JP2018142201A - Examination appointment management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make it easy to review an examination reservation when a new function is added to a modality or when a new modality is introduced.SOLUTION: When a second correspondence table associating a modality with an examination executable by the modality is updated (step S11; YES), for each patient to be examined, an examination name corresponding to the patient to be examined is acquired (step S12), and a modality name corresponding to the acquired examination name is identified from the updated second correspondence table (step S15). Based on a device reservation table of the identified modality, date, time and date at which the modality can be used is searched for and displayed (step S16).SELECTED DRAWING: Figure 9

Description

  The present invention relates to an inspection reservation management system.

  2. Description of the Related Art Conventionally, in the medical field, various image inspections have been performed on patients using modalities such as an ultrasonic diagnostic apparatus (US), CT (Computed Tomography), and MRI (Magnetic Resonance Imaging). The doctor determines the necessary examination based on the patient's symptoms, and makes an examination reservation for the modality that can be used in the hospital or the partner facility.

  When an inspection is scheduled, it is necessary to select a modality having a function necessary for the inspection. For example, when an ultrasonic diagnostic apparatus is used as a mammography reexamination, it is necessary to perform an elastography examination or examine a minute blood flow in order to determine whether or not the tumor is a malignant tumor. Since these functions are installed only in a high-performance ultrasonic diagnostic apparatus, a doctor who places an examination order designates and reserves an ultrasonic diagnostic apparatus having a necessary function. Further, in the ultrasonic diagnostic apparatus, these functions can be added by upgrading the software, so it is necessary to grasp the version of the apparatus.

  As technology for assigning tests to multiple testing devices, input test type information (parts to be tested such as head and chest) and patient status information (physique, whether breath holding is possible, etc.) An examination reservation apparatus for selecting a matching modality has been proposed (see Patent Document 1). With this technology, inspection reservations are made more efficient and optimized in accordance with modality performance and inspection conditions.

Japanese Patent No. 5366373

However, software upgrades frequently occur in medical devices, which may affect the specifications of medical devices. Specifically, a modality that does not have a function necessary for an inspection at the time of making an inspection reservation may be able to perform the inspection by updating software or adding a new function. In addition, a new modality may be introduced that can perform an inspection that has already been reserved for another modality.
In these cases, there is a possibility that the inspection can be performed at an earlier time with a modality other than the modality in which the inspection reservation is entered. Therefore, it is necessary to review the inspection reservation schedule.

  The present invention has been made in view of the above-mentioned problems in the prior art, and facilitates review of examination reservations when a new function is added to a modality or when a new modality is introduced. Is an issue.

  In order to solve the above-mentioned problem, the invention according to claim 1 is characterized in that performance information storage means for storing performance information in which each of a plurality of modalities is associated with an inspection that can be performed by the modality, and the modality. Reservation information storage means for storing reservation information in which the examination reservation date and time and the patient to be examined are associated with each other, the examination subject patient included in the reservation information, and the examination scheduled to be performed on the examination subject patient, The test management information storage means for storing the test management information associated with the test management information, and when the performance information is updated, for each test target patient included in the test management information, the test corresponding to the test target patient is acquired. Acquiring means for specifying the modality corresponding to the acquired examination from the updated performance information, and the prediction of the specified modality. Based on the information, an inspection reservation management system comprising a presentation unit, the presenting the available time the modalities.

  The invention according to claim 2 is an inspection reservation management system according to claim 1, wherein the receiving means accepts a reservation change instruction including a changed date and time designated from the date and time presented by the presenting means; Updating means for updating the reservation information based on the reservation change instruction.

  The invention according to claim 3 is the analysis means for analyzing the inspection order and obtaining the inspection relating to the inspection order when the inspection order is received in the inspection reservation management system according to claim 1 or 2 And a generation means for generating the examination management information by associating the patient to be examined related to the examination order with the examination acquired by the analyzing means.

  The invention according to claim 4 is the examination reservation management system according to claim 3, further comprising correspondence information storage means for storing correspondence information in which a specific character string including a disease name or a part is associated with the examination, and the analysis The means extracts the specific character string from the inspection order, and acquires the inspection corresponding to the extracted specific character string from the correspondence information.

  According to a fifth aspect of the present invention, in the examination reservation management system according to any one of the first to fourth aspects, the presenting means displays a date and time when the specified modality can be used in chronological order. Present.

  According to a sixth aspect of the present invention, in the examination reservation management system according to any one of the first to fourth aspects, the presenting means assigns the date and time when the specified modality can be used to the examination subject patient. Preferentially present the same day of the week as the corresponding inspection appointment date.

