JP2020166823A - Radiopharmaceutical ordering support device and ordering support method - Google Patents

Abstract

To provide a radiopharmaceutical ordering support device that reduces labor required for a radiopharmaceutical ordering business in testing facilities of nuclear medicine tests.SOLUTION: In a radiopharmaceutical ordering support device (server), an information acquisition unit 11 acquires test date and time information and radiopharmaceutical information on reserved tests of each subject for whom nuclear medicine tests are reserved at a testing facility. A display processing unit 12 displays a reservation list of nuclear medicine tests in a predetermined period of the testing facility. An information generation unit 13 generates, by classifying for each ordering destination, bulk order information of radiopharmaceuticals required for a plurality of reserved tests included in the reservation list when an ordering operation related to the displayed reservation list is received.SELECTED DRAWING: Figure 2

Description

The present invention relates to a technique for supporting the ordering of a radiopharmaceutical.

A nuclear medicine test is a test using a radiopharmaceutical and is also called a radioisotope (RI) test. There are different types of nuclear medicine tests for each organ such as the brain, bone, heart, liver, and kidney, and they are used for diagnosing the functional status of each organ and malignant tumors.
Radiopharmaceuticals have a relatively short effective period due to the half-life of the radionuclide used, and it is difficult to stock them in medical institutions. For this reason, at a laboratory that conducts nuclear medicine examinations, a schedule for nuclear medicine examinations is set according to an order from a doctor, and necessary radiopharmaceuticals are ordered according to the schedule.
The following Patent Document 1 proposes a nuclear medicine examination support device in which examination appointment information is stored in an examination appointment table in response to an examination request and generation of order information for radiopharmaceuticals is generated according to the examination appointment information. According to this device, for the inspection for which the appointment is registered, the radiopharmaceutical required for the inspection can be reliably ordered, and the omission of the radiopharmaceutical arrangement can be eliminated.

Japanese Unexamined Patent Publication No. 2018-28517

By the way, at the inspection facility, orders for radiopharmaceuticals are regularly placed together. When the ordering timing comes, the person in charge of ordering the laboratory needs to grasp the type and amount of radiopharmaceuticals required according to the schedule of the nuclear medicine examination and place an accurate order. If there is an ordering error such as an order omission, it may not be possible to carry out the nuclear medicine examination on schedule, so a great deal of labor is spent on ordering radiopharmaceuticals.
The present invention has been made in view of such circumstances, and provides a technique capable of reducing labor required for ordering radiopharmaceuticals in a nuclear medicine examination facility.

In each aspect of the present invention, the following configurations are adopted in order to solve the above-mentioned problems.

The first aspect relates to a radiopharmaceutical ordering support device. The ordering support device according to the first aspect is the examination date and time information regarding the reserved examination of each subject for whom a nuclear medical examination is reserved at the inspection facility generated by the inspection facility system of the target inspection facility. Based on the information acquisition department that acquires radionuclide information, the test date and time information for each reserved test acquired, and the radionuclide information, for each reserved test together with the reservation list for nuclear medicine tests within a predetermined period at the testing facility. Based on the display processing unit that displays the radiopharmaceutical information of the above-mentioned inspection facility on the inspection facility terminal of the inspection facility and the radiopharmaceutical information for each reserved inspection acquired above when the ordering operation for the display of the reservation list is accepted. , It is provided with an information generation unit that divides and generates the bulk order information of radiopharmaceuticals required for a plurality of reserved inspections included in the reservation list for each supplier.

The second aspect relates to a method of supporting the ordering of radiopharmaceuticals executed by at least one computer. The ordering support method related to the second aspect is the examination date and time information regarding the reserved examination of each subject for whom the nuclear medicine examination is reserved at the examination facility generated by the examination facility system of the target examination facility. Radionuclide information is acquired, and based on the acquired test date and time information and radionuclide information for each reserved test, the radiopharmaceutical information for each reserved test is provided together with the reservation list for nuclear medicine tests within a predetermined period at the relevant testing facility. Is displayed on the inspection facility terminal of the inspection facility, and when an ordering operation for displaying the reservation list is accepted, a plurality of radiopharmaceuticals included in the reservation list based on the acquired radiopharmaceutical information for each reserved inspection. Includes the generation of bulk ordering information for radiopharmaceuticals required for scheduled inspections by supplier.
As another aspect, it may be related to a program that causes at least one computer to execute the ordering support method according to the second aspect described above, or may be related to a storage medium that can be read by a computer that stores such a program. It may be. This storage medium includes non-temporary tangible media.

According to each of the above aspects, it is possible to provide a technique capable of reducing the labor required for ordering radiopharmaceuticals in a nuclear medicine examination facility.

It is a schematic diagram which shows the cooperation structure of the radiopharmaceutical order support server (support server) which concerns on this embodiment. It is a figure which conceptually shows the main processing configuration of the radiopharmaceutical order support server (support server) which concerns on this embodiment. It is a figure which conceptually shows the hardware configuration example of the radiopharmaceutical order support server (support server) which concerns on this embodiment. It is a figure which conceptually shows the processing configuration example of the radiopharmaceutical order support server (support server) which concerns on this embodiment. It is a figure which shows the example of the drug information table stored in the information storage part. It is a figure which shows the example of the user management table stored in the information storage part. It is a figure which shows the example of the ordering rule table stored in the information storage part. It is a figure which shows the example of the ordering rule table stored in the information storage part. FIG. 5 is a schematic diagram showing a method for determining a packaging unit (prescription amount) of a radiopharmaceutical product based on a determination rule stored in the ordering rule table shown in FIG. 7. It is a schematic diagram which shows the determination method of the packaging unit (prescription amount) of a radioactive drug based on the determination rule stored in the ordering rule table shown in FIG. It is a figure which shows the example of the ordering support screen. It is a figure which shows the example of the packaging unit confirmation screen displayed on the ordering support screen. It is a flowchart which shows the radiopharmaceutical order support method which concerns on this embodiment.

Hereinafter, embodiments of the present invention will be described. The embodiments listed below are examples, and the present invention is not limited to the configurations of the following embodiments.

Before explaining the radiopharmaceutical ordering support server (hereinafter abbreviated as the support server) and the radiopharmaceutical ordering support method (hereinafter abbreviated as the support method) according to the present embodiment, FIG. 1 shows the surrounding environment of the present embodiment. It will be described using.
FIG. 1 is a schematic diagram showing a cooperative configuration of the support server 10 according to the present embodiment.
As shown in FIG. 1, the support server 10 according to the present embodiment includes the inspection facility system 51 of the inspection facility FC1 and the build-to-order manufacturing management system 52 of the radiopharmaceutical manufacturing facility (hereinafter, may be abbreviated as a manufacturing facility) FC2. In cooperation, we will support the ordering work of radiopharmaceuticals at the inspection facility FC1.

The examination facility FC1 indicates a medical institution having nuclear medicine examination equipment such as a PET device and a SPECT device, and can also indicate an organization existing in a certain hospital such as a radiology department.
In the present specification, when the term "test" is used without supplementary explanation, it means "nuclear medicine test", and when the term "drug" or "pharmaceutical product" is used, it means "radioactive drug". To do.
The radiopharmaceutical manufacturing facility FC2 is a facility that manufactures radiopharmaceuticals used in nuclear medical examinations at the inspection facility FC1, and is a radiopharmaceutical manufacturer, a medical institution, and the like.

According to the present embodiment, a plurality of inspection facilities FC1 can be supported, and a plurality of radiopharmaceutical species are supported.
Here, the "radiopharmaceutical type" means a product type of a radiopharmaceutical identified by a product code or the like, and may be abbreviated as "pharmaceutical type".
In the present embodiment, in order to make the explanation easy to understand, it is assumed that the supplier of a certain kind of radiopharmaceutical product in each inspection facility FC1 to be supported is one common manufacturing facility FC2, and each manufacturing facility FC2. Then, it is assumed that different kinds of radiopharmaceuticals are manufactured.
However, this embodiment is not limited to such a premise.

The inspection facility system 51 is an information system provided in the inspection facility FC1 and at least manages the schedule of the nuclear medicine examination, the prescription management of the radiopharmaceutical for the nuclear medicine examination, and the information management of the subject undergoing the nuclear medicine examination. .. The inspection facility system 51 may be a hospital information system called HIS (Hospital Information System) or the like, a radiological information system called RIS (Radiology Information System) or the like, or both.
The hospital information system manages, for example, electronic medical records of patients, and manages examination orders and prescription information of doctors. The radiological information system manages information related to the radiology department among the comprehensive information managed by the hospital information system. For example, it manages appointments for nuclear medicine examinations, cooperates with examination equipment, and manages examination information. ..
However, in the present embodiment, the processing contents of the inspection facility system 51 and the build-to-order manufacturing management system 52 are not limited at all.
The specific contents of cooperation between the support server 10, the inspection facility system 51, and the build-to-order manufacturing management system 52 will be described later.

[Overview]
Based on such a surrounding environment, an outline of the features of the support server 10 and the support method according to the present embodiment will be described with reference to FIG.
FIG. 2 is a diagram conceptually showing a main processing configuration of the support server 10 according to the present embodiment.
The support server 10 according to the present embodiment is a so-called computer, and has an information acquisition unit 11, a display processing unit 12, and an information generation unit 13 as main software elements. Details of the hardware configuration of the support server 10 for realizing each of these software elements will be described later.

