JP7413004B2 - Medical information processing system - Google Patents

Description

The present invention relates to a technique necessary for deriving the number of endoscopic examinations performed by a doctor.

In order for a doctor to become a specialist, he or she must achieve a certain level of medical practice during the training period. Before taking the specialist examination, doctors aiming to become specialists (hereinafter referred to as ``training doctors'') must compile their medical records and receive approval from their instructor, and the medical facility where they work will ask them to confirm the number of tests they have conducted. Ask them to provide information on their achievements. If a trainee has worked at multiple facilities in the past, each facility must provide information on their track record.

Patent Document 1 stores training status information regarding the achievements of a plurality of resident doctors belonging to a hospital to be certified as specialists, and the number of remaining cases that must be experienced for a given disease is large compared to the remaining period of training. Disclosed is an attending doctor determining device that preferentially determines a trainee doctor as a patient's attending physician.

Japanese Patent Application Publication No. 2018-136836

A medical facility is provided with a medical information processing system that collects test information including test type information, identification information of the doctor performing the test, identification information of the endoscope used, etc. from the endoscopic observation device. If the medical information processing system can acquire examination information from all endoscopic observation devices within a medical facility, the medical practice results of doctors can be managed reliably. However, when there are endoscopic observation devices from various manufacturers, it is possible to obtain test information appropriate for managing medical treatment results from one endoscope observation device, but it is not possible to obtain test information appropriate for managing medical treatment results from another endoscope observation device. There may be situations where appropriate test information cannot be obtained. Therefore, it is preferable for medical facilities to be able to manage doctors' medical practice records using information other than examination information acquired from endoscopic observation devices.

The present invention was made in view of these circumstances, and its purpose is to provide a technique for managing a doctor's medical practice performance.

In order to solve the above problems, a medical information processing system according to an aspect of the present invention includes a first examination information acquisition unit that acquires first examination information regarding an endoscopy provided from an endoscope observation device, and a terminal. A second examination information acquisition unit that acquires second examination information regarding endoscopy provided from the device; a cleaning information acquisition unit that acquires cleaning information regarding endoscope cleaning provided from the cleaning device; and one person. an association unit that associates first examination information and second examination information regarding an examination performed by a doctor with cleaning information for an endoscope used in the examination by the doctor.

Note that arbitrary combinations of the above components and expressions of the present invention converted between methods, devices, systems, recording media, computer programs, etc. are also effective as aspects of the present invention.

According to the present invention, it is possible to provide a technique for managing a doctor's medical practice results.

1 is a diagram showing the configuration of a medical information processing system according to an example. It is a diagram showing medical treatment performance standards. It is a figure showing an example of an inspection record screen. It is a figure which shows the state where test|inspection information was input into the test|inspection record screen. It is a diagram showing functional blocks of a management server. It is a figure which shows the example of the 1st test|inspection information recorded on the 1st test|inspection information recording part. It is a figure which shows the example of the 2nd test|inspection information recorded on the 2nd test|inspection information recording part. FIG. 3 is a diagram showing an example of cleaning information recorded in a cleaning information recording section. It is a figure which shows the example of 1st test|inspection information, 2nd test|inspection information, and cleaning information linked by the association part. It is a figure which shows an example of the result of association. It is a figure showing a modification of a medical information processing system.

FIG. 1 shows the configuration of a medical information processing system 1 according to an embodiment. The medical information processing system 1 of the embodiment is installed in a medical facility such as a hospital. Identification information (scope ID) is given to endoscopes 3a and 3b (hereinafter referred to as "endoscopes 3" unless otherwise distinguished) used in medical facilities, and each endoscope 3 is An ID tag recording the scope ID is attached. A doctor working at a medical facility is given identification information (doctor ID) for identifying himself/herself, and the doctor carries an ID card with the doctor ID recorded thereon.

