JP2019101678A - Information processing apparatus, information processing method, information process system, and program - Google Patents

Abstract

The present invention provides an apparatus capable of presenting candidate dates and times for conducting an examination.
An information processing apparatus acquires an instruction on a type of examination for a subject, acquires information on an examination scheduled for the subject, and information on a type of the instructed examination. Based on the information on the examination scheduled to be made, candidate date and time information is generated which is information on the date and time on which the instructed examination is to be performed.
[Selected figure] Figure 3

Description

  The disclosure of the present specification relates to an information processing device, an information processing method, an information processing system, and a program.

  A hospital information system called HIS (Hospital Information System) may be constructed as a system constructed by mutually connecting terminals of each department in a hospital through a network. In addition, an information processing system adapted to a medical department may be constructed as in a radiation department information system called RIS (Radiology Information System).

  The doctor can communicate the examination order to the examination department via HIS or RIS. The examination order includes the name of the department that has requested the examination, the examination item (in the case of radiography, the region to be imaged, etc.), information on the patient, and the like. (Patent Document 1)

JP, 2012-192131, A

  When it is time-consuming work for the doctor to decide the examination implementation date in consideration of the influence of other examinations and the individual situation of the patient on the subject examination order when trying to request an examination order There is.

  An information processing apparatus according to an embodiment of the present invention includes: a first acquisition unit configured to acquire an instruction on a type of examination for a subject; and a second acquisition to acquire information of a planned examination for the subject. Displaying candidate date and time information which is information on the date and time to conduct the instructed examination based on the means, the information on the type of the instructed examination, and the information on the examination scheduled for the subject And display control means for displaying on a unit.

  According to the information processing apparatus according to the embodiment of the present invention, an operator such as a doctor who requests an examination order can grasp candidate date and time to conduct an examination.

FIG. 2 is a block diagram showing an example of the functional arrangement of an information processing apparatus according to an embodiment of the present invention; FIG. 2 is a block diagram showing an example of the hardware arrangement of an information processing apparatus according to an embodiment of the present invention. 5 is a flowchart showing an example of processing performed by the information processing apparatus according to the embodiment of the present invention. FIG. 3 is a view showing an example of a GUI according to the first embodiment. FIG. 3 is a view showing an example of a GUI according to the first embodiment. A figure showing an example of GUI concerning a 2nd embodiment. The figure which shows an example of GUI which concerns on the modification of embodiment of this invention.

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

First Embodiment
FIG. 1 is a diagram illustrating an example of a functional configuration of the information processing apparatus 10. The information processing apparatus 10 is connected to the HIS 100, the RIS 110, and the PACS (Picture Archiving and Communication System) 120 via a communication network.

  The HIS 100 is a system that supports the work of the hospital. The HIS 100 has one or more HIS terminals (not shown). The HIS 100 may include an electronic medical record system that handles patient information and the like, an ordering system, and a receipt system that handles medical fee information. The ordering system is a system that issues an inspection order and transmits the inspection order to the system of the department that performs the inspection. Inspection orders registered in the ordering system are stored in the RIS 110 server. In addition, the HIS 100 may include a drug management system, an admission and discharge management system, and an accounting system. These systems may be in the hospital as a system separate from the HIS 100.

  The RIS 110 is a system that manages examinations and treatments performed in the radiation department. The RIS 110 delivers inspection orders issued from departments in the hospital to the radiation department to the department in charge. After the inspection is performed, the RIS 110 transmits implementation information to an electronic medical record, an ordering system, a PACS 120, an accounting system, and the like. The RIS 110 performs examination reservation management, patient reception management, examination performance management, patient information management, cooperation with other systems, and the like.

  The reservation management of examinations is management concerning reservation decision / cancellation of various medical imaging devices (hereinafter simply referred to as imaging devices) in the radiation department, setting of reservation frames, and the like. The RIS 110 stores the examination order sent from the ordering system (here HIS 100) and waits until the patient comes to the radiology department to perform the examination. From the console (not shown) of the imaging apparatus or a terminal (not shown) in the department in charge, an inquiry corresponding to the type (examination type) of the imaging apparatus and the patient ID is received and the corresponding examination order is transmitted to the terminal.

  The patient's reception management is management concerning the issue of the reception number, the automatic assignment of the examination room according to the contents of the examination, and the like. A receipt number is issued and assigned to the inspection order sent from the HIS 100.

  The management of inspection results is management related to the transmission of inspection status to HIS and the transmission of accounting information to the accounting system. The patient information management is management for acquiring information of an examination order, information on a patient, and the like from the HIS and displaying the information on a display unit (not shown) of the RIS terminal.

  Cooperation with other systems is cooperation with the HIS 100, the PACS 120, and the like. The RIS 110 has one or more RIS terminals (not shown).

  The PACS 120 is an image server that stores and manages medical images acquired in an examination. The PACS 120 electronically stores the medical image, and in response to a request from a terminal (not shown) on the network, delivers the medical image to the terminal. The PACS 120 is composed of one or more servers. The PACS 120 may be configured by cloud computing using an external data center. The PACS 120 may include a terminal (not shown) for browsing stored medical images. The PACS 120 receives information such as the patient ID, the examination date, and the reception number from the HIS 100, the RIS 110, and the information processing apparatus 10, and transmits the information on the corresponding examination and the medical image to each apparatus.

