JP2001155099A - Medical observation managing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical observation managing system, with which the data of an observation input system and an image display system can be mutually related and managed and the mutual information can be utilized. SOLUTION: Concerning the medical observation managing system for managing medical observation data, this system is provided with an observation data storage means for storing the medical observation data, an image data storage means for storing medical image data, and a managing means for mutually relating and managing the information in the medical observation data storage means and the image data storage means.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical finding management system for managing medical finding data and medical image data, and more particularly to a medical finding data and patient information attached to medical image data as keywords. The present invention relates to a medical finding management system capable of managing information in association with each other.

[0002]

2. Description of the Related Art In recent years, in medical practice, instead of films such as X-rays, for example, DICOM (Digital Imagin
g and Communications in Medicine) standard, radiographic images and images obtained by CT and MR devices have been converted into electronic data and stored on an image server with patient information such as patient numbers and patient names.

[0003] In addition, a finding report, which describes a doctor's findings regarding an examination performed on a patient, is also converted into electronic data, and is stored in a finding server with patient information such as a patient number and a patient name. Have been.

[0004] In such an apparatus environment, when a doctor prepares a finding report, first, an image of the affected part of the patient is displayed on the terminal device of the image server, and the finding is made from the terminal device of the finding server while referring to this image. Was input.

[0005] When the input of the findings is completed, the doctor prints the findings report from the printer of the terminal device of the findings server, and also prints the affected part image from the printer of the terminal device of the image server. Had been submitted.

[0006] In addition, the findings report includes the head and chest of the human body,
In some cases, doctors write comments and attach them to a diagram called a schema that schematically illustrates organs such as the stomach and lungs, and the schema used for this is a sheet on which a schematic diagram of each of the above-mentioned human body parts is printed in advance. .

[0007]

However, in the conventional medical finding management system, a system including a finding server and a terminal device (hereinafter referred to as a finding input system) and a system including an image server and a terminal device (hereinafter referred to as an image display system). ) Is an independent and separate system, in order to create a finding report for one patient, search the finding data of the target patient from the finding input system, and also search the target data from the image display system. It was necessary to retrieve patient findings data.

That is, in the conventional medical finding management system, it is necessary to perform the same search operation and display operation in two types of systems in order to create a finding report of one patient, so that the operation is very complicated. And it takes time.

In the conventional medical finding management system,
If you want to insert the affected part image into the findings report, first display the target image on the image display system, convert it to a file format that can be read by the findings input system, and then use an information network or media such as a floppy disk. It had to be transferred to the finding input system and read by the finding input system.

Such an operation is very complicated and time-consuming. In addition, if the above-mentioned schema can be similarly inserted into the finding report, the finding report becomes very easy to see and becomes a simple finding report. However, since the conventional schema was a printed matter, there was a problem that this could not be realized. .

The present invention solves the above problems, and
It is an object of the present invention to provide a medical finding management system capable of managing data of a finding input system and an image display system in association with each other and using each other's information.

[0012]

According to the first aspect of the present invention, there is provided a medical finding management system for managing medical finding data, comprising: a finding data storage unit for storing medical finding data; Image data storage means for storing medical image data, and management means for managing information of the finding data storage means and the image data storage means in association with each other.

According to a second aspect of the present invention, in the first aspect of the present invention, the medical finding data includes at least patient finding data and patient information, and the medical image data includes at least an affected part image data of the patient. And patient information.

According to a third aspect of the present invention, in the first aspect of the present invention, the finding data storage means stores a schema schematically illustrating each part of a human body.

According to a fourth aspect of the present invention, in the first aspect of the present invention, the management unit includes a finding data searching unit that extracts specific medical finding data from the finding data storage unit, and a designated medical device. It is characterized by comprising a finding data input means for displaying and updating the contents of finding data, or for creating new medical finding data.

According to a fifth aspect of the present invention, in the first aspect of the present invention, the management means includes an image data search means for extracting specific image data from the image data storage means, and a designated image data. And image data display means for displaying the contents of (1).

According to a sixth aspect of the present invention, in the first aspect of the present invention, the management unit is configured to store the image data storage unit based on patient information of medical finding data displayed on the finding data inputting unit. , And medical image data related to the medical finding data displayed on the finding data input means can be displayed on the image data display means.

