JP5751495B2 - Medical information management device - Google Patents

Description

  The present invention relates to a medical information management apparatus that manages orders and implementation results.

  In recent years, with the advancement of medical IT, devices and systems that record test orders and execution results in association with each other have become widespread (see, for example, Patent Documents 1-3). For example, in an endoscopic examination, an endoscopic image photographed by an examination is recorded in association with the examination order. The endoscope system includes at least an endoscope scope and an endoscope processing device that processes an image captured by the endoscope scope. In the endoscopy, when ending the examination, a doctor or nurse presses an end key provided in the endoscope processing apparatus. When the end key is pressed, the endoscope processing apparatus transmits a test end notification to the medical information management apparatus that manages the order. The medical information management apparatus closes the corresponding order when receiving the examination end notification.

JP 2009-251645 A JP 2009-104551 A JP 2006-293431 A

  In the above-described endoscopic examination, if a doctor or nurse erroneously presses the end key during the examination, the order under examination is closed. In this case, it is necessary to issue additional orders. Since the additionally issued order is an order different from the original order, it is necessary to perform confirmation work between the orders and integration of the orders. These operations become a factor that stagnates the inspection.

  The present invention has been made in view of such circumstances, and an object of the present invention is to provide a technique for reducing recovery work in the case where an end operation is erroneously performed during a medical action using a medical device system. is there.

  A medical information management apparatus according to an aspect of the present invention is a medical information management apparatus connected to a medical device system via a communication line, and holds an order of medical practices to be performed using the medical device system. An order holding unit, an order management unit that manages the status of the order, an order notification unit that notifies the medical device system of the order, and a medical action end notification received from the medical device system And a receiving unit. The order management unit changes the status of the order held in the order holding unit that defines the medical action to completed when the receiving end of the medical action is received by the receiving unit, and the order management unit In response to an order acquisition request from the medical device system, an order whose status is not executed is extracted from the orders held in the order holding unit, and an order within a set time after the status changes to executed. And the extracted order is notified to the medical device system.

  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 recovery operation | work at the time of ending operation accidentally during the medical action using a medical device system can be reduced.

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 each structure of the endoscope processing apparatus and medical information management apparatus which concern on embodiment of this invention. It is a figure which shows an example of the order hold | maintained at the order holding | maintenance part which concerns on embodiment of this invention. It is a timing chart which shows the operation example of the endoscope system and medical information management apparatus which concern on this Embodiment. FIGS. 5A and 5B are diagrams showing a list of orders displayed on the display device of the first endoscope system and the display device of the second endoscope system at time T2 (9:30) in FIG. It is. FIGS. 6A and 6B are diagrams illustrating an examination screen displayed on the display device of the second endoscope system during the examination 3. FIG. 7A and 7B are diagrams showing a list of orders displayed on the display device of the first endoscope system and the display device of the second endoscope system at time T3 (11:00) in FIG. It is. It is a flowchart for demonstrating operation | movement of the medical information management system which concerns on this Embodiment. It is a figure which shows an example of the order hold | maintained at the order holding | maintenance part which concerns on a modification. It is a timing chart which shows the operation example of the endoscope system and medical information management apparatus which concern on a modification. 11A and 11B are diagrams showing a list of orders displayed on the display device of the first endoscope system and the display device of the second endoscope system at time T4 (11:10) in FIG. It is. It is a flowchart for demonstrating operation | movement of the medical information management system which concerns on a modification.

  FIG. 1 is a diagram showing a configuration of a medical information management system 500 according to an embodiment of the present invention. The medical information management system 500 according to the present embodiment is a system for supporting endoscopic work. The medical information management system 500 includes a plurality of endoscope systems 100, a medical information management device 200, and a terminal device 300, which are interconnected via a communication line 400. In the present embodiment, a wired LAN is assumed as the communication line 400. FIG. 1 illustrates an example in which a medical information management system 500 includes two endoscope systems 100, ie, a first endoscope system 100a and a second endoscope system 100b. The first endoscope system 100 a is installed in the examination room 1, and the second endoscope system 100 b is installed in the examination room 2.

