JP2019141642A - Ophthalmologic information processing system - Google Patents

Abstract

To provide a doctor with required examination data while achieving efficiency and labor saving of medical care.SOLUTION: According to an embodiment, an ophthalmologic information processing system processes information that was obtained in ophthalmologic medical care. A storage unit stores examination data acquired in the past for each patient. A reception unit receives a new medical care type that represents a type of medical care action newly performed on the patient, new examination data acquired by the medical care action, and a patient identifier given to the patient. An examination data acquisition unit acquires the past examination data for the patient of the same type as the new examination data from the storage unit on the basis of the received new inspection medical care type and the patient identifier. A report creation unit creates an examination report for the patient on the basis of a prescribed report template, the examination data acquired by the examination data acquisition unit, and the new examination data received by the reception unit.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a system for processing information acquired in ophthalmic practice.

  Various information is referred to in ophthalmic practice. As an example of such information, there is data (examination data) acquired by an ophthalmic examination. Examination data includes image data obtained by photographing the eye, measurement data obtained by measuring the characteristics of the eye using physical means, and analysis obtained by analyzing image data and measurement data. There is data. As seen in the application of optical coherence tomography (OCT), the types of inspection data have increased in recent years.

  The doctor refers to various examination data acquired in accordance with the type of medical treatment (medical care type). The inspection data is managed by a database constructed in the medical institution. In recent years, systems that manage and process inspection data in a database on the cloud have also appeared.

JP 2013-198587 A JP 2013-081601 A

  In a conventional typical ophthalmologic information processing system, each time an individual patient is examined (diagnosis, diagnosis, treatment, etc.), examination data of the patient is provided from the database to the client terminal. Such an ophthalmologic information processing system has a configuration that provides examination data arbitrarily selected by a doctor and a configuration that transmits all past examination data.

  In the former configuration, a doctor must perform an operation of selecting examination data. In particular, it is necessary to select examination data to be referred to according to the medical treatment type. Such work takes time and effort.

  On the other hand, in the latter configuration, since the amount of inspection data to be transmitted generally increases, problems such as a long transmission time, network traffic restrictions, and load on the traffic arise.

  The present invention has been made to solve the above problems, and its purpose is ophthalmic information capable of providing doctors with necessary examination data while improving the efficiency and labor saving of medical care. To provide a processing system.

  An embodiment is an ophthalmologic information processing system that processes information acquired in ophthalmic medical care, a storage unit that stores examination data acquired in the past for each patient, and a medical practice newly performed on the patient A reception unit that receives a new medical treatment type that represents the type of the patient, new examination data acquired by the medical practice, and a patient identifier assigned to the patient, and the new medical treatment type and the patient that are received by the reception unit Based on the identifier, a test data acquisition unit that acquires past test data of the patient of the same type as the new test data from the storage unit, a predetermined report template, and the test acquired by the test data acquisition unit A report creation unit that creates a test report for the patient based on the data and the new test data received by the receiving unit Equipped with a.

  According to the embodiment, it is possible to provide necessary examination data to a doctor while improving the efficiency and labor saving of medical care.

It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a flowchart showing an example of operation | movement of the ophthalmologic information processing system which concerns on embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is the schematic showing an example of operation | movement of the ophthalmologic information processing system which concerns on embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is the schematic showing an example of operation | movement of the ophthalmologic information processing system which concerns on embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a flowchart showing an example of operation | movement of the ophthalmologic information processing system which concerns on embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a schematic diagram showing an example of composition of an ophthalmology information processing system concerning an embodiment. It is a sequence diagram showing an example of operation | movement of the ophthalmologic information processing system which concerns on embodiment.

  Exemplary embodiments of the present invention will be described in detail with reference to the drawings. In addition, the description content of the literature referred in this specification can be used for embodiment.

  The ophthalmologic information processing system according to the embodiment includes, for example, a single computer, a plurality of computers that can communicate with each other, an information system constructed in a medical institution, an information system constructed outside a medical institution, or of these It is realized by a combination of two or more. The ophthalmologic information processing method according to the embodiment is realized by, for example, an ophthalmologic information processing system having any one of these forms.

  Hereinafter, although some typical embodiments are described, it is possible to implement a configuration in which any two or more of these are combined. Moreover, in the following description, the data acquired in the examination may be identified with the display content of the data. For example, the image data acquired by photographing the eye to be examined may be identified with the image displayed based on the image data.

<First Embodiment>
[Constitution]
A configuration of the ophthalmologic information processing system according to the embodiment will be described. FIG. 1 shows an example of a basic configuration of an ophthalmologic information processing system. The ophthalmologic information processing system 1 is used to process information acquired in ophthalmologic practice. The ophthalmologic information processing system 1 includes a template storage unit 10, an examination data storage unit 20, an information reception unit 30, a template acquisition unit 40, an examination data acquisition unit 50, a report creation unit 60, and a display control unit 70. , And display unit 80 (display means). The display means may be installed outside the ophthalmologic information processing system.

(Template storage unit 10)
The template storage unit 10 stores a report template for each medical treatment type. The medical treatment type represents the type of medical practice (medical practice), and particularly represents the type of medical practice in ophthalmology. The medical treatment type may be a disease type. In addition, the medical treatment types may be hierarchically configured. For example, it is possible to provide a plurality of medical treatment types for a single disease type, or to provide a plurality of disease types for a single medical treatment form. The medical treatment type is set in advance. It is also possible to add, delete, or edit medical treatment types. Examples of medical treatment types include “age-related macular degeneration (follow-up)”, “glaucoma (follow-up)”, “surgery”, and “medication”.

  The report template represents a layout (display screen, printing paper surface, etc.) for presenting inspection data and information based thereon. The report template is, for example, image data representing such a layout or data representing each information presentation position (pixel position or the like). The template storage unit 10 stores in advance report templates associated with each medical treatment type. For example, a report template associated with the medical treatment type “age-related macular degeneration”, a report template associated with “glaucoma (follow-up)”, a report template associated with “surgery”, and “medicine” At least the associated report template is stored.

  The template storage unit 10 is provided in, for example, a storage device provided in a computer terminal, a database on a local area network (LAN), or a database on a wide area network (WAN).

(Inspection data storage unit 20)
The examination data storage unit 20 stores examination data acquired in the past for each patient. In the examination data storage unit 20, for example, a storage area (file) for each patient is provided. Each file is identified by a preset patient identifier. Each inspection data is given an identifier indicating its type (inspection type). As a typical example, an identifier “sight value” is attached to a visual acuity value acquired by a visual acuity test, and an identifier “OCT image” is attached to image data acquired by OCT. “OCT_ (analysis type)” is attached to the data obtained by processing.

  Each inspection data may have an inspection condition. Examples of inspection conditions include an inspection date (and inspection time), an inspection place (medical institution code, etc.), a type of inspection apparatus, an inspector identifier, and conditions applied in the inspection.

  Each patient file may have a hierarchical structure. For example, each patient file may include a subfolder in which left-eye examination data is stored and a subfolder in which right-eye examination data is stored. Alternatively, each patient's file may include a subfolder for each examination date or a subfolder for each examination type.

  The examination data includes data acquired by a medical practice performed in ophthalmology. The examination data is data acquired by an ophthalmic examination. As typical examples of examination data, image data obtained by photographing the eye to be examined, measurement data obtained by measuring the characteristics of the eye to be examined by physical means, image data and measurement data are analyzed. There is analysis data acquired.

  Examples of the image data include OCT data (cross-sectional image data, three-dimensional image data, etc.) acquired by OCT, fundus image data acquired by a fundus camera or a scanning laser ophthalmoscope (SLO), a microscope (slit Lamp, ophthalmic surgical microscope, specular microscope, etc.).

  Examples of the measurement data include a visual acuity value, an intraocular pressure value, and data acquired by visual field examination.

