JP2010128786A - Integrated management server and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To simplify correction processing concerning the management of medical data constituted of a plurality of kinds of data forms. <P>SOLUTION: An integrated management server extracts key information coinciding with a retrieval condition received from a client terminal from a common key information DB (step S3), generates a key information list (step S4), and transmits the list to the client terminal (step S5). Then, the integrated management server corrects the content of the applicable key information in the common key information DB stored in a storage part, based on a medical data acquisition request (a selection indication for selecting the key information to be corrected) received from the client terminal and the correction indication to correct the selected key information, and then, performs preservation with the content after correction (step S14). <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an integrated management server and a program.

  Each examination such as an image examination, a specimen examination, and a pathological diagnosis is performed by an examination system (department system) in each department in the hospital or outside the hospital. Each department system manages information in a data format (protocol (standard) or data set) unique to the department system.

  In the electronic medical record system, each department system is requested to inspect, and the inspection result data (medical data) in each department system is referred to. At this time, the electronic medical record system refers to the medical data managed in each department using a data format uniquely adopted in each department system.

  Alternatively, in the electronic medical record system, each departmental system converts medical data into a file of a general data format such as JPEG format or PDF format, acquires the file of this general data format, and refers to the medical data. It was.

Recently, a technology has been disclosed in which each department system and an electronic medical record system provided in a hospital information system (HIS) communicate via a medical examination information integration system (see Patent Document 1). Specifically, this medical examination information integration system converts examination order information from the electronic medical chart system into a format corresponding to each department system and transmits it to each department system. In addition, this medical examination information integration system converts medical data from each department system into a format corresponding to the electronic medical record system and transmits it to the electronic medical record system.
JP 2008-65688 A

  However, the technique of Patent Document 1 has a problem that the medical data is deteriorated by converting the format (data format) of the medical data. Therefore, in the electronic medical record system, the doctor cannot refer to the original medical data in each examination department.

  In order not to deteriorate the medical data, it is necessary to directly acquire the medical data from each department system by a method according to the data format unique to each department system. Further, when correcting medical data managed in each department system, it is necessary to refer to the medical data by a method according to the data format unique to the department system and correct it.

  The present invention has been made in view of the above problems in the prior art, and it is an object of the present invention to simplify correction processing in the management of medical data composed of a plurality of types of data.

  In order to solve the above-mentioned problem, the invention according to claim 1 is an integrated management in which medical data composed of a plurality of types of data formats is stored in the storage means in a state in which common key information is given to the medical data. A server for obtaining a selection instruction for selecting key information to be corrected from the key information, a correction instruction for correcting the content of the selected key information, and the acquisition means; Control means for correcting the content of the selected key information stored in the storage means based on the selection instruction and the correction instruction.

  According to a second aspect of the present invention, in the integrated management server according to the first aspect, the key information includes at least one of items of patient ID, patient name, sex, reception date and time, or data type. .

  According to a third aspect of the present invention, a computer in which medical data composed of a plurality of types of data is stored in a storage means in a state where common key information is assigned to the medical data is corrected from the key information. Based on a selection instruction for selecting target key information, a correction instruction for correcting the content of the selected key information, and the storage means based on the selection instruction and the correction instruction acquired by the acquisition means Is a program for functioning as control means for correcting the content of the selected key information stored in the memory.

  According to a fourth aspect of the present invention, in the program according to the third aspect, the key information includes at least one item among items of patient ID, patient name, sex, reception date and time, or data type.

  According to the first and third aspects of the present invention, since common key information is given to the medical data, the medical data can be managed based on the key information regardless of the data format. . Therefore, the contents of the key information can be corrected in a unified manner for medical data in any data format, and the correction process can be simplified in the management of medical data composed of multiple types of data formats. Can do.

  According to the second and fourth aspects of the invention, medical data can be managed based on at least one item among the items of patient ID, patient name, sex, reception date and time, or data type.

[First embodiment]
First, a first embodiment of the present invention will be described.

[System configuration of medical system]
FIG. 1 shows a system configuration of the medical system 100.

  The medical system 100 includes an electronic medical record server 10, a client terminal 20, an integrated management server 30, a radiation department system 200, an examination department system 300, and a pathology department system 400. Each of the above devices and systems are connected to each other via a communication network N such as a LAN (Local Area Network) so that data communication is possible.

  The radiation department system 200 includes a DICOM-compliant imaging device 40, an image management server 50, and other devices (not shown), and each device is connected via a communication network N so that data communication is possible.

  The DICOM-compliant imaging device 40 performs imaging using a patient's diagnosis target region as a subject, and generates DICOM-compliant image data. Specifically, the DICOM-compliant imaging device 40 performs imaging using a patient's diagnosis target part as a subject, and digitally converts the captured image to generate actual image data (medical image). The DICOM compliant imaging device 40 generates DICOM supplementary information including patient information and examination information based on an input from the operation unit. The DICOM compliant photographing apparatus 40 adds the DICOM supplementary information to the generated actual image data, and generates DICOM compliant image data in accordance with the DICOM standard. The DICOM compliant imaging device 40 transmits the generated DICOM compliant image data to the image management server 50. As the DICOM-compliant imaging device 40, imaging devices that capture various types of medical images, such as CR devices, CT devices, and MRI devices, are applicable.

  The image management server 50 stores and manages DICOM-compliant image data generated by the DICOM-compliant imaging device 40. As the image management server 50, PACS (Picture Archiving and Communication System) or the like is applicable.

