JP6214506B2 - Interpretation request distribution apparatus, operation method of interpretation request distribution apparatus, and interpretation request distribution program - Google Patents

Description

  The present invention relates to an image interpretation request distribution device, an operation method of an image interpretation request distribution device, and an image interpretation request distribution program.

  An image diagnosis based on a medical image obtained by a medical examination using a modality such as a CT (Computed tomography) apparatus or an MRI (Magnetic Resonance Imaging) apparatus is performed. In such image diagnosis, a medical image is interpreted by a specialist called an interpreting physician. The interpretation doctor interprets according to the interpretation request from the attending doctor who is in charge of diagnosis and treatment, and creates an interpretation report describing the result. Interpretation reports are provided to the attending physician. The attending physician makes an appropriate diagnosis and treatment to the patient based on the provided interpretation report.

  In medical facilities where there are no interpreting doctors or the number of interpreting doctors is insufficient, or there are interpreting doctors but the specialized fields of the interpreting doctors are limited, the interpretation is performed by other medical facilities to which appropriate interpreting doctors belong. Have asked. Patent Document 1 describes a technique in which exchange of interpretation requests between medical facilities is automated by a computer. Hereinafter, a medical facility or an attending doctor who makes an interpretation request is referred to as an interpretation request source, and a medical facility or an interpreting doctor who accepts an interpretation request is referred to as an interpretation acceptance destination.

  Patent Document 1 includes schedule information such as a time frame during which the interpretation trustee can interpret, the number of medical images that can be interpreted, information on the specialized fields of the interpretation trustee, past interpretation and the interpretation trustee responsible for the interpretation. Interpretation to determine the distribution destination to distribute the interpretation request from multiple interpretation trustees based on various assignment conditions such as identifiable interpretation history information, information about the location of the interpretation trustee, evaluation information of the interpretation trustee A request distribution device is described. The interpretation request distribution device of Patent Document 1 is provided in a data center connected to a plurality of interpretation request sources and a plurality of interpretation acceptance destinations via a network, and between the interpretation request source and interpretation acceptance destinations via the network. Mediates exchange of interpretation requests.

  Patent Document 1 also describes desired consignment destination information in which an interpretation request destination that the interpretation requester wishes to interpret among a plurality of interpretation interpretation destinations is set as a distribution condition. If you decide the distribution destination to distribute the interpretation request based on this requested trustee information, you can ask the interpretation doctor who was requested by the interpretation requester, who was popular in the past interpretation, or a famous doctor it can.

JP 2002-329190 A

  In Patent Document 1, the interpretation request can be distributed to the interpretation acceptance destination desired by the interpretation request source based on the desired acceptance destination information. However, the request of the interpretation trustee is not reflected in the distribution of interpretation requests.

  Medical facilities have affiliated relationships such as affiliated universities and medical associations, and exchanges and business tie-ups between doctors are regularly carried out at the same medical facilities. As for the interpretation request, the interpretation request source that accepts the interpretation request is generally decided at the interpretation acceptance destination. Under these circumstances, as in Patent Document 1, if the interpretation request recipient's request is not reflected in the distribution of the interpretation request, an unexpected interpretation request such as an interpretation request source that does not have a series relationship or an interpretation request source that does not have a business alliance record There was a possibility that the interpretation request from the original would flow into the interpretation trustee and hinder the work of the interpretation trustee.

  The present invention has been made in view of the above-described problems. An interpretation request distribution device and an interpretation that can determine an allocation destination to which an interpretation request is allocated, reflecting the wishes of both the interpretation request source and the interpretation acceptance destination. It is an object of the present invention to provide an operation method of a request distribution device and an interpretation request distribution program.

  In order to achieve the above object, an interpretation request distribution device of the present invention includes an interpretation request reception unit that receives interpretation requests from a plurality of interpretation request sources that request interpretation of medical images obtained by medical examination, and an interpretation request reception Based on the distribution condition set by the distribution condition setting unit and the distribution condition setting unit that sets the distribution condition for distributing the interpretation request received by the division to the interpretation acceptance destination that is the interpretation acceptance destination The search unit that searches for the candidate of the distribution destination that distributes the interpretation request from among the image interpretation request recipients, and determines the distribution destination from the candidates searched by the search unit, and distributes the interpretation request to the determined distribution destination A sorting section is set for each interpretation request source, and the desired trustee information indicating the interpretation trustee desired by the interpretation requester among a plurality of interpretation trustees, and for each interpretation trustee. Set and requested by the interpretation trustee among multiple interpretation request sources. And a desired request based on information representing the interpretation requester.

  The search unit accepts the interpretation request specified in the requested trustee information of the interpretation request source for the distribution destination of the received interpretation request and specifies the interpretation request source in the desired requester information. It is preferable to search ahead.

  Desired trustee information and desired requester information are set, for example, for each imaging part of a medical image and each type of medical examination.

  The determination unit for determining whether or not the distribution condition already set in the distribution condition setting unit and the newly added distribution condition are in conflict, and the determination unit determines that the content is in conflict In this case, it is preferable to include a warning notification output unit that outputs a warning notification indicating that the contents are in conflict.

  The determination unit determines, for example, whether or not the set desired trustee information or desired request source information and the newly added desired trustee information or desired request source information have conflicting contents.

  The distribution condition is set for each interpretation trustee, and includes a combination of a time zone in which the interpretation trustee can interpret and an allowable amount indicating the capacity of the interpretation request that can be processed by the interpretation trustee in that time zone. Also good. Specifically, the allowable amount is at least one of the number of medical examinations that can be interpreted and the number of medical images that can be interpreted.

  For example, the determination unit determines whether or not the combination of the set time zone and the allowable amount is contradictory to the newly added time zone and the allowable amount.

  The distribution condition is set for each interpretation trustee, and the satisfaction rate that is the ratio of the amount of interpretation requests actually distributed to the interpretation trustee to the allowable amount indicating the interpretation capacity that can be processed by the interpretation trustee. May be included. When there are a plurality of candidates searched by the search unit based on a distribution condition other than the satisfaction rate, the distribution unit preferably determines the interpretation trustee with the lowest satisfaction rate as the distribution destination.

  The distribution condition is set for each interpretation request source, and may include the priority order of the interpretation request to the interpretation acceptance destination. When there are a plurality of candidates searched by the search unit based on a distribution condition other than the priority order, the distribution unit preferably determines the interpretation acceptance destination with the highest priority as the distribution destination.

  In addition, when there are a plurality of candidates searched by the search unit, a selection notification output unit is provided that outputs a selection notification for selecting an allocation destination from a plurality of candidates to the interpretation request source who has requested the interpretation. It is preferable.

  The search unit searches for candidates and the distribution unit switches the automatic / manual distribution according to the automatic / manual distribution switching instruction whether the distribution unit determines the distribution destination or whether the distribution destination is determined manually. It is preferable to provide an automatic / manual sorting switching unit.

  In addition, it accepts a manual change instruction for the distribution destination automatically determined by the distribution unit, and changes the distribution destination automatically determined by the distribution unit to the distribution destination according to the change instruction. It is preferable to provide a changing unit.

  It is preferable to include a transfer processing unit that processes the transfer of the interpretation report created at the interpretation acceptance destination in response to the interpretation request from the interpretation acceptance destination to the interpretation request source.

  In addition, the operation method of the interpretation request distribution device of the present invention includes an interpretation request reception step of accepting interpretation requests from a plurality of interpretation request sources requesting interpretation of medical images obtained by a medical examination by an interpretation request reception unit; The distribution condition setting unit sets the distribution condition for distributing the interpretation request received in the interpretation request reception step to the interpretation acceptance destination that is the interpretation acceptance destination, and the search unit distributes the interpretation request received in the interpretation request acceptance step. Based on the distribution condition set in the condition setting step, a search step for searching for a distribution destination candidate to distribute the interpretation request from a plurality of interpretation trustees, and a candidate for the search performed in the search step by the distribution unit And a distribution step for allocating the interpretation request to the determined allocation destination, and the distribution condition is set for each interpretation request source, and the interpretation request source among multiple interpretation request destinations Is rare To include a desired Accession destination information indicating the interpretation accession destinations, it is set for each interpretation entrusted destination, and a desired request source information interpretation accession destination among the plurality of image interpretation requester represents interpretation requester desired.

  Furthermore, the interpretation request distribution program according to the present invention includes an interpretation request reception function for receiving interpretation requests from a plurality of interpretation request sources requesting interpretation of medical images obtained by medical examinations, and an interpretation request received by the interpretation request reception function. Based on the distribution condition setting function that assigns the distribution conditions for distribution to the interpretation trustee that is the interpretation trustee and the distribution conditions set by the distribution condition setting function, The search function to search for the distribution destination candidates to distribute the interpretation request, and the distribution function to determine the distribution destination from the candidates searched by the search function and distribute the interpretation request to the determined distribution destination, The distribution condition is set for each interpretation request source and is set for each interpretation request destination and the desired trustee information indicating the interpretation request destination desired by the interpretation request source among a plurality of interpretation request destinations. , Multiple interpretation request sources In and a wish request based on information that the interpretation entrusted destination represents an interpretation request source you want.

  According to the present invention, set for each interpretation request source and desired trustee information indicating the interpretation trustee desired by the interpretation requester among a plurality of interpretation trustees, and set for each interpretation trustee and a plurality of interpretation Based on the distribution conditions including the requested request source information that indicates the requested interpretation request source in the request source, search for candidate distribution destinations to distribute the interpretation request from the multiple interpretation request destinations. Since the assignment destination is determined from the candidates, the interpretation request distribution device that can determine the distribution destination to which the interpretation request is distributed, reflecting the wishes of both the interpretation request source and the interpretation acceptance destination, An operation method of the request distribution device and an interpretation request distribution program can be provided.

It is a figure which shows a medical information network system. It is a figure which shows the content of the interpretation request. It is a block diagram which shows the computer which comprises a center server. It is a figure which shows the various databases constructed | assembled by the storage device of a center server. It is a figure which shows the content of a request record list. It is a figure which shows the content of facility information. It is a figure which shows the content of desired trustee information. It is a figure which shows the content of hope request origin information. It is a figure which shows the content of priority information. It is a block diagram which shows the function of CPU of a center server. It is a figure which shows the desired setting window in making the desired setting of desired trustee information. It is a figure which shows the desired setting window in the case of making the desired setting of desired request origin information. It is a figure which shows a priority setting window. It is a flowchart which shows the procedure of the setting of desired trustee information or desired request origin information. It is a flowchart which shows the procedure which distributes an interpretation request. It is a flowchart which shows the procedure which stores an interpretation report. It is a flowchart which shows the procedure which outputs an interpretation report. It is a block diagram which shows the function of CPU of the center server of 2nd Embodiment. It is a figure which shows a warning notification window. It is a figure which shows the various databases constructed | assembled by the storage device of the center server of 3rd Embodiment. It is a figure which shows the content of the time slot | zone, the number of cases, and number information. It is a block diagram which shows the function of CPU of the center server of 3rd Embodiment. It is a figure which shows a time slot | zone, the number of items, and number setting window. It is a block diagram which shows the function of CPU of the center server of 4th Embodiment. It is a figure which shows the various databases constructed | assembled by the storage device of the center server of 5th Embodiment. It is a figure which shows the content of fullness rate information. It is a block diagram which shows the function of CPU of the center server of 5th Embodiment. It is a block diagram which shows the function of CPU of the center server of 6th Embodiment. It is a figure which shows a selection notification window. It is a block diagram which shows the function of CPU of the center server of 7th Embodiment. It is a figure which shows an automatic / manual distribution switching window. It is a figure which shows a manual distribution window. It is a figure which shows an automatic / manual distribution separate setting window. It is a block diagram which shows the function of CPU of the center server of 8th Embodiment. It is a figure which shows a distribution result display / change window. It is a figure which shows the distribution result display / change window at the time of selecting a change button. It is a figure which shows the distribution result display / change window at the time of making an interpretation trustee into an interpretation doctor.

