CN101395630A - Medical image system - Google Patents

Abstract

A medical image system by which in order that image data generated by an image creating device and patient information are efficiently associated with each other while the doctor is examining the patient, an on-line button is blinking on receiving the image data or examination data when a screen showing information on the specified patient is displayed, the received data is automatically associated with the patent information and stored in an image DB when the blinking on-line button is depressed, and the received data is temporarily stored in a temporary storage section for storing data waiting for association with the patient information when the blinking on-line button is held depressed long.

Description

Medical image system

Technical field

The present invention relates to be mainly used in the medical image system of medical facilities on a small scale, relate in particular to can have a guide look of the photographs that shows patient diagnosis object position, fox message, with and/or the medical image system of treatment information.

Background technology

In the past, the technician adopts video generation devices such as CR (Computed Radiography) device, FPD (Flat PanelDetector) device that the patient who checks object is photographed, in order to make the image that obtains to be provided in diagnosis, apply Flame Image Process such as level processing, the image that output image is handled well, provide the doctor to read shadow, this diagnostic system has been known.

This diagnostic system is to take on the responsibility that personnel bear separately by multidigit diagnosis is normally carried out, for example: accept the patient of institute, distribution photography order take on personnel's (accepting); In photography room reality the patient is photographed, what generate view data takes on personnel (technician); Can level etc. that judge resulting image be provided in diagnosis, and that according to circumstances carries out level, concentration correction takes on personnel (technician who appoints etc.) from general technician; Judgement has or not the shadow of reading of disease (diagnosis) to take on personnel (doctor) etc. according to image.

Use in the past in the extensive medical facilities of this diagnostic system (below be referred to as extensive facility) in imagination, the technician that many video generation devices and these video generation devices of multi-position action are arranged, the viewer of affirmation view data such as central authorities' control of operation video generation device and doctor etc. all is separated to be provided with, and bears function separately.Therefore, danger such as patient and view data are got in existence wrong.In order to prevent above-mentioned phenomenon, a kind of system is arranged by motion, its intermediary crosses network and makes and respectively install integration and cooperation, at each device distribution ID, the flow chart result who carries out at each device is paid correlativity (for example please refer to patent documentation 1) respectively.

In the above-mentioned this system, bear the place of above-mentioned each responsibility, accept is in the 1st building, the Radiology is inferior on ground, most applications is to be dispersed in the place that separates in the hospital, and in the Radiology, have the multidigit technician to use many cameras to photograph simultaneously to the multidigit patient, this situation is very common.Multidigit patient often is stuck in each operation, does not make mistakes for the image that makes generation and every patient's corresponding relation, ID is enclosed in each operation of each operation, the HIS that was situated between (Hospital Information System; Hospital information system), RIS (Radiology Information System; Radioactive ray Information Center infosystem) network carries out correspondence (for example please refer to patent documentation 2 and patent documentation 3).

For example, accept sales counter,, login with the patient's name according to patient's state of an illness readme decision photography content in the 1st building.Make the patient's catalogue shown in Figure 15 (a) thus.This patient's catalogue is added at any time, and is presented at the accepting with workstation (below be referred to as " WS ") of the 1st building.Simultaneously, above-mentioned patient's catalogue is by networks such as RIS/HIS, (here " central authorities' control " is meant the workstation in the Radiology to be presented at central authorities' control in the Radiology in underground the 1st building, wherein, show the photography sequence information of setting, the RIS/HIS of photography conditions, the image that the patient is taken).In order to improve the efficient of dispersion treatment, many central authorities' controls usually are set, their networks that was situated between interconnect, when certain photography ID is selected in central authorities' control arbitrarily, take in order to prevent repeating between the multidigit technician, adopt following method, promptly in this selected patient's catalogue, show the bulletin (coruscating shows or change color, or if specifies identical inspection then to send too warning etc.) of present.

The technician of Radiology uses oneself nearby central authorities control by the side of, selects the photography ID that is about to take from the patient's catalogue that demonstrates, and logins the ID (recorder changer ID) of employed CR dish (recorder changer).Like this, shown in Figure 15 (b), " the recorder changer ID " of patient's catalogue (D1) demonstrates the recorder changer ID that has logined in the hurdle.For example the technician with 3 recorder changers come the photography room carry out patient's photography.Afterwards, read the recorder changer that photography finishes with reading device.Reading device reads the recorder changer ID that is attached on the recorder changer that is inserted into, and makes it subsidiary and send this recorder changer id information in view data, and is last, and photography ID (patient ID) is by corresponding with the view data that generates.The view data that generates is sent to central authorities' control that the technician has selected described photography ID, is presented at central authorities' control.Carry out the positioning of photography in this stage and confirm that the location condition of poor is photographed once more, also judges whether to use concentration, level correction, frequency enhancement process etc.Afterwards, this image is saved in reads shadow and wait for (diagnosis is waited for) server.Read the shadow doctor from be stored in the described image of reading the shadow waiting for server, extract the image relevant out, be presented on the workstation (most of occasions have the high meticulous display that overview function is used) of reading studio, read shadow (diagnosis) with deciding patient.

Yet, in this system that in extensive facility, is used, by to being the count information of calculating of relevant influence insurances such as simple photography or radiography photography for example to the photography that the patient did, also login patient's photography ID and recorder changer ID etc., corresponding with patient and photographs, like this, all information can both be focused in RIS/HIS server etc. and be managed.

But, investigation according to the present patent application person etc., the occasion of the less medical facilities of picture individual opening hospital and the sort of scale of cottage hospital (below be referred to as facility on a small scale) has only a doctor more to the situation that the patient examines, video generation device that the platform number is set is also less.The assistant positions the patient, receive the notice that the assistant locatees end after the doctor control the situation of roentgen radiation x switch or comprise all operations of patient location all more by the situation that doctor oneself carries out.

In addition, the occasion of extensive facility has been imagined from photographing to and has been accepted doctor's diagnostic period, the patient must make a return journey in the multi-story in facility, still, and the occasion of small-scale facility, because facility is also little, thus from photograph accept diagnosis during, the patient movement distance is also short.

Also the thing of photographs takes place to get wrong with other patients in not conference in this case, if adopt and the extensive same system of facility, must carry out generating operation etc. with the photography sequence information headed by the input patient's name, formality becomes complicated on the contrary, and diagnosis and treatment efficient reduces.

In addition, generate photography sequence informations such as patient's patient information and photography conditions information in advance, in order to carry out corresponding with the photographs of this photography sequence information being taken gained, the sort of system must be arranged, promptly use and be connected each device with the such corresponding network of backbone system of RIS/HIS, but, construct such system's cost cost, also need to be used for to obtain the means (for example please refer to group patent documentation 4,5) of data integration with the backbone system, this is a burden to the small-scale facility, existing problems.In addition, use exactly in the above-mentioned extensive facility the formation notion and with the decreased number of each device some, neither be suitable for facility on a small scale most.

In addition, also begin the penetration of electron case history in the small-scale medical facilities such as individual opening hospital and clinic (below be referred to as the small-scale facility), the retrieval of case history content becomes possibility gradually, but, compare with the paper case history, the input operation of electronic health record increases doctor's burden, so, as shown in patent documentation 6, there is the multiple method that alleviates the input operation operation to be proposed.

In PACS (Picture Archiving Communication System: please refer to patent documentation 7) and electronic medical record system, at first, to check that the order input is as key, quilts such as the image information of Sheng Chenging, report information, treatment information are paid correlativity afterwards, so guide look shows these information, the assurance of clinical pathway becomes easily, relevant these records to some extent in patent documentation 8.

Patent documentation 1: United States Patent (USP) the 5th, 334, No. 851 communiques

Patent documentation 2: the spy opens the 2002-159476 communique

Patent documentation 3: the spy opens the 2002-311524 communique

Patent documentation 4: the spy opens the 2006-92261 communique

Patent documentation 5: the spy opens the 2003-248723 communique

Patent documentation 6: the spy opens the 2002-7021 communique

Patent documentation 7: the spy opens flat 5-12352 communique

Patent documentation 8: the spy opens the 2003-132144 communique

Summary of the invention

Problem of the present invention is to realize that the doctor when carrying out patient's examination, carries out correspondence to view data and the patient information that generates in the video generation device expeditiously.

And, above-mentioned PACS must have the equipment investment that is connected each facility in the hospital for network with electronic medical record system, also must read input operations such as shadow report with the keyboard input, there are special personnel to bear these business respectively in the extensive hospital, that is to say it is that the dependence personnel invest and carry out system operation, and open for business hospital etc. on a small scale in the facility the individual that people of doctor bears all business, then be difficult to be suitable for.In addition, the hospital's overwhelming majority of opening for business of individual in the past is a utilization paper case history, be patient and photography distribution inspection order, and this inspection order be not as by electronization system employs be used as key information, pay correlativity with the view data, report information (medical record information) etc. that are used for later generation.Therefore, need have a guide look of the network arrangement of demonstration and new electronics input operation work number, undesirable.

In addition, in the small-scale facilities such as individual's opening hospital, the situation that doctor oneself checks is more, almost do not import image planes when the more situation of the sort of Personnel Resources that extensive hospital is imported into effectively, generate the situation of the data ordering device of relevant treatment (prescription, disposal, inspection etc.) order.In the system of this individual hospital that opens for business, no matter whether treat order, how the summary of all treatments that doctor oneself implements (the paper case history is placed on the front) can have a guide look of reference after the enforcement effectively, and this has a significant impact diagnosis and treatment efficient.Especially the situation that patient's image use film of taking is diagnosed accounts for the overwhelming majority, and when estimating not use film from now on (when carrying out diagnostic imaging by display), the correspondence of patient and image is difficulty to some extent.

At this, present inventors etc. analyze individual's flow process of opening for business in the institute in hospital and the clinic, found that, even facility in the paper case history utilization that does not have electronization, under the more situation, accept, accounting process also is not by the doctor but other full-time staff bear, use PC (workstation), the photograph input operation of location information, photography number, detailed relevant informations such as payment for medical care such as photography size etc. and patient's accounting process calculated, by using this input information effectively, can save in order to have a guide look of the operation of re-entering of demonstration.

And as problem of the present invention, be to be implemented in the above-mentioned individual hospital that opens for business,, can on picture, have a guide look of the examination process that shows in the past by the easy input operation in facility.And, can move to the photographic image data that becomes diagnostic base through picture from the examination in the past that the picture guide look shows.And making above-mentioned guide look show again can improve the degree easy to use in individual's opening hospital, the clinic thus with corresponding without the film utilization.

