JP2007233841A - Diagnostic system - Google Patents

Diagnostic system Download PDF

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Publication number
JP2007233841A
JP2007233841A JP2006056448A JP2006056448A JP2007233841A JP 2007233841 A JP2007233841 A JP 2007233841A JP 2006056448 A JP2006056448 A JP 2006056448A JP 2006056448 A JP2006056448 A JP 2006056448A JP 2007233841 A JP2007233841 A JP 2007233841A
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Prior art keywords
information
patient
image
input
displayed
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JP2006056448A
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Japanese (ja)
Inventor
Takao Shiibashi
孝夫 椎橋
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Konica Minolta Medical & Graphic Inc
コニカミノルタエムジー株式会社
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Application filed by Konica Minolta Medical & Graphic Inc, コニカミノルタエムジー株式会社 filed Critical Konica Minolta Medical & Graphic Inc
Priority to JP2006056448A priority Critical patent/JP2007233841A/en
Priority claimed from EP07708043A external-priority patent/EP1990765A4/en
Publication of JP2007233841A publication Critical patent/JP2007233841A/en
Application status is Pending legal-status Critical

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Abstract

In a medical practitioner group, past medical history such as photographed image information, examination information, treatment information, and the like can be displayed in a list on a workstation by a simple input operation in a facility.
According to a small-scale diagnosis system according to the present invention, a control device includes: image data corresponding to patient information designated via an input unit from a patient designation screen displayed on a display unit; Accompanying information is acquired from the image DB 40 of the server 4, and receipt-related information including examination information and treatment information corresponding to the patient information is obtained from the receptacle 5, and based on the acquired captured image, examination information, and treatment information. Then, a medical treatment summary screen 352 for displaying a list of photographic images, examination information, and treatment information of the patient designated by the doctor in time series is displayed.
[Selection] Figure 1

Description

  The present invention relates to a diagnostic system capable of displaying a list of radiographed images, examination information, and / or treatment information of a diagnosis target part of a patient, which is most suitable for a small medical facility such as a medical practitioner operated by a paper chart or the like. Is.

  Conventionally, PACS (Picture Archiving Communication System) is configured to store a patient's captured images generated by multiple image generation devices such as CR (Computed Radiography) devices and CT (Computed Tomography) in a database together with image supplementary information so that they can be searched. A system is known (see, for example, Patent Document 1). The PACS system is linked to an interpretation report system, and can retrieve and display a patient's captured image and interpretation report information for the captured image.

  In addition, electronic medical records are beginning to become popular in small medical facilities (hereinafter referred to as small-scale facilities) such as medical practitioners and clinics, and it is becoming possible to search for medical records. In comparison, it imposes a burden on doctors, and as shown in Patent Document 2, many methods for reducing input operation work have been proposed.

In the PACS system and electronic medical record system, the test order input is the key first, and the image information, report information, treatment information, etc. that are generated after that are associated with each other. Patent Document 3 describes that it is easy to grasp the above.
JP-A-5-12352 Japanese Patent Laid-Open No. 2002-7021 JP 2003-132144 A

  The system described above requires capital investment to connect each facility in the hospital to the network and input operations using the keyboard for interpretation reports, etc. In large-scale hospitals, each specialized staff plays a role, In other words, since the system is operated with human investment, it is difficult to simply apply it to a small-scale facility such as a medical practitioner who can play many roles by one doctor. In addition, the conventional medical practitioners are overwhelmingly using paper charts, issue examination orders for patient examinations and radiographs, and generate the examination data, report information (medical chart information), etc. It is not an electronic system operation that uses key information to be associated. Accordingly, it is not preferable because a network for displaying the list and a new man-hour for input operation are generated.

  In small-scale facilities such as medical practitioners, doctors themselves often perform tests, and effective treatment (prescription, treatment, inspection) when there are many human resources that can be introduced for large hospitals. There is almost no case of introducing an ordering device that generates orders related to the above. In such a system for medical practitioners, regardless of whether or not there is a treatment order, a summary of the treatment performed by the doctor himself (with a paper chart in hand), and how efficiently it can be listed and referenced after the treatment is performed, the treatment efficiency Greatly contributes. In particular, it is overwhelming that an image of a patient is diagnosed using a film, and it is difficult to associate a patient with an image during a filmless operation that is expected in the future (at the time of image diagnosis using a monitor). .

  Therefore, the present inventors conducted in-hospital flow analysis at a medical practitioner / clinic, and as a result, even in a paper chart operation facility that is not digitized, there is an appointment person who is different from the doctor in the reception accounting process. There are many cases where a personal computer (workstation) is used to input receipt-related information such as radiographic part information, the number of radiographs and radiograph size, and to calculate the accounting process for patients. It has been found that it is possible to save labor for a new input operation for displaying a list by utilizing it.

  An object of the present invention is to enable a practitioner who has the above-described circumstances to display a list of past medical history on a screen by a simple input operation in a facility. Furthermore, it is also possible to make a transition from a screen in which past medical history is displayed as a list on the screen to captured image data that is the basis of diagnosis. Furthermore, it is possible to improve the usability in a practitioner / clinic by making the above list display compatible with filmless operation.

In order to solve the above problem, the diagnosis system of the invention according to claim 1 is:
An accepting means for accepting a patient and performing registration processing together with information for distinguishing individual patients and acceptance date information;
Patient information input means for inputting patient information in association with information and reception date information for distinguishing the individual patients registered by the reception means;
At least one image generating means for generating captured image information of the patient;
Image storage means for storing the captured image information generated by the image generation means, the patient information corresponding to the patient to be imaged and the imaging date information of the captured image information in association with each other;
Receipt related information input means for inputting electronically related examination information and / or reception related information including treatment information corresponding to the information for distinguishing the individual patient received by the receiving means and the reception date information;
Based on the information for distinguishing the individual patients and the reception date information, a receipt information storage means for storing the input patient information and the receipt related information in association with each other;
The captured image information stored in the image storage unit in association with the patient information of the patient to be diagnosed and the shooting date information of the captured image information are acquired, and in the receipt information storage unit in association with the patient information. A control device that acquires the stored examination information and / or the treatment information together with the reception date information,
The control device includes display means for associating the acquired captured image information with the examination information and / or the treatment information and displaying a list on the screen in time series together with the patient information. It is said.

The invention according to claim 2 is the invention according to claim 1,
The receipt related information input means includes the patient information input means.

