JP2002073615A - Medical image filing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To handle needed information at appropriate timing in accordance with the flow of an examination operation. SOLUTION: In a step S1, patient information and examination request information are inputted and recorded. In a step S2, control that displays the patient information and the examination request information inputted in the step S1 is performed. In a step S4, examination performance is controlled, and an image related to examination is photographed and recorded while associated with the patient information and the examination request information. In a step S5, examination performance information including medicines, apparatus and materials used in the step S4 and conducted procedures, etc., is inputted, and control that associates the examination performance information with the patient information and the examination request information and records the examination performance information is performed. In a step S6, examination results information including opinions, diagnoses, etc., about the results of the examination performed in the step S4 is inputted and recorded while associated with the patient information and the examination request information.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical image filing system capable of managing patient profile data, examination appointment information, result information, and the like, in addition to recording, searching, and reproducing images.

[0002]

2. Description of the Related Art In recent years, an electronic endoscope using a solid-state image pickup device at its distal end as an image pickup means has been widely used in place of a fiberscope for observing the inside of a body cavity using an image guide formed of an optical fiber. It has become. Along with this, the recording method of an endoscopic image of a body cavity taken or imaged is changed from a photograph as an analog recording medium to a hard disk (HDD) as a digital recording medium, a magneto-optical disk (MO), a digital versatile disk ( D
VD). An image filing system has been proposed in which an image from the electronic endoscope apparatus is compressed, recorded / stored in the digital recording medium together with patient information, and searched / reproduced when necessary.

[0003] Such an image filing system,
For example, a network type, which consists of an image input device, an image recording device, and an image reproduction device, each of which is connected to a network, and a stand-alone type, which can input, record, search, and reproduce an image with one device, are proposed. Have been. All of these systems use a keyboard or a card reader to input patient data such as patient ID, name, date of birth, and gender to an electronic endoscope device at the time of endoscopy. The obtained patient data is recorded together with the endoscope image at the time of the examination. After the examination, these systems can search recorded patient data, examination data such as examination date and the like as search information, and reproduce an image.

The image filing system can also input and manage inspection result (report) information and the like for inspection as inspection data. Therefore,
For example, it is possible to search / display the image of the same patient at the time of the past examination, compare and observe the affected part, etc., and efficiently perform diagnostic treatment.

Further, in an image filing system,
Cooperates with other department systems in the hospital, exchanges data, and manages various information related to tests, such as test request information, test execution information (accounting information), and test result information (findings, report information), along with the patient information and images. Some of them have been proposed. Therefore, an attempt has been made to use a test in response to a test request from another department in the hospital, performing the test, and reporting the test result.

[0006] As described above, conventionally, request information such as appointment of examinations, execution information of instruments and the like used in examinations, and report information such as findings are input and managed in association with patient information and images. Image filing systems that can be searched and displayed are used.

[0007]

However, in the conventional medical image filing system, all data that can be input or display data is merely listed on the same screen. It was not in a form that could be entered or displayed. That is, an interface that matches the flow (workflow) of the inspection operation has not been provided. Therefore, the user has to search for necessary data from the mere list data and refer to or input data, and the work has not been efficiently performed. Further, inefficient work such as recording data on paper and inputting the data collectively later has been required.

The present invention has been made in view of the above circumstances, and has as its object to provide a medical image filing system capable of handling necessary information at an appropriate timing in accordance with the flow of examination operation. And

[0009]

In order to achieve the above object, a medical image filing system according to claim 1 of the present invention records an image related to an examination and various information in association with each other, and inputs one end of the various information. In a medical image filing system capable of acquiring a desired image and information as a whole by performing a search and reproducing and displaying the same, examination request information for controlling to input and record patient information and examination request information Input means, examination request information inquiring means for performing control for displaying the patient information and examination request information input by the examination request information input means, and controlling the execution of the examination as well as the patient information and examination request information Inspection performing means for photographing and recording an image relating to the inspection in relation to the inspection; Test execution information input means for inputting test execution information including medicines, equipment, performed procedures, and the like, and performing control for recording in association with the patient information and test request information, and results of tests performed by the test execution means Test result information input means for performing control to input test result information including findings, diagnosis, and the like, and record the information in association with the patient information and test request information.

With this configuration, only the necessary information is controlled to be displayed / input at an appropriate timing in accordance with the flow of the inspection operation (workflow). There is no need to search for and refer to data to be input or perform input, and work can be efficiently performed.

A medical image filing system according to a second aspect of the present invention is the medical image filing system according to the first aspect, wherein the medicine, equipment, and equipment used in the treatment performed before the examination are performed. A pretreatment information input means for inputting pretreatment information including treatment content and the like as examination execution information and performing control for recording in association with the patient information and examination request information is provided.

With this configuration, in the endoscopic examination, pretreatment such as administration of anesthesia to the patient is performed before the examination, but the medicines, instruments, and contents of the pretreatment are also accounted for. The test execution information relating to the pre-treatment can also be input at the timing of performing the pre-treatment, so that the work can be performed more efficiently.

A medical image filing system according to a third aspect of the present invention is the medical image filing system according to the first aspect, wherein the examination execution information input means and / or the examination result information input means includes: A control for displaying the patient information and the examination request information is performed so that examination result information can be input while referring to the patient information and the examination request information.

With this configuration, when inputting various information, the input can be performed while referring to the patient information and the examination request information, and there is no need to refer to another screen when inputting the data. Work can proceed.

