JP2019020929A - Hospital information system and information display program - Google Patents

Abstract

To provide a hospital information system and an information display program capable of promoting a medical staff member to confirm contents of an image reading report and making them reliably grasp the contents.SOLUTION: According to an embodiment, a hospital information system comprises a communication analysis part, a retrieval part, a finding content determination part, and a control part. The communication analysis part acquires inspection information and findings included in an image reading report created when examining a patient and registers them in a database in association with an inspection result number. The retrieval part retrieves and acquires, when receiving a display request from a medical staff member, the inspection information and the findings corresponding to the display request from the database. The finding content determination part determines whether a predetermined keyword is included in the findings acquired by the retrieval part. The control part displays, if the keyword is included in the findings, the findings and the inspection information which are display targets, and an alarm relating to the keyword.SELECTED DRAWING: Figure 3

Description

  Embodiments described herein relate generally to a hospital information system and an information display program.

  In recent years, when a patient is examined, a modality that collects information inside the patient, images the inside of the subject based on the collected information, and generates a medical image may be used. As this modality, for example, an X-ray CT apparatus (computed tomography apparatus), a magnetic resonance diagnostic apparatus (MRI), and an ultrasonic image diagnostic apparatus are applicable. The generated medical image is used for an electronic medical record, for example.

  Further, when an examination is performed based on an examination request from a doctor, the examination results are compiled in the form of an interpretation report by the interpretation doctor. Various measurements are performed using medical images acquired by modalities, and measurement values may be acquired. In addition, a calculation value may be obtained based on a measurement value using a clinical application implemented on a modality or a workstation. The interpretation doctor summarizes the findings based on the medical image, the measurement value, and the calculation value, and the measurement value and the calculation value are displayed on the interpretation report together with the used medical image and are created as an interpretation report.

  The interpretation report is often generated using an interpretation report system. The created interpretation report is transmitted and registered, for example, to a medical image management system (PACS: Picture Archiving Communication System) that is a management system built in a medical institution. Moreover, it may be transmitted from the PACS to a hospital information management system (HIS: Hospital Information System) via a system constructed in each department. Further, the doctor who requested the examination may be notified that the interpretation report is created by the interpretation doctor who created the interpretation report.

JP 2011-062283 A

  However, a lot of various information is provided to the doctor. One of the reports is that the interpretation doctor has created an interpretation report to the doctor, but the doctor may not be aware of the report. In addition, even if you notice the existence of an interpretation report, if the doctor does not understand the contents of the interpretation report and considers it, for example, whether it is content that requires confirmation or content that only needs to be read I can't. In such cases, contact with a large number of interpretation reports may cause important information to be overlooked.

  Furthermore, even if the contents other than the contents requested for the examination are described in the interpretation report, the doctor's intention is sufficient regarding the contents of the interpretation report even if the doctor's attention is not received. There is a possibility that it will not be communicated to the doctor.

  The problem to be solved by the present invention is to provide a hospital information system and an information display program capable of prompting a medical worker to confirm the contents of an interpretation report and surely grasp the contents.

  The hospital information system in the embodiment includes a communication analysis unit, a search unit, a finding content determination unit, and a control unit. The communication analysis unit acquires the examination information and findings included in the interpretation report created when the patient is examined, and registers it in the database in association with the examination result number. The search unit receives a display request from a medical worker, and searches and acquires examination information and findings corresponding to the display request from the database. The finding content determination unit determines whether or not a predetermined keyword is included in the finding acquired by the search unit. When the keyword is included in the finding, the control unit displays a warning related to the keyword together with the finding to be displayed and the examination information.

The block diagram which shows the internal structure of the hospital information system which concerns on embodiment. The table which shows an example of the alerting definition information stored in the table database which concerns on embodiment. The flowchart which shows roughly the flow which registers the information of the created image interpretation report which concerns on embodiment in a database, and provides applicable information based on the display request from a medical worker. The flowchart which shows in detail the flow which registers into a database the interpretation report which the hospital information system which concerns on embodiment received. The flowchart which shows in detail the flow which produces | generates the information which a processing circuit searches for the applicable information based on the display request | requirement from a medical worker, determines whether the keyword is contained in a finding, and is displayed on a display. The example of a screen which shows the example as which the information which the medical worker requested was displayed on the electronic medical record. The other example of a screen which shows the example by which additional information was displayed on the information which the medical worker requested on the electronic medical record.

[Configuration of hospital information system]
First, the configuration of the hospital information system 1 that prompts the health care professional to confirm the contents of the interpretation report and makes the contents surely understood will be described. FIG. 1 is a block diagram showing an internal configuration of a hospital information system 1 according to the embodiment.

  Here, although various aspects can be considered about the apparatus and system which comprise the hospital information system 1 in this Embodiment, the structure shown in FIG. 1 is provided here, for example. Therefore, the hospital information system 1 may have a configuration other than the configuration shown in FIG. The hospital information system 1 may be, for example, a device or a device group fixed in a room, or may be portable.

  In the following description, it is assumed that the interpretation report creation system in which the interpretation doctor creates an interpretation report based on the examination result is a system different from the hospital information system described here. Therefore, when an interpretation doctor creates an interpretation report using the interpretation report creation system, the interpretation report is transmitted to the hospital information system.

  Further, various information such as medical images used in the interpretation report, measurement values obtained based on the medical image, and calculation values are transmitted to the hospital information system 1 from the interpretation report creation system as an interpretation report together with the findings. However, these various types of information may be acquired, for example, individually transmitted from the modality to the hospital information system 1.

