JP2017182801A - Medical image diagnosis support system, control method of medical image diagnosis supporting system, medical image diagnosis support device, control method of medical image diagnosis support device and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system enabling a diagnostic doctor who interpret medical images to easily interpret medical images in a group medical checkup according to interpretation requests from a plurality of requesting facilities.SOLUTION: A medical image diagnosis support system converts, to a client code, an input of an interpretation result received through a selection input screen controlled to display a code of a common code group, based on a correspondence relation.SELECTED DRAWING: Figure 11

Description

  The present invention relates to a medical image diagnosis support apparatus, a control method for a medical image diagnosis support apparatus, and a program, and in particular, an interpreting doctor who interprets medical images based on interpretation requests from a plurality of requested facilities performs group medical examination. The present invention relates to a mechanism capable of easily interpreting medical images.

Conventionally, in order to detect diseases such as lifestyle-related diseases at an early stage, group medical examinations have been performed by a medical examination organization (hereinafter also referred to as a requesting facility) in a company or at a predetermined venue.
In group medical examinations, X-ray imaging is usually performed as one of the medical examination items, and there may be thousands of medical images obtained by X-ray imaging in one group medical examination.

  Interviewing all these thousands of medical images alone by doctors belonging to a medical examination organization is extremely burdensome, so interpretation of medical images to an interpretation center to which multiple interpretation doctors specializing in interpretation belong Requests are made.

  Patent Document 1 discloses a mechanism in which an interpretation doctor at an interpretation center interprets a medical image in accordance with a request for interpretation of a medical image from a requested facility.

JP 2010-134540 A

  Regarding the input of interpretation results for medical images taken at medical examinations, it is very time-consuming to input all sentences for thousands of medical images, so they are associated with words indicating the interpretation results in advance. The interpretation results are input using a code unique to the interpretation center.

  However, the code used to input the interpretation results may also have its own code system. In that case, the interpretation results entered with the interpretation center's unique code will be used as any of the requested facility's own codes. The doctors at the requesting facility or the person in charge of the interpretation center had to check and change the code one by one while looking at the code correspondence table separately, which was very time-consuming.

  An object of the present invention is to provide a mechanism by which an interpreting doctor who interprets a medical image based on interpretation requests from a plurality of requested facilities can easily interpret a medical image of a group medical examination.

  The present invention is a medical image diagnosis support apparatus capable of inputting an image interpretation result relating to a medical image for which an interpretation request is received from a request source by inputting the code, and the image interpretation from the request source. Common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who input the interpretation result related to the medical image for which the request is received, and the request source code group that the common code group and the request source use as the interpretation result A storage means for storing the correspondence relationship between the storage device, a reception means for receiving an input via an input screen for receiving an input as a result of interpretation of a common code included in the common code group stored in the storage means, and the reception means Specifying means for specifying the request source code corresponding to the common code received as an interpretation result based on the correspondence stored in the storage means; And butterflies.

  Further, according to the present invention, it is possible for an interpretation doctor to input an interpretation result relating to a medical image for which an interpretation request has been received from the request source by inputting a code. A common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who input an interpretation result related to a medical image, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result The medical image diagnosis support apparatus has a storage means for storing the medical image diagnosis support apparatus, wherein the reception means of the medical image diagnosis support apparatus inputs a common code included in the common code group stored in the storage means as an interpretation result A receiving step for receiving an input via an input screen for receiving a message, and a specifying unit of the medical image diagnosis support apparatus in combination with a common code received as an interpretation result in the receiving step. The requester code, characterized by having a specifying step of specifying, based on the correspondence relationship storing in the storage means.

  Further, according to the present invention, it is possible for an interpretation doctor to input an interpretation result relating to a medical image for which an interpretation request has been received from the request source by inputting a code. A common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who input an interpretation result related to a medical image, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result Is a program that can be read and executed by a medical image diagnosis support apparatus having storage means for storing the medical image diagnosis support apparatus, and inputs a common code included in a common code group stored in the storage means as an interpretation result Receiving means for accepting input via an input screen for accepting, and the request source code corresponding to the common code accepted as an interpretation result by the accepting means Based on the correspondence relationship storing in storage means, characterized in that to function as a specific means for identifying.

Further, the present invention is a medical image diagnosis support system capable of inputting an interpretation result related to a medical image that has received a request for interpretation from a request source by inputting a code by the interpretation doctor,
A common code group that accepts input as an interpretation result from a plurality of interpreting doctors who input an interpretation result related to a medical image that has received a request for interpretation from a request source, and the common code group and the request source use as an interpretation result Storage means for storing the correspondence relationship with the request source code group; and accepting means for accepting an input via an input screen for accepting input as a result of interpretation of the common code included in the common code group stored in the storage means; And specifying means for specifying the request source code corresponding to the common code received as an interpretation result by the receiving means based on the correspondence stored in the storage means.

  Further, according to the present invention, it is possible for an interpretation doctor to input an interpretation result relating to a medical image for which an interpretation request has been received from the request source by inputting a code. A common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who input an interpretation result related to a medical image, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result The medical image diagnosis support system has a storage means for storing the medical image diagnosis support system, and the reception means of the medical image diagnosis support system inputs a common code included in the common code group stored in the storage means as an interpretation result The receiving step for receiving input via the input screen for receiving and the identification means of the medical image diagnosis support system receiving the input as an interpretation result in the receiving step. The requester code corresponding to the code, characterized by having a specifying step of specifying, based on the correspondence relationship storing in the storage means.

  Further, according to the present invention, it is possible for an interpretation doctor to input an interpretation result relating to a medical image for which an interpretation request has been received from the request source by inputting a code. A common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who input an interpretation result related to a medical image, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result Is a program that can be read and executed by a medical image diagnosis support system having storage means for storing the medical image diagnosis support system, and inputs a common code included in a common code group stored in the storage means as an interpretation result Receiving means for accepting input via an input screen for accepting, and the request source code corresponding to the common code received as an interpretation result by the accepting means. And characterized in that to function as a specifying means for specifying, based on the correspondence relationship storing in the storage means.

  According to the present invention, an interpreting doctor who interprets a medical image based on interpretation requests from a plurality of requesting facilities can easily interpret a medical image of a group medical examination.

It is a figure which shows the example of the system configuration | structure which concerns on this embodiment. It is a figure which shows the example of the hardware constitutions of the information processing apparatus which concerns on this embodiment. It is a figure which shows the example of a function structure of the information processing system which concerns on this embodiment. It is a flowchart explaining the flow of the whole process until it receives a request from the request | requirement facility 150, and the report of the interpretation result with respect to the said request is returned. 5 is a flowchart for explaining details of a flow of a conversion process in S407 of FIG. It is a flowchart explaining the flow of a series of processes in which an interpretation doctor inputs an interpretation result for a request. 7 is a flowchart illustrating details of a process flow of S624 in FIG. 6. It is a flowchart explaining the detail of the flow of a process of S704 of FIG. It is an example of the data table managed with a database. FIG. 9D is a diagram showing an example of the state before and after conversion of the interpretation result stored in the interpretation result table 324. It is an example of the data table managed with a database. It is a figure which shows an example of a test | inspection image list screen. It is a figure which shows an example of an interpretation request input screen. It is a figure which shows an example of a test | inspection image screen. It is a figure which shows an example of an interpretation request list screen. It is a figure which shows an example of form data.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. The embodiment described below shows an example when the present invention is specifically implemented, and is one of the specific embodiments having the configurations described in the claims.
[System configuration]

  FIG. 1 shows an example of the overall configuration of a remote interpretation system (medical image diagnostic system) as an information processing system according to the present embodiment. In the present embodiment, the remote interpretation system includes a data center, a requested facility, an interpretation center, and an interpreting doctor's home as each base, and the respective bases are communicably connected via a network 115. In the present embodiment, the requested facility is described as the requesting side, and the interpretation center and the interpretation doctor are described as the interpretation side.

