Medical information processing apparatus, medical information processing system, medical information processing method, and program

Abstract

To provide a medical information processing device, a medical information processing system, a medical information processing method, and a program for processing information, which allow for checking image interpretation reports in a manner that better suits the needs.SOLUTION: A medical information processing device 20 of a medical information processing system 100 comprises a setting unit (control unit 21) capable of setting first checking authority representing authority to check an image interpretation report produced by a first user (radiologist) who interpreted a medical image of a subject and second checking authority, different from the first checking authority, representing authority to check the image interpretation report.SELECTED DRAWING: Figure 2

Description

Technical Field

[0001] The present invention relates to a medical information processing apparatus, a medical information processing system, a medical information processing method, and a program.

Background Art

[0002] In recent years, the medical field has also seen the progress of information digitization, and medical information such as medical images and medical reports is managed as electronic data. When a certain doctor (requesting doctor) requests a radiologist to read a medical image and the radiologist creates a reading report, the requesting doctor checks this reading report and uses it for diagnosis. Conventionally, an invention for managing information indicating that the reading report has been confirmed (read) is known.

[0003] For example, Patent Document 1 describes a medical information processing apparatus shown below. Specifically, first, a confirmation operation indicating that the reading report has been confirmed is requested from the requesting doctor who requested the radiologist to create the reading report or a doctor belonging to the group to which the requesting doctor belongs. Then, when the operation is performed, information indicating that the reading report has been read is associated with the reading report.

[0004] Also, from the perspective of team medicine, when a doctor and a nurse form a team for treatment, there is a desire for not only the doctor but also the nurse to check the reading report. In addition, when a requesting doctor and a doctor from another department form a team for treatment, there is a desire for not only the requesting doctor but also the doctor from another department to check the reading report.

Prior Art Documents

Patent Documents

[0005]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0006] However, in Patent Document 1, only a confirmation operation is required for the requesting doctor or a doctor belonging to the group to which the requesting doctor belongs, and it was not possible to set the authority to confirm the radiology report for nurses, doctors in other departments, etc.

[0007] The present invention has been made in view of the problems in the above prior art, and an object thereof is to provide a medical information processing apparatus, a medical information processing system, a medical information processing method, and a program capable of performing confirmation of a radiology report more in accordance with needs.

Means for Solving the Problems

[0008] In order to solve the above problems, the medical information processing apparatus according to claim 1 has a setting unit capable of setting a first confirmation authority, which is the authority to confirm a radiology report created by a first user who has read a medical image of a subject, and a second confirmation authority, which is a confirmation authority for the radiology report different from the first confirmation authority. leave the first confirmation history made by the second user who requested the creation of the radiology report or a doctor in the department to which the second user belongs confirmation leave the first confirmation history authority leave the second confirmation history and and an output unit that outputs the display of the first confirmation history and the display of the second confirmation history in a distinguishable manner has.

[0010] Claim 2 The invention described in to 1 is, in the medical information processing apparatus described in claim has a determination unit that determines the confirmation authority possessed by the user, and a first control unit that enables confirmation by the second confirmation authority when the user does not have the first confirmation authority and has the second confirmation authority. and

[0011] Claim 3 The invention described in to 1 is, in the medical information processing apparatus described in claim when the second confirmation authority is set for the user, the user having the first confirmation authority and / or the user having the second confirmation authority to and notify that the second confirmation authority has been setIt has a second control unit.

[0012] Claim 4 The invention according to is, in the medical information processing apparatus according to claim to 1 wherein the second confirmation authority is the authority for a user other than the second user and a doctor in the medical department to which the second user belongs to confirm the radiological report. before The second confirmation authority is the authority for a user other than the second user and a doctor in the medical department to which the second user belongs to confirm the radiological report. leave the second confirmation history made is the authority.

[0013] Claim 5 The invention according to is, in the medical information processing apparatus according to claim to 1 wherein when the radiological report is confirmed by a user having the first confirmation authority or the second confirmation authority, it has a third control unit that prohibits deletion of the first confirmation authority or the second confirmation authority for the user. The invention according to is, in the medical information processing apparatus according to claim

[0014] Claim 6 The invention according to is, in the medical information processing apparatus according to claim to 1 wherein when the first confirmation authority or the second confirmation authority for the user is changed after the radiological report is confirmed by a user having the first confirmation authority or the second confirmation authority, it has a fourth control unit that prohibits deletion of the confirmation history when the radiological report is confirmed by a user having the first confirmation authority or the second confirmation authority. The invention according to is, in the medical information processing apparatus according to claim

[0015] Claim 7 The medical information processing system according to is a setting unit capable of setting a first confirmation authority, which is the authority to confirm a radiological report created by a first user who has read a medical image of a subject, and a second confirmation authority, which is a confirmation authority for the radiological report different from the first confirmation authority. leave the first confirmation history made by the second user who requested the creation of the radiology report or a doctor in the department to which the second user belongs confirm leave the first confirmation history authority and a second confirmation authority, which is a confirmation authority for the radiological report different from the first confirmation authority. leave the second confirmation history is a setting unit capable of setting a first confirmation authority, which is the authority to confirm a radiological report created by a first user who has read a medical image of a subject, and a second confirmation authority, which is a confirmation authority for the radiological report different from the first confirmation authority. and an output unit that outputs the display of the first confirmation history and the display of the second confirmation history in a distinguishable manner has.

[0016] Claim 8 The medical information processing method according to claim includes a setting step of setting a first confirmation authority, which is the authority to confirm a reading report created by a first user who has read a medical image of a subject, and a second confirmation authority, which is a confirmation authority for the reading report different from the first confirmation authority. leave the first confirmation history made by the second user who requested the creation of the radiology report or a doctor in the department to which the second user belongs Confirmation leave the first confirmation history authority, and a second confirmation authority, which is a confirmation authority for the reading report different from the first confirmation authority. leave the second confirmation history setting step that can be set. and an output process that outputs the display of the first confirmation history and the display of the second confirmation history in a distinguishable manner has.

[0017] Claim 9 The program according to claim causes a computer to confirm a reading report created by a first user who has read a medical image of a subject, leave the first confirmation history made by the second user who requested the creation of the radiology report or a doctor in the department to which the second user belongs Confirmation leave the first confirmation history authority, and a second confirmation authority, which is a confirmation authority for the reading report different from the first confirmation authority. leave the second confirmation history setting function that enables setting of a second confirmation authority, which is a confirmation authority for the reading report different from the first confirmation authority. and an output step that outputs the display of the first confirmation history and the display of the second confirmation history in a distinguishable manner is realized.