  Heretofore, doctors have been described as the person who makes an examination request and the person who receives the interpretation report, which cause the interpretation doctor to create the interpretation report. However, in the following, it is not limited to a doctor as a person who is widely in contact with an interpretation report, but includes the above-mentioned doctor and a “medical worker”.

  The hospital information system 1 is connected to a communication network N, and is connected to, for example, an image server, a workstation, or a modality (not shown) via the communication network N. The hospital information system 1 is an HIS as an example in the present embodiment. The HIS is a system that is constructed to improve the efficiency of medical treatment and accounting work for the entire medical institution. As described above, various systems and functions can be included in the HIS. However, in the present embodiment, it is assumed that a medical worker uses an electronic medical record.

  In the hospital information system 1, a processing circuit 11 and an input / output interface 12 are connected via a bus 13. An input circuit 14, a display 15, a storage circuit 16, a communication control circuit 17, and a removable disk 18 are further connected to the input / output interface 12.

  The processing circuit 11 controls each part constituting the hospital information system 1 described above. As a specific configuration, for example, a CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access Memory) not shown in FIG. 1 are provided.

  Further, the CPU controls various devices based on input signals from other external devices not shown in FIG. 1 via the input circuit 14 and the input / output interface 12. Further, the CPU reads out the program and data stored in the RAM, the storage circuit 16 and the like and loads them into the RAM. Then, the CPU, for example, a processing device that performs control to generate the data retrieved based on the command of the program read from the RAM and the display request from the medical staff as display data and display it on the display 15 It is. Further, the processing device realizes a series of processing such as image generation processing, data calculation, and processing. Details will be described later.

  The input circuit 14 accepts various input operations by medical personnel. For example, the input circuit 14 accepts an input operation on a screen or the like for inputting an electronic medical record or a reference request for requesting display of necessary data. As this input circuit 14, for example, a GUI (Graphical User Interface) or an input device such as a button, a keyboard, a mouse, or a trackball can be used.

  The display 15 displays various images and various information such as an electronic medical record and an operation screen (for example, a GUI for receiving various instructions from the operator) according to the control of the processing circuit 11. As the display 15, for example, a liquid crystal display, an organic EL (Electroluminescence) display, or the like can be used.

  The memory circuit 16 is composed of, for example, a semiconductor or a magnetic disk. The storage circuit 16 stores programs such as an information display program and data executed by the processing circuit 11. The storage circuit 16 is stored in a patient database D1 (represented as “patient DB” in FIG. 1) and a table database D2 (also represented as “table DB” in FIG. 1), which will be described later. Various data may be temporarily or permanently stored separately from these databases.

  The communication control circuit 17 includes a LAN card, a modem, and the like, and enables the hospital information system 1 to be connected to a communication network such as the Internet or a LAN described later. Data transmitted / received to / from devices connected to the communication network via the communication control circuit 17 is transmitted / received to / from the processing circuit 11 via the input / output interface 12 and the bus 13 as input signals or output signals.

  The removable disk 18 is an optical disk or a flexible disk. A signal read / written by the disk drive is transmitted / received to / from the processing circuit 11 via the input / output interface 12 and the bus 13. Further, for example, the information display program may be stored in the removable disk 18, and the information display program may be installed in the hospital information system 1 by being read from the removable disk 18. Note that the removable disk 18 may not be included in the hospital information system 1.

  The communication control circuit 17 connects the hospital information system 1 to the communication network N. In the present embodiment, the hospital information system 1 is connected to the patient database D1 and the table database D2 via the communication network N, and for example, patient information and medical image information can be exchanged between each other. To do. Further, each modality 4 may be connected via the communication network N.

  The communication network N is a communication line and communication device that connects the hospital information system 1 to, for example, an image server, modality, or interpretation report system (not shown), and exchanges medical images and various information between these devices and systems. is there. Examples of the communication network include a network such as a LAN (Local Area Network) and the Internet. In addition, the communication protocol used when exchanged via the communication network may be any protocol such as DICOM (Digital Imaging and Communications in Medicine).

  The patient database D1 stores basic patient information such as patient ID, name, sex, vital information, and medication history. Information about the patient's symptoms is also stored. Furthermore, for example, in the hospital information system 1 of FIG. 1, the contents of the interpretation report are also stored. The interpretation report includes, for example, examination information and findings.

  Here, the “examination information” includes, for example, patient information necessary for performing an examination on a patient, a medical image obtained by performing the examination, and examination type information. Furthermore, the examination type information includes, for example, an examination type such as an MRI examination and a CT examination, an examination item, a measurement value measured using a medical image, or an interpretation report. The calculated value etc. are included. The interpretation report creation system is equipped with a clinical application that performs calculations using measurement values in medical images acquired by the modality.

  “Observations” indicate the result of interpretation performed by an interpreting physician using medical images, measured values, calculated values, and the like. Normally, it is represented by a character string such as a sentence on the interpretation report, but it may be represented by taking a figure or an image, for example. Further, in the embodiment of the present invention, when a character string represented by the interpretation doctor matches a predetermined keyword (whether partial match or complete match), the importance of the content of the finding Is displayed with a warning on the electronic medical record.

  The examination information and findings stored in the patient database D1 are information obtained by conducting an examination on a patient. Therefore, these inspection information and findings can be summarized by the inspection result number. When examination information and findings are stored in the patient database D1, both are associated with the examination result number.

  The table database D2 stores, for example, a display definition table that defines, as display items, a part of a patient to be examined and examination items performed on the patient. These display items are displayed on the display 15. Examples of the test item include a test item related to a blood test when performing a sample test order and a test item regarding an imaging region using various modalities when performing a biological / image test order.

  Further, the alert definition information is also stored in the table database D2. In the alert definition information, for example, a keyword included in a finding, an attention level indicated by the keyword, and a cause (intention) are stored in association with each other.

