JP7023616B2 - Medical information systems, department information management servers, and management programs - Google Patents

Description

Embodiments of the present invention relate to medical information systems, departmental information management servers, and management programs.

In recent years, with the advancement of medical image diagnostic equipment, a high degree of specialization is required in setting imaging conditions and analyzing acquired medical images. Therefore, in a large-scale hospital, a specialist often conducts a test based on a request from a medical doctor, and the medical doctor often conducts a medical examination based on the test result. For example, in the radiology department, the radiologist sets detailed examination information in the RIS (Radiological Information System) server based on the examination order issued by the radiologist. Then, an image interpreter in the radiology department analyzes the medical image and creates an image interpretation report, which is a report.

By the way, as a result of analyzing the acquired medical image, the image interpreting doctor may consider the necessity of additional examination or re-examination in order to make the assumption of diagnosis more solid. On the other hand, at present, there is an operational restriction that the medical doctor decides the necessary examination and treatment policy, and the specifications on the system side also comply with this restriction. That is, the examination order can only be issued from the HIS (Hospital Information System) used by the medical doctor. Therefore, when an additional examination or the like is considered necessary, the image interpretation doctor proposes to the medical doctor to issue an order for the additional examination or the like by stating in the image interpretation report that the additional examination or the like is necessary.

However, since the medical doctor is busy, there is a considerable possibility that the proposals such as additional examinations described in the interpretation report may be overlooked and the examination order may be forgotten. Further, even if the radiologist issues an examination order in response to a proposal such as an additional examination, the radiologist must set detailed examination information, which is troublesome.

Japanese Unexamined Patent Publication No. 2009-146340

Therefore, the purpose is to efficiently carry out additional examinations and re-examinations in the radiology department.

According to the embodiment, in the medical information system, the examination order for the medical doctor to request the examination is issued from the in-hospital information management system that manages the order information to the department information management server of the radiology department. The medical information system includes a proposal order creation unit, a proposal order storage unit, a report creation unit, a proposal order approval unit, and a proposal order issuing unit. The proposal order creation unit is a proposal order including setting information necessary for performing an additional examination or a re-examination that the image interpreter considers necessary, and the setting information is more detailed than the setting information included in the examination order. Create a proposal order that is. The proposal order storage unit stores the proposal order and issues access information necessary for the medical doctor to refer to the stored proposal order. The report creation unit creates an interpretation report including the access information. The proposal order approval unit causes the medical doctor who has acquired the stored proposal order by using the access information included in the interpretation report to select whether or not to approve the proposal order. When the proposal order is approved by the proposal order approval unit, the proposal order issuing unit transmits an inspection instruction based on the setting information included in the proposal order to the medical image diagnostic apparatus.

FIG. 1 is a block diagram showing a functional configuration of a hospital information system according to the first embodiment. FIG. 2 is a block diagram showing a functional configuration of the RIS server shown in FIG. FIG. 3 is a diagram illustrating an operation when an image interpretation report is created in the hospital information system shown in FIG. FIG. 4 is a diagram showing a creation screen displayed on a PC terminal provided in the radiology department system shown in FIG. FIG. 5 is a diagram illustrating an operation when an additional examination is performed based on a proposed order in the hospital information system shown in FIG. FIG. 6 is a schematic diagram showing an approval screen displayed on a PC terminal provided in the HIS shown in FIG. FIG. 7 is a block diagram showing a functional configuration of the hospital information system according to the second embodiment. FIG. 8 is a diagram illustrating an operation when an image interpretation report is created in the hospital information system shown in FIG. 7. FIG. 9 is a diagram illustrating an operation when an additional examination is performed based on a proposed order in the hospital information system shown in FIG. 7. FIG. 10 is a block diagram showing a functional configuration of the hospital information system according to the third embodiment. FIG. 11 is a block diagram showing a functional configuration of the hospital information system according to the fourth embodiment. FIG. 12 is a flowchart showing an operation when the report server shown in FIG. 11 creates an interpretation report. FIG. 13 is a diagram illustrating an operation when an additional examination is performed based on the proposed order in the hospital information system shown in FIG.

Hereinafter, embodiments will be described with reference to the drawings.

(First Embodiment)
FIG. 1 is a block diagram showing an example of a functional configuration of a hospital information system according to a first embodiment. The hospital information system shown in FIG. 1 is an example of a medical information system, and has a HIS (Hospital Information System) and a radiology department system. The HIS and the radiology department system are connected so as to be capable of data communication via an in-hospital network such as a LAN (Local Area Network). The connection to the hospital network may be a wired connection or a wireless connection. Further, as long as security is ensured, the connected line is not limited to the in-hospital network. For example, it may be connected to a public communication line such as the Internet via a VPN (Virtual Private Network) or the like.

The HIS shown in FIG. 1 is an in-hospital information management system that electronically manages information in the hospital. Information in the hospital includes, for example, medical information, patient information, order information, and the like. More specifically, in the present embodiment, the HIS includes, for example, a management system for managing medical information, patient information, and the like, and an order entry system for issuing order information to the medical department. The medical information includes information related to electronic medical records, such as finding information, disease name information, vital information, examination stage information, and treatment content information. Patient information includes, for example, patient ID, patient name, gender, age, and the like. The order information is, for example, information that a medical doctor or the like requests a radiological examination, a sample examination, a physiological examination, a prescription, a medication, or the like. When the order information is the inspection order information for requesting a radiological examination, the inspection order information is, for example, the inspection date, the inspection time, the reception number, the inspection site, the type of the medical diagnostic imaging device, the requesting doctor, and the requesting department. Contains information about.

The HIS shown in FIG. 1 has a HIS server 1 and a PC terminal 2. The HIS server 1 and the PC terminal 2 are connected to each other via a network in the hospital so that data communication is possible. The HIS server 1 is an in-hospital information management server that electronically manages information in the hospital in HIS.

Note that FIG. 1 shows an example in which the server included in HIS is only HIS server 1, but the present invention is not limited to this. A plurality of HIS servers may be provided as needed. For example, the HIS server may be provided for each information to be managed.

The PC terminal 2 is a terminal for a medical staff such as a doctor to input an instruction to the HIS server 1. Specifically, for example, the PC terminal 2 is operated by a medical doctor and inputs test order information to the HIS server 1. The PC terminal 2 is operated by a medical doctor and transmits an instruction signal to the HIS server 1 so as to issue an examination order. In the present embodiment, issuing a test order means transmitting test order information and patient information to a predetermined destination.

Upon receiving the instruction signal transmitted from the PC terminal 2, the HIS server 1 transmits the examination order information and the patient information to the radiology department system. The examination order information and the patient information are transmitted to the radiology department system according to a preset standard, for example, HL7 (Health Level 7).

The radiology department system shown in FIG. 1 is a system that manages information such as examination appointments in the radiology department, which is one of the medical care departments. The radiology department system includes a RIS (Radiology Information System) server 3, a medical image diagnostic device 4, an image server 5, a report server 6, and a PC terminal 7. The RIS server 3, the medical diagnostic imaging apparatus 4, the image server 5, the report server 6, and the PC terminal 7 are connected so as to be capable of data communication via the hospital network. The image server 5 and the report server 6 constitute an image management system (PACS: Picture Archiving and Communication System). In the first embodiment, the case where the PACS is provided in the radiology department system will be described as an example, but the present invention is not limited to this. The PACS may be shared by each department system included in the hospital information system.

The RIS server 3 is a department information management server that manages information such as examination reservations in the radiology department. Specifically, for example, when the RIS server 3 receives the examination order information transmitted from the HIS server 1 and the patient information, the RIS server 3 sets the examination order information in the radiology department. The examination order information in the radiology department includes detailed setting information required at the time of examination, for example, detailed information about the medical diagnostic imaging apparatus 4. In the following, inspection order information within the radiology department will be referred to as detailed inspection order information. The detailed inspection order information includes, for example, imaging conditions such as the presence or absence of a contrast medium and the radiation dose. The detailed examination order information may be preset based on the received examination order information, patient information, past examination history, and the like.