The invention according to claim 3 is the invention according to claim 1 or 2,
A plurality of types of the image generating means;
The image storage means associates the captured image information generated by the image generation means with patient information of the subject patient to be imaged, imaging date information of the captured image information, and information indicating the type of the image generation means. Remember,
The display unit of the control device displays the photographed image information as a list for each type of the image generation unit.

The invention according to claim 4 is the invention according to any one of claims 1 to 3,
The screen displaying the photographed image information and the examination information and / or the treatment information together with the patient information in time series can be changed to a screen displaying the individual detailed photographed images displayed on the screen. It is characterized by being configured.

  According to the first aspect of the present invention, in the practitioner group, past medical history such as photographed image information, examination information, treatment information, etc. of the patient to be diagnosed is listed on the workstation by a simple input operation in the facility. It is possible to display.

  According to the second aspect of the present invention, the doctor's input operation in the examination room can be further reduced, and the doctor can concentrate on the diagnosis of the patient.

  According to the third aspect of the present invention, since the past medical history is displayed in an easy-to-understand manner, the doctor can quickly remember the past medical history.

  According to the fourth aspect of the present invention, the doctor can check the list of past medical treatment history and the detailed photographed image with the control device, so it is not necessary to search for the film of the patient photographed image. It is possible to concentrate on diagnosis.

  Hereinafter, an embodiment of a small-scale diagnosis system according to the present invention will be described with reference to FIGS. 1 to 9. However, the present invention is not limited to the illustrated example.

  FIG. 1 shows a system configuration of a small-scale diagnosis system 1 in the present embodiment, and FIG. 2 shows an arrangement example of each apparatus in a medical facility when the small-scale diagnosis system 1 is applied.

  The small-scale diagnosis system 1 is a system applied to a relatively small-scale medical facility such as a practitioner or a clinic. As shown in FIG. 1, an ultrasonic diagnostic apparatus 2a that is an image generation apparatus 2, an endoscope apparatus 2b, a CR device 2c, a control device 3, a server 4, and a reception computer (hereinafter referred to as a “recesecon”) 5. Each device is connected to a local area network (LAN) via a switching hub (not shown), for example. Connected to a communication network (hereinafter simply referred to as “network”) 6 such as an area network. The control device 3 is preferably a WS (workstation) provided in an examination room where a doctor is resident. The WS that operates as the control device 3 may be configured to control activation of each image generation device 2, processing conditions, and the like.

  In general, DICOM (Digital Image and Communications in Medicine) standard is used as a communication method in a hospital, and DICOM MWM (Modality Worklist Management) or DICOM MPPS (DICOM MPPS) is used for communication between devices connected to a LAN. Modality Performed Procedure Step) is used. Note that the communication method applicable to this embodiment is not limited to this.

For example, in a small-scale medical facility such as a medical practitioner or a clinic, each device is arranged as shown in FIG.
That is, when entering the entrance 10, there are a reception 11 and a waiting room 12 for receiving a patient. The receptionist 11 is arranged with a counter person in charge, and the person in charge gives a reception number tag printed with a reception number for distinguishing individual patients in the order of reception, for example. In addition, the reception 11 is provided with a receipt computer 5 that performs insurance score calculation, accounting calculation, and the like. The window manager listens to the patient's name, and inputs the correspondence between the receipt number and the patient's name in the receipt computer 5. Furthermore, the counter staff also performs the work of inputting necessary items of information related to insurance score claim (hereinafter referred to as “receipt related information”) to the receipt computer 5 based on the medical record information after completion of the examination of the patient.

  Next to the waiting room 12, there is provided an examination room 13 where a doctor examines and diagnoses a patient across a door or the like. For example, on the examination desk (not shown) in the examination room 13, a photographed image of the patient's diagnosis target part for a diagnosis by a doctor, an examination performed on the patient (for example, a specimen examination) A control device 3 for displaying test information on blood test, urine / stool test, tissue piece sampling test, etc., electrocardiogram test, etc., treatment information including medication information about drugs administered to patients, A server 4 having an image DB (Data Base) 40 that stores image data of a captured image is arranged. In the examination room 13, an ultrasonic diagnostic apparatus 2a which is less necessary in a space isolated from the viewpoint of privacy and the like is also installed.

  Further, an X-ray imaging room 15 for performing X-ray imaging is provided on the opposite side of the examination room 13 across the corridor 14. In the X-ray imaging room 15, a CR device 2 c including an imaging device 22 and a reading device 23 is disposed. Further, an examination room 16 is provided next to the X-ray imaging room 15, and an endoscope apparatus 2 b is disposed in the examination room 16.

Hereinafter, the configuration of each device of the small-scale diagnosis system 1 will be described.
For example, the image generation apparatus 2 performs imaging using a patient's diagnosis target site such as the ultrasonic diagnostic apparatus 2a, the endoscope apparatus 2b, and the CR apparatus 2c, and digitally converts the captured image to generate an image of the captured image. An image generation means (modality) for generating data (photographed image information).

  The ultrasonic diagnostic apparatus 2a is an ultrasonic probe that outputs ultrasonic waves, and an electronic device that is connected to the ultrasonic probe and converts sound waves (echo signals) received by the ultrasonic probe into image data of a captured image of the internal tissue. (Both not shown). The ultrasonic diagnostic apparatus 2a sends an ultrasonic wave from the ultrasonic probe into the body, receives the sound wave (echo signal) reflected by the body tissue again by the ultrasonic probe, and uses the electronic device to capture a captured image corresponding to the echo signal. It is designed to generate.

  The ultrasonic diagnostic apparatus 2 a is connected to a conversion device 21 that is a conversion means (converter) that performs conversion from an analog signal to a digital signal. The ultrasonic diagnostic apparatus 2 a is connected to the network 6 via the conversion device 21. It is connected to the. Thus, even when data in a format that does not conform to the standards (for example, communication protocol) of other external devices connected to the network 6 is output from the ultrasonic diagnostic apparatus 2a, the conversion apparatus 21 appropriately converts the data. Thus, data can be transmitted / received to / from an external device connected to the network 6.

  In the present embodiment, the conversion device 21 has a function of giving a UID (unique ID) for specifying image data in the small-scale diagnosis system 1 to the image data in a format conforming to the DICOM standard. The UID is composed of identification information (hereinafter referred to as modality ID) of the image generating apparatus 2, a number indicating the shooting date and time, and the like. In this embodiment, it is assumed that the modality ID includes information indicating the type of the image generation device 2.

