Medical information management device, program, medical information management method, and medical information management system

Abstract

To ensure safe management to a diagnostic reading report by preventing a doctor other than a doctor who should confirm the diagnostic reading report from making the diagnostic reading report a confirmed state.SOLUTION: In a medical information management device, a storage unit stores identification information of a requesting doctor, a diagnostic reading report and a confirmation status on whether or not the diagnostic reading report has been confirmed in association with each other. A control unit acquires identification information of the doctor who operates a display device and provides the display device with the diagnostic reading report to be processed and confirmation instruction means to confirm the confirmation status of the diagnostic reading report to be processed when the diagnostic reading report to be processed and the acquired identification information of the doctor are associated with each other. When the diagnostic reading report is acquired, the medical information management device notifies an electronic medical chart device of the diagnostic reading report. The medical information management device outputs information about the diagnostic reading report to be processed to a client terminal when the diagnostic reading report to be processed is managed in an emergency.SELECTED DRAWING: Figure 2

Description

[Technical Field]

[0001] The present invention relates to a medical information management device, a program, a medical information management method, and a medical information management system. [Background technology]

[0002] In recent years, the medical field has also seen an increase in the digitization of information, with medical information such as medical images and medical reports being managed as electronic data. When a doctor requests a radiologist to interpret a medical image and the radiologist prepares an interpretation report, the doctor who requested the interpretation checks the interpretation report and uses it for diagnosis. In this way, medical information may be subject to the assumption that a doctor should review it.

[0003] Furthermore, conventionally, electronic signature technologies for verifying the identity of electronic data and preventing tampering have been known. For example, Patent Document 1 describes a technology for determining whether to grant an electronic signature by taking into consideration the authority of the owner of a private key. The technology described in Patent Document 1 obtains authority information, including the presence or absence of qualifications and the level of qualifications, from identification information that identifies the owner of the private key, and determines whether the owner of the private key has the authority to grant an electronic signature based on the obtained authority information. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Japanese Patent Application Laid-Open No. 2005-094703 Summary of the Invention [Problem to be solved by the invention]

[0005] However, in Patent Document 1, the presence or absence of the authority to issue an electronic signature is determined based on the authority information related to qualifications, so when this technology is applied to the confirmation of medical information, there is a risk that a doctor who is not expected to confirm the medical information may mark the medical information as having been confirmed. As such, the conventional method has had problems in managing medical information.

[0006] The present invention has been made in consideration of the problems in the above-mentioned conventional technology, and aims to prevent a doctor other than the doctor who is supposed to review an interpretation report from marking the interpretation report as having been reviewed, thereby ensuring safe management of the interpretation report. [Means for solving the problem]

[0007] In order to solve the above problem, the invention described in claim 1 is: an image interpretation report acquisition means for acquiring an image interpretation report; Identification information of the requesting physician who issued the order information; Attribute information of the requesting doctor; The order information corresponds to the order information and is prepared by the radiologist. The aforementioned a storage means for storing an interpretation report and a confirmation state of whether the interpretation report has been confirmed in association with each other; and an acquisition means for acquiring identification information of a doctor operating the display device. determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed; In the storage means, The aforementioned a control means for providing the display device with the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report to be processed and the doctor's identification information acquired by the acquisition means are associated with each other; and a control means for providing the display device with the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report is acquired. system a notification means for notifying the patient about the image interpretation report; The control means comprises: The image interpretation report to be processed is for emergency management. It was determined that In this case, the electronic medical record system and a different client terminal Among them, for the terminal to which the login user who has the authority to check the image interpretation report to be processed and is under emergency management has logged in, The image interpretation report to be processed is an emergency Output information , medicine It is a user information management device.

[0008] The invention described in claim 2 is a medical information management device described in claim 1, wherein the control means provides the image reading report to be processed and the confirmation instruction means to the display device even when the doctor indicated by the doctor's identification information acquired by the acquisition means is the head of the department to which the doctor indicated by the requesting doctor's identification information associated with the image reading report to be processed in the storage means belongs.

[0010] Claim 3 The invention described in claim 1 is a medical information management device, wherein the control means is configured to perform emergency management of the image interpretation report to be processed. It was determined that In this case, even if the storage means does not associate the radiology report to be processed with the doctor's identification information acquired by the acquisition means, the radiology report to be processed and the confirmation instruction means are provided to the display device.

[0011] Claim 4 The invention described in an image interpretation report acquisition means for acquiring an image interpretation report; Identification information of the requesting physician who issued the order information; Attribute information of the requesting doctor; The order information corresponds to the order information and is prepared by the radiologist. The aforementioned a storage means for storing an interpretation report and a confirmation state of whether the interpretation report has been confirmed in association with each other; and an acquisition means for acquiring identification information of a doctor operating the display device. determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed; In the storage means, The aforementioned a control means for providing the display device with the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report to be processed and the doctor's identification information acquired by the acquisition means are associated with each other; and a control means for providing the display device with the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report is acquired. system a notification means for notifying the patient about the image interpretation report; The control means is a program for causing the control means to function as The image interpretation report to be processed is for emergency management. It was determined that In this case, the electronic medical record system and a different client terminal Among them, for the terminal to which the login user who has the authority to check the image interpretation report to be processed and is under emergency management has logged in, The image interpretation report to be processed is an emergency Output information do.

[0012] Claim 5 The invention described in the item (1) provides: identification information of the requesting doctor who issued the order information; Attribute information of the requesting doctor; A medical information management method in a medical information management device including a storage means for storing an interpretation report corresponding to the order information and prepared by an interpretation doctor, and a confirmation status of whether the interpretation report has been confirmed, in association with each other, the method comprising: an image interpretation report acquisition step of acquiring the image interpretation report; an acquisition step of acquiring identification information of a doctor operating the display device; determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed; In the storage means, The aforementioned a control step of providing the display device with the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report to be processed is associated with the identification information of the doctor acquired in the acquisition step; system a notification step of notifying the patient about the image interpretation report; In the control step, The image interpretation report to be processed is for emergency management. It was determined that In this case, the electronic medical record system and a different client terminal Among them, for the terminal to which the login user who has the authority to check the image interpretation report to be processed and is under emergency management has logged in, The image interpretation report to be processed is an emergency Output information do.

[0013] Claim 6 The invention described in the item (1) includes a requesting physician information acquiring means for acquiring identification information of a requesting physician who has issued order information, and a radiology report corresponding to the order information and prepared by a radiology physician. Image interpretation A report acquisition means, identification information of the requesting doctor, Attribute information of the requesting doctor; a storage means for storing the image interpretation report and a confirmation state of whether the image interpretation report has been confirmed in association with each other; and an acquisition means for acquiring identification information of a doctor operating the display device. determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed; In the storage means, The aforementioneda control means for providing the display device with the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report to be processed and the doctor's identification information acquired by the acquisition means are associated with each other; and a control means for providing the display device with the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report is acquired. system a notification means for notifying the patient about the image interpretation report; The control means comprises: The image interpretation report to be processed is for emergency management. It was determined that In this case, the electronic medical record system and a different client terminal Among them, for the terminal to which the login user who has the authority to check the image interpretation report to be processed and is under emergency management has logged in, The image interpretation report to be processed is an emergency Output information , medicine It is an information management system. [Effects of the Invention]

