JP6169038B2 - Medical practice support system - Google Patents

Description

  The present invention relates to a technique for generating an order confirmation screen for a doctor or the like to confirm an examination order before starting the examination. The present invention also relates to a technique for inputting information necessary for generating an order confirmation screen.

  Conventionally, in a medical facility such as a hospital, a medical practice order is issued for a medical practice such as an examination, and the medical practice is performed according to the issued medical practice order. Patent Document 1 discloses a system that displays, in a list format, operation order information including a scheduled operation date that is the same as the date when a user specifies a date.

JP 2007-122174 A

  Before starting the examination, the doctor looks at the order confirmation screen displayed on the display, confirms the contents of the examination to be performed, and starts the examination. The order confirmation screen includes patient profile information in addition to examination order information. Needless to say, the accuracy of inspection is required in inspection work, but in recent years, in particular, the speed of inspection is often required, and it is preferable to end the inspection in as short a time as possible. Therefore, it is preferable that the doctor can start the examination promptly by including information useful for the examination to be performed in the order confirmation screen that the doctor sees before starting the examination.

  The present invention has been made in view of such circumstances, and an object of the present invention is to provide a technique for generating an order confirmation screen including useful information.

  In order to solve the above problems, a medical practice support system according to an aspect of the present invention includes an order storage unit that stores patient examination order information, an examination information storage unit that stores patient examination information, and an examination order information A screen control unit that generates a confirmation screen. The screen control unit generates a confirmation screen including the patient's past examination information together with the patient's examination order information.

  Another aspect of the present invention is also a medical practice support system. The medical practice support system includes a scheduled examination date indicating a date on which an examination is scheduled, an examination information storage unit for storing an examination execution date indicating the date on which the examination is performed, an imaging device that performs imaging processing of an examination image, and An imaging detection unit that detects an imaging process by the imaging device, and a date input unit that inputs a detection date when the imaging detection unit detects the imaging process to the examination information storage unit as an examination execution date. A date input part inputs the date memorize | stored in a test | inspection information memory | storage part as a test scheduled date in a test | inspection information storage part as a test implementation date, when an imaging detection part does not detect an imaging process.

  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, and the like are also effective as an aspect of the present invention.

  According to the present invention, it is possible to generate an order confirmation screen including information useful for an examination to be performed in the future.

It is a figure which shows the structure of the medical practice assistance system concerning an Example. It is a figure which shows the structure for implement | achieving the production | generation function of an order confirmation screen. It is a figure which shows an example of the test | inspection information memorize | stored in a test | inspection information storage part. It is a figure which shows an example of an order list screen. It is a figure which shows an example of an order confirmation screen. It is a figure which shows another example of an order confirmation screen. It is a figure which shows another example of an order confirmation screen.

  FIG. 1 is a diagram showing a configuration of a medical practice support system 1 according to an embodiment of the present invention. The medical practice support system 1 is a system for supporting an endoscopic operation, and includes an endoscope system 10, a management system 40, and a plurality of terminal devices 30 and 34, which are a network such as a LAN (local area network). 2 are interconnected. The terminal devices 30 and 34 are, for example, personal computers and are connected to the display devices 32 and 36 so as to be able to output screens, respectively, but the terminal devices 30 and 34 may be laptop computers integrated with the display device. It may be a portable tablet.

  The management system 40 includes a medical image management apparatus 42 that manages medical images, an order information management apparatus 44 that manages examination order information issued for examinations, and an examination information management apparatus 46 that manages examination information. The endoscope system 10 and the management system 40 may be connected via a gateway device. In the present embodiment, the examination information management device 46 manages examination information in the endoscope system 10, and the endoscope system 10 and the medical image management device 42 may be connected via a network of the same protocol.

  The medical image management device 42 is configured to include an image storage unit that stores inspection images captured by the endoscope system 10 for each inspection order. The medical image management apparatus 42 is configured as a server including a large-capacity image storage unit, and may include an HDD (hard disk drive) as the image storage unit, or may include a flash memory. Each terminal device 30, 34 can access the medical image management device 42 and display the examination image stored in the image storage unit on each display device 32, 34.