  Analysis data includes, for example, retinal thickness data obtained by analyzing OCT data, drusen distribution data obtained by analyzing fundus image data, and nipple obtained by analyzing OCT data or fundus image data. There are parameters (cup size of optic nerve head, disk size, rim size, ratio thereof, etc.) and blood vessel size (blood vessel diameter, arteriovenous diameter ratio, etc.) obtained by analyzing OCT data or fundus image data.

  Note that examination data acquired in a medical department or department other than ophthalmology may be included. For example, there are image data (X-ray image data, CT image data, MRI image data, etc.) acquired in the radiology department, examination result data obtained by specimen examination, and the like.

  The inspection data storage unit 20 is provided, for example, in a storage device provided in the computer terminal, in a database on the LAN, or in a database on the WAN.

(Information reception unit 30)
The information reception unit 30 receives the following information: (1) Type of medical practice newly performed on a patient (new medical treatment type); (2) One or more examination data acquired by this medical practice ( (New examination data); (3) Patient identifier given to this patient.

  The information receiving unit 30 may have various configurations. A first example of the information receiving unit 30 is a computer terminal. This computer terminal is, for example, a computer terminal used by a doctor or a computer terminal used in an examination unit. A patient identifier and a new medical treatment type are manually input or automatically input to the computer terminal. Further, new inspection data is directly input to the computer terminal from the inspection device. Or the new test | inspection data acquired by the test | inspection apparatus are input into a computer terminal via another apparatus or a recording medium. Examples of other apparatuses include an electronic medical record system and a medical image management system (PACS).

  As a second example of the information receiving unit 30, there are an inspection device, an electronic medical record system, a PACS, and the like. As a third example of the information receiving unit 30, there is a server component that receives information transmitted from a client such as the computer terminal, the inspection apparatus, the electronic medical record system, or the PACS. This server may be a server on the LAN or a server on the WAN (such as a cloud server). As described above, the ophthalmologic information processing system 1 may or may not include an examination apparatus, an electronic medical record system, a PACS, or a part thereof.

(Template acquisition unit 40)
The template acquisition unit 40 acquires a report template corresponding to the new medical treatment type received by the information reception unit 30 from the template storage unit 10. As described above, the template storage unit 10 stores report templates for each medical treatment type. That is, a report template is associated with each medical treatment type. The template acquisition unit 40 selectively reads out the report template associated with the new medical treatment type input from the information reception unit 30 from the template storage unit 10.

  The template acquisition unit 40 is provided in, for example, a computer terminal, a server on a LAN, or a server on a WAN.

(Inspection data acquisition unit 50)
The examination data acquisition unit 50 acquires past examination data from the examination data storage unit 20 based on the patient identifier received by the information reception unit 30. At this time, new inspection data may be referred to. In addition, when a patient undergoing medical treatment of different types of diseases in parallel is a target, a new medical treatment type may be referred to.

  As described above, the examination data storage unit 20 is provided with a file associated with a patient identifier, and examination data acquired in the past for the patient is stored in the file for each patient. The examination data acquisition unit 50 first specifies a file associated with the patient identifier input from the information reception unit 30. Further, the inspection data acquisition unit 50 reads out inspection data related to the new inspection data input from the information receiving unit 30 among the inspection data stored in the specified file. This process includes, for example, a process for specifying the type (inspection type) of new inspection data, a process for searching for inspection data of the same type as the specified inspection type, and a process for reading out the inspection data searched thereby. .

  Here, the inspection type is attached to the inspection data. Specifically, each inspection data is provided with an area for recording an inspection type and an inspection condition. The information recorded in this area is used for search, display and management, for example. As a specific example of such an area, there is tag information of DICOM (Digital Imaging and Communications in Medicine).

  The inspection data acquisition unit 50 is provided in, for example, a computer terminal, a server on a LAN, or a server on a WAN.

(Report creation unit 60)
Based on the report template acquired by the template acquisition unit 40, the inspection data acquired by the inspection data acquisition unit 50, and the new inspection data received by the information reception unit 30, the report creation unit 60 Create an inspection report. In the report template, an area is set for each type of information.

  The report creation unit 60 embeds past inspection data and new inspection data in an area corresponding to the inspection type. Here, when there are a plurality of inspection data of a single inspection type, these inspection data are embedded in the area in a predetermined order. For example, a time series image obtained by photographing substantially the same part of the eye to be examined on different examination days can be embedded in the region in time series order.

  Also, depending on the number of test data of a single test type, the size and position of the area in the report template can be changed, the number of test data to be embedded can be limited, and the test data embedding mode can be changed. Is possible. As an example of changing the embedding mode, it is possible to switch between executing a case where the image data is embedded as it is and a case where a thumbnail of the image data is created and embedded.

  In addition, the report template is provided with an area corresponding to patient information (patient identifier, patient name, age, gender, medical institution name, doctor name, etc.). The report creation unit 60 acquires information to be embedded in the report template from the incidental information of the inspection data and the information received by the information reception unit 30, and embeds them in the corresponding area of the report template.

  The report creation unit 60 does not need to complete the inspection report. For example, the report creation unit 60 does not have to execute processing for embedding various types of information in the report template. Instead, the report creation unit 60 can associate each of the examination data and the information about the patient with the area of the report template. It is possible to display or print the inspection report by referring to this association in the subsequent processing.

  The report creation unit 60 is provided in, for example, a computer terminal, a server on a LAN, or a server on a WAN.

(Display control unit 70, display unit 80)
The display unit 80 includes a display device provided inside or outside the ophthalmologic information processing system 1. The display control unit 70 displays information on the display unit 80. In particular, the display control unit 70 causes the display unit 80 to display the inspection report created by the report creation unit 60.

  The display control unit 70 is provided in, for example, a computer terminal, a server on a LAN, or a server on a WAN.

[Usage form]
A usage pattern of the ophthalmologic information processing system 1 will be described. FIG. 2 shows an example of a usage pattern of the ophthalmologic information processing system 1.

  As a premise, it is assumed that report templates corresponding to several medical treatment types are stored in the template storage unit 10 and the patient's past examination data is stored in the examination data storage unit 20.

  An example of the configuration of data stored in the template storage unit 10 (or the template acquisition unit 40) is shown in FIG. The report template list 10a illustrated in FIG. 3 includes a “medical treatment type” column and a “template” column. In the “medical treatment type” column, “AMD (age-related macular degeneration)”, “glaucoma”, “surgery”, and “medicine” are provided. The report template T1 is associated with the medical treatment type “AMD”, the report template T2 is associated with the medical treatment type “glaucoma”, the report template T3 is associated with the medical treatment type “surgery”, and the medical treatment type “medicine”. Is associated with a report template T4. The report templates T1 to T4 are stored in the template storage unit 10.

  The report template T1 corresponding to AMD is image data representing a layout of a display screen referred to in the follow-up observation of age-related macular degeneration. The report template T2 corresponding to glaucoma is image data representing a layout of a display screen referred to in the follow-up observation of glaucoma. The report template T3 corresponding to the operation is image data representing the layout of the display screen for comparing the inspection data before the operation and the inspection data after the operation. The report template T4 corresponding to medication is image data representing a layout of a display screen for comparing examination data before medication and examination data after medication.

  As a specific example of the report template, an example of the configuration of the report template T2 corresponding to glaucoma is shown in FIG. This report template T2 is provided with a plurality of areas where various information referred to in glaucoma follow-up (Glaucoma Follow-Up) is presented. In the patient information presentation area 1001, a patient identifier (Patient ID), a patient name (Patient Name), an age (Age), and a sex (Sex) are presented. In the clinician information presentation area 1002, a medical institution name (Hospital) and a doctor name (Dr) are presented.

