JP2002073806A - Medical processing device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To search medical documents in which a specific medical image is used, or search medical images used in a specific medical document. SOLUTION: This medical processing device comprises a means provided with a function of relating a currently selected medical document with a desired medical image read from an image memory means for forming corresponding data for providing the medical document to correspond to the medical image related with the medical document when storage of the medical document is commanded, and a means to store the corresponding data formed.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical office apparatus having a function of associating a desired medical image with a medical document and correcting the desired medical image.

[0002]

2. Description of the Related Art There has been provided a medical office apparatus having a function of storing a medical image in association with a desired medical image.
The medical document is a medical record, a treatment plan, a technical instruction, and the like in the case of a dentist. The medical image is a five-piece oral photograph, a regional oral photograph, a front oral photograph, and the like. The medical image is pasted at an appropriate position in the medical document and stored in association with the medical document.

A medical office apparatus provided with a function of reading a desired medical image from an image storage unit, making appropriate corrections, and storing (overwriting / saving as a new image) in the image storage unit has been provided. I have. Note that the image editing software may be started alone, but is generally started from an arbitrary medical document.

[0004]

In some cases, it is desired to know what (other) medical document a certain medical image is used in. In some cases, it may be desired to know what (other) medical images are used in a certain medical document. However, conventionally, it has not been possible to search for a medical document using a medical image as a key or to search for a medical image using a medical document as a key. SUMMARY OF THE INVENTION It is an object of the present invention to be able to find a medical document in which a certain medical image is used, and to know a medical image used in a certain medical document. It is another object of the present invention to allow a user to quickly search for a desired medical image and quickly know a use destination of the desired medical image when using the medical image.

[0005] When a medical image incorporated in a plurality of medical documents is modified, it may be desired to reflect the modification on the medical images in the plurality of medical documents. Also,
In some cases, it is desired to determine whether or not to reflect the information for each of the plurality of medical documents by a simple operation. An object of the present invention is to meet such a demand.

[0006]

According to a first aspect of the present invention, there is provided a medical office apparatus having a function of associating a currently selected medical document with a desired medical image read from an image storage means. Correspondence data creating means for creating correspondence data that associates the medical document with a medical image associated with the medical document when storage is instructed, and correspondence data storage means for storing the created correspondence data,
It is a medical office equipment characterized by having. The medical document is specified by, for example, a medical document name (or a medical document code), a patient code, and a use date of the medical document. The medical image is specified by, for example, a medical image file name. Therefore, the medical document and the medical image can be associated with each other, for example, by adding a record having these as items to the corresponding data storage unit. According to a second aspect of the present invention, in the first aspect, when the medical image is associated with an uncorrected medical document on which the medical document instructed to be stored is based, The medical office apparatus is characterized in that the creation is performed after deleting corresponding data for associating the medical document with the medical document before correction. According to a third aspect of the present invention, there is provided a document specifying means for specifying a medical document as a search key, and an image search for searching a medical image associated with the specified medical document based on the corresponding data of the first or second aspect. And a medical office device. The document designating means designates a medical document as a search key in response to an operation input. For example, when search software is started from a certain medical document, the certain medical document is automatically (or required). Automatically under certain conditions, depending on
It can be configured to be used as a search key. According to a fourth aspect of the present invention, there is provided an image specifying means for specifying a medical image as a search key, and a document search for searching for a medical document associated with the specified medical image based on the corresponding data of the first or second aspect. And a medical office device. The image designating means designates a medical image as a search key in response to an operation input. For example, when search software is activated from a certain medical document, information (eg, necessary A medical image is specified based on the type of medical image, the name of the disease, the site of the disease, the patient code), and the medical image is automatically (or automatically under certain conditions, if necessary) used as a search key. It can also be configured to be used. According to a fifth aspect of the present invention, in the fourth aspect, the image designation means designates a medical image to be designated as a search key by retrieving the type of the medical image and the injured and sick part as a search key. It is a medical office equipment that is characterized. According to a sixth aspect of the present invention, there is provided a medical office apparatus having a function of correcting a medical image, wherein when a command to store the corrected medical image read from the image storage unit is issued, the corrected medical image is replaced with a new medical image. Requesting storage of a corrected medical image read from the image storage means and requesting a medical document associated with the uncorrected medical image using the uncorrected medical image as a search key. A document search means for searching based on the corresponding data of item 1 or 2, and an operator for each medical document searched by the document search means for determining whether to replace the uncorrected medical image with the corrected medical image Screen display means for displaying a confirmation screen for allowing the medical image to be determined, and a medical image item of the corresponding data of claim 1 or 2 relating to each medical document determined to be replaced on the confirmation screen. A replacement means for replacing the data pointing to medical image after positive, medical office apparatus characterized by having a. If the medical image read from the image storage unit is instructed to be stored without modification, the current medical image can be stored as a new medical image or can be used as the current medical image before correction. It may be configured not to perform operations such as searching for the attached medical document or displaying a confirmation screen based on the search result. If it is determined on the confirmation screen not to use the corrected medical document for all the medical documents, the corrected medical image is regarded as unnecessary, and the corrected medical image is newly added. It may be configured not to perform the operation of storing the medical image as a simple medical image, or may be configured to delete the corrected medical image once stored. Such a configuration cannot be adopted when a medical image is required regardless of whether it is adopted for a medical document. The confirmation screen may include a column for determining whether or not replacement is possible for all medical documents in addition to a column for determining whether or not replacement is possible for each medical document. In general, data directly indicating the medical image, such as an address at which the medical image is stored and an image file name of the medical image, are stored in the item for the medical image.

