JP2002297767A - Diagnosis report creation supporting system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To create an electronic diagnosis report including a medical image with short time and small labor at any place in a hospital. SOLUTION: In a network in a hospital structured by connecting a medical imaging device 10, an image database 20 for storing medical images and the like through an LAN cable and a switching hub 60, a radio LAN station 40 functioning as an access point is connected to the switching hub 60. A portable diagnosis report terminal 70 such as a notebook-sized personal computer has a radio communication machine for radio communicating with the radio LAN station 40 and a report creation supporting application software, and holds information in the hospital such as the medical images in the image database 20, thereby enabling creation of a diagnosis report including the medical image at any place in the hospital.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a diagnostic report creation support system, and more particularly to a technique for assisting a doctor in creating a diagnostic report.

[0002]

2. Description of the Related Art Conventionally, X-ray CT apparatuses, MRI apparatuses,
A medical image captured by a medical imaging device such as an X-ray photographing device or an ultrasonic diagnostic device is digitized, and the digitized medical image is displayed on a display device such as a CRT display, and the medical image displayed on the display device is displayed. While observing, a doctor makes a diagnosis and creates a diagnosis report by handwriting or a word processor on a personal computer.

[0003]

However, the place where a medical image captured by the medical imaging apparatus is viewed is limited to a reading room where an image observation apparatus is installed, and therefore, a place where a diagnostic report is created is also provided. Was limited. Therefore, when a doctor tries to create a diagnostic report in an idle time or the like, he or she must go to a specific room each time, and there is a problem that time cannot be used effectively.

[0004] Further, conventional diagnostic reports are not digitized in a unified format, so that it is difficult to utilize the information of the diagnostic reports for information integration for each patient and information sharing at hospitals. there were. In addition, since the medical image on which the diagnosis of the diagnostic report is based is not directly linked to the diagnostic report, when the diagnostic report is used later, the medical image on which the diagnosis is based can be referred to immediately. It was difficult.

[0005] The present invention has been made in view of such circumstances, and it is possible to create a diagnostic report at an arbitrary place in a hospital with a small amount of time and labor, and to provide information of a medical image on which a diagnosis is based. It is an object of the present invention to provide a diagnostic report creation support system capable of creating a diagnostic report including a diagnostic report.

[0006]

In order to achieve the above object, the invention according to claim 1 of the present invention uses a LAN for storing one or more medical imaging devices, an image database for storing medical images captured by the medical imaging devices, and the like. In a hospital network connected by a cable, one or more wireless LAN stations serving as access points connected to the LAN cable, and wireless communication means for wirelessly communicating with the wireless LAN station; One or a plurality of diagnoses including report creation support application software for acquiring a medical image from the image database via the wireless LAN station and the wireless communication means and creating a diagnostic report including the medical image; And a report terminal.

[0007] That is, by using a portable diagnostic report terminal such as a notebook personal computer that can share information in a hospital via a wireless LAN, the diagnostic report terminal can be easily moved, and image interpretation can be performed. A diagnostic report including a medical image can be created at an arbitrary place in a hospital, such as a room or a consultation room.

[0008] The diagnostic report terminal may include a wired communication means connectable to the in-hospital network by wire, and a selection means for selecting one of the wireless communication means and the wired communication means. It is characterized by having. This makes it possible to create a diagnostic report including a medical image by connecting the diagnostic report terminal to a network in a place near the MRI apparatus that is affected by electromagnetic noise or in a place where radio waves cannot be transmitted and received satisfactorily. it can.

The report creation support application software has a function of displaying a diagnosis report in a fixed form on a display means of the diagnosis report terminal as described in claim 3 of the present application, and a function of transmitting the wireless LAN station from the image database. A function of displaying a medical image input via the wireless communication means on the display means of the diagnostic report terminal, a function of selecting a specific medical image from medical images displayed on the display means, and And a function of pasting a medical image onto the diagnosis report is realized by the diagnosis report terminal.

[0010] Thus, a diagnostic report including a medical image digitized in a unified format can be created with a small amount of labor.