  Furthermore, the report template T2 includes an intraocular pressure presentation area 1003, a retinal thickness presentation area 1004, a fundus image presentation area 1005, and a visual field examination result presentation area 1006 as examination data presentation areas. In the intraocular pressure presentation area 1003 (IOP), an intraocular pressure value measured using a tonometer is presented. In the intraocular pressure presentation area 1003, for example, a graph showing a time-series change in intraocular pressure value is presented. In the retinal thickness presentation region 1004 (Retina Thickness), the thickness of the retina measured using OCT or a retinal thickness measuring device is presented. In the retinal thickness presentation region 1004, for example, a graph representing a time series change of a predetermined representative value related to the retinal thickness is presented. This representative value is, for example, a statistical value such as an average value or a value at a predetermined part of the fundus. A fundus image obtained by photographing the fundus using a fundus camera or an SLO is presented in a fundus image presentation area 1005 (Retina Images). In the fundus image presentation area 1005, for example, a plurality of fundus images acquired on different examination dates are presented in time series. In the visual field inspection result presentation area 1006 (Visual Field Tests), the distribution of the visual field acquired using the perimeter is presented. In the visual field inspection result presentation area 1006, for example, a plurality of visual field distributions acquired on different inspection days are presented in time series order. Moreover, it may be configured to present a graph representing a time series change in the visual field evaluation value.

  In addition, the area | region where information other than these is shown may be provided. Typical examples of such a presentation area include an area where information indicating whether the examination target is the left eye or the right eye, an area where other types of examination data are presented, an electronic medical chart, and the like. There is an area where information acquired from the site is presented, an area for a doctor to enter a comment, and the like.

  An example of the structure of data stored in the inspection data storage unit 20 is shown in FIG. FIG. 5 shows the configuration of a file F of a patient who is being followed up for glaucoma. The patient file F is provided with an area D1 where a patient identifier (Patient ID) is recorded, an area D2 where a medical treatment type (Type) is recorded, and an area D3 where examination data (Examination Data) is recorded. Yes.

  The patient identifier “01234567890” is recorded in the recording area D1 of the patient file F shown in FIG. 5, and the medical treatment type “Glaucoma (glaucoma)” is recorded in the recording area D2. Furthermore, in the recording area D3, examination data acquired in examinations performed on the patient in the past are recorded for each examination date. “IOP_n” represents the intraocular pressure value acquired in the nth examination, “RT_n” represents the value of the retinal thickness obtained in the nth examination, and “RI_n” represents the nth examination. (VFT_n) represents the visual field distribution (and / or visual field evaluation value) acquired in the n-th examination.

  An example of processing executed in a state where the above information is prepared will be described with reference to FIG.

(S1: Implementation of inspection)
Examination for glaucoma follow-up on one patient is performed. In this examination, it is assumed that intraocular pressure measurement using a tonometer, retinal film thickness measurement using OCT, and fundus imaging using a fundus camera are performed. The examination data (new examination data: intraocular pressure value, retinal thickness, and fundus image) acquired by these is managed together with a patient identifier (and a new medical treatment type) input separately.

(S2: Input of patient identifier, new examination type, new examination data)
At the end of the examination or at the time of medical examination by the doctor, the patient identifier, new examination type, and new examination data, together with the patient identifier and the new examination type, are sent from the information receiving unit 30 to the template obtaining unit 40, the examination data obtaining unit 50, and the report. It is sent to the creation unit 60. Here, instead of transmitting data directly from the information receiving unit 30 to the report creating unit 60, the data is transmitted to the report creating unit 60 via the template obtaining unit 40 or the inspection data obtaining unit 50. Also good.

  In addition, when information input is performed after completion | finish of a test | inspection, for example, information is input directly or indirectly from an ophthalmologic examination apparatus (a tonometer, an optical coherence tomometer, a perimeter).

  When information is input at the time of medical examination by a doctor, for example, the doctor inputs a patient identifier to the computer terminal. The new examination type is input by, for example, a doctor or an electronic medical chart read out separately. When a doctor performs a trigger operation for starting a diagnosis, for example, new examination data managed by a database in a medical institution is read out. The information reception unit 30 associates these pieces of information and sends them to the template acquisition unit 40 and the inspection data acquisition unit 50 (and the report creation unit 60).

(S3: Acquisition of report template)
The template acquisition unit 40 acquires the report template corresponding to the new medical treatment type input in step S2 from the template storage unit 10. In this process, the template acquisition unit 40 identifies a report template corresponding to the input new medical treatment type by referring to the report template list 10a shown in FIG. 3, and identifies the identified report template from the template storage unit 10. read out. In this example, a report template T2 for follow-up of glaucoma is selected (see FIG. 4). The acquired report template T2 is sent to the report creating unit 60 together with the patient identifier, for example. The report template list 10a is stored in advance in the template storage unit 10 or the template acquisition unit 40.

(S4: Acquisition of past inspection data)
The examination data acquisition unit 50 acquires past examination data from the examination data storage unit 20 based on the patient identifier input in step S2. In this process, the examination data acquisition unit 50 searches for a file in which the input patient identifier is recorded, and reads part or all of the examination data stored in the searched file. In this example, it is assumed that all the inspection data recorded in the recording area D3 of the file F shown in FIG. The acquired past examination data is sent to the report creating unit 60 together with the patient identifier, for example.

(S5: Preparation of inspection report)
The report creation unit 60 creates a test report for the patient based on the report template T2 acquired in step S3, the past test data acquired in step S4, and the new test data input in step S2. To do.

  In this process, for example, the report creation unit 60 embeds corresponding information (or associates corresponding information) in each of the plurality of presentation areas of the report template T2. Specifically, the report creation unit 60 embeds the patient identifier acquired in step S2 in the patient information presentation area 1001 of the report template T2. The patient name, age, and gender may be configured to be embedded in the information input in step S2, or may be configured to be added on a server in a medical institution, a doctor's computer terminal, or the like. Good.

  In the clinician information presentation area 1002, a medical institution name and a doctor name are presented. These pieces of information are embedded using, for example, the information input in step S2 or using the address information of the transmission source when transmitting information in step S2. When such a configuration is applied, for example, information in which a medical institution identifier (code, address information, etc.) and a medical institution name are associated with each other, and a doctor identifier and a doctor name are associated with each other. Information is stored in the report creation unit 60 in advance. The report creation unit 60 can embed information in the medical institution name and doctor name fields by referring to the correspondence information.

  Furthermore, in the intraocular pressure presentation area 1003, an intraocular pressure value (one or more) in past examination data and an intraocular pressure value in new examination data are embedded in time series. In this process, for example, the report creation unit 60 creates a graph representing a time series change of these intraocular pressure values, and embeds the created graph in the intraocular pressure presentation area 1003.

  In the retinal thickness presentation region 1004, the retinal thickness (one or more) in the past inspection data and the retinal thickness in the new inspection data are embedded in chronological order. In this processing, the report creation unit 60 creates, for example, a graph representing a time series change in the retinal thickness, and embeds the created graph in the retinal thickness presentation region 1004.

  In the fundus image presentation area 1005, the fundus image (one or more) in the past examination data and the fundus image in the new examination data are embedded in chronological order. At this time, it is possible to create thumbnails of these fundus images, embed these thumbnails in chronological order, and add the original fundus image to the examination report.

  The visual field inspection result presentation area 1006 includes (one or more) visual field distributions (and / or visual field evaluation values) in past inspection data and visual field distributions (and / or visual field evaluation values) in new inspection data. Are embedded in chronological order. When the evaluation value of the visual field is embedded, the report creation unit 60 creates, for example, a graph representing a time series change of these evaluation values, and embeds the created graph in the visual field inspection result presentation region 1006. It is also possible to create a thumbnail of an image representing the visual field distribution, embed the created thumbnail in the visual field inspection result presentation area 1006, and further attach the original visual field distribution image to the inspection report.

  The report creation unit 60 sends the inspection report (and its accompanying information) created in this way to the display control unit 70.