  The information processing apparatus 10 is mutually connected to the HIS 100, the RIS 110, and the PACS 120 via a network configured by a LAN (Local Area Network), a WAN (Wide Area Network), and the like. In recent years, medical images used for diagnosis and various types of information related to diagnosis have been computerized, and, for example, the DICOM (Digital Imaging and Communications in Medicine) standard is often used to link information between various devices. . DICOM is a standard that defines the format of medical images and the communication protocol between devices that handle those images. In the following, the communication between the devices and the format of the medical image will be described as conforming to the DICOM standard.

  The information processing apparatus 10 includes a communication unit 20, an information storage unit 30, an inspection order generation unit 40, a candidate date and time information generation unit 50, a display control unit 60, and an information acquisition unit 70. The information processing apparatus 10 is connected to the display unit 80 and the input unit 90.

  The communication unit 20 includes a transmission unit 21 and a reception unit 22. The transmitter 21 transmits the inspection order to the ordering system. In the present embodiment, the examination is performed in the radiation department. In this embodiment, the ordering system is included in the HIS 100, and the inspection order is transmitted from the ordering system of the HIS 100 to the RIS 110. The inspection order is sent from the RIS 110 to the imaging device. Therefore, in the present embodiment, the transmission unit 21 transmits the inspection order to the HIS 100.

  The examination order includes information that the doctor requesting the examination transmits to the person in charge of examination in the radiology department. Specifically, the examination order includes examination information, a requested department (medical department), a requester (doctor), a request source department (medical department), a request date and time, patient information, and the like. The inspection information is information necessary for the inspection at the requesting department. The examination information may include, for example, the type of imaging apparatus performing the examination, the type of imaging method, the examination site, the examination method, the use of a contrast agent, the examination date, and the like. As patient information, a patient name, patient ID, a birth date, sex etc. are mentioned, for example.

  The receiving unit 22 acquires patient information and the like from the HIS 100 and the RIS 110. For example, the receiving unit 22 acquires contraindication information of the patient for the examination from the electronic medical record. The contraindication information is, for example, information on a side effect on a contrast agent used at the time of radiological examination. Further, the receiving unit 22 acquires an unimplemented inspection order registered in the RIS 110.

  The information storage unit 30 stores the information of the inspection order generated by the inspection order generation unit 40. In addition, the information storage unit 30 stores the information acquired from the HIS 100, the RIS 110, and the PACS 120 via the communication unit 20.

  The inspection order generation unit 40 generates an inspection order based on the information acquired by the information acquisition unit 70. As described above, the information on examination order includes examination information, department (medical department) of request destination, client (doctor), department (medical department) of request source, request date and time, patient information and the like.

  The candidate date and time information generation unit 50 has a database (DB) 51, and generates information on the candidate dates for examination execution based on the information acquired by the information acquisition unit 70.

  The DB 51 is a database that stores drug information and constraint information. The information on the drug is, for example, information on a drug used in an imaging diagnosis including a medical image, a living body test, a drug treatment using an anticancer agent or the like. The restriction information is, for example, information such as a prohibited matter for each test, an execution priority when performing a plurality of tests, and the presence or absence of an engineer or a doctor who carries out the test. In the case where a plurality of examinations are performed, the precedence of examinations according to the kind of examination is hereinafter referred to as a priority rule. In addition, the restriction information includes, for example, information on metal contraindications and contraindications of internal electronic devices at the time of inspection on a magnetic resonance imaging apparatus (MRI: Magnetic Resonance Imaging). Further, the restriction information includes, for example, allergy information for a contrast agent and information of respiratory disease in an examination using a contrast agent such as MRI or an X-ray CT (Computed Tomography) apparatus.

  The candidate date and time information generation unit 50 stores in the DB 51 the patient information and examination information acquired by the information acquisition unit 70 and the information stored in the information storage unit 30 and acquired from the HIS 100 and the RIS 110. The candidate date and time information on which the examination is to be performed is generated. Specifically, when the operator newly requests an examination, the candidate date and time information generation unit 50 can perform the examination based on the examination order already registered in the RIS 110 for the patient and the priority rule. The date and time is generated as candidate date and time information.

  The display control unit 60 controls the content displayed on the display unit 80. For example, the display control unit 60 causes the display unit 80 to display a GUI for the operator to request an examination. The display control unit 60 causes the display control unit 60 to display candidate date and time information for inspection execution generated by the candidate date and time information generation unit 50 on the GUI. The display control unit 60 also displays the medical image of the examination already performed on the GUI of the display unit 80 based on the patient information input by the information acquisition unit 70.

  The information acquisition unit 70 acquires information based on an instruction of the operator. An operator such as a doctor can input information to the information processing apparatus 10 via the GUI displayed on the display unit 80 and the input unit 90. The information acquisition unit 70 acquires information input through the input unit 90. For example, the information acquisition unit 70 acquires patient information input by the operator. Further, the information acquisition unit 70 acquires examination information. The patient information and the examination information input here are information that the operator optionally inputs via the GUI, and may not include all the items of the patient information and the examination information exemplified above.

