related information storage unit 136 matches the report creator ID included in the report information. It may be determined that it has been implemented.

  As described above, the confirmation related information management unit 106 manages the confirmation related information. As shown in FIG. 8, the confirmation related information includes information indicating whether or not report information needs to be confirmed, information indicating a confirmation status, information indicating a confirming doctor, information indicating a confirmation time limit, and the like. The confirming doctor is presented with this information, so that the confirmation work that he / she is in charge of remains, whether all the confirmation work has been completed, and when the remaining work is due, etc. It becomes possible to obtain information. This is very useful information for the busy confirming physician, and contributes to the realization of the efficiency of the double check work.

  Therefore, the display information generation unit 108 generates display information for displaying at least information indicating whether or not report information needs to be confirmed. When the report information needs to be confirmed, display information for displaying deadline information indicating the deadline for confirmation is generated. When the doctor logs in to the information processing apparatus 30, the display information generation unit 108 preferably includes information indicating whether or not report information needs to be confirmed in the examination list screen so that the examination list screen is displayed on the display device 32.

A case will be described in which a doctor X who is a skilled doctor logs in to the information processing apparatus 30 and displays the examination list screen on the display device 32.
The doctor X inputs a user ID and a password on the login screen displayed on the display device 32. When receiving the input user ID and password, the input receiving unit 34 transmits the received user ID and password to the management system 20, and the management system 20 performs user authentication. When the management system 20 authenticates that the user is a regular user, the doctor X logs into the information processing apparatus 30.

When the doctor X logs in, the examination list screen is displayed on the display device 32.
FIG. 9 shows an example of the examination list screen. Here, examination execution information is displayed in the examination information display field 222 including examination ID, patient, examination type, examination date, and examination practitioner. In the embodiment, in addition to the examination information display field 222, a confirmation related information display field 224 including (report) creator, report creation date, confirmation necessity, confirmation status, confirmation doctor, confirmation deadline, confirmation date, confirmation phase. Is included in the examination list screen.

  The doctor X can easily grasp whether there is a report that needs to be confirmed and has not yet been confirmed by looking at the confirmation necessity column and the confirmation status column in the confirmation related information display column 224. Further, the doctor X can determine whether the report to be checked is his / her charge by looking at the confirmation doctor column. As described above, the display information generation unit 108 includes the confirmation related information display field 224 in the examination list screen, so that the doctor X can easily know the existence of the report to be confirmed.

The display information generation unit 108 may generate an examination list screen that displays examinations relating to report information that has not been confirmed and examinations relating to report information that has been confirmed in different ways.
FIG. 10 shows another example of the examination list screen. Here, predetermined coloring is performed for the inspection related to the report information that has not been confirmed. Thereby, the examination regarding the report information that has not been confirmed can be displayed prominently, and the doctor X can easily know the report to be confirmed. Note that this coloring may be performed only for the examination for which the logged-in doctor X is the confirming doctor. Thereby, the doctor X can easily identify the report for which he / she is in charge of confirmation. The color of the display column may be different, but the color of the character may be different so that it can be distinguished whether it is unconfirmed or confirmed.

  Note that, when the current date has passed the confirmation deadline, the display information generation unit 108 preferably further highlights the examination related to the report information that has passed the confirmation deadline. The confirmation time limit determination unit 110 determines whether or not the report information has been confirmed by the confirmation time limit. The confirmation deadline determination unit 110 refers to the confirmation status item and the confirmation deadline item managed in the confirmation related information storage unit 136, and confirms from the current date among the reports for which the confirmation status is set to “not yet”. Identify reports that are due in advance. The confirmation deadline determination unit 110 transmits the report ID of the identified report information to the display information generation unit 108, whereby the display information generation unit 108 highlights the examination regarding the report information that has not been confirmed by the confirmation deadline. To do. For example, the examination column may be displayed blinking.