Detailed examination order information is confirmed by the radiologist before the examination is performed. The radiologist corrects the detailed examination order information so that the detailed examination order information meets the examination purpose of the examination order requested by the medical doctor and the information necessary for the examination is correctly set. The RIS server 3 transmits detailed examination order information and patient information to the medical diagnostic imaging apparatus 4.

Further, when the RIS server 3 receives an instruction signal to create a proposal order from the interpretation doctor who creates the interpretation report, the RIS server 3 creates the proposal order. As a result of the analysis of the medical image by the interpreter, the need for additional examination or re-examination may be considered in order to make the diagnosis assumption more solid. The proposed order is an order for requesting additional examinations, etc. that the image interpreter considers necessary. In the proposal order, the proposal order information is set. The proposed order information includes detailed information about the medical image diagnostic apparatus 4 required at the time of examination, as well as the detailed examination order information.

When the created proposal order is approved by the medical doctor, the RIS server 3 issues the approved proposal order. That is, the RIS server 3 transmits the proposed order information and the patient information to the medical diagnostic imaging apparatus 4. In addition, the RIS server 3 prompts the clinician to confirm if the clinician does not respond to the created proposal order.

The medical image diagnosis device 4 is a device for generating image data of a medical image relating to a patient. Examples of the medical diagnostic imaging apparatus 4 include, for example, an MRI (Magnetic Resonance Imaging) apparatus, an X-ray CT (computed tomography) apparatus, a positron emission computed tomography (PET) apparatus, and a single photon emission computed tomography (PET) apparatus. SPECT: single photon emission computed tomography) equipment and other nuclear medicine diagnostic equipment, ultrasonic diagnostic equipment, and X-ray diagnostic equipment.

The medical diagnostic imaging apparatus 4 photographs a patient based on the detailed examination order information transmitted from the RIS server 3 and the patient information, and generates image data. Further, the medical image diagnosis device 4 photographs a patient based on the proposed order information transmitted from the RIS server 3 and the patient information, and generates image data.

The medical diagnostic imaging apparatus 4 converts the generated image data into an image file conforming to the DICOM (Digital Imaging and Communication Medicine) standard. The image file includes image data and incidental information added to the image data. The incidental information is information for managing image data, and includes, for example, an examination UID, a series UID, a patient ID, and the like. The inspection UID is an identifier that can uniquely identify the inspection. The series UID is, for example, an identifier that can uniquely identify a series of image groups acquired for each imaging site or for each imaging condition.

The image server 5 is a device that stores an image file created by the medical image diagnosis device 4. The image server 5 sends the requested image file out of the stored image files to the image interpreter in response to the request from the image interpreter.

The report server 6 is a device that creates an image interpretation report, that is, a report creation unit. Specifically, for example, the report server 6 creates an interpretation report based on the examination order information and the patient information transmitted from the HIS server 1.

Further, the report server 6 transmits information about the created interpretation report to the HIS server 1 in response to a request from the medical examination doctor. At this time, the information about the interpretation report is transmitted to the HIS server 1 in accordance with a preset standard, for example, DICOM (Digital Imaging and Communication in Medicine). It is a terminal for inputting instructions to the RIS server 3, the image server 5, and the report server 6 provided in the radiology department system. Specifically, for example, the PC terminal 7 is operated by a radiologist and transmits an instruction signal to correct detailed order information to the RIS server 3. Further, the PC terminal 7 is operated by an image interpreting doctor and transmits an instruction signal to create a proposal order to the RIS server 3. Further, the PC terminal 7 is operated by an image interpretation doctor and transmits an instruction signal to create an image interpretation report to the report server 6.

FIG. 2 is a block diagram showing an example of the functional configuration of the RIS server 3 shown in FIG. The RIS server 3 shown in FIG. 2 has a processing circuit 31, a communication interface 32, and a storage circuit 33. The processing circuit 31, the communication interface 32, and the storage circuit 33 are connected to each other so as to be communicable with each other via, for example, a bus.

The processing circuit 31 is a processor that functions as the center of the RIS server 3. The processing circuit 31 realizes a function corresponding to the processing program stored in the storage circuit 33 or the like by executing the processing program.

The communication interface 32 performs data communication with the HIS server 1, the medical diagnostic imaging apparatus 4, the image server 5, and the report server 6 connected via the hospital network. Communication with the HIS server 1, the medical diagnostic imaging apparatus 4, the image server 5, and the report server 6 is performed in accordance with a preset known standard. For example, communication with the HIS server 1 is performed in accordance with HL7.

The storage circuit 33 is a storage device such as an HDD (hard disk drive), an SSD (solid state drive), and an integrated circuit storage device that stores various information. Further, the storage circuit 33 may be a drive device or the like that reads / writes various information between a CD-ROM drive, a DVD drive, and a portable storage medium such as a flash memory. The storage circuit 33 does not necessarily have to be realized by a single storage device. For example, the storage circuit 33 may be realized by a plurality of storage devices. The storage circuit 33 stores the processing program and the like according to the present embodiment.

The RIS server 3 may have an input interface. The input interface is realized by, for example, a mouse, a keyboard, a touch panel in which instructions are input by touching the operation surface, and the like. The input interface converts an input instruction from the operator into an electric signal and outputs the electric signal to the processing circuit 31. The input interface is not limited to those provided with physical operation parts such as a mouse and a keyboard. For example, an example of an input interface includes a circuit that receives an electric signal corresponding to an instruction input from an external input device provided separately from the RIS server 3 and outputs the electric signal to the processing circuit 31.

Further, the RIS server 3 may have an output interface. The output interface is realized by, for example, a display device, a printing device, or the like. As the display device, for example, any display such as a CRT display, a liquid crystal display, an organic EL display, an LED display, and a plasma display can be appropriately used. The display device displays image data about the display target. The printing device is, for example, a printer. The printing device prints image data about the printing target on a predetermined sheet of paper. The output interface is not limited to those provided with physical output components such as display devices and printing devices. For example, an example of the output interface includes a circuit for transmitting image data to an external output device provided separately from the RIS server 3.

The processing circuit 31 shown in FIG. 2 realizes a function corresponding to the processing program stored in the storage circuit 33 by executing the processing program. For example, the processing circuit 31 has an order issuing function 311, a proposed order creating function 312, a proposed order saving function 313, a proposed order approval function 314, a proposed order issuing function 315, and a reminder function 316 by executing a processing program. .. In this embodiment, when the order issuing function 311, the proposed order creating function 312, the proposed order saving function 313, the proposed order approval function 314, the proposed order issuing function 315, and the reminder function 316 are realized by a single processor. However, it is not limited to this. For example, a processing circuit is configured by combining a plurality of independent processors, and each processor executes a processing program to execute an order issuing function 311, a proposed order creation function 312, a proposed order saving function 313, a proposed order approval function 314, and a proposal. The order issuing function 315 and the reminder function 316 may be realized.

The order issuing function 311 is a function of issuing a detailed examination order to the medical diagnostic imaging apparatus 4. Specifically, for example, the processing circuit 31 executes the order issuing function 311 according to an instruction from the radiologist. When the order issuing function 311 is executed, the processing circuit 31 transmits the detailed examination order information and the patient information to the medical diagnostic imaging apparatus 4.

The proposal order creation function 312 is a function for creating a proposal order. Specifically, for example, the processing circuit 31 executes the proposal order creation function 312 according to an instruction from the image interpreting doctor. When the proposal order creation function 312 is executed, the processing circuit 31 creates a proposal order based on the input proposal order information.