  The medical information management system 500 can be linked with another system in the hospital. For example, a gateway device (not shown) is connected to the communication line 400, and the medical information management system 500 can cooperate with an ordering system, an electronic medical record system, and a reception system via the gateway device. In the present embodiment, it is assumed that orders for examinations, treatments, and treatments using the endoscope system 100 are received from the ordering system.

  The endoscope system 100 includes an endoscope processing device 10, a light source device 20, a display device 30, a printing device 40, and an endoscope scope 50. The endoscope scope 50 includes a solid-state imaging device (for example, a CCD image sensor or a CMOS image sensor) and a signal processing circuit. The solid-state imaging device converts incident light into an electrical signal. The signal processing circuit performs signal processing such as A / D conversion and noise removal on the image signal photoelectrically converted by the solid-state imaging device, and outputs the processed signal to the endoscope processing apparatus 10. The endoscope scope 50 is used by being inserted into a body cavity of a patient. The endoscope scope 50 images the inside of the body cavity and outputs it to the endoscope processing apparatus 10.

  The endoscope scope 50 includes a type including a forceps channel, an air supply channel, or a water supply channel. The endoscope scope 50 uses a treatment tool such as a forceps or an ESD (Endoscopic submucosal dissection) instrument. Various treatments or treatments that have been possible are possible.

  The endoscope processing apparatus 10 comprehensively controls the entire endoscope system 100. An image captured mainly by the endoscope scope 50 is transmitted to the medical information management apparatus 200 for filing. The light source device 20 sends light into the endoscope scope 50. The display device 30 displays an image based on the image signal input from the endoscope processing device 10. An image captured mainly by the endoscope scope 50 is displayed in real time. The printing apparatus 40 prints out data input from the endoscope processing apparatus 10. The image data captured mainly by the endoscope scope 50 is printed out.

  The terminal device 300 is composed of a PC in this embodiment. The terminal device 300 is mainly used for report input by a doctor, confirmation of a captured endoscopic image, and the like.

  FIG. 2 is a diagram showing respective configurations of the endoscope processing apparatus 10 and the medical information management apparatus 200 according to the embodiment of the present invention. The endoscope processing apparatus 10 includes an order holding unit 11, a control unit 12, a scope connection unit 13, an operation unit 14, and a communication unit 15. The order holding unit 11 holds a medical action order received from the medical information management apparatus 200.

  The scope connection unit 13 detects the connection of the endoscope scope 50. When the insertion of the endoscope scope 50 is detected or when the removal of the endoscope scope 50 is detected, the scope connection unit 13 outputs a detection signal to the control unit 12.

  The operation unit 14 receives an operation of a doctor or a nurse and outputs an operation signal based on the operation to the control unit 12. The operation unit 14 includes an end key that should be pressed by a doctor or a nurse who has received an instruction from the doctor at the end of the medical practice. The communication unit 15 performs communication control for connecting the endoscope processing apparatus 10 to the communication line 400.

  The control unit 12 comprehensively controls the entire endoscope processing apparatus 10. In the present embodiment, the control unit 12 mainly performs the following control. When an operation for instructing the operation unit 14 to acquire an order is performed by the doctor or the nurse, the control unit 12 transmits an order acquisition request to the medical information management apparatus 200. When the control unit 12 acquires an order from the medical information management apparatus 200, the control unit 12 stores the acquired order in the order holding unit 11. When an operation to instruct the operation unit 14 to display an order list is performed by a doctor or a nurse, the control unit 12 causes the display device 30 to display a list of orders held in the order holding unit 11.

  When the above-described end key is pressed by the doctor or a nurse who has received an instruction from the doctor, the control unit 12 sends an end notification indicating the end of the medical practice prescribed in the currently implemented order to the medical information management apparatus 200. Note that when the scope connection unit 13 detects removal of the endoscope scope 50 from the endoscope processing apparatus 10 or power-off of the endoscope scope 50, the control unit 12 may also transmit the end notification.

