JP2001290881A - Medical treatment and examination report distribution system and input device used for the same - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a method which improves the precision of image medical examination by a medial specialist, speedily and efficiently generates a report, delivers the medical treatment and examination report to a client, and distributes the medical treatment and examination report through a communication line and to provide a voice information input device. SOLUTION: Vocal data on a medical-specialist's examination view, the contents of a surgical operation, pathological diagnosis or home medical care are recorded on a storage medium of a computer. A medication center receives a vocal information file of a medical examination report that a medical specialist vocally records from the computer site of the medical specialist connected to a communication line. Then the mediation center opens the vocal information file to obtain the vocal report of the medical-specialist's view. The report of the voice file is converted into a document file of document data in specific format and sent from the mediation center to a specific destination through the communication line.

Description

DETAILED DESCRIPTION OF THE INVENTION

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a remote control system which can provide a medical examination report of a specialist related to medical diagnosis or medical examination to a remote client in a short time using a communication line such as the Internet. The present invention relates to a medical report distribution system and an input device used for the system. The medical treatment or medical examination report according to the present invention includes, for example, a CT tomography apparatus, an MRI tomography apparatus, an ultrasonic examination apparatus, an X-ray indirect imaging apparatus, an electroencephalogram measurement apparatus, an electrocardiogram apparatus, or another medical examination apparatus. A specialist interprets the measured image or examination data of the subject, or medical information such as a surgical operation record, a pathological diagnosis using a microscope, and a home medical record (the medical examination and determination of the examination result by looking at the examination image).
Or a report that describes observations, diagnoses, reviews, and scrutiny of one's own medical findings.

2. Description of the Related Art In conventional remote image medical treatment, CT or MRI images of a patient or a subject taken at a medical institution where there is no specialist in medical treatment are used as information on the patient (name, date of birth, etc.). At the same time, the client, such as a medical institution or intermediary, sends it to a contracted specialist via telephone line or postal mail, and the specialist sees this and consults, and creates a report by handwriting or a word processor. Had been sent back.

However, according to this conventional method, when the operation of documenting the findings of the medical treatment results with a word processor or the like is repeated alternately while the specialist interprets the examination image, the documenting is not performed. Each time the specialist removes his eyes from the image, he or she cannot concentrate all the nerves on the interpretation, and the concentration is distorted, which may result in overlooking the minute affected area or making inaccurate decisions. The work of interpretation and medical treatment and the work of document creation are completely different forms of work, and it is not preferable to perform both alternately or simultaneously in terms of work efficiency and medical treatment accuracy. Also, after completing all readings,
In the case of re-documenting the doctor's findings, it is necessary to completely memorize the judgment results at the time of interpretation and to be able to accurately and immediately document them when typing in a word processor. It is extremely difficult with conventional methods to simultaneously achieve high accuracy and speed.

SUMMARY OF THE INVENTION An object of the present invention is to solve the above-mentioned problems of the conventional method, to improve the accuracy of image medical treatment by a specialist, to create a report quickly and efficiently, and to provide medical care to a client. A method of distributing a medical treatment report via a communication line that enables delivery of a report in a short time, a system for realizing a distribution mechanism by the method, and a voice information input device suitable for use in the system To provide. In the method of distributing a medical treatment report according to the present invention via a communication line, first, a specialist consults a medical examination while looking at medical examination data, examining a patient, or performing a pathological examination. (For example, a memory device such as a hard disk) is recorded as an audio information file.
At the computer site in the mediation center, the specialist receives a voice information file of a medical report recorded by voice from a computer site of a specialist connected to the communication line. Then, on the computer site of the mediation center, the voice information file is opened and a voice report of the medical examination is obtained. The report of the audio file is converted into a document file of document data of a predetermined format, and the document file is transmitted from a computer site of the mediation center to a predetermined destination via a communication line. Furthermore, the voice information input device of the present invention has a shape in which the main body can be held by hand, and a voice input / output operation including at least a recording start button, a play button, a stop button, and a microphone on the surface of the main body. A first unit that outputs an output signal from the microphone and a signal for instructing an external computer to record the output signal in response to an operation of a recording start button.
Means for responding to the operation of the play button, a second means for causing an external computer to open the audio data file and output a signal for reproducing the sound of the audio file, and responding to the operation of the stop button A third means for outputting a signal for stopping a sound recording or reproducing operation to an external computer, and a third means capable of being coupled to the external computer via a signal transmission path, And means for selectively transmitting the output signal of the third means to an external computer via the signal transmission path.