  The conversion device 21 is provided with an input operation unit 21a including, for example, a numeric keypad, a keyboard, and a touch panel. The configuration of the input operation unit 21a is not limited to that shown here. For example, it may be a card reader that reads information written on the card by inserting the card. The input operation unit 21a is for inputting a search ID (acceptance number in the present embodiment) that is set in association with a patient to be imaged. The conversion device 21 is input by the input operation unit 21a. The input search ID, the above-described UID, and the like are attached to the image data of the captured image.

Here, the search ID is identification information for identifying a patient to be imaged when searching for a captured image after imaging, and here is a reception number given when receiving is performed. . In the small-scale diagnosis system 1 according to the present embodiment, the patient is preceded by imaging without generating / issuing an examination order (imaging order) for the patient in advance, and after the digital imaging image data is generated, the doctor performs patient information. Is a system for associating a photographed image with a search ID.
When inputting a reception number as a search ID by the input operation unit 21a, for example, when imaging a patient whose reception number given by the reception 11 is "001", the input operation unit 21a handles the patient. "001" is input as the search ID.
In general practitioners, the number of visits per day is about 10 to 40, and it is sufficient that the serial number of the reception number indicating the reception order is two digits, and the input operation unit 21a inputs this two-digit numerical value. An inexpensive numeric keypad is preferable.
In the following, a case where a reception number is used as a search ID will be described as an example. However, as will be described later, the search ID is not limited to a reception number.
If there is no possibility of continuously photographing a plurality of patients (when there is a sufficient interval between patient separations), based on the UID composed of the modality ID attached to each image + imaging date and time Since the doctor can easily associate the image data with the patient, it is not always necessary to input the search ID. In this case, each image generation device 2 is set to start operation without inputting a search ID.

  The information input from the input operation unit 21a and attached to the captured image is not limited to the search ID. Various information for identifying the patient, such as the name of the patient, may be input from the input operation unit 21a. Information specifying the type of imaging, such as whether the imaging is simple imaging without using a contrast medium or imaging using a contrast medium, may be input. The input search ID and other information are appended to the image data of the captured image as supplementary information such as header information, and when the image data is transmitted to an external device, the information is also transmitted in association with the image data. .

  The endoscope apparatus 2b is provided with a small imaging device (none of them is shown) at the distal end portion of a flexible tube, and the imaging device is an objective optical system composed of, for example, an optical lens. And an imaging unit arranged at the imaging position of the objective optical system, and an illumination unit that is configured by an LED (Light Emitting Diode) or the like and performs illumination necessary for imaging (not shown) ). The imaging unit includes, for example, a solid-state imaging device such as a CCD (Charge Coupled Device) or a CMOS (Complementary Metal-Oxide Semiconductor). When light is incident, the imaging unit photoelectrically converts the signal into an electrical signal corresponding to the amount of incident light. . The objective optical system is configured to condense an area illuminated by the illuminating unit with an optical lens and form an image on a solid-state imaging device included in the imaging unit, and light incident on the solid-state imaging device is photoelectrically converted. As a result, the image data of the captured image is output as an electrical signal.

  The imaging device 22 constituting the CR device 2c has a radiation source (not shown), and shoots a still image by irradiating the patient's diagnosis target site with radiation. There is a radiation image conversion medium (not shown) in which a radiation image conversion plate including a stimulable phosphor sheet that accumulates radiation energy, for example, is incorporated in an irradiation region of radiation irradiated from the radiation source at the time of imaging. The photostimulability of the photostimulable phosphor sheet in which the radiation dose according to the radiation transmittance distribution of the diagnosis target part with respect to the radiation dose from the radiation source is arranged in the radiation image conversion medium It accumulates in the phosphor layer and records radiation image information of the site to be diagnosed in this stimulable phosphor layer.

When the radiographic image conversion medium in which the radiographic image information of the diagnostic target part is recorded is loaded, the reading device 23 irradiates the stimulable phosphor sheet of the radiographic image conversion medium loaded in the apparatus with excitation light, As a result, the photostimulated light emitted from the sheet is photoelectrically converted, and the obtained image signal is A / D converted to generate image data of a photographed image.
The CR device 2c may be an integrated device in which the photographing device 22 and the reading device 23 are integrated.

  Although not shown, the retrieval device 23 of the endoscope device 2b and the CR device 2c also has a search ID in the image data at the time of photographing in the same manner as the input operation unit 21a of the conversion device 21 in the ultrasonic diagnostic device 2a. An input operation unit for inputting is provided, and an inspection ID input from the input operation unit is attached to the image data of the generated captured image. In addition, the reading device 23 of the endoscope apparatus 2b and the CR apparatus 2c has a function of adding the above-mentioned UID to the generated image data, and this assigned UID is also attached to the image data.

  The control device 3 is a workstation installed in the examination room 13, for example, for a doctor to display an image or the like to perform interpretation diagnosis or the like, and from a monitor (display unit) used in a general PC (Personal Computer) May be provided with a high-definition monitor. As shown in FIG. 3, the control device 3 includes a CPU 31, a RAM 32, a storage unit 33, an input unit 34, a display unit 35, a communication unit 36, and the like, and each unit is connected by a bus 37.

  The CPU 31 reads out various programs such as system programs and processing programs stored in the storage unit 33 and expands them in the RAM 32. According to the expanded programs, the CPU 31 performs later-described image processing, patient information and image association processing, and medical summary. Various processing including display processing is executed.

The storage unit 33 includes an HDD (Hard Disc), a semiconductor nonvolatile memory, or the like.
In the storage unit 33, various programs are stored as described above, and a part identification for identifying an imaging part as disclosed in the specifications of JP-A-H11-85950 and JP-A-2001-76141. Parameters (such as a look-up table for associating the contour, shape, etc. of the object to be imaged with the imaged region) and image processing parameters for performing image processing according to the identified imaged region (tone curve used for gradation processing) And the like, a look-up table defining the frequency, the enhancement degree of frequency processing, etc.) are stored.

  In addition, the storage unit 33 includes a temporary storage unit 331 that temporarily stores image data (including supplementary information) transmitted from the image generation apparatus 2.

  The input unit 34 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and includes a key pressing signal pressed by the keyboard and an operation signal by the mouse. Is output to the CPU 31 as an input signal.

  The display unit 35 includes a monitor such as a CRT (Cathode Ray Tube) or an LCD (Liquid Crystal Display), for example, and displays various screens according to instructions of a display signal input from the CPU 31.

  The communication unit 36 includes a network interface or the like, and transmits / receives data to / from an external device connected to the network 6 via a switching hub.

