JP6727896B2 - Medical form management system - Google Patents

Description

The disclosed technology relates to a medical form management system.

Since the combination of forms such as consent form and inquiry sheet that need to be confirmed with the patient at the time of medical examination, examination, surgery, and hospitalization at the medical institution varies depending on the patient's situation and the type of examination, the staff will need various forms. It is necessary to know the appropriate combinations. Then, for example, when actually carrying out the examination, the staff member needs to select, from a large amount of sheets, a sheet required for the patient to be examined, print it, copy it, and give it to the patient. Also, the patient who receives the medical form, for example, when it is a consent form, confirms the consent items and, in most cases, manually signs the confirmed date and the patient name. A technique using a touch screen is known as a method for receiving a handwritten signature (Patent Document 1).

JP, 2008-15864, A

In order for medical institutions to properly carry out examinations, it is necessary to manage the status such as the completion of signatures on the forms of multiple patients.

The disclosed medical form management system is a medical form management system that manages forms necessary for performing medical procedures, and means for displaying information indicating the completion status of the signature for each form for each patient, A medical form management system comprising: means for updating information indicating the completion status of the signature according to execution of a signature on the form. Equipped with.

According to the disclosed technology, it is possible to manage the situation such as whether or not the signature on the form has been completed.

It is a figure showing an example of a form processing system. It is a figure which shows an example of the whole structure of a system. It is a flow chart which shows an example of operation of a system. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen. It is a figure showing an example of a form processing system. It is a figure which shows an example of the whole structure of a system. It is a figure which shows an example of a display screen. It is a figure which shows an example of a display screen.

[First Embodiment for Carrying Out the Invention]
First, terms used in this embodiment will be described. The network is a line connecting each device, and is, for example, a dedicated line, a local area network (LAN) or a wireless LAN, an internet line, or the like. The medical image capturing device is a device for capturing an image used for diagnosis, and for example, a magnetic resonance imaging (MRI) imaging device, an X-ray computed tomography (CT) imaging device, a positron tomography (PET) imaging device, etc. Is mentioned.

A PACS (Picture Archiving and Communication System) is an image storage communication system. The PACS is a device that receives and stores an image captured by a medical image capturing device, and transmits an image in response to a request from a connected device. The PACS includes a database that can store various data such as the imaged patient information and the imaged time associated with the received image, as well as the received image.

The operation terminal is a device including a screen that is a display unit and a mouse, a keyboard, a touch panel, and the like that are operation units. In addition, the operation terminal is equipped with software programmed to operate various procedures described below, and executes the program and saves data as necessary. For example, a personal computer (PC), a tablet PC, a PDA, a smartphone or the like corresponds to the operation terminal.

The HIS (Hospital Information System) is a hospital information system, and is basically an electronic medical record system that electronically manages medical records related to patients (or healthy people) engaged by medical institutions. It is included. For example, the HIS stores name, age, sex, height, weight, blood type, race, etc., which are also called basic patient information, as a medical record. The HIS also stores attribute information related to various patients such as a diagnosis name, a patient's chief complaint, medical history, treatment history, visit history, examination result, doctor in charge, etc. in a database. Further, the HIS centrally manages not only medical records of patients but also information about the entire medical institution and link information to various information. The HIS also functions as a hub for utilizing other systems.

In addition, the HIS is connected to a network, and the medical record related to the patient can be referred to, updated, and searched by operating the screen of the HIS on an operation terminal such as a PC or PDA used by a doctor or a nurse who is also connected to the network. Is possible. The HIS can also send and receive necessary information to other systems connected to the network. Specifically, the user can operate the screen of the HIS to search for staff information such as the name, department, and contact information of the staff working at the medical institution facility. Further, the user can operate the screen of the HIS and refer to the link information to the image of the PACS stored as a part of the medical record to make a diagnosis by referring to the image from the screen of the HIS. ..

Further, the user can access the WEB server of another system such as PACS through the screen of the HIS to open the operation screen of the other system. The user can also execute the software installed in the operation terminal in another system via the HIS. In addition, the HIS may include an ordering system capable of issuing request information (order) for prescribing, testing, and giving nutritional instructions. For example, an order for CT examination includes at least a "patient ID" for identifying a patient, a "CT examination" that is an examination type, and a "scheduled examination date and time" necessary for requesting the CT examination. In this embodiment, the HIS includes the ordering system.

The RIS (Radiology Information System) is a radiology information system, and receives request information (order) for an examination or treatment by a medical image capturing apparatus from an ordering system. The RIS manages the order implementation status, inspection results, and the like. In addition, the RIS also manages the reservation/use status of the medical image capturing apparatus. The order implementation status list is called a work list.

The form content is the document itself or the contents that compose the document such as the questionnaire used in the medical institution facility, the explanation material for the patient, or the consent form.For example, the form content is printed on paper or Exists as data that is handled by a computer such as a document or an image before being printed on paper. When the form contents are actually used, for example, a combination of explanatory materials for main effects and side effects of a drug and a consent form for obtaining consent of the patient that the drug may be used for treatment. In this way, the necessary form content groups are collected. Then, the form content group is collectively presented to the patient. If the form content is image data, it may be displayed on a display device such as a liquid crystal monitor without printing it on paper to save the labor of printing. Especially, when the form content is moving image data, it is printed. Displaying on the display device is more advantageous than the display device in terms of display frame control and color expression. In addition, especially in consent forms, some form contents require confirmation date and signature handwriting to show that the patient, the patient's family, guardian, or companion confirmed, and the doctor in charge. There are some that require handwriting of the explanation date and signature to show that the explanation has been given to a comedic such as a nurse or a technician.

The medical form processing system according to the first embodiment of the present invention will be described below.

FIG. 1 is a diagram showing an example of the configuration of a medical form processing system 10. The medical form processing system 10 includes a form content selection unit 11, a form content confirmation unit 12, a signature unit 13, a form content correspondence status reference unit 14, and a form. It has a content storage means 15. Here, the form content selection unit 11, the form content confirmation unit 12, the signature unit 13, and the form content correspondence status reference unit 14 correspond to a processor (not shown) included in the medical form processing system 10. Further, the form content storage means 15 corresponds to an HDD (not shown) or the like. The form content selection unit 11, the form content confirmation unit 12, the signature unit 13, and the form content correspondence status reference unit 14 execute a program stored in a ROM (not shown) included in the medical form processing system 10 to execute the form shown in FIG. A content selection function 101, a form content confirmation function 102, a signature function 103, and a form content correspondence status reference function 104 are realized. The signature result confirmation function 107 and the WEB server function are realized by the processor included in the medical form processing system 10 executing the program stored in the ROM. The storage unit 15 corresponds to the form content database in FIG. Note that FIG. 2 is a diagram showing an example of the overall configuration of the system. The system shown in FIG. 2 corresponds to an example of a medical form management system that manages forms necessary for performing medical procedures. In addition, each functional block may be integrally configured to have each function. Further, each functional block may be configured by a separate server, and each may be communicably connected.

The medical form processing system 100 provides one or more operation terminals 300 connected to the medical form processing system 100 via the network 200 with a screen for operating the functions of the medical form processing system 100. Specifically, the WEB server function 107 provides a screen, and the WEB browser function 301 included in the operation terminal 300 displays and operates the screen.

The medical form processing system 100 according to the first embodiment will be briefly described. When performing medical procedures such as medical examination, examination, surgery, and hospitalization, the staff of the medical institution uses the selection function 101 to select a necessary form content group. Then, the staff causes the operation terminal 300 to display the form content group using the confirmation function 102. In addition, the staff uses the displayed form content group for explaining to the patient to make the patient understand. Then, if the understanding is obtained, the staff or patient uses the signature function 103 to perform the necessary signature work on the selected form content group on the operation terminal, and finally the staff uses the situation reference function 105. Determine if medical practice is available.

