JP2021099746A - Medical information processing system - Google Patents

Abstract

To provide a technique that can manage diagnosis records of doctors.SOLUTION: A first examination information acquisition unit 24 acquires first examination information on an endoscope examination provided from an endoscope observation device. A second examination information acquisition unit 26 acquires second examination information on an endoscope examination provided from a terminal device. A cleaning information acquisition unit 28 acquires cleaning information on cleaning of an endoscope provided from the cleaning device. A relation unit 30 relates the first examination information and the second examination information on an examination done by a doctor to cleaning information of the endoscope used for the examination.SELECTED DRAWING: Figure 5

Description

The present invention relates to a technique required to derive the number of endoscopy performed by a doctor.

In order for a doctor to become a specialist, he / she must achieve a prescribed medical record within the training period. Before taking a specialist examination, doctors who aim to become specialists (hereinafter referred to as "residents") need to collect their own medical records and obtain approval from their instructor. Ask them to provide performance information including. If the intern has worked at multiple facilities in the past, it is necessary to have each facility provide performance information.

Patent Document 1 stores training status information regarding the achievements of multiple residents belonging to hospitals to be certified as specialists, and the number of remaining cases that must be experienced for a predetermined disease is large compared to the remaining period of training. Disclose the in-charge doctor determination device that preferentially determines the intern doctor as the in-charge doctor of the patient.

Japanese Unexamined Patent Publication No. 2018-136863

The medical facility is provided with a medical information processing system that collects examination information including examination type information, identification information of the performing doctor, identification information of the endoscope used, and the like from an endoscopic observation device. If the medical information processing system can acquire the examination information from all the endoscopic observation devices in the medical facility, the medical treatment results of the doctor will be surely managed. However, when there are endoscopic observation devices of various manufacturers, it is possible to obtain appropriate examination information from one endoscopic observation device for management of medical treatment results, but from another endoscopic observation device, management of medical treatment results. There may be situations where appropriate inspection information cannot be obtained. Therefore, in medical facilities, it is preferable to be able to manage the medical treatment results of doctors by using information other than the examination information acquired from the endoscopic observation device.

The present invention has been made in view of such a situation, and an object of the present invention is to provide a technique for managing the medical treatment results of a doctor.

In order to solve the above problems, the medical information processing system according to an aspect of the present invention includes a first examination information acquisition unit for acquiring first examination information related to endoscopy provided by an endoscopic observation device, and a terminal. A second inspection information acquisition unit that acquires the second inspection information related to the endoscopic examination provided by the device, a cleaning information acquisition unit that acquires the cleaning information related to the cleaning of the endoscope provided by the cleaning device, and one person. It is provided with an association unit that associates the first examination information and the second examination information regarding the examination performed by the doctor with the cleaning information of the endoscope used in the examination of the doctor.

Any combination of the above components and a conversion of the expression of the present invention between methods, devices, systems, recording media, computer programs, etc. are also effective as aspects of the present invention.

According to the present invention, it is possible to provide a technique for managing the medical treatment results of a doctor.

It is a figure which shows the structure of the medical information processing system which concerns on Example. It is a figure which shows the medical care performance standard. It is a figure which shows the example of the inspection record screen. It is a figure which shows the state which the inspection information was input to the inspection record screen. It is a figure which shows the functional block of the management server. It is a figure which shows the example of the 1st inspection information recorded in the 1st inspection information recording part. It is a figure which shows the example of the 2nd inspection information recorded in the 2nd inspection information recording part. It is a figure which shows the example of the cleaning information recorded in the cleaning information recording unit. It is a figure which shows the example of the 1st inspection information, the 2nd inspection information, and the cleaning information associated with by the association part. It is a figure which shows an example of the association result. It is a figure which shows the modification of the medical information processing system.

FIG. 1 shows the configuration of the medical information processing system 1 according to the embodiment. The medical information processing system 1 of the embodiment is provided in a medical facility such as a hospital. Identification information (scope ID) is given to the endoscopes 3a and 3b (hereinafter, referred to as "endoscope 3" unless otherwise specified) used in medical facilities, and each endoscope 3 is assigned. An ID tag recording the scope ID is attached. Identification information (doctor ID) for identifying oneself is given to a doctor working in a medical facility, and the doctor carries an ID card recording the doctor ID.