  The order information management device 44 includes an order storage unit that stores patient examination order information. The order information management device 44 may be provided as an ordering system that comprehensively manages the issuance of orders within a medical facility. The examination information management device 46 includes an examination information storage unit that stores examination information of patients. The examination information management device 46 manages examination information related to the endoscopic examination, acquires the order information of the endoscopic examination held in the order information management device 44, and generates examination information. The inspection information management device 46 manages at least past inspection information for which inspection has been completed, and also manages future inspection information to be inspected.

  In the endoscopic examination, the terminal device 30 arranged in the examination room receives the endoscopic examination order from the order information management device 44 and displays a list screen of the endoscopic examination orders on the display device 32. When the doctor selects one order from the order list, the terminal device 30 acquires necessary information from the order information management device 44 and the examination information management device 46 and displays an order confirmation screen on the display device 32. The doctor sees the order confirmation screen, confirms the content of the examination to be performed, and then performs the endoscopic examination.

  The order confirmation screen may be generated by the terminal device 30 or may be generated by the management system 40. For example, the examination information management device 46 may receive an instruction to generate an order confirmation screen from the terminal device 30, generate an order confirmation screen, and provide the order confirmation screen to the terminal device 30. As described above, the order confirmation screen may be generated by any configuration in the medical practice support system 1, and information included in the order confirmation screen will be described later.

  The endoscope system 10 includes an endoscope scope 12, an endoscope processing device 14, and a display device 16. The endoscope scope 12 is inserted into the patient's body, and the inside of the body is imaged at the timing when the doctor presses the release switch of the endoscope scope 12. The endoscope scope 12 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 image sensor converts incident light into an electrical signal, and the signal processing circuit performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state image sensor, and the endoscope. The data is output to the processing device 14.

  The endoscope processing device 14 comprehensively controls the entire endoscope system 10. One important role of the endoscope processing device 14 is to transmit an image captured by the endoscope scope 12 to the medical image management device 42 and store it in the database, and another important role is The video acquired by the endoscope scope 12 is displayed on the display device 16 in real time. In the endoscope system 10 of the present embodiment, the endoscope scope 12 and the endoscope processing device 14 constitute an imaging device 20 that performs imaging processing of an inspection image. The medical image management device 42 receives endoscopic image data imaged by the imaging device 20 and accumulates them in a storage unit (database) for each examination order.

  The terminal device 34 is installed in the endoscopy department, and is connected to a user interface such as a keyboard. When the examination is completed, the endoscopist creates an examination report by the terminal device 34. At this time, the terminal device 34 acquires an examination image (endoscopic image) from the medical image management device 42, and the doctor can paste a necessary image on the report.

  The medical practice support system 1 has a function of providing a doctor with an order confirmation screen including information useful for an examination to be performed in the future. In this embodiment, useful information included in the order confirmation screen is the past examination history of the patient, and the examiner checks the order confirmation screen to confirm the details of the examination to be performed, and the patient is in the past. You can know if you were performing an endoscopy.

  FIG. 2 shows a configuration for realizing an order confirmation screen generation function including an inspection history. The medical practice support system 1 includes a screen control unit 100, an input processing unit 120, an order storage unit 140, and an examination information storage unit 150.

  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. 2 is implemented by at least one of the endoscope system 10, the terminal device 30, and the management system 40, or the cooperation of these.

  The order storage unit 140 stores endoscopy order information of a patient. The inspection order information is configured to include at least “scheduled inspection date” and “inspection content”, and the inspection content includes “inspection type” and “inspection item”. For example, the examination types of endoscopy include at least upper endoscopy and lower endoscopy. The examination order information may include information on a doctor in charge and an examination room. The order storage unit 140 is provided in the order information management device 44.