The information acquisition unit 11 provides test date and time information and radiopharmaceuticals regarding the reserved test of each subject for whom a nuclear medicine test is reserved at the test facility FC1 generated by the test facility system 51 of the target test facility FC1. Get information respectively.

The acquired examination date and time information is information indicating the date and time of the reserved nuclear medicine examination. The date and time of the nuclear medicine examination indicated by this examination date and time information may be only the time without including the date, or may be the date and time, and the time may be between 9:00 and 9:30. It may be a time zone such as. In addition, the date and time may or may not coincide with the timing of administering the radiopharmaceutical to the subject. For example, in the case of bone scintigraphy, the administration timing of the radiopharmaceutical may be set to a predetermined time (for example, 3 hours) before the date and time indicated in the examination date and time information. That is, the test date and time information can be rephrased as directly or indirectly indicating the date and time of administration of the radiopharmaceutical to the subject.

In addition, the acquired examination date and time information may directly indicate the date and time of the reserved nuclear medicine examination, or may indirectly indicate the date and time.
In the latter case, the inspection date / time information may be an inspection frame ID capable of specifying the inspection date / time, or may be a combination of the inspection date information and the inspection frame ID capable of specifying the inspection time. Good. In this case, the information acquisition unit 11 may hold in advance the correspondence information between the inspection frame ID and the inspection date / time or the inspection time, or may acquire the correspondence information together with the inspection date / time information. Further, the information acquisition unit 11 may hold in advance the correspondence information between the inspection frame ID and the drug administration time for the inspection in the inspection frame, or may acquire the correspondence information together with the inspection date and time information. ..

The acquired radiopharmaceutical information is information on the radiopharmaceutical used in the nuclear medicine test reserved at the date and time indicated by the above-mentioned test date and time information, and indicates, for example, the drug type and prescription amount of the radiopharmaceutical.

There are no restrictions on how to obtain such inspection date and time information and radiopharmaceutical information.
For example, the information acquisition unit 11 can directly acquire the information from the inspection facility system 51 of the inspection facility FC1 described later. The information acquisition unit 11 can acquire the information by e-mail, file transfer, or the like, or displays the input screen on the user terminal of the inspection facility FC1 and acquires the information input via the input screen. May be good. Further, the information is uploaded on the cloud, and the information acquisition unit 11 can also acquire the information from the cloud.

The display processing unit 12 displays a reservation list of nuclear medicine examinations within a predetermined period in the examination facility FC1 on the examination facility terminal of the examination facility FC1 based on the examination date and time information for each reserved examination acquired by the information acquisition unit 11. To do.
The inspection facility terminal is a stationary or portable computer used by the person in charge of ordering the inspection facility FC1.

The predetermined period is a period for which an order is placed in a single ordering operation at the target inspection facility FC1. For example, if the ordering work for the inspection of the next day is performed every day, the predetermined period is set to the day of the next day, and if the ordering work for the inspection of the next week is performed every week, the relevant The prescribed period is 7 days in the following week (5 days if the inspectable date is 5 days).
This predetermined period may be a predetermined period, or may be input at the inspection facility terminal.
The reservation list displayed on the examination facility terminal shows information on the nuclear medicine examination group reserved within the predetermined period, and the display content and display form thereof are not limited at all.

When the ordering operation related to the displayed reservation list is accepted, the information generation unit 13 includes a plurality of radiopharmaceutical information included in the reservation list based on the radiopharmaceutical information for each reserved test acquired by the information acquisition unit 11. Collective ordering information for radiopharmaceuticals required for scheduled inspections is generated separately for each supplier.
The specific content of the ordering operation for the reservation list is not limited. For example, the ordering operation may include a pressing operation on an operation button displayed together with the reservation list, or may include a voice operation such as "ordering" or a gesture operation.
"When an ordering operation is accepted" means that the support server 10 can execute processing (including processing such as screen display and transition) that should be executed in response to the ordering operation, and conversely. "When the ordering operation is not accepted" means that the ordering operation is impossible or no processing is performed even if the ordering operation is performed.

The generated bulk order information is information for requesting an order by specifying multiple packaging units of radiopharmaceuticals required for all or some of the reserved inspections included in the displayed reservation list. is there.
The information generation unit 13 may generate the batch order information as communication data to be transmitted to the build-to-order manufacturing management system 52, may generate it as an electronic file, or generate it as data for print output or display output. You may.
In addition, the batch order information may be generated as one data or one electronic file, or may be generated as a plurality of data or a plurality of electronic files divided for each supplier. When the batch ordering information is generated as one data or one electronic file, the information may be divided for each supplier in the electronic file.
When the batch order information is generated as a plurality of data or a plurality of electronic files, the information generation unit 13 uses the batch order information in a format determined by the build-to-order manufacturing management system 52 of the manufacturing facility FC2 as the ordering party. Can be generated. Further, if the batch ordering information includes a plurality of packaging units for radiopharmaceuticals as a whole, it is not necessary for each supplier to include a plurality of packaging units.
Here, the supplier means a manufacturing facility FC2 that orders radiopharmaceuticals.

The support server 10 according to the present embodiment can execute the support method according to the present embodiment by processing each processing module as described above.
That is, the support method according to the present embodiment is a radiopharmaceutical ordering support method executed by at least one computer, and is a core in the inspection facility FC1 generated by the inspection facility system 51 of the target inspection facility FC1. Obtained test date and time information and radiopharmaceutical information regarding the reserved tests of each subject for whom medical tests are reserved, and based on the test date and time information for each reserved test, a predetermined period at the testing facility FC1. The reservation list for nuclear medicine examinations is displayed on the examination facility terminal of the examination facility FC1, and when an ordering operation is performed for the displayed reservation list, it is based on the radiopharmaceutical information for each reserved examination acquired. Therefore, it includes generating the bulk order information of radiopharmaceuticals required for a plurality of reserved inspections included in the reservation list by classifying each supplier.
Further, the present embodiment may be a program for causing at least one computer to execute such a support method, or a storage medium in which such a program is readablely stored by the computer.

As described above, in the present embodiment, the examination date and time information and the radiopharmaceutical information of the reserved nuclear medicine examination generated by the examination facility system 51 of the examination facility FC1 are acquired, and based on the information, within a predetermined period. A reservation list for nuclear medicine examinations is displayed on the examination facility terminal of the examination facility FC1, and according to the ordering operation for the reservation list, bulk order information for radiopharmaceuticals required for multiple reserved examinations included in the reservation list is displayed. It is generated separately for each supplier.
As a result, the person in charge of ordering confirms the reservation list displayed on the inspection facility terminal and performs the ordering operation, so that the radiopharmaceuticals required for the nuclear medicine examination reserved within the predetermined period can be accurately obtained without omission. Can be ordered from. That is, according to the present embodiment, it is possible to reduce the labor required for ordering radiopharmaceuticals in the nuclear medicine examination facility FC1.

[Details]
Hereinafter, the support server 10 and the support method according to the present embodiment will be described in more detail. In the following, the description of the content overlapping with the above content will be omitted as appropriate.
As shown in FIG. 1, the support server 10 acquires test schedule information, radiopharmaceutical prescription information, and subject information related to nuclear medicine tests, and displays an ordering support screen on the test facility terminal 55 of the test facility FC1. Then, the batch ordering information of the radiopharmaceutical is generated according to the ordering operation on the ordering support screen, and the batch ordering information is sent to the manufacturing facility FC2 which is the ordering party. The manufacturing facility FC2 manufactures the radiopharmaceutical of the ordered packaging unit. Then, the manufactured radiopharmaceutical is delivered to the inspection facility FC1 according to an appropriate delivery schedule.

However, the surrounding environment in this embodiment is not limited to the example shown in FIG. For example, the support server 10 may be provided in a certain examination facility FC1 and may support only the nuclear medicine examination performed in the examination facility FC1. Further, the support server 10 may print out or display the generated batch order information without transmitting it to the build-to-order manufacturing management system 52. In this case, the person in charge of ordering the inspection facility FC1 may perform the ordering work to the radiopharmaceutical manufacturing facility FC2, such as telephone contact or fax transmission, while looking at the printed matter or display that is output.

[Radioactive drug ordering support server (support server)]
FIG. 3 is a diagram conceptually showing a hardware configuration example of the support server 10 according to the present embodiment.
The support server 10 is a so-called computer, and has a CPU (Central Processing Unit) 1, a memory 2, an input / output interface (I / F) 3, a communication unit 4, and the like.

The CPU 1 may include an integrated circuit (ASIC) for a specific application, a DSP (Digital Signal Processor), a GPU (Graphics Processing Unit), and the like, in addition to a general CPU.
The memory 2 is a RAM (Random Access Memory), a ROM (Read Only Memory), and an auxiliary storage device (hard disk or the like).
The input / output I / F3 can be connected to a user interface device (not shown) such as a display device or an input device. The display device is a device such as an LCD or a CRT display that displays a screen corresponding to drawing data processed by a CPU 1 or the like. The input device is a device that accepts input of user operations such as a keyboard and a mouse. The display device and the input device may be integrated and realized as a touch panel.
The communication unit 4 communicates with another computer via the communication network 8 and exchanges signals with other devices such as a printer. A portable recording medium or the like may also be connected to the communication unit 4.

However, the hardware configuration of the support server 10 is not limited to the example of FIG. The support server 10 may include other hardware elements (not shown). Further, the number of each hardware element is not limited to the example of FIG. For example, the support server 10 may have a plurality of CPUs 1.