(S6: Display of inspection report)
The display control unit 70 causes the display unit 80 to display the inspection report created in step S5. The inspection report R shown in FIG. 6 is an example of the inspection report displayed in this way. The doctor refers to the displayed examination report and performs this examination. When a thumbnail is presented in the inspection report, when this thumbnail is designated (for example, clicked), the display control unit 70 displays the original image (fundus image, visual field distribution image, etc.) of the designated thumbnail. ) Is read out from the accompanying information and displayed on the display unit 80.

[effect]
The effect of the ophthalmologic information processing system 1 according to the present embodiment will be described.

  The ophthalmologic information processing system 1 processes information acquired in ophthalmic medical care. In particular, a plurality of examination data acquired at different timings such as follow-up observation, preoperative and postoperative observation, and pre- and post-medication observation are obtained. Provide a report for comparison. The ophthalmologic information processing system 1 includes a template storage unit 10, an examination data storage unit 20, an information reception unit 30, a template acquisition unit 40, an examination data acquisition unit 50, a report creation unit 60, and a display control unit 70. including.

  The template storage unit 10 stores a report template for each medical treatment type. The template storage unit 10 is an example of a first storage unit. The examination data storage unit 20 stores examination data acquired in the past for each patient. The inspection data storage unit 20 is an example of a second storage unit.

  The information receiving unit 30 receives a new medical treatment type indicating the type of medical practice newly performed on the patient, new examination data acquired by the medical practice, and a patient identifier assigned to the patient. The information receiving unit 30 is an example of a first receiving unit.

  The template acquisition unit 40 acquires a report template corresponding to the new medical treatment type received by the information reception unit 30 from the template storage unit 10. The template storage unit 10 is an example of a template acquisition unit.

  The examination data acquisition unit 50 acquires past examination data from the examination data storage unit 20 based on the patient identifier received by the information reception unit 30. The inspection data acquisition unit 50 is an example of an inspection data acquisition unit.

  Based on the report template acquired by the template acquisition unit 40, the inspection data acquired by the inspection data acquisition unit 50, and the new inspection data received by the information reception unit 30, the report creation unit 60 Create an inspection report. The report creation unit 60 is an example of a report creation unit.

  The display control unit 70 causes the display unit 80 (display unit) to display the inspection report created by the report creation unit 60. The display control unit 70 is an example of a display control unit.

  According to the ophthalmologic information processing system 1 configured as described above, it is possible to automatically create and provide an inspection report for comparing inspection data. Therefore, the doctor does not need to perform a selection operation for reading out examination data necessary for that purpose.

  In addition, since an inspection report that includes only necessary inspection data can be provided, the amount of data transmitted can be reduced, thereby reducing the risk of being restricted by network traffic and wasting traffic. No heavy load.

  Therefore, according to the ophthalmologic information processing system 1, it is possible to provide doctors with necessary examination data while improving the efficiency and labor saving of medical care.

  In the present embodiment, the case where the inspection data includes image data and numerical data (measurement value, evaluation value, etc.) has been described, but the same processing can be executed even when only one of them is included. It is.

  When the new examination data includes an image (image data) of the eye to be examined, the report creation unit 60 includes one or more images included in the past examination data acquired by the examination data acquisition unit 50 and the new examination data. Create an inspection report in which images to be displayed are arranged in time series. In the examination report R illustrated in FIG. 6, a plurality of fundus images and a plurality of visual field distribution images acquired by a plurality of follow-up observations are arranged in time series. In this example, fundus imaging is performed every time, and visual field inspection is performed every other time. In the examination report R, a plurality of fundus images and a plurality of visual field distribution images are arranged in the horizontal direction, and the fundus image and the visual field distribution image acquired at the same time are arranged in the vertical direction. In general, images of the same type can be arranged along the first direction in time series, and different types of images acquired on the same day can be arranged along the second direction. Here, the first direction and the second direction are different directions, for example, directions orthogonal to each other.

  According to such a configuration, it is possible to easily grasp a change in the same type of image, and to easily compare different types of images acquired at the same time. Thereby, efficiency and labor saving of medical care can be achieved.

[Modification]
In the above embodiment, a case has been described in which a test report related to one eye of a patient is provided. In this modification, a case where an examination report concerning both eyes of a patient is provided will be described.

  The ophthalmologic information processing system according to this modification has the same configuration as that of the first embodiment (see FIG. 1). The ophthalmologic information processing system stores, for example, a report template T5 shown in FIG. 7 and a patient file F1 shown in FIG.

  The report template T5 shown in FIG. 7 is provided with a plurality of areas where various information referred to in glaucoma follow-up (Glaucoma Follow-Up) is presented. Specifically, the fundus image of the right eye in addition to the patient information presentation area 1101, the clinician information presentation area 1102, the intraocular pressure presentation area 1103, and the retinal thickness presentation area 1104 as in the first embodiment (FIG. 4). , A fundus image presentation region 1105L in which a left eye fundus image is presented, a visual field inspection result presentation region 1106R in which a right eye visual field distribution image is presented, and a left eye visual field distribution A visual field inspection result presentation area 1106L in which an image is presented is provided. Similar to the first embodiment, an area in which information other than these may be presented may be provided.

  The file F1 shown in FIG. 8 records binocular examination data in addition to the area D11 in which the patient identifier is recorded and the area D12 in which the medical treatment type is recorded as in the first embodiment (FIG. 5). A region D13 to be used is provided.

  In the recording area D13, examination data acquired in examinations performed in the past on the left eye and right eye of the patient are recorded for each examination date. Note that “IOP_n_L” represents the intraocular pressure value of the left eye acquired in the n-th examination, “IOP_n_R” represents the intraocular pressure value of the right eye obtained in the n-th examination, and “RT_n_L” represents The value of the retinal thickness of the left eye obtained in the nth examination, “RT_n_R” represents the value of the retinal thickness of the right eye obtained in the nth examination, and “RI_n_L” represents the nth examination. The (one or more) fundus image of the left eye acquired in the examination, “RI_n_R” represents the (one or more) fundus image of the right eye acquired in the nth examination, and “VFT_n_L” represents the nth image. The visual field distribution (and / or visual field evaluation value) of the left eye obtained in the second examination, and “VFT_n_R” represents the visual field distribution (and / or the visual field of the right eye obtained in the nth examination). Represents an evaluation value).

  The ophthalmologic information processing system according to the present modification executes the same process as that of the first embodiment, but the process of creating an examination report is different from that of the first embodiment. In step S5 of the flowchart of FIG. 2, the report creation unit 60 executes, for example, the following process.

  Based on the report template T5 shown in FIG. 7, the past examination data stored in the file F1 shown in FIG. 8, and the new examination data on both eyes of the patient, the report creation unit 60 examines the patient. Create a report.

  In this process, the report creation unit 60 embeds corresponding information (or associates corresponding information) in each of the plurality of presentation areas of the report template T5. Specifically, as in the first embodiment, the report creation unit 60 embeds the patient identifier, patient name, age, and gender in the patient information presentation area 1101 of the report template T5, and medical information in the clinician information presentation area 1102 Embed the institution name and doctor name.

  In addition, the report creation unit 60 generates a graph representing time series changes in the intraocular pressure value of the left eye based on the intraocular pressure value of the left eye in the past examination data and the intraocular pressure value of the left eye in the new examination data. create. Similarly, the report creation unit 60 is a graph representing time-series changes in the right-eye intraocular pressure value based on the right-eye intraocular pressure value in the past examination data and the right-eye intraocular pressure value in the new examination data. Create Then, the report creation unit 60 embeds the intraocular pressure value graph of the left eye in the intraocular pressure presentation region 1103 with a solid line and the intraocular pressure value graph of the right eye with a dotted line.