A medical image filing system according to a fourth aspect of the present invention is the medical image filing system according to the first aspect, wherein the examination execution information input and recorded after the examination execution information input means. It is characterized by comprising inspection execution information output means for extracting and outputting data.

According to this configuration, since the inspection execution information can be output, the data can be used in an accounting system or the like.

A medical image filing system according to a fifth aspect of the present invention is the medical image filing system according to the first aspect, wherein the test result information input and recorded after the test result information input means. It is characterized by including an inspection result information output means for outputting data.

According to this configuration, it is possible to output examination result (report) information, so that data can be used in another system. For example, in another department system that has requested examination,
Inspection results can be referenced as inspection reports.

[0019]

Embodiments of the present invention will be described below with reference to the drawings.

1 and 2 show a medical image filing system according to an embodiment of the present invention. FIG. 1 is a block diagram showing a hardware configuration, and FIG. 2 is a block diagram showing a software configuration.

(Configuration) First, the hardware configuration will be described with reference to FIG.

In FIG. 1, the medical image filing system of the present invention mainly includes a reception G / W (gateway) 1 for exchanging data with other departments in the hospital and a reception for receiving examinations. It comprises a terminal 2, an input / inspection terminal 3 for performing an inspection, a search terminal 4 for displaying and inputting images and various information, a server 5 for recording data, and an image management terminal 6. , HUB (hub) 7 are connected by a network (LAN).

Each device basically has a personal computer 8, a PC monitor 9, a keyboard 10, and a mouse 11, and is connected to a network via a LAN card 18 mounted on the personal computer 8. I have.

The reception G / W1 has a U
A PS (uninterruptible power supply) 15 is provided so that it can cope with an unexpected power failure or the like.

The receiving terminal 2 includes a magnetic card reader 12 in addition to the above basic configuration. The reception terminal 2 is installed at a reception desk or the like in the department because it is used for the reception work of the inspection.

The input / inspection terminal 3 includes a magnetic card reader 12 and a compression / decompression device 13 in addition to the above basic configuration. The compression / decompression device 13 is connected to an electronic endoscope device 14, a video cable, and a communication cable. Connected. The compression / expansion device 13 is provided with an I / O
It is connected to the personal computer 8 via the / F card 19. Since the input / inspection terminal 3 is used at the time of inspection, it is installed in the inspection room.

The search terminal 4 has only the above basic configuration,
Mainly used for conference work, it is installed in a conference room or the like.

The server 5 includes, in addition to the above basic configuration, a UPS
15 so that it can cope with an unexpected power failure or the like.

The image management terminal 6 has, in addition to the above basic configuration,
The UPS 15 is provided so that it can cope with an unexpected power failure or the like. Further, the image management terminal 6 includes a DVD / CD-R changer 16 and the DVD / CD-R changer 1.
6 is a SCSI card 17 mounted on the personal computer 8
And is connected to the personal computer 8 via.

The electronic endoscope device 14 is similar to a generally known electronic endoscope device. Although not shown in detail, the electronic endoscope and a processor for processing and outputting video signals are provided. Device. The electronic endoscope has an elongated insertion portion for insertion into the body and an operation portion provided at the rear end of the insertion portion, and the operation portion is provided with a release switch for issuing a release instruction, The image can be recorded by pressing the release switch.

Next, the software configuration will be described with reference to FIG.

In FIG. 2, various kinds of application software, databases, and the like are installed and operated in a hard disk in each device.

On the reception G / W 1, the reception processing application software 20 operates.

The database 21 operates on the hard disk 24 on the server 5, and the compressed image 22 captured by the input / inspection terminal 3 and the inspection report information 23 are recorded and stored.

On the image management terminal 6, an image management application software 25 and a driver 26 for controlling the DVD / CD-R changer 16 operate.

The reception terminal 2, the input / inspection terminal 3, and the search terminal 4 have a common software configuration, and the main application software 27
Works. The main application software 27 is mainly a reception business DLL (dynamic link library)
28, inspection business DLL29, conference DLL3
0, consisting of statistical DLL 31. Hard disk 3
5, a compressed image 36 can be temporarily stored.

As described above, the software configuration of the reception terminal 2, the input / inspection terminal 3, and the search terminal 4 is common. Therefore, the only difference is that the purpose of use is different depending on where it is installed. However, the difference is that only the input / inspection terminal 3 is connected to the compression / expansion device 13 for image recording / compression, so that an image can be captured in the inspection. On the compression / decompression device 13, a compression / decompression device program 37 operates, and a compressed image 38 can be temporarily stored in a memory in the device. The compression / expansion device 13 is connected to the electronic endoscope device 14.

With such a configuration, the medical image filing system according to the present embodiment records an image related to an examination and various types of information in association with each other, inputs one end of the various types of information, and searches for the desired image. In addition, it is possible to acquire and reproduce the entire information.

(Operation) Next, the operation of the medical image filing system of the present invention will be described.

First, a description will be given of the type of information which is information relating to inspection and which is to be managed by the present system.
The information managed by this system mainly includes patient information, examination request information, examination execution information, and examination result information.

The patient information includes basic patient information and patient profile information.

The patient basic information is information for specifying one patient, and includes "patient ID", "name", "birth date", "sex" and the like. “Patient ID” is a number uniquely corresponding to a patient so that each patient can be identified.

The patient profile information is information indicating the characteristics and condition of the patient, and includes “blood type”, “height / weight”,
"Allergy", "disability", "infection", "disease",
It consists of "Notes", "Sample test results", "Premedication information" and the like.