The support server 10 is communicably connected to the inspection facility system 51, the build-to-order manufacturing management system 52, the inspection facility terminal 55, and the like. Communication between the support server 10 and another terminal or system is one of Wi-Fi (Wireless Fidelity) line network, Internet communication network, dedicated line network, LAN (Local Area Network), WAN (Wide Area Network), etc. This is done via a communication network 8 formed by one or a combination thereof. The specific form of the communication is not limited.

The inspection facility terminal 55 is a stationary or portable computer used by the workers of the inspection facility FC1.
The inspection facility system 51 is as described above. In the present embodiment, the laboratory system 51 has at least the examination schedule information of the nuclear medicine examination, the prescription information of the radiopharmaceutical for the nuclear medicine examination, and the information of the subject who undergoes the nuclear medicine examination. Details of this information possessed by the inspection facility system 51 will be described later. However, the inspection facility system 51 may manage other information and may have a general known function.
The build-to-order manufacturing management system 52 is a system included in the manufacturing facility FC2, and is a system for managing orders and production (manufacturing) in the manufacturing facility FC2. The build-to-order manufacturing management system 52 may also have a known general function.

FIG. 4 is a diagram conceptually showing a processing configuration example of the support server 10 according to the present embodiment.
The support server 10 has information acquisition unit 11, display processing unit 12, information generation unit 13, prescription amount determination unit 14, login processing unit 15, information storage unit 16, and the like as software elements. Each of these software elements is realized, for example, by executing a program stored in the memory 2 by the CPU 1. The program may be installed from a portable recording medium such as a CD, a memory card, or another computer or another computer via the communication unit 4 and stored in the memory 2.

The information storage unit 16 is secured in the memory 2 and stores at least a drug information table, a user management table, and an ordering rule table. Hereinafter, each table stored in the information storage unit 16 will be described in detail with reference to the drawings.

FIG. 5 is a diagram showing an example of a drug information table stored in the information storage unit 16.
As shown in FIG. 5, the drug information table stores the drug name, company name, test date and time, packaging unit, and order deadline for each drug type.
"Packaging unit" means one packaging container containing a predetermined amount of radioactivity (radioactivity amount on the "test date and time") in one vial.
"Order deadline" means the deadline date and time when each drug type can be ordered.
Therefore, in the example of FIG. 5, "P chemical" of "maker MA" is provided with five kinds of packaging units "111MBq", "148MBq", "167MBq", "185MBq" and "222MBq". The test date and time is 12:00 on each day from Monday to Friday, and the order deadline is 19:00 on the previous day.
However, the drug information table shown in FIG. 5 is an example, and the information storage unit 16 may store one or more tables in which information on the packaging unit and the order deadline for each drug type is stored. Therefore, the information storage unit 16 can be described as a time limit holding unit that holds order deadline information for radiopharmaceuticals.

FIG. 6 is a diagram showing an example of a user management table stored in the information storage unit 16.
As shown in FIG. 6, the user management table stores a user ID, a password, a name, and an inspection facility ID for each user who can receive the ordering support service by the support server 10.
The "user ID" is information that can identify each user, and the "password" is used for the login process of the user described later.
The "inspection facility ID" is information that can identify the inspection facility FC1 to which each user belongs. As described above, in the present embodiment, each inspection facility FC1 that can receive ordering support by the support server 10 is managed by the inspection facility ID.

7 and 8 are diagrams showing an example of an ordering rule table stored in the information storage unit 16.
In the present embodiment, the ordering rule table stores information regarding the determination rule of the packaging unit of the drug for each inspection facility FC1.
In the example of FIG. 7, information regarding the determination rule of the packaging unit of “P chemical” in the inspection facility FC1 specified by the inspection facility ID “001” is stored, and in the example of FIG. 8, the inspection facility ID “015” is stored. Information on the rules for determining the packaging unit of "M chemicals" and "E chemicals" in the inspection facility FC1 specified by "" is stored. For example, "P drug" exemplified in FIG. 7 corresponds to a preparation of radionuclide ¹²³ I used in cerebral blood flow scintigraphy, and "M drug" and "E drug" exemplified in FIG. 8 are It can be associated with formulations of radionuclides ^{99 m} Tc and ²⁰¹ Tl used in myocardial blood flow scintigraphy.
In the example of FIG. 7, the packaging unit of "P chemical" is determined using the weight of each subject and the reserved examination time, and in the example of FIG. 8, the packaging of "M chemical" is used. The unit is determined using the age, gender, and reserved examination time of each subject, and the packaging unit of "E-drug" is determined using the age, gender, and weight of each subject. It will be.
The specific medicines, specific packaging units, specific decision rules themselves, etc. specified in the ordering rule table are not limited in any way. For example, the specific determination rule illustrated in FIGS. 7 and 8 is based on the specific content (weight value) of the determination rule based on the radioactivity amount of the test date and time shown in the packaging unit, the half-life of the radionuclide of the drug, and the like. And inspection time, etc.) are determined.
Further, details of a method for determining a packaging unit required for each subject using the ordering rule table illustrated in FIGS. 7 and 8 will be described later.

The information storage unit 16 that stores such an ordering rule table can be described as a rule holding unit that holds a rule for determining the prescription amount of a radiopharmaceutical to a subject.
As used herein, the term "prescribed amount of radiopharmaceutical" means the amount of radioactivity of a drug administered to a subject for a nuclear medicine examination, and may be the amount of radioactivity of the drug at the test date and time. It may be the amount of radioactivity when administered to the subject, or it may be a packaging unit. In the present embodiment, an example in which the packaging unit is used as the prescription amount of the radiopharmaceutical is shown as the information stored in the above-mentioned ordering rule table.

The rules for determining the prescription amount of radiopharmaceuticals for each subject need not be held in the table as shown in FIGS. 7 and 8, and may be incorporated as logic in the computer program. For example, among the decision rules, only the decision rule whose setting can be changed may be held in a state where the setting can be changed as in the examples of FIGS. 7 and 8.
Further, the form of holding the determination rule is not limited to the examples of FIGS. 7 and 8. Depending on some drug types or testing facility FC1, the rule may be fixedly determined without using the attribute information (weight, age, gender, etc.) of the subject.
In addition, a rule for observing the appropriate dose of nuclear medicine examination specified in guidelines and the like in order to reduce medical exposure due to overdose of radioactivity may be retained as the determination rule.
In the present embodiment, it is assumed that the determination rule for each inspection facility FC1 is stored in the ordering rule table in a state associated with the inspection facility ID.

The information acquisition unit 11 acquires examination schedule information, radiopharmaceutical prescription information, and subject information regarding nuclear medicine examinations from the examination facility system 51 of each examination facility FC1.
The acquired test schedule information is reservation information for nuclear medicine tests at each test facility FC1, and includes test type and test date / time information for each reserved subject. The inspection date and time information is as described above as an outline.
"Test type" means the type of nuclear medicine test, cerebral blood flow scintigraphy, thyroid scintigraphy, myocardial blood flow scintigraphy, cardiac pool scintigraphy, pulmonary blood flow scintigraphy, bone scintigraphy, renal scintigraphy. Graffiti etc. are shown.
The acquired radiopharmaceutical prescription information indicates at least the drug type and prescription amount of the radiopharmaceutical to be administered in each reserved test indicated in the test schedule information. In the present embodiment, as described above, the packaging unit is designated as the prescribed amount.
The subject information to be acquired is the attribute information of the subject for each reserved examination indicated by the examination schedule information, and in the present embodiment, the age, gender, and weight are acquired as the subject information. The subject information to be acquired may be any information required to determine the prescription amount of the drug, and is not limited to such attribute information.

When a plurality of inspection facility FC1s to be supported exist, the information acquisition unit 11 acquires the above-mentioned information from the inspection facility system 51 of each inspection facility FC1 at a predetermined timing or an arbitrary timing. .. At this time, the inspection facility ID of each inspection facility FC1 may be acquired in a state associated with the above information, or the inspection facility ID is specified from the communication address of the inspection facility system 51 that is the source of the above information. You can also do it.
If the information acquisition unit 11 can acquire the above-mentioned information before the ordering timing of each inspection facility FC1, the acquisition timing is not limited. Further, the method of acquiring the above-mentioned information is not limited. The information acquisition unit 11 may acquire the information directly from the inspection facility system 51 of each inspection facility FC1 by communication or the like, indirectly via a server device on the cloud, or electronically. It may be acquired by e-mail or file transfer.

The login processing unit 15 performs login processing of a user who receives ordering support by the support server 10 by using the information stored in the above-mentioned user management table. This login process may be a general process. For example, the login processing unit 15 displays a login screen on the inspection facility terminal 55, acquires the user ID and password entered on the login screen, and stores the combination of the acquired user ID and password in the user management table. Check if it is done. When the combination is stored in the user management table, the login processing unit 15 determines that the user of the inspection facility terminal 55 is valid, and specifies the inspection facility ID stored in the user management table together with the user ID. To do. On the contrary, when the combination is not stored in the user management table, the login processing unit 15 determines that the user of the inspection facility terminal 55 is unreasonable, does not specify the user ID and the inspection facility ID, and places an order described later. Do not allow the display of the support screen.
Hereinafter, a user whose validity has been confirmed by the login processing unit 15 may be referred to as a login user.