According to a fourth aspect of the present invention, there is provided a diagnostic report server connected to the LAN cable, wherein the diagnostic report server stores a diagnostic report created by the diagnostic report terminal, and stores the diagnostic report. It is characterized in that a necessary diagnostic report is output to the diagnostic report terminal in response to a request from the terminal.

[0012] With this, it is possible to refer to a diagnostic report that has already been created or to view a diagnostic report created by another doctor, and to share the diagnostic report.

[0013] Further, the report creation support application software has a function of editing a diagnosis report in a fixed form according to a predetermined template and a user's input of each item specified in the template, to the diagnosis report terminal. A character string list is sequentially displayed for each item specified in the template, and a character string selected by the user on the character string list is input to the item. A function and a list of character strings to be displayed for each item are displayed for one or more predetermined items of the items that have been input prior to the item in a plurality of character string lists provided corresponding to the item. A function of selecting a character string list which is a character string list pre-associated with a character string whose input has been received is realized in the diagnostic report terminal. To. Further, the report creation support application software has a function of storing a plurality of fixed phrases, and a character string input to a predetermined one or more of the items in the plurality of fixed phrases in advance. A function for receiving a selection of a specific fixed phrase from among the linked fixed phrases, and by embedding a character string for which input has been received for each of the items in a form defined by the fixed phrase in the selected fixed phrase. A function of creating a finding document and including it in a diagnostic report is realized by the diagnostic report terminal.

[0014]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of a diagnostic report creation support system according to the present invention will be described below in detail with reference to the accompanying drawings.

FIG. 1 is a system configuration diagram showing an embodiment of a diagnostic report creation support system according to the present invention.

As shown in FIG. 1, the diagnostic report creation support system includes a medical imaging device 10, an image database 20, a diagnostic report server 30, a wireless LAN station 40, an image observation device 50, It comprises a hub 60 and a diagnostic report terminal 70.

A hospital LAN (Local Area Net) shown in FIG.
work) is a medical imaging device 10, an image database 20,
This is a wired LAN based on, for example, a high-speed Ethernet (registered trademark) of the 100BASE standard (transmission speed is 100 Mbps) in which the diagnostic report server 30 and the like are connected using a LAN cable.
N. The hospital LAN is a star type L
The invention is not limited to the AN, and may be, for example, a bus-type LAN or a ring-type LAN.

A wireless LAN is configured by connecting a wireless LAN station 40 to the hospital LAN. A communication protocol compatible with the wired LAN and the wireless LAN is used.

In FIG. 1, an X-ray CT apparatus is shown as the medical imaging apparatus 10, but the present invention is not limited to this, and other medical imaging apparatuses such as an MRI apparatus, an X-ray photographing apparatus, and an ultrasonic diagnostic apparatus are also available. It can be connected to a hospital LAN. Further, depending on the scale of the hospital, a plurality of wireless LAN stations 40 are provided at appropriate positions so that wireless communication can be performed in all areas in the hospital or in all areas where a diagnostic report may be created. It may be. Further, various terminals such as a printer for printing a diagnostic report and the like are connected to the hospital LAN.

In such a configuration, the medical imaging device 1
The medical image captured at 0 is digitized. The digitized medical image includes an examination date, a patient ID, name, gender, and date of birth of the patient to be imaged in accordance with an operator's input at a terminal (not shown) attached to the medical imaging apparatus 10. , The age, the type of the medical imaging device 10, the imaging site, and the like are added as management attributes. Then, the medical images to which these management attributes are added are sent to and stored in the image database 20 via the in-hospital LAN.

The image observation device 50 includes one or more relatively large display devices, and displays medical images read from the image database 20 via the in-hospital LAN on the display device.

The diagnostic report terminal 70 is a general-purpose notebook personal computer, has a wired communication device connectable to the hospital LAN via a LAN cable, and has a wireless LA.
An external or built-in wireless communication device for wireless communication with the N station 40 is provided. This diagnostic report terminal 7
0 is such that one of the wired and wireless communication devices can be selected by operating the communication setting on the diagnosis report terminal 70. When a LAN cable is connected to the diagnostic report terminal 70, the wired communication device may function with priority.