The management server 10 has a function of deriving the medical treatment results of doctors, especially trainees, from the information (examination information) regarding the performed endoscopy and the information (cleaning information) regarding the cleaning of the endoscope. In order for a trainee to become a specialist, it is necessary to meet a predetermined medical treatment performance standard, and the management server 10 can derive the medical treatment performance of the trainee and provide it to the trainee when receiving a request from the trainee. As will be described later, the medical facility may transmit the examination information and the cleaning information to an external aggregation server connected via the Internet, and the aggregation server may derive the medical treatment results aggregated by the trainee doctor.

FIG. 2 shows the clinical performance standards set by the Japan Gastroenterological Endoscopy Society. Residents are required to meet the number of examinations indicated in the clinical performance standard within the training period of 5 years or more. Therapeutic endoscopy is required to include three procedures: resection, hemostasis, and stenosis dilation / stent insertion. Therefore, when deriving the medical treatment results of doctors, the management server 10 distinguishes between endoscopy of the upper gastrointestinal tract and endoscopy of the lower gastrointestinal tract, totals the number of examinations, and also records the results of treatment endoscopy. Need to be aggregated.

In medical facilities, a plurality of endoscopic observation devices 4a and 4b (hereinafter, referred to as "endoscopic observation device 4" unless otherwise specified) are used. The number of examination rooms may be three or more, and the endoscopic observation device 4 used may also be three or more. In medical facilities, it is rare that a plurality of endoscope observation devices 4 are all of the same type, and a plurality of endoscopes are used because they are made by different manufacturers or even if they are made by the same manufacturer but different models. The functions of the mirror observation device 4 are different. It is preferable that all of the plurality of endoscopic observation devices 4 can provide the management server 10 with examination information regarding the performed endoscopic examination, but some of them cannot provide the examination information or some of the examination information. There may be something that only provides.

In FIG. 1, an endoscopic observation device 4a is arranged in the examination room a. Before the start of the examination, the endoscope 3a is connected to the endoscope observation device 4a. The endoscopic observation device 4a includes an ID reading device 5 for reading the doctor ID of the doctor performing the examination, and before the start of the examination, the doctor holds his / her ID card over the ID reading device 5 to hold the doctor ID. Let me read it. The endoscope observation device 4a automatically acquires the scope ID from the connected endoscope 3a, and also acquires the doctor ID from the ID reading device 5. When the endoscope observation device 4a does not have the scope ID automatic acquisition function, the doctor or the medical staff may hold the ID tag of the endoscope 3a over the ID reading device 5 to read the scope ID. When the treatment tool is used in the examination, the medical staff has the ID reading device 5 read the treatment tool ID printed or glued on the sterile bag of the treatment tool. When the inspection start button is pressed, the endoscopic observation device 4a acquires the inspection start time, and when the inspection end button is pressed, the endoscopic observation device 4a acquires the inspection end time.

The endoscope observation device 4a transmits the scope ID, the doctor ID, the treatment tool ID, the examination start time, and the examination end time to the management server 10 in association with the examination order information. The order information includes information such as a test type, identification information (patient ID) for identifying a patient, a scheduled test start time, and a scheduled test end time. The endoscopic observation device 4a may transmit these information collectively at the end of the examination, or may transmit the information each time the information is acquired. The management server 10 records information related to these inspections as inspection information.

An endoscopic observation device 4b is arranged in the examination room b. Before the start of the examination, the endoscope 3b is connected to the endoscope observation device 4b. Unlike the endoscopic observation device 4a, the endoscopic observation device 4b does not have an ID reading device 5 that reads a doctor ID or a treatment tool ID. Therefore, the endoscopic observation device 4b cannot acquire at least the doctor ID of the inspecting doctor and the treatment tool ID of the treatment tool used in the examination, and cannot send the ID to the management server 10. The endoscopic observation device 4b can transmit the inspection start time and the inspection end time to the management server 10 in association with the inspection order information, but even such information cannot be transmitted to the management server 10. May be present in the medical facility.