  Each user using the remote interpretation system has an authentication server (not shown) in the data center at the start of access from an information processing device (109, 112, 113, 114) that is a client terminal arranged at each base. Authentication is performed by the provided authentication function. After successful authentication, the portal screen is presented on the display of each user's information processing apparatus.

  At the requested facility 150, the medical examination image data (medical image data) of the patient used for remote interpretation is a medical examination venue, a medical examination facility, or a company that conducts a medical examination by using a modality such as a CR (computed radiography) that is an imaging device. Are collected at the request terminal 109 via various recording media and communication means. Examples of the image data for medical examination include image data of DICOM (Digital Imaging and Communication in Medicine) standard. DICOM standard image data includes patient information such as patient name, patient ID, and patient gender, incidental information including imaging conditions such as modality type, and image data.

  In this embodiment, CR is assumed as a modality used for medical examination. However, as another embodiment, the modality may be CT (Computed Tomography) or MRI (Magnetic Resonance Imaging).

A person in charge of interpretation request work at the requested facility 150 uses the request terminal 109 to input necessary information (request information) at the time of an interpretation request, and the request information is transmitted to the data center 152 together with image data. The request information is stored in the database 108 on the data center side. The image data is transmitted to the image management server 101. The image management server 101 issues a unique ID (identification information) for each image data and stores it in the external storage device 117.
At this time, the database 108 manages interpretation request information associated with requested facility information and the like. In this specification, request information and image data correspond to each other, and request information allocation (distribution) is handled as image data allocation.

  The person in charge of the interpretation center 151 who accepts the interpretation request from the request facility 150 uses the business terminal 112 to check whether or not the interpretation request information is sufficiently input, and distributes each request to the interpretation doctor. Do work. As the sorting work, the person in charge of the job may manually assign the field of expertise of each interpretation doctor, etc., or the field of expertise of each interpretation doctor, the interpretation schedule, etc. are set in advance, and automatic distribution processing is performed. You may sort by doing.

The image interpretation doctor who performs image interpretation uses the image interpretation terminal 113 arranged in the image interpretation center 151 (or the image interpretation terminal 114 arranged in the home 153) for the image interpretation corresponding to the image interpretation request assigned by the business person in charge. Image data is downloaded from the external storage device 117 for reference and interpretation is performed. Thereafter, the interpreting doctor creates a report, which is the interpretation result information obtained by interpretation, using an application (not shown) that operates on the interpretation terminal 113. The report transmitted from the interpretation doctor's terminal is processed by the business server 105 and stored in the database 108. The interpretation result information stored in the database 108 is stored in association with the request information, that is, managed in a state where the requested facility information and the like can be specified. Here, examples of the interpretation center and the interpretation doctor's home have been shown as the interpretation facility side terminals, but they may be placed in any location and can be referred to using a mobile terminal or the like. I do not care.
The business server 105 is an example of a medical image diagnosis support apparatus capable of inputting an interpretation result by selecting a code by the interpretation doctor in the present invention.

  FIG. 2 is a diagram illustrating an example of a hardware configuration of an information processing apparatus such as various servers and terminals. The CPU 201 comprehensively controls each device and controller connected to the system bus 204. The ROM 202 or the external memory 211 stores a BIOS (Basic Input / Output System), an operating system (OS), and various programs necessary for realizing the functions of each terminal.

  The RAM 203 functions as a main memory, work area, and the like for the CPU 201. The CPU 201 implements various operations by loading a program or the like necessary for executing the processing from the ROM 202 or the external memory 211 to the RAM 203 and executing it. The input controller 205 controls input from an input device 209 such as a pointing device (not shown) such as a keyboard or a mouse. The video controller 206 controls display on the display 210.

  The memory controller 207 controls access to the external memory 211 that stores various data and the like. Examples of the external memory 211 include an external storage device (HD), a flexible disk (FD), and a compact flash (registered trademark) memory connected to the PCMCIA card slot via an adapter. The communication I / F controller 208 performs connection and communication control with an external device via a network (for example, the network 115 shown in FIG. 1). The communication I / F controller 208 can perform communication using TCP / IP, for example.

Various programs for realizing the present invention are recorded in the external memory 211 and are executed by the CPU 201 by being loaded into the RAM 203 as necessary. Furthermore, a definition file and various information tables used when the program is executed are also stored in the external memory 211, and detailed description thereof will be described later.
[Function configuration]

  FIG. 3 is a diagram illustrating the functional configuration of each server according to the present embodiment.

  As described above, the terminal used by each user is connected to the business server 105 and the image management server 101 via the network 115 so that they can communicate with each other. In the database 108 to which the business server 105 refers to data, the interpretation request table 321, inspection image table 322, report table 323, interpretation result table 324, and FIG. A code set table 325, a code definition table 326, a code conversion definition table 327, and a code conversion detail table 328 shown in a) to (d) are provided.

  When the image data is received from the request terminal 109 of the request facility 150, the image management unit 311 of the image management server 101 issues a unique ID (identification information) for each image data and stores it in the external storage device 117. At that time, the inspection management unit 305 of the business server 105 updates the inspection image table 322 of the database 108.

  When the request information is received from the request terminal 109 and accepted, the interpretation request management unit 304 of the business server 105 analyzes the request information and updates the interpretation request table 321 of the database 108.

  When the request information is received from the request terminal 109 and the request is received, the diagnosis code management unit 301 of the business server 105 specifies the requested code as the interpretation result included in the request information. The interpretation request table is updated so that the information of the received code is stored in the interpretation request table 321.

  The interpretation result transmitted from the interpretation doctor's terminal is processed by the report management unit 302 of the business server 105 to store the report in the external storage device 117 and update the interpretation result table 324 of the database 108.

When the code requested by the requesting facility is specified at the time of the image interpretation request, each code indicating the image interpretation result included in the image interpretation result stored in the image interpretation result table 324 of the database 108 is transmitted before the report is transmitted to the request terminal 109. In addition, the interpretation diagnostic management unit 303 converts the information into the code requested by the requested facility using the information in the code set table 325, the code definition table 326, the code conversion definition table 327, and the code conversion details table 328. A form using the converted code is created for the requested facility, and the form is returned as a report to the requested facility.
[Data table]

Next, an example of each data table stored in the database 108 will be described with reference to FIGS. The database 108 stores a common code group used when an interpretation doctor in the present invention inputs an interpretation result, and a correspondence relationship between the common code group and a request source code group indicating an interpretation result designated by the request source. It is an example.
First, FIG. 9 will be described.