The examination request information is information relating to an examination request (order) when an examination request is made from another medical department to the endoscope department, and includes order key information (“order number”, “date and time of occurrence”). Etc.), requester information ("Request department name",
Ordering information (“Requested disease name”, “Test purpose”, “Test type”, “Test item”,
"Inspection site", "Comment", "Schema image"
Etc.), examination reservation information ("examination date", "execution time", etc.), and the like, which are information transmitted from the HIS (Hospital Information System) to the department system. The order key information is 1
This is information for uniquely specifying one inspection order.

The examination execution information (accounting information) is information relating to the contents of the examination, and includes “execution date”, “executor”,
It consists of "implementation place", "procedure", "drug", "equipment" and the like. The “technique” performed, the “chemicals” and “equipment” used
And the like are information used at the time of accounting. These pieces of information are transmitted from the system of the endoscope department to the HIS, and processed by the HIS accounting system.

The test result information (report, report information)
This is information relating to the inspection result, and is information serving as a report (report) for the inspection request. “Report Date”, “Reporter”, “Diagnosis”, “Findings”, “Action”, “Comments”,
It consists of "Caution / instruction after examination", "Image", "Schema image", etc., and these information can be referred to this medical image filing system in the endoscope department and transmitted from this system to HIS. By doing so, it is also possible to refer to each department system. Therefore, it is possible to refer to the inspection result (report) in the department that has requested the inspection.

Hereinafter, a specific operation of this embodiment will be described with reference to FIGS.

FIG. 3 is an explanatory diagram showing a workflow of the endoscopic inspection in the system of FIG. 1, and FIG. 4 is an explanatory diagram showing a transition of a screen in the system of FIG. 5 to 21 are explanatory diagrams showing screen displays according to the present embodiment. FIG. 5 is a reception main screen, FIG. 6 is a request content inquiry screen,
7 is a pretreatment confirmation screen, FIG. 8 is an inspection main screen, FIG. 9 is an imaging screen, FIG. 10 is an image confirmation screen, FIG. 11 is a full size image screen, FIG. 12 is a schema editing screen, and FIG. 14 is a report input screen, FIG. 15 is a report waiting list screen, FIG. 16 is a report transmission screen shown, FIG. 17 is a multi-display of a conference screen, FIG. 18 is an image display of the conference screen, and FIG. Report) display, FIG. 20 shows an image / report display of the conference screen, and FIG. 21 shows an entire image display of the conference screen.

The medical image filing system can provide and input necessary information among the above-mentioned patient information, examination request information, examination execution information, and examination result information according to the workflow shown in FIG. It has become.

In FIG. 3, step S1 is an examination request information input step for controlling to input and record patient information and examination request information. Step S2 is
This is an examination request information inquiry step for controlling display of the patient information and the examination request information input in the examination request information input step. Step S4 is an examination execution step of controlling the execution of the examination and photographing and recording an image related to the examination in association with the patient information and the examination request information. Step S
Reference numeral 5 denotes examination execution information for inputting examination execution information including the medicine, equipment, and performed procedures used in the examination performed in the examination execution step, and recording the information in association with the patient information and the examination request information. It is an input step. It is also a test execution information output step of extracting the input / recorded test execution information and outputting data. Step S6 is a test result information inputting step of inputting test result information including findings, diagnosis, and the like regarding the results of the test performed in the test performing step, and performing control to record the information in association with the patient information and test request information. Has become.

In step S3, the pre-treatment information including the medicine, equipment and the contents of the performed treatment used in the treatment performed before the examination is input as examination execution information. This is a pretreatment information input step of performing control for recording in association with the pretreatment information.

Step S7 is an inspection result information output step of outputting the input and recorded inspection result information together with the inspection execution information after the inspection result information input step of step S6.

Next, a specific operation will be described.

First, when an examination request is issued from another medical department to the endoscope department, as shown in step S1 of FIG. 3, patient information (basic patient information, patient profile information) and examination are obtained from the HIS. Request information (order information, request source information, examination reservation information) is transmitted, and the present system receives these information. Specifically, the reception processing application software 20 on the reception G / W 1 shown in FIG. 2 receives information from the HIS, performs input and recording processing, and registers the information in the database 21.

Here, in the present system, it is possible to manage the appointment based on the received examination appointment information and to display a list of the scheduled examinations, which is used for the examination reception work. The reception terminal 2 accesses the database 21 to read the information, and displays the examination list reception main screen 118 shown in FIG. 5 on the PC monitor 9 of the terminal.

As shown in FIG. 5, the reception main screen 118
Has a menu button group 40 at the top, a submenu button group 41 therebelow, and a function button group 42 at the bottom of the screen. Further, the reception main screen 118 includes a combo box 43 for designating a date and an examination type, and an examination list window 44. Each button has such an arrangement on other screens.

The menu button group 40 is a group of buttons that are always available and are used for switching the display to another screen. Group 4 of submenu buttons
1 can be used depending on the progress of the test, and can be used or limited in accordance with the progress of the selected test. The group 40 of menu buttons and the group 41 of submenu buttons are commonly used in each screen. The function button group 42 is a button group that can be used only on this screen, and is different for each screen.

The examination list window 44 shows examinations reserved on the date selected in the combo box 43,
It is a window that displays a list of tests of a specified test type. In this inspection list window 44, the HIS
In addition to displaying the patient information and the test request information received from, the progress 45 of each test can be displayed. The progress status 45 is displayed by a check mark (V), and is adjusted according to the progress status of the examination such as reception of request information, confirmation of patient arrival, completion of pre-treatment, completion of imaging and execution confirmation, and completion of report creation. Check mark (V) is added.