  In the present embodiment, medical information management apparatus 200 is configured with a server. The medical information management apparatus 200 includes an order holding unit 210, an execution record holding unit 220, a control unit 230, and a communication unit 240. The order holding unit 210 holds an order of medical practice to be performed using the endoscope system 100. This order is obtained from the above-described ordering system.

  FIG. 3 is a diagram showing an example of an order held by the order holding unit 210 according to the embodiment of the present invention. The order list 210a illustrated in FIG. 3 includes a plurality of orders to be executed in the endoscope system 100. Each order includes items such as an order number, patient information, scheduled examination date and time, a doctor, a laboratory, a medical practice type, a status, and so on. Items other than those shown in FIG. 3 may include a patient's medical history, infectious diseases, and the like. Patient information includes patient ID, name, date of birth, age and gender. In the example shown in FIG. 3, all medical actions prescribed in order 1 to order 4 are in an unimplemented state.

  Returning to FIG. The implementation record holding unit 220 holds an implementation record of medical practice defined by each order. Specifically, as an execution record, an endoscope image taken during a medical practice, a report created by a doctor, equipment and medicine used for the medical practice, and the like are held for each order.

  Returning to FIG. The communication unit 240 performs communication control for connecting the medical information management apparatus 200 to the communication line 400. The control unit 230 controls the medical information management apparatus 200 as a whole. The control unit 230 includes an order management unit 231, an order notification unit 232, and a reception unit 233. These configurations can be realized by an arbitrary processor, memory, or other LSI in terms of hardware, and can be realized by a program loaded into the memory in terms of software, but here by their cooperation. Draw functional blocks. 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 order management unit 231 manages the orders held in the order holding unit 210. Mainly manages the status of each order. The order notification unit 232 notifies the order to the endoscope processing apparatus 10. The receiving unit 233 receives a notification from the endoscope processing apparatus 10.

  More specific description will be given below. When receiving a medical action start notification from the endoscope processing apparatus 10 by the receiving unit 233, the order management unit 231 is executing the status of the order that prescribes the medical action held in the order holding unit 210 from the unexecuted state. Change to In the case of a system design in which a start notification is not transmitted from the endoscope processing apparatus 10, when the first endoscopic image with a certain order number is received, the order management unit 231 changes the status of the order during implementation. To do. When the receiving unit 233 receives a medical action end notification from the endoscope processing apparatus 10, the order management unit 231 changes the status of the order that defines the medical action to completed.

  When the order acquisition request is received from the endoscope processing apparatus 10 by the receiving unit 233, the order management unit 231 does not execute the status in principle among the orders held in the order holding unit 210 in response to the order acquisition request. Extract orders. Further, orders within a set time after the status changes from being implemented to being implemented are also extracted. The set time can be set arbitrarily by the system administrator of the medical information management system 500. The order management unit 231 causes the order notification unit 232 to notify the endoscope processing apparatus 10 of the extracted order.

  The order management unit 231 may further narrow down the conditions for extracting completed orders. Specifically, the order management unit 231 has completed the past from the endoscope system 100 that has issued an order acquisition request that is within the set time since the status changed from being executed to being executed. An order whose status has been changed to executed in response to the notification is extracted.

  Hereinafter, the operation of the medical information management system 500 according to the present embodiment will be described with a specific example. FIG. 4 is a timing chart showing an operation example of the endoscope system 100 and the medical information management apparatus 200 according to the present embodiment. In the present operation example, as shown in FIG. 1, the medical information management system 500 includes a first endoscope system 100a and a second endoscope system 100b, and the medical information management apparatus 200 holds the order shown in FIG. It is assumed that the set time is 30 minutes.

  At time T1 (7:00) in FIG. 4, the second endoscope system 100b installed in the examination room 2 transmits an order acquisition request to the medical information management apparatus 200, and acquires the order from the medical information management apparatus 200. To do. The upper endoscopy (hereinafter referred to as examination 1) is reserved with order number 1 in examination room 2 from 7:30. According to the reservation, the examination 1 is started in the examination room 2 from 7:30.