  When the image management server 50 receives a medical image acquisition request conforming to the DICOM standard from an external device, the image management server 50 transmits DICOM-compliant image data corresponding to the acquisition request to the external device.

  The inspection department system 300 includes an inspection device 60, an inspection management server 70, and other devices (not shown), and each device is connected via a communication network N so that data communication is possible.

  The inspection device 60 analyzes (inspects) a sample such as blood or urine collected from a patient, and generates actual inspection data (inspection data) as an analysis result. The actual inspection data includes one or more inspection items. For example, when the specimen is blood, the test actual data includes items such as “total protein”, “GOT”, “GPT”, and “LDH”. The inspection device 60 transmits the generated actual inspection data to the inspection management server 70.

  The inspection management server 70 generates HL7 compliant inspection data based on the actual inspection data transmitted from the inspection device 60, and stores and manages this HL7 compliant inspection data. Specifically, the examination management server 70 generates HL7 supplementary information including this patient attribute information based on input of patient attribute information from the operation unit by a user such as a doctor. The inspection management server 70 adds the HL7 incidental information to the actual inspection data transmitted from the inspection device 60, and generates HL7 compliant inspection data in accordance with the HL7 standard.

  When the inspection management server 70 receives an inspection data acquisition request conforming to the HL7 standard from an external device, the inspection management server 70 transmits HL7-compliant inspection data corresponding to the acquisition request to the external device.

  The pathological department system 400 includes a microscope 80, a pathological department information management apparatus 90, and other apparatuses (not shown), and each apparatus is connected via a communication network N so that data communication is possible.

  The microscope 80 captures an image of a tissue or a cell collected from a patient as a subject, and digitally converts the captured image to generate actual image data (medical image). The microscope 80 transmits the generated actual image data to the pathological department information management apparatus 90.

  The pathological department information management device 90 performs information management such as medical appointment reservation, results management, inventory management, etc. in the pathological department. Based on the actual image data received from the microscope 80, the pathological department information management device 90 displays medical images of tissues, cells, etc. on the monitor. The pathological department information management device 90 generates pathological diagnosis report actual data (pathological diagnosis report) for medical images such as tissues and cells based on input from an operation unit by a user such as a doctor and actual image data. This pathological diagnosis report includes medical images such as tissues and cells. The pathological department information management device 90 generates HL7 incidental information based on an input from the operation unit or the like. The pathological department information management device 90 appends HL7 supplementary information to the pathological diagnosis report actual data, and generates HL7-compliant pathological diagnosis data in accordance with the HL7 standard.

  When receiving a pathological diagnosis data acquisition request conforming to the HL7 standard from an external device, the pathological department information management apparatus 90 transmits HL7-compliant pathological diagnosis data corresponding to the acquisition request to the external device.

  The integrated management server 30 stores medical data in a plurality of types of data formats (DICOM standard, HL7 standard, etc.) transmitted from each department such as the radiation department system 200, the examination department system 300, and the pathology department system 400, and is centrally managed. It is a device to do. Here, medical data refers to medical images (DICOM compliant image data), examination data (HL7 compliant examination data), pathological diagnosis reports (HL7 compliant pathological diagnosis data), and the like.

  The integrated management server 30 transmits a medical image acquisition request conforming to the DICOM standard to the image management server 50 of the radiation department system 200, and receives DICOM-compliant image data corresponding to the acquisition request. The integrated management server 30 transmits an inspection data acquisition request conforming to the HL7 standard to the inspection management server 70 of the inspection department system 300, and receives HL7-compliant inspection data according to the acquisition request. The integrated management server 30 transmits a pathological diagnosis data acquisition request conforming to the HL7 standard to the pathological department information management device 90 of the pathological department system 400, and receives HL7-compliant pathological diagnosis data according to the acquisition request.

  The integrated management server 30 sends a medical image acquisition request, an examination data acquisition request, and a pathological diagnosis data acquisition request to each server (image management server 50, examination management server 70, pathology department information) at predetermined time intervals (for example, every hour). To the management device 90) and receive the newly added medical data in each server.

  The integrated management server 30 analyzes medical data (DICOM-compliant image data, HL7-compliant examination data, HL7-compliant pathological diagnosis data) acquired from each department, and generates key information common to the medical data. The integrated management server 30 gives this key information to the medical data. The integrated management server 30 stores the medical data and centrally manages the medical data as integrated management target medical data based on the assigned key information.

  When the integrated management server 30 receives a search condition for integrated management target medical data from the client terminal 20, the integrated management server 30 transmits a list of key information (key information list) that matches the search condition to the client terminal 20.

  When the integrated management server 30 receives a medical data acquisition request from the client terminal 20, the integrated management server 30 transmits the integrated management target medical data corresponding to the acquisition request to the client terminal 20. The medical data acquisition request includes key information.

  The client terminal 20 is a client (dedicated viewer) of the integrated management server 30. The client terminal 20 generates a search condition based on an input from the operation unit 22 (see FIG. 6) by a user such as a doctor. The client terminal 20 transmits the search condition to the integrated management server 30. The client terminal 20 receives a key information list that matches the search condition from the integrated management server 30. The client terminal 20 displays the key information list on the screen.

  The client terminal 20 selects key information from the key information list based on an input from the operation unit 22 by the user. The client terminal 20 transmits a medical data acquisition request including the selected key information to the integrated management server 30. The client terminal 20 receives the integrated management target medical data corresponding to the acquisition request from the integrated management server 30.