  According to a seventh aspect of the present invention, in the examination reservation management system according to any one of the first to fourth aspects, the presenting means assigns a date and time when the specified modality can be used to the examination subject patient. Preferentially present the same time as the corresponding examination appointment date and time.

  According to the present invention, when a new function is added to a modality or when a new modality is introduced, the examination reservation can be easily reviewed.

It is a system configuration figure of an inspection reservation management system in a 1st embodiment of the present invention. It is a block diagram which shows the functional structure of an electronic medical chart apparatus. It is a block diagram which shows the functional structure of an image management apparatus. It is a figure which shows the data structural example of a 1st correspondence table. It is a figure which shows the data structural example of a 2nd correspondence table. It is a figure which shows the data structural example of the apparatus reservation table | surface of the ultrasound diagnosing device B. FIG. It is a figure which shows the data structural example of a test | inspection management table. It is a flowchart which shows a process at the time of inspection order reception. It is a flowchart which shows the process at the time of a 2nd correspondence table update. It is a figure which shows the data structural example of the apparatus reservation table | surface of the ultrasonic diagnosing device A. FIG. It is an example of a reservation change confirmation screen. It is an example of the reservation change confirmation screen in 2nd Embodiment. It is an example of the reservation change confirmation screen in 3rd Embodiment.

[First Embodiment]
First, a first embodiment of an examination reservation management system according to the present invention will be described. However, the scope of the invention is not limited to the illustrated examples.

FIG. 1 shows a system configuration of an examination reservation management system 100 provided in a hospital.
As shown in FIG. 1, the examination reservation management system 100 includes an electronic medical chart device 10, an image management device 30, modalities 40, 40,..., And each device is a LAN (Local Area Network). And a hospital network N composed of communication lines such as a WAN (Wide Area Network) or the like so that data can be transmitted and received. Each device constituting the examination reservation management system 100 conforms to HL7 (Health Level Seven) and DICOM (Digital Image and Communications in Medicine) standards, and communication between the devices is performed according to HL7 and DICOM.

  The electronic medical chart apparatus 10 is a computer apparatus having an electronic medical chart creation function and an image viewer function. The electronic medical record device 10 generates electronic medical record information in which medical practice and diagnosis results for a patient are recorded, and a test order for requesting a test for the patient.

FIG. 2 shows a functional configuration of the electronic medical chart apparatus 10.
As shown in FIG. 2, the electronic medical chart apparatus 10 includes a control unit 11, an operation unit 12, a display unit 13, a communication unit 14, a storage unit 15, and the like, and each unit is connected by a bus 16. .

  The control unit 11 includes a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and the like, and comprehensively controls the processing operation of each unit of the electronic medical chart apparatus 10. Specifically, the CPU reads various processing programs stored in the ROM in response to an operation signal input from the operation unit 12 or an instruction signal received by the communication unit 14 and expands the program in the RAM. Various processes are performed in cooperation with

  The operation unit 12 includes a keyboard having cursor keys, character / numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and controls operation signals input by keyboard operations and mouse operations. To the unit 11.

  The display unit 13 includes a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of a display signal input from the control unit 11.

  The communication unit 14 includes a network interface and the like, and transmits and receives data to and from an external device connected via an in-hospital network N or an external network such as the Internet.

  The storage unit 15 is configured by an HDD (Hard Disk Drive), a nonvolatile memory, or the like, and stores various data. The storage unit 15 stores electronic medical record information for each patient.

  The inspection order issued in the electronic medical chart apparatus 10 is transmitted to the image management apparatus 30 and the modality 40.

The examination order includes patient information, examination information, and the like.
Patient information is information about a patient. Patient information includes patient ID, patient name, date of birth, age, gender, height, weight, blood pressure (up / down), blood type, body temperature, current medical history, past medical history, out-of-door classification, allergy history, infectious disease Etc. are included.
The inspection information is information regarding inspection. The examination information includes examination ID, examination date, modality (US, CT, MRI, etc.), examination part (chest, abdomen, etc.), technician name, medical department, examination purpose, interpretation purpose, contrast medium presence, receipt number, request Doctors etc. are included. The examination purpose is information for transmitting the examination purpose from the clinician to the radiographer or radiographer. The purpose of interpretation is information for transmitting points to be interpreted from a clinician to a radiographer or an interpretation doctor.

  The image management device 30 stores the image data of the medical image generated in the modality 40 and manages it for each patient. Examples of the image management device 30 include PACS (Picture Archiving and Communication System).

FIG. 3 shows a functional configuration of the image management apparatus 30.
As shown in FIG. 3, the image management apparatus 30 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, a storage unit 35, an image storage unit 36, and the like. Connected by.