The proposal order save function 313 is a function for saving the created proposal order. Specifically, for example, the processing circuit 31 executes the proposed order storage function 313 according to an instruction from the image interpreting doctor. When the proposed order saving function 313 is executed, the processing circuit 31 stores the proposed order information regarding the created proposed order in the storage circuit 33.

The proposal order approval function 314 is a function for accepting approval or disapproval of the created proposal order from a medical doctor. Specifically, for example, the processing circuit 31 executes the proposal order approval function 314 according to an instruction from the medical doctor. When the proposal order approval function 314 is executed, the processing circuit 31 causes the medical doctor to select whether or not to approve the proposal order.

The proposal order issuing function 315 is a function of issuing a proposal order to the medical diagnostic imaging apparatus 4. Specifically, for example, the processing circuit 31 executes the proposal order issuing function 315 when the medical doctor approves the proposal order. When the proposal order issuing function 315 is executed, the processing circuit 31 transmits the proposal order information and the patient information to the medical diagnostic imaging apparatus 4.

The reminder function 316 is a function that prompts the medical doctor to confirm the created proposal order. Specifically, for example, the processing circuit 31 executes the reminder function 316 when approval or disapproval of the proposed order is not selected for a preset period. When the reminder function 316 is executed, the processing circuit 31 notifies the medical doctor that the proposed order is confirmed.

Next, the operation of the hospital information system configured as described above will be described in detail. FIG. 3 is a diagram illustrating an example of an operation when an image interpretation report is created in the hospital information system shown in FIG.

First, the medical doctor inputs the examination order information regarding the imaging by the medical diagnostic imaging apparatus 4 to the HIS server 1 via the PC terminal 2. When the input is completed, the medical doctor confirms the examination order information. When the inspection order information is confirmed, an instruction signal to issue the inspection order is transmitted from the PC terminal 2 to the HIS server 1 (step S31).

When the HIS server 1 receives the instruction signal transmitted from the PC terminal 2, it transmits the confirmed test order information and the patient information to the RIS server 3 and the report server 6 (step S32).

The RIS server 3 receives the examination order information and the patient information transmitted from the HIS server 1. Upon receiving the examination order information and the patient information, the processing circuit 31 of the RIS server 3 creates an examination order in the radiology department (step S33). For example, the processing circuit 31 presets information necessary for the examination, that is, detailed examination order information, based on the received examination order information, patient information, past examination history, and the like. The radiologist may directly input the detailed examination order information via the PC terminal 7.

The radiologist refers to the examination order information transmitted from the HIS server 1 and grasps the examination purpose intended by the examination order information. The radiologist confirms that the preset detailed examination order information is in line with the examination purpose. In addition, the radiologist refers to the patient information transmitted from the HIS server 1, and has any matters to be noted, such as the presence or absence of allergic contrast media, the presence or absence of renal dysfunction, and the presence or absence of the possibility of pregnancy. To confirm. The radiologist corrects and updates the detailed examination order information as necessary (step S34). When the detailed inspection order information is updated, the processing circuit 31 executes the order issuing function 311. When the order issuing function 311 is executed, the processing circuit 31 transmits an inspection instruction based on the set detailed inspection order information to the medical image diagnostic apparatus 4 (step S35). Further, the processing circuit 31 registers the inspection contents based on the set detailed inspection order information in the HIS server 1. The registered inspection details will be reflected in the receipt.

The radiologist operates the medical diagnostic imaging apparatus 4 based on the detailed examination order information and the patient information. The medical diagnostic imaging apparatus 4 photographs the patient according to the operation of the radiologist and generates image data (step S36). The medical diagnostic imaging apparatus 4 converts the generated image data into an image file conforming to the DICOM standard. The medical image diagnosis device 4 transmits the generated image file to the image server 5 (step S37).

The image server 5 receives an image file transmitted from the medical diagnostic imaging apparatus 4. The image server 5 stores the received image file in the storage circuit provided in the image server 5 (step S38). When the storage of the image file is completed, the image server 5 notifies the RIS server 3 that the registration of the image file is completed (step S39). When the registration of the image file is completed, the RIS server 3 displays that the registration of the image file is completed in the inspection status in the inspection order (step S310).

When the image interpretation doctor confirms that the registration of the image file is completed, the image interpretation report starts to be created. Specifically, for example, the image interpretation doctor transmits an instruction signal instructing the creation of the image interpretation report to the report server 6 (step S311) via the PC terminal 7, and launches the image interpretation report creation screen. The image interpreting doctor connects to the image server 5 and searches for the image file acquired by the above inspection using, for example, the inspection UID as a key. The image interpreter analyzes the image file read from the image server 5. The interpreting doctor inputs finding information and the like based on the analysis from the creation screen displayed on the PC terminal 7. The report server 6 creates an image interpretation report based on the input information (step S312).

Interpreters may also discover abnormalities that were not initially expected when analyzing medical images. Alternatively, the area of interest in the medical image may be unclear. In such cases, the interpreter believes that additional tests are needed to further solidify the diagnostic assumptions. Considering that an additional examination is necessary, the image interpreting doctor sends an instruction signal to create a proposal order to the RIS server 3 (step S313).

The RIS server 3 receives an instruction signal to create a proposal order, which is transmitted from the PC terminal 7. Upon receiving the instruction signal, the processing circuit 31 of the RIS server 3 executes the proposal order creation function 312. When the proposal order creation function 312 is executed, the processing circuit 31 creates a proposal order (step S314). Specifically, the processing circuit 31 causes the PC terminal 7 to display the input screen of the proposed order information. The image interpreting doctor operates the PC terminal 7 and inputs detailed information about the medical diagnostic imaging apparatus 4 required for the additional examination on the input screen of the proposal order information. The processing circuit 31 temporarily stores the information input from the PC terminal 7.

On the input screen of the proposal order information, a "confirm" button indicating that the content of the proposal order has been confirmed is displayed. The interpreting doctor operates the PC terminal 7 and clicks the "confirm" button when confirming the content displayed on the input screen. When the "confirm" button is clicked, a confirmation signal indicating that the content of the proposed order has been confirmed is transmitted from the PC terminal 7 to the RIS server 3 (step S315).

The RIS server 3 receives the confirmation signal transmitted from the PC terminal 7. Upon receiving the confirmation signal, the processing circuit 31 of the RIS server 3 executes the proposed order storage function 313. When the proposed order saving function 313 is executed, the processing circuit 31 stores the proposed order information whose contents have been determined in the storage circuit 33 (step S316). As a result, the proposed order information is set in the RIS server 3. When the processing circuit 31 stores the proposed order information in the storage circuit 33, the processing circuit 31 issues access information necessary for the medical doctor to refer to the stored proposed order information. As the access information, for example, the URL of the storage circuit 33 of the RIS server 3, the patient ID, the report ID, and the like can be assumed. The processing circuit 31 transmits the issued access information to the PC terminal 7 (step S317).

The interpreting doctor inputs the access information transmitted from the RIS server 3 from the creation screen displayed on the PC terminal 7 (step S318). FIG. 4 is a schematic diagram showing an example of a creation screen displayed on the PC terminal 7 shown in FIG.

On the interpretation report creation screen, a "confirm" button indicating that the contents of the interpretation report have been confirmed is displayed. The interpreting doctor operates the PC terminal 7 and clicks the "confirm" button when confirming the content displayed on the creation screen. When the "confirm" button is clicked, a confirmation signal indicating that the content of the interpretation report has been confirmed is transmitted from the PC terminal 7 to the report server 6 (step S319).

