JP5155823B2 - Guide letter creation system - Google Patents

Description

  The present invention relates to a technique for managing examination information in a medical institution or the like, and more particularly, to a technique for creating a guide for a follow-up examination.

In medical facilities such as hospitals, it is necessary to record and manage information of individual examinees who have undergone examinations and medical treatments. For example, Patent Documents 1 to 3 disclose a display method of a magnetic field measurement apparatus. In this method, data relating to the subject such as the subject's ID number, name, date of birth, height, weight, sex, disease classification, and comments are input and registered. Furthermore, a subject is searched by opening a search dialog box and inputting subject search conditions, and the display content of the subject list on the subject list screen is changed. Further, Document 4 discloses a nursing support system for identifying other patients who may have come into contact with a patient designated as an infectious disease. In this system, when a patient name or ID specified for an infectious disease and a period or date are input as search conditions, the hospital history database is searched and the same ward or the same day as the patient specified for the infectious disease is searched. A list of other patients present in the room is displayed.
JP 2004-358278 A JP 2004-358279 A JP 2005-28164 A JP 2005-25457 A

  If minor abnormalities are found as a result of examinations at medical institutions such as hospitals and follow-up is necessary, periodic follow-up examinations and medical examinations are desired. For that purpose, it is necessary to record and manage the time when each examinee is recommended to take the next examination. It is also effective to create a guide for the next examination in order to encourage regular visits. However, in the past, it took a lot of time and effort to pick up a patient who needs a follow-up examination from among a large number of patients and create a guide. Therefore, in a busy medical setting, it is difficult to select all the patients who need a follow-up examination and give guidance at the appropriate time. Information on preparations required in advance corresponding to each patient's situation could not be included in the guide.

  The present invention has been made in view of these problems, and an object of the present invention is to provide a system and method for efficiently creating a guide for a follow-up examination in a medical institution.

  In order to solve the above-described problem, a guide letter creation system according to an aspect of the present invention includes a list storage unit that stores a list of examiners who need to be inspected, and the next test scheduled time among the inspectors required to be listed. A sender extractor that extracts a person whose number of days is equal to or less than a predetermined number of days as a guide letter sender, and a guide letter that stores a plurality of texts and layouts of a guide letter for notifying the guide sender of the next inspection time A guide letter is created using the template storage unit, the text and layout selected from the text and layout of a plurality of guide letters, and the attribute information and examination records of the guide letter sender read from the database. And a guide letter creation unit. The guide letter creation unit selects a text and a layout based on the attribute information of the guide letter sender read from the database and the examination record.

  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, the system and method which produce the guidance letter regarding a follow-up test | inspection efficiently in a medical institution can be provided.

  Hereinafter, with reference to the drawings, the configuration of a guide letter creation system 40 according to the present invention will be described.

  FIG. 1 shows a medical examination support system 10 including a guide letter creation system 40 according to the present invention. The medical examination support system 10 is provided in each clinical department of a hospital, for example, and supports examination work in a medical institution. The medical examination support system 10 includes a medical device management system 20, a medical device 26, a terminal 28, an examination information management system 30, and a guide letter creation system 40. A staff member such as a doctor or a medical worker can operate the medical device 26 through the terminal 28, input findings, and instruct the creation of a guide for follow-up examinations. The terminal 28 may be, for example, a stationary computer or a portable terminal. Further, in FIG. 1, only one medical device 26 and one terminal 28 are illustrated, but a plurality of medical devices 26 and terminals 28 may be provided. These components are communicably connected to each other in the system by a network such as a LAN.

  The medical device management system 20 includes a control unit 22 and a report creation unit 24. The control unit 22 operates the medical device 26 according to the user's instruction, and acquires the examination result by the medical device 26. When the medical examination support system 10 includes a plurality of medical devices 26, one control unit 22 may control the plurality of medical devices 26, and a control unit 22 may be provided for each medical device 26. . The report creation unit 24 creates a report that records the examination results by the medical device 26, diagnostic information such as doctor's findings and treatment, and treatment information.

  The inspection information management system 30 includes an inspection information database 32 and a schedule management unit 34 that manages the date and time of inspection and medical examination. The examination information database 32 includes an attribute storage unit 36 that stores information about the examinee and a report storage unit 38 that stores a report created by the report creation unit 24.

  FIG. 2 shows an example of the attribute information table 100 stored in the attribute storage unit 36. The attribute information table 100 includes a examinee ID column 102, a birth date column 104, a gender column 106, a destination column 108, and an examination history column 110. In the examinee ID column 102, a examinee ID for uniquely identifying the examinee who has undergone the examination is described. In the date of birth column 104, the date of birth of each examinee is described. The sex column 106 describes the gender of each patient.