  Here, FIG. 2 is a table showing an example of the alert definition information stored in the table database D2 according to the embodiment of the present invention. In the embodiment of the present invention, three items of “keyword”, “attention level”, and “cause (intention)” are provided for the alert definition information, as shown in FIG.

  The “keyword” is a phrase that is a trigger when determining whether or not to issue a warning, such as prompting a medical worker to confirm the contents described in the observation column. That is, in the embodiment of the present invention, it is determined by the “finding content determination function” of the processing circuit 11 described later that a predetermined keyword is included in the character string described in the finding. Therefore, a warning is given to a medical worker who is in contact with the electronic medical record.

  The “keyword” is selected in advance by, for example, a medical staff and is stored in the table database D2 in association with the attention level and the cause (intention). It is arbitrary what words are selected as keywords.

  The “attention level” indicates the degree of importance of warning when a warning is issued to a medical worker in contact with an electronic medical record. The “attention level” is associated with “keyword”. Further, in the embodiment of the present invention, the attention level is expressed using numerals. As the attention level, the numeral “1” is set as the highest level, and the numeral “5” is set as the lowest level.

  Note that the attention level may be expressed by other expression methods instead of numbers, and when the attention level is expressed by numbers, the maximum level is set to “5”, the minimum level is set to “1”, etc. Can be done freely.

  “Cause (intention)” indicates the reason why the interpreting doctor used the “keyword” in the interpretation report including the finding column. As described above, the column “findings” indicates the result of interpretation by the interpreting physician. However, there is a possibility that the interpretation doctor's intention is not sufficiently transmitted to the medical staff who has contacted the interpretation report only by the contents of the observation column. If the intent compiled by the interpreting doctor as an interpretation report cannot be shared with the medical staff, the contents of the interpretation report may be overlooked by the medical staff. In particular, for example, in the case where many interpretation reports have to be confirmed in a short time, the possibility that a medical worker overlooks important contents described in the interpretation reports increases. Therefore, in the embodiment of the present invention, not only to display the attention level, but also to sufficiently indicate the intention of the interpretation doctor to the medical staff, for example, to prompt the medical staff to confirm the content of the findings. In addition to the “keyword” and “attention level”, an item “cause (intention)” is also stored in association with each other.

  Here, looking at the “attention definition information” shown in FIG. 2, the keyword “shadow”, the attention level “2”, and the cause (intention) “confirmation (findings)” are associated with the number “1”. It is prescribed. This is because when the keyword “shadow” is included in the findings, the attention level is “2” (in the case of a five-level evaluation with the highest level being “1”, the second from the top The reason (intent) that the interpreting doctor uses the word “shadow” in the findings is that he / she wants medical staff to confirm the findings.

  On the other hand, “re-photographing” indicated by the number “3” is the lowest level when the attention level is “5” and the highest level is “1”. . This is not an urgent matter because the interpretation doctor's intention is that the medical image cannot be fully judged and the information is insufficient. It asks for a shooting order. Note that how to display the “keyword”, “attention level”, and “cause (intention)” on the electronic medical record, that is, how to notify the medical staff will be described later.

  In this way, for example, by including the keywords defined in the alert definition information in the words described in the observation column, the level of attention to the interpretation report and the intention of the interpretation physician Can be displayed as a warning to the person. A medical worker who is in contact with the warning is prompted to confirm the content of the interpretation report, and can reliably grasp the content. Note that, for example, the display of the cause (intention) on the screen as a warning will be described later.

  The processing circuit 11 executes a communication analysis function, a search function, and a finding content determination function. In the claims, the communication analysis unit corresponds to the communication analysis function, the search unit corresponds to the search function, and the finding content determination unit corresponds to the finding content determination function. The control unit corresponds to the processing circuit 11.

  The communication analysis function of the processing circuit 11 is a function that receives and analyzes an interpretation report transmitted from an interpretation report system, for example. With this function, for example, the patient information of the patient who is the subject of the interpretation report, that is, the subject of the examination is acquired. Also, examination type information including measurement values and calculation values for each examination item is acquired. Furthermore, the medical image touched in the interpretation report is also acquired. The measurement value and the calculated value acquired by the communication analysis function are not information integrated with the medical image in finding or the like, and are in a state where they can be used independently from the medical image.

  The timing at which the processing circuit 11 receives the interpretation report from the interpretation report system using the communication analysis function is the timing at which the interpretation doctor creates an interpretation report and transmits it to the hospital information system 1.

  In this case, the interpretation report information such as examination information and findings are collectively acquired from the interpretation report system. For example, the examination information is connected to the hospital information system 1 via the communication network N as described above. It may be acquired from each modality or workstation that is used.

  The processing circuit 11 divides the information in the received interpretation report into examination information and findings by the communication analysis function, and converts the acquired examination information into a data format handled by the hospital information system 1. The examination information used in the interpretation report received by the processing circuit 11 uses information acquired by various devices such as modality, PACS, and workstation in the interpretation report system. For this reason, it is conceivable that the format of information handled for each device is different. Therefore, the data format is converted so that the information acquired by any device can be handled integrally in the hospital information system 1. If the data format is unified in advance, this processing is not necessary.

  The processing circuit 11 performs processing for dividing examination information into patient information, examination type information, and medical images by a communication analysis function. And a measured value and a calculated value are extracted for each inspection item from the inspection type information grasped by the processing. Further, from the findings, for example, a comment for image diagnosis by an image interpretation doctor represented by a character string is extracted.

