Medical information management device
The medical information management device addresses delays in medical treatments by chronologically tracking operations and providing alerts for incomplete reports, ensuring timely patient care.
Patent Information
- Application Number
- JP2020141886
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Filing Date
- 2020-08-25
- Publication Date
- 2025-01-28
- Estimated Expiration
- 2040-08-25
AI Technical Summary
Existing medical information management systems struggle to efficiently manage and track medical events in a chronological order, leading to potential delays in subsequent medical treatments due to incomplete or missing reports and records.
A medical information management device equipped with a storage portion to record operations by medical workers and a display control unit to display medical treatment events in chronological order, along with warning information for delayed or out-of-order treatments.
Ensures timely completion of medical treatments by providing real-time tracking and alerting for delayed or out-of-order medical events, thereby maintaining efficient patient care.
Smart Images

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Abstract
Description
[Technical field]
[0001] The embodiments disclosed in this specification and the drawings relate to a medical information management device. [Background technology]
[0002] For example, when a medical event occurs for a patient, each medical procedure is performed for the patient. For example, when the medical event is an examination using medical images, each medical procedure is a clinical laboratory technician taking an image of the patient using a medical image diagnostic device to generate a medical image, a radiologist creating an image interpretation report by referring to the medical image, a clinician requesting the examination creating an electronic medical record by referring to the image interpretation report, etc. In the hospital, each medical procedure needs to be managed for each medical event so that there is no delay in each medical procedure. [Prior art documents] [Patent documents]
[0003] [Patent Document 1] JP 2007-272698 A Summary of the Invention [Problem to be solved by the invention]
[0004] One of the problems that the embodiments disclosed in this specification and the drawings aim to solve is to be able to confirm who did what and when for a medical event. However, the problems solved by the embodiments disclosed in this specification and the drawings are not limited to the above problem. Problems corresponding to the effects of each configuration shown in the embodiments described later can also be positioned as other problems. [Means for solving the problem]
[0005] The medical information management device according to the present embodiment includes a storage unit and a display control unit. The storage unit stores, in a memory unit, the content of an operation by a medical professional and the date and time when the operation was performed for each medical procedure on a patient as an operation history. The display control unit displays, on a display unit, medical event information indicating the operation history stored in the memory unit in chronological order for each medical event. The display control unit displays, on the display unit, warning information when the operation history is a warning target of the operation management information, based on operation management information having warning target information based on the operation order and operation content for each medical event. [Brief description of the drawings]
[0006] [Figure 1] FIG. 1 is a diagram showing an example of the configuration of a medical information management system including a medical information management device according to this embodiment. [Diagram 2] FIG. 2 is a diagram showing an example of the configuration of a medical information management device according to this embodiment. [Diagram 3] FIG. 3 is a flowchart showing the procedure of processing by the medical information management device according to this embodiment. [Figure 4] FIG. 4 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Diagram 5] FIG. 5 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 6] FIG. 6 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 7] FIG. 7 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 8] FIG. 8 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 9] FIG. 9 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 10] FIG. 10 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 11]FIG. 11 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 12] FIG. 12 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 13] FIG. 13 is a diagram for explaining the processing by the medical information management device according to this embodiment. [Figure 14] FIG. 14 is a diagram for explaining the processing by the medical information management device according to this embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0007] Hereinafter, an embodiment of a medical information management device will be described in detail with reference to the accompanying drawings. Note that the following description will be given by taking a medical information management system including a medical information management device as an example. In the medical information management system shown in FIG. 1, each device is shown one by one, but in reality, the system may include more than one device.
[0008] The medical information management system shown in Fig. 1 includes a hospital information system (HIS), a radiology information system (RIS), and a picture archiving and communication system (PACS). The medical information management system includes a HIS server 10, a RIS server 20, a medical image diagnostic device 30, a PACS server 40, a medical information management device 100, and various terminals 50-80.
[0009] The HIS server 10, the RIS server 20, the medical image diagnostic device 30, the PACS server 40, the medical information management device 100, and the various terminals 50 to 80 are connected to, for example, an in-hospital LAN (Local Area Network) installed in a hospital, and transmit information to a predetermined device and receive information transmitted from the predetermined device. The HIS server 10 may be connected to an external network in addition to the in-hospital LAN.
[0010] For example, the terminals 50 to 80 include PCs (Personal Computers), tablet PCs, PDAs (Personal Digital Assistants), mobile terminals, etc. The terminals 50 to 80 have installed therein a viewer (software) for displaying images (medical images) based on medical image data and radiology reports on their own displays.
[0011] The terminals 50 to 80 are used by medical professionals. For example, the terminals 50 and 80 are used by clinicians who treat patients. In this embodiment, the clinician who uses the terminal 50 is the clinician who requested the examination (the doctor requesting the examination), and the clinician who uses the terminal 80 is a different clinician from the clinician who requested the examination, for example, a clinician in another department. For example, the terminals 60 and 70 are used by first and second image-reading doctors who perform image interpretation using medical images, etc., respectively. In this embodiment, the first and second image-reading doctors are in a subordinate and superior relationship, respectively.
[0012] The HIS is a system that manages information generated within a hospital. Here, we will not describe the terminals (HIS terminals) that medical staff use to perform various tasks within the hospital.
[0013] In the HIS, the HIS server 10 manages information generated within the hospital. Information generated within the hospital includes patient information, test order information, etc. Each record included in the patient information has items such as a patient ID, patient name (first and last name), age (date of birth), sex, height, weight, and blood type. Each record included in the test order information has items such as a test ID that can identify the test, a patient ID, information indicating hospitalization or outpatient care, a test code, a medical department, a type of test, a part of the test, and a scheduled test date and time.
[0014] The test ID is issued when test order information is input, and is an identifier for uniquely identifying the test order information within, for example, one hospital. The patient ID is assigned to each patient, and is an identifier for uniquely identifying the patient within, for example, one hospital. The test code is an identifier for uniquely identifying a test, which is defined within, for example, one hospital. The medical department indicates, for example, a specialized field of medical treatment in medicine. Specifically, the medical department is internal medicine, surgery, etc. The test type indicates an examination using medical images. For example, the test types include X-ray examination, CT (Computed Tomography) examination, MRI (Magnetic Resonance Imaging) examination, etc. The examination site includes the brain, kidneys, lungs, liver, etc.
[0015] For example, when test order information is input from the terminal 50 of the requesting doctor, the HIS server 10 transmits the input test order information and patient information specified by the test order information to the RIS. In this case, the HIS server 10 also transmits the patient information to the PACS.
[0016] The RIS is a system that manages examination reservation information related to radiological examination work. Here, the description of the terminal (RIS terminal) used by, for example, radiological technologists to carry out various tasks in the radiology department is omitted.
[0017] In the RIS, the RIS server 20 manages information related to radiological examination services. For example, the RIS server 20 receives examination order information transmitted from the HIS server 10, adds various setting information to the received examination order information, accumulates the information, and manages the accumulated information as examination reservation information. Specifically, when the RIS server 20 receives patient information and examination order information transmitted from the HIS server 10, it generates examination reservation information required to operate the medical image diagnostic device 30 based on the received patient information and examination order information. The examination reservation information includes information required to perform the examination, such as an examination ID, a patient ID, an examination type, and an examination site. The RIS server 20 transmits the generated examination reservation information to the medical image diagnostic device 30.