  Returning to FIG. 1, the server 4 includes a storage unit including a CPU, a RAM, an HDD, and the like, a communication unit (none of which is shown) that controls communication with each device connected to the network 6, and the like. Computer. The server 4 includes an image DB 40, and image data of a photographed image that is instructed to be written from the control device 3 via the communication unit by software processing in cooperation with the CPU and a program stored in the storage unit, and its accompanying data. Information (information including patient information and UID) is associated and stored in the image DB 40 as an image storage unit, and the image DB 40 is searched in response to a request from the control device 3 and image data according to the request and its incidental Information is read and transmitted to the control device 3.

  The receipt computer 5 includes a storage unit composed of a CPU, RAM, HDD (Hard Disk), etc., an input unit composed of a keyboard and a mouse, a display unit composed of a CRT, an LCD, etc., and each connected to the network 6 A computer configured to include a communication unit (not shown) that controls communication with the apparatus. The receipt computer 5 is a receipt DB 50 for storing receipt-related information regarding a received patient, which is input by an operator such as a counter in accordance with paper chart information from a doctor, and an examination for storing examination information of an examination performed on a patient. An information DB 51 is included.

  FIG. 4 shows an example of data storage in the receipt DB 50. The receipt DB 50 is a database for storing the receipt related information of each patient who visits. As shown in FIG. 4, the “reception date” item for storing the reception date of the patient, and the “reception” for storing the reception number given to the patient. “Number” item, “patient information” item for storing patient information (here, patient name), “number of images” item for storing the number of images taken by the patient on the reception date, and contrast agent “Contrast number” item for storing the number of images taken, “Modality” item for storing the type of image generating apparatus 2 that has imaged, “Parts” item for storing imaged region information, and medicine prescribed to the patient at the reception date "Medicine" item for storing information, "examination type" item for storing information indicating the type of examination performed on the patient, and examination ID (specimen examination) for identifying examination performed on the patient In this case, the “ID” item for storing the specimen ID), the “injury name” item for storing the name of the injury diagnosed by the doctor on the reception date, the “comment” item for storing the comment input from the control device 3 to be described later, It has an “insurance score” item for storing the calculated insurance score.

  The inspection information DB 51 is a database that stores inspection information indicating inspection results in association with inspection IDs.

  The receipt DB 50 and the inspection information DB 51 in the present embodiment correspond to a receipt information storage unit. In this embodiment, in order to be able to store detailed inspection information and inspection information captured by a scanner, inspection information is stored in an inspection information DB 51 different from the reception DB 50, and the reception DB 50 and the inspection information DB 51 are inspected. By associating with each other by ID, both are stored in association with each other. However, since the inspection information is information included in the receipt-related information, an “inspection information” item is provided in the receipt DB 50, and the inspection information indicating the inspection result is “inspection It may be stored in the “information” item.

When the display unit 5 is instructed to display the reception input screen from the input unit, the reception unit 5 displays a reception input screen (not shown) on the display unit through software processing in cooperation with the CPU and the program stored in the storage unit. When reception information (reception number + patient information) is input by the input unit via the input screen, a new record is added to the receipt DB 50, the current date is set in the “reception date” item, and the input reception number is “reception”. In the “number” item, the patient information is written and registered in the “patient information” item. That is, the reception means and the patient information input means are realized by the reception input screen and the input unit in the receptacle 5. In addition, when an instruction to display the receipt related information input screen on the display unit is given by the input unit, a receipt related information input screen (not shown) is displayed on the display unit. In this receipt related information input screen, the receipt related information is input. When the reception number of the target patient is input, and further information corresponding to each item shown in FIG. 4 is input, the input information is input to the reception DB 50 with the reception date of today and the reception number of the input target patient. Write to the corresponding item in the record you have. That is, a receipt related information input unit is realized by the receipt related information input screen and the input unit in the receptacle 5. When an inspection ID and inspection information are input by the input unit via an inspection information input screen (not shown), the input inspection ID and inspection information are associated with each other and stored in the inspection information DB 51. In addition, it is set as the structure provided with the scanner in the receptacle 5, and input of test | inspection information may be input by reading the paper which shows a test result with a scanner. In addition, the receipt computer 5 receives the information instructed to be registered from the control device 3 through the communication unit by software processing by the cooperation of the CPU and the program stored in the storage unit, and the corresponding item of the corresponding record in the receipt DB 50 In response to a request from the control device 3, the receipt DB 50 is searched to read out information according to the request, and is transmitted (supplied) to the control device 3.
In this embodiment, the reception number and the patient information are input from the reception input screen at the time of reception. However, at the time of reception, only the reception number is input, and the patient information is input via the receipt related information input screen. It is good also as inputting. That is, the receipt related information input means may include patient information input means. In addition, only the patient name in the patient information may be input from the reception input screen, and other patient detailed information such as the gender, age, and insurance number of other patients may be input from the receipt related information input screen.

  Next, a procedure for generating a captured image and receipt related information in the small-scale diagnosis system 1 will be described.

  First, at the reception 11, a reception number tag is given to a patient who comes to the hospital, and the patient's name is heard. Next, in the receipt computer 5, when patient information such as a reception number and a patient name is input by the input unit via a reception input screen (not shown), a new record is added to the receipt DB 50, and the reception date, reception number, and patient information Is written.

  When the patient to whom the reception number is assigned moves to the examination room 13, an inquiry is performed by a doctor, and imaging and examination to be performed are determined.

  When it is determined that the affected part needs to be photographed by the inquiry, the photographing person who performs photographing such as a doctor or a photographing engineer performs the image generation apparatus 2 (ultrasonic diagnostic apparatus 2a, endoscope) for photographing the patient. The device 2b or the CR device 2c) is taken forward, and the image generating device 2 inputs the search ID displayed on the receipt number tag given to the patient via the input operation unit, and the patient The diagnostic target region is taken as a subject, and image data of the taken image is generated. For example, when the image generation device 2 is the CR device 2c, a search ID is input from the numeric keypad of the input unit provided in the reading device 23, the cassette that has been photographed in the photographing device 22 is set in the reading device 23, and the cassette The radiographic image recorded in is read.

  In the image generation device 2, when the numeric keypad of the input operation unit is pressed and a search ID is input, shooting and generation of image data are performed in accordance with the operation of the photographer, and input to the generated image data The retrieved search ID and UID are attached and transmitted to the control device 3. When a plurality of images of one patient are photographed under a plurality of photographing conditions, a search ID and a UID indicating a reception number are attached to all the generated image data and transmitted to the control device 3. Note that the image generation apparatus 2 does not generate image data unless a search ID is input. In case of taking an image of a patient who does not go through the reception, such as in an emergency, set a number that does not appear at the time of a regular examination, such as a predetermined code indicating an emergency interruption, such as “99”. In other words, it is possible to extract image data after shooting as in the normal flow.