  The control unit 31 includes a CPU, a ROM, a RAM, and the like, and comprehensively controls processing operations of each unit of the image management apparatus 30. Specifically, the CPU reads various processing programs stored in the ROM in response to an operation signal input from the operation unit 32 or an instruction signal received by the communication unit 34, and expands the program in the RAM. Various processes are performed in cooperation with

  The operation unit 32 includes a keyboard having cursor keys, character / numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and controls operation signals input by keyboard operations or mouse operations. To the unit 31.

  The display unit 33 includes a monitor such as an LCD, and displays various screens according to instructions of a display signal input from the control unit 31.

  The communication unit 34 is configured by a network interface or the like, and transmits / receives data to / from an external device connected via an in-hospital network N or an external network such as the Internet. For example, the communication unit 34 receives image data of a medical image obtained by photographing a patient with the modality 40. In addition, the communication unit 34 transmits the requested image data to the external device in response to an image data acquisition request from the external device.

  The storage unit 35 is configured by an HDD, a nonvolatile memory, or the like, and stores various data. For example, the storage unit 35 stores a first correspondence table T1, a second correspondence table T2, a device reservation table T3, and an inspection management table T4. The system administrator of the hospital prepares the first correspondence table T1 and the second correspondence table T2. Further, data is added to the apparatus reservation table T3 and the inspection management table T4 as the inspection reservation is added.

The first correspondence table T1 is correspondence information in which a specific character string including a disease name or a part is associated with an examination. That is, the storage unit 35 that stores the first correspondence table T1 functions as a correspondence information storage unit.
FIG. 4 shows a data configuration example of the first correspondence table T1. In the first correspondence table T1, specific character strings and examination names are stored in association with each other. The specific character string is a character string to be extracted from the inspection order. The examination name is the name of the examination that is presumed to be necessary from the specific character string.
For example, if the examination order contains the strings “mammary gland” or “breast cancer”, it is assumed that examinations such as “elastography”, “low flow velocity detection Doppler”, and “puncture emphasis processing” are necessary. Is done.

The second correspondence table T2 is performance information in which each of a plurality of modalities 40 is associated with an examination that can be performed by the modality 40. That is, the storage unit 35 that stores the second correspondence table T2 functions as a performance information storage unit.
FIG. 5 shows a data configuration example of the second correspondence table T2. In the second correspondence table T2, modality names are arranged in the horizontal direction and examination names are arranged in the vertical direction, and “◯” marks are written in the examination columns that can be executed by each modality 40.

The device reservation table T3 is reservation information in which the inspection reservation date and time and the patient to be inspected are associated with each other, and is prepared for each modality 40. That is, the storage unit 35 that stores the device reservation table T3 functions as a reservation information storage unit.
FIG. 6 shows a data configuration example of the device reservation table T3 of the “ultrasound diagnostic device B”. In the device reservation table T3, the date is arranged in the horizontal direction and the time is arranged in the vertical direction, and the patient who is the subject of the examination at the examination appointment date and time (combination of date and time) of the examination using the “ultrasound diagnostic apparatus B”. ID is matched.
For example, for “ultrasound diagnostic apparatus B”, the examination reservation of the patient with the patient ID “0015” is entered at “10: 00-10: 30” on “February 6 (Monday)”.

The examination management table T4 is examination management information in which examination subject patients included in the device reservation table T3 of each modality 40 are associated with examinations scheduled to be performed on the examination subject patients. That is, the storage unit 35 that stores the inspection management table T4 functions as an inspection management information storage unit.
FIG. 7 shows a data configuration example of the inspection management table T4. The examination management table T4 stores combinations of patient IDs of examination subject patients related to examination orders and examination names obtained by analysis of examination orders.

  The image storage unit 36 is a storage device for storing and storing medical image image data for each patient.

When the control unit 31 receives the inspection order, the control unit 31 analyzes the inspection order and acquires the inspection related to the inspection order. That is, the control unit 31 functions as an analysis unit.
Specifically, when the inspection order includes a direct inspection, the control unit 31 acquires the inspection from the inspection order.
On the other hand, when the inspection order does not include the inspection, the control unit 31 extracts the specific character string included in the first correspondence table T1 from the inspection order, and performs the inspection corresponding to the extracted specific character string. Obtained from the first correspondence table T1.

  The control unit 31 associates the patient to be inspected according to the examination order with the examination acquired by the analysis, and generates the examination management table T4. That is, the control unit 31 functions as a generation unit.

When the second correspondence table T2 is updated, the control unit 31 acquires the examination corresponding to the examination target patient for each examination target patient included in the examination management table T4. That is, the control unit 31 functions as an acquisition unit.
The control unit 31 identifies the modality 40 corresponding to the acquired examination from the updated second correspondence table T2. That is, the control unit 31 functions as a specifying unit.