[0018] The medical image diagnostic device 30 is a device with which a clinical laboratory technician performs an examination by photographing a patient, etc. The medical image diagnostic device 30 includes, for example, an X-ray diagnostic device, an X-ray computed tomography device (X-ray CT device), a magnetic resonance imaging device (MRI device), a nuclear medicine diagnostic device, an ultrasonic diagnostic device, etc. The medical image diagnostic device 30 is also called a modality device.
[0019] The medical image diagnostic apparatus 30 performs an examination based on examination reservation information transmitted from the RIS server 20, for example. Then, the medical image diagnostic apparatus 30 generates examination implementation information indicating the implementation of the examination, and transmits it to the RIS server 20. In this case, the RIS server 20 receives the examination implementation information from the medical image diagnostic apparatus 30, and outputs the received examination implementation information to the HIS server 10 and various terminals 50 to 80 as the latest examination implementation information. For example, the HIS server 10 receives the latest examination implementation information and manages the received examination implementation information. For example, the terminals 60 and 70 of the image interpretation doctor receive the latest examination implementation information, and create an image interpretation report, which is a medical report, according to the received examination implementation information. The examination implementation information includes examination reservation information (examination ID, patient ID, examination type, and examination site), and the implementation date and time of the examination, etc.
[0020] Furthermore, the medical image diagnostic device 30 generates medical image data by having a clinical laboratory technician capture an image of a subject (patient) during an examination. The medical image data is, for example, X-ray CT image data, X-ray image data, MRI image data, nuclear medicine image data, and ultrasound image data. The medical image diagnostic device 30 converts the generated medical image data into a format that complies with, for example, the DICOM (Digital Imaging and Communication in Medicine) standard. That is, the medical image diagnostic device 30 generates medical image data to which a DICOM tag is added as supplementary information.
[0021] The incidental information includes, for example, a patient ID, an examination ID, an apparatus ID, an image series ID, and the like, and is standardized according to the DICOM standard. The apparatus ID is information for identifying the medical image diagnostic apparatus 30. The image series ID is information for identifying one imaging by the medical image diagnostic apparatus 30, and includes, for example, the part of the subject (patient) imaged, the time of image generation, the slice thickness, the slice position, and the like. For example, by performing a CT examination or an MRI examination, tomographic images at each of a plurality of slice positions are obtained as medical image data.
[0022] The medical image diagnostic apparatus 30 transmits the generated medical image data to the PACS, which is a system for managing various types of medical image data.
[0023] In the PACS, the PACS server 40 receives, for example, patient information transmitted from the HIS server 10 and manages the received patient information. The PACS server 40 includes a storage circuit for managing patient information. For example, the PACS server 40 receives medical image data transmitted from the medical image diagnostic device 30, and stores the received medical image data in its own storage circuit in association with the patient information. For example, the PACS server 40 reads medical image data in response to an acquisition request from the terminal 60, 70 of the image interpretation doctor from its own storage circuit and transmits it to the terminal. Incidentally, the medical image data stored in the PACS server 40 is added with additional information such as a patient ID, an examination ID, an apparatus ID, and an image series ID. Therefore, the operator can obtain the necessary patient information from the PACS server 40 by performing a search using the patient ID or the like. Here, the operator includes a medical professional who operates the terminal 50 to 80 and an administrator who uses the medical information management device 100. Furthermore, the operator can obtain necessary medical image data from the PACS server 40 by performing a search using a patient ID, an examination ID, an apparatus ID, an image series ID, or the like.
[0024] Here, the RIS server 20 receives, for example, an image interpretation report and examination implementation information corresponding to the image interpretation report transmitted from the terminal 60, 70 of the image interpretation doctor, and stores the received image interpretation report and the examination implementation information in its own memory circuit in association with each other. The image interpretation report is created by the terminal 60, 70 of the image interpretation doctor. As described above, the examination implementation information includes an examination ID, a patient ID, an examination type, an examination site, and an examination implementation date and time, etc., so that the operator can obtain a required image interpretation report from the RIS server 20 by searching using the patient ID, the examination ID, etc. Here, in this embodiment, the image interpretation report is stored in the memory circuit of the RIS server 20, but if it is possible to search by ID, it may be stored in a memory circuit in the medical information management system (for example, a memory circuit of the medical information management device 100, etc.).
[0025] Furthermore, the HIS server 10 receives, for example, an electronic medical record transmitted from the terminal 50 of the clinician who is the requesting doctor and test implementation information corresponding to the electronic medical record, and stores the received electronic medical record and the test implementation information in its own memory circuit in association with each other. The electronic medical record is created by the clinician's terminal 50. As described above, the test implementation information includes the test ID, the patient ID, the test type, the test site, and the test implementation date and time, etc., so that the operator can obtain the required electronic medical record from the HIS server 10 by searching using the patient ID, the test ID, etc. Here, in this embodiment, the electronic medical record is stored in the memory circuit of the HIS server 10, but if it is possible to search by ID, it may be stored in a memory circuit in the medical information management system (for example, a memory circuit of the medical information management device 100, etc.).
[0026] The medical information management device 100 according to this embodiment will be described in detail below. Fig. 2 is a diagram showing an example of the configuration of the medical information management device 100 according to this embodiment. As shown in Fig. 2, the medical information management device 100 has an input interface 110, displays 120 and 123, a communication interface 130, a memory circuitry 140, and a processing circuitry 150.
[0027] The input interface 110 has a pointing device such as a mouse, a keyboard, etc., and receives input of various operations for the medical information management device 100 from an operator, and transfers the instructions and setting information received from the operator to the processing circuit 150. Here, the operator is a manager who monitors whether medical treatment events in the hospital are progressing smoothly.
[0028] The display 120 is a monitor referred to by an operator, and displays image data to the operator under the control of the processing circuitry 150, and displays a GUI (Graphical User Interface) for receiving various instructions and various settings from the operator via the input interface 110. The communication interface 130 is a NIC (Network Interface Card) or the like, and communicates with other devices.
[0029] The memory circuit 140 is, for example, a semiconductor memory element such as a random access memory (RAM) or a flash memory, or a storage device such as a hard disk or an optical disk. Here, the memory circuit 140 is an example of a memory unit.
[0030] The processing circuitry 150 controls the components of the medical information management device 100. For example, the processing circuitry 150 executes a control function 151 and a display control function 152 as shown in FIG. 2. Here, for example, each processing function executed by the control function 151 and the display control function 152, which are components of the processing circuitry 150, is recorded in the storage circuitry 140 in the form of a program executable by a computer. The processing circuitry 150 is a processor that realizes a function corresponding to each program by reading each program from the storage circuitry 140 and executing it. In other words, the processing circuitry 150 in a state in which each program has been read has each function shown in the processing circuitry 150 in FIG. 2.
[0031] Here, the medical information management device 100 monitors the operations of the medical image diagnostic device 30 and the terminals 50 to 80, and records the operation logs as operation history. For example, the control function 151 stores the operation history in the memory circuitry 140. The display control function 152 displays the operation history stored in the memory circuitry 140 on the display 120. A display application (program) is implemented in the medical information management device 100, and the display application can be read by the terminals 50 to 80. For example, the operator of the terminal 50 to 80 can display the operation history stored in the memory circuitry 140 of the medical information management device 100 on the display of the terminal by using the display application read by the terminal. The control function 151 is an example of a storage unit, and the display control function 152 is an example of a display control unit.