  The operator can input patient information through the input unit 90 for the purpose of acquiring patient information already registered in the HIS 100. The information acquisition unit 70 acquires patient information input by the operator. For example, the information acquisition unit 70 acquires the patient name input by the operator. The information acquisition unit 70 acquires patient information registered in the HIS 100 via the communication unit 20, captures the patient information in the information processing apparatus 10, and stores the information in the information storage unit 30. At this time, the information acquisition unit 70 causes the communication unit 20 and the information storage unit 30 to acquire, from the RIS 110, information on the examination that the target patient has already received and the examination that has been reserved. Furthermore, the information acquisition unit 70 may cause the communication unit 20 and the information storage unit 30 to acquire, from the PACS 120, a medical image of an examination that has already been received.

  Also, the operator can register patient information in the HIS 100 as a new patient. In this case, the operator can input, via the input unit 90, information such as profile information including patient physical information, disease name, medical history, etc., in addition to the patient information described above. The information acquisition unit 70 acquires these pieces of information input by the operator, and transmits the information to the HIS 100 through the communication unit 20.

  Under the control of the display control unit 60, the display unit 80 displays a GUI (Graphical User Interface) for the operator to make a request for an inspection order. The display unit 80 is configured by a display such as a liquid crystal display, an organic EL (Electro Luminescence), an FED (Field Emission Display), a glasses-type display, a head mounted display, etc., and is connected to the information processing apparatus 10 by wire or wireless.

  The input unit 90 inputs information to the information processing apparatus 10. The input unit 90 is, for example, a keyboard, a mouse, a joystick, a touch panel, a switch box, a sound or a microphone that receives sound, and a device that receives a specific gesture.

  FIG. 2 is a diagram showing an example of the hardware configuration of the information processing apparatus 10. As shown in FIG. The information processing apparatus 10 is, for example, a computer. The information processing apparatus 10 includes a CPU 11, a ROM 12, a RAM 13, a storage device 14, a USB 15, a communication circuit 16, and a graphics board 17. These are communicably connected by BUS. The BUS is used to transmit and receive data between connected hardware and to transmit an instruction from the CPU 11 to other hardware.

  A CPU (Central Processing Unit) 11 is a control circuit that integrally controls the information processing apparatus 10 and each unit connected thereto. The CPU 11 implements control by executing a program stored in the ROM 12. The CPU 11 also executes a display driver, which is software for controlling the display unit 80, and performs display control on the display unit 80. Further, the CPU 11 controls the input unit 90.

  The ROM (Read Only Memory) 12 stores a program and data in which a procedure of control by the CPU 11 is stored. The ROM 12 stores a boot program of the information processing apparatus 10 and various initial data. In addition, various programs for realizing the processing of the information processing apparatus 10 are stored.

  A RAM (Random Access Memory) 13 provides a storage area for work when the CPU 11 performs control by an instruction program. The RAM 13 has a stack and a work area. The RAM 13 stores a program for executing processing in the information processing apparatus 10 and each unit connected thereto, and various parameters used in image processing. The RAM 13 stores a control program to be executed by the CPU 11, and temporarily stores various data when the CPU 11 executes various controls.

  The storage device 14 is an auxiliary storage device that stores various data such as patient information, examination information, and medical images. The storage device 14 is, for example, a hard disk drive (HDD) or a solid state drive (SSD).

  A USB (Universal Serial Bus) 15 is a connection unit connected to the input unit 90.

  The communication circuit 16 is a circuit for communicating with various external devices connected to a communication network. The communication circuit 16 stores, for example, information to be output in a transfer packet, and outputs the information to an external device via a communication network by a communication technology such as TCP / IP. The information processing apparatus 10 may have a plurality of communication circuits in accordance with a desired communication mode.

  The graphics board 17 includes a GPU (Graphics Processing Unit) and a video memory. The GPU performs, for example, an operation related to reconstruction processing for generating a photoacoustic image from a photoacoustic signal.

  The HDMI (High Definition Multimedia Interface) 18 is a connection unit connected to the display unit 80.

  The CPU 11 and the GPU are an example of a processor. The ROM 12, the RAM 13, and the storage device 14 are examples of a memory. The information processing apparatus 10 may have a plurality of processors. In the first embodiment, when the processor of the information processing apparatus 10 executes a program stored in the memory, the functions of the units of the information processing apparatus 10 are realized.

  In addition, the information processing apparatus 10 may have a CPU or a GPU that performs specific processing exclusively, or an application specific integrated circuit (ASIC). The information processing apparatus 10 may have an FPGA (Field-Programmable Gate Array) in which specific processing or all processing is programmed. In the following, when expressing as a processor, an ASIC or an FPGA may be included.