The control unit 31 presents the date and time when the modality 40 can be used based on the device reservation table T3 of the identified modality 40 (the modality 40 capable of performing the examination on the examination target patient). That is, the control unit 31 functions as a presentation unit.
Specifically, the control unit 31 presents the date and time when the specified modality 40 can be used along a time series.

  For example, the control unit 31 transmits display data for displaying the date and time when the specified modality 40 can be used to the electronic medical chart apparatus 10. Alternatively, the telephone number or mail address of the mobile phone used by the patient is stored for each patient, and the control unit 31 uses the modality 40 specified by the short message service or the e-mail on the mobile phone of the patient. It is also possible to notify the URL information for accessing the information including the date and time when the specified modality 40 can be used. If the patient may change the examination date and time, the patient replies to that effect. In addition, a dedicated application may be installed in advance on the patient's mobile phone, and information such as an examination date and time that can be changed by push notification may be displayed.

In the electronic medical chart device 10, candidates for the date and time when the specified modality 40 can be used are presented on the display unit 13, and when the clinician specifies the changed date and time via the operation unit 12, the changed date and time are displayed. A reservation change instruction including the date and time is transmitted to the image management apparatus 30 via the communication unit 14.
The control unit 31 receives the reservation change instruction transmitted from the electronic medical chart apparatus 10 via the communication unit 34. That is, the control unit 31 receives a reservation change instruction including the changed date and time designated from the presented date and time via the communication unit 34. The control unit 31 and the communication unit 34 function as an accepting unit.

The control unit 31 updates the device reservation table T3 stored in the storage unit 35 based on the reservation change instruction. That is, the control unit 31 functions as an update unit.
Specifically, the control unit 31 sets the examination target patient in the column of the examination reservation date and time after the change with respect to the device reservation table T3 of the modality 40 identified as the alternative modality 40 capable of performing the examination on the examination subject patient. The patient ID is stored. Further, the control unit 31 deletes the patient ID of the patient to be inspected from the apparatus reservation table T3 of the modality 40 that originally had the examination reservation.

  The modality 40 is an image generation apparatus such as an ultrasonic diagnostic apparatus, CT, MRI, or X-ray imaging apparatus (DR, CR), and generates image data of a medical image obtained by imaging a patient.

Next, the operation in the first embodiment will be described.
FIG. 8 is a flowchart showing a process at the time of receiving an inspection order executed by the image management apparatus 30. This process is a process for making a new inspection reservation based on the inspection order, and is realized by a software process in cooperation with the CPU of the control unit 31 and the program stored in the ROM.

  First, a clinician inputs patient information (patient ID, age, height, weight, past history, etc.) and examination information (examination purpose, interpretation purpose, etc.) as contents of an examination order from the operation unit 12 in the electronic medical chart apparatus 10 Then, the inspection order is transmitted to the image management apparatus 30 via the communication unit 14.

  In the image management apparatus 30, when the inspection order is received by the communication unit 34 (step S1; YES), the control unit 31 searches for the inspection name from the inspection order (step S2).

  When the inspection name is not included in the inspection order (step S3; NO), the control unit 31 searches the specific character string from the inspection order with reference to the first correspondence table T1 (step S4). Specifically, the control unit 31 searches for specific character strings listed in the first correspondence table T1 from patient information and examination information included in the examination order.

  When the specific character string is included in the inspection order (step S5; YES), the control unit 31 extracts the specific character string from the inspection order, and extracts the specific character string from the first correspondence table T1. A corresponding examination name is acquired (step S6).

Next, the control unit 31 stores the examination target patient related to the examination order and the examination name acquired in step S6 in association with each other in the examination management table T4 (step S7).
In step S3, when the examination name is included in the examination order (step S3; YES), the control unit 31 includes the examination target patient related to the examination order and the examination included in the examination order in the examination management table T4. Names are stored in association with each other (step S7).

Next, the control unit 31 specifies the modality name corresponding to the examination name from the second correspondence table T2 (step S8). Specifically, the control unit 31 specifies a modality 40 that can perform the inspection of the inspection name acquired directly from the inspection order or via the first correspondence table T1.
In step S5, when the specific character string is not included in the inspection order (step S5; NO), the control unit 31 “not applicable” of “inspection name” of the second correspondence table T2 (see FIG. 5). A modality name (all modality names in FIG. 5) with a mark “◯” in the column is identified (step S8).