[0032] The term "processor" used in the above description means a circuit such as a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an Application Specific Integrated Circuit (ASIC), a programmable logic device (e.g., a Simple Programmable Logic Device (SPLD), a Complex Programmable Logic Device (CPLD), and a Field Programmable Gate Array (FPGA)). When the processor is a CPU, for example, the processor realizes a function by reading and executing a program stored in the memory circuit 140. On the other hand, when the processor is an ASIC, for example, instead of storing a program in the memory circuit 140, the program is directly incorporated in the circuit of the processor. Note that each processor in this embodiment is not limited to being configured as a single circuit for each processor, and may be configured as one processor by combining multiple independent circuits to realize its function. Furthermore, the multiple components in FIG. 2 may be integrated into one processor to realize its function.
[0033] The above describes the overall configuration of the medical information management system including the medical information management device 100 according to this embodiment. With this configuration, the medical information management device 100 provides information that allows users to confirm who did what, when, and for which medical care events.
[0034] For example, when a medical event occurs for a patient, each medical procedure is performed for the patient. For example, when the medical event is an examination using a medical image, each medical procedure is a clinical laboratory technician taking an image of the patient using the medical image diagnostic device 30 to generate a medical image, a radiologist referring to the medical image, a radiologist creating an interpretation report, a requesting clinician referring to the interpretation report, and the clinician creating an electronic medical record. However, in a medical event, even if a certain time has passed since the previous medical procedure, the next medical procedure may not be performed. For example, even if a certain time has passed since the medical image was generated, the radiologist may not create an interpretation report. Also, even if a certain time has passed since the radiologist report was created, the electronic medical record may not be created. In this case, the medical information management device 100 needs to manage each medical procedure for each medical event so that there is no delay in each medical procedure.
[0035] Therefore, the medical information management device 100 according to this embodiment performs the following process. First, in the medical information management device 100 according to this embodiment, the control function 151 stores the contents of operations by a medical professional and the date and time of the operation for each medical procedure on a patient in the memory circuitry 140 as an operation history. The display control function 152 displays medical event information showing the operation history stored in the memory circuitry 140 in chronological order for each medical event on the display 120. The display control function 152 displays warning information on the display 120 when the operation history is a warning target of the operation management information, based on the operation management information having warning target information based on the operation order and operation contents for each medical event.
[0036] The following describes each function of the control function 151 and the display control function 152 with reference to Fig. 3 to Fig. 14. Fig. 3 is a flowchart showing the procedure of processing by the medical information management device 100 according to this embodiment. Fig. 4 to Fig. 14 are diagrams for explaining the processing by the medical information management device 100 according to this embodiment.
[0037] 3 is a step in which the processing circuitry 150 calls up a program corresponding to the control function 151 from the storage circuitry 140 and executes the program. In step S101, the control function 151 executes a storage process. Specifically, the control function 151 stores, as an operation history, the contents of an operation by a medical professional and the date and time of the operation for each medical treatment performed on a patient in the storage circuitry 140.
[0038] In this embodiment, the medical event for the patient is an examination using a medical image. For example, when a medical event for the patient occurs, each medical procedure for the patient is performed in the following order by the next business day. Each medical procedure is an operation performed by a terminal or the like. That is, the order of the medical procedures is the order of operations (operation order) indicating that the medical procedures have been performed. Note that the memory circuitry 140 stores operation management information set for each medical event. The operation management information has warning target information based on the order (operation order) of the medical procedures for each medical event and the operation contents, and when the operation history is a warning target of the operation management information, warning information described later is presented. For example, in a medical event, when there is a delayed medical procedure in which the next operation has not been performed even after a certain time has passed since the previous operation, or when the order of the medical procedures is different, warning information described later is presented.
[0039] For example, first, a clinical laboratory technician performs an examination using the medical image diagnostic device 30. As a result, a medical image is generated by the medical image diagnostic device 30. Next, a first image interpretation doctor refers to the medical image and creates an image interpretation report. The image interpretation report created by the first image interpretation doctor is referred to by a second image interpretation doctor as an image interpretation report before confirmation, and the second image interpretation doctor approves the image interpretation report before confirmation or corrects the image interpretation report before confirmation, thereby creating a confirmed image interpretation report. Then, a clinician who is the doctor requesting the examination refers to the image interpretation report and creates an electronic medical record. In this case, the control function 151 stores the content of the operation by the medical staff and the date and time of the operation as an operation history in the memory circuitry 140 for each medical procedure for the patient.
[0040] Here, a specific description will be given by taking as an example a case where a medical treatment event occurs for a patient with a patient ID of "P3". For example, when the RIS server 20 receives patient information including the patient ID "P3" and examination order information including the examination ID "E3" from the HIS server 10, it generates examination reservation information (patient ID "P3", examination ID "E3", examination type "CT examination", examination site "lung", etc.). The examination order information includes, for example, information indicating the degree of urgency. For example, if the patient is transported by ambulance, the degree of urgency is "B", if the patient transported by ambulance is seriously injured, the degree of urgency is "A", and otherwise the degree of urgency is "C". The RIS server 20 transmits the examination reservation information including the patient ID "P3", examination ID "E3", examination type "CT examination", etc., and the information indicating the degree of urgency "C" to the medical image diagnostic device 30.
[0041] Next, at 15:00 on May 20, 2020, the clinical laboratory technician operates the CT device, which is the medical image diagnostic device 30, to take an image of the subject (patient) based on the examination reservation information (patient ID "P3", examination ID "E3", examination type "CT examination", and examination site "lung", etc.) transmitted from the RIS server 20. The CT device transmits examination implementation information (patient ID "P3", examination ID "E3", examination type "CT examination", and examination implementation date and time "May 20, 2020, 15:00", etc.) indicating the implementation of the examination to the RIS server 20. At this time, the RIS server 20 outputs the examination implementation information received from the CT device and information "C" indicating the urgency to the HIS server 10, the terminals 50 to 80, and the medical information management device 100. In this case, in step S101, the control function 151 executes a storage process. Specifically, as shown in FIG. 4, the control function 151 associates the examination implementation information (patient ID "P3", examination ID "E3", examination type "CT examination", and examination implementation date and time "15:00 on May 20, 2020", etc.) from the RIS server 20 with information "C" indicating the urgency and stores them in the memory circuitry 140.
[0042] In addition, the CT device captures an image of the subject (patient) to generate a CT image 300 (see FIG. 7), which is medical image data to which additional information such as a patient ID "P3", an examination ID "E3", and an apparatus ID of the CT device is added, and stores the image in the PACS server 40. In this case, in step S101, the control function 151 executes a storage process. Specifically, as shown in FIG. 4, the control function 151 acquires the apparatus ID of the CT device, the content of the operation by the clinical laboratory technician "image generation", and the date and time when the operation was performed "May 20, 2020, 15:00" as an operation history 210, and stores the acquired operation history 210 in the memory circuitry 140 in association with examination implementation information including the patient ID "P3", the examination ID "E3", and the like.