  In this case, the notification unit 112 may execute notification processing for a doctor in charge of confirming report information that has not been confirmed by the confirmation deadline. In medical facilities, doctors have portable terminals such as PDAs (Personal Digital Assistants) and tablets that can be carried. Therefore, the notification unit 112 transmits a message to the portable terminal of the doctor in charge of confirmation regarding the report information that has passed the confirmation deadline.

  FIG. 11 shows an example of a notification screen of the mobile terminal. The notification unit 112 transmits a message for encouraging the execution of the report confirmation to the doctor X's portable terminal together with information for specifying the examination. As a result, the doctor X recognizes that it is necessary to immediately confirm the report.

  Note that the message shown in FIG. 11 may be generated by the display information generation unit 108. For example, when the doctor X logs in to the information processing apparatus 30, the display information generation unit 108 may generate message information shown in FIG. As a result, the doctor X recognizes that it is necessary to immediately confirm the report.

  According to the medical report creation support system 1 of the embodiment, the double check can be efficiently performed as described above. The following describes a mechanism for using the results of the double check in order to improve the diagnosis skill of the unskilled doctor after the double check is performed.

  The unskilled doctor learns the correction contents of the report by the skilled doctor for each examination, and tries to improve the diagnosis skill. However, at present, there is no means for quantitatively evaluating how much the unskilled physicians have improved their diagnostic skills, and it is difficult to see the results of education. In order to raise diagnostic skills, it is important to reduce the field of weakness, but at present there is no means to grasp the weaknesses of unskilled physicians. Therefore, the medical report creation support system 1 proposes a mechanism that can quantitatively evaluate the diagnosis skill of the unskilled doctor by using the check result of the expert doctor.

  FIG. 12 shows a configuration of the management apparatus 22 for using the double check execution result. The management device 22 includes a reception unit 100, a display information generation unit 108, a change information extraction unit 114, a change history processing unit 116, a statistical data generation unit 118, a time determination unit 120, an evaluation unit 122, and a storage unit 130. The storage unit 130 includes a report information storage unit 134, a change information storage unit 140, a change history storage unit 142, a statistical data storage unit 144, a reference time storage unit 146, and an input time storage unit 148. The receiving unit 100 receives report information transmitted from the information processing apparatus 30 and an operation input by a doctor.

  These configurations can be realized by an arbitrary processor, memory, or other LSI in terms of hardware, and can be realized by a program loaded into the memory in terms of software, but here by their cooperation. Draw functional blocks. Accordingly, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof.

  When a doctor X who is a skilled physician inputs a user ID and password on the login screen displayed on the display device 32, the input reception unit 34 receives the input user ID and password, transmits them to the management system 20, and manages them. The system 20 performs user authentication. When the management system 20 authenticates that the user is a regular user, the doctor X logs into the information processing apparatus 30.

  When the doctor X logs in, the examination list screen is displayed on the display device 32. The examination list screen is the screen shown in FIG. 9 or 10, and the doctor X selects the examination to be checked. Here, when the doctor X selects the examination with the examination ID 0001, the input reception unit 34 receives the examination selection input and specifies the examination ID. The report input screen generation unit 38 reads the report information of the examination ID 0001 stored in the report information storage unit 134, generates a report input screen in which the read report information is input to the corresponding input item, and displays it on the display device 32. Let

  FIG. 13 shows input information included in the report input screen. The input information on the report input screen shown in FIG. 13 is the same as the input information on the report input screen shown in FIG. 4, and only the login user name is different. The doctor X confirms the information input by the doctor A on the displayed report input screen.

  FIG. 14 shows an example in which doctor X changes the selection of input items. In this example, the doctor X changes the “redness” of the presence finding selected by the doctor A to “erosion”. When the doctor X looks at the examination image and determines that the finding of “redness” by the doctor A is incorrect and is correctly “eroded”, the selection mark 72 in the “redness” check box is deleted, and a new A selection mark 72 is added to the check box of “erosion”.

