JP2013171526A - Inspection report display control device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an inspection report display control device capable of changing the layout of report information to be displayed at a display part in accordance with the progress situation of an inspection report, and displaying the report information which can be partially displayed.SOLUTION: A report management server 320 includes: an inspection information acquisition part 410 for acquiring report information to be displayed at a display part and a report status showing a progress situation in creating an inspection report configured of the report information; a display control part 420 for changing a layout with which the acquired report information is displayed at a display part 440 in accordance with the acquired report status; and a display data generation part 430 for generating report reference information to be displayed at the display part 440 from the report information acquired by the inspection information acquisition part 410 on the basis of the changed layout.

Description

  Embodiments described herein relate generally to an inspection report display control apparatus.

  In hospitals and inspection institutions, a medical image management system (PACS: Picture Archiving and Communication System) that stores, browses, and manages medical images captured by an image capturing device (modality) has been introduced. In this medical image management system, a doctor in charge of a diagnosis (hereinafter referred to as a doctor in charge) requests a medical radiographer to take a medical image or requests an image interpretation doctor to perform image diagnosis. When the medical image capturing and the medical image interpretation are completed, the medical image management system stores the captured image in the image server, or creates a report based on the interpretation result and stores it in the report management server.

  In such a medical image management system, a medical image to be interpreted is associated with a patient ID (identifier) of a subject that is the subject of the medical image and a finding description by the interpretation doctor. Therefore, when the interpretation of the medical image by the interpretation doctor is completed and the creation of the observation description is completed, the medical image management system reads the medical image, the observation description, and the patient ID that have been interpreted, from the report management server, The medical image, the description of the findings, and the patient ID are transmitted to the examination report display terminal (see, for example, Patent Document 1).

JP 2006-110202 A

  By the way, in a general medical image management system, when a medical image is read and creation of an inspection report is completed, as described above, the inspection report is transmitted to the inspection report display terminal possessed by the doctor in charge. . However, since the examination report display terminal has a small display area, it is difficult for the attending physician to view the examination report. That is, the inspection report display terminal has a limited display area of the display unit, so that the readability of the inspection report is poor.

  In addition, there is a situation where the doctor in charge wants to browse the test report and some test results on the way as soon as possible. However, in such an inspection report display terminal, since the inspection report is transmitted after the preparation of the inspection report is completed, the inspection report in the process of preparation and a part of the inspection results cannot be displayed on the display unit. In other words, such an inspection report display terminal cannot meet the request of the attending physician who wants to quickly view the inspection report being created and some inspection results.

  The inspection report display control device according to the present embodiment includes a report information to be displayed on a display unit, an information acquisition unit that acquires status information indicating a progress status in creating an inspection report composed of the report information, and the acquisition In accordance with the status information, the display control unit for changing the layout for displaying the acquired report information on the display unit, and the display information from the report information acquired by the information acquisition unit based on the changed layout. A display data generation unit that generates report reference information to be displayed on the unit.

The schematic block diagram which showed the structure of the outline | summary of the test | inspection report display system in this Embodiment. The functional block diagram which shows the function of the report management server which concerns on this Embodiment, and the function of a viewer. The functional block diagram which shows the function of the viewer which concerns on this Embodiment. The hardware block diagram which shows the structure of the report management which concerns on this Embodiment. Explanatory drawing explaining the unit of the order set report (inspection report) displayed on the display part (FIG. 2) of a viewer. The sequence diagram in the case of changing the layout displayed on the display part of the viewer in this Embodiment for every inspection order. The sequence diagram in the case of changing the layout displayed on the display part of the viewer in this Embodiment in a finding unit. The example of a display screen at the time of the primary interpretation displayed on the display part of the primary interpretation apparatus in this Embodiment. The example of a display screen at the time of the secondary interpretation displayed on the display part of the secondary interpretation apparatus in this Embodiment. The example of a display screen displayed on the display part of the viewer in this Embodiment. The example of a display screen displayed on each display part in this Embodiment. The example of a display screen at the time of the secondary interpretation displayed on the display part of the secondary interpretation apparatus in this Embodiment. The example of a display screen displayed on the display part of the viewer in this Embodiment.

  Hereinafter, an inspection report display system 500 according to the present embodiment will be described with reference to the accompanying drawings.

  FIG. 1 is a schematic configuration diagram showing a schematic configuration of an inspection report display system 500 in the present embodiment.

  As shown in FIG. 1, the inspection report display system 500 includes a modality 100, an image server 200, a primary interpretation device 300, a secondary interpretation device 310, a report management server 320, a network 370, a viewer 400, and the like.

  The modality 100 is a medical system name used when classifying an apparatus (imaging apparatus) for imaging a subject. For example, the modality 100 includes an X-ray CT (Computed Tomography) apparatus, an MRI (Magnetic Resonance Imaging) apparatus (magnetic resonance diagnostic apparatus), an ultrasonic diagnostic apparatus, and a nuclear medicine diagnostic apparatus. In this embodiment, any apparatus can be applied as the modality 100.

  The image server 200 is an image management server that constitutes a medical image management system, and is a server that stores, browses, and manages image data obtained by imaging a subject with the modality 100.