[0043] For example, first, at 16:00 on May 20, 2020, the first radiologist operating the terminal 60 retrieves the CT image 300 from the PACS server 40 by searching using the patient ID "P3" and the examination ID "E3" of the examination implementation information, and displays the CT image 300 on the display of the terminal 60. At this time, the first radiologist refers to the CT image 300 displayed on the terminal 60. In this case, in step S101, the control function 151 executes a storage process. Specifically, as shown in FIG. 4, the control function 151 retrieves the terminal ID "T60" of the terminal 60, the content of the operation by the first radiologist "see image", and the date and time when the operation was performed "16:00 on May 20, 2020" as the operation history 210, and stores the retrieved operation history 210 in the memory circuitry 140 in association with the examination implementation information including the patient ID "P3", the examination ID "E3", etc.
[0044] Next, for example, at 17:00 on May 20, 2020, the first image interpretation doctor refers to the CT image 300 displayed on the terminal 60, and operates the terminal 60 to create an image interpretation report containing findings related to the lungs and the like as an unconfirmed image interpretation report 310 (see FIG. 7). At this time, the terminal 60, in response to the operation of the first image interpretation doctor, associates the unconfirmed image interpretation report 310 with examination implementation information including the patient ID "P3", the examination ID "E3", and the like, and stores them in the RIS server 20. In this case, in step S101, the control function 151 executes a storage process. Specifically, as shown in FIG. 4, the control function 151 acquires the terminal ID "T60" of the terminal 60, the content of the operation by the first radiologist "Create radiology report (before confirmation)", and the date and time when the operation was performed "17:00 on May 20, 2020" as the operation history 210, and stores the acquired operation history 210 in the memory circuit 140 in association with the examination implementation information including the patient ID "P3", the examination ID "E3", etc.
[0045] Next, for example, at 18:00 on May 20, 2020, the second radiologist operating the terminal 70 retrieves the pre-confirmation radiology report 310 from the RIS server 20 by performing a search using the patient ID "P3" and the examination ID "E3" of the examination implementation information, and displays it on the display of the terminal 70. At this time, the second radiologist confirms the findings and the like described in the pre-confirmation radiology report 310 displayed on the terminal 70. Then, the second radiologist operates the terminal 70 to add an identifier (e.g., the name and signature of the second radiologist) indicating that the radiology report 310 has been confirmed to the radiology report 310, and creates a confirmed radiology report 320 (see FIG. 7). At this time, the terminal 70 stores the confirmed radiology report 320 and the examination implementation information including the patient ID "P3" and the examination ID "E3" in the RIS server 20 in association with each other, in accordance with the operation of the second radiologist. In this case, in step S101, the control function 151 executes a storage process. Specifically, as shown in FIG. 4, the control function 151 acquires the terminal ID "T70" of the terminal 70, the content of the operation by the second image interpretation doctor "image interpretation report creation (confirmation)", and the date and time when the operation was performed "May 20, 2020 18:00" as the operation history 210, and stores the acquired operation history 210 in the memory circuitry 140 in association with the examination implementation information including the patient ID "P3", the examination ID "E3", etc. Also, as shown in FIG. 4, the control function 151 stores information "Completed" indicating that the confirmed image interpretation report 320 has been created in the memory circuitry 140 in association with the examination implementation information including the patient ID "P3", the examination ID "E3", etc.
[0046] Thereafter, for example, at 20:00 on May 20, 2020, the clinician who is the doctor requesting the examination, who operates the terminal 50, retrieves the confirmed image reading report 320 from the RIS server 20 by performing a search using the patient ID "P3" and the examination ID "E3" of the examination implementation information, and displays it on the display of the terminal 50. At this time, the clinician refers to the findings and the like described in the confirmed image reading report 320 displayed on the terminal 70. Then, the clinician creates an electronic medical record 330 (see FIG. 7) that records patient information such as prescriptions, nursing records, and examinations performed on the patient. At this time, the terminal 50, by the operation of the clinician, associates the electronic medical record 330 with the examination implementation information including the patient ID "P3" and the examination ID "E3", and stores them in the HIS server 10. In this case, in step S101, the control function 151 executes the storage process. Specifically, as shown in Fig. 4, the control function 151 acquires the terminal ID "T50" of the terminal 50, the content of the operation by the clinician "refer to the image interpretation report, create an electronic medical record", and the date and time when the operation was performed "20:00 on May 20, 2020" as the operation history 210, and stores the acquired operation history 210 in the memory circuitry 140 in association with the examination implementation information including the patient ID "P3", the examination ID "E3", etc. Also, as shown in Fig. 4, the control function 151 stores information "Completed" indicating that the electronic medical record 330 has been created in the memory circuitry 140 in association with the examination implementation information including the patient ID "P3", the examination ID "E3", etc.
[0047] Here, there are cases where a medical professional other than the person in charge of the medical event (the first and second image-reading doctors, the requesting clinician) refers to the image or image-reading report. Even in this case, the control function 151 stores the content of the operation by the medical professional and the date and time of the operation in the memory circuitry 140 as an operation history.
[0048] For example, at 19:00 on May 20, 2020, a clinician from another department who operates the terminal 80 retrieves the confirmed image reading report 320 from the RIS server 20 by searching using the patient ID "P3" and the examination ID "E3" of the examination implementation information, and displays the retrieved image reading report 320 on the display of the terminal 80. At this time, the clinician refers to the findings and the like described in the confirmed image reading report 320 displayed on the terminal 80. In this case, in step S101, the control function 151 executes a storage process. Specifically, as shown in FIG. 4, the control function 151 retrieves the terminal ID "T80" of the terminal 80, the content of the operation by the clinician from another department "refer to image reading report", and the date and time when the operation was performed "19:00 on May 20, 2020" as the operation history 210, and stores the retrieved operation history 210 in the memory circuit 140 in association with the examination implementation information including the patient ID "P3", the examination ID "E3", and the like.
[0049] In this way, when a "CT examination" occurs as a medical treatment event for a patient with patient ID "P3", the control function 151 stores in the memory circuit 140 the operation history 210, which includes the content of the operation by the medical staff and the date and time when the operation was performed for each medical treatment for the patient, in association with the examination implementation information including the patient ID "P3", the examination ID "E3", etc.
[0050] Similarly, when "CT examination", "CT examination", "MRI examination", and "CT examination" occur as medical treatment events for patients with patient IDs "P1", "P2", "P4", and "P5", respectively, the control function 151 stores in the memory circuitry 140 the operation history 210, which corresponds to the examination implementation information, the content of the operation by the medical staff for each medical treatment for the patient and the date and time when the operation was performed.
[0051] Here, in the medical care events for the patients with patient IDs "P1" to "P5", there may be delayed medical care actions for which the next operation has not been performed even after a certain time has passed since the previous operation. For example, the medical care events for the patients with patient IDs "P1", "P2", "P4", and "P5" are medical care events for which delayed medical care actions exist. The certain time is, for example, two hours. In this case, the control function 151 stores warning information 220 indicating that the next operation has not been performed in the medical care events for the patients with patient IDs "P1", "P2", "P4", and "P5" in the memory circuitry 140. In this embodiment, the certain time is set to two hours, but it may be one hour, one and a half hours, or any other arbitrary value.