As described above, the endoscopic observation device 4a has a function of transmitting sufficient examination information to the management server 10 for managing the medical treatment results of the doctor, while the endoscopic observation device 4b has the medical treatment results of the doctor. It does not have a function of transmitting sufficient inspection information to the management server 10 to manage the above. Therefore, the management server 10 cannot manage the medical treatment results of the trainee doctor only from the examination information transmitted from the endoscopic observation device 4. Therefore, in the medical information processing system 1 of the embodiment, the trainee carries a terminal device 9 such as a tablet device, inputs information (inspection information) related to the inspection performed by himself / herself into the terminal device 9, and registers it in the management server 10. To do. The terminal device 9 may be carried by the trainee, but may be arranged in each examination room.

The terminal device 9 of the embodiment has a wireless communication function and connects to the management server 10 via an access point AP8. When the trainee completes the endoscopy in the examination room, the trainee displays the examination record screen on the display of the terminal device 9 and inputs the examination information. The terminal device 9 may have a touch panel.

FIG. 3 shows an example of an inspection record screen. Resident A logs in to the terminal device 9 and displays the examination record screen. The following input items are provided on the inspection record screen.
・ Examination start time ・ Examination end time ・ Type ・ Treatment details ・ Patient ID

The inspection start time is entered in the inspection start time input field, and the inspection end time is entered in the inspection end time input field. In the type input field, information indicating whether the examination is upper endoscopy or lower endoscopy is input. For example, when Resident A taps the type input field, options for upper examination or lower examination may be displayed.

Information about the treatment performed during the examination is input in the treatment content input field. The medical information system 1 of the embodiment aims to manage the medical treatment results of the trainee doctor, and therefore, in the input field of the treatment content, any of the three procedures of excision, hemostasis, stenosis dilation, and stent insertion. Information about the stent is entered. If no action has been taken, "no action" is entered in the action content input field. For example, when the trainee A taps the input field of the treatment content, options of excision, hemostasis, stenosis dilation / stent insertion, and no treatment may be displayed. In the patient ID input field, the ID of the patient to be examined is input. For example, the patient ID may be input to the input field by connecting a portable ID reader to the terminal device 9 and reading the patient ID recorded on the patient's wristband with the ID reader.

FIG. 4 shows a state in which inspection information is input to the inspection record screen. When the trainee A inputs information in all items and taps the registration button, the terminal device 9 transmits the input information to the management server 10, and the management server 10 records the received information as inspection information. To do.

As described above, the endoscopic observation device 4a has a function of transmitting sufficient examination information to the management server 10 for managing the medical treatment results, while the endoscopic observation device 4b is the doctor who performed the examination. The doctor ID cannot be transmitted to the management server 10. Therefore, in the medical facility, as a rule of use of the terminal device 9, when the trainee uses the endoscopic observation device 4b, the examination information is input to the terminal device 9 and transmitted to the management server 10, and the endoscopic observation device is transmitted. When 4a is used, a rule may be defined that inspection information is not input to the terminal device 9.

However, if such a rule is made, the trainee must be careful about the type of endoscopic observation device 4 to be used every time. In particular, recently, the endoscopic observation device 4 may be mounted on a portable trolley and moved between examination rooms, and the examination room and the type of the endoscopic observation device 4 are associated one-to-one with each other. Absent. Therefore, the trainee does not check the type of the endoscopic observation device 4 every time to determine whether or not to input the examination information into the terminal device 9, but rather it is related to the type of the endoscopic observation device 4. It is desirable to input the examination information into the terminal device 9 every time from the viewpoint of reliable management of medical treatment results. Therefore, in the medical information processing system 1 of the embodiment, an operation is adopted in which the trainee carries the terminal device 9 and at the timing when the test is completed, the test information is always input to the terminal device 9 and transmitted to the management server 10. .. By this operation, ideally, the management server 10 can manage the medical treatment results of the trainee doctor only by recording the examination information transmitted from the terminal device 9.

However, when many tests are performed in one day, the trainee may forget to input to the terminal device 9 due to his busy schedule. Therefore, managing the medical treatment results of the trainee doctor only by the examination information transmitted from the terminal device 9 is not perfect in consideration of human error such as forgetting to input. Therefore, the management server 10 of the embodiment is provided with a mechanism for managing the medical treatment results of the trainee doctor based on various information including the examination information transmitted from the terminal device 9.