[0019] Claim 10 The invention according to claim 9 in the program according to claim causes a computer to a determination step of determining the confirmation authority of the user, and a first control step of enabling confirmation by the second confirmation authority when the user does not have the first confirmation authority and has the second confirmation authority. is realized.

[0020] Claim 11 The invention according to claim 9 in the program according to claim when the second confirmation authority is set for the user, the user having the first confirmation authority and / or the user having the second confirmation authorityto , notify that the second confirmation authority has been set realize the second control step.

[0021] Claim 12 The invention described in 9 in the program described in before The second confirmation authority is for users other than the second user and the doctor in the medical department to which the second user belongs to confirm the radiology report leave the second confirmation history made authority.

[0022] Claim 13 The invention described in 9 in the program described in When the radiology report is confirmed by a user having the first confirmation authority or the second confirmation authority, a third control step is realized to prohibit deletion of the first confirmation authority or the second confirmation authority for the user.

[0023] Claim 14 The invention described in 9 in the program described in After the radiology report is confirmed by a user having the first confirmation authority or the second confirmation authority, when the first confirmation authority or the second confirmation authority for the user is changed, a fourth control step is realized to prohibit deletion of the confirmation history when the radiology report is confirmed by the user having the first confirmation authority or the second confirmation authority.

Effect of the Invention

[0024] According to the present invention, the confirmation of the radiology report can be carried out more in line with the needs.

Brief Description of the Drawings

[0025]

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Embodiments for Carrying Out the Invention

[0026] Hereinafter, embodiments of a medical information processing system according to the present invention will be described with reference to the drawings. However, the embodiments described below are technically preferably limited in various ways for carrying out the present invention, but the technical scope of the present invention is not limited to the following embodiments and illustrated examples.

[0027] <1. Configuration of Medical Information Processing System> Fig. 1 shows an example of the system configuration of the medical information processing system 100. As shown in Fig. 1, the medical information processing system 100 is composed of an electronic medical record server 10, a medical information processing device 20, client terminals 30, etc. Each device is connected so as to be able to transmit and receive data via a communication network N such as a LAN (Local Area Network) or a WAN (Wide Area Network). Each device constituting the medical information processing system 100 conforms to the HL7 (Health Level Seven) or DICOM (Digital Image and Communications in Medicine) standard, and the communication between each device is carried out in accordance with HL7 or DICOM. Note that the medical information processing system 100 includes a plurality of client terminals 30.

[0028] The electronic medical record server 10 generates electronic medical record information recording medical treatment acts and diagnosis results for a patient and order information for requesting report creation for an examination for the patient or a medical image in response to an operation instruction from the client terminal 30 used by a doctor. An electronic medical record system is constituted by the electronic medical record server 10 and the client terminal 30.

[0029] The medical information processing device 20 is a computer device for managing medical information. For example, a PACS (Picture Archiving and Communication System) is used as the medical information processing device 20. Medical information refers to information related to medical treatment, and preferably, information indicating a patient's findings, diagnosis content, course, and / or examination results. As medical information, for example, in addition to a medical report, various information constituting the medical report (patient information, examination information, medical images (examination images, measurement result images), measurement results, examination findings, etc.) may be included.

[0030] A medical report is a report that contains information indicating a patient's findings, diagnosis, course, and / or test results. A medical report may include, for example, patient information, examination information, medical images (examination images, measurement result images), magnified or reduced images of medical images, measurement results, examination findings, headers, or footers. Each item of a medical report may have its entry / pasting area and its layout specified as a format. Examples of medical reports include a radiology report of medical image data, an examination report, etc.

[0031] A radiology report is a report that summarizes the findings (presence or absence of abnormalities, patient status, and disease indication) of a medical image taken by an imaging device (various modalities such as CT and MRI) by a radiologist in response to an examination request from a clinician. The radiology report includes, for example, contents such as the type of lesion, anatomical classification, degree, situation, conclusion, etc. An examination report is a report regarding a patient's examination, and examples include a specimen report regarding a specimen (such as blood) collected from the patient, a bacteria report regarding bacteria in the patient, a physiological report regarding the patient's physiological information, etc.

[0032] Patient information widely includes information regarding the patient, and for example, includes the patient's name, patient ID, date of birth, gender, etc. Examination information includes information regarding the examination, and for example, includes examination items, examination results (numerical values), combinations thereof, examination ID, examination date and time, examination description, examination instance UID, etc. A medical image is an image obtained by imaging the results of photographing or measuring the human body for medical or medical purposes, and is an image used for diagnosis. Examples of medical images include X-ray images, MRI images, CT images, pathological images, etc., and may also be a schema (handwritten image) having information equivalent to them. Measurement results are the results of performing various medical measurements from examination information, medical images, etc. The measurement results include, for example, the results of cardiothoracic ratio measurement, the results of visceral fat area measurement, etc. Examination findings widely include the results of questions asked by a doctor to a patient and judgments and opinions regarding the results of physical examinations and medical images for the doctor to determine the patient's medical condition. For example, physical findings are included. The examination findings in a medical report include judgments and opinions regarding the results of examining medical images. As headers and footers, for example, a hospital logo, name, location, phone number, email address, etc. may be included.

[0033] <1-1. Configuration of Medical Information Processing Device> Fig. 2 shows the functional configuration of the medical information processing device 20. As shown in Fig. 2, the medical information processing device 20 is configured to include a control unit 21, a communication unit 22, a timing unit 23, a storage unit 24, etc., and each unit is connected by a bus.

[0034] The control unit 21 is composed of a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), etc., and comprehensively controls the processing operations of each unit of the medical information processing device 20. Specifically, the CPU reads out various processing programs stored in the ROM and expands them in the RAM, and performs various processes in cooperation with the programs.

[0035] The communication unit 22 is composed of a network interface, etc., and performs data transmission and reception with an external device connected via the communication network N.

[0036] The timing unit 23 has a timing circuit (RTC: Real Time Clock), and this timing circuit measures the current date and time and outputs it to the control unit 21.

[0037] The storage unit 24 is composed of an HDD (Hard Disk Drive), a non-volatile semiconductor memory, etc., and stores various data. For example, the storage unit 24 stores medical information such as medical reports and medical images generated by examinations of patients.

[0038] In addition, the storage unit 24 stores a facility information table T1, a department information table T2, a user information table T3, a user attribute table T4, a patient information table T5, a report information table T6, a report confirmation history table T7, and a report reference history table T8.

[0039] Fig. 3 shows the data configurations of the facility information table T1, the department information table T2, the user information table T3, and the user attribute table T4.