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, a specific example of the present invention will be described by taking a dental medical office apparatus as an example. FIG. 1 is a block diagram showing the configuration of the medical office apparatus according to the embodiment, FIG. 2 is a flowchart showing a storage process of a medical document, FIG. 3 is a flowchart showing a search procedure, and FIG. FIG. 5A is an explanatory diagram illustrating the contents of an image use history data file, FIG. 5B is an explanatory diagram illustrating the contents of an image data table file, and FIG.
(A) is an explanatory diagram illustrating the contents of a medical document name master file, (b) is an explanatory diagram illustrating the contents of a patient data file, FIG. 7 is an explanatory diagram illustrating a post-treatment image document creation screen, and FIG. 5A is an explanatory view illustrating an image use history confirmation screen, and FIG. 5B shows a state in which the content of the image use history data file in FIG. 5A has been rewritten based on whether the screen in FIG. 5A can be reflected. FIG. 9A is an explanatory diagram showing a configuration example of an image file, and FIG. 9B is an explanatory diagram showing a configuration example of a medical document file.

The dental medical office apparatus according to the embodiment is a computer apparatus including a control device, an input device including a keyboard and a mouse, and an auxiliary storage device including a display, a printer, and a hard disk. By executing processing according to an application program (not shown) stored in the storage device, a function as a dental care office device is realized. Since the hardware configuration of the computer device is publicly known, detailed description of each device is omitted.

The auxiliary storage device includes an image use history data file (see FIG. 5A), an image data table file (see FIG. 5B), a medical document name master file (see FIG. 6A), A patient data file (see FIG. 6B), an image file for each image (see FIG. 9A), a medical document file for each medical document (FIG. 9)
(See (b)). Of course, files other than these are also recorded, but are omitted here.

The image use history data file is shown in FIG.
As shown in (a), an image file name for specifying an image file, a patient code for specifying a patient, a used document name indicating a medical document name used, and a use date of the medical document used , Is a file to be associated. A record for each medical document is created when storage of the medical document is instructed, and is added to the image use history data file. In the case of dentistry, the medical document name is as shown in FIG.
Are exemplified.

The image data table includes, as shown in FIG. 5B, an image file name for specifying an image file, a patient code for specifying a patient, a "type" indicating a medical image method, and a part to be photographed for a medical image. Is a table associating “parts”, “disease names” of the parts, appropriate comments, and imaging dates. Each time an image file is recorded, a record of the image file is added to the image data table.

Hereinafter, the functions of the medical office equipment will be described with reference to flowcharts. First, addition of a record to the image use history data file will be described with reference to the flowchart in FIG. After a medical document is called on the screen (or newly created), appropriate recording or correction is performed, and if necessary, a medical image is associated with the medical document. Is instructed (S0
It is checked whether a medical image is associated with the certain medical document (S03).

As a result, if a medical image is associated (YES in S03), it is checked whether or not the medical document is a newly created medical document. If it is not new, that is, if an existing medical document is modified (NO in S05), the presence or absence of a medical image associated with the medical document before correction is checked. As a result, 1 or 2
When the above medical images are associated (S07
YES), the data (one or more corresponding records in the image use history data file) that associates the medical document before correction with the one or more medical images is deleted (S09). The one or more records can be specified based on the patient code, the used document name, and the date of use.

Next, the process proceeds to step S11. Also, if YES in step S05 (in the case of a new document) or NO in step S07 (in the case where a medical image is not associated with a medical document before correction), step S1 is also performed.
Proceed to 1.

In step S11, 1 or 2 associated with the corrected medical document (or new medical document)
The file names of the above medical images are obtained. Next, the process proceeds to step S13, where 1 or 2 obtained in step S11 is acquired.
A patient code (patient code of the currently selected patient), a medical document name (currently selected medical document name), A record for associating the current date is created and added to the image use history data file.

In step S15, processing for storing the corrected medical document is performed. Of course, 1 or 2
If the above medical images are associated, data indicating the (or their) association (eg, data indicating the insertion position of the image file and the image file name) is also stored. The corresponding data is created as described above.