However, the specific login process by the login processing unit 15 is not limited to such contents, and the login processing unit 15 can specify the identification information of the user who is using the inspection facility terminal 55, and further. It suffices if the identification information of the inspection facility FC1 to which the user belongs can be specified. Therefore, the login processing unit 15 is a user identification unit that identifies the identification information of the user who is using the inspection facility terminal 55, or the identification information (user ID) of the user who is using the inspection facility terminal 55 and the user. It can be described as a user identification unit that specifies the identification information (inspection facility ID) of the inspection facility FC1 to which the member belongs.

The prescription amount determination unit 14 determines the prescription amount of the radiopharmaceutical product for each reserved inspection indicated by the inspection schedule information acquired by the information acquisition unit 11 by using the determination rule held in the ordering rule table or the like described above. To do. The prescription amount determination timing by the prescription amount determination unit 14 may be executed when the ordering support screen described later is displayed, may be executed when the user logs in, or may be executed after the information acquisition unit 11 acquires the information. May be good.
Specifically, the prescription amount determination unit 14 determines, for each of the reserved examinations, the examination facility ID, the examination date and time, the drug type, and the age of the subject, based on the information acquired by the information acquisition unit 11. Gender and weight are specified, and the decision rule associated with the inspection facility ID and stored in the ordering rule table is specified. The prescription amount determination unit 14 of each reserved examination according to the determination rule corresponding to the specified examination date and time, the drug type, and the age, sex, and weight of the subject in the specified determination rule. Determine the required packaging unit (prescription amount) for each.

Here, an example of a specific prescription amount determination method by the prescription amount determination unit 14 will be described using the ordering rule table illustrated in FIGS. 7 and 8.
FIG. 9 is a schematic diagram showing a method for determining a packaging unit (prescription amount) of a radiopharmaceutical product based on a determination rule stored in the ordering rule table shown in FIG. 7.
The prescription amount determination unit 14 determines the packaging unit for each reserved inspection using the drug name “P drug” in the test facility FC1 specified by the test facility ID “001” as follows. Here, as the packaging unit of the drug name “P drug”, five types of “111MBq”, “148MBq”, “167MBq”, “185MBq” and “222MBq” are provided as shown in FIG.

If the subject's age is less than 15 years old, the prescription amount determination unit 14 uniformly determines the packaging unit of "111MBq". On the other hand, when the age of the subject is 15 years or older, the prescription amount determining unit 14 determines whether the subject weighs 80 kg or more, less than 40 kg, or other than that. If the subject weighs 80 kg or more, the packaging unit of "185 MBq" is determined if the scheduled inspection time is up to 10:00, and if the inspection time is after 10:00, "222MBq". Packaging unit is determined. If the subject weighs less than 40 kg and the scheduled inspection time is until 12:00, the packaging unit of "111MBq" is determined, and if the inspection time is from 12:00 to 14:00, The packaging unit of "148MBq" is determined, and if the inspection time is after 14:00, the packaging unit of "167MBq" is determined. If the subject weighs 40 kg or more and less than 80 kg, the packaging unit of "167 MBq" is determined if the scheduled inspection time is until 11:00, and if it is from 11:00 to 14:00, " The packaging unit of "185MBq" is determined, and after 14:00, the packaging unit of "222MBq" is determined.
In this way, the decision rule for the drug name "P drug" adopted in the test facility FC1 specified by the test facility ID "001" is that in the case of a subject aged 15 years or older and weighing 80 kg or more, at the time of administration. In the case of subjects aged 15 years or older and weighing less than 40 kg, the amount of radioactivity at the time of administration should be suppressed to approximately 150 MBq or less, and in the case of subjects aged 15 years or older and other weights. , It is stipulated that the amount of radioactivity at the time of administration can be suppressed to about 200 MBq or less.

FIG. 10 is a schematic diagram showing a method for determining a packaging unit (prescription amount) of a radiopharmaceutical product based on a determination rule stored in the ordering rule table shown in FIG.
The prescription amount determination unit 14 sets the packaging unit for each reserved inspection using the drug name "M drug" or "E drug" in the test facility FC1 specified by the test facility ID "015" as follows. decide. Here, as the packaging unit of the drug name “M drug”, three types of “296MBq”, “592MBq”, and “740MBq” are provided as shown in FIG. Although the packaging unit of the drug name “E drug” is not shown in FIG. 5, it is assumed that, for example, three types of “74MBq”, “111MBq” and “148MBq” are provided.

If the subject's age is less than 15 years old, the prescription amount determination unit 14 determines the drug name "M drug" and determines the appropriate dose for each body weight specified in the guidelines for pediatric nuclear medicine examination. Determine the packaging unit using the decision rules to be followed. On the other hand, when the age of the subject is 15 to 40 years old, the prescription amount determination unit 14 refers to the gender of the subject, and if the subject is a woman, the reservation is made. The packaging unit is determined as follows according to the inspection time of the completed inspection. That is, when the inspection time is up to 10:00, two packaging units "296MBq" and "592MBq" are determined, and when the inspection time is after 10:00, two packaging units "296MBq" and "740MBq" are determined. Is determined. In addition, if the subject's age is 40 years or older (regardless of gender), or if the subject's age is 15 to less than 40 and the subject's gender is male, the prescribed amount The determination unit 14 determines the packaging unit as follows according to the weight of the subject. When the body weight is 80 kg or more, the packaging unit of "148 MBq" is determined, when the body weight is less than 40 kg, the packaging unit of "74 MBq" is determined, and when the body weight is 40 kg or more and less than 80 kg, the packaging unit of "111 MBq" is determined.
In this way, the decision rule for the drug name "M drug" or "E drug" adopted in the test facility FC1 specified by the test facility ID "015" is for women under 40 years old and men under 15 years old. In order to reduce the amount of radioactivity administered to other subjects, the drug type "M drug" that uses a radionuclide with a shorter physical half-life is selected, and the other drugs are drugs. It is stipulated that the species "E drug" is selected. Furthermore, the packaging unit of "E-drug" is determined so that the lighter the body weight, the smaller the amount of radioactivity administered.

The display processing unit 12 displays the ordering support screen on the inspection facility terminal 55 in response to the operation of the login user for the inspection facility terminal 55.
The ordering support screen is a screen that targets the laboratory FC1 to which the logged-in user belongs and displays a reservation list of nuclear medicine examinations within a predetermined period at the target laboratory FC1. This predetermined period is not limited as described in the outline, but in the present embodiment, the date (one day's worth) selected by the logged-in user is set as the predetermined period. That is, the display processing unit 12 displays an ordering support screen showing a reservation list of nuclear medicine examinations for a certain day at the target examination facility FC1 on the examination facility terminal 55 in response to the operation of the logged-in user.

Here, the packaging unit of the drug for each reserved inspection includes one determined by the target inspection facility FC1 and one determined by the prescription amount determination unit 14 as described above. The packaging unit determined by the target inspection facility FC1 is included in the information (prescription information for radiopharmaceuticals) acquired from the inspection facility system 51 of the inspection facility FC1 by the information acquisition unit 11.
Hereinafter, the packaging unit determined by the inspection facility FC1 is referred to as the original packaging unit (first prescription amount), and the packaging unit determined by the prescription amount determination unit 14 is distinguished from the rule-based packaging unit (second prescription amount). It may be written.

FIG. 11 is a diagram showing an example of an ordering support screen.
As shown in FIG. 11, the ordering support screen shows the name “A hospital” of the target inspection facility FC1 and the date “January 23, 2019” as a predetermined period, and further, the reservation list display unit G10, ordering. The operation unit B10 and the end operation unit B11 are included.
In the reservation list display unit G10, reserved inspections within a predetermined period of the target inspection facility FC1 are shown in each line, and in each line of the reservation list display unit G10, the inspection time, inspection type, and drug related to each reserved inspection are shown. The name, company name, final packaging unit, original packaging unit, patient (examinee) name, patient (examinee) age, patient (examinee) gender, and patient (examinee) weight are shown. ..
The final packaging unit (displayed as the packaging unit (final)) shown in FIG. 11 refers to the packaging unit set in the package order information when the package order is placed on the order support screen, that is, the package unit to be finally ordered. Meaning, the original packaging unit (labeled as packaging unit (original)) means the packaging unit determined by the inspection facility FC1 as described above.
The display processing unit 12 displays the rule-based packaging unit as the final packaging unit in the initial display state of the ordering support screen.

As described above, in the present embodiment, the display processing unit 12 shows both the original packaging unit and the rule-based packaging unit for each reserved inspection on the ordering support screen.
Further, when the original packaging unit and the rule-based packaging unit are different, the display processing unit 12 displays the background display of the final packaging unit and the original packaging unit in a form (coloring) different from that of other parts. That is, it can be said that the display processing unit 12 shows the comparison result between the original packaging unit (first prescription amount) and the rule-based packaging unit (second prescription amount) for each reserved inspection on the ordering support screen.
As a result, the logged-in user who operates the inspection facility terminal 55 of the inspection facility FC1 sees the ordering support screen, and is determined by the packaging unit determined by the inspection facility FC1 and the determination rule for the inspection facility FC1. Reserved inspections that do not match the packaging unit can be easily grasped, and the difference between both packaging units can be immediately grasped. Furthermore, it becomes possible to grasp whether the difference in the packaging unit is intentionally caused or caused by a mistake, and it is possible to prevent an ordering mistake.
Hereinafter, the reserved inspection in which the background display of the final packaging unit and the original packaging unit is displayed in a different form (coloring) from other parts is referred to as "confirmation required inspection", and the final packaging unit in the line indicating the confirmation required inspection. And when the background display of the original packaging unit is changed to the same form as other parts, the reserved inspection that was the confirmation required inspection will be changed to "confirmed inspection".

