JP6338842B2 - Medical processing apparatus and medical processing program - Google Patents

Description

Embodiments described herein relate generally to a medical processing apparatus and a medical processing program .

  In recent years, in the medical field, filmless has become mainstream, such as paper charts becoming electronic charts, and there is a tendency to manage inspection results and reports as electronic data.

  Along with this, cases where a plurality of medical systems mutually use one electronic data are increasing.

JP 2007-115290 A

  However, when one electronic data is mutually used in a plurality of medical systems as described above, the following inconvenience may occur.

  For example, it is assumed that a part of the content indicated by the electronic data is corrected. In this case, there is an inconvenience that a correction history indicating which part is normally corrected is not notified (transmitted) from the management system that manages the electronic data to other medical systems.

  For this reason, when an operator of another medical system uses electronic data, the correction point of the content indicated by the electronic data cannot be grasped, and an erroneous determination is made, that is, a human error occurs. There is a worry of getting.

  Specifically, after a doctor diagnoses a patient of unknown age using a medical system different from the management system while referring to predetermined examination data (electronic data), the age of the patient is When it is discovered and the test data is corrected in the management system, even if the doctor refers to the corrected test data again, the correction history that the patient's age was detected is not notified from the management system. I'm worried about overlooking the spot. Along with this, if the doctor overlooks this correction point even though it is necessary to perform a diagnosis according to the age at which it was discovered, it would be erroneously determined that a diagnosis is not necessary. I am worried.

An object of the present invention is to provide a medical processing apparatus and a medical processing program that can reduce human errors due to oversight of correction points of contents indicated by electronic data.

The medical processing apparatus according to the embodiment is updated to a combination of examination information storage means for storing examination information including at least patient identification information and main complaint information, and update contents before and after updating of examination information and a main complaint included in the examination information. A rule information storage unit that stores rule information that associates the job type of the notification destination and whether or not notification of update contents is associated, and at least a part of various information included in the inspection information stored in the inspection information storage unit is input. and information update means for updating, based on the information, and change information generation means for generating a modified information corresponding to the changes between the test information after updating the inspection information before update by the information update means, said a notification destination of job notifying that inspection information has been updated and notification whether the effect which has been updated by the information update means determined based the generated change information to said rule information, through To case, you anda updates notifying means for notifying that the job of the person the determined is the update to the terminal to be used.

1 is a schematic diagram illustrating a schematic configuration example of a medical processing system according to an embodiment. It is a schematic diagram which shows the structural example of the medical processing system which concerns on the embodiment in detail from FIG. It is a schematic diagram which shows an example of the data structure of the test | inspection information which concerns on the embodiment. It is a schematic diagram which shows an example of the data structure of the change notification rule information which concerns on the same embodiment. It is a mimetic diagram used in order to explain an example of change information generation processing concerning the embodiment. It is a schematic diagram which shows an example of the data structure of the change analysis result information which concerns on the embodiment. It is a flowchart which shows an example of operation | movement of the medical processing apparatus which concerns on the same embodiment.

  Hereinafter, an embodiment will be described with reference to the drawings.

  FIG. 1 is a schematic diagram illustrating a schematic configuration example of a medical processing system according to an embodiment. FIG. 2 is a schematic diagram illustrating a configuration example of the medical processing system according to the embodiment in more detail than FIG. The medical processing system includes a hospital information system (HIS) 1 and an examination department system 2 as shown in FIG. The hospital information system 1 and the examination department system 2 are connected via a network (for example, a local area network (LAN), etc.), and information held by both systems is shared by communication via this network. Is done.

  The hospital information system 1 includes, for example, a medical accounting system, an electronic medical record system, an order link system, and the like, and the hospital information system 1 is a general term for these various systems.

  The examination department system 2 includes a medical processing apparatus 20 as shown in FIG. In the present embodiment, a configuration in which only the medical processing device 20 is included in the examination department system 2 is illustrated, but the configuration of the examination department system 2 is not limited to this, and a configuration in which other apparatuses are further included may be employed. . Various functions included in the medical processing apparatus 20 may be realized using a plurality of apparatuses.

  Hereinafter, the configuration and detailed functions of the medical processing apparatus 20 will be described.