  The primary interpretation apparatus 300 is an apparatus in which an interpretation doctor interprets image data (medical image) obtained by imaging a subject with the modality 100. Specifically, the primary interpretation apparatus 300 is an apparatus for entering the interpretation result of the image data in the comment column as an observation description. When interpretation is performed by the interpretation doctor, the primary interpretation apparatus 300 creates an examination result report based on findings including an image to be interpreted (this is also referred to as a key image) and an observation description, and reports the examination result report. Store in the management server 320.

  The secondary image interpretation device 310 is a device that reads an inspection result report stored in the report management server 320 and performs secondary image interpretation on the inspection result report created by the primary image interpretation. The secondary image interpretation device 310 has the same function as the primary image interpretation device 300, and has a function to add the inspection result of the secondary image interpretation to the inspection result report created by the primary image interpretation device 300. Yes.

  In the present embodiment, the primary interpretation device 300 means that the first interpretation is performed, and the secondary interpretation device 310 means that the second interpretation is performed. However, the present invention is not limited to this. Absent. For example, an action at the primary interpretation apparatus 300 can be a report creation, and an action at the secondary interpretation apparatus 310 can be a report approval. The number of interpretations is not limited, and may be one time or three or more times. In the case of multiple interpretations, the interpretation is usually performed by different doctors. For example, the primary interpretation is performed by a radiology interpreting doctor, and the secondary interpretation is interpreted by a colleague or supervisor of the interpretation doctor. . Note that the primary image interpretation device 300 and the secondary image interpretation device 310 are each provided with a display unit.

  The report management server 320 is a server that stores an inspection result report created by the primary image interpretation device 300 or the secondary image interpretation device 310. The report management server 320 is configured to transmit an inspection result report for which findings have been created and inspection results have been registered to the viewer 400 via the network 370. Note that the timing at which the inspection result report is transmitted to the viewer 400 is not limited to the time when the findings are created. For example, when the key image is attached or when the inspection result report is created, any delimiter unit (this Can also be transmitted. Details will be described later.

  The viewer 400 is an examination report display terminal that is always carried by the attending physician. The viewer 400 receives the inspection result report (report information) stored in the report management server 320 and displays the inspection result report on the display unit.

  Next, the case where the report management server 320 has various functions as a Web distribution server and the viewer 400 displays report information distributed from the report management server 320 on the display unit will be described.

  FIG. 2 is a functional block diagram showing the functions of the report management server 320 and the viewer 400 according to the present embodiment.

  As shown in FIG. 2, the report management server 320 includes an examination information acquisition unit (information acquisition unit) 410, a display control unit 420, and a display data generation unit 430. The viewer 400 includes a display unit 440.

  The inspection information acquisition unit 410 has a function of acquiring report information displayed on the display unit 440 of the viewer 400 and a report status (status information) indicating a progress status in creating an inspection report described later.

  The display control unit 420 has a function of changing the layout to be displayed on the display unit 440 of the viewer 400 for each unit item indicating the delimiter for creating the inspection report in accordance with the report status acquired by the inspection information acquisition unit 410. ing. The report status is information indicating the progress status of the inspection report. For example, the updated report information blinks (blinks) according to the progress status of the inspection report, or New! And attention! Display control information for partially alerting a part of the report information.

  The display data generation unit 430 has a function of generating report reference information to be displayed on the display unit 440 of the viewer 400 from the report information acquired by the examination information acquisition unit 410 based on the layout changed by the display control unit 420. doing. In addition, the display data generation unit 430 distributes report reference information to the viewer 400 via the network 370. In this case, the network is not limited to the network 370, and an information distribution network may be configured separately.

  The display unit 440 of the viewer 400 has a function of acquiring the report reference information generated by the display data generation unit 430 and displaying the report reference information.

  In FIG. 2, the report management server 320 generates report reference information. However, the report management server 320 transmits report information and a report status (status information) to the viewer 470, and the viewer 470. In the embodiment, the report reference information may be generated.

  FIG. 3 is a functional block diagram showing functions of the viewer 470 according to the present embodiment.

  As shown in FIG. 3, the viewer 470 includes an examination information acquisition unit 410, a display control unit 420, a display data generation unit 430, and a display unit 440. The viewer 470 of FIG. 3 further includes an examination information acquisition unit 410, a display control unit 420, and a display data generation unit 430 that the report management server 320 of FIG. 2 has.

  In this case, since the viewer 470 has all the functions of the report management server 320 shown in FIG. 2, the function of the report management server 320 of FIG. 2 is received by receiving the report information and the report status from the report management server 320. And the function of the viewer 400 can be realized. In addition, the same code | symbol is attached | subjected to the member which has the same function, and description of the function of each part is abbreviate | omitted.

  FIG. 4 is a hardware block diagram showing the configuration of the report management server 320 according to the present embodiment. In the present embodiment, a case where the report management server 320 is caused to function as a Web distribution server will be described.

  4, the report management server 320 includes a CPU (Central Processing Unit) 350, a ROM (Read Only Memory) 352, a RAM (Random Access Memory) 354, a network interface unit 356, a display unit 358, an input unit 360, The storage unit 362 and the internal bus 364 are provided.

  The CPU 350 can realize the functions of various programs by loading various programs stored in the ROM 352 into the RAM 354 and expanding the programs. The RAM 354 is used as a work area (working memory). The ROM 352 stores various programs. Various programs stored in the ROM 352 include programs for realizing each function of the report management server 320.

  The network interface unit 356 transmits report reference information from the display data generation unit 430 (FIG. 2) to the viewer 400 via the network 370 (FIG. 1), or an image stored in the image server 200 (FIG. 1). It is an interface part for acquiring data (medical image).

