JP2022067516A - Information processing method, information processing system and program - Google Patents

Abstract

To provide an information processing method and the like with which it is possible to grasp a progress state of an examination performed by an external examination institute, outside of a medical institute.SOLUTION: A computer obtains an examination result of a first examination which has been performed on a sample by a first institute. The computer also obtains progress information of a second examination which is performed on the sample by a second institute which differs from the first institute. Then the computer outputs the examination result of the first examination which has been performed on the sample in association with the progress information of the second examination which is performed on the sample.SELECTED DRAWING: Figure 1

Description

The present disclosure relates to information processing methods, information processing systems and programs.

At medical institutions, in order for doctors to diagnose a patient's medical condition, a sample test is performed on a sample collected from the patient. Specimen testing can be performed not only in the laboratory inside the medical institution but also in a testing institution outside the medical institution, and many medical institutions outsource part of the sample testing to an external testing institution. Patent Document 1 proposes a system capable of appropriately performing improvement measures for efficiently processing operations by accurately grasping the situation regarding clinical examination-related operations performed at a medical institution or a laboratory. ing.

Japanese Patent No. 5613495

The system disclosed in Patent Document 1 can improve the efficiency of clinical examination-related work in medical institutions and inspection institutions. However, in the case of sample testing outsourced to an external testing institution, it takes time for the test results to reach the medical institution because the sample must be transported to the testing institution. In addition, there is a problem that the medical institution cannot grasp the inspection result and the progress of the inspection at the inspection institution until the inspection result is reported by the inspection institution.

This disclosure has been made in view of such circumstances, and its purpose is to provide an information processing method, etc. that can grasp the progress of inspections performed at an inspection institution outside the medical institution. To do.

The information processing method according to one aspect of the present disclosure obtains the test results of the first test performed on the sample at the first institution, and is performed on the sample at a second institution different from the first institution. The computer executes a process of acquiring the progress information of the second test and outputting the test result of the first test and the progress information of the second test for the sample in association with each other.

In this disclosure, it is possible to grasp the progress of tests conducted by a testing institution outside the medical institution.

It is a schematic diagram which shows the configuration example of an information processing system. It is a schematic diagram which shows the outline of the processing in an information processing system. It is a block diagram which shows the configuration example of a server. It is a schematic diagram which shows the structural example of a patient DB. It is a schematic diagram which shows the structural example of the inspection set DB. It is a block diagram which shows the structural example of a medical institution terminal and an inspection institution terminal. It is a flowchart which shows an example of an order processing procedure. It is a schematic diagram which shows the screen example. It is a flowchart which shows an example of the registration processing procedure. It is a schematic diagram which shows the screen example. It is a flowchart which shows an example of a browsing process procedure. It is a schematic diagram which shows the screen example. It is a flowchart which shows an example of the browsing processing procedure of Embodiment 2. It is a schematic diagram which shows the screen example. It is a flowchart which shows an example of the browsing processing procedure by an inspection institution terminal. It is a schematic diagram which shows the screen example. It is a schematic diagram which shows the structural example of the additional inspection rule DB. It is a flowchart which shows an example of the browsing processing procedure of Embodiment 4. It is a schematic diagram which shows the screen example. It is a schematic diagram which shows the screen example.

The information processing method, information processing system, and program of the present disclosure will be described in detail below with reference to drawings showing embodiments thereof.

(Embodiment 1)
An information processing system that shares the test results of tests performed at a medical institution (first institution) and the test results of tests performed at a test institution (second institution) commissioned by the medical institution between the medical institution and the testing institution. Will be explained. In the present embodiment, the test in which the test results are shared is, for example, a sample test performed on a sample collected from a patient, and the sample is, for example, blood, saliva, runny nose, nasal swab, pharyngeal swab, urine, feces. , Tissues, cells, etc. FIG. 1 is a schematic diagram showing a configuration example of an information processing system. The information processing system 100 of the present embodiment includes a server 10, a medical institution terminal 20, an inspection institution terminal 30, and the like, and the server 10, the medical institution terminal 20, and the inspection institution terminal 30 can communicate with each other via a network NW such as the Internet. It is configured in.

The server 10 is a server of a medical institution, and may be, for example, a server that manages an electronic medical record of a patient in a medical institution. The server 10 is an information processing device capable of various information processing and information transmission / reception, and is configured by using, for example, a server computer or a personal computer. The server 10 may be configured to be provided in a plurality of servers for distributed processing, may be realized by a plurality of virtual machines provided in one server, or may be realized by using a cloud server. The medical institution terminal 20 (first device) is, for example, a terminal installed in a medical institution and used by medical staff (medical workers including doctors, nurses, inspection technicians, etc.) in the medical institution, and a plurality of terminals are provided. It may have been. The medical institution terminal 20 is configured by using an information processing device such as a personal computer, a tablet terminal, or a smartphone, but may be configured by a dedicated terminal. The inspection institution terminal 30 (second device) is, for example, a terminal installed in the inspection institution and used by the inspection staff in the inspection institution, and may be provided in a plurality of units. The inspection organization terminal 30 is configured by using an information processing device such as a personal computer, a tablet terminal, or a smartphone, but may be configured by a dedicated terminal.

FIG. 2 is a schematic diagram showing an outline of processing in the information processing system 100. In the information processing system 100 of the present embodiment, when a doctor in a medical institution orders (requests) various tests to be performed on a patient, the doctor in the medical institution registers the test to be ordered in the server 10 via the medical institution terminal 20. At that time, the doctor specifies and registers the order for the examination room (in-hospital examination) in the medical institution or the inspection institution outside the medical institution (outsourced examination) as the institution to perform the examination. The ordered tests are divided into in-hospital tests and outsourced tests. In-hospital tests are ordered from the laboratory in the medical institution, and outsourced tests are ordered from the testing institution. After that, a medical staff such as a doctor collects a sample from the patient and transports the sample to a laboratory or a laboratory in the medical institution according to the contents of the order. The medical staff who conducts the test in the laboratory in the medical institution performs the test according to the ordered contents on the received sample, and after the test result (confirmed test value) is obtained, the test result is obtained via the medical institution terminal 20. , The inspection result (measurement result) of each inspection is registered in the server 10. The medical institution terminal 20 used by the doctor and the medical institution terminal 20 used by the inspector may be the same terminal or may be different terminals.

The inspection staff who conducts the inspection at the inspection institution receives the sample and inspects the received sample according to the order contents. At this time, the inspection staff sequentially registers the status information indicating the status at each progress stage from the receipt of the sample to the report of the inspection result (confirmed inspection value) to the medical institution via the inspection institution terminal 30 in the server 10. .. Specifically, after receiving the sample, the inspection staff performs measurement processing on the inspection items according to the order contents and obtains the measurement result (initial inspection value). The inspection staff determines whether or not remeasurement is necessary for the same inspection item based on the obtained initial inspection value, and if it is determined that it is necessary, remeasurement processing is performed and the measurement result (remeasurement) is performed. Measurement inspection value) is obtained. Then, the inspection staff confirms the inspection result for the inspection item here based on the obtained initial inspection value or the remeasurement inspection value, and reports the confirmed inspection result (confirmed inspection value) to the medical institution. Therefore, the status information is "sample arrived" indicating that the sample has been received, "measuring (measuring)" indicating that the test (measurement) has started, and "first" indicating that the initial test value has been obtained. Inspection result (measurement) from "measurement value", "remeasurement in progress" indicating that remeasurement has started, "remeasurement value" indicating that remeasurement inspection value has been obtained, initial inspection value or remeasurement inspection value Includes "confirmed" indicating that the confirmed test result) has been confirmed, and "reported" indicating that the confirmed test result has been reported to the medical institution.

The inspection staff registers the above-mentioned status information in the server 10 while inspecting the sample according to the order contents, and each time the inspection result (initial inspection value, remeasurement inspection value, and definite inspection value) is obtained. , The obtained inspection result is registered in the server 10. As a result, in the information processing system 100 of the present embodiment, not only the inspection result (confirmed inspection value) after confirmation in the inspection institution but also the status information indicating the progress of the inspection being executed and the inspection (measurement) are obtained. The inspection result (initial inspection value, remeasurement inspection value) before confirmation is registered in the server 10. As described above, the patient DB 12a (see FIG. 3) of the server 10 contains the results of the in-hospital examination performed in the laboratory in the medical institution, and the status information and the examination results of the outsourced examination performed in the examination institution. Is registered. The test results of each test and the status information of the outsourced test registered in the server 10 in this way can be viewed via the medical institution terminal 20 and the test institution terminal 30. Therefore, the medical staff of the medical institution and the inspection staff of the inspection institution can share the inspection result of each inspection and the status information of the outsourced inspection. The medical staff of the medical institution may also register not only the test result but also the status information indicating the progress from the receipt of the sample to the determination of the test result (measurement result) in the server 10.

FIG. 3 is a block diagram showing a configuration example of the server 10. The server 10 includes a control unit 11, a storage unit 12, a communication unit 13, an input unit 14, a display unit 15, a reading unit 16, and the like, and each of these units is connected to each other via a bus. The control unit 11 includes one or a plurality of processors such as a CPU (Central Processing Unit), an MPU (Micro-Processing Unit), and a GPU (Graphics Processing Unit). The control unit 11 appropriately executes the control program 12P stored in the storage unit 12 to perform various information processing, control processing, and the like to be performed by the server 10.

The storage unit 12 includes a RAM (Random Access Memory), a flash memory, a hard disk, an SSD (Solid State Drive), and the like. The storage unit 12 stores in advance various data and the like necessary for executing the control program 12P and the control program 12P executed by the control unit 11. Further, the storage unit 12 temporarily stores data or the like generated when the control unit 11 executes the control program 12P. Further, the storage unit 12 stores the patient DB (database) 12a and the examination set DB 12b, which will be described later. The patient DB 12a and the test set DB 12b may be stored in another storage device connected to the server 10, or may be stored in another storage device that the server 10 can communicate with via the network NW, and may be stored in another storage device of the blockchain. In such a distributed ledger format, the server 10 may be consistently stored in a plurality of other servers to which the server 10 can be connected.

The communication unit 13 is an interface for connecting to the network NW by wired communication or wireless communication, and transmits / receives information to / from other devices via the network NW. The input unit 14 receives an operation input by a user who uses the server 10 and sends a control signal corresponding to the operation content to the control unit 11. The display unit 15 is a liquid crystal display, an organic EL display, or the like, and displays various information according to instructions from the control unit 11. The input unit 14 and the display unit 15 may be a touch panel configured as one.