  As shown in FIG. 2, the medical processing apparatus 20 includes an examination information storage unit 21, a change notification rule information storage unit 22, a HIS information reception unit 23, an examination result input unit 24, a comparison analysis unit 25, a change information acquisition unit 26, A change information analysis unit 27 and a change information notification unit 28 are provided.

  The examination information storage unit 21 uses a medical image diagnostic apparatus (not shown) (eg, X-ray CT (Computed Tomography) apparatus, MRI (Magnetic Resonance Imaging) apparatus, CR (Computed Radiography) apparatus, mammography (MG), etc.)). And a storage device that stores examination information relating to examinations performed on a patient (subject). Specifically, for example, as shown in FIG. 3, the examination information is associated with patient identification information, date of birth, sex, chief complaint, examination number, examination date, examination name, examination contents, and various information indicating findings. Information. In the following explanation, various information indicating the date of birth, gender, chief complaint, examination number, examination date, examination name, examination contents and findings include, for example, the date of birth, etc. The term “information” at the end may be omitted as appropriate.

  Here, details of various types of information included in the inspection information will be described.

  Patient identification information (also referred to as a patient ID (Identifier)) is information for identifying a patient. The date of birth information is information indicating the date of birth of the patient. The sex information is information indicating the sex of the patient. The main complaint information is information indicating the most important disease in the patient's complaint. The examination number information is information for identifying the examination performed on the patient. The examination date information is information indicating the date of the examination performed on the patient. The examination name information is information indicating the name of the examination performed on the patient. The examination content information is information indicating the contents of the examination performed on the patient. The finding information is information indicating a doctor's judgment regarding the examination performed on the patient.

  In the present embodiment, the date of birth information and the sex information included in the examination information are also collectively referred to as “patient information”. Similarly, examination number information, examination date information, examination name information, and examination content information included in examination information are collectively referred to as “inspection request information”. Further, the main complaint information and the findings information included in the inspection information are collectively referred to as “inspection result information”.

  The change notification rule information storage unit 22 specifies who (or where) to notify the change when the inspection information stored in the inspection information storage unit 21 is changed (updated). Is a storage device. Specifically, the change notification rule information is information associated with various types of information indicating job types, chief complaints, change contents, and notification availability as shown in FIG. 4, for example. In the following description, various types of information indicating job title, chief complaint, details of change, and notification availability are written with the term “information” at the end for convenience, such as job title information. The term “information” may be omitted as appropriate.

  Here, details of various information included in the change notification rule information will be described.

  The job type information is information indicating the job type of a subject (person) who is notified or not notified of the change when the test information stored in the test information storage unit 21 is changed. Since the main complaint information is the same as the main complaint information included in the above-described examination information, detailed description thereof is omitted here. The change content information is information indicating changed information (that is, change content) among various pieces of information included in the examination information. The notification availability information is information indicating whether or not to notify a desired person of the change when the inspection information stored in the inspection information storage unit 21 is changed.

  When the HIS information receiving unit 23 receives patient information and examination request information issued from the hospital information system 1 and attached with patient identification information together with either a new registration tag or an update registration tag, the received patient Information and inspection request information are sent to the comparison analysis unit 25. The new registration tag is a tag indicating that the information with the tag is information to be newly registered in the examination information storage unit 21. The update registration tag is a tag indicating that the information with the tag is information for updating information already registered in the examination information storage unit 21.

  The test result input unit 24 is transmitted from, for example, a medical image diagnostic apparatus (not shown) according to an operation of an operator (user), and patient identification information is attached together with either a new registration tag or an update registration tag. If the input of the inspection result information is received, the inspection result information that has received the input is sent to the comparison analysis unit 25. Note that the test result input unit 24 may receive input of test result information from an external system such as PACS (Picture Archiving Communication and System) as well as a medical image diagnostic apparatus (not shown).

  When the comparison analysis unit 25 receives the input of the patient information and the examination request information sent from the HIS information reception unit 23, the comparison analysis unit 25 performs various registration processes according to the tags attached to the patient information and the examination request information received. Run.

  More specifically, when the comparison analysis unit 25 receives input of patient information and examination request information transmitted from the HIS information reception unit 23 and attached with patient identification information together with a new registration tag, the patient information that has received the input And the new registration process which writes the said patient information and the said test request information into the test information storage part 21 with the said patient identification information according to the new registration tag attached | subjected to test request information is performed.