  FIG. 3 is a flowchart illustrating an example of processing performed by the information processing apparatus 10 according to the first embodiment. A process of requesting an inspection order of the photoacoustic diagnostic apparatus for acquiring a photoacoustic image, which is one of medical images, will be described with reference to FIG. Hereinafter, the object is irradiated with light, an acoustic wave generated by expansion of an absorber generated inside the object is referred to as a photoacoustic wave, and an image imaged using the photoacoustic wave is referred to as a photoacoustic image. . In photoacoustic imaging, for example, it is known that blood vessels are extracted by the optical properties of hemoglobin.

  In step S301, the operator inputs patient information to the information processing apparatus 10 using the input unit 90 for the GUI displayed on the display unit 80. The information acquisition unit 70 acquires patient information input by the operator. The purpose of the operator to input patient information is mainly to acquire patient information registered in the HIS 100.

  In step S302, the transmission unit 21 transmits the patient information input in step S301 to the HIS 100.

  In step S <b> 303, the HIS 100 searches the information registered in the HIS 100 based on the patient information transmitted from the information processing apparatus 10. As a result of the search, when there is corresponding patient information, the HIS 100 extracts the patient information as a search result. The search results also include information such as medical examination history, contraindication information, and medical history. In addition, when there is the corresponding information in the HIS 100, the HIS 100 or the communication unit 20 transmits the patient information to the RIS 110, and searches for the information of the examination registered in the RIS 110. The RIS 110 extracts inspection orders of performed inspections and scheduled inspections by search. At this time, the RIS 110 can also extract, as incidental information, trouble information such as contrast agent allergy information that has occurred at the time of the examination that has already been performed. As a result of the search in the RIS 110, when there is a test that has already been performed, the HIS 100 or RIS 110 or the communication unit 20 transmits patient information to the PACS 120 and carries out a search of medical images registered in the PACS 120. It is also good. The PACS 120 extracts the medical image acquired by the examination already performed by the search.

  As a result of the search in the HIS 100, when there is no information corresponding to the patient information transmitted from the communication unit 20, the HIS 100 notifies the information processing apparatus 10 that there is no corresponding information.

  In step S304, the receiving unit 22 receives the result extracted in step S303.

  In step S305, the information storage unit 30 stores the extraction result received in step S305.

  In step S306, the display control unit 60 causes the GUI of the display unit 80 to display the extraction result stored in the information storage unit 30 in step S305.

  In step S303, if desired patient information is not stored in the HIS 100 and a search result is not obtained, the receiver 22 receives a message to that effect from the HIS 100 in step S304. Step S305 is not performed, and the process proceeds to step S306. In step S306, the display control unit 60 causes the display unit 80 to display a GUI for causing the operator to input patient information as described later.

  In step S 307, the operator inputs a desired examination date via the input unit 90, and the information acquisition unit 70 acquires the input information and sends it to the candidate date and time information generation unit 50.

  FIG. 4 shows a display example of the GUI 300 of step S 307 displayed on the display unit 80.

  The display area 310 is an area for the operator to input patient information. The information acquired in steps S301 to S305 is displayed. Items that have not been acquired are displayed blank.

  In step S301, the operator inputs either one or both of the patient name and the patient ID of the display area 310. As an input method of a patient name and a patient ID, an operator may input using a keyboard (input unit 90), or a bar code reader (input unit) which is described in a wristband worn by a patient 90) may be read. The information acquisition unit 70 refers to the content read by the barcode reader to the DB 51 or a hospital database (not shown) to acquire patient information, and displays the patient information in the display area 310 via the display control unit 60. After inputting the patient name and the patient ID, the operator presses the search button using a mouse or the like (input unit 90). Thus, the processes after step S302 are performed.

  In the example of FIG. 4, the HIS 100 is extracted in step S303, and the date of birth, age, and gender are further displayed in step S306 as the information received in step S304.

  If there is no patient information corresponding to HIS 100 in step S303, display control unit 60 displays the background of the patient name input in step S306 in red or notifies that there is no corresponding information in a pop-up window (not shown). It is also good. If there is no relevant information, the operator can enter unentered information in the display area 310 as necessary, and can register patient information in the HIS 100 by pressing the registration button. In addition, when patient information is additionally input, the patient information can be updated by pressing the update button.

  In the display area 320, patient incidental information is displayed. The patient incidental information is information acquired from the HIS 100 or RIS 110 and includes information such as contraindication information and medical history. Hereinafter, information on the name, patient ID, date of birth, age, and sex will be referred to as patient basic information. Incidental information incidental to a medical image or information about a patient acquired from an electronic medical record or the like which is not included in the patient basic information is referred to as patient incidental information. Among the patient information, the operator may set information to be patient incidental information in advance. The operator can input additional patient incidental information from the display area 321. The operator may update the information of the HIS 100 by pressing the update button of the display area 310 when an additional input is made.

  In the display area 330, types of examinations that can be requested are displayed as options. As inspection types, image inspection, tissue inspection, and endoscopy are displayed as display examples, but are appropriately set depending on the hospital environment. In the example of FIG. 4, the classification by the imaging device is displayed as the type of image inspection, and CT, MRI, echo, MMG (Mammography), PET (Positron Emission Tomography), and PAT (Photoacoustic Tomography) are displayed. PAT is a photoacoustic diagnostic apparatus in the present embodiment. In the example of FIG. 4, MMT (Mammotome) and CNB (Core Needle Biopsy) are displayed as types of tissue examination. In the example of FIG. 4, the upper digestive tract, the small intestine, and the large intestine are displayed as the type of endoscopy.