The management server 10 has a function of deriving the medical practice results of doctors, particularly trainee doctors, from information regarding endoscopic examinations performed (examination information) and information regarding cleaning of endoscopes (cleaning information). In order for a trainee doctor to become a specialist, it is necessary to meet predetermined medical practice performance standards, and upon receiving a request from the trainee doctor, the management server 10 can derive the medical practice performance of the trainee doctor and provide it to the trainee doctor. As will be described later, the medical facility may transmit the examination information and cleaning information to an external aggregation server connected to the Internet, and the aggregation server may derive the medical treatment results compiled by the trainee doctors.

Figure 2 shows the medical performance standards established by the Japanese Society of Gastrointestinal Endoscopy. Trainees are required to meet the number of tests specified in the medical performance standards during their training period of five years or more. Therapeutic endoscopy is required to include three procedures: resection, hemostasis, and stricture dilation/stent insertion. Therefore, when deriving the doctor's medical treatment results, the management server 10 aggregates the number of examinations by distinguishing between upper gastrointestinal endoscopy and lower gastrointestinal endoscopy, and also calculates the results of therapeutic endoscopy. It is necessary to aggregate.

In medical facilities, a plurality of endoscopic observation devices 4a, 4b (hereinafter referred to as "endoscopic observation devices 4" unless otherwise distinguished) are used. Note that the number of examination rooms may be three or more, and the number of endoscopic observation devices 4 used may be three or more. In a medical facility, it is rare for multiple endoscopic observation devices 4 to be all of the same type. The functions of the mirror observation device 4 are different. Although it is preferable that all of the plurality of endoscopic observation devices 4 be able to provide the management server 10 with examination information regarding the endoscopic examinations that have been performed, some of them cannot provide examination information or some of the examination information cannot be provided. Sometimes there are things that only offer something.

In FIG. 1, an endoscope observation device 4a is arranged in an examination room a. Before starting the examination, the endoscope 3a is connected to the endoscope observation device 4a. The endoscopic observation device 4a is equipped with an ID reader 5 for reading the doctor ID of the doctor who conducts the examination. Before starting the examination, the doctor holds his ID card over the ID reader 5 and enters the doctor ID. Let me read it. The endoscope observation device 4a automatically acquires the scope ID from the connected endoscope 3a, and also acquires the doctor ID from the ID reader 5. Note that if the endoscope observation device 4a does not have a scope ID automatic acquisition function, the doctor or medical staff may hold the ID tag of the endoscope 3a over the ID reader 5 to read the scope ID. When using a treatment tool in an examination, the medical staff causes the ID reader 5 to read the treatment tool ID printed or glued on the sterilized bag of the treatment tool. When the test start button is pressed, the endoscope observation device 4a acquires the test start time, and when the test end button is pressed, the endoscope observation device 4a obtains the test end time.

The endoscopic observation device 4a transmits the scope ID, doctor ID, treatment instrument ID, examination start time, and examination end time to the management server 10 in association with the examination order information. The order information includes information such as the test type, identification information for identifying the patient (patient ID), scheduled test start time, and scheduled test end time. The endoscopic observation device 4a may transmit this information all at once at the end of the examination, or may transmit the information each time it acquires the information. The management server 10 records information regarding these tests as test information.

An endoscope observation device 4b is arranged in the examination room b. Before starting the examination, the endoscope 3b is connected to the endoscope observation device 4b. The endoscopic observation device 4b differs from the endoscope observation device 4a in that it does not have an ID reading device 5 for reading the doctor ID and treatment instrument ID. Therefore, the endoscopic observation device 4b cannot acquire at least the doctor ID of the doctor conducting the test and the treatment tool ID of the treatment tool used in the test, and cannot transmit them to the management server 10. Note that the endoscope observation device 4b can send the test start time and test end time to the management server 10 in association with the test order information, but the endoscope observation device 4b cannot send even such information to the management server 10. may exist in medical facilities.