Next, the control unit 31 searches for the usable date and time from the device reservation table T3 of the modality 40 corresponding to the identified modality name, and creates display data for displaying the usable date and time (Step S31). S9). Specifically, the control unit 31 extracts from the device reservation table T3 of the identified modality 40, a free time other than the date and time when the examination reservation has already been entered, and presents the date and time when the modality 40 can be used. Create display data for.
The control unit 31 transmits display data to the electronic medical chart apparatus 10 via the communication unit 34.

In the electronic medical chart apparatus 10, the control unit 11 causes the display unit 13 to display date and time candidates that can use the identified modality 40 based on the display data.
The clinician consults with the patient and specifies the examination date and time. When the examination date / time is designated from the operation unit 12, the control unit 11 transmits the designated date / time (examination appointment date / time) to the image management apparatus 30 via the communication unit 14 together with the patient ID of the examination target patient.

The control unit 31 of the image management apparatus 30 associates the patient ID received from the electronic medical chart apparatus 10 with the examination reservation date and time, stores it in the apparatus reservation table T3 of the identified modality 40, and makes an examination reservation (step) S10). Specifically, the control unit 31 stores the patient ID of the patient to be examined in the column of the examination reservation date and time of the apparatus reservation table T3 of the identified modality 40. In this way, the device reservation table T3 of the modality 40 to be inspected is updated.
Thus, the inspection order reception process ends.

In the processing at the time of receiving the inspection order, if the inspection name is directly included in the inspection order, the modality 40 is searched using this inspection name. On the other hand, if the examination order does not include the examination name, a specific character string such as a disease name / part is extracted from the examination order, converted from this character string to the examination name, and the modality 40 is searched using the examination name.
The clinician can reserve the modality 40 suitable for the examination order without being aware of the performance of the modality 40.

In step S8, when there are a plurality of modalities 40 capable of performing the examination necessary for the patient, available dates and times are presented for each modality 40 in step S9. When the clinician designates a modality 40 to be reserved in the electronic medical record apparatus 10, information indicating the designated modality 40 is also transmitted to the image management apparatus 30.
In the image management apparatus 30, the control unit 31 sets the patient ID of the patient to be examined in the examination reservation date / time column for the apparatus reservation table T 3 of the modality 40 for performing the examination based on the information indicating the designated modality 40. Is stored.

  FIG. 9 is a flowchart showing the second correspondence table update process executed by the image management apparatus 30. This process is a process for proposing a review of the examination reservation, and is realized by a software process in cooperation with the CPU of the control unit 31 and the program stored in the ROM.

  The system administrator operates the image management apparatus 30 when a new function is added to the existing modality 40 of the inspection reservation management system 100 or when a new modality 40 is introduced into the inspection reservation management system 100. By the operation from the unit 32, the second correspondence table T2 stored in the storage unit 35 is updated. For example, in the existing modality 40, when a new function is added by upgrading the software or adding an additional function, an “inspection name” in which the corresponding “modity name” in the second correspondence table T2 is added. Is marked with a “○” mark. Further, when a new modality 40 is introduced, a new “modity name” is added to the second correspondence table T2, and a mark “◯” is added to the column of the “inspection name” that can be performed.

The control unit 31 monitors whether or not the second correspondence table T2 stored in the storage unit 35 has been updated (step S11).
When the second correspondence table T2 is updated (step S11; YES), the control unit 31 reads one record from the examination management table T4 and acquires the examination name corresponding to the examination target patient (patient ID) ( Step S12).

  Next, the control unit 31 refers to the device reservation table T3 of each modality 40, and acquires the modality 40 and the examination reservation date and time corresponding to the patient to be examined (step S13). Specifically, the control unit 31 searches the apparatus reservation table T3 of each modality 40 for the examination reservation date and time associated with the patient ID of the patient to be inspected, and the modality 40 and the examination reservation containing the examination reservation. Specify the date and time.

Here, the control unit 31 determines whether or not the current date and time is before the examination reservation date and time, that is, whether or not the examination has not been performed (step S14).
When the current date and time is before the examination reservation date and time (step S14; YES), the control unit 31 specifies the modality name corresponding to the examination name from the second correspondence table T2 (step S15). That is, the control unit 31 selects a modality 40 that can perform a test necessary for the patient to be tested. At this time, the modality 40 that originally had the inspection reservation is excluded from the target.

  Here, as shown in FIG. 6, with respect to the modality 40 of “ultrasound diagnostic apparatus B”, the examination reservation of the patient with the patient ID “0015” is “10:00 to“ February 6 (Monday) ”. The case where “elastography” inspection can be performed in “ultrasound diagnostic apparatus A” in the state of “10:30” will be described as an example. In this case, “◯” is also added to the “elastography” column of “ultrasound diagnostic apparatus A” in the second correspondence table T2 shown in FIG. Therefore, the modalities 40 capable of performing the “elastography” examination are “ultrasound diagnostic apparatus A” and “ultrasound diagnostic apparatus C” other than “ultrasound diagnostic apparatus B”.