The diagnostic report terminal 70 has installed therein report creation support application software described later. The user (doctor) creates a diagnostic report using the diagnostic report terminal 70. Normally, the created diagnostic report is transmitted from the diagnostic report terminal 70 to the wireless LAN station 40 and the switching station.
The information is transmitted to the diagnostic report server 30 via the hub 60 and accumulated.

Here, the hardware of the image database 20, the diagnostic report server 30, and the diagnostic report terminal 70 are, for example, a CPU, an external storage device using a fixed storage medium such as a main memory or a hard disk, or a portable storage medium. , An external storage device, a communication control device for controlling communication via a network, an input device such as a keyboard and a pointing device, an output device such as a display device, RS
This is a computer having a general configuration provided with a communication interface such as -232C. Then, the CPU executes each process by executing the program loaded in the main memory.

Each program is stored in advance in a fixed storage medium of an external storage device, and is loaded into a main storage as needed, or a portable storage medium such as a CD-ROM.
The information is stored in the ROM, loaded from the portable storage medium to the main storage via the external storage device, and executed by the CPU. Or, once stored on a fixed storage medium such as a hard disk drive from a portable storage medium,
It is loaded into the main memory as needed and executed by the CPU. Alternatively, after being appropriately received via a communication medium and stored on a fixed storage medium such as a hard disk device, the program is loaded into a main storage as needed, and then executed by the CPU.

Next, FIG. 2 shows a software configuration of the diagnostic report terminal 70.

As shown in the figure, the software configuration of the diagnostic report terminal 70 is such that the report creation support application software 52 operates on the operating system 51. The report creation support application software 52 includes a report editing processing unit 521 that performs processing for supporting creation of a diagnostic report, and a report creation support database 522 that stores various data used by the report editing processing unit 521 for processing.

The software configuration of the image database 20 and the diagnostic report server 30 can be the same as the software configuration of a general database system.

FIG. 3 shows a report creation support database 5.
22 shows an example of contents.

The report creation support database 522 includes:
An examination site list 31 that is a list of a plurality of examination site keywords, a classification list 32 that is a list of a plurality of classification keywords, a disease name list 33 that is a list of a plurality of disease name keywords, and a type classification list that is a list of a plurality of type classification keywords. 34, consisting of type classification detailed data 35.

Here, classification list 32, disease name list 3
3. There are a plurality of type classification lists 34 and type classification detailed data 35. As shown by the solid line in the figure, each classification list 32 is any keyword in the examination site list 31, and each disease name list 33 is any one. , Each type classification list 34 is any keyword in any one of the disease name lists 33, and the type classification detailed data 35 is any one of the types in the type classification list 34. Related to keywords.

Each type classification detailed data 35 has a diagnosis name evaluation rule 351, a fixed sentence list 352 which is a list of a plurality of fixed sentences, and a selection item table 353. The selection item table 353 includes a plurality of selection item data 354, and each selection item data 354 includes a plurality of word lists 355.
Consisting of Also, for each selection item data 354,
Auxiliary selection item data 35 consisting of a plurality of word lists 355
6 can be provided. Alternatively, other selection item data 354 can be associated as auxiliary selection item data 356.

Hereinafter, a process of supporting the creation of a diagnostic report performed by the report editing processing unit 521 of the report creation support application software 52 of the diagnostic report terminal 70 will be described.

FIG. 4 shows the procedure of this diagnostic report creation support processing. FIG. 5 shows the finding creation processing 409 in FIG.
The detailed procedure will be described.

Hereinafter, referring to FIGS. 4 and 5, first, a doctor diagnoses medical images stored in the image database 20 and creates a new diagnostic report. The operation of the diagnosis report creation support processing will be described.

As shown in the figure, when the report creation support application software 52 is started, the report editing processing unit 521 first displays a login window shown in FIG. 6 in a login process 401, and inputs a user name and a password. Is checked, and the combination of the input user name and password is checked for a match with the combination registered in advance in the report creation support application software 52. If they match, the login window is closed and the next search / new creation reception process is performed. Move to 402.

In the search / new creation accepting process 402, FIG.
Is displayed. Then, on the search / new creation reception window, search for a diagnostic report already registered in the diagnostic report server 30;
Alternatively, an instruction to create a new diagnostic report is accepted. In the search, a keyword search using keywords of the report creation support database 522 can be performed in addition to management attributes such as an examination date, a patient ID, and the type of the medical imaging apparatus 10. As the keyword, a character string in the fixed phrase list 352 can also be used.