As described above, the endoscope observation device 4a has the function of transmitting sufficient test information to the management server 10 in order to manage the doctor's medical treatment results, while the endoscope observation device 4b has the function of transmitting sufficient examination information to the management server 10 to manage the doctor's medical treatment results. It does not have the function of transmitting sufficient test information to the management server 10 to manage the data. Therefore, the management server 10 cannot manage the clinical practice results of the trainee doctor only from the examination information transmitted from the endoscopic observation device 4. Therefore, in the medical information processing system 1 of the embodiment, a trainee doctor carries a terminal device 9 such as a tablet device, inputs information (examination information) regarding the examination that he or she has conducted into the terminal device 9, and registers it in the management server 10. do. Note that the terminal device 9 may be carried by the trainee doctor, or may be placed in each examination room.

The terminal device 9 of the embodiment has a wireless communication function and connects to the management server 10 via an AP 8 that is an access point. After completing the endoscopic examination in the examination room, the trainee doctor displays an examination record screen on the display of the terminal device 9 and inputs examination information. The terminal device 9 may have a touch panel.

FIG. 3 shows an example of an inspection record screen. The trainee doctor A logs into the terminal device 9 and displays the examination record screen. The following input items are provided on the inspection record screen.
・Test start time, test end time, type, treatment details, patient ID

The test start time is entered in the test start time input field, and the test end time is entered in the test end time input field. In the type input field, information indicating whether the examination is an upper endoscopy or a lower endoscopy is input. For example, when resident doctor A taps the input field for type, the options of upper examination or lower examination may be displayed.

Information regarding the treatment performed during the examination is entered in the treatment content input field. The purpose of the medical information processing system 1 of the embodiment is to manage the medical practice results of trainee doctors, and therefore, in the input field for treatment details, there is no information on which of the following three procedures: resection, hemostasis, and stenosis dilation/stent insertion. Information regarding the information is entered. If no treatment has been performed, "no treatment" is entered in the treatment content input field. For example, when resident doctor A taps the input field for treatment details, the options of resection, hemostasis, stenosis dilation/stent insertion, and no treatment may be displayed. In the patient ID input field, the ID of the patient to be examined is input. For example, the patient ID may be input into the input field by connecting a portable ID reading device to the terminal device 9 and reading the patient ID recorded on the patient's wristband with the ID reading device.

FIG. 4 shows a state in which test information is input on the test record screen. When trainee A enters information in all items and taps the registration button, terminal device 9 transmits the input information to management server 10, and management server 10 records the received information as examination information. do.

As described above, the endoscope observation device 4a has the function of transmitting test information sufficient to manage medical treatment results to the management server 10, but the endoscope observation device 4b has the function of transmitting test information sufficient for managing medical treatment results to the management server 10. The doctor ID cannot be sent to the management server 10. Therefore, in medical facilities, the rule for using the terminal device 9 is that when a resident doctor uses the endoscope observation device 4b, the test information is inputted into the terminal device 9 and sent to the management server 10, and the endoscope observation device 4a may be used, a rule may be established such that test information is not input to the terminal device 9.

However, if such a rule is established, the trainee must be aware of the type of endoscopic observation device 4 to be used each time. Particularly recently, the endoscopic observation device 4 is sometimes placed on a portable trolley and moved between examination rooms, and the type of the endoscopic observation device 4 is associated with the examination room one-to-one. do not have. Therefore, rather than checking the type of endoscopic observation device 4 each time and determining whether or not to enter examination information into the terminal device 9, the trainee doctor should check the type of endoscopic observation device 4. It is desirable to input the examination information into the terminal device 9 every time, from the viewpoint of reliable management of medical treatment results. Therefore, in the medical information processing system 1 of the embodiment, an operation is adopted in which the trainee doctor carries the terminal device 9 and inputs the examination information into the terminal device 9 and sends it to the management server 10 at the timing when the examination is completed. . By this operation, ideally, the management server 10 can manage the medical treatment results of the trainee doctor simply by recording the examination information transmitted from the terminal device 9.

However, when many examinations are performed in one day, the trainee doctor may forget to input information to the terminal device 9 due to his/her busy schedule. Therefore, managing the clinical practice results of trainee doctors only with the examination information transmitted from the terminal device 9 is far from perfect, considering human errors such as forgetting input. Therefore, the management server 10 of the embodiment is provided with a mechanism for managing the medical practice results of trainee doctors based on various information including examination information transmitted from the terminal device 9.