DESCRIPTION OF THE PREFERRED EMBODIMENTS In the embodiment of the present invention, a specialist who inputs voice of a medical examination, an intermediary center, and a destination of a medical report are respectively a computer or a communication terminal connected to a communication line such as the Internet. have. The report destination is, for example, the report requester,
Alternatively, it may be a medical institution, a doctor, or a subject or patient who has undergone medical treatment. The specialist holds the audio information input device in his hand, for example, while reading a CT tomographic image displayed on a monitor or diagnosing or pathologically examining a patient. We can describe medical examination findings verbally. During this time, the specialist does not need to create any documents, but can concentrate on the interpretation work. The audio information input device is connected to the computer by a signal transmission line such as a cable or wireless. The voice sent to the computer is recorded and converted into a voice file, which is sent to the computer at the mediation center, where the voice file is transcribed into a report document in a predetermined format, which is converted into a document file in the form of a document file. It is delivered to the destination of the computer or network terminal.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of a method and system for distributing a medical care report via a communication line according to the present invention will be described in detail below with reference to the drawings. FIG. 1 conceptually illustrates the configuration of a medical report distribution system according to an embodiment of the present invention. FIG. 2 is a flowchart for explaining the operation of each unit when operating this system. Less than,
An embodiment of the present invention will be described by taking a medical report of a CT or MRI tomographic image as an example. In the system of FIG.
Reference numeral 10 denotes a computer of a radiologist or a specialist in image interpretation, reference numeral 20 denotes a server computer of a mediation center, reference numeral 30 denotes a computer of a hospital or clinic as a client of a medical report, and reference numeral 50 specializes in medical examination. Such is the computer of the institution. These computers are connected to a communication network 4 such as the Internet.
0, so that data can be transmitted and received to and from each other by the Internet protocol. The server computer 20 of the mediation center is connected to a computer 60 of a transcriber in the mediation center by a communication line 61 such as a LAN (local area network). An external telecommuter computer 62 is connected to the network 40. The transcriber listens to the medical results recorded by the specialist and documents them using a word processor or computer document creation software to create document data of a medical report in a predetermined format. Therefore, it is desirable that the transcriber is familiar with medical terminology and the like and understands its meaning. The mediation center 20 can make a contract for medical treatment with many specialists 10. It is desirable that the mediation center 20 contracts as many specialists in various fields as possible, such as surgery and internal medicine. Moreover,
In order to be able to respond appropriately and as quickly as possible to a wide range of medical treatments from clients, it is necessary to have a large number of specialists in specific areas such as the brain, circulatory system, digestive system, respiratory system, etc. as contract clinicians. desirable. FIG. 1 shows a plurality of expert computers 10 in such a meaning. The request cost to the specialist can be arbitrarily set by a fee system such as a fee per medical treatment or another system in addition to a fixed basic fee. Figure 2 below
In the embodiment described also with reference to FIG. 2, a CT image of a patient obtained by examination at a hospital 30 or the like is requested by an external specialist 10 through a mediation center 20 for interpretation and medical treatment (step 21), and the medical treatment result is mediated. A description will be given by taking as an example a case in which a document report is made in the center 20 and transmitted to the hospital 30 of the request source where the patient's doctor is present (step 24). Of course, the present invention is not limited to this, and the hospital 3
0 may be the requester, examine at the hospital, document the findings read by a specialist at the hospital into a medical treatment report at the mediation center 20, and transmit and deliver it to the hospital 30. Further, the medical examination institution 50 such as a local insurance center may be the client and transmit the medical treatment report thereto. Alternatively, a physician's doctor who is the patient's attending physician makes the patient examine the CT or the like at another hospital or examination institution having examination facilities, and interprets the examination for the examination by an interpreting doctor at another hospital or outside. May be carried out by a specialist 10 and the medical report may be transmitted to a doctor's office where the requesting doctor is located. In either case, the mediation center 20 always intervenes between the client and the specialist performing the medical treatment via the communication network 40, and the medical treatment report is documented there. As shown in step 31 in FIG. 2, the examination image data is transmitted to the mediation center 20 together with the patient's attribute information (name, date of birth, etc.). In the intermediary center 20, in step 21, a specialist who can interpret the requested examination image by a predetermined delivery date and perform medical treatment is searched from among contract specialists.
An examination request is transmitted to the specialist's computer 10 together with examination image data and patient attribute information. Step 11
In the above, the specialist interprets the tomographic image 16 displayed on the monitor of the computer 10 while holding the voice input device 15 (described later) in his / her hand, and without removing the eyes from the image. The doctor's findings are described in words toward the microphone. During this time, the specialist does not need to create a document at all, and can concentrate on the interpretation work. The findings as a result of the interpretation are sequentially input to the voice input device 45.
When speaking into the microphone, the voice input device 1
The analog voice signal of the opinion of the specialist entered in 5 is input to the computer 10. In the computer 10, in step 12, the voice signal of the specialist is converted into digital data by the voice filing program. When converting to digital data, the audio data of the audio file is subjected to a data compression process. The compressed data has a data rate of, for example, 7.97 kb / sec. This means that analog audio for about 10 minutes is compressed to a digital data amount of about 4.78 MB. The compressed data is further encrypted and stored as an audio file in a predetermined area of a recording medium such as a hard disk. As an audio filing program for executing from the audio input from the audio input device 3 to the input of audio data, digitization, compression processing and encryption processing, NHpWithVo manufactured by Net Hospital Inc.
ice2000 (registered trademark) may be used. next,
When the interpretation and the conversion of the findings to a sound file by the computer 10 of the specialist are completed, in step 12, the sound file is transmitted from the computer 10 to the server computer 20 of the mediation center via the communication network line 40. For transmission of the audio file, NHpAutoWarp 2001 (registered trademark) manufactured by Net Hospital Inc. can be used. In step 22,
The audio file received by the computer 20 of the mediation center is transmitted to the computer 61 of the transcriber by the LAN 60.
Forwarded over. The transcriber plays back and listens to the medical results recorded by the specialist and documents them using a word processor or computer document creation software to create document data of the medical report in a predetermined format. It should be noted that the sound file is reproduced by the above-described NH.
It can be performed simultaneously with documentation on a computer using pWith Voice2000. The audio file may be transmitted from the computer 20 of the mediation center to the computer 62 of the transcriber who works at home outside via the network 40, and the medical care report may be documented and created there. It takes about 15 minutes to document the voice data of about 10 minutes that is blown by the specialist. FIG. 3 shows an example of a documented medical report. next,
In step 23, the medical report document data created by the transscriber is transferred to the server computer 2 of the mediation center.
0 to the specialist's computer 10 using the Internet protocol. In step 13, the specialist checks the documented medical report for errors and omissions, and makes corrections to make additional corrections as necessary. The corrected and highly reliable report is transmitted to the server computer 20.
In step 24, the server computer 20 of the mediation center receives the corrected medical report and transmits it to the client computer 30 using the Internet protocol. Next, the voice input device 15 will be described. FIG. 4 is an external view of the hand-held voice input device 15. The voice input device 15 has a main body in a shape easy to hold in a hand, and a microphone 151, a record button 152, a stop button 153, a play button 154, and a save button 155 are arranged on the main body. The voice input device 15 is a computer 1
0 and a signal cable 156. An analog audio signal from the microphone 151 and a record button 152,
Stop button 153, Play button 154, Save button 15
5 is transmitted to the computer 10 via the signal cable 156. Instead of the signal cable 156, a wireless signal or an infrared signal can be used. Next, a procedure for creating a voice file in the voice input device 15 will be described. First, the specialist starts up the above-described NHpWith Voice 2000 software on the computer 10. When the software starts up, a window as shown in FIG. 5 is displayed on the screen of the computer 10. On the window screen, a record button 152, a stop button 153, a play button 154, a save button 155
Is displayed, and a bar 161 indicating the recording state is displayed. The display of the icon changes according to the operation of each button of the voice input device 15. Next, when the specialist starts the image interpretation work and presses the recording button 152, the operation signal of the computer 10 causes
The Voice 2000 software is controlled, and the computer 10 takes in an audio signal from the microphone 151, digitizes it, and records it on a recording medium such as a hard disk. Hereinafter, when the record button 152 is released, the recording operation is stopped, and when the play button 154 is pressed, the rewind operation of the recorded voice is started. When the play button 154 is released, the replay operation is started from the rewind point. The sound is reproduced from the speaker of the computer 10. When the recording button 152 is pressed during the reproduction operation, the recording in the overwriting state is started. When the save button 155 is pressed, the sound file is created by performing the compression processing and the encryption processing. Press the stop button 153 to stop any active operation, and so on. Next, a description will be given of an operation in which a transscriber reproduces and documents a voice file blown in by a specialist using software of With Voice 2000. FIG. The aforementioned NHpAutoWarp2001
Thus, the audio file transmitted from the computer 10 of the specialist to the network and the server 20 of the mediation center is further transferred to a predetermined directory of the computer 61 of the transcriber. In the transcriber computer 61, the audio file is opened and WithVoic
Start the e2000 software. When the software is started, a window similar to FIG. 5 is displayed on the screen of the computer 61. A voice pedal device as shown in FIG. 6 is connected to the computer 61 by a communication cable. The software plays the audio file while the transcriber presses the right pedal of the voice pedal device. The transcriber documents the medical examination findings of the specialist on the computer 61 in the format shown in FIG. 3 while listening to the reproduced sound. If the audio played is too fast to keep up with your key presses, or if you want to check the audio again,
When you release the right pedal, the recording is automatically rewound slightly and playback stops. Then, when the right pedal is depressed again, the reproduction starts. If there is any oversight, press the left pedal to rewind while pressing. In the above-described embodiment, the target of the medical treatment report in which the specialist gives a speech is the interpretation of CT or MRI tomographic images, but the present invention is not limited to this. For example, during or immediately after a surgical operation, a surgeon or specialist records the contents, progress, or results of the operation, a pathological diagnosis report using a microscope, or a dictation voice report recorded at the site such as a record of home medical care. The information is transmitted as a voice information file to the mediation center via a computer site in the mediation center. The report of the voice file is converted into a document file of document data of a predetermined format, and the document file is transmitted from a computer site of the mediation center to a predetermined destination via a communication line. Even in these cases, specialists need only dictate and record the medical treatment report on the spot, so there is no need to transcribe it, and the doctor can concentrate on the medical treatment. By centrally managing document files of these medical reports as electronic files at the mediation center,
An efficient and consistent comprehensive medical information service can be provided to medical institutions and doctors, and medical institutions and doctors can concentrate on medical treatment and improve the quality of medical treatment. Although the invention has been described with reference to the embodiments, the invention is not limited thereto. For example, it will be apparent to those skilled in the art that various modifications, improvements, and combinations are possible.