The cleaning chamber is provided with at least a plurality of cleaning devices 6a and 6b (hereinafter, referred to as "cleaning device 6" unless otherwise specified). The cleaning device 6 has the same circumstances as the endoscopic observation device 4, and the functions of the plurality of cleaning devices 6 are different because the manufacturers are different or the models are different even if the manufacturers are the same.

The cleaning device 6a includes an ID reading device 7 for reading the scope ID of the endoscope 3, and before the start of cleaning, the medical staff holds the ID tag of the endoscope 3 used in the examination over the ID reading device 7. And read the scope ID. In the medical information processing system 1, a recording medium for temporarily recording the doctor ID of the doctor who performed the examination and the patient ID of the inspected patient is attached to the endoscope 3 used in the examination. This recording medium may be attached to the endoscope 3 by a trainee who has completed the examination. Before the start of cleaning, the medical staff holds the recording medium over the ID reading device 7 to read the doctor ID and the patient ID. The reading of the doctor ID and the patient ID from the recording medium may be performed by another ID reading device. It is preferable that the ID tag of the scope ID and the recording medium for recording the doctor ID and the like are waterproofed and placed in the washing tank together with the endoscope 3, but when the waterproofing is not applied. The ID tag and recording medium need to be removed from the endoscope 3 before the start of cleaning.

When the medical staff sets the endoscope 3 in the cleaning tank, selects a cleaning program, and presses the cleaning start button, the cleaning device 6a cleans the endoscope 3 according to the cleaning program. When the cleaning start button is pressed, the cleaning device 6a transmits the scope ID read by the ID reading device 7 to the management server 10 together with the cleaning start time. When the doctor ID and the patient ID are read, these information are also transmitted to the management server 10. Then, when the cleaning is completed, the cleaning device 6a transmits the cleaning end time to the management server 10.

On the other hand, the cleaning device 6b does not include an ID reading device 7 for reading the scope ID of the endoscope 3. Therefore, the cleaning device 6b does not acquire ID information such as the scope ID, the doctor ID, and the patient ID.

As described above, the cleaning device 6a has a function of transmitting cleaning information including ID information such as a scope ID, a doctor ID, and a patient ID to the management server 10, while the cleaning device 6b transmits the ID information to the management server 10. It does not have a function to send. As described above, a plurality of cleaning devices 6 having different functions exist in the cleaning chamber.

FIG. 5 shows a functional block of the management server 10. The management server 10 includes a processing unit 20 and a recording unit 50. The processing unit 20 includes an information acquisition unit 22, an association unit 30, an association result presentation unit 32, and a derivation unit 34, and the information acquisition unit 22 includes a first inspection information acquisition unit 24, a second inspection information acquisition unit 26, and cleaning information. It has an acquisition unit 28. The recording unit 50 is an auxiliary storage device such as an HDD or SSD, and includes a first inspection information recording unit 52, a second inspection information recording unit 54, and a cleaning information recording unit 56.

These configurations can be realized by any processor, memory, auxiliary storage device, or other LSI in terms of hardware, and can be realized by programs loaded in memory in terms of software. It depicts a functional block realized by. Therefore, it will be understood by those skilled in the art that these functional blocks can be realized in various ways by hardware only, software only, or a combination thereof.

The first inspection information acquisition unit 24 acquires inspection information related to endoscopy provided by the endoscopy observation device 4. Hereinafter, the inspection information provided by the endoscopic observation device 4 will be referred to as "first inspection information". The first inspection information acquisition unit 24 records the acquired first inspection information in the first inspection information recording unit 52.

FIG. 6 shows an example of the first inspection information recorded in the first inspection information recording unit 52. The first examination information includes an examination ID, an examination date, an examination start time, an examination end time, an examination type, a doctor ID, a scope ID, a treatment tool ID, and a patient ID. The first inspection information recording unit 52 assigns an inspection number to the first inspection information and manages it. In this first examination information, it is shown that the intern doctor A has performed the upper examination of examination numbers 1_7 and 1_10.