  The received interpretation report is created for each examination, and an examination result number is assigned to each examination. Therefore, the processing circuit 11 associates at least the inspection item, the measured value, the calculated value, and the like with the findings of the extracted inspection information under the inspection result number. Further, the processing circuit 11 extracts the patient basic information already stored in the patient database D1 using the patient information, and associates the information of the interpretation report summarized by the examination result number with the patient basic information. The information of the associated interpretation report is stored in the patient database D1.

  Here, the information of the received interpretation report is stored (registered) in the patient database D1 using the communication analysis function of the processing circuit 11, but the processing circuit 11 has a registration function for the registration processing. You may make it do.

  The processing circuit 11 searches and acquires various types of information related to the patient whose medical report is requested to display the contents of the interpretation report by the search function in the patient database D1. That is, when referring to an interpretation report, a medical worker displays an electronic medical record of a specific patient on the display 15.

  Specifically, in the hospital information system 1, based on information (for example, patient ID) related to a patient input by a medical worker via the input circuit 14, first, an electronic medical record related to the patient is displayed on the display 15. Information necessary for this is acquired from the patient database D1 via the processing circuit 11. Further, the processing circuit 11 further acquires a display definition table defined as a display item from the table database D2. Then, the processing circuit 11 displays the electronic medical record on the display 15 based on the information obtained from the patient database D1 based on the display definition table. Thereby, the medical staff can see the electronic medical record on the display 15.

  Here, various layouts can be adopted for the display form of the electronic medical chart displayed on the display 15. For example, as described above, various display items are displayed on the vertical axis, and the display is arranged in the order of date. By being displayed on the axis, various information may be displayed in a time series. Alternatively, instead of displaying such various types of information in time series, a layout may be adopted in which numerical values such as measurement values, findings, medical images, and the like are displayed divided into regions.

  Furthermore, the medical staff selects, for example, a symptom in which the patient is affected, which is displayed on the electronic medical record. The processing circuit 11 extracts and acquires a list of examination items stored in the patient database D1 based on the information related to the selected symptom.

  Or a medical worker designates a period from the display for selecting the period of the various information displayed on an electronic medical chart. The designation of the period is performed in order to specify the interpretation report created for the patient who is the subject of the electronic medical record.

  That is, the medical staff specifies the period on the screen, for example, indicating which examination report is displayed on the screen when a plurality of examinations are performed on the patient, Or it shows a continuous change for a specific symptom. Therefore, when there is only one interpretation report that a medical professional wants to see, the period is specified on a specific day.

  Moreover, in the processing circuit 11, when the said period is designated by the medical staff, not only the interpretation report produced with respect to the said patient included in the designated period but other than the interpretation report contained in the said period are acquired. Various types of information may be retrieved from the patient database D1 and acquired.

  In addition, for example, a medical worker can select an interpretation report that is worried or unread alone or in a plurality. In this case, the contents of the interpretation report to be displayed on the electronic medical record, that is, for example, information on symptoms may be selected.

  In the processing circuit 11, examination information and findings stored in the patient database D <b> 1 are searched based on various information input by the medical staff from the electronic medical record, for example, examination result numbers that are information related to the interpretation report. Then, examination information and findings associated with the examination result number are acquired from the patient database D1.

  At the same time, the processing circuit 11 uses the search function to extract and acquire the attention definition information from the table database D2. As shown in FIG. 2, the attention calling definition information is information that is defined in association with keywords, attention levels, and causes (intentions).

  The processing circuit 11 searches and determines whether or not a keyword defined as alerting definition information is included in the findings extracted in association with the examination result number acquired from the patient database D1 using the finding content determination function. .

  Here, when determining whether or not a keyword is included, not only when the character string shown in the findings and the keyword completely match, but also when the keyword is partially matched or partially matched, for example. It is good also as judging.

  Note that it is assumed that the “keyword” is a character string as an interpretation doctor's finding described in the “finding” column of the interpretation report. However, the position where the processing circuit 11 determines whether or not a keyword is described using the finding content determination function is not limited to the finding column, and targets character strings described in places other than the finding column of the interpretation report. A determination may be made.

  In addition, when a medical worker specifies a period and includes a plurality of interpretation reports retroactively including the latest interpretation report within the specified period, the processing circuit 11 Whether or not a keyword is included in the finding column of the interpretation report may be determined.

  On the electronic medical record, time is shown on the horizontal axis and various items are shown on the vertical axis, as will be described later. Therefore, since changes in numerical values and the like can be observed over time, the medical staff can grasp the presence / absence of keywords in chronological order. Thus, by determining the presence / absence of keywords in past interpretation reports, it is possible to prompt the medical staff to confirm past findings and the like again. In addition, when a keyword is included in the past findings in this way, there is a possibility that treatment, treatment, or the like is performed according to the finding, and the health care worker can also confirm this change.

  When the processing circuit 11 searches for whether or not a keyword included in the alert definition information is included in the content of the finding using the finding content determination function, if it is determined that the keyword is included, the alert is issued The attention level and the cause (intention) defined in association with the searched keyword are extracted from the definition information.

  Further, the processing circuit 11 generates the extracted attention level and cause (intention) as display data. The processing circuit 11 performs display on the display 15 using the generated display data.

  Here, for example, for the communication analysis function, search function, and finding content determination function of the processing circuit 11, a program stored in a predetermined memory (storage circuit 16), the removable disk 18 or the like is stored in the processor (processing circuit 11). It is assumed to be realized by software to be executed. Here, the term “processor” in this specification refers to, for example, a dedicated or general-purpose CPU (Central Processing Unit) or an application specific integrated circuit (Application Specific Integrated Circuit). (For example, Simple Programmable Logic Device (SPLD), Complex Programmable Logic Device (CPLD), and Field Programmable Gate Array (FPLD) It means the circuit of A)) and the like.