  When the doctor X completes the confirmation of the input information by the doctor A, the doctor X operates the registration button 70 and inputs the user ID and password in the registration dialog box shown in FIG. Register with. The registration processing unit 40 transmits report information including input information confirmed by the doctor X, who is the doctor in charge of confirmation, to the management device 22.

  In the management device 22, the reception unit 100 receives report information transmitted from the information processing device 30. The report information is stored in the report information storage unit 134. When managing the version number of the report, the version number of the report is incremented by 1 when the doctor X confirms the report. The report information storage unit 134 stores an examination ID, report creator ID, examination type information, examination date, patient information, report creation date, input information, and attached image in association with the report ID.

  The report information updated by the confirming doctor is stored in the report information storage unit 134 as report information having a version number different from that of the report information by the doctor A. The change information extraction unit 114 compares report information from the doctor A and report information from the doctor X, and extracts input information from the doctor A before the change and input information from the doctor X after the change as change information. . In the example illustrated in FIGS. 13 and 14, the change information extraction unit 114 extracts the input item “redness” by the doctor A and the input item “erosion” by the doctor X as change information regarding the presence findings. The change information extraction unit 114 extracts change information of all input items and stores the change information in the change information storage unit 140. Thereby, the change information storage unit 140 stores the input information by the report creator before the change and the input information by the confirming doctor after the change as the change information. In this example, the doctor X corrects the input item selection from “redness” to “erosion”, but if the doctor A selects the input item incorrectly, the doctor X cancels the selection. When there is an oversight by the doctor A, the doctor X selects an input item that has been overlooked. When the doctor X cancels the selection, the selection information of the input item before the change and the selection cancellation information of the input item after the change are stored as the change information in the change information storage unit 140, and the doctor X makes a new input. When the item is selected, the non-selection information of the input item before the change and the selection information of the input item after the change are stored in the change information storage unit 140 as the change information.

  The change history processing unit 116 generates a change history of each input item on the report input screen from the change information stored in the change information storage unit 140. The change history is, for example, that “redness” is corrected to “erosion”. The change history processing unit 116 stores the generated change history in the change history storage unit 142. The change history storage unit 142 stores the change history of each input item on the report input screen for each report creator. The change history storage unit 142 accumulates the change history of each input item every time a double check is performed.

  The statistical data generation unit 118 generates various statistical data based on the change history stored in the change history processing unit 116. The statistical data generation unit 118 may generate statistical data for each report creator or may generate statistical data for the entire medical facility. At this time, the statistical data generation unit 118 can generate statistical data by specifying the number of examinations of the report creator and the period for performing statistical processing. For example, the statistical data generation unit 118 derives the average number of changes per examination changed for each report creator, and the display information generation unit 108 displays the statistical data in a format that can be compared for each report creator. Display information may be generated and displayed on the display device 32. Further, the statistical data generation unit 118 may derive the average number of changes for each predetermined number of examinations for the report creator so as to be able to grasp how the report creator's diagnosis skill is changing. The display information generation unit 108 generates display information so that the change in the diagnosis skill of the report creator can be understood, and displays the display information on the display device 32.

  When the change history processing unit 116 generates the change history of each input item from the change information stored in the change information storage unit 140, the change history processing unit 116 refers to the storage content of the change history storage unit 142 and the same change history is stored in the past. Judge whether there was. For example, when “redness” of the presence finding by the doctor A is changed to “erosion” by the doctor X, the change history processing unit 116 has changed “redness” to “erosion” in the past change history regarding the doctor A. Determine if there is a problem. If the same change has been made in the past, the change history processing unit 116 notifies the display information generation unit 108 of the content of the change history.

The display information generation unit 108 generates a notification screen for notifying the contents of the same change made by the confirming doctor when the doctor A logs in next time or creates the next report, and displays the notification screen on the display device 32 of the doctor A.
FIG. 15 shows an example of a change confirmation dialog box 230 generated by the display information generation unit 108. The change confirmation dialog box 230 is displayed to notify that the input information included in the previous report information has been changed in the same way as in the past. When the doctor A selects “Yes”, the previous report information changed by the doctor X is read and displayed on the report input screen, and the doctor A confirms and learns the corrected input item. Since the change confirmation dialog box 230 is displayed when the same mistake is made, the doctor A re-recognizes that “erosion” is easily mistaken for “redness”, and uses it as a weak point for the diagnosis from this time. To.