  In the delivery address field 108, a delivery address for sending a notification such as a guide for the next examination to each examinee is described. For example, the address may be an address when sent by mail, a fax number when sent by fax, an email address when sent by email. Instead of describing one predetermined guide letter destination in the destination column 108, a plurality of destinations may be described for each examinee, and the user can designate the delivery method each time. . In the examination history column 110, information for referring to reports related to examinations received by the examinee in the past is described. This may be, for example, a report identification number or a pointer indicating the storage location of the report.

  FIG. 3 shows an example of the examination information table 120 stored in the report storage unit 38. The examination information table 120 includes an examination ID column 122, an examination date column 124, an examination type column 126, a examinee ID column 128, a diagnostic information column 130, and an image column 132. In the inspection ID column 122, an inspection ID for uniquely identifying the inspection is described. The inspection date column 124 describes the date on which the inspection was performed. The inspection type column 126 describes the type of the inspection. The examinee ID column 128 describes the examinee ID of the examinee who has undergone the examination. In the diagnostic information column 130, diagnostic information as a result of the examination is described.

  The image column 132 describes information such as an image file name, an identifier such as a code, and a pointer indicating a storage location of the image file, which are necessary when referring to an image obtained as a result of the inspection. In the image field 132, a plurality of images may be designated. The image file may be stored in the report storage unit 38 or may be stored in another storage device. In addition to the image obtained from the medical device, the image may include a schema drawn for explanation by a user such as a doctor or a medical staff. In this case, data captured by a scanner or the like, data input using an input device such as a touch pen, and the like may be stored in the report storage unit 38 as an image file.

  Returning to FIG. The guide letter creation system 40 includes an examiner extraction section 42, a command acquisition section 44, a sender extraction section 48, a guide letter creation section 50, a transmission section 52, a standard period reference information storage section 54, a list storage section 56, a guide letter. A template storage unit 58 and a guide letter storage unit 60 are provided. These are connected so as to be able to communicate with each other in the system via a network such as a LAN.

  The standard period reference information storage unit 54 stores standard period reference information that correlates the state of an abnormal site that can be found by a medical examination with a recommended period until the next examination. Here, “the state of the anomalous site” refers to, for example, the type, nature, shape, size, etc. of the anomalous site that can be found in the examination. For example, tumor type, size, ulcer grade, and level classification. Even if an abnormal site is discovered as a result of the test, it is not a serious situation that requires immediate surgery, but it may be desirable to test again to observe the progress again after a predetermined period, such as three months later. . The standard period reference information is information associating the state of the abnormal site with the recommended period until the next examination in the above case.

  FIG. 4 shows an example of the standard period reference table 140 stored in the standard period reference information storage unit 54. The standard period reference table 140 includes a status column 142, an examination type column 144, and a recommended examination interval column 146. In the status column 142, the status of an abnormal site that can be found by medical examination is described. In performing follow-up observation and follow-up inspection on the state of the abnormal part, a recommended inspection type is described in the inspection type column 144. In addition, when performing follow-up observation and follow-up inspection on the state of the anomalous site, a recommended standard interval until the next inspection is described in the recommended inspection interval column 146. The standard interval value may be set in advance at the time of system construction, and a user such as a doctor in charge specifies or sets an arbitrary value based on his / her own experience. It is good also as a structure which can be changed.

  Returning to FIG. The examiner extraction unit 42 receives the examination result from the report storage unit 38, the information of the examinee who has received the examination from the attribute storage unit 36, and the examination of the examinee from the schedule management unit 34 as necessary. The inspection schedule is read out respectively. Then, the examiner extraction unit 42 determines whether or not a follow-up inspection is necessary for the examinee, and if it is determined that it is necessary, the examiner is extracted as an examiner and stored in a list. Stored in the unit 56.

  When determining whether or not a follow-up test is necessary for the examinee, for example, when a medical staff such as a doctor records that fact in the test result, it may be followed. In addition, even if there is a description of the abnormal part in the record of the test result and there is no reservation for the next medical treatment or test, it may be extracted as the person who needs the test. In addition, when it is desirable to perform a regular examination even if there is no abnormality depending on the age of the examinee, the age may be determined. In another example, on the premise that patients who do not have any abnormalities also undergo regular examinations at predetermined intervals, all those who have undergone the examination and have not been scheduled for the next examination or examination are required. You may determine with a reexamination person.