In order to solve above-mentioned problem, the invention of the 1st record is,

A kind of video generation device and medical image management apparatus interconnect and between can the sending and receiving data message medical image system, wherein, view data is photographed, generated to described video generation device to patient's diagnosis object position; It is corresponding that the view data that described medical image management apparatus generates described video generation device and patient information carry out, and medical image system is characterised in that,

Described medical image management apparatus has:

Patient's catalogue obtains means, obtains the patient's that must examine patient information catalogue;

Patient's designating means from the described patient information catalogue that obtains, is specified the patient information of examination subject patient;

The control mode selection approach is used for selecting the control mode when receiving view data from described video generation device;

Control device, have first control mode and second control mode, wherein, described first control mode is when receiving view data from described video generation device, automatically correspond to by described patient's designating means this view data of receiving in the appointed patient information and be saved in the preservation means, the view data that described second control mode is not received this is carried out corresponding with patient information but is saved in the interim preservation means, according to the selection that comes from described control mode selection approach, with described first control mode or described second control mode, the preservation of the described view data of receiving is controlled.

The invention of the 2nd record is the invention of record in the 1st, it is characterized in that,

Described video generation device is set at the photography room, and described medical image management apparatus is set at clinic.

The invention of the 3rd record is the invention of record in the 1st or the 2nd, it is characterized in that,

Described medical image management apparatus has notification means, and notice is received view data from described video generation device.

The invention of the 4th record is the invention of record in the 3rd, it is characterized in that,

Described notification means is just notified whenever receiving view data from described video generation device.

The invention of the 5th record is the invention of putting down in writing in any one of the 1st to the 4th, it is characterized in that,

Connecting many described video generation devices on the described medical image management apparatus.

The invention of the 6th record is the invention of record in the 5th, it is characterized in that,

Described control mode selection approach can correspondingly be selected control mode with described each video generation device that is being connected.

The invention of the 7th record is the invention of putting down in writing in any one of the 1st to the 6th, it is characterized in that,

Described medical image management apparatus and have the 3rd control mode, described the 3rd control mode is when receiving view data from described video generation device, the described view data of receiving corresponded to be different from other patient information of appointed patient information by described patient's designating means

By described control mode selection approach during selected the 3rd control mode, described control device shows by described patient's catalogue in the demonstration means and obtains means and the patient information catalogue that obtained, so that can select, the patient information that will select from the described patient information catalogue that is shown carries out corresponding with the described view data of receiving and is saved in described preservation means.

The invention of the 8th record is the invention of putting down in writing in any one of the 1st to the 7th, it is characterized in that,

Described medical image management apparatus is connected with the testing fixture of obtaining the patient data, and between can the sending and receiving data message,

Described control mode selection approach can be selected when the control mode of receiving from described testing fixture when checking data,

Described control device is when receiving the inspection data from described testing fixture, according to the selection that comes from described control mode selection approach, automatically correspond to by described patient's designating means these inspection data of receiving in the appointed patient information and be saved in fox message and preserve means, or the inspection data of this not being received are carried out corresponding with patient information but are saved in interim preservation means.

In order to solve above-mentioned problem, the invention of the 9th record is the invention of putting down in writing in any one of the 1st to the 7th, it is characterized in that, has:

Accept means, accept the patient, and with the information of distinguishing each patient and accept date and time information and carry out login process;

The patient information input medium is with described each patient's of differentiation who is logged in the described means of accepting information and accept date and time information and import patient information accordingly;

Image memory means, the view data that described video generation device is generated and, the photography date and time information of the patient information corresponding with this photography target patient and this view data carries out correspondingly also remembering;

The detailed relevant information input medium of payment for medical care, input and information by described described each patient of differentiation who accepts means and accepted and accept date and time information corresponding, by electronization fox message with and/or comprise the payment for medical care detail relevant information of treatment information;

Payment for medical care managing detailed catalogue memory means according to described each patient's of differentiation information and the described date and time information of accepting, are carried out correspondence and memory to described patient information that is transfused to and the detailed relevant information of payment for medical care;

Described medical image management apparatus obtain the corresponding memory of patient information with the diagnosis object patient in described image memory means described view data and the photography date and time information of this view data, simultaneously, with its accept date and time information obtain together with the described fox message of the corresponding memory of this patient information in described payment for medical care managing detailed catalogue memory means with and/or described treatment information

This medical image management apparatus and have the demonstration means, these demonstration means make the described described view data that obtains, with described fox message with and/or described treatment information accordingly with described patient information, the guide look of sequential ground is presented on the picture.

The invention of the 10th record is the invention of record in the 9th, it is characterized in that,

The detailed relevant information input medium of described payment for medical care comprises described patient information input medium.

The invention of the 11st record is the invention of record in the 9th or the 10th, it is characterized in that,

Have the described image of multiple class and generate means,

Described image memory means makes and generates the view data that means are generated by described image and remember accordingly with this photography target patient's patient information, the photography date and time information of this view data, the described image generation of expression means kinds of information,

The demonstration means of described medical image management apparatus are divided every kind of described image to generate the guide look of means kind ground and are shown described view data.

The invention of the 12nd record is the invention of putting down in writing in any one of the 9th to the 11st, it is characterized in that,

Sequential ground with described patient information have a guide look of shown described view data, described fox message with and/or the picture of described treatment information, can move to and show each the picture of detailed photographs that is showing on this picture.

According to the present invention, the doctor can be when examining the patient, and efficientibility ground carries out correspondence to view data and the patient information that generates at video generation device.

According to the present invention, because just send its order notice in case receive view data from video generation device, so, can select control mode with to receive view data corresponding.

According to the present invention, whenever receive view data and just can select control mode.

According to the present invention, in having the medical image system of many video generation devices, the doctor can be when examining the patient, and efficientibility ground carries out correspondence to view data and the patient information that generates at video generation device.

According to the present invention, can select control mode corresponding to the video generation device ground that sends view data.

According to the present invention, the view data of receiving can be corresponded on the patient information outside the examination subject patient.

According to the present invention, the doctor can be when examining the patient, and efficientibility ground carries out correspondence to inspection data and the patient information that generates at testing fixture.

According to the present invention, in each one opens for business hospital, easy input operation in the enough facilities of energy, diagnosis and treatment in the past such as guide look demonstration diagnosis object patient's photographs information, fox message, treatment information are passed through on workstation.

According to the present invention, can further reduce the input operation of doctor at clinic, can make the doctor specially read diagnosis in the patient.

According to the present invention, because can show diagnosis and treatment process in the past more at a glance, so the doctor can promptly remember diagnosis and treatment process in the past.

According to the present invention, because the doctor can confirm the guide look of the process of diagnosis and treatment in the past and photographs in detail at medical image management apparatus, so, there is no need to seek patient's photographs literary composition folder, can concentrate on patient's diagnosis.

Description of drawings

Fig. 1: the one-piece construction illustration intention of the small-scale diagnostic system 1 that the present invention relates to.

Fig. 2: used configuration illustration under small-scale diagnostic system shown in Figure 11 situation, that respectively install in medical facilities and be intended to.

Fig. 3: the functional formation of having used the control device 3 of small-scale diagnostic system shown in Figure 11 is wanted portion's block diagram.

Fig. 4: the data lattice of the detailed DB 50 of payment for medical care shown in Figure 1 are received the illustration intention.

The one illustration intention of the diagnosis and treatment summary picture 351 that shows in the display part 35 of Fig. 5: Fig. 3.

The one illustration intention of the diagnosis and treatment summary picture 351 that shows in the display part 35 of Fig. 6: Fig. 3.

The one illustration intention of the photographs display frame 352 that shows in the display part 35 of Fig. 7: Fig. 3.

The flow process signal of the CPU 31 practiced patient information alignment processings of Fig. 8: Fig. 3.

The one illustration intention of the corresponding picture 353 of the patient information that shows in the display part 35 of Fig. 9: Fig. 3.

The flow process signal of the CPU 31 practiced patient information alignment processing B of Figure 10: Fig. 3.

The correspondence that shows in the display part 35 of Figure 11: Fig. 3 is confirmed the illustration intention of picture 355.

The one illustration intention of the photographs guide look display frame 356 that shows in the display part 35 of Figure 12: Fig. 3.

Diagnosis and treatment summary display process of carrying out in the control device 3 of Figure 13: Fig. 1 and the diagnosis and treatment summary display sequence synoptic diagram at control device 3, server 4, acceptance apparatus 5 carried out corresponding with it.

Figure 14: the image that demonstrates when pressing the image comparison picture button of Fig. 8 is the illustration intention of picture 354 relatively.

Figure 15: (a) being the catalogue one illustration intention that sales counter is logged of accepting in diagnostic system in the past, (b) is that the technician of Radiology logins the illustration intention of recorder changer in the catalogue shown in (a) in diagnostic system in the past.

Embodiment

Below, referring to figs. 1 through Figure 11, an embodiment of the medical image system that the present invention relates to is explained.But the present invention is not limited to shown in the illustrated example.

At first, structure is described.

Fig. 1 is a system architecture synoptic diagram of having used the small-scale diagnostic system 1 of the medical image system that the present invention relates to, and Fig. 2 is the configuration illustration intention of each device in medical facilities when having used small-scale diagnostic system 1.

Small-scale diagnostic system 1 is to be applicable to individual's opening hospital, clinics etc. are the system of medical facilities on a small scale, as shown in Figure 1, by diagnostic ultrasound equipment 2a as video generation device 2, endoscope apparatus 2b, CR device 2c and, control device 3 (claiming medical image management apparatus again), testing fixture 4 Hes, payment for medical care is detailed with computer (below be referred to as acceptance apparatus) 5 Hes, server 7 constitutes, video generation device 2, control device 3 and acceptance apparatus 5 were situated between and did not for example have illustrated switch etc., were connected on the LAN communication networks (being designated hereinafter simply as " network ") 6 such as (Local Area Network).Preferred control device 3 is to be set at the interior WS (workstation) of clinic that the doctor resides.And, also can be that WS carries out work as control device 3, control the starting of each video generation device 2 and treatment conditions etc.

As the communication mode in the hospital, general DICOM (the DigitalImage and Communications in Medicine) specification that adopts is adopted DICOM MWM (Modality Worklist Management), DICOM MPPS (Modality Performed Procedure Step) by the respectively communication between the device that LAN connects.And, be not limited to this applicable to the communication mode of present embodiment.

For example, in the small-scale medical facilities such as hospital and clinic of opening for business the individual, each device is configured to as shown in Figure 2.

That is, one enter import 10 be carry out that the patient accepts accept 11 and waiting room 12.Accepting has sales counter to take on personnel in 11, this takes on personnel to the patient distribution that the comes institute number of accepting ticket for example, is printed on it for according to accepting the number of accepting that order is distinguished each patient.In addition, accept and be provided with acceptance apparatus 5 in 11, sales counter is taken on personnel and is inquired the patient's name, in acceptance apparatus 5, and input reception number and patient's name's corresponding relation.And sales counter is taken on personnel and is also examined medical record information after the end according to the patient, carries out the count input operation of necessary item of bill information (below be referred to as the payment for medical care relevant information) of relevant insurance at acceptance apparatus 5.