When the scheduled arrival time of the examination arrives and the patient arrives, the relevant examination is selected from the list display of the examination list window 44 and the arrival confirmation button 46 is pressed to input the confirmation of the arrival of the patient. Can be. In this case,
A check mark (V) is displayed at the place of the patient arrival confirmation in the progress status 45 for the relevant examination.

On the other hand, when it is desired to confirm the details of the request information relating to the examination, the process proceeds to step S2 in FIG. 3, and a desired examination is selected from the list display of the examination list window 44, and the request confirmation button 119 is pressed. Thus, the request content inquiry screen 120 shown in FIG. 6 can be displayed. here,
Reception terminal 2, input / inspection terminal 3 (or search terminal 4)
Are equipped with common software, and such a screen inquiry can be made from any of the reception terminal 2 and the input inspection terminal 3 (or the search terminal 4).

Request request inquiry screen 1 shown in FIG. 6 in this case
20 is mainly a display area 53 for basic patient information, a display area 54 for order information, a display area 55 for premedication information,
Request source information display area 56, patient profile information display area 57, past examination history information display area 58
, And each piece of information obtained from the database 21 of FIG. 2 is displayed. The button arrangement is the same as that of the reception main screen 118 shown in FIG. 5. For example, when the reception main screen 118 is to be displayed, the reception button 117 is pressed.

Next, a screen used for performing a pre-test treatment such as anesthesia on a patient before the test will be described.

In this system, the reception main screen 1 shown in FIG.
18 and the request content inquiry screen 120 shown in FIG. 6, the pretreatment confirmation screen 121 shown in FIG.
22 can be displayed.

The pre-treatment confirmation screen 122 is also displayed on the reception terminal 2,
The display can be made from any of the input inspection terminals 3 (or the search terminal 4).

The pretreatment confirmation screen 122 shown in FIG. 7 is mainly composed of a display area 60 for basic patient information, a display area 61 for allergy information, diseases and notes, a display of premedication information and a display of pretreatment information. It comprises an execution item display / input window 62 for performing additional input, an instructing doctor combo box 63 for inputting the instructing doctor's name, and an inquiry table confirmation check box 64 for checking and inputting whether or not an inquiry table has been received. By displaying such a pre-processing confirmation screen 122, each information relating to the pre-treatment acquired from the database 21 is displayed, and the process of step S3 in FIG. 3 is performed. ) Can be additionally input. The information input here is registered in the database 21 shown in FIG. 2, and is transmitted to the HIS together with the inspection execution information later, and used for accounting.

When the confirmation / input of the pre-treatment is completed, the user can return to the previous screen by pressing the pre-treatment completion button 65. Also, assuming that the pre-treatment has been completed, a check mark is added to the place of the pre-treatment completion in the progress status 45 on the reception main screen 118 in FIG.

The reception of the examination described above, the inquiry of the request contents, and the display and input on the pre-treatment confirmation screen are transmitted to the reception business DLL 28 of the main application 27 on the reception terminal 2 and the input inspection terminal 3 (or the search terminal 4). Is controlled.

To summarize the transition of each screen shown in FIGS. 5 to 7, when the request confirmation button 119 which is a submenu button is pressed on the reception main screen 118 shown in FIG. 4, the reception business DLL 28 shown in FIG. Accesses the database 21, obtains the request information, and displays the request content inquiry screen 120.

Also, as shown in FIG.
When the pre-treatment confirmation button 121 is pressed in 8, the reception work DLL 28 shown in FIG. 2 accesses the database 21 to acquire information on pre-treatment and displays the pre-treatment confirmation screen 122. When the screen is closed, the input pretreatment information is registered in the database 21.

Next, the operation at the time of inspection shown in step S4 of FIG. 3 will be described.

By pressing the inspection button 123 in the menu button group 40 on each screen of FIGS. 5 and 6, the inspection main screen 124 of FIG. 8 can be displayed. This inspection main screen 124 corresponds to the reception main screen 11 shown in FIG.
In addition to the contents displayed at 8, a combo box 67 for selecting an examination room and an examination type, and an examination list window by examination room 66 are displayed. On this screen, it is possible to assign an examination to each examination room. A combo box 67 is used to specify an examination room to which an examination is to be assigned, and then a desired examination in the examination list window 44 is checked by examination room. By performing dragging and dropping on the list window 66, the inspection can be allocated.

When the examinations are allocated, the information on the allocated examinations is displayed in the examination list window by examination room 66, and the patient is displayed on the input / examination terminal 3 installed in the examination room. The information is transmitted, and the patient information is displayed on the connected electronic endoscope apparatus 14 of FIG.

Since the inspection main screen 124 can be displayed and operated on either the reception terminal 2 or the input / inspection terminal 3 (or the search terminal 4), the inspection allocation from the reception place can be performed from the inspection room. Inspection allocation (withdrawal)
Both are possible. In addition, input / inspection terminals include:
Since the magnetic force reader 12 is connected, a patient's magnetic card is inserted and basic patient information is input. From the examination list, a match with the input basic patient information is checked, and the terminal It is also possible to automatically control the assignment (pull-in) of the inspection to the test.

When the examination allocation to the examination room is completed as described above, the examination can be actually carried out, and the photographing button 125 (for example, the photographing button 125 in FIG. ) Can be pressed. Then, by pressing the shooting button 125, the shooting screen 126 shown in FIG. 9 is displayed, and shooting can be started.