[0052] Specifically, the control function 151 stores in the memory circuitry 140, in medical treatment events for patients with patient IDs "P1" to "P5", examination implementation information, information indicating whether a confirmed radiology report 320 has been created, information indicating whether an electronic medical record 330 has been created, information indicating whether warning information 220 has occurred, information indicating a period of no operation, and information indicating the level of urgency.
[0053] For example, when a medical treatment event occurs for a patient with a patient ID of "P1", first, in FIG. 4, the control function 151 stores in the memory circuitry 140 the examination implementation information including the patient ID of "P1", the examination ID of "E1", etc., in association with the information "B" indicating the urgency. Next, when a confirmed image reading report 320 is created for a medical treatment event for a patient with a patient ID of "P1", the control function 151 stores in the memory circuitry 140 information indicating that the confirmed image reading report 320 has been created in association with the examination implementation information including the patient ID of "P1", the examination ID of "E1", etc. Here, even though four hours have passed since the confirmed image reading report 320 was created, the following operation has not been performed. That is, the electronic medical record 330 has not been created. 4, the control function 151 stores in the memory circuitry 140 information indicating that the warning information 220 has been generated, information indicating the period of no operation "4 (hours)", and information indicating that the electronic medical record 330 has not been created, in association with the examination implementation information including the patient ID "P1", the examination ID "E1", etc. The same applies to medical care events for patients with patient IDs "P2", "P4", and "P5".
[0054] On the other hand, when a medical event occurs for a patient with a patient ID of "P3", first, in FIG. 4, the control function 151 stores in the memory circuit 140 the examination implementation information including the patient ID of "P3", the examination ID of "E3", etc., in association with the information "C" indicating the urgency. Next, when a confirmed image reading report 320 is created for a medical event for a patient with a patient ID of "P3", the control function 151 stores in the memory circuit 140 the information indicating that the confirmed image reading report 320 has been created in association with the examination implementation information including the patient ID of "P3", the examination ID of "E3", etc. Next, when an electronic medical record 330 is created for a medical event for a patient with a patient ID of "P3", the control function 151 stores in the memory circuit 140 the information indicating that the electronic medical record 330 has been created in association with the examination implementation information including the patient ID of "P3", the examination ID of "E3", etc. That is, in the medical treatment event for the patient with the patient ID "P3", a confirmed image interpretation report 320 and an electronic medical record 330 are created. In this case, as shown in Fig. 4, the control function 151 stores in the memory circuitry 140 information indicating that the warning information 220 has not occurred, information indicating a period of no operation "0 (hours)", and examination implementation information including the patient ID "P3", the examination ID "E3", etc., in association with each other.
[0055] 3 is a step in which the processing circuitry 150 calls up a program corresponding to the display control function 152 from the storage circuitry 140 and executes the program. In step S102, the display control function 152 executes a process of generating information to be displayed and a process of displaying the generated information. Specifically, the display control function 152 causes the display 120 to display medical event information 200 (see FIG. 7 ), which shows the operation history 210 stored in the storage circuitry 140 in chronological order for each medical event.
[0056] First, the display control function 152 causes the display 120 to display a list of medical care events stored in the storage circuitry 140. For example, every time information on a medical care event stored in the storage circuitry 140 is updated, the display control function 152 causes the display 120 to display the updated list of medical care events. For example, in FIG. 5, the display control function 152 causes the display 120 to display a list of medical care events for patients with patient IDs "P1" to "P5".
[0057] Here, when an operator selects a medical event from the list displayed on the display 120, the display control function 152 displays medical event information 200 of the selected medical event on the display 120. The operator includes a medical professional who operates the terminal 50-80 and an administrator who uses the medical information management device 100. For example, as shown in FIG. 5, the administrator of the medical information management device 100 operates the input interface 110 to place the cursor 111 on a medical event for a patient with a patient ID "P3" represented by the list displayed on the display 120 and perform a click operation. In this case, a medical event for a patient with a patient ID "P3" is selected, and for example, the display control function 152 displays medical event information 200 as shown in FIG. 6 on the list. FIG. 7 shows an enlarged view of the medical event information 200 displayed on the list.
[0058] 6 and 7, the medical event information 200 shows the operation history 210 in chronological order for medical events for a patient with a patient ID of "P3". For example, the medical event information 200 indicates that a CT image 300 was generated by a CT device with a device ID of "15:00 on May 20, 2020". The medical event information 200 also indicates that the CT image 300 was referenced by a first radiologist operating a terminal 60 with a terminal ID of "T60" at "16:00" on the same day, and that an unconfirmed radiology report 310 was created by the first radiologist at "17:00" on the same day. The medical event information 200 also indicates that a confirmed radiology report 320 was created by a second radiologist operating a terminal 70 with a terminal ID of "T70" at "18:00" on the same day. Here, the medical event information 200 shows that at "19:00" on the same day, the confirmed reading report 320 was referenced by a clinician from another department operating terminal 80 with terminal ID "T80", and that at "20:00" on the same day, the confirmed reading report 320 was referenced by a clinician who is the requesting doctor operating terminal 50 with terminal ID "T50", and an electronic medical record 330 was created.
[0059] In this way, in the medical information management device 100 according to this embodiment, the control function 151 stores the content of the operation by the medical staff and the date and time of the operation for each medical procedure on the patient in the memory circuitry 140 as an operation history. Then, the display control function 152 displays medical event information showing the operation history stored in the memory circuitry 140 in chronological order for each medical event on the display 120. In this way, in the medical information management device 100 according to this embodiment, it is possible to check who did what, when, and in chronological order for each medical event.
[0060] In FIG. 5, when the display control function 152 displays a list of medical care events for patients with patient IDs "P1" to "P5" on the display 120, for example, examination implementation information, information indicating whether or not a confirmed image interpretation report 320 has been created, information indicating whether or not an electronic medical record 330 has been created, information indicating whether or not warning information 220 has occurred, information indicating a period of no operation, and information indicating urgency are displayed on the display 120. That is, the display control function 152 displays a list of medical care events including delayed medical care procedures on the display 120. For example, medical care events for patients with patient IDs "P1", "P2", "P4", and "P5" are medical care events in which delayed medical care procedures have not been performed even after a certain time has passed since the previous operation. In this case, the display control function 152 displays warning information 220 on the display 120 in the list of medical care events including delayed medical care procedures.
[0061] 5, for a medical event for a patient with a patient ID of "P1", information indicating that warning information 220 has occurred, information indicating the urgency level "B", information indicating the period of no operation "4 (hours)", information indicating that an electronic medical record 330 has not been created, information indicating that a confirmed radiology report 320 has been created, and examination implementation information including a patient ID of "P1", an examination ID of "E1", etc. are displayed on the display 120. For a medical event for a patient with a patient ID of "P2", information indicating that warning information 220 has occurred, information indicating the urgency level "C", information indicating the period of no operation "2 (hours)", information indicating that an electronic medical record 330 has not been created, information indicating that a confirmed radiology report 320 has been created, and examination implementation information including a patient ID of "P2", an examination ID of "E2", etc. are displayed on the display 120. Regarding the medical care event for the patient with patient ID "P3", information indicating that warning information 220 has not occurred, information indicating the urgency level "C", information indicating the period of no operation "0 (hours)", information indicating that an electronic medical record 330 has been created, information indicating that a confirmed radiology report 320 has been created, and examination implementation information including the patient ID "P3", examination ID "E3", etc. are displayed on the display 120. The same applies to the medical care events for the patients with patient IDs "P4" and "P5".