In waiting room 12 next doors, be provided with the doctor examines diagnosis to the patient clinic 13 across door and other places.Examination in clinic 13 is with on the desk (not diagram) for example control device 3 and server 7 being set, wherein, control device 3 is for the doctor diagnoses, and display device is shown with photographs that patient's diagnosis object position is taken, relevant for the fox message of the patient being checked (for example sample inspection (blood test, urine/just inspection, cut sections for microscopic examination etc.), Electrocardioscopy etc.), relevant for the treatment information headed by the dispensing information such as medicament that the patient is come into operation etc.; Server 7 has image DB (Data Base) 70, preserves the view data of photographs.The lower diagnostic ultrasound equipment 2a of necessity that carries out in segregate space from viewpoints such as privacies also is being set in the clinic 13.

Across corridor 14, be provided with the X line photography room 15 that carries out the photography of X line on the opposite of clinic 13.The photography of X line is being provided with the CR device 2c that is made of camera 22 and reading device 23 in the room 15.And the next door in X line photography room 15 is provided with inspection chamber 16, and endoscope apparatus 2b and testing fixture 4 are being set in the inspection chamber 16.

Below, each structure of installing in the small-scale diagnostic system 1 is explained.

Video generation device 2 is for example diagnostic ultrasound equipment 2a, endoscope apparatus 2b, C

R device 2c etc. carry out digital conversion to photograph as subject at patient's diagnosis object position to the image of photographing, and the image that generates the view data (photographs information) of photographs generates means (mode).

Diagnostic ultrasound equipment 2a constitutes (not having diagram) by the ultrasonic detector and the electronic installation of output ultrasonic wave, electronic installation is connected ultrasonic detector, will be transformed into the view data of the photographs of interior tissue at the sound wave (echoed signal) that ultrasonic detector is received.Diagnostic ultrasound equipment 2a sends ultrasound wave from ultrasonic detector in body, use ultrasonic detector acceptor inner tissue reflected sound wave (echoed signal) once more, by the photographs of electronic installation generation corresponding to echo information.

Connecting converting means 21 on the diagnostic ultrasound equipment 2a, this converting means 21 is shift means (converters), carries out conversion from the simulating signal to the digital signal etc., and the diagnostic ultrasound equipment 2a converting means 21 that was situated between is connected on the network 6.By the converting means 21 that was situated between, like this, even form and other outside utensil specification incongruent data such as (for example communication protocols) that are connected in the network 6 are arranged to be exported from ultrasonic unit 2a, the conversion that also can suit this moment, and be connected between the outside utensil on the network 6 and carry out the data message sending and receiving.

In the present embodiment, converting means 21 has UID (unique ID) is attached to the function in the view data, and this UID (unique ID) is in order to use according to the view data in the next specific small-scale diagnostic system 1 of the form of DICOM specification.UID is by the identifying information of video generation device 2 (below be referred to as mode ID), photography date and expression formations such as numeral constantly.In the present embodiment, mode ID comprises presentation video generating apparatus 2 kinds of information.

In addition, converting means 21 is provided with input operation part 21a, and it is made of for example 0 to 9 digital keys, keyboard, touch panel etc.Input operation part 21a is not limited to the structure of showing at this, also can be the structure as the card reader for example, reads the information that is scribed in the card by inserting card.Input operation part 21a be used for importing by with the retrieval of the corresponding setting of photography target patient with ID (being the number of accepting in the present embodiment), converting means 21 makes and attaches retrieval ID and the above-mentioned UID etc. that are transfused to by input operation part 21a in the view data of the photographs of taking.

The retrieval ID here is photography back identification photography target patient's when photographs is done retrieval a identifying information, is the number of accepting of paying when accepting here.Small-scale diagnostic system 1 in the present embodiment, wherein, the patient is not generated in advance and distribution inspection order (photography order), but carry out patient's photography earlier, generate the digital photograph images data, afterwards, the doctor carries out correspondence to patient information and photographs, is retrieval ID carrying out this to what be used at once.

, for example, take and accepting 11 when being presented the number of accepting as retrieval during by input operation part 21a for the patient of " 001 " with the ID input reception, from input operation part 21a as the retrieval corresponding with the patient with ID input " 001 ".

Usually, the average 1 day institute's number of coming of individual opening hospital is about 10～40 people, and the consecutive numbers of the expression number of accepting has 2 figure places just enough, as long as input operation part 21a can import the numeral of this 2 figure place, and 0 to 9 digital keys of preferred cheapness.

Below illustrational situation be to adopt the number of accepting use ID as retrieval, but as hereinafter described, retrieve and be not limited to the number of accepting with ID.

And, when the situation of the possibility that does not have sequence photography multidigit patient (when the patient separates abundant interval), because the doctor can be according to easily view data and patient being carried out correspondence by the UID that is photographed the date by subsidiary mode ID+ in each image and constantly constitute, so, not necessarily need to retrieve input with ID.At this moment, set each video generation device, make not retrieve and just start working with the input of ID.

The information of importing, being attached the photographs from input operation part 21a is not limited to retrieval ID.Also can wait identification patient's various information from input operation part 21a input patient's name.Also can import this photography is not use the simple photography of contrast preparation etc. also to be to use photography of contrast preparation etc., specific photography kinds of information etc.The retrieval that is transfused to is with ID and other information, as incidental informations such as header information by subsidiary in the view data of photographs, when view data was sent to outside utensil, these information were also transmitted together by corresponding with view data.

Endoscope apparatus 2b is the device (do not have diagram) that the miniature photography device is set at the tip with flexual pipe, and camera for example has: by optical lens etc. constitute to the thing optical system; Be arranged on the image pickup part on the image space of thing optical system; By LED formations such as (Light Emitting Diode), the necessary Lighting Division of making a video recording (all not having diagram).Image pickup part has for example solid-state imager of CCD (Charg eCoupledDevice), CMOS (Complementary Metal-OxideSemiconductor) etc., in case light incident, then corresponding to the incident light quantity of light, carry out light-to-current inversion to the electric signal of respective amount.The thing optical system is constituted as with optical lens optically focused is carried out in the zone of illuminated irradiation, image in the structure of the solid-state imager that image pickup part has, by the light that incides solid-state imager is carried out light-to-current inversion, the view data of photographs is output as electric signal.

The camera 22 that constitutes CR device 2c has and does not have illustrated radiation source, to patient's diagnosis object position irradiation radiation imaging rest image.During photography, configuration radiation image alternate media in the radiation exposure zone of described radiation source irradiation, its built-in radiation image converter plate (all not having diagram) that has the stimulated fluorophor thin plate of for example accumulating the radioactive ray energy, with the diagnosis object position to the radioactive ray transmitance of the quantity of radiation of the radiation source irradiation corresponding quantity of radiation that distributes, be accumulated in the stimulated luminescent coating of the stimulated fluorophor thin plate of establishing in the radiation image alternate media, the radiation image information at record diagnosis object position in the stimulated luminescent coating.

In the reading device 23, in case having write down the radiation image alternate media of diagnosis object position radiation image information is loaded into, then to being loaded into the stimulated fluorophor thin plate irradiation exciting light of the radiation image alternate media in the device, the most light of brightness that sends from thin plate is thus carried out light-to-current inversion, the picture signal that obtains is carried out the A/D conversion, generate the view data of photographs.CR device 2c also can be camera 22 and reading device 23 by integrated integral apparatus.

And, have the function of the view data that is generated being enclosed above-mentioned UID in the reading device 23 of endoscope apparatus 2b, CR device 2c, make this enclosed UID subsidiary in view data.

Control device 3 is " medical image management apparatus ", be set at for example clinic 13, be used for patient information and view data are carried out correspondence and be saved among the image DB38, also read shadow diagnosis etc. for doctor display image etc., also can have than general PC (Personal Computer) employed display (display part) come the display of high definition.Control device 3 has CPU31, RAM32, memory portion 33, input part 34, display part 35, Department of Communication Force 36, I/F37, image DB38, image fox message DB39 etc. as shown in Figure 3, and each one connects by bus 40.

CPU31 reads in the memory portion 33 various programs such as the system program, handling procedure of memory, is deployed in RAM32, according to the program that is unfolded, carries out aftermentioned with the various processing headed by the patient information alignment processing.

RAM32 forms interim memory work district, and interim memory is being carried out in the various processing of control by CPU31, the various programs that can carry out at CPU31 of being read from memory portion 33, inputs or outputs data and parameter etc.In the present embodiment, RAM32 has the data of receiving lattice and receives portion 321, and interim lattice are received view data of receiving from video generation device 2 and the inspection data of receiving from testing fixture 4.

Memory portion 33 is by formations such as HDD (Hard Disk Drive), semiconductor non-volatile memories.In the memory portion 33 except remembering above-mentioned various program, also remembering Flame Image Process parameter (having defined the look-up table of the level curve that is used for the level processing, the enhancing degree of frequency processing etc.) etc., be used for adjusting the view data of photographs, make it picture quality and be suitable for diagnosis.

In addition, memory portion 33 has interim memory portion 331, and it is as interim preservation means, preserves not with view data on patient information is corresponding and checks data temporarily.

Input part 34 comprises locating devices such as the keyboard that has vernier, digital input key and various function keys and mouse, is operated the operation signal of pressing signal and mouse of the key of pressing at keyboard, outputs to CPU31 as input signal.

Display part 35 has for example CRT (Cathode Ray Tube), LCD displays such as (Liquid Crystal Display), according to by the indication of the shows signal of importing from CPU31, shows various pictures.

Department of Communication Force 36 is made of network interface etc., and the conversion maincenter that was situated between is connected and carries out data between the outside utensil on the network 6 and pick.

I/F37 is an interface, and testing fixture 4 is connected to control device 3, and control is picked with the data of testing fixture 4.

Image DB (Data Base) 38 is made of HDD etc., is the view data of photographs is carried out preservation means corresponding and that preserve with patient information.

Fox message DB39 is made of HDD etc., is various inspection data and patient information to be carried out fox message corresponding and that preserve preserve means.

Testing fixture 4 is the electrocardio ripple pick-up units that detect ecg wave form, obtain Wave data, constitute by obtaining the essential sensing that body temperature, blood pressure, height, body weight etc. must data and poly-sound device of obtaining live body sound data such as lungs sound, hear sounds, sound etc., the inspection data that obtain (above-mentioned Wave data, must data, live body sound data etc.) are sent to control device 3.