  The display unit 358 is configured as a display unit that displays report information included in the report management server 320 and image data acquired from the image server 200. Note that the display unit 358 includes a liquid crystal display, a monitor, and the like.

  The input unit 360 includes an input device that performs display settings (report status settings) of report information and inspection result reports stored in the report management server 320, program input, editing, registration, and the like. For example, the input unit 360 is configured with a keyboard, a mouse, and the like.

  The storage unit 362 is a storage unit that configures a storage memory, and includes a RAM, a hard disk, and the like. In the present embodiment, the storage unit 362 stores report information, an inspection result report, and the like, for example. The report information is a part of information constituting the inspection result report, and details will be described later. The storage unit 362 also stores display setting information for setting display control such as enlargement / reduction of report information and highlight display according to the report status, and unit setting information for a unit item indicating a delimiter unit of the inspection report. It is supposed to be. The setting information can be arbitrarily set and changed by any of the primary image interpretation device 300, the secondary image interpretation device 310, and the report management server 320.

  In the present embodiment, the report management server 320 can implement the functions shown in the report management server 320 of FIG. 2 by executing a program stored in the ROM 352. Note that this embodiment is not limited to the embodiment of the report management server 320 shown in FIG. 2, and as shown in FIG. 3, each function of the report management server 320 shown in FIG. It can also be configured by a viewer 470 provided.

  FIG. 5 is an explanatory diagram for explaining a unit of an order set report (inspection report) displayed on the display unit 440 (FIG. 2) of the viewer 400.

  As shown in FIG. 5, when an order set 600 is an aggregate of examination orders requested by a doctor in charge (also referred to as an examination order), an examination result for the order set 600 is displayed as an order set report (integrated). Report) 700 (which is the above-mentioned inspection report).

  The order set 600 includes three examination orders, and includes an examination order 610, an examination order 620, and an examination order 630 requested by the doctor in charge. The inspection order here corresponds to one inspection order, for example, a CT scan inspection or an MRI inspection.

  The order set report 700 (inspection report) is a collection of inspection results corresponding to the order set 600. The order set report 700 includes an inspection result report 710, an inspection result report 720, and an inspection result report 730. The inspection result report 710 is an inspection result corresponding to the inspection order 610, the inspection result report 720 is an inspection result corresponding to the inspection order 620, and the inspection result report 730 is an inspection result corresponding to the inspection order 630. . Each of these inspection results is called an inspection result report.

  The inspection result report 710 includes findings based on the inspection order. For example, the inspection result report 710 includes a finding A 702 and a finding B. The finding A 702 includes a key image 704 and a finding description 706. The finding B is similarly configured to include a key image and a finding description corresponding to the key image.

  Here, the findings include a key image and a description description (comment) for the key image. In addition, the observation description is obtained by interpreting the key image and describing it as a comment in the entry column (comment column) with numerical values and characters.

  In addition, although the inspection result report 710 includes the finding A702 and the finding B one after another to form one inspection result report, the present embodiment is not limited to this. For example, the primary interpretation and the secondary interpretation may be performed one after another for the findings A to constitute one inspection result report.

  Conventionally, when all examinations for the order set 600 requested by the doctor in charge are completed, the order set report 700 is completed, and the order set report 700 as the examination result is transmitted to the viewer 400 that is always carried by the doctor in charge. It was supposed to be.

  That is, the order set report 700 includes all the inspection results of the inspection result report 710, the inspection result report 720, and the inspection result report 730, and all the inspection results are displayed while scrolling on the display unit 440 of the viewer 400. Even if it is done, all the inspection results are displayed, and the key image and the description of the finding that can be seen can only be seen in a fixed (standard) size.

  In addition, the order set report 700 has completed the creation of the inspection result report 710 as the inspection result for the inspection order 610, the generation of the inspection result report 720 as the inspection result for the inspection order 620, and the inspection result for the inspection order 630. Since it is not distributed unless the creation of the test result report 730 is completed, the attending physician cannot browse until the creation of all the test results is completed.

  In contrast, in the present embodiment, in the report status (status information), each unit item indicating a partial break is handled as a partial end of creation of an order set report (inspection report). . Here, the unit item means a partial end in creation of an order set report (examination report) that the attending physician desires to view with a viewer. For example, in the unit item, an inspection order or finding can be set as one unit, and a key image or finding description can be entered as one unit.

  Thus, every time a desired unit item of the attending doctor is completed, report reference information to be displayed on the display unit 440 of the viewer 400 is generated.

  Therefore, in the present embodiment, the inspection result is displayed on the display unit 440 in units of inspection orders, the inspection result is displayed in the display unit 440 in units of findings, or the display unit of the viewer 400 in units of key images or findings description units. 440 can be displayed.

  Note that the key image or finding description attached to the order set report 700 is referred to as report information, and information that can be displayed on the display unit 440 of the viewer 400 and referred to by the doctor in charge is referred to as report reference information. . The report status (status information) means the progress status of the order set report 700. When the primary image interpretation device 300 or the secondary image interpretation device 310 attaches a key image or enters a description description, the order status is displayed. Information displayed on the set report 700 is changed and updated.

  The case where the layout of the order set report 700 is changed in units of inspection orders will be described below.