  Further, the comparison analysis unit 25 is sent from the HIS information receiving unit 23, and includes at least one of patient information and examination request information (hereinafter referred to as first update information) that is attached with patient identification information together with an update registration tag. ). Further, the comparison analysis unit 25 stores examination information including the same patient identification information as the patient identification information attached together with the update registration tag in accordance with the update registration tag attached to the first update information that has received the input. Extracted from the unit 21. And the comparison analysis part 25 performs the update registration process which updates the information corresponding to the 1st update information which received the input among the various information contained in the extracted test | inspection information to the said 1st update information. At this time, the comparison analysis unit 25 writes the inspection information before update, that is, the extracted inspection information as history information in a temporary memory (not shown) or the like. The history information in the temporary memory is deleted as appropriate.

  When executing the update registration process, the comparison analysis unit 25 compares the inspection information (history information) before the update with the inspection information after the update, and which information is included in the various information included in the inspection information. By analyzing whether the data has been updated (changed), a change information generation process for generating analysis result information (also referred to as change information) indicating the result of the analysis is executed.

  Here, the details of the change information generation process will be described with reference to the schematic diagram of FIG.

  First, the comparison analysis unit 25 reads the inspection information before update shown in FIG. 5A and the inspection information after update shown in FIG. 5B from the temporary memory and the inspection information storage unit 21, respectively. put out. Subsequently, the comparison analysis unit 25 compares the inspection information before the update with the inspection information after the update, and detects which information is updated to a different value among the various types of information included in the inspection information ( To analyze. In this case, the comparative analysis unit 25 detects that the date of birth information is updated from “unknown” to “1956.10.5” with “2012.8.31 01:20”. Next, the comparison analysis unit 25 reads a template document corresponding to the detected date of birth information from a template document storage unit (not shown), and generates change information. In this case, the comparative analysis unit 25 reads a template document “corrected by age detection associated with identification in HIS” corresponding to the date of birth information, and uses the template document to read “age associated with identification in HIS” Change information indicating a document “Correction on detection (2012.8.31 01:20)” is generated.

  The above is the details of the change information generation process.

  Note that the comparison analysis unit 25 also performs new registration processing, update registration processing, and change information generation processing on the inspection result information sent from the inspection result input unit 24 as described above.

  More specifically, when the comparison analysis unit 25 receives an input of test result information transmitted from the test result input unit 24 and attached with patient identification information together with a new registration tag, the comparison analysis unit 25 adds the input to the test result information received. In accordance with the newly registered tag, a new registration process for writing the test result information together with the patient identification information in the test information storage unit 21 is executed.

  The comparison analysis unit 25 receives input of test result information (hereinafter referred to as second update information) sent from the test result input unit 24 and attached with patient identification information together with the update registration tag. Further, the comparison analysis unit 25 stores the examination information including the same patient identification information as the patient identification information attached together with the update registration tag according to the update registration tag attached to the second update information that has received the input. Extracted from the unit 21. And the comparison analysis part 25 performs the update registration process which updates the information corresponding to the 2nd update information which received the input among the various information contained in the extracted test | inspection information to the said 2nd update information. At this time, as described above, the comparison analysis unit 25 writes the inspection information before update, that is, the extracted inspection information as history information in a temporary memory (not shown) or the like. As described above, history information in the temporary memory is deleted as appropriate.

  Similarly to the above, when performing the update registration process, the comparison analysis unit 25 compares the inspection information (history information) before the update with the inspection information after the update, and among the various pieces of information included in the inspection information. Then, by analyzing which information is updated (changed) and how, the change information generation process for generating analysis result information (change information) indicating the result of the analysis is executed. Note that the details of the change information generation process are the same as those described above with reference to FIG.

  In the present embodiment, the comparison analysis unit 25 executes the change information generation process after executing the update registration process. However, the order of the various processes is not limited to this, and for example, the change information generation process is performed first. The update registration process may be executed after the execution.

  When change information is generated by the comparison analysis unit 25, the change information acquisition unit 26 acquires the generated change information from the comparison analysis unit 25.

  The change information analysis unit 27 executes a change information analysis process on the change information acquired by the change information acquisition unit 26. Specifically, the change information analysis unit 27 performs a morphological analysis process and a syntax analysis process on the document indicated by the acquired change information. Note that the morphological analysis process and the syntax analysis process are so-called well-known techniques, and thus a detailed description thereof will be omitted here and will be briefly described.