[0062] In this way, in the medical information management device 100 according to this embodiment, the display control function 152 displays warning information on the display 120 when the operation history 210 is a warning target of the operation management information based on the operation order and operation content of each medical event. For example, the display control function 152 displays warning information 220 indicating that the next operation has not been performed on the display 120 in a medical event in which a delayed medical procedure exists and the next operation has not been performed even after a certain time has passed since the previous operation. At this time, the display control function 152 displays the warning information 220 on the display 120 in a list of medical events including the delayed medical procedure. In this way, in the medical information management device 100 according to this embodiment, it is possible to confirm on the list that the next operation has not been performed on the medical event.
[0063] Here, when the medical event selected by the operator from the list displayed on the display 120 is a medical event that includes a delayed medical procedure, the display control function 152 causes warning information 220 to be displayed on the display 120 in the medical event information 200 of the medical event.
[0064] For example, in a medical event for a patient with a patient ID "P3", it is assumed that the following operation has not been performed even after two hours have passed since the unconfirmed radiology report 310 was created. In other words, it is assumed that the confirmed radiology report 320 has not been created. In this case, the display control function 152 displays warning information 220 on the display 120 for the medical event for the patient with the patient ID "P3" in the list of medical events. Also, it is assumed that the medical event selected by the operator from the list displayed on the display 120 is the medical event for the patient with the patient ID "P3". In other words, it is assumed that the medical event includes a delayed medical treatment. In this case, as shown in FIG. 8, the display control function 152 displays warning information 220 on the display 120 for the medical event information 200 of the medical event including the delayed medical treatment.
[0065] In FIG. 8, the medical event information 200 shows the operation history 210 in chronological order for the medical event for the patient with the patient ID "P3" as a medical event including a delayed medical procedure. For example, the medical event information 200 indicates that the CT image 300 was generated by the CT device with the device ID at "15:00 on May 20, 2020". The medical event information 200 also indicates that the CT image 300 was referenced by a first radiologist operating a terminal 60 with a terminal ID "T60" at "16:00" on the same day, and that the first radiologist created a pre-confirmed radiology report 310 at "17:00" on the same day. Here, the medical event information 200 indicates that the pre-confirmed radiology report 310 was referenced by a second radiologist operating a terminal 70 with a terminal ID "T70" at "18:00" on the same day, but the confirmed radiology report 320 has not been created even at "19:00" on the same day. In this case, warning information 220 is displayed on the display 120, indicating that the next operation has not been performed in the medical event information 200.
[0066] For example, in a medical event for a patient with a patient ID "P3", it is assumed that the following operation has not been performed even after two hours have passed since the confirmed image interpretation report 320 was created. In other words, it is assumed that the electronic medical record 330 has not been created. In this case, the display control function 152 displays warning information 220 on the display 120 for the medical event for the patient with the patient ID "P3" in the list of medical events. Also, it is assumed that the medical event selected by the operator from the list displayed on the display 120 is the medical event for the patient with the patient ID "P3". In other words, it is assumed that the medical event includes a delayed medical treatment. In this case, as shown in FIG. 9, the display control function 152 displays warning information 220 on the display 120 for the medical event information 200 of the medical event including the delayed medical treatment.
[0067] 9, the medical event information 200 shows operation history 210 in chronological order for medical events for a patient with patient ID "P3" as a medical event including a delayed medical procedure. For example, the medical event information 200 indicates that a CT image 300 was generated by a CT device with device ID "15:00 on May 20, 2020." The medical event information 200 also indicates that the CT image 300 was referenced by a first radiologist operating a terminal 60 with terminal ID "T60" at "16:00" on the same day, and that an unconfirmed radiology report 310 was created by the first radiologist at "17:00" on the same day. Here, the medical care event information 200 indicates that, even though the second image interpretation doctor operating the terminal 70 with the terminal ID "T70" created the confirmed image interpretation report 320 at "18:00" on the same day, the requesting clinician has not referred to the confirmed image interpretation report 320 and has not created the electronic medical record 330 even at "20:00" on the same day. In this case, warning information 220 indicating that the following operation has not been performed in the medical care event information 200 is displayed on the display 120.
[0068] In this way, in the medical information management device 100 according to this embodiment, in a medical event in which a delayed medical procedure exists and the next operation has not been performed even after a certain time has passed since the previous operation, the display control function 152 displays warning information 220 indicating that the next operation has not been performed on the display 120. At this time, when a medical event selected by the operator from the list displayed on the display 120 is a medical event including a delayed medical procedure, the display control function 152 displays warning information 220 on the display 120 in the medical event information 200 of the medical event. In this way, in the medical information management device 100 according to this embodiment, it is possible to check who did what for the medical event and what should be done next in chronological order.
[0069] The display control function 152 may change the display form of the warning information 220 for the list of medical care events including delayed medical care procedures according to the length of the period during which the next operation is not performed. For example, the display control function 152 may display the warning information 220 in yellow on the display 120 for a medical care event for which the period during which no operation is performed exceeds two hours, and may change the display of the warning information 220 to red for a medical care event for which the period during which no operation is performed exceeds four hours. The display control function 152 may display the warning information 220 in yellow on the display 120 for a medical care event for which the period during which no operation is performed exceeds two hours, and may change the display of the warning information 220 to a blinking display or a highlighted display for a medical care event for which the period during which no operation is performed exceeds four hours.
[0070] Furthermore, the display control function 152 may change the display form of the warning information 220 for a list of medical events including delayed medical treatment depending on the time period. For example, when a medical treatment event occurs for a patient, each medical treatment for the patient needs to be performed by the next business day. In this case, for example, the display control function 152 displays the warning information 220 in yellow on the display 120 for a list of medical events including delayed medical treatment after 6 p.m., and changes the display of the warning information 220 to red after 7 p.m. For a list of medical events including delayed medical treatment, the display control function 152 may display the warning information 220 in yellow on the display 120 after 6 p.m., and changes the display of the warning information 220 to a blinking display or a highlighted display after 7 p.m.
[0071] When the medical event selected by the operator from the list displayed on the display 120 is a medical event including a delayed medical procedure, the display control function 152 may change the display form of the warning information 220 for the medical event information 200 of the medical event in question, depending on the length of the period during which the next operation is not performed. For example, the display control function 152 may display the warning information 220 in yellow on the display 120 for the medical event information 200 of a medical event for which the period during which no operation is performed exceeds two hours, and may change the display of the warning information 220 to red for the medical event information 200 of a medical event for which the period during which no operation is performed exceeds four hours. The display control function 152 may display the warning information 220 in yellow on the display 120 for the medical event information 200 of a medical event for which the period during which no operation is performed exceeds two hours, and may change the display of the warning information 220 to a blinking display or a highlighted display for the medical event information 200 of a medical event for which the period during which no operation is performed exceeds four hours.
[0072] In addition, when a medical event selected by the operator from the list displayed on the display 120 is a medical event including a delayed medical treatment, the display control function 152 may change the display form of the warning information 220 for the medical event information 200 of the medical event according to the time period. For example, when a medical event occurs for a patient, each medical treatment for the patient needs to be performed by the next business day. In this case, for example, the display control function 152 displays the warning information 220 in yellow on the display 120 for the medical event information 200 of the medical event including the delayed medical treatment after 18:00, and changes the display of the warning information 220 to red after 19:00. In addition, the display control function 152 may display the warning information 220 in yellow on the display 120 for the medical event information 200 of the medical event including a delayed medical treatment after 18:00, and change the display of the warning information 220 to a blinking display or a highlighted display after 19:00.