According to a seventh aspect of the present invention, in the first aspect of the present invention, the management means stores the finding data storage means based on patient information of medical image data displayed on the image data display means. , And medical finding data related to the medical image data displayed on the image data displaying means can be displayed on the finding data inputting means.

In the invention described in claim 8, in the invention described in claim 1, the management means is a medical finding which displays the image data designated by the image data display means on the finding data input means. It is characterized in that it can be inserted into data.

According to a ninth aspect of the present invention, in the first aspect of the present invention, the management means stores the schema specified by the finding data inputting means in a medical finding displayed on the finding data inputting means. It is characterized in that it can be inserted into data.

According to a tenth aspect, in the fourth aspect, the finding data input means can input a comment to the image data and the schema inserted in the medical finding data. It is characterized by having.

According to an eleventh aspect of the present invention, in the invention of the fourth aspect, the finding data input means is configured to display a list of medical finding data related to the displayed medical finding data. It is characterized by having.

According to a twelfth aspect of the present invention, in the fourth aspect of the invention, the finding data storage means stores short sentences frequently used and keywords corresponding to the short sentences in advance, and stores the finding data input means. Is configured to read out the short sentence from the finding data storage unit by specifying the keyword, and insert the short sentence into the medical finding data displayed on the finding data input unit. Is what you do.

According to a thirteenth aspect of the present invention, in the first aspect, the management means has a network server function.

According to the above configuration, it is possible to instantly display medical image data related to the medical finding data displayed on the finding data input means without performing a search operation. Similarly, medical finding data related to medical image data displayed on the image data display means can be instantaneously displayed without performing a search operation.

Further, the medical image data displayed on the image data display means and the schema can be inserted into the medical finding data by a simple operation.

Further, by providing the management means with a network server function, medical finding data and image data stored in the finding data storage means and the image data storage means can be referenced from a computer outside the hospital. Becomes

[0028]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described below in detail with reference to the drawings. FIG. 1 is a configuration diagram showing one embodiment of a medical finding management system according to the present invention.

In the figure, a finding server 20, an image server 40, client computers 30, 30a,
The printers 30b, 30c and the printer 50 are interconnected via an information network L such as an intranet, and constitute a client-server system.

A finding database 22 is formed on the hard disk 21 of the finding server 20, and a finding report describing the doctor's findings for the examination performed on the patient is provided by the patient's patient number, patient name, examination items, etc. It is stored as electronic data along with the information. Further, in the finding database 22, a schema in which organs such as a human head, a chest, a stomach, and a lung are schematically illustrated is stored as electronic data.

An image database 42 is formed on the hard disk 41 of the image server 40, and an X-ray image for an examination performed on a patient or an image obtained by a CT or MR device is converted into electronic data together with the patient information. Stored. These findings database 2
2 and the input and output of information in the image database 42 are managed by the client computer 30.

The client computer 30 has a man-machine interface including a keyboard 31, a mouse (not shown), and a display device 32.

Also, the client computer 30
A finding data search screen for extracting specific finding data from the finding data stored in the finding database 22, displaying and updating the contents of designated medical finding data, or creating new medical finding data It is equipped with a finding data input screen.

Further, the client computer 30
An image data search screen for extracting specific image data from the image data stored in the image database 42, and an image data display screen for displaying the specified image data are provided.

On the finding data input screen, image data related to the finding data displayed on the finding data input screen is read from the image database 42 by performing an image reading operation on the screen, and displayed on the image data display screen. Can be.

Similarly, on the image data display screen, by performing a finding reading operation on the screen, finding data related to the image data displayed on the screen is read from the finding database 22 and displayed on the finding data input screen. be able to.

FIG. 2 shows the operation of the medical finding management system having such a configuration in which the finding data of a certain patient is displayed on the finding data input screen and the image data related thereto is displayed on the image data display means. This will be described using the flowchart shown. Further, each screen described here will be described later in detail.