The photographing screen 126 shown in FIG. 9 is mainly composed of a display area 69 for patient basic information and a photographed image display area 70, and the photographed image display area 70 has a release by the electronic endoscope device 14. Images 71 taken each time
Are sequentially displayed.

At the time of release, the photographed image is first shown in FIG.
Are input to the compression / expansion device 13 of the input / inspection terminal 3 and the image is compressed. The compressed image is temporarily recorded in a memory in the compression / expansion device 13 together with the patient basic information, and is transferred to the personal computer 8 of the input / examination terminal 3. Even if the image transfer fails due to a cable disconnection or the like, the image can be temporarily stored in the memory in the compression / expansion device 13, so that the photographing can be performed without interruption.

The image transferred to the personal computer 8 of the input inspection terminal 3 is temporarily recorded in the hard disk 35 shown in FIG. 2, and is simultaneously transferred to the hard disk 24 in the server 5. Even in this case, even if the image transfer fails due to a cable break or the like, the image data is stored in the hard disk 35 of the input / inspection terminal 3, so that interruption of photographing and the like can be prevented. It is possible.

The reduced image 71 is displayed by expanding the compressed image 36 recorded on the hard disk 35.

The control of the photographing operation in the inspection described above is controlled by the inspection service DLL 29 of the main application software 27 on the input inspection terminal 3.

Referring to FIG. 4, the inspection service DLL2
9 accesses the database 21 by pressing the examination button 123 which is a menu button, acquires information on each examination room, and displays the examination main screen 124.

When the photographing button 125 of the submenu button is pressed on the inspection main screen 124, the inspection work DL
L29 displays the shooting screen 126.

In this case, in FIG. 2, the compressed image 22 recorded on the server 5 is periodically transferred to the image management terminal 6, and this control is performed on the image management terminal. It is controlled by the image management application software 25. The transferred compressed image is recorded and stored in the DVD / CD-R changer 16 through the driver 26.

The hard disk 24 on the server 5 has a characteristic that the data reading speed is high, but the data storage capacity is relatively small, and the DVD / CD-R
The changer 16 has a characteristic that the data reading speed is low, but the data storage capacity is relatively large. Therefore, the image data is permanently stored on DVD /
Although the data is stored on the CD-R changer 16, a control method is performed such that the relatively recent one is left on the server 5 and the oldest one is deleted. By doing so, it is possible to read out a recent video frequently used at a high speed while enabling the image to be permanently stored.

Next, a screen for confirming a captured image will be described. At the time when the photographing is completed, the image confirmation button 1 which is the sub-menu button group 41 in FIG.
27 (image confirmation button 127 in FIG. 4) can be pressed, and by pressing this button, an image confirmation screen 128 shown in FIG. 10 is displayed. This image confirmation screen 128
Is mainly composed of a display area 83 for basic patient information and an image display area 84. Image display area 84
Represents a photographed image and a reduced image 8 of a past inspection image.
2 can be displayed, and by selecting the tab 85 on the upper part of the image display area on which the date is displayed, it is possible to switch the display between the currently captured image and the past image.

By double-clicking on the reduced image 82, a full-size image screen 133 shown in FIG. 11 can be displayed, and the image can be displayed by dragging and dropping the reduced image on the comparison display section 86 below the image display area. They can be displayed side by side and compared.

This full-size image screen 133 is shown in FIG.
As shown in the figure, the main part is composed of an editing tool button 92 and a full size image 93. Full size image 93
Can be edited using the editing tool button 92, and can be drawn by the following operations.

When the “brush button” 211 is clicked with the left mouse button, a line is drawn using the drawing color.

The “paint button” 212 is used to paint a closed figure.

The "ellipse button" 213 draws an ellipse by dragging the mouse pointer diagonally.

The "square button" 214 draws a square by dragging the mouse pointer diagonally.

The “text button” 215 creates a character input box by dragging the mouse pointer in an oblique direction, and clicks inside the character input box to input a character.

If a scale or the like indicating a reference size exists in the image, the length, area, volume, etc. may be calculated using the editing function. By comparing the length of the drawn line segment with the reference scale, the length of the line segment can be calculated.

Further, the reduced image 82 on the image confirmation screen 128 shown in FIG. 10 can be selected by clicking, and a frame 87 is displayed on the edge of the selected image. Is done. The image selected in this way is
It is displayed on the report screen for report creation. The selected image can be associated with a schema image indicating a part of an organ. When an image is selected and a schema edit button 136a (schema edit button 136 in FIG. 4) is pressed, a diagram shown in FIG. A schema editing screen 134 shown in FIG. 12 is displayed.

As shown in FIG. 12, the schema editing screen 134 mainly includes an editing tool button 88, a schema
9 and a selected image 90. Schematic diagram 8
9 is an image diagram of a schema stored in advance, and by pressing a schema selection button 92, the type of the schema can be selected. Similarly to the editing of the full-size image, after pressing one of the editing tool buttons 88 and dragging the mouse, the schema diagram 89 is displayed.
Above, oval, square, and text characters can be entered.
Further, by dragging and dropping one of the selected images 90 on the schema diagram 89, the number mark ((1), (2),
(3), ~) can be displayed.

When the editing of the schema diagram 89 is completed in this way, by pressing the close button 91, the edited schema diagram is recorded and saved.