  First, the change information analysis unit 27 performs a morphological analysis process on a document indicated by the acquired change information, for example, a document “corrected by age detection associated with identification by HIS (2012.8.31 01:20)”. Execute. Specifically, the change information analysis unit 27 uses a dictionary (not shown) (that is, a storage medium in which a large number of words and syntax patterns are stored) to cut out lexical characters and determine parts of speech.

  Thereafter, the change information analysis unit 27 executes a syntax analysis process on the document on which the morpheme analysis process has been executed. Specifically, the change information analysis unit 27 collates the document on which the morphological analysis processing has been executed with the syntax patterns of the Who clause, What clause, When clause, Where clause, Why clause, and How clause in a dictionary (not shown). FIG. 6 shows, for example, after classifying (decomposing) a plurality of words constituting the above-mentioned document into Who phrases, What phrases, When phrases, Where phrases, Why phrases, and How phrases. Such change analysis result information is generated.

  When the change information analysis unit 27 generates the change analysis result information, the change information analysis unit 27 compares the generated change analysis result information with a plurality of change notification rule information stored in the change notification rule information storage unit 22 and generates the change. At least one change notification rule information having change content information indicating the same value as the value (word) of the What phrase included in the analysis result information is read from the change notification rule information storage unit 22. Then, when the notification availability information included in the read change notification rule information indicates notification, the change information analysis unit 27 indicates the person of the occupation (in more detail, indicated by the occupation information associated with the notification availability information). The change information notification unit 28 is instructed to notify that the examination information has been changed to a terminal used by a person of the occupation type.

  When the change information notifying unit 28 receives an instruction from the change information analyzing unit 27, the change information notifying unit 28 notifies the subject (person) of the job type indicated by the desired job type information (alert) that the inspection information has been changed according to the instruction. To do.

  The medical processing apparatus 20 described above includes a CPU (Central Processing Unit) (not shown), and each unit is controlled by this CPU.

  Next, an example of operation | movement of the medical processing apparatus 20 comprised as mentioned above is demonstrated, referring the schematic diagram of FIGS. 3-6 and the flowchart of FIG. Here, the operation of the medical processing apparatus 20 when the patient information with the patient identification information attached together with the update registration tag is transmitted from the hospital information system 1 to the medical processing apparatus 20 will be described. Various processes shown below are executed by a CPU (not shown) controlling each unit in accordance with a program stored in advance.

  First, when receiving the patient information issued from the hospital information system 1 and attached with the patient identification information together with the update registration tag, the HIS information receiving unit 23 sends the received patient information to the comparison analysis unit 25 (Step S1). S1). Here, the HIS information receiving unit 23 receives the patient information (birth date information) “1956.10.5” to which the patient identification information “3” is attached together with the update registration tag, and compares the received patient information with the comparative analysis unit. 25.

  Subsequently, when the comparison analysis unit 25 receives the input of the patient information “1956.10.5” sent from the HIS information reception unit 23 and attached with the patient identification information “3” together with the update registration tag, the comparison analysis unit 25 receives the input. According to the update registration tag attached to the patient information, examination information including the same patient identification information as the patient identification information attached together with the update registration tag is extracted from the examination information storage unit 21. Thereafter, the comparison analysis unit 25 updates the birth date information corresponding to the patient information for which the input has been received, among the various pieces of information included in the extracted examination information, to the birth date information for which the input has been received. Is executed (step S2). At this time, the comparison analysis unit 25 also executes a process of writing the inspection information before update, that is, the extracted inspection information as history information in a temporary memory (not shown).

  Next, when the process of step S2 described above is performed, the comparison analysis unit 25 compares the inspection information before the update with the inspection information after the update, and determines which of the various types of information included in the inspection information. Detect (analyze) whether the information has been updated to a different value. And the comparison analysis part 25 reads the template document corresponding to the detected date of birth information from the template document memory | storage part which is not shown in figure, and produces | generates change information (step S3). Here, the comparison analysis unit 25 detects that the date of birth information is updated to a different value, that is, “unknown” to “1956.10.5”, and illustrates the template document corresponding to the detected date of birth information. Is read from the template document storage unit, and change information indicating a document “corrected by age detection associated with identification by HIS (2012.8.31 01:20)” is generated.

  Subsequently, the change information acquisition unit 26 acquires the change information generated by the process of step S3 described above from the comparison analysis unit 25 (step S4).