Further, on the ordering support screen, as shown in FIG. 12, it is possible to perform a confirmation operation for a target reserved inspection in which the original packaging unit and the rule-based packaging unit are different.
FIG. 12 is a diagram showing an example of a packaging unit confirmation screen displayed on the ordering support screen. In the present embodiment, when the display processing unit 12 detects an operation of selecting a display location of the final packaging unit or a display location of the original packaging unit in the line indicating the inspection required, the packaging unit confirmation screen G20 shown in FIG. Is displayed.
The packaging unit confirmation screen G20 is provided with four operation units G21, G22, G23 and G24. When the difference between the original packaging unit and the rule-based packaging unit is confirmed and approved, the operation unit G21 is operated to return the packaging unit (final packaging unit) to be ordered from the rule-based packaging unit to the original packaging unit. Is operated by the operation unit G22, the operation unit G23 is operated when the packaging unit (final packaging unit) to be ordered is further edited from the rule-based packaging unit, and the operation unit G24 is operated when the packaging unit confirmation screen G20 is closed. Is operated.

When the operation unit G21 is operated, the display processing unit 12 erases the packaging unit confirmation screen G20, and displays the background of the final packaging unit and the original packaging unit in the line indicating the confirmation required inspection in the same form as other parts. Change to. As a result, the inspection requiring confirmation becomes a confirmed inspection. Therefore, the operation on the operation unit G21 can be described as "acknowledgement operation".
When the operation unit G22 is operated, the display processing unit 12 erases the packaging unit confirmation screen G20 and updates the value of the final packaging unit, which is the rule-based packaging unit, to the value of the original packaging unit. As a result, the value of the final packaging unit becomes the value of the original packaging unit. Therefore, the operation on the operation unit G22 can be described as "undo operation". Then, the display processing unit 12 changes the background display of the final packaging unit and the original packaging unit of the line indicating the inspection required to be confirmed to the same form as other parts. As a result, the inspection requiring confirmation becomes a confirmed inspection.
When an operation is performed on the operation unit G23, the display processing unit 12 displays an edit screen that allows the value of the final packaging unit to be changed, deletes the packaging unit confirmation screen G20, and then erases the packaging input on the edit screen. The unit is the final packaging unit. Therefore, the operation on the operation unit G23 can be described as "editing operation". Then, the display processing unit 12 changes the background display of the final packaging unit and the original packaging unit of the line indicating the inspection required to be confirmed to the same form as other parts. As a result, the inspection requiring confirmation becomes a confirmed inspection.
When the operation unit G24 is operated, the packaging unit confirmation screen G20 is erased.

As described above, in the present embodiment, when the approval operation, the undo operation, and the editing operation are performed, the reserved inspection targeted by the operation changes from the confirmation required inspection to the confirmed inspection. Therefore, in the present embodiment, the operation of selecting the display location of the final packaging unit or the display location of the original packaging unit in the line indicating the inspection required, or the operation on the operation units G21, G22, or G23 is described as the confirmation operation. be able to.
However, the specific content of the confirmation operation is not limited to such an example, and although it is different from the present embodiment, the operation of selecting somewhere in the line indicating the confirmation required inspection may be the confirmation operation, or the confirmation operation may be performed. The operation for the operation unit arranged next to the line indicating the inspection required may be the confirmation operation.
Further, the change of the display mode after the confirmation operation is not limited to the above example as long as the display mode is changed between before the confirmation operation and after the confirmation operation.

That is, when the display processing unit 12 performs a confirmation operation for a target reserved inspection (confirmation required inspection) in which the original packaging unit (first prescription amount) and the rule-based packaging unit (second prescription amount) are different, the display processing unit 12 performs a confirmation operation. It is possible to change the display mode of the comparison result between the original packaging unit (first prescription amount) and the rule-based packaging unit (second prescription amount) in the target reserved inspection from the display mode before the confirmation operation is performed. it can.
As a result, when there are multiple reserved inspections in which the original packaging unit (first prescription amount) and the rule-based packaging unit (second prescription amount) are different, the inspection completed and the unconfirmed inspection by the logged-in user Can be easily grasped.

Further, each line of the reservation list display unit G10 is provided with an order target designation unit G11. The order target designation unit G11 can specify whether or not the drug used in the reserved inspection of each bank is to be ordered. In the examples of FIGS. 11 and 12, the order target designation unit G11 is displayed with a check mark in the reserved inspection line to be ordered, and the order target designation is specified in the reserved inspection line to be excluded. Part G11 is displayed without a check mark.
When the ordering support screen is displayed, the display processing unit 12 displays a check mark on the ordering target designation unit G11 of all rows so that all reserved inspections are targeted for ordering.
In the present embodiment, since the drug used in the reserved inspection is excluded from the order target by removing the check mark of the order target designation unit G11 in this way, the operation of removing the check mark is referred to as a cancel operation. be able to.
That is, the display processing unit 12 may change the display mode of the reserved inspection in the reservation list display unit G10 when the cancel operation for a certain reserved inspection included in the reservation list display unit G10 is performed. it can.

However, the specific content of the cancel operation for excluding from the ordering target is not limited to the example of this embodiment, and the submenu displayed while selecting the line indicating the reserved inspection to be excluded from the ordering target is selected. The operation to be performed may be the cancel operation, or the operation for the operation unit arranged next to the line may be the cancel operation.
Further, when the cancel operation is performed, the display processing unit 12 may delete the line indicating the target reserved inspection from the reservation list display unit G10.

In the present embodiment, the display processing unit 12 inactivates the ordering operation unit B10 in a state where even one confirmation required inspection exists in the reserved inspection group shown in the reservation list display unit G10 of the ordering support screen. Make it a state.
The inactive state of the ordering operation unit B10 means a state in which an operation on the ordering operation unit B10 cannot be accepted, and conversely, a state in which an operation on the ordering operation unit B10 can be accepted is an active state of the ordering operation unit B10. It is written as.
As a result, confirmation operations (approval operation, undo) are performed for all reserved inspections that require confirmation, that is, the original packaging unit (first prescription amount) and the rule-based packaging unit (second prescription amount) are different. Unless the operation or editing operation is performed, the ordering operation will not be accepted and the batch ordering information will not be generated. In this way, batch ordering information is generated only after all the differences between the original packaging unit (first prescription amount) and the rule-based packaging unit (second prescription amount) are confirmed, so ordering mistakes can be prevented. Can be done.

Although different from the present embodiment, the display processing unit 12 is an ordering operation unit even in a state where even one confirmation-required inspection exists in the reserved inspection group shown in the reservation list display unit G10 of the ordering support screen. A warning is displayed when an operation is accepted for the ordering operation unit B10 while B10 is in the active state (for example, "Unconfirmed inspection remains in the inspection in which the final packaging unit and the original packaging unit are different"). May be displayed. In this case, the batch order information may be generated when a specific operation for the warning display is performed, or the warning display may be performed so that the batch order information is not generated.
Even if this is done, an ordering error can be suppressed because a warning is given about the difference between the original packaging unit (first prescription amount) and the rule-based packaging unit (second prescription amount).

Further, the display processing unit 12 has passed the order deadline stored in the drug information table (see FIG. 5) in the reserved inspections to be ordered indicated by the reservation list display unit G10. Check if there is a reserved check that uses.
In the present embodiment, when the display processing unit 12 receives an operation on the ordering operation unit B10, the display processing unit 12 checks the ordering deadline, and the reserved inspection using the drug whose ordering deadline has passed is targeted for ordering. If it exists, the order reconfirmation screen is displayed. On this order reconfirmation screen, a warning content is displayed along with information that can identify a reserved test using a drug whose order deadline has passed, and the user is reconfirmed whether to continue the order operation as it is. To.
As a result, the login user is made aware that there is a reserved test using a drug whose order deadline has passed, and then the batch order information is generated, so that an ordering error can be prevented.
Although different from the present embodiment, the display processing unit 12 causes the ordering operation unit B10 to be inactive when a reserved inspection using a drug whose ordering deadline has passed exists as an ordering target. You may. In this case, the display processing unit 12 may activate the ordering operation unit B10 when the reserved inspection using the drug whose ordering deadline has passed is excluded from the ordering target.
When an operation is performed on the end operation unit B11 of the order support screen, the display processing unit 12 deletes the order support screen.

Further, the display processing unit 12 may display on the inspection facility terminal 55 a decision rule setting display in which at least a part of the decision rules stored in the above-mentioned ordering rule table (see FIGS. 7 and 8) can be changed. it can. Specifically, the display processing unit 12 is associated with the inspection facility ID from the ordering rule table stored in the information storage unit 16 by using the inspection facility ID of the login user specified by the login processing unit 15. The decision rule is specified, and at least a part of the specified decision rule is displayed on the inspection facility terminal 55 in a state where the setting can be changed. As a result, various parameters of the determination rule such as the age, gender or weight of the subject, or the examination time can be changed.
As a result, for example, when the new inspection facility FC1 newly receives the ordering support service by the support server 10, the ordering rule table is associated with the inspection facility ID of the new inspection facility FC1. Should be automatically generated in the initial state. In this case, the new inspection facility FC1 can edit the contents of the ordering rule table via the decision rule setting display to make it its own decision rule.