  In the present embodiment, it is assumed that the test result report is displayed on the display unit 440 of the viewer 400 for each test order and is disclosed to the doctor in charge. Therefore, when one inspection result report corresponding to the inspection order is created, the one inspection result report is displayed on the display unit 440 of the viewer 400, and when the second inspection result report is created. A case where the newly created second test result report is displayed on the display unit 440 of the viewer 400 will be described.

(Operation example 1)
FIG. 6 is a sequence diagram in the case where the layout displayed on the display unit 440 of the viewer 400 in the present embodiment is changed in units of inspection orders. In FIG. 6, reference numerals with numbers added to S indicate steps in the sequence diagram.

  First, in step S001, the attending physician creates an order set based on the patient examination order. For example, the attending physician creates an order set using the primary image interpretation device 300. In addition, the doctor in charge also performs settings for displaying on the display unit 440 of the viewer 400 in units of examination orders. When a new order set is created, primary interpretation apparatus 300 creates an unfilled order set report corresponding to the order set and stores it in report management server 320.

  In step S003, when imaging based on the order set is completed, the image interpretation doctor performs primary image interpretation using the primary image interpretation device 300, pastes the key image to the test result report of the order set report, and corresponds to the key image. Enter the observation description. The primary image interpretation apparatus 300 stores an order set report in which a key image and a finding description are written in an inspection result report in the report management server 320.

  In step S005, the report management server 320 notifies the secondary interpretation apparatus 310 that the primary interpretation of the inspection order in the primary interpretation apparatus 300 has been completed. In this case, the report management server 320 notifies the secondary interpretation device 310 of a notification that prompts the interpretation doctor to perform secondary interpretation. The interpretation doctor who performs the secondary interpretation is usually a colleague or boss of the primary interpretation doctor.

  In step S007, the interpretation doctor who performs secondary interpretation performs secondary interpretation using the secondary interpretation device 310, and updates the examination result report and the order set report corresponding to the examination order. In this case, the secondary image interpretation device 310 approves the result of the primary image interpretation by the image interpretation doctor or accepts an additional comment, and updates the examination result report and the order set report. Then, the secondary image interpretation device 310 stores the updated inspection result report and order set report in the report management server 320.

  In step S009, the display unit 440 of the viewer 400 requests the report management server 320 for report information (that is, report reference information) that can be displayed on the display unit 440 when the doctor in charge operates the touch panel or the mouse.

  In step S011, the report management server 320 receives the report reference information acquisition request from the display unit 440, and sends the report status (status information) and the report information (key image, finding description, etc.) to the examination information acquisition unit 410. Send.

  In the present embodiment, the report reference information acquisition request from the display unit 440 in step S009 is not essential, and when the report management server 320 acquires that secondary interpretation has been completed in step S007, The report status and report information may be transmitted to the acquisition unit 410.

  In this operation example, since the inspection result report is transmitted in units of inspection orders, for example, when the input of the findings A and B in FIG. 5 is completed, the inspection result report 710 of the order set report 700 It is determined that the creation is completed, and the report status and report information constituting the inspection result report 710 are transmitted to the inspection information acquisition unit 410.

  In step S013, the examination information acquisition unit 410 transmits the report information received from the report management server 320 to the display data generation unit 430.

  In step S015, the examination information acquisition unit 410 transmits (notifies) the report status received from the report management server 320 to the display control unit 420.

  In step S017, when receiving the report status from the examination information acquisition unit 410, the display control unit 420 changes the layout to be displayed on the display unit 440 according to the progress status of the report status. For example, when the inspection result report 710 (FIG. 5) in which the findings A and B are input is displayed on the display unit 440, the display control unit 420 displays the key image 704 and the finding description 706 of the finding A702. At the same time, the layout is changed so that the key image of the finding B and the finding description corresponding to the key image are also displayed. Then, the display control unit 420 transmits information indicating the changed layout (also referred to as layout information) to the display data generation unit 430.

  The layout change in step S017 is, for example, changed from the layout in which the order set report 700 (FIG. 5) is displayed on the display unit 440 of the viewer 400 to the layout of the examination order unit set by the attending physician in step S001. It means that.

  In step S019, the display data generation unit 430 generates display data (that is, report reference information) to be displayed on the display unit 440 based on the received report information and layout information, and displays the generated report reference information. To the unit 440.

  Thereby, the viewer 400 (FIG. 2) or the viewer 470 (FIG. 3) having the display unit 440 can cause the display unit 440 to display report reference information that can be referred to by the attending doctor in a state where the layout is changed. .

  In this embodiment, since the report management server 320 can transmit report information and report status in units of inspection orders, after the display of one inspection order is ended, the second inspection order is ended. For example, the report management server 320 transmits report information and a report status corresponding to the second inspection order to the inspection information acquisition unit 410. In this case, the report management server 320 generates report reference information based on the second report information and the report status, and displays the second report reference information on the display unit 440 of the viewer 400 or the viewer 470. Can be made.

  Specifically, after the report reference information is displayed on the display unit 440 of the viewer 400 for the first examination order (step S019), the key image and the finding description corresponding to the second examination order are the order set report. (Step S201), the report management server 320 notifies the secondary interpretation device 310 that the primary interpretation of the second inspection order has been completed (step S203), as in step S005. ).

  The secondary image interpretation device 310 updates the inspection result report of the primary interpretation of the second inspection order, and stores the updated inspection result report and order set report in the report management server 320, as in step S007. (Step S205).