  The interpretation request table 321 shown in FIG. 9A is a table to which the request contents included in the interpretation request information are sequentially added. The request number 1001 is assigned to each request and identifies each request. The facility name 1002 indicating the original facility, the examination type 1003, the examination date 1004, the request date 1005 indicating the interpretation request date, the interpretation code set ID 1006 indicating the code set used by the interpreting doctor to input the interpretation result, and designated by the requested facility A conversion destination code set ID 1007 indicating a code set to which the code of the interpretation code set ID 1006 inputted by the interpretation doctor is converted, and a report format indicating whether a plurality of interpretation doctors interpret the same request 1008.

  The examination image table 322 shown in FIG. 9B is a table provided for each image data included in each interpretation request, and includes a request number 1009, an image ID 1010, an image number 1011, a patient number 1012, a patient name 1013, an examination. It consists of a date and time 1014 and a modality 1015.

  A report table 323 shown in FIG. 9C includes a report ID 1016 for identifying each report, an image number 1036, a request number 1017, and a radiogram interpretation indicating a radiogram doctor who is in charge of radiogram interpretation of the examination targeted by the report. The doctor 1018, when a plurality of interpreting doctors interpret the same request, the kind of assignment 1019 indicating the order of interpretation of the present interpreting doctor, interpretation date 1020, update date 1021, interpretation code set ID 1022, conversion destination It consists of a code set ID 1023.

  The interpretation result table 324 shown in FIG. 9D is a table provided for each finding. When there are a plurality of findings for one report, the same number of records are added. As items, report ID 1024, finding No. for identifying findings accompanying the report. 1025, code type 1026 indicating which code set was used for interpretation, finding text 1027, part code (1) 1028 indicating the part to be found, and part name corresponding to part code (1) 1028 Site name (1) 1029, site code (2) 1030 indicating the site of the findings, site name (2) 1031 indicating the name of the site corresponding to the site code (2) 1030, findings showing the findings A code 1032, an observation name 1033 indicating a finding corresponding to the finding code 1032, a determination code 1034 indicating a determination result, and a determination name 1035 indicating a determination name corresponding to the determination code 1034.

  The interpretation request table 321 is associated with the inspection image table 322 and the report table 323 by request number, the report table 323 is associated with the inspection image table 322 by image number, and the interpretation result table 324 is by report ID. The report table 323 is linked. That is, the interpretation result is provided so as to be associated with each request information, and the request and the result are managed.

  In this embodiment, as shown in FIG. 9A, even if the conversion destination code set ID 1007 requested by the requested facility is different for each requested facility, the interpretation doctor uses the interpretation center designation code to obtain the interpretation result. Can be entered. Therefore, by making the code designated by the interpretation center common, it is possible to reduce the load on the interpretation doctor at the time of interpretation.

Next, FIG. 11 will be described.
A code set table 325 shown in FIG. 11A is a table for managing a code set, and a code set ID 1101 for identifying each code set, and a code set name indicating a code set name corresponding to the code set ID 1101 1102 and a part hierarchy number 1103.

  A code definition table 326 shown in FIG. 11B is a table for managing the definition contents included in each code set. The code set ID 1104, the code type 1105, the code system ID 1106 for identifying each code, and the interpretation result. Are composed of a code 1107 used to input the code 1107 and a code name 1108 indicating the name of the code corresponding to the code 1107.

  A code conversion definition table 327 shown in FIG. 11C is a table for associating a conversion source and a conversion destination code set, a conversion set ID 1109 for identifying the conversion set, and a code used for inputting the interpretation result. And a conversion destination code set ID 1111 indicating a code set to which the code of the conversion source code set ID 1110 used for inputting the interpretation result is converted.

  A code conversion detail table 328 shown in FIG. 11D is a table used when converting the definition contents between code sets, and includes a conversion set ID 1112, conversion details ID 1113, conversion source part (1) code 1114, conversion source. Part (2) code 1115, conversion source finding code 1116, conversion source judgment code 1117, conversion destination part (1) code 1118, conversion destination part (2) code 1119, conversion destination finding code 1120, conversion destination judgment code 1121 Is done. That is, it is a table for associating which code (conversion source) used at the time of image interpretation should be converted into a code (conversion destination) requested by the requested facility.

More specifically, in FIG. 11D, the code conversion detail table 328 includes a conversion source part (1) code 1114, a conversion source part (2) code 1115, a conversion source finding code 1116, and a conversion source determination code 1117 in each line. In the case of a combination of stored values, it indicates that conversion into a conversion destination part (1) code 1118, a conversion destination part (2) code 1119, a conversion destination finding code 1120, and a conversion destination determination code 1121 in the same row.
[Processing flow]

  Next, the process from receiving a request from the requesting facility 150 until the report of the interpretation result for the request is returned will be described using the flowcharts of FIGS.

In the following processing, the CPUs of the information processing apparatuses (109, 112, 113, 114) and the business server 105, which are client terminals that can perform interpretation requests, input of interpretation results, browsing of interpretation results, and the like are stored in each storage unit. This is realized by reading out and executing the program stored in.
First, with reference to FIG. 4, the overall flow of processing from receiving a request from the requesting facility 150 to returning a report of interpretation results for the request will be described.

  In step S401, the CPU 201 of the information processing apparatus 109 (request facility) displays the interpretation request input screen illustrated in FIG. 13 on the display 210 of the information processing apparatus, and accepts input of interpretation request information. Note that the information processing apparatus 109 is also referred to as a request terminal 109.

  Here, the interpretation request input information screen of FIG. 13 displayed on the display 210 of the information processing apparatus in S401 will be described.

  The person in charge of the requesting facility through the input screen of the interpretation request information in FIG. 13 reads the examination type indicating the examination type, the venue code where the examination was performed, the report format of the interpretation result, and interpretation by a plurality of interpretation doctors. Input information of an interpretation request to an interpreting doctor such as an interpretation method indicating whether he / she desires. Furthermore, the person in charge at the requested facility specifies the code requested as the interpretation result from the pull-down list (1301 in FIG. 13) via the interpretation request input screen. The pull-down list includes a code (code set name “center common”) designated by the interpretation center as a common code and a requested facility designation code (code set name “AAAA”) registered in advance when contracting between the requested facility and the interpretation center. ) And can be selected. If the requested facility code is not selected here, the business server side treats the code specified by the interpretation center as a common code as being selected.

The send button 1302 indicates that the content of the interpretation request input via the interpretation request screen is transferred from the information processing apparatus to the business server 105 when the transmission button 1302 is pressed by an operation of the person in charge of the requested facility. It is a button for sending.
This is the end of the description of FIG. 13, and the description returns to FIG. 4.