When the ordering operation is accepted for the ordering support screen, the information generation unit 13 is a batch of medicines used in the reserved inspection set as the ordering target in the reserved inspection group included in the reservation list display unit G10. Generate ordering information. At this time, the information generation unit 13 generates the batch order information, excluding the drugs used in the reserved inspection excluded from the order target by the above-mentioned cancel operation. Further, the information generation unit 13 generates the batch order information using the value (packaging unit) displayed in the final packaging unit in the reservation list display unit G10 as the final packaging unit.
In the present embodiment, the specific operation for the order confirmation screen (for example, the dialog display "Are you sure you want to place a batch order?") Displayed after the operation for the order operation unit B10 on the order support screen is accepted is the order. It is an operation. However, the specific content of the ordering operation is not limited at all.

At this time, the information generation unit 13 separately generates the batch order information for each supplier, as described in the outline. The supplier can be specified by, for example, the company name stored in the drug information table (see FIG. 5).
In the present embodiment, the information generation unit 13 generates batch order information for each manufacturing facility FC2 as an ordering party, collecting only the pharmaceuticals manufactured at the manufacturing facility FC2, and manages the build-to-order manufacturing of each manufacturing facility FC2. The generated bulk order information is transmitted to the system 52. The information generation unit 13 can generate each batch order information in a format determined by the build-to-order manufacturing management system 52 of each manufacturing facility FC2.
As a result, according to the present embodiment, even the ordering of pharmaceutical products can be automatically performed.

By the way, if the packaging unit of the drug finally ordered by the ordering support by the support server 10 is changed from the packaging unit of the drug (original packaging unit) determined by the inspection facility FC1, that (packaging unit). It is desirable that the inspection facility FC1 can also grasp that the person in charge of the inspection facility FC1 has confirmed that (the change has been made). This is because it is possible for the inspection facility FC1 to confirm whether the change of the packaging unit is intentionally made by the inspection facility FC1 or unexpectedly due to a malfunction of the support server 10.

Therefore, in the present embodiment, the information generation unit 13 sets the packaging unit of the radiopharmaceutical of the reserved inspection (confirmed inspection) for which the approval operation (operation for the operation unit G21) is performed as the rule-based packaging unit (first prescription amount). ), While generating the batch order information, confirmation that the user ID of the logged-in user who performed the approval operation and the information that can identify the reserved inspection (confirmed inspection) for which the approval operation was performed are associated with each other. Generate operation log information.
Further, the information generation unit 13 associates the fact that the undo operation (operation for the operation unit G22) or the editing operation (operation for the operation unit G23), which is a kind of confirmation operation, has been performed with the user ID, and the confirmation operation. It may be included in the log information. At this time, the packaging unit of the radiopharmaceutical of the reserved inspection (confirmed inspection) for which the undo operation (operation for the operation unit G22) has been performed is generated as the original packaging unit (second prescription amount). , The packaging unit of the radiopharmaceutical of the reserved inspection (confirmed inspection) for which the editing operation (operation on the operation unit G23) has been performed is generated as the final packaging unit after editing.

In addition, the information generation unit 13 collectively orders the packaging unit of the radiopharmaceutical for the reserved inspection (confirmed inspection) for which the approval operation (operation for the operation unit G21) has been performed as the rule-based packaging unit (first prescription amount). While generating the information, it also generates change log information indicating that the prescription amount of the radiopharmaceutical for the reserved test for which the approval operation was performed has been changed. For example, the information generation unit 13 may generate the change log information stored in association with the user ID of the logged-in user who performed the approval operation, the original packaging unit, and the rule-based packaging unit finally ordered. it can.
Further, the information generation unit 13 generates change log information indicating that the prescription amount of the radiopharmaceutical for the reserved inspection in which the editing operation (operation for the operation unit G23), which is a kind of confirmation operation, has been changed. You can also. In this case, for example, the information generation unit 13 stores the change log information stored in association with the user ID of the logged-in user who performed the editing operation, the original packaging unit, and the finally ordered edited packaging unit. Can be generated.

[Radioactive drug ordering support method]
Hereinafter, the radiopharmaceutical ordering support method according to the present embodiment will be described in detail with reference to FIG.
FIG. 13 is a flowchart showing a radiopharmaceutical ordering support method according to the present embodiment.
The radiopharmaceutical ordering support method according to the present embodiment illustrated in FIG. 13 is executed by the support server 10 described above. Since the specific contents of each step included in this method are the same as the processing contents of each processing module of the support server 10 described above, they will be omitted as appropriate.

The flow shown in FIG. 13 is premised on the following processing by the support server 10. Therefore, it can be said that FIG. 13 shows a part of the radiopharmaceutical ordering support method according to the present embodiment.
The support server 10 (information acquisition unit 11) receives test schedule information related to nuclear medicine tests, prescription information of radiopharmaceuticals, and recipients from the test facility systems 51 of a plurality of test facilities FC1 at predetermined timings or arbitrary timings. Obtain each examiner information. This information may be acquired before the timing of ordering the radiopharmaceuticals determined by each inspection facility FC1. The details of the acquired information are as described above, and the acquired prescription information for the radiopharmaceutical includes the drug type and packaging unit (original packaging unit) of the radiopharmaceutical to be administered in each reserved examination.

Further, the support server 10 (prescription amount determination unit 14) uses the determination rule held in the above-mentioned ordering rule table or the like to use the radiopharmaceutical product for each reserved inspection indicated by the inspection schedule information acquired as described above. Each packaging unit (rule-based packaging unit) is determined. The method for determining the packaging unit of the radiopharmaceutical using the determination rule of each inspection facility FC1 is as described above.
As described above, in the present embodiment, when the test schedule information, the prescription information of the radiopharmaceutical, and the subject information are acquired, the rule-based packaging unit (first prescription amount) of the radiopharmaceutical is set for each reserved test. It will be decided. However, the rule-based packaging unit determination may be executed when the ordering support screen described later is displayed, or may be executed at another timing before the ordering support screen is displayed.

With the test schedule information, radiopharmaceutical prescribing information, and subject information acquired as described above, as well as the radiopharmaceutical rule-based packaging units determined for each reserved test as described above. , The support server 10 executes the following flow shown in FIG.

The support server 10 (login processing unit 15) executes a login process for the user of the inspection facility terminal 55 in response to an access from the inspection facility terminal 55 of the inspection facility FC1 (S101). In this login process, the user ID and password stored in the user management table (see FIG. 6) are used to authenticate the legitimacy of the accessing user. The details of this login process are as described above.

When the legitimacy of the user is authenticated (S102; YES), the support server 10 identifies the user ID and the inspection facility ID of the logged-in user (S103). The specified inspection facility ID is stored in association with the user ID of the logged-in user in the user management table.
Subsequently, the support server 10 specifies the target date (S104). This target date is input by the user's operation on the inspection facility terminal 55, for example.

The support server 10 targets the inspection facility FC1 identified by the inspection facility ID specified in (S103), and the inspection schedule information and the radiopharmaceutical prescription information acquired from the inspection facility system 51 of the target inspection facility FC1. , And the ordering support screen is displayed on the inspection facility terminal 55 based on the subject information (S105). As a result, the reservation list display unit G10 on the ordering support screen displayed shows the reservation list of the nuclear medicine examination on the target day specified in (S104) at the target examination facility FC1.
On the displayed ordering support screen, as described above, the rule-based packaging unit is displayed as the final packaging unit, and the original packaging unit is also displayed at the same time. Furthermore, if the existence of a reserved inspection (confirmation required inspection) in which the rule-based packaging unit and the original packaging unit differ in the reservation list display unit G10 is confirmed and the confirmation required inspection exists, the ordering support screen is displayed. The ordering operation unit B10 is inactive, and the display form of the final packaging unit and the original packaging unit in the line indicating the confirmation required inspection is changed (colored) from the display form of the other lines. Further, in the reservation list display unit G10, the order target designation unit G11 of all lines is displayed as a check mark so that all reserved inspections are to be ordered.

When the support server 10 (display processing unit 12) operates the reservation list display unit G10 on the ordering support screen (S106; YES), the support server 10 (display processing unit 12) executes various processes according to the operation type (S107). The operation on the reservation list display unit G10 includes an operation performed on the order target designation unit G11, an operation performed on the operation unit G21, G22, G23 or G24 on the packaging unit confirmation screen G20, and the like.
When an operation is performed on the order target designation unit G11, the support server 10 erases the check mark display of the order target designation unit G11 (S107), and the reserved inspection in which the operation is performed is the order target. Being outside.
When an operation is performed on the operation unit G21 of the packaging unit confirmation screen G20, the support server 10 erases the packaging unit confirmation screen G20 and ends the line indicating the confirmation required inspection targeted for the operation. Change the background display of the packaging unit and the original packaging unit to the same form as other parts. As a result, the inspection requiring confirmation becomes a confirmed inspection. When an operation is performed on the operation unit G22, the support server 10 erases the packaging unit confirmation screen G20, updates the value of the final packaging unit, which has been set as the rule-based packaging unit, to the value of the original packaging unit, and performs the operation. Change the background display of the final packaging unit and the original packaging unit of the line indicating the target inspection required inspection to the same form as other parts. As a result, the inspection requiring confirmation becomes a confirmed inspection. When an operation is performed on the operation unit G23, the support server 10 displays an edit screen that allows the value of the final packaging unit to be changed, deletes the packaging unit confirmation screen G20, and then deletes the packaging unit input on the editing screen. Is set as the final packaging unit, and the background display of the final packaging unit and the original packaging unit in the line indicating the inspection required for the operation is changed to the same form as other parts. As a result, the inspection requiring confirmation becomes a confirmed inspection. When the operation unit G24 is operated, the packaging unit confirmation screen G20 is erased.

