JP5259148B2 - Medical integrated management system and integrated management server therefor - Google Patents

Description

  The present invention relates to a medical integrated management system that integrally manages a plurality of medical devices and an integrated management server therefor.

  For example, in the radiology department of a hospital, the radiology department information management system (RIS) that manages the reception of patients in the radiology department, the reporting system (REP) that supports the creation of interpretation reports from radiographic images, and examinations from images taken Various systems such as an imaging system (QA) for performing image storage and a medical image storage communication system (PACS) for storing and managing captured images have been introduced.

  Conventionally, these systems have been activated and used individually as needed in each situation such as a patient's condition and diagnosis location. However, when using another system after using a certain system, it is necessary to stop the system that has been used up to now and start another system, which is troublesome. In addition, the patient information obtained by the previously used system cannot be used in another system, and an operation such as a new input is required, and the cooperation is insufficient.

  Therefore, for example, as described in Patent Document 1, a medical information system that is managed in an integrated manner in consideration of cooperation between a hospital information system (HIS), RIS, and PACS is considered.

However, in this system, various incidental information is stored in the medical image archiving communication system, but individual medical systems are not used in cooperation.
Japanese Laid-Open Patent Publication No. 10-97582

  The present invention has been made in view of the problems in the case of using a plurality of conventional medical systems as described above, and the user can easily use them in cooperation without being aware of the various medical devices. It is an object of the present invention to provide a medical integrated management system and an integrated management server therefor.

According to claim 1 of the present invention, a display input device capable of performing input and display by personal authentication, a plurality of medical devices, and the plurality of medical devices according to an operator who inputs to the display input device And the integrated management server detects the authority that can be used by the plurality of medical devices according to an operator specified by personal authentication of login input to the display input device. Detecting by the latest state detecting unit, the latest state detecting unit for detecting the latest state of the medical device according to each examination job of patient examination and diagnosis in relation to the plurality of medical devices Work list including the progress status of the examination job which has not yet been completed by the operator according to the latest state of the medical device and the authority of the operator to use the plurality of medical devices. The work list creation unit to be created and the work list created by the work list creation unit are displayed on the screen of the display input device, and one of the displayed work lists is selected by clicking on the screen. When this is done, the medical device that performs this inspection job starts up this medical device in accordance with the progress of the current examination and the authority of the operator, and the medical device that is started up by this startup control means An integrated medical management system comprising: an inspection job deleting unit that deletes the completed inspection job from the work list created by the work list creation unit when the job is completed .

  According to the present invention, it is possible to obtain an integrated medical management system and an integrated management server therefor that can easily use a plurality of various medical devices in cooperation with each other without being conscious of the user.

  Hereinafter, an embodiment when the present invention is applied to a radiation department will be described with reference to the drawings. FIG. 1 shows the overall configuration of an integrated medical management system according to an embodiment of the present invention.

  The integrated medical management system 10 includes a radiology department information management apparatus 11 that performs reception management of patients in the radiology department, a reporting apparatus 12 that supports interpretation report generation, and a captured image collected by a medical image diagnostic apparatus (not shown). Imaging device 13 for examining whether or not the images and supplementary information are correct, an image management device 14 for storing and managing the captured images, and an integrated management server for integrating and managing these medical image devices as a whole 15 and a display input device 16 connected to the integrated management server 15 and capable of displaying the status of each medical device and the like and inputting from the screen.

  The integrated management server 15 logs in using an input interface (I / F) unit 21 that controls an interface between the inside and a signal input from the display input device 16, and an ID input through the input I / F unit 21. An authority detection unit 22 that identifies the operator who has performed and detects the authority of the person, and the latest that detects the latest state of each of the radiation department information management apparatus 11, the reporting apparatus 12, the imaging apparatus 13, and the image management apparatus 14 Based on the state detection unit 23, the latest state of each medical device grasped by the latest state detection unit 23, and the authority of the operator obtained by the authority detection unit 22, a work list for the operator is created and displayed. The work list creation unit 24 displayed on the device 16 and the selected line when a specific line in the work list is selected as will be described later. And a start control unit 25 to start controlling the medical device that performs the job for the examination and diagnosis.

  Next, the operation of the medical integrated management system of this embodiment will be described with reference to the flowchart shown in FIG.