[0040] The facility information table T1 stores information related to medical facilities. For each medical facility in the facility information table T1, a facility ID, a facility name, etc. are associated. The facility ID is identification information assigned to the medical facility. The facility name is the name of the medical facility.

[0041] The department information table T2 stores information related to departments (medical departments) classified in medical facilities. For each department in each medical facility in the department information table T2, a facility ID (the facility ID of the medical facility to which the department belongs), a department code, a department name, etc. are associated. The department code is identification information assigned to the department. The department name is the name of the department.

[0042] The user information table T3 stores information related to users (doctors, nurses, etc.) who use the medical information processing device 20. For each user in the user information table T3, a user ID, a user name, etc. are associated. The user ID is identification information assigned to the user. The user name is the display name when the user uses the medical information processing device 20.

[0043] The user attribute table T4 stores user attribute information (affiliation, position, etc.). For each user in the user attribute table T4, a user ID (the user ID of the target user), a facility ID (the facility ID of the medical facility to which the user belongs), a department code (the department code of the department to which the user belongs), etc. are associated. Since a single doctor may belong to multiple departments, in the user attribute table T4, multiple pieces of attribute information can be registered for a single user.

[0044] The control unit 21 acquires the staff information (user information / user attributes) of each medical facility from the electronic medical record server 10 via the communication unit 22, and registers the acquired staff information in the user information table T3 and the user attribute table T4.

[0045] Fig. 4 shows the data configurations of the patient information table T5, the report information table T6, the report confirmation history table T7, and the report reference history table T8.

[0046] The patient information table T5 stores information about patients. In the patient information table T5, for each patient, a patient ID, patient name, date of birth, gender, height, weight, etc. are associated. The patient ID is identification information assigned to the patient. The patient name, date of birth, gender, height, and weight are the patient's name, date of birth, gender, height, and weight, respectively.

[0047] The report information table T6 stores information about medical reports. In the report information table T6, for each medical report, a report ID, patient ID, name of the requesting doctor, user ID of the requesting doctor, requesting department, reception number, modality, data storage folder, creation date and time, first confirmation authority user ID, second confirmation authority user ID, and first confirmation status flag, etc. are associated. The report ID is identification information assigned to the medical report. The patient ID is the patient ID of the patient related to the medical report. The name of the requesting doctor is the name of the doctor (requesting doctor) who requested the creation of the medical report. The user ID of the requesting doctor is the user ID of the doctor who requested the creation of the medical report. The requesting department is the department (clinic) that requested the creation of the medical report. Usually, the requesting department is the department to which the requesting doctor belongs. The receipt number is the receipt number assigned for the creation of the medical report. The modality is the imaging device corresponding to the examination targeted by the medical report. The data storage folder is information (storage location) indicating the folder where the data (such as a PDF file) of the medical report is stored. The creation date and time is the date and time when the medical report was created. The first confirmation authority user ID is the user ID of the user who has the first confirmation authority for the associated medical report. The user who has the first confirmation authority is, for example, the requesting doctor or a doctor belonging to the department (medical department) to which the requesting doctor belongs. That is, the first confirmation authority is the authority for the requesting doctor (second user) who requested the creation of the medical report (radiology report) or a doctor in the medical department to which the requesting doctor (second user) belongs to confirm the medical report (radiology report). The second confirmation authority user ID is the user ID of the user who has the second confirmation authority for the associated medical report. The user who has the second confirmation authority is a user other than the user who has the first confirmation authority, and is, for example, a nurse in the department to which the requesting doctor belongs, a doctor belonging to a department other than the department to which the requesting doctor belongs (a doctor in a different medical department), etc. That is, the second confirmation authority is the authority for a user other than the requesting doctor (second user) and a doctor in the medical department to which the requesting doctor (second user) belongs to confirm the medical report (radiology report). The first confirmation status flag is a flag indicating the confirmation status by the user who has the first confirmation authority for the medical report. As the first confirmation status flag, 0: unconfirmed (unread), 1: confirmed (read) are used. The default value of the first confirmation status flag is "0".

[0048] The report confirmation history table T7 is a table for managing whether the medical report registered in the report information table T6 has been confirmed by the user who has the first confirmation authority or the user who has the second confirmation authority. In the report confirmation history table T7, the target report ID, the confirmation user ID, the report confirmation date and time, and the authority type at the time of confirmation are associated. The target report ID is the report ID of the medical report to be targeted. The confirmation user ID is the user ID of the user who has confirmed the medical report (by pressing the confirmation button 326c described later). The report confirmation date and time is the date and time when the medical report has been confirmed. The authority type at the time of confirmation is the authority type corresponding to the confirmation user when the medical report is confirmed (the first confirmation authority or the second confirmation authority).

[0049] The report reference history table T8 is a table for managing the history of the medical reports registered in the report information table T6 being referenced by a predetermined user. In the report reference history table T8, the target report ID, the reference user ID, and the report reference date and time are associated. The target report ID is the report ID of the medical report to be targeted. The reference user ID is the user ID of the user who has referenced (displayed) the medical report. The report reference date and time is the date and time when the medical report has been referenced.

[0050] <1-2. Configuration of the Client Terminal> The client terminal 30 is a computer device such as a PC (Personal Computer) used by doctors and nurses. Doctors and nurses view medical information such as medical reports on the client terminal 30. Fig. 5 shows the functional configuration of the client terminal 30. As shown in Fig. 5, the client terminal 30 is configured to include a control unit 31, a display unit 32, an operation unit 33, a communication unit 34, a storage unit 35, etc., and each unit is connected by a bus.

[0051] The control unit 31 is composed of a CPU, ROM, RAM, etc., and comprehensively controls the processing operations of each part of the client terminal 30. Specifically, the CPU reads out various processing programs stored in the ROM, expands them in the RAM, and performs various processes in cooperation with the programs.

[0052] The display unit 32 is configured with a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to the instructions of the display signal input from the control unit 31.

[0053] The operation unit 33 is configured with a keyboard having cursor keys, character / numeric input keys, various function keys, etc., and a pointing device such as a mouse, and outputs an operation signal input by a key operation or mouse operation on the keyboard to the control unit 31.

[0054] The communication unit 34 is composed of a network interface, etc., and performs data transmission and reception with an external device connected via the communication network N.

[0055] The storage unit 35 is composed of an HDD, a non-volatile semiconductor memory, etc., and stores various data.

[0056] <2. Operation of the medical information processing system> Next, the operation in the medical information processing system 100 will be described. FIG. 6 is a flowchart showing a report creation process for creating a medical report executed in the medical information processing system 100. It is assumed that the medical report is a radiology report.