Subsequently, the support server 10 confirms whether or not the confirmation required inspection remains in the reservation list display unit G10 (S108), and if the confirmation required inspection does not remain (S108; NO), places an order. The operation unit B10 is activated (S109). On the other hand, if the confirmation required inspection remains (S108; YES), nothing is done and the ordering operation unit B10 remains inactive.
If the ordering operation unit B10 is inactive and the ordering operation is not accepted or the ordering operation is not performed (S110; NO) and the end operation unit B11 of the ordering support screen is operated (S111; YES), the support is provided. The server 10 erases (closes) the ordering support screen (S117).

On the other hand, when the ordering operation unit B10 is activated and the ordering operation is accepted (S110; YES), the support server 10 (display processing unit 12) is the ordering target in the reservation list display unit G10 of the ordering support screen. The order deadline check is executed for all the reserved inspections (S112). Specifically, the support server 10 has passed the order deadline stored in the drug information table (see FIG. 5) in the reserved inspections to be ordered shown in the reservation list display unit G10. Check if there are reserved tests that use the medicines you have.
By the way, in the present embodiment, the specific operation for the order confirmation screen (for example, the dialog display "Are you sure you want to place a batch order?") Displayed after the operation for the order operation unit B10 on the order support screen is accepted. It is an ordering operation.

If there is no reserved test that uses a drug whose order deadline has passed (S113; NO), the support server 10 (information generation unit 13) is included in the reservation list display unit G10. Generates batch ordering information for medicines used in reserved inspections set as ordering targets in the inspection group (S116). At this time, the support server 10 generates the batch ordering information, excluding the medicines used in the reserved inspection excluded from the ordering target.
The support server 10 generates batch order information for each manufacturing facility FC2 as an ordering party, which collects only the medicines manufactured in the manufacturing facility FC2, and generates the batch order information in the build-to-order manufacturing management system 52 of each manufacturing facility FC2. The bulk order information is transmitted (S116).
Then, the support server 10 erases (closes) the ordering support screen (S117).

On the other hand, if there is a reserved inspection using a drug whose order deadline has passed (S113; YES), the support server 10 (display processing unit 12) displays the order reconfirmation screen on the inspection facility terminal. It is displayed on 55 (S114). On this order reconfirmation screen, for example, a warning content is displayed together with information that can identify a reserved test using a drug whose order deadline has passed, and the user is reminded whether to continue the order operation as it is. It is confirmed.
When the continuation of the order is confirmed on the order reconfirmation screen (S115; YES), the support server 10 (information generation unit 13) generates the batch order information as described above (S116).
If the continuation of the order is denied on the order reconfirmation screen (S115; NO), nothing is done in particular. In this case, the logged-in user can place an order by performing an operation of excluding the reserved inspection using the drug whose order deadline has passed from the ordering target (S106).

[Modification example]
The above-described embodiment is an example, and the above-mentioned contents can be appropriately modified without departing from the spirit.
As mentioned above, the decision rule for determining the packaging unit of radiopharmaceuticals held in the ordering rule table, etc. is the appropriate administration of nuclear medicine examinations specified in the guidelines, etc. to reduce medical exposure due to overdose of radioactivity. It may be decided to adhere to the quantity.
Further, the support server 10 may check whether or not the final packaging unit (prescription amount) of each reserved test is equal to or less than the appropriate dose specified in the guideline or the like. In this case, the support server 10 specifies the date and time of the test and the amount of radioactivity in the final packaging unit for the medicines used in each reserved test, and uses a well-known formula using the radioactivity attenuation coefficient to inform the subject. The amount of radioactivity at the time of administration may be calculated, and it may be checked whether or not the amount of radioactivity at the time of administration is less than or equal to the appropriate dose. If the appropriate dose is stipulated by different rules depending on gender, weight, age, etc. according to the guidelines, etc., the support server 10 retains the rule and of the subject required to specify the appropriate dose. The attribute information may be acquired from the inspection facility system 51 of the inspection facility FC1.
The support server 10 makes the ordering operation unacceptable or makes the ordering operation unacceptable when there is a reserved inspection in which the packaging unit (prescription amount) exceeding the appropriate dose is determined as the final packaging unit. A warning display may be displayed accordingly.

Further, each of the above-described embodiments and modifications can be combined as long as the contents do not conflict with each other.
In addition, a part or all of the above-mentioned contents can be specified as follows. However, the above contents are not limited to the following descriptions.

(1) Information generated by the testing facility system of the target testing facility to acquire test date and time information and radiopharmaceutical information regarding the reserved test of each subject for whom a nuclear medical test is reserved at the testing facility. Acquisition department and
A display processing unit that displays a reservation list of nuclear medicine examinations within a predetermined period at the examination facility on the examination facility terminal of the examination facility based on the examination date and time information for each of the acquired reserved examinations.
When the ordering operation related to the displayed reservation list is accepted, the radiopharmaceuticals required for a plurality of reserved tests included in the reservation list based on the acquired radiopharmaceutical information for each reserved test. An information generation unit that divides and generates bulk order information for each supplier,
Radiopharmaceutical ordering support device equipped with.
(2) A rule holding unit that holds rules for determining the amount of radiopharmaceuticals prescribed to a subject,
Using the determination rule, a prescription amount determination unit that determines the first prescription amount of the radiopharmaceutical product for each reserved test included in the reservation list, and
With more
The information acquisition unit further acquires the subject information for each reserved inspection generated by the inspection facility system, and further acquires the subject information.
The radiopharmaceutical information for each reserved test acquired includes the drug type and second prescription amount of the radiopharmaceutical to be administered in each scheduled test.
The prescription amount determination unit is a determination rule corresponding to the drug type included in the subject information for each acquired reserved test and the radiopharmaceutical information for each acquired reserved test in the determination rule. The first prescription amount is determined according to
The display processing unit displays the comparison result between the first prescription amount and the second prescription amount together with the reservation list for each reserved inspection.
The radiopharmaceutical ordering support device according to (1).
(3) The display processing unit indicates both the first prescription amount and the second prescription amount for each reserved inspection in the reservation list.
The radiopharmaceutical ordering support device according to (2).
(4) When the confirmation operation for the target reserved inspection in which the first prescription amount and the second prescription amount are different is performed, the display processing unit displays the display mode of the comparison result of the target reserved inspection. Change from the display mode before the confirmation operation is performed,
In the state where the target reserved inspection for which the confirmation operation has not been performed remains, the ordering operation is not accepted, or a warning display is displayed in association with the ordering operation.
The radiopharmaceutical ordering support device according to (2) or (3).
(5) A user identification unit that specifies identification information of a user using the inspection facility terminal,
With more
The information generation unit generates the batch order information using the prescription amount of the radiopharmaceutical of the target reserved test for which the confirmation operation has been performed as the first prescription amount, and further, the user whose identification information is specified. Generate confirmation operation log information in which the information is associated with the information about the subject reserved inspection.
The radiopharmaceutical ordering support device according to (4).
(6) The information generation unit generates the batch order information using the prescription amount of the radiopharmaceutical of the target reserved inspection for which the confirmation operation has been performed as the first prescription amount, and further, the target reserved inspection. Generate change log information indicating that the prescription amount of radiopharmaceuticals has changed,
The radiopharmaceutical ordering support device according to (4) or (5).
(7) A user identification unit that identifies the identification information of the user who is using the inspection facility terminal and the identification information of the inspection facility to which the user belongs.
With more
The rule holding unit holds the determination rule for each of the plurality of inspection facilities in a state associated with the identification information of the inspection facility.
The display processing unit displays on the inspection facility terminal a decision rule setting display in which at least a part of the determination rule held in association with the identification information of the specified inspection facility can be changed.
The radiopharmaceutical ordering support device according to any one of (4) to (6).
(8) When a cancel operation for a reserved inspection included in the reservation list is performed, the display processing unit deletes the reserved inspection from the reservation list or reserves the reservation in the reservation list. Change the display mode of completed inspections
The information generation unit generates bulk order information for radiopharmaceuticals required for a plurality of reserved inspections included in the reservation list excluding the reserved inspections subject to the cancellation operation, by classifying them for each supplier. ,
The radiopharmaceutical ordering support device according to any one of (1) to (6).
(9) Deadline holding section that holds order deadline information for radiopharmaceuticals,
With more
The display processing unit checks whether or not there is a reserved inspection using a radiopharmaceutical whose order deadline indicated in the order deadline information has passed in the reservation list.
If the reservation list includes a reserved inspection using a radiopharmaceutical whose order deadline has passed, the order operation will be unacceptable, or due to the order operation. A warning message is displayed,
The radiopharmaceutical ordering support device according to any one of (1) to (8).
(10) A method for supporting the ordering of radiopharmaceuticals executed by at least one computer.
Obtain the test date and time information and radiopharmaceutical information related to the reserved tests of each subject for whom nuclear medicine tests are reserved at the test facility, which are generated by the test facility system of the target test facility.
Based on the acquired test date and time information for each reserved test, a list of reservations for nuclear medicine tests within a predetermined period at the test facility is displayed on the test facility terminal of the test facility.
When the ordering operation related to the displayed reservation list is accepted, the radiopharmaceuticals required for a plurality of reserved tests included in the reservation list based on the acquired radiopharmaceutical information for each reserved test. Collective order information for each supplier is generated separately.
How to support the ordering of radiopharmaceuticals, including that.
(11) Acquire the subject information for each reserved inspection generated by the inspection facility system, and obtain the subject information.
Using the rules for determining the prescription amount of radiopharmaceuticals for a subject held in the rule determination unit, the first prescription amount of radiopharmaceuticals is determined for each reserved test included in the reservation list.
Including that
The radiopharmaceutical information for each reserved test acquired includes the drug type and second prescription amount of the radiopharmaceutical to be administered in each scheduled test.
The determination of the first prescription amount corresponds to the drug type included in the subject information for each acquired reserved test and the radiopharmaceutical information for each acquired reserved test in the determination rule. The first prescription amount is determined according to the determination rule,
The reservation list displays the result of comparison between the first prescription amount and the second prescription amount for each reserved test.
The method for supporting the ordering of radiopharmaceuticals according to (10).
(12) The appointment list shows both the first prescription amount and the second prescription amount for each reserved test.
The method for supporting the ordering of radiopharmaceuticals according to (11).
(13) When a confirmation operation is performed for a target reserved inspection in which the first prescription amount and the second prescription amount are different, the confirmation operation is performed on the display mode of the comparison result of the target reserved inspection. Change from the previous display mode,
In the state where the target reserved inspection for which the confirmation operation has not been performed remains, the ordering operation cannot be accepted, or a warning display is displayed in association with the ordering operation.
The method for supporting the ordering of a radiopharmaceutical according to (11) or (12), further comprising the above.
(14) Identify the identification information of the user who is using the inspection facility terminal, and
The batch order information is generated by using the prescription amount of the radiopharmaceutical of the subject reserved inspection for which the confirmation operation has been performed as the first prescription amount.
Generates confirmation operation log information in which the information of the user whose identification information is specified and the information related to the target reserved inspection are associated with each other.
The method for supporting the ordering of radiopharmaceuticals according to (13).
(15) The batch order information is generated by using the prescription amount of the radiopharmaceutical of the subject reserved inspection for which the confirmation operation has been performed as the first prescription amount.
Generate change log information indicating that the prescription amount of the radiopharmaceutical for the subject reserved test has changed.
The method for supporting the ordering of a radiopharmaceutical according to (13) or (14), further comprising the above.
(16) Identify the identification information of the user using the inspection facility terminal and the identification information of the inspection facility to which the user belongs.
A decision rule setting display capable of changing the setting of at least a part of the decision rule held in the rule holding unit is displayed on the inspection facility terminal.
Including that
The rule holding unit holds the determination rule for each of the plurality of inspection facilities in a state associated with the identification information of the inspection facility.
The method for supporting the ordering of radiopharmaceuticals according to any one of (13) to (15).
(17) When a cancel operation is performed for a certain reserved inspection included in the reserved list, the reserved inspection is deleted from the reserved list, or the display mode of the reserved inspection in the reserved list is displayed. change,
Collective ordering information for radiopharmaceuticals required for a plurality of reserved inspections included in the reservation list, excluding the reserved inspections subject to the cancellation operation, is generated separately for each supplier.
The method for supporting the ordering of a radiopharmaceutical according to any one of (10) to (16), further comprising the above.
(18) It is checked whether or not there is a reserved inspection using a radiopharmaceutical whose order deadline indicated by the order deadline information held by the deadline holding unit is overdue in the reservation list.
If the reservation list includes a reserved inspection using a radiopharmaceutical whose order deadline has passed, the ordering operation will not be accepted or a warning will be given in connection with the ordering operation. Display the display,
The method for supporting the ordering of a radiopharmaceutical according to any one of (10) to (17), further comprising the above.
(19) A program for causing at least one computer to execute the radiopharmaceutical ordering support method according to any one of (10) to (18).