  The examination information storage unit 150 stores patient examination information. The inspection information includes date information including a scheduled inspection date and an inspection execution date, and inspection contents including an inspection type and an inspection item. The examination information may include presence / absence information indicating whether or not a report has been created by the examiner after the examination. The inspection information storage unit 150 is provided in the inspection information management device 46. The inspection information management device 46 acquires the inspection order information stored in the order storage unit 140, and creates inspection information using the acquired inspection order information. For example, the inspection information management device 46 may create inspection information for an unexecuted inspection when an inspection order is issued.

  When the inspection type specified in the inspection order information is changed or added when the inspection is performed, the inspection order information is appropriately corrected during the inspection or after the inspection is completed. 46 may correct the inspection information based on the corrected inspection order information. At this time, if the examination order information is not properly corrected, the doctor in charge may manually correct the examination information.

  As described above, the inspection information storage unit 150 stores the inspection order information stored in the order storage unit 140 as inspection information. The inspection information storage unit 150 does not have to store all the information included in the inspection order, but stores at least a part of the information as inspection information. In this sense, in this embodiment, the examination information storage unit 150 can be handled as an order storage unit.

  FIG. 3 shows an example of inspection information stored in the inspection information storage unit 150. In FIG. 3, for convenience of explanation, examination information for one patient (patient 1) is shown, but the examination information storage unit 150 examines all patients for which an examination order for endoscopic examination has been issued. Information is stored in association with a patient ID that identifies the patient. It should be noted that the “inspection number” shown in FIG. 3 is given for the description of the present embodiment, and is not an inspection number registered in the inspection information storage unit 150.

  In the “scheduled inspection date” field, the date on which the inspection is scheduled is input. In the “inspection date” field, the date of the inspection is input. The type of endoscopic examination is input to the item of “examination type”, and the examination content obtained by further subdividing the examination type is input to the item of “inspection item”. In the “Report existence / non-existence” item, information indicating whether or not a report relating to the inspection has been created is entered. If the report has been created, “Yes” is entered; if not, “None” is entered. Is done. Information included in the inspection order issued for the inspection is input to the items “scheduled inspection date”, “inspection type”, and “inspection item”.

  Returning to FIG. 2, the input processing unit 120 includes an imaging detection unit 122, a date input unit 124, an input determination unit 126, a report registration confirmation unit 128, and an order information analysis unit 130. The order information analysis unit 130 acquires the order information of the endoscopy stored in the order storage unit 140, and obtains information on “scheduled inspection date”, “inspection type”, and “inspection item” included in the order information. The extracted information is associated with the order ID and stored in the inspection information storage unit 150 as inspection information. The order information analysis unit 130 uses the information on “scheduled inspection date”, “inspection type”, and “inspection item” as inspection information before the start of endoscopy, for example, when an endoscopic inspection order is issued. You may memorize | store in the test | inspection information storage part 150. FIG. Further, the order information analysis unit 130 collects a plurality of endoscopic inspection orders having the current day as the scheduled inspection date from the order storage unit 140 before the start of the daily work, and stores the endoscopic inspection orders for the current day. The inspection information may be stored in the inspection information storage unit 150.

  The item “Examination Date” shown in FIG. 3 will be described. In the item “Examination Date”, the date when the endoscopic examination is performed is input. The end date of the endoscopic examination may be manually input by the doctor after the end of the examination, but the input processing unit 120 detects that the release switch of the endoscope scope 12 has been pressed, It may be determined that an endoscopic examination has been performed, and the date at that time may be input to the item “Examination Date”. The imaging detection unit 122 has a function of detecting an imaging process by the imaging device 20, and specifically has a function of detecting that the release switch of the endoscope scope 12 is pressed. When the imaging detection unit 122 detects that the imaging process has been performed, the date input unit 124 inputs the detection date when the imaging detection unit 122 has detected the imaging process to the examination information storage unit 150 as an “inspection date”. To do. At this time, the imaging detection unit 122 and the date input unit 124 may be formed as functions of the endoscope processing device 14 in the endoscope system 10.

