Information processing device, inspection order information evaluation system, information processing method and program

Abstract

The goal is to reduce miscommunication between the requesting physician and the testing personnel. [Solution] An information processing device (HIS1) for creating inspection order information comprises an evaluation receiving unit (control unit 11) that receives evaluation information for the inspection order information, and a first display control unit (control unit 11) that displays the evaluation information, or support information that assists in creating inspection order information based on the evaluation information, on a display unit 12.

Description

Technical Field

[0001] The present invention relates to an information processing apparatus, an inspection order information evaluation system, an information processing method, and a program.

Background Art

[0002] Conventionally, in an inspection for diagnosing a patient, an inspection person (such as a doctor, a radiological technologist, a clinical laboratory technologist, a pharmacist, a nurse, etc.) performs an inspection based on inspection order information created by a referring doctor. In actual medical practice, there may be cases where the inspection ordered by the referring doctor cannot be directly performed on the patient. For example, there may be no stock of the drug ordered by the referring doctor, or the patient's condition may change immediately before the inspection. In this case, the inspection person needs to request the referring doctor to review the order.

[0003] In Patent Document 1, by making the communication between the referring doctor and the inspection person two-way, it is possible to request a review of the inspection order.

Prior Art Documents

Patent Documents

[0004]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0005] Problems related to creating laboratory test order information extend beyond just revising orders due to inventory shortages or changes in the patient's condition. Other issues include situations where the prescription, test content, and purpose of the order created by the requesting physician are vaguely described, or where there is too much information making it difficult to grasp the intent. In short, the laboratory test order information is not written well. This poor writing of laboratory test order information can lead to miscommunication between the requesting physician and the laboratory staff. Furthermore, if the test is conducted without a shared understanding between the requesting physician and the testing technician, the results may not align with the requesting physician's intentions, leading to the need for a retest. This retest places a burden not only on the requesting physician and the testing technician, but also on the patient, imposing psychological and physical stress.

[0006] The objective of this invention is to reduce miscommunication between the requesting physician and the person performing the examination. [Means for solving the problem]

[0007] To solve the above problems, the information processing apparatus according to the present invention is: In an information processing device that creates inspection order information, The evaluation reception department receives evaluation information for inspection order information, A first display control unit that displays the aforementioned evaluation information, or support information that assists in creating inspection order information based on the aforementioned evaluation information, on the display unit, It is equipped with.

[0008] Furthermore, in order to solve the above problems, the inspection order information evaluation system according to the present invention is The above information processing device and, The information processing device is equipped with a terminal device that can communicate with it, The aforementioned terminal device is A second display control unit that displays an input screen for inputting the aforementioned evaluation information on the display unit, An acquisition unit that acquires evaluation information for the inspection order information entered on the input screen, A transmission control unit that transmits the evaluation information to the information processing device, It is equipped with.

[0009] Furthermore, in order to solve the above problems, the information processing method according to the present invention is An information processing method in an information processing device that creates inspection order information, An evaluation acceptance step that receives evaluation information for inspection order information, A display control step that causes the display unit to display the aforementioned evaluation information, or support information that assists in creating inspection order information based on the aforementioned evaluation information; Includes.

[0010] Furthermore, in order to solve the above problems, the program according to the present invention is The computer of the information processing device that creates inspection order information, The evaluation reception department receives evaluation information for inspection order information. A first display control unit that displays the aforementioned evaluation information, or support information that assists in creating inspection order information based on the aforementioned evaluation information, on the display unit. To make it function as such. [Effects of the Invention]

[0011] According to the present invention, miscommunication between the requesting physician and the person performing the examination can be reduced. [Brief explanation of the drawing]

[0012] [Figure 1] This diagram shows the overall configuration of the ordering system. [Figure 2] This is a flowchart showing the inspection order information evaluation process. [Figure 3] This is an illustrative diagram of the inspection order information evaluation screen. [Figure 4] This is a flowchart showing the evaluation information learning process. [Figure 5] This is a flowchart showing the process for supporting the creation of inspection order information. [Figure 6]It is an image diagram of an inspection order information creation screen. [Figure 7] It is an image diagram of an evaluation information list display screen. [Figure 8] It is an image diagram of an inspection order information creation screen.