  The processor implements a function by reading and executing a program stored in the storage circuit 16 or directly incorporated in the circuit of the processor. The storage circuit 16 for storing the program may be provided individually for each processor, or corresponds to, for example, a communication analysis function, a search function, and a finding content determination function performed by the processing circuit 11 in FIG. You may memorize | store a program. The configuration of the memory circuit 16 is as described above.

[Flow of data provision]
Next, when a medical staff wants to refer to an interpretation report about a patient on the electronic medical record, the examination information included in the interpretation report is searched, and finally the examination information is displayed to the medical staff Is described below with reference to the flowcharts of FIGS.

  FIG. 3 is a flowchart schematically showing a flow of registering information of the created interpretation report according to the embodiment in a database and providing corresponding information based on a display request from a medical worker. That is, as is apparent from FIG. 3, when displaying information on a patient targeted by a medical staff on an electronic medical record, processing for registering interpretation report information in a database and interpretation reports registered in the database. It can be roughly divided into two processes of providing information according to the display request of the medical staff. Therefore, here, the flow of processing for registering the interpretation report information in the database will be described with reference to FIGS.

  First, the hospital information system 1 receives an interpretation report created by an interpretation doctor (ST1 in FIG. 3). As described above, in the embodiment of the present application, an interpretation report creation system is provided as a system different from the hospital information system 1. When the image interpretation doctor creates an image interpretation report, the image interpretation report is transmitted to the hospital information system 1, and therefore the hospital information system 1 receives the image interpretation report.

  The hospital information system 1 receives the interpretation report transmitted from the interpretation report creation system, and performs processing for registering the received interpretation report information in the patient database D1 (ST2). Here, FIG. 4 is a flowchart showing in detail the flow of registering the interpretation report received by the hospital information system 1 according to the embodiment in the patient database D1.

  As described above, the hospital information system 1 receives the interpretation report transmission from the interpretation report creation system at an arbitrary timing. Therefore, it is in a standby state until receiving an interpretation report from the interpretation report creating system (ST21 in FIG. 4).

  When the hospital information system 1 receives an interpretation report from the interpretation report creation system (YES in ST21), first, the processing circuit 11 divides the information in the interpretation report received using the communication analysis function into examination information and findings ( ST22).

  Further, the processing circuit 11 converts the data format of various information in the interpretation report with a communication analysis function so that the data format is unified when registering in the patient database D1 (ST23). After that, the processing circuit 11 performs a process of further dividing the examination information into patient information and examination type information among various information in the interpretation report divided into examination information and findings (ST24).

  As described above, the inspection type information includes the type of inspection, the inspection item, the measured value, the calculated value, and the like. Therefore, the processing circuit 11 extracts the measured value and the calculated value for each inspection item (ST25). Further, the processing circuit 11 extracts a comment (character string) of image analysis from the findings using the communication analysis function (ST26).

  The flow of processing from step ST22 to step ST26 so far has been described in order. For example, the processing for dividing the information in the received interpretation report into examination information and findings and data of various information The format conversion processing can be performed in the reverse order. Similarly, any of the extraction process of the measurement value and the calculation value and the comment extraction process in the findings may be performed first.

  Further, the flow of processing in the processing circuit 11 shown in FIG. 4 is based on the premise that both the inspection information and the findings are included in the interpretation report. However, as described above, the examination information related to the findings of the interpretation report may be acquired from a modality or server other than the interpretation report. In this case, the processing circuit 11 also converts the data format using the communication analysis function to extract the measurement values and the like for the received inspection information.

  Up to this point, the examination information (patient information, examination type information and medical image) of the interpretation report received by the hospital information system 1 and the findings are extracted as independent information. This is because not only each information is used in units of interpretation reports but also each information can be used across a plurality of interpretation reports. After that, the communication analysis function of the processing circuit 11 associates the inspection information with the findings based on the inspection result number included in the information in the interpretation report (ST27).

  Further, the patient basic information stored in the patient database D1 is extracted based on the personal information of the interpretation report, and various information in the interpretation report compiled by the examination result number is associated with the patient basic information, and the patient database Store in D1 (ST28). Thus, the hospital information system 1 receives the interpretation report transmitted from the interpretation report creation system, and the processing until various information is stored in the patient database D1 is completed.

  Next, processing for providing information on interpretation reports registered in the database in accordance with a display request from a healthcare professional will be described with reference to FIGS. 3 and 5. FIG. 5 shows a flow of generating information to be displayed on the display 15 by searching the corresponding information by the processing circuit 11 based on a display request from the medical staff, determining whether or not a keyword is included in the findings. It is a flowchart which shows these in detail.

  The reception of the interpretation report and the storage processing of various information in the patient database D1 described so far are processes performed independently of the process in which the medical staff confirms the interpretation report. Therefore, the hospital information system 1 determines whether or not a medical worker wants to display an electronic medical record of a specific patient, that is, whether or not an electronic medical record display request from a medical worker has been received (see FIG. 3 ST3).

  Here, the display request for the electronic medical record, not the display request for the interpretation report, is that when the electronic medical record is displayed on the screen of the display 15, the interpretation report on the patient indicated by the electronic medical record is opened. It is.

  Specifically, the hospital information system 1 is in a standby state with respect to the display of the electronic medical record until a display request of the electronic medical record from the medical staff is received (NO in ST3). On the other hand, when the hospital information system 1 receives a display request for an electronic medical record related to a specific patient (YES in ST3), the hospital information system 1 will, based on the display request, for example, the electronic medical record based on patient information such as a patient ID. A process for searching and extracting information necessary for displaying the information from the patient database D1 is started. Thereby, the electronic medical record is displayed on the display 15 (ST4).