The report server 6 receives the confirmation signal transmitted from the PC terminal 7. Upon receiving the confirmation signal, the report server 6 stores information about the interpretation report whose contents have been confirmed in the storage circuit of the report server 6 (step S320). When the report server 6 stores the image interpretation report, the report server 6 notifies the RIS server 3 that the image interpretation report has been created. Upon receiving the notification from the report server 6, the RIS server 3 notifies the HIS server 1 that the interpretation report has been created. Upon receiving the notification from the RIS server 3, the HIS server 1 notifies the PC terminal 2 used by the medical doctor that the creation of the interpretation report is completed (step S321).

FIG. 5 is a diagram illustrating an example of operation when an additional examination is performed based on a proposed order in the hospital information system shown in FIG.

Upon receiving the notification that the image interpretation report has been created, the medical doctor operates the PC terminal 2 and requests the image interpretation report from the report server 6 via the HIS server 1. As a result, a request signal requesting an image interpretation report is transmitted from the HIS server 1 to the report server 6 (step S51). The report server 6 reads the stored image interpretation report in response to the request, and transmits the read image interpretation report to the HIS server 1 (step S52). The HIS server 1 displays the interpretation report transmitted from the report server 6 on, for example, an electronic medical record (step S53).

The medical doctor examines the patient by referring to the interpretation report displayed on the electronic medical record. If the access information regarding the proposal order is found while referring to the interpretation report, the medical doctor refers to the access information and requests the proposal order information from the RIS server 3 (step S54).

The RIS server 3 receives the request signal from the medical doctor. Upon receiving the request signal, the processing circuit 31 of the RIS server 3 executes the proposal order approval function 314. When the proposal order approval function 314 is executed, the processing circuit 31 causes the PC terminal 2 to display the proposal order approval screen (step S55). On the approval screen, for example, proposal order information and a button for selecting whether or not to approve the proposal order are displayed. FIG. 6 is a schematic diagram showing an example of an approval screen displayed on the PC terminal 2 shown in FIG.

The clinician clicks the "Approve" button if he / she approves the proposal order, or clicks the "Reject" button if he / she does not approve it. When the proposal order is approved by the medical doctor, an approval signal indicating that the proposal order has been approved is transmitted from the PC terminal 2 to the RIS server 3 (step S56). When the proposed order is rejected by the medical doctor, a rejection signal indicating that the proposed order has been rejected is transmitted from the PC terminal 2 to the RIS server 3.

The RIS server 3 receives the approval signal. Upon receiving the approval signal, the processing circuit 31 of the RIS server 3 executes the proposal order issuing function 315. When the proposal order issuing function 315 is executed, the processing circuit 31 transmits an examination instruction based on the approved proposal order information to the medical diagnostic imaging apparatus 4 (step S57). Further, the processing circuit 31 registers the inspection contents based on the set proposed order information in the HIS server 1. The registered inspection details will be reflected in the receipt. The radiologist operates the medical diagnostic imaging apparatus 4 based on the proposed order information and the patient information. The medical diagnostic imaging apparatus 4 photographs the patient according to the operation of the radiologist and generates image data (step S58).

The processing circuit 31 of the RIS server 3 executes the reminder function 316 when there is no approval signal and rejection signal for a preset period from the PC terminal 2. The preset period may be, for example, a preset period after notifying the completion of the creation of the interpretation report. Further, it may be a predetermined period after the interpretation report is displayed on the electronic medical record. Further, it may be a predetermined period after the approval screen is displayed. When the reminder function 316 is executed, the processing circuit 31 causes the PC terminal 2 to display a caution to confirm the proposed order information by referring to the access information described in the interpretation report.

As described above, in the first embodiment, the image interpreting doctor inputs the proposed order information to the RIS server 3 when he / she considers that an additional examination is necessary as a result of analyzing the medical image. The RIS server 3 creates a proposal order based on the input proposal order information, and stores the created proposal order in the storage circuit 33. The RIS server 3 displays the stored proposal order information to the clinician in response to the request from the clinician who refers to the interpretation report, and causes the clinician to determine whether or not to approve the proposal order proposed by the interpretation physician. Then, when the proposal order is approved by the medical doctor, the RIS server 3 transmits the approved proposal order to the medical diagnostic imaging apparatus 4. As a result, the detailed proposal order created by the radiologist is managed by the RIS server 3, so that the radiologist does not need to check the contents of the order and correct it as necessary.

Therefore, according to the medical information system and the RIS server 3 according to the first embodiment, additional examinations and re-examinations in the radiology department can be efficiently performed.

Further, in the first embodiment, the RIS server 3 sends a proposal order to the clinician via an interpretation report when the state in which it is presumed that the clinician has not confirmed the proposal order information continues for a predetermined period. I am trying to notify you to confirm. This makes it possible to prevent the clinician from overlooking the proposal for additional tests and forgetting to issue the test order.

(Second embodiment)
In the first embodiment, the case where the RIS server 3 has the proposed order creation function 312, the proposed order saving function 313, the proposed order approval function 314, the proposed order issuing function 315, and the reminder function 316 has been described as an example. In the second embodiment, the case where the report server has the proposal order creation function, the RIS server has the proposal order storage function, and the HIS server has the proposal order approval function, the proposal order issuing function, and the reminder function will be described. do.

FIG. 7 is a block diagram showing an example of the functional configuration of the hospital information system according to the second embodiment. The HIS shown in FIG. 7 has a HIS server 1B and a PC terminal 2. The radiology department system shown in FIG. 7 has a RIS server 3B, a medical diagnostic imaging apparatus 4, an image server 5, a report server 6B, and a PC terminal 7.

The HIS server 1B is a server that electronically manages information in the hospital in HIS. The HIS server 1B has a processing circuit 11B, a communication interface 12, and a storage circuit 13. The processing circuit 11B, the communication interface 12, and the storage circuit 13 are connected to each other so as to be communicable with each other via, for example, a bus. The HIS server 1B may have an input interface and an output interface.

The processing circuit 11B is a processor that functions as the center of the HIS server 1B. The processing circuit 11B realizes a function corresponding to the processing program stored in the storage circuit 13 or the like by executing the processing program.

The communication interface 12 performs data communication with the RIS server 3B, the medical diagnostic imaging apparatus 4, the image server 5, and the report server 6B connected via the hospital network. Communication with the RIS server 3B, the medical diagnostic imaging apparatus 4, the image server 5, and the report server 6B is performed in accordance with a preset known standard. For example, communication with the RIS server 3B is performed in accordance with HL7.

The storage circuit 13 is a storage device such as an HDD, an SSD, and an integrated circuit storage device that stores various information. Further, the storage circuit 13 may be a drive device or the like that reads / writes various information between a CD-ROM drive, a DVD drive, and a portable storage medium such as a flash memory. The storage circuit 13 does not necessarily have to be realized by a single storage device. For example, the storage circuit 13 may be realized by a plurality of storage devices. The storage circuit 13 stores a processing program or the like according to the present embodiment.

The processing circuit 11B shown in FIG. 7 realizes a function corresponding to the processing program stored in the storage circuit 13. For example, the processing circuit 11B has a proposal order approval function 111, a proposal order issuing function 112, and a reminder function 113 by executing a processing program. In this embodiment, the case where the proposed order approval function 111, the proposed order issuing function 112, and the reminder function 113 are realized by a single processor is described, but the present invention is not limited thereto. For example, a processing circuit may be configured by combining a plurality of independent processors, and the proposed order approval function 111, the proposed order issuing function 112, and the reminder function 113 may be realized by each processor executing a processing program.

The proposal order approval function 111 is a function for accepting approval or disapproval of the created proposal order from a medical doctor. Specifically, for example, the processing circuit 11B executes the proposal order approval function 111 when the interpretation report is transmitted from the RIS server 3B. When the proposal order approval function 111 is executed, the processing circuit 11B causes the medical doctor to select whether or not to approve the proposal order.