The reading unit 16 stores information stored in a portable storage medium 1a including a CD (Compact Disc) -ROM, a DVD (Digital Versatile Disc) -ROM, a USB (Universal Serial Bus) memory, an SD (Secure Digital) card, and the like. read. The control program 12P and various data stored in the storage unit 12 may be read by the control unit 11 from the portable storage medium 1a via the reading unit 16 and stored in the storage unit 12. Further, the control program 12P and various data stored in the storage unit 12 may be downloaded from another device by the control unit 11 via the communication unit 13 and stored in the storage unit 12.

FIG. 4 is a schematic diagram showing a configuration example of the patient DB 12a. The patient DB 12a is a database for storing the medical care data of the patient, and is, for example, electronic medical record data. The patient DB 12a shown in FIG. 4 includes a patient ID column, a medical examination ticket number column, a name column, a gender column, an age column, an in-hospital examination column, an outsourced examination column, and the like, and stores each information about the patient in association with the patient ID. .. The patient ID column stores identification information (patient ID) for identifying each patient, and the medical examination ticket number column stores the medical examination ticket number of the medical examination ticket issued by the medical institution for each patient. A medical examination ticket number may be used for the patient ID, and in this case, the medical examination ticket number string is not required. Each of the name column, gender column and age column stores the patient's name, gender and age. The in-hospital examination line stores information about examinations (in-hospital examinations) performed in a laboratory in a medical institution. Specifically, for each test, the reception date when the test was ordered, the test items, the date and time when the test result was confirmed (result confirmation date and time), the test result (measurement result), the remaining amount of the sample, etc. are stored in association with each other. To. The test result of the in-hospital test is a measured value confirmed as the test result, and when the test result is confirmed, the date and time when the result is confirmed and the test result are stored in association with each other. The outsourced inspection column stores information about inspections (outsourced inspections) performed at inspection institutions outside the medical institution. Specifically, for each test, the date when the test was ordered, the test items, the date when the sample to be tested was delivered to the test institution (sample arrival date), and the scheduled date for reporting the test results to the medical institution (finished). Scheduled date), status information (progress information) indicating the progress of the test, test result (measurement result), remaining amount of sample, etc. are stored in association with each other. The scheduled finish date for outsourced testing is, for example, the date specified by the testing staff after the sample arrives at the testing institution, which is automatically calculated based on the preset number of testing days for each test. May be good. The inspection result of the outsourced inspection is the initial inspection value, the remeasurement inspection value or the definite inspection value, the initial inspection value is stored in association with the status information of the "initial inspection value", and the remeasurement inspection value is the "remeasurement value". Is stored in association with the status information of "confirmed", and the definite inspection value is stored in association with the status information of "confirmed". As the inspection result of the outsourced inspection, the latest measured value (initial inspection value, remeasurement inspection value or definitive inspection value) may be stored, or all the obtained measured values may be stored.

The patient ID stored in the patient DB 12a is issued and stored by the control unit 11 when a medical examination ticket is issued to a new patient in the medical institution. The medical examination ticket number, name, gender and age stored in the patient DB 12a are controlled when the control unit 11 acquires the new patient's medical examination ticket number, name, gender and age via the communication unit 13 or the input unit 14. It is stored by the part 11. The information regarding the in-hospital examination and the information regarding the outsourced examination stored in the patient DB 12a are stored by the control unit 11 when the control unit 11 acquires each information via the communication unit 13. The memory content of the patient DB 12a is not limited to the example shown in FIG. 4, and various information about the patient such as diagnosis name, symptom, medical history, treatment history, drug administration history, and various information about the examination performed on the patient are stored. May be. In addition, information on in-hospital examinations or outsourced examinations includes X-ray images, ultrasonic images, CT (Computed Tomography) images, MRI (Magnetic Resonance Imaging) images, PET (Positron Emission Tomography:). Positron emission tomography) Medical images such as images, electrocardiogram data, brain wave data and other biopsy results may be included. Further, the information regarding the in-hospital examination and the information regarding the outsourced examination may be registered in different DBs.

FIG. 5 is a schematic diagram showing a configuration example of the inspection set DB 12b. The test set DB 12b stores information about a set of tests to be performed for each disease name when a disease of each disease name is suspected. The test set DB 12b shown in FIG. 5 includes a set ID column, a disease name column, a test item column, etc., and stores test items recommended to be performed when a disease of each disease name is suspected in association with the set ID. .. The set ID column stores the identification information (set ID) assigned to each registered set. The disease name column and the test item column store the name of the disease and the test items (test sets) of a plurality of tests to be performed, respectively. The set ID stored in the inspection set DB 12b is issued and stored by the control unit 11 when a new inspection set is registered. Other information stored in the inspection set DB 12b is stored by the control unit 11 when the control unit 11 acquires new inspection set information via the communication unit 13 or the input unit 14, and when the change instruction is acquired. Is changed by the control unit 11. The stored contents of the inspection set DB 12b are not limited to the example shown in FIG. For example, even if the disease name is the same, if the recommended test contents differ depending on the attribute information such as the age group or gender of the patient, the recommended test set may be stored in association with the attribute information. In this case, the inspection set DB 12b has an attribute information string in which the attribute information is stored.

FIG. 6 is a block diagram showing a configuration example of the medical institution terminal 20 and the inspection institution terminal 30. The medical institution terminal 20 includes a control unit 21, a storage unit 22, a communication unit 23, an input unit 24, a display unit 25, a reading unit 26, and the like, and each of these units is connected to each other via a bus. Each of the control unit 21, the storage unit 22, the communication unit 23, the input unit 24, the display unit 25, and the reading unit 26 of the medical institution terminal 20 is the control unit 11, the storage unit 12, the communication unit 13, and the input unit 14 of the server 10. , Since the configuration is the same as that of the display unit 15 and the reading unit 16, detailed description thereof will be omitted. In addition to the control program 22P executed by the control unit 21, the storage unit 22 of the medical institution terminal 20 realizes a process of registering the test result in the server 10 and a process of viewing the test result registered in the server 10. The inspection sharing application program 22AP (hereinafter referred to as inspection sharing application 22AP) for the purpose is stored.

The inspection organization terminal 30 includes a control unit 31, a storage unit 32, a communication unit 33, an input unit 34, a display unit 35, a reading unit 36, and the like, and each of these units is connected to each other via a bus. Each of the control unit 31, storage unit 32, communication unit 33, input unit 34, display unit 35, and reading unit 36 of the inspection institution terminal 30 is the control unit 21, storage unit 22, communication unit 23, and input of the medical institution terminal 20. Since the configuration is the same as that of the unit 24, the display unit 25, and the reading unit 26, detailed description thereof will be omitted.

Hereinafter, in the information processing system 100 of the present embodiment, the processing performed by each device when the doctor orders the examination to be performed from the patient will be described. FIG. 7 is a flowchart showing an example of the order processing procedure, and FIG. 8 is a schematic diagram showing a screen example. In FIG. 7, the processing performed by the medical institution terminal 20 is shown on the left side, and the processing performed by the server 10 is shown on the right side. The following processing is realized by the control unit 21 according to the control program 22P stored in the storage unit 22 of the medical institution terminal 20, and is realized by the control unit 11 according to the control program 12P stored in the storage unit 12 of the server 10. To. A part of the following processing may be realized by a dedicated hardware circuit.

In the information processing system 100 of the present embodiment, when ordering a test to be performed from a patient, the doctor uses the medical institution terminal 20 to acquire an order screen for ordering the test from the server 10. The order screen can be obtained, for example, by the medical institution terminal 20 executing the examination sharing application 22AP, and the doctor causes the medical institution terminal 20 to activate the examination sharing application 22AP. The control unit 21 of the medical institution terminal 20 activates the inspection sharing application 22AP according to an operation by a doctor via the input unit 24, acquires an order screen from the server 10, and displays it on the display unit 25 (S11). When the inspection sharing application 22AP is activated, the control unit 21 first acquires an initial screen as shown in FIG. 8A from the server 10 and displays it on the display unit 25. The initial screen displays, for example, a list of information on patients scheduled to be examined by a doctor who is operating the medical institution terminal 20 today. The patient information includes, for example, a reception number assigned when the patient makes a reception at a medical institution, a patient ID of the patient, and a name. In addition, the initial screen has a detailed display button for instructing each patient to view detailed information (electronic medical record information), an inspection order button for instructing the display of the order screen, and registration of inspection results. It has a result registration button for instructing. On such an initial screen, the doctor requests the order screen from the server 10 by operating the examination order button corresponding to the patient who wants to order the examination, and obtains the order screen as shown in FIG. 8B from the server 10. Is displayed on the display unit 25.

The order screen shown in FIG. 8B displays the reception date (today's date) for accepting the examination order, the reception number assigned to the patient, the patient ID and the name of the patient for the patient selected on the initial screen. Further, the order screen has an input field for inputting an inspection item, and the inspection item input field is provided with a pull-down menu for selecting one of a plurality of selectable inspection items. The inspection item input field is configured so that when one inspection item is input, a new input field is displayed and a plurality of inspection items can be input. Further, the order screen has an input field for inputting a disease name, and the disease name input field is provided with a pull-down menu for selecting one of a plurality of selectable disease names. The disease name input field is configured to acquire the recommended test set for the input disease name from the server 10 and display it on the order screen as shown in FIG. 8C when the disease name is input. There is. Specifically, when a disease name is input in the disease name input field, the medical institution terminal 20 requests the server 10 for a test set corresponding to the input disease name, and the server 10 corresponds to the requested disease name. The inspection set is acquired from the inspection set DB 12b and transmitted to the medical institution terminal 20. Then, the medical institution terminal 20 displays the acquired inspection set (plurality of inspection items) on the order screen. The example shown in FIG. 8C shows a state in which renal function is input as a disease name and information on each test item of tests L to O is displayed as a test set corresponding to renal function. Specifically, for each test item, the item name, material name (specimen type), sample amount required for the test, and whether the order destination is in the medical institution (in-hospital) or the inspection institution (outsourced) are shown. Information and whether or not health insurance is applicable are displayed, and check boxes are provided for selecting each inspection item.

In addition, the order screen has an OK button for instructing an order for the specified test item via the test item input field, and a test set displayed corresponding to the disease name specified via the disease name input field. It has an OK button for instructing an order in the selected inspection item via a check box for each inspection item. Therefore, the doctor can either enter the test item in the test item input field on the order screen and operate the OK button, or enter the disease name in the disease name input field and check the check box for the displayed test item. By operating the OK button, the order of the selected inspection item is instructed. The test set associated with each disease name may be set in the test sharing application 22AP. In this case, the medical institution terminal 20 acquires the test set for the input disease name from the test sharing application 22AP. can.