According to the method and system for distributing medical treatment reports according to the present invention, audio data of the treatment report is transmitted from the specialist to the mediation center by using a computer and a communication line, and the audio data is transmitted to the mediation center at a predetermined location. Since it converts to document data and creates a medical report and sends it to the client, even if the medical treatment is performed by a specialist at a remote location, it is possible to create a quick and efficient report and deliver the medical report to the client. It is possible in a short time and an accurate medical report can be realized. In hospitals, clinics, and laboratories that do not have specialists in image medical treatment, specialists with advanced experience in image medical treatment can have their patient's test data treated, and the medical report can be quickly distributed from the mediation center. As a result, there is no need to arrange expensive medical test instruments and operating technicians in hospitals and clinics, which greatly contributes to reducing medical costs and eliminating the shortage of human resources. In addition, at the hospital or clinic where medical examinations are performed, not only patients who go to the hospital or inpatients, but also undertake examinations of patients at external hospitals and clinics, and report the medical treatment through the mediation center to the patient's doctor. Since it can be provided to hospitals and clinics, it is possible to improve the operating rate of the test equipment by accepting a patient who only tests from outside. In addition, in an area where the medical treatment system is not sufficiently provided, it is possible to receive the medical treatment of a specialist who has advanced medical experience in a remote place via an intermediary center, thereby realizing an extensive telemedicine system.