  When the creation of the inspection result report for the second inspection order is completed, the report management server 320 transmits the report status (status information) and the report information to the inspection information acquisition unit 410 as in step S011 (step S207). ).

  Upon receiving the report status and report information for the second inspection order, the inspection information acquisition unit 410 transmits the report information for the second inspection order to the display data generation unit 430 (step S209). A report status indicating that the creation of the inspection result report is completed (the second inspection order is completed) is transmitted (notified) to the display control unit 420 (step S211).

  Since the display control section 420 indicates that the creation of the second inspection result report is completed in the received report status, the second inspection result report is displayed together with the first inspection result report in the viewer 400. The layout is changed so as to be displayed on the display unit 440. Then, the display control unit 420 transmits the changed layout information to the display data generation unit 430 (step S213).

  That is, the display control unit 420 displays the first inspection report and the second inspection report on one screen of the display unit 440 from the state in which the first inspection report is displayed on the display unit 440 of the viewer 400. Change the layout to display. In addition, for example, the display control unit 420 displays the first inspection report and the second inspection report on different pages, and turns the page to thereby display the first inspection report and the second inspection report. The layout may be changed so that the report is displayed on the display unit 440 of the viewer 400.

  The display data generation unit 430 receives the report information for the second inspection order received from the inspection information acquisition unit 410 and the changed layout information, and displays the two inspection result reports on the display unit 440 of the viewer 400. Display data (report reference information) is generated. The display data generation unit 430 transmits the generated report reference information to the display unit 440 and displays it on the display unit 440 (step S215).

  In the present embodiment, the examination information acquisition unit 410, the display control unit 420, and the display data generation unit 430 are provided in the report management server 320 (FIG. 2) or in the viewer 470 (FIG. 3). However, it can be realized by the same operation.

  In the above-described operation example, the unit item has been described in units of inspection orders. However, the present embodiment is not limited to this. For example, when a key image is pasted, or primary interpretation or secondary interpretation is completed. The viewer 400 may be notified when the observation is completed, or in the finding unit where the creation of the finding is completed.

(Operation example 2)
FIG. 7 is a sequence diagram when the layout displayed on the display unit 440 of the viewer 400 in the present embodiment is changed in units of findings. In FIG. 7, reference numerals with numbers added to S indicate steps in the sequence diagram. In addition, steps that perform the same processing as in FIG. 6 are denoted by the same reference numerals, and description of the same processing will be omitted as appropriate.

  In this embodiment, since it is assumed that the findings are disclosed to the doctor in charge, when a certain finding is created, the created finding is displayed on the display unit 440 of the viewer 400, and further A case where the secondary interpretation of the findings is displayed on the display unit 440 of the viewer 400 will be described.

  As shown in FIG. 7, first, in step S001, the attending physician creates an order set based on the examination order of the patient. In addition, the doctor in charge performs setting to display on the display unit 440 of the viewer 400 in units of findings. When a new order set is created, primary interpretation apparatus 300 creates an unfilled order set report corresponding to the order set and stores it in report management server 320.

  In step S003, when imaging based on the order set is completed, the image interpretation doctor performs primary image interpretation using the primary image interpretation device 300, pastes the key image to the test result report of the order set report, and corresponds to the key image. Enter the observation description. The primary image interpretation apparatus 300 stores an order set report in which a key image and a finding description are written in an inspection result report in the report management server 320.

  In step S101, the report management server 320, when the paste of the key image and the description of the finding are entered in the inspection result report of the order set report in step S003, the entered report information (in this case, the key image constituting the finding). And the report status are transmitted to the examination information acquisition unit 410.

  That is, in this operation example, when one finding (for example, finding A in FIG. 5) composed of the key image and the finding description is created, the report management server 320 creates the report status and report information corresponding to the finding. (Key image and finding description) are transmitted to the examination information acquisition unit 410 (step S101).

  In step S103, the examination information acquisition unit 410 transmits the report information (key image and description description) of the received findings to the display data generation unit 430.

  In step S <b> 105, the examination information acquisition unit 410 transmits (notifies) the report status of the received findings to the display control unit 420.

  In step S107, the display control unit 420 changes the layout of the report information based on the acquired report status, and transmits the changed layout information to the display data generation unit 430.

  Note that the layout is changed in step S107, for example, from the layout in which the order set report 700 (FIG. 5) is displayed on the display unit 440 of the viewer 400 to the finding unit layout set by the attending physician in step S001. Means.

  In step S <b> 109, the display data generation unit 430 can display on the display unit 440 of the viewer 400 based on the findings report information received from the examination information acquisition unit 410 and the changed layout information received from the display control unit 420. Display data (report reference information) is generated and transmitted to the display unit 440.

  As a result, the viewer 400 or the viewer 470 having the display unit 440 can display the referential findings (report information) on the display unit 440 as report reference information in a state where the layout is changed.

  Further, in this operation example, the report management server 320 can transmit the report information and the report status in units of findings. Therefore, after one finding is displayed on the viewer 400, the creation of the second finding is completed. When the secondary interpretation is completed for the inspection result for which the creation of the findings has been completed, these can also be displayed on the display unit 440 of the viewer 400.

  For example, as an operation example after step S109, when secondary interpretation is performed on the key image and the description description in the secondary interpretation device 310, the confirmation result (report status and status) is transmitted from the secondary interpretation device 310 to the report management server 320. Confirmation content) is transmitted (step S007).