The proposal order issuing function 112 is a function for instructing the RIS server 3B to issue a proposal order. Specifically, for example, the processing circuit 11B executes the proposal order issuing function 112 when the medical doctor approves the proposal order. When the proposal order issuing function 112 is executed, the processing circuit 11B transmits an instruction to issue the proposal order to the RIS server 3B.

The reminder function 113 is a function that prompts the medical doctor to confirm the created proposal order. Specifically, for example, the processing circuit 11B executes the reminder function 113 when approval or disapproval of the proposed order is not selected for a preset period. When the reminder function 113 is executed, the processing circuit 11B notifies the medical doctor that the proposed order is confirmed.

The RIS server 3B is a server that manages information such as examination appointments within the radiology department. The RIS server 3B has a processing circuit 31B, a communication interface 32, and a storage circuit 33. The processing circuit 31B, the communication interface 32, and the storage circuit 33 are connected to each other so as to be communicable with each other via, for example, a bus. The RIS server 3B may have an input interface and an output interface.

The processing circuit 31B is a processor that functions as the center of the RIS server 3B. The processing circuit 31B realizes a function corresponding to the processing program stored in the storage circuit 33 or the like by executing the processing program. For example, the processing circuit 31B has an order issuing function 311 and a proposed order saving function 313 by executing a processing program.

The report server 6B is a device that creates an image interpretation report. The report server 6B has a processing circuit 61B, a communication interface 62, and a storage circuit 63. The processing circuit 61B, the communication interface 62, and the storage circuit 63 are connected to each other so as to be communicable with each other via, for example, a bus. The report server 6B may have an input interface and an output interface.

The processing circuit 61B is a processor that functions as the center of the report server 6B. The processing circuit 61B realizes a function corresponding to the processing program stored in the storage circuit 63 or the like by executing the processing program.

The communication interface 62 performs data communication with the HIS server 1B, the RIS server 3B, the medical diagnostic imaging apparatus 4, and the image server 5 connected via the hospital network. Communication with the HIS server 1B, the RIS server 3B, the medical image diagnostic device 4, and the image server 5 is performed in accordance with a preset known standard.

The storage circuit 63 is a storage device such as an HDD, an SSD, and an integrated circuit storage device that stores various information. Further, the storage circuit 63 may be a drive device or the like that reads / writes various information between a CD-ROM drive, a DVD drive, and a portable storage medium such as a flash memory. The storage circuit 63 does not necessarily have to be realized by a single storage device. For example, the storage circuit 13 may be realized by a plurality of storage devices. The storage circuit 63 stores a processing program or the like according to the present embodiment.

The processing circuit 61B shown in FIG. 7 realizes a function corresponding to the processing program stored in the storage circuit 63 by executing the processing program. For example, the processing circuit 61B has a proposed order creation function 611 by executing a processing program.

The proposal order creation function 611 is a function for creating a proposal order. Specifically, for example, the processing circuit 61B executes the proposal order creation function 611 according to an instruction from the image interpreting doctor. When the proposal order creation function 611 is executed, the processing circuit 61B creates a proposal order based on the input proposal order information.

Next, the operation of the hospital information system configured as described above will be described in detail. FIG. 8 is a diagram illustrating an example of an operation when an image interpretation report is created in the hospital information system shown in FIG. 7. In FIG. 8, the operation after the image file is registered in the image server 5 will be described.

After confirming that the registration of the image file in the image server 5 is completed, the image interpreting doctor transmits an instruction signal instructing the creation of the image interpretation report to the report server 6 via the PC terminal 7 (step S81). As a result, the image interpretation report creation screen is launched on the PC terminal 7. The image interpreter analyzes the image file read from the image server 5, and inputs the finding information based on the analysis from the creation screen displayed on the PC terminal 7. The report server 6B creates an interpretation report based on the input information (step S82).

On the screen for creating an interpretation report, a "Create" button for instructing the creation of a proposal order is displayed. When the interpreting doctor thinks that an additional examination is necessary, he / she operates the PC terminal 7 and clicks the “create” button. When the "Create" button is clicked, an instruction signal instructing the creation of the proposal order is transmitted from the PC terminal 7 to the report server 6B (step S83).

The report server 6B receives an instruction signal instructing the creation of the proposal order. When the processing circuit 61B of the report server 6B receives the instruction signal, the processing circuit 61B executes the proposal order creation function 611. When the proposal order creation function 611 is executed, the processing circuit 61B creates a proposal order (step S84). Specifically, the processing circuit 61B causes the PC terminal 7 to display the input screen of the proposed order information. The image interpreting doctor operates the PC terminal 7 and inputs detailed information about the medical diagnostic imaging apparatus 4 required for the additional examination on the input screen of the proposal order information. The processing circuit 61B temporarily stores the information input from the PC terminal 7.

On the input screen of the proposal order information, a "confirm" button indicating that the content of the proposal order has been confirmed is displayed. The interpreting doctor operates the PC terminal 7 and clicks the "confirm" button when confirming the content displayed on the input screen. When the "confirm" button is clicked, a confirmation signal indicating that the content of the proposal order has been confirmed is transmitted from the PC terminal 7 to the report server 6B (step S85).

When the report server 6B receives the confirmation signal transmitted from the PC terminal 7, the report server 6B transmits the stored proposal order information to the RIS server 3B. The RIS server 3B receives the proposal order information transmitted from the report server 6B. Upon receiving the proposed order information, the processing circuit 31B of the RIS server 3B executes the proposed order saving function 313. When the proposed order saving function 313 is executed, the processing circuit 31B stores the received proposed order information in the storage circuit 33 (step S86). As a result, the proposed order information is set in the RIS server 3B. When the processing circuit 31B stores the proposed order information in the storage circuit 33, the processing circuit 31B issues access information necessary for the medical doctor to refer to the stored proposed order information. The processing circuit 31B transmits the issued access information to the report server 6B (step S87).

The report server 6B receives the access information transmitted from the RIS server 3B. When the processing circuit 61B of the report server 6B receives the access information, the processing circuit 61B pastes the received access information into the interpretation report (step S88).

On the interpretation report creation screen, a "confirm" button indicating that the contents of the interpretation report have been confirmed is displayed. The interpreting doctor operates the PC terminal 7 and clicks the "confirm" button when confirming the content displayed on the creation screen. When the "confirm" button is clicked, a confirmation signal indicating that the content of the interpretation report has been confirmed is transmitted from the PC terminal 7 to the report server 6B (step S89).

The report server 6B receives the confirmation signal transmitted from the PC terminal 7. When the report server 6B receives the confirmation signal, the report server 6B stores the information regarding the interpretation report whose contents are confirmed in the storage circuit 63 of the report server 6B (step S810). When the report server 6B stores the interpretation report, the report server 6B notifies the RIS server 3B that the creation of the interpretation report is completed. Upon receiving the notification from the report server 6B, the RIS server 3B notifies the HIS server 1B that the interpretation report has been created. Upon receiving the notification from the RIS server 3B, the HIS server 1B notifies the PC terminal 2 used by the medical doctor that the image interpretation report has been created (step S811).

FIG. 9 is a diagram illustrating an example of an operation when an additional examination is performed based on a proposed order in the hospital information system shown in FIG. 7.

Upon receiving the notification that the image interpretation report has been created, the medical doctor operates the PC terminal 2 and requests the image interpretation report from the report server 6B via the HIS server 1B. As a result, a request signal requesting an interpretation report is transmitted from the HIS server 1B to the report server 6B (step S91). The report server 6B reads the stored image interpretation report in response to the request, and transmits the read image interpretation report to the HIS server 1B (step S92). The HIS server 1B displays the interpretation report transmitted from the report server 6B on, for example, an electronic medical record (step S93).

The medical doctor examines the patient by referring to the interpretation report displayed on the electronic medical record. If the access information regarding the proposed order is found while referring to the interpretation report, the medical doctor refers to the access information and requests the proposed order information from the RIS server 3B via the HIS server 1B (step S94).