  The medical information management apparatus 200 can recognize the start of the examination by receiving an endoscope image to which the order number 1 is added from the second endoscope system 100b. When the medical information management apparatus 200 recognizes the start of the examination 1, it changes the status of the order 1 during implementation. This process is performed in the same manner at the start of other inspections.

  The examination 1 ends at 8:00, and the second endoscope system 100b transmits a notice of completion of the examination 1 to the medical information management apparatus 200. When receiving the end notification, the medical information management apparatus 200 changes the status of the order number 1 to completed.

  At time T2 (9:30), the first endoscope system 100a installed in the examination room 1 transmits an order acquisition request to the medical information management apparatus 200. Similarly, the second endoscope system 100b transmits an order acquisition request to the medical information management apparatus 200. The medical information management apparatus 200 transmits orders of the order number 2 and after that have not been executed to the first endoscope system 100a and the second endoscope system 100b. Note that the status of the order with the order number 1 is changed to Executed at 7:00. Since the change time is 30 minutes or more before 9:00 which is the current time, the order of order number 1 is not extracted, and the order of order number 1 is the first endoscope system 100a and the second endoscope. Not sent to system 100b.

  FIGS. 5A and 5B show orders displayed on the display device 30 of the first endoscope system 100a and the display device 30 of the second endoscope system 100b at time T2 (9:30) in FIG. It is a figure which shows a list. FIG. 5A shows a list of orders displayed on the display device 30 of the first endoscope system 100a, and FIG. 5B shows an order displayed on the display device 30 of the second endoscope system 100b. A list is shown. As described above, since the first endoscope system 100a and the second endoscope system 100b do not acquire the order of the order number 1, the order is not displayed on any display device 30.

  Returning to FIG. From 10:00, in the examination room 1, a lower endoscopy (hereinafter referred to as examination 2) is reserved with order number 2. According to the reservation, examination 2 starts in examination room 1 at 10:00. The examination 2 ends at 10:25, and the first endoscope system 100a transmits an examination 2 completion notice to the medical information management apparatus 200. When receiving the end notification, the medical information management apparatus 200 changes the status of the order number 2 to “completed”.

  The upper endoscopy (hereinafter referred to as examination 3) is reserved with order number 3 in examination room 2 from 10:30. According to the reservation, the examination 3 is started in the examination room 2 from 10:30. At 10:55 during the execution of this examination 3, the doctor or nurse presses the above-mentioned end key by an erroneous operation. The second endoscope system 100b transmits a notification of completion of the examination 3 due to the erroneous operation to the medical information management apparatus 200. When receiving the end notification, the medical information management apparatus 200 changes the status of order number 3 to completed.

  6A and 6B show an examination screen 31 displayed on the display device 30 of the second endoscope system 100b during the examination 3. FIG. FIG. 6A shows a screen before 10:55 erroneous operation, and FIG. 6B shows a screen after 10:55 erroneous operation. The examination screen 31 includes an image area 32 for displaying an endoscopic image, and an information area 33 for displaying patient information and device setting values.

  In the present embodiment, while the endoscope scope 50 is inserted into the endoscope processing apparatus 10 and the endoscope scope 50 is powered on, the endoscope processing apparatus 10 is imaged by the endoscope scope 50. The endoscope image is continuously displayed in the image area 32 in real time. When a doctor or a nurse performs a selection operation on an order, the endoscope processing apparatus 10 displays patient information on that order in the information area 33. Further, in the example shown in FIG. 6A, the endoscope processing apparatus 10 displays the elapsed time from the start of the examination, the device setting value redness, contour enhancement and contrast, and the number of shots in the information area 33. Yes.

  The endoscope processing apparatus 10 erases the display of the information area 33 when the examination related to the order is completed. Therefore, even if the doctor or nurse unintentionally touches the above-mentioned end key, if the doctor or nurse notices that the display of the information area 33 on the examination screen 31 disappears, the doctor or nurse touches the above-mentioned end key. I can recognize that.

  Returning to FIG. At time T3 (11:00), the first endoscope system 100a installed in the examination room 1 transmits an order acquisition request to the medical information management apparatus 200. Similarly, the second endoscope system 100b transmits an order acquisition request to the medical information management apparatus 200. The medical information management apparatus 200 transmits orders of the order number 4 or later whose status is not executed to the first endoscope system 100a and the second endoscope system 100b.