  In addition, the report creation unit 60 creates a graph representing a time-series change in the retinal thickness of the left eye based on the retinal thickness of the left eye in the past examination data and the retinal thickness of the left eye in the new examination data. Similarly, the report creation unit 60 creates a graph representing a time-series change in the retinal thickness of the right eye based on the retinal thickness of the right eye in the past examination data and the retinal thickness of the right eye in the new examination data. . The report creation unit 60 then embeds the left eye retinal thickness graph in the retinal thickness presentation region 1104 as a solid line and the right eye retinal thickness graph as a dotted line.

  In addition, the report creation unit 60 embeds the fundus image (one or more) of the right eye in the past examination data and the fundus image of the right eye in the new examination data in the fundus image presentation area 1105R in chronological order. Similarly, the report creation unit 60 embeds (one or more) fundus image of the left eye in the past examination data and the fundus image of the left eye in the new examination data in the fundus image presentation area 1105L in time series order. At this time, it is possible to create thumbnails of these fundus images, embed these thumbnails in chronological order, and add the original fundus image to the examination report.

  In addition, the report creation unit 60 also includes the right eye field distribution (and / or visual field evaluation value) in the past examination data and the right eye field distribution (and / or visual field) in the new examination data. Are embedded in the visual field inspection result presentation area 1106R in chronological order. Similarly, the report creating unit 60 may determine the visual field distribution (and / or visual field evaluation value) of the left eye in the past examination data and the visual field distribution (and / or the visual field distribution of the left eye in the new examination data). (Evaluation value of visual field) are embedded in the visual field inspection result presentation area 1106L in time series order. When the evaluation value of the visual field is embedded, a graph representing a time series change of these evaluation values can be created, and the generated graph can be embedded in the visual field inspection result presentation regions 1106R and 1106L. Further, it is possible to create a thumbnail of an image representing the visual field distribution, embed the created thumbnail in the visual field inspection result presentation area 1106, and further attach the original visual field distribution image to the inspection report.

  The inspection report R1 shown in FIG. 9 is an example of the inspection report displayed in this way. As described above, when the new examination data includes the examination data for the left eye and the examination data for the right eye of the patient, the examination report created by the report creation unit of this modification example includes the left eye included in the new examination data. Data (and / or data based thereon) and left eye examination data (and / or data based thereon) included in past examination data acquired by the examination data acquisition unit are arranged in time series, In addition, right eye data (and / or data based thereon) included in the new inspection data and right eye inspection data (and / or data based thereon) included in the past inspection data acquired by the inspection data acquisition unit. And are arranged in time series. Here, the data based on the left eye (or right eye) data is data generated by processing or analyzing examination data, such as a graph of intraocular pressure or a graph of retinal thickness. Represent.

<Second Embodiment>
In the first embodiment, the case where an inspection report is created using a predetermined report template has been described. However, depending on the user, a desired type of inspection report may be used. In the present embodiment, an ophthalmologic information processing system for satisfying such a request will be described.

[Constitution]
FIG. 10 shows an example of the configuration of the ophthalmologic information processing system according to the present embodiment. In addition, the same code | symbol is attached | subjected to the component similar to 1st Embodiment. Similar to the first embodiment (FIG. 1), the ophthalmologic information processing system 100 includes a template storage unit 10, an inspection data storage unit 20, an information reception unit 30, a template acquisition unit 40, and an inspection data acquisition unit 50. A report creation unit 60, a display control unit 70, and a display unit 80 (display means). The display means may be installed outside the ophthalmologic information processing system.

(Customization information storage unit 61)
The ophthalmic information processing system 100 is provided with a customization information storage unit 61. In the example illustrated in FIG. 10, the customization information storage unit 61 is arranged in the report creation unit 60, but may be arranged in another part.

  The customization information storage unit 61 stores customization information for each user related to the report template stored in the template storage unit 10. The customization information is provided for at least some of the plurality of report templates stored in the template storage unit 10. Further, the customization information is provided for at least a part of users of the ophthalmologic information processing system 100.

  The customization information is created by the user making changes to the default report template. This change includes, for example, a change in an arbitrary aspect such as a layout change, a change in presentation content, and a change in the size of the presentation area. Customization information is created by, for example, displaying a customization information creation screen and a graphical user interface (GUI) on a computer terminal used by a doctor, and using this screen and the GUI to add a default report template. Including a process of transmitting the changed content together with the user identifier to the report creating unit 60 and a process of storing the user identifier and the modified content received by the report creating unit 60 in the customization information storage unit 61 as customization information of the user.

  Instead of the configuration for storing the default report template and the customization information, the report template itself changed by the user can be stored in the template storage unit 10 in association with the user identifier of the user. Such a configuration is also included in the technical idea of the present invention.

(User identifier receiving unit 91)
Further, the ophthalmologic information processing system 1 is provided with a user identifier receiving unit 91. The user identifier receiving unit 91 receives a user identifier assigned to the user. The user identifier receiving unit 91 may have various configurations. The user identifier receiving unit 91 is a computer terminal used by a doctor, for example. A user identifier is manually input or automatically input to the computer terminal. The user identifier receiving unit 91 may be integrated with the information receiving unit 30.

[Usage form]
A usage pattern of the ophthalmologic information processing system 100 will be described. FIG. 11 illustrates an example of a usage pattern of the ophthalmologic information processing system 100.

  As in the first embodiment, for example, the ophthalmologic information processing system 100 includes a report template list 10a shown in FIG. 3, report templates T1 to T4 (see FIG. 4 for a specific example of the report template T2), and examination data Is stored for each patient (see file F shown in FIG. 5 for a specific example).

(S11: Implementation of inspection)
A patient examination is performed in the same manner as in step S1 of the first embodiment.

(S12: Input of patient identifier, new examination type, new examination data)
As in step S2 of the first embodiment, a patient identifier, a new examination type, and new examination data are input.

(S13: Input of user identifier)
The user inputs the user identifier using the user identifier receiving unit 91 (computer terminal or the like).

(S14: Acquisition of report template)
A report template is acquired in the same manner as in step S3 of the first embodiment.

(S15: Acquisition of past inspection data)
The past examination data of the patient is acquired in the same manner as in step S4 of the first embodiment.

(S16: Acquisition of customization information)
Based on the user identifier input in step S13, the report creation unit 60 acquires customization information related to the report template corresponding to the new medical treatment type input in step S12 from the customization information storage unit 61. This process is executed as follows, for example.

  The report creation unit 60 searches for customization information associated with the user identifier input in step S13. If no customization information is registered, no search is performed. However, here, it is assumed that the customization information is searched. In that case, the customization information to be searched is one or more (for example, the customization information related to each of the four report templates T1 to T4 is searched for the patient identifier). Each customization information is associated with a medical treatment type.

  Next, the report creation unit 60 selects customization information associated with the new medical treatment type from the retrieved customization information. Thereby, the desired customization information is acquired.

(S17: Modification of report template)
The report creation unit 60 changes the layout of the report template acquired in step S14 and the size of the presentation area based on the customization information acquired in step S16. Further, the report creation unit 60 adds or deletes the presentation area in accordance with the addition or deletion of the presentation content indicated by the customization information. Thereby, the report template is modified according to the customization information.

(S18: Preparation of inspection report)
The report creation unit 60 creates a test report for the patient based on the report template modified in step S17, the past test data acquired in step S15, and the new test data input in step S12. . This process is executed in the same manner as step S5 of the first embodiment.

(S19: Display of inspection report)
The display control unit 70 causes the display unit 80 to display the inspection report created in step S18.

[effect]
The effect of the ophthalmologic information processing system 100 according to the present embodiment will be described.

  Similar to the first embodiment, the ophthalmologic information processing system 100 includes a template storage unit 10 (first storage unit), an examination data storage unit 20 (second storage unit), and an information reception unit 30 (first reception unit). ), A template acquisition unit 40 (template acquisition unit), an inspection data acquisition unit 50 (inspection data acquisition unit), a report creation unit 60 (report creation unit), and a display control unit 70 (display control unit). .

  Furthermore, the ophthalmologic information processing system 100 includes a second reception unit, a third storage unit, and a customization information acquisition unit.