Here, when creating a new diagnosis report, the doctor clicks a new creation button 700 on the search / new creation acceptance window of FIG. When the new creation button 700 is clicked, the report editing processing unit 521 creates a new empty diagnostic report in the report creation processing 403 and displays it in the report editing window shown in FIG.

In the management attribute input area 801 of the report editing window, the doctor enters the examination date when the medical image to be diagnosed was taken, the patient ID, name, gender, date of birth, and age of the patient whose image was taken. Also, information such as the type (section) of the medical imaging device 10 that has captured the medical image to be diagnosed and the region where the medical image is captured is input as a management attribute.

Next, in the diagnosis reception information input area 802, an examination ID which is a management number of the diagnosis, a request department such as gastric surgery indicating the department of the diagnosis requester, a requesting doctor indicating the doctor who requested the diagnosis, The user inputs the in / out indicating the distinction between the outpatient and outpatient of the patient, the ward indicating the inpatient ward of the patient, and the classification of the purpose of diagnosis such as progress, screening, and presence diagnosis.

The radiologist 808 inputs the creator of the diagnostic report. Note that, by default, the user name accepted in the login window is input to the radiologist 808.

Next, the doctor sets the key image 1 selection button 80
When 3 is clicked, the report editing processing unit 521 transitions to key image selection processing 408, and displays an image selection window shown in FIG.

At this time, the image database 20 is searched, and a medical image having a management attribute that matches the content of the management attribute input to the management attribute input area 801 is read from the image database 20, and the read medical image is read. Are displayed as display images 901 in the image selection window.

When the doctor selects one of the display images 901 and clicks the observation button 902, the data of the medical image is enlarged and displayed. on the other hand,
The doctor selects one of the medical images and presses the select button 903
Is clicked, this medical image is selected as the key image 1, the image selection window is closed, the process returns to the report editing process 406, and the key image 1 in the report editing window is displayed.
The medical image selected as the key image 1 is displayed in the display area 805. On the other hand, if the doctor clicks the close button 904, the image selection window is closed and the process returns to the report editing process 406.

Similarly, for the key image 2, a medical image as the key image 2 is similarly selected according to the click of the key image 2 selection button 804 and the operation on the image selection window, and the key image 2 is displayed. It is displayed in area 806.

The medical doctor displays the medical images displayed so far,
After observing the key images 1 and 2 and obtaining a diagnosis result, the user clicks a finding selection button 807 in the report editing window. Then, in response to this click, the report editing processing unit 521 transitions to the finding creation processing 409.

In the finding creation processing 409, first, a finding selection window shown in FIG. 10 is displayed in the finding selection processing 501 in FIG. Then, the keywords in the inspection part list 31 of the report creation support database 522 are displayed in the inspection part display area 1011 of the finding creation window. As the keywords of the examination site list 31, for example, the names of sites to be examined for the human body such as the esophagus, stomach, duodenum, small intestine, and large intestine are prepared.

If any of the keywords displayed in the examination region display area 1011 is clicked by the doctor, the keyword in the classification list 32 associated with the next clicked keyword is displayed in the classification display area 101.
2 is displayed. As keywords of the classification list 32,
For example, there are prepared terms indicating the presence or absence of a lesion and the weight of a lesion represented by a keyword associated with the classification list 32, such as no lesion, benign lesion, and malignant lesion.

If any of the keywords displayed in the classification display area 1012 is clicked by the doctor, the keyword in the disease name list 33 associated with the next clicked keyword is displayed in the disease name display area 101.
3 is displayed. As keywords of the disease name list 33,
For example, list 3 of disease names such as advanced gastric cancer and early gastric cancer
3, a keyword of the classification list 32 directly or indirectly related, a site represented by the keyword of the inspection site list 31, and a disease name that can occur in the classification are prepared.