  Here, the status of the order with the order number 3 is changed to 10:55. The change time is 5 minutes before 11:00, which is the current time, and is within 30 minutes from the current time. Further, the order of order number 3 is a status whose status is changed to “completed” based on an end notification from the second endoscope system 100b. Therefore, the medical information management apparatus 200 transmits the order of the order number 3 to the second endoscope system 100b and does not transmit it to the first endoscope system 100a.

  FIGS. 7A and 7B show the orders displayed on the display device 30 of the first endoscope system 100a and the display device 30 of the second endoscope system 100b at time T3 (11:00) in FIG. It is a figure which shows a list. FIG. 7A shows a list of orders displayed on the display device 30 of the first endoscope system 100a, and FIG. 7B shows an order displayed on the display device 30 of the second endoscope system 100b. A list is shown.

  Since the first endoscope system 100a has acquired orders after order number 4 in response to the order acquisition request, the display device 30 of the first endoscope system 100a displays a list of orders after order number 4. Since the second endoscope system 100b has acquired the order of order number 4 or later and the order of order number 3 in response to the order acquisition request, the display device 30 of the second endoscope system 100b has the order of order number 4 or later. A list of orders with order number 3 is displayed. Note that the order once notified of completion like the order number 3 is displayed in a mode different from other unexecuted orders. In the example shown in FIG. 7B, the order of order number 3 is displayed in a separate column. In addition, you may employ | adopt not only this display mode but the display mode of changing a color.

  The second endoscope system 100b also sets the status to “unimplemented” or “editable” for the order once notified of completion, such as the order number 3, and handles it in the same manner as other orders. That is, the state when there is no previous end notification is reproduced.

  Returning to FIG. The examination 3 ends at 11:30, and the second endoscope system 100b transmits a notice of completion of the examination 3 to the medical information management apparatus 200 again. When the medical information management apparatus 200 receives the end notification, the reception time of the end notification of the order number 3 is updated from 10:55 to 11:30.

  FIG. 8 is a flowchart for explaining the operation of the medical information management system 500 according to the present embodiment. When receiving the order acquisition request from the endoscope system 100 (Y in S10), the order management unit 231 of the medical information management apparatus 200 extracts orders that have not been executed from the orders held in the order holding unit 210. (S12).

  The order management unit 231 searches for an order held in the order holding unit 210 that has a status within the range from the present time to the set time before receiving the inspection end notification among the orders that have been executed (S14). If there is no order satisfying this condition (N in S14), the process proceeds to step S20. When there is an order that satisfies this condition (Y in S14), the order management unit 231 determines that the endoscope system 100 that has transmitted the inspection completion notification of the order and the endoscope system 100 that has transmitted the current order acquisition request are the same. It is determined whether or not they are the same (S16). If they are not the same (N in S16), the process proceeds to step S20. If they are the same (Y in S16), the order management unit 231 extracts an executed order that satisfies the conditions of steps S14 and S16 (S18). The order notifier 232 transmits the order extracted by the order manager 231 to the endoscope system 100 (S20).

  As described above, according to the present embodiment, the endoscope system 100 transmits the medical action end notification specified in the currently executed order to the medical information management apparatus 200, and then displays the order for a certain period of time. It can be reacquired from the medical information management apparatus 200. Therefore, even if a doctor or nurse who uses the endoscope system 100 accidentally ends a medical practice prescribed in the order being executed, the order can be restored for a certain period of time. . Therefore, order division can be avoided, and it is not necessary to generate additional order issue work from the ordering system and integration work of execution record data linked to each divided order. When these operations occur, the efficiency of the medical service is greatly reduced. Therefore, avoiding the occurrence of the work greatly improves the efficiency of the medical service.

  In general, there are many endoscope systems 100 that use the removal of the endoscope scope 50 from the endoscope processing apparatus 10 as a trigger for the end of the examination. The doctor may change to another scope during the test without knowing the system settings. According to the present embodiment, the effect is exhibited even when the order is unintentionally closed by such a scope exchange.