  The hospital information system 1 further stands by for the interpretation report display processing until receiving the interpretation report display request from the medical staff (NO in ST5). When a medical worker presses down a button for displaying an interpretation report provided on the screen when the electronic medical record is displayed on the screen of the display 15, for example, the hospital information system 1 displays the electronic information in the hospital information system 1. It is determined that display of an interpretation report related to the patient displayed on the medical chart is requested (YES in ST5).

  The hospital information system 1 receives the interpretation report display request from the medical staff and starts processing to display the interpretation report on the display 15. That is, based on the display request, necessary information is searched and extracted from the patient database D1, and the findings are determined (ST6).

  From here, the process which provides the information of the interpretation report registered in the patient database D1 by the processing circuit 11 according to the display request of the medical staff is started. FIG. 5 shows a flow of generating information to be displayed on the display 15 by searching the corresponding information by the processing circuit 11 based on a display request from the medical staff, determining whether or not a keyword is included in the findings. It is a flowchart which shows these in detail.

  The processing circuit 11 searches for and acquires various types of information related to the patient selected using the search function, that is, the patient who is the subject of the electronic medical record displayed on the display 15 (ST41). Specifically, information stored in the patient database D1 is searched.

  Further, the processing circuit 11 acquires the examination result number included in the period designated on the screen of the electronic medical record from the patient database D1 (ST42). Thus far, various information related to the patient who is the target of reading the interpretation report and the examination result (interpretation report) to be browsed are specified.

  Therefore, the processing circuit 11 further searches and acquires a list of examination items corresponding to the selected symptom from the patient database D1 (ST43). As described above, when a medical worker makes a display request for an interpretation report that he / she wants to view, since the electronic medical record of the target patient is already displayed, the patient indicated in the electronic medical record is affected. This is to display various information for each symptom.

  Using the search function, the processing circuit 11 acquires from the patient database D1 examination information and findings associated with the examination result number from the already obtained examination result number (ST44).

  Further, the processing circuit 11 acquires alerting definition information from the table database D2 (ST45). Then, the processing circuit 11 uses the search function to search based on the attention definition information whether the keyword specified in the attention definition information is included in the separately acquired findings (ST46). .

  In the alerting definition information, as described above with reference to FIG. 2, the keyword, the attention level, and the cause (intention) that the interpreting doctor uses the keyword are defined in association with each other. The processing circuit 11 makes a determination with the finding content determination function (ST47), and when it is determined that the keyword is included as a result of searching the inside of the finding (YES in ST47), the processing circuit 11 sets the corresponding keyword according to the definition of the alert definition information. Relevant attention levels and causes (intentions) are extracted (ST48). Therefore, the processing circuit 11 generates these “attention level” and “cause (intention)” as display data (ST49).

  Further, the processing circuit 11 generates display data for performing notification processing on the target character string in order to notify the medical staff of the character string extracted as a keyword (ST50). In addition, although the display of “attention level” and “cause (intention)” is also a notification to the medical staff, for example, as described above, the notification method here changes the color of the corresponding character string itself. Alternatively, it is a method related to display other than “attention level” and “cause (intention)”, such as changing the color of the display field itself including the character string. In addition, as the notification method, any method that appeals to the five senses of the medical staff is adopted.

  Note that if the interpretation report requested by the medical worker does not include a keyword (NO in ST47), display data that does not notify the medical worker as described above is generated.

  When the display data is generated, the contents of the interpretation report are displayed on the display 15 using the display data (ST7 in FIG. 3). In displaying the contents of the interpretation report, for example, as described below with reference to FIG. 6 and FIG. 7, in addition to a method of displaying values and findings related to symptoms for each symptom in time series, for example, The method of displaying the interpretation report itself can also be selected.

  Here, FIG. 6 is an example of a screen showing an example in which information requested by a medical worker is displayed on the electronic medical record. In the screen example of the display 15, data related to the patient such as name, date of birth, and sex is displayed in the upper region R <b> 1. In addition, an end button to be pressed down when the screen display is ended is also provided. In the lower area R2, data as a search result is displayed.

  In the embodiment of the present invention, the region R2 is displayed for each tab provided for each symptom as an example. In the screen example of FIG. 6, the “symptom A” tab is open, and the contents of the test result regarding the symptom A are displayed. Here, for the symptom A to symptom C, three tabs are shown.

  A column for setting the period of the inspection result to be displayed is provided beside the tab display. Here, the period can be selected from a pull-down menu. In order to select and limit the examination result or interpretation report to be displayed, the medical staff specifies the period using the period column. It is also possible to request the display of an interpretation report without specifying a period. In this case, various types of information such as all interpretation reports regarding the subject patient are displayed.

  An “acquire” button is displayed beside the period designation display. This “acquire” button is a button used when a medical worker makes a display request for an interpretation report to be browsed to the hospital information system 1.

  Further, a graph button is displayed on the right side of the display of the acquisition button. In response to the input signal from the graph button, the processing circuit 11 creates a graph based on the acquired measurement value, for example, using the inspection information acquired based on the interpretation report display request by the medical staff. And display. In the screen example shown in FIG. 6, a graph is displayed immediately below a “cause (intention)” column described later. It should be noted that the medical staff can arbitrarily set which examination information is used to create the graph.

  Here, the “graph button” displayed in FIG. 6 is displayed with an upward triangle. The medical staff watching the display 15 can switch between displaying and not displaying the graph by depressing the graph button. As shown in FIG. 6, when the graph button is displayed in an upward triangle, it indicates that the graph is being displayed.