  The report management server 320 transmits the secondary interpretation confirmation result (report status and confirmation content) received from the secondary interpretation apparatus 310 to the examination information acquisition unit 410 (step S111).

  The examination information acquisition unit 410 transmits the confirmation content (that is, report information) received from the report management server 320 to the display data generation unit 430 (step S113), and displays and controls the report status indicating that the secondary interpretation is finished. The information is transmitted (notified) to the unit 420 (step S115).

  The display control unit 420 changes the layout to be displayed on the display unit 440 based on the received report status, and transmits the changed layout information to the display data generation unit 430 (step S117).

  Note that the display control unit 420 lays out the second interpretation result and the second finding on the display unit 440 from the state where the first finding is displayed on the display unit 440 of the viewer 400. To change. Further, for example, the display control unit 420 displays the first finding and the second finding on separate pages, and turns the page to display the first finding and the second finding on the viewer 400. The layout may be changed so as to be displayed on the display unit 440. Further, the display control unit 420 may be configured to change the layout so as to add the corresponding portion subjected to the secondary interpretation to the first finding.

  The display data generation unit 430 receives the confirmation content (report information) received from the examination information acquisition unit 410 and the changed layout information, and displays the first finding and the confirmation content of the secondary interpretation on the viewer 400. Display data (report reference information) is generated so as to be displayed on the unit 440. The display data generation unit 430 transmits the generated report reference information to the display unit 440 and displays it on the display unit 440 (step S119).

  As a result, the viewer 400 or the viewer 470 having the display unit 440 can change the layout in units of findings and cause the display unit 440 to display the findings that can be referred to as report reference information.

  Note that the layout change is not limited to the above-mentioned observation units, and other display / non-display of key images and observation descriptions, display size change, display color change, display position change, etc. May be. In addition, for example, display / non-display of report information may be set according to the progress status of the report status, and display / non-display of report information may be performed by a combination of the authority of the interpretation doctor who performs primary interpretation and secondary interpretation. You may make it set. In addition, as a change in display size, findings that have been approved by secondary interpretation and interpretation doctors are displayed in 80% of the display area, and uninterpreted and unapproved findings are displayed in 20% of the display area. It may be a setting to be made. In addition to these, settings for changing the color scheme of items, frames, backgrounds, and the like may be made according to the progress status of the report status.

(Operation example 3)
In the operation examples 1 and 2 described above, when report information is input to the inspection result report of the order set report using the primary image interpretation device 300 or the secondary image interpretation device 310, the report information is displayed on the display unit 440 such as the viewer 400. It was supposed to be. In the operation example 3, an example will be described in which, when there is a change such as correction or addition in the report reference information already displayed on the display unit 440, the changed part is notified in the delimiter indicated by the report status.

  For example, when the interpretation doctor changes the finding description by adding / modifying / deleting using the secondary interpretation apparatus 310, the report management server 320 transmits the changed report information and report status to the examination information acquisition unit 410. To do. The inspection information acquisition unit 410 extracts a report information change portion in a delimiter unit in creating an order set report (inspection report). The examination information acquisition unit 410 transmits the contents of the extracted changed portion to the display data generation unit 430 and transmits the changed report status to the display control unit 420.

  Based on the changed report status, the display control unit 420 controls report reference information that causes the display unit 440 to display the contents of the changed portion. For example, the control method includes display of a notice mark (confirmation mark) indicating change (update), switching between public / private, change of display size, enlarged display of the changed finding description, and change (update). This includes color display and blinking (blink) of places (characters).

  As described above, the viewer 400 or the viewer 470 including the display unit 440 can realize display that emphasizes the changed portion.

  Next, display forms displayed on each display unit such as the primary image interpretation device 300, the secondary image interpretation device 310, and the viewer 400 will be described.

(Display example 1)
First, a display example displayed on the display unit 330 of the primary image interpretation apparatus 300 will be described.

  FIG. 8 is an example of a display screen at the time of primary interpretation displayed on the display unit 330 of the primary interpretation apparatus 300 in the present embodiment. In this display screen example, an inspection result report displayed on the display unit 330 of the primary image interpretation apparatus 300 in step S003 shown in FIG. 6 or 7 will be described.

  As shown in FIG. 8, items 480, 482, 484, 486, and 488 are displayed on the display unit 330 of the primary image interpretation apparatus 300.

  The item 480 describes patient identification information, examination contents, information of an interpreter (interpretation doctor), and the like.

  In the item 482, a key image 1 for primary interpretation is attached (pasted). In the item 484, a description of the observation about the key image 1 attached to the item 482 is entered. In this case, since the key image 1 of the item 482 and the description of the finding corresponding to the key image 1 are entered in the item 484, one finding is formed. Therefore, in the present embodiment, when the report information is displayed in units of findings, it can be displayed as one finding on the display unit 440 of the viewer 400.

  In the item 486, a key image 2 for primary interpretation is attached. An item 488 is an item for entering a finding description corresponding to the key image 2. However, the finding description corresponding to the key image 2 is not entered in the item 488. In this case, for example, until the finding description corresponding to the key image 2 is entered, the doctor in charge is restricted from releasing the key image 2 and is displayed in a display form in which the display size is reduced than usual (this (Restricted release).