The form content database 105 stores a form content data group of a form content group used in the medical form processing system 100. The form content data in the present embodiment is, specifically, one or more pages such as an explanation material and a consent form, which are conventionally used by being printed on paper in a medical institution facility, and a form in which the explanation material and the consent item are mixed. Includes a scan image obtained by reading the form (for example, form X) with an optical scanner. Alternatively, the form content data includes a “form image” that is an image that reproduces the form after printing. Further, the form content data includes “thumbnail image” which is a reduced image of the form X, “form ID” for identifying the form X, “form name” which is the name of the form, and “number of pages” which is the number of pages of the form. , At least one information of “department” in which the form X is used and “classification” which is the type of the form X. Further, the form content data is a “tag” for facilitating the search of the form X, a “signer” listing the parties who need to sign the form X, and a “signature” that is information for embedding signature image data. At least one piece of information "embedded information" is included. For example, the form content data includes all the above information and is stored as one record in the form content database 105.

As an example of the "form name", "explanation to patient", "explanation about CT examination", "radiation treatment consent form", "explanation and consent to use of non-insurance drug" Calligraphy" etc. Further, examples of the “department” may include “first ward”, “second ward”, “outpatient reception”, “hospitalization reception” and the like. Further, as an example of the “classification”, there can be one or more combinations such as “agreement” and “explanatory material”.

The "thumbnail image" has a smaller data size than the "form image" because it has a lower resolution and a higher degree of image compression. When the form image needs to be displayed via the network, the "thumbnail image" is used to improve the display responsiveness, but if the network transfer speed is fast enough, the "form thumbnail image" is used instead of the "thumbnail image". "Image" may be used.

Further, the “form ID” is an identifier of each form content data stored in the form content database 105, and the same one is a unique ID that cannot be found anywhere else. The "tag" is composed of a text data group recorded for facilitating the search for the target form content data by the staff of the medical institution. For example, if there are multiple forms content data in which the “form name” of “explanation to the patient” is recorded, it is impossible to determine what is being explained by displaying the “form image” and checking. In some cases, listing the necessary information in the "tag" will be useful when searching. For example, a plurality of keyword groups such as “CT examination” and “contrast agent” can be set as tags.

Further, the “signer” enumerates the related parties who need to sign the form X. For example, “patient (delegator)”, “patient's family”, “patient's companion”, “doctor”, “technologist” and the like. Normally, at least “patient (delegator)” is set to the “signer” if the classification of the form content data is a consent form. The combination of parties listed in "Signer" determines the parties requested to be signed by the signature function 103.

The "signature embedding information" includes information indicating whether the signer's ID, the signer's address, etc. need to be entered on the date when the form X was signed. Further, when it is necessary to fill in the "signature embedding information", the range of embedding the signature image data obtained by the signature function 103, the date, the signer's ID, the signer's address, etc. in the "form image" is the coordinates It is recorded in.

The reason why the function of embedding the signature image data in the “form image” is necessary will be described. In some medical institutions, when a patient signs a form that requires a signature such as a consent form, a copy of the signed form is printed as proof of signature and transferred to the patient. In order to cope with this operation in the present embodiment, it is possible to create a signed form for transfer to a patient by printing a form image in which the signature image data is embedded.

Controls such as screens and buttons, which are user interfaces (UIs) necessary for the description of the first embodiment, will be described. Each UI is displayed by the WEB browser function 301 provided in the operation terminal 300.

The form content selection screen 1100 shown in FIG. 4 is a screen controlled by the selection function 101. The form content selection screen 1100 is simply a screen for a staff member of a medical institution to select form content data. This screen is displayed on the terminal device 300, for example, under the control of the selection function 101.

The form content selection function 101 makes an inquiry to the HIS 400 based on the department ID in charge, the staff member ID, and the patient ID received by the selection function 101 when the form content selection screen 1100 is displayed. Then, the department name in charge, the staff name in charge, the patient ID, and the patient name are displayed at the top of the form content selection screen 1100. As a method of receiving the department ID in charge, the staff ID in charge, and the patient ID, there is a method of receiving as a parameter of the URI of the form content selection screen 1100.

The form content selection control 1106 in the center of the form content selection screen 1100 displays a thumbnail image 1107 group of forms corresponding to the form content data stored in the form content database. The staff of the medical institution performs an operation of selecting an explanation document used for explaining the patient and a consent form for confirming the consent item from the thumbnail image 1107 group. Specifically, the displayed thumbnail image 1107 is clicked (or tapped if it is a tablet PC or smartphone) with the mouse to select it. Then, the thumbnail image 1110 corresponding to the selected thumbnail image 1107 is added to the form control 1108 (see FIG. 8). At this time, the newly selected thumbnail image 1110 is at the bottom. Further, the number of forms displayed on the selected form control 1108 and the total number of pages are updated corresponding to the form content data corresponding to the added thumbnail image 1110. Specifically, the number of forms shows the number of selected thumbnail image groups, and the total number of pages shows the total number of pages included in the form content data group corresponding to the selected thumbnail image groups.

Also, the selected thumbnail image 1107 is highlighted so that it is easy to understand that it has been selected. It should be noted that when the selected thumbnail image 1107 is clicked again (tap for a tablet PC or smartphone), the selection is canceled. That is, the highlighting of the image thumbnail 1107 is canceled, and the corresponding thumbnail image 1110 is deleted from the selected form control 1108. In the thumbnail image 1107 group displayed on the form content selection control 1106, the form name recorded in the corresponding form content data is overlay-displayed, and the enlargement display button is also overlay-displayed. The enlargement display button is used to confirm the contents of the form contents, which is difficult to confirm just by looking at the form thumbnail. When the enlargement display button is pressed, the form image recorded in the form content data corresponding to the thumbnail image 1107 on which the enlargement display button is overlay-displayed is displayed large on the screen.

Further, the thumbnail image 1110 in the selected form control 1108 has a form name recorded in the corresponding form content data displayed in an overlay display, and a delete button also displayed in an overlay form. The delete button is used to delete the thumbnail image 1110 from the selected form control 1108. When the delete button is pressed, the thumbnail image 1110 on which the delete button is overlay-displayed is deleted, and the highlight of the corresponding image thumbnail 1107 is released. After selecting the explanation material and the consent form, the confirmation start button 1109 is finally pressed. As a result, the form content selection function 101 transmits the department ID in charge, the staff member ID, the patient ID, and the form ID group of the selected form content data group to the form content correspondence status reference function 104. In response to this, the form content correspondence status reference function 104 transmits the newly generated confirmation form group ID to the form content selection function 101.

The form content correspondence status reference function 104 is associated with the confirmation form group ID and receives the department ID in charge, the staff ID in charge, the patient ID, the form ID group of the selected form content data group, the A record is newly created in which the date and time when the confirmation form group ID is generated and the confirmation status and signature status of the form content data corresponding to each form ID are recorded. Then, it is recorded in the form content correspondence status reference function 104. A value indicating “unconfirmed” is recorded in the confirmation status at the time of newly creating the record. The confirmation form group ID is managed by the form content correspondence status reference function 104. Then, the form content correspondence status reference function 104 is queried using the confirmation form group ID as a key. This makes it possible to obtain the department ID in charge, the staff ID in charge, the patient ID, the form ID group of the selected form content data group, and the date and time when the confirmation form group ID is generated. Furthermore, the confirmation status and signature status of the form content data corresponding to each form ID can also be obtained. Then, upon receiving the confirmation form group ID, the form content selection function 101 transitions from the form content selection screen 1100 to the form content confirmation screen 1200 (see FIG. 11). Then, the form content selection function 101 transmits the received confirmation form group ID from the form content selection function 101 to the form content confirmation function 102.

The form ID group is represented as aligned character string data (for example, “11, 13, 15, 201”), but the order is the thumbnail image 1110 displayed in the selected form control 1108. It shall correspond in order from the top of the group. When the form content selection control 1106 has a large number of thumbnail images 1107 that do not fit on the screen, the screen can be scrolled. Similarly, when the selected form control 1108 has a large number of thumbnail images 1110 that do not fit on the screen, the screen can be scrolled. It should be noted that, in order to easily select the thumbnail image 1107 corresponding to the form content data that is frequently used, the ones that are frequently used are sorted so as to be arranged at the top. Normally, the form content data that is frequently used is different for each department, so in order to optimize the sort order for each department, the form content selection function 101 uses the thumbnail image selected when the confirmation start button 1109 is pressed. The form ID group of the form content data group corresponding to the 1110 group and the department ID in charge received when the form content selection screen 1100 is displayed are recorded as a usage record. By referring to the usage record, it is possible to refer to which department content has been used and how many times by which department, and it is used as judgment information of sort order. Of course, it is possible to record the usage record for the staff ID and the patient ID in the same manner and use it as the sorting order determination information.