  The screen example shown in FIG. 6 is laid out so that “cause (intention)” is displayed immediately below the tab. The contents of “cause (intention)” defined in association with the keyword in the alert definition information are displayed in this column. For example, the wording of “finding (confirmation)” when the keyword is “shadow” is displayed at this place.

  In addition, when a plurality of keywords are included in one interpretation report and it is necessary to display a plurality of attention levels and causes (intentions), for example, a cause (intention) having the attention level with the highest degree of urgency. Or the cause (intention) may be displayed at the beginning. Further, when a keyword is included in a plurality of interpretation reports, for example, a cause (intention) related to the keyword shown in the latest interpretation report may be displayed.

  Furthermore, under the “cause (intention)” column, various information related to the symptom A described in the interpretation report retrieved and extracted from the patient database D1 by the processing circuit 11 across the graph display column is displayed. Yes.

  The various information acquired is displayed here divided into seven items. First, at the top, the patient is examined and data is acquired, or the date on which some treatment is performed on the patient is displayed. Further, the date is displayed so that the data becomes new as it moves from left to right in time series. That is, the acquired data is displayed numerically in time series under the period designation item.

  In the screen example of FIG. 6, the date data “2017/06/01” is displayed as the latest data. However, by performing an operation of moving the scroll bar displayed at the bottom via the input circuit 14, the processing circuit 11 causes the data of “2017/07/13” that is the last day of the specified period. Can be displayed on the screen of the display 15.

  Below the date column, for example, various information obtained as a result of the inspection described in the interpretation report is shown. Specifically, in the screen example shown in FIG. 6, items of “key image”, “measured value”, “calculated value”, “order 1”, “order 2”, and “finding” are shown. ing. Note that the information to be displayed is not limited to these items, and can be arbitrarily set.

  The “key image” is an image that is used when an interpretation report as an examination result is created, and that characterizes the examination result referred to by the interpretation doctor. The interpretation doctor selects one or a plurality of key images from among the medical images acquired by the modality, and creates an interpretation report using the key images.

  “Measured value” and “calculated value” indicate values obtained using a key image, for example. However, the image used for obtaining the measured value and the calculated value is not limited to the key image.

  The item “order” indicates an inspection request from a medical staff when the inspection is performed. Here, up to two contents that are “ordered” can be displayed as “order 1” and “order 2”.

  Furthermore, in the item “findings”, findings made by the medical staff regarding the symptoms displayed on the tab are shown. The findings items shown in FIG. 6 are indicated by dotted lines for the purpose of illustration, but the contents of the findings are indicated by character strings.

  In addition, about the content of this finding, all the content may be described, or only the summary may be displayed. In the latter case, processing for causing the processing circuit 11 to display a summary of findings is performed. First, the presence / absence of a finding may be displayed in, for example, a file icon in the finding column, and when the icon is selected by a medical worker, the finding of the target may be displayed.

  In addition, processing such as changing the color and font of characters was performed in order to clearly display the "keywords" described in the findings in order to call attention to the medical staff watching the display 15 It may be displayed above. Alternatively, as shown in FIG. 6, it is possible to color a column in which findings are displayed or a column requiring attention.

  In the screen example shown in FIG. 6, the date on which the key image is shown and the date on which the key image column is blank are shown. For example, in the former case, this indicates that some kind of examination including obtaining a medical image has been performed. On the other hand, for the latter, for example, a medical image is not acquired, but some treatment such as examination or medication has been performed on the patient.

  In the embodiment of the present invention, as shown in FIG. 6, the cause (intention) column indicates the intention of the interpreting doctor to use the keyword, or the findings, numerical values, etc. are highlighted and displayed. Various methods for sharing the contents of the interpretation report with the interpretation doctor for the workers are employed. When the medical staff confirms the finding column of the interpretation report according to the interpretation doctor's intention by the notification to the medical staff, the intended purpose is achieved.

  In response to the displayed notification information, for example, when a medical worker confirms the findings, the notification display can be turned off on the screen. By performing such processing, the fact is saved as a log. In addition, by tracking the contents of the subsequent processing, information of the notification is displayed, whether or not a medical worker browsed the findings prompted by the information, whether or not a predetermined response was performed after browsing, It is also possible to confirm the medical staff's response later.

  With the above description, the process of providing the interpretation report information registered in the patient database D1 according to the display request of the medical staff is completed. The processing circuit 11 searches, extracts, and acquires various types of information necessary for display, determines whether or not the keyword defined in the alert definition information is included in the acquired findings, and based on the determination result By informing the medical staff, the intention of the interpretation doctor can be sufficiently communicated to the medical staff, and oversight of the interpretation report and the like can be prevented.

  Next, a further notification method for the medical staff will be described with reference to FIG. FIG. 7 is another screen example showing an example in which additional information is displayed on the information requested by the medical staff on the electronic medical record.

  As described so far, the interpretation report is basically created by the interpretation doctor based on the examination result performed in accordance with the order requested by the medical staff. However, when an interpreting doctor creates an interpretation report, the medical staff is not in order, but the interpreting doctor needs attention from the test results, such as similar cases, related, etc. This may be the case. The judgment results of such an interpreting doctor are contents that are particularly desired to be communicated to the medical staff who ordered the examination. Therefore, when such contents are added to the interpretation report, for example, as shown in FIG. 7, a new tab may be provided beside the tab indicating the case to call attention to the medical staff. good.

  That is, when such content is described in the interpretation report, the processing circuit 11 extracts, for example, a special keyword (hereinafter referred to as “specific keyword”) in the finding by the finding content determination function. The specific keyword is defined in advance in the alert definition information, and is specified in association with an attention level and a cause (intention). When the processing circuit 11 extracts such a specific keyword, for example, a new tab is generated as display data and displayed on the display 15.