[0014] According to the present invention, it is possible to prevent a doctor other than the doctor who is supposed to check an image interpretation report from putting the image interpretation report into a checked state, thereby ensuring safe management of image interpretation reports. [Brief explanation of the drawings]

[0015] [Figure 1] 1 is a system configuration diagram of a medical information management system according to an embodiment of the present invention. [Figure 2] FIG. 2 is a block diagram showing the functional configuration of the medical information management device. [Figure 3] 10A and 10B are diagrams illustrating data configurations of a facility information table, a department information table, a user information table, and a user attribute table. [Figure 4] 10A and 10B are diagrams showing the data configurations of a patient information table, a report information table, a report confirmation history table, a report reference history table, and a medical image management table. [Figure 5] FIG. 2 is a block diagram showing a functional configuration of a client terminal. [Figure 6] 10 is a flowchart showing a report confirmation status management process executed in the medical information management apparatus. [Figure 7] 10 is an example of a search screen. [Figure 8] 10 is an example of a screen listing unconfirmed reports for a logged-in user. [Figure 9] 10 is an example of an examination / report list screen. [Figure 10] 10 is an example of a list screen of unconfirmed reports for a logged-in user relating to a selected patient. [Figure 11] 10 is a flowchart showing a report screen display process. [Figure 12] 10 is a flowchart showing an authority determination process. [Figure 13] 10 is an example of a report screen. DETAILED DESCRIPTION OF THE INVENTION

[0016] Hereinafter, an embodiment of a medical information management system according to the present invention will be described with reference to the drawings. However, although the embodiment described below has various limitations that are technically preferable for implementing the present invention, the technical scope of the present invention is not limited to the following embodiment and illustrated examples.

[0017] FIG. 1 shows an example of the system configuration of a medical information management system 100. As shown in FIG. As shown in Fig. 1, the medical information management system 100 is composed of an electronic medical record system 10, a medical information management device 20, a client terminal 30, etc., and each device is connected to be able to send 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 management system 100 conforms to the HL7 (Health Level Seven) or DICOM (Digital Image and Communications in Medicine) standards, and communication between each device is performed in accordance with HL7 or DICOM. The medical information management system 100 is equipped with multiple client terminals 30.

[0018] The electronic medical record system 10 generates electronic medical record information that records medical treatments and diagnostic results for patients, and order information for requesting the creation of reports on examinations and medical images for patients.

[0019] The medical information management device 20 is a computer device that manages medical information. As the medical information management device 20, for example, a PACS (Picture Archiving and Communication System) is used. Medical information refers to information related to medical care, and is preferably information indicating a patient's findings, diagnosis, progress, and / or test results. Medical information may include, for example, a medical report as well as various information constituting the medical report (patient information, test information, medical images (test images, measurement result images), measurement results, examination findings, etc.).

[0020] A medical report is a document that contains information about a patient's findings, diagnosis, progress, and / or test results. A medical report may include, for example, patient information, test information, medical images (test images, measurement result images), enlarged or reduced images of medical images, measurement results, examination findings, a header, or a footer. The format for each item in a medical report can specify the area for writing or pasting information and its layout. Examples of medical reports include medical image data interpretation reports and examination reports.

[0021] A radiology report is a report prepared by a radiologist in the radiology department or other department in response to a request from a medical doctor, summarizing findings (presence or absence of abnormalities, indications of the patient's condition or disease) from medical images taken with an imaging device (various modalities such as CT or MRI).The radiology report may include, for example, the type of lesion, anatomical classification, degree, situation, and conclusion. A test report is a report on a patient's test, and examples include a specimen report on a specimen (blood, etc.) collected from a patient, a bacteria report on bacteria in a patient, and a physiological report on physiological information of a patient.

[0022] The patient information includes a wide range of information about the patient, such as the patient name, patient ID, date of birth, and gender. The examination information includes information about the examination, such as examination items, examination results (numerical values), combinations thereof, examination ID, examination date and time, examination description, examination instance UID, and the like. A medical image is an image obtained by photographing or measuring the human body for medical or medical purposes, and is used for diagnosis. Examples of medical images include X-ray images, MRI images, CT images, and pathological images, and may also be schemas (hand-drawn images) that contain equivalent information. The measurement results are the results of various medical measurements performed from examination information, medical images, etc. The measurement results include, for example, the results of cardiothoracic ratio measurement and the results of visceral fat area measurement. Examination findings broadly include the doctor's judgments and opinions regarding the results of questioning the patient to determine the patient's condition, and the results of examining the body and medical images, such as physical examination findings. Examination findings in medical reports include judgments and opinions regarding the results of examining medical images. The header and footer may include, for example, the hospital's logo, name, address, phone number, email address, etc.

[0023] FIG. 2 shows the functional configuration of the medical information management device 20. As shown in FIG. 2, the medical information management device 20 includes a control unit 21, a communication unit 22, a clock unit 23, a storage unit 24, and the like, and each unit is connected by a bus.

[0024] 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 management device 20. 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.

[0025] The communication unit 22 is configured by a network interface and the like, and transmits and receives data to and from external devices connected via the communication network N.

[0026] The timekeeping unit 23 has a timekeeping circuit (RTC: Real Time Clock), and measures the current date and time using this timekeeping circuit and outputs it to the control unit 21.

[0027] The storage unit 24 is configured with an HDD (Hard Disk Drive), a nonvolatile 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.

[0028] The memory unit 24 also 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, a report reference history table T8, and a medical image management table T9.

[0029] 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.

[0030] The facility information table T1 stores information about medical facilities. In the facility information table T1, a facility ID, a facility name, etc. are associated with each medical facility. The facility ID is identification information assigned to the medical facility. The facility name is the name of the medical facility.

[0031] The department information table T2 stores information about departments (medical departments) classified in a medical facility. In the department information table T2, for each department in each medical facility, 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.

[0032] The user information table T3 stores information about users (doctors) who use the medical information management device 20. In the user information table T3, a user ID, a user name, etc. are associated with each user. The user ID is identification information assigned to the user. The user name is a display name when the user uses the medical information management device 20.

[0033] The user attribute table T4 stores user attribute information (affiliation, job title, etc.). For each user, the user attribute table T4 associates a user ID (user ID of the target user), a facility ID (facility ID of the medical facility to which the user belongs), a department code (department code of the department to which the user belongs), an authority type, etc. The authority type is a classification corresponding to the authority set for the user. Here, the authority types used are 0: none, 1: trainee, 2: doctor, 3: department head, and 4: administrator. A trainee is a doctor in the clinical training period. A department head is a doctor who is the person in charge of the department to which the user belongs. An administrator is an administrator in the medical information management device 20. Since one doctor may belong to multiple departments or the authority type may differ depending on the department, multiple attribute information can be registered for one user in the user attribute table T4.

[0034] FIG. 4 shows the data configurations of a patient information table T5, a report information table T6, a report confirmation history table T7, a report reference history table T8, and a medical image management table T9.

[0035] The patient information table T5 stores information about patients. In the patient information table T5, a patient ID, patient name, date of birth, gender, height, weight, etc. are associated with each patient. 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.