The cleaning chamber is provided with at least a plurality of cleaning devices 6a and 6b (hereinafter referred to as "cleaning devices 6" unless otherwise specified). The same situation as the endoscope observation device 4 exists for the cleaning devices 6, and the functions of the plurality of cleaning devices 6 differ due to different manufacturers or different models even if they are made by the same manufacturer.

The cleaning device 6a includes an ID reader 7 for reading the scope ID of the endoscope 3, and before starting cleaning, the medical staff holds the ID tag of the endoscope 3 used in the examination over the ID reader 7. to read the scope ID. In the medical information processing system 1, a recording medium for temporarily recording the doctor ID of the doctor who conducted the test and the patient ID of the patient tested is attached to the endoscope 3 used in the test. This recording medium may be attached to the endoscope 3 by a trainee doctor who has completed the examination. Before starting cleaning, the medical staff holds the recording medium over the ID reader 7 to read the doctor ID and patient ID. Note that the reading of the doctor ID and patient ID from the recording medium may be performed by another ID reading device. It is preferable that the ID tag of the scope ID, the recording medium for recording the doctor ID, etc. be waterproofed and placed in the cleaning tank together with the endoscope 3. However, if the recording medium is not waterproofed, In this case, the ID tag and recording medium need to be removed from the endoscope 3 before cleaning starts.

When the medical staff sets the endoscope 3 in the cleaning tank, selects a cleaning program, and presses a cleaning start button, the cleaning device 6a cleans the endoscope 3 according to the cleaning program. When the cleaning start button is pressed, the cleaning device 6a transmits the scope ID read by the ID reading device 7 to the management server 10 along with the cleaning start time. Note that if the doctor ID and patient ID are being read, these pieces of information are also sent to the management server 10. When the cleaning is completed, the cleaning device 6a transmits the cleaning end time to the management server 10.

On the other hand, the cleaning device 6b does not include the ID reading device 7 for reading the scope ID of the endoscope 3. Therefore, the cleaning device 6b does not acquire ID information such as scope ID, doctor ID, and patient ID.

As described above, the cleaning device 6a has the function of transmitting cleaning information including ID information such as scope ID, doctor ID, patient ID, etc. to the management server 10, while the cleaning device 6b has the function of transmitting ID information to the management server 10. It does not have the function to send. In this way, a plurality of cleaning devices 6 with various different functions are present in the cleaning room.

FIG. 5 shows functional blocks of the management server 10. The management server 10 includes a processing section 20 and a recording section 50. The processing section 20 includes an information acquisition section 22, an association section 30, an association result presentation section 32, and a derivation section 34, and the information acquisition section 22 includes a first examination information acquisition section 24, a second examination information acquisition section 26, and a cleaning information acquisition section 24. It has an acquisition section 28. The recording section 50 is an auxiliary storage device such as an HDD or an SSD, and includes a first inspection information recording section 52, a second inspection information recording section 54, and a cleaning information recording section 56.

In terms of hardware, these configurations can be realized using any processor, memory, auxiliary storage device, or other LSI, and in terms of software, they can be realized by programs loaded into memory, but here we will discuss their coordination. It depicts the functional blocks realized by Therefore, those skilled in the art will understand that these functional blocks can be implemented in various ways using only hardware, only software, or a combination thereof.

The first examination information acquisition unit 24 acquires examination information related to endoscopy provided from the endoscopic observation device 4. Hereinafter, the examination information provided by the endoscope observation device 4 will be referred to as "first examination information." The first examination information acquisition section 24 records the acquired first examination information in the first examination information recording section 52.

FIG. 6 shows an example of the first test information recorded in the first test information recording section 52. The first examination information includes an examination ID, an examination date, an examination start time, an examination end time, an examination type, a doctor ID, a scope ID, a treatment instrument ID, and a patient ID. The first test information recording unit 52 assigns a test number to the first test information and manages the first test information. This first examination information indicates that doctor A, who is a trainee doctor, has performed upper examinations with examination numbers 1_7 and 1_10.