In the order screen shown in FIGS. 8B and 8C, the control unit 21 determines whether or not the inspection item has been input in the inspection item input field (S12), and when it is determined that the inspection item has been input (S12: YES). , The entered inspection item is displayed on the order screen (input field) (S13). Then, the control unit 21 determines whether or not the OK button corresponding to the input field of the inspection item has been operated (S14), and if it is determined that the button has not been operated (S14: NO), the process returns to the process of step S12. When it is determined that the OK button has been operated (S14: YES), the control unit 21 requests the server 10 to register an order for the input inspection item (S22).

When it is determined that the inspection item has not been input in the inspection item input field (S12: NO), the control unit 21 determines whether or not the disease name has been input in the disease name input field (S15). If it is determined that the disease name has not been input (S15: NO), the control unit 21 returns to the process of step S12. When it is determined that the disease name has been input (S15: YES), the control unit 21 displays the input disease name on the order screen (input field) (S16). Then, the control unit 21 acquires the inspection set recommended for the input disease name (S17), and displays each inspection item included in the acquired inspection set on the order screen (S18). The control unit 21 may acquire the test set corresponding to the disease name from the server 10 or the test sharing application 22AP. As a result, it is possible to present (recommend) the test items recommended for the input disease name as candidates for selection. Therefore, the doctor may select a necessary test item from the presented test items, and can suppress the omission of the order of the test item.

In the order screen, when an inspection item is input in the inspection item input field, another inspection item related to the input inspection item may be presented as a candidate for selection. For example, based on the past order history by a doctor, test items with high co-occurrence frequency are registered, and test items with high co-occurrence frequency with the test items entered in the test item input field are presented as selection candidates. It may be configured to do so. In addition, multiple related inspection items are registered as inspection sets, the inspection set including the inspection items entered in the inspection item input field is specified, and other inspection items included in the specified inspection set are selected as candidates for selection. It may be configured to be presented as. Further, from the inspection set registered in the inspection set DB 12b, the inspection set including the inspection item input in the inspection item input field is specified, and other inspection items included in the specified inspection set are presented as selection candidates. It may be configured as follows. In this case as well, since other inspection items related to the input inspection item are presented as selection candidates, it is possible to suppress order omission of the inspection item.

In the order screen shown in FIG. 8C, the control unit 21 determines whether or not any of the inspection items has been selected via the check box (S19), and determines that the inspection item has not been selected (S19:). NO), wait. When it is determined that any of the inspection items is selected (S19: YES), the control unit 21 displays a check mark for the check box of the selected inspection item (S20). The example shown in FIG. 8C shows that the inspection L is selected via the check box of the inspection L. The control unit 21 determines whether or not the OK button corresponding to the disease name input field has been operated (S21), and if it is determined that the button has not been operated (S21: NO), returns to the process of step S12. When it is determined that the OK button has been operated (S21: YES), the control unit 21 requests the server 10 to register an order for the inspection item selected via the check box (S22).

In step S22, the control unit 21 transmits, for example, the reception date, the patient ID of the patient, and the information indicating the designated inspection item, and the order information for requesting the inspection to the server 10. When the medical institution terminal 20 requests order registration, the control unit 11 of the server 10 stores the requested order contents in the patient DB 12a (S23). Specifically, the control unit 11 stores the reception date and the examination item included in the order information in the patient DB 12a in association with the patient ID included in the order information received from the medical institution terminal 20. At this time, when the order destination is in a medical institution (in-hospital), the control unit 11 stores the reception date and inspection items included in the order information as the reception date and inspection items of the in-hospital inspection, and the order destination is the inspection institution. In the case of (outsourcing), the acceptance date and inspection item included in the order information are stored as the acceptance date and inspection item of the outsourced inspection. After registering the order information in the patient DB 12a in this way, the control unit 11 transmits the order contents to the medical institution terminal 20 in the examination room in the medical institution and the inspection institution terminal 30 that processes the order of the inspection institution. By doing so, the inspection order processing is performed.

The control unit 11 notifies the medical institution terminal 20 that the inspection order registration is completed (S24), and the control unit 21 of the medical institution terminal 20 notifies the server 10 that the inspection order registration is completed. A screen (not shown) is displayed on the display unit 25 (S25). The control unit 21 ends the display of the order screen, and displays, for example, a detailed screen for displaying detailed patient information (for example, an electronic medical record) on the display unit 25, thereby indicating that the order registration for the examination is completed. You may notify. By the above-mentioned processing, the examination item determined by the doctor to be performed on the patient can be appropriately selected, and the order information of the selected examination item is registered in the patient DB 12a of the server 10.

After the order registration of the test to be performed on the patient is completed by the above-mentioned process, the doctor or the medical staff collects the sample necessary for the ordered test from the patient. The collected sample is transported to a laboratory inside the medical institution or an inspection institution outside the medical institution according to the order contents, and is inspected (measured) according to the order contents in the inspection room inside the medical institution or the inspection institution outside the medical institution. ) Is performed. When the test result is obtained in the laboratory in the medical institution or the inspection institution outside the medical institution, the medical staff of the medical institution or the inspection staff of the inspection institution registers the inspection result (measured value) in the server 10. The inspection staff of the inspection organization registers not only the inspection result but also the status information indicating the progress of the inspection in the server 10.

Hereinafter, the processing performed by each device when the medical staff of the medical institution and the inspection staff of the inspection institution register the inspection result in the server 10 using the medical institution terminal 20 or the inspection institution terminal 30 will be described. FIG. 9 is a flowchart showing an example of the registration processing procedure, and FIG. 10 is a schematic diagram showing a screen example. In FIG. 9, the processing performed by the medical institution terminal 20 and the inspection institution terminal 30 is shown on the left side, and the processing performed by the server 10 is shown on the right side. Since the processing performed by the medical institution terminal 20 and the processing performed by the inspection institution terminal 30 are the same except that the input screens for the information to be registered are different, they are collectively illustrated in FIG. The following processing is realized by the control units 21 and 31 according to the control programs 22P and 32P stored in the storage units 22 and 32 of the medical institution terminal 20 and the inspection institution terminal 30, and is stored in the storage unit 12 of the server 10. It is realized by the control unit 11 according to a certain control program 12P. A part of the following processing may be realized by a dedicated hardware circuit.

First, the process when the medical staff of the medical institution registers the test result in the server 10 will be described. In the information processing system 100 of the present embodiment, when a measured value is obtained for the test being performed, the medical staff should determine and determine whether or not the obtained measured value should be confirmed in the test result. If it is determined, the obtained measured value is registered in the server 10 as an inspection result. The determination of whether or not the measured value should be confirmed in the test result is determined, for example, by the first measured value or more and the second measured value or less (first measured value) set according to the age group and gender of the patient for each test item. It may be performed depending on whether or not it is within the range of <second measured value). For the range of the first measured value or more and the second measured value or less, for example, a range of 3 standard deviations (3σ) with respect to the measured values by a large number of subjects can be used. If it is determined that the obtained measurements should not be finalized in the test results, the medical staff may remeasure the same test.

When registering the measured value confirmed in the test result in the server 10, the medical staff uses the medical institution terminal 20 to acquire an input screen for inputting the test result from the server 10. The input screen can be acquired via the initial screen (see FIG. 8A) acquired from the server 10 by, for example, the medical institution terminal 20 executing the inspection sharing application 22AP. Therefore, the medical staff activates the test sharing application 22AP on the medical institution terminal 20 to acquire the initial screen from the server 10, and operates the result registration button corresponding to the patient who wants to register the test result on the acquired initial screen. Requests the input screen to the server 10. The control unit 21 of the medical institution terminal 20 activates the inspection sharing application 22AP according to an operation by the medical staff via the input unit 24, acquires an input screen as shown in FIG. 10A from the server 10, and displays it on the display unit 25. (S31).

The input screen shown in FIG. 10A displays the reception date on which the examination was ordered, the patient's reception number, the patient ID and the name, and the information of the ordered examination for the patient selected on the initial screen. The inspection information includes the item name of the inspection item and the information indicating the order destination (in-hospital or outsourced), but may include information other than these. Further, the input screen has an input field for inputting a test result (measured value) for a test (in-hospital test) performed in a laboratory in a medical institution. In the example shown in FIG. 10A, since the tests L and M are tests performed in the hospital, the input fields for the test results of the tests L and M are displayed. Further, the input screen has a registration button for instructing registration of the inspection result input to the inspection result input field to the server 10. Therefore, the medical staff instructes the registration of the test result to the server 10 by inputting the measured value confirmed in the test result into the input field of the test result in the input screen and operating the registration button.

In the input screen shown in FIG. 10A, the control unit 21 accepts the input of the inspection result via the input field of the inspection result, and when the inspection result is accepted, the received inspection result is displayed on the input screen (input field) ( S32). The control unit 21 determines whether or not the registration button has been operated (S33), and if it determines that the registration button has not been operated (S33: NO), returns to the process of step S32. When it is determined that the registration button has been operated (S33: YES), the control unit 21 requests the server 10 to register the inspection result input in the input field (S34). For example, the control unit 21 transmits to the server 10 the request information for requesting the registration of the test result, including the reception date, the patient ID of the patient, and the test result input for the test item. As a result, the control unit 21 functions as an output unit that outputs the test results of the test (first test) performed on the sample at the medical institution (first institution) to the server 10.

When the control unit 11 of the server 10 is requested to register the test result from the medical institution terminal 20, the control unit 11 acquires the test result transmitted from the medical institution terminal 20 and stores the acquired test result in the patient DB 12a (S35). .. Specifically, the control unit 11 stores the test result (measured value) included in the request information in the patient DB 12a in association with the patient ID included in the request information received from the medical institution terminal 20 and the reception date. At that time, the control unit 11 stores the current date and time as the result confirmation date and time in the patient DB 12a. The control unit 11 notifies the medical institution terminal 20 that the registration of the test result is completed (S36), and the control unit 21 of the medical institution terminal 20 notifies the server 10 that the registration of the test result is completed. A completion screen (not shown) is displayed on the display unit 25 (S37). The control unit 21 ends the display of the input screen shown in FIG. 10A, and displays, for example, a detailed screen for displaying detailed patient information (for example, an electronic medical record) on the display unit 25, so that the test result can be registered. You may notify that it is completed. By the above-mentioned processing, the result of the examination performed by the medical staff in the examination room in the medical institution is registered in the server 10.