  The examiner extraction unit 42 also refers to the standard period reference table 140 based on the state of the abnormal part described in the test result record of each examiner and recommends the next recommended to each examiner. The recommended next inspection time is calculated by reading the interval until the inspection and adding the read interval to the inspection date. Then, the examiner extraction unit 42 stores the calculated recommended next examination time in the list storage unit 56 in association with the examinee ID of the examiner requiring examination.

  The examiner extraction unit 42 may extract the above-mentioned examiners and calculate the next examination time in real time whenever a new examination report is added to the report storage unit 38. Alternatively, the processing may be performed once at a predetermined time interval such as once every day or once every week.

  FIG. 5 shows an example of the inspector required table 170 stored in the list storage unit 56. The examiner-needed table 170 includes a examinee ID column 172, an examination ID column 174, an examination type column 176, and a next examination recommended time column 178. In the examinee ID column 172, the recipient ID of the examiner who needs to be extracted extracted by the examiner extraction unit 42 is described. In the examination ID column 174, for example, examination ID is described as information for referring to the latest examination that the examinee has visited. The examination type column 176 describes the type of examination recommended to be taken next time. The next inspection recommended time column 178 describes a time when it is recommended to take a follow-up inspection next time. The time described in the next recommended inspection time column 178 may be described in the form of a specific day, or may be described in the form of a period having a width before and after. In FIG. 5, an example described in the form of a period is shown.

  In addition to this, the examiner table 170 may include a column for recording presence / absence of visits since the previous examination. This is because if the patient visits the clinic before the next recommended test period, for example, the next test may not be necessary because the test was performed on a temporary basis. In order to avoid automatic judgment, the presence or absence of a visit is recorded. In this case, for example, when receiving a guidance letter creation instruction described below, for those who have a visit history of “Yes”, the guidance letter described below is not automatically created and a message prompting the user to be displayed is displayed on the screen. I will let you. Thereby, it is possible to prevent a guide letter described below from being automatically created and transmitted until unnecessary.

  Returning to FIG. The command acquisition unit 44 includes a creation command receiving unit 45 and a refinement search receiving unit 46. When a user such as a doctor or medical staff wants to send a guidance letter for reminding about the examination to those who are close to the recommended next examination time among those who need examination, a guidance letter preparation command is input from the terminal 28. Instead of this, it may be configured such that the guide letter creation command is periodically created, for example, once a month in the schedule management unit 34 or the like. The creation command receiving unit 45 receives a guide letter creation command input from the terminal 28 or created by the schedule management unit 34 or the like, and transmits it to the sender extraction unit 48. The refinement search accepting unit 46 further acquires the conditions when the conditions regarding the guide letter sender are set by the user, and transmits them to the sender extracting unit 48.

  The sender extracting unit 48 refers to the examiner required table 170 stored in the list storage unit 56, extracts a person who satisfies a predetermined condition, and sets it as a guide letter sender. In the case where the refinement search receiving unit 46 does not accept a refinement condition from the user in particular, a predetermined condition is used as the predetermined condition, for example, for a period until the next recommended inspection time. For example, the sender extracting unit 48 may extract a person whose recommended next inspection time has approached within two months from the inspector required table 170. A person who has been once sent as a guide letter may be deleted from the inspector list or may be distinguishable from others by turning on a flag (not shown).

  The sender extraction unit 48 transmits information on the extracted guide letter sender to the guide letter creation unit 50. The guide letter creation unit 50 refers to the information stored in the attribute storage unit 36 and the report storage unit 38 and stores it in the guide letter model storage unit 58 in order to create a guide letter to be sent to each guide letter sender. Select an appropriate one from the text and layout of the guide. Then, a guide letter is created using necessary information and stored in the guide letter storage unit 60. When sending a guide letter by e-mail or fax, the guide letter creating unit 50 may send the created guide letter directly to the transmitting unit 52.

  The transmitting unit 52 transmits the guide letter data received from the guide letter creating unit 50 or read from the guide letter storage unit 60 by e-mail or fax. When transmitting by mail, a printer (not shown) receives data from the guide letter creation unit 50 or the guide letter storage unit 60 and prints it out. The transmission method may be determined according to the destination described in the destination column 108 of the attribute information table 100, and can be specified when the user inputs a guide letter creation command. It is good.

  When the guide letter creation unit 50 selects the text or layout of the guide letter, an appropriate text or layout is selected based on, for example, examination type, diagnosis information, age of the examinee, delivery method, and the like.