[the detailed computer of using of server and payment for medical care]

Get back to Fig. 1, server 7 is computers, (all not the having to illustrate) such as Department of Communication Forces of communicating by letter between each device on having the memory portion that is made of CPU, RAM, HDD etc. and control and being connected network 6.Server 7 has image DB70, by the moving software processes of remembering in CPU and the memory portion of program association, Department of Communication Force was situated between, the view data of the photographs that indication writes to controlled device 3 and incidental information (information that comprises patient information and UID) thereof carry out correspondence and lattice and receive image DB70 as image memory means, meanwhile, reply the requirement that control device 3 sends, retrieving images DB70, read the view data and the incidental information thereof of replying requirement, be sent to control device 3.

Acceptance apparatus 5 is computers, the input part that has the memory portion that constitutes by CPU, RAM, HDD etc., constitutes by keyboard, mouse etc., the display part that constitutes by CRT, LCD etc., control be connected network 6 on each device between (all not the having to illustrate) such as Department of Communication Forces of communicate by letter.Accept the input picture in case be instructed to demonstration from input part, then acceptance apparatus 5 is assisted moving software processes by the program of remembering in CPU and the memory portion, show there is not the illustrated input picture of accepting at display part, in case be transfused to the information of accepting (number of accepting and patient information) from input part by accepting the input picture, then write (renewal) and accepted patient's patient information catalogue, memory portion, reply the transmission requirement of the patient's catalogue that comes from control device 3, transmit to control device 3 by Department of Communication Force.

In addition, have detailed DB50 of payment for medical care and fox message DB51 in the acceptance apparatus 5, wherein, the detailed DB50 of payment for medical care is remembering by operating personnel such as sales counter undertakers according to the detailed relevant information of the paper medical record information patient's that imported, that accepted who comes from the doctor payment for medical care; Fox message DB51 is remembering the fox message of the inspection that the patient is carried out.

Fig. 4 represents that the data lattice of the detailed DB50 of payment for medical care receive example.The detailed DB50 of payment for medical care is that lattice receive that each comes the database of the patient's of institute the detailed relevant information of payment for medical care, comprises the following order as shown in Figure 4: " accepting the date " project D11, lattice receive the patient and accept the date; " number of accepting " project D12, lattice receive to the number of accepting of patient's distribution; " patient information " project D13, lattice receive patient information (being the patient's name) here; " photography number " project D14, lattice are contained in the number of accepting the image of in the date this patient being photographed; " radiography number " project D15, lattice receive the photography number that adopts contrast preparation; " mode " project D16, the kind of the video generation device 2 that Ge Na photographs; " position " project D17, lattice receive the location information of taking; " dispensing " project D18, lattice are contained in and accept the pharmacy information of in the date patient being write out a prescription; " inspection species " project D19, lattice receive the information of species of the inspection that expression carries out the patient; " ID " project D20, Ge Na are used for discerning the inspection ID (sample is sample ID when checking) of the inspection that the patient is carried out; " disease name " project D21, lattice are contained in the disease name of accepting diagnosis in the date; " note " project D22, lattice receive the note that aftermentioned is transfused to from control device 3; " insurance is counted " project D23, the insurance that Ge Na calculates is counted etc.

Fox message DB51 is a database, and lattice are received the fox message of expression and the corresponding check result of inspection ID.

Detailed DB50 of payment for medical care in the present embodiment and fox message DB51 are equivalent to payment for medical care managing detailed catalogue memory means.In the present embodiment, in order to realize the qualified fox message of receiving detailed fox message and obtaining of energy by scanning, lattice are received fox message in other fox message DB51 that is different from the detailed DB50 of payment for medical care, by detailed DB50 of payment for medical care and fox message DB51 being carried out correspondence with inspection ID, to both memories of being correlated with, but, because fox message is the information that contains in the payment for medical care managing detailed catalogue, so, also can in the detailed DB50 of payment for medical care, establish " fox message " project, the fox message lattice of expression check result are received in " fox message " project.

In case accept the input picture by the input part indicated number, then acceptance apparatus 5 is assisted moving software processes by the program of remembering in CPU and the memory portion, show there is not the illustrated input picture of accepting at display part, in case by accepting the input picture from input part input reception information (number of accepting and patient information), then in the detailed DB50 of payment for medical care, append new record, date is at that time write " accepting the date " project, the number of accepting that will be transfused to writes " number of accepting " project, patient information is write " patient information " project, login.That is, import picture and input part realization " accepting means " and " patient information input medium " by accepting of acceptance apparatus 5.In addition, in case by input part, to the detailed relevant information input of display part indicated number payment for medical care picture, then display part shows does not have the detailed relevant information input of illustrated payment for medical care picture.In case import the patient's of the detailed relevant information input object of payment for medical care the number of accepting at the detailed relevant information input of this payment for medical care picture, and input and the corresponding information of projects shown in Figure 4, the information that then is transfused to are written among the detailed DB50 of payment for medical care to be had in the corresponding project of the record of accepting date and the input object patient number of accepting the same day.That is, realize " the detailed relevant information input medium of payment for medical care " by detailed relevant information input picture of the payment for medical care in the acceptance apparatus 5 and input part.In addition, in case by not having illustrated fox message input picture from input part input checking ID and fox message, then to the inspection ID that is transfused to and fox message carry out correspondence also lattice receive among the fox message DB51.And, also can be the structure that acceptance apparatus 5 has scanning, the input of fox message also can be undertaken by reading the paper of representing check result with scanning.In addition, the program association moving software processes of acceptance apparatus 5 by remembering in CPU and the memory portion, to come from control device 3 Department of Communication Force that was situated between and be logged the information of indication, write in the respective item of respective record of the detailed DB50 of payment for medical care, meanwhile, reply the requirement that control device 3 sends, the detailed DB50 of retrieval payment for medical care, read corresponding to the information that requires, be sent to (supply) control device 3.

In the present embodiment be when accepting from accepting input picture input reception number and patient information, but also can be an input reception number when accepting, patient information is by the input of payment for medical care relevant information input picture.That is can be that the detailed relevant information input medium of payment for medical care comprises the patient information input medium.In addition, also can be that the only patient's name in the patient information imports from accepting the input picture, and patient's details such as other patient's sex, age, social security number or taxid be from the input of the detailed relevant information input of payment for medical care picture.

Subsequent, to the diagnosis of the patient in using the small-scale facility of small-scale diagnostic system 1 through describing.

In case the patient comes institute, then accepting 11 pairs of patient's distribution number of accepting tickets, in acceptance apparatus 5 operation inputting part, patient informations (accepting input) such as the patient's that input has been accepted number of accepting and patient's name.In case input patient's the number of accepting and patient information, then the catalogue of patient information (patient information catalogue) is write (renewals) in acceptance apparatus 5, lattice receive RAM decide regional.In case for example initial patient is accepted, imports this day, then the patient information catalogue is generated, and memory is decided regional in the institute of RAM, just be updated to the patient information catalogue when accepting, importing the next bit patient.

Moved to clinic 13 in case pay the patient of the number of accepting, carry out interrogation, photography, inspection that decision must be done by the doctor.

When being necessary to photograph patient's affected part by the interrogation decision, personnel are implemented in the photography that photography technician or doctor etc. photograph, the patient is taken in front of the video generation device 2 (diagnostic ultrasound equipment 2a, endoscope apparatus 2b or CR device 2c) of photographing, photographing as subject in diagnosis object position with this patient, generates the view data of photographs.For example, when video generation device 2 is CR device 2c, take, will in camera 22, take the recorder changer that the finishes reading device 23 of packing into, the radiation image of reading and recording in recorder changer at camera 22.In the video generation device 2, corresponding with photography enforcement personnel's operation, to photograph and the generation of view data, the view data of generation above-mentioned UID by subsidiary, is sent to control device 3.

When determining by interrogation to be necessary to check blood pressure, body temperature, cardiogram etc., doctor or nurse check 4 couples of patients of testing fixture.In testing fixture 4, the inspection data that obtain by inspection are sent to control device 3.

In case take and check and finish, the doctor then shows the photographs received from video generation device 2 at control device 3, from the check result that testing fixture 4 is received, and carries out reference, and the patient is examined.

Roughly passing through when more than being examination one patient.The view data that video generation device 2 generates, the inspection data that testing fixture 4 is obtained in control device 3 by corresponding with patient information.Here, because control device 3 is according to view data of receiving and inspection data in order to support diagnosis, the device that shows photographs and check result is so in patient's examination process, show photographs and check result about examining the subject patient past or obtaining the same day.

About photographs, the check result that obtains on examination past of subject patient or the same day is displayed in diagnosis and treatment summary picture 351 for example described later and the photographs display frame 352 etc.

Fig. 5, Fig. 6 have shown an example of diagnosis and treatment summary picture 351.Diagnosis and treatment summary picture 351 is guide look display frame, and sequential is showing photography and the inspection that appointed patient carried out by input part 34, having in the diagnosis and treatment summary picture 351: patient information 351a; Time shaft 35

1b; Diagnosis and treatment summary viewing area 351c; Last scroll button 351d; Following scroll button 351e; The arrow icon 351g; Insect pin icon 351h; Change regional 351f yardstick/period, be used to refer to the demonstration yardstick that changes time shaft and demonstration period; Deng.Among the diagnosis and treatment summary viewing area 351c with time shaft 351b accordingly, divide the kind of each video generation device 2 to show object icon A1, this object icon A1 is that the miniaturization of image that appointed patient is taken shows.In addition, diagnosis and treatment summary viewing area 351c, with time shaft 351b in the pairing position of date obtained of inspection data on, divide the kind of each testing fixture 4 to show object icon A2, its expression has obtained check result (following being called again checked icon).

The patient information that is showing the patient who is diagnosis and treatment summary picture 351 display object among the patient information areas 351a.Showing among the 351b of time shaft viewing area by initial setting predefined during, for example begin time shaft till now before N month.Correspondingly showing in that picture is transversely arranged with time shaft respectively among the diagnosis and treatment summary viewing area 351c: object icon A1, it is illustrated in the time shaft time limit that is shown by same kind mode shot image data; Object icon A2, it is illustrated in the fox message of checked same inspection item in the time shaft time limit that is shown; Object icon A3, it is illustrated in the dispensing information in the time shaft time limit that is shown; Disease name by diagnosis.By these object icons A1～A3, the doctor can easily hold the photographs of patient's shooting, the patient has been carried out the fox message of checking, the patient has been carried out the treatment information for the treatment of.