  In the control device 3, when image data (including supplementary information) is received from the image generation device 2, the received image data is stored in the temporary storage unit 331. In addition, in the temporary storage unit 331, not only the image data of the patient but also image data obtained by photographing other patients and not yet examined are associated with the search ID. It is accumulated one after another in the state.

  When the imaging and examination are completed, the doctor examines the patient. When imaging is performed by the image generation device 2, associating images and patients and interpretation diagnosis are performed as follows.

  By operating the input unit 34 of the control device 3, the doctor displays an image search screen (not shown) on the display unit 35, looks up the search ID written on the patient's reception number tag, and searches through the input unit 34. Enter the business ID. In the control device 3, an image search screen is displayed in response to an operation of the input unit 34, and input of a search ID is accepted via the input unit 34. When an image search screen is displayed and a search ID is input from this screen via the input unit 34, image data corresponding to the input search ID is extracted from the temporary storage unit 331, and the extracted image data Then, image processing such as gradation processing and frequency emphasis processing is performed, and a thumbnail image obtained by reducing the image processed image data is created and displayed on the captured image display screen 351 of the display unit 35.

  FIG. 5 shows a display screen example of the captured image display screen 351 displayed on the display unit 35. As shown in FIG. 6, the captured image display screen 351 has image display fields 351a to 351d for displaying a list of extracted images. When any of the image display fields 351a to 351d is selected by the mouse or the like of the input unit 34, the selected image is displayed alone in the life size. Using this single display image, the doctor can observe the details of the image and make an interpretation diagnosis. In addition, an image processing adjustment field 351e is provided at the upper right of the screen, and the doctor can adjust the density and contrast by operating the image processing adjustment field 351e with a mouse or the like. When the OK button 351h displayed corresponding to each image is pressed, the displayed image can be determined as an image to be stored in the image DB 40. The captured image display screen 351 is provided with a patient information input field 351f for receiving input of patient information such as the patient name of the patient associated with the displayed captured image. The doctor inputs patient information from the patient information input field 351f.

  When patient information related to the patient is input from the patient information input field 351f via the input unit 34, the input patient information is written in the incidental information of the extracted image data, and the communication unit 36 is To the server 4 and a write request to the image DB 40 is made. After the image data is written in the image DB 40, when the end of the diagnosis is instructed by pressing the end button of the captured image display screen 351 by the input unit 34, the image data written in the image DB 40 of the server 4 and The search ID is deleted from the temporary storage unit 331.

  When the examination of the patient is completed in the examination room, the doctor examines the patient (the name of the diagnosed wound), medication information indicating the medicine prescribed for the patient, and information on imaging and examination performed on the patient (imaging) And the like, the number of imaging, the number of imaging, the presence / absence of contrast medium, the imaging site, imaging direction, examination type, examination ID, etc.) are recorded in the paper chart. Then, the paper chart is sent to the receptionist 11 in charge.

  The contact person in charge displays a receipt related information input screen in the receptacle 5 and inputs the receipt related information from the receipt related information input screen based on the description of the paper chart. The input information is stored in the receipt DB 50.

  In addition, the person in charge displays the inspection information input screen in the receptacle 5 and inputs the inspection ID and the inspection information. In the receptacle 5, the inspection information input from the inspection information input screen is associated with the inspection ID and stored in the inspection information DB 51. For those who request an external inspection organization to perform a specimen test, the inspection information is input when the result is received from the inspection organization at a later date.

  According to the above procedure, in the small-scale diagnosis system 1, a captured image obtained by imaging a patient's diagnosis target region is stored in the image DB 40 of the server 4 in association with patient information, imaging date and time information, and is administered to the patient. Receipt related information including treatment information such as information and examination information is stored in the receipt DB 50 in association with patient information and a reception date (that is, a date on which medication or examination is performed). Further, the inspection information is stored in the inspection information DB 51 in association with the receipt related information by the inspection ID.

  Here, when a doctor wants to grasp the whole picture of imaging, examination, and medication performed by a doctor on a patient in the past, in a medical facility where medical records are recorded using a paper chart, the patient's paper chart is bothered from the shelf. It was inconvenient because I had to search and get information. In the present embodiment, the control device 3 uses the captured image stored for the patient designated by the doctor based on the captured image stored in the image DB 40 and the receipt-related information stored in the receipt DB 50. A screen (hereinafter referred to as a medical summary screen) 352 listing examination information, medication information, etc. is displayed on the display unit 35.

  FIG. 6 shows a medical summary display process executed in the control device 3, and a medical summary display sequence executed in the control device 3, the server 4, and the receipt computer 5 in accordance therewith. The medical summary display process is a process executed when a medical summary display instruction is input from the input unit 34. Hereinafter, a medical summary display sequence will be described.

  When a medical summary display instruction is input from the menu screen or the like via the input unit 34, patient designation for designating patient information of a patient (patient to be diagnosed) to be displayed in the medical summary on the display unit 35 A screen is displayed. The patient information designation means is realized by the patient designation screen displayed on the display unit 35 and the input unit 34. When patient information is input from the patient specifying screen via the input unit 34 to specify a patient to be displayed as a medical summary (step S1), the input patient information is transmitted to the server 4. Then, an image data acquisition request corresponding to the patient information is transmitted to the server 4 (step S2).

  When the server 4 receives patient information from the control device 3 and receives an image data acquisition request corresponding to the patient information, the server 4 extracts the image data corresponding to the received patient information from the image DB 40. (Step S3), the extracted image data is transmitted to the control device 3 together with the accompanying information (Step S4).

  In the control device 3, when the image data corresponding to the designated patient information is acquired together with the supplementary information, the patient information designated in step S1 is transmitted to the receptacle 5, and the receipt related to the patient is received. An information acquisition request is transmitted (step S5).

  When the patient information is received from the control device 3 and the receipt related information acquisition request corresponding to the patient information is received in the receptacle 5, the receipt related information corresponding to the received patient information is extracted from the reception DB 50. Performed (step S6). When examination ID is contained in the extracted receipt related information (step S7; YES), examination information identified by the examination ID is extracted from the examination information DB 51 (step S8). Then, the extracted receipt related information and inspection information are transmitted to the control device 3 (step S9).