Next, the control unit 31 searches the device reservation table T3 of the identified modality 40 for a usable date and time, and creates display data for displaying the usable date and time in chronological order (Step S31). S16).
The control unit 31 transmits display data to the electronic medical chart apparatus 10 via the communication unit 34.

  FIG. 10 shows a data configuration example of the apparatus reservation table T3 of the “ultrasound diagnostic apparatus A”. In the “ultrasound apparatus A”, “9: 00 to 9:30”, “16: 00 to 16:30” of “January 30 (Monday)”, “January 31 (Tue)” “ “9: 00-9: 30”, “10: 00-10: 30”, “15: 00-15: 30”, “February 1 (Wednesday)” “11: 00-11: 30” and “ "14:00 to 14:30", "10: 00-10: 30" on "February 2 (Thursday)", "15: 30-16: 00", "Friday, February 3" “9: 00 to 9:30”, “16: 00 to 16:30”, and “9: 00 to 9:30” on “February 6 (Monday)” are vacant.

In the electronic medical chart apparatus 10, the control unit 11 causes the display unit 13 to display date and time candidates that can use the identified modality 40 based on the display data.
FIG. 11 shows an example of a reservation change confirmation screen 131 displayed on the display unit 13 of the electronic medical chart apparatus 10. The reservation change confirmation screen 131 is provided with a date column 51, a time column 52, and a check column 53. The date column 51 and the time column 52 indicate combinations of dates and times in which the modality 40 can be used in chronological order. Is displayed. The check column 53 is an area for designating the changed date and time when changing the reservation date and time. The reservation change confirmation screen 131 displays a “change” button B1 and a “do not change” button B2.
The clinician clicks the area corresponding to the date / time to be changed in the check column 53 to put a check mark and press the “change” button B1 to instruct the reservation change.
When the clinician presses the “do not change” button B2, the examination reservation is not changed.

  The clinician consults with the patient, and if the change can be made, the clinician designates the changed examination date and time from among the candidates for the date and time when the specified modality 40 can be used. When the examination date / time is designated from the operation unit 12, the control unit 11 displays an image of a reservation change instruction including the designated date / time (examination appointment date / time) and the patient ID of the examination subject patient via the communication unit 14. The data is transmitted to the management device 30.

  When the reservation is changed (step S17; YES), that is, in the image management apparatus 30, when the reservation change instruction including the patient ID and the examination reservation date / time is received from the electronic medical chart apparatus 10 by the communication unit 34, the control unit 31 associates the patient ID with the examination appointment date and stores it in the apparatus reservation table T3 of the specified modality 40, and changes the examination appointment (step S18). Specifically, the control unit 31 stores the patient ID of the patient to be examined in the column of the examination reservation date and time of the apparatus reservation table T3 of the identified modality 40. Further, the control unit 31 deletes the patient ID of the patient to be examined from the examination reservation date / time column before the change in the apparatus reservation table T3 of the modality 40 that originally had the examination reservation. In this way, the device reservation table T3 of the modality 40 before and after the change is updated.

After step S18, in step S14, when the current date and time is after the inspection reservation date and time (step S14; NO), or when the reservation is not changed in step S17 (step S17; NO), the control unit 31 Then, it is determined whether or not the processing has been completed for all examination target patients included in the examination management table T4 (step S19).
If there is a patient to be examined that has not been processed (step S19; NO), the process returns to step S12, and the process is repeated for another patient to be examined.

  In step S19, when the process is completed for all patients to be examined (step S19; YES), or in step S11, when the second correspondence table T2 is not updated (step S11; NO), 2. The process for updating the correspondence table ends.

  As described above, the examination reservation management system 100 notifies the parties concerned that it is possible to change the examination schedule once determined, and if the doctor and patient approve it, the examination appointment can be changed.

In step S15, when there are a plurality of modalities 40 that can perform the examination necessary for the patient, the available dates and times are presented for each modality 40 in step S16. When the clinician designates a modality 40 to be reserved in the electronic medical chart apparatus 10, information indicating the designated modality 40 is also transmitted to the image management apparatus 30 in a state included in the reservation change instruction.
In the image management device 30, the control unit 31 makes a change to the inspection reservation date and time column after the change with respect to the device reservation table T 3 of the modality 40 that performs the inspection, based on the information indicating the modality 40 included in the reservation change instruction. Stores the patient ID of the patient to be examined.