  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.

  In the above-described embodiment, even if the status is changed to “completed”, it becomes a search target when an order acquisition request occurs until the above-described set time elapses. In the modified example described below, a process is added to exclude the order from the search target when the order acquisition request is generated when it is determined that the order reacquisition does not occur.

  In this modification, the order management unit 231 changes the status of the order that defines the medical practice to “completed” in response to the medical action end notification from the endoscope system 100. Thereafter, the receiving unit 233 receives at least a part of the medical action start notification specified in another order from the medical device system or the execution record data of the medical action (for example, the first endoscope image). Then, the order management unit 231 changes the status of the order that has been changed to the executed state to a confirmed executed state that is not a search target for the order acquisition request.

  For example, by providing an executed confirmation flag for each order held in the order holding unit 210, the order management unit 231 manages the confirmation or unconfirmation of the executed status.

  Hereinafter, the operation of the medical information management system 500 according to the modification will be described with a specific example. FIG. 9 is a diagram illustrating an example of an order held in the order holding unit 210 according to the modification. The order list 210a shown in FIG. 9 is obtained by changing the scheduled inspection date and time of order number 4 from 13:00 to 11:00 on the order list 210a shown in FIG.

  FIG. 10 is a timing chart showing an operation example of the endoscope system 100 and the medical information management apparatus 200 according to the modification. In this operation example, as shown in FIG. 1, the medical information management system 500 includes the first endoscope system 100a and the second endoscope system 100b, and the medical information management apparatus 200 holds the order shown in FIG. It is assumed that the set time is 30 minutes.

  The operation example shown in the timing chart of FIG. 10 is the same as the operation example shown in the timing chart of FIG. 4 up to the operation at 10:30. Hereinafter, the subsequent operation will be described. The examination 3 started in the examination room 2 from 10:30 is finished at 10:55, and the second endoscope system 100b transmits a notice of completion of the examination 3 to the medical information management apparatus 200. When receiving the end notification, the medical information management apparatus 200 changes the status of order number 3 to completed. Unlike the operation example shown in the timing chart of FIG. 4, the end notification transmitted at 10:55 is not due to an erroneous operation, but is due to a regular operation.

  From 11:00, in the examination room 2, an upper endoscopy (hereinafter referred to as examination 4) is reserved with order number 4. According to the reservation, the examination 4 is started in the examination room 2 from 11:00. At time T4 (11:10), the first endoscope system 100a installed in the examination room 1 transmits an order acquisition request to the medical information management apparatus 200. Similarly, the second endoscope system 100b transmits an order acquisition request to the medical information management apparatus 200. The medical information management apparatus 200 transmits orders of the order number 5 (not shown) after the status that has not been executed to the first endoscope system 100a and the second endoscope system 100b. The medical information management apparatus 200 transmits the order of the order number 4 being executed in the second endoscope system 100b to the second endoscope system 100b that is executing the order, and the first endoscope system 100a. Do not send to.

  Here, the status of the order with the order number 3 is changed to 10:55. The change time is 15 minutes before 11:10, which is the current time, and is within 30 minutes from the current time. Further, the order of order number 3 is a status whose status is changed to “completed” based on an end notification from the second endoscope system 100b. However, in the second endoscope system 100b that has transmitted the end notification, the examination 4 specified for the order of the order number 4 different from the order of the order number 3 is started. Therefore, the medical information management apparatus 200 can estimate that the examination 3 defined by the order of the order number 3 is completely completed. That is, it can be estimated that the end notification received at 10:55 is due to a regular operation. Therefore, the medical information management apparatus 200 does not transmit the order of the order number 3 not only to the first endoscope system 100a but also to the second endoscope system 100b.

  FIGS. 11A and 11B show orders displayed on the display device 30 of the first endoscope system 100a and the display device 30 of the second endoscope system 100b at time T4 (11:10) in FIG. It is a figure which shows a list. 11A shows a list of orders displayed on the display device 30 of the first endoscope system 100a, and FIG. 11B shows an order displayed on the display device 30 of the second endoscope system 100b. A list is shown.