1 CPU
2 Memory 3 I / O I / F
4 Communication unit 8 Communication network 10 Radiopharmaceutical ordering support server (support server)
11 Information acquisition unit 12 Display processing unit 13 Information generation unit 14 Prescription amount determination unit 15 Login processing unit 16 Information storage unit 51 Inspection facility system 52 Made-to-order production management system 55 Inspection facility terminal

Claims (10)

With the information acquisition department that acquires the test date and time information and radiopharmaceutical information regarding the reserved tests of each subject for whom nuclear medicine tests are reserved at the test facility generated by the test facility system of the target test facility. ,
Based on the acquired test date and time information and radiopharmaceutical information for each reserved test, the radiopharmaceutical information for each reserved test is provided together with the reservation list for nuclear medicine tests within a predetermined period at the test facility. The display processing unit displayed on the terminal and
When an ordering operation for displaying the reservation list is accepted, a batch of radiopharmaceuticals required for a plurality of reserved tests included in the reservation list based on the acquired radiopharmaceutical information for each reserved test. An information generation unit that divides and generates ordering information for each supplier, and
Radiopharmaceutical ordering support device equipped with. A rule-holding unit that holds rules for determining the amount of radiopharmaceuticals prescribed to subjects,
Using the determination rule, a prescription amount determination unit that determines the first prescription amount of the radiopharmaceutical product for each reserved test included in the reservation list, and
With more
The information acquisition unit further acquires the subject information for each reserved inspection generated by the inspection facility system, and further acquires the subject information.
The radiopharmaceutical information for each reserved test acquired includes the drug type and second prescription amount of the radiopharmaceutical to be administered in each scheduled test.
The prescription amount determination unit is a determination rule corresponding to the drug type included in the subject information for each acquired reserved test and the radiopharmaceutical information for each acquired reserved test in the determination rule. The first prescription amount is determined according to
The display processing unit displays the comparison result between the first prescription amount and the second prescription amount together with the reservation list for each reserved inspection.
The radiopharmaceutical ordering support device according to claim 1. The display processing unit indicates both the first prescription amount and the second prescription amount for each reserved inspection in the reservation list.
The radiopharmaceutical ordering support device according to claim 2. When the confirmation operation for the target reserved inspection in which the first prescription amount and the second prescription amount are different is performed, the display processing unit performs the confirmation operation on the display mode of the comparison result of the target reserved inspection. Change from the display mode before
In the state where the target reserved inspection for which the confirmation operation has not been performed remains, the ordering operation is not accepted, or a warning display is displayed in association with the ordering operation.
The radiopharmaceutical ordering support device according to claim 2 or 3. User identification unit that identifies the identification information of the user who is using the inspection facility terminal,
With more
The information generation unit generates the batch order information using the prescription amount of the radiopharmaceutical of the target reserved test for which the confirmation operation has been performed as the first prescription amount, and further, the user whose identification information is specified. Generate confirmation operation log information in which the information is associated with the information about the subject reserved inspection.
The radiopharmaceutical ordering support device according to claim 4. The information generation unit generates the batch order information using the prescription amount of the radiopharmaceutical of the subject reserved test for which the confirmation operation has been performed as the first prescription amount, and further, the radiopharmaceutical of the subject reserved test. Generate change log information indicating that the prescription amount has changed,
The radiopharmaceutical ordering support device according to claim 4 or 5. A user identification unit that identifies the identification information of the user who is using the inspection facility terminal and the identification information of the inspection facility to which the user belongs.
With more
The rule holding unit holds the determination rule for each of the plurality of inspection facilities in a state associated with the identification information of the inspection facility.
The display processing unit displays on the inspection facility terminal a decision rule setting display in which at least a part of the determination rule held in association with the identification information of the specified inspection facility can be changed.
The radiopharmaceutical ordering support device according to any one of claims 4 to 6. When a cancel operation for a reserved inspection included in the reservation list is performed, the display processing unit deletes the reserved inspection from the reservation list, or the display processing unit deletes the reserved inspection from the reservation list or, when the reserved inspection in the reservation list is performed. Change the display mode,
The information generation unit generates bulk order information for radiopharmaceuticals required for a plurality of reserved inspections included in the reservation list excluding the reserved inspections subject to the cancellation operation, by classifying them for each supplier. ,
The radiopharmaceutical ordering support device according to any one of claims 1 to 6. Deadline holding section, which holds order deadline information for radiopharmaceuticals,
With more
The display processing unit checks whether or not there is a reserved inspection using a radiopharmaceutical whose order deadline indicated in the order deadline information has passed in the reservation list.
If the reservation list includes a reserved inspection using a radiopharmaceutical whose order deadline has passed, the order operation will be unacceptable, or due to the order operation. A warning message is displayed,
The radiopharmaceutical ordering support device according to any one of claims 1 to 8. A method of supporting the ordering of radiopharmaceuticals that is executed by at least one computer.
Obtain the test date and time information and radiopharmaceutical information related to the reserved tests of each subject for whom nuclear medicine tests are reserved at the test facility, which are generated by the test facility system of the target test facility.
Based on the acquired test date and time information and radiopharmaceutical information for each reserved test, the radiopharmaceutical information for each reserved test is provided together with the reservation list for nuclear medicine tests within a predetermined period at the test facility. Display on the terminal
When an ordering operation for displaying the reservation list is accepted, a batch of radiopharmaceuticals required for a plurality of reserved tests included in the reservation list based on the acquired radiopharmaceutical information for each reserved test. Generate ordering information separately for each supplier,
How to support the ordering of radiopharmaceuticals, including that.

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