  First, a person (operator) who intends to operate the system turns on the power and displays a screen for login authentication on the display screen of the display input device 16. In step S201, the operator logs in by inputting his / her ID and password on the screen.

  If it is recognized by login authentication that the operator is a person who enters the system (not shown), the job type of the operator is detected by the input ID in the next step S202.

  For example, it is assumed that there is a receptionist, an engineer, and a doctor as persons who may access this system as an operator, and the authority to access each of these medical devices is, for example, as shown in the device usage authority list of FIG. Suppose that

  In other words, the receptionist can access the radiation department information management apparatus 11, but is not authorized to access the reporting apparatus 12, the imaging apparatus 13, and the image management apparatus 14. The engineer can access the radiation department information management apparatus 11, the reporting apparatus 12, and the imaging apparatus 13, but is not authorized to access the image management apparatus 14. The doctor is not authorized to access the radiation department information management apparatus 11, but can access the reporting apparatus 12, the imaging apparatus 13, and the image management apparatus 14.

  When it is detected from the personal ID input by the operator in step S202 that the occupation type of the operator is a receptionist, in step S203, the presence / absence of authority of each medical device as the receptionist shown in FIG. 3 is detected. The authority information is sent to the work list creation unit 24.

  On the other hand, the latest state detection unit 23 detects the latest state of each medical device in step S204. The radiation department information management apparatus 11 performs so-called reception of the radiation department, and functions as a window for reservation and accounting of radiation examinations. Therefore, the radiation department information management apparatus 11 changes from a non-accepted state to an accepted state when a patient comes to the radiation department, and then enters the examination end state and accounting state during the radiation examination.

  The reporting device 12 is, for example, a device that performs a radiological examination interpretation relationship. In this apparatus, there are an uninterpreted state of a captured image, a state during interpretation, a state after interpretation, a state during creation of an interpretation report, a state where an interpretation report has been created, and the like.

  The imaging device 13 is a device that performs an imaging relationship of the radiographed image, and there are an unexamined state and an already-examined state. The image management device 14 is a device that stores and stores captured radiographic images and the like and distributes them in the hospital, and there are states of unregistered images and in-hospital distribution states. These states correspond to the states of the medical devices with respect to examination (job) at a certain time concerning a specific part of a specific patient. Therefore, the radiation examination of different parts even if the patient is the same is a different job, and if the examination date / time is different even in the same patient and the same part, the job is different.

  The latest state is sent from each medical device to the latest state detection unit 23 for each individual job.

  Each job is created for each line in the work list creation unit 24 (step S205). It is created by the work list creation unit 24 and displayed on the display screen of the display input device 16 (step S206). An example of this work list is shown in FIG. This work list displays No, patient ID, name, requested department, examination type, examination site, and latest status. Although not displayed, a unique inspection number is assigned to each job.

  This work list is shown as an example when a doctor logs in, for example. The leftmost column 41 indicates the number in which each job is arranged. These jobs can be sorted by clicking on the heading in the upper column, for example, clicking on the heading “Patient ID” 42 can sort in ascending or descending order of patient IDs. Jobs can be displayed next to each other.

  As shown in FIG. 3, in the case of a doctor, there is an authority to use the reporting device 12, the image inspection device 13, and the image management device 14. Therefore, depending on the job, each state of these medical devices may be displayed in the latest job column 43 shown in FIG.

  Note that if the operator who has logged in is different including the job type, the job displayed as the work list is naturally different.

  The latest state of the No. 1 job shown in FIG. 4 is “interpreted”, and this job indicates that the reporting apparatus 12 has been interpreted. Similarly, the latest state of the job No. 2 is “uninterpreted”, indicating that the interpretation of the reporting apparatus 12 has not yet been completed in this job. In addition, the latest state of the job No. 3 is “image detection completed”, and this job indicates that the image inspection by the image inspection apparatus 13 has been completed.

  When the logged-in doctor double-clicks a mouse button on the screen of the display input device 16 in order to specify any of the work lists displayed as shown in FIG. That is detected. When double-clicked, the information (inspection number 10021) for selecting this job is sent to the activation control unit 25 via the work list creation unit 24.

  The activation control unit 25 selects and controls which medical device is activated based on the examination number with reference to, for example, the integrated list shown in FIG. 5 (step S208).