[0036] The report information table T6 stores information about medical reports. For each medical report, the report information table T6 associates the report ID, patient ID, requesting doctor name, requesting doctor user ID, requesting department, reception number, modality, data storage folder, creation date and time, update date and time, report confirmation status flag, and update after report confirmation flag, etc. The report ID is identification information assigned to the medical report. Patient ID is the patient ID of the patient for the medical report. The requesting physician name is the name of the physician (requesting physician) who requested the creation of the medical report. The requesting physician user ID is the user ID of the physician who requested the creation of the medical report. The requesting department is the department (clinical department) that requests the creation of the medical report. Usually, the requesting department is the department to which the requesting doctor belongs. The reception number is a reception number given to the creation of the medical report. A modality is an imaging modality that corresponds to the examination of interest in a medical report. The data storage folder is information (storage location) indicating the folder in which medical report data (PDF files, etc.) is stored. The creation date and time is the date and time when the medical report was created. The update date and time is the date and time when the medical report was updated. The report confirmation status flag is a flag that indicates the confirmation status of the medical report. The report confirmation status flag can be 0: unconfirmed (unread), 1: confirmed (read), or 2: being confirmed. The default value of the report confirmation status flag is "0". If the medical report is updated after it has been confirmed, the report confirmation status flag returns to "0: unconfirmed". The report confirmation update flag is a flag that indicates whether the medical report has been updated after being confirmed. The default value of the report confirmation update flag is "0", and if the medical report has been updated after being confirmed, the flag is set to "1".

[0037] In the report information table T6, medical information (report ID), identification information of a doctor (requesting doctor user ID), and a confirmation status of the medical information (report confirmation status flag) are associated with each other.

[0038] The report confirmation history table T7 is a table for managing whether or not the medical reports registered in the report information table T6 have been confirmed. The report confirmation history table T7 associates the target report ID, the confirming user ID, the report confirmation date and time, and the authority type at the time of confirmation. The target report ID is the report ID of the target medical report. The confirmation user ID is the user ID of the user who confirmed the medical report (pressed the confirmation button). The report confirmation date and time is the date and time when the medical report was confirmed. The authority type at the time of confirmation is the authority type corresponding to the confirming user when the medical report is confirmed.

[0039] The report reference history table T8 is a table for managing the history of references to medical reports registered in the report information table T6. The report reference history table T8 associates the target report ID, the referencing user ID, the report reference date and time, the authority type at the time of reference, the reference / reference cancellation flag, and the confirmation status change flag. The target report ID is the report ID of the target medical report. The referring user ID is the user ID of the user who referred to (displayed) the medical report. The report reference date and time is the date and time when the medical report was referenced. The authority type at the time of reference is the authority type corresponding to the referencing user when the medical report is referred to. The reference / cancel reference flag is a flag that indicates an operation by the user. The reference / cancel reference flag can take the following values: 0: no operation, 1: reference, -1: cancel reference. The confirmation status change flag is a flag that indicates a change in the "report confirmation status flag" in the report information table T6. The confirmation status change flag can take the following values: 0: no change, 1: changed to confirmed, -1: confirmation canceled.

[0040] The medical image management table T9 is a table for managing medical images stored in the storage unit 24. The medical image management table T9 associates, for each examination, the examination ID, patient ID, requesting doctor name, requesting doctor user ID, requesting department, reception number, modality, data storage folder, examination date and time, image confirmation status flag, etc. The test ID is the test ID corresponding to the target test. The patient ID is the patient ID of the patient being examined. The requesting physician name and requesting physician user ID are the name and user ID of the physician who requested the examination (imaging), respectively. The requesting department is the department (medical department) that requested the test. The reception number is the reception number assigned to the test. A modality is an imaging device that corresponds to a target examination. The data storage folder is information (storage location) indicating the folder in which data of medical images related to an examination is stored. The examination date and time is the date and time when the examination (photography) was performed. The image confirmation status flag indicates the confirmation status of the medical image related to the examination. The image confirmation status flag can be set to 0: not confirmed, 1: confirmed, or 2: being confirmed. The default value of the image confirmation status flag is "0."

[0041] The control unit 21 acquires staff information (user information and user attributes) of each medical facility from the electronic medical record system 10 via the communication unit 22, and registers the acquired staff information in the user information table T3 and the user attribute table T4.

[0042] When order information for a medical report is issued in the electronic medical record system 10, the control unit 21 acquires the order information for the medical report (patient ID, requesting doctor name, requesting doctor user ID, requesting department, reception number, modality) from the electronic medical record system 10 via the communication unit 22, and registers the acquired order information in the report information table T6. Specifically, the control unit 21 adds a new record to the report information table T6, and registers the patient ID, requesting doctor name, requesting doctor user ID, requesting department, reception number, and modality in association with the newly generated report ID.

[0043] When a medical report is created on a terminal device or the like used by a radiologist, the control unit 21 acquires the medical report (including the report ID, reception number, etc.) via the communication unit 22, stores the acquired medical report in the memory unit 24, and registers information about the medical report in the report information table T6. Specifically, the control unit 21 identifies a corresponding record from the report information table T6 based on the report ID, reception number, etc. of the medical report, and registers the data storage folder and creation date and time for the identified record. Here, the report confirmation status flag is set to "0: unconfirmed" and the report confirmation update flag is set to "0: default value." When the control unit 21 acquires the medical report, it notifies the electronic medical record system 10 that the medical report has been created.

[0044] The control unit 21 acquires the identification information (user ID) of the doctor who operates the client terminal 30 (display device). That is, the control unit 21 functions as an acquisition unit.

[0045] When the control unit 21 displays the medical information to be processed on the display unit 32 (see FIG. 5) of the client terminal 30, if the medical information to be processed is associated with the identification information of the doctor operating the client terminal 30 in the report information table T6 of the storage unit 24, the control unit 21 grants the doctor confirmation authority to set the confirmation status (report confirmation status flag) of the medical information to be processed in the report information table T6 of the storage unit 24 to confirmed. Specifically, the control unit 21 provides the client terminal 30 with a confirmation instruction means for setting the confirmation status of the medical information to be processed in the report information table T6 to confirmed.

[0046] The confirmation instruction means is a means for recording that the medical information has been confirmed. Examples of the confirmation instruction means include a button, a check box, an electronic signature, and / or an input field. The button is displayed as a clickable button on the display screen of the display means (such as the display unit 32 of the client terminal 30 shown in FIG. 5). The check box is a small box displayed on the display screen of the display means for selecting by switching between two states, such as on and off. The electronic signature is displayed on the display screen of the display means in an operable manner to issue an instruction to execute the electronic signature. The input field is confirmed by inputting predetermined characters on the display screen of the display means, and examples thereof include a field for inputting a personal identification ID. In the present invention, when the confirmation instruction means "marks the confirmation status of medical information as confirmed," it includes not only instructing the confirmation status of medical information to be marked as confirmed, but also recording the confirmation status of medical information as confirmed.

[0047] The control unit 21, as a confirmation instruction means, displays on the client terminal 30 a confirmation button for setting the confirmation state of the medical information to be processed to confirmed so that the confirmation button can be pressed by operation from the operation unit 33 (see FIG. 5). The confirmation button is a button that a doctor presses after confirming the medical information. When the confirmation button is pressed, it is recorded that the medical information has been confirmed. The confirmation button is displayed, for example, as a clickable button on the display screen of the display means.

[0048] When the confirmation button displayed on the client terminal 30 is pressed by operation from the operation unit 33, the control unit 21 changes the confirmation status (report confirmation status flag) of the medical information to be processed in the report information table T6 in the memory unit 24 to confirmed, and prohibits the confirmation button from being pressed again. When the medical information has been confirmed, the control unit 21 notifies the electronic medical record system 10 that the medical information has been confirmed.