On the left side of the form content selection screen 1100, a control group for narrowing down the thumbnail images 1107 displayed in the form content selection control 1106 is displayed. Note that the current search condition and the number of search hits are displayed above the form content selection control 1106, and these are updated by operating a control group for narrowing down the thumbnail image 1107.

The department selection control 1101 is provided with a department name group that handles medical forms and a check box for each. When the check box is checked, the thumbnail image 1107 group displayed on the form content selection control 1106 is narrowed down to only the thumbnail images 1107 corresponding to the form content data having the corresponding department name. Specifically, as shown in FIG. 5, when the check box of the radiology department is checked, the form content selection control 1106 shows a thumbnail image of the form content data in which “radiology department” is recorded in the department of the form content data. Only 1107 is displayed (see FIG. 5). A plurality of departments may be selected (checked), and in that case, the departments are narrowed down by the OR condition.

The category selection control 1102 is provided with a check box for each category name group of medical forms, and when the check box is checked, the thumbnail image 1107 group displayed in the form content selection control 1106 has the form content having the corresponding category name. Only thumbnail images 1107 corresponding to the data are narrowed down. Specifically, as shown in FIG. 6, when the check box of the consent form is checked, the form content selection control 1106 displays a thumbnail image of the form content data in which “consent form” is recorded in the form content data classification. Only 1107 is displayed. It should be noted that a plurality of classifications may be selected (checked), in which case the classifications are narrowed down by OR conditions.

The keyword search text box 1103 is used when narrowing down the thumbnail images 1107 displayed on the form content selection control 1106 to those corresponding to the keyword input in the keyword search text box 1103. Specifically, it narrows down to the form content data in which the keyword partially matches, or the form content data having the department, the classification, and the tag, and the corresponding thumbnail image is displayed on the form content selection control 1106 (see FIG. 9). It should be noted that a plurality of keyword groups may be entered in the keyword search text box 1103 separated by blanks (spaces). In that case, the keyword group AND condition is used for narrowing. Specifically, when "radiology department consent form" is entered in the keyword search text box 1103, "radiology department" partially matches the form name, department, classification, or tag from the form content data group. , And the “Agreement” is also included as a partial match. Then, the corresponding thumbnail image is displayed on the form content selection control 1106.

The department selection control 1101, the classification selection control 1102, and the keyword search text box 1103 can be used in combination, and narrowing down is an AND condition. Specifically, as shown in FIG. 7, when “radiology” is selected (checked) in the department selection control 1101 and “consent” is selected in the classification selection control 1102, from the form content data group , Divisions whose department is “radiology” and classification is “agreement” are narrowed down. Then, the corresponding thumbnail image is displayed on the form content selection control 1106.

A button group is arranged in the preset selection control 1104, and each button is used to easily select a plurality of form content data groups preset in a medical institution facility. That is, for example, when the “select CT examination form group” button is pressed, the “explanatory material X” and the “consent form X” that are always used during the CT examination in the normal operation of a medical institution are automatically selected. Then, a thumbnail image 1110 corresponding to the form control 1108 is added (see FIG. 10). The addition and deletion of the buttons arranged in the preset selection control 1104 are determined by the operating method of the medical institution facility. At the time of addition, the medical institution determines and sets the display character strings such as "Select CT inspection form group" and "Select MRI inspection form group" and which form content data group is selected when pressed.

The search condition clear button 1105 is a button used to set the search condition to “none”. Specifically, the check box checked by the department selection control 1101 is changed to the unchecked state, and the check box checked by the classification selection control 1102 is changed to the unchecked state. Then, the character string entered in the keyword search text box 1103 is emptied.

The form content confirmation screen 1200 shown in FIG. 11 is controlled by the form content confirmation function 102. Briefly, this is a screen used by the patient, the patient's family, and a patient's companion to check the form image included in the form content data, and at the same time, a screen for medical staff to explain. ..

The form content confirmation function 102 receives a confirmation form group ID received by the form content confirmation function 102 when the form content confirmation screen 1200 is displayed, and inquires the form content correspondence status reference function 104. Then, the corresponding status (whether confirmed) of the form content corresponding to each of the department ID, the staff member ID, the patient ID, the form ID group, and the form ID is received. Then, based on the received department ID, staff ID, and patient ID, the HIS 400 is inquired, and the department name, staff member name, patient ID, and patient name are displayed at the top of the form content confirmation screen 1200. As a method of receiving the confirmation form group ID, there is a method of receiving it as a URI parameter of the form content confirmation screen 1200.

The form name display control 1201 refers to the form content data group from the form content database 105 based on the form ID group received by the form content confirmation function 102, moves the form name group horizontally to the right, and They are displayed in the order of arrangement. Each of the form names displayed side by side is a button, and will be referred to as a form name button below for the sake of explanation. Note that, of the form name button group, the form name button arranged at the leftmost position, for which the corresponding form content has not been confirmed, is selected and highlighted. When a user such as a patient or an employee of a medical institution facility clicks the form name button (tap on a tablet PC or smartphone), the clicked form name button is selected, and the form name button that was previously selected is selected. Will be released. Further, when the form content corresponding to the form name button has been confirmed, a check mark is displayed next to the character string of the form name button, as shown in FIG. 12, to make it easy to understand that it has been confirmed. .. Further, depending on the screen resolution of the form content confirmation screen and the length of the form name group, the form name display control 1201 may not include the form name button group on the screen. However, in that case, by operating the form name display scroll controls 1202 and 1203, it is possible to scroll so that a desired form name button is displayed.

The form image display control 1204 displays the form image included in the form content data corresponding to the form name button selected in the form name display control 1201. A user such as a patient or an employee of a medical institution facility uses the form image display control 1204 to check the contents of the form contents. When the form image does not fit on the form content confirmation screen 1200, it is possible to scroll and display an area that is not displayed. When the form image is displayed at the bottom, the confirmation button 1205 is ready to be pressed. Therefore, when the user understands the contents of the form image (that is, the contents of the form content), the confirmation button 1205 is pressed. Then, as shown in FIG. 12, first, a check mark is displayed next to the character string of the selected form name button (“explanation material X” in FIG. 11), indicating that the contents of the form contents have been confirmed. It is displayed easily. Hereinafter, for the sake of explanation, the form content data corresponding to the form name button in the initial state in which no check mark is displayed is described as unconfirmed form content data. Further, the form content data corresponding to the form name button for which a check mark is displayed, that is, the form content data whose form image has been confirmed is described as confirmed form content data. Next, the selected form name button is deselected, and the form name button corresponding to the unconfirmed form content data is selected from the form name display control 1201. At the same time, the form image display control 1204 displays the form image included in the form content data corresponding to the form name button selected by the form name display control 1201. Therefore, the form image display control 1204 displays the form image. Will switch. That is, the form content to be confirmed is switched according to the depression of the confirmation button 1205. In addition, by recording the date and time at which the unconfirmed form content data is changed to the confirmed form content data in the form content correspondence status reference function 104, it is possible to refer to when the patient confirmed the contents of the form content even if it is not signed. And Specifically, the confirmation form group ID received by the form content confirmation function, and the form ID and confirmation button 1205 included in the selected unconfirmed form content data (which is immediately changed to the confirmed form content data). The date and time at the time of pressing is recorded in the form content correspondence status reference function 104. When all the form name buttons have check marks, that is, when there is no unconfirmed form content data, the form content confirmation screen 1200 transits to the signature screen 1300. Then, at that time, the confirmation form group ID received by the form content confirmation function 102 is transmitted from the form content selection function 102 to the form content confirmation function 103.