[Brief description of the drawings]

FIG. 1 is a block diagram conceptually showing the configuration of a medical report distribution system according to an embodiment of the present invention.

FIG. 2 is a flowchart illustrating the operation of each unit when operating the system of FIG. 1;

FIG. 3 is an example of a documented medical report.

FIG. 4 is an external view of an example of a voice input device that can be used in the system of the present invention.

FIG. 5: Record voice using an audio input device,
It is an example of a display screen of software in the case of reproducing a recorded voice.

FIG. 6 is an external view of a voice pedal used when documenting audio reproduced by a transcriber.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 10 Computer of specialist 15 Voice input device 20 Server computer of mediation center 30 Computer of hospital 40 Communication network 50 Computer of medical examination organization 60 LAN 61, 62 Computer of transcriber side

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[Procedure amendment]

[Submission date] April 13, 2000 (2004.1.
3)

[Procedure amendment 1]

[Document name to be amended] Statement

[Correction target item name] Detailed description of the invention

[Correction method] Change

[Correction contents]

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a remote control system which can provide a medical examination report of a specialist related to medical diagnosis or medical examination to a remote client in a short time using a communication line such as the Internet. The present invention relates to a medical report distribution system and an input device used for the system.

[0002] The medical treatment or medical examination report according to the present invention includes, for example, a CT tomography device, an MRI tomography device, an ultrasonic medical device, an X-ray indirect radiography device, an electroencephalogram measurement device, an electrocardiogram device, and other medical devices. A specialist interprets medical images such as images and test data of the subject measured by the test device, or surgical information, pathological diagnosis using a microscope, and home medical records. )) Or a report that describes observations, diagnoses, examinations, and scrutiny of a patient's medical findings.

[0003]

2. Description of the Related Art In conventional remote image medical treatment, CT or MRI images of a patient or a subject taken at a medical institution where there is no specialist in medical treatment are used as information on the patient (name, date of birth, etc.). At the same time, the client, such as a medical institution or intermediary, sends it to a contracted specialist via telephone line or postal mail, and the specialist sees this and consults, and creates a report by handwriting or a word processor. Had been sent back.