[0049] If the medical information to be processed is not associated with the identification information of the doctor operating the client terminal 30 in the report information table T6 of the memory unit 24, the control unit 21 displays a confirmation button on the client terminal 30 so that it cannot be pressed by operation from the operation unit 33.

[0050] When the medical information to be processed is subject to emergency management, the control unit 21 grants confirmation authority even if the medical information to be processed is not associated with the identification information of the doctor operating the client terminal 30 in the report information table T6 of the storage unit 24. Whether the medical information is subject to emergency management is determined, for example, by whether the department that requested the creation of the medical information is a predetermined department (general medical emergency department, etc.). Here, restrictions may be imposed on those to whom confirmation authority is granted, such as excluding trainees.

[0051] Since the medical information to be processed is subject to emergency management, the control unit 21 causes the display unit 32 of the client terminal 30 to display a warning when granting the authorization to confirm.

[0052] When the control unit 21 causes the display unit 32 of the client terminal 30 to display a list of medical information for which the doctor indicated by the identification information of the doctor operating the client terminal 30 has been granted confirmation authority and whose confirmation status is unconfirmed, the control unit 21 excludes from the list medical information for which confirmation authority has been granted because the medical information to be processed is subject to emergency management.

[0053] The control unit 21 also grants confirmation authority if the doctor indicated by the identification information of the doctor operating the client terminal 30 is the head of the department to which the doctor indicated by the identification information of the doctor associated with the medical information to be processed in the report information table T6 of the memory unit 24 belongs.

[0054] The control unit 21 records a history of the confirmation status of the medical information to be processed being confirmed by the confirmation instruction means. Specifically, for a medical report whose report confirmation status flag has been changed to "1: confirmed" in the report information table T6 of the storage unit 24, the control unit 21 records the target report ID, the confirming user ID, the report confirmation date and time, and the authority type at the time of confirmation in the report confirmation history table T7 of the storage unit 24.

[0055] The control unit 21 allows a doctor who is granted the authority to confirm the medical information stored in the storage unit 24 to cancel the confirmation of the medical information.

[0056] The client terminal 30 is a computer device such as a PC (Personal Computer) used by a doctor. The doctor uses the client terminal 30 to view medical information such as medical reports. FIG. 5 shows the functional configuration of the client terminal 30. As shown in FIG. 5, the client terminal 30 comprises 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.

[0057] The control unit 31 is composed of a CPU, a ROM, a RAM, etc., and comprehensively controls the processing operations of each unit 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.

[0058] The display unit 32 is configured to include a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of a display signal input from the control unit 31. The operation unit 33 is configured with a keyboard equipped with cursor keys, letter and number input keys, various function keys, etc., and a pointing device such as a mouse, and outputs operation signals input by key operations on the keyboard or mouse operations to the control unit 31.

[0059] The communication unit 34 is configured by a network interface or the like, and transmits and receives data to and from an external device connected via the communication network N. The storage unit 35 is configured with a HDD, a nonvolatile semiconductor memory, or the like, and stores various data.

[0060] Next, the operation of the medical information management system 100 will be described. 6 is a flowchart showing the report confirmation status management process executed in the medical information management device 20. This process is realized by software processing in cooperation with the CPU of the control unit 21 and a control program stored in the ROM.

[0061] When an access operation is performed on the medical information management device 20 from the operation unit 33 of the client terminal 30, the control unit 21 of the medical information management device 20 sends display data to the client terminal 30 via the communication unit 22 to display a login screen (step S1). In the client terminal 30, a login screen is displayed on the display unit 32. The login screen has a user ID input field.

[0062] When the operator inputs his / her own user ID (logged-in user) from the operation unit 33 on the client terminal 30, the control unit 21 of the medical information management device 20 acquires the input user ID via the communication unit 22 (step S2).

[0063] Next, the control unit 21 of the medical information management device 20 causes the display unit 32 of the client terminal 30 to display the number of unconfirmed reports that the logged-in user (the operator of the client terminal 30) needs to confirm (step S3). Specifically, the control unit 21 extracts records from the report information table T6 in the storage unit 24, in which the "requesting physician user ID" field is the "user ID" of the logged-in user and the "report confirmation status flag" is "0: unconfirmed." Here, the medical report corresponding to the extracted record is the "unconfirmed report of the logged-in user," and the number of extracted records is the "number of unconfirmed reports of the logged-in user."

[0064] If the logged-in user is a department head, the number of unconfirmed reports requested by that department (clinical department) is displayed on the display unit 32 of the client terminal 30. Specifically, the control unit 21 of the medical information management device 20 refers to the user attribute table T4 in the storage unit 24, and if the "authority type" associated with the "user ID" of the logged-in user is "3: department head", it acquires the "department code" associated with the "user ID" of the logged-in user. Next, the control unit 21 extracts from the report information table T6 in the storage unit 24 records whose "requesting department" field is the department to which the logged-in user belongs (the department corresponding to the "department code" acquired from the user attribute table T4) and whose "report confirmation status flag" is "0: unconfirmed".

[0065] 7 shows an example of a search screen 321 displayed on the display unit 32 of the client terminal 30. The search screen 321 includes an icon 41 for the number of unconfirmed reports by the user, a search condition specification area 42, a search button 43, a patient list button 44, and the like. The user unconfirmed report count icon 41 is an icon indicating the number of unconfirmed reports for the logged-in user. When the user unconfirmed report count icon 41 is pressed, a list of unconfirmed reports for the logged-in user is displayed. The search condition specification area 42 includes a patient ID specification field 45, examination date specification fields 46 and 47, an examination type specification field 48, and a confirmation status specification field 49. In the patient ID specification field 45, a patient ID is input as a search condition. In the examination date specification fields 46 and 47, a range of examination dates (from when to when) is specified as a search condition. In the examination type specification field 48, the type of examination (modality, etc.) to be reported is specified as a search condition. In the confirmation status specification field 49, the confirmation status of the medical report (unconfirmed, confirmed, all) is specified as a search condition. The search button 43 is a button for instructing a search using the search conditions specified in the search condition specification area 42 . The patient list button 44 is a button for instructing the display of a list of patients.

[0066] Next, the control unit 21 of the medical information management device 20 determines whether the number of unconfirmed reports for the logged-in user displayed on the display unit 32 (user unconfirmed report count icon 41) has been clicked from the operation unit 33 of the client terminal 30 (step S4).

[0067] If the number of unconfirmed reports for the logged-in user is clicked (step S4; YES), the control unit 21 of the medical information management device 20 causes the display unit 32 of the client terminal 30 to display a list of unconfirmed reports for the logged-in user (step S5).

[0068] 8 shows an example of an unconfirmed report list screen 322 for the logged-in user displayed on the display unit 32 of the client terminal 30. The unconfirmed report list screen 322 for the logged-in user displays a list 322A of unconfirmed reports for which the requesting doctor is the logged-in user.

[0069] When the operator of the client terminal 30 selects one of the reports on the list of unconfirmed reports for the logged-in user by operating the operation unit 33 (step S6), the control unit 21 of the medical information management device 20 obtains the report ID of the selected report via the communication unit 22.

[0070] In step S4, if the number of unconfirmed reports of the logged-in user is not clicked (step S4; NO), the control unit 21 of the medical information management device 20 determines whether or not any patient has been selected on the patient list from the operation unit 33 of the client terminal 30 (step S7). For example, when the patient list button 44 is pressed on the search screen 321 shown in Fig. 7, the patient list is displayed on the display unit 32 of the client terminal 30, and a patient is selected from the patient list.