Next, photographing of the image in the inspection is completed.
A screen for inputting the contents of the execution will be described.
At the end of the shooting, the execution confirmation button 13 which is the group 41 of the sub-menu buttons shown in FIG. 9 or FIG.
1 (the execution confirmation button 131 in FIG. 4) can be pressed. By pressing this button, the execution content confirmation screen 132 shown in FIG. 13 is displayed. Thus, the input processing of the execution information in step S5 of FIG. 3 is performed.

Execution contents confirmation screen 132 used for this processing
As shown in FIG. 13, mainly, a display area 73 for patient basic information, a display area 74 for order information, a display area 75 for pre-treatment execution information, and an execution information input area 76a for inputting examination execution information And accounting information input area 7
6b. Information acquired from the database 21 is displayed in each display area. In the execution information input area 76, “execution date and time”, “executor”
The "scope number" of the used electronic endoscope (scope) can be input. Further, a procedure window 77, an addition window 78, a medicine window 79, and an equipment window 80 for inputting transaction information are provided. Each can be entered by checking the procedure performed, the medicine used, and the equipment.

Then, when the confirmation and input of the test execution contents are completed, the user can return to the previous screen by pressing the execution completion button 81. In addition, assuming that the inspection and the execution confirmation have been completed, a check mark is added to a place where the shooting and the execution confirmation of the progress status 45 are completed on the reception main screen 118 in FIG.

The information input here and the information input at the time of confirming the pre-treatment described above are transmitted to the HIS and processed by the accounting system.

The control of the above-described execution content confirmation operation is controlled by the inspection service DLL 29 of the main application software 27 on the input inspection terminal 3, and various information input at the time of execution confirmation is registered in the database 21. . The registration information is transferred to the HIS by the reception processing application software 20 on the reception GW 1.

Next, a description will be given of a screen on which the examination is completed and the report information is input. When the input of the contents of the operation according to FIG. 13 is completed, the user presses the report input button 129 (see the report input button 129 in FIGS. 4 and 8) which is the group 41 of the submenu buttons on the reception main screen 118 in FIG. When this button is pressed, a report input screen 130 shown in FIG. 14 is displayed, and the report input processing of step S6 in FIG. 3 is performed.

The report input screen 130 shown in FIG.
It mainly comprises a display area 95 for basic patient information, a display area 96 for order information, a display area 97 for requester information, and a report information input area 98 for inputting examination result information (report information). In each display area,
Information acquired from the database 21 is displayed, and "diagnosis", "findings", "treatment", "comments", and "post-examination caution / instruction" can be entered in the report information input area 98. Has become. The image 99 selected on the image confirmation screen 128 in FIG. 10 is displayed. By pressing the schema edit button 136b (schema edit button 136 in FIG. 4), the above-described FIG.
Can be displayed.

When the input of the inspection result information (report information) is completed, the data output process of step S7 in FIG. 3 is performed, and the system stores and transmits the input information to the HIS.

If it is necessary to further edit the input data or to start another test immediately,
If it is necessary to input report information later, the user can press the close button 105 to suspend the input. In this case, the reports whose input has been suspended can be displayed as a report waiting list.

The report waiting list main screen 139 shown in FIG. 15 includes a report waiting list button 138 in the menu button group 40 on each screen (see FIGS. 4 and 5).
By pressing, it can be displayed. The report waiting list main screen 139 includes a combo box 110 for designating an examination date, an examination type, and a person in charge, and an examination list window 111. On this screen, a list of examinations for which examination date, examination type, and examination result (report) information of a person in charge specified in the combo box 110 have not been input is displayed. On this screen, it is possible to extract an inspection order for which a report has not been input, and by double-clicking a desired inspection order from the list, a report input screen 13 shown in FIG.
It is possible to display "0" and perform an input operation of inspection result (report) information. When the information input operation is completed, the report information is saved and transmitted.

The storage and transmission of information are described in FIGS.
The report transmission button 135 shown in FIG. 16 is pressed. When the report transmission button 137 is pressed, a report transmission screen 135 shown in FIG. 16 is displayed, and the reporter is authenticated. The report transmission screen 135 has a reporter's display field 102 and a password input field 103, and the reporter's display field displays the tester. Here, the password of the reporter (tester) is entered in the password entry field 1
03, and pressing the send button 104 saves inspection result (report) information and sends it to the HIS. As described above, since the password is entered and the reporter is authenticated, security management of the inspection result (report) information is possible.

As described above, the stored and transmitted examination result (report) information can be referred to in the image filing system of the endoscope department (step S8 in FIG. 3), and is sent to the HIS, and is transmitted to the HIS electronically. Reference can also be made in the medical chart system (step S9 in FIG. 3).

In the case of reference within the endoscope department, since more specialized and detailed contents are required, all information is displayed (customization for department), transmitted to the HIS, and transmitted to other departments. When the reference is performed, general customization such as selecting and displaying an item may be performed as general content.

In addition, a biopsy is performed in the inspection of the endoscope,
When the tissue is collected, an examination request is made to the pathology department. At the same time as the transmission of the examination result (report) information, the pathology examination to the pathology department is performed in the pathology examination order processing in step S10 in FIG. An order may be issued.

When an examination request is made to the pathology department, examination result (report) information is required. However, an order is transmitted to the pathology department in accordance with storage and transmission of the examination result (report) information. For example, it is possible to save the trouble of inputting data twice.

The control of the above-described inspection result (report) information input and storage / transmission operations is controlled by the inspection service DLL 29 of the input application terminal 3 or the main application software 27 of the search terminal 4. The information is registered in the database 21. The registration information is transferred to the HIS by the reception processing application software 20 on the reception GW 1.