[0073] Here, when the warning information 220 is displayed on the display 120, for example, the control function 151 notifies the person in charge that the next operation has not been performed even after a certain time has passed by transmitting the warning information 220 to the terminal of the person in charge of the medical event including the delayed medical treatment. The person in charge includes the first and second image interpretation doctors and the clinician who is the requesting doctor. For example, when the confirmed image interpretation report 320 has not been created even after a certain time has passed, the control function 151 notifies the second image interpretation doctor that the confirmed image interpretation report 320 has not been created by transmitting the warning information 220 to the terminal 70 of the second image interpretation doctor. For example, when the electronic medical record 330 has not been created even after a certain time has passed, the control function 151 notifies the clinician that the electronic medical record 330 has not been created by transmitting the warning information 220 to the terminal 50 of the clinician who is the requesting doctor. In addition, when the warning information 220 is displayed on the display 120, for example, an administrator using the medical information management device 100 may notify the person in charge that the next operation has not been performed even after a certain period of time has passed.
[0074] Furthermore, the display control function 152 may display second warning information indicating that the order of medical procedures is different for a medical event in which the order of medical procedures is different on the display 120. The second warning information is displayed on the display 120 in a list of the medical event or in the medical event information 200 of the medical event.
[0075] For example, in a medical event for a patient with a patient ID "P3", the electronic medical record 330 is created before the confirmed image interpretation report 320 is created. That is, the order of medical procedures is different. In this case, the display control function 152 displays the second warning information on the display 120 for the medical event for the patient with the patient ID "P3" in the list of medical events. Also, the medical event selected by the operator from the list displayed on the display 120 is the medical event for the patient with the patient ID "P3". That is, the medical event is the medical event with a different order of medical procedures. In this case, as shown in FIG. 10, the display control function 152 displays the warning information 230, which is the second warning information, on the display 120 for the medical event information 200 of the medical event with a different order of medical procedures.
[0076] In FIG. 10, the medical event information 200 shows the operation history 210 in chronological order for the medical event for the patient with the patient ID "P3" as a medical event with a different order of medical procedures. For example, the medical event information 200 shows that the CT image 300 was generated by the CT device with the device ID at "15:00 on May 20, 2020". The medical event information 200 also shows that the CT image 300 was referenced by the first radiologist operating the terminal 60 with the terminal ID "T60" at "16:00" on the same day. Here, the medical event information 200 shows that the electronic medical record 330 was created by the clinician who is the requesting doctor operating the terminal 50 with the terminal ID "T50" before the unconfirmed radiology report 310 was created by the first radiology doctor operating the terminal 60 with the terminal ID "T60" at "17:00" on the same day. That is, the clinician creates the electronic medical record 330 without referring to the confirmed radiology report 320. In this case, warning information 230 is displayed on the display 120, notifying that the order of medical procedures in the medical event information 200 is different.
[0077] In addition, when the operation history 210 including an operation of a medical worker who was in charge of medical procedures performed in a different order to confirm the results of the medical procedures performed previously is stored in the memory circuitry 140, the display control function 152 terminates the display of the warning information 230. For example, assume that at "17:00 on May 20, 2020", a first image interpretation doctor who operates the terminal 60 with the terminal ID "T60" creates an unconfirmed image interpretation report 310, and at "18:00" on the same day, a second image interpretation doctor who operates the terminal 70 with the terminal ID "T70" creates a confirmed image interpretation report 320. Thereafter, when the confirmed image interpretation report 320 is referred to by a clinician who is a requesting doctor who operates the terminal 50 with the terminal ID "T50", that is, by the clinician who created the electronic medical record 330, at "19:00" on the same day, the display control function 152 terminates the display of the warning information 230.
[0078] In this way, in the medical information management device 100 according to this embodiment, the display control function 152 displays warning information on the display 120 when the operation history 210 is a warning target of the operation management information, based on the operation order and operation content of each medical event. For example, the display control function 152 displays warning information 230 indicating that the order of medical procedures is different in a medical event in which the order of medical procedures is different, on the display 120. In this way, in the medical information management device 100 according to this embodiment, it is possible to confirm in chronological order that the order of medical procedures is different for a medical event.
[0079] Here, the display control function 152 may not display the warning information 230 on the display 120 when an operation history 210 including an operation to check the results of a previously performed medical procedure by a medical professional who was in charge of a medical procedure performed in a different order is stored in the memory circuit 140 after a certain period of time.
[0080] In FIG. 11, the medical event information 200 shows the operation history 210 in chronological order for medical events for a patient with a patient ID of "P3" as a medical event with a different order of medical procedures. For example, a clinician creates an electronic medical record 330 without referring to a confirmed image reading report 320, but at this point, the display control function 152 does not display the warning information 230. For example, assume that at "17:00 on May 20, 2020," a first image reading report 310 before confirmation is created by a first image reading doctor operating a terminal 60 with a terminal ID of "T60," and at "18:00" on the same day, a second image reading doctor operating a terminal 70 with a terminal ID of "T70" creates a confirmed image reading report 320. Thereafter, at "19:00" on the same day, if the confirmed image interpretation report 320 is not referenced by the clinician who is the requesting doctor operating the terminal 50 with terminal ID "T50", i.e., the clinician who created the electronic medical record 330, the display control function 152 displays the warning information 230. On the other hand, if the confirmed image interpretation report 320 is referenced by the clinician who created the electronic medical record 330 at "19:00" on the same day, the display control function 152 does not display the warning information 230.
[0081] As described above, the medical information management device 100 according to this embodiment stores the operation contents by the medical staff and the date and time of the operation for each medical treatment for a patient in the memory circuitry 140 as an operation history, and displays medical event information showing the operation history stored in the memory circuitry 140 in chronological order for each medical event on the display 120. In this way, the medical information management device 100 according to this embodiment allows the user to check who did what, when, and in chronological order for each medical event.
[0082] (Other embodiments) Although the embodiment has been described above, the present invention may be embodied in various different forms other than the above-described embodiment.
[0083] In the above-described embodiment, the display control function 152 displays the list of medical care events on the display 120 in the order in which the medical care events occurred. For example, since the examination implementation date and time of the examination implementation information is the date and time when the medical care event occurred, the display control function 152 displays the list of medical care events on the display 120 in the order of the examination implementation date and time from the oldest to the newest. For example, in FIG. 5, the display control function 152 displays the list of medical care events on the display 120 in the order of the examination implementation dates and times "May 20, 2020, 14:00", "May 20, 2020, 15:00", "May 20, 2020, 16:00", and "May 20, 2020, 16:00". However, the display of the list of medical care events is not limited to this. For example, the display control function 152 may preferentially display medical care events including delayed medical care actions on the display 120.
[0084] For example, as shown in FIG. 12, the display control function 152 displays a list of medical care events including delayed medical care procedures on the display 120 in the order in which the medical care events occurred. Here, the examination implementation date and time in the examination implementation information is the date and time when the medical care event occurred. Therefore, as shown in FIG. 12, the display control function 152 displays a list of medical care events including delayed medical care procedures on the display 120 in the order of examination implementation dates and times: "May 20, 2020, 14:00", "May 20, 2020, 15:00", "May 20, 2020, 16:00", and "May 20, 2020, 16:00".