Next, the process when the inspection staff of the inspection organization registers the progress of the inspection and the inspection result in the server 10 will be described. In the information processing system 100 of the present embodiment, the inspection staff inspects the sample transported from the medical institution according to the order contents, and the inspection result (measured value confirmed in the inspection result) from the receipt of the sample. Information (status information) indicating the progress until the information is reported to the medical institution is sequentially registered in the server 10. The status information is, for example, "sample arrived" indicating that the laboratory has received the sample, "measuring" indicating that the test (measurement) has started, and "initial test" indicating that the initial test value has been obtained. "Value", "Remeasurement in progress" indicating that remeasurement has started, "Remeasurement value" indicating that the remeasured test value has been obtained, and "Remeasurement value" indicating that the test result (measured value) has been confirmed. Includes "confirmed", "reported" indicating that the confirmed test result has been reported to the medical institution, and the like. Further, the inspection staff registers the initial inspection value when the initial inspection value is obtained, and registers the remeasurement inspection value in the server 10 when the measurement value by the remeasurement is obtained. Furthermore, the inspection staff determines whether or not the initial inspection value or remeasurement inspection value should be confirmed in the inspection result, and if it is determined that the inspection result should be confirmed, the inspection value confirmed in the inspection result (initial inspection value or remeasurement). The inspection value) is registered in the server 10. Here, too, the judgment as to whether or not the initial test value or the remeasurement test value should be confirmed in the test result is determined by the first measurement value or more and the second measurement value or less set according to the patient's age group and gender for each test item. It can be performed depending on whether or not it is within the range of (first measured value <second measured value). When the inspection staff determines that the initial inspection value should not be confirmed in the inspection result, the inspection staff remeasures the same inspection and obtains the remeasurement inspection value.

When registering the progress of the inspection or the inspection result in the server 10, the inspection staff uses the inspection institution terminal 30 to acquire an input screen as shown in FIG. 10B from the server 10. Also in the inspection institution terminal 30, the input screen can be acquired via the initial screen (see FIG. 8A) acquired from the server 10 by executing the inspection sharing application 32AP. Therefore, the inspection staff activates the inspection sharing application 32AP on the inspection institution terminal 30 to acquire the initial screen from the server 10, and operates the result registration button corresponding to the patient who wants to register the inspection result on the acquired initial screen. Requests the input screen to the server 10. The control unit 31 of the inspection organization terminal 30 activates the inspection sharing application 32AP according to an operation by the inspection staff via the input unit 34, acquires an input screen as shown in FIG. 10B from the server 10, and displays it on the display unit 35. (S31).

The input screen shown in FIG. 10B has the same configuration as the input screen shown in FIG. 10A, but has an input field for inputting an inspection result (measured value) for an inspection (outsourced inspection) performed by an inspection institution. , Has an input field for inputting status information. The status information input field is provided with a pull-down menu for selecting one of a plurality of status information. Further, the input screen has a registration button for instructing registration of the status information and the inspection result input to the input field of the status information and the inspection result to the server 10. Therefore, the inspection staff inputs the status information to be registered in the status information input field on the input screen, and inputs the initial inspection value, the remeasurement inspection value, or the measured value confirmed in the inspection result in the inspection result input field. Then, by operating the registration button, the progress status and the registration of the inspection result to the server 10 are instructed. When the test institution receives the sample, the test staff predicts the scheduled completion date (scheduled finish date) of each test according to the order details, and the predicted finish date is set to the server 10 (patient) together with the sample arrival date. Register in DB12a). The scheduled finish date can be predicted based on the standard number of days required for the inspection, which is preset for each inspection, and may be automatically calculated for each inspection item.

In the input screen shown in FIG. 10B, the control unit 31 accepts the input of the status information via the input field of the status information, accepts the input of the inspection result through the input field of the inspection result, and accepts the status information or the inspection result. If so, the received status information or inspection result is displayed on the input screen (input field) (S32). When the inspection staff inputs the "initial inspection value" in the status information input field, the inspection staff inputs the obtained initial inspection value in the inspection result (measured value) input field and "re-inspects" in the status information input field. When entering "measured value", enter the obtained remeasurement inspection value in the inspection result input field, and when entering "confirm" in the status information input field, the measured value confirmed as the inspection result (initial inspection) Enter the value or remeasurement inspection value) in the inspection result input field.

The control unit 31 determines whether or not the registration button has been operated (S33), and if it determines that the registration button has not been operated (S33: NO), returns to the process of step S32. When it is determined that the registration button has been operated (S33: YES), the control unit 31 requests the server 10 to register the status information or the inspection result input in the input field (S34). For example, the control unit 31 transmits the request information for requesting registration, including the reception date and the patient ID of the patient, the status information or the test result input for the test item, to the server 10. As a result, the control unit 31 functions as an output unit that outputs the progress information and the inspection result of the inspection (second inspection) performed on the sample in the inspection institution (second institution) to the server 10.

When the inspection institution terminal 30 requests registration, the control unit 11 of the server 10 acquires the status information or the inspection result transmitted from the inspection institution terminal 30, and stores the acquired status information or the inspection result in the patient DB 12a. (S35). Specifically, the control unit 11 associates the patient ID included in the request information received from the inspection institution terminal 30 with the reception date, and transfers the status information or the inspection result (measured value) included in the request information to the patient DB 12a. Remember. When the request information includes both the status information and the test result, the control unit 11 stores the status information and the test result in the patient DB 12a in association with the patient ID and the reception date. The control unit 11 notifies the inspection engine terminal 30 that the registration is completed (S36), and the control unit 31 of the inspection organization terminal 30 notifies the server 10 that the registration is completed (not shown). ) Is displayed on the display unit 35 (S37). By the above-mentioned process, the progress status and the inspection result of the inspection performed by the inspection staff at the inspection institution are registered in the server 10.

Next, when the medical staff browses the inspection results performed by the medical institution and the inspection institution registered in the server 10 by the above-mentioned processing, and the progress of the inspection performed by the inspection institution, each device causes. The processing to be performed will be described. FIG. 11 is a flowchart showing an example of the browsing processing procedure, and FIG. 12 is a schematic diagram showing a screen example. In FIG. 11, the processing performed by the medical institution terminal 20 is shown on the left side, and the processing performed by the server 10 is shown on the right side.

In the information processing system 100 of the present embodiment, when a medical staff such as a doctor confirms a patient's test result, the medical institution terminal 20 activates the test sharing application 22AP and acquires an initial screen from the server 10. The control unit 21 of the medical institution terminal 20 activates the inspection sharing application 22AP according to the operation by the medical staff via the input unit 24, acquires the initial screen as shown in FIG. 8A from the server 10, and displays it on the display unit 25. (S41). Then, the medical staff requests the server 10 for a detailed screen displaying the patient's test result by operating the detailed display button corresponding to the patient who wants to view the test result on the initial screen. On the initial screen, the control unit 21 determines whether or not the detail display button corresponding to any patient has been operated (S42), and if it is determined that the detail display button has not been operated (S42: NO), the control unit 21 is operated. Wait until When it is determined that any of the detailed display buttons has been operated (S42: YES), the control unit 21 requests the server 10 for the detailed information of the patient corresponding to the operated detailed display button (S43). For example, the control unit 21 transmits the request information for requesting the detailed information to the server 10, including the patient ID of the patient.

When the medical institution terminal 20 requests the detailed information of the patient, the control unit 11 of the server 10 reads the requested patient's test result from the patient DB 12a (S44). For example, the control unit 11 reads out information on the examination item on the latest reception date from the in-hospital examination information and the outsourced examination information stored in the patient DB 12a. The control unit 11 reads out the inspection items and the inspection results (measured values) for the in-hospital inspection, and reads out the inspection items, the status information and the inspection results (measured values) for the outsourced inspection. The control unit 11 generates a detailed screen as shown in FIG. 12 based on the read information, and transmits the generated detailed screen to the medical institution terminal 20 (S45). The detailed screen shown in FIG. 12 shows the date on which the test was ordered, the patient's reception number, the patient ID, the name, and the scheduled completion date of the test performed by the testing institution for the patient selected on the initial screen. indicate. In addition, the detail screen displays the item name, material name, order destination (in-hospital or outsourced), status information, inspection result (measured value), and judgment result for the ordered inspection. As the material name of each inspection displayed on the detail screen, the material name preset for each inspection item is used. As for the status information of the in-hospital examination, "completed" is displayed for the examination in which the examination result is registered in the patient DB 12a, and "measuring" is displayed for the examination in which the examination result is not registered. In addition, as for the judgment result of each inspection displayed on the detail screen, "High" is displayed for the inspection whose inspection result (measured value) is larger than the normal range preset for each inspection item, and the inspection is small. Is displayed as "Low". As a result, the control unit 11 functions as an output unit that outputs the test result of the test performed at the medical institution in association with the test result and the status information of the test performed at the test institution.

When the control unit 21 of the medical institution terminal 20 receives the detail screen from the server 10, the control unit 21 displays the received detail screen on the display unit 25 (S46). As a result, the detailed screen as shown in FIG. 12 is displayed on the display unit 25 of the medical institution terminal 20, so that the medical staff can view the patient's test result. By the above-mentioned processing, the medical staff can view the examination result of the patient registered in the server 10 and the progress of the examination at the examination institution by using the medical institution terminal 20. Therefore, the medical staff and the inspection staff who perform the inspection register the inspection result (including the inspection result before confirmation) in the server 10, and the medical staff who browses the inspection result confirms the inspection result at an arbitrary timing. can do. As a result, there is no time lag between the time when the test result is obtained and the time when it is reported to the medical staff.

The detailed screen shown in FIG. 12 has an inspection order button for ordering an inspection and a result registration button for registering the result of the ordered inspection. Therefore, it is possible to display the order screen shown in FIG. 8B on the medical institution terminal 20 and place an order for the examination via the order screen by operating the inspection order button when further ordering the inspection is desired on the detail screen. Will be. Further, on the detail screen, when the test result of the ordered test is to be registered, the input screen shown in FIG. 10A is displayed on the medical institution terminal 20 by operating the result registration button, and the test result of the test result is displayed via the input screen. It will be possible to register.

In the information processing system 100 of the present embodiment, the inspection staff can view the inspection result and the progress of the inspection registered in the server 10 by using the inspection institution terminal 30. At that time, the inspection organization terminal 30 can perform the same processing as that shown in FIG. 11, and as a result, the detailed screen shown in FIG. 12 can be displayed on the display unit 35. Therefore, even in the inspection institution, the inspection staff can view the inspection result and the progress of the inspection registered in the server 10 through the detailed screen shown in FIG. The detailed screen provided from the server 10 to the inspection organization terminal 30 has a configuration in which the detailed screen shown in FIG. 12 does not have an inspection order button.

In the present embodiment, the medical staff of the medical institution can grasp not only the test result but also the progress of the test for the test entrusted to the test institution. In addition, the medical staff is not only the measured value confirmed in the test result (confirmed test value), but also the measured value before confirmation (initial test value) and the measured value obtained by the remeasurement performed as necessary. (Remeasurement inspection value) can be grasped. Therefore, as soon as the inspection result (initial inspection value, remeasurement inspection value or definitive inspection value) is obtained by the inspection institution for each inspection item, each inspection result is provided to the medical institution (medical staff). Therefore, the medical staff can grasp the progress of the inspection performed by the inspection institution and grasp the measured value (pre-confirmation result) before the confirmation institution reports the confirmed inspection result. can. Testing performed at a testing institution requires time and effort to transport the sample to the testing institution, so it takes time for the test results to be reported to the medical institution. However, in the present embodiment, since the medical staff can grasp the measured value before the confirmation before the test result confirmed by the examination institution is reported to the medical institution, early diagnosis is possible. In addition, if additional tests are required based on the measured values before confirmation, it is possible to place an order for additional tests at an early stage, and the waiting time until the test results necessary for diagnosing the medical condition are obtained. Can be shortened.

(Embodiment 2)
An information processing system in which the medical staff of a medical institution determines the necessity of remeasurement for this test based on the initial test value of the test performed at the test institution and instructs the test institution whether or not the remeasurement is necessary. do. Since the information processing system 100 of the present embodiment can be realized by the same apparatus as the information processing system 100 of the first embodiment, detailed description of the configuration will be omitted. Further, in the information processing system 100 of the present embodiment, each device executes the same processing as the processing shown in FIG. 7 and the processing shown in FIG. As a result, also in this embodiment, the order information of the inspection is registered in the server 10 via the medical institution terminal 20, and the inspection results and inspections at the medical institution and the inspection institution via the medical institution terminal 20 and the inspection institution terminal 30. The progress of the inspection at the institution is registered in the server 10.

FIG. 13 is a flowchart showing an example of the browsing processing procedure of the second embodiment, and FIG. 14 is a schematic diagram showing a screen example. In the process shown in FIG. 11, steps S51 to S61 are added after step S46 in the process shown in FIG. The same steps as in FIG. 11 will be omitted. In addition, in FIG. 13, the illustration of steps S41 to S45 in FIG. 11 is omitted. The control unit 21 of the medical institution terminal 20 and the control unit 11 of the server 10 of the present embodiment perform the same processing as in steps S41 to S46 shown in FIG. As a result, the medical institution terminal 20 receives from the server 10 a detailed screen displaying the test results and the like of the patient selected by the medical staff, and displays the received detailed screen on the display unit 25.

As shown in FIG. 14, the detailed screen of the present embodiment is provided with a check box for selecting a target for remeasurement for each ordered inspection, in addition to the configuration of FIG. Further, the detailed screen shown in FIG. 14 has a remeasurement request button for instructing remeasurement for the inspection item selected via the check box, and remeasurement for instructing the necessity of remeasurement for the displayed inspection item. It has an unnecessary button. Further, the detailed screen shown in FIG. 14 is for an indicator (graph) showing the remaining amount of the sample collected from the patient for the examination in the medical institution (in-hospital examination) and for the examination in the examination institution (outsourced examination). An indicator (graph) showing the remaining amount of the sample collected from the patient is displayed. The control unit 11 of the server 10 generates display information for displaying the display screen as shown in FIG. 14 and outputs the display information to the medical institution terminal 20, thereby showing the display unit 25 of the medical institution terminal 20 in FIG. It is possible to display such a detail screen.

On the detailed screen shown in FIG. 14, the medical staff of the medical institution can view the results of the tests performed at the medical institutions and the testing institutions and the progress of the tests at the testing institutions. Then, for example, on the detailed screen shown in FIG. 14, the doctor determines from the test results of each test whether or not there is a test requiring remeasurement, and checks the check box of the test determined to require remeasurement. After that, operate the remeasurement request button. On the other hand, if the doctor determines that there is no test that requires remeasurement, the doctor operates the button that does not require remeasurement without checking the check box.

The control unit 21 of the medical institution terminal 20 determines whether or not any of the inspection items has been selected via the check box on the detail screen (S51), and determines that the inspection item has not been selected (S51:). NO), the process proceeds to step S59. When it is determined that any of the inspection items is selected (S51: YES), the control unit 21 displays a check mark for the check box of the selected inspection item (S52). The example shown in FIG. 14 shows that test N was selected via the check box for test N. The control unit 21 acquires the sample amount required for the test item selected via the check box, and updates the remaining amount of the sample indicated by the indicator to the amount obtained by subtracting the acquired sample amount (S53). The control unit 21 updates the remaining amount of the sample indicated by the indicator for the in-hospital examination when the in-hospital examination is selected, and the remaining amount of the sample indicated by the indicator for the outsourced inspection (for the inspection institution) when the outsourced inspection is selected. To update. The sample amount required for each test may be registered in the test sharing application 22AP or may be acquired from the server 10. The control unit 21 subtracts the sample amount required for the selected test item (that is, the sample amount to be subtracted) and the sample amount after the update with respect to the sample remaining amount before the update indicated by the indicator. The remaining amount of the sample may be shown in a different manner. Further, when the check for the check box is cleared, the control unit 21 returns the remaining amount of the sample indicated by the indicator to the remaining amount of the sample before the amount of the sample required for the selected test item is subtracted (before the update). .. Further, the control unit 21 determines whether or not the amount of sample required for the selected test item is larger than the remaining amount of the sample, and if it is determined that the amount is large, that is, secures the amount of sample required for the selected test. If this is not possible, an error may be displayed to inform the doctor that the selected test cannot be remeasured due to insufficient sample remaining.

The doctor operates the remeasurement request button after selecting the test requiring remeasurement through the check box. Therefore, the control unit 21 determines whether or not the remeasurement request button has been operated after any of the check boxes is checked (S54), and if it is determined that the remeasurement request button has been operated (S54: YES), the control unit 21 is selected. Request the server 10 to register the order for remeasurement for the inspection item (S55). Here, for example, the control unit 21 includes the reception date of the remeasurement, the patient ID of the patient, and the information indicating the selected inspection item, and provides the order information (instruction to execute the remeasurement) for requesting the remeasurement. Send to server 10. When the medical institution terminal 20 requests the remeasurement order registration, the control unit 11 of the server 10 stores the requested order contents in the patient DB 12a (S56). Here, the control unit 11 stores the acceptance date of the remeasurement and the test item to be remeasured in the patient DB 12a in association with the patient ID received from the medical institution terminal 20. After registering the remeasurement order information in the patient DB 12a in this way, the control unit 11 places an order with the medical institution terminal 20 in the examination room in the medical institution and the inspection institution terminal 30 that processes orders for the inspection institution. By sending the contents, the request processing for remeasurement is performed. The control unit 11 notifies the medical institution terminal 20 that the inspection order registration is completed (S57), and the control unit 21 of the medical institution terminal 20 displays the completion screen on the display unit 25 (S58).

When it is determined that the remeasurement request button has not been operated on the detail screen (S54: NO), the control unit 21 determines whether or not the remeasurement unnecessary button has been operated (S59). When it is determined that the remeasurement unnecessary button has not been operated (S59: NO), the control unit 21 returns to the process of step S51. When it is determined that the remeasurement unnecessary button has been operated (S59: YES), the control unit 21 requests the server 10 to register the remeasurement unnecessary for the inspection item being displayed (S60). For example, the control unit 21 sends the order information for registering the need for remeasurement to the server 10, including the reception date and the patient ID of the patient who do not need to remeasure, and the information indicating the inspection item for which the need for remeasurement is selected. do. Specifically, the control unit 21 instructs unnecessary registration of remeasurement for the inspection item whose initial inspection value is displayed on the detail screen. When the medical institution terminal 20 requests unnecessary registration for remeasurement, the control unit 11 of the server 10 stores the content of the requested unnecessary registration in the patient DB 12a (S61). Here, the control unit 11 stores in the patient DB 12a a reception date that does not require remeasurement and an examination item that is a target that does not require remeasurement, in association with the patient ID received from the medical institution terminal 20. After the registration that does not require remeasurement is completed, the control unit 11 may notify the medical institution terminal 20 of the completion of registration and display the completion screen on the medical institution terminal 20. In addition to requesting the server 10 to register the inspection item as unnecessary for remeasurement, the control unit 21 of the medical institution terminal 20 may send an instruction for unnecessary remeasurement to the inspection institution terminal 30.

By the above-mentioned process, the medical staff can register the necessity of remeasurement for each test in the server 10 based on the test result at the medical institution and the test institution and the progress of the test at the test institution. After registering the remeasurement order information in the patient DB 12a, the server 10 requests the remeasurement order contents for the medical institution terminal 20 in the examination room in the medical institution and the examination institution terminal 30 for processing the order of the examination institution. Is sent to process the order for remeasurement. Further, the server 10 transmits an instruction that the remeasurement is unnecessary to the inspection organization terminal 30 after registering that the remeasurement is unnecessary. As a result, the server 10 can instruct the inspection institution terminal 30 whether or not remeasurement is necessary for the inspection item for which the initial inspection value has been obtained.

In the above-mentioned process, the doctor determines whether or not remeasurement is necessary for each test, but the server 10 or the medical institution terminal 20 may automatically determine. For example, when a reference range for determining whether or not remeasurement is necessary for each inspection is registered in the storage unit 12 of the server 10, and the control unit 11 of the server 10 generates the detailed screen shown in FIG. In addition, the necessity of remeasurement may be determined based on the comparison result between the inspection result and the reference range for the inspection item displayed on the detail screen. In this case, the determination result of the necessity of remeasurement can be included in the detail screen and provided to the medical institution terminal 20 or the inspection institution terminal 30, and the necessity of remeasurement can be presented to the medical staff or the inspection staff. Further, when the reference range for each inspection is registered in the inspection sharing application 22AP and the control unit 21 of the medical institution terminal 20 acquires the detailed screen shown in FIG. 12 from the server 10 and displays it, the inspection being displayed is displayed. For items, the necessity of remeasurement may be determined based on the comparison result between the inspection result and the reference range. Further, when the control unit 21 of the medical institution terminal 20 accepts the input of the test result via the registration screen shown in FIG. 10A, it is necessary to perform remeasurement based on the comparison result between the input test result and the reference range. You may decide whether or not. In this way, when the necessity of remeasurement for each test is automatically determined and presented based on a predetermined reference range, it is possible to reduce the burden on the doctor. The reference range for each inspection may be the reference range for each inspection, or may be the reference range based on the inspection results of a plurality of inspection items. For example, in two inspection items, it may be a reference range for determining the suitability (necessity of remeasurement) of the inspection result of the other inspection item according to the inspection result of one inspection item. Such a reference range may be set for each medical institution or each inspection institution.

In this embodiment, the same effects as those of each of the above-described embodiments can be obtained. Further, in the present embodiment, the medical staff of the medical institution can grasp the measured value before the confirmation before the confirmed test result is reported by the inspection institution, and the inspection result in the medical institution and the inspection institution can be grasped. It is possible to determine whether or not remeasurement is necessary for each test based on the measured values before confirmation in. With such a configuration, for example, when the initial inspection value of an inspection performed by an inspection institution is obtained, it is possible to determine whether or not remeasurement is necessary for this inspection, and if remeasurement is necessary, it is possible. It is possible to request remeasurement at an early stage. Therefore, by being able to place an order for remeasurement at an early stage, it is possible to shorten the waiting time until the test result necessary for diagnosing the medical condition is obtained. In addition, if the medical staff of the medical institution decides whether or not the inspection result of the inspection institution needs to be remeasured before the inspection staff of the inspection institution decides, it is not necessary for the inspection staff to make a judgment, and the inspection staff handles it. It is possible to reduce the burden. In addition, if the medical staff decides that remeasurement is unnecessary at an early stage, it is avoided to carry out unnecessary remeasurement at the medical institution until the test result confirmed by the medical institution is reported to the medical institution. It is possible to shorten the time. Therefore, the inspection result can be reported from the inspection institution to the medical institution at an early stage, and the inspection at the inspection institution can be efficiently performed. Also in this embodiment, the modification described as appropriate in the above-described first embodiment can be applied.

(Embodiment 3)
Information processing that takes into account the results of tests performed at a medical institution when the testing staff of the testing institution determines the need for remeasurement for this test based on the initial test values of the test performed at the testing institution. Describe the system. Since the information processing system 100 of the present embodiment can be realized by the same apparatus as the information processing system 100 of the first embodiment, detailed description of the configuration will be omitted. Further, in the information processing system 100 of the present embodiment, each device executes the same processing as the processing shown in FIG. 7 and the processing shown in FIG. As a result, also in this embodiment, the order information of the inspection is registered in the server 10 via the medical institution terminal 20, and the inspection results and inspections at the medical institution and the inspection institution via the medical institution terminal 20 and the inspection institution terminal 30. The progress of the inspection at the institution is registered in the server 10.

FIG. 15 is a flowchart showing an example of a browsing processing procedure by the inspection organization terminal 30, and FIG. 16 is a schematic diagram showing a screen example. The process shown in FIG. 15 is a process in which steps S71 to S81 are added after step S46 in the process by the medical institution terminal 20 shown in FIG. The same steps as in FIG. 11 will be omitted. In addition, in FIG. 15, the illustration of steps S41 to S44 in FIG. 11 is omitted. The control unit 31 of the inspection engine terminal 30 and the control unit 11 of the server 10 of the present embodiment perform the same processing as in steps S41 to S46 shown in FIG. As a result, the inspection institution terminal 30 can receive the detail screen displaying the examination result and the like of the patient selected by the inspection staff from the server 10 and display the received detail screen on the display unit 35.

As shown in FIG. 16, the detailed screen of the present embodiment selects the inspection order button and the ordered in-hospital examination (examination performed at a medical institution) as the target of remeasurement in the detailed screen shown in FIG. It does not have a check box for the purpose and an indicator showing the remaining amount of the sample for in-hospital examination. Therefore, the detailed screen shown in FIG. 16 displays a check box corresponding to the inspection item (outsourced inspection) performed by the inspection institution and an indicator corresponding to the sample for inspection in the inspection institution. Further, the detailed screen shown in FIG. 16 has a remeasurement button for instructing the execution of remeasurement for the inspection item selected via the check box, and no need for remeasurement for the inspection item for which the initial inspection value is displayed ( It has a remeasurement-free button for instructing (confirmation of test results).

On the detailed screen shown in FIG. 16, the inspection staff of the inspection institution can view the results of the inspections performed at the medical institution and the inspection institution and the progress of the inspection at the inspection institution. Then, on the detailed screen shown in FIG. 16, the inspection staff determines whether or not there is an inspection that requires remeasurement from the inspection results of each inspection performed by the inspection institution, and determines that remeasurement is necessary. After checking the check box of the inspection, operate the remeasurement button. On the other hand, when the inspection staff determines that there is no inspection requiring remeasurement, the inspection staff operates the remeasurement unnecessary button without checking the check box.

After the control unit 31 of the inspection organization terminal 30 acquires the detail screen from the server 10 and displays it on the display unit 35, is there a target for determining the necessity of remeasurement for the outsourced inspection displayed on the detail screen? It is determined whether or not (S71). For example, when the detail screen includes the initial inspection value of any of the outsourced inspections, the control unit 31 determines that there is a target for determining the necessity of remeasurement. When it is determined that there is an object for which the necessity of remeasurement should be determined (S71: YES), the control unit 31 (specific unit) remeasures this inspection item based on the initial inspection value displayed on the detail screen. (S72), it is determined (specified) whether or not the above is necessary. For example, a reference range for determining whether or not remeasurement is necessary for each inspection item is registered in the inspection sharing application 32AP, and the control unit 31 has the initial inspection value displayed on the detail screen and this inspection item. Compare with the reference range in, and determine the necessity of remeasurement based on the comparison result. For example, the control unit 31 determines that remeasurement is not necessary when the initial inspection value is within the reference range, and determines that remeasurement is necessary when the initial inspection value is outside the reference range. do. The control unit 31 may acquire the reference range of each inspection item from the server 10.

Further, the control unit 31 machine-learns the test results for a plurality of test items from the test results of the in-hospital test and the test results of the outsourced test displayed on the detailed screen to determine whether or not there is a test result requiring remeasurement. You may make a judgment using the learning model. In this case, learning is learned to output information indicating the inspection items that are abnormal and need to be remeasured when the inspection results for multiple inspection items are input by machine learning using training data. A model can be used. In such a learning model, the test results for a plurality of test items are trained using training data to which information (correct answer label) indicating the test items determined to require remeasurement is added. The learning model is constructed using algorithms such as decision trees, random forests, SVMs (Support Vector Machines), and CNNs (Convolution Neural Networks). When such a learning model is used, the control unit 31 inputs the test results of the in-hospital test and the outsourced test displayed on the detail screen into the learning model, and remeasurement is required based on the output value from the learning model. Identify a certain inspection item.

Further, the control unit 31 determines whether or not the current test result is abnormal and needs to be remeasured based on the difference between the patient's past test result and the current test result (test result displayed on the detail screen). You may judge whether or not. In addition, based on the correlation of test results in multiple test items, it is possible to determine whether or not there are test results that require remeasurement from the test results of the in-hospital test and outsourced test displayed on the detail screen. good. For example, a function indicating the correlation of inspection results is calculated for multiple inspection items, and the necessity of remeasurement for this inspection item is necessary based on the distance (difference) between the current inspection result and the function indicating the correlation. May be judged.

The control unit 31 determines whether or not there is an inspection item that is determined to require remeasurement (S73), and if it determines that there is an inspection item (S73: YES), the control unit 31 re-measures the inspection item that is determined to require remeasurement. A measurement is proposed (S74). For example, the control unit 31 displays a message indicating an inspection item requiring remeasurement on the detail screen as shown in FIG. When the control unit 31 determines that there is no target for determining the necessity of remeasurement (S71: NO), or when it is determined that there is no inspection item that needs to be remeasured (S73: NO), the step. The process proceeds to S75.

The control unit 31 determines whether or not any of the inspection items is selected via the check box on the detail screen (S75), and if it is determined that the inspection item is not selected (S75: NO), step S80. Move to the processing of. When it is determined that any of the inspection items is selected (S75: YES), the control unit 31 displays a check mark for the check box of the selected inspection item (S76). The control unit 31 acquires the sample amount required for the inspection item selected via the check box, and subtracts the acquired sample amount from the remaining amount of the sample indicated by the indicator for outsourced inspection (for inspection institution). Update (S77). The sample amount required for each test may be registered in the test sharing application 32AP or may be acquired from the server 10. If the amount of sample required for the selected test cannot be secured, the control unit 31 displays an error and notifies the test staff that the remeasurement of the selected test cannot be performed due to insufficient sample remaining. You may.

The inspection staff operates the remeasurement button after selecting the inspection that requires remeasurement through the check box. Therefore, the control unit 31 determines whether or not the remeasurement button has been operated after any of the check boxes is checked (S78), and if it is determined that the remeasurement button has been operated (S78: YES), the selected inspection is performed. The remeasurement instruction for the item is output (S79). For example, the control unit 31 displays on the display unit 35 information for instructing the remeasurement, including the reception date of the remeasurement, the patient ID of the patient, and the information indicating the selected test item. As a result, the examination staff can grasp the patient to be remeasured and the examination item based on the information displayed on the display unit 35. At this time, the control unit 31 may transmit the request information for requesting the registration of the progress status of the examination to the server 10, including the patient ID of the patient and the status information of “remeasurement in progress”. A list of inspection items to be remeasured is stored in the storage unit 32, and the control unit 31 adds the selected inspection items to the inspection list for remeasurement, whereby the selected inspection is performed. You may instruct the item to perform a remeasurement.

When it is determined that the remeasurement button has not been operated on the detail screen (S78: NO),
The control unit 31 determines whether or not the remeasurement unnecessary button has been operated (S80). When it is determined that the remeasurement unnecessary button has not been operated (S80: NO), the control unit 31 returns to the process of step S75. When it is determined that the remeasurement unnecessary button has been operated (S80: YES), the control unit 31 determines the initial inspection value being displayed as the inspection result of the corresponding inspection item (S81). For example, the control unit 31 includes the date and time (reception date and time) at this time, the patient ID of the patient, the test item and the definite test value for which the test result is confirmed, and the status information of "confirmed", and registers the definite test value. The request information for making a request is transmitted to the server 10. When the inspection institution terminal 30 requests the registration of the definite test value, the control unit 11 of the server 10 associates the patient ID and the inspection item received from the inspection institution terminal 30 with the "confirmed" status information and the definite inspection. The value and the value are stored in the patient DB 12a. The control unit 11 may add the date and time when the inspection result is confirmed to the confirmed inspection value and store it. By the above-mentioned process, the inspection staff of the inspection institution decides whether to confirm the initial inspection value in the inspection result or to perform the remeasurement based on the initial inspection value obtained for each inspection item. The results of tests performed at medical institutions can be taken into account.

In the above-described processing, the inspection institution terminal 30 determines whether or not remeasurement is necessary for the inspection performed by the inspection institution, but the server 10 may determine. For example, when a reference range for determining whether or not remeasurement is necessary for each inspection is registered in the storage unit 12 of the server 10, and the control unit 11 of the server 10 generates the detailed screen shown in FIG. In addition, regarding the inspection items displayed on the detail screen, the necessity of remeasurement may be determined based on the comparison result between the initial inspection value obtained by the inspection institution and the reference range. In this case, the determination result of the necessity of remeasurement can be included in the detail screen and provided to the inspection institution terminal 30, and the necessity of remeasurement can be presented to the inspection staff. In this way, when the necessity of remeasurement for each inspection is automatically determined based on a predetermined reference range, it is possible to reduce the burden on the inspection staff. Again, the reference range for each inspection may be a reference range for each inspection, a reference range based on the inspection results of a plurality of inspections, or may be set for each inspection institution.

In this embodiment, the same effects as those of each of the above-described embodiments can be obtained. Further, in the present embodiment, when determining the necessity of remeasurement for the initial test value obtained by the testing institution, the test result performed by the medical institution can be taken into consideration. Therefore, the inspection staff of the inspection institution can more accurately determine the necessity of remeasurement for each inspection in consideration of the inspection result at the medical institution when the initial inspection value is determined as the inspection result. As a result, unnecessary remeasurement is avoided at the inspection institution, and the inspection at the inspection institution can be efficiently performed. Also in this embodiment, it is possible to apply the modifications appropriately described in each of the above-described embodiments.

(Embodiment 4)
Based on the results of the tests performed at the medical institution and the results of the tests performed at the testing institution (initial test value, remeasurement test value, definitive test value), the necessity of additional tests is determined. , Explains an information processing system that proposes additional inspections. Since the information processing system 100 of the present embodiment can be realized by the same apparatus as the information processing system 100 of the first embodiment, detailed description of the configuration will be omitted. In the information processing system 100 of the present embodiment, the server 10 stores the additional inspection rule DB 12c in the storage unit 12 in addition to the configuration shown in FIG.

FIG. 17 is a schematic diagram showing a configuration example of the additional inspection rule DB 12c. The additional test rule DB 12c stores information on an additional test (hereinafter referred to as an additional test) to be performed according to the result of the test performed on the patient. The additional test rule DB 12c shown in FIG. 17 includes a rule ID column, an application condition column, an additional item column, a sample amount column, a test time column, an insurance application column, a reference column, a summary column, and the like, and is associated with the rule ID. Memorize the applicable conditions based on the inspection results and the inspection items (additional inspection items) recommended to be performed when the applicable conditions are met. The rule ID column stores the identification information (rule ID) assigned to each registered rule, and the application condition column stores the conditions to which the registered rule should be applied. Applicable conditions include conditions using the results (measured values) of tests performed at medical institutions or testing institutions, and conditions using patient attribute information (gender or age). The additional item column, sample amount column, test time column, and insurance coverage column are the test items to be performed when the applicable conditions are met, the sample amount required for this test item, the test time required for the test, and the application of medical insurance. Memorize the availability of. In addition to whether or not the insurance is applied, the insurance coverage column may store the insurance points when the insurance is applied. The reference column stores reference information about the inspection items and additional inspection items included in the applicable conditions. The reference information includes the names of diseases that can be considered according to the measured values of each test item, precautions for each test item, and the like. The summary column stores evidence information that indicates the basis for additional inspection for the applicable conditions. The rule ID stored in the additional inspection rule DB 12c is issued and stored by the control unit 11 when a new rule is registered. The other information stored in the additional inspection rule DB 12c is stored by the control unit 11 when the control unit 11 acquires the information of the new rule via the communication unit 13 or the input unit 14, and when the change instruction is acquired. Is changed by the control unit 11. The stored contents of the additional inspection rule DB 12c are not limited to the example shown in FIG. The rule registered in the additional examination rule DB 12c may be set for each doctor in the medical institution. In this case, the information of the medical staff (for example, a doctor) who adopts each rule is registered in the additional examination rule DB 12c in association with each rule, and is associated with each rule when referring to the additional examination rule DB 12c. Medical staff may also be considered when deciding whether or not to apply each rule.

In the information processing system 100 of the present embodiment, when the inspection result at the medical institution and the inspection result at the inspection institution are obtained, the server 10 requires additional inspection according to the rule registered in the additional inspection rule DB 12c. Judge whether or not. Then, when the server 10 determines that the additional inspection is necessary, the server 10 presents the item of the additional inspection. Thereby, for example, when the initial inspection value for any of the inspection items is obtained by the inspection institution, the necessity of the additional inspection can be determined based on the initial inspection value and the inspection result at the medical institution. Further, when the remeasurement test value for any of the test items is obtained by the inspection institution, the necessity of the additional inspection can be determined based on the remeasurement inspection value and the inspection result at the medical institution. Further, when a definitive test value for any of the test items is obtained by the inspection institution, the necessity of additional inspection can be determined based on the definite inspection value and the inspection result at the medical institution. In this way, when the test results are obtained by the testing institution, the necessity of additional tests is determined, and additional tests are requested as needed until the test results necessary for diagnosing the medical condition are obtained. Waiting time can be shortened.

In the information processing system 100 of the present embodiment, each device executes the same processing as the processing shown in FIG. 7 and the processing shown in FIG. As a result, also in this embodiment, the order information of the inspection is registered in the server 10 via the medical institution terminal 20, and the inspection results and inspections at the medical institution and the inspection institution via the medical institution terminal 20 and the inspection institution terminal 30. The progress of the inspection at the institution is registered in the server 10.

FIG. 18 is a flowchart showing an example of the browsing processing procedure of the fourth embodiment, and FIGS. 19 and 20 are schematic views showing a screen example. The process shown in FIG. 18 is a process in which steps S91 to S105 are added instead of steps S45 to S46 in the process shown in FIG. The same steps as in FIG. 11 will be omitted. Note that in FIG. 18, the illustrations of steps S41 to S43 in FIG. 11 are omitted. The control unit 21 of the medical institution terminal 20 and the control unit 11 of the server 10 of the present embodiment perform the same processing as in steps S41 to S44 shown in FIG. As a result, the server 10 can read information such as a patient's test result selected by the medical staff on the medical institution terminal 20 from the patient DB 12a.

The control unit 11 generates an inspection result screen as shown in FIG. 12 based on the read information (S91). The control unit 11 may generate an inspection result screen as shown in FIG. After generating the inspection result screen, the control unit 11 has a rule to be applied based on the inspection result of each inspection item displayed on the inspection result screen among the rules registered in the additional inspection rule DB 12c. It is determined whether or not (S92). Specifically, the control unit 11 determines whether or not the inspection items included in the application conditions of each rule registered in the additional inspection rule DB 12c are included in the inspection items displayed on the inspection result screen. , If included, determine whether the inspection result of each inspection item displayed on the inspection result screen meets the applicable conditions for each inspection item, and if so, determine that this rule should be applied. .. When the patient attribute information is included in the rule application condition, the control unit 11 acquires the patient attribute information from the patient DB 12a and determines whether or not the attribute information also satisfies the application condition.

When the control unit 11 determines that there is a rule to be applied (S92: YES), the control unit 11 identifies an additional inspection to be recommended based on the rule to be applied, and recommends an additional inspection as shown in FIG. 19 (S). (Recommendation information) is generated (S93). The detailed screen of the present embodiment has an inspection result screen and a recommendation screen, and by selecting the inspection result tab or the recommendation tab as shown in FIG. 19, the inspection result screen and the recommendation screen can be switched. Can be instructed. The recommendation screen displays the reception date for which the examination was ordered, the patient's reception number, the patient ID, the name, and the scheduled completion date of the examination performed at the examination institution for the patient selected on the initial screen. This information is obtained from the patient DB 12a. In addition, the recommendation screen shows the item name, material name, sample quantity, order destination (in-hospital or outsourced), required time (test time), and additional tests that are determined to be performed based on the test results of the ordered test. Display recommendation information such as whether insurance is applicable or not. If insurance is applicable, the insurance points will be displayed along with the information indicating the possibility (“OK”). The item name, sample amount, insurance coverage and insurance points of each test displayed on the recommendation screen are obtained from the additional test rule DB 12c, and the material name and order destination of each test are obtained from the storage unit 12. The material name and order destination of each inspection are stored in the storage unit 12 in association with each inspection item. In addition, the required time displayed on the recommendation screen indicates whether the inspection can be completed by the scheduled finish date (within the scheduled time), or the excess time or the number of days exceeded from the scheduled finish date, and is registered in the additional inspection rule DB 12c. Information specified based on the inspection time of each inspection item and the scheduled finish date is used. Such a recommendation screen can recommend test items for which additional tests are recommended as candidates for selection, depending on the patient's test results. The recommendation screen has a check box for selecting the target of the additional inspection for each inspection item presented as a selection candidate, and a display button for displaying an outline of the reason (rationale information) to be selected for the additional inspection. Is provided. Further, the recommendation screen shown in FIG. 19 displays an indicator showing the remaining amount of the sample for the in-hospital test and an indicator showing the remaining amount of the sample for the outsourced test, and the test item selected via the check box is added. An additional inspection request button is provided to instruct the inspection.

The control unit 11 transmits a detailed screen including the test result screen generated in step S91 and the recommendation screen generated in step S93 to the medical institution terminal 20 (S94). When the control unit 11 determines that there is no rule to be applied (S92: NO), the control unit 11 skips the process of step S93 and transmits a detailed screen including only the test result screen generated in step S91 to the medical institution terminal 20. (S94). If there is no rule to be applied, the control unit 11 may generate a recommendation screen for displaying a message indicating that there is no recommendation information regarding the additional test, and send the recommendation screen together with the test result screen to the medical institution terminal 20. , In this case, the medical staff can be notified that there are no recommended additional tests.

When the control unit 21 of the medical institution terminal 20 receives the detail screen from the server 10, the inspection result screen among the detail screens is displayed on the display unit 25 (S95). The control unit 21 determines whether or not the recommendation tab has been operated via the input unit 24 (S96), and if it determines that the recommendation tab has not been operated (S96: NO), the control unit 21 continues to display the inspection result screen. When it is determined that the recommendation tab has been operated (S96: YES), the control unit 21 ends the display of the inspection result screen and displays the recommendation screen as shown in FIG. 19 (S97). On the recommendation screen shown in FIG. 19, the medical staff of the medical institution can receive recommendations for additional inspection items to be inspected based on the results of the inspections performed by the medical institution and the inspection institution. Then, for example, on the recommendation screen shown in FIG. 19, the doctor determines whether or not there is an inspection item to be additionally inspected, checks the check box of the inspection item to be additionally inspected, and then operates the additional inspection request button. And place an order for additional inspection. On the other hand, when the doctor determines that there is no test item to be additionally tested, for example, by selecting the test result tab, the display of the recommendation screen is terminated and the test result screen is displayed.

The control unit 21 determines whether or not any of the inspection items has been selected via the check box on the recommendation screen (S98), and if it determines that the inspection item has been selected (S98: YES), the selected inspection. A check mark is displayed for the check box of the item (S99). The example shown in FIG. 19 shows that inspection R and inspection S were selected. The control unit 21 acquires the sample amount required for the test item selected via the check box, and updates the remaining amount of the sample indicated by the indicator to the amount obtained by subtracting the acquired sample amount (S100). Again, the control unit 21 updates the remaining amount of the sample indicated by the indicator for the in-hospital examination when the in-hospital examination is selected, and updates the remaining amount of the sample indicated by the indicator for the outsourced examination when the outsourced examination is selected. .. Further, when the required sample amount for the selected test item cannot be secured, the control unit 21 may display an error.

After checking any of the check boxes, the control unit 21 determines whether or not the additional inspection request button has been operated (S101), and if it determines that the additional inspection request button has been operated (S101: YES), the selected inspection item. The server 10 is requested to register the order for the additional inspection for (S102). Here, for example, the control unit 21 transmits the order information for requesting the additional examination to the server 10, including the reception date of the additional examination, the patient ID of the patient, and the information indicating the selected examination item. When the medical institution terminal 20 requests the order registration of the additional examination, the control unit 11 of the server 10 stores the requested order contents in the patient DB 12a (S103). Here, the control unit 11 stores the acceptance date of the additional examination and the examination item to be the target of the additional examination in the patient DB 12a in association with the patient ID received from the medical institution terminal 20. After registering the order information of the additional examination in the patient DB 12a in this way, the control unit 11 orders the medical institution terminal 20 in the examination room in the medical institution and the examination institution terminal 30 that processes the order of the examination institution. Request processing for additional inspection is performed by sending the contents. The control unit 11 notifies the medical institution terminal 20 that the order registration for the additional inspection is completed (S104), and the control unit 21 of the medical institution terminal 20 displays the completion screen on the display unit 25 (S105).

When it is determined that the check box is not selected on the recommendation screen (S98: NO), or when it is determined that the additional inspection request button is not operated (S101: NO), the control unit 21 ends a series of processes. .. When the inspection result tab is operated while the recommendation screen is being displayed, the control unit 21 ends the display of the recommendation screen and displays the inspection result screen. By the above-mentioned processing, it is possible to recommend additional tests to be performed to the medical staff based on the test results at the medical institution and the testing institution. The medical staff of the medical institution determines whether or not the recommended test should be additionally tested, and if it is determined that the additional test should be performed, the medical staff can efficiently order the additional test by ordering the additional test. be able to. Further, on the recommendation screen as shown in FIG. 19, whether or not insurance is applicable and the insurance points are presented for each recommended inspection item, so that the insurance points can be confirmed when ordering additional inspections. The insurance points are registered in, for example, the additional inspection rule DB12c. For example, the insurance points are added only to one of a plurality of inspection items, and the insurance points are added to the inspection once a month. , Points are registered according to the guidelines for medical fees, such as test items that are prohibited from being carried out at the same time. By displaying such information on the recommendation screen, the medical staff can consider whether or not insurance can be applied and the number of insurance points for complicated medical fees when deciding whether or not to order additional tests.

In the recommendation screen shown in FIG. 19, when the medical staff wants to know the reason for each test item listed as a selection candidate for an additional test, he / she operates a display button corresponding to the test item. When the display button of any of the inspection items is operated, the control unit 21 acquires the reason and grounds (recommendation reason) listed as selection candidates for the inspection item for which the display button is operated, for example, from the server 10. And display as shown in FIG. The reason for recommendation (foundation information) is stored in the additional inspection rule DB 12c as an outline of the rule, but may be set in the inspection sharing application 22AP. In the example shown in FIG. 20, the state in which the display button of the inspection R is operated is shown, and the reason why the inspection R is recommended from the measured value (inspection result) of the inspection N is displayed. The recommendation reason may include, for example, information on other inspection items related to each inspection item, correlation information of inspection results in the related inspection items, and the like.

In the above-mentioned process, the test item to be additionally tested is recommended from the result of the test performed on the patient with reference to the rule registered in the additional test rule DB 12c, but the present invention is not limited to such a configuration. For example, when determining the necessity of additional inspection, the presence or absence of an order omission inspection item may be determined using the inspection set DB 12b shown in FIG. 5 in addition to the additional inspection rule DB 12c. In this case, it is possible to reliably prevent inspection omission of each inspection item.

In addition, the control unit 11 of the server 10 predicts the expected disease from the results of the tests performed on the patient (test results of the in-hospital test and the outsourced test), and identifies the test items necessary for diagnosing the predicted disease. , Predicted disease may be presented when recommending additional tests. The assumed disease can be predicted based on a database in which test results for a plurality of test items obtained from patients with each disease are registered in association with each disease. Further, the assumed disease may be predicted by using a learning model in which the test results for a plurality of test items are machine-learned. In this case, it is possible to use a learning model trained to output information indicating a assumed disease when test results for a plurality of test items are input by machine learning using training data. Such a learning model learns using training data to which information (correct answer label) indicating a assumed disease is given to the test results for a plurality of test items. The learning model is constructed using algorithms such as decision trees, random forests, SVMs, and CNNs. When such a learning model is used, the control unit 11 can input the test results of the in-hospital test and the outsourced test into the learning model and predict the assumed disease based on the output value from the learning model.

In the present embodiment, the result of the test performed in the medical institution and the result of the test performed in the laboratory may be registered in a different DB. Further, the additional test rule DB 12c for determining the necessity of the additional test based on the test result obtained by the test institution may be provided for each medical institution or each doctor in the medical institution, for example. In this case, a rule for determining the necessity of additional examination can be set for each medical institution or each doctor. In addition, an additional inspection rule DB for determining the necessity of additional inspection based on the initial inspection value obtained for each inspection by the inspection institution, and an additional inspection based on the definite inspection value obtained for each inspection by the inspection institution. An additional inspection rule DB for determining the necessity of the above may be provided separately for each.

In this embodiment, the same effects as those of each of the above-described embodiments can be obtained. Further, in the present embodiment, even before the inspection result is confirmed by the inspection institution, the necessity of the additional inspection is determined based on the initial inspection value obtained by the inspection institution, and the necessary additional inspection is recommended. .. With such a configuration, for example, when the initial inspection value is obtained by the inspection institution, it is possible to determine the necessity of the additional inspection, so that it is possible to place an order for the additional inspection at an early stage as needed. .. Therefore, by being able to place an order for additional tests at an early stage, it is possible to shorten the waiting time until the test results necessary for diagnosing the medical condition are obtained. In addition, after the inspection result is confirmed by the inspection institution, the necessity of the additional inspection is determined based on the definite inspection value obtained by the inspection institution, and the necessary additional inspection is recommended. In addition, since the medical staff may select an inspection item requiring additional inspection from the recommended inspection items, the burden on the medical staff who orders the inspection can be reduced. Also in this embodiment, it is possible to apply the modifications appropriately described in each of the above-described embodiments.

The embodiments disclosed this time should be considered to be exemplary in all respects and not restrictive. The scope of the present disclosure is expressed by the scope of claims, not the above-mentioned meaning, and is intended to include all modifications within the meaning and scope equivalent to the scope of claims.

10 Server 11 Control unit 12 Storage unit 13 Communication unit 20 Medical institution terminal 21 Control unit 22 Storage unit 23 Communication unit 30 Inspection organization terminal 31 Control unit 32 Storage unit 33 Communication unit 12a Patient DB
12b Inspection set DB

Claims (15)

Obtain the test results of the first test performed on the sample at the first institution,
Obtained progress information of the second test performed on the sample at a second institution different from the first institution.
An information processing method in which a computer executes a process of associating and outputting the test result of the first test and the progress information of the second test for the sample. The progress information includes the pre-confirmation result before the inspection result of the second inspection is finalized.
The information processing method according to claim 1, wherein the computer executes a process of associating and outputting the inspection result of the first inspection and the pre-confirmation result of the second inspection. After outputting the pre-confirmation result of the second test, an instruction to execute the remeasurement of the second test for the sample or an instruction not requiring the remeasurement of the second test is output to the device corresponding to the second institution. The information processing method according to claim 2, wherein the processing is executed by the computer. The second or third aspect of the present invention, wherein the computer executes a process for specifying the necessity of remeasurement of the second test for the sample based on the test result of the first test and the pre-confirmation result of the second test. Information processing method. Based on the test result of the first test and the pre-confirmation result of the second test, the additional test to be performed on the sample is specified.
The information processing method according to any one of claims 2 to 4, wherein the computer executes a process of outputting recommended information of the specified additional inspection. The progress information includes the inspection result of the second inspection.
Based on the test result of the first test and the test result of the second test, the additional test to be performed on the sample is specified.
The information processing method according to any one of claims 1 to 5, wherein the computer executes a process of outputting recommended information of the specified additional inspection. The information processing method according to claim 5 or 6, wherein the computer executes a process of determining whether or not the additional test is possible based on the remaining amount of the sample. The information processing method according to any one of claims 5 to 7, which outputs the insurance points corresponding to the additional inspection and the basis information specifying the additional inspection in association with the recommendation information of the additional inspection. Display information for displaying a graph showing the remaining amount of the sample is output, and the display information is output.
Any one of claims 1 to 8 in which the computer executes a process of changing the graph to a graph showing the remaining amount after the additional test when the instruction to execute the additional test is received for the sample. The information processing method described in one. An information processing system including a first device corresponding to the first engine, a second device corresponding to a second engine different from the first engine, and an information processing device capable of communicating with the first device and the second device. And
The first device includes an output unit that outputs the test results of the first test performed on the sample at the first institution to the information processing device.
The second device includes an output unit that outputs progress information of a second test performed on the sample by the second institution to the information processing device.
The information processing device is
A storage unit that stores the inspection result of the first inspection acquired from the first apparatus and the progress information of the second inspection acquired from the second apparatus.
An information processing system including an output unit that associates the test result of the first test with the sample and the progress information of the second test and outputs the test result to the first device or the second device. A claim comprising a specific unit for specifying whether or not the second test needs to be remeasured for the sample based on the test result of the first test and the pre-determination result before the test result of the second test is confirmed. The information processing system according to 10. Obtain the test results of the first test performed on the sample at the first institution,
The progress information of the second test performed on the sample at the second institution different from the first institution and the test result at each progress stage indicated by the progress information are sequentially acquired.
A program that causes a computer to execute a process of associating and outputting the test result of the first test for the sample, the progress information of the second test, and the test result at each progress stage. The program according to claim 12, wherein the computer is made to execute a process of receiving an instruction to execute a remeasurement of the second test for the sample or an instruction to execute an additional test to the sample. Display information for displaying a graph showing the remaining amount of the sample is output, and the display information is output.
When the execution instruction of the remeasurement of the second test for the sample or the execution instruction of the additional test for the sample is received, the graph is shown after the remeasurement of the second test or the additional test is performed. The program according to claim 13, wherein the computer is made to execute a process of changing to a graph showing an amount. Based on the test results of the first test and the test results at each progress stage of the second test, additional tests to be performed on the sample are specified.
The program according to any one of claims 12 to 14, which causes the computer to execute a process of outputting the recommendation information of the specified additional inspection.

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