  The imaging detection unit 122 may be formed as a function of the medical image management device 42. The endoscope processing device 14 transmits the captured image to the medical image management device 42 when the release switch of the endoscope scope 12 is pressed. The medical image management device 42 stores the examination image in association with the examination order. At this time, the imaging detection unit 122 formed in the medical image management device 42 transmits the date (that is, imaging processing) that the examination image is transmitted. The date input unit 124 inputs the detection date when the imaging detection unit 122 detected the imaging process to the examination information storage unit 150 as the “examination date”. As described above, the imaging detection unit 122 and the date input unit 124 may be provided as a function of the endoscope processing device 14 or a function of the medical image management device 42. It is preferable that the imaging process by the scope 12 is automatically detected, and the imaging date can be input as the inspection information in the item of the inspection implementation date.

  The “report existence” item shown in FIG. 3 will be described. In the item “report presence / absence”, information indicating the presence / absence of a report relating to the inspection is input, and “none” is set as a default value. As described above, the doctor creates a report related to the endoscopy after the end of the endoscopy. The doctor may create a report from the terminal device 30 in the examination room, but may return to the endoscopic department from the examination room and create a report from the terminal device 34 in his / her seat. The created report is stored in the examination information management device 46 in association with the examination information. For example, the inspection information storage unit 150 may store a report in association with the inspection information. Upon confirming that the report has been registered in the examination information storage unit 150, the report registration confirmation unit 128 sets the “report presence / absence” item of the examination information shown in FIG. The fact that a report has been created is registered as inspection information. In principle, doctors are supposed to create a report when they finish the examination. For example, in cases where there are no abnormal findings in the examination, the doctor may not create a report. Sometimes you forget it. Therefore, in such a case, “None” is set in the “Report presence / absence” item even though the date is entered in the “Examination date” item (the inspection is actually performed). Sometimes. In the example of FIG. 3, in the upper endoscopic examination of examination number 3, an examination is performed on February 10, 2014, but it is indicated as examination information that a report is not created. In the upper endoscopy of examination number 5, a report has not been created, but since this has not yet been conducted, the default value of “none” is set in the “report existence” item. The state is shown.

  As described above, inspection information is generated and stored in the inspection information storage unit 150. Hereinafter, a method of generating an order confirmation screen including useful information when performing an endoscopic examination registered as examination number 5 will be described.

  Returning to FIG. 2, the screen control unit 100 has a function of generating a screen to be displayed on the display device 32 or the like, and includes an order information acquisition unit 102, a type acquisition unit 104, an examination information acquisition unit 106, and a screen generation unit. 108 and an instruction receiving unit 110. In this embodiment, the screen control unit 100 generates a list screen of inspection orders and a confirmation screen of inspection order information.

  The doctor causes the display device 32 to display a list screen of today's examination orders from the terminal device 30 arranged in the examination room. The doctor operates a user interface such as a keyboard or a mouse to input a display instruction for the order list screen for today. The doctor may display a list screen of examination orders on the display device 36 from the terminal device 34. When the doctor inputs an instruction to display today's examination order list screen, the instruction accepting unit 110 accepts the display instruction and requests the order storage unit 140 to transmit the examination order information for today. The order information acquisition unit 102 acquires today's inspection order information from the order storage unit 140, and the screen generation unit 108 generates an order list screen and displays the order list screen on the display device 32.

  FIG. 4 shows an example of an order list screen. On this order list screen, a list of inspection orders for today is displayed. By specifying the date at the top of the screen, the doctor can view a list screen of examination orders on the specified date. On the order list screen, the doctor selects a test order for starting a test. When the instruction receiving unit 110 receives an inspection order selection instruction, the screen generation unit 108 generates an order confirmation screen and displays the order confirmation screen on the display device 32. Hereinafter, an example will be described in which the instruction receiving unit 110 receives an instruction to select an examination order for the patient 1 on the order list screen, and the screen generation unit 108 generates an examination order confirmation screen for the patient 1. The examination order of the selected patient 1 corresponds to the examination information of examination number 5 shown in FIG.