[0071] When a patient is selected by operating the operation unit 33 of the client terminal 30 (step S7; YES), the control unit 21 of the medical information management device 20 acquires the patient ID of the selected patient via the communication unit 22.

[0072] Next, the control unit 21 of the medical information management device 20 causes the display unit 32 of the client terminal 30 to display a list of examination reports for the selected patient (selected patient) (step S8).

[0073] FIG. 9 shows an example of an examination report list screen 323 displayed on the display unit 32 of the client terminal 30. The examination / report list screen 323 includes an icon 51 for the number of unconfirmed reports for the selected patient, a matrix area 52, an icon 41 for the number of unconfirmed reports for the user, and the like. The selected patient unconfirmed report count icon 51 is an icon indicating the number of unconfirmed reports for the logged-in user related to the selected patient. When the selected patient unconfirmed report count icon 51 is pressed, a list of unconfirmed reports for the logged-in user related to the selected patient is displayed.

[0074] Specifically, the control unit 21 extracts records in which the "Patient ID" field is the "Patient ID" of the selected patient, the "Requesting Physician User ID" field is the "User ID" of the logged-in user, and the "Report Confirmation Status Flag" is "0: Unconfirmed" from the report information table T6 in the storage unit 24. Here, the medical report corresponding to the extracted record is the "Unconfirmed Report of the Log-in User for the Selected Patient," and the number of extracted records is the "Number of Unconfirmed Reports of the Log-in User for the Selected Patient."

[0075] If the logged-in user is a department head, the number of unconfirmed reports for the selected patient that the department has requested is displayed on the display unit 32 of the client terminal 30. Specifically, the control unit 21 refers to the user attribute table T4 in the storage unit 24, and if the "authority type" associated with the "user ID" of the logged-in user is "3: department head," it acquires the "department code" associated with the "user ID" of the logged-in user. Next, the control unit 21 extracts from the report information table T6 in the storage unit 24 records whose "patient ID" field is the "patient ID" of the selected patient, whose "requesting department" field is the department to which the logged-in user belongs (the department corresponding to the "department code" acquired from the user attribute table T4), and whose "report confirmation status flag" is "0: unconfirmed."

[0076] The matrix area 52 is a screen that displays medical reports and medical images for the selected patient in a matrix format. Here, the vertical axis represents the date, and the horizontal axis represents the modality type and report type. If medical reports or medical images exist for the selected patient, marks and images indicating the medical reports or medical images are displayed in the corresponding areas.

[0077] The control unit 21 extracts records whose "patient ID" field is the "patient ID" of the selected patient from the report information table T6 in the storage unit 24, and acquires the "creation date and time," "modality," and "report confirmation status flag" contained in each record. The control unit 21 places report marks R1 to R3 in the areas of the matrix area 52 corresponding to the date corresponding to the "creation date and time" and the report type corresponding to the "modality." The control unit 21 also adds a confirmed mark M1 or an unconfirmed mark M2 to the report marks R1 to R3 on the matrix area 52 according to the "report confirmation status flag."

[0078] In addition, for medical reports displayed in the matrix area 52, the unconfirmed mark M2 may be displayed in different forms (such as different colors or shapes) for medical reports in which the requesting physician is the logged-in user and medical reports in which the requesting physician is not the logged-in user.

[0079] The control unit 21 extracts records whose "Patient ID" field is the "Patient ID" of the selected patient from the medical image management table T9 stored in the storage unit 24, and obtains the "Examination Date and Time," "Modality," and "Image Confirmation Status Flag" contained in each record. The control unit 21 arranges thumbnail images TH1 to TH6 of the medical images in the areas of the matrix area 52 that correspond to the date corresponding to the "Examination Date and Time" and the modality type corresponding to the "Modality." The control unit 21 also adds a confirmed mark M1 or an unconfirmed mark M2 to the thumbnail images TH1 to TH6 of the medical images in the matrix area 52 according to the "Image Confirmation Status Flag."

[0080] The user unconfirmed report count icon 41 on the examination / report list screen 323 shown in Fig. 9 is an icon indicating the number of unconfirmed reports for the logged-in user, similar to Fig. 7. When the user unconfirmed report count icon 41 is pressed, a list of unconfirmed reports for the logged-in user is displayed.

[0081] After step S8, the control unit 21 of the medical information management device 20 determines whether the number of unconfirmed reports for the logged-in user related to the selected patient (number of unconfirmed reports for selected patient icon 51) displayed on the display unit 32 has been clicked from the operation unit 33 of the client terminal 30 (step S9).

[0082] If the number of unconfirmed reports by the logged-in user regarding the selected patient is clicked (step S9; YES), the control unit 21 of the medical information management device 20 displays a list of unconfirmed reports by the logged-in user regarding the selected patient on the display unit 32 of the client terminal 30 (step S10).

[0083] 10 shows an example of a login user's unconfirmed report list screen 324 for a selected patient that is displayed on the display unit 32 of the client terminal 30. The login user's unconfirmed report list screen 324 for a selected patient displays a list 324A of unconfirmed reports for which the requesting physician is the login user, among the medical reports for the selected patient.

[0084] When the operator at the client terminal 30 operates the operation unit 33 to select one of the reports from the list of unconfirmed reports for the logged-in user related to the selected patient (step S11), the control unit 21 of the medical information management device 20 acquires the report ID of the selected report via the communication unit 22.

[0085] In step S9, if the number of unconfirmed reports for the logged-in user regarding the selected patient is not clicked (step S9; NO), the control unit 21 of the medical information management device 20 determines whether any report has been selected from the list of examinations and reports for the selected patient on the operation unit 33 of the client terminal 30 (step S12).

[0086] When a report is selected from the list of examination reports for the selected patient by operating the operation unit 33 of the client terminal 30 (step S12; YES), the control unit 21 of the medical information management device 20 obtains the report ID of the selected report via the communication unit 22.

[0087] If no patient is selected in step S7 (step S7; NO), the control unit 21 of the medical information management device 20 determines whether a report search has been instructed from the operation unit 33 of the client terminal 30 (step S13). For example, on the search screen 321 shown in Fig. 7, a search condition is specified in the search condition specification area 42, and the search button 43 is pressed, thereby instructing a report search.

[0088] When a report search is instructed (step S13; YES), the control unit 21 of the medical information management device 20 causes the display unit 32 of the client terminal 30 to display a list of reports that match the search conditions (step S14).

[0089] When the operator selects one of the reports on the report list by operating the operation unit 33 on the client terminal 30 (step S15), the control unit 21 of the medical information management device 20 acquires the report ID of the selected report via the communication unit 22.

[0090] In step S12, if no report is selected from the list of examination reports for the selected patient (step S12; NO), or if no report search is instructed in step S13 (step S13; NO), the process returns to step S4 and is repeated.

[0091] After step S6, after step S11, or in step S12, if any report is selected from the list of examination reports for the selected patient (step S12; YES), or after step S15, the control unit 21 performs report screen display processing for the selected report (step S16). This completes the report confirmation status management process.

[0092] Next, the report screen display process (step S16) will be described with reference to FIG. The control unit 21 of the medical information management device 20 identifies a record associated with the "report ID" of the selected report from the report information table T6 in the memory unit 24, and obtains the "requesting physician user ID" and "requesting department" from the identified record (step S21).