The signature screen 1300 shown in FIG. 13 is controlled by the signature function 103. In brief, the signature screen 1300 is related to the signer associated with the form confirmed on the form content confirmation screen 1200, that is, the patient, the legal representative, the patient's family, and the patient. This is a screen where a companion, a doctor who is a staff member of a medical institution facility, a technician, and the like perform a handwritten signature using the operation means provided in the operation terminal 300. It is preferable that the operation means is a pen-type device called a digitizer or a stylus because the operation is closer to the signature work performed on paper and the user is basically accustomed to it on a daily basis. Specifically, although the signature handwriting information is recorded on the signature screen 1300, if handwriting identification of the signature is required, the user can reproduce a similar handwriting for each signature, that is, reproducibility. Is high, it is easy to prove the signature of the user. Note that the signature function 103 needs to extract a group of signers that need to make a signature. Specifically, based on the form ID group received by the signature function 103, the form content database 105 is queried and obtained. A group of signers included in the generated form content data group is extracted. The signature screen 1300 prepares a signature screen for each unsigned signer so that all signers in the signer group are covered. The signature function 103 can determine whether the signature is completed by inquiring the confirmation form group ID received by the signature function 103 to the form content correspondence status reference function 104. If there is no signer who needs to sign, or as a result of inquiring the confirmation form group ID received by the signature function 103 to the form content correspondence status reference function 104, all the signing procedures for the form that requires signature are performed. If it has been completed, the signature screen 1300 displays that no signature is required, and the signature procedure ends.

As the signature screen 1300, a screen is prepared for each signer who needs the above-mentioned signature, and when a signature is completed on the screen of a certain signer, the screen transitions to the screen of the next signer, and so on. I do. For example, in the case where the signer is a doctor who is a staff member of a medical institution facility, as shown in FIG. 13, the signature information display 1301 displays “the doctor's signature screen in charge” and “explained contents are checked. Please sign in the box below.” When the doctor's signature is completed and the next signer is a technician, as shown in FIG. Will be switched to the "Engineer's signature screen". On the other hand, if the signer is not a staff member of a medical institution facility, such as a patient, a patient's family, a patient's companion, etc., the expression changes. The message "Signature screen" and the message "Please check the contents of your confirmation and consent and sign in the box below" are displayed (see Fig. 16). Further, a signature screen 1300 as shown in FIG. 18 may be used. The signature screen 1300 is continuously switched as shown in FIGS. 13, 15, 16 and 18, for example, every time the signature is completed.

The signature screen 1300 inquires the confirmation form group ID received by the signature function 103 when the signature screen 1300 is displayed to the form content correspondence status reference function 104, in charge of department ID, staff ID, patient ID, form ID group, The correspondence status (whether or not the signer has already signed) of each form content corresponding to the form ID is received. Then, based on the received department ID, staff ID, and patient ID, the HIS is inquired, and the department name, staff member name, patient ID, and patient name are displayed at the top of the signature screen 1300. As a method of receiving the confirmation form group ID, there is a method of receiving it as a parameter of the URI of the signature screen 1300.

The form content list display 1302 includes a form name group included in the form content data group inquired of the form content database 105 based on the form ID group received by the signature function 103, and a check box for each form name. It is listed. As shown in FIG. 14 and FIG. 17, the signer indicates the intention to sign the form content data corresponding to each check box by checking the check box group. If there is a check box that is not checked, it indicates that the signer did not explain or was not sufficiently explained if the signer was a staff member of the medical institution facility for the corresponding form content data, If it is a patient, a legal representative, etc., it indicates that it has not confirmed, is not satisfied, or does not agree. Note that the check boxes in the initial state are unchecked, and are returned to the initial state each time the signer changes.

The form content reconfirmation button 1303 is a button for confirming the form content again. When pressed, the form content confirmation screen 1200 is returned to. Specifically, the screen transitions to the form content confirmation screen 1200, and the confirmation form group ID is transmitted from the signature function 103 to the form content confirmation function 102.

The signature field control 1304 is an area for making a handwritten signature by the operation means provided in the operation terminal 300. As shown in FIGS. 14 and 17, the signer uses the finger or a pen-type device or the like to the signature field control 1304 to sign by handwriting. The signature field control 1304 in the initial state is an empty state in which nothing is written, and returns to the initial state each time the signer changes.

The button 1305 for returning to the signature of one person is a button for canceling the signing work of the current signer and redoing the signing work of the immediately preceding signer when the signature completion button 1307 is pressed by mistake. .. That is, the signature screen returns to the signature screen of the immediately previous signer. In the case of the first signer, the button 1305 for returning to the signature for one person cannot be pressed.

The rewrite button 1306 is a button to be pressed when the handwriting work in the signature field control 1304 has failed, and to return the signature field control 1304 to the initial state (empty state).

The signature completion button 1307 is a button to be pressed when the handwriting work in the signature field control 1304 is completed and to transit to the signature screen of the next signer. If there is no next signer, the signing function ends. When the signature completion button 1307 is pressed, the signature function 103 causes the signature content button 103 to display the date and time when the signature completion button 1307 was pressed and the form content data corresponding to the check box group checked in the form content list display 1302. The form ID group of the group, the signer, the signature image data, and the handwriting information are recorded in the form content correspondence status reference function 104.

As described above, since the form content correspondence status reference function 104 records the related form ID group together with the confirmation form group ID, when the signature completion button 1307 is pressed for any confirmation form group ID. By the recording operation of, it is possible to know that the signatures of all the signers have been completed. Then, when the signatures of all the signers are completed, the form content correspondence status reference function 104 includes the form IDs from the content database in the form content data based on each form ID of the form ID group related to the completed confirmation form group ID. The signature embedded information is obtained. If it is recorded in the signature embedding information that the date of signing or signing a form, the signer's ID, the signer's address, etc. need to be embedded, the pixel coordinates included in the signature embedding information are recorded. Based on the above, the enlarged or reduced signature image data, the signed date, the signer's ID, the signer's address, etc. are embedded in the copy of the form image included in the form content data. Then, it is stored as a signed form image in the form content correspondence status reference function 104. In addition, depending on the operation of the medical institution, when the signatures of all the signers are completed, the stored signed form image group may be linked to the corresponding patient ID and transmitted to the HIS. This allows the HIS to refer to the signed form image.

The form content support status reference screen 1400 shown in FIG. 19 is controlled by the form content support status reference function 104. A list of correspondence statuses such as whether or not the form content group selected on the form content selection screen 1100 is explained or confirmed on the form content confirmation screen 1200 and whether or not a signature is made on the signature screen 1300 is listed. Is a screen for. The WEB browser function 301 that displays the signature screen 1300 corresponds to an example of a unit that displays information indicating the completion status of the signature on the form for each patient. Even if the operation terminal 300 is disconnected from the network or the operation of the WEB browser function 301 is interrupted in the procedure of the form content confirmation screen 1200 or the signature screen 1300, the procedure is performed from the form content correspondence status reference screen 1400. It can be restarted.

In the center of the form content correspondence status reference screen 1400, a correspondence status list control 1406 is arranged like a table, and the top row represents names (that is, headers) for the values of the second row and below. For the two-line names and below, each line represents a value group (that is, a record) corresponding to an arbitrary confirmation form group ID. To be more specific, in the second line of the correspondence status list control 1406 in FIG. 19, the first column from the left is a radio button for selecting a record (row). The radio button is used to select an arbitrary record, but since it is a radio button, multiple record groups cannot be selected at the same time. The second column is the generation date and time when the confirmation form group ID is generated, and the value indicates 10:10 on March 10, 2016. The third column is the name of the department in charge, and the value indicates the radiology department. The fourth column is the staff in charge, and the value shows Taro Shimomaruko. The fifth column is the patient ID, and the value shows 1415926535. The sixth column shows the patient name, Kiyoshi Sato. The value of the patient name is the value obtained by inquiring from HIS based on the patient ID. The seventh column shows the correspondence status with respect to the form content data group corresponding to the form ID group, which is associated with the confirmation form group ID. When the definition of the correspondence status is “unconfirmed”, the form content selection procedure on the form content selection screen 1100 has been completed, but in the confirmation procedure on the form content confirmation screen 1200, one form content confirmation procedure has also been completed. That is, that is, the confirmation button has never been pressed. In the case of “partial confirmation”, it is indicated that in the confirmation procedure on the form content confirmation screen 1200, one or more confirmation procedures for the form content have been completed, but not all. In the case of “confirmation completion”, it indicates that the confirmation procedure of the form content confirmation screen 1200 for all the form content data groups has been completed, but no signature procedure has been completed on the signature screen 1300.