  The user identifier receiving unit 91 functioning as a second receiving unit receives a user identifier assigned to the user.

  The customization information storage unit 61 functioning as a third storage unit stores customization information for at least some of the users for each of at least some of the plurality of report templates.

  Based on the user identifier received by the second reception unit, the report creation unit 60 that functions as the customization information acquisition unit acquires customization information related to the report template corresponding to the new medical treatment type from the third storage unit. In this embodiment, a third storage unit is provided in the report creation unit 60, and the report creation unit 60 functions as a customization information acquisition unit. However, the arrangement of the third storage unit and the arrangement of the customization information acquisition unit are as follows. It may be arbitrary.

  The report creation unit 60 is received by the first reception unit, the report template acquired by the template acquisition unit, the customization information acquired by the customization information acquisition unit, the past inspection data acquired by the inspection data acquisition unit, Based on the new test data, a test report for the patient is created.

  According to the ophthalmologic information processing system 100 having such a configuration, the necessary examination data can be provided to the doctor while improving the efficiency and labor saving of the medical care, as in the first embodiment. Furthermore, according to the present embodiment, an examination report in a format arbitrarily customized by the user can be provided, so that further efficiency and labor saving of medical treatment can be achieved.

<Third Embodiment>
In this embodiment, an ophthalmologic information processing system provided with a function of analyzing examination data will be described. In the first embodiment, the optical coherence tomograph (or a computer device connected thereto) analyzes the OCT data to obtain the retinal thickness, and uses this as inspection data. On the other hand, in the present embodiment, for example, a computer device provided on a LAN in a medical institution or a computer device provided on a WAN performs analysis of data acquired by the inspection device.

  FIG. 12 illustrates an example of the configuration of the ophthalmologic information processing system according to the present embodiment. The ophthalmologic information processing system 200 includes the same components as those in the first embodiment. Furthermore, the ophthalmologic information processing system 200 includes an analysis unit 92.

  The analysis unit 92 includes, for example, one or more computers equipped with various analysis applications. The analysis application is software for executing an arbitrary analysis process used in ophthalmic practice. Typical examples of analysis applications are applications that analyze OCT data and generate evaluation values and data distributions, applications that analyze fundus images and generate evaluation values and data distributions, and analyze time series changes in evaluation values and data distributions Applications that generate trends and medical assistance information.

  In the present embodiment, the analysis unit 92 receives the command from the report creation unit 60 and executes analysis processing. For example, based on the type of information presented in the report template, the report creation unit 60 analyzes the information indicating the type of analysis processing for obtaining the information and the inspection data provided for the analysis processing. 92. As another example, the report creation unit 60 stores in advance table information in which a medical treatment type and an analysis processing type are associated with each other, and identifies an analysis processing type associated with a new medical treatment type from the table information. The information indicating the type of the specified analysis process and the inspection data used for the analysis process are sent to the analysis unit 92.

  The analysis unit 92 receives information from the report creation unit 60, executes analysis processing, and sends the result to the report creation unit 60. The report creation unit 60 receives the analysis result from the analysis unit 92 and embeds this analysis result in the default presentation information of the report template. Other inspection data is also embedded in the report template. Thereby, a test report of the patient is created.

  According to the ophthalmologic information processing system 200 configured in this way, even when a medical institution does not have a function of analyzing certain examination data, the examination data is analyzed on the system side and the result is obtained. Including inspection reports can be provided. This ophthalmologic information processing system 200 is effective, for example, when there is a limitation on the function of an inspection apparatus installed in a medical institution or when the medical institution does not have the latest analysis application.

<Fourth Embodiment>
When viewing the inspection report, it may be necessary to refer to other inspection data. In the present embodiment, an ophthalmologic information processing system for satisfying such a request will be described.

  FIG. 13 shows an example of the configuration of the ophthalmologic information processing system according to the present embodiment. The ophthalmologic information processing system 300 includes the same components as those in the first embodiment. Further, the ophthalmologic information processing system 300 includes an operation unit 93.

  The operation unit 93 is provided in a computer terminal used by a doctor. The operation unit 93 includes, for example, a pointing device such as a mouse. For example, when a touch panel is applied, the operation unit 93 is configured as a device integrated with the display unit 80.

  The report creation unit 60 generates a list of the examination data of the patient stored in the examination data storage unit 20 and sends this list to the display control unit 70 together with the examination report. The process of generating the list is executed as follows, for example.

  The examination data acquisition unit 50 acquires attribute information of examination data stored in the patient's file. The attribute information includes items such as patient identifier, medical treatment type, examination date, examination type (type of examination data), number of examinations, left eye / right eye, and the like (see FIGS. 5 and 8). Such attribute information is created, for example, when the inspection data is stored or at an arbitrary timing thereafter, and is stored in the inspection data storage unit 20 or the like. Alternatively, in response to the input of new inspection data, the inspection data acquisition unit 50 or the report creation unit 60 can be configured to create attribute information based on information in the file.

  In addition, you may make it acquire the attribute information regarding all the test | inspection data in the said patient's file, and may acquire only the one part. As an example of the latter, attribute information can be acquired for a part or all of the examination data of the patient other than the examination data presented in the examination report in the subsequent process. The examination data from which the attribute information is acquired is determined based on, for example, the medical treatment type and the examination date.

  The report creation unit 60 creates a list of acquired attribute information. The arrangement order of the attribute information in the list is preset. For example, priorities for attribute information items (medical treatment type, examination date, examination type, etc.) are set in advance, and attribute information of a plurality of examination data is grouped and listed based on this priority. The priority order may be set by default or arbitrarily set by the user. The report creation unit 60 sends the created list to the display control unit 70 together with the inspection report.

  The display control unit 70 causes the display unit 80 to display the list received from the report creation unit 60. For example, the display control unit 70 displays a list together with the inspection report. The list is displayed, for example, at a peripheral position of the inspection report. Alternatively, the display control unit 70 may switch display / non-display of the list by a predetermined operation. The displayed list may include character string information (attribute information items and the like). The displayed list may include images such as thumbnails.

  The user (doctor) can designate one or more desired attributes from the attribute information (examination data) presented in the list using the operation unit 93. The display control unit 70 sends a signal corresponding to the designated attribute information to the inspection data acquisition unit 50 (via the report creation unit 60 or the like or directly). The test data acquisition unit 50 that has received this signal acquires test data corresponding to the attribute information from the test data storage unit 20. Then, the inspection data acquisition unit 50 sends the acquired inspection data to the display control unit 70 (via the report creation unit 60 or directly). The display control unit 70 receives the inspection data from the inspection data acquisition unit 50 and causes the display unit 80 to display it.

  Alternatively, the display control unit 70 adds the attribute information of the received inspection data to the list of reference inspection data. The attribute information presented in the list of reference inspection data corresponds to the inspection data read from the inspection data storage unit 20. The user can specify desired attribute information presented in the list of reference inspection data using the operation unit 93. The display control unit 70 causes the display unit 80 to display inspection data corresponding to the specified attribute information.

  According to the ophthalmologic information processing system 300 configured as described above, examination data that is not presented in the examination report can be provided as appropriate, so that it is possible to support work for medical treatment.

<Fifth Embodiment>
In general, the contents of medical care given to a patient are entered in an electronic medical record. The created electronic medical record is referred to at the next medical examination or conference. At that time, there is a case where it is desired to confirm the contents of the inspection report. In the present embodiment, an ophthalmologic information processing system for satisfying such a request will be described.

  FIG. 14 illustrates an example of the configuration of the ophthalmologic information processing system according to the present embodiment. The ophthalmologic information processing system 400 includes the same components as those in the first embodiment. Furthermore, the ophthalmologic information processing system 400 includes an operation unit 93 and an electronic medical record editing unit 94.