[0093] Next, the control unit 21 determines whether the "report confirmation status flag" associated with the "report ID" of the selected report in the report information table T6 is "1: confirmed" (step S22). If the "report confirmation status flag" of the selected report is not "1: confirmed" (step S22; NO), that is, if it is "0: not confirmed" or "2: being confirmed", the control unit 21 performs an authority determination process (step S23). The authority determination process of step S23 is a process for determining whether the logged-in user has confirmation authority.

[0094] Now, the rights determination process will be described with reference to FIG. The control unit 21 of the medical information management device 20 determines whether the logged-in user is an "administrator" (step S41). Specifically, the control unit 21 obtains the "authority type" associated with the "user ID" of the logged-in user from the user attribute table T4 in the storage unit 24, and determines whether the "authority type" is "4: administrator."

[0095] If the logged-in user is an "administrator" (step S41; YES), the control unit 21 determines that the logged-in user has operation authority (step S42). If the target of the authority determination process is "confirmation authority," the "operation authority" is "confirmation authority," and if the target of the authority determination process is "confirmation cancellation authority," the "operation authority" is "confirmation cancellation authority."

[0096] In step S41, if the logged-in user is not the "administrator" (step S41; NO), the control unit 21 determines whether the selected report is a general report (step S43). Specifically, the control unit 21 determines that the selected report is an emergency report (not a general report) if the "requesting department" (obtained in step S21) of the selected report is the emergency department, and determines that the report is a general report if the "requesting department" is not the emergency department. The emergency department is a predetermined department (medical department) and can be changed as desired. It is also possible to set multiple departments as the emergency department. In this embodiment, the "emergency department" is set as the emergency department.

[0097] If the selected report is a general report (step S43; YES), the control unit 21 determines whether the logged-in user is a "requesting doctor" (step S44). Specifically, the control unit 21 determines that the logged-in user is a "requesting doctor" if the "requesting doctor user ID" associated with the "report ID" of the selected report in the report information table T6 of the storage unit 24 is the "user ID" of the logged-in user.

[0098] If the logged-in user is the "requesting doctor" (step S44; YES), the control unit 21 determines that the logged-in user has the operation authority (step S42).

[0099] In step S44, if the login user is not the "requesting doctor" (step S44; NO), the control unit 21 determines whether the login user is the "department head" of the requesting department (step S45). Specifically, the control unit 21 refers to the user attribute table T4 in the storage unit 24, and if there is a record in which the "user ID" field is the "user ID" of the login user, the "department code" field is the "department code" of the "requesting department" of the selected report (acquired in step S21), and the "authority type" field is "3: department head", the control unit 21 determines that the login user is the "department head" of the requesting department.

[0100] If the logged-in user is the "department manager" of the requesting department (step S45; YES), the control unit 21 determines that the logged-in user has the operation authority (step S42).

[0101] In step S45, if the login user is not the "department manager" of the requesting department (step S45; NO), the control unit 21 determines that the login user does not have the operation authority (step S46).

[0102] In step S43, if the selected report is not a general report (step S43; NO), that is, if the selected report is an emergency report, the control unit 21 determines whether the logged-in user is a "department head" or a "doctor" (step S47). Specifically, the control unit 21 acquires the "authority type" associated with the "user ID" of the logged-in user from the user attribute table T4 in the storage unit 24, and determines whether the acquired "authority type" is "3: department head" or "2: doctor".

[0103] If the logged-in user is a "department head" or a "doctor" (step S47; YES), the control unit 21 adds a warning when displaying the report (step S48) and determines that the logged-in user has the operation authority (step S42).

[0104] In step S47, if the logged-in user is neither a "department head" nor a "doctor" (step S47; NO), the control unit 21 determines that the logged-in user does not have the operation authority (step S46). After step S42 or step S46, the rights determination process ends.

[0105] 11, after step S23, if the logged-in user has confirmation authority (step S24; YES), the control unit 21 of the medical information management device 20 displays the report screen of the selected report on the display unit 32 of the client terminal 30, and displays the confirmation button so that it can be pressed (step S25). "Pressable" means that it can be changed to a pressed state by operating the operation unit 33. Here, if the report to be displayed is an emergency report and therefore has been granted confirmation authority (if it is determined in step S48 that a warning should be added when the report is displayed), the control unit 21 displays a warning message on the display unit 32 of the client terminal 30. The warning message may include, for example, "This report is under emergency management and therefore has been granted confirmation authority," or "This is a report that all doctors (excluding trainees) have confirmation authority." The confirmation cancel button may be hidden or displayed so that it cannot be pressed. "Cannot be pressed" means that it cannot be changed to a pressed state by an operation from the operation unit 33. For example, the button can be grayed out to indicate that it is not an object of operation.

[0106] 13 shows an example of a report screen 325 displayed on the display unit 32 of the client terminal 30. The report screen 325 includes a report display area 61, a confirmation button 62, a confirmation cancel button 63, a reference history button 64, and a confirmation history button 65. The report display area 61 displays the selected report. The confirmation button 62 is displayed so that it can be pressed when the confirmation status of the medical report displayed in the report display area 61 is "unconfirmed" and the operator has confirmation authority. The confirmation button 62 is pressed (clicked) when the confirmation status of the medical report is changed to confirmed. The confirmation cancel button 63 is displayed so that it can be pressed when the confirmation status of the medical report displayed in the report display area 61 is "confirmed" and the operator has the authority to cancel the confirmation. The confirmation cancel button 63 is pressed (clicked) to cancel the confirmation of the medical report (to return the confirmation status to unconfirmed). In FIG. 13, the confirmation button 62 can be pressed, but the confirmation cancellation button 63 cannot be pressed.

[0107] Pressing the reference history button 64 displays a list of users who have referenced (displayed) the medical report displayed in the report display area 61. Specifically, the control unit 21 extracts records from the report reference history table T8 in the storage unit 24, in which the "Target report ID" field is the "report ID" of the medical report being displayed, and the "Reference / reference cancellation flag" field is "1: Reference", and displays the "Reference user ID", "Report reference date and time", etc. contained in the extracted records.

[0108] When the confirmation history button 65 is pressed, a list of users who have confirmed / cancelled confirmation of the medical report displayed in the report display area 61 is displayed. Specifically, the control unit 21 extracts records from the report reference history table T8 in the storage unit 24, in which the "Target Report ID" field is the "report ID" of the currently displayed medical report and the "Confirmation Status Change Flag" is "1: Changed to Confirmed" or "-1: Confirmation Cancelled." Then, for records among the extracted records in which the "Confirmation Status Change Flag" is "1: Changed to Confirmed," the control unit 21 displays the "Viewing User ID" and "Report Viewing Date and Time" included in the record as the user who confirmed the medical report and the confirmation date and time, respectively. On the other hand, for records among the extracted records in which the "Confirmation Status Change Flag" is "-1: Confirmation Cancelled," the control unit 21 displays the "Viewing User ID" and "Report Viewing Date and Time" included in the record as the user who canceled the confirmation of the medical report and the confirmation cancellation date and time, respectively.

[0109] When the operator presses the confirmation button on the client terminal 30 by operating the operation unit 33 (step S26; YES), the control unit 21 of the medical information management device 20 changes the "report confirmation status flag" associated with the "report ID" of the selected report in the report information table T6 of the memory unit 24 to "1: confirmed" (step S27). Furthermore, the control unit 21 changes the status of the confirmation button on the report screen displayed on the display unit 32 of the client terminal 30 so that it cannot be pressed, and prohibits the confirmation button from being pressed again (step S28).