Next, referring to the flowchart of FIG.
A search procedure (a procedure for searching for a medical image employed for a certain medical document, a procedure for searching for a medical document employing a certain medical image) will be described.

When a search is instructed (YES in S21),
It is checked whether or not the search key has been input. If the operation has been input (YES in S23), the search is executed using the search key input and the search result is displayed (S25). . That is, a normal search is performed.

If the search key has not been operated (NO in S23), it is checked whether or not the source of the search software was any medical document. As a result, if it is not any medical document (NO in S27), the search procedure is terminated because there is no means for performing the search.

If it is determined in step S27 that the activation source is any medical document (YES in S27), it is further determined whether or not a medical image captured in the activation source medical document is to be searched. It is checked (S29). It is assumed that this is designated by operation input or default in the medical document or search software of the starting source.

If it is determined in step S29 that the medical image fetched in the medical document of the activation source is to be retrieved (YES in S29), the medical image name of the activation source is used as a retrieval key and the image is retrieved. The image file name of the target patient (= corresponding to the patient code of the target patient) is searched from the usage history data file (S31). Further, an image (medical image or its thumbnail) indicated by the image file name of the search result is displayed (S33). If there are a plurality of search results, a list is displayed (S33). FIG. 7 shows a search result displayed on a screen for creating a medical document called an image after treatment (two thumbnail images are displayed in the lower column).
Is shown. Also, a state is shown in which one of them (the right thumbnail image with keyboard focus in the lower column) is selected and displayed in the image editing area in the post-treatment image creation screen.

On the other hand, if it is determined in step S29 that it is not a case to search for a medical image captured in the medical document of the activation source (NO in S29), first, the information ( 1 or 2 of the target patient (= corresponding to the patient code of the target patient) from the image data table file with the medical image type, site, disease name) as a search key
The above image file names are searched (S35). next,
Using the one or more image file names searched in step S35 as search keys, the target patient (= corresponding to the patient code of the target patient) from the image use history data file.
One or more medical document names are searched (S37). Further, the medical document name of the search result and the medical image used as the search key or its thumbnail are displayed (S3).
9). If there are multiple search results, a list is displayed (S3
9). The search is performed as described above.

Next, referring to the flowchart of FIG.
The storage of the corrected image and the processing performed in connection with the storage (whether or not the correction is to be applied to the use destination of the image before correction, and the processing when the correction is applied) will be described.

When the storage of the corrected image is instructed (YES in S51), the processing after step S53 is executed. The instruction to save the corrected image is executed, for example, when the OK button is pressed on the image editing screen. Further, the processing is executed when “to save” is input in response to “inquiry as to whether or not to save the edited result” displayed when returning from the image editing screen to the medical document screen of the activation source.

In step S53, a process of storing the corrected medical image as a new medical image separate from the pre-corrected medical image is performed. That is, the corrected medical image is stored as a new image file with a new image file name. For example, “G0001. jp
g, the image file name is “G001”.
0. jpg "is created and stored.

In step S55, a process of searching for a medical document of the target patient from the image use history (FIG. 5A) is performed using the image file name before correction as a search key. That is, a medical document incorporating the image file before correction is searched. Next, the process proceeds to step S57,
A screen (confirmation screen) for selecting whether or not to reflect the correction described above with respect to each medical document retrieved at 55, in other words, whether or not to incorporate a medical image after correction in place of a medical image before correction. Is displayed. FIG. 8A shows an example of this confirmation screen. In the example shown in FIG. 8A, it is selected that the above-described correction is reflected in the medical document of the treatment plan and the post-treatment image.

When the selection on the confirmation screen is completed, any one of
It is checked whether or not the above medical document has been selected to reflect the above correction, and if the selection has been made (S5).
9 is NO), and the process proceeds to step S61. In step S61, a process of rewriting the image file name of the corresponding record in the image use history data file with the corrected image file name is performed on the medical document input by the operator to reflect the above correction. . That is, a process of changing the association between the medical document and the medical image is performed.
FIG. 8B shows the rewritten state. As is clear from the comparison between FIG. 5A and FIG. 8B, the image file name is “G0001. jpg] to "G0010. jpg ”. As described above, the storage of the corrected image and the processing associated with the storage are executed.

Although the present invention has been described with reference to the dental medical office equipment, the present invention is not limited to dentistry, and the operation of associating (pasting, linking) a medical image with a medical document. The same can be applied to other medical departments where the medical treatment is performed.