  The operation unit 93 may include a pointing device such as a mouse as in the fourth embodiment. In addition, the operation unit 93 according to the present embodiment may include a keyboard or the like for performing input to the electronic medical record.

  The electronic medical record editing unit 94 executes various processes related to the electronic medical record. First, the electronic medical record editing unit 94 acquires the electronic medical record from the electronic medical record server 1000 and sends it to the display control unit 70, for example, in response to a request from the user. The display control unit 70 causes the display unit 80 to display the electronic medical record received from the electronic medical record editing unit 94. The electronic medical record server 1000 includes a server and a database arranged inside or outside the medical institution, and manages the electronic medical record for each patient. The electronic medical record server 1000 may or may not be included in the ophthalmologic information processing system 400.

  Further, the electronic medical record editing unit 94 edits the electronic medical record in accordance with an instruction from the user. The editing of an electronic medical record includes not only editing a past electronic medical record but also entering information in a new electronic medical record. The electronic medical record is edited using the operation unit 93.

  The above is a general process related to the electronic medical record. The electronic medical record editing unit 94 according to the present embodiment has a function of pasting the inspection report displayed on the display unit 80 by the display control unit 70 on the electronic medical record. Examples of this function include the ability to embed an inspection report at a predetermined position in the electronic medical record, and the creation of information based on the inspection report (such as images such as thumbnails and character string information such as the inspection report name and inspection type) And a function for associating the inspection report with the information. When an object pasted on the electronic medical record is designated (for example, when it is clicked), the display control unit 70 displays a corresponding inspection report.

  The electronic medical record editing unit 94 stores the electronic medical record on which the inspection report is pasted in the electronic medical record server 1000.

  According to the ophthalmologic information processing system 400 configured as described above, since an examination report can be pasted on the electronic medical record, it is possible to support the browsing operation of the electronic medical record by a doctor.

<Sixth Embodiment>
Various images are referred to in ophthalmic practice. When an information exchange through a network is involved, such as when an ophthalmologic information processing system is constructed as a client / server model, an image with a large amount of data may hinder traffic. In this embodiment, in order to solve such a problem, a configuration intended to reduce the amount of data communication will be described.

[Constitution]
FIG. 15 illustrates an example of the configuration of the ophthalmologic information processing system according to the present embodiment. The ophthalmologic information processing system 2 is configured as a client / server model, and includes a database 3, a server 4, a hospital apparatus 5, a storage control apparatus 6, a storage apparatus 7, a report creation apparatus 8, and a client 9n ( n = 1 to N).

  The database 3 and the server 4 are provided on a WAN such as the Internet or a dedicated line. The in-hospital device 5m (m = 1 to M), the storage control device 6, the storage device 7, the report creation device 8, and the client 9n are provided in a medical institution.

(Database 3)
The database 3 includes a storage device accessible by the server 4 and database management software. The database 3 may be configured integrally with the server 4.

  The database 3 is provided with a template storage unit 10 and an inspection data storage unit 20. Similar to the first embodiment, the template storage unit 10 stores report templates for each medical treatment type, and the examination data storage unit 20 stores examination data acquired in the past for each patient.

(Server 4)
The server 4 provides various information to each client 9n. In particular, the server 4 includes a function for obtaining a report template, inspection data, and the like from the database 3 and creating an inspection report, and a function for providing the created inspection report to the client 9n. In the present embodiment, the inspection report created by the server 4 may not be the final inspection report presented to the user, but may be intermediate information. The case where the inspection report includes an image corresponds to such a case.

  The server 4 includes a template acquisition unit 40, an inspection data acquisition unit 50, a report creation unit 62, and a communication unit 95. As in the first embodiment, the template acquisition unit 40 acquires a report template corresponding to a new medical treatment type received by the information reception unit 30 described later from the template storage unit 10, and the examination data acquisition unit 50 Based on the patient identifier received by the information receiving unit 30, the previous test data is acquired from the test data storage unit 20.

  The report creation unit 62 has a partial function of the report creation unit 60 of the first embodiment. Specifically, the report creation unit 62 performs the same processing as the report creation unit 60 when an image is not included in the final inspection report. On the other hand, when an image is included in the final inspection report, the report creation unit 62 performs processing other than the processing for embedding the image in the inspection report (association processing) among the processing executed by the report creation unit 60 of the first embodiment. Execute the process.

  The communication unit 95 includes a communication interface conforming to a communication line (network) to which the server 4 is connected. In particular, the communication unit 95 executes communication with the in-hospital device 5 and communication with the report creation device 8.

(In-hospital device 5m)
The in-hospital apparatus 5m (m = 1 to M) is an arbitrary form of apparatus installed in a medical institution. The in-hospital device 5m may be, for example, one of the clients 9n, a computer (server, specific function computer, etc.) used in a medical institution, or an ophthalmic examination device. The in-hospital apparatus 5m (m = 1 to M) includes, for example, clients 9m _k (m _k = _{1 to} M _k ) used in the k-th medical institution (k = _{1 to} K, M ₁ + M ₂ + · .. + M _K = M)

  The in-hospital device 5 m includes an information receiving unit 30. As in the first embodiment, the information reception unit 30 includes a new medical treatment type indicating the type of medical practice newly performed on the patient, new examination data acquired by this medical practice, The given patient identifier is received.

  Further, the in-hospital apparatus 5 m includes a communication unit 96. The communication unit 96 includes a communication interface conforming to the network to which the hospital apparatus 5m is connected. In particular, the communication unit 96 executes communication with the server 4 and communication with the storage control device 6.

(Storage control device 6, storage device 7)
The storage control device 6 and the storage device 7 are installed in each medical institution. The storage device 7 can store images, and includes an image data storage device such as PACS, for example. The storage control device 6 stores the image in the storage device 7 when the image is included in the new examination data received by the information receiving unit 30 of the in-hospital device 5m.

(Report creation device 8)
The report creation device 8 has a partial function of the report creation unit 60 of the first embodiment. Specifically, when an image is included in the final examination report, the report creating unit 62 reads the patient image stored in the storage device 7 and embeds this image in a predetermined presentation area of the examination report ( Or, this image is associated with a predetermined presentation area). When the final inspection report does not include an image, the report creation device 8 does not need to perform any processing.

  The report creation device 8 may include an application installed in the client 9n. That is, the client 9n can be configured to function as the report creation device 8.

(Client 9n)
The client 9n has a function of presenting an inspection report to the user. The client 9n is, for example, a computer terminal used by a doctor. The clients 9n (n = 1 to N) include, for example, clients 9n _k (n _k = 1 to N _k ) used in the kth medical institution ( _k = 1 to _K , N ₁ + N ₂ +... + N _K = N). Note that the client 9n may be used at any location outside the medical institution. Moreover, the single client 9n may be configured to be usable at different medical institutions.

  The client 9n includes a display control unit 70 and a display unit 80 similar to those in the first embodiment. Furthermore, the client 9n includes an operation unit 93 similar to that in the fourth or fifth embodiment.

[Usage form]
A usage pattern of the ophthalmologic information processing system 2 will be described. FIG. 16 illustrates an example of a usage pattern of the ophthalmologic information processing system 2.

(S21: Information transmission)
The patient is inspected by the ophthalmic examination apparatus in the same manner as in step S1 of the first embodiment. In this example, it is assumed that imaging of the eye to be examined is also performed. When the in-hospital apparatus 5m is not an ophthalmic examination apparatus, a patient identifier, a new examination type, and new examination data are input to the in-hospital apparatus 5m. The in-hospital apparatus 5m sends, for example, a patient identifier and (at least) an image among the new examination data to the storage control apparatus 6. The in-hospital device 5m sends a patient identifier, a new examination type, and new examination data to the server 4.

(S22: Reception of information)
The storage control device 6 receives the patient identifier and the image transmitted from the in-hospital device 5m in step S21.

(S23: Image storage)
The storage control device 6 causes the storage device 7 to store the patient identifier and image received in step S22.