Embodiments for Carrying Out the Invention

[0013] Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

[0014] <Ordering System 100> FIG. 1 shows the system configuration of an ordering system 100 (inspection order information evaluation system). The ordering system 100 is a system that executes creation of inspection order information for taking medical images, transmission of inspection order information, and the like. As shown in FIG. 1, the ordering system 100 is configured such that a HIS (Hospital Information System) 1 and a RIS (Radiology Information System) 2 are connected so as to be capable of data communication via a network 1000 such as a LAN (Local Area Network). Further, a medical image capturing device 3 is connected to the ordering system 100 so as to be capable of data communication via a network 1000 such as a LAN (Local Area Network). The DICOM (Digital Imaging and Communications in Medicine) standard is applied to the network 1000.

[0015] HIS1 is an information processing device used by the requesting physician to create examination order information. This examination order information is, for example, information for taking medical images. In the following explanation, examination order information will be described as examination order information for taking medical images (examination order information for radiologists). However, this example is not exhaustive; examination order information may also be for clinical laboratory technicians, pharmacists, nurses, etc.

[0016] RIS2 is an information processing device used by the inspector, which receives inspection order information from HIS1 and transmits the inspection order information to the medical imaging device 3. It is also a terminal device that can communicate with HIS1 (information processing device).

[0017] Medical imaging device 3 is a device for capturing medical images. Medical imaging devices 3 include CR (Computed Radiography) devices, CT (Computed Tomography) devices, and MRI (Magnetic Resonance Imaging) devices.

[0018] <his1> Next, the configuration of HIS1 will be explained using Figure 1. As shown in Figure 1, HIS1 comprises a control unit 11, a display unit 12, an operation unit 13, a communication unit 14, and a storage unit 15.

[0019] The control unit 11 includes a CPU (Central Processing Unit), RAM (Random Access Memory), etc. The CPU of the control unit 11 reads various programs stored in the memory unit 15, loads them into the RAM, executes various processes according to the loaded programs, and controls the operation of each part of the HIS1.

[0020] The control unit 11 functions as an evaluation reception unit that receives evaluation information for inspection order information. The control unit 11 stores and accumulates the received evaluation information in the storage unit 15, which will be described later. Evaluation information includes information regarding the clarity and ease of understanding of the content of the inspection order information.

[0021] The control unit 11 functions as a first display control unit that displays evaluation information, or support information that assists in creating inspection order information based on the evaluation information, on the display unit 12. Support information includes suggestions for revisions and points to note when creating test order information. Specifically, support information includes at least one of the following: display of recommended test order information, points to note when creating test order information, or warnings regarding insufficient test order information. Furthermore, the control unit 11 may use the evaluation information stored in the memory unit 15 and the corresponding inspection order information to learn using machine learning such as AI (artificial intelligence) to create support information such as suggested revisions and points to note for the inspection order information. In this case, the support information is information generated by machine learning based on the evaluation information. Learning is performed using evaluation information and the corresponding examination order information, which allows the learning to reflect trends for each examination order, such as the tendency to take medical images from certain angles in past examination order information.

[0022] The display unit 12 is equipped with a monitor such as an LCD (Liquid Crystal Display) and displays various screens (such as the inspection order information creation screen described later) according to the instructions of the display signals input from the control unit 11.

[0023] The operation unit 13 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 12. The operation unit 13 can be operated by the user. The operation unit 13 also outputs various signals to the control unit 11 based on the operations performed by the user.

[0024] The communication unit 14 is capable of sending and receiving various signals and data with other devices connected via the communication network N.

[0025] The memory unit 15 is equipped with non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 11, parameters necessary for program execution, and various data (such as evaluation information).

[0026] <ris2> Next, the configuration of RIS2 will be explained using Figure 1. As shown in Figure 1, RIS2 comprises a control unit 21, a display unit 22, an operation unit 23, a communication unit 24, and a storage unit 25.