  FIG. 5 shows an example of an order confirmation screen. This order confirmation screen includes at least detailed information on the examination contents included in the examination order and patient information. The order information acquisition unit 102 acquires detailed information of the examination order of the patient 1 from the order storage unit 140, and acquires patient information from a patient database (not shown). In FIG. 5, basic patient information, request information, and order information may be configured by information acquired from the order storage unit 140, and a patient profile may be configured by information acquired from a patient database. As described above, the inspection information storage unit 150 stores the inspection order information acquired from the order storage unit 140. Therefore, the order information acquisition unit 102 receives the details of the inspection order from the inspection information storage unit 150. It is also possible to obtain information.

  The order confirmation screen also includes the caution information of the patient 1 at the time when the examination order is issued (here, the examination request date, April 25, 2014). FIG. 5 shows the presence / absence of an infectious disease, the presence / absence of allergies, the presence / absence of precautions, the presence / absence of failure information, and the information that the doctor must be careful of in the future endoscopic examination. In this order confirmation screen, all the caution information is set to “none”. For example, if the patient 1 is allergic to a predetermined drug, that fact is displayed as allergy information, When the patient 1 has heart disease, the fact is displayed as a caution. A doctor can perform a safe examination by checking such attention information before the examination. Such attention information may be acquired from the patient database by the order information acquisition unit 102.

  On the order confirmation screen of the present embodiment, the latest examination history of the patient 1 is displayed in the history display area 200. The latest examination history displayed in the history display area 200 is generated from the examination information stored in the examination information storage unit 150.

  Referring to FIG. 3, the patient 1 has undergone an endoscopic examination indicated by examination numbers 1 to 4 in the past, and the examination information storage unit 150 stores these examination information. The past examination information is useful information for a doctor who will perform an endoscopic examination indicated by examination number 5 from now on, and the doctor is performing what kind of examination the patient 1 is performing at the closest time in the past, It is preferable to perform an endoscopic examination after grasping the information whether the time is one month ago or five years ago.

  If the past examination history is not displayed on the order confirmation screen, the doctor inputs the patient ID, for example, using the search function of the system to confirm the past examination history, and stores the examination information. The search result of the unit 150 (examination history of the patient 1) needs to be displayed on the display device 32.

  However, medical facilities are required to efficiently complete medical practice from the viewpoint of time reduction. Therefore, before the endoscopy, the doctor purposely inputs the patient ID from the terminal device 30, searches the patient's past examination information in the examination information storage unit 150, and displays the search result on the display device 32. Inefficiency, and such work itself was often omitted. Therefore, in the medical practice support system 1 of the present embodiment, the patient's past examination history is included in the order confirmation screen without causing the doctor to perform a search operation, and after the doctor views the order confirmation screen, promptly Endoscopy can be started.

  In addition, as a request from the medical site, it is desired that the order confirmation screen be formed so as to fit on one screen of the display device 32. If you try to include a lot of information on the order confirmation screen, the size of the order confirmation screen will increase accordingly, but in order to confirm the information contained in the lower part of the screen that does not fit on one screen, the doctor uses a mouse etc. It is necessary to operate and scroll the screen. As mentioned above, under the request for shortening the examination time, the doctor needs to be able to instantly confirm the display information on the order confirmation screen. The information displayed on one screen is mistaken for all and the screen is scrolled. In order to prevent the doctor from overlooking information, it is desired to form the order confirmation screen in a size that does not require scrolling.

  For this reason, if the order confirmation screen is to be stored on one screen, the amount of information to be included cannot be increased, and therefore the history display area 200 for displaying the inspection history cannot be enlarged on one screen. Therefore, in this embodiment, the history display area 200 omits the display of the most recent examination history, that is, the examination information including the examination information having the examination execution date closest to the date of the examination order information.

  As illustrated in FIG. 5, the screen control unit 100 generates an order confirmation screen including patient examination order information and patient information, as well as patient past examination information. In the screen control unit 100, the type acquisition unit 104 acquires the examination type included in the examination order information of the patient. The inspection information acquisition unit 106 acquires, from the inspection information storage unit 150, inspection information that has the inspection execution date closest to the date of the inspection order information and includes the same inspection type as the inspection type acquired by the type acquisition unit 104. To do. Here, the examination type to be performed on the patient 1 is “upper endoscopy”, and the type obtaining unit 104 obtains “upper endoscopy” as the examination type.