(S24: Reception of information)
In parallel with step S22 and step S23, the server 4 receives the patient identifier, new examination type, and new examination data transmitted from the in-hospital apparatus 5m in step S21.

(S25: Acquisition of template)
The template acquisition unit 40 acquires the report template corresponding to the new medical treatment type received in step S24 from the template storage unit 10 as in step S3 of the first embodiment.

(S26: Acquisition of past examination data)
The examination data acquisition unit 50 acquires past examination data from the examination data storage unit 20 based on the patient identifier received in step S24, as in step S4 of the first embodiment. The acquired inspection data includes images acquired in the past. In addition, when the past image is memorize | stored in the memory | storage device 7 installed in the medical institution, it is not necessary to acquire an image from the test | inspection data storage part 20. FIG.

(S27: Preparation of inspection report)
The report creation unit 62 creates an inspection report based on the report template acquired in step S25 and the past inspection data acquired in step S26. The inspection report created here does not include at least the image acquired in the current inspection. In addition, when past images are stored in the storage device 7, this inspection report may not include past images.

(S28: Transmission of inspection report)
The communication unit 95 of the server 4 sends the inspection report created in step S27 to the report creation device 8.

(S29: Reception of inspection report)
The report creation device 8 receives the inspection report transmitted from the server 4 in step S28. The test report includes a patient identifier.

(S30: Reading of image)
The report creation device 8 reads an image corresponding to the patient identifier received in step S29 from the storage device 7. The read image includes at least an image acquired in the current examination. Further, when a past image is stored in the storage device 7, the past image can also be read.

(S31: Image embedding)
The report creation device 8 embeds the image read out in step S30 in the inspection report received in step S29 (or associates the image with a predetermined presentation area of the inspection report).

(S32: Transmission of inspection report)
The report creation device 8 sends the inspection report created in step S31 to the client 9n.

(S33: Reception of inspection report)
The client 9n receives the inspection report transmitted from the report creation device 8 in step S32.

(S34: Display of inspection report)
The display control unit 70 of the client 9n causes the display unit 80 to display the inspection report received in step S33.

[effect]
The effect of the ophthalmologic information processing system 2 according to the present embodiment will be described.

  The ophthalmologic information processing system 2 includes at least the same components as those in the first embodiment. Furthermore, the ophthalmologic information processing system 2 may include the same components as those in any of the second to fifth embodiments. The ophthalmologic information processing system 2 may include the same components as any two or more combinations in the first to fifth embodiments.

  The ophthalmologic information processing system 2 includes a client / server model. In the example illustrated in FIG. 15, the ophthalmologic information processing system 2 includes a server 4 and a plurality of clients 9 n that can communicate with the server 4 via a network.

  The template storage unit 10 (first storage unit) and the inspection data storage unit 20 (second storage unit) may be databases provided in the server 4 or may be databases accessible by the server 4.

  The information receiving unit 30 (first receiving unit) is provided in at least one of the client 9n, a computer (first computer) used in a medical institution, and an ophthalmic examination apparatus. The ophthalmologic information processing system 2 includes a communication unit 96 (first communication unit) that transmits the new medical treatment type, new examination data, and patient identifier received by the information receiving unit 30 to the server 4.

  The server 4 includes a template acquisition unit 40, an inspection data acquisition unit 50, and a report creation unit 62. The report creation unit 62 corresponds to the first part of the report creation unit (60). The second part of the report creation unit (60) is provided in the client 9n or a computer (second computer) used in the medical institution and functions as the report creation device 8 in this example.

  The client 9n includes a display control unit 70 (display control unit) and a display unit 80 (display means).

  Furthermore, a medical institution is provided with a storage control device 6 (storage control unit) and a storage device 7 (storage device). The storage control device 6 stores the image in the storage device 7 when the image is included in the new examination data received by the information receiving unit 30 (first receiving unit).

  The report creation unit 62 creates an examination report that does not include at least the image included in the new examination data, based on the new medical treatment type, new examination data, and patient identifier transmitted by the communication unit 96.

  The server 4 includes a communication unit 95 (second communication unit) that transmits the inspection report created by the report creation unit 62 to the report creation device 8 (client 9n or second computer).

  The report creation device 8 (second part of the report creation unit) reads the image stored in the storage device 7 and combines the read image with the inspection report transmitted by the communication unit 95. This synthesis process is, for example, an embedding process or an association process.

  The display control unit 70 of the client 9n causes the display unit 80 to display the inspection report in which the image is synthesized by the report creation device 8.

  According to such an ophthalmologic information processing system 2, as in the first embodiment, necessary examination data can be provided to a doctor while improving the efficiency and labor saving of medical care.

  Furthermore, according to the ophthalmologic information processing system 2, it is not necessary to transmit a newly acquired image from the server 4 to the medical institution. When a configuration in which images acquired in the past are managed in a medical institution is applied, it is not necessary to transmit past images from the server 4 to the medical institution. Therefore, it is possible to reduce the amount of data communication.

  The configuration described above is merely an example for carrying out the present invention. Therefore, arbitrary modifications (omitted, replacement, addition, etc.) within the scope of the present invention can be made as appropriate. The configuration to be applied is selected according to the purpose, for example. In addition, depending on the configuration to be applied, a function and effect obvious to those skilled in the art and the function and effect described in this specification can be obtained.

1, 2, 100, 200, 300, 400 Ophthalmic information processing system 3 Database 4 Server 5m Hospital apparatus 6 Storage control apparatus 7 Storage apparatus 8 Report creation apparatus 9n Client 10 Template storage section 20 Examination data storage section 30 Information reception section 40 Template Acquisition unit 50 Inspection data acquisition unit 60 Report creation unit 70 Display control unit 80 Display unit 91 User identifier reception unit 92 Analysis unit 93 Operation unit 94 Electronic medical record editing unit 95, 96 Communication unit

Claims (5)

An ophthalmologic information processing system for processing information acquired in ophthalmic practice,
A storage unit for storing examination data acquired in the past for each patient;
A reception unit that receives a new medical treatment type representing the type of medical practice newly performed on the patient, new examination data acquired by the medical practice, and a patient identifier assigned to the patient;
Based on the new medical treatment type and the patient identifier received by the reception unit, a test data acquisition unit that acquires past test data of the patient of the same type as the new test data from the storage unit;
A report creation unit that creates a test report for the patient based on a predetermined report template, the test data acquired by the test data acquisition unit, and the new test data received by the reception unit; Ophthalmic information processing system. The examination data acquisition unit determines a type of the new examination data based on a first process for identifying examination data associated with the patient identifier from examination data stored in the storage unit, and the new medical treatment type. A second process to be identified; a third process to retrieve inspection data of the same type as the type identified in the second process from the inspection data identified in the first process; and a search in the third process. The ophthalmologic information processing system according to claim 1, wherein a fourth process of reading out the inspection data from the storage unit is executed. The report creation unit changes at least one of a size and a position of an area in the predetermined report template in which the inspection data is embedded according to the number of the inspection data acquired by the inspection data acquisition unit. The ophthalmologic information processing system according to claim 1 or 2, wherein An analysis unit that analyzes at least a part of the inspection data acquired by the inspection data acquisition unit and at least a part of the new inspection data received by the reception unit;
Based on the type of information presented in the predetermined report template, the report creation unit includes type information indicating a type of analysis processing for acquiring the information, and the inspection acquired by the inspection data acquisition unit Providing the analysis unit with inspection data to be subjected to an analysis process corresponding to the type information among the data and the new inspection data;
The ophthalmologic information according to any one of claims 1 to 3, wherein the analysis unit performs an analysis process corresponding to the type information on the examination data provided from the report creation unit. Processing system. The ophthalmologist according to claim 4, wherein the analysis unit is provided in a computer device connected via a network to a test apparatus that performs a medical practice on the patient and acquires the new test data. Information processing system.