If any of the keywords displayed in the disease name display area 1013 is clicked by the doctor, the keyword in the type classification list 34 associated with the next clicked keyword is displayed in the type classification display area 1014. To be displayed. The keywords of the type classification list 34 include, for example, the type classification list 3 such as IIc type.
A detailed type name of the disease name represented by the keyword of the disease name list 33 to which the number 4 is related is prepared.

Then, the doctor sets the type classification display area 1014.
Is clicked, n = 1 (502 in FIG. 5), the process proceeds to the n-th selection item input process 503, and the n-th selection item input window is displayed, and the n-th selection item is displayed. Processing to accept item input
The process is repeated while incrementing n by 1 (505) until an input (504) is received for all selection items.

Here, the selection item is, for example, a type classification represented by a keyword clicked on the type classification display area 1014 such as a part, a size, a main finding, a fold finding, a depression finding, a profoundness, a mucosal finding, and the like. Are the items to be included in the diagnosis report in a dark blue systematically when the diagnosis is made, and the selection items in the type classification detailed data 35 associated with the keyword clicked in the type classification display area 1014 corresponding to each of the selection items Selection item data 354 in the table 353 is provided. The n-th selection item corresponds to the n-th selection item data 354 in the selection item table 353 in the type classification detailed data 35, which is associated with the keyword clicked in the type classification display area 1014. Item to be selected.

Now, the n-th selection item input processing 503 will be described by taking as an example a case where the n-th selection item is a main finding. In this case, the main finding input window shown in FIG. 11 is displayed as the nth selection item input window.

In this main finding window, the words in the first word list 355 in the main finding selection item data 354 are displayed in the first display area 1111, and the second display area 1
In 112, the words in the second word list 355 in the selection item data 354 of the main finding are displayed, and a third display area 1113 is displayed.
Displays the words in the third word list 355 in the selection item data 354 of the main finding, and in the fourth display area 1114,
Fourth word list 35 in selection item data 354 of main findings
In the fifth display area 1115, the words in the fifth word list 355 of the main finding selection item data 354 are displayed.

In this example, several typical main finding sentences can be created by clicking words one by one from the first, second, and third word lists 355 and connecting them in that order. , The words in the first, second, and third word lists 355 are prepared. In this example, as the words of the fourth and fifth word lists 355, particles, conjunctions, auxiliary verbs, adverbs, and the like are classified and provided. For example, as words in the first word list 355, words such as “irregular”, “shallow irregularity”, and “regional” are included, and as words in the second word list 355, As words in the third word list 355, words such as "clearly demarcated", "unclearly demarcated", and "irregular mucosa" are used.
By preparing words such as "recognize spread", for example, by clicking "irregular", "clearly demarcated", and "recognize depressed" respectively, "irregularly depressed depressed depressed" Admits, "the main findings are written.

First display area 1111, second display area 11
12, a third display area 1113, a fourth display area 1114,
Of the words displayed in the fifth display area 1115, the words clicked by the doctor are input and displayed in the sentence input field 1116 in the order in which they were clicked. Cancellation of an input is accepted by a return button 1117, and all cancellation of an input is accepted by a clear button 1118.
In addition, for the text displayed in the text input field 1116, the input from the doctor is also accepted, and correction and correction according to the input content are performed.

When the confirm button 1119 is clicked, the sentence entered in the sentence input field 1116 is determined as the sentence of the main finding, the main finding input window is closed, and the selection items for the main finding are selected. The input processing 503 is terminated, and if there is a next selection item, a selection item input window for that selection item is opened, and similarly,
Input and confirmation of the text of the selected item are accepted, and if there is no next selected item, the process returns to the finding selection processing 501.

The display item change buttons 1120, 1121, and 1122 of the main finding input window are displayed in the auxiliary selection item data 356 attached to the selection item data 354.
Button for switching to. The auxiliary selection item data 354 includes a word list 355 of words that can be added to the creation of the text created by the selection item data 354. For example, for the selection items of the main findings, the auxiliary selection item data 356 including the word list 355 of words for creating a text expressing the imaging method, the site, and the observation method, respectively.
Prepare. FIG. 12 shows a display of the main finding input window when the display item change button 1120 corresponding to the auxiliary selection item data of the imaging method is clicked. When the switching button 1201 is clicked in this window, the display returns to the display of the original main finding selection item data 354.
Others are the same as the case of the window of FIG.