  In S401, when the person in charge of the requested facility inputs interpretation request information and the send button 1302 is pressed by the operation of the person in charge of the person in charge of the requested facility, the CPU 201 of the information processing apparatus (requested facility) The content of the image interpretation request input via the image interpretation request screen is transmitted from the information processing apparatus (request facility) to the business server 105 (S402). Then, the CPU 201 of the business server 105 receives the interpretation request from the information processing apparatus (S403), and when the interpretation request is accepted by the task person in charge, it responds to the interpretation request according to the instruction of the task person in charge. The assigned interpretation doctor in charge is allocated (S404), and the information on the interpretation request is stored in the interpretation request table 321 in FIG. 9A in the database of the business server 105 (S405).

  Note that the information on the responsible interpreting doctor assigned in S403 is stored in the responsible interpreting doctor 1018 in the report table 323 shown in FIG. 9C generated at the timing when the interpretation request is received.

  In this embodiment, the information processing apparatus (requested facility) executes the processing of S401 and S402. However, as another embodiment, the person in charge of the interpretation center performs the information processing apparatus 112 (information processing apparatus) of the business terminal. 112).

  This is because the person in charge at the requesting facility cannot always make an interpretation request from the remote interpretation system. For example, a paper medium in which the interpretation request is entered and a CD-ROM in which the image to be interpreted is stored. This is because an envelope with a letter may be sent to the interpretation center. In that case, a radiographing center business person inputs an interpretation request written on a paper medium via an information processing device of the business terminal.

  In step S <b> 406, the CPU 201 of the information processing apparatus (each interpreting doctor) receives an input of the interpretation result from the interpreting doctor to whom the interpretation request is assigned. Details of the process of S406 will be described later with reference to FIG.

  In step S <b> 407, the CPU 201 of the business server 105 receives information on the interpretation result transmitted from the information processing apparatus (each interpretation doctor), and executes processing for converting the interpretation result into a code requested by the requested facility. Details of the processing of S407 will be described later with reference to FIG.

In S408, the CPU 201 of the information processing apparatus (request facility) receives the interpretation result from the business server 105 and stores it in the external memory 211 of the information processing apparatus (request facility) (S409).
This is the end of the description of FIG. In the present embodiment, the business server 105 performs the process of S407. However, as another embodiment, the information processing apparatus (request facility) may perform the process of S407, or the information processing apparatus (each interpretation interpretation). (Medicine) may do.
Next, the details of a series of processes in which an interpretation doctor inputs an interpretation result for a request will be described with reference to FIG.

  In step S <b> 601, the CPU 201 of the information processing apparatus uses a radiogram interpretation doctor (user) via a portal screen of a remote interpretation system displayed on the display 210 of the information processing apparatus, an interpretation request list screen (FIG. 15) described later, and an image list. ) Is accepted.

  In step S602, the CPU 201 of the information processing apparatus determines whether the operation received from the interpretation doctor in S601 is an acquisition request for an interpretation request list allocated to the interpretation doctor.

If it is determined in S602 that the request is an acquisition request for an interpretation request list assigned to an interpreting doctor, the CPU 201 of the information processing apparatus issues an acquisition request for an interpretation request list assigned to the interpretation doctor in S603. To the server 105.
If it is determined in S602 that the request is not an acquisition request for an interpretation request list allocated to an interpreting physician, the CPU 201 of the information processing apparatus shifts the processing to S609.

  In step S604, the CPU 201 of the business server 105 receives an interpretation request list acquisition request from the information processing apparatus. After that, the CPU 201 of the business server 105 identifies report data in which the user name of the interpreting doctor who made the acquisition request for the interpretation request list and the responsible interpreting doctor 1018 match from the report table 323 shown in FIG. Based on the report data information and the interpretation request table 321 data in which the request number 1017 and the request number 1001 of the report data match, information on the interpretation request list screen is created (S605) and transmitted to the information processing apparatus. (S606).

  In step S <b> 607, the CPU 201 of the information processing apparatus receives information on the interpretation request list screen transmitted from the business server 105. In step S <b> 608, the interpretation request list screen (FIG. 15) is displayed on the display 210 of the information processing apparatus.

  Here, the interpretation request list screen of FIG. 15 displayed on the display 210 of the information processing apparatus used by the interpretation doctor at the time of interpretation in S608 will be described.

In the work list 1501 on the interpretation request list screen, requests assigned to the interpretation doctor are displayed as a list, and the facility name of the requested facility, request contents, etc. are displayed for each request. Also, if a paper-based medical checkup request was accepted at the time of the interpretation request, it was obtained by scanning the medical checkup request with a scanner when the request number was selected by the interpretation doctor Image data is displayed as attached information 1502.
This is the end of the description of FIG. 15 and the description returns to the description of FIG.

  In step S609, the CPU 201 of the information processing apparatus determines whether the operation received from the user in step S601 is an interpretation request selection operation for starting interpretation from the work list 1501 in the interpretation request list screen in FIG. If the CPU 201 of the information processing apparatus selects an interpretation request, the process proceeds to S610, and if not, the process proceeds to S618.

  In step S610, the CPU 201 of the information processing apparatus transmits an inspection image acquisition request included in the interpretation request received from the user in step S601 to the business server 105 with a request number 1001 indicating the interpretation request that has received the selection. To do so.

  In step S <b> 611, the CPU 201 of the business server 105 receives an inspection image acquisition request from the information processing apparatus.

  In step S <b> 612, the CPU 201 of the business server 105 stores information (image ID 1010, inspection date / time 1014, and inspection date / time 1014) regarding the image data in the inspection image table 322 in which the request number 1001 transmitted from the information processing apparatus in step S <b> 610 matches the request number 1009. Modality 1015) is acquired from the database 108, and a list of information related to the inspection image is generated.

  In step S613, the CPU 201 of the business server 105 determines whether or not a common code specified by the image interpretation center at the time of image interpretation request is designated based on the image interpretation request table 321 in FIG. Specifically, it is designated by the interpretation center by determining whether the interpretation code set ID 1006 of the request number 1001 transmitted from the information processing apparatus in S610 in the interpretation request table 321 matches the conversion destination code set ID 1007. It is possible to determine whether or not a common code is specified (if it does not match, it is determined that no code specification is included). When the business server does not handle the case where the requested facility code has not been selected as a code that is designated as a common code of the interpretation center, but treats it as a blank, conversion destination code set ID 1007 When is blank, it can be determined that the common code is not specified.

  If it is determined in S613 that the common code is not designated, in S614, the CPU 201 of the business server 105 determines the information related to the inspection image generated in S612 with the common code information, the requested facility code information, and the code conversion information. Send along with the list screen. On the other hand, if it is determined in S613 that the common code is designated, in S615, the CPU 201 of the business server 105 transmits information on the common code together with a list of information related to the inspection image generated in S612.

  Specifically, in S614, the code conversion information shown in FIG. 11 (d) as code conversion information and the data obtained by extracting the information corresponding to the common code information and the requested facility code in the code definition table 326 in FIG. 11 (b). Information of the table 328 is transmitted. As the extracted data, the code set ID 1104 in the code definition table 326 is code set information corresponding to the interpretation code set ID 1006 and the conversion destination code set ID 1007 in the interpretation request table 321 in FIG. Information up to code name 1108) is transmitted.