In the first examination information, the examination information of examination numbers 1_2, 1_5, and 1_9 does not include the doctor ID. As described above, this examination information is provided by the endoscopic observation device 4b, and the endoscopic observation device 4b, which is not equipped with the ID reading device 5, cannot transmit the doctor ID of the administering doctor. Therefore, if doctor A had conducted the tests with test numbers 1_2, 1_5, and 1_9, this cannot be identified from the first test information.

The second examination information acquisition unit 26 acquires examination information related to endoscopy provided from the terminal device 9. Hereinafter, the test information provided from the terminal device 9 will be referred to as "second test information." The second examination information acquisition section 26 records the acquired second examination information in the second examination information recording section 54 .

FIG. 7 shows an example of the second test information recorded in the second test information recording section 54. The second examination information includes a doctor ID, examination date, examination start time, examination end time, examination type, treatment details, and patient ID. The second test information recording unit 54 assigns a test number to the second test information and manages the second test information. In the medical facility of the embodiment, only the trainee doctor carries the terminal device 9 and registers information on examinations conducted by himself/herself from the terminal device 9 to the management server 10 . Note that if there are a plurality of trainee doctors in the medical facility, the second examination information recording section 54 records the second examination information of the plurality of trainee doctors.

The cleaning information acquisition unit 28 acquires cleaning information related to endoscope cleaning provided from the cleaning device 6. The cleaning information acquisition unit 28 records the acquired cleaning information in the cleaning information recording unit 56.

FIG. 8 shows an example of cleaning information recorded in the cleaning information recording section 56. The cleaning information includes a cleaning date, a cleaning start time, a cleaning end time, a scope ID, a doctor ID, and a patient ID. The cleaning information recording unit 56 assigns a cleaning number to the cleaning information and manages the cleaning information. In the embodiment, when a trainee doctor performs an endoscopy, a recording medium that temporarily records the doctor ID and patient ID is attached to the endoscope 3 used. The endoscope 3 with the recording medium attached thereto is carried from the examination room to the cleaning room, and the medical staff holds the recording medium over the ID reader 7 to read the doctor ID and patient ID. By reading the doctor ID and patient ID in this way, the cleaning information for the endoscope 3 used by doctor A, who is a trainee doctor, includes the doctor ID and patient ID.

The association unit 30 associates the first examination information and second examination information regarding the examination conducted by one doctor A with the cleaning information of the endoscope used in the examination by the doctor A. Hereinafter, the association unit 30 associates the first test information shown in FIG. 6 dated June 3, 2019, the second test information shown in FIG. 7, and the cleaning information shown in FIG. 8 with the test performed by doctor A. An example of processing is shown below. As a pre-association process, the association unit 30 extracts first examination information, second examination information, and cleaning information regarding doctor A.

The association unit 30 extracts the examination performed by the doctor A from the first examination information recorded in the first examination information recording unit 52. Specifically, the association unit 30 refers to the doctor ID included in the first examination information and extracts the examination in which the doctor A is included. In the first test information shown in FIG. 6, the tests extracted are tests with test numbers 1_7 and 1_10.

The association unit 30 extracts the examination performed by the doctor A from the second examination information recorded in the second examination information recording unit 54. Specifically, the association unit 30 refers to the doctor ID included in the second examination information and extracts the examination in which the doctor A is included. Note that although only the second examination information by doctor A is shown in FIG. 7, if there are other trainee doctors, the second examination information by the other trainee doctors may be stored in the second examination information recording section 54. will also be included. In the second test information shown in FIG. 7, the tests extracted are tests with test numbers 2_1 and 2_2.

The association unit 30 identifies the cleaning process for the endoscope 3 used in the examination performed by the doctor A from the cleaning information recorded in the cleaning information recording unit 56. Specifically, the association unit 30 refers to the doctor ID included in the cleaning information and extracts the cleaning information that includes the doctor A. In the cleaning information shown in FIG. 8, the extracted cleaning processes are cleaning processes with cleaning numbers 3_8 and 3_10.