  The client terminal 20 displays medical images, examination data, pathological diagnosis reports, and the like on a monitor based on the integrated management target medical data.

  The client terminal 20 is also a client of the electronic medical record server 10. The client terminal 20 has a medical record data creation function. The client terminal 20 generates medical record data based on an operation signal generated by a user operation. The client terminal 20 transmits the generated medical record data (information such as a patient's medical condition and diagnosis result) to the electronic medical record server 10.

  The electronic medical record server 10 stores and manages medical record data generated in the client terminal 20.

  FIG. 2 shows a data flow of medical data (DICOM-compliant image data, HL7-compliant examination data, HL7-compliant pathological diagnosis data, etc.). The actual inspection data generated in the inspection device 60 is transmitted to the inspection management server 70. Then, this inspection actual data is transmitted to the integrated management server 30 as HL7 compliant inspection data. The DICOM compliant image data generated by the DICOM compliant imaging device 40 is transmitted to the integrated management server 30 via the image management server 50. The actual image data generated in the microscope 80 is transmitted to the pathological department information management device 90. The pathological department information management apparatus 90 generates pathological diagnosis report actual data for the actual image data and transmits the actual pathological diagnosis report data to the integrated management server 30 as HL7-compliant pathological diagnosis data.

  In the integrated management server 30, DICOM-compliant image data, HL7-compliant examination data, and HL7-compliant pathological diagnosis data are stored and managed as medical data to be integratedly managed. The integrated management target medical data is transmitted from the integrated management server 30 to the client terminal 20 in response to an acquisition request from the client terminal 20.

[Functional configuration of Master Management Server]
FIG. 3 shows a functional configuration of the integrated management server 30.

  As shown in FIG. 3, the integrated management server 30 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, and a storage unit 35, and each unit is connected by a bus 36.

  The control unit 31 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and the like, and comprehensively controls the processing operation of each unit of the integrated management server 30. Specifically, the CPU reads various processing programs stored in the storage unit 35 in accordance with an operation signal input from the operation unit 32 or an instruction signal received by the communication unit 34, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 32 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 32 controls operation signals input by key operations or mouse operations on the keyboard. To 31.

  The display unit 33 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 31.

  The communication unit 34 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Adapter), and the like, and is connected via the communication network N, the client terminal 20, the image management server 50, the examination management server 70, and pathology department information. Data is transmitted to and received from an external device such as the management apparatus 90.

  The storage unit 35 is composed of a hard disk or the like, and stores a control program, parameters and files necessary for executing the program. The storage unit 35 stores an integrated management program 351. The storage unit 35 stores a common key information DB 352. Further, the storage unit 35 stores one or a plurality of DICOM-compliant image data. The storage unit 35 stores one or a plurality of HL7 compliant inspection data. The storage unit 35 stores one or more HL7-compliant pathological diagnosis data.

  The control unit 31 functions as follows in cooperation with the integrated management program 351 stored in the storage unit 35. That is, when acquiring medical data (DICOM compliant image data, HL7 compliant test data, HL7 compliant diagnostic data, etc.) from an external device via the communication unit 34, the control unit 31 analyzes the medical data and generates key information. To do. The control unit 31 stores the key information in the storage unit 35 in association with the medical data. That is, the medical data is stored in the storage unit 35 with the key information attached. The control unit 31 manages medical data as integrated management target medical data based on the key information. The key information generated by the control unit 31 is stored in the storage unit 35 as a record of the common key information DB 352.

  FIG. 4 shows the data structure of the common key information DB 352. The common key information DB 352 includes one or a plurality of records corresponding to the key information. The record, that is, key information, includes items “data type”, “reception date / time”, “patient ID”, “patient name”, “sex”, “storage address”, and the like.

  The item “data type” indicates the type of medical data. The type of medical data is a combination of standards (DICOM standard, HL7 standard, etc.), result types (images, reports, etc.), modality types (CT, MR, CR, etc.). The item “reception date” indicates the date when the integrated management server 30 received the medical data. In other words, the item “reception date and time” indicates the date and time when the control unit 31 acquires the medical data. The item “storage address” indicates an address in the storage unit 35 in which medical data is stored.

  FIG. 5 shows a storage image of medical data stored in the storage unit 35. When receiving the DICOM-compliant image data via the communication unit 34, the control unit 31 sets this reception date and time as the “reception date and time” of the key information. The control unit 31 analyzes the received DICOM-compliant image data. As a result of the analysis, the control unit 31 determines the data type and sets it as the “data type” of the key information. Further, the control unit 31 extracts “patient ID”, “patient name”, and “sex” from the DICOM supplementary information included in the DICOM-compliant image data, and sets them as “patient ID”, “patient name”, and “sex” in the key information. The control unit 31 stores the DICOM-compliant image data in the storage unit 35, and sets the address at which the DICOM-compliant image data is stored as the “storage address” of the key information. As described above, the control unit 31 associates the key information with the medical data by setting the address where the DICOM-compliant image data is stored as the “storage address” of the key information. The control unit 31 registers this key information in the common key information DB 352. The control unit 31 manages DICOM-compliant image data as integrated management target medical data based on the key information.