  In S615, information corresponding to the common code in the code definition table 326 in FIG. 11B is extracted and transmitted. That is, the code set ID 1104 in the code definition table 326 transmits the code set information (information from the code type 1105 to the code name 1108) corresponding to the interpretation code set ID 1006 in the interpretation request table 321 in FIG. To do.

In step S616, the CPU 201 of the information processing apparatus receives the inspection image list screen and information corresponding to the code transmitted from the business server 105, and displays the inspection image list as illustrated in FIG. 12 on the display 210 of the information processing apparatus. A screen is displayed (S617).
Here, the inspection image list screen shown in FIG. 12 will be described.

  In the inspection list 1201, information corresponding to the inspection image acquired by the business server 105 in S612 is displayed as a list. Specifically, the examination list 1201 includes information on the examination image (number of images 1213), information on the patient who is the subject of the examination image (Patients sex1211, Patents Age1212), and an interpretation doctor for the examination image. If findings are entered, the contents of the findings (one reading finding presence / absence 1214, one reading finding content 1215, one reading comprehensive judgment 1216, one reading input daily 1217, one reading doctor 1218) and the like are displayed. The The single reading comprehensive determination 1216 receives a determination based on the worse one reading finding content 1215 when a plurality of one reading finding content 1215 is input for one inspection image.

  When the image display button 1202 is pressed after the selection of an examination image for inputting findings from the examination list is received from a user who is an interpretation doctor, the CPU 201 of the information processing apparatus activates the image viewer and performs examination. Display an image. As a result, the image can be read.

  The completion button 1203 is a button for transmitting information of the interpretation result for the examination image received from the user who is an interpretation doctor to the business server 105 when the completion button 1203 is pressed.

  A save button 1204 is a button that temporarily stores information on the result of interpretation of an examination image received from a user who is an interpreting doctor in the external memory 211 of the information processing apparatus when the save button 1204 is pressed.

  In step S <b> 618, the CPU 201 of the information processing apparatus determines whether the inspection image selection is accepted when the user presses the image display button 1202 in step S <b> 601. When the CPU 201 of the information processing apparatus accepts the selection of the inspection image, in S619, the CPU 201 requests the business server 105 to acquire the inspection image that has received the selection. If the selection of the inspection image is not accepted, the process proceeds to S626. To do.

  In S620, the CPU 201 of the business server 105 receives the inspection image acquisition request from the information processing apparatus, acquires the inspection image from the external storage device 117 (S621), and transmits the inspection image to the information processing apparatus (S622).

  In step S623, the CPU 201 of the information processing apparatus receives the inspection image transmitted from the business server 105 and displays it on the display 210 of the information processing apparatus.

  The screen displayed on the display 210 of the information processing apparatus in S623 is, for example, an inspection image screen shown in FIG.

  In this embodiment, the inspection image is transmitted from the business server 105 to the information processing apparatus by making an acquisition request for the inspection image from the information processing apparatus in S619. However, as another embodiment, in S610, By requesting acquisition of information related to the inspection image from the information processing apparatus, all of the inspection images included in the interpretation request may be sent together with the information related to the inspection image from the business server 105.

  In step S624, the CPU 201 of the information processing apparatus receives an input of an interpretation result such as a finding on the examination image from a user who is an interpretation doctor. Details of the processing of S624 will be described later with reference to FIG.

  In step S625, the CPU 201 of the information processing apparatus stores information on the interpretation results of the examination images of all examinations included in one request received from the user who is an interpretation doctor in step S624 when the save button 1204 is pressed by the user. The data is temporarily stored in the external memory 211 of the processing device.

  In step S <b> 626, the CPU 201 of the information processing apparatus determines whether an instruction to transmit the interpretation result has been received by pressing the completion button 1203 from the user in step S <b> 601. When the CPU 201 of the information processing apparatus receives an instruction to transmit the interpretation result, in S627, the CPU 201 of the information processing apparatus transmits all the interpretation result information temporarily stored in the external memory 211 of the information processing apparatus to the business server 105 in S625. Otherwise, other processing according to the instruction received from the user in S601 is executed, and this processing is terminated.

  In S628, the CPU 201 of the business server 105 receives the interpretation result information transmitted from the information processing apparatus and stores it in the interpretation result table 324 of FIG. 9D in the database 108 of the business server 105 (S629).

In the present embodiment, the examination image is transmitted from the business server 105 when a request for obtaining the examination image is sent from the information processing apparatus in S619. However, as another embodiment, a user who is an interpretation doctor can remotely At the timing of logging in to the interpretation system, transmission of the examination image included in the interpretation request assigned to the interpretation doctor may be started to the information processing apparatus. By doing so, it is possible to reduce the waiting time until the examination image is acquired by the information processing measure, and it is possible for the image interpretation doctor to start image interpretation earlier.
Above, description of the process of FIG. 6 is complete | finished.

  Next, the details of the processing flow of S624 in FIG. 6 will be described with reference to FIGS.

  First, the inspection image screen in FIG. 14 will be described.

  As shown in FIG. 14A, the inspection image transmitted from the business server 105 in S622 is displayed in the region of the inspection image 1401. When a selection operation with a mouse point or the like is accepted on the examination image displayed in the examination image 1401 area, a finding / part selection screen 1402 is displayed on the examination image 1401. FIG. 14B is an enlarged view of the finding / part selection screen 1402.

  A schema image of the body part is displayed on the left half of the finding / part selection screen 1402, and an area and a finding for selecting the findings and determination results defined by the code used for interpretation are displayed on the right half of the finding / part selection screen 1402. An area for inputting text is provided. The finding code 1403 that can be selected here is information of the common code (code set ID: 1) transmitted in S614 and S615 as an initial state.

  When a position is selected on the inspection image shown in FIG. 14A, a location on the schema image corresponding to the position is in a state designated as a site for inputting findings. When a finding selection is received from an interpreting doctor with a mouse pointer or the like in this state, an finding as an interpretation result corresponding to the designated part is selected.

That is, the selection of findings for the part designated by the user from the codes displayed on the right half of the finding / part selection screen 1402 can be received from the interpretation doctor. In addition, about a site | part (1) and a site | part (2), an image interpretation doctor can also designate a site | part by selecting a position on a schema image.
In this state, when the OK button 1405 is pressed from the interpretation doctor by the mouse pointer or the like, the information of the code corresponding to the part / finding received from the interpretation doctor is temporarily stored in the external memory 211 of the information processing apparatus. Is done. When there is a next inspection image, the next image is displayed on the inspection image 1401.

  When the requested facility code display button 1404 is pressed by the interpretation doctor with a mouse pointer or the like, the display of the code 1403 is switched to the findings / determination contents corresponding to the requested facility code. As a result, in the case where it is considered that the common code is insufficient, it is possible to input the findings with the contents of the requested facility code.

Next, the interpretation result input acceptance process will be described in detail with reference to the flowchart of FIG.
In step S <b> 701, the CPU 201 of the information processing apparatus receives a user operation via the inspection image screen illustrated in FIG. 14 displayed on the display 210 of the information processing apparatus. S701 is an example of a switching instruction receiving unit that receives a switching instruction for a medical image to be received by the input receiving unit according to the present invention.