[First embodiment]
In FIG. 1, the medical information network system 2 includes a data center 10, a plurality of interpretation request sources 11, and a plurality of interpretation acceptance destinations 12. The data center 10, the interpretation request source 11, and the interpretation acceptance destination 12 are interconnected via an IP (Internet Protocol) network 13. The data center 10 mediates a medical image data file (hereinafter referred to as an image file) 14, a medical image interpretation request 15 (see also FIG. 2), and an interpretation report 16 between the interpretation request source 11 and the interpretation acceptance destination 12. Provides application services such as services.

  The IP network 13 uses a dedicated wide area IP network owned by a communication carrier as a base network, and is a closed area network in which a VPN (Virtual Private Network) is constructed on the wide area IP network. Various medical information passing through the IP network 13 is not leaked outside the medical information network system 2 by the VPN, and security of the medical information is ensured.

  The interpretation requesting source 11 is a medical facility where there is no interpretation doctor or the number of interpretation doctors is insufficient, or there is an interpretation doctor but the specialized field of the interpretation doctor is limited. A medical image interpretation request 15 is made to the interpretation interpretation contractor 12. The interpretation interpretation destination 12 is a medical facility such as an interpretation center specialized in interpretation, and accepts an interpretation request 15 from the interpretation request source 11 through the data center 10.

  The interpretation request source 11 is provided with a modality 17 and a request source terminal 18. The modality 17 and the request source terminal 18 are interconnected by a LAN (Local Area Network) installed in the interpretation request source 11. The modality 17 is a medical image photographing apparatus such as a CT apparatus or an MRI apparatus. The request source terminal 18 is operated when the interpretation request 15 is transmitted to the data center 10.

  When a medical image is taken by the modality 17, information such as a patient name and a patient ID (Identification data) that is a number for identifying each patient is input. The input information is stored as supplementary information in the image file 14. The image file 14 is stored, for example, according to DICOM (Digital Imaging and Communications in Medicine) standard.

  The DICOM standard image file 14 is provided with an area for storing auxiliary information in addition to an area for storing data of the medical image main body. In the incidental information, in addition to the above patient name and patient ID, patient information such as patient gender and age, examination ID, examination date and time, examination purpose, imaging region, medical examination type (modality 17 type, below) And information such as a request source ID that is a number for identifying the image interpretation request source 11 that has performed imaging.

  The interpretation acceptance destination 12 is provided with a acceptance destination terminal 19 and a report creation terminal 20. The terminals 19 and 20 are interconnected by a LAN laid in the interpretation acceptance destination 12. The trustee terminal 19 receives the interpretation request 15 from the interpretation request source 11 transmitted from the data center 10. The trustee terminal 19 assigns an appropriate management ID to the received interpretation request 15 and manages the data of the interpretation request 15.

  The report creation terminal 20 is operated when the interpretation doctor confirms the contents of the interpretation request 15 or creates the interpretation report 16 based on the interpretation request 15. The report creation terminal 20 supports the creation of the interpretation report 16 by displaying a display screen for medical images and an editing screen for the interpretation report 16. The report creation terminal 20 attaches a report ID for identifying each interpretation report 16 and transmits the interpretation report 16 to the data center 10.

  The data center 10 has a center server 20. The center server 20 corresponds to the interpretation request distribution device of the present invention, and performs application services of the data center 10 such as an image file 14, an interpretation request 15, and an interpretation report 16 transmission / reception mediation service. More specifically, the center server 20 receives the image interpretation request 15 from the request source terminal 18 of the image interpretation request source 11 and determines a distribution destination to which the image interpretation request 15 is distributed from among the plurality of image interpretation acceptance destinations 12. Then, the interpretation request 15 is transmitted to the trustee terminal 19 of the determined interpretation trustee 12. Further, the center server 20 receives the image file 14 from the modality 17 of the interpretation request source 11, and the image designated as the interpretation target by the interpretation request 15 to the report creation terminal 20 of the interpretation acceptance destination 12 to which the interpretation request 15 is distributed. The file 14 is transmitted. Further, the center server 20 receives the interpretation report 16 from the report creation terminal 20, and transmits the received interpretation report 16 to the request source terminal 18 of the interpretation request source 11 that made the interpretation request 15.

  In FIG. 2, an interpretation request 15 is a request source ID, an attending doctor ID that is a number for identifying the attending doctor who made the interpretation request 15, a transmission date and time, and a number for identifying the image file 14 of the medical image to be interpreted. It has items such as a certain image ID. The request source ID and the attending physician ID are automatically given by the center server 20 when the interpretation request source 11 makes a use contract for the application service. The image ID is automatically assigned by the modality 17 when the image file 14 is created. In FIG. 2, for convenience, only the image ID of one image file 14 is written in the item of image ID, but actually, one image request 14 designates a plurality of image files 14. As items of the interpretation request 15, the desired delivery date and urgency of the interpretation report 16, the name of the disease that the patient is currently suffering from, an item sent from the attending physician to the interpreting physician, and the like may be added.

  In FIG. 3, the computer configuring the center server 20 includes a storage device 30, a memory 31, a CPU (Central Processing Unit) 32, a communication unit 33, a display 34, and an input device 35. These are interconnected via a data bus 36.

  The storage device 30 is a hard disk drive built in a computer constituting the center server 20 or connected through a cable or a network, or a disk array in which a plurality of hard disk drives are connected. The storage device 30 stores a control program such as an operating system, various application programs including an interpretation request distribution program 37, display data of various operation screens associated with these programs, and the like. The interpretation request distribution program 37 is a program for causing the computer constituting the center server 20 to function as an interpretation request distribution apparatus.

  The memory 31 is a work memory for the CPU 32 to execute processing. The CPU 32 loads the program stored in the storage device 30 into the memory 31 and executes processing according to the program, thereby comprehensively controlling each part of the computer.

  The communication unit 33 is a network interface that transmits various medical information to the modality 17 and the terminals 18 to 20 via the IP network 13. The communication unit 33 receives the image file 14 from the modality 17, the interpretation request 15 from the request source terminal 18, and the interpretation report 16 from the report creation terminal 20, and the image file 14 is received by the report creation terminal 20. The interpretation request 15 is transmitted to 19 and the interpretation report 16 is transmitted to the request source terminal 18.

  The display 34 displays various operation screens according to the operation of the input device 35 such as a mouse or a keyboard. A GUI (Graphical User Interface) is arranged on the operation screen. The center server 20 receives an operation instruction input from the input device 35 through this GUI.

  In FIG. 4, the storage device 30 includes various databases such as an image database (hereinafter abbreviated as DB (Data Base)) 40, a report DB 41, a request record DB 42, a facility information DB 43, and a distribution condition DB 44. . The image DB 40 stores the image file 14 photographed by the modality 17 and transmitted from the modality 17. The image DB 40 manages the image file 14 for each interpretation request source 11. The report DB 41 stores the interpretation report 16 created by the report creation terminal 20 and transmitted from the report creation terminal 20. The report DB 41 manages the interpretation report 16 for each interpretation acceptance destination 12. The image file 14 and the image interpretation report 16 can be searched using a search key such as an image ID or a report ID.

  A request record list 45 is stored in the request record DB 42. In FIG. 5, the request record list 45 is a record in which management IDs for identifying individual interpretation requests 15 are added in order of reception for each interpretation request 15 transmitted from the request source terminal 18. The request record list 45 includes items for the interpretation status 15 such as request source ID and image ID, as well as items for distribution status, trustee ID, transmission date / time, interpretation status, report ID, and reception date / time. ing.

  The distribution status indicates whether or not the distribution of the image interpretation request 15 to the image interpretation entrustee 12 is completed. If the distribution is completed, “complete” is indicated. If the distribution is not completed, the distribution status is indicated. It is marked as “incomplete”. The trustee ID is a number for identifying each interpretation trustee 12, and is automatically given by the center server 20 when the interpretation trustee 12 makes a contract for using the application service. In the item of the trustee ID, the trustee ID of the image interpretation trustee 12 to which the image interpretation request 15 is distributed is described. The date and time when the interpretation request 15 is transmitted to the interpretation acceptance destination 12 is recorded in the item of transmission date and time. Obviously, the interpretation request 15 with the distribution status “incomplete” does not include the trustee ID and the transmission date and time.

  The interpretation status indicates whether or not creation of the interpretation report 16 corresponding to the interpretation request 15 has been completed, and creation of the interpretation report 16 (reception of the interpretation report 16 from the report creation terminal 20) has been completed. “Completed” in the case, “Incomplete” in the case of incomplete. In the report ID item, the report ID of the interpretation report 16 corresponding to the interpretation request 15 is described. The date and time of reception of the interpretation report 16 from the report creation terminal 20 is written in the item of reception date and time. Of course, the report ID and the reception date / time are not written in the interpretation request 15 whose interpretation status is “incomplete”.

  The facility information DB 43 stores facility information 46 in which various information of the interpretation request source 11 and the interpretation acceptance destination 12 are registered. In FIG. 6, the facility information 46 includes the item of request source ID or trustee ID, the name of image interpretation request source 11 corresponding to the requester ID, or the name and location of image interpretation trustee 12 corresponding to the trustee ID. , Basic information such as a telephone number, doctor information such as the ID and name of the attending physician or interpretation doctor, and IP address items are provided.

  The IP address items include the IP address of the modality 17 that is the transmission source of the image file 14 in the case of the interpretation request source 11, and the IP of the request source terminal 18 that is the transmission source of the interpretation request 15 and the transmission destination of the interpretation report 16. In the case of the interpretation interpretation destination 12, the IP address of the acceptance destination terminal 19 that is the transmission destination of the interpretation request 15 and the IP address of the report creation terminal 20 that is the transmission source of the interpretation report 16 at the transmission destination of the image file 14 are described. Is done. The center server 20 identifies the transmission source and transmission destination of the image file 14, the interpretation request 15, and the interpretation report 16 based on these IP addresses.

  Each item of the facility information 46 is obtained when the person in charge of the interpretation request source 11 and the interpretation acceptance destination 12 receives the request source terminal 18 and the acceptance destination when the interpretation request source 11 and the interpretation acceptance destination 12 make a contract for using the application service. Registration is performed by inputting via the terminal 19. Alternatively, a questionnaire that fills each item is submitted from the interpretation request source 11 and the interpretation acceptance destination 12 at the time of the use contract through electronic data via the IP network 13, mailing documents, telephone verbal communication, etc., and responsible for managing the data center 10 A user registers in the center server 20.

  In this embodiment, the medical facilities A, B, C,... Of the interpretation request source 11 and the interpretation centers A, B, C,. One medical facility may serve as the interpretation request source 11 and the interpretation acceptance destination 12.

  In the distribution condition DB 44, desired trustee information 47a, desired request source information 47b, and priority information 48 are stored as distribution conditions. The desired consignment destination information 47a is set for each interpretation request source 11, and represents the interpretation acceptance destination 12 desired by the interpretation request source 11 among the plurality of interpretation acceptance destinations 12. The request request source information 47b is set for each interpretation request destination 12, and represents the interpretation request source 11 desired by the interpretation request destination 12 among the plurality of interpretation request sources 11.

  More specifically, as shown in FIG. 7, the desired consignment destination information 47a has items of consignment destination ID, imaging region, examination type, and desired setting, with the item of request source ID at the top. The desired setting is set for each trustee ID, each imaging region, and each examination type for each requester ID. In the field of the imaging region, the chest, abdomen, and the like are written for each trustee ID. In the examination type item, CT, MRI, simple X-ray, ultrasound, and the like are written for each imaging region.

  The desired setting of the desired consignment destination information 47a indicates whether or not the interpretation request source 11 wishes the interpretation acceptance destination 12 to interpret the interpretation request 15 for the medical image of each imaging region and each examination type. “OK” is entered when desired, and “NG” is entered when avoiding. For example, in the case of the requester ID “H0001”, the desired setting of the trustee ID “H0050” and the imaging region “chest” is “NG” for the examination type “MRI”, “CT”, “simple X-ray”, “super” “Sound wave” is set to “OK”.

  Further, as shown in FIG. 8, the desired request source information 47b has items of a request source ID, an imaging region, an examination type, and a desired setting, with the item of the trustee ID first. The desired setting is set for each requester ID, each imaging region, and each examination type for each trustee ID. The items similar to the desired trustee information 47a are written in the items of the imaging region and the examination type.