  Referring to FIG. 3, the examination information having the examination execution date closest to the date (May 1, 2014) included in the examination order information and including the examination type “upper endoscopy” is an examination number. 3 is inspection information. The examination information acquisition unit 106 obtains the examination information indicated by the examination number 3, and the screen generation unit 108 stores the latest examination type information in the examination type field 202 in the history display area 200 as the latest examination type information. The examination information indicating that the examination date is February 10, 2014 and that the examination item is the upper endoscopy (general) is included.

  Information indicating whether or not the patient 1 has undergone the examination of the examination type to be performed this time and when it has been received in the past is useful information for the doctor. For example, when the past examination date is close to the present day, the patient 1 is often being followed up, and the doctor can take necessary measures, for example, confirming a report. On the other hand, if the past examination execution date is 10 years or more ago, the doctor may determine that it is not necessary to check the report at that time, and may immediately start the endoscopic examination. As described above, the past examination dates and examination items of the same examination type are very small for information, but are very useful for the doctor, and the screen generation unit 108 includes the latest examination information of the same examination type. By generating the order confirmation screen, the doctor can immediately start the endoscopy.

  In the present embodiment, the examination information acquisition unit 106 further has an examination date that is closest to the date of the examination order information from the examination information storage unit 150 and is different from the examination type acquired by the type acquisition unit 104. The inspection information including is acquired. Referring to FIG. 3, examination information that has an examination date closest to the date (May 1, 2014) of examination order information and includes an examination type different from the examination type of “upper endoscopy” Is inspection information indicated by inspection number 4. The inspection information acquisition unit 106 acquires the inspection information indicated by the inspection number 4, and the screen generation unit 108 stores the latest different inspection type information in the different inspection type column 204 in the history display area 200 as the latest different inspection type information. The examination information indicating that the examination date is March 1, 2014 and that the examination item is the lower endoscopic examination (general) is included.

  The past examination information of different examination types relates to an observation range different from the examination to be performed this time, but is useful information for the doctor to know what kind of examination the patient 1 has undergone. Therefore, the screen generator 108 generates an order confirmation screen that includes not only the latest examination information of the same examination type but also the latest different examination type, so that the doctor appropriately grasps the patient's condition. Now you can start the endoscopy. As described above, in the order confirmation screen displayed on a single screen, it is difficult to make a space in the history display area 200 large. An order confirmation screen including only the inspection information of the inspection type may be generated.

  The screen generation unit 108 may include a history display link 190 to the examination information in the order screen. A function for displaying the examination information of the patient 1 shown in FIG. 3 is set in the history display link 190, and the doctor selects the history display link 190, so that the list of examination information shown in FIG. 32 may be displayed.

  In the above example, it has been described that the inspection information acquisition unit 106 acquires the latest inspection information of the same inspection type and different inspection type from the inspection information storage unit 150. However, the acquired inspection information includes a report. It may be limited to what you have. As described above, when there is no report, it may be inspection information in which an abnormal finding was not found, and as inspection information displayed in the limited history display area 200, useful information and This is because there is a possibility not to be. Therefore, the examination information acquisition unit 106 may acquire examination information that is the latest examination information and has presence / absence information indicating that a report exists.

  Referring to FIG. 3, regarding the upper endoscopy which is the same examination type, in the examination information of examination number 3, “None” is set in the item of “report presence / absence”, and in the examination information of examination number 2 Is set to “Yes” in the “Report presence / absence” item. Therefore, when the display condition is set that the report exists, the inspection information acquisition unit 106 acquires the inspection information of the inspection number 2, and the screen generation unit 108 has the latest inspection type of the same inspection type. The inspection information is displayed in the inspection type column 202.