  In step S <b> 702, the CPU 201 of the information processing apparatus determines whether an inspection image switching instruction has been received on the inspection image screen illustrated in FIG. 14, based on whether the OK button 1405 has been pressed by the interpreting doctor.

  The CPU 201 of the information processing apparatus shifts the processing to S711 when the OK button 1405 is pressed by the interpretation doctor, and shifts the processing to S703 otherwise.

  In this embodiment, when the OK button 1405 is pressed by the interpretation doctor, it is determined that an instruction to switch the examination image is received. However, as another embodiment, the Enter on the input device 209 of the information processing apparatus is used. It may be determined that the inspection image switching instruction has been received by pressing the key.

  In step S <b> 703, the CPU 201 of the information processing apparatus interprets a selection operation using a mouse point or the like on the examination image displayed on the examination image 1401 on the examination image screen in FIG. Judgment is made based on whether or not it has been received by a doctor.

  The CPU 201 of the information processing apparatus shifts the process to S704 when the interpretation doctor accepts a selection operation using a mouse point or the like on the inspection image displayed on the inspection image 1401, and shifts the process to S701 otherwise. To do.

  In step S <b> 704, the CPU 201 of the information processing apparatus performs processing for displaying the finding / part selection screen 1402. Details of S704 will be described later with reference to FIG.

  In step S <b> 705, the CPU 201 of the information processing apparatus accepts an operation from the interpretation doctor on the finding / part selection screen 1402. S705 is an example of a reception unit that receives an input via an input screen that receives an input as a result of interpretation of a common code included in the common code group stored in the storage unit according to the present invention, and is displayed on the selection input screen. It is an example of a change receiving unit that receives a request (change request) to change a code from a code of the common code group to a code of the request source code group.

  In step S <b> 706, the CPU 201 of the information processing apparatus determines whether a finding input instruction has been received from an interpreting doctor based on whether the code 1403 in FIG. 14 has been selected. When it is determined that the code 1403 in FIG. 14 has been selected, the CPU 201 of the information processing apparatus can identify the interpretation as being in the selected state by identifying and displaying the selected code 1403 by changing the color or the like. In this way (S707), the process proceeds to S701, and if it is determined that the code 1403 in FIG. 14 is not selected, the process proceeds to S708.

  In step S <b> 708, the CPU 201 of the information processing apparatus determines whether an instruction to switch to the code designated by the requested facility has been received from the interpretation doctor, based on whether the requested facility code display button 1404 in FIG. 14 has been pressed. If it is determined that the requested facility code display button 1404 in FIG. 14 has been pressed, the CPU 201 of the information processing apparatus shifts the process to S709, and if not, shifts the process to S705.

  In step S709, the CPU 201 of the information processing apparatus determines whether the requested facility designates the requested facility code. Specifically, the determination is made based on the code information received in S616.

  If the requested facility code is also received in S709 and it is determined that the requested facility code is designated, in S710, the CPU 201 of the business server 105 displays the display of the code 1403 in FIG. 14 in S616. Switch to information. As another embodiment, in S710, control may be performed so that only requested facility codes that do not have a corresponding relationship with the codes of the common code group are displayed in the code 1403 among the requested facility codes.

  On the other hand, if it is determined in S709 that the requested facility code is not specified (that is, the common code is not specified), the CPU 201 of the business server 105 returns the process to S705. At this time, information indicating that switching cannot be performed may be displayed on the inspection image screen of FIG.

  If the requested facility code is not designated in the first place, the requested facility code display button 1404 may be hidden so that it cannot be selected. That is, a requested facility code display button 1404 that can switch the finding input item to requested facility code information only when the common code information and the designated code information are received together with the image list information in S616 is provided. Also good.

  In step S <b> 711, the CPU 201 of the information processing apparatus determines whether a finding input instruction has been received from an interpreting doctor based on whether the code 1403 in FIG. 14 has been selected.

  The CPU 201 of the information processing apparatus shifts the process to S712 if an observation input instruction is received from the interpretation doctor, and shifts to S711-2 if the observation input instruction is not received from the interpretation doctor.

  In S711-2, the CPU 201 of the information processing apparatus determines whether the request facility code is used at the time of finding input based on whether the selection is received from the request facility code 1403 after switching to the request facility code 1403 in S710. To do. If it is determined that the requested facility code is not used, that is, if a finding is input using a common code, the process proceeds to S711-3.

In step S <b> 711-3, the CPU 201 of the information processing apparatus determines whether the code 1403 specified at the time of finding input is a code that cannot be converted into the code specified by the requested facility. Specifically, the conversion source part (1) code 1114, the conversion source part (2) code 1115, the conversion source finding code 1116, the conversion source determination code 1117, and the conversion destination of each row of the code conversion detail table 328 of FIG. The value of the part (1) code 1118 is referred to, and it is determined whether there is a combination that matches the code combination specified by the code 1403. When a code that cannot be converted is included, in S711-4, information indicating that the code that cannot be converted is used is displayed on the inspection image screen of FIG. An unconvertible code in 1403 is identified and displayed. Accordingly, the interpretation doctor can confirm which code cannot be converted before moving to the next examination image, and thus can correct the interpretation result at an early stage.
Note that the processing from S7112 to S711-4 is not an essential configuration in the present invention, and the processing may be shifted to S712 when it is determined YES in S711.

  In step S712, the CPU 201 of the information processing apparatus determines whether the code received from the interpretation doctor is the code of the requested facility (other than code set ID: 1) or a common code (code set ID: 1). And temporarily stored in the external memory 211 of the information processing apparatus.

  In step S <b> 713, the CPU 201 of the information processing apparatus temporarily stores a code indicating that there is an abnormality in the external memory 211 of the information processing apparatus. That is, when receiving an instruction to input an interpretation result for another medical image without receiving an input of an interpretation result by the input accepting unit, the management unit displays a diagnosis result for the medical image that has not received the input of the interpretation result. Manage as no abnormalities.

  The interpretation results temporarily stored in the external memory 211 of the information processing apparatus in S712 and S713 are transmitted from the information processing apparatus to the business server 105 in S627, and FIG. 9 (d) interpretation result table in the database 108 of the business server 105 is obtained. Stored in 324.

  Specifically, it interprets as part code (1) 1028, part name (1) 1029, part code (2) 1030, part name (2) 1031, finding code 1032, finding name 1033, judgment code 1034, and judgment name 1035. Information on the code received from the doctor is stored, and information on whether the code is the requested facility code (conversion destination code) or the common code (code set ID: 1) is stored in the code type 1026. Remember.

  In step S <b> 714, the CPU 201 of the information processing apparatus determines whether there is a next inspection image, among inspection images transmitted from the business server 105 and included in the inspection image list screen illustrated in FIG. Judgment is made based on whether there is an image.

In step S715, the CPU 201 of the information processing apparatus displays the next inspection image on the inspection image 1401 in FIG.
This is the end of the description of FIG.