As described above, the association unit 30 extracts from the first inspection information, second inspection information, and cleaning information dated June 3, 2019, inspections with inspection numbers 1_7 and 1_10, inspections with inspection numbers 2_1 and 2_2, cleaning numbers 3_8, 3_10 cleaning processes are extracted and a process for associating them is executed. Note that the association process is performed to prevent one examination performed by doctor A from being mistakenly counted as two or three examinations. In other words, the association process is a process of combining the first test information, second test information, and cleaning information related to one test so that they can be counted as one test. Although various methods for performing the association process are possible, in the embodiment, a process for associating the first inspection information and cleaning information with the second inspection information as the axis will be described.

The association unit 30 determines whether first inspection information and cleaning information that are associated with the inspection with inspection number 2_1 exist. Here, the test with test number 2_1 includes the following test information.
・Inspection date 2019/6/3
・Testing start time 10:00
・Inspection end time 10:35
・Test type Upper test/Treatment details Hemostasis/Patient ID 734512

The association unit 30 examines a test that includes the same patient ID as the test with test number 2_1 among the tests with test numbers 1_7 and 1_10 included in the first test information. Here, since the patient ID of the test with test number 1_7 matches the patient ID of the test with test number 2_1, the association unit 30 associates the test with test number 1_7 and the test with test number 2_1.

The association unit 30 checks the cleaning process that includes the same patient ID as the test with the test number 2_1 among the wash processes with the wash numbers 3_8 and 3_10 included in the wash information. Here, the patient ID of the cleaning process with cleaning number 3_8 matches the patient ID of the exam with exam number 2_1, so the association unit 30 associates the cleaning process with cleaning number 3_8 and the exam with exam number 2_1.

The association unit 30 also performs the above processing for the test with test number 2_2. As a result, the association unit 30 associates the inspection with inspection number 2_2 with the inspection with inspection number 1_10 and the cleaning process with cleaning number 3_10.

FIG. 9 shows an example of first examination information, second examination information, and cleaning information associated by the association unit 30. By associating the first examination information, the second examination information, and the cleaning information in this way, the association unit 30 can accurately identify the examination performed by the doctor A. According to the association results shown in FIG. 9, on June 3, 2019, doctor A conducted two upper examinations, and performed hemostasis on one of them, which is managed as a track record.

Note that the above is an ideal case for performing the association process. In this ideal case, the endoscopic observation device 4 sends the first examination information sufficient to manage the medical practice results of the trainee doctor to the management server 10, and the doctor A, who is a trainee doctor, sends his own examination information. They are input into the terminal device 9 without forgetting them, and the cleaning device 6 transmits the doctor ID and patient ID of the trainee doctor to the management server 10 as cleaning information.

However, in medical facilities, not all endoscopic observation devices 4 are capable of transmitting first examination information sufficient for managing medical treatment results to the management server 10, and all cleaning devices 6 are It is not possible to send the doctor ID and patient ID to the management server 10 as cleaning information. Further, in the embodiment, the trainee doctor carries the terminal device 9 and inputs his or her own second examination information into the terminal device 9, but the trainee doctor may forget to input the second examination information. The association unit 30 of the embodiment uses the first examination information and/or cleaning information to appropriately manage the clinical practice results of the trainee doctor even if the second examination information cannot be acquired.

In the processing example described above, the association unit 30 performed the association process based on matching of patient IDs. In the association process, checking for a match between patient IDs is as effective as checking for a match between tests, but the first test information and cleaning information may not include the patient ID. The following describes how to deal with this situation.

The association unit 30 examines a test that includes the same patient ID as the test with test number 2_1 among the tests with test numbers 1_7 and 1_10 included in the first test information. Here, if the patient ID is not included in the test information of test number 1_7, the association unit 30 cannot identify the test with the matching patient ID. At this time, the association unit 30 refers to the items of test start time, test end time, and test type to check for a test that matches the test with test number 2_1. Regarding these items, since the test with test number 1_7 matches the test with test number 2_1, the association unit 30 associates the test with test number 1_7 and the test with test number 2_1. Regarding the test with test number 1_10, the test start time and test end time are different from the test start time and test end time of test number 2_1, so the association unit 30 associates the test with test number 1_10 with the test with test number 2_1. It is determined that they are different.