  In the display area 340, a test implementation date is displayed, and a calendar for the operator to input is displayed. The display control unit 60 may display the calendar of the target month according to the operator entering or selecting the year and month. In the example of FIG. 4, the operator presses the year / month selection button to select September 2017 from the pull-down list.

  In the display area 350, requester information of the inspection order is displayed. This requester information may be automatically displayed based on the information when logging in to the information processing apparatus.

  In step S307, the operator enters a desired examination date by clicking on the desired date on the calendar displayed in the display area 340 using the mouse or the like. In the example of FIG. 4, September 13 is input as the inspection date. Also, the entered examination date is highlighted on the calendar. The operator presses the determination button on the display area 340 to complete the input of the examination date.

  In step S308, the display control unit 60 displays, on the display area 340, a detailed calendar of dates several days before and after the input inspection date, based on the information of the inspection date input in step S307. The schedule width of the displayed detailed calendar can be arbitrarily set by the operator. In addition, the detailed calendar displays the time zone in which the examination can be performed in one day. The information of this time zone can be arbitrarily set by the operator, for example, can be set according to the operation of each medical institution.

  In step S309, the operator inputs the type of examination via the input unit 90. The operator clicks one examination type with a mouse or the like, which is an example of the input unit 90, from the choices of examination types displayed in the display area 330. Here, the case where the operator selects PAT will be described as an example.

  In step S310, the candidate date and time information generation unit 50 acquires information on a scheduled examination of a patient stored in the information storage unit 30. That is, the candidate date and time information generation unit 50 acquires the information on the inspection order acquired from the RIS 110 in step S303.

  The candidate date and time information generation unit 50 acquires the information on the priority rule of the examination stored in the DB 51 with respect to the information on the type of examination input in step S309. As an example of the priority rule in PAT, there is a content that after a CT examination or an MRI examination which is an examination using a contrast agent, the PAT examination can not be performed until the contrast agent is cleared from the subject. This is because the contrast agent may absorb the light used in the PAT examination and may be imaged as an artifact on the PAT image. Therefore, if a contrast agent is not used in CT or MRI examination, or if it is known that the contrast agent does not absorb light used in PAT examination, it will not be subject to the priority rule.

  In addition, the candidate date and time information generation unit 50 acquires, from the RIS 110 via the communication unit 20, information on the reservation frame of the imaging apparatus that performs the PAT inspection.

  In step S311, the candidate date and time information generation unit 50 generates candidate date and time information for performing the input examination based on the priority rule applied in step S310.

  In step S312, the display control unit 60 causes the display unit 80 to display the examination information input in step S307 and step S309 and the information on the examination that has not been performed and the examination order has already been registered in the RIS 110. The examination information input in steps S307 and S309 includes information indicating a reservation frame of the imaging device that performs the examination.

  FIG. 5A shows a display example of the GUI 300 displayed in the display unit 80 in step S312.

  After the operator determines the inspection date in step S307, in step S308, the display area 340 displays a detailed calendar of the inspection date and two days before and after. In the detailed calendar illustrated in FIG. 5 (a), one day is divided into four time zones, and 1/2 AM / 1 PM / 2 PM is displayed as time zones.

  In step S309, the operator selects a PAT from the examination type options displayed in the display area 330. In the example of FIG. 5 (a), the background of the selected PAT item is highlighted in gray. In the display area 331, detailed setting items of the examination type selected in the display area 330 are displayed. In the example of FIG. 5A, a selection button of an examination site is displayed as a detailed setting item of PAT, and the operator presses the selection button to select a breast from the pull-down list. Processing of steps S310 to S311 is performed by inputting the type of examination.

  FIG. 5B is a view showing an example of the concept of the priority rule. FIG. 5 (b) shows that the PAT examination noted on the left is prioritized over CT and MRI examinations. Here, although the priority rule according to the type of test performed on the same day is described as an example, it is not particularly limited thereto, and the priority rule may be set for a test performed in a plurality of days Good.

  In step S312, the implementation candidate date of the PAT examination and the scheduled date and time of the other examinations already ordered are displayed on the detailed calendar of the display area 340. In the display example of FIG. 5 (a), six time zones are displayed as implementation date and time of PAT examination. The implementation candidate date and time correspond to the reservation slots for which the examination has not been scheduled yet among the reservation slots for the imaging apparatus that performs the PAT inspection. Specifically, an icon indicating a PAT examination is displayed on the implementation candidate date / time zone.