[0110] Furthermore, the control unit 21 updates the report confirmation history table T7 and the report reference history table T8 in the storage unit 24 (step S29). Specifically, the control unit 21 associates and stores the "target report ID," "confirming user ID," "report confirmation date and time," and "authority type at time of confirmation" 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 "confirming user ID" field, the current date and time acquired from the timing unit 23 in the "report confirmation date and time" field, and stores the "authority type" associated with the "user ID" of the logged-in user in the user attribute table T4 of the storage unit 24 in the "authority type at time of confirmation" field. In addition, 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, stores the current date and time obtained from the timing unit 23 in the "report reference date and time" field, stores the "authority type at time of reference" field that is associated with the "user ID" of the logged-in user in the user attribute table T4 of the memory unit 24, sets the "reference / reference cancellation flag" to "1: reference", and sets the "confirmation status change flag" to "1: change to confirmed".

[0111] In step S24, if the logged-in user does not have confirmation authority (step S24; NO), the control unit 21 of the medical information management device 20 displays the report screen of the selected report on the display unit 32 of the client terminal 30, and displays the confirmation button so that it cannot be pressed (step S30). The confirmation cancel button may be hidden or displayed so that it cannot be pressed.

[0112] After step S30, or if the confirmation button is not pressed in step S26 (step S26; NO), the control unit 21 updates the report reference history table T8 in the storage unit 24 (step S29). 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, stores the current date and time obtained from the timing unit 23 in the "report reference date and time" field, stores the "authority type at time of reference" field that is associated with the "user ID" of the logged-in user in the user attribute table T4 of the memory unit 24, sets the "reference / reference cancellation flag" to "1: reference", and sets the "confirmation status change flag" to "0: no change".

[0113] In step S22, if the "report confirmation status flag" of the selected report is "1: confirmed" (step S22; YES), the control unit 21 performs an authority determination process (see FIG. 12) (step S31). The authority determination process in step S31 is the same as when the processing target is the "confirmation authority" (step S23), except that the processing target is the "confirmation cancellation authority." In other words, the control unit 21 allows a doctor who is granted the confirmation authority for medical information stored in the storage unit 24 to cancel the confirmation of the medical information.

[0114] After step S31, if the logged-in user has the authority to cancel confirmation (step S32; YES), the control unit 21 of the medical information management device 20 displays the report screen of the selected report on the display unit 32 of the client terminal 30, and displays the confirmation cancellation button so that it can be pressed (step S33). Here, if the report to be displayed is an emergency report and therefore has been granted confirmation cancellation authority (if it is determined in step S48 that a warning should be added when the report is displayed), the control unit 21 displays a warning message on the display unit 32 of the client terminal 30. The warning message may include, for example, "This report is under emergency management and therefore has been granted confirmation cancellation authority," or "This is a report for which all doctors (excluding trainees) have confirmation cancellation authority." The confirmation button may be hidden or may be displayed in a manner that makes it impossible to press it.

[0115] When the operator presses the confirmation cancellation button on the operation unit 33 of the client terminal 30 (step S34; YES), the control unit 21 of the medical information management device 20 changes the "report confirmation status flag" associated with the "report ID" of the selected report in the report information table T6 of the memory unit 24 to "0: Unconfirmed" (step S35). Furthermore, the control unit 21 changes the confirmation cancel button on the report screen displayed on the display unit 32 of the client terminal 30 so that it cannot be pressed, and prohibits the confirmation cancel button from being pressed again (step S36).

[0116] Furthermore, the control unit 21 updates the report reference history table T8 in the storage unit 24 (step S29). 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, stores the current date and time obtained from the timing unit 23 in the "report reference date and time" field, stores the "authority type at time of reference" field that is associated with the "user ID" of the logged-in user in the user attribute table T4 of the memory unit 24, sets the "reference / reference cancellation flag" to "1: reference", and sets the "confirmation status change flag" to "-1: confirmation cancellation".

[0117] In step S32, if the logged-in user does not have the authority to cancel confirmation (step S32; NO), the control unit 21 of the medical information management device 20 displays the report screen of the selected report on the display unit 32 of the client terminal 30, and displays the confirmation cancellation button so that it cannot be pressed (step S37). The confirmation button may be hidden or may be displayed in a manner that makes it impossible to press it.

[0118] After step S37, or if the confirmation cancel button is not pressed in step S34 (step S34; NO), the control unit 21 updates the report reference history table T8 in the storage unit 24 (step S29). 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, stores the current date and time obtained from the timing unit 23 in the "report reference date and time" field, stores the "authority type at time of reference" field that is associated with the "user ID" of the logged-in user in the user attribute table T4 of the memory unit 24, sets the "reference / reference cancellation flag" to "1: reference", and sets the "confirmation status change flag" to "0: no change". After step S29, the report screen display process ends.

[0119] As described above, according to this embodiment, when the medical information to be processed is associated with the identification information of the doctor operating the client terminal 30 in the report information table T6 of the memory unit 24, confirmation authority is granted to set the confirmation status of the medical information to be processed in the report information table T6 as confirmed, thereby preventing a doctor other than the doctor who is supposed to confirm the medical information from setting the medical information to a confirmed status, and ensuring safe management of medical information.

[0120] For example, by displaying a confirmation button on the display unit 32 of the client terminal 30 so that it can be pressed by operating the operation unit 33 of the client terminal 30 to mark the confirmation status of the medical information to be processed as confirmed, the operator of the client terminal 30 can be informed in a recognizable manner that he or she has the authority to mark the confirmation status of the medical information as confirmed.

[0121] Furthermore, when the confirmation button displayed on the display unit 32 of the client terminal 30 is pressed by operation from the operation unit 33, the confirmation status of the medical information to be processed in the report information table T6 in the memory unit 24 is changed to "confirmed," and the confirmation button cannot be pressed again, thereby indicating that the medical information has been confirmed.

[0122] Furthermore, if the medical information to be processed is not associated with the identification information of the doctor operating the client terminal 30 in the report information table T6 of the memory unit 24, the confirmation button is displayed on the display unit 32 of the client terminal 30 so that it cannot be pressed by operating the operation unit 33 of the client terminal 30, thereby easily indicating that the operator does not have the authority to confirm.

[0123] Furthermore, when the medical information to be processed is subject to emergency management, the authority to check the medical information to be processed can be granted even if the medical information to be processed is not associated with the identification information of the doctor operating the client terminal 30 in the report information table T6 of the storage unit 24. For example, in an emergency department, it may not be possible to determine the doctor who should check the medical report when an order for the medical report is issued, but by granting the authority to check the medical report to all doctors, subsequent processing can proceed smoothly.

[0124] Furthermore, since the medical information to be processed is managed in an emergency, when the operator is granted the authorization to view, a warning is displayed on the display unit 32 of the client terminal 30, thereby drawing the operator's attention. Specifically, this allows the operator to distinguish from medical information for which only the operator has been granted the authorization to view, and makes the operator aware that the information is information for which all doctors have been granted the authorization to view.