  The desired setting of the request request source information 47b indicates whether or not the interpretation interpretation destination 12 is to accept an interpretation request 15 for each imaging region and each medical image of each examination type of the interpretation request source 11. As with the previous information 47a, “OK” is entered when entrusting, and “NG” is entered when avoiding. For example, in the case of the trustee ID “H0050”, the desired setting of the request source ID “H0001” and the imaging region “chest” is “NG” for the examination type “MRI”, “ultrasound”, “CT”, “simple X” “OK” is set for “line” and the like.

  The desired setting of the desired trustee information 47a and the desired setting of the desired request source information 47b may be contradictory. The contradictory content is a setting in which the interpretation request 15 of the interpretation request source 11 is not accepted in the request request source information 47b of the interpretation acceptance destination 12 that is set in the desired acceptance destination information 47a that the interpretation request source 11 desires interpretation. And the request for requesting source information 47b of the image interpretation requesting destination 12 which is set in the requested requesting destination information 47b that the image interpretation requesting source 11 does not wish to interpret the image, the image interpretation request 15 of the image interpretation requesting source 11 is entrusted. This is the case where it was set to be. In the present embodiment, “OK” is set as the desired setting of the trustee ID “H0050”, the imaging part “chest”, and the examination type “ultrasound” of the requester ID “H0001” of the desired trustee information 47a. However, the desired setting of the request source ID “H0001”, the imaging region “chest”, and the examination type “ultrasound” of the trustee ID “H0050” of the request request source information 47b is set to “NG” and is inconsistent. It has become.

  In FIG. 9, priority order information 48 is a record of the trustee ID and its priority order for each requester ID. The priority order is determined by the person in charge of management of the data center 10.

  In FIG. 10, when the interpretation request distribution program 37 is activated, the CPU 32 cooperates with the memory 31 to interpret the interpretation request reception unit 50, the search unit 51, the distribution unit 52, the distribution condition setting unit 53, and the transfer process. It functions as the unit 54.

  The interpretation request accepting unit 50 has an interpretation request accepting function for accepting the interpretation request 15 transmitted from the request source terminal 18 and received by the communication unit 33. The interpretation request receiving unit 50 attaches a management ID to the received interpretation request 15 and stores it in the request record list 45.

  The search unit 51 reads the image interpretation request 15 whose distribution status is “incomplete” from the request record list 45 at a predetermined time interval (for example, every 5 minutes). The search unit 51 has a search function of searching for a candidate for a distribution destination to which the image interpretation request 15 having the distribution status “incomplete” is distributed from among a plurality of image interpretation consignees 12. The search unit 51 searches for candidates based on the desired consignment destination information 47a and the desired request source information 47b.

  When searching for candidates, the search unit 51 first recognizes the request source ID, the imaging region, and the examination type from each item of the image interpretation request 15. The imaging part and the examination type are identified by identifying the image file 14 to be interpreted from the image ID item of the interpretation request 15, searching the identified image file 14 from the image DB 40, and referring to the accompanying information.

  The retrieval unit 51 retrieves the recognized request source ID from the desired trustee information 47a, and “OK” is set in the desired setting corresponding to the recognized imaging region and examination type in the retrieved request source ID item. The trustee ID is picked up, and the trustee ID for which “NG” is set in the desired setting is excluded.

  In the example of this embodiment, when the request source ID is “H0001”, the imaging region is “chest”, and the examination type is “CT”, the trustee ID “H0050” has the desired setting “OK”. Therefore, the trustee ID “H0051” is excluded because the desired setting is “NG”.

  Subsequently, the search unit 51 searches the request request source information 47b for the trust destination ID picked up from the desired trust destination information 47a, and recognizes the request source ID, the imaging region, and the inspection in the searched trust destination ID items. A trustee ID in which “OK” is set in the desired setting corresponding to the seed is picked up, and a trustee ID in which “NG” is set in the desired setting is excluded.

  In the example of the present embodiment, when the request source ID is “H0001”, the imaging region is “chest”, and the examination type is “ultrasound”, the trustee ID “H0050” has the desired setting of the desired trustee information 47a. Although it is “OK”, it is excluded because the desired setting of the request request source information 47b is “NG”. In short, picking up a trustee ID in which “OK” is set in both the desired setting of the desired trustee information 47a corresponding to the recognized requester ID, imaging part, and examination type and the desired setting of the desired requester information 47b. Then, the trustee ID in which “NG” is set in either the desired setting of the desired trustee information 47a or the desired setting of the wish request source information 47b is excluded. The search unit 51 sets the interpretation acceptance destination 12 of the acceptance destination ID searched in this way as a candidate for the assignment destination, and outputs the information to the assignment unit 52.

  The distribution unit 52 has a distribution function of determining a distribution destination from the candidates searched by the search unit 51 and distributing the interpretation request 15 to the determined distribution destination. If the number of candidates is narrowed down to one, the distribution unit 52 determines that one candidate as a distribution destination. On the other hand, when there are a plurality of candidates, the allocating unit 52 determines the interpretation acceptance destination 12 of the acceptance destination ID having the highest priority in the priority order information 48 among the plurality of candidates as the assignment destination.

  The distribution unit 52 communicates the interpretation request 15 and information of the interpretation acceptance destination 12 determined as the distribution destination, more specifically, the IP address of the acceptance destination terminal 19 of the interpretation acceptance destination 12 determined as the distribution destination. To the unit 33. Then, the distribution status of the request record list 45 of the image interpretation request 15 is changed to “completed”, the entrustee ID of the allocation destination is registered in the entrustee ID item, and the date and time at that time is registered in the transmission date / time item. sign up. The communication unit 33 transmits the image interpretation request 15 to the trustee terminal 19 having the IP address received from the distribution unit 52.

  The distribution condition setting unit 53 has a distribution condition setting function for setting desired consignment destination information 47a, desired request source information 47b, and priority information 48, which are distribution conditions. The distribution condition setting unit 53 sets a desired setting window 53 (see also FIGS. 11 and 12) for setting desired trustee information 47a and desired request source information 47b, and a priority order for setting priority order information 48. Display data of the setting window 55 (see also FIG. 13) is received from the storage device 30 and output to the display 34. Further, the distribution condition setting unit 53 instructs the setting of the desired consignee information 47 a and the desired request source information 47 b using the desired setting window 53 and the priority information 48 using the priority setting window 55 from the input device 35. Process according to the. For example, when an operation instruction for saving the setting of the desired consignment destination information 47a or the desired request source information 47b is input in the desired setting window 53, the distribution condition setting unit 53 displays the desired consignment destination information 47a or the desired request source. The information 47b is stored in the distribution condition DB 44.

  The transfer processing unit 54 has a transfer processing function for processing transfer of the image file 14 from the modality 14 to the report creation terminal 20 and transfer of the interpretation report 16 from the report creation terminal 20 to the request source terminal 18. The transfer processing unit 54 receives the image file 14 from the modality 14 and the image interpretation report 16 from the report creation terminal 20 via the communication unit 33. The transfer processing unit 54 stores the image file 14 in the image DB 40 and the image interpretation report 16 in the report DB 41.

  When the interpretation report 16 is stored, the transfer processing unit 54 changes the interpretation status of the request record list 45 of the interpretation request 15 to “completed”, and registers the report ID of the interpretation report 16 stored in the report ID item. The date and time at that time is registered in the item of the reception date and time. Further, the transfer processing unit 54 outputs a report creation completion notification to the communication unit 33 indicating that the interpretation report 16 has been created and the interpretation report 16 can be viewed. The report creation completion notification includes the report ID and the IP address of the requesting terminal 18. The communication unit 33 transmits a report creation completion notification to the request source terminal 18 of the IP address received from the transfer processing unit 54.

  The transfer processing unit 54 receives an acquisition request for the image file 14 from the report creation terminal 20 and an acquisition request for the image interpretation report 16 from the request source terminal 18 via the communication unit 33. The acquisition request includes a search key such as the image ID of the image file 14 and the report ID of the image interpretation report 16, and the IP addresses of the report creation terminal 20 and the request source terminal 18 that have transmitted the acquisition request. The transfer processing unit 54 searches the image DB 40 and the report DB 41 for the image file 14 and the image interpretation report 16 corresponding to the search key. The transfer processing unit 54 outputs the searched image file 14 and image interpretation report 16 and the IP address of the acquisition request, which is information about the transmission destination, to the communication unit 33. The communication unit 33 transmits the image file 14 to the report creation terminal 20 of the IP address received from the transfer processing unit 54 and the image interpretation report 16 to the request source terminal 18.

  11 and 12, an information display area 60, a button group 61, a setting area 62, and the like are provided in a desired setting window 53 for setting desired consignment destination information 47a and desired request source information 47b. Next to the information display area 60, there are provided a desired commission destination setting button 63a and a desired request source setting button 63b for switching the setting of the desired commission destination information 47a and the setting of the desired request source information 47b. FIG. 11 shows a state where the desired trustee setting button 63a is selected by the cursor 64 as shown by hatching, and the desired trustee information 47a is set. FIG. 12 shows that the desired request source setting button 63b is selected. This shows how the desired request source information 47b is set.

  In the information display area 60, the desired consignment destination information 47a or the desired request source information 47b stored in the distribution condition DB 44 is displayed. In the information display area 60, a part of the desired trustee information 47a or the desired request source information 47b is displayed, and the display area can be moved up and down with a scroll bar as necessary. In the information display area 60, the requester ID and the trustee ID are converted into facility names and displayed. In FIG. 11, since the desired trustee setting button 63 a is selected, the desired trustee information 47 a is displayed in the information display area 60. When the desired request source setting button 63b is selected, as shown in FIG. 12, the desired request source information 47b is displayed in the information display area 60, and the display order of the interpretation request source and the interpretation acceptance destination is the reverse of FIG. The interpretation trustee is displayed at the top.

  A check box 65 is provided next to the desired consignment destination information 47a or the desired request source information 47b. By selecting the check box 65 with the cursor 64 and selecting the delete button 66 or the edit button 67 of the button group 61 with the cursor 64, it is possible to delete or edit the desired consignee information 47a or the desired request source information 47b. . Further, by selecting the new addition button 68 of the button group 61 with the cursor 64, it is possible to newly add the desired consignment destination information 47a or the desired request source information 47b.

  In the setting area 62, each item of the desired consignment destination information 47a and the desired request source information 47b, specifically, the facility name of the interpretation request source 11, the facility name of the interpretation acceptance destination 12, the imaging part, the examination type, and the desired setting Are provided with pull-down menus 69, 70, 71, 72, 73 and a save button 74. In the case of FIG. 11, a pull-down menu 69 for selecting the facility name of the interpretation request source 11 is located above the pull-down menu 70 for selecting the facility name of the interpretation acceptance destination 12, and in the case of FIG. The display order of the pull-down menus 69 and 70 is reversed.

  In the pull-down menus 69 and 70, all facility names of the interpretation request source 11 and the interpretation acceptance destination 12 registered in the facility information 46 are displayed as options. In the pull-down menu 71, imaging regions such as the chest and abdomen are displayed, and in the pull-down menu 72, examination types such as CT and MRI are displayed as options. In the pull-down menu 73, OK and NG are displayed as options. Each pull-down menu 69 to 72 excluding the pull-down menu 73 is provided with an option “all” for selecting all options (see the pull-down menu 69 in FIG. 12).

  When the check box 65 is selected with the cursor 64, the edit button 67 is selected, a desired option is selected from each pull-down menu 69 to 73, and the save button 74 is selected, the distribution condition setting unit 53 The contents of the desired trustee information 47a or the desired request source information 47b selected by the check box 65 are changed according to the selection state of the pull-down menus 69 to 73 at that time. In addition, when the user selects the desired option from the pull-down menus 69 to 73 after selecting the new addition button 68 and selects the save button 74, the distribution condition setting unit 53 causes the pull-down menus 69 to 73 at that time to be selected. New desired consignee information 47a or desired request source information 47b corresponding to the selected state is added.