In the first test information, the test information of test numbers 1_2, 1_5, 1_9 does not include a doctor ID. As described above, these examination information is provided by the endoscopic observation device 4b, and the endoscopic observation device 4b without the ID reading device 5 cannot transmit the doctor ID of the practitioner. Therefore, if doctor A has performed the examinations of examination numbers 1_2, 1_5, 1_9, that cannot be specified from the first examination information.

The second inspection information acquisition unit 26 acquires inspection information related to endoscopy provided by the terminal device 9. Hereinafter, the inspection information provided by the terminal device 9 will be referred to as "second inspection information". The second inspection information acquisition unit 26 records the acquired second inspection information in the second inspection information recording unit 54.

FIG. 7 shows an example of the second inspection information recorded in the second inspection information recording unit 54. The second examination information includes a doctor ID, an examination date, an examination start time, an examination end time, an examination type, a treatment content, and a patient ID. The second inspection information recording unit 54 assigns an inspection number to the second inspection information and manages it. In the medical facility of the embodiment, only the trainee carries the terminal device 9, and the test information carried out by the trainee is registered from the terminal device 9 to the management server 10. If there are a plurality of residents in the medical facility, the second examination information recording unit 54 records the second examination information of the plurality of residents.

The cleaning information acquisition unit 28 acquires cleaning information regarding cleaning of the endoscope provided by the cleaning device 6. The cleaning information acquisition unit 28 records the acquired cleaning information in the cleaning information recording unit 56.

FIG. 8 shows an example of cleaning information recorded in the cleaning information recording unit 56. The cleaning information includes a cleaning date, a cleaning start time, a cleaning end time, a scope ID, a doctor ID, and a patient ID. The cleaning information recording unit 56 assigns a cleaning number to the cleaning information and manages it. In the embodiment, when the trainee performs the endoscopy, a recording medium on which the doctor ID and the patient ID are temporarily recorded is attached to the used endoscope 3. The endoscope 3 to which the recording medium is attached is brought from the examination room to the washing room, and the medical staff holds the recording medium over the ID reading device 7 to read the doctor ID and the patient ID. By reading the doctor ID and the patient ID in this way, the cleaning information of the endoscope 3 used by the trainee doctor A includes the doctor ID and the patient ID.

The association unit 30 associates the first examination information and the second examination information regarding the examination performed by one doctor A with the cleaning information of the endoscope used in the examination of the doctor A. Hereinafter, the association unit 30 associates the first examination information shown in FIG. 6, the second examination information shown in FIG. 7, and the cleaning information shown in FIG. 8 with the examination performed by the doctor A on June 3, 2019. An example of processing is shown. As a preliminary step of the association process, the association unit 30 extracts the first examination information, the second examination information, and the cleaning information regarding the doctor A.

The association unit 30 extracts the examination performed by the doctor A from the first examination information recorded in the first examination information recording unit 52. Specifically, the association unit 30 refers to the doctor ID included in the first examination information and extracts the examination including the doctor A. In the first inspection information shown in FIG. 6, the inspections extracted are the inspections of inspection numbers 1_7 and 1_10.

The association unit 30 extracts the examination performed by the doctor A from the second examination information recorded in the second examination information recording unit 54. Specifically, the association unit 30 refers to the doctor ID included in the second examination information and extracts the examination including the doctor A. Note that FIG. 7 shows only the second examination information by the doctor A, but when there are other residents, the second examination information recording unit 54 contains the second examination information by the other residents. Will also be included. In the second inspection information shown in FIG. 7, the inspections extracted are the inspections of inspection numbers 2_1 and 2_2.

The association unit 30 identifies the cleaning process of the endoscope 3 used in the examination performed by the doctor A from the cleaning information recorded in the cleaning information recording unit 56. Specifically, the association unit 30 refers to the doctor ID included in the cleaning information and extracts the cleaning information including the doctor A. In the cleaning information shown in FIG. 8, the extracted cleaning process is the cleaning process of cleaning numbers 3_8 and 3_10.