  In step S16, when the electronic medical chart apparatus 10 is not connected to the image management apparatus 30, the image is displayed at the timing when the electronic medical chart apparatus 10 is connected to the image management apparatus 30 (login to the image management apparatus 30 or the like). Display data may be provided from the management apparatus 30 to the electronic medical chart apparatus 10.

As described above, according to the first embodiment, when a new function is added to the modality 40 or when a new modality 40 is introduced, the inspection is performed while minimizing the user's effort. It becomes easy to review the reservation.
Further, since the examination reservation can be changed when the second correspondence table T2 is updated, the operating rate of the modality 40 is improved for the hospital, and the date and time until the examination may be shortened for the patient.
Further, since the clinician can place an examination order without considering the performance of the modality 40, the work load is reduced.

  Moreover, about the alternative modality 40 capable of performing the test on the patient to be tested, the test reservation date / time can be changed from among the suggested modality / dates that can be used.

  Further, by associating the examination target patient related to the examination order with the examination and storing them in the examination management table T4, when the second correspondence table T2 is updated, there is no need to analyze the examination order again. The inspection appointment can be reviewed efficiently.

  Further, even if the inspection order does not include the direct inspection, the first correspondence table T1 is used to extract the specific character string from the inspection order, and the inspection corresponding to the extracted specific character string is performed. Can be acquired.

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the examination reservation management system in the second embodiment has the same configuration as the examination reservation management system 100 shown in the first embodiment, FIGS. Description is omitted. The first correspondence table T1, the second correspondence table T2, the device reservation table T3, and the inspection management table T4 are also the same as in the first embodiment. Hereinafter, a configuration and processing characteristic of the second embodiment will be described.

In the second embodiment, when the second correspondence table T2 is updated, the priority order when presenting the free time of the modality 40 that can be used is different from that in the first embodiment.
Based on the device reservation table T3 of the modality 40 identified as the alternative modality 40 capable of performing the examination on the patient to be examined, the control unit 31 sets the date and time when the modality 40 can be used to the examination corresponding to the patient to be examined. Preferentially present the same day of the week as the reservation date.

  FIG. 12 shows an example of a reservation change confirmation screen 132 displayed on the display unit 13 of the electronic medical chart apparatus 10. The reservation change confirmation screen 132 is provided with a date column 51, a time column 52, and a check column 53. In the date column 51 and the time column 52, combinations of usable dates and times are displayed. At this time, the same day of the week as the examination appointment date and time (date and time when the appointment was originally made) corresponding to the examination subject patient is preferentially presented. The check column 53 is an area for designating the changed date and time when changing the reservation date and time. The reservation change confirmation screen 132 displays a “change” button B1 and a “do not change” button B2.

  As shown in FIG. 6, with respect to the modality 40 of “ultrasound diagnostic apparatus B”, the examination reservation of the patient with the patient ID “0015” is “10:00 to 10:30” on “February 6 (Monday)”. When the usable date and time of the “ultrasound diagnostic apparatus A” shown in FIG. 10 is presented, it corresponds to the same day of the week as “Monday” where the examination was originally reserved, as shown in FIG. Free time ("9:30 to 9:30" and "16: 0 to 16:30" of "January 30 (Monday)", "9:00 to 9 of" February 6 (Monday) " : 30 ") is displayed in the upper row.

  According to the second embodiment, in addition to the same effects as those of the first embodiment, the same day of the week as the examination reservation date and time before the change is preferentially presented, so the schedule of the patient or doctor is determined by the day of the week. If there is, a more suitable reservation change can be proposed.

[Third Embodiment]
Next, a third embodiment to which the present invention is applied will be described.
Since the examination reservation management system in the third embodiment has the same configuration as that of the examination reservation management system 100 shown in the first embodiment, FIGS. Description is omitted. The first correspondence table T1, the second correspondence table T2, the device reservation table T3, and the inspection management table T4 are also the same as in the first embodiment. Hereinafter, a configuration and processing characteristic of the third embodiment will be described.

In the third embodiment, when the second correspondence table T2 is updated, the priority order when presenting the free time of the modality 40 that can be used is the first embodiment and the second implementation. The form is different.
Based on the device reservation table T3 of the modality 40 identified as the alternative modality 40 capable of performing the examination on the patient to be examined, the control unit 31 sets the date and time when the modality 40 can be used to the examination corresponding to the patient to be examined. Preferentially present the same time as the reservation date.