  In FIG. 13, the priority order setting window 55 is provided with a pull-down menu 75 for selecting the facility name of the interpretation request source 11, a setting area 76, and a save button 77. In the pull-down menu 75, all the facility names of the interpretation request source 11 registered in the facility information 46 are displayed as options. In the setting area 76, a facility name of the interpretation acceptance destination 12 registered in the facility information 46 and a pull-down menu 78 for setting the priority order of each interpretation acceptance destination 12 are displayed. In the setting area 76, the facility name of the interpretation interpretation recipient 12 and a part of the pull-down menu 78 are displayed, and the display area can be moved up and down with a scroll bar as necessary.

  When the facility name of the desired interpretation request source 11 is selected from the pull-down menu 75, the desired priority is set from the pull-down menu 78, and the save button 77 is selected, the distribution condition setting unit 53 pulls down the pull-down menu at that time. The priority order information 48 corresponding to the selection state of the menus 75 and 78 is stored in the distribution condition DB 44.

  The operation of the above configuration will be described below with reference to FIGS. First, the input device 35 is operated by the person in charge of management of the data center 10 to start the image interpretation request distribution program 37. As a result, the interpretation request receiving unit 50, the search unit 51, the distribution unit 52, the distribution condition setting unit 53, and the transfer processing unit 54 are constructed in the CPU 32, and the computer constituting the center server 20 is connected to the interpretation request distribution device. Function as.

  When the requested trustee information 47a or the desired requester information 47b is heard from the interpretation request source 11 and the interpretation acceptance destination 12, the manager in charge of the data center 10 operates the input device 35 to display the desire setting window 53. Enter operation instructions. In step S 10 of FIG. 14, an operation instruction for displaying the desired setting window 53 is received by the distribution condition setting unit 53. The distribution condition setting unit 53 receives the display data of the desired setting window 53 from the storage device 30 (step S11), and outputs the received display data to the display 34 (step S12). As a result, a desired setting window 53 is displayed on the display 34.

  Examples of means for listening to the desired consignment destination information 47a or the desired request source information 47b include electronic data via the IP network 13, mailed documents, and oral communication by telephone. The timing for listening to the desired commissioning destination information 47a or the desired requesting party information 47b includes the use of the application service for the interpretation requesting source 11 and the interpretation commissioning destination 12. Alternatively, if the interpretation request source 11 wishes to request the interpretation request 15 from the interpretation acceptance destination 12 that has previously requested the interpretation request 15 to the more acceptable interpretation acceptance destination 12, or in the interpretation acceptance destination 12, When an interpreting doctor who specializes in interpretation of an image has retired and the ultrasound interpretation request 15 can no longer be entrusted, an appropriate timing according to the convenience of the interpretation request source 11 and the interpretation acceptance destination 12 may be used.

  The manager in charge of the data center 10 sets the desired consignment destination information 47a or the desired request source information 47b according to the contents of the interview by operating the desired setting window 53. The setting instruction for the desired consignment destination information 47a or the desired request source information 47b is received by the distribution condition setting unit 53 (step S13), and the distribution condition setting unit 53 receives the desired consignment destination information 47a or the desired one according to the setting instruction. The request source information 47b is updated (step S14).

  Specifically, when the setting instruction is an instruction to delete the desired trustee information 47a or the desired requester information 47b, the distribution condition setting unit 53 selects the desired trustee information 47a selected by the check box 65. Alternatively, the request request source information 47b is deleted from the distribution condition DB 44. If the setting instruction is an instruction to edit the desired consignee information 47a or the desired request source information 47b, the pull-down menu displays the contents of the desired consignee information 47a or the desired request source information 47b selected by the check box 65. It changes according to the selection state of 69-73. If the setting instruction is to instruct the addition of the desired trustee information 47a or the desired requester information 47b, the new desired trustee information 47a or the desired requester information according to the selection state of the pull-down menus 69 to 73. 47b is added to the distribution condition DB 44. As a result, desired trustee information 47a and desired requester information 47b in accordance with the wishes of the interpretation request source 11 and the interpretation trustee 12 are stored in the distribution condition DB 44.

  Desired consignment destination information 47a and desired request source information 47b can be set for each interpretation request source 11 or interpretation acceptance destination 12, and for each imaging region and examination type. It is possible to set detailed desired consignment destination information 47a and desired request source information 47b.

  In addition to the setting of the desired trustee information 47a and the desired request source information 47b, the priority is set by the manager in charge of the data center 10 using the priority setting window 55.

  In the interpretation request source 11, the patient is photographed by the modality 17 and the image file 14 is acquired. The image file 14 is transmitted from the modality 17 to the center server 20 and stored in the image DB 40 by the transfer processing unit 54.

  The attending physician of the interpretation request source 11 operates the request source terminal 18 to transmit a medical image interpretation request 15 to the center server 20. In the center server 20, the interpretation request 15 from the request source terminal 18 is received by the communication unit 33 and accepted by the interpretation request acceptance unit 50 as shown in step S 20 of FIG.

  The interpretation request 15 is recorded in the request record list 45 by the interpretation request receiving unit 50 (step S21). Interpretation requests 15 whose distribution status is “incomplete” are read from the request record list 45 to the search unit 51 at predetermined time intervals. Then, the search unit 51 searches for candidates for the distribution destination to which the image interpretation request 15 is distributed based on the desired trustee information 47a and the desired request source information 47b (step S22).

  Specifically, “OK” is set in both the desired setting of the desired consignment destination information 47a and the desired setting of the desired requesting source information 47b corresponding to the request source ID, the imaging region, and the examination type recognized by the interpretation request 15. The trustee ID that is set to “NG” in either the desired setting of the desired trustee information 47a or the desired setting of the desired requester information 47b is excluded.

  As the distribution destination candidates, the image interpretation request destination 12 in which “OK” is set in both the desired setting of the desired consignment destination information 47a and the desired setting of the request request source information 47b is searched. The interpretation requests 15 can be distributed reflecting both the wishes of the destination 12.

  The distribution unit 52 determines a distribution destination from the candidates searched by the search unit 51 (step S23). At this time, among the candidates, the interpretation trustee 12 having the highest priority in the priority information 48 is determined as a distribution destination. The distribution unit 52 searches the facility information 46 for the IP address of the trustee terminal 19 that is the information of the determined distribution destination, and outputs this to the communication unit 33 together with the interpretation request 15 (step S24). As a result, the interpretation request 15 is transmitted from the communication unit 33 to the entrusted destination terminal 19 that is the distribution destination. After the interpretation request 15 is transmitted, the request record list 45 is updated by the distribution unit 52 (step S25).

  In the interpretation acceptance destination 12, the interpretation request 15 from the center server 20 is received by the acceptance destination terminal 19. The interpretation doctor confirms the contents of the interpretation request 15 at the report creation terminal 20, accesses the image DB 40, imports the image file 14 of the medical image to be interpreted into the report creation terminal 20, and displays the medical image displayed thereby. An interpretation report 16 corresponding to the interpretation request 15 is created while referring to the screen.

  The created image interpretation report 16 is transmitted from the report creation terminal 20 to the center server 20. In the center server 20, the interpretation report 16 from the report creation terminal 20 is received by the communication unit 33 and received by the transfer processing unit 54 as shown in step S30 of FIG. The interpretation report 16 is stored in the report DB 41 by the transfer processing unit 54 (step S31). After the interpretation report 16 is stored, the request processing list 45 is updated by the transfer processing unit 54 (step S32). Next, as shown in step S <b> 33, a report creation completion notification including the report ID and the IP address of the request source terminal 18 is output from the transfer processing unit 54 to the communication unit 33. The report creation completion notification is transmitted from the communication unit 33 to the request source terminal 18.

  When receiving the report creation completion notification at the request source terminal 18, the attending physician of the interpretation request source 11 who made the interpretation request 15 passes through the request source terminal 18 and uses the report ID attached to the report creation completion notification as a search key. 16 acquisition requests are transmitted to the center server 20.

  In the center server 20, the acquisition request for the interpretation report 16 from the request source terminal 18 is received by the communication unit 33, and is received by the transfer processing unit 54 as shown in step S40 of FIG. The transfer processing unit 54 searches the report DB 41 for the interpretation report 16 corresponding to the acquisition request (step S41), and communicates the retrieved interpretation report 16 and the IP address of the request source terminal 18 which is information of the interpretation request source 11 to the communication unit. (Step S42). Thereby, the interpretation report 16 is transmitted from the communication unit 33 to the request source terminal 18.

  At the interpretation request source 11, the attending physician browses the interpretation report 16 from the center server 20 at the request source terminal 18, and performs diagnosis and treatment based on the interpretation report 16.

  In this embodiment, the image interpretation trustee 12 in which “OK” is set in both the desired setting of the desired trustee information 47a and the desired setting of the requestee information 47b is searched as a candidate for the distribution destination. This search setting may be set as an initial setting, and may be configured to be switchable between a search setting that places importance on the request of the interpretation request source 11 and a search setting that places importance on the desire of the interpretation request destination 12. In the case of the search setting that places importance on the request of the interpretation request source 11, the interpretation acceptance destination 12 whose desired setting of the desired consignment destination information 47a is “OK” regardless of the desired setting of the request request source information 47b is searched. In the case where importance is attached to the interpretation trustee 12, conversely, the image interpretation trustee 12 whose desired setting of the request request source information 47 b is “OK” regardless of the desired setting of the desired trustee information 47 a is searched. In this way, by setting both the desired setting of the desired consignment destination information 47a and the desired setting of the request requesting source information 47b, search settings and interpretation requests that reflect the wishes of both the interpretation requesting source 11 and the interpretation consigning destination 12. It is possible to switch between the search setting that emphasizes the hope of the source 11 and the search setting that emphasizes the hope of the interpretation acceptance destination 12, and it is possible to distribute the interpretation requests 15 according to the needs at that time.

  In the present embodiment, two types of “OK” and “NG” are set as the desired setting, but only one of “OK” and “NG” may be set. That is, the desired consignee information 47a and the desired request source information 47b are not limited to those in which both a positive intention expression and a negative desire expression are set, but a positive intention expression and a negative intention expression. Any one of the desired intentions may be set. The intention expression that is positively desired is “OK” of the desired setting, and the intention expression that is positively desired is “specific interpretation request source 11 or the interpretation trustee 12”, such as “NG” of the desired setting. This is a willingness to desire passively other than the specific interpretation requesting source 11 or the interpretation acceptance destination 12 which has been avoided through the positive intention to avoiding.

[Second Embodiment]
In the first embodiment, the distribution destination candidates are searched based on the desired setting of the desired consignment destination information 47a and the desired setting of the desired request source information 47b. As described above, since the desired setting is an important distribution condition for searching for candidates for distribution destinations, it is necessary to pay close attention to the selection of the desired setting. However, the desired setting is manually set by the manager of the data center 10 using the desired setting window 53. For this reason, due to the mistake of the manager in charge, the desired consignment destination whose contents are in conflict with the desired consignment destination information 47a or the desired request source information 47b stored in the distribution condition DB 44 set in the distribution condition setting unit 53 There is a possibility that information 47a or desired request source information 47b may be newly added.

  When such a situation occurs, two request consignee information 47a or request request source information 47b having the same request source ID, consignee ID, imaging region, and examination type and having the desired settings of “OK” and “NG” conflict with each other. It will coexist in the distribution condition DB 44. The search unit 51 does not know which of the two conflicting desired trustee information 47a or the desired request source information 47b should be used to search for a distribution destination candidate, and cannot correctly distribute the image interpretation requests 15. .

  Therefore, in the present embodiment, the desired consignment destination information 47a or the desired consignment destination information 47a or the desired request source information 47b stored in the distribution condition DB 44 already set by the distribution condition setting unit 53 conflicts with the desired setting. When the request request source information 47b is to be newly added, a warning notification that the content is in conflict is output, and the conflicting content is prevented from being newly added.