  FIG. 6 shows an example of a template reference table 150 stored in the guide template template storage unit 58. The template reference table 150 includes an examination type column 152, a sending method column 154, an age column 156, and a template ID column 158. Here, an example is shown in which a text or layout template is selected based on the examination type, delivery method, and age of the examinee. The examination type column 152 describes the type of examination recommended for follow-up. The sending method column 154 describes a means for sending a guide letter. In the age column 156, the age range of the examinee is described. In the template ID column 158, information for referring to the appropriate guide text and layout template for each combination of examination type, delivery method, and examinee is described. As information for referring to the template, for example, information such as an identifier such as a template file name or a pointer indicating a storage location of the template file is described. The template file may be stored in the guide template template storage unit 58 or may be stored in another storage device. The guide letter creation unit 50 refers to the examination type field 152, the sending method field 154, and the age field 156, and selects an appropriate template.

  For example, on the basis of the examination type, a template including a sentence describing appropriate precautions for taking the examination is selected. When the age of the examinee is equal to or higher than a predetermined age, a template including a text and a layout that displays a large character with a reduced number of characters is selected as compared to the age of the age. In addition, a template including an appropriate layout is selected according to each sending method. Even if it is the same email, it differs depending on whether it is sent to a mobile terminal such as a mobile phone that has a limited transmission / reception capability or display screen size, and a case where the transmission / reception capability or display screen size is sent to a personal computer or the like. A template may be used. For example, when transmitting to a mobile terminal, settings may be made such that the number of characters is reduced or a template with a reduced image size is selected as compared with the case of transmitting to a personal computer.

  The guide letter creation unit 50 may select a model based on information other than this, and in this case, the model reference table 150 may include fields other than the fields shown in FIG. For example, the text may be changed based on the number of inspections, and when sending a guide for the first follow-up inspection, a more detailed description may be attached. In this case, the template reference table 150 may include an inspection number column.

  FIG. 7 shows an example of a guide letter created by the guide letter creating unit 50. The guide letter creation unit 50 reads the selected template from the guide letter model storage unit 58, and creates a guide letter by appropriately combining the read template with information acquired separately from the model. In FIG. 7, a portion in which the guide letter creation unit 50 is inserted separately from the template file is surrounded by a rectangle. In this example, the guide letter sender name acquired from the attribute storage unit 36, the state and image and schema of the anomalous site acquired from the report storage unit 38, and the recommended reexamination execution time acquired from the list storage unit 56 Is inserted in the standard layout and text.

  Information acquired separately from these templates may be read directly from the attribute storage unit 36, the report storage unit 38, or the like by the guide letter creation unit 50 upon receipt of the guide letter creation command. Alternatively, in advance, for example, when the examinee is extracted as a list of examiners to be examined, the examiner extraction unit 42 reads out from the attribute storage unit 36, the report storage unit 38, etc., and stores them in the list storage unit 56 or the like. It may be left. In this case, the guide letter creation unit 50 may read out necessary information with reference to the list storage unit 56 at the stage of receiving the guide letter creation command from the command acquisition unit 44.

  In addition, for example, the next examination candidate date may be inserted separately from the template. In this case, for example, the guide letter creation unit 50 reads the schedule of the examination device and the doctor in charge from the schedule management unit 34, determines a plurality of next examination candidate dates, and compares the next examination scheduled time with the guidance. In the form.

  In addition, for example, an approximate medical cost required for the next examination may be calculated and inserted into the guide letter. In this case, for example, the guide letter preparation unit 50 reads out the number of equipment used according to the examination type and procedure from a past examination information database (not shown), refers to an insurance score database (not shown), and is expected to be charged for the next examination. Approximate

  FIG. 8 shows another example of a guide letter created by the guide letter creating unit 50. This is the same content as the guide shown in FIG. 6 for elderly guide senders, but it is easy to read by reducing the total number of characters, omitting images, and increasing the font size. It is composed.

  Next, the operation of the guide letter creation system 40 according to the present invention having the above configuration will be described. FIG. 9 is a flowchart for explaining the operation of the guide letter creation system 40. After a test is performed using the medical device 26, the control unit 22 of the medical device management system 20 acquires test result data from the medical device 26 (S10). A user such as a doctor or a medical staff inputs a finding or the like to the terminal 28. The report creation unit 24 creates a test record from the acquired data and findings, and stores it in the report storage unit 38 (S12). The examiner extraction unit 42 should receive a follow-up examination from among the examinees who have undergone the examination based on information obtained by referring to the report storage unit 38 and the attribute storage unit 36 at any time or periodically. The examinee is extracted (S14) and stored in the list storage unit 56.