  FIG. 13 shows an example of a reservation change confirmation screen 133 displayed on the display unit 13 of the electronic medical chart apparatus 10. The reservation change confirmation screen 133 is provided with a date column 51, a time column 52, and a check column 53. In the date column 51 and the time column 52, combinations of usable dates and times are displayed. At this time, the same time as the examination reservation date and time (date and time when the reservation was originally entered) corresponding to the patient to be examined is preferentially presented. The check column 53 is an area for designating the changed date and time when changing the reservation date and time. The reservation change confirmation screen 133 displays a “change” button B1 and a “do not change” button B2.

  As shown in FIG. 6, with respect to the modality 40 of “ultrasound diagnostic apparatus B”, the examination reservation of the patient with the patient ID “0015” is “10:00 to 10:30” on “February 6 (Monday)”. When the usable date and time of the “ultrasound diagnostic apparatus A” shown in FIG. 10 is presented, the examination was originally reserved as “10:00 to 10:30” as shown in FIG. "The free time corresponding to the same time" ("Tuesday, January 31" from 10:00 to 10:30, "Thu, February 2" from "10:00 to 10:30") Will be displayed at the top.

  According to the third embodiment, in addition to the same effects as those of the first embodiment, the same time as the examination reservation date and time before the change is preferentially presented, so that the schedule of the patient or doctor is within one day. It is possible to propose a more suitable reservation change when it is determined by the time zone.

  The descriptions in the above embodiments are examples of the examination reservation management system according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be changed as appropriate without departing from the spirit of the present invention.

  For example, the modality 40 subject to the examination reservation may be not only the modality 40 in the same facility but also the modality 40 in the medical cooperation system capable of providing / referencing medical information between facilities.

  The first correspondence table T1, the second correspondence table T2, the device reservation table T3, and the examination management table T4 may be stored in any device as long as information can be used from the image management device 30.

  Also, it is possible to check and register a convenient date and time (changeable date and time) in advance on the patient side, and preferentially display candidates that match the convenient date and time. In addition, the patient may be notified only when there is a candidate that matches a convenient date and time.

  In the above description, an example in which a ROM is used as a computer-readable medium storing a program for executing each process is disclosed, but the present invention is not limited to this example. As other computer-readable media, a non-volatile memory such as a flash memory and a portable recording medium such as a CD-ROM can be applied. A carrier wave may be applied as a medium for providing program data via a communication line.

DESCRIPTION OF SYMBOLS 10 Electronic medical record apparatus 11 Control part 12 Operation part 13 Display part 14 Communication part 15 Storage part 30 Image management apparatus 31 Control part 34 Communication part 35 Storage part 40 Modality 100 Examination reservation management system 131 Reservation change confirmation screen 132 Reservation change confirmation screen 133 Reservation change confirmation screen N Hospital network T1 First correspondence table T2 Second correspondence table T3 Device reservation table T4 Inspection management table

Claims (7)

Performance information storage means for storing performance information in which each of a plurality of modalities is associated with an examination that can be performed by the modality.
Reservation information storage means for storing reservation information in which the examination reservation date and patient to be examined are associated with each other for each modality;
Examination management information storage means for storing examination management information in which the examination target patient included in the reservation information is associated with the examination scheduled to be performed on the examination target patient;
When the performance information is updated, for each examination target patient included in the examination management information, an acquisition unit that obtains an examination corresponding to the examination target patient;
A specifying means for specifying a modality corresponding to the acquired examination from the updated performance information;
Presenting means for presenting the date and time when the modality can be used based on the reservation information of the identified modality;
Inspection reservation management system with Receiving means for receiving a reservation change instruction including the changed date and time designated from the date and time presented by the presenting means;
Updating means for updating the reservation information based on the reservation change instruction;
An inspection reservation management system according to claim 1. An analysis means for analyzing the inspection order and obtaining an inspection related to the inspection order when receiving the inspection order;
A generation means for generating the examination management information by associating the examination target patient related to the examination order with the examination acquired by the analysis means;
The examination reservation management system according to claim 1 or 2. Correspondence information storage means for storing correspondence information in which a specific character string including a disease name or part and an examination are associated with each other,
The examination reservation management system according to claim 3, wherein the analysis unit extracts the specific character string from the inspection order and obtains an examination corresponding to the extracted specific character string from the correspondence information.   The examination reservation management system according to any one of claims 1 to 4, wherein the presenting unit presents the date and time when the specified modality can be used along a time series.   The examination according to any one of claims 1 to 4, wherein the presenting means preferentially presents the same day of the week as the examination reservation date and time corresponding to the examination target patient when the specified modality can be used. Reservation management system.   The examination according to any one of claims 1 to 4, wherein the presenting means preferentially presents the date and time when the specified modality can be used, the same time as the examination appointment date and time corresponding to the examination target patient. Reservation management system.

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