  As shown in FIG. 18, the CPU 80 of the data center 20 of the present embodiment includes a determination unit 81 and a warning in addition to the units 50 to 54 (not shown except for the distribution condition setting unit 53) of the first embodiment. A notification output unit 82 is constructed. The determination unit 81 newly adds the desired consignee information 47Aa or the desired request source information 47Ab stored in the distribution condition DB 44 that has been set by the distribution condition setting unit 53, via the input device 35 in the desired setting window 53. It has a determination function for determining whether or not the desired trustee information 47Ba or the desired request source information 47Bb is in conflict.

  When the new addition button 68 is selected in the desired setting window 53 and the save button 74 is selected, the distribution condition setting unit 53 sends the desired consignment destination information 47Ba or desired request source information 47Bb received at that time to the determination unit 81. Output. The determination unit 81 distributes the desired consignment destination information 47Ba or the desired request source information 47Bb from the distribution condition setting unit 53 and the desired consignment destination information 47Aa and the desired request source information 47Ab having the same contents except for the desired setting. Search from the condition DB 44. If the desired consignment destination information 47Aa or the desired request source information 47Ab having the same contents as the desired consignment destination information 47Ba or the desired request source information 47Bb and the items other than the desired setting are not stored in the distribution condition DB 44, the determination unit 81 The distribution condition setting unit 53 outputs a new addition permission notification indicating that new addition of the desired trustee information 47Ba or the desired request source information 47Bb is permitted. When the distribution condition setting unit 53 receives a new addition permission notification from the determination unit 81, the distribution condition setting unit 53 newly adds the desired trustee information 47Ba or the desired request source information 47Bb to the distribution condition DB 44.

  Desired consignee information 47Ba or desired request source information 47Bb and desired consignee information 47Aa or desired request source information 47Ab having the same contents as the items other than the desired setting are stored in the distribution condition DB 44, and the desired setting is also the same. If it is the content, the determination unit 81 and the sorting condition setting unit 53 ignore the newly added setting instruction and do nothing.

  On the other hand, desired trustee information 47Ba or desired requester information 47Bb and desired trustee information 47Aa or desired requester information 47Ab having the same contents as the items other than the desired setting are stored in the distribution condition DB 44 and desired setting If the contents are contradictory to each other, the determination unit 81 notifies the distribution condition setting unit 53 and the warning notification output unit 82 of a new addition prohibition notification that prohibits the new addition of the desired trustee information 47Ba or the desired request source information 47Bb. Is output. When the new addition prohibition notification is received from the determination unit 81, the distribution condition setting unit 53 ignores the new addition setting instruction and does nothing.

  When a new addition prohibition notification is received from the determination unit 81, the warning notification output unit 82 outputs a warning notification window 83 (see also FIG. 19) to the display 34.

  As shown in FIG. 19, in the warning notification window 83, new desired trustee information 47Ba or desired requester information 47Bb whose contents conflict with the desired request recipient information 47Aa or desired requester information 47Ab is added. A message is displayed indicating to the person in charge of management at the data center 10 that the operation cannot be performed and prompting the user to cancel or redo the setting. The warning notification window 83 is displayed when, for example, the desired trustee information 47Ba or the desired requestor information 47Bb whose contents are in conflict with the desired trustee information 47Aa or the desired requestor information 47Ab that has been set is added. A pop-up is displayed on the setting window 53. The warning notification window 83 disappears when the OK button 84 is selected with the cursor 64.

  In the warning notification window 83, it is confirmed that the desired trustee information 47Ba or the desired requestor information 47Bb whose contents conflict with the desired trustee information 47Aa or the desired requestor information 47Ab that has been set cannot be newly added. Since it is shown to the person in charge of management, it is possible to prevent conflicting contents from being newly added.

  As a warning notification method, in addition to or instead of the display of the warning notification window 83, voice (reading a message or a beep sound) or vibration may be used. Alternatively, the frame of the desired setting window 53 may be displayed blinking, or the save button 74 may not be selectable. In the present embodiment, the determination unit 81 is provided separately from the distribution condition setting unit 53, but the distribution condition setting unit 53 may serve as the determination unit 81.

[Third Embodiment]
Since the interpretation interpretation contractor 12 is a medical facility such as an interpretation center, it naturally has business hours, and there is a time zone in which interpretation is possible according to the business hours. Also, the number of medical examinations that can be interpreted and the number of medical images that can be interpreted are generally determined depending on the variety and ability of the interpretation doctors that are registered. As the interpretation acceptance destination 12, it is preferable that the interpretation request 15 can be entrusted without exceeding the allowable amount in a time zone in which interpretation is possible, because the work proceeds smoothly.

  Therefore, in the present embodiment, a time zone in which the image interpretation trustee 12 can interpret and an allowable amount indicating the capacity of the image interpretation request 15 that can be processed by the image interpretation trustee 12 in that time zone (specifically, the image interpretation trustee 12 The combination of the number of medical examinations that can be interpreted and the number of medical images that can be interpreted by the interpretation recipient 12 (hereinafter referred to as time zone / number / number information) is added as a sorting condition, and the above first implementation Based on the desired consignment destination information 47a and the desired request source information 47b in the form and the time zone / number / number information, a candidate for the distribution destination is searched.

  20, in this embodiment, in addition to the desired entrustee information 47a, the desired request source information 47b, and the priority information 48, the time zone / number / number information 85 is stored in the distribution condition DB 44.

  In FIG. 21, the time zone / number / number information 85 can be read in the time zone that can be read, the number of medical examinations that can be read in that time zone, and the time zone that can be read, with the item of the consignee ID as the head. It has an item of the number of medical images. The start date / time and the end date / time of the time zone are written in the item of the time zone in which interpretation is possible.

  The start date / time and end date / time should be set across the date, such as the start date / time “2014.07.15 17:00” and the end date / time “2014.07.16 09:00” of the trustee ID “H0050”. Is possible. The start date and time and end date and time can be set to the same time repeatedly as in the case of the consignee ID “H0051”. This repetitive setting can be performed, for example, every day, every week, every month, or every day of the week. It is also possible to set a day on which the repetitive setting is stopped.

  In the items of the number of medical examinations that can be interpreted and the number of medical images, the number and the number of each imaging region such as the chest and abdomen, and all the examination types such as CT and MRI are described. As means for listening to these time zones, the number of medical examinations, and the number of medical images, electronic data and postal documents via the IP network 13 are the same as in the case of the desired consignee information 47a and the desired request source information 47b. Oral communication by phone.

  In FIG. 22, in the present embodiment, the distribution condition setting unit 53 includes time zone / number / number information 85 as distribution conditions in addition to the desired consignment destination information 47a, the desired request source information 47b, and the priority information 48. And the time zone / number / number information 85 is stored in the sorting condition DB 44. In addition to the desired setting window 53 and the priority setting window 55, the distribution condition setting unit 53 also sets a time period / number / number setting window 86 for setting the time period / number / number information 85 (also FIG. 23). Reference) is output to the display 34.

  In FIG. 23, an information display area 90, a button group 91, and a setting area 92 are provided in the time zone / number / number setting window 86. In the information display area 90, time zone / number / number information 85 stored in the distribution condition DB 44 is displayed. A part of the time zone / number / number information 85 is displayed in the information display area 90, and the display area can be moved up and down with a scroll bar as necessary. In the information display area 90, the consignee ID is converted into a facility name and displayed.

  A check box 93 is provided beside the time zone / number / number information 85. By selecting the check box 93 with the cursor 64 and selecting the delete button 94 or the edit button 95 of the button group 91 with the cursor 64, the time zone / number / number information 85 can be deleted and edited. Further, by selecting the new addition button 96 of the button group 91 with the cursor 64, it is possible to newly add the time zone / number / number information 85.

  In the setting area 92, a GUI for inputting each item of the time zone / number of cases / number information 85, specifically, a pull-down menu 97 for selecting the facility name of the interpretation acceptance destination 12, Input boxes 98, 99, 100, and 101 for inputting items of start date / time and end date / time, the number of medical examinations that can be interpreted, and the number of medical images that can be interpreted, and a save button 102 are provided. . The input boxes 98 and 99 for selecting the start date / time and end date / time of the interpretable time zone are divided into input boxes 98a and 99a for inputting the date and input boxes 98b and 99b for inputting the time.

  In the pull-down menu 97, all the facility names of the interpretation interpretation destination 12 registered in the facility information 46 are displayed as options. In the input boxes 98 and 99, a date and time starting from the current date and time are input. The date input boxes 98a and 99a also accept input for every day, every week, every month, and every day of the week. The input boxes 98b and 99b for time input accept input of time in increments of 30 minutes, for example.

  The check box 93 is selected with the cursor 64, the edit button 95 is selected, the desired option is selected from the pull-down menu 97, the desired date / time, number, and number are entered in the input boxes 98 to 101, and the save button is selected. When 102 is selected, the distribution condition setting unit 53 displays the contents of the time zone / number / number information 85 selected in the check box 93 as the selection state of the pull-down menu 97 and the input in the input boxes 98 to 101. Change according to the state. In addition, when the user selects a new addition button 96, selects a desired option from the pull-down menu 97, inputs a desired date and time, the number, and the number in the input boxes 98 to 101, and selects the save button 102, The minute condition setting unit 53 adds the new time zone / number / number information 85 to the distribution condition DB 44 according to the selection state of the pull-down menu 97 and the input state of the input boxes 98 to 101 at that time.

  The search unit 51 searches for candidates for distribution destinations based on the desired consignment destination information 47a and the desired request source information 47b. When there are a plurality of distribution destination candidates searched based on the desired trustee information 47 a and the desired request source information 47 b, the search unit 51 selects a distribution destination candidate based on the time zone / number / number information 85. Further narrow down.

  More specifically, the search unit 51 first compares the current date and time with the interpretable time zone of the time zone / number of cases / number of pieces of information 85 of each of the plurality of candidate image interpretation consignees 12, and the current date and time are compared. The trustee ID of the interpretation trustee 12 set as a time zone in which interpretation can be performed is picked up, and the trustee ID of the interpretation trustee 12 whose current date and time is out of the time zone in which interpretation is possible is excluded.

  If there are still a plurality of candidates even after narrowing down the comparison by comparing the current date and time with the interpretable time zone, the search unit 51 distributes the interpretation request 15 of the interpretation request 15 of each of the interpretation acceptance destinations 12 of the plurality of candidates in the relevant time zone, The number of medical examinations capable of interpretation and the number of medical images capable of interpretation in the time zone / number / number of sheets information 85 of each candidate interpretation acceptance destination 12 are compared. When the image interpretation request 15 is sorted, the search unit 51 picks up the acceptance destination ID of the interpretation acceptance destination 12 whose distribution result is lower than both the number of medical examinations that can be interpreted and the number of medical images that can be interpreted, When the interpretation request 15 is distributed, the acceptance destination ID of the interpretation acceptance destination 12 that excludes at least one of the number of medical examinations that can be interpreted and the number of medical images that can be interpreted is excluded.

  The distribution result is the total number of medical examinations and the number of medical images of the interpretation request 15 distributed to the interpretation acceptance destination 12 during the time period. From the request record list 45, the search unit 51 reads the interpretation request 15 in which the transmission date and time is within the time zone, the distribution status is “completed”, and the interpretation status is “incomplete”, that is, the interpretation acceptance destination 12 Then, an interpretation request 15 in the process of creating the interpretation report 16 is picked up, and the number of medical examinations and the number of medical images are totaled for each of a plurality of candidate interpretation recipients 12 to obtain a distribution result. The interpretation request 15 in which the distribution status is “incomplete” or the distribution status and the interpretation status are both “completed” is not a target of aggregation of the distribution results. The number of medical examinations is the number of interpretation requests 15, and the number of medical images is the number of image IDs described in the item of image ID.

  If there are still a plurality of candidates even after narrowing down by comparing the distribution result with the number of medical examinations that can be interpreted and the number of medical images that can be interpreted, as described in the first embodiment, the distribution unit 52 Then, among the plurality of candidates, the interpretation acceptance destination 12 of the acceptance destination ID having the highest priority in the priority order information 48 is determined as the distribution destination. Since the processing after the allocation destination is determined is the same as that in the first embodiment, description thereof is omitted.