The control of the operation in the above inspection is controlled by the inspection service DLL 29 of the main application software 27 on the input inspection terminal 3.

Referring to FIG. 4, when the image confirmation button 127 is pressed on the inspection main screen 124, the inspection service DLL 29 obtains information about the image from the database 21 and obtains a necessary compressed image, and checks the image. A screen 128 is displayed.

When the report input button 129 is pressed, the inspection service DLL 29 accesses the database 21, acquires information on the report, and displays the report input screen 130.

Further, the inspection main screen 124, the photographing screen 1
26, the execution content confirmation screen 132 can be displayed by pressing the execution confirmation button 131 from any of the image confirmation screen 128 and the report input screen 130. When the execution information is input on the execution content confirmation screen 132, the inspection work DLL 29 registers the execution information in the database 21 when closing the execution content confirmation screen.

In addition, the inspection main screen 124 and the photographing screen 1
26, the request content inquiry screen 120 can be displayed by pressing the request confirmation button 119 from any of the image confirmation screen 128 and the report input screen 130.

A reduced image is displayed on the image confirmation screen 128 and the report input screen 130. When the reduced image is double-clicked, the inspection work DLL 29
Acquires the compressed image 22 on the server 5 and displays the full-size image screen 133.

From the report input screen 130, a schema edit screen 134 and a report transmission screen 135 can be displayed. When the schema edit button 136 is pressed on the report input screen 130, the inspection service DLL 29 accesses the database 21. Then, a schema image and related information are obtained, and a schema editing screen 134 is displayed.

Further, when the report transmission button 137 is pressed on the report input screen 130, the inspection work DLL is executed.
29 displays a report transmission screen, and when a transmission instruction is issued, registers the inspection result (report) information input on the report input screen 130 in the database 21.

When a report waiting list button 138, which is one of the menu buttons, is pressed, the inspection service DL is pressed.
L29 accesses the database 21 and obtains inspection result (report) information that is not transmitted yet,
A list is displayed on the report waiting list main screen 139.
By pressing the request confirmation button 119 from the report waiting list main screen 139 as well, the inspection work DLL 29 acquires request information from the database 21, so that the request content inquiry screen 120 can be displayed.

Next, a method of referring to and editing recorded and stored images and report information will be described. In this system, recorded images and report information are displayed and can be referenced and edited. Therefore, for example, it is possible to use it for a conference in which a plurality of doctors gather.

The multi-display conference screen 142 shown in FIG. 17 can be displayed by pressing the conference button 141 (see FIGS. 4 and 5) in the menu button group 40 on each screen. The multi-display conference screen 142 mainly includes the examination list display area 11
3, an image display area 114, and a report information display / input area 115.

At this time, in the sub-menu button group 41, in addition to the request confirmation button 119 for displaying the contents of the request content inquiry screen 120 of FIG. 6, desired tests are narrowed down and displayed in the test list display area. A group of search buttons 116 for performing a search and a group 117 of buttons for changing the screen layout are prepared.

In the search button group 116, today,
Buttons such as one week, two weeks, condition search are prepared,
For example, by pressing the button for one week, a list of examinations performed within the past one week is displayed in a list. For example, when the condition search button is pressed, as a result of narrowing down search under various conditions, the corresponding A list of tests is displayed.

In this way, the inspection list display area 11
When one of the inspection orders displayed in 3 is selected and double-clicked, images and inspection result (report) information recorded in the one inspection are displayed.

The contents displayed in the image display area 114 and the report information display / input area 115 are the image confirmation screen 128 in FIG. 10 and the report input screen 1 in FIG.
Same as 30. If the display cannot be completed due to the display space, the scroll display is performed using a scroll bar.

The report information display / input area 11
5, the data input in step S6 in FIG. 3 is called and displayed. As a result of a conference between a plurality of doctors, if it is necessary to edit test result (report) information, It is possible to change and input. In this case, the edited information is subjected to version management, and is managed with a different version number from the information before the change.

The button group 117 for changing the screen layout is provided with buttons such as multi, finding (report), image, full list, full finding, and full image. Pressing the button changes the screen layout. Is possible.

Other examples of the conference screen 142 include the image display of FIG. 18, the finding (report) display of FIG. 19, the image / report display of FIG. 20, and the full image display of FIG.

The conference screen 142 of the image display shown in FIG. 18 mainly includes an examination list display area 201 and an image display area 202.

The conference screen 142 of the observation (report) display shown in FIG.
03, a report information display / input area 204.

The image / report display conference screen 142 shown in FIG. 20 mainly includes an image display area 205,
It consists of a report information display / input area 206.

The conference screen 142 for full-screen image display shown in FIG. 21 mainly includes the image display area 2 for reduced images.
07, an image display area 208 for comparison display.

The above-described control of the operation of inputting, storing, and transmitting the inspection result (report) information is performed by the main application software 27 on the search terminal 4 (or the input inspection terminal 3).
4 is controlled by the conference DLL 30 of FIG.
Explaining above, when a conference button 141, which is one of the menu buttons, is pressed, the conference DL is pressed.
L30 displays the conference screen 142.

The display information is called from the database 21 and the various information edited and input is stored in the database 21.
Registered in. This editing information is transmitted to the HIS by the reception processing application software 20 on the reception GW 1.
Transferred to

(Effect) According to such an embodiment,
Necessary information can be handled at an appropriate timing in accordance with the flow of inspection operation (workflow), so you can search for unnecessary data or mere list data to find necessary data, refer to it, or perform input. It is not necessary to work, and it is possible to work efficiently.