[0125] 8, when a list of medical information whose confirmation status is unconfirmed is displayed on the display unit 32 of the client terminal 30 and whose confirmation authority is granted to the doctor operating the client terminal 30, medical information whose confirmation authority is granted is excluded from the list because the medical information to be processed is an emergency report. This makes it easier for the doctor to recognize medical information whose confirmation authority is granted only to the doctor (medical information for which the requesting doctor is the login user).

[0126] In addition, the authority to confirm is granted to the person in charge of the department to which the doctor identified by the doctor's identification information associated with the medical information to be processed belongs, so the confirmation status of the medical information can be set to confirmed even if the doctor who should be confirming the medical information to be processed has retired or is on leave.

[0127] Furthermore, by recording a history of the medical information to be processed being confirmed as having a confirmed status, the confirmation status of each piece of medical information can be managed.

[0128] Furthermore, only doctors who have been granted the authority to confirm are permitted to cancel confirmation of medical information, so it is possible to prevent a person without the authority to confirm from canceling confirmation.

[0129] The above-described embodiment is an example of the medical information management system according to the present invention, and is not intended to limit the scope of the present invention. The detailed configuration and operation of each device constituting the system may be modified as appropriate without departing from the spirit of the present invention.

[0130] For example, in the above embodiment, the explanation has been given mainly on checking medical reports, but medical information other than medical reports may also be subject to checking. In the above embodiment, the control program of the present invention is described as a control program for the medical information management device 20 in the medical information management system 100, but this control program may also be executed in another device.

[0131] In addition, in the above embodiment, the authority determination process (see Figure 12) is common to both confirmation authority and confirmation cancellation authority, but the operation authority set according to the user's authority type may be different for confirmation authority and confirmation cancellation authority.

[0132] In the above embodiment, the medical information (medical report) is set to a confirmed state by a conscious operation by the user, but the state may be automatically changed to a confirmed state. For example, the medical report may be automatically changed to a confirmed state when it is detected that the medical report has been viewed (referenced). Alternatively, the medical report may be automatically changed to a confirmed state when the viewing time of the medical report reaches a predetermined time or more.

[0133] In the above description, an example has been disclosed in which a ROM is used as a computer-readable medium storing a program for executing each process, but this is not limiting. Other computer-readable media may also be used, such as non-volatile memory such as flash memory, or portable recording media such as CD-ROM. Furthermore, a carrier wave may also be used as a medium for providing program data via a communication line. [Explanation of symbols]

[0134] 10 Electronic Medical Record System 20 Medical information management device 21 Control section 22 Communications Department 24 Memory section 30 client terminals 32 Display section 33 Operation section 61 Report display area 62 Confirm button 63 Confirmation Cancellation Button 100 Medical Information Management System N Communication Network T1 Facility Information Table T2 Department Information Table T3 User Information Table T4 User Attributes Table T5 Patient Information Table T6 Report Information Table T7 Report Confirmation History Table T8 Report View History Table T9 Medical Image Management Table

Claims

1. An image interpretation report acquisition means for acquiring an image interpretation report; a storage means for storing, in association with each other, identification information of a requesting doctor who has issued order information, attribute information of the requesting doctor, the image interpretation report corresponding to the order information and prepared by an image interpretation doctor, and a confirmation status indicating whether the image interpretation report has been confirmed; an acquisition means for acquiring identification information of a doctor operating the display device; a control means for determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed, and for providing the image interpretation report to the display device with a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report to be processed is associated with the identification information of the physician acquired by the acquisition means in the storage means; a notification means for notifying an electronic medical record system of the image interpretation report when the image interpretation report is acquired; Equipped with When the control means determines that the image interpretation report to be processed is one that requires emergency management, the control means outputs information that the image interpretation report to be processed is one that requires emergency management to a client terminal other than the electronic medical record system, the client terminal being logged in by a login user who has the authority to check the image interpretation report to be processed that requires emergency management. Medical information management device.

2. The medical information management device of claim 1, wherein the control means provides the radiology report to be processed and the confirmation instruction means to the display device even when the doctor indicated by the doctor's identification information acquired by the acquisition means is the head of the department to which the doctor indicated by the requesting doctor's identification information associated with the radiology report to be processed in the storage means belongs.

3. The medical information management device of claim 1, wherein when the control means determines that the radiology report to be processed is for emergency management, it provides the radiology report to be processed and the confirmation instruction means to the display device, even if the memory means does not associate the radiology report to be processed with the doctor's identification information acquired by the acquisition means.

4. Computer, an image interpretation report acquisition means for acquiring an image interpretation report; a storage means for storing, in association with each other, identification information of a requesting doctor who has issued order information, attribute information of the requesting doctor, the image interpretation report corresponding to the order information and prepared by an image interpretation doctor, and a confirmation status indicating whether the image interpretation report has been confirmed; an acquisition means for acquiring identification information of a doctor operating the display device; a control means for determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed, and for providing the image interpretation report to the display device with a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report to be processed is associated with the identification information of the physician acquired by the acquisition means in the storage means; a notification means for notifying an electronic medical record system of the image interpretation report when the image interpretation report is acquired; A program for functioning as When the control means determines that the image interpretation report to be processed is one that requires emergency management, the control means outputs information that the image interpretation report to be processed is one that requires emergency management to a client terminal other than the electronic medical record system, the client terminal being logged in by a login user who has the authority to check the image interpretation report to be processed that requires emergency management. program.

5. A medical information management method in a medical information management device including a storage means for storing, in association with each other, identification information of a requesting doctor who issued order information, attribute information of the requesting doctor, an interpretation report corresponding to the order information and prepared by an interpretation doctor, and a confirmation status of whether the interpretation report has been confirmed, the method comprising: an image interpretation report acquisition step of acquiring the image interpretation report; an acquisition step of acquiring identification information of a doctor operating the display device; a control process for determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed, and, when the image interpretation report to be processed is associated in the storage means with the identification information of the physician acquired in the acquisition process, providing the image interpretation report to be processed and a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed to the display device; a notification step of notifying an electronic medical record system of the image interpretation report when the image interpretation report is acquired; Including, In the control step, when it is determined that the image reading report to be processed is one that requires emergency management, information that the image reading report to be processed is one that requires emergency management is output to a client terminal different from the electronic medical record system, which is logged in by a login user who has the authority to check the image reading report to be processed that requires emergency management. Medical information management method.

6. a requesting physician information acquiring means for acquiring identification information of a requesting physician who has issued the order information; an image interpretation report acquisition means for acquiring an image interpretation report corresponding to the order information and prepared by an image interpretation doctor; a storage means for storing the identification information of the requesting doctor, the attribute information of the requesting doctor, the image interpretation report, and a confirmation status indicating whether the image interpretation report has been confirmed, in association with each other; an acquisition means for acquiring identification information of a doctor operating the display device; a control means for determining whether the image interpretation report to be processed is one that requires emergency management based on attribute information of the requesting physician associated with the image interpretation report to be processed, and for providing the image interpretation report to the display device with a confirmation instruction means for setting the confirmation status of the image interpretation report to be confirmed when the image interpretation report to be processed is associated with the identification information of the physician acquired by the acquisition means in the storage means; a notification means for notifying an electronic medical record system of the image interpretation report when the image interpretation report is acquired; Equipped with When the control means determines that the image interpretation report to be processed is one that requires emergency management, the control means outputs information that the image interpretation report to be processed is one that requires emergency management to a client terminal other than the electronic medical record system, the client terminal being logged in by a login user who has the authority to check the image interpretation report to be processed that requires emergency management. Medical information management system.

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