As described above, the association unit 30 is based on the first inspection information, the second inspection information, and the cleaning information dated June 3, 2019. The cleaning process of 3_10 is extracted, and a process of associating them is carried out. The association process is performed so that one test performed by doctor A is not mistakenly counted as two or three tests. That is, the association process is a process of collecting the first inspection information, the second inspection information, and the cleaning information related to one inspection so that they can be counted as one inspection. Various methods for performing the association process can be considered, but in the embodiment, the process of associating the first inspection information and the cleaning information with the second inspection information as the axis will be described.

The association unit 30 determines whether the first inspection information and cleaning information associated with the inspection of inspection number 2_1 exist. Here, the inspection of inspection number 2_1 includes the following inspection information.
・ Inspection date 2019/6/3
・ Inspection start time 10:00
・ Inspection end time 10:35
・ Examination type Upper examination ・ Treatment details Hemostasis ・ Patient ID 734512

The association unit 30 examines the examinations including the same patient ID as the examination of examination number 2_1 among the examinations of examination numbers 1_7 and 1_10 included in the first examination information. Here, since the patient ID of the examination of examination number 1_1 matches the patient ID of the examination of examination number 2_1, the association unit 30 associates the examination of examination number 1_7 with the examination of examination number 2_1.

The association unit 30 examines the cleaning process including the same patient ID as the examination of examination number 2_1 among the cleaning processes of cleaning numbers 3_8 and 3_10 included in the cleaning information. Here, since the patient ID of the cleaning process of cleaning number 3_1 matches the patient ID of the examination of examination number 2_1, the association unit 30 associates the cleaning processing of cleaning number 3_8 with the examination of examination number 2_1.

The association unit 30 also carries out the above processing for the inspection of the inspection number 2_2. As a result, the association unit 30 associates the inspection with the inspection number 2_2 with the inspection with the inspection number 1_10 and the cleaning process with the cleaning number 3_10.

FIG. 9 shows an example of the first inspection information, the second inspection information, and the cleaning information associated by the association unit 30. In this way, the association unit 30 can accurately identify the examination performed by the doctor A by associating the first examination information, the second examination information, and the cleaning information. According to the association result shown in FIG. 9, on June 3, 2019, Doctor A performed two upper examinations, and one of them performed hemostasis, which is managed as a result.

The above is an ideal case for carrying out the association process. In this ideal case, the endoscopic observation device 4 transmits the first examination information sufficient for managing the medical treatment results of the trainee doctor to the management server 10, and the doctor A who is the trainee doctor sends his / her own examination information. It is input to the terminal device 9 without forgetting, and the cleaning device 6 transmits the doctor ID and the patient ID of the trainee doctor to the management server 10 as cleaning information.

However, in medical facilities, not all endoscopic observation devices 4 can transmit sufficient first examination information to the management server 10 to manage medical treatment results, and not all cleaning devices 6 are trainee doctors. The doctor ID and the patient ID cannot be transmitted to the management server 10 as cleaning information. Further, in the embodiment, the trainee carries the terminal device 9 and inputs his / her own second examination information to the terminal device 9, but the trainee may forget to input the second examination information. The association unit 30 of the embodiment appropriately manages the medical treatment results of the trainee by using the first examination information and / or the cleaning information even when the second examination information cannot be acquired.

In the above processing example, the association unit 30 performed the association processing based on the matching of the patient IDs. In the association process, seeing the match of the patient ID is equally very effective as seeing the match of the tests, but the first test information and the cleaning information may not include the patient ID. The correspondence in that case will be described below.

The association unit 30 examines the examinations including the same patient ID as the examination of examination number 2_1 among the examinations of examination numbers 1_7 and 1_10 included in the first examination information. Here, if the test information of the test number 1_7 does not include the patient ID, the association unit 30 cannot identify the test having the same patient ID. At this time, the association unit 30 refers to the items of the inspection start time, the inspection end time, and the inspection type, and checks the inspection that matches the inspection of the inspection number 2_1. Regarding these items, since the inspection of inspection number 1_7 matches the inspection of inspection number 2_1, the association unit 30 associates the inspection of inspection number 1_7 with the inspection of inspection number 2_1. Regarding the inspection of inspection number 1_1, since the inspection start time and inspection end time are different from the inspection start time and inspection end time of inspection number 2_1, the association unit 30 indicates that the inspection of inspection number 1_1 is different from the inspection of inspection number 2_1. Determine that they are different.