  Further, when receiving the HL7 compliant inspection data via the communication unit 34, the control unit 31 sets the reception date and time as the “reception date and time” of the key information. The control unit 31 analyzes the received HL7 compliant inspection data. As a result of the analysis, the control unit 31 determines the data type and sets it as the “data type” of the key information. Further, the control unit 31 extracts “patient ID”, “patient name”, and “sex” from the HL7 supplementary information included in the HL7-compliant test data, and sets them as “patient ID”, “patient name”, and “sex” in the key information. The control unit 31 stores the HL7 compliant inspection data in the storage unit 35, and sets the address at which the HL7 compliant inspection data is stored as the “storage address” of the key information. The control unit 31 registers this key information in the common key information DB 352. The control unit 31 manages the HL7-compliant test data as integrated management target medical data based on the key information.

  Further, when receiving the HL7-compliant pathological diagnosis data via the communication unit 34, the control unit 31 sets the reception date and time as the “reception date and time” of the key information. The control unit 31 analyzes the received HL7-compliant pathological diagnosis data. As a result of the analysis, the control unit 31 determines the data type and sets it as the “data type” of the key information. Further, the control unit 31 extracts “patient ID”, “patient name”, and “sex” from the HL7 supplementary information included in the HL7-compliant pathological diagnosis data, and sets them as “patient ID”, “patient name”, and “sex” in the key information. . The control unit 31 stores the HL7-compliant pathological diagnosis data in the storage unit 35, and sets the address at which the HL7-compliant pathological diagnosis data is stored as the “storage address” of the key information. The control unit 31 registers this key information in the common key information DB 352. The control unit 31 manages the HL7-compliant pathological diagnosis data as integrated management target medical data based on the key information.

  As an analysis method of medical data (DICOM-compliant image data, HL7-compliant examination data, HL7-compliant pathological diagnosis data), for example, the control unit 31 is based on the data reception port in the communication unit 34 at the start of acquisition of medical data. Determine medical data standards. Moreover, the control part 31 determines the specification of medical data based on the terminal (transmission source application) of the transmission source of medical data. Further, the control unit 31 analyzes the medical data based on the data configuration according to the standard, and determines the result type, modality type, and the like of the medical data.

  Returning to FIG. 3, when the control unit 31 receives a search condition for medical data to be integrated management from the client terminal 20 via the communication unit 34 in cooperation with the integrated management program 351, key information that matches the search condition. Are extracted from the common key information DB 352. The control unit 31 generates a list of extracted key information (key information list). The control unit 31 transmits the generated key information list to the client terminal 20 via the communication unit 34.

  Specifically, the control unit 31 receives the search condition with the patient ID “KM001” and the reception date “2008/11/15” from the records registered in the common key information DB 352. , One or a plurality of key information of “patient ID: KM001” and “reception date: 2008/11/15” is extracted. If the reception date is set as the reception date and time, regardless of the reception time, the data received on that date is the search target. The control unit 31 generates a list of extracted key information that is “patient ID: KM001” and “reception date and time: 2008/11/15”. The control unit 31 transmits this key information list to the client terminal 20 via the communication unit 34.

  When the control unit 31 receives (acquires) a medical data acquisition request (selection instruction for selecting key information to be corrected) from the client terminal 20 via the communication unit 34, the key information included in the medical data acquisition request The medical data (integrated management target medical data) associated with is read from the storage unit 35. Specifically, the control unit 31 reads out medical data associated with the key information from the storage unit 35 based on the “storage address” of the key information included in the medical data acquisition request. The control unit 31 transmits the read medical data to the client terminal 20 via the communication unit 34.

  When the control unit 31 receives (acquires) a correction instruction for correcting the content of the selected key information from the client terminal 20 via the communication unit 34, the control unit 31 stores the correction instruction based on the received selection instruction and correction instruction. The content of the selected key information stored in the unit 35 is corrected. Specifically, the control unit 31 rewrites and stores the contents of the corresponding key information in the common key information DB 352 of the storage unit 35.

[Functional configuration of client terminal]
FIG. 6 shows a functional configuration of the client terminal 20.

  As shown in FIG. 6, the client terminal 20 includes a control unit 21, an operation unit 22, a display unit 23, a communication unit 24, and a storage unit 25, and each unit is connected by a bus 26.

  The control unit 21 includes a CPU, a RAM, and the like, and comprehensively controls processing operations of each unit of the client terminal 20. Specifically, the CPU reads various processing programs stored in the storage unit 25 in accordance with an operation signal input from the operation unit 22 or an instruction signal received by the communication unit 24, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 22 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 22 controls operation signals input by key operations or mouse operations on the keyboard. To 21.

  The display unit 23 is configured by an LCD, and displays various screens based on display data input from the control unit 21.

  The communication unit 24 includes a LAN adapter, a router, a TA, and the like, and transmits and receives data to and from external devices such as the integrated management server 30 and the electronic medical record server 10 connected via the communication network N.

  The storage unit 25 is composed of a hard disk or the like, and stores a control program, parameters and files necessary for executing the program, and the like. The storage unit 25 stores a dedicated viewer program 251.

  The control unit 21 functions as follows in cooperation with the dedicated viewer program 251 stored in the storage unit 25. That is, the control unit 21 generates search conditions for integrated management target medical data based on the input from the operation unit 22. The control unit 21 transmits the generated search condition to the integrated management server 30 via the communication unit 24. When acquiring the key information list from the integrated management server 30, the control unit 21 displays the key information list on the display unit 23.

  The control unit 21 selects key information to be corrected from the key information list based on the input from the operation unit 22. The control unit 21 generates a medical data acquisition request (selection instruction for selecting correction target key information) including the selected key information. The control unit 21 transmits the generated medical data acquisition request (selection instruction for selecting key information to be corrected) to the integrated management server 30 via the communication unit 24.