In the case of “partial signature”, the confirmation procedure for the form content confirmation screen 1200 for all the form content data groups has been completed, but the signature procedure for the signature screen 1300 has completed one or more, but all Indicates that it is not complete. In the case of “signature completed”, it indicates that the confirmation procedure on the form content confirmation screen 1200 for all the form content data groups is completed, and the signature procedure on the signature screen 1300 is completed. Note that the header group in the first row of the correspondence status list control 1406 is sorted when the user of the medical institution facility, who is the user, clicks (tap if it is a tablet PC or smartphone) using the operation means of the operation terminal 300. You can set the order. For example, each time the generation date and time is clicked, the records in the second and subsequent rows are sorted in the date and time order of the generation date and time while switching between ascending and descending order. The sort order display 1407 is displayed in the clicked header and indicates whether the current sort order is ascending order or descending order. In addition, depending on the policy of the medical institution, the record group displayed in the correspondence status list control 1406 may be hidden by considering that the generation date and time is old and the correspondence status is unconfirmed as a creation error or useless record. You may do it. Further, when the form content support status reference function 104 receives the patient ID when the form content support status reference screen 1400 is opened, only records corresponding to the confirmation form group ID including the corresponding patient ID. By displaying, it is preferable that a desired record be easily searched. As a method of receiving the patient ID, there is a method of receiving it as a URI parameter of the form content correspondence status reference screen 1400.

When the display all button 1401 is pressed, the value group (record) corresponding to all the confirmation form group IDs recorded in the form content status reference function can be confirmed. However, if it becomes a burden to search for a desired record, such as when the number is too large, the maximum number that can be displayed may be limited according to the policy of the medical institution facility, or the one with the old generation date/time may be excluded. It may be displayed.

The condition display button 1402 is a button that can perform narrowing-down display after selecting a narrowing-down condition from the condition selection button 1403. Specifically, when the condition selection button 1403 is pressed, "display unconfirmed", "display partial confirmation", "display confirmation complete", "display partial signature", "display signature complete", "signature" A drop-down list that allows you to select one of "Display incomplete" is displayed. Select the desired condition and press the condition display button 1402 on it to confirm that there is a corresponding status corresponding to the selected condition. A value group (record) corresponding to the form group ID is displayed on the correspondence status list control 1406. In other words, if “Display unconfirmed” is selected by the condition selection button 1403, only records whose corresponding status is “unconfirmed” are displayed in the corresponding status list control 1406, and “Display partial confirmation” is selected. If so, only the records whose corresponding status is “partially confirmed” are displayed in the corresponding status list control 1406. In addition, “display confirmation complete”, “display partial signature”, “sign complete” The same operation is performed in "display". When “Display signature incomplete” is selected, all records whose correspondence status is not “signature completed” are displayed in the correspondence status list control 1406.

The restart button 1404 is a button for restarting the procedure of the record selected by the radio button provided for each record of the correspondence status list control 1406. Specifically, if the correspondence status of a record is “unconfirmed” or “partially confirmed”, the confirmation form group ID corresponding to the selected record is transmitted to the form content confirmation function 102, and the screen is displayed. The form content confirmation screen 1200 is displayed. If “confirmation completed” or “partial signature”, the confirmation form group ID corresponding to the selected record is transmitted to the signature function 103, and the screen is changed to the signature screen 1300. If "signature completed", the confirmation form group ID corresponding to the selected record is transmitted to the signature result confirmation function, and the screen is changed to the signature result confirmation screen 1600. Note that the operation of the restart button 1404 may be performed by clicking a button other than the radio button part of the desired record of the correspondence status list control 1406 without selecting the radio button.

The delete button 1405 is a button for hiding the record selected by the radio button installed in each record of the correspondence status list control 1406, and a confirmation form group ID generated by mistake or a desired record because it is old. It is used to delete the confirmation form group ID that is an obstacle to searching. The records hidden here will not be displayed thereafter even if the display button 1401 or the condition display button 1402 is pressed on the form content correspondence status reference screen. Depending on the policy of the medical institution facility, the delete button 1405 may be hidden and disabled.

The form content correspondence status reference function 104, when an inspection order is issued from the ordering system, information on the inspection order from the RIS or HIS (department in charge, staff in charge, patient ID, patient name, order creation date, etc.). May be acquired, and an entry as shown in FIG. 19 indicating a patient who should sign the form may be generated. The form content correspondence status reference function 104 may make the “correspondence status” unconfirmed at the stage of creating an entry, and update the latest information each time a signature is made. For example, the form content support status reference function 104 detects the input of a signature and updates the “support status” of the entry. That is, the form content support status reference function 104 updates the information indicating the signature completion status in response to the execution of a signature on the form. The form content support status reference function 104 periodically checks the RIS for new inspection orders. May be performed and an entry as shown in FIG. 19 may be created when there is a new inspection order. That is, the form content correspondence status reference function 104 generates information indicating the completion status of the signature on the form based on the inspection order, and transitions to the screen of FIG. 4 by clicking (or tapping) the generated entry. May be By creating the information as shown in FIG. 19, the system according to the present embodiment can appropriately manage the status such as the presence/absence of completion of signature on the form.

The signature result confirmation screen 1600 shown in FIG. 20 is controlled by the signature result confirmation function 106, and in brief, refers to or prints a signed form image recorded in the form content correspondence status reference function 104. Is a screen for.

The signature result confirmation screen 1600 queries the form content correspondence status reference function 104 for the confirmation form group ID received by the signature result confirmation function 106 when the signature result confirmation screen 1600 is displayed, and is in charge of the department ID, the staff member ID, and the patient. The ID and the form ID group are received. Then, the HIS is inquired based on the received department ID, staff ID, and patient ID, and the department name, staff name, patient ID, and patient name are displayed at the top of the form content correspondence status reference screen 1600. As a method of receiving the confirmation form group ID, there is a method of receiving it as a URI parameter of the signature result confirmation screen 1600.

The form name display control 1601 refers to the form content data group from the form content database 105 based on the form ID group received by the signature result confirmation function 106, moves the form name group horizontally to the right, and They are displayed in the order of arrangement. Each of the form names displayed side by side is a button, and will be referred to as a form name button below for the sake of explanation. It should be noted that, of the form name button group, the leftmost form name button is selected and highlighted. When a user such as a patient or an employee of a medical institution facility clicks the form name button (tap on a tablet PC or smartphone), the clicked form name button is selected, and the form name button that was previously selected is selected. Will be released. Further, the form name display control 1601 may not include the form name button group on the screen depending on the screen resolution of the form content correspondence status reference screen and the length of the form name group. In such a case, the form name display scroll control is performed. By operating 1602 and 1603, it is possible to scroll so that a desired form name button is displayed.

The signed form image display control 1604 displays the signed form image recorded in the form content correspondence status reference function corresponding to the form ID corresponding to the form name button selected in the form name display control 1601. A user such as a patient or an employee of a medical institution facility can check the signed form image using the form image display control 1604. When the signed form image does not fit on the signature result confirmation screen 1600, it is possible to scroll and display an area that is not displayed.

The print button 1605 is a button for printing a signed form image group recorded in the form content correspondence status reference function corresponding to the form ID group using a printer connected to the network 200 or the operation terminal 300. When pressed, the print data of the signature form image group is transmitted to the printer, and the signed form image group is printed on paper. By this procedure, for example, the patient can sign a certain consent form, hand over the printed signed form image as evidence that the consent item is agreed, and prompt storage.
The completion button 1606 is a button for ending the reference of the signed form image by the signature result confirmation function, and when the completion button 1606 is pressed, the WEB browser function 301 of the operation terminal 300 displaying the signature confirmation screen 1600 is terminated. To do.

The signature completion date/time display 1607 displays the date/time when the signatures of all necessary signers have been completed for a certain form content.

Hereinafter, a general flow of using the image diagnosis support system according to the first embodiment will be described. Note that FIG. 3 is a flowchart for explaining the image diagnosis support system according to the first embodiment.