If the inspection information of the inspection number 1_1 does not include the inspection start time and the inspection end time, the association unit 30 examines the item including the information corresponding to the treatment content of the inspection number 2_1. When the association unit 30 extracts the treatment tool ID “CD0002” included in the inspection information of the inspection number 1_7, the association unit 30 refers to the master table (not shown) of the treatment tool and specifies the treatment content corresponding to “CD0002”. .. The master table associates the treatment tool ID with the treatment content. If the specified treatment content is "hemostatic surgery", the association unit 30 may associate the examination with examination number 1_1 with the examination with examination number 2_1.

Regarding the cleaning information, the association unit 30 examines the cleaning processing including the same patient ID as the examination of examination number 2_1 among the cleaning processes of cleaning numbers 3_8 and 3_10 included in the cleaning information. Here, if the cleaning information of cleaning numbers 3_8 and 3_10 does not include the patient ID, the association unit 30 cannot identify the cleaning process in which the patient ID matches. At this time, the association unit 30 extracts the scope ID “AAA0004” from the inspection information of the inspection number 1_1 associated with the inspection of the inspection number 2_1, and specifies the cleaning information including the extracted scope ID. This scope ID is included in the cleaning information of cleaning number 3_8, and the association unit 30 associates the inspection of inspection number 1_7 with the cleaning process of cleaning number 3_8, and therefore the inspection of inspection number 1_7 and the inspection of inspection number 2_1. Is associated with the cleaning process of cleaning number 3_8.

When associating the first inspection information with the cleaning information, it is preferable that the association unit 30 takes into consideration the time difference between the inspection end time of the inspection of inspection number 1_7 and the cleaning start time of the cleaning process of cleaning number 3_8. In the embodiment, the first inspection information, the second inspection information, and the cleaning information are all information on the same day (June 3). For example, the inspection date of the inspection of inspection number 1_7 and the cleaning treatment of cleaning number 3_8 If the cleaning date is different, the associating unit 30 does not associate the inspection with inspection number 1_7 with the cleaning treatment with cleaning number 3_8. Further, even when the cleaning start time of the cleaning number 3_8 is earlier than the inspection end time of the inspection of the inspection number 1_7, the association unit 30 does not associate the inspection of the inspection number 1_7 with the cleaning process of the cleaning number 3_8. Therefore, the association unit 30 determines the inspection and cleaning number of inspection number 1_7 when the cleaning start time of the cleaning process of cleaning number 3_8 is within a predetermined time (for example, 3 hours) after the inspection end time of the inspection of inspection number 1_7. It may be associated with the cleaning process of 3_8.

As described above, the association unit 30 associates the first inspection information, the second inspection information, and the cleaning information by using the information of various items.
FIG. 10 shows an example of the associated result. In this result, in the inspections of inspection numbers 1, 2 and 7, all of the first inspection information, the second inspection information, and the cleaning information are associated with each other.

In the inspection of the inspection number 3, the first inspection information and the cleaning information are not associated with the inspection number 2_3. This is because the endoscopic observation device 4 used in the examination does not provide the management server 10 with sufficient first examination information for managing the medical treatment results, and the cleaning device 6 also has sufficient cleaning for managing the medical treatment results. This is a case where the information is not provided to the management server 10.

In the inspection of inspection number 4, cleaning number 3_18 is associated with inspection number 1_18. Originally, the doctor A should have input the performed test information from the terminal device 9, and there is no first test information or cleaning information that is not related to the second test information. However, if the doctor A forgets to input the test information of the performed test, the first test information and cleaning information that are not related to the second test information are extracted. This means that the association unit 30 was able to extract the inspection of inspection number 4, which cannot be picked up only from the second inspection information, by referring to the first inspection information and / or the cleaning information.

In the inspection of inspection number 5, cleaning number 3_25 is associated with inspection number 2_4, and in the inspection of inspection number 6, inspection number 1_30 is associated with inspection number 2_5.