First, the doctor displays a finding data search screen on the client computer 30 and inputs search conditions such as a patient number, a patient name, and examination items of a patient whose finding data is to be input. (ST1)

The client computer 30 searches for information in the finding database 22 based on the above search conditions,
Display the search result list on the finding data search screen. (S
T2)

The client computer 30 displays the finding data selected by the doctor from the search result list on the finding data input screen. The doctor can make necessary additional changes to the finding data displayed here and update the contents of the finding data. In addition, if the finding data of the patient who is to enter the finding data from now on is not displayed in the search result list, the doctor expands the search result screen to a new finding data input screen for creating new finding data, and the new finding data. It is possible to create
(ST3)

When the doctor wants to refer to the image data related to the finding data displayed on the finding data input screen, the doctor performs an image data calling operation from the finding data input screen. When the image data calling operation is performed, the client computer 30 activates the image data search screen in the background, sends the patient information of the finding data displayed on the finding data input screen to the image data searching screen, and The image database 42 is searched according to the search condition, and the image data extracted as a result is displayed on an image data display screen of another window. (ST4)

Here, the image data displayed on the image data display screen can be transferred to the observation data input screen by performing a transfer operation from the image data display screen. (ST5)

When the input of the finding data input by the doctor is completed and the saving operation is performed from the finding data input screen, the client computer 30 stores the finding data on the finding data input screen in the finding database 22,
Finish inputting the finding data. (ST6)

Here, each screen of the client computer 30 used in the above description will be described in detail.

FIG. 4 is a diagram showing an example of the finding data search screen described above. Referring to FIG. 1, a finding data search screen 100 includes a search condition input unit 101 and a search result list display unit 102.

The search condition input section 101 is an area for inputting the search conditions described in ST1 in FIG. 2, and the client computer 30 searches the finding database 22 according to the search conditions input here. A search result list is created and displayed on the search result list display unit 102.

The client computer 30 displays the finding data selected by the doctor from the search result list displayed on the search result list display section 102 on the finding data input screen 110 as shown in FIG.

When the target finding data is not displayed on the finding search result list display section 102 on the data search screen 100 shown in FIG. 4, the doctor selects the new finding data creation icon 103 to display the data. It is possible to display a new finding data input screen having the same configuration as that of No. 5 and create new finding data.

In FIG. 5, a finding data input screen 110 is shown.
Is composed of a patient information display section 111, a finding input section 112, an image data display section 113, and a related finding display section 118.

The patient information display section 111 is an area for inputting patient information such as a patient's patient number, patient name, examination items, and the like. Become a search keyword.

The relevant finding display section 118 is an area for displaying a list of other medical finding data related to the patient of the presently displayed finding data. In this area, a list of finding data other than the finding data selected by the doctor among the finding data displayed on the search result list display section 102 is displayed.

From the relevant finding display section 118, the doctor
It is possible to select the finding data to be referred to and display it on the finding data input screen 110. Therefore, for example, when it is desired to refer to the past finding data regarding the patient of the currently displayed finding data, the target finding data can be read from this screen without returning to the finding data search screen.

The finding input section 112 is an area for a doctor to input a patient's findings. The doctor enters the patient's findings in this area. At this time, when the doctor wants to refer to the image data related to this finding, the doctor selects the image data call icon 115. At this time, the client computer 30 activates the image data search screen in the background, sends the patient information of the patient information display unit 111 to the image data search screen, searches the information of the image database 42 according to the search conditions, and The image data extracted as a result is displayed on an image data display screen of another window.

FIG. 6 shows an example of the image data display screen displayed at this time. As shown in the figure, the image data display screen 120 includes an image display area 121, an image transfer icon 122, and a finding data call icon 123.

In the image display area 121, image data extracted from the image database 42 by the above-described search operation and related to the finding data on the finding data input screen 110 is displayed.

The doctor inputs a finding while referring to the image data displayed on the image data display screen 120 in this manner. When the doctor wants to attach this image data to the finding data, the doctor selects the image transfer icon 122.

At this time, the client computer 30
Transfers the image data displayed in the image display area 121 to the image data display unit 113 of the finding data input screen 110 as shown in FIG. In addition, the doctor can input markings and simple comments on the image data displayed here.

Further, on the finding data input screen 110, it is possible to cause the image data display unit 113 to display a schema schematically showing organs such as the head, chest, stomach and lungs of the human body. In this case, the doctor sets the finding data input screen 11
Select the schema display icon 116 on 0.

At this time, the client computer 30
Displays a list 116a of schemas registered in advance on the finding data input screen 110 as shown in FIG.

The physician selects an appropriate one from this list 116a. Then, the client computer 30
Reads the drawing of the selected schema from the finding database 22, and displays the drawing of the selected schema on the image data display unit 113 of the finding data input screen 110 as shown in FIG. In addition, the schema displayed here allows the doctor to input markings and simple comments.