Note that if the examination information of examination number 1_7 does not include the examination start time and examination end time, the association unit 30 examines an item that includes information corresponding to the treatment details of examination number 2_1. When the association unit 30 extracts the treatment instrument ID "CD0002" included in the examination information of examination number 1_7, the association unit 30 refers to the treatment instrument master table (not shown) and identifies the treatment content corresponding to "CD0002". . The master table associates treatment instrument IDs with treatment details. If the specified treatment content is "hemostasis", the association unit 30 may associate the test with test number 1_7 and the test with test number 2_1.

Regarding the cleaning information, the association unit 30 checks the cleaning process that includes the same patient ID as the examination with examination number 2_1 among the cleaning processes with cleaning numbers 3_8 and 3_10 included in the cleaning information. Here, if the patient ID is not included in the cleaning information of cleaning numbers 3_8 and 3_10, the association unit 30 cannot identify the cleaning process with the matching patient ID. At this time, the association unit 30 extracts the scope ID "AAA0004" from the inspection information of inspection number 1_7 associated with the inspection of inspection number 2_1, and specifies the cleaning information including the extracted scope ID. This scope ID is included in the cleaning information with cleaning number 3_8, and the association unit 30 associates the inspection with inspection number 1_7 and the cleaning process with cleaning number 3_8, and therefore the inspection with inspection number 1_7 and the inspection with inspection number 2_1. and the cleaning process with cleaning number 3_8 are associated.

Note that when associating the first inspection information and cleaning information, the association unit 30 preferably takes into account the time difference between the inspection end time of the inspection with inspection number 1_7 and the cleaning start time of the cleaning process with cleaning number 3_8. In the example, the first inspection information, second inspection information, and cleaning information are all information on the same day (June 3rd), but for example, the inspection date of the inspection with inspection number 1_7 and the cleaning process with cleaning number 3_8 are different. If the cleaning dates are different, the association unit 30 does not associate the inspection with inspection number 1_7 with the cleaning process with cleaning number 3_8. Further, even if the cleaning start time of cleaning number 3_8 is earlier than the inspection end time of the inspection number 1_7, the association unit 30 does not associate the inspection of inspection number 1_7 with the cleaning process of cleaning number 3_8. Therefore, if the cleaning start time of the cleaning process with cleaning number 3_8 is within a predetermined time (for example, 3 hours) after the inspection end time of the inspection with inspection number 1_7, the association unit 30 connects the inspection with inspection number 1_7 with the cleaning number. It may be associated with the cleaning process of 3_8.

As described above, the association unit 30 associates the first inspection information, the second inspection information, and the cleaning information using information on various items.
FIG. 10 shows an example of the results of association. In this result, the first inspection information, the second inspection information, and the cleaning information are all associated with the inspections with inspection numbers 1, 2, and 7.

In the test with test number 3, the first test information and cleaning information are not associated with test number 2_3. This is because the endoscopic observation device 4 used in the examination did not provide the management server 10 with the first examination information sufficient for managing the medical treatment results, and the cleaning device 6 did not clean enough to manage the medical treatment results. This is a case where information was not provided to the management server 10.

In the inspection with inspection number 4, cleaning number 3_18 is associated with inspection number 1_18. Normally, the doctor A should have input the information on the performed examination from the terminal device 9, and there is no first examination information or cleaning information that is not associated with the second examination information. However, if the doctor A forgets to input the test information of the test performed, the first test information and cleaning information that are not associated with the second test information are extracted. This means that the association unit 30 was able to extract the test with test number 4, which could not be picked up only from the second test information, by referring to the first test information and/or cleaning information.

In the test with the test number 5, the test number 2_4 is associated with the cleaning number 3_25, and in the test with the test number 6, the test number 2_5 is associated with the test number 1_30.