[0027] The control unit 21 includes a CPU (Central Processing Unit), RAM (Random Access Memory), etc. The CPU of the control unit 21 reads various programs stored in the memory unit 25, loads them into the RAM, executes various processes according to the loaded programs, and controls the operation of each part of the RIS2.

[0028] The control unit 21 functions as a second display control unit that displays an input screen for inputting evaluation information (the inspection order information evaluation screen, which will be described later) on the display unit 22.

[0029] The control unit 21 functions as an acquisition unit that acquires evaluation information for the inspection order information entered on the input screen.

[0030] The control unit 21 functions as a transmission control unit that transmits evaluation information entered on the input screen to the information processing device (HIS1).

[0031] The display unit 22 is equipped with a monitor such as an LCD (Liquid Crystal Display) and displays various screens (such as the inspection order information receipt screen and inspection order information evaluation screen, which will be described later) according to the instructions of the display signals input from the control unit 21.

[0032] The operation unit 23 includes a keyboard equipped with cursor keys, number input keys, various function keys, a pointing device such as a mouse, and a touch panel laminated on the surface of the display unit 22. The operation unit 23 can be operated by the operator. The operation unit 23 also outputs various signals to the control unit 21 based on the operations performed by the operator.

[0033] The communication unit 24 is capable of sending and receiving various signals and data with other devices connected via the communication network N.

[0034] The memory unit 25 is equipped with non-volatile semiconductor memory or a hard disk, and stores various programs executed by the control unit 21, parameters necessary for program execution, and various data.

[0035] <Inspection Order Information Evaluation Processing> The inspection order information evaluation process will be explained using Figure 2. The evaluation process for test order information is the process by which the testing staff evaluates the test order information received from the requesting physician.

[0036] First, the control unit 21 uses the communication unit 24 to acquire (receive) inspection order information from the HIS1 (step S1).

[0037] Next, the control unit 21 displays the inspection order information receipt screen (not shown) on the display unit 22 (step S2). The inspection order information receipt screen is a screen used by inspection personnel to confirm inspection order information. The inspection order information receipt screen includes an evaluation input button that displays the inspection order information evaluation screen (described later) when the inspection personnel wish to input evaluation information for the inspection order information.

[0038] Next, the control unit 21 determines whether it has received a press of the evaluation input button using the operation unit 23 by the inspector (step S3). If it has received a press of the evaluation input button, that is, if the inspector evaluates the inspection order information (step S3; YES), the control unit 21 proceeds to step S4 for the inspection order information evaluation process. If it has not received a press of the evaluation input button, that is, if the inspector does not evaluate the inspection order information (step S3; NO), the control unit 21 terminates the inspection order information evaluation process.

[0039] Next, the control unit 21 displays the inspection order information evaluation screen on the display unit 22 (step S4). Here, we will explain the inspection order information evaluation screen D1 using Figure 3. Area A1 is a section where users can input their level of clarity regarding the inspection order information using a checkbox system divided into five levels. Area A2 is where you enter the reason for the evaluation entered in Area A1 using checkboxes. As shown in Figure 3, you may also provide a text box to allow comments to be entered as text. Furthermore, as in the example in Figure 3, the content of Area A2 may be changed according to the clarity rating entered in Area A1. Specifically, in the example in Figure 3, since "difficult to understand" is checked in Area A1, a checkbox for the reason "difficult to understand" is displayed in Area A2. The evaluation registration button B1 is used to register the evaluation information entered in areas A1 and A2, that is, to send it to HIS1 in this case. The temporary save button B2 is used to temporarily save the evaluation information entered in areas A1 and A2, that is, to store it in the memory unit 25 as temporary evaluation information. The close button B3 is used to close the inspection order information evaluation screen D1. In the above example, evaluations in area A2 are entered by checking checkboxes, but they can also be entered as numerical values ​​such as ranks (0-30; difficult to understand, 31-69; average, 70-100; easy to understand), or using any other input method. Furthermore, the level of clarity in area A1 may be automatically determined based on the number of checks placed in the checkboxes in area A2. Furthermore, regarding the evaluation items, the options for reasons for evaluation may be modified depending on the facility's objectives, the points that the HIS physicians want to confirm, and the content that the RIS physicians want to convey.