  In this case, since the examination number is 10021 and the interpretation has been completed, the reporting apparatus 12 is activated. At this time, an activation parameter, an argument, and the like corresponding to the examination number 10021 are referred to, and an interpretation report can be created using the reporting device 12. In step S209, the doctor creates an interpretation report. When the job is finished, the job is deleted from the displayed work list in step S210.

  When the doctor stops the work on the way, the state (starting parameter, argument, etc.) at that time is stored as the job.

  In step S211, an inquiry is made as to whether to continue the work. If the work is to be continued, the process returns to step S205 to display the work list on the display screen of the display input device 16 again. A job to be performed is selected on the display screen of the display input device 16, and each operation is continued in the same manner as described above.

  In step S211, when the operation is completed, the doctor who is the operator logs out in step S212. At this time, the medical device used by the operator also stores the state and enters a stop process.

  According to this embodiment of the present invention, it is possible to use a plurality of medical devices used in the radiation department easily and without concern.

  However, the present invention is not limited to the radiation department, and can be applied to a general medical integrated management system using a plurality of medical devices.

  The present invention is not limited to the above-described embodiment, and various modifications can be made within the scope of the technical idea.

The figure which shows the structure of one Embodiment of this invention. The figure for demonstrating operation | movement of one Embodiment of this invention. The figure which shows the example of the use authority list | wrist in one Embodiment of this invention. The figure which shows the example of the work list in one Embodiment of this invention. The figure which shows the example of the integrated list in one Embodiment of this invention.

Explanation of symbols

10 ... Medical integrated management system,
11 ... Radiation department information management device,
12 ... Reporting device,
13: Image inspection device,
14 Image management device,
15 ... Integrated management server,
16 ... display input device,
21 ... Input interface (I / F) section,
22: Authority detection unit,
23: Latest state detection unit,
24 ... Worklist creation part,
25: Start-up control unit.

Claims (5)

A display input device capable of performing input and display by personal authentication, a plurality of medical devices, and an integrated management server for performing activation management of the plurality of medical devices in accordance with an operator input to the display input device Prepared,
The integrated management server
An authority detection unit that detects an authority that can be used by the plurality of medical devices according to an operator specified by personal authentication of login input to the display input device;
In relation to the plurality of medical devices, a latest state detection unit that detects the latest state of the medical device according to each examination job of patient examination and diagnosis, and
According to the latest state of the medical device detected by the latest state detection unit and the authority of the operator that can be used for the plurality of medical devices, the progress of the examination job that has not yet been completed by the operator A worklist creation part that creates a worklist including
The work list created by the work list creation unit is displayed on the screen of the display input device, and when one of the displayed work lists is selected by clicking on the screen, the inspection job is performed. An activation control means for activating the medical device according to the progress of the examination at this time in the medical device and the authority of the operator;
An inspection job deleting means for deleting the completed inspection job from the work list created by the work list creating section when the inspection job by the medical device activated by the activation control means is completed;
A medical integrated management system characterized by comprising: The progress claim 1 Symbol placement medical integrated management system, characterized in that indicated by at least one start-up parameters and arguments. The authority detection unit, depending on the job of the operator, the plurality of medical integrated management system of claim 1 or 2, wherein the determining the available rights medical device. Wherein the plurality of medical devices, radiology department information management apparatus, reporting device, medical integrated management system of claim 2 or 3, wherein the a image examination apparatus and an image management apparatus. An authority detection unit that detects the authority that can be used by a plurality of medical devices according to an operator specified by personal authentication of login input to a display input device capable of performing input and display by personal authentication;
In relation to the plurality of medical devices, a latest state detection unit that detects the latest state of the medical device according to each examination job of patient examination and diagnosis, and
According to the latest state of the medical device detected by the latest state detection unit and the authority of the operator that can be used for the plurality of medical devices, an inspection job that has not been completed by the operator is displayed as its progress status. A worklist creation section that creates a worklist including
The work list created by the work list creation unit is displayed on the screen of the display input device, and when one of the displayed work lists is selected by clicking on the screen, the inspection job is performed. An activation control means for activating the medical device according to the progress of the examination at this time in the medical device and the authority of the operator;
An inspection job deleting means for deleting the completed inspection job from the work list created by the work list creating section when the inspection job by the medical device activated by the activation control means is completed;
An integrated management server for a medical integrated management system characterized by comprising:

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