  Next, the change information analysis unit 27 performs the change information analysis process on the change information acquired by the process of step S4 described above, and generates change analysis result information (step S5). Here, the change information analysis unit 27 generates change analysis result information shown in FIG.

  Subsequently, the change information analysis unit 27 compares the change analysis result information generated by the process of step S5 described above with a plurality of change notification rule information stored in the change notification rule information storage unit 22 and generates the change analysis result information. At least one change notification rule information having change content information indicating the same value as the value (word) of the What phrase included in the change analysis result information is read from the change notification rule information storage unit 22 (step S6). Here, the change information analysis unit 27 reads, from the change notification rule information storage unit 22, change notification rule information having change content information indicating the same value as the What phrase “birth date” included in the analysis result information. .

  Next, of the change notification rule information read out in the process of step S6 described above, the change information analysis unit 27 provides the person of the job type indicated by the job type information of the change notification rule information indicating that the notification enable / disable information is notified. The change information notification unit 28 is instructed to notify that the inspection information has been changed (step S7). Here, the change information analysis unit 27 instructs the change information notification unit 28 to notify the person of the job type information “interpretation physician” that the “birth date” indicated by the change content information has been changed.

  Thereafter, upon receiving an instruction from the change information analysis unit 27, the change information notification unit 28 notifies that the examination information has been changed in accordance with the instruction (step S8), and ends the operation in the medical processing apparatus 20. Let

  According to the embodiment described above, when the examination information stored in the examination information storage unit 21 is changed, the contents of the change are analyzed, and the contents of the change can be notified to a subject to be notified of the change. With the configuration, it is possible to reduce human errors due to oversight of changes.

  In addition, although some embodiment of this invention was described, these embodiment is shown as an example and is not intending limiting the range of invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  DESCRIPTION OF SYMBOLS 1 ... Hospital information system, 2 ... Examination department system, 20 ... Medical processing apparatus, 21 ... Examination information storage part, 22 ... Change notification rule information storage part, 23 ... HIS information receiving part, 24 ... Examination result input part, 25 ... Comparison analysis unit, 26 ... change information acquisition unit, 27 ... change information analysis unit, 28 ... change information notification unit.

Claims (4)

Examination information storage means for storing examination information including at least patient identification information and main complaint information ;
A rule information storage means for storing rule information in which a combination of the update content before and after the update of the inspection information and the main complaint included in the inspection information is associated with the job type of the update notification destination and whether or not the update content can be notified ;
Information updating means for updating at least a part of various types of information included in the examination information stored in the examination information storage means based on the input information;
A change information generation means for generating a modified information corresponding to the changes between the test information after updating the inspection information before update by the information update means,
Determining a notification destination of job notifying that inspection information has been updated and notification whether the effect which has been updated by the information update means based on said rule information and change information said generated to notify Update content notifying means for notifying that the update has been made to the terminal used by the person of the determined job type ,
Be that medicine for the treatment apparatus comprises a. Before Symbol strange Sarajo report generation means,
Run the morphological analysis and parsing process on the document indicated by the change information said generated Ruishi each fraction plurality of words to one of 5W1H constituting the document,
The update content notification means includes:
And a result of classifying a plurality of words constituting the document indicated by the change information to 5W1H, prior to comparing the kill Lumpur information, determining said notification destination of job and whether the notification,
The medical processing apparatus according to claim 1 . Before Symbol strange Sarajo report generation means,
A plurality of words constituting the document indicated by the change information are classified into any of a Who phrase, What phrase, When phrase, Where phrase, Why phrase, and How phrase, so that at least update content can be determined .
The medical processing apparatus according to claim 1 . The combination of the test information storage means for storing the test information including at least patient identification information and main complaint information, the update contents before and after the update of the test information, and the main complaint included in the test information, In a computer having rule information storage means for storing rule information associating whether notification is possible or not,
  A function of updating at least a part of various types of information included in the inspection information stored in the inspection information storage unit based on the input information;
  A function of generating change information corresponding to a change content between the inspection information before update by the information update unit and the inspection information after update;
  When determining whether to notify whether the inspection information has been updated by the information update unit based on the generated change information and the rule information, and a notification destination job type to notify the update, and notify A function for notifying the terminal used by the person of the determined job type of the update;
  Medical processing program that realizes

Images