In the embodiment of the present invention, in step S5 and / or step S6 of FIG. 3, control for displaying the patient information and the examination request information is performed, and the control is performed while referring to the patient information and the examination request information. Since test result information can be input, it is possible to input while referring to patient information and test request information when inputting various information, and it is necessary to refer to other screens when inputting data. Work can be performed efficiently.

In the endoscopy, pretreatment such as administration of anesthesia to the patient is performed before the examination, and the medicines, instruments, and contents used in the pretreatment are required for accounting. The test execution information relating to the pre-treatment can also be input at the timing of performing the pre-treatment by the processing of step S3 in FIG.
It is possible to work more efficiently.

[0139] Further, since the inspection execution information can be output by the processing in step S5, the data can be used in an accounting system or the like. In addition, since the examination execution information and the examination result (report) information can be output by the processing in step S7, data can be used in another system. Inspection results can be referenced.

[0140]

As described above, according to the first to fifth aspects of the present invention, necessary information can be handled at an appropriate timing in accordance with the flow of inspection operation. There is no need to search for and refer to necessary data from the list data, or to input data, thereby enabling efficient work.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a hardware configuration of a medical image filing system according to an embodiment of the present invention.

FIG. 2 is a block diagram showing a software configuration of the system shown in FIG. 1;

FIG. 3 is an explanatory diagram showing a workflow of endoscopy in the system of FIG. 1;

FIG. 4 is an explanatory diagram showing screen transitions in the system of FIG. 1;

FIG. 5 is an explanatory diagram showing a main reception screen by the system of FIG. 1;

FIG. 6 is an explanatory diagram showing a request content inquiry screen by the system of FIG. 1;

FIG. 7 is an explanatory diagram showing a pretreatment confirmation screen by the system of FIG. 1;

FIG. 8 is an explanatory view showing an inspection main screen by the system of FIG. 1;

FIG. 9 is an explanatory view showing a photographing screen by the system of FIG. 1;

FIG. 10 is an explanatory diagram showing an image confirmation screen by the system of FIG. 1;

FIG. 11 is an explanatory diagram showing a full-size image screen by the system of FIG. 1;

FIG. 12 is an explanatory diagram showing a schema editing screen by the system of FIG. 1;

FIG. 13 is an explanatory view showing an implementation content confirmation screen by the system of FIG. 1;

FIG. 14 is an explanatory diagram showing a report input screen by the system of FIG. 1;

FIG. 15 is an explanatory diagram showing a report waiting list screen by the system of FIG. 1;

FIG. 16 is an explanatory diagram showing a report transmission screen by the system of FIG. 1;

FIG. 17 is an explanatory diagram showing multi-display of a conference screen by the system of FIG. 1;

FIG. 18 is an explanatory diagram showing an image display of a conference screen by the system of FIG. 1;

FIG. 19 is an explanatory diagram showing a finding (report) display of a conference screen by the system of FIG. 1;

FIG. 20 is an explanatory diagram showing an image / report display of a conference screen by the system of FIG. 1;

FIG. 21 is an explanatory diagram showing a full-screen image display of a conference screen by the system of FIG. 1;

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Reception G / W 2 ... Reception terminal 3 ... Input / inspection terminal 4 ... Search terminal 5 ... Server 6 ... Image management terminal 7 ... HUB 8 ... PC 9 ... PC monitor 10 ... Keyboard 11 ... Mouse 12 ... Magnetic force reader 13 ... compression / expansion device 14 ... electronic endoscope device 15 ... UPS 16 ... DVD / CD-R changer 17 ... SCSI card 18 ... LAN card 19 ... I / F card

 ──────────────────────────────────────────────────続 き Continued on the front page F term (reference) 5B050 AA02 BA10 CA07 EA06 EA12 EA22 FA02 FA09 FA13 GA08 5B075 ND06 NR02 PP03 PQ02 PQ32 PQ46 UU29

Claims (5)

[Claims] 1. A medical system which records an image and various types of information relating to an examination in association with each other, inputs one end of the various types of information, performs a search, obtains the entirety of a desired image and information, and reproduces and displays the desired image and information. Request information input means for inputting and recording patient information and test request information in the image filing system for use, and control for displaying the patient information and test request information input by the test request information input means. Inspection request information inquiring means to be performed, and an examination performing means for controlling execution of the examination and photographing and recording an image relating to the examination in association with the patient information and the examination request information, Enter the test execution information including the medicines, equipment, procedures performed, etc. used in the completed test, and associate with the patient information and test request information. An examination execution information input means for performing control for recording the examination result information, and inputting examination result information including findings, diagnoses, and the like regarding the results of the examination performed by the examination execution means, and recording the information in association with the patient information and examination request information A medical image filing system, comprising: an examination result information input unit for performing control to perform 2. Pre-treatment information including medicines, equipment, and details of the performed treatment used in the treatment performed before the examination is input as examination execution information and recorded in association with the patient information and examination request information. The image filing system for an endoscope according to claim 1, further comprising a pretreatment information input means for performing control. 3. The examination execution information input means and / or the examination result information input means performs control for displaying the patient information and the examination request information, and examines the examination result information while referring to the patient information and the examination request information. 2. The medical image filing system according to claim 1, wherein the user can input a password. 4. An inspection execution information output unit for extracting input and recorded inspection execution information and outputting data after the inspection execution information input unit.
A medical image filing system as described. 5. The medical image filing system according to claim 1, further comprising a test result information output unit for outputting the input and recorded test result information as data after the test result information input unit.