When the information that must be presented at diagnosis and treatment summary viewing area 351c more and can not be presented on the picture time, scroll button (going up scroll button 351d, following scroll button 351e) is shown, corresponding with the push of input part 34 each scroll button, the information of diagnosis and treatment summary viewing area 351c is by roll display.The information that is not shown is shown.For example, in the diagnosis and treatment summary picture 351 shown in Fig. 5 (a), in case by input part 34 push scroll button 351e, the information of then diagnosis and treatment summary viewing area 351c is rolled downwards, so, fox message and dispensing information are shown as Fig. 5 (b) or shown in Figure 6.

In addition, change regional 351f the yardstick/period of diagnosis and treatment summary picture 351 and be used to indicate the demonstration yardstick that changes time shaft and demonstration period, change regional 351f this yardstick/period and have and select zone, left arrow button, right arrow button yardstick/period.These play the function as setting means during showing by moving with the association of input part 34, set the time limit that is presented at the time shaft in the display frame.Yardstick in the zone or demonstration period (period) operation that elects is corresponding with the 34 pairs of yardstick/periods selecting by input part, and the function of left arrow button and right arrow button is switching to change that shows yardstick or the change that shows period.For example, if select " yardstick " by input part 34, then left arrow button and right arrow button are switching to the load button of the demonstration yardstick change indication of time shaft, with corresponding by input part 34 push left arrow buttons afterwards, the demonstration yardstick of time shaft is reduced, corresponding with the push right arrow button, the demonstration yardstick of time shaft is exaggerated.If select " period " by input part 34, then left arrow button and right arrow button are switching to the load button of demonstration change in the period indication of time shaft, with corresponding by input part 34 push left arrow buttons afterwards, the demonstration of time shaft becomes in the past period, corresponding with the push right arrow button, the demonstration of time shaft becomes period now.Corresponding therewith, view data, fox message, dispensing information in the time shaft scope that is showing are drawn out of, and according to the information that is drawn out of, establishment icon A1～A3 is presented at the position corresponding with time shaft.In addition, if by on the mouse fixed time axle a bit, then on time shaft, contain 1 month of designated some place days, be used as time shaft and show, the view data between appointed 1 month, fox message, dispensing information is corresponding with time shaft is revealed.And the relevant treatment information of being represented by object icon A3 as shown in Figure 6, correspondingly shows with time shaft during preferably making treatment (dispensing).In addition, preferably each object icon conforms to the setting of time shaft yardstick, can be varying sized when guide look shows, and to be convenient to observation.

In addition, showing the arrow icon 351g in the diagnosis and treatment summary picture 351, it is used to set the base period on time shaft, and be set to the base period period on the represented time shaft of the arrow of the arrow icon 351g.If the mouse by input part 34 etc. are to picture left and right directions drag and drop arrow icon 351g, then the base period on the time shaft is changed corresponding to drag operation.That is,, the base period setting means of base period have been realized on time shaft, setting by from input part 34 operation the arrow icon 351g.As Fig. 5 (a) (b) and shown in Figure 6, by base period of the arrow icon 351g appointment be to continue by a dotted line to be presented on the whole image, so patient's the state of an illness has taken place how to change the doctor before and after this base period being held in easily.For example, be set at the base period if will change the period of medicament prescription, the doctor can be by image and the fox message of benchmark before and after period so, easily being held in the result of treatment of medicament prescription before and after changing.And, if use click the arrow icon, then demonstrate note and write the hurdle, can import the note of relevant base period.If write hurdle input note from the aftermentioned note by input part 34, the annotation information that then is transfused to be written into by in the comment item of the payment for medical care relevant information of the corresponding payment for medical care detail DB50 of the arrow icon named date institute, after, when the arrow icon be set at corresponding position of this date on the time, the arrow icon 351g next door just demonstrates note.

If by specify any one of the object graph A 1 that is presented among the diagnosis and treatment summary viewing area 351c as the input part 34 of icon designating means, then the demonstration of display part 35 is switched to photographs display frame 352, shows the represented image of appointed object icon in detail.

Fig. 7 (a) has shown an example of photographs display frame 352.Photographs display frame 352 is pictures that the doctor carries out diagnostic imaging, and in the present embodiment, this picture is by small-sized display image data and check data and their are made the diagnosis and treatment summary picture 351 that guide look shows be revealed by operation.Comprise: image display area 352a is presented at diagnosis and treatment summary picture 351 appointed images; Photography order viewing area 352b shows the compact image of the image that this patient is taken with same mode according to the photography series arrangement; Note display field 352c shows by various operations and diagnosis and treatment summary picture 351 and the note that the appointed base period is imported.In this photographs display frame 352, if press " the branch position shows selection " button B21 by input part 34, then demonstration is had a guide look of at the position that this patient is taken, in case show selection part from guide look, then the photographs at selecteed position is presented at photographic picture display frame 352 separately.If press " note " button B22, then can import the various notes that comprise arrow, tint etc. by input part 34.If press " ON/OFF " button B23, then switch demonstration/non-demonstration and explain by input part 34.If press " image is picture relatively " button B24 by input part 34, then display part 35 is switching to relatively picture 354 (please refer to Figure 14 described later) of display image.If press " pattern output " button B25, when the electronic health record DB of control device 3 dative nano-electron medical record informations connects, then carry out the transition to following processing, that is, image and the note that is presented at image display area 352a is attached in the appointed electronic health record.If press " printout " button B26, the image that then is presented at image display area 352a is output.If press the action button B27 that is used for carrying out other various Flame Image Process (amplify/dwindle, rotate/reverse, level adjustment, concentration adjustment), then be implemented into the view data that is presented at image display area 353a with the operation processing accordingly that is pressed.

Here, the doctor is when interrogation, in control device 3, specify the examination subject patient, show patient's diagnosis and treatment summary picture 351, photographs display frame 352, decision photography number and photography direction etc., entrust photography or check to photography enforcement personnel, so, consistent the patient of control device 3 appointments in principle with the patient of view data of receiving or inspection data.But, in occasions such as the further consultation that has the first aid patient to arrive or get final product with the condition that is same as a preceding shot (inspections) or patient begin to crowd, can become inconsistent the patient of the present examination subject patient of control device 3 appointments and the view data of receiving, inspection data.

For this reason, possess online mode (first control mode) and offline mode (second control mode) in the control device 3, wherein, online mode (first control mode) is the view data that will receive, checks that data are automatically corresponding and be saved in the appointed patient information; Offline mode (second control mode) does not then correspond to view data, the inspection data of receiving in the appointed patient information, but can corresponding be saved in interim memory portion 331 after making with going up temporarily, formation can be selected aforesaid way in above-mentioned diagnosis and treatment summary picture 351,352 operations (switching) of photographs picture, by carrying out the patient information alignment processing of following explanation, the selection operation control corresponding of carrying out Yu being transfused to.

Fig. 8 has shown the patient information alignment processing.This processing is the processing that realizes by software processes when being transfused to certain operation, should certain operation be that indication shows assigned picture (not diagram), so that specify the patient of examination subject patient, described software processes is that the association between the patient information alignment processing program of remembering in CPU31 and the memory portion 33 is moving.

At first, send patient's catalogue by Department of Communication Force 36 to acceptance apparatus 5 and send requirement, obtain the data (step S1: patient's catalogue obtains means) of patient information catalogue from acceptance apparatus 5.Subsequent, display part 35 demonstrates patient's assigned picture, wherein shown the patient information catalogue that is obtained, in case specify patient information (the step S2: patient's designating means) of examination subject patient from this picture by input part 34, then be drawn out of by view data corresponding with appointed patient information and that remembering among the image DB38 of control device 3, simultaneously, be drawn out of by inspection data corresponding with appointed patient information and that remembering among the fox message DB39.Display part 35 demonstrates diagnosis and treatment summary picture 351, has wherein shown the compact image A1 of the view data that is drawn out of and the inspection icon A2 of the inspection data that are drawn out of etc.During further from demonstration indication by input part 34 input photographs display frames 352 of diagnosis and treatment summary picture 351, display part 35 demonstrates photographs display frame 352 (step S3).

After the demonstration of diagnosis and treatment summary picture 351 or photographs display frame 352, if receive view data from video generation device 2, or receive the data checking data and receive by I/F37 from testing fixture 4 and received to by lattice and receive the data lattice and receive 321 (the step S4 of portion by Department of Communication Force 36; YES), as the notification means that is used for notifying the information of receiving, then online button sends coruscate (step S5).As shown in Figure 5, the online button B1～B that is showing each video generation device 2 (US is corresponding to diagnostic ultrasound equipment 2a) in the diagnosis and treatment summary picture 351

3 and the online button B4～B6 of each testing fixture 4.In step S4, the online button corresponding with the video generation device 2 that sends data and testing fixture 4 does to coruscate demonstration.Shown in Fig. 7 (a), showing 1 button B0 in the photographs display frame 352, when receiving data by Department of Communication Force 36 or I/F37, online button B0 does to coruscate demonstration.And also can be shown in Fig. 7 (b), in photographs picture 352, also show the online button B1～B3 (ECG is corresponding to endoscope apparatus 2b) of each video generation device 2 and the online button B4～B6 of each testing fixture 4, make and do to coruscate demonstration with the device corresponding online button that sends data.(step S4 when step S4 does not receive data; NO), processing carries out the transition to step S9.

The online button here plays the function as the control mode selection approach, if press at flickering state, then to the action indication of CPU31 output with online mode, if do long press (for example continuing to press more than 10 seconds), then to the action indication of CPU31 output with offline mode at flickering state.If receiving the then online button of view data from video generation device 2 then coruscates, so the doctor can select (switching) control mode corresponding to the acceptance of view data or inspection data.

If press action indication (the step S6: online mode) of flickering online button input with online mode by input part 34 mouses etc., when the data of receiving are view data, then this view data is by with corresponding at the appointed patient information of step S2 and be saved in image DB38, in the data of receiving is when checking data, then this inspection data are by with corresponding at the appointed patient information of step S2 and be saved in fox message DB39 (step S7), and processing carrying out the transition to step S9.And when display part 35 showed diagnosis and treatment summary picture 351, the inspection icon A2 of the miniaturization objects displayed icon A1 of the view data of receiving or the inspection data of receiving was generated and is presented on the position corresponding with the time shaft of diagnosis and treatment summary picture.Otherwise, if grow (for example continuing to press more than 10 seconds) by input part 34 mouses etc. presses the action of flickering online button input usefulness offline mode and indicates (step S6: offline mode), the data of then receiving (view data or check data) are by to receive the numbering of order corresponding and be saved in interim memory 331 (the step S8) of portion with expression, and processing carrying out the transition to step S9.When data are saved in interim memory portion 331 temporarily, preferably, preserve by video generation device 2 that sends and testing fixture 4 classification that send.

At step S9, if end of input should be at examination indication (the step S9 of step S2 from input part 34 appointed patients; NO), then step S4 is returned in processing.If end of input should be from input part 34 appointed patients' examination indication (step S9; YES), then this processing finishes.