[0057] (Report creation process) In the report creation process, first, in response to an operation instruction from the client terminal 30 used by the prescribing doctor, the electronic medical record server 10 transmits (issues) order information (patient ID, prescribing doctor's name, prescribing doctor's user ID, requesting department, reception number, and modality) of the radiology report to the medical information processing device 20 and the client terminal 30 used by the radiologist (step S1).

[0058] Next, the control unit 21 of the medical information processing device 20 acquires the order information from the electronic medical record server 10 via the communication unit 22 and registers it in the report information table T6 (step S2). Specifically, the control unit 21 adds a new record to the report information table T6 and registers the patient ID, prescribing doctor's name, prescribing doctor's user ID, requesting department, reception number, and modality in association with the newly generated report ID.

[0059] Next, the control unit 21 causes the display unit 32 of the client terminal 30 used by the prescribing doctor to display the radiology flow editing screen 321 shown in FIG. 7, and accepts the setting of confirmation authority in response to an operation instruction from the operation unit 33 by the prescribing doctor (step S3). FIG. 7 shows an example of the radiology flow editing screen 321. In the example shown in FIG. 7, as an initial setting, it is preset that the prescribing doctor is specified as the user having the first confirmation authority and the user having the second confirmation authority is not specified. Note that as an initial setting, it may be preset not to specify the user having the first confirmation authority.

[0060] FIG. 8 shows an example when changing the setting of the confirmation authority shown in FIG. 7. When the control unit 21 is instructed to perform step editing from the operation unit 33 on the reading flow editing screen 321, it causes the display unit 32 to display a step editing screen 322 shown in FIG. 8. Then, when the processor change button 322a within the step editing screen 322 is pressed, the control unit 21 causes the display unit 32 to display a user selection screen 323. And the control unit 21 accepts the selection of a user having a first confirmation authority and / or a user having a second confirmation authority on the user selection screen 323. In the example shown in FIG. 8, the control unit 21 accepts the selection of a user having a first confirmation authority. The control unit 21 displays the user name of the currently selected user in the display area 323a of the user selection screen 323. Then, when the cancel button 323c within the user selection screen 323 is pressed, the control unit 21 returns to the step editing screen 322 without changing the setting of the confirmation authority. On the other hand, when the change button 323b within the user selection screen 323 is pressed, the control unit 21 causes the user name of the currently selected user to be displayed in the processor field 322b of the step editing screen 322. Then, when the cancel button 322d within the step editing screen 322 is pressed, the control unit 21 closes the step editing screen 322 without saving the change in the confirmation authority setting (without changing the confirmation authority setting). On the other hand, when the OK button 322c within the step editing screen 322 is pressed, the control unit 21 causes the user name of the user selected on the user selection screen 323 to be displayed on the reading flow editing screen 321 as a user having a first confirmation authority or a user having a second confirmation authority.

[0061] Then, based on the confirmation authority setting received on the reading flow editing screen 321, the control unit 21 associates the first confirmation authority user ID and the second confirmation authority user ID with the record added in step S2. Specifically, the control unit 21 associates the user ID of the user selected as the user having the first confirmation authority with the record added in step S2 as the first confirmation authority user ID. Further, the control unit 21 associates the user ID of the user selected as the user having the second confirmation authority with the record added in step S2 as the second confirmation authority user ID.

[0062] As described above, the control unit 21 can set the first confirmation authority, which is the authority to confirm the reading report created by the reading doctor (the first user) who has read the medical image of the subject, and the second confirmation authority, which is the confirmation authority for a reading report different from the first confirmation authority. Here, the control unit 21 functions as a setting unit. Note that in step S3, the setting of the user having the second confirmation authority may be omitted.

[0063] Note that the control unit 21 may notify the client terminal 30 used by the user set as the user having the first confirmation authority or the user set as the user having the second confirmation authority in step S3 that the confirmation authority has been set. That is, when the second confirmation authority is set for the user, the control unit 21 makes the notification modes to the user different between the user having the first confirmation authority and the user having the second confirmation authority. Here, the control unit 21 functions as a second control unit. That is, the control unit 21 realizes the second control step. Note that here, the control unit 21 may notify both the user set as the user having the first confirmation authority and the user set as the user having the second confirmation authority that the confirmation authority has been set.

[0064] Next, the control unit 31 of the client terminal 30 used by the reading doctor acquires order information from the electronic medical record server 10 via the communication unit 34. The reading doctor creates a reading report on the client terminal 30 based on the order information (step S4).

[0065] When a radiographic report is created, the control unit 21 acquires the radiographic report (including the report ID, reception number, etc.) via the communication unit 22. Then, the control unit 21 stores the acquired radiographic report in the storage unit 24 and registers information regarding the radiographic report in the report information table T6 (step S5). Specifically, the control unit 21 identifies the corresponding record from the report information table T6 based on the report ID, reception number, etc. of the radiographic report. Then, the control unit 21 registers the data storage folder and the creation date and time for the identified record. Here, the first confirmation status flag is set to "0: unconfirmed".

[0066] Next, the control unit 21 causes the display unit 32 of the client terminal 30 used by the radiologist to display the permission setting screen 324 shown in FIG. 9. Then, the control unit 21 accepts the setting of the confirmation permission in response to an operation instruction from the operation unit 33 by the radiologist (step S6). If the radiologist determines that the confirmation permission set in step S3 is inappropriate and / or insufficient, the radiologist changes the setting of the confirmation permission. In step S6, if the setting of the confirmation permission received in step S3 is changed, the control unit 21 changes the first confirmation permission user ID and / or the second confirmation permission user ID associated with the corresponding record based on the change in the confirmation permission setting.

[0067] FIG. 9 shows an example where the user having the first confirmation permission is changed from "requesting doctor 1" to "requesting doctor 10". In FIG. 9, when the change button 324a within the permission setting screen 324 is pressed, the control unit 21 causes the display unit 32 to display the user selection screen 323 similar to FIG. 8. Then, the control unit 21 accepts the selection of the user having the first confirmation permission and / or the user having the second confirmation permission on the user selection screen 323. When the cancel button 323c within the user selection screen 323 is pressed, the control unit 21 returns to the permission setting screen 324 without changing the setting of the confirmation permission. On the other hand, when the change button 323b in the user selection screen 323 is pressed, the control unit 21 causes the user name of the currently selected user to be displayed on the authority setting screen 324. Then, when the cancel button 324c in the authority setting screen 324 is pressed, the control unit 21 closes the authority setting screen 324 without saving the change in the confirmation authority setting (without changing the confirmation authority setting). On the other hand, when the OK button 324b in the authority setting screen 324 is pressed, the control unit 21 changes the first confirmation authority user ID and / or the second confirmation authority user ID associated with the corresponding record to the user ID of the user selected on the user selection screen 323.