When the selection item input process 503 for all the selection items is completed in this way, the process returns to the finding selection process 501, where the display of the finding selection window of FIG. 10 is updated and displayed as shown in FIG.

That is, as shown in FIG. 13, in the fixed phrase title list area 1301 of the finding selection window, the fixed phrase list 352 registered in the fixed phrase list 352 associated with the keyword clicked in the type classification display area 1014. The title of the sentence is displayed, the selection item display area 1302 displays a list of the selection items that have been input and confirmed so far, and the observation display area 1303 displays the text of each selection item that has been input and determined so far. On the other hand, a fixed phrase set as a default in the fixed phrase list 352, for example, a sentence to which the first fixed phrase is applied is displayed.

Here, as the fixed phrases in the fixed phrase list 352, for example, those shown in Table 1 are prepared.

[0062]

[Table 1]

As shown in the table, each fixed sentence in the fixed sentence list 352 is a fixed form of a finding sentence, and the selection item of the name written in [] in [] in each fixed sentence is shown. The input and confirmed text is inserted and displayed in the finding display area 1303.

In this state, as shown in FIG.
When any one of the fixed phrase titles in the fixed phrase title list area 1301 is clicked, the fixed phrase applied to the text of each input item that has been input and confirmed up to that point is switched to the clicked fixed phrase, and At the same time, the text displayed in the finding display area 1303 is updated.

As shown in FIG. 15, when any one of the selection items is clicked in the selection item display area 1302, the text portion of the selected selection item in the text displayed in the finding display area 1303 is highlighted. indicate. Further, when any of the selection items is double-clicked in the selection item display area 1302, the text of the selection item is updated in order to update the text of the selection item.
The flow transitions to selection item input processing 3506 for that selection item.
The contents of the selection item input processing 506 are the same as the processing for the selection item in the n-th selection item input processing 503.

Here, the finding display area 13
The input from the doctor is also accepted for the text displayed in 03, and correction and correction are performed according to the input content.

When the confirm button 1601 is clicked on the finding selection window as shown in FIG.
The sentence displayed in the finding display area 1303 is moved to the confirmed finding sentence display area 1602, and a finding title is added to the beginning. In addition, the sentence displayed in the fixed finding sentence display area 1602 is set as a fixed finding sentence. Note that the finding title to be added is, for example, the name of the previously selected examination site + “finding”
Is a character string.

When the return button 1603 is clicked, the finding selection window is closed, the finding creating process 409 is ended, and the process returns to the report editing process 406.

In the report editing process 406, the display of the report editing window shown in FIG. 8 is updated as shown in FIG. That is, the confirmed finding sentence is displayed in the finding display area 1701. In addition, the diagnosis name display area 1702 displays the confirmed finding sentence, and the diagnosis name evaluation rule 35 associated with the keyword clicked in the type classification display area 1014.
The diagnosis name obtained by applying 1 is displayed. Here, as the diagnosis name evaluation rule 351, a rule is provided that combines the disease name and type classification selected so far with the input and confirmed specific selection item text to make a diagnosis name. In the illustrated example, the disease name, the type classification, the selection item “profound”, and the selection item “size” are used as the diagnosis names.

In this state, if the print button 1703 is clicked, the flow shifts to print processing 407, where the display content of the report editing window is prepared as it is or another fixed form, and printed from a printer (not shown) via a network. Output.

On the other hand, if the new registration button 1704 is clicked, the report editing window is closed, the report editing process 406 ends, and in the registration process 410,
The contents of the report editing window are registered in the diagnostic report server 30 as a new diagnostic report. Then, the process returns to the search / new creation reception process 402.

In the foregoing, the operation method for creating a new diagnostic report and the operation of the diagnostic report creation support processing according to the operation method have been described.

Hereinafter, an operation method in the case where a diagnostic report already registered in the diagnostic report server 30 is used, and an operation of a diagnostic report creation support process corresponding thereto will be described.