Be contained in the view data of interim memory portion 331 and check data by lattice, can carry out corresponding with patient information by pressing in the corresponding picture 353 of patient information that " title is not set " button B7 of showing in diagnosis and treatment summary picture 351, the photographs display frame 352 demonstrates.An example of having shown the corresponding picture 353 of patient information among Fig. 9.As shown in Figure 9, the inspection icon that is showing view data of remembering in the interim memory portion 331 of basis and the compact image 353a that checks the data generation and inspection data in the corresponding picture 353 of patient information, they are obtained with it, and 353b (for example being attached the UID in each view data) is corresponding constantly, according to obtaining series arrangement constantly, showing patient information catalogue 353c simultaneously.Also can not according to data obtain order but the series arrangement received according to control device 3 shows.In case from this picture and selecting compact image and inspection icon, select to carry out corresponding patient information from the patient information catalogue with compact image that chooses and inspection icon, press " login " button 353d, in then being corresponded to patient information selected and remember image DB38, check in the patient information that data are corresponded to selected accordingly with selected good icon and remember fox message DB39 with the selected good corresponding view data of compact image.

As mentioned above, in the control device 3, when showing the picture relevant with appointed patient information, in case receive view data or check data, then online button is coruscated, if press flickering online button, the data of then receiving are automatically corresponded in the appointed patient information and are saved in image DB38, if longly press flickering online button, the data of then receiving are saved to interim memory portion 331, and wherein in store wait is carried out corresponding data with patient information.

Therefore, the doctor control device 3 specify the examination subject patient patient information, show that this patient photographs and check result or this patient photographs and check result formerly in the past diagnose midway, when receiving the photographs of this patient being entrusted and inspection result data to photography enforcement personnel, can press online button, make the view data received automatically and specified patient's patient information corresponding and be saved in image DB38.And when receiving view data more than the photography number that photography enforcement personnel entrust this patient or the inspection data more than the inspection item, can grow and press online button, the data of receiving are saved in the interim memory portion 331 that carries out corresponding data with patient information that preserve to wait for, carry out corresponding with the patient afterwards, can switch simply and the corresponding of patient information and preservation action according to patient's situation in the hospital.Like this, the doctor can be when examining the patient, and efficient is carried out corresponding to the view data and the inspection data of the medical imaging of generation in video generation device 2 with patient information preferably.And shown in Fig. 7 (b), as long as separately show the online button of each connected video generation device 2 and each testing fixture 4, it is the data of sending here from which video generation device 2 that the doctor can easily discern, so, can correspondingly send the device of data, switch and carry out corresponding with patient information and the preservation action, can improve operability.

Also can constitute following structure, that is, when when showing the diagnosis and treatment summary picture 351 corresponding, photographs display frame 352 etc., receiving other patient's data, can carry out corresponding with other patient then and there with appointed patient information.Following with reference to Figure 10, the variation of above-mentioned embodiment is described.This variation has realized can be with the data of receiving, and are different from patient information patient information, other patient of examining the patient now and carry out corresponding.

Figure 10 has shown the flow process of patient information alignment processing B, and it is as the variation of the patient information alignment processing that has illustrated among Fig. 8.This processing is the processing that realizes by software processes when being transfused to certain operation, wherein, described certain operation is that indication shows assigned picture so that specify the patient of examination subject patient, and described software processes is that the association between the program of remembering in CPU31 and the memory portion 33 is moving.

At first, send patient's catalogue by Department of Communication Force 36 to acceptance apparatus 5 and send requirement, obtain the data (step S21) of patient information catalogue from acceptance apparatus 5.Subsequent, display part 35 shows patient's assigned picture, wherein shown the patient information catalogue that is obtained, in case specify the patient information (step S22) of examination subject patient from this picture by input part 34, then be drawn out of by view data corresponding with appointed patient information and that remembering among the image DB38, simultaneously, be drawn out of by inspection data corresponding with appointed patient information and that remembering among the fox message DB39, display part 35 shows diagnosis and treatment summary pictures 351, has wherein shown the compact image A1 of the view data that is drawn out of and the inspection icon A2 of the inspection data that are drawn out of.During further from demonstration indication by input part 34 input photographs display frames 352 of diagnosis and treatment summary picture 351, display part 35 demonstrates photographs display frame 352 (step S23).

After the demonstration of diagnosis and treatment summary picture 351 or photographs display frame 352, if receive view data from video generation device 2, or receive the data checking data and receive by I/F37 from testing fixture 4 and received to by lattice and receive the data lattice and receive 321 (the step S24 of portion by Department of Communication Force 36; YES), then online button sends coruscate (step S25).(step S24 when step S24 does not receive data; NO), processing carries out the transition to step S35.

At step S26, (step S26 when pressing flickering online button input with the action indication of offline mode by input part 34 mouses etc. are long; Offline mode), handle to carry out the transition to step S34, the data of receiving (view data or check data) are by to receive the numbering of order corresponding and be saved in interim memory portion 331 with expression, and processing carrying out the transition to step S35.

If press action indication (the step S26 of flickering online button input with online mode by input part 34 mouses etc.; Online mode), then in the display part 35, jump out the affirmation picture 355 (step S27) that shows correspondence shown in Figure 11.The corresponding patient information of confirming showing in the picture 355 present appointed patient, whether confirm and to carry out corresponding note and " OK " button 355a, " other patient " button 355b, " cancellation " button 355c with the patient who is being shown.These buttons are the same with online button, play the function as the control mode selection approach." other patient " button 355b is used for selecting the view data that will receive or checks that data correspond to the button of the mode (the 3rd control mode) of other patient information different with appointed patient information.

In case press " OK " button 355a and import the data that to receive and correspond to indication (step S28 designated the patient information by confirm picture 355 from correspondence; YES), when the data of receiving are view data, this view data is by with corresponding at the appointed patient information of step S22 and be saved in image DB38, in the data of receiving is when checking data, this inspection data are by with corresponding at the appointed patient information of step S22 and be saved in fox message DB39 (step S29), and processing carrying out the transition to step S35.And when display part 35 was showing diagnosis and treatment summary picture 351, the miniaturization objects displayed icon A1 of the view data of receiving or expression checked that the inspection icon A2 of data is generated, and is presented on the position corresponding with the time shaft of diagnosis and treatment summary picture 351.

If do not press " OK " button 355a (step S28 from this picture; NO) press " other patient " button 355b, input is carried out corresponding indication (step S30 with other patient; YES), then demonstrate patient information catalogue (step S31) in the display part 35, in case be chosen as the patient information (step S32) of corresponding objects, then when the data of receiving are view data, this view data is by with corresponding at the selecteed patient information of step S32 and be saved in image DB38, and be when checking data in the data of receiving, then should inspections data quilt with corresponding at the selecteed patient information of step S32 and be saved in fox message DB39 (step S33), processing carrying out the transition to step S35.

If do not press " other patient " button 355b and press " cancellation " button 355c from this picture, the cancellation of Input Online indication (step S30; NO), then handle carrying out the transition to step S34, the data of receiving (view data or check data) are by to receive the numbering of order corresponding and be saved in interim memory portion 331 with expression, and processing carrying out the transition to step S35.

At step S35, if end of input should then not handled and return step S23 in the examination indication of step S22 from input part 34 appointed patients.If end of input should be from input part 34 appointed patients' examination indication (step S35; YES), then this processing finishes.

According to above-mentioned patient information alignment processing B, when the action that is instructed to online mode, carry out corresponding patient and not only be confined to now designated patient, also can with other patient carry out corresponding, so improved convenience.

And the content of recording and narrating in the above-mentioned embodiment is a suitable example of the small-scale diagnostic system 1 that the present invention relates to, and is not limited thereto.

For example, in the above-mentioned embodiment, by pressing or longly press flickering online button and can set online mode, offline mode, but being not limited thereto, for example also can be, other establishes the off-line button, presses the off-line button when being set at off-line.

In addition, in the above-mentioned embodiment,, it being illustrated, but being not limited thereto as video generation device 2 with diagnostic ultrasound equipment, endoscope apparatus, CR device, also can be the digital camera etc. of for example CT device and physical appearance such as photography skin etc.

[other embodiment]

Subsequent mainly referring to figs. 1 through Fig. 3 and Figure 12 to Figure 14, sequence of operation in the small-scale diagnostic system in other embodiment 1, that relevant photographs and payment for medical care managing detailed catalogue generate is explained.

At first, accepting 11 pairs of patient's distribution number of accepting tickets that come institute, inquiry patient's name.Subsequent, in case at acceptance apparatus 5 by not having the illustrated input picture of accepting by patient informations such as input part input reception number and patient's names, then new record is appended among the detailed DB50 of payment for medical care, accepts date, the number of accepting and patient information and is written into.

The patient who holds the number of accepting comes clinic 13, and the doctor carries out interrogation, photography and inspection that decision must be done.

When being necessary to take affected part by the interrogation decision, the photography implementer that doctor or photography technician etc. take takes the patient in front of the video generation device of taking 2 (diagnostic ultrasound equipment 2a, endoscope apparatus 2b or CR device 2c), in video generation device 2, pass through input operation part, the retrieval ID that is printed on the input number of accepting that the patient the holds ticket, photographing as subject in diagnosis object position with the patient, generates photographic image data.For example, when video generation device 2 was CR device 2c, the numerical key of the input part that has from reading device 23 input retrieval ID will read and write down radiation image in the recorder changer at the recorder changer that camera 22 shootings the finish reading device 23 of packing into.

In the video generation device 2, in case press the numerical key input retrieval ID of input part, then corresponding with photography implementer's operation the photography and the generation of view data, the view data of generation with ID, UID, is sent to control device 3 by the retrieval that is transfused on subsidiary.When taking many same patients' image with a plurality of photography conditions, the retrieval of being enclosed the expression number of accepting in all images data of generation is sent to control device 3 with ID and UID.And,, then do not carry out the generation of view data if do not retrieve the input of using ID at video generation device 2.And, when promptly waiting without accepting when just the patient being photographed, absent variable, the urgent sign indicating number of delimiting the organizational structure that inserts of expression when configuring usual examination in advance, for example " 99 ", then the flow process with common is the same, the view data extraction after the photography also becomes possibility.

In the control device 3, in case receive view data (comprising incidental information) from video generation device 2, the view data of then receiving is remembered in the interim memory portion 331.And, in the portion of memory temporarily 331, be not only this patient's view data, to other patients take and view data, the view data of not examined also, all by with retrieval with ID corresponding after, continued and accumulated.

In case photography, inspection finish, the doctor then examines the patient.When having carried out the situation of photography with video generation device 2, the image that carries out then as described below is with the corresponding of patient and read shadow and diagnose.