  The evaluation unit 122 may have a function of scoring a report input from the change information stored in the change information storage unit 140. The scoring criteria may be set uniformly within the medical facility, but may be set for each confirming doctor. For example, when scoring with 100 points, and scoring using the deduction method, Doctor X sets the error between erosion and redness as -5 points, while Doctor Y sets the error between erosion and redness as -10 points. May be. In this way, by making it possible to set a scoring standard for each confirming doctor, scoring can be performed according to the education policy of the confirming doctor. The evaluation unit 122 calculates the evaluation score by combining the points set for the change information and subtracting it from the full score.

  Note that the evaluation unit 122 may calculate an evaluation score from the number of all input items and the number of changes. For example, when the number of all input items is 60 and the number of changes is 18, the evaluation unit 122 may calculate the evaluation score of the report as 70 points from the calculation formula of (1-18 / 60) × 100. Good. Thus, the evaluation unit 122 can generate an evaluation value that is easy to understand sensuously by quantitatively evaluating the change information. The display information generation unit 108 may generate a notification screen for notifying the evaluation score of the previous report when the doctor A logs in next time or creates the next report, and may display the notification screen on the display device 32 of the doctor A. Further, the display information generation unit 108 may generate display information including an average value of evaluation scores for each predetermined number of examinations and display the display information on the display device 32. Thereby, quantitative evaluation for a doctor can be realized.

  The change history processing unit 116 may determine that an input item requiring attention is selected based on the past change history during the input work by the report creator. This is realized by transmitting the report creator's operation input to the management device 22 in real time. The receiving unit 100 receives an input item selection operation by a report creator in real time. When the doctor A who is the report creator selects an input item on the report input screen, the display information generation unit 108 receives a predetermined message when the change history stored in the change history processing unit 116 satisfies a predetermined condition. Display information to notify is generated.

  The input item selection operation received by the receiving unit 100 is provided to the change history processing unit 116. For example, the change history processing unit 116 can recognize that the doctor A tends to make reddening easily by referring to the change history storage unit 142. The change history processing unit 116 refers to the change history of the doctor A, and when the reception unit 100 receives that the doctor A has selected redness when the erosion is mistaken for redness several times, the display information generation unit This is notified to 108. In response to this, the display information generation unit 108 generates a notification screen including a message indicating that “redness” has been erroneously input in the past during the report input operation of the doctor A, and causes the display device 32 to display the notification screen.

  FIG. 16 shows an example of a notification dialog box 232 generated by the display information generation unit 108. The notification dialog box 232 is displayed to notify that the doctor A has selected an input item that is easily mistaken. Here, when the doctor A selects “Yes”, the report input screen is displayed again. When “No” is selected, the redness selection mark 72 is deleted and the report input screen is displayed again. The doctor A refers to the examination image again and makes an appropriate presence finding. After that, even if the doctor A selects the “redness” check box again, the display information generation unit 108 does not generate the notification screen again. In this way, by using the past change history to alert the doctor A in real time, the doctor A can input an accurate report.

  Note that the input time may be measured in order to evaluate the report creation work by the report creator. Input of report information is done by category such as presence findings, qualitative diagnosis, differential diagnosis, etc. In case of an input method that opens a window for each category, selects an input item in each window, and closes the window The time determination unit 120 measures the window display time. The display time of each window is transmitted to the management apparatus 22 together with the report information when registering the report information. The display time of each window is stored in the input time storage unit 148 as input time by the report creator.