  In the control device 3, when image data corresponding to the patient information of the designated patient, receipt related information, and examination information are received, the processing of steps S10 and S11 is executed, and a display means is realized. That is, medical summary screen data is generated based on the received image data, receipt related information, and examination information based on the patient information, and the medical summary screen 352 is displayed on the display unit 35. And according to the operation by the input part 34 of the various icons and operation buttons displayed on the medical treatment summary screen 352, the display according to the function linked | related with the various icons and operation buttons is performed (step S11).

  In step S10, a medical summary generation program is read, medical summary screen data is generated in the RAM 32 according to the medical summary generation program, and a medical summary screen 352 is displayed based on the medical summary screen data. For example, a storage area for data for a medical summary screen is secured in the RAM 32, patient information of a patient who is a display target of a medical summary, and a preset period, for example, N months ago (N is a positive number) The time axis from (integer) to the current date is written. Next, among the image data received from the server 4, for each image data within a period in which the shooting date and time included in the accompanying information (UID) are displayed on the time axis, the contents of the image are simplified. Object icons (thumbnail images) to be displayed are classified according to modality types (for example, CR, US (ultrasound diagnostic apparatus), endoscope apparatus, etc.), and object icons A1 of image data photographed with the same modality Are arranged side by side in the horizontal direction of the screen corresponding to the time axis. Next, among the examination information received from the receptacle 5, each examination information within the period in which the examination date (the date of the “reception date” item of the receipt related information associated with the examination ID) is displayed on the time axis is displayed. The object icon A2 showing the content of the test information in a simplified manner is generated and classified for each test type (for example, electrocardiogram, blood test, physiological test (urine test, stool test, tissue fragment test), etc.) The inspection type object icons A2 are arranged side by side in the horizontal direction of the screen corresponding to the time axis. Next, among the medication information included in the receipt-related information received from the receptacle 5, each medication information within the period in which the medication date (the date of the “acceptance date” item of the receipt-related information) is displayed on the time axis described above. An object icon A3 showing the content of the medication information in a simplified manner is generated and arranged side by side in the horizontal direction of the screen corresponding to the time axis. Each object icon A1 to A3 is associated with a function for displaying in detail the image data, examination information, or medication information that is the basis of the object icon. In addition, among the receipt related information received from the receipt computer 5, “injuries and sickness names” whose reception date is within the above-described time axis are displayed side by side in the horizontal direction of the screen corresponding to the time axis. Furthermore, operation buttons and icons associated with various functions are generated and placed at predetermined positions. In addition, necessary indications are written. A medical summary screen 352 is displayed on the display unit 35 based on the medical screen data generated as described above.

The object icon A2 shows the contents of the inspection information in a simplified manner. For example, in the above-described inspection information input screen, an abnormal value is displayed when there is an item for inputting abnormality or normality of the inspection result or an abnormal value. Items to be input, items to input whether or not there was an abnormal value last time, items to input from when it was abnormal, etc. are provided, and these can be input for each item. If inspection information is stored for each item, the contents of important items set in advance among these items can be displayed on the object icon A2. Items to be displayed on the object icon A2 may be set by the input unit 34.
Also for the object icon A3, the “medicine” item of the receipt DB 50 is further subdivided into items, and the medication name, the amount for one day, and the medication period can be stored separately, so that in the medical summary screen 352, Such information can be provided to the doctor in an easy-to-view manner.

  FIG. 7 shows a preferred example of the medical treatment summary screen 352 displayed in step S10. As shown in FIG. 7, the medical summary screen 352 has a patient information area 352a and a time axis area 352b at the top of the screen, and a medical summary display area 352c below them. In the patient information area 352a, patient information of a patient who is a display target of the medical care summary screen 352 is displayed. In the time axis display area 352b, a time period preset by default, for example, a time axis from N months ago to the current date is displayed. In the medical care summary display area 352c, an object icon A1 indicating image data photographed by the same type of modality within the displayed time axis period, and the same examination item examined during the displayed time axis period. The object icon A2 indicating examination information, the object icon A3 indicating medication information within the displayed time axis period, and the names of injuries diagnosed by the doctor are displayed side by side in the horizontal direction of the screen corresponding to the time axis. The doctor can easily grasp the captured image taken for the patient, the examination information of the examination performed on the patient, and the treatment information of the treatment performed on the patient using the object icons A1 to A3. Can do.

  When there is a lot of information to be displayed in the medical summary display area 352c and it cannot be displayed on one screen, scroll buttons (up scroll button 352d and down scroll button 352e) are displayed. The information in the medical summary display area 352c is scroll-displayed according to the pressing operation. Thereby, information that is not displayed can be displayed. For example, in the medical summary screen 352 shown in FIG. 7A, when the down scroll button 352e is pressed by the input unit 34, the information in the medical summary display area 352c is scrolled down. Thus, examination information and medication information can be displayed.

  The medical treatment summary screen 352 displays a scale / time change area 352f for instructing to change the display scale of the time axis and the display time. The scale / time change area 352f includes a scale / time selection area, a left arrow button, and a right arrow button. These function as display period setting means for setting a time axis period to be displayed on the display screen in cooperation with the input unit 34. The functions of the left arrow button and the right arrow button are switched to the change of the display scale or the change of the display time according to the selection operation of the scale or the display time (time) in the scale / time selection area by the input unit 34. For example, when “scale” is selected by the input unit 34, the left arrow button and the right arrow button are switched to an input button for changing the display scale of the time axis, and then the left arrow button is pressed by the input unit 34. Accordingly, the display scale of the time axis is reduced, and the display scale of the time axis is enlarged according to the pressing operation of the right arrow button. When “time” is selected by the input unit 34, the left arrow button and the right arrow button are switched to an input button for changing the display time of the time axis, and in response to a subsequent pressing operation of the left arrow button by the input unit 34 Thus, the display time of the time axis is changed to the past side, and the display time of the time axis is changed to the current side according to the pressing operation of the right arrow button. Accordingly, image data, examination information, and medication information within the displayed time axis range are extracted, and object icons A1 to A3 are created based on the extracted information and displayed at positions corresponding to the time axis. Is done. In addition, when a point on the time axis is specified by the mouse, one month of the year and month including the specified point on the time axis is displayed as the time axis, and image data, inspection information for the specified one month, The medication information is displayed corresponding to the time axis. The treatment information indicated by the object icon A3 is preferably displayed with the treatment (medication) period corresponding to the time axis as shown in FIG. Further, it is preferable that the size of each object icon is variable so that it can be easily seen when displaying the list according to the setting of the time axis scale.