[0004]

However, according to this conventional method, when the operation of documenting the findings of the medical treatment results with a word processor or the like is repeated alternately while the specialist interprets the examination image, the documenting is not performed. Each time the specialist removes his eyes from the image, he or she cannot concentrate all the nerves on the interpretation, and the concentration is distorted, which may result in overlooking the minute affected area or making inaccurate decisions. The work of interpretation and medical treatment and the work of document creation are completely different forms of work, and it is not preferable to perform both alternately or simultaneously in terms of work efficiency and medical treatment accuracy. Also, after completing all readings,
In the case of re-documenting the doctor's findings, it is necessary to completely memorize the judgment results at the time of interpretation and to be able to accurately and immediately document them when typing in a word processor. It is extremely difficult with conventional methods to simultaneously achieve high accuracy and speed.

[0005]

SUMMARY OF THE INVENTION An object of the present invention is to solve the above-mentioned problems of the conventional method, to improve the accuracy of image medical treatment by a specialist, to create a report quickly and efficiently, and to provide medical care to a client. A method of distributing a medical treatment report via a communication line that enables delivery of a report in a short time, a system for realizing a distribution mechanism by the method, and a voice information input device suitable for use in the system To provide.

In the method of distributing a medical treatment report according to the present invention via a communication line, a specialist first consults a medical examination while looking at medical examination data, examining a patient, or conducting a pathological examination. The object is recorded as an audio information file on a computer storage medium (for example, a memory device such as a hard disk). At the computer site in the mediation center, the specialist receives a voice information file of a medical report recorded by voice from a computer site of a specialist connected to the communication line. Then, on the computer site of the mediation center, the voice information file is opened and a voice report of the medical examination is obtained. The report of the audio file is converted into a document file of document data of a predetermined format, and the document file is transmitted from a computer site of the mediation center to a predetermined destination via a communication line.

Further, the voice information input device of the present invention has a main body in a shape that can be held by hand, and has a voice including at least a recording start button, a play button, a stop button, and a microphone on a surface of the main body. First means for arranging an input / output operation unit, further outputting an output signal from the microphone in response to operation of a recording start button, and a signal for instructing an external computer to record the output signal; In response to the operation of the play button, a second means for opening a sound data file to an external computer and outputting a signal for reproducing the sound of the sound file, and in response to the operation of the stop button, Third means for outputting a signal for stopping a sound recording or reproducing operation to an external computer can be coupled to the external computer via a signal transmission path. Te, composed of a means for transmitting the first and second and the output signal of the third means selectively through the signal transmission line to an external computer.

[0008]

DESCRIPTION OF THE PREFERRED EMBODIMENTS In the embodiment of the present invention, a specialist who inputs voice of a medical examination, an intermediary center, and a destination of a medical report are respectively a computer or a communication terminal connected to a communication line such as the Internet. have. The report destination is, for example, the report requester,
Alternatively, it may be a medical institution, a doctor, or a subject or patient who has undergone medical treatment.

While holding the voice information input device in hand, the specialist interprets the CT tomographic image displayed on the monitor or diagnoses or examines the pathology of the patient, for example, without having to look away from the image or the medical treatment target. The verdict can be described in words to the microphone of the device. During this time,
The specialist does not have to do any writing, but can concentrate on the interpretation. The audio information input device is connected to the computer by a signal transmission line such as a cable or wireless. The voice sent to the computer is recorded and converted into a voice file, which is sent to the computer at the mediation center, where the voice file is transcribed into a report document in a predetermined format, which is converted into a document file in the form of a document file. It is delivered to the destination of the computer or network terminal.

[0010]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of a method and system for distributing a medical care report via a communication line according to the present invention will be described in detail below with reference to the drawings.

FIG. 1 conceptually illustrates the configuration of a medical report distribution system according to an embodiment of the present invention. FIG.
Is a flowchart for explaining the operation of each unit when operating this system. Hereinafter, an embodiment of the present invention will be described using a case of a medical report of a CT or MRI tomographic image as an example.

In the system shown in FIG. 1, reference numeral 10 denotes a computer of a radiologist or a radiologist.
Reference numeral 0 denotes a server computer of the mediation center, reference numeral 30 denotes a computer of a hospital or clinic which is a client of a medical report, and reference numeral 50 denotes a computer of an institution that specializes in medical examinations. These computers are connected to a communication network 40 such as the Internet, and can transmit and receive data to and from each other using an Internet protocol.

The server computer 20 of the mediation center is a computer 6 of the transcriber in the mediation center.
0 and a communication line 61 such as a LAN (local area network). An external telecommuter computer 62 is connected to the network 40. The transcriber listens to the medical results recorded by the specialist and documents them using a word processor or computer document creation software to create document data of a medical report in a predetermined format.
Therefore, it is desirable that the transcriber is familiar with medical terminology and the like and understands its meaning.