[0040] Next, the control unit 21 acquires (inputs) the evaluation information entered by the inspector using the operation unit 23 (step S5).

[0041] Next, the control unit 21 determines whether it has received a press of the evaluation registration button B1 using the operation unit 23 by the inspector (step S6). If it has received a press of the evaluation registration button B1, that is, if the inspector sends evaluation information (step S6; YES), the control unit 21 proceeds to step S7 of the inspection order information evaluation process. If it has not received a press of the evaluation registration button B1, that is, if the inspector does not send evaluation information (step S6; NO), the control unit 21 terminates the inspection order information evaluation process.

[0042] Next, the control unit 21 determines whether the evaluation information may be used for learning (step S7). For example, the control unit 21 displays a pop-up screen on the display unit 22 allowing the user to select whether the evaluation information may be used for learning. If the inspector inputs information indicating that the information may be used for learning (e.g., by selecting a button) using the operation unit 23, the control unit 21 determines that the evaluation information may be used for learning. Conversely, if the control unit 21 inputs information indicating that the information should not be used for learning (e.g., by selecting a button), the control unit 21 determines that the evaluation information should not be used for learning. If the evaluation information is available for learning (step S7; YES), the control unit 21 proceeds to step S8 for the inspection order information evaluation process. If the evaluation information is not available for learning (step S7; NO), the control unit 21 proceeds to step S9 for the inspection order information evaluation process.

[0043] Next, the control unit 21 adds a learning-enabled flag to the evaluation information to indicate that it is available for learning (step S8).

[0044] Next, the control unit 21 uses the communication unit 24 to transmit evaluation information to the HIS1 (step S9), and terminates the inspection order information evaluation process. Furthermore, evaluation information should be transmitted anonymously. This would allow for the communication of improvement requests with less psychological burden on the inspectors.

[0045] <Evaluation Information Learning Process> The evaluation information learning process will be explained using Figure 4. The evaluation information learning process is the process by which HIS1 learns evaluation information.

[0046] First, the control unit 11 uses the communication unit 14 to acquire (receive) evaluation information from the RIS2 (step S11; evaluation reception step). The control unit 11 stores and accumulates the received evaluation information in the storage unit 15.

[0047] Next, the control unit 11 determines whether the evaluation information has a learning-enabled flag (step S12). If the evaluation information has a learning-enabled flag (step S12; YES), the control unit 11 proceeds to step S13 for evaluation information learning. If the evaluation information does not have a learning-enabled flag (step S12; NO), the control unit 11 terminates the evaluation information learning process.

[0048] Next, the control unit 11 learns evaluation information using machine learning such as AI (step S13) and terminates the evaluation information learning process.

[0049] <Support processing for creating inspection order information> Figure 5 will be used to explain the process for supporting the creation of inspection order information. The process of creating test order information assists the requesting physician in creating test order information to send to the person in charge of testing. This section describes only the processing related to evaluation information; the input processing of various inspection order information and other related processes are omitted from the explanation.

[0050] Here, we will explain the screen for creating inspection order information (inspection order information creation screen D2) using Figure 6. The evaluation viewing button B4 is a button that allows the requesting physician to view a list of evaluation information stored in the memory unit 15 by displaying it on the display unit 12. The content check button B5 is a button that causes the control unit 11 to check the contents of the inspection order information entered on the inspection order information creation screen D2. When the content check button B5 is pressed, the control unit 11 displays support information on the inspection order information creation screen D2 based on the evaluation information learned in step S13.

[0051] First, the control unit 11 receives a press of the evaluation viewing button B4 by the requesting physician using the operation unit 13 (step S21).

[0052] Next, the control unit 11 causes the display unit 12 to display the evaluation information list screen (step S22; display control step). Here, we will explain the evaluation information list display screen D3 using Figure 7. Area A3 is the area where the control unit 11 lists and displays evaluation information acquired in the past. The close button B6 is used to close the evaluation information list display screen D3.

[0053] Next, the control unit 11 receives confirmation that the requesting physician has pressed the content check button B5 using the operation unit 13 (step S23).