In step S 101, the staff member of the medical institution opens the form content selection screen 1100 using the WEB browser function 301 provided in the operation terminal 300. Specifically, the WEB browser function 301 may be used to open by specifying the URI of the form content selection screen 1100, or by pressing the button for opening the form content selection screen 1100 installed on the HIS operation screen, the WEB The browser function 301 may be opened. However, in any opening method, it is necessary to transmit the department ID in charge, the staff ID in charge, and the patient ID as parameters to the form content selection function 101. When opened from the HIS, in many cases, the staff ID is used to log in to the HIS to open the operation screen of the target patient. By using the department ID associated with the staff ID as the department ID, using the staff ID as the staff ID, and using the patient ID of the target patient as the patient ID, the parameter group can be easily attached. A URI can be generated to open the form content selection screen 1100. Therefore, the parameter group can be transmitted to the form content selection function 101, which is preferable. Since the department ID in charge of the parameter group, the staff ID in charge, and the patient ID are all information that can be easily known by a staff member of a medical institution facility, the staff member himself derives the URI with the parameter group and uses the WEB browser. It is possible to open the function 301.

In step S102, the form content selection screen 1100 is operated to select the form content necessary for the target patient by the staff member of the medical institution facility, and the confirmation start button 1109 is pressed.

In step S103, the form content confirmation screen 1200 is operated, and the staff member of the medical institution facility explains the form content group to the target patient and confirms the contents. Alternatively, the patient himself operates the WEB browser function 301 to check the contents. At this time, it is preferable that the operation terminal 300 is a tablet PC because the screen size and the weight are easy to confirm. Although it is considered that the confirmation of the form content displayed on the form content confirmation screen 1200 is completed by pressing the confirmation button 1205, the process cannot proceed to step S104 until the confirmation of all the form contents is completed.

In step S104, the signature screen 1300 is operated to allow the signer set in the form content selected in step S102 to handwrite the signature. At this time, if the operation terminal 300 is provided with a pen-type device called a digitizer or a stylus as an operation means, the signer can perform signature work by a method that is normally used, which is preferable. When the signature work for all the form contents selected in step S102 is completed, the signature function 103 records the signature image data in the form content correspondence status reference function 104, and step S105 is executed.

In step S105, the form content support status reference function 104 embeds the signature image data recorded in the form content support status reference function 104 in the corresponding form image and saves it as a signed form image. The signature image data that needs to be embedded in the form image differs for each form. For example, depending on the form, the signature image data of the patient and the signature image data of the doctor may be embedded. It should be noted that if the patient makes a signature once in step S104, the signature of the patient will be embedded in a plurality of forms included in the group based on the signature embedding information, and the patient will have to sign each of the plurality of forms. Will be reduced. When the signed form image is saved, step S106 is executed.

In step S106, the form content correspondence status reference function 104 may send the signed form image stored in step S105 to the HIS. When transmitted, the staff member of the medical institution facility can refer to the signed form image from the operation screen of the HIS.

In step S107, the staff member of the medical institution facility confirms the form content support status by operating the form content support status reference screen 1400. Specifically, before the inspection, it is necessary to confirm whether all the necessary consent items have been agreed. Further, by operating the form content correspondence status reference screen 1400 to display the signature result confirmation screen 1600, the signed form image saved in step S105 can be referred to, or can be printed for patient storage. You can also hand it over.

One of the effects of the medical form processing system according to this embodiment will be given. Conventionally, for example, when performing an inspection, the staff of the medical institution had to grasp the form content group required for each type of inspection, but according to the medical form processing system according to the present embodiment, Using the preset selection control 1104, it is possible to automatically select a required form content group. Therefore, since it is not necessary to grasp the above, it is easy.

Further, one of the effects of the medical form processing system according to the present embodiment will be given. Conventionally, it was necessary to search and confirm the contents of the explanation materials, whether the consent contents were agreed, and the saved explanation materials and consent forms before conducting medical treatment. However, according to the medical form processing system according to the present embodiment, the confirmation status of the explanation material and the consent status of the consent item can be easily confirmed on the operation terminal, so that the labor is reduced.

Further, one of the effects of the medical form processing system according to this embodiment will be given. Conventionally, in order to let the patient understand by using the form content group for explaining to the patient, or in order for the patient to understand it by himself, the form content is printed or the already printed form content is copied. There was a need. However, according to the medical form processing system according to the present embodiment, since the form contents can be displayed on the operation terminal, there is no need for the printing or copying, and the economical cost of consuming the paper and storing the paper. It is economical and eco-friendly because it can reduce the spatial cost to do so.

Further, one of the effects of the medical form processing system according to the present embodiment will be given. Conventionally, when signatures are required for medical forms, signers such as patients and doctors need to sign all medical forms that need to be signed by all required signers as many as the above-mentioned medical forms. It was very troublesome. However, according to the medical form processing system according to the present embodiment, once the signer who needs the signature signs, the signature is embedded in all the necessary medical forms. In addition, since the date of signing, the signer's ID, and the signer's address are embedded without handwriting, the labor is reduced.

As described above, according to the medical form processing system according to the present embodiment, it is possible to reduce the trouble of selecting the form contents and signing the medical forms necessary for performing medical actions such as examination, surgery, and hospitalization. As a result, a suitable medical form processing system can be provided.

Second Embodiment for Carrying Out the Invention
The terms in this embodiment are the same as those described in the first embodiment.

Since the medical form processing system according to the second embodiment is the same as the medical form processing system according to the first embodiment except for a part thereof, a diagram relating to the medical form processing system according to the first embodiment and The characteristic points will be extracted and described by diverting the reference numerals.

The medical form processing system according to the second embodiment will be described below. 21. FIG. 21 is a block diagram for explaining an example of the configuration of the image diagnosis support system according to the second embodiment. Moreover, each functional block may be integrally configured to have each function. Further, each functional block may be configured by a separate server, and each may be communicably connected. The medical form processing system 100 provides one or more operation terminals 200 connected to the medical form processing system 100 via the network 200 with a screen for operating the functions of the medical form processing system 100. Specifically, the WEB server function 107 provides a screen, and the WEB browser function 301 performs display and operation.

The medical form processing system 100 according to the second embodiment makes it possible to easily perform a form content selection operation on the form content selection screen 1100 by applying an order issued from the ordering system included in the HIS 400. Is.

One of the differences between the second embodiment and the first embodiment is that in the first embodiment, after the form content data group is selected on the form content selection screen 1100, the confirmation start button 1109 is pressed. The form content correspondence status reference function 104 newly generates the confirmation form group ID by a series of procedures from. However, in the second embodiment, when the medical institution makes a reservation for the examination, the order sent by the HIS (the ordering system is described as included in the HIS400) toward the RIS 500 is referred to the form content correspondence status. The function 104 is also received. Then, the department in charge, the staff member ID, and the patient ID related to the reservation included in the order are specified, and a new confirmation form group ID is generated. Then, the form content correspondence status reference function 104 associates the confirmation form group ID with the department ID in charge, the staff member ID, the patient ID, the form ID group (empty at this point), and the confirmation form group. A new record is created that records the date and time when the ID was generated, the confirmation status and signature status for the form content data corresponding to each form ID, and the corresponding type information, and records it in the form content correspondence status reference function 104. As the correspondence type information, specifically, information such as “CT inspection” and “MRI inspection” that can specify the order type name of the reservation is recorded.

Hereinafter, controls such as screens and buttons which are user interfaces (UIs) necessary for the description of the second embodiment will be described.

In the second embodiment, the form content support status reference screen 1400 shown in FIG. 19 in the first embodiment is replaced with the form content support status reference screen 1500 shown in FIG.

The form content support status reference screen 1500 shown in FIG. 23 is almost the same as the form content support status reference screen 1400 in the first embodiment, but an operation related to the support type information and a support status definition are added. Specifically, the operations of the display all button 1501, the restart button 1504, the delete button 1505 buttons, the operation when the header of the correspondence status list control 1506 is clicked, and the sort order display of the second embodiment shown in FIG. 23. The operation of 1507 is the operation of the display all button 1401 and the delete button 1405, the operation when the header of the correspondence status list control 1406 is clicked, and the operation of the sort order display 1407 of the first embodiment shown in FIG. 19, respectively. Is the same as. In addition, in the center of the form content correspondence status reference screen 1500, a correspondence status list control 1506 is arranged like a table. In the second embodiment, the fifth column from the left is newly inserted as compared with the first embodiment. The corresponding type information is displayed. In addition, “unselected” is added to the definition of the correspondence status. “Unselected” indicates that the form content data is selected and the confirmation start button 1109 is not pressed on the form content selection screen 1100. That is, as described above, the confirmation form group ID is generated when the form content correspondence status reference function 104 receives the order information or the information regarding the inspection type included in the order. Therefore, before the form content data is selected by operating the form content selection screen 1100, a record exists in the corresponding situation list control 1506, and the record of which the corresponding situation is “unselected”. Further, in the condition selection button 1503 arranged in the condition display button 1502 in the second embodiment, in addition to the condition group that can be selected by the condition selection button 1403 arranged in the condition display button 1402 in the first embodiment, “ "Display unselected" can be selected. When “Display unselected” is selected and the condition display button 1502 is pressed, only records whose corresponding status is “unselected” are displayed in the corresponding status list control 1506. Further, in the restart button 1504 in the second embodiment, in addition to the operation of the restart button 1404 in the first embodiment, when the correspondence status of a record is “unselected”, the form content selection function 101 is displayed. The confirmation form group ID corresponding to the selected record is transmitted, and the screen is changed to the form content selection confirmation screen 1100.