The doctor repeats such an operation to input the finding data, and when this is completed, the save icon 11
Select 4. At this time, the client computer 30
Stores the finding data displayed on the finding data input screen 110 in the finding database 32.

The above explanation is based on the observation data input screen.
It is about a series of procedures for reading and displaying image data related to this, but in the medical finding management system of the present invention, on the contrary, from the image data display screen,
It is possible to read out and display the finding data related to this. Hereinafter, a series of procedures will be described with reference to a flowchart shown in FIG.

First, the doctor causes the client computer 30 to display an image data search screen having the same configuration as the above-mentioned finding data search screen 100, and the patient number, patient name, examination items, etc. of the patient whose image data is to be referred to from now on. Enter search conditions for. (ST1)

The client computer 30 searches for information in the image database 42 based on the above search conditions.
Display the search result list on the finding data search screen. (S
T2)

The client computer 30 displays the image data selected by the doctor from the search result list on the image data display screen 120. (ST3)

When the doctor wants to refer to the finding data related to the image data displayed on the image data display screen 120, the doctor selects the finding data call icon 123 on the image data display screen 120. When the finding data call icon 123 is selected, the client computer 30 displays the finding data search screen 10 in the background.
0, and searches the patient data of the image data displayed on the image data display screen 120 for the finding data search screen 100.
The search database 22 is searched according to the search conditions, and the result data extracted as a result is displayed on a view data input screen 110 of another window. (ST4)

The doctor inputs the finding data and saves it according to the procedure described with reference to FIG. (ST5)

In the medical finding management system of the present invention, by performing such operations, the finding database 2
2 and the information of the image database 42 can be exchanged with each other, and a finding report attached with the image data and the schema of the patient can be efficiently created.

Further, in the medical finding management system of the present invention, as shown in FIG. 10, by providing a short sentence input icon 117 on the finding data input screen, it is possible to further improve the efficiency of finding input work.

The short sentence input icon 117 stores the frequently used short sentences and the keywords corresponding to the short sentences in the finding database 22 in advance, and displays the medical finding data input screen 11.
From 0, an icon for starting the function of reading the corresponding short sentence by designating the above keyword and inserting the short sentence into the finding data displayed on the medical finding data input screen.

For example, if it is assumed that the short sentence “Need to be re-examined” and the corresponding keyword “SK” are stored in the finding database 22 in advance, the short sentence input icon 117 on the finding data input screen 110 is stored. Is selected, the short sentence and the keyword are displayed in a pop-up window 117a.

The doctor sets the pop-up window 11
By selecting the desired keyword "SK" from 7a, a short sentence "Needs re-examination" can be inserted at the cursor position of the finding input unit 112.

The foregoing description merely illustrates certain preferred embodiments for purposes of explanation and illustration of the present invention. Therefore, the present invention is not limited to the above-described embodiments, and includes many more modifications without departing from the spirit thereof.
This includes deformation.

For example, as shown in FIG. 11, the medical finding management system of the present invention includes a client computer 60 to which a high-definition display 62a, a normal display 62b, keyboards 31a and 31b, and a mouse (not shown) are connected. For example, the image data display screen can be displayed on the high-definition display device 62a, and the observation data input screen can be displayed on the general-purpose display device 62b. Even in such a case, the data exchange between both screens can be performed by exactly the same operation as the operation described with reference to FIGS.

Also, the medical finding management system of the present invention
Using two client computers, displaying an image data display screen on one client computer,
A finding data input screen can be displayed on the other client computer. Even in such a case, the data exchange between both screens can be performed by exactly the same operation as the operation described with reference to FIGS. However, in this case, it is necessary to define the association between the two client computers.

Further, the medical finding management system of the present invention
By connecting the information network L to the Internet and displaying the various screens described above on a browser of a client computer, it is possible to refer to patient finding data and image data from a computer outside the hospital. .

[0077]

As is apparent from the above description,
According to the present invention, the following effects can be obtained. Claims 1 to 7
In the invention described in the above, when creating the patient's findings data,
Information necessary for finding input can be read only by performing a search operation on either medical finding data or medical image data.

In the invention according to claims 8 to 11, the medical image data and the schema with the comment of the doctor can be inserted into the medical finding data by a simple operation. Can be created in a short time.