The mediation center 20 can contract for medical treatment with many specialists 10. It is desirable that the mediation center 20 contracts as many specialists in various fields as possible, such as surgery and internal medicine. Furthermore, in order to be able to respond appropriately and as quickly as possible to a variety of medical treatments from clients, we have many specialists in specific areas such as the brain, circulatory system, digestive system, respiratory system, etc. as contract clinicians. It is more desirable. FIG. 1 shows a plurality of expert computers 10 in such a meaning.
The request cost to the specialist can be arbitrarily set by a fee system such as a fee per medical treatment or another system in addition to a fixed basic fee.

In the embodiment described below with reference to FIG. 2 as well, a CT image of a patient obtained by examination at a hospital 30 or the like is requested by an external specialist 10 through a mediation center 20 for interpretation and medical treatment (step 21). And transfers the medical treatment results to the mediation center 20
A description will be given by taking as an example a case where a document report is formed and transmitted to the requesting hospital 30 where the patient's doctor is present (step 24).

Of course, the present invention is not limited to this. The hospital 30 where the patient is attending is the client, the examination is performed at the hospital, and the findings interpreted by the specialist at the hospital are documented in the medical report at the mediation center 20. And transform it into a hospital 30
It may be a case of sending and delivering to. Further, the medical examination institution 50 such as a local insurance center may be the client and transmit the medical treatment report thereto. Alternatively, a physician's doctor who is the patient's attending physician makes the patient examine the CT or the like at another hospital or examination institution having examination facilities, and interprets the examination for the examination by an interpreting doctor at another hospital or outside. May be carried out by a specialist 10 and the medical report may be transmitted to a doctor's office where the requesting doctor is located. In any case, a communication network 4 must always be established between the client and the treating specialist.
The intermediary center 20 intervenes via 0, where the medical report is documented.

As shown in step 31 in FIG. 2, the examination image data is transmitted to the mediation center 20 together with the patient's attribute information (name, date of birth, etc.). In the mediation center 20, in step 21, a specialist who can interpret the requested examination image by a predetermined delivery date and perform medical treatment is searched from the contract specialist, and the computer 10 of the specialist is searched.
And transmits the examination request together with the examination image data and the attribute information of the patient.

In step 11, while holding the voice input device 15 (described later) by a specialist, the specialist interprets the tomographic image 16 displayed on the monitor of the computer 10 while keeping an eye on the image. The medical findings are described in words toward the microphone of the input device 15. During this time, the specialist does not need to create a document at all, and can concentrate on the interpretation work. When the finding as a result of the interpretation is sequentially spoken toward the microphone of the voice input device 15, the analog voice signal of the finding of the specialist input to the voice input device 15 is input to the computer 10.

In the computer 10, step 1
At 2, the voice signal of the specialist is converted into digital data by the voice filing program. When converting to digital data, the audio data of the audio file is subjected to a data compression process. The compressed data is, for example, 7.
The data rate is 97 kb / sec. This means that analog audio for about 10 minutes is compressed to a digital data amount of about 4.78 MB. The compressed data is further encrypted and stored as an audio file in a predetermined area of a recording medium such as a hard disk. As an audio filing program for executing from the voice input from the voice input device 3 to the input of voice data, digitization, compression processing and encryption processing, NHpWithVoice2000 manufactured by Net Hospital Inc.
(Registered trademark) may be used.

Next, when the interpretation and the conversion of the findings to a sound file by the computer 10 of the specialist are completed, in step 12, the sound file is transmitted from the computer 10 to the server computer 20 of the mediation center via the communication network line 40. . To send an audio file,
NHpAutoWarp manufactured by Net Hospital Inc.
2001 (registered trademark) can be used.

In step 22, the audio file received by the mediation center computer 20 is transferred to the transcriber computer 61 via the LAN 60. The transcriber plays back and listens to the medical results recorded by the specialist and documents them using a word processor or computer document creation software to create document data of the medical report in a predetermined format. The playback of the audio file is performed by the above-described NHpWithVo.
It can be performed simultaneously with documentation on a computer using ice2000. The audio file may be transmitted from the computer 20 of the mediation center to the computer 62 of the transcriber who works at home outside via the network 40, and the medical care report may be documented and created there. It takes about 15 minutes to document the voice data of about 10 minutes that is blown by the specialist. FIG. 3 shows an example of a documented medical report.

Next, at step 23, the medical report document data created by the transscriber is transmitted from the server computer 20 of the mediation center to the computer 10 of the specialist using the Internet protocol.

In step 13, the specialist checks the documented medical report for errors and omissions, corrects it if necessary, adds corrections, and makes a correction from the computer 10 via the communication network line 40. The corrected and highly reliable report is transmitted to the server computer 20 of the mediation center.

In step 24, the server computer 20 of the mediation center receives the corrected medical report and transmits it to the client computer 30 using the Internet protocol.