Next, details of the processing in S704 of FIG. 7 will be described with reference to FIG.
In step S <b> 801, the CPU 201 of the information processing apparatus displays a schema image on the left side of the finding / part selection screen 1402 in FIG. 14.
In step S <b> 802, the CPU 201 of the information processing apparatus displays a finding / part selection screen 1402. S802 is an example of display control means for performing display control so that codes of the common code group stored in the storage means in the present invention are displayed on the selection input screen.
This is the end of the description of FIG.

Next, details of the conversion processing in S407 of FIG. 4 will be described with reference to FIG.
Each process in FIG. 5 is executed in units of interpretation request.

  In step S501, the CPU 201 of the business server 105 acquires the information stored in the interpretation result table 324 in FIG. 9D in the database 108 of the business server 105 in step S629.

  In step S502, the CPU 201 of the business server 105 determines whether there is a code designated from the requested facility.

  If there is a code designated by the requested facility, the CPU 201 of the information processing apparatus shifts the process to S503, and if not, shifts the process to S504.

  In step S503, the business server 105 compares the part code (1) 1028, the part name (1) 1029, the part code (2) 1030, and the part name (in FIG. 9D) stored in the interpretation result table 324. 2) Processing for converting 1031, finding code 1032, finding name 1033, determination code 1034, and determination name 1035 into a code designated by the requested facility is executed. S503 is an example of a specifying unit that specifies, based on the correspondence stored in the storage unit, the request source code corresponding to the common code received as an interpretation result by the receiving unit in the present invention, It is an example of a replacement unit that replaces the common code received as an interpretation result by the receiving unit with the request source code specified by the specifying unit.

  Specifically, first, the report ID 1016 in the report table 323 in FIG. 9C identifies the report ID 1024 of the interpretation result to be converted in this processing in the interpretation result table 324 in FIG. An interpretation code set ID 1022 and a conversion destination code set ID 1023 corresponding to the matched report ID 1016 are specified.

  Next, the CPU 201 of the information processing apparatus refers to the code definition table 326 in FIG. 11B, identifies the interpretation code set ID 1022 that is identified, the code 1107 of the line that matches the code set ID 1104, and the identified conversion destination code set. The code 1107 in the line where the ID 1023 and the code set ID 1104 match is specified.

  Further, at the same timing when the code 1107 is specified, the CPU 201 of the information processing apparatus refers to the code conversion definition table 327 in FIG. 11C, and the conversion source code set ID 1110 matches the specified interpretation code set ID 1022. In addition, the conversion destination code set ID 1111 specifies the conversion set ID 1109 of the line that matches the specified conversion destination code set ID 1023.

  Next, the CPU 201 of the information processing apparatus converts the conversion source part (1) code 1114, the conversion source part (in the row where the conversion set ID 1112 in the code conversion details table 328 in FIG. 2) A combination of the code 1115, the conversion source finding code 1116, the conversion source determination code 1117, and the conversion destination part (1) code 1118 is specified.

  Next, the part code (1) 1028, the part code (1) 1028, the part code (2) 1030 in each row of the report ID 1024 of the interpretation result that is converted in this processing in the interpretation result table 324 in FIG. The combination of the code 1032 and the determination code 1034 and the identified conversion source part (1) code 1114, conversion source part (2) code 1115, conversion source finding code 1116, conversion source determination code 1117, conversion destination part (1) code 1118 Identify rows that match the combination of.

  Finally, the conversion of the combination row of the identified conversion source part (1) code 1114, conversion source part (2) code 1115, conversion source finding code 1116, conversion source determination code 1117, conversion destination part (1) code 1118 The previous part (1) code 1118, the conversion destination part (2) code 1119, the conversion destination finding code 1120, and the conversion destination determination code 1121 are specified, and the previously specified FIG. 11 (b) code corresponding to the specified code Conversion is performed to a code 1107 in a row where the conversion destination code set ID 1023 and the code set ID 1104 in the definition table 326 match.

  FIG. 10 is a diagram showing an example of the state before and after conversion of the interpretation result stored in the interpretation result table 324 in FIG. FIG. 10A shows a state before conversion, and FIG. 9D shows the interpretation result table 324 that is the same as the interpretation result. FIG. 10B shows the interpretation of the interpretation result table 324 in FIG. The state after converting the result is shown. Note that the cells painted in gray in the image interpretation result table 324 in FIG. 10B indicate the image interpretation results converted in S503.

  In the processing of S503, among the interpretation results stored in the interpretation result table 324 in FIG. 9D, for the code type 1026 of “conversion destination”, the code of the requested facility is used when inputting the findings. Therefore, the business server 105 does not execute code conversion processing.

  In S504, the business server 105 creates the form data shown in FIG. 16 based on the interpretation result (report result) stored in the interpretation result table 324 in FIG. 9D after the processing in S503.

Here, the form data shown in FIG. 16 will be described.
FIG. 16 is a diagram showing an example of form data that is created by the business server 105 and sent as a result report to the requested facility that has made an interpretation request. Here, the report information indicating each interpretation result is summarized as a list.

  The form data in FIG. 16 is form data with request number 00001. FIG. 9D is provided so that all the interpretation results of the report ID 1024 in the interpretation result table 324 are included.

  Information in the image interpretation request table 321 in FIG. 9A is input into the frame line 1601.

  A report ID 1024 of the interpretation result table 324 in FIG.

  Information of the determination code 1034 and the determination name 1035 in the interpretation result table 324 in FIG. 9D is input to the determination 1603.

In the finding name 1604, information on the finding text 1027, the part name (1) 1029, the part name (2) 1031, and the finding name 1033 in the interpretation result table 324 in FIG.
This is the end of the description of FIG. 16, and the description returns to the description of FIG. 5.

In step S505, the business server 105 transmits the form data created in step S504 to the information processing apparatus of the requested facility that requested the interpretation, and ends this processing.
Above, description of embodiment of this invention is complete | finished.

  As described above, according to the present invention, it is possible to provide a mechanism by which an interpreting doctor who interprets medical images based on interpretation requests from a plurality of requesting facilities can easily interpret medical images of group medical examinations. .

  The present invention can be implemented as a system, apparatus, method, program, storage medium, or the like, and can be applied to a system including a plurality of devices. You may apply to the apparatus which consists of one apparatus.

  Note that the present invention includes a software program that implements the functions of the above-described embodiments directly or remotely from a system or apparatus. The present invention also includes a case where the system or the computer of the apparatus is achieved by reading and executing the supplied program code.

  Accordingly, since the functions of the present invention are implemented by computer, the program code installed in the computer also implements the present invention. In other words, the present invention includes a computer program itself for realizing the functional processing of the present invention.

  In that case, as long as it has the function of a program, it may be in the form of object code, a program executed by an interpreter, script data supplied to the OS, and the like.

  Examples of the recording medium for supplying the program include a flexible disk, hard disk, optical disk, magneto-optical disk, MO, CD-ROM, CD-R, and CD-RW. In addition, there are magnetic tape, nonvolatile memory card, ROM, DVD (DVD-ROM, DVD-R), and the like.

  As another program supply method, a browser on a client computer is used to connect to an Internet home page. The computer program itself of the present invention or a compressed file including an automatic installation function can be downloaded from the homepage by downloading it to a recording medium such as a hard disk.