  A candidate for a distribution destination is searched by using as a distribution condition a combination of a time period in which the image interpretation trustee 12 can interpret and an allowable amount indicating the capacity of the image interpretation request 15 that can be processed by the image interpretation trustee 12 in that time period. Therefore, the interpretation acceptance destination 12 can accept the interpretation request 15 without exceeding the allowable amount in a time zone in which interpretation is possible, and can smoothly proceed with the work. Accordingly, it is possible to distribute the interpretation request 15 in accordance with the request of the interpretation acceptance destination 12.

  The allowable amount includes both the number of medical examinations that can be interpreted and the number of medical images that can be interpreted, but it may be at least one. Further, depending on the interpretation trustee 12, two or more interpreting doctors may perform operations related to the creation of one interpretation report 16, such as checking an interpretation report 16 created by a certain interpreting doctor by another interpreting doctor. Even in this case, the distribution results are totaled in the same manner as described above.

[Fourth Embodiment]
As with the desired trustee information 47a and the desired requester information 47b, the combination of the interpretable time zone and the allowable amount in the third embodiment is the person in charge of managing the data center 10 in the time zone / number / number setting window 86. Is manually set, the time zone / number / number information 85 stored in the sorting condition DB 44 set in the sorting condition setting unit 53 overlaps with the time zone, and the allowable amount conflicts. There is a possibility that the time zone / number / number information 85 may be newly added. When such a situation occurs, the time zone / number / number information 85 having the same trustee ID, overlapping time zones and conflicting allowable amounts coexist in the sorting condition DB 44, and the image interpretation requests 15 are correctly distributed. Can not be.

  Therefore, in the present embodiment, the time zone / number / number information and the time zone / number / number information 85 stored in the sorting condition DB 44 set in the distribution condition setting unit 53 overlap with the time zone and the allowable amount is contradictory. When the information 85 is to be newly added, a warning notification that the content is in conflict is output, and the conflicting content is prevented from being newly added.

  As shown in FIG. 24, in the present embodiment, a determination unit 81 and a warning notification output unit 82 are constructed in the CPU 80, as in the second embodiment. The determination unit 81 uses the time zone / number / number information 85A stored in the distribution condition DB 44 set by the distribution condition setting unit 53 and a new time zone / number / number setting window 86 via the input device 35. It bears a determination function for determining whether or not the time zone / number / number information 85B to be added is a conflicting content.

  When the new addition button 96 is selected in the time zone / number / number setting window 86 and the save button 102 is selected, the distribution condition setting unit 53 determines the received time zone / number / number information 85B as a determination unit. 81. The determination unit 81 assigns the time zone / number / number information 85B from the distribution condition setting unit 53 and the time zone / number / number information 85A in which the time zone that can be interpreted with the same consignee ID is duplicated. Search from. When the time zone / number / number information 85A in which the time zone / number / number information 85B and the time zone that can be read with the same trustee ID are the same are not stored in the distribution condition DB 44, the determination unit 81 A new addition permission notification to permit the new addition of the time zone / number / number of sheets information 85B is output to the minute condition setting unit 53. When the distribution condition setting unit 53 receives a new addition permission notification from the determination unit 81, the distribution condition setting unit 53 newly adds the time zone / number / number of sheets information 85 </ b> B to the distribution condition DB 44.

  The time zone / number / number information 85B and the time zone / number / number information 85A in which the time zone that can be interpreted with the same trustee ID is duplicated are stored in the distribution condition DB 44, and the time zone is the same and the allowable amount. If the contents are the same, the determination unit 81 and the distribution condition setting unit 53 ignore the newly added setting instruction and do nothing.

  On the other hand, the time zone / number / number information 85B and the time zone / number / number information 85A in which the time zone that can be interpreted with the same trustee ID is duplicated are stored in the sorting condition DB 44, and the allowable amount is contradictory. If it is the content to be, the determination unit 81 outputs a new addition prohibition notification for prohibiting the new addition of the time zone / number / number information 85B to the distribution condition setting unit 53 and the warning notification output unit 82. When the new addition prohibition notification is received from the determination unit 81, the distribution condition setting unit 53 ignores the new addition setting instruction and does nothing.

  When a new addition prohibition notification is received from the determination unit 81, the warning notification output unit 82 outputs a warning notification window 83 to the display 34, as in the second embodiment.

  In the warning notification window 83, it is possible to manage that the data center 10 cannot newly add the time zone / number / number information 85B of the content that overlaps with the set time zone / number / number information 85A and the allowed time is contradictory. Since it is shown to the person in charge, it is possible to prevent conflicting contents from being newly added.

[Fifth Embodiment]
As described in the third embodiment, it is preferable that the interpretation interpretation destination 12 can accept the interpretation request 15 without exceeding the allowable amount, because the work proceeds smoothly, but the interpretation request 15 is not distributed. If it is far below the allowable amount, it is not preferable because it affects the reward.

  Therefore, in this embodiment, the amount of the interpretation request 15 actually distributed to the interpretation trustee 12 with respect to the allowable amount of the interpretation trustee 12 based on the allowable amount of the interpretation trustee 12 and the assigned interpretation request 15. To calculate the fullness ratio. Then, by using this sufficiency rate as a distribution condition, the interpretation trustee 12 that is much less than the allowable amount does not appear. In the present embodiment, the time zone / number / number information 85 of the third embodiment is also used as a distribution condition.

  25, in this embodiment, in addition to the desired trustee information 47a, the desired request source information 47b, the priority information 48, and the time zone / number / number information 85, the fulfillment rate information 100 is stored in the distribution condition DB 44. Has been.

  In FIG. 26, the satisfaction rate information 100 is a record of the satisfaction rate for each trustee ID.

  27, in the CPU 105 of the data center 20 of the present embodiment, a sufficiency rate calculation unit 106 is constructed in addition to the units 50 to 54 (transfer processing unit 54 not shown) of the first embodiment. The fulfillment rate calculation unit 106 reads the request record list 45 from the request record DB 42 and the time zone / number / number information 85 from the distribution condition DB 44 at predetermined time intervals, and based on these, for each interpretation interpretation destination 12 Calculate the sufficiency rate. The predetermined time interval is the same as the time interval at which the search unit 51 reads the image interpretation request 15 whose distribution status is “incomplete” from the request record list 45, for example. The satisfaction rate calculation unit 106 outputs the calculated satisfaction rate to the distribution condition setting unit 53 as the satisfaction rate information 100. The distribution condition setting unit 53 receives the satisfaction rate information 100 and stores the satisfaction rate information 100 in the distribution condition DB 44.

  The sufficiency rate is calculated as follows. First, based on the request record list 45, the sufficiency rate calculation unit 106 calculates a distribution result that is a total of the number of medical examinations and the number of medical images of the interpretation request 15 distributed on that day. In this case, the distribution record is different from the distribution record of the third embodiment in which only the interpretation request 15 whose distribution status is “completed” and the interpretation status is “incomplete” is to be counted. In addition to the interpretation request 15 in which the minute status is “completed” and the interpretation status is “incomplete”, the interpretation request 15 in which the distribution status and the interpretation status are both “completed” are also subject to aggregation. Hereinafter, it is assumed that the number of medical examinations with a distribution record is SNa and the number of medical images with a distribution record is SCa.

  Based on the time zone / number / number information 85, the sufficiency ratio calculation unit 106 derives the number SNb of interpretable medical examinations and the number SCb of interpretable medical images, which are allowable amounts for the day.

  The sufficiency calculation unit 106 divides the number SNa of medical examinations of the distribution result by the number SNb of medical examinations that can be interpreted, and obtains the number sufficiency ratio SN (= SNa / SNb). Further, the number SCa of medical images with the distribution results is divided by the number SCb of medical images that can be interpreted, and the number satisfaction rate SC (= SCa / SCb) is obtained.

  The fulfillment rate calculation unit 106 adds the number fulfillment rate SN and the number fulfillment rate SC and divides by 2 (calculates the average value of the number fulfillment rate SN and the number fulfillment rate SC), and finally sets the fulfillment rate information 100 as the fulfillment rate information. Satisfaction rate S (= (SN + SC) / 2) is calculated. Satisfaction rate S is the numerator of number fulfillment rate SN and number fulfillment rate SC, the number of medical examinations SNa of the distribution results and the number SCa of medical images of the assignment results are the number fulfillment rate SN and the number fulfillment rate SC. The lower the value, the lower the value of the number of medical examinations SNb that can be interpreted that day, which is the denominator, and the number SCb of medical images that can be interpreted. When the value of the sufficiency rate S is low, it indicates that the allocated interpretation request 15 is insufficient in comparison with the interpretation work capacity of the interpretation acceptance destination 12.

  The search unit 51 searches for candidates for distribution destinations based on the desired consignment destination information 47 a, the desired request source information 47 b, and the time zone / number / number information 85. When there are a plurality of distribution destination candidates searched based on the desired trustee information 47 a, the desired request source information 47 b, and the time zone / number / number information 85, the search unit 51 determines based on the fulfillment rate information 100. Further narrow down the distribution destination candidates.

  More specifically, the search unit 51 reads the satisfaction rate of each of the plurality of candidate image interpretation trustees 12 from the satisfaction rate information 100, and the image interpretation trustee whose satisfaction rate is lower than a preset threshold (for example, 0.5). The 12 trustee IDs are picked up, and the trustee ID of the interpretation trustee 12 whose fill rate is equal to or higher than the threshold is excluded.

  When there are still a plurality of interpretation interpretation recipients 12 even after narrowing down by the satisfaction rate information 100, as described in the first embodiment, the distribution unit 52 uses the priority information 48 to determine the priority order. The radiogram interpretation trustee 12 having the highest trustee ID is determined as the distribution destination. Since the processing after the allocation destination is determined is the same as that in the first embodiment, description thereof is omitted.

  Since the candidate for the distribution destination is searched using the fulfillment rate information 100 as the distribution condition, the distribution of the interpretation request 15 is biased to the specific interpretation acceptance destination 12, and an excessive load is applied to the specific interpretation acceptance destination 12. The interpretation request 15 can be equally distributed to each interpretation acceptance destination 12.

  In addition, although the case where both the number of medical examinations that can be interpreted and the number of medical images that can be interpreted is set as the distribution condition, when at least one of these is the distribution condition, The satisfaction rate is the number satisfaction rate SN or the number satisfaction rate SC. Further, when there are a plurality of distribution destination candidates searched based on the desired consignment destination information 47a, the desired request source information 47b, and the time zone / number / number information 85, the candidates are further selected based on the sufficiency rate information 100. Although an example of narrowing down has been described, the order of narrowing down candidates based on the time zone / number of cases / number of pieces of information 85 and the narrowing down of candidates based on the fullness information 100 may be reversed. Further, when there are a plurality of distribution destination candidates searched based on the desired trustee information 47a, the desired client information 47b, and the time zone / number / number information 85, the interpretation of the trustee ID with the lowest fulfillment rate is performed. The trustee 12 may be determined by the distribution unit 52 as the distribution destination.

  Instead of deriving the number of medical examinations SNb that can be interpreted per day and the number of medical images SCb that can be interpreted as described above, the current time from the time when the center server 20 starts distributing the interpretation requests 15. The number SNb of medical examinations that can be interpreted until and the number SCb of medical images that can be interpreted in time units, such as the number SCb of medical images that can be interpreted, and the number SCb of medical images that can be interpreted may be derived. It may be derived on a weekly basis. Further, the function of the satisfaction rate calculation unit 106 may be assigned to the distribution condition setting unit 53.

[Sixth Embodiment]
In each of the embodiments described above, when there are a plurality of distribution destination candidates, the distribution destination is determined based on the priority order or the satisfaction rate, but the determination of the distribution destination is left to the selection of the interpretation request source 11. May be.