  In addition, on the medical summary screen 352, an arrow icon 352g for setting the reference time is displayed on the time axis, and the time on the time axis indicated by the arrow of the arrow icon 352g is set as the reference time. When the arrow icon 352g is dragged in the horizontal direction of the screen by the mouse or the like of the input unit 34, the reference time on the time axis is changed according to the drag operation. That is, the reference time setting means for setting the reference time on the time axis by the operation of the input unit 34 of the arrow icon 352g is realized. As shown in FIGS. 7 (a) and 7 (b), since the reference time designated by the arrow icon 352g is displayed over the entire screen by a dotted line, the doctor can determine how the patient's medical condition is around this reference time. It will be easier to see if it has changed. For example, if the time when a drug prescription is changed is set as the reference time, doctors can easily grasp the treatment effect before and after the drug prescription change by comparing images and test information before and after the reference time. It becomes. When the arrow icon is clicked with the mouse, a comment entry field is displayed, and a comment regarding the reference time can be input. When a comment is input from the comment entry field by the input unit 34, the comment information input in the comment item of the receipt related information in the receipt DB 50 corresponding to the date specified by the arrow icon is written, and thereafter this date is displayed. When an arrow icon is set at the corresponding position, a comment is displayed near the arrow icon 352g.

  When any one of the object icons A1 displayed in the medical care summary display area 352c is specified by the input unit 34 as the icon specifying means, the display unit 35 is displayed on the details screen 353 for displaying in detail the image indicated by the specified object icon. Is controlled to be switched.

  FIG. 8 shows an example of the details screen 353. The detail screen 353 includes an image display area 353a for displaying the image specified on the medical care summary screen 352, a shooting order display area 353b for displaying thumbnail images of images shot with the same modality in the patient in the shooting order, and various operation buttons. And a comment display field 353c in which comments input with respect to the reference time designated on the medical care summary screen 352 are displayed. In the detailed screen 353, when the “display part selection” button is pressed by the input unit 34, a list of the parts imaged by this patient is displayed. When a part is selected from the list display, the selected part is displayed. Only the captured image is displayed on the details screen 353. When the “annotation” button is pressed by the input unit 34, it is possible to input various annotations including arrows, fills, and the like. When the “ON / OFF” button is pressed by the input unit 34, the display / non-display of the annotation is switched. When the “image comparison screen” button is pressed by the input unit 34, the display of the display unit 35 is controlled to be switched to the image comparison screen 354 (see FIG. 9). When the “scheme output” button is pressed, when the control device 3 is connected to the electronic medical record DB storing the electronic medical record information, the image or annotation displayed in the image display area 353a is added to the designated electronic medical record. The process moves to pasting. When the “print output” button is pressed, the image displayed in the image display area 353a is output. In addition, when an operation button for performing various image processing (enlargement / reduction, rotation / inversion, gradation adjustment, density adjustment) is pressed, processing corresponding to the pressing operation is performed on the image data displayed in the image display area 353a. Applied.

  FIG. 9A shows an example of the image comparison screen 354. In the image comparison screen 354, the comparison image display area 354a corresponds to the reference image taken at the reference time designated by the arrow icon 352g on the medical care summary screen 352 and the object icon A1 specified on the medical care summary screen 352. The captured image is displayed side by side. Thereby, the doctor can easily compare the reference image with the image at a desired time, and can easily grasp the healing trend of the patient from the desired time. The image to be compared with the reference image can be changed by pressing an arrow button 354c or 354d displayed at the bottom of the captured image, or by selecting from thumbnail images displayed in the order of shooting. The image comparison screen 354 displays an “image format” button in addition to various operation buttons similar to those displayed on the detail screen 353. When the “image format” button is pressed by the input unit 34, an area for setting the number of images to be compared with the reference image is popped up, and the comparison image display area 354a for the set number of comparison images is displayed from the area. Can be displayed. For example, when the number of comparison images is set to 3, an image comparison screen 354 shown in FIG. 9B is displayed. In the comparison image display area 354a, the comparison image and the reference image are displayed side by side in the shooting order.

  Note that, when the object icon A1 of the image is selected and operated after the insect pin icon 352h shown in FIG. 7 is pressed by the input unit 34 on the medical care summary screen 352, an image corresponding to the selected object icon A1 is used as a comparison candidate image. Can be set. In the image comparison screen 354, only the thumbnail images of the comparison candidate images are displayed in the shooting order display area 354b in the shooting order, and no extra thumbnail images are displayed. Therefore, more images to be displayed side by side with the reference image are displayed in the comparison image display area 354a. It becomes possible to select easily.

  When any one of the object icons A2 displayed in the medical care summary display area 352c of the medical care summary screen 352 is designated by the input unit 34 as the icon designation means, the examination that displays the examination information indicated by the designated object icon in detail The display of the display unit 35 is controlled to be switched to an information detail screen (not shown). In the inspection information detail screen, the inspection information of the reference time is displayed together with the detailed information of the inspection information indicated by the designated object icon A2, as in the details screen 353. Thereby, the doctor can easily compare the test result at the reference time with the test result at the desired time.

  When any one of the object icons A3 displayed in the medical care summary display area 352c of the medical care summary screen 352 is designated by the input unit 34 as the icon designation means, the medication which displays the medication information indicated by the designated object icon in detail The display of the display unit 35 is controlled to be switched to an information detail screen (not shown). On the medication information detail screen, similarly to the detail screen 353, the medication information at the reference time is displayed together with the detailed information on the medication information indicated by the designated object icon. Thereby, the doctor can easily compare the dosing result at the reference time with the dosing result at the desired time.

  In the medical care summary screen 352, an identification icon for enabling identification of the fact that the doctor has not yet explained the result of the examination to the patient is displayed on the object icon A2 of the examination information that the doctor has not yet explained to the patient. Is preferably displayed. For example, when the object icon A2 is designated by the input unit 34, the details of the examination information can be displayed on the display screen of the display unit 35. Therefore, the object icon A2 that has never been designated by the input unit 34 When the detailed information of the examination information corresponding to the object icon A2 is displayed, the identification mark for the object icon A2 is regarded as having been explained. Is deleted. Whether the object icon A2 has been designated by the input unit 34 is checked according to the examination information corresponding to the designated object icon A2 when the object icon A2 is designated by the input unit 34. Information indicating that the ID has already been explained is transmitted from the control device 3 to the receptacle 5, stored in association with the examination information identified by the examination ID in the examination information DB 51, and the medical care summary screen 352 is displayed. In this case, the above-described identification mark may be added based on the inspection information that does not correspond to the information indicating that it has already been explained.