In this case, the management attribute input area 701, the diagnosis reception information input area 702, and the search condition input area 703 of the report editing window of the search / new creation reception window shown in FIG. Enter a search keyword for. Management attribute input area 701,
In the diagnosis reception information input area 702, the management attribute input area 801 of the report editing window and each item input in the diagnosis reception information input area 802 can be specified as a search keyword. In the search condition input area 703, the search keyword can be specified. As a word in the text of the selected item. Of course, it is not necessary to specify all items that can be used as search keywords, and only some of them may be specified.

When the search keyword is specified and the search button 704 is clicked, a request is made to the diagnostic report server 30 to search for a diagnostic report that matches the specified search keyword and to send a list thereof. A list of information of the diagnostic report sent from the report server 4 is received, and the received list is displayed in a list display area 1803 as shown in FIG. In this list, items input in the management attribute input area 801 and the diagnosis reception information input area 802 of the report editing window are used as information of each diagnosis report.

Then, if the display of information of any of the diagnostic reports in the list is double-clicked, or if the execution button 1801 is clicked after the display of the information of any of the diagnostic reports in the list is clicked, Then, the process proceeds to the report search processing 404, where the clicked diagnostic report is read from the report server 4, and displayed in the report editing window in the report editing processing 404 as shown in FIG.

From the report editing window, the doctor can print the diagnostic report and edit / update the diagnostic report in addition to confirming the contents of the retrieved diagnostic report, as in the case of creating a new diagnostic report described above.

Now, this diagnostic report has been searched and displayed for approval, and when the doctor approves the diagnosis report, the user name is input to the doctor 1903 of the diagnostic report and the approved 1904 is entered. To check. Note that, by default, a check is made 1904 during creation.
Thereafter, the diagnostic report for which the approval 1904 is checked prohibits its change.

When the patient button 1901/1902 in the report editing window is clicked, the report editing window is closed, and the diagnosis before / after the diagnostic report currently displayed in the list in the list display area 1803 is displayed. The report is read from the diagnostic report server 30, and a report editing window for the diagnostic report is opened. If the update button 1905 is clicked, the report editing window is closed, and the report editing processing 406 is terminated.
In the registration process 410, the content of the diagnostic report registered in the diagnostic report server 30 is updated to the content of the report editing window. Then, the process returns to the search / new creation reception process 402 to display a search / new creation reception window. If the return button 1906 is clicked, the report editing window is closed, the report editing process 406 ends, and the process returns to the search / new creation receiving process 402.

In the above, the operation method in the case of using the diagnostic report already registered in the diagnostic report server 30 and the operation of the diagnostic report creation support processing corresponding thereto have been described.

Note that, when a new diagnostic report is created or when a diagnostic report already registered in the diagnostic report server 30 is used, when the end button 1802 of the search / new creation accepting window is clicked, the entire processing is performed. To end.

The diagnostic report creation support system having the above configuration uses a portable diagnostic report terminal 70 that can share information in a hospital such as medical images through a wireless LAN. The terminal 70 can be brought to an arbitrary place in the hospital, such as a reading room or a consultation room, to create a diagnostic report including a medical image. In addition, when creating a diagnostic report, by using the above report creation support application software,
A diagnostic report including medical images can be created in a unified format with little effort.

The radio waves used for the wireless LAN do not adversely affect the medical equipment in the hospital.
The N station 40 needs to be arranged at an appropriate position in consideration of a range in a hospital where a diagnostic report may be created, or a plurality of stations must be arranged in a large hospital or the like.

Note that a wireless LAN is affected by electromagnetic noise generated from other devices, or has a lower communication speed than a wired LAN. For example, when handling a large medical image, the diagnostic report terminal 70 may be connected to a hospital LAN using a LAN cable.

The terminal that can access the wireless LAN station 40 may be, for example, a personal digital assistant (PDA) in addition to the diagnostic report terminal 70. Read reports and view them anytime, anywhere. It goes without saying that the diagnostic report is protected from being rewritten only by a person having a password or the like.

[0086]

As described above, according to the present invention, information in a hospital such as medical images can be shared through a wireless LAN, so that a portable diagnostic report terminal can be used at any place in the hospital. A diagnostic report containing images can be created. In addition, when creating a diagnostic report using a diagnostic report terminal, by using report creation support application software, diagnostic reports containing medical images in a unified format can be reduced,
It can be created in time, and can assist a doctor in creating a diagnostic report.