  It should be noted that since the purpose is to make the health care worker aware that content other than the order from the health care worker is included, the degree of matching of the specific keyword here may be complete matching. Further, the display method is not limited to the tab display as shown in FIG. Furthermore, the display method may be a display that gives a medical worker an opportunity to consider, for example, a general value or graph in a similar case.

  In FIG. 7, a “necessary confirmation” tab is newly provided next to the symptom tab, and among the various pieces of information, the display column of information relating to “measured value” is shaded. In addition, the display of the graph indicates a change in the measured value.

  By performing such a display, it is not necessary to collect various information anew based on the interpretation result on the side of the medical staff who has received the information, and labor and time can be saved.

  In the description so far, regarding the communication analysis function, search function, and finding content determination function performed by the processing circuit 11, a program stored in a predetermined memory (storage circuit 16), the removable disk 18 or the like is stored in the processor (processing circuit 11). It is assumed to be realized by software to be executed. However, they can also be configured as a communication analysis circuit, a search circuit, and a finding content determination circuit.

  The communication analysis circuit analyzes the information included in the interpretation report sent from the interpretation report creation system connected via the communication network, and provides examination information and findings such as patient information, measurement values, calculated values, and medical images. The processor to get. The communication analysis circuit is a processor that registers the acquired examination information and findings in the patient database. The communication analysis circuit implements the analysis function by calling a program corresponding to the analysis function from the storage circuit and executing it. The communication analysis circuit is connected to the search circuit, and outputs information related to the examination analyzed by the analysis function to the search circuit.

  The search circuit is a processor that realizes a search function for searching the patient database and the table database and searching for desired information based on a display request of an electronic medical record or an interpretation report from a medical staff. The search circuit is connected to the processing circuit, and outputs the data searched by the search function to the processing circuit.

  The finding content determination circuit is a finding content determination function that determines whether or not a keyword is included in a character string or the like described in a finding column of an interpretation report based on the alert definition information acquired from the table database. Is a processor that realizes

  When keywords are included, the attention level and cause (intention) related to the relevant keyword are extracted according to the definition of the alert definition information, and these “attention level” and “cause (intention)” are extracted. It is a processor that generates data for display. The finding content determination circuit is connected to the processing circuit, and outputs the keyword and notification data determined by the finding content determination function to the processing circuit.

  Note that at least one of the communication analysis function, the search function, and the finding content determination function performed by the processing circuit 11 may be a dedicated circuit, and the other functions may be processing performed by the processing circuit 11.

  As described above in the embodiment, the examination information and the findings included in the interpretation report transmitted from the interpretation report creation system are stored in association with each other. Based on the interpretation report display request from the medical staff, various information necessary for display is retrieved and displayed on the display. At this time, when a keyword is included in the finding column or the like, the attention level and the cause (intention) that are stipulated in association with the keyword and that prompts the medical staff to be alerted are also displayed. Accordingly, it is possible to provide a hospital information system and an information display program that can prompt the medical staff to confirm the contents of the interpretation report and surely grasp the contents.

  In addition, when there is content that the interpreting doctor wants to tell the health care professional other than the order, it is decided to notify the health care professional in the same way via a special keyword. Can be communicated sufficiently, and simplification of the treatment of medical staff can be achieved.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 1 Hospital information system 11 Processing circuit 14 Input circuit 15 Display 16 Storage circuit 17 Communication control circuit 18 Removable disk D1 Patient database D2 Table database

Claims (8)

A communication analysis unit that acquires examination information and findings included in an interpretation report created when a patient is examined, and registers it in a database in association with the examination result number;
A search unit that receives a display request from a medical worker, searches the database for the examination information and the findings corresponding to the display request, and
A finding content determination unit that determines whether or not a predetermined keyword is included in the finding acquired by the search unit;
When the keyword is included in the finding, a control unit that displays a warning related to the keyword together with the finding to be displayed and the examination information;
A hospital information system characterized by comprising:   The warning displayed by the control unit includes an attention level indicating the level of the warning and a cause indicating an intention that the interpretation doctor of the interpretation report has used the keyword in the finding. The hospital information system according to claim 1.   The finding content determination unit determines whether or not the keyword is included in the finding based on alert definition information defined in association with the keyword and the warning related to the keyword. The hospital information system according to claim 1 or 2, characterized by the above.   The database includes a patient database and a table database, and the communication analysis unit registers the examination information and the findings associated with the examination result number in the patient database in association with basic information of the patient. The hospital information system according to claim 3.   5. The hospital information system according to claim 4, wherein the table database stores alert definition information that associates and defines the keyword and the warning related to the keyword.   When the finding content determination unit determines that the specific keyword specifically described by the interpretation doctor of the interpretation report is included in the finding, the search unit is a display target derived from the specific keyword. 6. The information related to the findings and the examination information is extracted, and the control unit displays the related information together with the findings and the examination information. Hospital information system as described in.   When the control unit determines that the medical worker has performed treatment / processing corresponding to the displayed warning, the control unit receives the new display request regarding the same patient from the medical worker, The hospital information system according to any one of claims 1 to 6, wherein a process is performed in which the warning is not displayed as being handled. In hospital information system
Obtaining the examination information and findings included in the interpretation report created when examining the patient and registering it in the database in association with the examination result number;
In response to a display request from a medical worker, searching and obtaining the examination information and the findings corresponding to the display request from the database;
Determining whether a predetermined keyword is included in the acquired findings;
When the keyword is included in the finding, displaying a warning related to the keyword together with the finding to be displayed and the inspection information;
An information display program for executing a process including: