JP4745140B2 - Medical information management apparatus and medical information management system - Google Patents

Description

  The present invention relates to a medical information management technique, and more particularly to a medical information management apparatus and a medical information management system that manage medical practice information.

  During endoscopy, a suitable scope may be exchanged for various reasons, such as changing the examination policy or changing the examination site. In that case, after removing the scope from the patient's body, the scope is replaced after the electronic endoscope system is turned off. In a system designed to judge that the examination has been completed by turning off the power of the electronic endoscope system or turning on the examination end key, if the scope is changed, another examination will be performed even if the examination is the same for the same patient. Will be recorded.

On the other hand, Patent Document 1 determines whether a series of examinations are integrated as the same examination or divided as separate examinations depending on whether or not the examination end key is pressed when the same patient performs examinations continuously. The technique of recording is disclosed.
JP 2001-245239 A JP 2003-141502 A

  However, when the scope is exchanged, for example, when the test end key is forgotten to be pressed due to a human error, a test for another patient may be recorded as one test data.

  The present invention has been made in view of such circumstances, and its purpose is to simply and accurately record whether the implementation information after replacement of medical equipment is integrated with the implementation information before replacement or recorded separately. It is an object of the present invention to provide a medical information management device and a medical information management system that can be determined.

  In order to solve the above problems, a medical information management apparatus according to an aspect of the present invention includes an acquisition unit that acquires medical practice information including medical equipment information for identifying medical equipment used in a medical practice; Specify the recording unit that records the implementation information, the medical device information that is recorded in the recording unit, and the medical device that is used in the medical operation following the medical operation that uses the medical device specified by the medical device information. A control unit that compares the medical device information with each other and determines whether or not the medical operation using each medical device is the same type of medical operation that continues for the same patient. When each medical device is the same type of medical device, the control unit may record together the implementation information of the medical action by each medical device in the recording unit. The recording unit may include a table for managing medical equipment that can be used for each type of medical practice as the same type of medical equipment. “Medical action” means an action performed in a procedure or examination performed using a specific medical device, and is performed from power-on to power-off of an observation device such as an electronic endoscope device. It may be defined as a set of behaviors by an operator, or may be defined as a set of behaviors by a medical practitioner that is performed from the start to the end of communication between the observation device and the medical information management device.

  According to this aspect, by comparing the medical equipment information, it is possible to accurately determine whether or not the implementation information after replacement of the medical equipment is integrated with the implementation information before replacement.

  When the interval between the time when the previous medical action is ended and the time when the subsequent medical action is started is within a predetermined set time, and each medical equipment is the same type of medical equipment, You may record together the implementation information of the medical practice by a medical device in a recording part. According to this, the above-described determination can be performed with higher accuracy by taking into account temporal conditions.

  Another aspect of the present invention is also a medical information management device. This device includes an acquisition unit that acquires medical practice information including medical equipment information for identifying medical equipment used in the medical practice, a recording unit that records the implementation information, and a medical practice performed by each medical equipment. In this case, it is determined whether the interval between the time when the previous medical action is finished and the time when the subsequent medical action is within a predetermined set time, and the medical action using each medical device is the same patient And a control unit for determining whether or not the same kind of medical practice continues.

  According to this aspect, whether or not the implementation information after replacement of the medical equipment is integrated with the implementation information before the exchange by comparing the time when the previous medical action was completed and the time when the subsequent medical action was started. Judgment can be performed easily.

  Yet another embodiment of the present invention is a medical information management system. This medical information management system is a medical information management system comprising an observation device provided with medical equipment, and a medical information management device that manages medical practice implementation information using the observation device. An acquisition unit that acquires medical practice information including medical equipment information for identifying medical equipment used in the observation apparatus, a recording unit that records the implementation information, and medical equipment information recorded in the recording unit Compared with the medical equipment information that identifies the medical equipment used in the medical practice following the medical practice using the medical equipment specified by the medical equipment information, the medical practice using each medical equipment is the same And a control unit that determines whether or not the same medical practice is performed on the patient. When each medical device is the same type of medical device, the control unit may record together the implementation information of the medical action by each medical device in the recording unit.

  According to this aspect, by comparing the medical equipment information, it is possible to accurately determine whether or not the implementation information after replacement of the medical equipment is integrated with the implementation information before replacement.

  The control unit, when the interval between the time when the previous communication was completed with the observation device and the time when the communication was resumed is within a predetermined set time, and each medical device is the same type of medical device, You may record together the implementation information of the medical practice by each medical equipment in a recording part. According to this, the above-described determination can be performed with higher accuracy by taking into account temporal conditions.

  The observation apparatus may further include a display unit that displays a predetermined message and an input unit for the user to input patient specifying information. The acquisition unit acquires the order information of the medical practice for the patient and the patient identification information input from the input unit, and when there is no order information corresponding to the patient identification information, the control unit displays the fact on the display unit. May be. According to this, when the user erroneously inputs the patient specifying information, it is possible to correct by seeing the display indicating that the order information corresponding to the patient specifying information does not exist.

  Yet another embodiment of the present invention is also a medical information management system. This medical information management system has an endoscope scope having an image pickup device for picking up an observation image in a body cavity, an observation device for outputting a video signal from an image pickup signal from the image pickup device, and an image file obtained by compressing the video signal And a medical information management device that manages information on the implementation of medical practices for patients. The medical information management device records the image file for each examination, and if the usage status of the observation device and the usage status of the compression device satisfy predetermined conditions, the medical information management device associates it with the latest examination recorded in the recording unit. A control unit that controls to record the image file in the recording unit. The control unit may associate the image file captured after the observation apparatus is turned off and turned on again with the latest examination recorded in the recording unit while the compression apparatus is turned on.

  According to this aspect, by monitoring the usage status of the observation device and the usage status of the compression device, it is possible to accurately determine whether or not the implementation information after replacement of the medical equipment is integrated with the implementation information before the replacement. Can do.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, etc. are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, it can be determined easily and exactly whether the implementation information after replacement | exchange of medical equipment is integrated and recorded with the implementation information before replacement | exchange, or it records separately.

  Before describing embodiments of the present invention in detail, an outline will be described first. The medical information management system 100 according to the embodiment of the present invention includes at least an observation device and a medical information management device 30. In the following example, the electronic endoscope apparatus 10 is taken up as an observation apparatus. However, the present invention is not limited to this, and an ultrasonic endoscope observation apparatus, an extracorporeal echo apparatus, an external camera apparatus, or the like may be used.

  The medical information management device 30 determines whether to collect and record the execution information such as examination data from the observation device with the communication interruption due to the power-off of the observation device being integrated or separately recorded. For example, this determination may be performed by comparing patient specifying information before and after communication interruption and / or medical equipment information such as a medical equipment model number. The medical information management apparatus 30 manages in advance medical equipment information that can be used for each examination type. A single examination or procedure consists of a single medical practice or multiple medical practices. The medical practice here is a concept representing a set of behaviors by a medical practitioner performed while using a specific medical equipment.

  Hereinafter, embodiments will be described in detail. FIG. 1 shows a configuration of a medical information management system 100 according to an embodiment of the present invention. The medical information management system 100 includes an electronic endoscope device 10, a medical information management device 30, and a client device 50. The electronic endoscope device 10, the medical information management device 30, and the client device 50 are connected by a network distributed by a hub. The medical information management device 30 and the client device 50 constitute a server client system.

  The electronic endoscope apparatus 10 includes a display unit 12, an operation unit 14, a recording unit 15, a control unit 16, an endoscope scope (hereinafter simply referred to as a scope) 18, a compression unit 22, and a communication unit 24. The medical information management apparatus 30 includes a communication unit 32, an acquisition unit 34, a control unit 38, a recording unit 40, and a clock 42. The client device 50 includes a display unit 52, an operation unit 54, a communication unit 56, a control unit 58, and a recording unit 60.

  These configurations can be realized in terms of hardware by a CPU, memory, or other LSI of any computer, and in terms of software, they are realized by programs loaded into the memory. It depicts the functional blocks that are realized. Accordingly, those skilled in the art will understand that these functional blocks can be realized in various forms by hardware only, software only, or a combination thereof.

  The electronic endoscope apparatus 10 is an apparatus for examining and treating the internal organs and body cavities of a patient. Although not shown, the scope 18 has an elongated insertion portion that is inserted into the body cavity and an operation portion provided at the rear end thereof. The operation unit is provided with a release switch for giving a release instruction, and an image can be recorded by pressing the release switch. The scope 18 is provided with identification information such as a model number. Illumination light for brightly illuminating the inside of the body cavity is supplied to the scope 18 from a light source (not shown).

  The control unit 16 comprehensively controls the entire electronic endoscope apparatus 10. In particular, a signal from a solid-state imaging device built in or connected to the scope 18 is converted into a video signal. Further, it is possible to read the identification information of the inserted scope 18 and acquire the scope information for specifying the type of the scope 18. The scope information is used as medical equipment information for specifying the medical equipment. In the configuration in which the identification information cannot be directly transmitted from the scope 18 to the control unit 16, a reading unit configured by a handy scanner having a wireless communication function (not shown) is used, and the medical practitioner reads the identification information in the scope 18. The identification information may be read by holding and the identification information may be transmitted to the control unit 16. Further, the medical practitioner may manually input the identification information of the scope 18 from the operation unit 14 described later. The display unit 12 displays character information such as patient information, an image captured by the scope 18, and the like. The operation unit 14 includes a keyboard and receives input from the user.

  The recording unit 15 temporarily records the released video signal and the patient information received from the medical information management device 30. The compression unit 22 converts the released video signal into a digital signal, performs a predetermined compression process, and generates an image file in, for example, a JPEG (Joint Photographic Coding Experts Group) format. The communication unit 24 executes communication with the medical information management device 30.

  The medical information management apparatus 30 is configured by a server or the like, and manages patient information, order information, medical practice implementation information, tables related to medical equipment, and the like as a database. Patient information is information for specifying one patient, and includes items such as “patient ID”, “name”, “date of birth”, and “sex”. “Patient ID” is a number uniquely corresponding to each patient so that each patient can be identified. Furthermore, patient information includes profile information representing patient characteristics and conditions such as “blood type”, “height / weight”, “allergy”, “disorder”, “infection”, “disease, precautions”, “specimen” Items such as “test result” and “pre-medication information” may be included.

  The order information is information relating to an inspection request when an inspection request is made to the endoscope department. Order key information such as “patient ID”, “name”, “order number” and “occurrence date”, request source information such as “request department name”, “request doctor name” and “request date”, “request disease name”, It includes order contents including “inspection purpose”, “inspection type”, “inspection item” and “inspection site” as appropriate, and inspection reservation information such as “inspection date” and “execution time”. The order key information is information for uniquely identifying one inspection order.

  Implementation information is information related to the contents of the inspection, including “Execution Date / Time”, “Performer”, “Execution Location”, “Procedure”, “Chemicals”, “Equipment”, “Captured Image”, and “Schema Image”. Etc. as appropriate. The report information for the inspection request may include “report date”, “reporter”, “diagnosis”, “findings”, “treatment”, “comment”, “post-inspection caution / instruction”, and the like. Such report information may be managed by the recording unit 60 of the client device 50 described later.

  The communication unit 32 performs communication with the electronic endoscope device 10 and the client device 50. The acquisition unit 34 acquires patient identification information such as “patient ID” transmitted from the client device 50, patient identification information, implementation information, scope information, and the like transmitted from the electronic endoscope device 10. The control unit 38 comprehensively controls the entire medical information management device 30. In particular, the acquisition unit 34 compares the scope information acquired before and after the communication disconnection with the electronic endoscope device 10 to determine whether or not the two medical operations before and after the communication disconnection are the same kind of medical activities. . The detailed operation of the control unit 38 will be described later.

  The recording unit 40 is configured by a storage medium such as a hard disk, and records patient information, order information, implementation information, and identification information of all types of scopes 18 used in the electronic endoscope apparatus 10. In addition, the captured image file received as the execution information from the electronic endoscope apparatus 10, the acquired scope information, the time when the communication with the electronic endoscope apparatus 10 is disconnected, and the like are temporarily recorded. The clock 42 supplies the time to the control unit 38.

  The client device 50 is configured by a PC (personal computer) or the like, and can access the medical information management device 30 to refer to or process patient information, order information, and implementation information. The client device 50 can be installed in an endoscopy room or an adjacent room. The control unit 58 controls the entire client device 50 in an integrated manner. The display unit 52 displays patient information, implementation information, and the like. The operation unit 54 includes a keyboard and receives input from the user. The communication unit 56 executes communication with the medical information management device 30. The recording unit 60 is configured by a storage medium such as a hard disk, and records report information and the like.

  FIG. 2 shows a modified configuration of the medical information management system 100 according to the embodiment of the present invention. In FIG. 1, the configuration in which the compression unit 22 and the communication unit 24 are included in the electronic endoscope apparatus 10 has been described. In FIG. 2, the compression unit 22 and the communication unit 24 are examples independent of the electronic endoscope apparatus 10. A compression transmission device 20 is provided between the electronic endoscope device 10 and the medical information management device 30. The compression transmission apparatus 20 includes components corresponding to the compression unit 22 and the communication unit 24 of FIG. The function of each component in FIG. 2 is the same as the description of FIG. 1 described above.

  Next, the operation of the medical information management system in this embodiment will be described. FIG. 3 shows a flowchart for explaining a first operation example in the embodiment of the present invention. First, the medical practitioner inputs patient identification information such as “patient ID” from the operation unit 54 of the client apparatus 50, and the client apparatus 50 transmits the patient identification information to the medical information management apparatus 30 (S10). It should be noted that the patient specifying information may be input from the operation unit 14 of the electronic endoscope apparatus 10 in a situation where the client apparatus 50 is not installed in the endoscopy room and an emergency patient is inspected.

  When receiving the patient specifying information from the client device 50 or the electronic endoscope device 10, the medical information management device 30 searches the patient information corresponding to the transmitted patient specifying information, and electronically stores some or all of the items. It transmits to the endoscope apparatus 10. At this time, order information that matches the patient specifying information may be specified, and the order information may be transmitted to the electronic endoscope apparatus 10 together. The electronic endoscope apparatus 10 displays the transmitted patient information on the display unit 12 (S12). Further, the electronic endoscope apparatus 10 acquires scope information of the scope 18 that is currently used, and transmits the scope information to the medical information management apparatus 30 (S14). The medical information management device 30 receives scope information.

  Next, the medical practitioner photographs the inside of the patient using the scope 18. The electronic endoscope apparatus 10 transmits a captured image to the medical information management apparatus 30 (S16). The medical information management device 30 associates the received captured image with patient information (S18). The received captured image is also associated with the corresponding order information.

  When the medical practitioner needs to replace the scope 18, for example, when it is necessary to change to the thin scope 18, the main power source of the electronic endoscope apparatus 10 is turned off, and the electronic endoscope apparatus 10 functions. Is stopped (S20). Thereafter, when the medical practitioner replaces the scope 18 and turns on the main power supply, the electronic endoscope apparatus 10 recovers its function (S22).

  The medical practitioner inputs patient specifying information from the operation unit 14 of the electronic endoscope apparatus 10, and the electronic endoscope apparatus 10 transmits the patient specifying information to the medical information management apparatus 30 (S24). At this time, order information that matches the patient specifying information is specified. Further, the electronic endoscope apparatus 10 acquires the scope information of the replaced scope 18 and transmits it to the medical information management apparatus 30 (S26). The medical information management device 30 receives scope information. The medical practitioner takes an image of the inside of the patient again using the scope 18 after the replacement. The electronic endoscope apparatus 10 transmits the captured image to the medical information management apparatus 30 (S28). The medical information management apparatus 30 associates the received captured image with patient information (S30). The received captured image is also associated with the corresponding order information.

  The control unit 38 of the medical information management apparatus 30 collates the transmitted patient identification information and the scope information received corresponding thereto with the previously transmitted patient identification information and the scope information received corresponding thereto. (S32). The verification of the patient specific information includes at least verification of “patient ID” or “name”. This collation may be performed when all medical practices are completed and the medical practitioner creates report information using the client device 50, or may be performed immediately after the scope exchange or at any timing after the scope exchange. When both the patient identification information and the scope information match (Y in S32), a message for integrating the execution information is displayed on the display unit 52 of the client device 50 or the display unit 12 of the electronic endoscope device 10 (S34). ).

  When the medical practitioner desires integration and the intention display is input to the operation unit 54 of the client device 50 or the operation unit 14 of the electronic endoscope device 10 (Y in S36), the control unit of the medical information management device 30 38 integrates the implementation information corresponding to each scope information, and records it in the recording unit 40 as the implementation information related to the same kind of medical practice for the same patient (S38). Integration of implementation information means, for example, managing image files shot with the scope before replacement and image files shot with the scope after replacement in the same folder, or linking image files It is.

  In step S32, if at least one of the patient identification information and the scope information does not match (N in S32), the implementation information corresponding to the previously received scope information and the implementation information corresponding to the received scope information are separated. The inspection data is recorded in the recording unit 40 (S40). In step S36, when the medical practitioner does not desire integration and the intention display is input to the display unit 52 of the client device 50 or the operation unit 14 of the electronic endoscope device 10 (N in S36), another The inspection data is recorded in the recording unit 40 (S40). In addition, the control part 38 may abbreviate | omit the process which concerns on step S34 and S36, and may integrate automatically, when both patient specific information and scope information correspond (Y of S32).

  FIG. 4 shows an example of a table for managing scope information. The medical information management apparatus 30 manages all types of scopes 18 that may be used in the electronic endoscope apparatus 10 as a table by the recording unit 40. In FIG. 4, each scope is defined by four items. “Scope ID”, “Scope type”, “Model number”, and “Scope ID determined to be the same inspection”. Multiple scopes with different uses from the upper gastrointestinal scope, lower gastrointestinal scope, bronchial scope, and ultrasonic scope are registered.

  A plurality of applications are registered for each application. Even in the same application, there are various types such as the thickness and shape of the tube and the presence or absence of a treatment function. The medical practitioner switches to a scope that matches the shape and symptoms of the patient's body, even during the same examination or procedure. For example, as the shape of the sigmoid colon of the patient is understood in the lower gastrointestinal tract examination, the scope is changed to a suitable scope.

  In addition, when there are a plurality of scopes that can be used for each examination type, they are classified in advance and associated with each other using a “scope ID”. In some of the upper gastrointestinal examinations, an upper gastrointestinal scope (hereinafter referred to as an upper scope) 1, an upper scope 2, and an upper scope 3 can be used. In this case, the medical information management device 30 receives the model number “AAA-1” of the upper scope 1 as the scope information together with the reception of the previous patient specifying information, and receives the next patient specifying information of the upper scope 2 along with the reception of the next patient specifying information. When the model number “AAA-2” is received as scope information, it is determined that the scope is used for the same examination.

  For example, the model number “AAA-1”, the model number “AAA-3”, the model number “BBB-1”, and the model number “BBB-2” are sequentially transmitted from the electronic endoscope apparatus 10 as scope information used for the same patient. In the case where the medical information management apparatus 30 has been implemented, the medical information management apparatus 30 integrates the implementation information corresponding to the model number “AAA-1” and the implementation information corresponding to the model number “AAA-3” and supports the next model number “BBB-1”. Do not integrate with implementation information. From the above table, it is determined that the scope relating to the model number “AAA-1” and the model number “AAA-3” is used for the upper digestive tract, and the scope relating to the model number “BBB-1” is used for the lower digestive tract. Because. In addition, the medical information management apparatus 30 integrates implementation information corresponding to the model number “BBB-1” and implementation information corresponding to the model number “BBB-2”. This indicates that the upper gastrointestinal tract examination and the lower gastrointestinal tract examination were performed in succession.

  As is clear from the above description, according to the first operation example, when medical device information such as scope information is received, it is compared with medical device information that identifies the medical device used before the medical device replacement. It is possible to accurately determine whether the execution information before and after the replacement is integrated and recorded as data relating to the same inspection or separately as data relating to another inspection. Therefore, even if the medical equipment is exchanged during the same examination, it is possible to prevent the examination data from being separated and recorded. In addition, by displaying a message that allows the medical practitioner to confirm whether or not to integrate examination data separated by replacement of medical equipment, the examination data that should not be integrated is erroneously integrated. Can be prevented. Also, the operation is easier than the operation of later integrating the inspection data recorded separately.

  FIG. 5 is a flowchart for explaining a second operation example in the embodiment of the present invention. The second operation example is an example in which the first operation example is a basic operation and the accuracy is further improved by utilizing time information. Steps S10 to S20 are the same as in the first operation example. When the main power supply of the electronic endoscope apparatus 10 is turned off for the scope exchange, the communication between the electronic endoscope apparatus 10 and the medical information management apparatus 30 is disconnected. Therefore, when the communication is disconnected, the medical information management apparatus 30 can estimate that the scope has been exchanged on the electronic endoscope apparatus 10 side and the medical action by the scope before the exchange has ended. The control unit 38 of the medical information management apparatus 30 acquires the time when the communication is disconnected from the clock 42 and temporarily records it in the recording unit 40 (S21). Similarly to the first operation example, when the medical practitioner replaces the scope 18 and turns on the main power supply, the electronic endoscope apparatus 10 recovers its function (S22).

  When the main power supply of the electronic endoscope apparatus 10 is turned on, communication between the electronic endoscope apparatus 10 and the medical information management apparatus 30 is established again. Therefore, when the communication is established again, the medical information management apparatus 30 can estimate that the medical action by the scope after the exchange has started. The control unit 38 of the medical information management apparatus 30 acquires the time when the communication is established again from the clock 42 and temporarily records it in the recording unit 40 (S23). Steps S24 to S30 are the same as in the first operation example.

  The control unit 38 of the medical information management apparatus 30 compares the previous communication disconnection time recorded in the recording unit 40 with the communication re-establishment time (S31). If the difference between the two times is within the set time (Y in S31), the process proceeds to step S32. When the difference between the two times exceeds the set time (N in S31), the execution information received by communication with the execution information received by the previous communication is recorded in the recording unit 40 as the execution information of another inspection (S40). . The setting time can be arbitrarily set by the designer, such as 2 minutes, 5 minutes, 15 minutes, and 30 minutes. It can be set to a time that is normally required for exchanging the scope, a time that is shorter than that required for exchanging the patient, or a time that does not change the patient's symptoms. The processing after step S32 is the same as in the first operation example. By using the time, it is possible to improve the accuracy of confirming whether or not the patients are the same. For example, it is not necessary to compare the patient specifying information in step S32 of FIG.

  As is clear from the above description, according to the second operation example, in addition to the operational effects of the first operation example, it is possible to increase the accuracy of determination by providing a time limit. For example, even if the medical device information that should be determined as the same examination is received compared to the previous medical device information, if the reception interval is several hours away, it is not necessary to compare the medical device information. Should be judged as an inspection.

  Next, a modification of the second operation example will be described. The modified example of the second operation example is obtained by simplifying the basic operation of the second operation example shown in FIG. That is, this is an example in which comparison of scope information is omitted. Accordingly, the processing of step S14, step S26, and step S32 in FIG. 5 regarding the reception and comparison of scope information is omitted. In this modification, it is desirable to set the time that is normally required for exchanging the scope, such as setting the set time to 2 minutes. According to the modified example of the second operation example, it is not necessary to acquire and compare scope information, and the system can be simplified.

  FIG. 6 is a flowchart for explaining a third operation example in the embodiment of the present invention. In the third operation example, when matching with order information using patient identification information such as “patient ID” as a key, only information existing as order information in the medical information management device 30 is accepted and not registered. Informs warnings and errors.

  The medical practitioner inputs patient specifying information such as “patient ID” from the operation unit 14 of the electronic endoscope device 10 or the operation unit 54 of the client device 50. The input patient identification information is transmitted to the medical information management apparatus 30, and the medical information management apparatus 30 receives the patient identification information (S50). The control unit 38 of the medical information management apparatus 30 searches the order information database constructed in the recording unit 40 using the received patient specifying information as a key, and determines whether or not matching order information exists (S52). .

  If there is matching order information (Y in S52), the captured image obtained by the inspection that is started thereafter is automatically associated with the order information (S54). When there is no matching order information (N in S52), the control unit 38 of the medical information management apparatus 30 displays the collation result and a predetermined message on the display unit 12 of the electronic endoscope apparatus 10 (S56). The given message prompts you to correct an entry error in patient-specific information. For example, “The entered patient is not reserved for the examination of the day. Is there any error in the patient information before starting the imaging? Please check. "

  When the medical practitioner recognizes an input error and the intention display is input to the operation unit 14 of the electronic endoscope apparatus 10 (Y in S58), the patient specifying information can be corrected from the operation unit 14 thereafter. . When the medical practitioner corrects the patient identification information, the corrected patient identification information is transmitted to the medical information management apparatus 30, and the medical information management apparatus 30 receives the patient identification information (S60). The control unit 38 of the medical information management device 30 searches the order information database built in the recording unit 40 using the received patient specifying information as a key, and determines again whether or not matching order information exists (S52). ).

  In step S58, when the medical practitioner re-recognizes the input content and an intention display without correction is input to the operation unit 14 of the electronic endoscope apparatus 10 (N in S58), control of the medical information management apparatus 30 The unit 38 determines that the examination has no order information. A captured image obtained by the inspection started thereafter is recorded in the recording unit 40 independently without being associated with the order information (S62). The case where the order information does not exist is a case where an emergency inspection is performed.

  As is clear from the above description, according to the third operation example, the medical practitioner can be notified of the collation result between the patient identification information such as “patient ID” and the order information before photographing, which is unexpected for the medical practitioner. Therefore, it is possible to prevent registration of a photographed image that is not associated with order information. Also, human errors can be minimized by prompting correction of patient information input errors. Further, by reducing the occurrence of human errors, it is possible to reduce the burden on the medical practitioner of associating the order information with the captured image by manual operation, and to improve maintenance efficiency.

  The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.

  For example, the electronic endoscope apparatus 10 described in the above embodiment includes the patient information received from the medical information management apparatus 30 before the main power is turned off to replace the scope by providing an operation continuation button or the like on the operation unit 14. And a function for storing the order information may be provided. For example, when the recording unit 15 is provided with a non-volatile area and the examination continuation button is pressed, the received patient information and the like are recorded in the area. When the medical practitioner turns off the power of the electronic endoscope apparatus 10 to exchange the scope during the same examination and turns it on again, the medical practitioner inputs patient identification information such as “patient ID” and the medical information management apparatus 30. The patient information can be read out from its own recording unit 15 and displayed on the display unit 12 without acquiring the patient information again. According to this, it is not necessary for the medical practitioner to input the patient specifying information again with the keyboard, and the operation burden can be reduced.

  In the configuration of the modification shown in FIG. 2, the medical device terminal includes an electronic endoscope device 10 and a compression transmission device 20. The control unit 38 of the medical information management apparatus 30 makes a finer determination as to whether to perform the same inspection or different inspections according to the on / off state of the main power supply of the electronic endoscope apparatus 10 and the compression transmission apparatus 20. .

  First, when both the main power supplies of the electronic endoscope apparatus 10 and the compression transmission apparatus 20 are on, it is determined that the examination is being performed. When the main power supply of the electronic endoscope apparatus 10 is on and the main power supply of the compression transmission apparatus 20 is off, it is determined that the inspection is finished. It is also determined that the inspection is finished when both the main power sources of the electronic endoscope apparatus 10 and the compression transmission apparatus 20 are off. Therefore, implementation information such as a captured image file received at the next opportunity is recorded independently without being integrated with the implementation information received at the previous opportunity. This is because it is not normally performed to turn off the power of the compression transmission device 20 in the medical device replacement during the same examination. When the main power supply of the electronic endoscope apparatus 10 is off and the main power supply of the compression transmission apparatus 20 is on, processing is performed in the same manner as the operation example based on the configuration of FIG. When the main power supply of the compression transmission device 20 remains on, there is a possibility of replacement of medical equipment during the same examination. According to this, it is possible to improve the accuracy of determination of whether to perform the same inspection or different inspections.

It is a figure which shows the structure of the medical information management system which concerns on embodiment of this invention. It is a figure which shows the structure which the medical information management system which concerns on embodiment of this invention deform | transformed. It is a flowchart for demonstrating the 1st operation example in embodiment of this invention. It is a figure which shows an example of the table which manages scope information. It is a flowchart for demonstrating the 2nd operation example in embodiment of this invention. It is a flowchart for demonstrating the 3rd operation example in embodiment of this invention.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 10 Electronic endoscope apparatus, 12 Display part, 14 Operation part, 15 Recording part, 16 Control part, 18 Scope, 20 Compression transmission apparatus, 22 Compression part, 24 Communication part, 30 Medical information management apparatus, 32 Communication part, 34 Acquisition unit, 38 control unit, 40 recording unit, 42 clock, 50 client device, 52 display unit, 54 operation unit, 56 communication unit, 58 control unit, 60 recording unit, 100 medical information management system.

Claims (7)

An acquisition unit for acquiring medical practice information including medical equipment information for identifying medical equipment of an observation device used in the medical practice;
A recording unit for recording the implementation information;
Medical equipment information that is recorded in the recording unit, and medical equipment that specifies the medical equipment of the observation device used in the medical action following the medical action using the medical equipment of the observation apparatus specified by the medical equipment information A control unit that compares the information and determines whether or not the medical practice using each medical device is the same kind of medical practice that continues for the same patient,
The said control part records together the implementation information of the medical practice by each medical equipment in the said recording part, when each medical equipment is a medical equipment of the same classification, The medical information management apparatus characterized by the above-mentioned .   When the interval between the time when the previous medical action is finished and the time when the subsequent medical action is started is within a predetermined set time, and each medical equipment is the same type of medical equipment, The medical information management apparatus according to claim 1, wherein the information on the medical practice performed by the medical equipment is recorded together in the recording unit. The recording unit includes a medical instrument that can be used for each type of medical practice, medical information management apparatus according to claim 1 or 2, characterized in that it comprises a table for managing the medical equipment of the same type. A medical information management system comprising an observation device provided with medical equipment and a medical information management device for managing medical practice information using the observation device,
The medical information management device includes:
An acquisition unit for acquiring medical practice implementation information including medical equipment information for identifying medical equipment used in the observation device;
A recording unit for recording the implementation information;
Comparing the medical equipment information recorded in the recording unit with the medical equipment information specifying the medical equipment used in the medical action following the medical action using the medical equipment specified by the medical equipment information A control unit that determines whether or not the medical practice using each medical device corresponds to the same medical practice for the same patient,
The control unit is configured such that an interval between a time when the previous communication is completed with the observation device and a time when the communication is resumed is within a predetermined set time, and each medical device is the same type of medical device. In this case, the medical information management system is characterized in that medical practice information by each medical device is recorded together in the recording unit . The observation device is
A display unit for displaying a predetermined message;
An input unit for the user to input patient identification information;
The acquisition unit acquires order information of medical practice for a patient and patient identification information input from the input unit,
5. The medical information management system according to claim 4 , wherein when the order information corresponding to the patient specifying information does not exist, the control unit displays the fact on the display unit. An observation scope for outputting an image signal from an imaging signal from the imaging element, having an endoscope scope having an imaging element for imaging an observation image in a body cavity;
A compression device for converting the video signal into a compressed image file;
The medical information management device according to claim 1, which manages medical practice implementation information for a patient,
The medical information management device includes:
A recording unit for recording the image file for each inspection;
Control that controls to record the image file in the recording unit in association with the latest examination recorded in the recording unit when the usage status of the observation apparatus and the usage status of the compression apparatus satisfy predetermined conditions And
A medical information management system comprising: The control unit associates an image file captured after the observation device is turned off and on again while the compression device is turned on with the latest examination recorded in the recording unit. The medical information management system according to claim 6 .

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