  In addition, until the interpretation doctor who performs the primary interpretation fills in the description of the findings, the interpretation doctor who performs the secondary interpretation is restricted from displaying the key image. It is also possible to restrict the key image in the screen so that it cannot be viewed.

  FIG. 9 is an example of a display screen at the time of secondary interpretation displayed on the display unit 340 of the secondary interpretation apparatus 310 in the present embodiment. In this display screen example, an inspection result report displayed on the display unit 340 of the secondary image interpretation apparatus 310 in step S007 shown in FIG. 6 or 7 will be described. In addition, when the display item displayed on the display part 340 of the secondary image interpretation apparatus 310 is common with the display item of the display part 330 of the primary image interpretation apparatus 300, the same code | symbol is attached | subjected and description is abbreviate | omitted.

  As shown in FIG. 9, items 480, 490, 492, 487, and 489 are displayed on the display unit 340 of the secondary image interpretation device 310. The item 490 has a check box indicating that the interpretation doctor who performs the secondary interpretation has performed the secondary interpretation on the key image 1 of the item 482 (FIG. 8), and the interpretation doctor who performs the secondary interpretation performs the key image. Whether 1 is read or not is displayed. The item 492 has a check box indicating that the interpretation doctor who performs the secondary interpretation confirms the finding description of the item 484 (FIG. 8), and the interpretation doctor who performs the secondary interpretation describes the findings of the primary interpretation. Whether or not confirmed is displayed. Items 490 and 492 are displayed on the display unit of the viewer 400 and disclosed to the doctor in charge because secondary interpretation has been completed in units of findings.

  An item 487 is a column for displaying the key image 2 corresponding to the item 486 (FIG. 8). An item 489 is a column for displaying a description description corresponding to the item 488 (FIG. 8). However, since the items 487 and 489 have not completed the creation of the findings for the primary interpretation, the findings for which the primary interpretation has not been completed are not displayed on the secondary interpretation device 310. In other words, the items 487 and 489 are supposed to display the same contents of the items 486 and 488, respectively, but since the description description of the item 488 is not filled in, the creation of the findings has not been completed. First, the display unit 340 of the secondary image interpretation device 310 displays a non-filled display.

  Note that the present embodiment is not limited to this finding unit, and as described above, it may be limited to be displayed in units of inspection result reports, and individually in units of key images and findings description units. It may be a display form that restricts the display.

  FIG. 10 is an example of a display screen displayed on the display unit 458 of the viewer 400 in the present embodiment. In this display screen example, the report reference information displayed on the display unit 458 of the viewer 400 in step S109 shown in FIG. 7 will be described. In addition, when the display item displayed on the display unit 458 of the viewer 400 is common with the display item of the display unit of the primary image interpretation device 300 or the secondary image interpretation device 310, the same reference numeral is given and the description is omitted. To do.

  As shown in FIG. 10, items 480, 493, 484, and 494 are displayed on the display unit 458 (corresponding to the display unit 440) of the viewer 400. The content displayed on the display unit 458 of the viewer 400 of FIG. 10 is different from the content displayed on the display unit 330 of the primary image interpretation device 300 of FIG.

  The first point is that the key image 1 is set to be enlarged and displayed in the item 493 of FIG. 10, and is enlarged compared to the key image 1 displayed in the item 482 of FIG. The second point is that the item 494 in FIG. 10 is set so that the key image 2 is displayed in a reduced size, and is displayed in a reduced size than the key image 2 displayed in the item 486 in FIG. Is a point.

  Note that an item 484 in FIG. 10 describes a finding description for the key image 1, and the same contents described in the item 484 in FIG. 8 are displayed at the same magnification.

  As described above, according to the present embodiment, the viewer 400 is based on the inspection result report subjected to the primary interpretation by the primary interpretation device 300 and the inspection result report (confirmation content) subjected to the secondary interpretation by the secondary interpretation device 310. Thus, report information (report reference information) that can be disclosed can be displayed on the display unit 458 for each unit item.

  Next, display screen examples of the respective display units shown in FIGS. 8, 9 and 10 will be described with reference to one drawing. In addition, the same code | symbol shall be attached | subjected about the same item and description is abbreviate | omitted suitably.

  FIG. 11 is an example of a display screen displayed on each display unit in the present embodiment.

  As shown in FIG. 11, display screen examples of the display unit 330 of the primary image interpretation device 300, the display unit 340 of the secondary image interpretation device 310, and the display unit 458 of the viewer 400 are displayed. In this example of the display screen, the key image 1 of the item 482 and the observation description for the key image 1 of the item 482 displayed on the display unit 330 of the primary image interpretation device 300 are displayed in the display unit 340 of the secondary image interpretation device 310 as items 490 and 490. It is displayed in the item 492 and also displayed in the items 493 and 484 of the display unit 458 of the viewer 400.

  In this case, the primary image interpretation device 300 constitutes one finding from the items 482 and 484, and the secondary image interpretation device 310 can be requested to make a secondary image interpretation for this finding. Further, since the secondary image interpretation device 310 performs secondary image interpretation on the finding descriptions for the key image 1 of the item 490 and the key image 1 of the item 492, it is displayed on the display unit 458 of the viewer 400. Show. Note that the key image 1 shown in the item 493 is enlarged and displayed according to the setting of the attending physician.