Further, according to the twelfth aspect of the present invention, a frequently used short sentence can be inserted into the sentence of the medical finding data by a simple operation, so that the work efficiency can be improved.

According to the thirteenth aspect, the finding data storage means and the medical finding data and medical image data stored in the image data storage means can be referred to from a computer outside the hospital via the Internet. For example, it is possible to obtain observation data of a patient from a hospital at a travel destination and perform an emergency medical treatment.

[Brief description of the drawings]

FIG. 1 is a configuration diagram showing an embodiment of a medical finding management system according to the present invention.

FIG. 2 is a flowchart illustrating the operation of the medical finding management system according to the present invention.

FIG. 3 is a flowchart illustrating an operation of the medical finding management system according to the present invention.

FIG. 4 is a diagram showing an example of a search screen of the medical finding management system according to the present invention.

FIG. 5 is a diagram showing an example of a finding data input screen of the medical finding management system according to the present invention.

FIG. 6 is a diagram showing an example of an image data display screen of the medical finding management system according to the present invention.

FIG. 7 is a diagram illustrating a finding data input screen of the medical finding management system according to the present invention.

FIG. 8 is a diagram illustrating a finding data input screen of the medical finding management system according to the present invention.

FIG. 9 is a diagram illustrating a finding data input screen of the medical finding management system according to the present invention.

FIG. 10 is a diagram illustrating a finding data input screen of the medical finding management system according to the present invention.

FIG. 11 is a configuration diagram showing another embodiment of the medical finding management system according to the present invention.

[Explanation of symbols]

20 findings server 21, 41 hard disk 22 findings database 30, 30a. 30b, 30c, 60 Client computer 31, 61a, 61b Keyboard 32 Display device 62a High-definition display device 62b General-purpose display device 50 Printer

Claims (13)

[Claims] 1. A medical finding management system for managing medical finding data, comprising: finding data storage means for storing medical finding data; image data storing means for storing medical image data; the finding data storing means; and the image data. A medical finding management system comprising management means for managing information of storage means in association with each other. 2. The medical finding data includes at least patient finding data and patient information, and the medical image data includes
2. The medical finding management system according to claim 1, wherein the system includes at least affected part image data and patient information of the patient. 3. The medical finding management system according to claim 1, wherein said finding data storage means stores a schema schematically illustrating each part of a human body. 4. The finding means retrieving means for extracting specific medical finding data from the finding data storage means, displaying the contents of the designated medical finding data and updating or displaying the contents of the specified medical finding data. 2. The medical finding management system according to claim 1, further comprising: finding data input means for creating the medical finding data. 5. The image processing apparatus according to claim 1, wherein said management means includes image data search means for extracting specific image data from said image data storage means, and image data display means for displaying the contents of the designated image data. The medical finding management system according to claim 1, wherein: 6. The management means searches the image data storage means based on the patient information of the medical finding data displayed on the finding data input means, and retrieves the medical findings displayed on the finding data input means. The medical finding management system according to claim 1, wherein medical image data related to data can be displayed on the image data display unit. 7. The management means retrieves the finding data storage means based on patient information of medical image data displayed on the image data display means, and retrieves the medical image displayed on the image data display means. The medical finding management system according to claim 1, wherein medical finding data related to data can be displayed on the finding data input unit. 8. The apparatus according to claim 1, wherein said management means is capable of inserting image data designated by said image data display means into medical finding data displayed on said finding data input means. 2. The medical finding management system according to 1. 9. The apparatus according to claim 1, wherein said management means is capable of inserting said schema specified by said finding data inputting means into medical finding data displayed on said finding data inputting means. 2. The medical finding management system according to 1. 10. The medical finding management system according to claim 4, wherein said finding data input means is capable of inputting image data inserted into said medical finding data and a comment to said schema. . 11. The medical finding management system according to claim 4, wherein said finding data input means is configured to display a list of medical finding data related to the displayed medical finding data. . 12. The finding data storage means stores a frequently used short sentence and a keyword corresponding to the short sentence in advance, and the finding data input means designates the keyword to transfer the short sentence from the finding data storing means. The medical finding management system according to claim 4, wherein the short sentence is read out, and the short sentence is inserted into the medical finding data displayed on the finding data input means. 13. The medical finding management system according to claim 1, wherein said management means has a network server function.