The form content selection screen 1100 includes, in addition to the department ID in charge, the staff ID in charge, the patient ID, which is received in the first embodiment by the form content selection function 101 when the form content selection screen 1100 is displayed, correspondence type information. Can be received. Alternatively, only the confirmation form group ID is received. When only the confirmation form group ID is received, an inquiry is made to the form content correspondence status reference function 104 based on the confirmation form group ID, and as a result, the department ID in charge, the staff member ID, the patient ID, and the correspondence type information are received. .. In the second embodiment, the operation of selecting the thumbnail image 1107, which is performed in the first embodiment, can be omitted by using the correspondence type information. Specifically, the form content selection screen 1100 is displayed with the group of thumbnail images 1107 corresponding to the form content data set in advance being automatically selected according to the correspondence type information. That is, a procedure similar to the operation when the button arranged in the preset selection control 1104 is pressed is executed when the form content selection screen 1100 is opened. For example, when the correspondence type information is “CT examination”, the form content data group corresponding to the “explanatory material X” and the “consent form X” that are always used during the CT examination in the normal operation of a medical institution facility. Is automatically selected, and the form content selection screen 1100 is displayed with the thumbnail image 1110 corresponding to the form control 1108 added. Similarly, for other examination types such as “MRI examination”, the form content data group preset in the medical institution facility is automatically selected, and the thumbnail image 1110 corresponding to the form control 1108 is added. A form content selection screen 1100 is displayed. If there is an excess or deficiency in the automatically selected form content data group, the desired form content data may be manually selected or deleted. The form content data group that is automatically selected by the corresponding type information as described above is predetermined by the medical institution facility and recorded in the form content selection function. Further, similarly to the first embodiment, when the explanation material and the consent form have been selected, the confirmation start button 1109 is finally pressed. As a result, the department ID and staff ID, patient ID, form ID group of the selected form content data group, and confirmation form group ID are transmitted from the form content selection function 101 to the form content correspondence status reference function 104. The correspondence status reference function 104 updates the record associated with the same confirmation form group ID as the received confirmation form group ID, which is already recorded by the correspondence status reference function 104. In particular, the correspondence status of the record is updated from "unselected" to "unconfirmed". Then, the screen transitions from the form content selection screen 1100 to the form content confirmation screen 1200, and at the same time, the confirmation form group ID is transmitted from the form content selection function 101 to the form content confirmation function 102. In addition, in the series of procedures for transmitting the confirmation form group ID from the form content selection function 101 to the form content confirmation function 102 after pressing the confirmation start button 1109, the form content correspondence status reference function 104 selects the form content. When the same confirmation form group ID as the confirmation form group ID received from the function 101 is not recorded in the form content correspondence status reference function 104, the confirmation start button 1109 described in the first embodiment is pressed. Then, a series of procedures for transmitting the confirmation form group ID from the form content selection function 101 to the form content confirmation function 102 is executed instead. This situation occurs when the form content selection screen 1100 described in the first embodiment is opened, or when the form content selection screen 1100 is opened without the form content selection function 101 receiving the confirmation form group ID. To do.

Hereinafter, a general flow of using the image diagnosis support system according to the second embodiment will be described. 22. FIG. 22 is a flow chart for explaining the image diagnosis support system according to the second embodiment.

In step S201, the staff of the medical institution uses the HIS to send an order to the RIS and the form content correspondence status reference function 104 when making an examination reservation for a patient. Alternatively, the HIS may send the order only to the RIS, and the RIS may send a copy of the order to the form content correspondence status reference function 104. Alternatively, the HIS sends the order only to the RIS, and the form content support status reference function 104 periodically reads the order information recorded in the HIS or RIS, so that the form content support status reference function 104 relates to the order. You may get information. When the form content support status reference function 104 receives the order information, a new record whose support status is “unselected” is added to the support status list control 1506 of the form content support status reference screen 1500.

In step S202, the staff member of the medical institution facility opens the form content correspondence status reference screen 1500 with the WEB browser function 301 provided in the operation terminal 300, and selects the new record added in step S201 in the correspondence status list control 1506. Then, the resume button 1504 is pressed to open the form content selection screen 1100. Alternatively, similar to the method shown in step S101 in the first embodiment, the WEB browser function 301 may be used to open by specifying the URI of the form content selection screen 1100, or it may be installed on the operation screen of the HIS. The web browser function 301 may be opened by pressing the button for opening the form content selection screen 1100. However, when the form content selection screen 1100 is opened in the same manner as the method shown in step S101 in the first embodiment, in step S203, the form content required for the inspection type specified in the order is automatically obtained. Not selected for.

Step S203 is the same as step S102 in the first embodiment, but when the form content selection screen 1100 is opened using the correspondence status list control 1506 in step S202, the inspection specified in the above order The form contents required for the seed are automatically selected and opened.

Step S204 is the same as step S103 in the first embodiment. Step S205 is the same as step S104 in the first embodiment. Step S206 is the same as step S105 in the first embodiment. Step S207 is the same as step S106 in the first embodiment. Step S208 is the same as step S107 in the first embodiment. Note that, in the second embodiment, the form content correspondence status reference function 104 may suppress the execution of the inspection managed by the RIS. Specifically, if the correspondence status associated with each confirmation form group ID recorded in the form content correspondence status reference function 104 is not "signature completed", it means that the patient has not consented to the examination. As shown, the staff of the medical institution will judge that the test cannot be performed, but if you try to carry out the test in this state, that is, if you try to change the status of the test managed by RIS to "execution", The RIS may inquire the form content correspondence status reference function 104 via the network about the correspondence status, and if the “signature is not completed”, the RIS may decide to cancel the status change. That is, the form content correspondence status reference function 104 corresponds to an example of a unit that controls the execution of the inspection in accordance with the completion status of the signature. Alternatively, an alert may be displayed to the effect that consent has not been obtained.

As the effect of the medical form processing system according to this embodiment, in addition to the effect of the first embodiment, by utilizing the information included in the order issued by HIS, it is possible to select the form content with less effort. It is mentioned that.

As described above, according to the medical form processing system according to the present embodiment, it is possible to reduce the trouble of selecting the form contents and signing the medical forms necessary for performing medical actions such as examination, surgery, and hospitalization. As a result, a suitable medical form processing system can be provided.

[Third Embodiment for Carrying Out the Invention]
The terms necessary for the explanation include those described below in addition to those described in the first embodiment for carrying out the invention.

HTML (Hyper Text Markup Language) is a descriptive language mainly for defining objects to be displayed on a WEB browser, and not only displaying character strings and images (still images and moving images), but also objects. It is possible to set the color, size, and animation of the object, and to dynamically determine the behavior of the object by using Java (registered trademark) Script which is a programming language operable on the WEB browser together.

The DOM (Document Object Model) is a model representing the configuration of an object defined by a description language such as HTML. If the WEB page does not include a mechanism for changing the DOM, the state of the WEB page can be restored later by saving the DOM at a certain point. For example, in a certain WEB page, if a DOM in which a text box or a check box is input or changed is saved, the state of the WEB page can be restored from the DOM later. There are other methods to restore the contents of a WEB page without using DOM. For example, input or change in a text box or check box is output to some file or recorded in a database. This can be carried out by embedding a program such as Java (registered trademark) script for inputting information from the file or the database at the time of restoration later in the WEB page. In the present invention, the information and mechanism for restoring the state of the WEB page is called WEB page restoring means.