[0085] For example, as shown in Fig. 13, the display control function 152 displays a list of medical events including delayed medical treatment on the display 120 in descending order of urgency. Here, in a medical event including a delayed medical treatment, the urgency is "B" if the patient is transported by ambulance, "A" if the patient transported by ambulance is seriously injured, and "C" in other cases. Therefore, as shown in Fig. 13, the display control function 152 displays a list of medical events including delayed medical treatment on the display 120 in the order of urgency information "A", "B", "C", and "C".
[0086] For example, as shown in Fig. 14, the display control function 152 displays on the display 120 a list of medical care events including delayed medical care procedures in order of the longest period during which the next operation will not be performed. For example, when a medical care event occurs for a patient, each medical care procedure for the patient needs to be performed by the next business day. For this reason, the display control function 152 displays on the display 120 a list of medical care events including delayed medical care procedures in order of the longest period during which the next operation will not be performed, for example, in the order of information indicating the period during which no operation will be performed, such as "4 (hours)," "3 (hours)," "2 (hours)," and "2 (hours)."
[0087] In the above embodiment, the medical event for a patient is an examination using a medical image, but the present invention is not limited to this. For example, the medical event for a patient may be a nursing record.
[0088] For example, assume that a "nursing record" for observing the progress of a patient's condition is generated as a medical event for the patient. In this case, for example, as each medical treatment for the patient, a first nurse measures vital data such as the patient's temperature, blood pressure, pulse, etc., and operates the first nurse's terminal to store the measurement results as nursing records in association with patient information including a patient ID that identifies the patient, for example, in a memory circuit of the HIS server 10. Here, the nursing records are stored in the memory circuit of the HIS server 10, but if searchable by ID is possible, they may be stored in a memory circuit in the medical information management system (for example, a memory circuit of the medical information management device 100, etc.). Next, a second nurse observes the patient's excretion amount, food amount, etc., and operates the second nurse's terminal to store the observation results as nursing records in association with patient information including a patient ID that identifies the patient, for example, in the HIS server 10. For example, the first nurse and the second nurse have different working hours depending on the shift work. In this case, the control function 151 stores the contents of the operation by the medical staff and the date and time of the operation for each medical treatment for the patient as an operation history in the memory circuitry 140. Even when the patient makes a nurse call, for example, to call a nurse, the control function 151 stores the contents of the operation by the medical staff and the date and time of the operation for responding to the nurse call as an operation history in the memory circuitry 140. Then, the display control function 152 displays medical event information on the display 120, which shows the operation history stored in the memory circuitry 140 in chronological order for each medical event.
[0089] In addition, each component of each device illustrated in the present embodiment is a functional concept, and does not necessarily have to be physically configured as illustrated. In other words, the specific form of distribution and integration of each device is not limited to that illustrated, and all or a part of them can be functionally or physically distributed and integrated in any unit according to various loads and usage conditions. Furthermore, each processing function performed by each device can be realized in whole or in any part by a CPU and a program analyzed and executed by the CPU, or can be realized as hardware using wired logic.
[0090] The method described in this embodiment can be realized by executing a prepared program on a computer such as a personal computer or a workstation. This program can be distributed via a network such as the Internet. This program can also be recorded on a non-transitory computer-readable recording medium such as a hard disk, a flexible disk (FD), a CD-ROM, an MO, or a DVD, and executed by being read from the recording medium by a computer.
[0091] According to at least one of the embodiments described above, it is possible to confirm who did what and when for a medical event.
[0092] Although some embodiments have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, substitutions, modifications, and combinations of embodiments can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope of the invention and its equivalents as described in the claims, as well as in the scope and spirit of the invention. [Explanation of symbols]
[0093] 100 Medical information management equipment 120 Display 140 Memory circuit 151 Control Functions 152 Display control function 200 Medical Event Information 210 Operation History
Claims
1. a storage unit that stores the content of an operation by a medical professional and the date and time of the operation as an operation history for each medical treatment for a patient in the storage unit; a display control unit that causes a display unit to display medical event information that indicates the operation history stored in the storage unit in chronological order for each medical event, and that causes the display unit to display warning information when the operation history is a warning target of the operation management information based on operation order and operation content for each medical event; Equipped with The display control unit, in a medical treatment event in which a delayed medical treatment procedure exists in which a next operation has not been performed even after a certain time has passed since the previous operation, causes the display unit to display the warning information indicating that the next operation has not been performed and information indicating a period during which the next operation has not been performed. Medical information management device.
2. The display control unit causes a list of medical events to be displayed on the display unit, and causes the display unit to display the medical event information of a medical event selected by an operator from the list. The medical information management device according to claim 1 .
3. The display control unit causes the display unit to display a list of medical care events including the delayed medical care procedure. The medical information management device according to claim 2 .
4. The display control unit displays the warning information in a list of medical care events including the delayed medical care action displayed on the display unit. The medical information management device according to claim 3 .
5. When a medical event selected by an operator from the list displayed on the display unit is a medical event including the delayed medical procedure, the display control unit causes the display control unit to display the medical event information of the selected medical event on the list displayed on the display unit, and also causes the display control unit to display the warning information on the medical event information of the selected medical event displayed on the display unit. The medical information management device according to any one of claims 2 to 4.
6. The display control unit causes the display unit to display a list of medical events including the delayed medical procedures in the order in which the medical events occurred. The medical information management device according to claim 3 or 4.
7. The display control unit causes the display unit to display a list of medical care events including the delayed medical care actions in order of urgency. The medical information management device according to claim 3 or 4.
8. The display control unit causes the display unit to display a list of medical care events including the delayed medical care procedures in order of the length of time during which the next operation is not performed. The medical information management device according to claim 3 or 4.
9. The display control unit changes a display form of the warning information for the list of medical care events including the delayed medical care procedure according to a length of a period during which the next operation is not performed. The medical information management device according to claim 8.
10. The display control unit changes a display form of the warning information for the list of medical care events including the delayed medical care procedure according to a time period. The medical information management device according to claim 8.
11. When a medical event selected by an operator from the list displayed on the display unit is a medical event including the delayed medical procedure, the display control unit changes a display form of the warning information for the medical event information of the medical event in accordance with a length of a period during which the next operation is not performed. The medical information management device according to claim 8.
12. When a medical event selected by an operator from the list displayed on the display unit is a medical event including the delayed medical procedure, the display control unit changes a display form of the warning information for the medical event information of the medical event according to a time period. The medical information management device according to claim 8.
13. The display control unit transmits the warning information to a terminal of a person in charge of a medical event including the delayed medical care action. The medical information management device according to any one of claims 1 to 12.
14. The display control unit causes the display unit to display, as the warning information, second warning information indicating that the order of medical procedures is different in a medical event in which the order of medical procedures is different. The medical information management device according to any one of claims 1 to 13.
15. The display control unit does not display the second warning information when an operation history including an operation of a medical worker who was in charge of medical procedures performed in a different order to check a result of a previously performed medical procedure is stored in the storage unit after a certain period of time. The medical information management device according to claim 14.
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