In the bottom column shown in FIG. 10, the inspection of examination number 8 performed by the doctor A is specified by the cleaning treatment of cleaning number 3_45. When the cleaning information of cleaning number 3_45 includes the doctor ID of doctor A, while the first examination information and the second examination information associated with the cleaning information of cleaning number 3_45 do not exist, the association unit 30 cleans. The cleaning information numbered 3_45 identifies the test performed by Doctor A. This is a case where the doctor A forgets to input the examination information into the terminal device 9, and the endoscopic observation device 4 used in the examination cannot output sufficient examination information for managing the medical treatment results. Similar to the examination of examination number 4, the management of medical results does not rely only on the second examination information, but also includes cleaning information, so that the association unit 30 picks up the examination of examination number 8 as medical results. Is done.

The association result presentation unit 32 has a function of presenting the result of the association by the association unit 30. The association result presentation unit 32 may present the association result to the instructor of the trainee doctor. For example, the association result presentation unit 32 may display the result shown in FIG. 10 on the terminal device of the instructor. At this time, the instructor preferably can change the result of the association, and may change the information that is erroneously associated or that is not erroneously associated.

The derivation unit 34 derives the number of examinations performed by the doctor A from the result of the association by the association unit 30. At this time, it is preferable that the out-licensing unit 34 outputs the out-licensed result of the number of examinations in a format conforming to the medical practice performance standard shown in FIG. The processing unit 20 may carry out the association processing and the derivation process of the number of examinations based on the request from the doctor A, but for example, the number of examinations may be derived periodically and provided to the trainee doctor, or the medical treatment may be performed. The trainee may be notified when the performance criteria are met.

The present invention has been described above based on examples. This embodiment is an example, and it is understood by those skilled in the art that various modifications are possible for each of these components and combinations of each processing process, and that such modifications are also within the scope of the present invention. ..

In the embodiment, the case where the medical information processing system 1 is a system in a medical facility has been described, but it may be a system composed of a plurality of medical facilities.
FIG. 11 shows a modified example of the medical information processing system 1 in which the management server 10 acquires various information from a plurality of medical facilities and aggregates the information. Each medical facility transmits the first examination information, the second examination information, and the cleaning information to the management server 10, and the management server 10 records the received first examination information, the second examination information, and the cleaning information in the recording unit 50. To do. When the trainees are working at a plurality of medical facilities, the management server 10 operates as a totaling server that aggregates the medical treatment results of the trainees at the plurality of medical facilities, and a system highly convenient for the trainees is constructed. ..

1 ... Medical information system, 3a, 3b ... Endoscope, 4a, 4b ... Endoscopic observation device, 6a, 6b ... Cleaning device, 9 ... Terminal device, 10 ... -Management server, 20 ... Processing unit, 22 ... Information acquisition department, 24 ... 1st inspection information acquisition department, 26 ... 2nd inspection information acquisition department, 28 ... Cleaning information acquisition department, 30 ... Association unit, 32 ... Association result presentation unit, 34 ... Derivation unit, 50 ... Recording unit, 52 ... First inspection information recording unit, 54 ... Second inspection information recording Department, 56 ... Cleaning information recording unit.

Claims (5)

The first examination information acquisition unit that acquires the first examination information related to endoscopy provided by the endoscopy observation device, and
The second inspection information acquisition unit that acquires the second inspection information related to endoscopy provided by the terminal device,
A cleaning information acquisition unit that acquires cleaning information related to cleaning the endoscope provided by the cleaning device,
An association unit that associates the first and second examination information regarding the examination performed by one doctor with the cleaning information of the endoscope used in the examination of the doctor.
A medical information processing system characterized by being equipped with. The association unit associates the first examination information with the second examination information by using the doctor ID included in the first examination information and the doctor ID included in the second examination information.
The medical information processing system according to claim 1. The cleaning information of the endoscope includes the doctor ID of the doctor who used the endoscope.
The medical information processing system according to claim 2, wherein the medical information processing system is characterized. A derivation unit for deriving the number of examinations performed by the doctor from the result of the association by the association unit is further provided.
The medical information processing system according to claim 1. An association result presentation unit that presents the result of the association by the association unit is further provided.
The medical information processing system according to claim 1.

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