  When the user wants to send a letter of guidance to the examinee who should undergo follow-up examination, he / she inputs a guidance letter creation command from the terminal 28 or the like. Alternatively, for example, the schedule management unit 34 may set the guidance letter creation command so as to be periodically created, for example, once a month. At this time, the user can also set a search condition for narrowing down examinees to whom a guide letter is sent. The creation command accepting unit 45 monitors whether or not a guide letter creation command is issued. If no creation command is accepted (N in S16), the creation command accepting unit 45 continues to monitor periodically. When the creation command is received (Y in S16), the creation command reception unit 45 notifies the sender extraction unit 48 of the fact. Further, when a narrowing search condition is designated, the condition is also notified. The sender extraction unit 48 extracts a guide letter sender to whom a guide for follow-up examinations should be sent in accordance with preset conditions and, if specified, a narrowing search condition (S18).

  The guide letter creation unit 50 creates a guide letter suitable for each case based on the attribute information of the guide letter sender, the previous inspection record, and the like (S20), and the transmission part 52 uses a fax or email. The created guide letter is transmitted (S22). When a guide letter is sent by mail, it is output to a printer or the like without being sent.

  As described above, according to the present invention, it is possible to efficiently extract a guide letter sender who needs to be reminded and a guide letter to be sent to the guide letter sender in a format suitable for individual circumstances. it can.

  In the above, this invention was demonstrated based on the Example. It will be understood by those skilled in the art that this embodiment is an exemplification, and that various modifications can be made to combinations of the respective components and processing processes, and such modifications are also within the scope of the present invention. By the way.

It is a figure showing a medical examination support system including a guide letter creation system concerning the present invention. It is a figure which shows the example of the attribute information table stored in the attribute memory | storage part of FIG. It is a figure which shows the example of the test | inspection information table stored in the report memory | storage part of FIG. It is a figure which shows the example of the standard period reference table memorize | stored in the standard period reference information storage part of FIG. It is a figure which shows an example of an examiner table required stored in the list memory | storage part of FIG. It is a figure which shows the example of the model reference table stored in the guide pattern model memory | storage part of FIG. It is a figure which shows an example of the guide letter produced by the guide letter preparation part of FIG. It is a figure which shows another example of the guide letter produced by the guide letter preparation part of FIG. It is a flowchart for demonstrating operation | movement of the guide letter preparation system concerning this invention.

Explanation of symbols

  34 schedule management section, 40 guide letter creation system, 42 examiner extraction section, 48 sender extraction section, 50 guide letter creation section, 54 standard period reference information storage section, 56 list storage section, 58 guide letter template storage section.

Claims (4)

A standard period reference information storage unit for storing standard period reference information in which the shape and size of the anomalous site and the recommended interval until the next examination are associated;
Based on the examination record read from the database, the examiner who is the subject of reexamination is extracted, and the standard period reference information storage unit is referred to based on the extracted shape and size of the abnormal site of the examiner The next inspection scheduled time is calculated, a list is created by associating the person in need of inspection with the next inspection scheduled time and stored in the list storage unit,
A sender extractor for extracting a person whose number of days until the next scheduled inspection time is less than or equal to a predetermined number of days as a guide letter sender,
A guide letter template storage unit for storing a plurality of texts and layouts of a guide letter for notifying the guide letter sender of the next inspection time;
A text and layout selected from the text and layout of the guide letters, and a guide letter creation unit that creates a guide letter using the attribute information and inspection records of the guide letter sender read from the database; With
The guide letter creating system, wherein the guide letter creating unit selects a text and a layout based on the attribute information of the guide letter sender read from the database and a record of the examination. Further comprising a refined search accepting unit for accepting input of the attribute information of the guide letter sender and the condition regarding the examination record,
2. The guide letter creation system according to claim 1, wherein the sender extraction section extracts a guide letter sender using the conditions received by the refinement search reception section. The guide letter creation unit inquires of the schedule management unit about the schedule of the test device and the doctor in charge, the test device is usable during a predetermined period before and after the next scheduled test time, and the doctor in charge The guideline creation system according to claim 1 or 2 , wherein a day on which the person can be in charge is extracted as a next examination candidate day and described in the guideline. The guide letter creation unit calculates an estimated medical cost required for the next test based on the next scheduled test content of the examiner who needs the test, and describes the estimated medical cost in the guide letter. The guide letter creation system according to any one of claims 1 to 3 .

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