  Since the first endoscope system 100a has acquired the order of order number 5 or later in response to the order acquisition request, the display device 30 of the first endoscope system 100a displays the order of order number 5 (not shown) or later. Display a list. Since the second endoscope system 100b has acquired orders after order number 4 in response to the order acquisition request, the display device 30 of the second endoscope system 100b displays a list of orders after order number 4.

  Returning to FIG. The examination 4 ends at 11:30, and the second endoscope system 100b transmits a notice of completion of the examination 4 to the medical information management apparatus 200. When receiving the end notification, the medical information management apparatus 200 changes the status of the order number 4 to completed.

  FIG. 12 is a flowchart for explaining the operation of the medical information management system 500 according to the modification. The flowchart of FIG. 12 is obtained by adding step S13 to the flowchart of FIG. When receiving the order acquisition request from the endoscope system 100 (Y in S10), the order management unit 231 of the medical information management apparatus 200 extracts orders that have not been executed from the orders held in the order holding unit 210. (S12).

  The order management unit 231 removes, from the search targets after step S14, the orders that are confirmed to be executed among the orders that have been executed and are held in the order holding unit 210 (S13). Since the process after step S14 is the same as that of the flowchart of FIG. 8, the description thereof is omitted.

  As described above, according to the modified example, in addition to the effect of the basic example, it is not necessary to search for an order in which the status has been executed, so that the load on the medical information management apparatus 200 is reduced.

  DESCRIPTION OF SYMBOLS 100 Endoscope system, 100a 1st endoscope system, 100b 2nd endoscope system, 200 Medical information management apparatus, 300 Terminal apparatus, 400 Communication line, 500 Medical information management system, 10 Endoscope processing apparatus, 20 Light source device, 30 display device, 40 printing device, 50 endoscope scope, 11 order holding unit, 12 control unit, 13 scope connecting unit, 14 operation unit, 15 communication unit, 210 order holding unit, 220 execution record holding unit, 230 control unit, 231 order management unit, 232 order notification unit, 233 reception unit, 240 communication unit, 310 control unit, 320 display unit, 330 input unit, 340 communication unit.

Claims (4)

A medical information management device connected via a communication line to an endoscope system including at least an endoscope scope and a processing device to which the endoscope scope is connected ,
An order holding unit for holding an order of medical practice to be performed using the endoscope system ;
An order management unit for managing the status of the order;
An order notification unit for notifying the endoscope system of the order;
A receiving unit for receiving a notification of completion of medical practice prescribed in an order from the endoscope system ;
With
When the order management unit receives a medical action end notification from the receiving unit, the order management unit changes the status of the order held in the order holding unit that defines the medical action to completed,
In response to an order acquisition request from the endoscope system , the order management unit extracts an order that has not been executed from the orders held in the order holding unit, and the status has changed to executed. The medical information management apparatus characterized in that an order within a set time is extracted as an order to be handled as unexecuted and the extracted order is notified to the endoscope system by the order notification unit. The medical information management apparatus is connected to a plurality of endoscope systems via the communication line,
The order management unit extracts an unexecuted order in response to an order acquisition request from a certain endoscope system , and is within a set time after changing to an executed state, and from the endoscope system 2. The medical information according to claim 1, wherein an order whose status has been changed to executed according to a past end notification is extracted as an order to be handled as unexecuted , and the extracted order is notified to the order notification unit. Management device. The order management unit, in response to the end notification medical practice from one endoscope system, after changing the status of the order defining the medical practice in the executed, another from the endoscope system by the receiving unit When at least a part of the medical action start notification or the action record data of the medical action specified in the order of the medical action is received, the status of the order changed to the executed action is set as a search target for the order acquisition request. The medical information management apparatus according to claim 1, wherein the medical information management apparatus is changed to a confirmed completed implementation. Before SL end notification, when the end key included in the processing apparatus is pressed, or when the endoscope is removed from the processing apparatus, from claim 1, characterized in that it is transmitted from the processing device 3 The medical information management apparatus in any one of.

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