  FIG. 6 shows another example of the order confirmation screen. In this order confirmation screen, the examination information indicated by examination number 2 is displayed in the examination type column 202. In the same examination type column 202, link information to the report of the examination number 2 is set. For example, when the doctor selects the examination type column 202, the report of the examination number 2 is displayed on the display device 32. Good. This allows the physician to easily view the report of the most recent examination.

  FIG. 7 shows another example of the order confirmation screen. In the order confirmation screen shown in FIG. 6, the examination information of examination number 3 for which no report has been created is not displayed. However, in the order confirmation screen shown in FIG. Notification that inspection information exists.

  The screen generation unit 108 includes inspection information having presence / absence information indicating that no report exists between the date included in the inspection order information and the inspection execution date included in the inspection information acquired by the inspection information acquisition unit 106. Is stored in the inspection information storage unit 150, the confirmation includes the notification information 206 indicating that there is inspection information that has the inspection execution date closest to the date included in the inspection order information and for which no report exists. Generate a screen. In the example of FIG. 3, the date (inspection number 5: May 1, 2014) of the inspection order information and the inspection execution date (inspection) included in the inspection information of the same inspection type acquired by the inspection information acquisition unit 106 (No. 2: January 1, 2014), there is inspection information having an inspection execution date (inspection number 3: February 10, 2014) for which no report has been created. In this case, the screen generation unit 108 displays notification information 206 indicating that there is examination information for which no report exists before the examination information shown in the examination type field 202 in association with the examination type field 202. To do. For example, in the notification information 206, link information to the examination information of the examination number 3 is set, and when the doctor selects the notification information 206, the examination information of the examination number 3 is superimposed on the report confirmation screen. Good. Thereby, although the report is not created, the doctor can easily see the latest past examination information.

  As described above, the screen control unit 100 generates the order list screen and the order confirmation screen and outputs them from the display device 32. In the above-described example, it has been described that each functional block of the screen control unit 100 is realized by the terminal device 30. However, each functional block may be realized by the management system 40, and the terminal device 30 and the management system. 40 may cooperate and implement | achieve.

  In the screen control unit 100, the examination information acquisition unit 106 refers to the date input on the examination execution date included in the examination information storage unit 150, and obtains the examination information having the date closest to the examination to be performed. In the present embodiment, in the “inspection date” item of the inspection information storage unit 150, a detection date when the imaging detection unit 122 detects the imaging process is input.

  The imaging device 20 is configured by the endoscope scope 12 and the endoscope processing device 14, but depending on the type of the endoscope scope 12, the imaging detection unit 122 detects the imaging processing by the endoscope scope 12. There are things you can't do. In addition, when an inspection image captured by another imaging device is taken into the inspection information management device 46 as an external image, the imaging detection unit 122 cannot detect imaging processing by the other imaging device. If the imaging detection unit 122 cannot detect that the imaging process has been performed, the date input unit 124 cannot input the examination execution date to the examination information storage unit 150. Therefore, the examination execution date item of the examination information is blank. Will remain. In this case, since the inspection information acquisition unit 106 cannot refer to the inspection execution date of the inspection information, it is necessary to input some date in the item of the inspection execution date.

  Therefore, in this embodiment, the input determination unit 126 refers to the item “Examination Date” of the inspection information included in the inspection information storage unit 150 and determines whether a date is input. For example, the timing for performing this determination may be when the examination information storage unit 150 stores an external image captured by an imaging device different from the imaging device 20. The input determination unit 126 determines that a date has not been input by the date input unit 124 when the “inspection date” item of the inspection information is blank when the external image is registered in association with the inspection information. To do. The determination may be made when the doctor creates a report. When the input determination unit 126 registers the report created by the doctor in association with the examination information, the input of the examination information is “Examination of examination”. If the “day” item is blank, the date input unit 124 determines that the date has not been input.