[0029]

According to the first aspect of the present invention, when storage of a medical document is instructed, correspondence data for associating a medical document with a medical image associated with the medical document is created and stored. By using the correspondence data, a medical document can be searched using a medical image as a key, or a medical image can be searched using a medical document as a key. Therefore, when the user uses the medical image, the user can quickly search for the desired medical image and can quickly know the use destination of the desired medical image. According to the second aspect of the present invention, in the first aspect, when a medical image is associated with a medical image before correction based on the medical document instructed to be stored, the medical image and the medical document before correction are Since the creation is performed after deleting the corresponding data for associating with, there is no need to verify each medical image, and the processing procedure is simplified. According to the third aspect of the present invention, when a medical document is specified as a search key, a medical image associated with the specified medical document is searched based on the corresponding data of the first or second aspect. Medical images can be searched using documents as keys. For this reason, when a user uses a medical image,
A desired medical image can be quickly found. According to the fourth aspect of the present invention, when a medical image is specified as a search key, a medical document associated with the specified medical image is searched based on the corresponding data of the first or second aspect. Medical documents can be searched using images as keys. For this reason, when a user uses a medical image,
The medical document to which the medical image is pasted can be quickly searched. According to the fifth aspect of the present invention, in the fourth aspect, the medical image specified as the search key is specified by searching for the type of the medical image and the injured site using the search key. A desired medical image can be specified without knowing (image file name or the like). According to the invention of claim 6, when the storage of the corrected medical image is commanded, the medical image is stored as a new medical image, and the medical image before correction is associated with the medical image before correction as a search key. The searched medical document is searched, and for each of the searched medical documents, the operator determines whether or not to replace the medical image before correction with the corrected medical image, and determines each medical document to be replaced. Since the medical image item of the corresponding data of claim 1 or 2 is replaced with data indicating the corrected medical image, even if the medical image is incorporated in a plurality of medical documents, The correction of the medical image can be reflected on the medical images in the plurality of medical documents, or it can be determined by a simple operation whether or not to reflect the correction.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a medical office apparatus according to an embodiment.

FIG. 2 is a flowchart illustrating a medical document storage process.

FIG. 3 is a flowchart showing a search procedure.

FIG. 4 is a flowchart showing processing for storing a medical image after correction.

5A is an explanatory diagram illustrating the contents of an image use history data file, and FIG. 5B is an explanatory diagram illustrating the contents of an image data table file.

FIG. 6A is an explanatory diagram illustrating the contents of a medical document name master file, and FIG. 6B is an explanatory diagram illustrating the contents of a patient data file.

FIG. 7 is an explanatory diagram illustrating a post-treatment image document creation screen.

8A is an explanatory view illustrating an image use history confirmation screen, and FIG. 8B is a view based on whether the screen shown in FIG.
FIG. 9A is an explanatory diagram illustrating a state in which the content of the image use history data file in FIG.

FIG. 9A is an explanatory diagram showing a configuration example of an image file;
(B) is an explanatory view showing a configuration example of a medical document file.

 ────────────────────────────────────────────────── ─── Continuing on the front page (72) Inventor Osamu Kuniyuki 2-5-5 Keihanhondori, Moriguchi-shi, Osaka F-term in Sanyo Electric Co., Ltd. 5B082 AA13 EA09 GA03

Claims (6)

[Claims] 1. A medical office apparatus having a function of associating a desired medical image read from an image storage means with a currently selected medical document. A medical office apparatus, comprising: correspondence data creation means for creating correspondence data for associating a medical image associated with a medical document; and correspondence data storage means for storing the created correspondence data. 2. The medical image processing apparatus according to claim 1, wherein the correspondence data creating unit is configured to, when the medical image is associated with a medical document before correction based on the medical document instructed to be stored, associate the medical image with the medical image. The medical office apparatus, wherein the creation is performed after deleting correspondence data that associates the medical document with the uncorrected medical document. 3. A document specifying unit for specifying a medical document as a search key, and an image searching unit for searching for a medical image associated with the specified medical document based on the correspondence data according to claim 1 or 2. A medical office device comprising: 4. An image specifying means for specifying a medical image as a search key, and a document searching means for searching a medical document associated with the specified medical image based on the correspondence data according to claim 1 or 2. A medical office device comprising: 5. The medical image processing apparatus according to claim 4, wherein the image specifying unit specifies a medical image to be specified as a search key by searching for a type of the medical image and an injured and sick part using the search key. Medical office equipment. 6. A medical office apparatus having a function of correcting a medical image, wherein when a command to save a corrected medical image read from an image storage unit is issued, the corrected medical image is stored as a new medical image. 2. A medical document associated with a medical image before correction using a medical image before correction as a search key when a command to store a corrected medical image read from the image storage means is issued.
Or a document search means for searching based on the correspondence data of 2, and whether or not to replace the medical image before correction with the corrected medical image is determined by the operator for each medical document searched by the document search means Screen display means for displaying a confirmation screen for causing the medical image to correspond to each medical document determined to be replaced on the confirmation screen. A medical office device, comprising: replacement means for replacing with data indicating a medical image.