  Based on the input from the operation unit 22, the control unit 21 generates a correction instruction for correcting the content of the selected key information. The control unit 21 transmits the generated correction instruction to the integrated management server 30 via the communication unit 24.

  Further, the control unit 21 generates medical record data based on the input from the operation unit 22 and transmits the medical record data to the electronic medical record server 10 via the communication unit 24.

[Specific operation of each device in the medical system]
Next, a specific operation of each device executed in the medical system 100 will be described.
FIG. 7 is a ladder chart showing processing executed in the client terminal 20 and the integrated management server 30. The processing in the client terminal 20 is realized by software processing in cooperation with the control unit 21 and the dedicated viewer program 251 stored in the storage unit 25. The processing in the integrated management server 30 is realized by software processing by cooperation between the control unit 31 and the integrated management program 351 stored in the storage unit 35.

  As shown in FIG. 7, the control unit 21 of the client terminal 20 generates search conditions for integrated management target medical data based on an input from the operation unit 22 by a user operation (step S1). Specifically, the search condition is “data type”, “reception date / time”, “patient ID”, “patient name”, “sex”, or a combination thereof. For example, values such as “patient ID: KM001” and “reception date: 2008/11/15”, “data type: image”, and “reception date: 2008/11/15” are set as search conditions. Is done. As for the data type, a modality type or the like may be further added as a condition, such as “data type: image (CT imaging)”.

  The control unit 21 transmits the generated search condition to the integrated management server 30 via the communication unit 24 (step S2).

  When receiving the search condition from the client terminal 20 via the communication unit 34, the control unit 31 of the integrated management server 30 extracts key information that matches the search condition from the common key information DB 352 (step S3). For example, in the case of a search condition of “patient ID: KM001” and “reception date: 2008/11/15”, “patient ID: KM001” and “reception date: 2008/11/15” from the record of the common key information DB 352. One or a plurality of records (key information) are extracted.

  The control unit 31 generates a list of key information (key information list) based on the extracted key information (step S4). The control unit 31 transmits the generated key information list to the client terminal 20 via the communication unit 34 (step S5).

  When receiving the key information list from the integrated management server 30 via the communication unit 24, the control unit 21 of the client terminal 20 displays the key information list on the display unit 23 (step S6).

  The control unit 21 selects key information to be corrected from the received key information list based on an input from the operation unit 22 by a user operation (step S7).

  The control unit 21 generates a medical data acquisition request (selection instruction for selecting key information to be corrected) including the selected key information, and transmits the request to the integrated management server 30 via the communication unit 24 (step S8).

  When the control unit 31 of the integrated management server 30 receives (acquires) a medical data acquisition request (selection instruction for selecting key information to be corrected) from the client terminal 20 via the communication unit 34, the medical data acquisition request The medical data associated with the key information included in is read from the storage unit 35 (step S9). Specifically, when receiving the medical data acquisition request from the client terminal 20, the control unit 31 reads the value of the item “storage address” of the key information included in the medical data acquisition request, and stores the value in the storage address. Medical data is read from the storage unit 35.

  The control unit 31 transmits the integrated management target medical data (read-out medical data and key information) to the client terminal 20 via the communication unit 34 (step S10).

  When receiving the integrated management target medical data from the integrated management server 30 via the communication unit 24, the control unit 21 of the client terminal 20 displays the integrated management target medical data on the display unit 23 (step S11).

  The control unit 21 of the client terminal 20 generates a correction instruction for correcting the content of the key information selected in step S7 based on an input from the operation unit 22 by a user operation (step S12). Specifically, the control unit 21 generates a correction instruction including a combination of a correction target item and a corrected value corresponding to the selected key information. The control unit 21 transmits the generated correction instruction to the integrated management server 30 via the communication unit 24 (step S13).

  When the control unit 31 of the integrated management server 30 receives (acquires) a correction instruction for correcting the content of the selected key information from the client terminal 20 via the communication unit 34, the control unit 31 receives the selection instruction and the correction instruction received. Based on this, the content of the corresponding key information in the common key information DB 352 stored in the storage unit 35 is corrected, and the key information is stored with the corrected content (step S14).

[Operation example of client terminal]
FIG. 8 shows an example of the data correction screen 231 displayed on the display unit 23 of the client terminal 20. As shown in FIG. 8, the data correction screen 231 includes a patient ID input area A1, a data type input area A2, a search button A3, a list display area A4, and a medical data display area A5.

  The patient ID input area A1 is an area for inputting and displaying “patient ID” as a search condition. In the example illustrated in FIG. 8, “KM001” is input as a search condition in the patient ID input area A1.

  The data type input area A2 is an area for inputting and displaying “data type” as a search condition. In the example shown in FIG. 8, “image” is input as a search condition in the data type input area A2. In FIG. 8, the item “type” corresponds to “data type”.

  The search button A3 is a button that is pressed when the “patient ID” input in the patient ID input area A1 and the “data type” input in the data type input area A2 are transmitted to the integrated management server 30 as search conditions. is there.

  The list display area A4 is an area for displaying a key information list extracted using the “patient ID” input to the patient ID input area A1 and the “data type” input to the data type input area A2 as search conditions. is there. That is, this is an area where the key information list is displayed in step S6 of FIG. In the example shown in FIG. 8, a key information list that matches the search conditions “patient ID: KM001” and “data type: image” is displayed in the list display area A4.

  The medical data display area A5 is an area for displaying medical data associated with key information selected as a correction target from the key information list displayed in the list display area A4.