  The display control unit 60 displays the plurality of operation candidate dates and times of the PAT examination in a distinguishable manner between the candidates conforming to the priority rule and the candidates not conforming to the priority rule. In the example of FIG. 5 (a), the PAT inspection itself can be carried out, but it is restricted by the time when the PAT is displayed in gray (2 pm on September 12 and 2 am on September 13). It means that it violates a certain priority rule. Specifically, an examination order of CT is already registered in RIS 110 at 1 PM on September 12, and an examination order of MRI at 1 AM on September 13. In the example of FIG. 5 (a), the frame of the icon which shows a CT examination of 1 September 12th and an MRI examination of 1st of September 13 1 each is highlighted and displayed.

  When the operator selects one of the two time zones of September 12, 1 pm and September 13, 1 am, the display control unit 60 displays the display area 341 as shown in FIG. 5C. Not meeting the priority rules and the related examination order (here, the CT examination on September 12 1 am) can be displayed as a comment.

  In the example of FIG. 5 (a), an icon indicating a technician is further displayed beside the PAT examination. The icon of the technician indicates the presence or absence of a laboratory technician who conducts the PAT examination. Here, when the background of the icon of the technician is white, it indicates that the technician is present, and when the background is gray, it indicates that the technician is absent. For example, 2 am on September 12 indicates that there is no laboratory technician who conducts a PAT examination. The display control unit 60 may cause the display area 341 to display a comment also in the case where the technician is absent among the implementation candidate dates and times selected by the operator.

  In step S313, the operator determines the date and time of the PAT examination. The operator clicks and selects a desired date and time from among the candidates on the calendar displayed in the display area 340 of the GUI 300 with a mouse or the like. When the operator presses the determination button, the implementation date and time of the PAT examination is determined. The information acquisition unit 70 acquires information of the selected date and time.

  In step S314, the display control unit 60 causes the display unit 80 to display information on the determined examination.

  FIG. 6A is a view showing an example of the GUI 300 of step S314 displayed on the display unit 80. As shown in FIG. In the example of FIG. 6 (a), the execution of the PAT examination is decided by the operator in the time zone of 2 am on September 14.

  In step S315, the inspection order generation unit 40 generates an inspection order based on the information on the PAT inspection date determined in step S313. Specific contents of the examination order to be generated include the requestee (medical department such as radiology examination department), examination implementation date and time, examination type (PAT), examination site (breast), requester name, requester affiliation It is a department etc. The inspection order generation unit 40 may acquire information from the information storage unit 30, the HIS 100, or the like, and may inherit the information to the inspection order to be generated.

  In step S316, the information storage unit 30 stores the inspection order generated in step S313.

  In step S317, the transmission unit 21 transmits the inspection order generated in step S313 to the HIS 100. Here, the HIS 100 has an ordering system, and the inspection order is transmitted from the HIS 100 to the RIS 110. In the medical institution, when the ordering system is in RIS 110, the transmission unit 21 transmits the examination order to the HIS 100 and the RIS 110.

  In step S318, the HIS 100 registers the inspection order received from the information processing apparatus 10 in the ordering system, and transmits the inspection order to the RIS 110.

  In step S319, the display control unit 60 causes the GUI 300 to display that the inspection order request has been completed. For example, as shown in FIG. 6B, the display area 341 displays a message indicating that the inspection order request has been completed.

  The operator can delete the inspection order using the delete button in the display area 340 for the inspection order for which the request has been completed.

  As described above, when requesting an examination order, an operator such as a doctor selects and determines an implementation date which is not affected by a medical event such as another examination from candidate date and time information displayed on the information processing apparatus. be able to.

Second Embodiment
In the second embodiment, processing of the information processing apparatus 10 in the case where the examination date and time determined in step S313 illustrated in FIG. 3 is a time zone that does not conform to the priority rule will be described.

  The contents different from the first embodiment will be described below. Specifically, the contents of the display method of the GUI 300 in the process after step S313 shown in FIG. 3 will be described. About the same display method as 1st Embodiment, the detailed description here is abbreviate | omitted by using the description mentioned above.

  FIG. 7 is a display example of the GUI 300 in step S314 displayed on the display unit 80 in the second embodiment. In the example of FIG. 7A, the time zone of 2 pm on September 12 is determined by the operator as the execution date of the PAT examination.

  In step S313, the operator determines the PAT examination date and time. The operator clicks and selects a desired day from among the candidate days with a mouse or the like on the calendar displayed in the display area 340 of the GUI 300, and the execution date of the PAT examination is determined by pressing the determination button. Ru. Here, the date of implementation of the PAT examination is decided on September 12, 2 pm, but this does not conform to the priority rule in PAT (contrast CT examination followed by PAT examination). The display control unit 60 causes the display area 341 to display the comment of FIG. 7B, and the content is notified to the operator.

  The operator can determine the PAT examination date and time after confirming the notified contents. When the operator presses a determination button for determining the inspection implementation date and time, if the priority rule is not met, a request for an adjustment order for adjusting the inspection order already registered in the ordering system is required. For example, a dialog as shown in FIG. 7C is popped up by the display control unit 60.

  In the example of FIG. 7A, the examination order registered in the ordering system, which needs adjustment, is a CT examination registered on the afternoon of September 12th. The candidate date and time generation unit 50 acquires candidate date and time on which the CT examination can be performed, as in the first embodiment. The display control unit 60 causes the display unit 80 to display candidates for examination date and time, which are candidates for changing. Here, 2 pm on September 15 is highlighted as a candidate for the examination date and time after the change. At the same time, the CT examination icon currently registered in the ordering system is highlighted with a dotted line.