  As described above, according to the control device 3, image data and incidental information corresponding to patient information designated by a doctor are acquired from the image DB 40 of the server 4, and examination information and treatment information corresponding to the patient information are acquired. Receipt-related information including information from the receptacle 5 and based on the acquired captured image, examination information, and treatment information, the patient-designated captured image, examination information, and treatment information are listed in time series. The medical treatment summary screen 352 to be displayed is displayed.

  Therefore, it does not impose a burden on the input operation such as an electronic medical record for a doctor, and it is a simple input operation that only designates a patient and has a relationship with a patient unique to a small-scale facility. A doctor who has a close relationship with an individual patient can grasp the whole picture of the captured image, examination information, and treatment information for the target patient. On the medical treatment summary screen 352, the captured image, examination information, and treatment information are displayed in time series corresponding to the time axis, so that the doctor can easily grasp the healing trend of the patient over time. Become. When it is desired to view the details of the captured image, examination information, and treatment information, it is possible to display the detailed information simply by designating any of the object icons A1 to A3 displayed on the medical care summary screen 352 using the input unit 34. Therefore, diagnosis can be performed easily and accurately by an easy input operation. In addition, even if existing equipment in a small-scale facility operated by a paper chart, if the image generation device 2 is provided, the captured image is stored in a database or the like in association with patient information, and patient insurance is provided. Since medication information and examination information are entered and stored in a computer in association with patient information for score calculation, patient imaging, examination, and treatment information can be easily retrieved with a small scale from existing equipment A small-scale diagnostic system that is easy to use can be realized.

  In addition, the description content in the said embodiment is a suitable example of the small-scale diagnosis system 1 which concerns on this invention, and is not limited to this.

  For example, in the above-described embodiment, a case has been described in which a list of captured images, examination information, and treatment information of a specified patient is displayed on the medical care summary screen 352, but it is necessary to display all of them. Instead, the information displayed on the medical care summary screen 352 may be set via the input unit 34. For example, the photographed image and the examination information may be displayed on the medical care summary screen 352, or the photographed image and the treatment information may be displayed on the medical care summary screen 352. In addition, it is possible to set a modality to be displayed on the medical care summary screen 352 among the captured images.

  Further, the control device 3 may be configured to be connectable to the electronic medical record device, and information on the electronic medical record device may be displayed on the medical care summary screen 352.

  In addition, it goes without saying that the present invention is not limited to the present embodiment and can be appropriately changed.

It is a figure showing the example of whole composition of small scale diagnostic system 1 concerning the present invention. It is a figure which shows the example of arrangement | positioning in the medical facility of each apparatus at the time of applying the small-scale diagnosis system 1 shown in FIG. It is a principal part block diagram which shows the functional structure of the control apparatus 3 applied to the small-scale diagnosis system 1 shown in FIG. It is a figure which shows the example of data storage of the receipt DB50 shown in FIG. It is a figure which shows an example of the picked-up image display screen 351 displayed on the display part 35 of FIG. It is a figure which shows the medical treatment summary display process performed in the control apparatus 3, the server 4, and the receptacle 5 according to this with the medical treatment summary display process performed in the control apparatus 3 of FIG. It is a figure which shows a suitable example of the medical treatment summary screen 352 displayed on the display part 35 of FIG. It is a figure which shows an example of the detailed screen 353 displayed when the object icon A1 of FIG. 7 is pressed. It is a figure which shows an example of the image comparison screen 354 displayed when the image comparison screen button of FIG. 8 is pressed.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Small scale diagnostic system 2 Image generation apparatus 2a Ultrasonic diagnostic apparatus 2b Endoscopic apparatus 2c CR apparatus 3 Control apparatus 4 Server 40 Image DB
5 Reckon 50 Receipt DB
51 Inspection information DB
6 Network 21 Conversion device 31 CPU
32 RAM
33 Storage Unit 331 Temporary Storage Unit 34 Input Unit 35 Display Unit 351 Captured Image Display Screen 352 Medical Examination Summary Screen 353 Detail Screen 354 Image Comparison Screen 36 Communication Unit 37 Bus

Claims (4)

  1. An accepting means for accepting a patient and performing registration processing together with information for distinguishing individual patients and acceptance date information;
    Patient information input means for inputting patient information in association with information and reception date information for distinguishing the individual patients registered by the reception means;
    At least one image generating means for generating captured image information of the patient;
    Image storage means for storing the captured image information generated by the image generation means, the patient information corresponding to the patient to be imaged and the imaging date information of the captured image information in association with each other;
    Receipt related information input means for inputting electronically related examination information and / or reception related information including treatment information corresponding to the information for distinguishing the individual patient received by the receiving means and the reception date information;
    Based on the information for distinguishing the individual patients and the reception date information, a receipt information storage means for storing the input patient information and the receipt related information in association with each other;
    The captured image information stored in the image storage unit in association with the patient information of the patient to be diagnosed and the shooting date information of the captured image information are acquired, and in the receipt information storage unit in association with the patient information. A control device that acquires the stored examination information and / or the treatment information together with the reception date information,
    The control device includes display means for associating the acquired captured image information with the examination information and / or the treatment information and displaying a list on the screen in time series together with the patient information. Diagnostic system.
  2.   The diagnosis system according to claim 1, wherein the receipt-related information input unit includes the patient information input unit.
  3. A plurality of types of the image generating means;
    The image storage means associates the captured image information generated by the image generation means with patient information of the subject patient to be imaged, imaging date information of the captured image information, and information indicating the type of the image generation means. Remember,
    The diagnostic system according to claim 1, wherein the display unit of the control device displays a list of the captured image information for each type of the image generation unit.
  4.   The screen displaying the photographed image information and the examination information and / or the treatment information together with the patient information in time series can be changed to a screen displaying the individual detailed photographed images displayed on the screen. The diagnostic system according to any one of claims 1 to 3, wherein the diagnostic system is configured as follows.
JP2006056448A 2006-03-02 2006-03-02 Diagnostic system Pending JP2007233841A (en)

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JP2006056448A JP2007233841A (en) 2006-03-02 2006-03-02 Diagnostic system
EP07708043A EP1990765A4 (en) 2006-03-02 2007-02-05 Medical image system
PCT/JP2007/051925 WO2007099735A1 (en) 2006-03-02 2007-02-05 Medical image system
CN 200780007068 CN101395630A (en) 2006-03-02 2007-02-05 The medical image system
US12/281,096 US20090054755A1 (en) 2006-03-02 2007-02-05 Medical imaging system

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