[Brief description of the drawings]

FIG. 1 is a configuration diagram of a diagnostic report creation support system according to an embodiment of the present invention.

FIG. 2 is a block diagram showing a software configuration of a diagnostic report terminal according to the embodiment of the present invention.

FIG. 3 is a diagram showing an example of the contents of a report creation support database according to the embodiment of the present invention.

FIG. 4 is a flowchart showing a procedure of a diagnosis report creation support process according to the embodiment of the present invention.

FIG. 5 is a flowchart showing a procedure of a finding creation process according to the embodiment of the present invention.

FIG. 6 is a diagram showing a login window according to the embodiment of the present invention.

FIG. 7 is a diagram showing a search / new creation reception window according to the embodiment of the present invention.

FIG. 8 is a view showing a report editing window according to the embodiment of the present invention.

FIG. 9 is a view showing an image selection window according to the embodiment of the present invention.

FIG. 10 is a diagram showing a finding selection window according to the embodiment of the present invention.

FIG. 11 is a diagram showing a main finding input window according to the embodiment of the present invention.

FIG. 12 is a view showing a main finding input window according to the embodiment of the present invention;

FIG. 13 is a view showing a finding selection window according to the embodiment of the present invention.

FIG. 14 is a diagram showing a finding selection window according to the embodiment of the present invention.

FIG. 15 is a diagram showing a finding selection window according to the embodiment of the present invention.

FIG. 16 is a diagram showing a finding selection window according to the embodiment of the present invention.

FIG. 17 is a diagram showing a report editing window according to the embodiment of the present invention.

FIG. 18 is a diagram showing a search / new creation reception window according to the embodiment of the present invention.

FIG. 19 is a diagram showing a report editing window according to the embodiment of the present invention.

[Explanation of symbols]

10: Medical imaging device, 20: Image database, 30 ...
Diagnostic report server, 40: wireless LAN station, 50: image observation device, 60: switching hub,
Reference numeral 70: diagnosis report terminal, 52: report creation support application software, 522: report creation support database, 803: key image 1 selection button, 804: key image 2 selection button, 805: key image 1 display area, 80
6 ... key image 2 display area, 1701 ... finding display area, 1
702: diagnosis name display area

 ────────────────────────────────────────────────── ─── Continued on the front page (72) Norio Nakata, Inventor 2-21-11-503 Setagaya, Setagaya-ku, Tokyo F-term (reference) 5C076 AA13 AA16 AA17 BA03 BA04 CA02

Claims (4)

[Claims] 1. An in-hospital network configured by connecting one or more medical imaging devices, an image database storing medical images captured by the medical imaging device, and the like with a LAN cable, the medical imaging device is connected to the LAN cable. One or more wireless LAN stations serving as access points; wireless communication means for wirelessly communicating with the wireless LAN station; and the wireless LA from the image database.
One or more portable diagnostic report terminals having report creation support application software for acquiring a medical image via the N station and the wireless communication means and creating a diagnostic report including the medical image. Diagnostic report creation support system characterized in that: 2. The diagnostic report terminal according to claim 1, further comprising: a wired communication unit that can be connected to the in-hospital network by a wire; and a selection unit that selects one of the wireless communication unit and the wired communication unit. The diagnostic report creation support system according to claim 1, wherein 3. The report creation support application software has a function of displaying a diagnosis report in a fixed form on a display means of the diagnosis report terminal, and a function of displaying the diagnosis report from the image database via the wireless LAN station and the wireless communication means. A function of displaying the input medical image on the display means of the diagnostic report terminal, a function of selecting a specific medical image from the medical images displayed on the display means, and displaying the selected medical image in the diagnostic report. The diagnostic report creation support system according to claim 1 or 2, wherein the function of pasting on the diagnostic report terminal is realized by the diagnostic report terminal. 4. A diagnostic report server connected to the LAN cable, wherein the diagnostic report server stores a diagnostic report created by the diagnostic report terminal and responds to a request from the diagnostic report terminal. 4. The diagnostic report creation support system according to claim 1, wherein a necessary diagnostic report is output to the diagnostic report terminal.