In the bottom column shown in FIG. 10, the examination with examination number 8 conducted by doctor A is specified by the cleaning process with cleaning number 3_45. If the cleaning information with cleaning number 3_45 includes the doctor ID of doctor A, and on the other hand, the first examination information and second examination information associated with the cleaning information with cleaning number 3_45 do not exist, the association unit 30 The examination performed by doctor A is specified using the cleaning information numbered 3_45. This is a case in which the doctor A forgets to input the examination information into the terminal device 9, and the endoscopic observation device 4 used in the examination is unable to output examination information sufficient for managing medical treatment results. Similar to the test with test number 4, the association unit 30 can pick up the test with test number 8 as a medical track record by not relying only on the second test information to manage the medical results but also taking cleaning information into consideration. is completed.

The association result presentation unit 32 has a function of presenting the association result by the association unit 30. The association result presentation unit 32 may present the association results to the training doctor's instructor. For example, the association result presentation unit 32 may display the results shown in FIG. 10 on the instructor's terminal device. At this time, it is preferable that the supervising physician be able to change the result of the association, and may change information that has been erroneously associated or information that is erroneously not associated.

The derivation unit 34 derives the number of tests performed by the doctor A from the result of the association by the association unit 30. At this time, it is preferable that the derivation unit 34 outputs the derivation result of the number of tests in a format that conforms to the medical practice performance standards shown in FIG. The processing unit 20 may perform the association process and the derivation process of the number of tests based on a request from the doctor A, but may also periodically derive the number of tests and provide it to the trainee, or The training doctor may be notified when the performance standards are met.

The present invention has been described above based on examples. Those skilled in the art will understand that this example is merely an example, and that various modifications can be made to the combinations of these components and processing processes, and that such modifications are also within the scope of the present invention. .

In the embodiment, a case has been described in which the medical information processing system 1 is a system within a medical facility, but it may be a system comprised of a plurality of medical facilities.
FIG. 11 shows a modification of the medical information processing system 1 in which the management server 10 acquires and aggregates various information from a plurality of medical facilities. Each medical facility transmits the first test information, second test information, and cleaning information to the management server 10, and the management server 10 records the received first test information, second test information, and cleaning information in the recording unit 50. do. When a resident doctor works at multiple medical facilities, the management server 10 operates as an aggregation server that aggregates the medical practice results of the trainee doctor at the multiple medical facilities, thereby creating a system that is highly convenient for the trainee doctor. .

1... Medical information processing system, 3a, 3b... Endoscope, 4a, 4b... Endoscope observation device, 6a, 6b... Cleaning device, 9... Terminal device, 10... - Management server, 20... Processing unit, 22... Information acquisition unit, 24... First inspection information acquisition unit, 26... Second inspection information acquisition unit, 28... Cleaning information acquisition unit, 30... Association part, 32... Association result presentation part, 34... Derivation part, 50... Recording part, 52... First examination information recording part, 54... Second examination information recording Section 56: Cleaning information recording section.

Claims (5)

a first examination information acquisition unit that acquires first examination information regarding an endoscopy provided from an endoscope observation device;
a second examination information acquisition unit that acquires second examination information related to endoscopy provided from the terminal device;
a cleaning information acquisition unit that acquires cleaning information related to endoscope cleaning provided from the cleaning device;
an association unit that associates first examination information and second examination information regarding an examination performed by one doctor with cleaning information for an endoscope used in the examination by the doctor;
A medical information processing system comprising: The association unit associates the first test information and the second test information using a doctor ID included in the first test information and a doctor ID included in the second test information.
The medical information processing system according to claim 1, characterized in that: The endoscope cleaning information includes the doctor ID of the doctor who used the endoscope.
The medical information processing system according to claim 2, characterized in that: further comprising a derivation unit that derives the number of tests performed by the doctor from the association result by the association unit;
The medical information processing system according to claim 1, characterized in that: further comprising an association result presentation unit that presents a result of association by the association unit;
The medical information processing system according to claim 1, characterized in that:

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