[0068] In the example shown in FIG. 9, the user selected on the user selection screen 323 is "Requesting Doctor 10". Here, it is assumed that the user ID of "Requesting Doctor 10" matches the requesting doctor user ID registered in the corresponding record, or the department to which "Requesting Doctor 10" belongs matches the requesting department registered in the corresponding record. In this case, the control unit 21 sets "Requesting Doctor 10" as the user having the first confirmation authority. That is, since the user having the first confirmation authority is changed from "Requesting Doctor 1" to "Requesting Doctor 10", the control unit 21 changes the first confirmation authority user ID registered in the corresponding record from the user ID of "Requesting Doctor 1" to the user ID of "Requesting Doctor 10".

[0069] FIG. 10 shows an example of adding "Doctor in Another Department 11" as the user having the second confirmation authority starting from the state where "Requesting Doctor 1" is set as the user having the first confirmation authority. In the example shown in FIG. 10, the users selected on the user selection screen 323 are "requesting doctor 1" and "doctor from another department 11". "Requesting doctor 1" is set in advance as a user having the first confirmation authority. Here, it is assumed that the department to which "doctor from another department 11" belongs is other than the requesting department registered in the corresponding record. In this case, the control unit 21 sets "doctor from another department 11" as a user having the second confirmation authority. That is, since "doctor from another department 11" is added as a user having the second confirmation authority, the control unit 21 registers the user ID of "doctor from another department 11" as the second confirmation authority user ID in the corresponding record.

[0070] In addition, as shown in FIG. 11, the control unit 21 may display the users having the first confirmation authority and the users having the second confirmation authority on the authority setting screen 324 in a distinguishable manner. Further, as shown in FIG. 11, the control unit 21 may set the order of confirming the medical report on the authority setting screen 324 such that the user having the first authority first and then the user having the second authority. When the change button 324d in the authority setting screen 324 is pressed, the control unit 21 causes the display unit 32 to display a user selection screen (not shown) for the user having the first authority. Then, the control unit 21 accepts the selection of the user having the first confirmation authority on the user selection screen for the user having the first authority. In addition, when the change button 324e in the authority setting screen 324 is pressed, the control unit 21 causes the display unit 32 to display the user selection screen 325 for the user having the second authority. Then, the control unit 21 accepts the selection of the user having the second confirmation authority on the user selection screen 325 for the user having the second authority.

[0071] The example shown in FIG. 11 is a case where "doctor from another department 11", "nurse 1" and "nurse 2" are added as users having the second confirmation authority from the state where "requesting doctor 1" is set as the user having the first confirmation authority. The control unit 21 displays the user name of the currently selected user in the display area 325a of the user selection screen 325 for the user having the second authority. Then, when the cancel button 325c in the user selection screen 325 having the second authority is pressed, the control unit 21 returns to the authority setting screen 324 without changing the confirmation authority setting. On the other hand, when the change button 325b in the user selection screen 325 having the second authority is pressed, the control unit 21 causes the user name of the currently selected user to be displayed in the column of the user having the second authority on the authority setting screen 324.

[0072] In the example shown in FIG. 11, the users selected on the user selection screen 325 having the second authority are "Doctor from Another Department 11", "Nurse 1", and "Nurse 2". In this case, the control unit 21 sets "Doctor from Another Department 11", "Nurse 1", and "Nurse 2" as the users having the second confirmation authority. That is, since "Doctor from Another Department 11", "Nurse 1", and "Nurse 2" are added as the users having the second confirmation authority, the control unit 21 registers the user IDs of "Doctor from Another Department 11", "Nurse 1", and "Nurse 2" as the second confirmation authority user IDs in the corresponding record.

[0073] Note that in step S6, the control unit 21 may notify the client terminal 30 used by the user newly set as the user having the first confirmation authority or the user newly set as the user having the second confirmation authority that the confirmation authority has been set. Here, the control unit 21 may notify both the user newly set as the user having the first confirmation authority and the user newly set as the user having the second confirmation authority that the confirmation authority has been set.

[0074] Next, the control unit 21 notifies the electronic medical record server 10 and the client terminal 30 used by the user set as the user having the first confirmation authority or the user set as the user having the second confirmation authority at the time of step S6 that the reading report has been created (step S7), and ends this process. That is, when a second confirmation authority is set for the user, the control unit 21 makes the modes of notification to the user different between the user having the first confirmation authority and the user having the second confirmation authority. In step S7, when notifying the electronic medical record server 10 that the reading report has been created, the control unit 21 may notify the first confirmation authority user ID and / or the second confirmation authority user ID corresponding to the report ID of the reading report. In step S7, the control unit 21 may notify both the user set as the user having the first confirmation authority and the user set as the user having the second confirmation authority at the time of step S6 that the reading report has been created.

[0075] Next, the report confirmation status management process executed in the medical information processing apparatus 20 will be described. FIG. 12 is a flowchart showing the report confirmation status management process. This process is realized by software processing in cooperation with the CPU of the control unit 21 and the control program stored in the ROM.

[0076] (Report confirmation status management process) In the report confirmation status management process, first, an access operation to the medical information processing apparatus 20 is performed by an operator from the operation unit 33 of the client terminal 30. Then, the control unit 21 of the medical information processing apparatus 20 transmits display data for displaying a login screen to the client terminal 30 via the communication unit 22 (step S11). On the client terminal 30, a login screen is displayed on the display unit 32. The login screen is provided with a user ID input field.

[0077] When the operator inputs the user ID of the operator himself / herself (login user) from the operation unit 33 on the client terminal 30, the control unit 21 of the medical information processing apparatus 20 acquires the input user ID via the communication unit 22 (step S12).

[0078] Next, the control unit 21 of the medical information processing apparatus 20 causes the display unit 32 of the client terminal 30 to display a report display screen 326 shown in FIG. 13. Then, the control unit 21 causes a list of medical reports stored in the storage unit 24 to be displayed in the display area 326a (step S13). In the example shown in FIG. 13, a report in which the item in the first confirmation state is "unconfirmed" indicates that the "first confirmation state flag" associated with the "report ID" is "0: unconfirmed".