  For example, in the data correction screen 231 shown in FIG. 8, when the user operates from the operation unit 22, “Patient ID: KM001”, “Patient name: Suzuki ^ Taro”, “Gender: M”, “Reception date / time” in the list display area A4. : 2008/08/05 21:56:24 "When a record of" data type: image "is clicked, the control unit 21 selects the record as key information to be corrected. Then, the control unit 21 generates a medical data acquisition request (selection instruction for selecting key information to be corrected) including the selected key information, and transmits the request to the integrated management server 30 via the communication unit 24. The control unit 21 receives the integrated management target medical data from the integrated management server 30, and displays the medical data (medical image in FIG. 8) included in the integrated management target medical data in the medical data display area A5.

  When the user operates the operation unit 22 on the client terminal 20 to double-click a record selected in the list display area A4 of the data correction screen 231, the control unit 21 displays a character for each item of the record. The input (correction) is accepted. After the input of the character, the control unit 21 finalizes the input of correction of the contents of the key information in response to the enter key of the operation unit 22 being pressed. Then, the control unit 21 generates a correction instruction for correcting the content of the selected key information, and transmits the correction instruction to the integrated management server 30 via the communication unit 24.

  FIG. 9A shows a medical data storage image in the storage unit 35 before the key information correction, and FIG. 9B shows a medical data storage image in the storage unit 35 after the key information correction. FIG. 9A shows “patient ID: KM001”, “patient name: Suzuki ^ Taro”, “sex: M”, and “reception date: 2008/08/05 21:56” selected in the list display area A4 of FIG. : 24 ”“ data type: image ”record image. For this record, a correction instruction is sent from the client terminal 20 to the integrated management server 30 to correct the item “patient ID” as “KM011” and the item “patient name” as “Tanaka ^ Jiro”. As shown in FIG. 9B, the control unit 31 of the integrated management server 30 corrects “patient ID: KM001” to “patient ID: KM011”, and changes “patient name: Suzuki ^ Taro” to “ Patient name: Tanaka ^ Jiro " That is, the “patient ID” and “patient name” in the key information are changed by correcting the key information, but the medical data stored in the “storage address” in the key information is not changed.

  As described above, according to the first embodiment, the medical data is provided with the common key information for the medical data, so that the information of the medical data is not deteriorated regardless of the data format. Medical data can be managed based on the key information. Specifically, medical data can be managed based on each item of patient ID, patient name, sex, reception date and time, or data type. Therefore, the contents of the key information can be corrected in a unified manner for medical data in any data format, and the correction process can be simplified in the management of medical data composed of multiple types of data formats. Can do.

  In addition, since only the key information is to be corrected in the integrated management server 30 and the medical data is not changed, the reliability of the medical data can be maintained.

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the configuration of the medical system in the second embodiment is the same as that of the medical system 100 shown in the first embodiment, FIGS. 1 to 6 are used and illustration and description are omitted. Hereinafter, processing characteristic of the second embodiment will be described.

[Specific operation of each device in the medical system]
A specific operation of each device executed in the medical system according to the second embodiment will be described.
FIG. 10 is a ladder chart showing processing executed in the client terminal 20 and the integrated management server 30. The processing in the client terminal 20 is realized by software processing in cooperation with the control unit 21 and the dedicated viewer program 251 stored in the storage unit 25. The processing in the integrated management server 30 is realized by software processing by cooperation between the control unit 31 and the integrated management program 351 stored in the storage unit 35.

  As illustrated in FIG. 10, the control unit 21 of the client terminal 20 generates search conditions for integrated management target medical data for two patients based on an input from the operation unit 22 by a user operation (step S <b> 21). For example, “patient ID: KM001” and “reception date: 2008/10/14” and “patient ID: KM002” and “reception date: 2008/10/14” are set as search conditions.

  The control unit 21 transmits the generated search conditions for two patients to the integrated management server 30 via the communication unit 24 (step S22).

  When receiving the search conditions for two patients from the client terminal 20 via the communication unit 34, the control unit 31 of the integrated management server 30 extracts key information that matches each search condition from the common key information DB 352 (step S23). ).

  The control unit 31 generates a list of key information (key information list) for two patients based on the extracted key information (step S24). The control unit 31 transmits the generated key information list for two patients to the client terminal 20 via the communication unit 34 (step S25).

  When receiving the key information list from the integrated management server 30 via the communication unit 24, the control unit 21 of the client terminal 20 displays the key information list for two patients on the display unit 23 (step S26).

  The control unit 21 selects key information to be corrected from the received key information list based on an input from the operation unit 22 by a user operation (step S27).

  The control unit 21 generates a medical data acquisition request (selection instruction for selecting key information to be corrected) including the selected key information, and transmits the request to the integrated management server 30 via the communication unit 24 (step S28).

  When the control unit 31 of the integrated management server 30 receives (acquires) a medical data acquisition request (selection instruction for selecting key information to be corrected) from the client terminal 20 via the communication unit 34, the medical data acquisition request The medical data associated with the key information included in is read from the storage unit 35 (step S29). Specifically, when receiving the medical data acquisition request from the client terminal 20, the control unit 31 reads the value of the item “storage address” of the key information included in the medical data acquisition request, and stores the value in the storage address. Medical data is read from the storage unit 35.

  The control unit 31 transmits the integrated management target medical data (the read medical data and key information) to the client terminal 20 via the communication unit 34 (step S30).