[0054] Next, the control unit 11 checks the contents of the inspection order information, displays the support information on the inspection order information creation screen D2 (step S24; display control step), and terminates the inspection order information creation support process. Here, we will explain the inspection order information creation screen D2, where support information is displayed, using Figure 8. Area A4 is a section for displaying a list of support information (points to note when creating test order information, and warnings regarding insufficient test order information). Area A5 is where the requesting physician enters comments regarding the test order information. In the example in Figure 8, the control unit 11 inputs and displays support information (points to note when creating test order information, and warnings regarding insufficient test order information). The "Reflect Revision" button B7 is used to reflect any revisions made by the requesting physician to the test order information based on the support information provided. The close button B8 is used to close the inspection order information creation screen D2. Furthermore, the control unit 11 may display recommended examination order information as support information on the examination order information creation screen D2. For example, in the example shown in Figure 8, if the recommended examination order information requires not only "CT head simple CT" but also "CT head lateral," the control unit 11 may display "CT head lateral" in addition to the currently displayed "CT head simple CT."

[0055] <Other> In the above explanation, the ordering system 100 was described using HIS1 and RIS2 to reflect the actual conditions of a typical medical setting, but it is not limited to this example. Various information processing terminals may be configured to function as HIS1 and RIS2, respectively, and may also be used as the ordering system 100.

[0056] Furthermore, while the decision to send the evaluation is based on the confirmation of the evaluation registration button B1 being pressed, this example is not the only one. For example, the decision to send the evaluation may also be based on whether or not a shooting order has been issued from RIS2 based on that inspection order. In medical settings, sometimes the received test order information is insufficient and difficult to understand, making it impossible to issue a scanning order. Conversely, sometimes the received test order information is complete and accurate, allowing for smooth scanning order issuance. In the former case, where the evaluation is poor, it might be advisable to submit the evaluation promptly without waiting for the scanning order to be issued. In the latter case, where the evaluation is good, it might be advisable to submit the evaluation after the scanning order has been issued. In this case, the evaluation registration button B1 could be used solely for registering the evaluation within RIS2, and a separate evaluation submission button could be provided for actually sending the evaluation. Furthermore, in a medical setting, from the perspective of inter-device communication, issuing an imaging order to the medical imaging device 3 takes priority over sending the evaluation to HIS1. Therefore, it is conceivable that the control unit 21 automatically sends the evaluation information already registered by the examiner after the imaging order has been issued. In this case, the evaluation registration button B1 is solely for registering the evaluation within RIS2.

[0057] In addition to the above, the evaluation screen for the test order information may also allow users to choose whether or not to directly communicate the evaluation information to the requesting physician. This would allow the testing staff to accommodate requests to communicate directly to the requesting physician.

[0058] Furthermore, when learning evaluation information, the control unit 11 may also consider which inspector sent the evaluation information. Specifically, evaluation information from experienced inspectors may be weighted, while evaluation information from novice inspectors may not be weighted during learning. The weighting may be such that the more experienced the inspector, the heavier the weighting. In this case, information such as whether the inspector is experienced or novice must be stored in the memory unit 15. Information such as whether the inspector is experienced or novice may include, for example, the number of years they have been performing inspections. Furthermore, in learning evaluation information, the control unit 11 may also consider the level of expertise of the requesting physician who issues the test order, in addition to the expertise of the test technician responsible for conducting the evaluation. Specifically, test order information issued by a highly skilled requesting physician may be given more weight in the learning process. It is also possible to analyze the trends in evaluation information between test orders issued by skilled and novice requesting physicians. In this case, information indicating whether the requesting physician is skilled or novice must be stored in the memory unit 15. Examples of such information include the number of years the requesting physician has been responsible for requesting tests.

[0059] Furthermore, although the above description assumes that the control unit 11 performs machine learning, the example is not limited to this. A cloud server connected to HIS1 may be equipped with machine learning capabilities.

[0060] <Effects> As described above, the information processing device (HIS1) is an information processing device (HIS1) that creates inspection order information and includes an evaluation receiving unit (control unit 11) that receives evaluation information for the inspection order information, and a first display control unit (control unit 11) that displays the evaluation information, or support information that assists in creating inspection order information based on the evaluation information, on the display unit 12. This reduces miscommunication between the requesting physician and the person performing the test.