[0079] Next, the control unit 21 determines whether a display instruction for any of the medical report lists displayed in step S13 has been given by an operation from the operation unit 33 by the operator (step S14). If no display instruction for the report is given (step S14; NO), the control unit 21 returns this process to step S14. On the other hand, if a display instruction for any of the reports is given (step S14; YES), the control unit 21 causes the selected report to be displayed in the display area 326b of the report display screen 326 as shown in FIG. 14 (step S15). Note that in the case of a configuration in which the control unit 21 can accept the designation of a report ID by an operation from the operation unit 33 by the operator, steps S13 and S14 may be omitted.

[0080] Then, the control unit 21 updates the report reference history table T8 in the storage unit 24 (step S16). Specifically, the control unit 21 adds a new record to the report reference history table T8, stores the "report ID" of the selected report in the "target report ID" field, stores the "user ID" of the logged-in user in the "reference user ID" field, and stores the current date and time acquired from the timer unit 23 in the "report reference date and time" field.

[0081] Next, the control unit 21 determines whether the logged-in user is a user with the first confirmation authority or a user with the second confirmation authority (step S17). Specifically, the control unit 21 refers to the report information table T6 in the storage unit 24, and determines whether the "user ID" of the logged-in user matches the first confirmation authority user ID or the second confirmation authority user ID associated with the "report ID" of the selected report.

[0082] When the logged-in user is a user with the first confirmation authority or a user with the second confirmation authority (step S17; YES), the control unit 21 causes the confirmation button 326c to be displayed as pressable as shown in FIG. 14 (step S18). "Pressable" means that it can be changed to a pressed state by an operation from the operation unit 33. As shown in FIG. 11, when the order for confirming the medical report is set, in step S18, the control unit 21 makes the confirmation button 326c non-pressable for the user with the second confirmation authority until the confirmation button 326c is pressed by the user with the first confirmation authority.

[0083] Next, the control unit 21 determines whether the confirmation button 326c displayed in step S18 has been pressed by an operation from the operation unit 33 (step S19). When the confirmation button 326c is pressed (step S19; YES), the control unit 21 determines whether the logged-in user is a user with the first confirmation authority (step S20). That is, the control unit 21 determines the confirmation authority that the user has. Here, the control unit 21 functions as a determination unit. That is, the control unit 21 realizes the determination step. When the logged-in user is a user with the first confirmation authority (step S20; YES), the control unit 21 changes the "first confirmation status flag" associated with the "report ID" of the selected report to "1: confirmed" in the report information table T6 of the storage unit 24 (step S21). Then, as shown in FIG. 15, the control unit 21 changes the item of the first confirmation status of the selected report from "unconfirmed" to "confirmed" in the list of medical reports on the report display screen 326.

[0084] On the other hand, when the logged-in user is not a user having the first confirmation authority (step S20; NO), that is, when the logged-in user is a user having the second confirmation authority, the control unit 21 proceeds to step S22 of this process.

[0085] Next, the control unit 21 updates the report confirmation history table T7 in the storage unit 24 (step S22) and ends this process. Specifically, the control unit 21 stores the "target report ID", "confirmation user ID", "report confirmation date and time", and "permission type at the time of confirmation" in association with each other in the report confirmation history table T7. The control unit 21 stores the "report ID" of the selected report in the "target report ID" field, the "user ID" of the logged-in user in the "confirmation user ID" field, the current date and time acquired from the timer unit 23 in the "report confirmation date and time" field, and the "first confirmation authority" or "second confirmation authority", which is the confirmation authority possessed by the logged-in user, in the "permission type at the time of confirmation" field. That is, when the logged-in user does not have the first confirmation authority and has the second confirmation authority, the control unit 21 does not change the "first confirmation status flag" and updates the report confirmation history table T7 to enable confirmation with the second confirmation authority. Here, the control unit 21 functions as the first control unit. That is, the control unit 21 realizes the first control step.

[0086] As described above, when the confirmation button 326c is pressed by a logged-in user having the first confirmation authority, the control unit 21 changes the "first confirmation status flag" to "1: confirmed". And in this case, the control unit 21 stores "the first confirmation authority" in the "authority type at confirmation" field of the report confirmation history table T7. Then, the control unit 21 changes the item of the first confirmation status of the corresponding report from "unconfirmed" to "confirmed" in the list of medical reports on the report display screen 326. On the other hand, when the confirmation button 326c is pressed by a logged-in user having the second confirmation authority, the control unit 21 does not change the "first confirmation status flag". And in this case, the control unit 21 stores "the second confirmation authority" in the "authority type at confirmation" field of the report confirmation history table T7. That is, the control unit 21 outputs the display of the confirmation history when the confirmation is made with the first confirmation authority and the display of the confirmation history when the confirmation is made with the second confirmation authority in an identifiable manner. Here, the control unit 21 functions as an output unit. That is, the control unit 21 realizes an output step.

[0087] Also, outputting the display of the confirmation history when the confirmation is made with the first confirmation authority and the display of the confirmation history when the confirmation is made with the second confirmation authority in an identifiable manner may be to perform the following display. For example, the control unit 21 may display the reports confirmed by the first confirmation authority and the reports confirmed by the second confirmation authority in the list of medical reports on the report display screen 326 so that the font weight, color, transparency, etc. are different. Also, the control unit 21 may attach symbols or characters to the reports confirmed by the first confirmation authority or the reports confirmed by the second confirmation authority in the list of medical reports on the report display screen 326. Also, the control unit 21 may hide the reports confirmed by the first confirmation authority or the reports confirmed by the second confirmation authority in the list of medical reports on the report display screen 326.

[0088] Also, when the logged-in user is not a user with the first confirmation authority or a user with the second confirmation authority (step S17; NO), the control unit 21 makes the confirmation button 326c unable to be pressed (step S23) and ends this process. "Unable to be pressed" means that it cannot be changed to a pressed state by an operation from the operation unit 33. For example, by graying out the button, it can be shown that it is not an operation target. Instead of making the confirmation button 326c unable to be pressed, the confirmation button 326c may be made non-displayed.

[0089] Also, when the confirmation button 326c is not pressed (step S19; NO), the control unit 21 ends this process.

[0090] Next, the case of setting the confirmation authority for a report in which the "first confirmation status flag" is "confirmed" will be described. A report in which the "first confirmation status flag" is "confirmed" is a report confirmed by a user with the first confirmation authority.

[0091] For example, it is assumed that an instruction to accept the setting of the confirmation authority for a report confirmed by a user with the first confirmation authority is given from the operation unit 33 of the client terminal 30 used by the user with the first confirmation authority. In this case, the control unit 21 causes the display unit 32 to display the authority setting screen 324 shown in FIG. 16. Then, the control unit 21 accepts the setting of the confirmation authority according to the operation instruction from the operation unit 33. For example, when the user with the first confirmation authority determines that the confirmation authority set for the report is inappropriate and / or insufficient, the user changes the setting of the confirmation authority.