  In FIG. 28, in the CPU 135 of the data center 20 of the present embodiment, a selection notification output unit 136 is constructed in addition to the units 50 to 54 (not shown) other than the distribution unit 52 of the first embodiment. When the distribution unit 52 receives a plurality of distribution destination candidates from the search unit 51, the distribution unit 52 outputs information on the plurality of distribution destination candidates to the selection notification output unit 136. The selection notification output unit 136 assigns the IP address of the request source terminal 18 of the image interpretation request source 11 that made the image interpretation request 15 and the image interpretation request source 11 that made the image interpretation request 15 from among a plurality of distribution destination candidates. A selection notification window 137 (see also FIG. 29) for selecting the minutes is output to the communication unit 33. As a result, the selection notification window 137 is transmitted from the communication unit 33 to the request source terminal 18 of the interpretation request source 11 that has made the interpretation acceptance destination 15. The request source terminal 18 displays a selection notification window 137 from the communication unit 33 on the display.

  In FIG. 29, the selection notification window 137 has a plurality of distribution destination candidates, and displays a message prompting the user to select a desired interpretation acceptance destination 12, from which a candidate display area 138, an OK button 139, and a cancel button are displayed. 140 is provided.

  In the candidate display area 138, the facility names of a plurality of candidate interpretation trustees 12 searched by the search unit 51 are displayed, and a radio button 141 for selecting one facility name from the plurality of facility names is provided. Yes. In the candidate display area 138, the facility names of a plurality of candidate interpretation recipients 12 and part of the radio buttons 141 are displayed, and the display area can be moved up and down with a scroll bar as necessary.

  The attending doctor of the interpretation request source 11 confirms the selection notification window 137 on the display of the request source terminal 18 and finally assigns the interpretation request 15 from among the facility names of the plurality of interpretation acceptance destinations 12 in the candidate display area 138. The radio button 141 of the facility name of the interpretation interpretation destination 12 is selected, and the OK button 139 is selected. On the other hand, if all of the plurality of candidate interpretation recipients 12 in the candidate display area 138 do not meet the request, the cancel button 140 is selected.

  The allocating unit 52 accepts operation instructions for the radio button 141, the OK button 139, and the cancel button 140. When the operation instruction of the OK button 139 is received, the interpretation request 15 is transmitted to the acceptance destination terminal 19 of the interpretation acceptance destination 12 selected by the radio button 141. On the other hand, if the distribution unit 52 accepts an operation instruction for the cancel button 140, the search unit 51 removes the distribution destination notified in the selection notification window 137 from the candidates and searches for the distribution destination candidates again. . The selection notification output unit 136 also outputs the selection notification window 137 to the communication unit 33 again when the search unit 51 picks up a plurality of distribution destination candidates even in the re-search, and the communication unit 33 requests the selection notification window 137. Transmit to the original terminal 18. This re-search and re-transmission of the selection notification window 137 are continued until the attending physician selects the OK button 139.

  By confirming the selection notification window 137, the attending physician can know the candidates for the assignment destination, and can select the interpretation acceptance destination 12 desired by himself / herself from the plurality of assignment destination candidates. If the request is not met, the cancel button 140 can be selected to perform a re-search. Accordingly, it is possible to distribute the interpretation request 15 in accordance with the request of the interpretation request source 11.

  As a selection notification method, an e-mail may be used in addition to or instead of the selection notification window 137.

[Seventh Embodiment]
In each of the above embodiments, the search unit 51 and the distribution unit 52 automatically search for a distribution destination candidate and determine the distribution destination. However, the distribution condition is set at the beginning of the data center 10 startup. If there is no progress, it is impossible to search for the distribution destination candidate and determine the distribution destination, or the interpretation request destination 12 suddenly becomes unable to accept the interpretation request 15 due to a disaster or the like. In some cases, the person in charge of management of the data center 10 may want to manually determine the distribution destination so that it can be dealt with quickly.

  Therefore, in this embodiment, in order to respond to the case where the manager in charge of the data center 10 wants to manually determine the distribution destination, the search unit 51 automatically searches for the distribution destination candidates, and the distribution unit 52 Switching between automatic / manual allocation is performed in accordance with an automatic / manual allocation switching instruction for determining the minutes or manually determining the allocation destination.

  As shown in FIG. 30, the CPU 145 of the data center 20 according to the present embodiment includes automatic / manual in addition to the units 50 to 54 (not shown except for the search unit 51 and the distribution unit 52) of the first embodiment. The distribution switching unit 146 is constructed. The automatic / manual distribution switching unit 146 outputs an automatic / manual distribution switching window 147 (see also FIG. 31) to the display 34 in response to an operation instruction from the input device 35. The automatic / manual distribution switching unit 146 receives an automatic / manual distribution switching instruction 148 from the input device 35 through the automatic / manual distribution switching window 147.

  When the automatic / manual distribution switching unit 146 receives the automatic / manual distribution switching instruction 148, the automatic / manual distribution switching unit 146 outputs an automatic / manual distribution switching notification to the search unit 51 and the distribution unit 52. When the automatic distribution switching notification is received from the automatic / manual distribution switching unit 146, the search unit 51 and the distribution unit 52 automatically search for candidates for the distribution destination as described in the above embodiments. To determine the destination. On the other hand, when a manual distribution switching notification is received from the automatic / manual distribution switching unit 146, the search unit 51 and the distribution unit 52 do not search for a distribution destination candidate and determine a distribution destination.

  When the automatic / manual distribution switching unit 146 receives a manual distribution switching instruction, the automatic / manual distribution switching unit 146 outputs a manual distribution window 149 (see also FIG. 32) to the display 34. The automatic / manual distribution switching unit 146 receives a distribution destination selection instruction 150 from the input device 35 through the manual distribution window 149. The automatic / manual distribution switching unit 146 outputs information on the distribution destination selected by the distribution destination selection instruction 150 to the distribution unit 52. The distribution unit 52 outputs the IP address of the assignment-destination consignee terminal 19 received from the automatic / manual distribution switching unit 146 and the image interpretation request 15 to the communication unit 33, and the communication unit 33 receives the information from the distribution unit 52. The interpretation request 15 is transmitted to the consignee terminal 19 of the received IP address.

  In FIG. 31, the automatic / manual distribution switching window 147 is provided with a radio button 151, an OK button 152, and a cancel button 153 for selecting automatic / manual distribution. The default setting for automatic / manual distribution is automatic distribution.

  When the OK button 152 is selected, automatic / manual distribution is switched according to the selection state of the radio button 151 at that time. When the cancel button 153 is selected, the automatic / manual distribution setting before the display of the automatic / manual distribution switching window 147 is maintained.

  In FIG. 32, the manual distribution window 149 is provided with a list display area 154, an OK button 155, and a cancel button 156. When a manual distribution switching instruction is received, an interpretation request 15 whose distribution status item in the request record list 45 is “incomplete” is picked up by the automatic / manual distribution switching unit 146 and displayed in the list display area 154. A list is displayed. A part of the interpretation request 15 whose distribution status item is “incomplete” is displayed in the list display area 154, and the display area can be moved up and down with a scroll bar as necessary.

  The list display area 154 includes an outline display area 157 and an assignment destination selection area 158. The summary display area 157 displays a summary of the interpretation request 15 obtained from the request record list 45 such as the facility name of the interpretation request source 11, examination date / time, patient name, examination type, imaging region, and number of medical images to be interpreted. Is done. In the distribution destination selection area 158, a pull-down menu 159 for manually selecting an allocation destination is provided. This pull-down menu 159 is used to input a sorting destination selection instruction 150. In the pull-down menu 159, the names of all facilities of the interpretation interpretation destination 12 registered in the facility information 46 are displayed as options. In FIG. 32, “interpretation center A” is selected as the allocation destination of the top interpretation request 15 in the list display area 154, and the other interpretation requests 15 indicate that the allocation destination is not selected.

  When the OK button 155 is selected, the distribution destination is determined according to the selection state of the pull-down menu 159 at that time. When the cancel button 156 is selected, the manual distribution is stopped.

  Since the search for the assignment destination candidate of the image interpretation request 15 and the determination of the assignment destination are switched automatically and manually, it is possible to respond to the case where the person in charge of management of the data center 10 wants to manually determine the assignment destination.

  It should be noted that it may be configured such that automatic / manual switching can be set for each subordinate item such as each interpretation request source 11, each imaging region, each examination type, each time slot, or each interpretation request 15. Further, the interpretation request source 11 may instruct automatic / manual switching. For example, when the image interpretation request source 11 gives an instruction to switch automatic / manual distribution for each image interpretation request 15, the image interpretation request source 11 transmits automatic / manual distribution setting information together with the image interpretation request 15 to the center server 20. This automatic / manual distribution setting information is received by the automatic / manual distribution switching unit 146.

  Alternatively, the automatic / manual distribution switching unit 146 may output the automatic / manual distribution individual setting window 165 shown in FIG. The automatic / manual distribution individual setting window 165 displays a list of interpretation requests 15 whose distribution status items in the request record list 45 are “incomplete” as in the list display area 154, and next to each interpretation request 15. A check box 166 for instructing switching of automatic / manual distribution is provided, and an interpretation request 15 (second and third stage interpretation request 15) for which the check box 166 has been selected is an automatic allocation, an interpretation request 15 that has not been selected. (Interpretation request 15 in the first and fourth stages) is manual distribution, and for interpretation request 15 that is manual distribution, a pull-down menu 167 such as a distribution destination selection area 158 is provided, and distribution by this pull-down menu 167 is performed. A preselection instruction 150 may be accepted. The OK button 168 and the cancel button 169 have the same functions as the OK button 155 and the cancel button 156 of the manual distribution window 149.

[Eighth Embodiment]
In the seventh embodiment, a candidate for a distribution destination is automatically searched for by the search unit 51, and the distribution destination is determined by the distribution unit 52 or manually switched. However, in this embodiment, the search for the distribution destination candidates and the determination of the distribution destination are automatically performed by the search unit 51 and the distribution unit 52, and the distribution destination determined by the distribution unit 52 is used as the data center. 10 managers can be changed manually.

  As shown in FIG. 34, the CPU 175 of the data center 20 of the present embodiment has a distribution destination changing unit 176 in addition to the units 50 to 54 (not shown) other than the distribution unit 52 of the first embodiment. Built. The distribution destination changing unit 176 receives information on the distribution destination determined from the distribution unit 52, and in response to an operation instruction from the input device 35, assigns a distribution result indicating the distribution destination determined by the distribution unit 52. A distribution result display / change window 177 (see also FIG. 35) for displaying and changing the distribution result is output to the display 34. The distribution destination changing unit 176 receives a distribution destination change instruction 178 from the input device 35 through the distribution result display / change window 177.

  When the distribution destination changing unit 176 receives the distribution destination change instruction 178, the distribution destination changing unit 176 outputs a distribution destination change notification to the distribution unit 52. The distribution unit 52 outputs to the communication unit 33 the IP address and the interpretation request 15 of the assignment destination trustee terminal 19 instructed by the change destination change instruction 178, and the communication unit 33 receives the information from the distribution unit 52. The interpretation request 15 is transmitted to the consignee terminal 19 of the received IP address.

  35, the distribution result display / change window 177 is provided with a list display area 179, an OK button 180, a cancel button 181 similar to the manual distribution window 149, and a change button 182. In the list display area 179, the image interpretation request 15 whose distribution destination has been determined by the distribution unit 52 is displayed. A part of the interpretation request 15 is displayed in the list display area 179, and the display area can be moved up and down with a scroll bar as necessary.

  The list display area 179 includes a summary display area 183 similar to the summary display area 157 of the list display area 154, and a distribution result display area 184. In the distribution result display area 184, the facility name of the distribution destination determined by the distribution unit 52 is displayed.

  When the change button 182 is selected, as shown in FIG. 36, in the distribution result display area 184, the distribution destination determined by the distribution unit 52, as in the distribution destination selection area 158 of the manual distribution window 149, is displayed. A pull-down menu 185 is provided for changing. By using this pull-down menu 185, a change destination change instruction 178 is input. If the search unit 51 picks up a plurality of distribution destination candidates in the process of determining the distribution destination by the distribution unit 52, the pull-down menu 185 displays the facility names of the plurality of distribution destination candidates as options. The As an option of the pull-down menu 185, the names of all facilities of the interpretation interpretation destination 12 registered in the facility information 46 may be used.