  When receiving the integrated management target medical data from the integrated management server 30 via the communication unit 24, the control unit 21 of the client terminal 20 displays the integrated management target medical data on the display unit 23 (step S31).

  The control unit 21 of the client terminal 20 generates a correction instruction for correcting the content of the key information selected in step S27 to the content of the key information of the other patient based on an input from the operation unit 22 by a user operation ( Step S32). Specifically, the control unit 21 generates a correction instruction including a combination of a correction target item (“patient ID”, “patient name”, “sex”) and a corrected value corresponding to the selected key information. The control unit 21 transmits the generated correction instruction to the integrated management server 30 via the communication unit 24 (step S33).

  When the control unit 31 of the integrated management server 30 receives (acquires) a correction instruction for correcting the content of the key information selected from the client terminal 20 to the content of the key information of the other patient via the communication unit 34. Based on the received selection instruction and correction instruction, the content of the corresponding key information in the common key information DB 352 stored in the storage unit 35 is corrected, and the key information is stored with the corrected content (step S34). .

[Operation example of client terminal]
FIG. 11 shows an example of the data correction screen 232 displayed on the display unit 23 of the client terminal 20. As shown in FIG. 11, the data correction screen 232 includes a patient ID input area B1, a reception date input area B2, a search button B3, a list display area B4, a patient ID input area B5, a reception date input area B6, and a search button B7. , List display area B8, medical data display area B9, arrow button B10, arrow button B11, cancel button B12, and confirm button B13.

  The patient ID input area B <b> 1 is an area for inputting and displaying “patient ID” as a search condition for the patient 1. In the example illustrated in FIG. 11, “KM001” is input as a search condition in the patient ID input area B1.

  The reception date input area B <b> 2 is an area for inputting and displaying “reception date” as a search condition for the patient 1. In the example illustrated in FIG. 11, “2008/10/14” is input as a search condition in the reception date input area B2.

  The search button B3 is pressed when transmitting “patient ID” input in the patient ID input area B1 and “reception date” input in the reception date input area B2 to the integrated management server 30 as search conditions for the patient 1. Button.

  The list display area B4 displays a key information list for the patient 1 extracted using the “patient ID” input in the patient ID input area B1 and the “reception date” input in the reception date input area B2 as search conditions. It is an area. That is, in step S26 in FIG. 10, the key information list for the patient 1 is displayed. In the example shown in FIG. 11, a key information list that matches the search conditions “patient ID: KM001” and “reception date: 2008/10/14” is displayed in the list display area B4.

  The patient ID input area B <b> 5 is an area for inputting and displaying “patient ID” as a search condition for the patient 2. In the example illustrated in FIG. 11, “KM002” is input as a search condition in the patient ID input area B5.

  The reception date input area B <b> 6 is an area for inputting and displaying “reception date” as a search condition for the patient 2. In the example illustrated in FIG. 11, “2008/10/14” is input as a search condition in the reception date input area B6.

  The search button B7 is pressed when transmitting “patient ID” input in the patient ID input area B5 and “reception date” input in the reception date input area B6 to the integrated management server 30 as search conditions for the patient 2. Button.

  The list display area B8 displays a key information list for the patient 2 extracted using the “patient ID” input in the patient ID input area B5 and the “reception date” input in the reception date input area B6 as search conditions. It is an area. That is, in step S26 of FIG. 10, the key information list for the patient 2 is displayed. In the example shown in FIG. 11, a key information list that matches the search conditions “patient ID: KM002” and “reception date: 2008/10/14” is displayed in the list display area B8.

  The medical data display area B9 is an area for displaying medical data associated with key information selected as a correction target from the key information list displayed in the list display area B4 or the list display area B8.

  For example, in the data correction screen 232 shown in FIG. 11, when the user operates from the operation unit 22, “Patient ID: KM002”, “Patient name: Konishi ^ Hanako”, “Gender: F”, “Reception date / time” in the list display area B8 : 2008/10/14 22:56:31 "When the record of" Reception date: Sample "is clicked, the control unit 21 selects the record as the key information to be corrected. Then, the control unit 21 generates a medical data acquisition request (selection instruction for selecting key information to be corrected) including the selected key information, and transmits the request to the integrated management server 30 via the communication unit 24. The control unit 21 receives the integrated management target medical data from the integrated management server 30, and displays the medical data (examination data in FIG. 11) included in the integrated management target medical data in the medical data display area B9.

  The arrow button B10 is a button for correcting the contents of the key information ("patient ID", "patient name", and "sex") selected in the list display area B4 to the contents of the patient 2. The arrow button B11 is a button for correcting the contents of the key information (“patient ID”, “patient name”, “sex”) selected in the list display area B8 to the contents of the patient 1. The cancel button B12 is a button for canceling the correction operation by the arrow button B10 or the arrow button B11. The confirmation button B13 is a button for confirming the correction operation by the arrow button B10 or the arrow button B11.

  Specifically, in the list display area B8 of the data correction screen 232, “Patient ID: KM002” “Patient name: Konishi ^ Hanako” “Gender: F” “Reception date: 2008/10/14 22:56:31” “ When the user operates from the operation unit 22 with the record of “Reception Date: Sample” selected, when the arrow button B11 is pressed and the confirm button B13 is pressed, the control unit 21 selects A correction instruction for correcting the recorded record to the content of the key information of the patient 1 is generated and transmitted to the integrated management server 30 via the communication unit 24. Then, in the data correction screen 232, in the list display area B4, “Patient ID: KM001” “Patient name: Suzuki ^ Taro” “Gender: M” “Reception date: 2008/10/14 22:56:31” “Reception” A record of “day: specimen” is added.