[0061] Furthermore, the inspection order information evaluation system (ordering system 100) comprises an information processing device (HIS1) and a terminal device (RIS2) that can communicate with the information processing device. The terminal device comprises a second display control unit (control unit 21) that displays an input screen for inputting evaluation information on a display unit, an acquisition unit (control unit 21) that acquires evaluation information for the inspection order information entered on the input screen, and a transmission control unit (control unit 21) that transmits the evaluation information to the information processing device. This reduces miscommunication between the requesting physician and the person performing the test.

[0062] Furthermore, the information processing method is an information processing method in an information processing device that creates inspection order information, and includes an evaluation reception step (step S11) for receiving evaluation information for the inspection order information, and a display control step (steps S22, S24) for displaying the evaluation information, or support information that assists in creating the inspection order information based on the evaluation information, on a display unit. This reduces miscommunication between the requesting physician and the person performing the test.

[0063] Furthermore, the program causes the computer of the information processing device (HIS1) that creates inspection order information to function as an evaluation reception unit (control unit 11) that receives evaluation information for the inspection order information, and a first display control unit (control unit 11) that displays evaluation information, or support information that assists in creating inspection order information based on the evaluation information, on the display unit. This reduces miscommunication between the requesting physician and the person performing the test.

[0064] The above description of the embodiments is merely an example of the ordering system and information processing device according to the present invention, and is not limited thereto. The detailed configuration and operation of each part constituting the device can also be modified as appropriate without departing from the spirit of the present invention.

[0065] The above explanation discloses examples in which ROM, hard disks, etc., are used as computer-readable media to store programs for executing each process, but the invention is not limited to these examples. Other computer-readable media that can be used include non-volatile memory such as flash memory, and portable recording media such as CD-ROMs. Furthermore, a carrier wave may be used as the medium for providing program data via a communication line. [Explanation of symbols]

[0066] 100 Ordering Systems 1. HIS (Information Processing System) 11 Control Unit (Evaluation Reception Unit, First Display Control Unit) 12 Display section 13 Control section 14 Communications Department 15 Storage section 2 RIS 21 Control Unit (Second Display Control Unit, Acquisition Unit, Transmission Control Unit) 22 Display section 23 Control section 24 Communications Department 25 Memory section 3. Medical imaging equipment 1000 Networks

Claims

1. In an information processing device that creates inspection order information, The evaluation reception department receives evaluation information for inspection order information, A first display control unit that displays the aforementioned evaluation information, or support information that assists in creating inspection order information based on the aforementioned evaluation information, on the display unit, An information processing device equipped with the following features.

2. The information processing apparatus according to claim 1, wherein the support information is information generated by machine learning based on the evaluation information.

3. The information processing device according to claim 1, wherein the support information is at least one of the following: display of recommended inspection order information, points to note when creating inspection order information, and a warning display regarding insufficient inspection order information.

4. The information processing apparatus according to claim 1, wherein the evaluation information is anonymized information.

5. The information processing device according to claim 1, wherein the aforementioned examination order information is examination order information relating to the acquisition of medical images.

6. An information processing device according to any one of claims 1 to 5, The information processing device is equipped with a terminal device that can communicate with it, The aforementioned terminal device is A second display control unit that displays an input screen for inputting the evaluation information on the display unit, An acquisition unit that obtains evaluation information for the inspection order information entered on the aforementioned input screen, A transmission control unit that transmits the evaluation information to the information processing device, A system for evaluating inspection order information, equipped with the following features.

7. An information processing method in an information processing device that creates inspection order information, An evaluation acceptance step that receives evaluation information for inspection order information, A display control step that causes the display unit to display the aforementioned evaluation information, or support information that assists in creating inspection order information based on the aforementioned evaluation information; Information processing methods including

8. The computer of the information processing device that creates inspection order information, The evaluation reception department receives evaluation information for inspection order information. A first display control unit that displays the aforementioned evaluation information, or support information that assists in creating inspection order information based on the aforementioned evaluation information, on the display unit. A program that makes it function as such.

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