Upon receiving the request from the medical doctor, the RIS server 3B reads the stored proposal order information and transmits the read proposal order information to the HIS server 1B (step S95).

The HIS server 1B receives the proposal order information transmitted from the RIS server 3B. Upon receiving the proposal order information, the processing circuit 11B of the HIS server 1B executes the proposal order approval function 111. When the proposal order approval function 111 is executed, the processing circuit 11B causes the PC terminal 2 to display the proposal order approval screen (step S96). On the approval screen, for example, proposal order information and a button for selecting whether or not to approve the proposal order are displayed.

The clinician clicks the "Approve" button if he / she approves the proposal order, or clicks the "Reject" button if he / she does not approve it. When the proposal order is approved by the medical doctor, an approval signal indicating that the proposal order has been approved is transmitted from the PC terminal 2 to the HIS server 1B (step S97). When the proposed order is rejected by the medical doctor, a rejection signal indicating that the proposed order has been rejected is transmitted from the PC terminal 2 to the HIS server 1B.

The HIS server 1B receives the approval signal. Upon receiving the approval signal, the processing circuit 11B of the HIS server 1B executes the proposal order issuing function 112. When the proposal order issuing function 112 is executed, the processing circuit 11B transmits an instruction signal to the medical image diagnostic apparatus 4 to transmit an inspection instruction based on the approved proposal order information to the RIS server 3B (step S98). The processing circuit 11B registers the inspection content based on the approved proposal order information. The registered inspection details will be reflected in the receipt.

Upon receiving the instruction signal from the HIS server 1B, the RIS server 3B transmits an examination instruction based on the approved proposed order information to the medical image diagnostic apparatus 4 (step S99). The radiologist operates the medical diagnostic imaging apparatus 4 based on the proposed order information and the patient information. The medical diagnostic imaging apparatus 4 photographs the patient according to the operation of the radiologist and generates image data (step S910).

The processing circuit 11B of the HIS server 1B executes the reminder function 113 when there is no approval signal and rejection signal for a preset period from the PC terminal 2. When the reminder function 113 is executed, the processing circuit 11B causes the PC terminal 2 to display a caution to confirm the proposed order information by referring to the access information described in the interpretation report.

As described above, in the second embodiment, the image interpreting doctor inputs the proposed order information to the report server 6B when he / she considers that an additional examination is necessary as a result of analyzing the medical image. The report server 6B creates a proposal order based on the input proposal order information, and transmits the proposal order information about the created proposal order to the RIS server 3B. The RIS server 3B stores the received proposed order information in the storage circuit 33. The HIS server 1B requests the proposal order information from the RIS server 3B in response to a request from the medical doctor who refers to the interpretation report. The HIS server 1B displays the proposed order information transmitted from the RIS server 3B to the medical doctor, and causes the doctor to determine whether or not to approve the proposed order proposed by the interpreting doctor. Then, when the proposal order is approved by the medical doctor, the HIS server 1B transmits an instruction signal to transmit the approved proposal order information to the medical image diagnostic apparatus 4 to the RIS server 3B. As a result, the detailed proposal order created by the radiologist is managed by the RIS server 3B, so that the radiologist does not need to check the contents of the order and correct it as necessary.

Therefore, according to the medical information system according to the second embodiment, additional examinations and re-examinations in the radiology department can be efficiently performed.

Further, in the second embodiment, when the state in which it is presumed that the medical doctor has not confirmed the proposed order information is continued for a predetermined period, the HIS server 1B sends the proposed order to the medical doctor via the interpretation report. I am trying to notify you to confirm. This makes it possible to prevent the clinician from overlooking the proposal for additional tests and forgetting to issue the test order.

(Third embodiment)
In the second embodiment, the report server 6B has the proposed order creation function 611, the RIS server 3B has the proposed order saving function 313, and the HIS server 1B has the proposed order approval function 111, the proposed order issuing function 112, and the proposed order issuing function 112. The case where the reminder function 113 is provided has been described as an example. In the third embodiment, the case where the RIS server has the proposed order creation function and the proposed order saving function and the HIS server has the proposed order approval function, the proposed order issuing function, and the reminder function will be described.

FIG. 10 is a block diagram showing an example of the functional configuration of the hospital information system according to the third embodiment. The HIS shown in FIG. 10 has a HIS server 1B and a PC terminal 2. The radiology department system shown in FIG. 10 includes a RIS server 3C, a medical diagnostic imaging apparatus 4, an image server 5, a report server 6, and a PC terminal 7.

The RIS server 3C is a server that manages information such as examination appointments within the radiology department. The RIS server 3C has a processing circuit 31C, a communication interface 32, and a storage circuit 33. The processing circuit 31C, the communication interface 32, and the storage circuit 33 are connected to each other so as to be communicable with each other via, for example, a bus. The RIS server 3C may have an input interface and an output interface.

The processing circuit 31C is a processor that functions as the center of the RIS server 3C. The processing circuit 31C realizes a function corresponding to the processing program stored in the storage circuit 33 or the like by executing the processing program. For example, the processing circuit 31C has an order issuing function 311, a proposed order creating function 312, and a proposed order saving function 313 by executing a processing program.

In the hospital information system according to the third embodiment, the operation when the interpretation report is created is the same as the operation shown in FIG. Further, in the hospital information system according to the third embodiment, the operation when the additional examination is performed based on the proposed order is the same as the operation shown in FIG.

As described above, in the third embodiment, the image interpreter inputs the proposed order information to the RIS server 3C when he / she considers that an additional examination is necessary as a result of analyzing the medical image. The RIS server 3C creates a proposal order based on the input proposal order information, and stores the created proposal order in the storage circuit 33. The HIS server 1B requests the proposal order information from the RIS server 3C in response to a request from the medical doctor who refers to the interpretation report. The HIS server 1B displays the proposed order information transmitted from the RIS server 3B to the medical doctor, and causes the doctor to determine whether or not to approve the proposed order proposed by the interpreting doctor. Then, when the proposal order is approved by the medical doctor, the HIS server 1B transmits an instruction signal to transmit the approved proposal order information to the medical image diagnostic apparatus 4 to the RIS server 3B. As a result, the detailed proposal order created by the radiologist is managed by the RIS server 3C, so that the radiologist does not need to check the contents of the order and modify it as necessary.

Therefore, according to the medical information system according to the third embodiment, additional examinations and re-examinations in the radiology department can be efficiently performed.

Further, in the third embodiment, when the state in which it is presumed that the medical doctor has not confirmed the proposed order information is continued for a predetermined period, the HIS server 1B sends the proposed order to the medical doctor via the interpretation report. I am trying to notify you to confirm. This makes it possible to prevent the clinician from overlooking the proposal for additional tests and forgetting to issue the test order.

(Fourth Embodiment)
In the third embodiment, the RIS server 3C has the proposed order creation function 312 and the proposed order saving function 313, and the HIS server 1B has the proposed order approval function 111, the proposed order issuing function 112, and the reminder function 113. Was explained as an example. In the fourth embodiment, a case where the report server has a proposal order creation function, a proposal order storage function, a proposal order approval function, a proposal order issuing function, and a reminder function will be described.

FIG. 11 is a block diagram showing an example of the functional configuration of the hospital information system according to the fourth embodiment. The HIS shown in FIG. 11 has a HIS server 1 and a PC terminal 2. The radiology department system shown in FIG. 11 includes a RIS server 3D, a medical diagnostic imaging apparatus 4, an image server 5, a report server 6D, and a PC terminal 7.

The RIS server 3D is a server that manages information such as examination appointments within the radiology department. The RIS server 3D has a processing circuit 31D, a communication interface 32, and a storage circuit 33. The processing circuit 31D, the communication interface 32, and the storage circuit 33 are connected to each other so as to be communicable with each other via, for example, a bus. The RIS server 3D may have an input interface and an output interface.