  It can also be realized by dividing the program code constituting the program of the present invention into a plurality of files and downloading each file from a different homepage. That is, a WWW server that allows a plurality of users to download a program file for realizing the functional processing of the present invention on a computer is also included in the present invention.

  In addition, the program of the present invention is encrypted, stored in a storage medium such as a CD-ROM, distributed to users, and key information for decryption is downloaded from a homepage via the Internet to users who have cleared predetermined conditions. Let me. It is also possible to execute the encrypted program by using the downloaded key information and install the program on a computer.

  Further, the functions of the above-described embodiments are realized by the computer executing the read program. In addition, based on the instructions of the program, an OS or the like running on the computer performs part or all of the actual processing, and the functions of the above-described embodiments can also be realized by the processing.

  Further, the program read from the recording medium is written in a memory provided in a function expansion board inserted into the computer or a function expansion unit connected to the computer. Thereafter, the CPU of the function expansion board or function expansion unit performs part or all of the actual processing based on the instructions of the program, and the functions of the above-described embodiments are realized by the processing.

  The above-described embodiments are merely examples of implementation in carrying out the present invention, and the technical scope of the present invention should not be construed as being limited thereto. That is, the present invention can be implemented in various forms without departing from the technical idea or the main features thereof.

101 Remote interpretation server 108 Database 109 Request terminal 112 Business terminal

Claims (12)

A medical image diagnosis support apparatus capable of inputting an interpretation result relating to a medical image received a request for interpretation from a requester by inputting a code by an interpretation doctor,
A common code group that accepts input as an interpretation result from a plurality of interpreting doctors who input an interpretation result related to a medical image that has received a request for interpretation from a request source, and the common code group and the request source use as an interpretation result Storage means for storing the correspondence relationship with the request source code group;
An accepting means for accepting an input via an input screen for accepting an input as an interpretation result of a common code included in the common code group stored in the storage means;
A medical image diagnosis support comprising: a specifying unit that specifies the request source code corresponding to the common code received as an interpretation result by the receiving unit based on the correspondence stored in the storage unit apparatus.   The medical image diagnosis support apparatus according to claim 1, further comprising: a replacement unit that replaces the common code received as an interpretation result by the receiving unit with the request source code specified by the specifying unit. Change accepting means for accepting a request to change a code displayed on the input screen from a common code included in the common code group to a request source code included in the request source code group;
3. The medical image diagnosis according to claim 2, further comprising display control means for performing display control so that the request source code is displayed on the input screen when the change request is received by the change receiving means. Support device.   When receiving the request source code as an interpretation result by the receiving unit via the input screen controlled so that the request source code included in the request source code group is displayed by the display control unit, The medical image diagnosis support apparatus according to claim 3, wherein the replacement unit does not replace the request source code.   When the change request is received by the change receiving means, the display control means is a request having no correspondence with the code of the common code group among the request source codes based on the correspondence stored in the storage. 5. The medical image diagnosis support apparatus according to claim 3, wherein the original code is controlled to be displayed on the input screen.   When there is no request source code corresponding to the correspondence stored in the storage means, and the input of the interpretation result received by the reception means cannot be replaced by the request source code by the replacement means, the user is made aware of that fact The medical image diagnosis support apparatus according to any one of claims 2 to 5, further comprising notification means for notifying as much as possible. Management means for managing information on the interpretation result received by the receiving means;
Switching instruction receiving means for receiving a medical image switching instruction for receiving an input of the interpretation result by the receiving means,
When receiving an instruction to input an interpretation result for another medical image without accepting an input of the interpretation result by the accepting unit, the management unit abnormally interprets the interpretation result for the medical image that has not received the input of the interpretation result. The medical image diagnosis support apparatus according to claim 1, wherein the medical image diagnosis support apparatus is managed as none. It is possible for the interpreting doctor to input the interpretation result related to the medical image for which the interpretation request has been received from the requesting source, and the interpretation result relating to the medical image for which the interpretation request has been received from the requesting source. Storage means for storing a common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who perform input, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result A method for controlling a medical image diagnosis support apparatus, comprising:
An accepting step for accepting an input via an input screen, wherein the accepting means of the medical image diagnosis support apparatus accepts an input as an interpretation result of a common code included in the common code group stored in the storage means;
A specifying step in which the specifying unit of the medical image diagnosis support apparatus specifies the request source code corresponding to the common code received as an interpretation result in the receiving step based on the correspondence stored in the storage unit; A control method for a medical image diagnosis support apparatus, comprising: It is possible for the interpreting doctor to input the interpretation result related to the medical image for which the interpretation request has been received from the requesting source, and the interpretation result relating to the medical image for which the interpretation request has been received from the requesting source. Storage means for storing a common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who perform input, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result A program that can be read and executed by the medical image diagnosis support apparatus,
The medical image diagnosis support device,
An accepting means for accepting an input via an input screen for accepting an input as an interpretation result of a common code included in the common code group stored in the storage means;
A program for causing the request source code corresponding to a common code received as an interpretation result as an interpretation result by the accepting unit to function as an identifying unit that identifies based on the correspondence stored in the storage unit. A medical image diagnosis support system capable of inputting an interpretation result relating to a medical image that has received a request for interpretation from a requester by inputting a code,
A common code group that accepts input as an interpretation result from a plurality of interpreting doctors who input an interpretation result related to a medical image that has received a request for interpretation from a request source, and the common code group and the request source use as an interpretation result Storage means for storing the correspondence relationship with the request source code group;
An accepting means for accepting an input via an input screen for accepting an input as an interpretation result of a common code included in the common code group stored in the storage means;
A medical image diagnosis support comprising: a specifying unit that specifies the request source code corresponding to the common code received as an interpretation result by the receiving unit based on the correspondence stored in the storage unit system. It is possible for the interpreting doctor to input the interpretation result related to the medical image for which the interpretation request has been received from the requesting source, and the interpretation result relating to the medical image for which the interpretation request has been received from the requesting source. Storage means for storing a common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who perform input, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result A medical image diagnosis support system control method comprising:
An accepting step for accepting an input via an input screen, wherein the accepting means of the medical image diagnosis support system accepts an input as a result of interpretation of a common code included in the common code group stored in the storage means;
A specifying step in which the specifying unit of the medical image diagnosis support system specifies the request source code corresponding to the common code received as an interpretation result in the receiving step based on the correspondence stored in the storage unit; A control method for a medical image diagnosis support system, comprising: It is possible for the interpreting doctor to input the interpretation result related to the medical image for which the interpretation request has been received from the requesting source, and the interpretation result relating to the medical image for which the interpretation request has been received from the requesting source. Storage means for storing a common code group that receives input as an interpretation result in common from a plurality of interpreting doctors who perform input, and a correspondence relationship between the common code group and a request source code group that the request source uses as an interpretation result A program that can be read and executed by a medical image diagnosis support system having
The medical image diagnosis support system,
An accepting means for accepting an input via an input screen for accepting an input as an interpretation result of a common code included in the common code group stored in the storage means;
A program for causing the request source code corresponding to a common code received as an interpretation result as an interpretation result by the accepting unit to function as an identifying unit that identifies based on the correspondence stored in the storage unit.

Images