  FIG. 7C is an example of a screen for requesting an adjustment order. In the dialog of FIG. 7C, the type of examination to be adjusted, the examination date and time registered in the ordering system, the examination date and time as a candidate for change, and the name of the person in charge of the request destination to request adjustment are displayed. ing. The operator can transmit the inspection adjustment order to the request destination by pressing the request button using a mouse or the like.

  In step S315, the inspection order generation unit 40 generates an adjustment order based on the input information of the adjustment order determined in step S313. The transmission unit 21 transmits the adjustment order to the request destination. The content indicating that the adjustment order request has been completed is displayed on the GUI 300 by the display control unit 60. For example, as shown in the display example of FIG. 7D, a message is displayed in the display area 341 or the like.

  The adjustment order may be notified from the HIS 100 or RIS 110 to the person in charge of the request by e-mail or the like, or may be transmitted from the transmitting unit 21 directly to the system of the request. The person in charge of the request can choose to accept or reject the notified content. As a method, a reply by e-mail or the like is appropriately selected. Until the contents of the adjustment order are accepted, the inspection order generation unit 40 may control not to register the inspection order of the PAT input on the inspection date and time that does not conform to the priority rule in the ordering system.

  In this embodiment, when the inspection order is requested, if the request can not be implemented due to the priority rule with other inspection types, the adjustment can be performed by requesting the adjustment order.

[Modification]
Although the case where the information processing apparatus 10 is configured as an apparatus different from the HIS 100 and the RIS 110 has been described as an example, the present invention is not limited to this. For example, the information processing apparatus 10 may be one system of the HIS 100 or one system of the RIS 110. The information processing apparatus 10 may be a terminal (not shown) of the HIS 100 or a terminal (not shown) of the RIS 110.

  The information processing apparatus 10, the HIS 100, and the RIS 110 may not be provided in the same medical facility. For example, the information processing apparatus 10 may be used for cooperation of regional medical facilities. For example, the information processing apparatus 10 may be in a first medical facility, and the HIS 100 and the RIS 110 may be in a second medical facility. In that case, the information processing apparatus 10 transmits the examination order of the patient who has visited the first medical facility to the ordering system of the second medical facility HIS 100 so as to perform the second medical facility which is another medical facility. You may The information processing apparatus 10 generates an examination order based on contraindication information of a subject (patient) to be examined, an examination order scheduled to another, and the like, and therefore, examination is performed among a plurality of medical facilities like regional medicine. Even when performing, the requesting doctor can appropriately select the day for conducting the examination. The information processing apparatus 10 may transmit the inspection order directly to the HIS 100 of the second medical facility, or may transmit it via a system (not shown) or the like provided for regional cooperation. The information processing apparatus 10 may double as a system (not shown) for regional cooperation.

  As described above, since the information processing apparatus 10 generates information of a candidate date on which a desired test can be performed based on information of a plurality of tests, it is possible to request a test order for a desired test on an appropriate schedule. Since the inspection order which could not be implemented as a result of the inspection order being issued does not occur because the schedule of other inspections is not considered, the memory usage capacity can be reduced by the information processing apparatus 10.

  In addition, the examination performed on the patient and the scheduled examination may be the examinations individually requested by a plurality of medical care departments. In addition, as described above, the information processing apparatus 10 can also be used for regional medicine. In this case, the information processing apparatus 10 may access a plurality of ordering systems. The information processing apparatus 10 that can access across a plurality of systems is required to appropriately handle the patient's personal information. For example, the information processing apparatus 10 may encrypt and communicate between the systems.

  Although the above-mentioned embodiment explained the case where PAT examination was carried out prior to a contrast CT examination and a contrast MRI examination as an example of a priority rule, it does not restrict to this. For example, when it is known that the contrast agent used for contrast MRI examination absorbs the light used for PAT examination, the priority rule may be such that the contrast effect of the contrast agent can be used also in PAT examination. Specifically, the DB 51 has information on the clearance of the contrast agent, and for example, the PAT examination may be performed within one hour after the contrast MRI examination as a priority rule. The candidate date and time information generation unit 50 may generate candidate date and time information by combining a plurality of priority rules.

  In the above-mentioned embodiment, although the case where information on a date and a time zone (such as 1 pm) was generated as candidate date and time information was described as an example, it is not limited to this. For example, the candidate date and time information may include only date information if the operator's desired examination can be performed on all days.

  The present invention supplies a program that implements one or more functions of the above-described embodiments to a system or apparatus via a network or storage medium, and one or more processors in a computer of the system or apparatus read and execute the program. Can also be realized. It can also be implemented by a circuit (eg, an ASIC) that implements one or more functions.

  The information processing apparatus in each of the above-described embodiments may be realized as a single apparatus, or may be an information processing system in which a plurality of apparatuses are communicably combined with each other to execute the above-described processing. Included in the form. The above-described process may be performed by a common server device or a group of servers. The information processing apparatus and the plurality of apparatuses constituting the information processing system only need to be able to communicate at a predetermined communication rate, and do not need to be present in the same facility or in the same country.