The processing circuit 31D is a processor that functions as the center of the RIS server 3D. The processing circuit 31D realizes a function corresponding to the processing program stored in the storage circuit 33 or the like by executing the processing program. For example, the processing circuit 31D has an order issuing function 311 by executing a processing program.

The report server 6D is a device that creates an image interpretation report. The report server 6D has a processing circuit 61D, a communication interface 62, and a storage circuit 63. The processing circuit 61D, the communication interface 62, and the storage circuit 63 are connected to each other so as to be communicable with each other via, for example, a bus. The report server 6D may have an input interface and an output interface.

The processing circuit 61D is a processor that functions as the center of the report server 6D. The processing circuit 61D realizes a function corresponding to the processing program stored in the storage circuit 63 or the like by executing the processing program. For example, the processing circuit 61D has a proposal order creation function 611, a proposal order storage function 612, a proposal order approval function 613, a proposal order issuing function 614, and a reminder function 615 by executing a processing program.

In this embodiment, a case where the proposed order creation function 611, the proposed order saving function 612, the proposed order approval function 613, the proposed order issuing function 614, and the reminder function 615 are realized by a single processor will be described. Not limited to this. For example, a processing circuit is configured by combining a plurality of independent processors, and each processor executes a processing program to create a proposed order creation function 611, a proposed order saving function 612, a proposed order approval function 613, and a proposed order issuing function 614. And the reminder function 615 may be realized.

The proposal order save function 612 is a function for saving the created proposal order. Specifically, for example, the processing circuit 61D executes the proposed order storage function 612 according to an instruction from the image interpreting doctor. When the proposed order saving function 612 is executed, the processing circuit 61D stores the proposed order information regarding the created proposed order in the storage circuit 63.

The proposal order approval function 613 is a function for accepting approval or disapproval of the created proposal order from a medical doctor. Specifically, for example, the processing circuit 61D executes the proposal order approval function 613 according to an instruction from the medical doctor. When the proposal order approval function 613 is executed, the processing circuit 61D causes the medical doctor to select whether or not to approve the proposal order.

The proposal order issuing function 614 is a function for instructing the RIS server 3D to issue a proposal order. Specifically, for example, the processing circuit 61D executes the proposal order issuing function 614 when the medical doctor approves the proposal order. When the proposed order issuing function 614 is executed, the processing circuit 61D transmits an instruction to issue the proposed order to the RIS server 3D.

The reminder function 615 is a function that prompts the medical doctor to confirm the created proposal order. Specifically, for example, the processing circuit 31 executes the reminder function 316 when approval or disapproval of the proposed order is not selected for a preset period. When the reminder function 316 is executed, the processing circuit 31 notifies the medical doctor that the proposed order is confirmed.

Next, the operation of the hospital information system configured as described above will be described in detail. FIG. 12 is a flowchart showing an example of the operation when the report server 6D shown in FIG. 11 creates an interpretation report.

After confirming that the registration of the image file in the image server 5 is completed, the image interpreting doctor transmits an instruction signal instructing the creation of the image interpretation report to the report server 6D via the PC terminal 7. The report server 6D determines whether or not the instruction signal from the PC terminal 7 has been received (step S121). When the instruction signal is received (Yes in step S121), the report server 6D starts creating an image interpretation report (step S122). Specifically, the report server 6D displays the image interpretation report creation screen on the PC terminal 7 and accepts the input of information from the image interpretation doctor. The image interpreting doctor analyzes the image file read from the image server 5, and inputs the finding information and the like based on the analysis to the report server 6D via the creation screen displayed on the PC terminal 7. The report server 6D creates an interpretation report based on the input information. When the instruction signal from the PC terminal 7 is not received (No in step S121), the report server 6D waits until the instruction signal is received.

On the screen for creating an interpretation report, a "Create" button for instructing the creation of a proposal order is displayed. When the interpreting doctor thinks that an additional examination is necessary, he / she operates the PC terminal 7 and clicks the “create” button. The processing circuit 61D of the report server 6D determines whether or not the "create" button has been clicked (step S123). When the "Create" button is clicked (Yes in step S123), the processing circuit 61D executes the proposed order creation function 611. When the proposal order creation function 611 is executed, the processing circuit 61D creates a proposal order (step S124). Specifically, the processing circuit 61D causes the PC terminal 7 to display the input screen of the proposed order information. The image interpreting doctor operates the PC terminal 7 and inputs detailed information about the medical diagnostic imaging apparatus 4 required for the additional examination on the input screen of the proposal order information. The processing circuit 61D temporarily stores the information input from the PC terminal 7.

On the input screen of the proposal order information, a "confirm" button indicating that the content of the proposal order has been confirmed is displayed. The interpreting doctor operates the PC terminal 7 and clicks the "confirm" button when confirming the content displayed on the input screen. The processing circuit 61D of the report server 6B determines whether or not the "confirm" button has been clicked (step S125). When the "confirm" button is clicked (Yes in step S125), the processing circuit 61D executes the proposed order saving function 612. When the proposed order saving function 612 is executed, the processing circuit 61D stores the temporarily stored proposed order information in the storage circuit 63 (step S126). If the "confirm" button is not clicked (No in step S125), the processing circuit 61D repeats the processing in step S124.

When the proposed order information is stored in the storage circuit 63 in step S126, the processing circuit 61D issues access information necessary for the medical doctor to refer to the stored proposed order information (step S127). The processing circuit 61D writes the issued access information in the interpretation report (step S128).

On the interpretation report creation screen, a "confirm" button indicating that the contents of the interpretation report have been confirmed is displayed. The interpreting doctor operates the PC terminal 7 and clicks the "confirm" button when confirming the content displayed on the creation screen. The processing circuit 61D of the report server 6B determines whether or not the "confirm" button has been clicked (step S129). When the "confirm" button is clicked (Yes in step S129), the information regarding the interpretation report whose contents have been confirmed is stored in the storage circuit 63 (step S1210). If the "create" button is not clicked in step S123 (No in step S123), the processing circuit 61D shifts the processing to step S129.

When the image interpretation report is stored in the storage circuit 63 in step S1210, the processing circuit 61D notifies the RIS server 3D that the image interpretation report creation is completed (step S1211), and ends the process.

When the RIS server 3D receives the notification from the report server 6B that the creation of the interpretation report is completed, the RIS server 3D notifies the HIS server 1 that the creation of the interpretation report is completed. Upon receiving the notification from the RIS server 3D, the HIS server 1 notifies the PC terminal 2 used by the medical doctor that the creation of the interpretation report is completed.

FIG. 13 is a diagram illustrating an example of an operation when an additional examination is performed based on a proposed order in the hospital information system shown in FIG.

Upon receiving the notification that the image interpretation report has been created, the medical doctor operates the PC terminal 2 and requests the image interpretation report from the report server 6D via the HIS server 1. As a result, a request signal requesting an interpretation report is transmitted from the HIS server 1 to the report server 6D (step S131). The report server 6D reads the stored image interpretation report in response to the request, and transmits the read image interpretation report to the HIS server 1 (step S132). The HIS server 1 displays, for example, an interpretation report transmitted from the report server 6D on an electronic medical record (step S133).

The medical doctor examines the patient by referring to the interpretation report displayed on the electronic medical record. If the access information regarding the proposal order is found while referring to the interpretation report, the medical doctor refers to the access information and requests the proposal order information from the report server 6D (step S134).

The report server 6D receives the request signal from the medical doctor. Upon receiving the request signal, the processing circuit 61 of the report server 6D executes the proposal order approval function 613. When the proposal order approval function 613 is executed, the processing circuit 61D causes the PC terminal 2 to display the proposal order approval screen (step S135). On the approval screen, for example, proposal order information and a button for selecting whether or not to approve the proposal order are displayed.