  In addition, the item 488 of the display unit 330 of the primary image interpretation apparatus 300 does not constitute the finding for the key image 2 because the finding description for the key image 2 is not filled in. Therefore, the information about the key image 2 of the item 486 and the item 488 is not displayed on the display unit 340 of the secondary image interpretation device 310. However, in the item 494 of the display unit 458 of the viewer 400, the key image 2 of the item 486 of the display unit 330 of the primary image interpretation device 300 is displayed in a reduced size (restricted disclosure) according to the setting of the attending physician.

  Note that the settings (restrictions) to be displayed on each display unit of the secondary image interpretation device 310 and the viewer 400 are not limited to these, and when the doctor in charge sets display contents on an arbitrary device, It can be set as appropriate so that desired information is displayed on the display unit 440 or the like.

(Display example 2)
Next, an example of a display screen on which the change is displayed on the display unit of the secondary image interpretation device 311 or the viewer 401 when the finding description is changed by the secondary image interpretation device 311 will be described.

  FIG. 12 is an example of a display screen at the time of secondary interpretation displayed on the display unit 341 of the secondary interpretation apparatus 311 in the present embodiment. In this display screen example, an examination result report displayed on the display unit 341 in step S007 shown in FIG. 7 will be described.

  As illustrated in FIG. 12, the display unit 341 of the secondary image interpretation apparatus 311 displays items 480, 490, 495, 487, and 489. The content displayed on the display unit 341 of the secondary image interpretation device 311 in FIG. 12 is different from the content displayed on the display unit 340 of the secondary image interpretation device 310 in FIG. 9 with respect to the key image 1 of the item 495 in FIG. The content of the observation description is changed (updated).

  In this case, the secondary image interpretation apparatus 311 transmits the changed finding description (report information) and the report status to the report management server 320 in step S007 of FIG.

  Accordingly, the layout is changed based on the changed finding description (report information) and the report status, and thus the viewer 400 can display the contents (location) of the updated finding description.

  FIG. 13 is an example of a display screen displayed on the display unit 460 of the viewer 401 in this embodiment.

  As shown in FIG. 13, items 480, 482, 496, and 494 are displayed on the display unit 460 of the viewer 401. The content displayed on the display unit 460 of the viewer 401 in FIG. 13 is different from the content displayed on the display unit 458 of the viewer 400 in FIG. 10 in that the observation description for the key image 1 in the item 496 is the item 484 in FIG. It is a point that has been changed (updated) from the observation description.

  In this case, the item 496 can be displayed in a state where the changed (updated) observation description column is highlighted, blinked, or marked with a NEW mark.

  As described above, according to the present embodiment, it is possible to display findings and findings descriptions for each unit item set in the creation of the order set report, so that the doctor in charge displays report information such as findings and findings descriptions. Reference can be made in a desired display form.

  Although several embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and modifications thereof are included in the invention described in the claims and equivalents thereof as well as included in the scope and gist of the invention.

100 Modality 200 Image Server 300 Primary Interpretation Device 310 Secondary Interpretation Device 311 Secondary Interpretation Device 320 Report Management Server 330 Display Unit 340 Display Unit 341 Display Unit 350 CPU
352 ROM
354 RAM
356 Network interface unit 358 Display unit 360 Input unit 362 Storage unit 364 Internal bus 370 Network 400 Viewer 410 Inspection information acquisition unit (information acquisition unit)
420 Display Control Unit 430 Display Data Generation Unit 440 Display Unit 458 Display Unit 460 Display Unit 470 Viewer 480 Item 482 Item 500 Inspection Report Display System 600 Order Set 610 Inspection Order 620 Inspection Order 630 Inspection Order 700 Order Set Report (Inspection Report)
702 Finding A
706 Observation description 710 Inspection result report 720 Inspection result report 730 Inspection result report

Claims (7)

Report information to be displayed on the display unit, an information acquisition unit for acquiring status information indicating a progress status in creating an inspection report composed of the report information,
A display control unit for changing a layout for displaying the acquired report information on the display unit in accordance with the acquired status information;
Based on the changed layout, from the report information acquired by the information acquisition unit, a display data generation unit that generates report reference information to be displayed on the display unit,
Inspection report display control device equipped with. The display control unit
The inspection report display control apparatus according to claim 1, wherein a layout to be displayed on the display unit is changed for each unit item indicating a partial break in the creation of the inspection report according to the acquired status information. When the update information indicating that the report information has been updated in the information acquisition unit,
The display control unit
Based on the acquired update information, change the layout or display form to be displayed on the display unit,
The display data generation unit
The inspection report display control device according to claim 1, wherein the report reference information is generated based on the changed layout or display form. The status information is
Including an attribute that allows display on the display unit with respect to report information and an attribute that is not allowed,
When the information acquisition unit acquires information for changing the attribute of the report information,
The display control unit
4. The layout is changed by determining whether or not report information corresponding to the changed attribute is displayed on the display unit based on the information indicated by the changed attribute. 5. Inspection report display control device according to item. The unit item indicating the partial break includes
Registration of either the image information obtained by imaging the subject or the observation description corresponding to the image information, or the registration of the observation unit based on the image information and the observation description corresponding to the image information The inspection report display control device according to claim 2. The report information is
The examination report display control device according to any one of claims 1 to 5, including at least one of image information obtained by imaging a subject and a description of a finding corresponding to the image information. The display control unit
The inspection report display control apparatus according to any one of claims 1 to 6, wherein the layout is changed by changing a display magnification of report information to be displayed on the display unit.