The medical form processing system according to the third embodiment is the same as the medical form processing system according to the second embodiment except for a part thereof, and thus the first embodiment is performed in the same manner as the description of the second embodiment. The characteristic points will be extracted and described by diverting the drawings and symbols related to the medical form processing system according to the embodiment.

The medical form processing system according to the third embodiment will be described below. The configuration of the image diagnosis support system according to the third embodiment is the same as the configuration of the image diagnosis support system according to the second embodiment.

Briefly describing the medical form processing system 100 according to the third embodiment, the type of form content that can be handled by the second embodiment for carrying out the invention is only form images, but in the third embodiment, The medical form processing system 100 makes it possible to use not only the scanned image of the paper form but also the inquiry contents and the explanatory material of the moving image which can be dynamically branched to the external WEB site by making the object described in HTML available. It is a medical form processing system that can handle links and so on.

One of the differences between the medical form processing system 100 according to the third embodiment and the medical form processing system 100 according to the second embodiment is described in HTML in the form content database 105 according to the third embodiment. The recorded objects are recorded. Specifically, in the form content database 105 according to the second embodiment, a “form object” is recorded instead of the “form image” forming the form content data. As for the "thumbnail image", a reduced image corresponding to the state of the screen when the "form object" is displayed on the WEB browser is recorded. Furthermore, “form object data”, which is a data group such as a still image, a moving image, and a style sheet for the “form object” to refer to, is also added as a component of the form content data.

The file format of the data group recorded in the “form object data” is not particularly limited. Due to the above-mentioned difference, when there is a “form image” in the description of the third embodiment below, the “form object” or the corresponding WEB page restoration means is actually the form content correspondence status reference function 104. If it is recorded in, it means the “form object” to which the WEB page restoring means is applied. In order to reproduce the “form image” in the second embodiment using the “form object”, the “form image” in the second embodiment, which is a still image, is recorded in the “form object data”, The “form object” can be substituted by using the img tag defined in HTML and setting the file path to the “form object data” in the src attribute of the img tag. In order to handle moving images with "form object", a desired moving image is recorded in "form object data", and the "form object data" can be specified by the video tag defined in HTML to reproduce the moving image. You can use various "form objects". In addition, by setting options related to the input tag defined in HTML, it is possible to set a "form object" that uses a text input area, radio buttons, check boxes, etc., or canvas tags and Java ( You can set a "form object" that can be handwritten or written in a schema image using registered trademark (script), further combine the above tag groups, and set the size and color using the style definition. Since it is also possible to set a different “form object”, the third embodiment is not only more expressive when confirming and explaining consent items, but also in terms of conditions, as compared to the second embodiment. The range of applications is increasing, such as the ability to ask questions. Further, since the “form object” is described in HTML, unlike the “form image” in the second embodiment, it can be easily modified. Due to the above difference, the correspondence type information in the second embodiment handles only the examination names such as “CT examination” and “MRI examination”, but as shown in the correspondence situation list control 1506 in FIG. Orders such as "hospitalization" and "interview" can also be handled.

The controls such as screens and buttons, which are the user interface (UI) required for the description of the third embodiment, are almost the same as those of the second embodiment, and the characteristic points will be extracted and described.

A user such as a patient or an employee of a medical institution facility uses the form image display control 1204 to check the contents of the form contents. In the second embodiment, the “form image” is displayed on the form image display control 1204, but in the third embodiment, the “form object” is interpreted and displayed as an HTML description language. When the form object does not fit on the form content confirmation screen 1200, it is possible to scroll and display an area that is not displayed. When the form object is displayed at the bottom, the confirmation button 1205 is ready to be pressed. Therefore, when the user understands the contents of the form object (that is, the contents of the form content) or responds to the inquiry such as responding to the form object, the confirmation button 1205 is pressed.

By pressing the confirmation button 1205 and recording the date and time at which the unconfirmed form content data is changed to the confirmed form content data and the WEB page restoring means of the form object in the form content correspondence status reference function 104, even if it is not signed yet. , It becomes possible to refer to when the patient responded to the contents of the form contents. Further, when the confirmation of the form contents is restarted from the middle, the state can be restored by using the WEB page restoring means. Specifically, the confirmation form group ID received by the form content confirmation function, and the form ID and confirmation button 1205 included in the selected unconfirmed form content data (which is immediately changed to the confirmed form content data). The date and time at the time of pressing and the WEB page restoring means are recorded in the form content correspondence status reference function 104.

When all the form name buttons have check marks, that is, when there is no unconfirmed form content data, the form content confirmation screen 1200 transits to the signature screen 1300. At that time, the form content confirmation function 102 A corresponding WEB page restoring means is applied to each form object to restore the correspondence of the user's form contents to the WEB page. It is recorded in the form content correspondence status reference function 104 as an image. The corresponding recorded image is recorded for a HIS or the like which cannot interpret the form object. For example, when it is desired to electronically store the result of filling in a paper questionnaire, the completed questionnaire is optically recorded. Scan with a scanner. After that, the scan image as the scan result was recorded in the HIS, but the HIS does not usually have a function of recording the DOM, for example. The correspondence record image is generated and recorded in the form content correspondence status reference function 104. As a result, it is possible to provide the user's response result to the form content for HIS or the like. In the third embodiment, in step S207 shown in FIG. 22, the corresponding recorded image is sent to the HIS after being embedded if signature image data needs to be embedded.

The flow of general use of the image diagnosis support system according to the third embodiment is similar to that of the second embodiment.

The medical form processing system according to the present embodiment has the following effects in addition to the effects of the second embodiment.

One of the effects of the medical form processing system according to this embodiment will be given. As form contents, not only still images but also HTML-definable objects such as character strings, moving images, hyperlinks, check boxes, text input areas, and handwriting areas can be used. Therefore, as compared with the case of using a paper form as in the past, the expressiveness is high and the application range is wide, not only for confirming consent items and explanation materials, but also for taking an inquiry.

Further, as one of the effects of the medical form processing system according to the present embodiment, since the object described in HTML is used as the form content, the user can easily modify the form content. It is possible to reduce the trouble of correcting and reprinting the paper form as in the conventional case.

As described above, according to the medical form processing system according to the present embodiment, it is possible to reduce the trouble of selecting the form contents and signing the medical forms necessary for performing medical actions such as examination, surgery, and hospitalization. As a result, a suitable medical form processing system can be provided.

10 Medical Form Processing System 11 Form Content Selection Unit 12 Form Content Confirmation Unit 13 Signature Unit 14 Form Content Correspondence Reference Unit 15 Form Content Storage Unit

Claims (6)

A medical form management system that manages forms necessary for performing medical procedures,
Display control means for displaying a plurality of form names corresponding to a plurality of forms related to the patient on the display device;
Selecting means for selecting a specific form name from a plurality of form names displayed on the display device;
When a signature is applied to the specific form name selected by the selecting unit, a signature unit that associates signature information with a form corresponding to the specific form name is provided,
The medical form management system , wherein the display control means updates and displays information indicating the completion status of the signature on the form corresponding to the specific form name . The medical device according to claim 1, further comprising: an acquisition unit configured to acquire an inspection order related to the patient, wherein the display control unit displays a plurality of form names corresponding to a plurality of forms corresponding to the inspection order. Form management system. The medical form management system according to claim 1 or 2, further comprising means for controlling the execution of the examination according to the completion status of the signature. The display control means displays a plurality of check boxes corresponding to the plurality of form names, and when a specific check box is checked, the signature means changes the form name corresponding to the particular check box. The medical form management system according to claim 1, wherein the signature information is associated with the signature information. The medical form management system according to claim 4, further comprising a recording unit that embeds signature image data in form image data of a form name corresponding to the specific check box and records the image data as signed form image data. A medical form management system for managing forms necessary for performing medical procedures,
Display control means for displaying a plurality of form names corresponding to a plurality of forms related to the patient on a display device;
Selecting means for selecting a specific form name group from a plurality of form names displayed on the display device;
When a signature is applied to a specific form name group selected by the selecting unit, a signature unit that associates signature information with a plurality of forms corresponding to the specific form name group is provided.
The medical form management system, wherein the display control means updates and displays information indicating the completion status of signatures on a plurality of forms corresponding to the form name group.

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