  According to an embodiment of the present invention, a program of software that implements the functions of the embodiments described above is supplied to a system or apparatus, and a computer of the system or apparatus reads and executes a code of the supplied program. Including the form.

  Therefore, the program code itself, which is installed in the computer to realize the processing according to the embodiment by the computer, is also one of the embodiments of the present invention. In addition, based on instructions included in a program read by a computer, an OS or the like running on the computer performs part or all of the actual processing, and the functions of the above-described embodiment may be realized by the processing. .

  The form which combined the above-mentioned embodiment suitably is also contained in the embodiment of the present invention.

Claims (20)

A first acquisition unit that acquires an instruction on a type of examination for the subject;
A second acquisition unit configured to acquire information on an examination scheduled for the subject;
Generating means for generating candidate date and time information which is information on date and time to conduct the instructed examination based on the information on the type of the instructed examination and the information on the examination scheduled for the subject When,
An information processing apparatus comprising:   The information processing apparatus according to claim 1, wherein the generation unit generates the candidate date and time information based on a predetermined rule regarding the type of the instructed examination.   The information processing apparatus according to claim 2, wherein the rule relates to an order in which a plurality of examinations are performed.   The information according to any one of claims 1 to 3, wherein the generation means generates, as the candidate date and time information, information on a plurality of dates and times on which the instructed examination can be performed. Processing unit.   The information processing apparatus according to any one of claims 1 to 4, further comprising display control means for displaying the candidate date and time information on a display unit. The candidate date and time information includes information on a plurality of dates and times,
6. The information processing apparatus according to claim 5, wherein the display control means displays information on the plurality of dates and times in a distinguishable manner.   7. The information processing apparatus according to claim 6, wherein the display control means makes the display mode different according to the possibility of performing the instructed examination among the plurality of dates and times.   The display control means displays a screen for determining the date and time when the operator carries out the instructed examination out of the plurality of dates and times included in the candidate date and time information. The information processing apparatus according to any one of claims 7 to 10.   9. The information processing apparatus according to claim 8, further comprising output means for outputting an inspection order for performing the instructed inspection on the determined date and time in order to register it in the ordering system.   10. The display control means displays a calendar, and displays the candidate date and time information and a screen for determining the date and time on the calendar, according to any one of claims 8 or 9, Information processor as described.   The information processing apparatus according to any one of claims 5 to 10, wherein the display control means displays a screen for the operator to input the instruction.   The information on the examination scheduled for the subject is the information on the examination registered in the ordering system prior to the instruction, and includes the information on the date and time to conduct the examination and the information on the type of examination. The information processing apparatus according to any one of claims 1 to 11, characterized in that: The system further includes generation means for generating the candidate date and time information based on the type of the instructed examination and information on the examination scheduled for the subject.
The information processing apparatus according to any one of claims 1 to 12, wherein the display control means causes the generated candidate date information to be displayed.   The information processing apparatus according to any one of claims 1 to 13, wherein the type of the instructed examination is photoacoustic. A first acquisition unit that acquires an instruction on a type of examination for the subject;
A second acquisition unit configured to acquire information on an examination scheduled for the subject;
An output for outputting an examination order for carrying out the instructed examination at a date and time selected based on the information on the type of the instructed examination and the information on the examination scheduled for the subject Means,
An information processing apparatus comprising: A first acquisition unit that acquires an instruction on a type of examination for the subject;
A second acquisition unit configured to acquire information on an examination scheduled for the subject;
Based on the information on the type of the instructed examination and the information on the examination scheduled for the subject, the candidate date and time information on the date and time to carry out the instructed examination is displayed on the display unit Display control means for causing
An information processing apparatus comprising: A first acquisition unit that acquires an instruction on a type of examination for the subject;
A second acquisition unit configured to acquire information on an examination scheduled for the subject;
Based on the information on the type of the instructed examination and the information on the examination scheduled for the subject, the candidate date and time information on the date and time to carry out the instructed examination is displayed on the display unit Display control means for causing
An information processing system characterized by having. Obtaining instructions on the type of examination for the subject;
Acquiring information of an examination scheduled for the subject;
Based on the information on the type of the instructed examination and the information on the examination scheduled for the subject, the candidate date and time information on the date and time to carry out the instructed examination is displayed on the display unit And a process of
An information processing method characterized by comprising: Obtaining instructions on the type of examination for the subject;
Acquiring information of an examination scheduled for the subject;
Generating a plurality of candidates for the date and time on which the examination is to be performed, based on the information on the instructed examination and the information on the examination scheduled for the subject;
Displaying the plurality of generated candidates on a display unit;
Accepting a selection of a date and time to carry out the instructed examination from among the displayed plurality of candidates;
Outputting an inspection order for performing the instructed inspection at the date and time to the ordering system;
An information processing method characterized by comprising:   The program for making a computer perform the information processing method of any one of Claim 18 or Claim 19.

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