Next, the voice input device 15 will be described. FIG. 4 is an external view of the hand-held voice input device 15. The voice input device 15 has a main body in a shape easy to hold in a hand, and a microphone 151, a record button 152, a stop button 153, a play button 154, and a save button 155 are arranged on the main body. The voice input device 15 is a computer 1
0 and a signal cable 156. An analog audio signal from the microphone 151 and a record button 152,
Stop button 153, Play button 154, Save button 15
5 is transmitted to the computer 10 via the signal cable 156. Instead of the signal cable 156, a wireless signal or an infrared signal can be used.

Next, a procedure for creating a voice file in the voice input device 15 will be described. First, the specialist starts up the above-described NHpWith Voice 2000 software on the computer 10. When the software starts up, a window as shown in FIG. 5 is displayed on the screen of the computer 10. The record button 15 is displayed on the window screen.
2, an icon 160 of a button image corresponding to the stop button 153, the play button 154, and the save button 155 and a bar 161 indicating a recording state are displayed. Voice input device 1
The display of the icon changes according to the operation of each button of No. 5.

Next, when the specialist starts interpretation work and presses the record button 152, the operation signal controls the WithVoice 2000 software of the computer 10, and the computer 151
And digitize it and record it on a recording medium such as a hard disk.

Thereafter, when the record button 152 is released, the recording operation is stopped, and when the play button 154 is pressed, the rewind operation of the recorded voice is started. When the play button 154 is released, the replay operation starts from the point at which the sound was rewound. When started, sound is reproduced from the speaker of the computer 10, and when the recording button 152 is pressed during the reproduction operation, recording in the overwritten state is started,
When the save button 155 is pressed, the software is controlled such that an audio file is created by performing compression processing and encryption processing, and any operation that is being performed when the stop button 153 is pressed is stopped.

Next, a description will be given of an operation in which a transscriber reproduces and documents a voice file blown by a specialist by using the software of With Voice 2000. FIG. The voice file transmitted from the computer 10 of the specialist to the network and the server 20 of the mediation center by the above-mentioned NHpAutoWarp 2001 further includes
The data is transferred to a predetermined directory of the transcriber computer 61.

The transcriber's computer 61 opens an audio file and executes WithVoice2000.
Start the software. When the software is started, a window similar to FIG. 5 is displayed on the screen of the computer 61. A voice pedal device as shown in FIG. 6 is connected to the computer 61 by a communication cable. The software plays the audio file while the transcriber presses the right pedal of the voice pedal device.
The transcriber documents the medical examination findings of the specialist on the computer 61 in the format shown in FIG. 3 while listening to the reproduced sound. If the reproduced sound is too early to catch up with the key input, or if you want to check the sound again, release the right pedal to automatically rewind the recording a little and stop the playback. Then, when the right pedal is depressed again, the reproduction starts. If there is any oversight, press the left pedal to rewind while pressing.

In the embodiment described above, the target of the medical report to which the specialist gives a voice is CT or MR.
Although the interpretation of the I tomographic image was performed, the present invention is not limited to this. For example, during or immediately after a surgical operation, a surgeon or specialist records the contents, progress, or results of the operation, a pathological diagnosis report using a microscope, or a dictation voice report recorded at the site such as a record of home medical care. The information is transmitted as a voice information file to the mediation center via a computer site in the mediation center. The report of the voice file is converted into a document file of document data of a predetermined format, and the document file is transmitted from a computer site of the mediation center to a predetermined destination via a communication line. Even in these cases, specialists need only dictate and record the medical treatment report on the spot, so there is no need to transcribe it, and the doctor can concentrate on the medical treatment.

By centrally managing the document files of such medical reports as electronic files at the intermediary center in an integrated manner, comprehensive medical information that is efficient and consistent for medical institutions and doctors is provided. Services can be provided, and medical institutions and doctors can concentrate on medical care and improve the quality of medical care.

While the invention has been described with reference to the embodiments,
The present invention is not limited to these. For example, it will be apparent to those skilled in the art that various modifications, improvements, and combinations are possible.

[0034]

According to the method and system for distributing medical treatment reports according to the present invention, audio data of the treatment report is transmitted from the specialist to the mediation center by using a computer and a communication line, and the audio data is transmitted to the mediation center at a predetermined location. Since it converts to document data and creates a medical report and sends it to the client, even if the medical treatment is performed by a specialist at a remote location, it is possible to create a quick and efficient report and deliver the medical report to the client. It is possible in a short time and an accurate medical report can be realized.

In the past, specialists generally input their own word processors or hire typists for this type of report generation. However, according to the present system, there is no need for this and a report can be generated efficiently. .