  When the change button 182 is selected to display a pull-down menu 185, the desired interpretation acceptance destination 12 is selected from the pull-down menu 185, and the OK button 180 is selected, according to the selection state of the pull-down menu 185 at that time. The minutes are changed. When the cancel button 181 is selected, the change of the distribution destination is canceled.

  At the time when the distribution result display / change window 177 is displayed, the transmission of the interpretation request 15 to the consignee terminal 19 has not been completed, and the interpretation consignment destination 12 displayed in the distribution result display area 184 is temporary. It is a state of decision. Only when the OK button 180 is selected, the interpretation acceptance destination 12 displayed in the distribution result display area 184 is determined as the distribution destination.

  Since the distribution result of the distribution unit 52 is displayed and the change instruction is accepted, the manager in charge of the data center 10 can confirm the distribution result and can easily change the distribution destination.

  In addition, in the distribution result display area 184, other information that assists the distribution such as the distribution results of the third and fifth embodiments and the satisfaction rate of the fifth embodiment may be displayed.

  As the sorting conditions, in addition to those exemplified in the above embodiments, for example, it is possible to specify the evaluation score of the interpretation request source 11 by the interpretation request source 11 or the patient, or the interpretation interpretation destination responsible for the past interpretation and the interpretation. Interpretation history information or the like may be used. When the evaluation score is a distribution condition, the search unit 51 picks up an interpretation trustee 12 whose evaluation score is equal to or higher than a reference point as an assignment destination candidate or an interpretation trustee 12 whose evaluation score is lower than the reference point. Or exclude it from the candidate. When the interpretation history information is set as the distribution condition, the search unit 51 preferentially picks up the interpretation acceptance destination 12 that has been responsible for interpretation in the past.

  It should be noted that a series-related item such as a university-affiliated or medical association-affiliated is provided in the facility information 46, and the desired setting of the interpretation requesting source 11 or the interpretation receiving destination 12 that is affiliated in the preference setting window 53 is set to “NG”. On the contrary, when the desired setting of the interpretation request source 11 or the interpretation trustee 12 that is not in a series relationship is set to “OK”, or the priority order of the interpretation trustee 12 that is in a series relationship in the priority order setting window 55 is set as a series relationship. In the second and fourth embodiments described above, when the priority is set lower than that of the interpretation trustee 12 having no series relationship, the priority order of the interpretation trustee 12 having no serial relationship is set higher than that of the interpretation trustee 12 having the serial relationship. Like the warning notification window 83, a warning notification window for confirming whether the setting is correct may be displayed. Further, when a business time item is provided in the facility information 46 and a time zone outside business hours is set in the time zone / number / number setting window 86, a warning notification window may be displayed in the same manner.

  In each of the above embodiments, the interpretation acceptance destination 12 is a medical facility such as an interpretation center, but an individual interpretation doctor may be the interpretation acceptance destination 12. In this case, in the doctor information of the facility information 46, in addition to the name, more detailed information of the interpretation doctor such as age, specialized field, and length of service is stored, and these are used as distribution conditions as necessary. Further, in this case, the setting of the desired setting, time zone, number of cases, number of sheets, and priority order is each interpretation doctor, and the calculation of the distribution result and the satisfaction rate is performed for each interpretation doctor. Further, the manual distribution object in the manual distribution window 149 and the distribution result change object in the distribution result display / change window 177 are also interpreted as shown in the distribution result display / change window 190 in FIG. Instead of medical facilities such as

  In FIG. 37, the distribution result display / change window 190 includes a list display area 191, an OK button 192, a cancel button 193, and a change button 194. The basic configuration is the same as the distribution result display / change window 177. However, the distribution result display area 196 is different in that the name of the interpretation doctor and the affiliated facility are displayed as the distribution result of the interpretation interpretation destination 12. FIG. 37 shows a state in which a change button 194 is selected and a pull-down menu 197 for changing the interpretation doctor determined by the distribution unit 52 is displayed. In this case, in the pull-down menu 197, the names of a plurality of candidate doctors searched by the search unit 51 are displayed as options. The choices in the pull-down menu 197 may be the names of all interpretation doctors. The display of the affiliated facility is automatically switched according to the interpretation doctor selected by the pull-down menu 197. Note that the interpretation request source 11 may be an individual doctor in charge as with the interpretation interpretation contractor 12.

  The manual distribution window 149, the automatic / manual distribution individual setting window 165, and the distribution result display / change windows 177 and 190 are transmitted to the request source terminal 18 and displayed on the display 34 of the request source terminal 18. The minute selection instruction 150 and the distribution destination change instruction 178 may be input.

  Note that the transmission timing of the image file 14 by the modality 17 may be later than the transmission timing of the image interpretation request 15 by the request source terminal 18. For such an interpretation request 15 for which the image file 14 has not yet been reached, the search and determination of the distribution destination is temporarily suspended, and the image file 14 is transmitted from the modality 17 and stored in the image DB 40, and then the distribution destination search is performed. Make a decision.

  In each of the above embodiments, one computer constituting the center server 20 is caused to function as an interpretation request distribution device, but each function of the interpretation request distribution device may be distributed to a plurality of computers.

  Each said embodiment may be implemented independently and may be implemented in combination.

10 Data Center 11 Interpretation Requester 12 Interpretation Interpreter 15 Interpretation Request 16 Interpretation Report 20 Center Server (Interpretation Request Sorting Device)
30 Storage device 32, 80, 105, 135, 145, 175 CPU
37 Interpretation request distribution program 44 Distribution condition DB
47a Desired trustee information 47b Desired request source information 48 Priority order information 50 Interpretation request accepting part 51 Search part 52 Sorting part 53 Sorting condition setting part 54 Transfer processing part 81 Judgment part 82 Warning notification output part 83 Warning notification window 85 hours Band / number / number information 100 Satisfaction rate information 106 Satisfaction rate calculation unit 136 Selection notification output unit 137 Selection notification window 146 Automatic / manual allocation switching unit 176 Distribution destination change unit

Claims (18)

An interpretation request accepting unit that accepts interpretation requests from a plurality of interpretation request sources requesting interpretation of medical images obtained by medical examination;
A distribution condition setting unit that sets a distribution condition for distributing the image interpretation request received by the image interpretation request reception unit to an image interpretation acceptance destination that is the interpretation acceptance destination;
Based on the distribution condition set by the distribution condition setting unit, a search unit for searching for a distribution destination candidate to distribute the interpretation request from among the plurality of interpretation acceptance destinations;
A distribution unit that determines the distribution destination from the candidates searched by the search unit, and distributes the interpretation request to the determined distribution destination ;
A determination unit that determines whether or not the distribution condition that has been set in the distribution condition setting unit and the newly added distribution condition conflict with each other;
Wherein when it is determined that the conflicting contents determining unit, read the shadow request sorting device Ru and a warning notification output unit for outputting a warning notification is conflicting content. The distribution condition is set for each interpretation request source, and desired trustee information indicating the interpretation trustee desired by the interpretation requestor among a plurality of interpretation trustees,
The image interpretation request distribution device according to claim 1, further comprising: request request source information that is set for each image interpretation request destination and represents the image interpretation request source desired by the image interpretation request destination among the plurality of image interpretation request sources. The search unit is the interpretation acceptance destination specified in the desired trustee information of the interpretation request source with respect to the distribution destination of the accepted interpretation request, and the interpretation request source in the desired request source information interpretation request sorting device according to 請 Motomeko 2 find the interpretation accession destination is specified. The desired Accession destination information and the desired request source information, interpretation request sorting device according to 請 Motomeko 2 or 3 that have been set for each imaging site and the type of medical examination of the medical image. The determination unit determines whether the set desired trustee information or the desired request source information is conflicting with the newly added desired trustee information or the desired request source information. interpretation request sorting device according to any one of 請 Motomeko 2-4 that. The distribution condition is set for each interpretation trustee, and is an allowable amount indicating a time zone in which the interpretation trustee can interpret, and a capacity of the interpretation request that can be processed by the interpretation trustee in that time zone. combinations interpretation request sorting device according to any one of including請 Motomeko 1 to 5. The allowable amount, interpretation request sorting device according to 請 Motomeko 6 Ru least Tsudea of the number of interpretation possible the number of medical examination or radiology possible the medical image. The determination unit includes a combination of the time zone and the allowable amount of configured, the combination of the time zone and the allowable amount of the newly added you determine whether the conflicting content 請 Motomeko The interpretation request distribution device according to 6 or 7. The distribution condition is set for each interpretation trustee, and the ratio of the amount of the interpretation request actually distributed to the interpretation trustee with respect to the allowable amount indicating the interpretation capacity that can be processed by the interpretation trustee interpretation request sorting device according to any one of from including請 Motomeko 1 sufficiency ratio is 8. The distribution unit, when the candidate of the search unit searches, based on the sorting conditions other than the filling ratio is more, billed that determine the fulfillment rate is the lowest the interpretation Accession destination on the distribution destination Item 10. The image interpretation request distribution device according to Item 9. The sorting condition, the set for each interpretation request source, the interpretation of the sorting priority for requests to any one of including請 Motomeko 1 to 10 interpretation request sorting according to said interpretation accession info apparatus.   The distribution unit determines the interpretation acceptance destination with the highest priority as the distribution destination when there are a plurality of candidates searched by the search unit based on the distribution condition other than the priority. The interpretation request distribution device according to 11. A selection notification for outputting a selection notification for selecting the distribution destination from the plurality of candidates to the interpretation request source who has made the interpretation request when there are a plurality of candidates searched by the search unit interpretation request sorting device according to any one of from 請 Motomeko 1 to Ru an output unit 12. The search unit searches for the candidate and the distribution unit automatically determines whether the distribution destination is determined or whether the distribution destination is manually determined according to an automatic / manual distribution switching instruction. interpretation request sorting device according to any one of the automatic / manual sorting to not 請 Motomeko 1 Ru a switching unit 13 for switching the sorting. A manual change instruction for the distribution destination automatically determined by the distribution unit is received, and the distribution destination automatically determined by the distribution unit is changed to a distribution destination according to the change instruction. interpretation request sorting device according to any one of the partial redirection to no 請 Motomeko 1 Ru provided with a portion 14. The interpretation report created by the interpretation accession destination in accordance with the interpretation request, any one of the above interpretation accession to no 請 Motomeko 1 Ru includes a transfer processing unit for processing the transfer to the interpretation requester from destination 15 The interpretation request distribution device described in 1. An interpretation request acceptance step for accepting interpretation requests from a plurality of interpretation request sources requesting interpretation of medical images obtained by medical examinations by an interpretation request acceptance unit;
A distribution condition setting step for setting a distribution condition for distributing the interpretation request received in the interpretation request reception step to an interpretation acceptance destination that is the interpretation acceptance destination by an allocation condition setting unit;
A search step for searching for a candidate for a distribution destination to which the interpretation request is distributed from a plurality of interpretation acceptance destinations based on the distribution condition set in the distribution condition setting step by a search unit;
A distribution step of determining the distribution destination from the candidates searched in the search step by the distribution unit, and distributing the interpretation request to the determined distribution destination ;
A determination step for determining whether or not the distribution condition set in the distribution condition setting step and the newly added distribution condition conflict with each other;
The determination if it is determined that the conflicting content in step, a warning notification output step and a method of operating a read shadow request sorting device Ru comprising a for outputting warning notification are conflicting contents. An interpretation request acceptance function for accepting interpretation requests from a plurality of interpretation request sources requesting interpretation of medical images obtained by medical examination;
A distribution condition setting function for setting a distribution condition for distributing the interpretation request received by the interpretation request reception function to an interpretation acceptance destination that is the interpretation acceptance destination;
A search function for searching for a candidate for a distribution destination to which the interpretation request is distributed from a plurality of interpretation acceptance destinations based on the distribution condition set by the distribution condition setting function;
A distribution function for determining the distribution destination from the candidates searched by the search function, and distributing the interpretation request to the determined distribution destination ;
A determination function for determining whether or not the distribution condition already set by the distribution condition setting function and the newly added distribution condition conflict with each other;
The determination if it is determined that the conflicting contents feature, alert notifications and an output function, read shadow request allocation program Ru is executed by a computer to output a warning notification is conflicting content.

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