[0092] As shown in FIG. 16, the control unit 21 causes the change button 324d for changing the user having the first confirmation authority to be displayed as non-pressable in the report confirmed by "requesting doctor 1" (the user having the first confirmation authority). Note that, instead of causing the change button 324d to be displayed as non-pressable, the control unit 21 may hide the change button 324d. Further, as shown in FIG. 16, the control unit 21 may display the characters "processed" on the change button 324d. That is, the control unit 21 controls so that the user having the first confirmation authority cannot be changed in the report confirmed by "requesting doctor 1" (the user having the first confirmation authority).

[0093] Further, when the change button 324e in the authority setting screen 324 is pressed from the operation unit 33, the control unit 21 accepts the selection of the user having the second confirmation authority in the same manner as in the case of FIG. 11. Then, since "other department doctor 11", "nurse 1" and "nurse 2" are added as the users having the second confirmation authority in the same manner as in the case of FIG. 11, the control unit 21 registers the user IDs of "other department doctor 11", "nurse 1" and "nurse 2" as the second confirmation authority user IDs in the record of the report.

[0094] Note that the control unit 21 may control so that a user other than "requesting doctor 1" can be additionally set as the user having the first confirmation authority in the report confirmed by "requesting doctor 1" (the user having the first confirmation authority).

[0095] Note that the control unit 21 may notify the client terminal 30 used by the user newly set as the user having the first confirmation authority or the user newly set as the user having the second confirmation authority that the confirmation authority has been set, in the same manner as in the report creation process step S6. Here, the control unit 21 may notify both the user newly set as the user having the first confirmation authority and the user newly set as the user having the second confirmation authority that the confirmation authority has been set.

[0096] Note that the control unit 21 may control the user with the second confirmation authority, who has confirmed the report, so that the user cannot be changed. The report confirmed by the user with the second confirmation authority is a report in which "second confirmation authority" is stored in the "authority type at the time of confirmation" field of the report confirmation history table T7. That is, when the reading report is confirmed by the user with the first confirmation authority or the second confirmation authority, the control unit 21 prohibits the change (deletion) of the first confirmation authority or the second confirmation authority for the confirmed user. Here, the control unit 21 functions as the third control unit. That is, the control unit 21 realizes the third control step.

[0097] Also, as described above, when setting the confirmation authority for a report confirmed by the user with the first confirmation authority or the user with the second confirmation authority, the control unit 21 does not update the report confirmation history table T7. That is, after the reading report is confirmed by the user with the first confirmation authority or the second confirmation authority, if the first confirmation authority or the second confirmation authority for the unconfirmed user is changed, the control unit 21 prohibits the deletion of the information (confirmation history) stored in the report confirmation history table T7 when the reading report is confirmed by the user with the first confirmation authority or the second confirmation authority. Here, the control unit 21 functions as the fourth control unit. That is, the control unit 21 realizes the fourth control step.

[0098] Note that the confirmation authority may be set before step S20 of the report confirmation status management process. That is, the confirmation authority may be set in a state where the report has been displayed on the report display screen 326 and has not been confirmed by the user with the first confirmation authority or the user with the second confirmation authority. That is, the setting process for setting the confirmation authority may be performed at any timing when requesting the creation of a report (step S3 of the report creation process), when the report is created (step S6 of the report creation process), when the report is displayed on the report display screen 326 and has not been confirmed by a user with the first confirmation authority or a user with the second confirmation authority, or after being confirmed by a user with the first confirmation authority or a user with the second confirmation authority.

[0099] In addition, when the confirmation authority is set after the completion of the report creation process, the control unit 21 may notify the client terminal 30 used by the user newly set with the first confirmation authority or the user newly set with the second confirmation authority that a medical report has been created. Further, in this case, the control unit 21 may notify the first confirmation authority user ID and / or the second confirmation authority user ID newly set in the electronic medical record server 10.

[0100] <3. Effect> As described above, according to the present embodiment, the medical information processing apparatus 20 has a setting unit (control unit 21) capable of setting a first confirmation authority, which is the authority to confirm a reading report created by a first user (reading doctor) who has read a medical image of a subject, and a second confirmation authority, which is a confirmation authority for the reading report different from the first confirmation authority. Therefore, different confirmation authorities can be set for the reading report, and the confirmation of the reading report can be carried out more in line with the needs.

[0101] In addition, the medical information processing apparatus 20 has an output unit (control unit 21) that outputs, in an identifiable manner, the display of the confirmation history when the confirmation is performed with the first confirmation authority and the display of the confirmation history when the confirmation is performed with the second confirmation authority. Therefore, the confirmation with the first confirmation authority and the confirmation with the second confirmation authority can be identified and managed more in line with the needs.

[0102] In addition, the medical information processing apparatus 20 includes a determination unit (control unit 21) that determines the confirmation authority possessed by the user, and a first control unit (control unit 21) that enables confirmation based on the second confirmation authority when the user does not have the first confirmation authority but has the second confirmation authority. Therefore, users other than those with the first confirmation authority can also view the radiology report.

[0103] In addition, when the second confirmation authority is set for the user, the medical information processing apparatus 20 includes a second control unit (control unit 21) that differentiates the mode of notification to the user between the user with the first confirmation authority and the user with the second confirmation authority. Therefore, users with the second confirmation authority can also recognize that the confirmation authority has been set and that the report has been created.

[0104] In the medical information processing apparatus 20, the first confirmation authority is the authority for the second user (requesting doctor) who requested the creation of the radiology report or the doctor in the department to which the second user belongs to view the radiology report, and the second confirmation authority is the authority for users other than the second user and the doctor in the department to which the second user belongs to view the radiology report. Therefore, users other than the requesting doctor or the doctor belonging to the group to which the requesting doctor belongs can also view the radiology report.

[0105] In addition, when the radiology report is confirmed by a user with the first confirmation authority or the second confirmation authority, the medical information processing apparatus 20 includes a third control unit (control unit 21) that prohibits the deletion of the first confirmation authority or the second confirmation authority for the user. Therefore, the confirmation based on the first confirmation authority and the confirmation based on the second confirmation authority can be managed more in line with the needs.

[0106] In addition, after the radiology report has been confirmed by a user having the first confirmation authority or the second confirmation authority, when the first confirmation authority or the second confirmation authority for the user is changed, the medical information processing apparatus 20 has a fourth control unit (control unit 21) that prohibits deletion of the confirmation history when the radiology report is confirmed by the user having the first confirmation authority or the second confirmation authority. Therefore, confirmation by the first confirmation authority and confirmation by the second confirmation authority can be managed more in line with needs.