The input part 34 of doctor's operating control device 3 shows there is not illustrated image retrieval picture at display part 35, and the retrieval ID that puts down in writing on the affirmation patient number of the accepting ticket is from input part 34 input retrieval ID.In the control device 3, corresponding with the operation of input part 34, the display image searching picture is accepted the retrieval ID by input part 34 inputs.In case the image retrieval picture is shown, import retrieval ID from this picture by input part 34, then extracted out from interim memory portion 331 with the corresponding view data of ID with the retrieval that is transfused to, the view data that is drawn out of is implemented Flame Image Process such as level processing, frequency enhancement process, the view data that Flame Image Process the is finished compact image of reducing the staff is presented at the photographs guide look display frame 356 of display part 35.

Figure 12 has shown the display frame example of the photographs guide look display frame 356 of display part 35 demonstrations.As shown in figure 12, photographs guide look display frame 256 has image display field 356a～356d, is used for having a guide look of the image that demonstration is drawn out of.In case the mouse of any one of image display field 356a～356d by input part 34 etc. are selected, then selecteed image is shown separately with physical size.The doctor can pass through this independent display image, observes the shadow of reading in detail of image and diagnoses.In addition, be provided with Flame Image Process in the upper right side of this image and adjust hurdle 356e, the doctor can carry out the adjustment of concentration, contrast by adjusting hurdle 356e with this Flame Image Process of operation such as mouses.If press the corresponding OK button 356h that is showing, then the image that is showing can be determined it as the image that is saved in image DB70 with each image.In addition, be provided with patient information input field 356f in the photographs guide look display frame 356, accept the input of the patient's corresponding patient informations such as patient's name with the photographs that is showing.The doctor is from this patient information input field 356f input patient information.

In case import the relevant patient information of this patient from patient information input field 356f by input part 34, then this patient information that is transfused to is written in the incidental information of the view data that is drawn out of, deliver to server 7 by Department of Communication Force 36, carry out the requirement that writes to image DB70.After view data writes image DB70, if press the conclusion button 356j of photographs guide look display frame 356 and indicate diagnosis to finish from input part 34, then be written to view data among the server 7 image DB70 and retrieval with ID by from 331 cancellations of interim memory portion.

If the patient of outpatient service place sees a doctor end, the doctor then on the paper case history record to this patient's examination result (disease name of diagnosis), expression to the write out a prescription information (the device kind of photography, the number of photographing, contrast-agent-free, photography position, photography direction, inspection species are arranged, check ID etc.) of the dispensing information of medicament, the relevant photography that this patient is carried out, inspection of this patient.Then the paper case history is transferred to and accepts 11 sales counter and take on.

Sales counter is taken on personnel and show the detailed relevant information input of payment for medical care picture in acceptance apparatus 5, according to the record of paper case history, from the detailed relevant information of the detailed relevant information input of payment for medical care picture input payment for medical care.The information of input is remembered the detailed DB50 of payment for medical care.

In addition, sales counter is taken on personnel and is shown fox message input picture, input checking ID and fox message at acceptance apparatus 5.In acceptance apparatus 5, by from the fox message of fox message input picture input by with check that ID is corresponding and remember fox message DB51.And the content that sample is checked is done by the relevant visual examination mechanism that entrusts, after when inspection body is received the result and is reported input checking information.

By above sequence of operation, in small-scale diagnostic system 1, the photographs that patient's diagnosis object position is taken is by corresponding constantly with patient information, photography date and photography and be saved in server 7 image DB70, the detailed relevant information of payment for medical care that comprises treatment information to patient's dispensing information etc., fox message by with patient information and accept the date (date of promptly offeing medicine and checking) corresponding and remember payment for medical care detail DB50.In addition, by checking ID, fox message is by corresponding with the detailed relevant information of payment for medical care and remember fox message DB51.

At this, when the doctor wants to hold all photographies of in the past a certain patient being implemented, inspection, dispensing situation, carrying out with the paper case history in the medical facilities of diagnosis and therapy recording, must be specially from this patient's of shelf retrieval paper case history to obtain information, inconvenience.In the present embodiment, control device 3 is according to the detailed relevant information of remembering among the detailed DB50 of the photographs of preserving among the image DB70 and payment for medical care of payment for medical care etc., show described diagnosis and treatment summary picture 351 at display part 35, guide look is showing photographs to the photography of being implemented by the patient of doctor's appointment, fox message, dispensing information etc. in this picture.

Figure 13 has shown diagnosis and treatment summary display process and the diagnosis and treatment summary display sequence of carrying out at control device 3 at control device 3, server 7, acceptance apparatus 5 carried out corresponding with it.Diagnosis and treatment summary display process is the processing of carrying out when input part 34 input diagnosis and treatment summaries show indication.Below diagnosis and treatment summary display sequence is explained.

In case show indication by input part 34 from input diagnosis and treatment summaries such as menu screens, then display part 35 shows patient's assigned picture, the patient information that is used for specifying diagnosis and treatment summary display object patient (diagnosis object patient).This patient's assigned picture and input part 34 that is presented at display part 35 has been realized the patient information designating means.In case specify the patient (step S101) of diagnosis and treatment summary display object from this patient's assigned picture input patient information by input part 34, then server 7 is sent the patient information of input, obtaining of the view data corresponding with this patient information requires to be sent to server 7 (step S102).

In the server 7, in case receive patient information from control device 3, receive the requirement that obtains of the view data corresponding with this patient information, then extract the view data (step S103) corresponding with the patient information of receiving out from image DB70, the view data that is drawn out of is sent to control device 3 (step S104) with its incidental information.

In the control device 3, in case obtain the view data corresponding together with appointed patient information with incidental information, then acceptance apparatus 5 is sent in the appointed patient information of step S101, what send the detailed relevant information of the payment for medical care corresponding with this patient information obtains requirement (step S105).

In the acceptance apparatus 5, in case receive patient information from control device 3, receive the requirement that obtains of the detailed relevant information of the payment for medical care corresponding, then extract the detailed relevant information (step S106) of the payment for medical care corresponding out with the patient information of receiving from the detailed DB50 of payment for medical care with this patient information.Contain (step S107 when checking ID in the detailed relevant information of the payment for medical care that is drawn out of; YES), extract the fox message (step S108) of being checked ID identification by this out from fox message DB51.Then, detailed relevant information of the payment for medical care that is drawn out of and fox message are sent to control device 3 (step S109).

In the control device 3, in case receive the view data corresponding with designated patient's patient information, the detailed relevant information of payment for medical care and fox message, the then processing of steps performed S110 and step S111 realizes the demonstration means.That is, according to patient information, generate diagnosis and treatment summary picture data, show diagnosis and treatment summary picture 351 (Fig. 5 etc.) at display part 35 according to the view data of receiving, the detailed relevant information of payment for medical care and fox message.Then, corresponding with the operation of various icons that show by 34 pairs of diagnosis and treatment summaries of input part picture 351 and action button, the function of carrying out being had with various icons and action button shows (step S111) accordingly.

Among the step S110, read diagnosis and treatment summary generator program,, generate diagnosis and treatment summary picture data, according to diagnosis and treatment summary picture data presentation diagnosis and treatment summary picture 351 at RAM32 according to diagnosis and treatment summary generator program.For example, guarantee that in RAM32 diagnosis and treatment summary picture receives the zone with the lattice of data, write diagnosis and treatment summary display object patient's patient information, and the time limit of setting in advance by initial setting, for example (N is positive integer) time shaft till the date till now before N month.Subsequent, the contained photography date the view data of receiving from server 7, in its incidental information (UID) in time is engraved in each view data in the shown time limit of time shaft, generate and simplify the object icon (compact image) that its picture material is represented, according to mode kind (for example: CR, US (diagnostic ultrasound equipment), endoscope apparatus etc.) classification, the object icon A1 quilt of the view data of photographing with same mode and time shaft are accordingly in the transversely arranged configuration of picture.Subsequent, to the fox message of receiving from acceptance apparatus 5, check data (with checking that ID has done the date of " accepting the date " project of the detailed relevant information of corresponding payment for medical care) is at time shaft each fox message in the shown time limit, generate and simplify the object icon A2 that its fox message is represented, according to checking species (for example: cardiogram, blood test, physiology inspection (uroscopy, just check, cut sections for microscopic examination) etc.) classification, the object icon A2 of same inspection species by with time shaft accordingly in the transversely arranged configuration of picture.Subsequent, to in the dispensing information contained the detailed relevant information of the payment for medical care received from acceptance apparatus 5, the dispensing date (date of " accepting the date " project of the detailed relevant information of payment for medical care) is in above-mentioned time shaft each dispensing information in the shown time limit, generate to simplify the object icon A3 that the dispensing information content is represented, with time shaft accordingly in the transversely arranged configuration of picture.Be correlated with the function that goes up the view data, fox message or the dispensing information that show the script of its object icon in detail among each object icon A1～A3.In addition, to the detailed relevant information of the payment for medical care received from acceptance apparatus 5, accept the date at " disease name " of above-mentioned time shaft in the time limit, with time shaft accordingly in the transversely arranged demonstration of picture.And, generate the action button have various correlation functions, icon etc., be configured in fixed position.Write the demonstration of other necessity.According to the diagnosis and treatment picture data that generates as mentioned above, in display part 35, show diagnosis and treatment summary picture 351 (for example Fig. 6).

Object icon A2 is the icon that simply shows fox message, establishes a plurality of cuits in above-mentioned fox message input picture, for example: check result unusual or normal; Exceptional value when exceptional value is arranged; Once whether unusual before when exceptional value is arranged; Unusual etc. from when beginning, also can make the foregoing can the sub-item input.Then, receive fox message, then the content of the big event that is set in advance in these projects can be shown as object icon A2 if in fox message DB51, separate lattice according to these projects.Also can be to set the project that is shown as object icon A2 by input part 34.

Relevant object icon A3, also to be the project of further segmenting " dispensing " project of the detailed DB50 of payment for medical care, by can separate lattice receive the dispensing the medicament name, 1 day component, the dispensing time limit, in diagnosis and treatment summary picture 351, can provide these information in the mode that the doctor sees clearly easily.

Figure 14 (a) has shown a relatively example of picture 354 of image.Image is relatively in the picture 354, movement images viewing area 354a flat raft showing the benchmark image taken by the base period of arrow chart 351g appointment at diagnosis and treatment summary picture 351 and, at the pairing photographs of diagnosis and treatment summary picture 351 appointed object icon A1.Thus, the doctor can be easily compare the image in the benchmark image and the period of hoping, can easily hold from the patient's in institute's prestige period healing trend.The image that compares with benchmark image can be by pressing arrow button 354c or the 354d that is presented at the photographs below, or by selecting to change from the compact image that shows in proper order according to photography.Image is relatively in the picture 354, except with photographs display frame 352 shown in Figure 7 in the identical various action buttons that show, also showing " picture format " button B31.In case press this " picture format " button B31 by input part 34, then to jump out and demonstrate the zone of setting the image number that compares with benchmark image, the movement images of the number of setting from this zone can be presented at movement images viewing area 354.For example, be 3 if set the number of movement images, then show relatively picture 354 of the image shown in Figure 14 (b).And in the 354a of movement images viewing area, movement images and benchmark image show by the photography series arrangement.