  The reference time storage unit 146 stores a reference value (reference time) of the window display time. This reference time may be the actual time when the confirming doctor creates the report. The time determination unit 120 gives a pass with respect to the input time if the input time of the report creator falls within the range (allowable range) of the predetermined time including the reference time. Give a pass. In order to improve the efficiency of report input work, it is important to select input items of each category in a short time. Therefore, the time determination unit 120 compares the allowable range including the reference time with the input time of each window. Then, the report creator's input time may be evaluated.

  When the reception unit 100 receives operation information by the report creator in real time, the time determination unit 120 may measure the display time of each window in real time to determine whether or not the time is within an allowable range. . As a result, the report creator understands that the input work was slow during the input work, and uses it for the subsequent input work.

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

DESCRIPTION OF SYMBOLS 1 ... Medical report preparation assistance system, 20 ... Management system, 22 ... Management apparatus, 24 ... Examination image recording part, 30 ... Information processing apparatus, 32 ... Display apparatus, 34. ... Input reception unit 36... Acquisition unit 38... Report input screen generation unit 40. Confirmation necessity determination unit 106: Confirmation related information management unit 108: Display information generation unit 110: Confirmation deadline determination unit 112: Notification unit 114: Change information extraction unit 116 ... change history processing unit, 118 ... statistical data generation unit, 120 ... time determination unit, 122 ... evaluation unit, 130 ... storage unit, 132 ... inspection information storage unit, 134: Report information storage unit, 136: Confirmation related information Memory unit, 138 ... Confirmation condition holding unit, 140 ... Change information storage unit, 142 ... Change history storage unit, 144 ... Statistical data storage unit, 146 ... Reference time storage unit, 148 ..Input time storage unit.

Claims (9)

A system that supports medical report creation work,
A report information storage unit that stores report information including report creator information, examination type information, and input information by the report creator;
A confirmation condition holding unit for holding conditions regarding necessity of confirmation of input information included in report information;
A confirmation necessity determination unit that determines necessity of confirmation of input information included in the report information based on a condition held in the confirmation condition holding unit;
A confirmation related information management unit for associating a determination result by the confirmation necessity determination unit with report identification information for identifying report information;
A display information generation unit that generates display information for displaying information indicating a determination result by the confirmation necessity determination unit;
A medical report creation support system characterized by comprising: The display information generation unit generates an examination list screen including information indicating a determination result by the confirmation necessity determination unit;
The medical report creation support system according to claim 1. The display information generation unit generates an examination list screen that displays the examination related to the report information that has not been confirmed and the examination related to the report information that has been confirmed in a different manner.
The medical report creation support system according to claim 2. The confirmation related information management unit associates deadline information indicating a deadline for confirmation of input information with report specifying information.
The medical report creation support system according to any one of claims 1 to 3. The display information generation unit generates display information for displaying time limit information.
The medical report creation support system according to claim 4. A confirmation deadline determination unit that determines whether or not the confirmation of the report information is completed by the confirmation deadline;
A notification unit that performs notification processing for a doctor in charge of confirming report information that has not been confirmed by the confirmation deadline;
The medical report creation support system according to claim 4, further comprising: The confirmation condition holding unit holds a condition relating to a report creator and / or a condition relating to an examination type.
The medical report creation support system according to any one of claims 1 to 6. A change information storage unit for storing the input information before the change and the input information after the change when the confirmation physician changes the input information by the report creator;
The medical report creation support system according to claim 1, further comprising: A system that supports medical report creation work,
A report information storage unit for storing report information including report creator information and information input by the report creator;
A change information storage unit for storing, as change information, input information by the report creator before the change and input information by the check doctor after the change when the input information by the report creator is changed by the confirming doctor; ,
From the change information stored in the change information storage unit, a change history processing unit that generates a change history of each input item of the report input screen;
For each report creator, a change history storage unit that stores a change history of each input item on the report input screen,
When the report creator selects an input item on the report input screen, if the change history stored in the change history storage unit satisfies a predetermined condition, a display information generation unit that notifies a predetermined message;
A medical report creation support system characterized by comprising:

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