The clinician clicks the "Approve" button if he / she approves the proposal order, or clicks the "Reject" button if he / she does not approve it. When the proposal order is approved by the medical doctor, an approval signal indicating that the proposal order has been approved is transmitted from the PC terminal 2 to the report server 6D (step S136). When the proposal order is rejected by the medical doctor, a rejection signal indicating that the proposal order has been rejected is transmitted from the PC terminal 2 to the report server 6D.

The report server 6D receives the approval signal. Upon receiving the approval signal, the processing circuit 61D of the report server 6D executes the proposal order issuing function 614. When the proposal order issuing function 614 is executed, the processing circuit 61D transmits the approved proposal order information and the instruction signal to transmit the inspection instruction based on the proposal order information to the medical image diagnostic apparatus 4 to the RIS server 3D. (Step S137).

When the RIS server 3D receives the proposal order information and the instruction signal from the report server 6D, it stores the proposal order information (step S138) and transmits the inspection instruction based on the stored proposal order information to the medical diagnostic imaging apparatus 4. (Step S139). The radiologist operates the medical diagnostic imaging apparatus 4 based on the proposed order information and the patient information. The medical diagnostic imaging apparatus 4 photographs the patient according to the operation of the radiologist and generates image data (step S1310). Further, the RIS server 3D registers the inspection contents based on the stored proposal order information in the HIS server 1. The registered inspection details will be reflected in the receipt.

The processing circuit 61D of the report server 6D executes the reminder function 615 when there is no approval signal and rejection signal for a preset period from the PC terminal 2. When the reminder function 615 is executed, the processing circuit 61D causes the PC terminal 2 to display a caution to confirm the proposed order information by referring to the access information described in the interpretation report.

As described above, in the fourth embodiment, the image interpreting doctor inputs the proposed order information to the report server 6D when he / she considers that an additional examination is necessary as a result of analyzing the medical image. The report server 6D creates a proposal order based on the input proposal order information, and stores the created proposal order in the storage circuit 63. The report server 6D displays the stored proposal order information to the clinician in response to the request from the clinician who refers to the interpretation report, and causes the clinician to determine whether or not to approve the proposal order proposed by the interpretation physician. Then, when the proposal order is approved by the medical doctor, the report server 6D transmits an instruction signal to transmit the approved proposal order information to the medical diagnostic imaging apparatus 4 to the RIS server 3B. As a result, the detailed proposal order created by the radiologist is managed by the RIS server 3D, so that the radiologist does not need to check the contents of the order and modify it as necessary.
Therefore, according to the medical information system according to the fourth embodiment, additional examinations and re-examinations in the radiology department can be efficiently performed.

Further, in the fourth embodiment, the report server 6D sends the proposal order to the clinician via the interpretation report when the state in which it is presumed that the clinician has not confirmed the proposal order information continues for a predetermined period. I am trying to notify you to confirm. This makes it possible to prevent the clinician from overlooking the proposal for additional tests and forgetting to issue the test order.

The word "processor" used in the above description is, for example, a CPU (central processing unit), a GPU (Graphics Processing Unit), an integrated circuit for a specific application (Application Specific Integrated Circuit (ASIC)), or a programmable logic device (for example). , Simple Programmable Logic Device (SPLD), Complex Programmable Logic Device (CPLD), and Field Programmable Gate Array (FPGA)). The processor realizes the function by reading and executing the program stored in the storage circuit. The processors of the first and second embodiments are not limited to the case where each processor is configured as a single circuit, and a plurality of independent circuits are combined to form one processor, and the functions thereof are combined. It may be realized.

Although some embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other embodiments, and various omissions, replacements, and changes can be made without departing from the gist of the invention. These embodiments and variations thereof are included in the scope of the invention described in the claims and the equivalent scope thereof, as are included in the scope and gist of the invention.

1,1B ... HIS server, 11B ... processing circuit, 111 ... proposal order approval function, 112 ... proposal order issuing function, 113 ... reminder function, 12 ... communication interface, 13 ... storage circuit, 2 ... PC terminal, 3,3B, 3C, 3D ... RIS server, 31,31B, 31C, 31D ... Processing circuit, 311 ... Order issuing function, 312 ... Proposed order creation function, 313 ... Proposed order saving function, 314 ... Proposed order approval function, 315 ... Proposed order issuing Function, 316 ... Reminder function, 32 ... Communication interface, 33 ... Storage circuit, 4 ... Medical diagnostic imaging device, 5 ... Image server, 6, 6B, 6D ... Report server, 61, 61B, 61D ... Processing circuit, 611 ... Proposal Order creation function, 612 ... Proposal order save function, 613 ... Proposal order approval function, 614 ... Proposal order issuance function, 615 ... Reminder function, 62 ... Communication interface, 63 ... Storage circuit, 7 ... PC terminal.

Claims (5)

It is equipped with an in-hospital information management system that manages order information, a department information management server in the radiology department, and a report server that creates an interpretation report. A medical information system issued from the system to the department information management server .
The report server is a proposal order including setting information necessary for performing an additional examination that the image interpreter considers necessary, and the setting information is a proposal order that is more detailed than the setting information included in the examination order. Equipped with a proposal order creation department to create
The department information management server includes a proposal order storage unit that stores the proposal order and issues access information necessary for a medical doctor to refer to the stored proposal order.
The report server receives the access information from the department information management server , creates an image interpretation report including the access information, and creates an interpretation report.
The in-hospital information management server provided in the in-hospital information management system receives the interpretation report from the report server, and is based on the request of the proposal order from the medical doctor who referred to the access information included in the interpretation report. Then, request the proposal order from the department information management server, and
The department information management server transmits the proposed order to the in-hospital information management system based on the request of the proposed order.
The in-hospital information management server receives the proposal order from the department information management server, and causes the medical doctor who has acquired the proposal order to select whether or not to approve the proposal order, and the proposal approval unit and the proposal. When the order is approved, it is provided with a proposal order issuing unit that sends an inspection instruction based on the setting information included in the proposed order to the medical image diagnostic apparatus.
Medical information system. If the doctor does not give an approved or disapproved selection result for the prepared interpretation report, the doctor is further provided with a reminder section that prompts the doctor to confirm the proposed order.
The medical information system according to claim 1 , wherein the reminder unit is provided in the in-hospital information management server. In the department information management server of the radiology department that receives the examination order for the medical doctor to request the examination, which is issued from the in-hospital information management system that manages the order information.
Proposal order creation that creates a proposal order that includes setting information that is necessary when performing additional examinations that the interpreting doctor considers necessary, and that the setting information is more detailed than the setting information included in the examination order. Department and
A proposal order storage unit that stores the proposal order and issues access information necessary for the medical doctor to refer to the stored proposal order.
When the interpretation report created including the access information is transmitted to the in-hospital information management system and the proposed order is approved by the medical doctor in the in-hospital information management system, an inspection based on the setting information included in the proposed order is performed. A department information management server with a proposal order issuing unit that sends instructions to medical diagnostic imaging equipment. 30 . Department information management server. In the department information management server of the radiology department that receives the examination order for the medical doctor to request the examination, which is issued from the in-hospital information management system that manages the order information.
It is a proposal order that includes setting information necessary for performing additional examinations that the image interpreter considers necessary, and the setting information is a process of creating a proposal order that is more detailed than the setting information included in the examination order.
A process of storing the proposed order and issuing access information necessary for the medical doctor to refer to the stored proposed order.
The process of sending the interpretation report created including the access information to the in-hospital information management system, and
A management program that causes a processor to execute a process of transmitting an examination instruction based on setting information included in the proposed order to a medical diagnostic imaging apparatus when the proposed order is approved by a medical doctor in the in-hospital information management system .

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