And, in diagnosis and treatment summary picture 351, if press behind the insect pin icon 351h shown in Figure 5 the object icon A1 that image is selected in operation again by input part 34, then can with the pairing image setting of selecteed object icon A1 candidate image as a comparison.Image compares in the picture 354, have only the compact image of comparison candidate image to be presented at photography order viewing area 354b in proper order by photography, and do not show the compact image that other are unnecessary, so, can be more easily select the image that shows with the benchmark image flat raft at movement images viewing area 354a.

If any one of objects displayed icon A2 is by as the input part 34 of icon designating means and designated among the diagnosis and treatment summary viewing area 351c of diagnosis and treatment summary picture 351, then display part 35 Be Controlled are switched demonstration fox message detailed picture (not diagram), wherein show the represented fox message of appointed object icon in detail.In the fox message detailed picture, identical with photographs display frame 352, with the details of the represented fox message of appointed object icon A2, demonstrate the fox message of base period.Thus, the doctor can easily make comparisons to the check result of base period and the check result in the period of hoping.

If any one of objects displayed icon A3 is by as the input part 34 of icon designating means and designated among the diagnosis and treatment summary viewing area 351c of diagnosis and treatment summary picture 351, then display part 35 Be Controlled are switched demonstration dispensing information detailed picture (not diagram), wherein show the represented dispensing information of appointed object icon in detail.In the dispensing information detailed picture, identical with photographs display frame 352, with the details of the represented dispensing information of appointed object icon, demonstrate the dispensing information of base period.Thus, the doctor can easily make comparisons to the dispensing result of base period and the dispensing result in the period of hoping.

In addition, preferably diagnosis and treatment summary picture 351 traditional Chinese medical science are survived less than the object icon A2 of the fox message that explains to the patient, enclose and be used for to discern the doctor also not illustrating that to the patient distinguishing mark of this check result shows.For example, if by input part 34 specified object icon A2, then can in the display frame of display part 35, show the detailed of fox message.To once also not the object icon A2 by input part 34 designated mistakes put on distinguishing mark, after when being shown by the designated and details pairing fox message of object icon A2 of input part 34, regard as to the patient and done explanation and eliminate this object icon A2 target distinguishing mark.Whether once passed through the fox message of input part 34 designated mistakes as for object icon A2, when object icon A2 is designated by input part 34, the information that the inspection ID of the pairing fox message of appointed object icon A2 and expression have explained is sent to acceptance apparatus 5 from control device 3, corresponded to by in the fox message of the inspection ID of fox message DB51 identification and remember, when showing diagnosis and treatment summary picture 351, according to the fox message of the information that has not been explained by expression on the correspondence, pay above-mentioned distinguishing mark and get final product.

As above illustration, according to control device 3, from the image DB70 of server 7 obtain with by the patient information of doctor's appointment corresponding view data and incidental information, simultaneously, obtain the detailed relevant information of payment for medical care that comprises fox message corresponding and treatment information with this patient information from acceptance apparatus 5, according to the photographs of obtaining, fox message and treatment information, show diagnosis and treatment summary picture 351, wherein the guide look of sequential ground has shown by the patient's of doctor's appointment photographs, fox message and treatment information.

Therefore, do not need to force the doctor to bear diagnostic result input operation operation as electronic health record, only use the simple operations of given patient, be in have only facility on a small scale that just have with the relation patient (often go to the doctor who sees a doctor, get close to each patient relation) doctor, just can hold photographs, the fox message of subject patient, the overall picture of treatment information.In the diagnosis and treatment summary picture 351, photographs, fox message, treatment information are shown by the ground of corresponding sequential with time shaft, so the doctor can easily hold patient's healing trend in time.When wanting to read photographs, fox message, treatment information detailed, as long as any one of specifying object icon A1～A3 of showing in the diagnosis and treatment summary pictures 351 by input part 34 just can show its details, so, can enough input operations easily, easily, correctly diagnose.In addition, even existing equipment in the small-scale facility of utilization paper case history, as long as prepare image generating apparatus 2, with photographs with remember in database etc. after patient information is corresponding, in addition, for the insurance of calculating the patient is counted and is imported and preserve dispensing information, fox message accordingly with computer and patient information, so, by small-scale transformation, just can realize easily to retrieve patient's photography, inspection, the small-scale diagnostic system easy to use of treatment information from existing equipment.

Record content in the above-mentioned embodiment is a suitable example of the small-scale diagnostic system 1 that the present invention relates to, is not limited thereto.

For example, be to show that with guide look in diagnosis and treatment summary picture 351 appointed patient's photographs, fox message, the situation of treatment information are that example is described in the above-mentioned embodiment, but might not show above-mentioned all the elements, also can be to set the information that shows in the diagnosis and treatment summary picture 351 by input part 34.For example, can make photographs and fox message be presented at diagnosis and treatment summary picture 351, also can make photographs and treatment information be presented at diagnosis and treatment summary picture 351.In addition, also can be the mode that can in photographs, be set at diagnosis and treatment summary picture 351 display object.

In addition, also can make the image DB70 of server 7 replace the image DB380 of control device 3 to play function, in addition, also can make image DB70 alternative image DB380 play function as image memory means as the memory means.

Other, the present invention is not limited to present embodiment, the change that can suit.

Claims (12)

1. medical image system, wherein, video generation device and medical image management apparatus interconnect and between can the sending and receiving data message, described video generation device is to patient's the diagnosis object position generation view data of photographing, described medical image management apparatus carries out corresponding with patient information the view data that described video generation device generates, medical image system is characterised in that

Described medical image management apparatus has:

Patient's catalogue obtains means, obtains the patient's that must examine patient information catalogue;

Patient's designating means is specified the patient information of examining subject patient from the described patient information catalogue that obtains;

The control mode selection approach is used for selecting the control mode when receiving view data from described video generation device;

Control device, have first control mode and second control mode, wherein, described first control mode is when receiving view data from described video generation device, automatically correspond to by described patient's designating means this view data of receiving in the appointed patient information and be saved in the preservation means, the view data that described second control mode is not received this is carried out corresponding with patient information and is saved in interim preservation means, according to the selection that comes from described control mode selection approach, the preservation of the described view data of receiving is controlled with described first control mode or described second control mode.

2. the medical image system of record in the claim 1 is characterized in that described video generation device is set at the photography room, and described medical image management apparatus is set at Consultation room.

3. the medical image system of record in the claim 1 or 2 is characterized in that described medical image management apparatus has notification means, and notice is received view data from described video generation device.

4. the medical image system of record in the claim 3 is characterized in that described notification means is just notified whenever receiving view data from described video generation device.

5. the medical image system of putting down in writing in any one of claim 1 to 4 is characterized in that, is connecting many described video generation devices on the described medical image management apparatus.

6. the medical image system of record in the claim 5 is characterized in that described control mode selection approach can correspondingly be selected control mode with described each video generation device that is being connected.

7. the medical image system of putting down in writing in any one of claim 1 to 6 is characterized in that,

Described medical image management apparatus and have the 3rd control mode, described the 3rd control mode is when receiving view data from described video generation device, the described view data of receiving is corresponded in other patient information that is different from the appointed patient information by described patient's designating means

By described control mode selection approach during selected the 3rd control mode, described control device shows by described patient's catalogue in the demonstration means and obtains means and the patient information catalogue that obtained, so that can select, the patient information that will select from the described patient information catalogue that is shown carries out corresponding with the described view data of receiving and is saved in described preservation means.

8. the medical image system of putting down in writing in any one of claim 1 to 7 is characterized in that,

Described medical image management apparatus is connected with the testing fixture of obtaining the patient data, and between can the sending and receiving data message,

Described control mode selection approach can be selected when the control mode of receiving from described testing fixture when checking data,

Described control device is when receiving the inspection data from described testing fixture, according to the selection that comes from described control mode selection approach, automatically correspond to by described patient's designating means these inspection data of receiving in the appointed patient information and be saved in fox message and preserve means, or the inspection data of this not being received are carried out corresponding with patient information and are saved in interim preservation means.

9. the medical image system of putting down in writing in any one of claim 1 to 7 is characterized in that,

Described medical image system has:

Accept means, accept the patient, and with the information of distinguishing each patient and accept date and time information and carry out login process;

The patient information input medium is with described each patient's of differentiation who is logged in the described means of accepting information and accept date and time information and import patient information accordingly;

Image memory means, the view data that described video generation device is generated and, the photography date and time information of the patient information corresponding with this photography target patient and this view data carries out correspondingly also remembering;

The detailed relevant information input medium of payment for medical care, input and information by described described each patient of differentiation who accepts means and accepted and accept date and time information corresponding, by electronization fox message with and/or comprise the payment for medical care detail relevant information of treatment information;

Payment for medical care managing detailed catalogue memory means according to described each patient's of differentiation information and the described date and time information of accepting, are carried out correspondence and memory to described patient information that is transfused to and the detailed relevant information of payment for medical care;

Described medical image management apparatus obtain by corresponding memory with diagnosis object patient's patient information in described image memory means described view data and the photography date and time information of this view data, simultaneously, with its accept date and time information obtain together by with the described fox message of the corresponding memory of this patient information in described payment for medical care managing detailed catalogue memory means with and/or described treatment information

This medical image management apparatus and have the demonstration means, these demonstration means make the described described view data that obtains with described fox message with and/or described treatment information accordingly, with described patient information, the guide look of sequential ground is presented on the picture.

10. the medical image system of record in the claim 9 is characterized in that, the detailed relevant information input medium of described payment for medical care comprises described patient information input medium.

11. the medical image system of record is characterized in that in claim 9 or 10,

Have the described image of multiple class and generate means,

Described image memory means make by described image generate view data that means are generated and this photography target patient patient information, this view data photography date letter and represent described image generation means kinds of information accordingly, remember,

The demonstration means of described medical image management apparatus are divided every kind of described image to generate the guide look of means kind ground and are shown described view data.

12. the medical image system of putting down in writing in any one of claim 9 to 11 is characterized in that,

Sequential ground with described patient information have a guide look of shown described view data, described fox message with and/or the picture of described treatment information, can move to and show each the picture of detailed photographs that is showing on this picture.

Images