Claims (12)

[Claims] 1. A method for distributing a medical treatment report via a communication line, comprising: at a computer site in an intermediary center, a computer site of a specialist connected to the communication line;
Receiving the voice information file of the medical report of the specialist via the communication line; opening the voice information file and reproducing the medical report at the computer site of the mediation center; Transmitting a medical treatment report via a communication line, comprising: transmitting the document file from a computer site of the mediation center to a predetermined destination via the communication line. . And transmitting the voice information file from the computer site of the mediation center to a computer site of a document creator via a communication line, and opening the received voice information file at the computer site of the document creator. 2. The medical report according to claim 1, wherein the medical report is converted into the document file, and the document data is transmitted from the computer site of the document creator to the computer site of the mediation center via the communication line. A method of delivering medical treatment reports via communication lines. 3. The medical examination data obtained by a medical examination institution is transmitted from the computer site of the mediation center to the computer site of the specialist via the communication line in a computer-readable format. A method for distributing the medical treatment report according to claim 1 or 2 via a communication line. And transmitting the converted document file from the computer site of the mediation center to the computer site of the specialist via the communication line, and converting the document data of the document file received at the computer site of the specialist. The medical treatment report according to any one of claims 1 to 3, wherein the document file of the calibrated document data is sent back to the computer site of the mediation center via the communication line. How to deliver. 5. When transmitting the document file from a computer site of the mediation center to a predetermined destination via the communication line, the document file is subjected to data compression and encryption processing. A method for distributing the medical treatment report according to any one of claims 1 to 4 via a communication line. 6. The medical treatment report is obtained by a subject measured by a CT tomography apparatus, an MRI tomography apparatus, an ultrasonic medical apparatus, an X-ray indirect imaging apparatus, an electroencephalogram apparatus, an electrocardiogram apparatus, a medical examination apparatus, or the like. The medical treatment report according to any one of claims 1 to 5, wherein the medical treatment report includes at least any one of an image, examination data, a surgical operation record, a pathological diagnosis using a microscope, and a record of home medical treatment. How to deliver through. 7. A method for distributing a medical treatment report via a communication line, wherein the medical treatment result of the medical examination data is voice-inputted by a voice input means; at a first computer site connected to the communication line, Creating a voice information file of the medical result input by the input means, and transmitting the voice information file to a predetermined destination via the communication line; Receiving the information file via a communication line, opening the received voice information file and reproducing the medical result; converting the medical result into report document data; and transmitting the report document data from the second computer site to the A method of delivering a medical treatment report via a communication line, wherein the medical treatment report is transmitted to a predetermined destination via the communication line. 8. The method according to claim 1, wherein the first computer site is located at a place where the medical examination data is treated, and the second computer site is located at an intermediary center requesting the medical treatment report. A method for distributing the medical treatment report according to item 7 via a communication line. 9. The medical treatment report is obtained by using a CT tomography apparatus, an MRI tomography apparatus, an ultrasonic medical apparatus, an X-ray indirect imaging apparatus, an electroencephalogram apparatus, an electrocardiogram apparatus, a medical examination apparatus, or the like. 9. A medical treatment report according to claim 7, which includes a medical treatment report of at least one of an image, examination data, a surgical operation record, a pathological diagnosis using a microscope, and a record of home medical treatment. How to deliver through. 10. A system for delivering a medical treatment report via a communication line, comprising: an input device for voice-inputting a medical treatment result of medical examination data; and a medical treatment system coupled to the communication line, the medical treatment input by the input device. A first computer site for creating a resulting voice information file and transmitting the voice information file to a predetermined destination via the communication line; and receiving and receiving the voice information file via the communication line. A second computer site at the other end for opening the reproduced voice information file and reproducing the medical result, and transmitting the medical result of the voice information file converted into the report document data from the second computer site to the communication line. Means for transmitting a medical treatment report via a communication line. 11. A portable main body that can be held, and a voice input / output operation unit that is arranged on a surface of the main body and includes at least a recording start button, a play button, a stop button, and a microphone. First means for outputting an output signal from the microphone and a signal for instructing an external computer to record the output signal in response to an operation of the recording start button; Second means for responding to the operation of the stop button by outputting a signal for causing the external computer to open the audio data file and reproduce the audio of the audio file; A third means for outputting a signal for stopping the operation of recording or reproducing the sound; and being connectable to the external computer via a signal transmission line, The first and second audio information input device and having a means for transmitting to the third means of the output signal selectively via the signal transmission path of the external computer. 12. The external computer, wherein the computer reads an output signal from the microphone in response to a recording medium capable of recording the audio file and a signal instructing recording from the audio information input device. Means for converting the sound data file into a possible format and recording it on the recording medium; and a sound data file recorded on the recording medium in response to a signal for reproducing the sound from the sound information input device. 12. A means for reading out and outputting as an audio signal, and means for stopping an operation of recording or reproducing the audio in response to the stop signal from the audio information input device. Described voice information input device.