  FIG. 12A shows a medical image storage image in the storage unit 35 before the key information correction, and FIG. 12B shows a medical data storage image in the storage unit 35 after the key information correction. FIG. 12A shows “Patient ID: KM002”, “Patient name: Konishi ^ Hanako”, “Gender: F”, “Reception date: 2008/10/14 22:56” selected in the list display area B8 of FIG. : 31 ”“ Reception Date: Specimen ”record image. For this record, when a correction operation is performed on the client terminal 20 side by the arrow button B11, the control unit 31 of the integrated management server 30 sets “patient ID: KM002” to “patient ID” as shown in FIG. “Patient ID: KM001” is corrected, “patient name: Konishi ^ Hanako” is corrected as “patient name: Suzuki ^ Taro”, and “sex: F” is corrected as “sex: M”. That is, by modifying the key information, the “patient ID”, “patient name”, and “gender” in the key information are changed, but the medical data stored in the “storage address” in the key information is not changed. .

  As described above, according to the second embodiment, the medical data is provided with the common key information to the medical data, so that the information of the medical data is not degraded regardless of the data format. Medical data can be managed based on the key information. Therefore, the contents of the key information can be corrected in a unified manner for medical data in any data format, and the correction process can be simplified in the management of medical data composed of multiple types of data formats. Can do.

  In addition, since only the key information is to be corrected in the integrated management server 30 and the medical data is not changed, the reliability of the medical data can be maintained.

  The description in each of the above embodiments is an example of the integrated management server according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of the system and each device can be changed as appropriate.

  For example, the integrated management server 30 and the client terminal 20 are configured to perform data communication via the communication network N. However, the integrated management server 30 has the function of the client terminal 20, and the display unit 33 displays the data correction screens 231 and 232. It is good also as a structure which displays.

  Further, only the contents of the key information are corrected, and the incidental information of medical data (DICOM-compliant image data, HL7-compliant examination data, HL7-compliant pathological diagnosis data, etc.) associated with the revised key information is not revised. However, when the integrated management target medical data is provided from the integrated management server 30 for printing or display, the DICOM supplementary information or the patient information included in the HL7 supplementary information is rewritten according to the key information. It may be provided afterwards.

  In the above description, an example in which a hard disk or the like is used as a computer-readable medium storing a program for executing each process is disclosed, but the present invention is not limited to this example. As other computer-readable media, a non-volatile memory such as a flash memory, a portable recording medium such as a CD-ROM, and the like can be applied. Also, a carrier wave can be applied as a medium for providing program data via a communication line.

It is a system configuration figure of a medical system. It is a figure which shows the data flow of medical data. It is a block diagram of an integrated management server. It is a data block diagram of common key information DB. It is an image figure of the medical data memorize | stored in the memory | storage part. It is a block diagram of a client terminal. It is a ladder chart which shows the process performed in the client terminal and integrated management server of 1st Embodiment. It is a screen example of a data correction screen. (A) is an image figure of the medical data before correction of key information. (B) is an image diagram of medical data after the key information is corrected. It is a ladder chart which shows the process performed in the client terminal and integrated management server of 2nd Embodiment. It is a screen example of a data correction screen. (A) is an image figure of the medical data before correction of key information. (B) is an image diagram of medical data after the key information is corrected.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Electronic medical record server 20 Client terminal 21 Control part 22 Operation part 23 Display part 24 Communication part 25 Storage part 26 Bus 30 Integrated management server 31 Control part 32 Operation part 33 Display part 34 Communication part 35 Storage part 36 Bus 40 DICOM conformity imaging device DESCRIPTION OF SYMBOLS 50 Image management server 60 Inspection apparatus 70 Inspection management server 80 Microscope 90 Pathology department information management apparatus 100 Medical system 200 Radiology department system 231 Data correction screen 232 Data correction screen 251 Dedicated viewer program 300 Inspection department system 351 Integrated management program 352 Common key information DB
400 Pathology Department System N Communication Network A1 Patient ID Input Area A2 Data Type Input Area A3 Search Button A4 List Display Area A5 Medical Data Display Area B1 Patient ID Input Area B2 Received Date Input Area B3 Search Button B4 List Display Area B5 Patient ID Input Area B6 Received date input area B7 Search button B8 List display area B9 Medical data display area B10 Arrow button B11 Arrow button B12 Cancel button B13 Confirm button

Claims (4)

An integrated management server in which medical data consisting of a plurality of types of data formats is stored in the storage means in a state where common key information is given to the medical data,
An acquisition means for acquiring a selection instruction for selecting key information to be corrected from the key information, and a correction instruction for correcting the content of the selected key information;
Control means for correcting the content of the selected key information stored in the storage means based on the selection instruction and the correction instruction acquired by the acquisition means;
Integrated management server comprising The key information includes at least one item among items of patient ID, patient name, sex, reception date and data type,
The integrated management server according to claim 1. A computer in which medical data composed of a plurality of types of data is stored in the storage means in a state where key information common to the medical data is given,
An acquisition means for acquiring a selection instruction for selecting key information to be corrected from the key information, and a correction instruction for correcting the content of the selected key information;
Control means for correcting the content of the selected key information stored in the storage means based on the selection instruction and the correction instruction acquired by the acquisition means;
Program to function as. The key information includes at least one item among items of patient ID, patient name, sex, reception date and data type,
The program according to claim 3.

Images