  When the input determination unit 126 determines that no date has been input, the date input unit 124 refers to the date input on the scheduled inspection date and checks the date input on the scheduled inspection date. The date of execution is input to the examination information storage unit 150. If the inspection execution date that has not been input is set to a date other than the scheduled inspection date, for example, the date when the external image is acquired, the possibility that the acquisition date is later than the actual inspection execution date cannot be denied. Further, if the inspection execution date that has not been entered is set to the date on which the report is created, the possibility that the report creation date is not the day of the inspection but after it cannot be denied. Therefore, when the scheduled inspection date and the inspection execution date are managed in separate fields as in the present embodiment, when the imaging execution date is not input because the imaging detection unit 122 does not detect the imaging processing. By entering the date information of the scheduled inspection date in the inspection execution date field, a situation where the inspection execution date is left blank is avoided.

  In this case, the scheduled inspection date is changed. As described above, when there is a change in the inspection order, the order information management device 44 corrects the inspection order and generates new inspection order information. Therefore, even in the inspection information stored in the inspection information management device 46, the scheduled inspection date is corrected in accordance with the correction of the inspection order. In this sense, the date entered on the scheduled inspection date is very It can be said that the information is highly reliable. For this reason, it is possible to appropriately display the latest inspection history on the order confirmation screen as described above by regarding the date of the scheduled inspection date as the date of the unimplemented inspection implementation date.

  In the above, this invention was demonstrated based on the Example. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to the combination of each component and each processing process, and such modifications are also within the scope of the present invention. .

  For example, in the order confirmation screen, it has been described that the latest inspection history is displayed in the same inspection type column 202 and the different inspection type column 204, but there is no space for providing the same inspection type column 202 and the different inspection type column 204. In the history display area 200, a link that allows access to the latest inspection information may be set in the display of “same inspection type” and “different inspection type”. In this case, the doctor can easily view the examination information of each type by selecting the display of “same examination type” or “different examination type”.

DESCRIPTION OF SYMBOLS 1 ... Medical practice support system, 10 ... Endoscope system, 20 ... Imaging device, 30 ... Terminal device, 32 ... Display device, 40 ... Management system, 42 ... Medical image management device 44 ... Order information management device 46 ... Examination information management device 100 ... Screen control unit 102 ... Order information acquisition unit 104 ... Type acquisition unit 106 .. Inspection information acquisition unit, 108... Screen generation unit, 110 .. instruction reception unit, 120... Input processing unit, 122. Input determination unit, 128... Report registration confirmation unit, 130... Order information analysis unit, 140... Order storage unit, 150.

Claims (4)

An order storage unit for storing patient examination order information;
A test information storage unit for storing patient test information;
A medical action support system including a screen control unit that generates a confirmation screen for examination order information, and the examination information includes examination date, presence / absence information indicating presence / absence of a report on examination, and examination type And
The screen control unit
A type acquisition unit for acquiring an examination type included in the examination order information of the patient;
From the examination information storage unit, the first examination information includes the same examination type as the examination type acquired by the type acquisition unit and has presence / absence information indicating that a report exists, and the inspection order information is An inspection information acquisition unit for acquiring first inspection information having an inspection implementation date that is closest to the date of the inspection;
A screen generation unit that generates a confirmation screen including the first examination information,
The inspection information is stored in the inspection information having an inspection execution date between the date included in the inspection order information and the inspection execution date included in the first inspection information and having presence / absence information indicating that no report exists. The screen generation unit generates a confirmation screen including information indicating that there is inspection information for which no report exists.
A medical practice support system characterized by that. The inspection information acquisition unit includes second inspection information including an inspection type different from the inspection type acquired by the type acquisition unit, having an inspection execution date closest to the date of the inspection order information from the inspection information storage unit Get
The medical practice support system according to claim 1 , wherein the screen generation unit generates a confirmation screen including first examination information and second examination information. The medical practice support system according to claim 2 , wherein the first examination information and the second examination information included in the confirmation screen include examination date information and examination item information, respectively. The inspection information includes the scheduled inspection date,
An input determination unit that determines whether or not a date is input on the inspection implementation date of the inspection information;
When it is determined by the input determination unit that a date has not been input, a date input unit that inputs a date that has been input as an inspection scheduled date is further provided as an inspection implementation date,
The medical practice support system according to any one of claims 1 to 3 .

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