[0107] Note that the description in the above embodiment is an example of a medical information processing system according to the present invention and is not limited thereto. The detailed configuration and detailed operation of each device constituting the system can be appropriately changed without departing from the spirit of the present invention.

[0108] For example, in the above embodiment, the description centered on the confirmation of the medical report, but medical information other than the medical report may also be a confirmation target. In the above embodiment, the case where the control program of the present invention is a program of the medical information processing apparatus 20 in the medical information processing system 100 has been described, but this program may be executed in other devices.

[0109] In addition, in the above embodiment, it is assumed that the medical information (medical report) is set to a confirmed state (a state where the "first confirmation state flag" is "confirmed") by the conscious operation of the user having the first confirmation authority. However, it may be automatically shifted to the confirmed state. For example, it may be detected that the medical report has been viewed (referenced) by the user having the first confirmation authority and automatically set to confirmed. Alternatively, when the viewing time of the medical report by the user having the first confirmation authority exceeds a predetermined time, it may be automatically set to confirmed.

[0110] In the above-described embodiment, the medical information processing system 100 is provided with the electronic medical record server 10, but the present invention is not limited to this. The medical information processing system 100 may be provided with a medical information processing apparatus 20 that does not include the electronic medical record server 10 and stores the created medical reports in the storage unit 24.

[0111] In the above description, an example in which a ROM is used as a computer-readable medium storing a program for executing each process has been disclosed, but the present invention is not limited to this example. As other computer-readable media, non-volatile memories such as flash memories, portable recording media such as CD-ROMs can also be applied. Further, a carrier wave may be applied as a medium for providing program data via a communication line.

Description of Reference Numerals

[0112] 10 Electronic medical record server 20 Medical information processing apparatus 21 Control unit (setting unit, output unit, determination unit, first control unit, second control unit, third control unit, fourth control unit) 22 Communication unit 23 Timing unit 24 Storage unit 30 Client terminal 31 Control unit 32 Display unit 33 Operation unit 34 Communication unit 35 Storage unit 100 Medical information processing system N Communication network T1 Facility information table T2 Department information table T3 User information table T4 User attribute table T5 Patient information table T6 Report information table T7 Report confirmation history table T8 Report reference history table

Claims

1. A first confirmation authority which is the authority to leave a first confirmation history that a second user who requested the creation of the reading report or a doctor in the department to which the second user belongs has confirmed the reading report created by the first user who has read the medical image of the subject, and a second confirmation authority which is the confirmation authority to leave a second confirmation history for the reading report different from the first confirmation authority. A setting unit capable of setting; An output unit that outputs the display of the first confirmation history and the display of the second confirmation history in an identifiable manner; A medical information processing apparatus having the above.

2. A determination unit that determines the confirmation authority possessed by the user; A first control unit that enables confirmation by the second confirmation authority when the user does not have the first confirmation authority and has the second confirmation authority. The medical information processing apparatus according to Claim 1, comprising:

3. A second control unit that notifies the user having the first confirmation authority and / or the user having the second confirmation authority that the second confirmation authority has been set when the second confirmation authority is set for the user. The medical information processing apparatus according to Claim 1, comprising:

4. The second confirmation authority is the authority to leave the second confirmation history in which a user other than the second user and a doctor in the department to which the second user belongs has confirmed the reading report. The medical information processing apparatus according to Claim 1.

5. A third control unit that prohibits deletion of the first confirmation authority or the second confirmation authority for the user when the reading report is confirmed by the user having the first confirmation authority or the second confirmation authority. The medical information processing apparatus according to Claim 1, comprising:

6. After the reading report is confirmed by the user having the first confirmation authority or the second confirmation authority, when the first confirmation authority or the second confirmation authority for the user is changed, the first confirmation authority or the second confirmation authority A fourth control unit that prohibits deletion of the confirmation history when the user having the confirmation authority confirms the reading report. The medical information processing apparatus according to Claim 1, comprising:

7. A setting unit capable of setting a first confirmation authority, which is the authority to leave a first confirmation history confirmed by a second user who requested the creation of the radiology report or a doctor in the department to which the second user belongs, for the radiology report created by the first user who read the medical image of the subject; and a second confirmation authority, which is a confirmation authority to leave a second confirmation history for the radiology report different from the first confirmation authority. An output unit that outputs the display of the first confirmation history and the display of the second confirmation history in an identifiable manner. A medical information processing system having the above components.

8. A setting step capable of setting a first confirmation authority, which is the authority to leave a first confirmation history confirmed by a second user who requested the creation of the radiology report or a doctor in the department to which the second user belongs, for the radiology report created by the first user who read the medical image of the subject; and a second confirmation authority, which is a confirmation authority to leave a second confirmation history for the radiology report different from the first confirmation authority. An output step that outputs the display of the first confirmation history and the display of the second confirmation history in an identifiable manner. A medical information processing method having the above steps.

9. On a computer, A setting function that enables setting a first confirmation authority, which is the authority to leave a first confirmation history confirmed by a second user who requested the creation of the radiology report or a doctor in the department to which the second user belongs, for the radiology report created by the first user who read the medical image of the subject; and a second confirmation authority, which is a confirmation authority to leave a second confirmation history for the radiology report different from the first confirmation authority. An output step that outputs the display of the first confirmation history and the display of the second confirmation history in an identifiable manner. A program for realizing the above functions.

10. On a computer, A determination step for determining the confirmation authority of a user. A first control step that enables confirmation by the second confirmation authority when the user does not have the first confirmation authority and has the second confirmation authority. The program according to claim 9.

11. A second control step that notifies a user having the first confirmation authority and / or a user having the second confirmation authority that the second confirmation authority has been set when the second confirmation authority is set for the user. The program according to claim 9.

12. The program according to claim 9, wherein the second confirmation authority is an authority to leave the second confirmation history in which the second user and users other than the doctor of the medical department to which the second user belongs have confirmed the radiology report.

13.

13. A third control step is realized to prohibit deletion of the first confirmation authority or the second confirmation authority for the user when the radiology report is confirmed by the user having the first confirmation authority or the second confirmation authority, the program according to claim 9.

14.

14. A fourth control step is realized to prohibit deletion of the confirmation history when the radiology report is confirmed by the user having the first confirmation authority or the second confirmation authority, when the first confirmation authority or the second confirmation authority for the user is changed after the radiology report is confirmed by the user having the first confirmation authority or the second confirmation authority, the program according to claim 9.

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