JP2007241646A - Diagnostic system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a diagnostic system making effective use of data without changing the existing workflow by using association between digitized receipt related information even in a small-scale facility and patient information, and associating the receipt related information with the patient information and photographed image information to allow this information to be used in reexamination or the like in the future. <P>SOLUTION: The diagnostic system comprises an image forming device 2 forming photographed image information of the patient; a receipt computer 5 for inputting the patient information and receipt related information including at least examination related information; a control device 3 associating the photographed image information with the patient information; a receipt DB 6 storing the receipt related information together with the patient information; a CPU 51 for the receipt computer 5 for extracting requested receipt related information based on the patient information out of the receipt related information; a CPU 31 for the control device 3 associating the extracted receipt related information with the photographed image information; and an image DB 41 storing the receipt related information and the photographed image information together with the patient information. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a diagnostic system, and more particularly to a diagnostic system mainly used in a small-scale facility.

  Conventionally, a patient's captured image is generated using a plurality of image generation apparatuses such as a CR (Computed Radiography) apparatus, a CT (Computed Tomography) apparatus, and an FPD (Flat Panel Detector) apparatus, and the generated captured images are variously attached. A PACS (Picture Archiving and Communication System) system configured to be stored in a database together with information and configured to be searchable is known (for example, see Patent Document 1). The PACS system is linked with the 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 record systems using electronic medical records are beginning to become widespread, and it is becoming possible to search medical chart contents by utilizing electronic medical record systems. However, since the input operation of the electronic medical record imposes a burden on the doctor as compared with the paper medical record, for example, the input operation can be performed using only the mouse as much as possible in order to reduce the input operation work. As described above, an input operation method has been proposed in which an input target item is automatically selected using a template to reduce the input operator's labor (for example, see Patent Document 2).

In the PACS system and the electronic medical record system, first, order information related to treatment such as prescription, treatment, examination, etc. is input. Using this order information as a key, image information, report information, treatment information, etc. generated thereafter are input. It associates (for example, refer patent document 3). By such association, each information can be effectively used in the subsequent diagnosis.
JP-A-5-12352 Japanese Patent Laid-Open No. 2002-7021 JP 2003-132144 A

  However, in order to introduce such a PACS system and an electronic medical record system, it is necessary to connect each department in the hospital via a network, and the cost burden for capital investment is large. In addition, it is difficult to introduce these systems in small-scale medical facilities such as practitioners and clinics that do not have specialized staff and do one role, because it requires input operations using a keyboard such as interpretation reports. It is.

  In addition, conventional medical doctors and clinics and other small-scale medical facilities mostly use paper charts and do not generate inspection order information for image generation devices. There is a problem that it is difficult to secure man-hours for input for digitizing information.

  Furthermore, when there are many human resources as in a large-scale medical facility, it is effective to associate information based on order information in order to prevent patient misunderstandings. In medical facilities, doctors often perform examinations themselves and there is little need to associate information based on order information, so there is almost no case of introducing an ordering device that generates order information. Currently, images taken of patients are overwhelmingly diagnosed using film, but in the future, filmless operations that do not use film (diagnosis performed by displaying images on a monitor) will become widespread. is expected. In such a filmless operation, captured images are accumulated as data, so that the necessity of associating a patient with an image is further increased.

  Furthermore, when a test is performed on a patient, it is preferable that information such as the test contents is also associated as information about the patient so that the test result can be effectively used for later medical care. For example, a test is performed by collecting a sample from a patient and performing analysis or the like. In particular, when the analysis of a sample is outsourced, the test result is sent from the outside later. Even in such a case, there is a high demand for storing the patient and examination-related information such as examination contents and examination results in an accurately associated state.

  In this regard, as a result of the inventor's analysis of the in-hospital flow in a small medical facility such as a practitioner, even if it is a paper chart operation facility that is not digitized, there is a full-time person different from the doctor in the acceptance accounting There are many cases, using a personal computer (workstation), using the personal computer (workstation), imaging site information, number of imaging, imaging size, patient information (ID, name, gender, date of birth, insurance information), and receipt data (injury and disease name) , Prescriptions, examinations, treatment actions, etc.) and other information related to receipt and calculation of patient accounting. For this reason, it has been found that if the input information input in the acceptance accounting process can be utilized, the computerized information can be stored without performing a new input operation.

  Therefore, the present invention has been made to solve the above-described problems, and is associated with patient information and at least receipt-related information including at least examination-related information, which is digitalized even in a small-scale facility. The patient-related information that has already been associated and stored and the captured image information of the patient is associated with the receipt-related information including the examination-related information, etc., and can be used after the reexamination. It is an object of the present invention to provide a diagnostic system that can make effective use of existing data without changing the existing workflow (such as paper chart operation).

In order to solve the above-mentioned problem, the diagnostic system according to claim 1, image generation means for generating captured image information of the patient based on image data obtained by imaging the patient,
Patient information input means for inputting patient information relating to the patient;
A control device that associates the captured image information generated by the image generation means with the patient information corresponding to the captured image information;
Receipt information input means for inputting receipt related information relating to accounting or receipt corresponding to a patient photographed by the image generation means including at least examination related information relating to the patient;
Receipt information storage means for storing the receipt related information generated by the receipt information input means together with the patient information of the patient corresponding to the receipt related information;
Receipt information extraction means for extracting desired receipt related information based on the patient information from the receipt related information stored in the receipt information storage means;
Information association means for associating the receipt related information extracted by the receipt information extraction means with the captured image information associated with the same patient information as the receipt related information;
Correspondence information storage means for storing the receipt related information and the captured image information associated with the information association means together with the patient information;
It is characterized by having.

According to a second aspect of the present invention, there is provided the diagnostic system according to claim 2, wherein an image generation unit that generates a captured image of the patient based on image data obtained by imaging the patient;
Patient information input means for inputting patient information relating to the patient;
Means for automatically associating and storing the captured image information and the patient information corresponding to the captured image information;
Receipt information input means for inputting receipt related information relating to accounting or receipt corresponding to a patient photographed by the image generation means including at least examination related information relating to the patient;
Receipt information storage means for storing the receipt related information generated by the receipt information input means together with the patient information of the patient corresponding to the receipt related information;
Receipt information extraction means for extracting desired receipt related information based on the patient information from the receipt related information stored in the receipt information storage means;
Information association means for associating the receipt related information extracted by the receipt information extraction means with the captured image information associated with the same patient information as the receipt related information;
Correspondence information storage means for storing the receipt related information and the captured image information associated with the information association means together with the patient information;
It is characterized by having.

  According to a third aspect of the present invention, in the diagnostic system according to the first or second aspect, the receipt-related information includes date information.

  According to a fourth aspect of the present invention, in the diagnostic system according to any one of the first to third aspects, display means for superimposing and displaying the receptor related information on an output image based on the captured image information. It is characterized by providing.

  According to a fifth aspect of the present invention, in the diagnostic system according to any one of the first to fourth aspects, the receipt information extracting means can extract the examination related information.

  According to the first aspect of the present invention, the patient's name / imaging that is usually written on a paper chart created by a doctor or an electronic chart that cannot be linked (communication linkage) with others. Extract the receipt related information including at least the examination related information about the patient from the information such as the imaging part and imaging direction at the time of the examination, the examination type at the time of the examination, the examination result, etc., and input work with the keyboard etc. When the information is digitized, the receipt related information is stored in association with the patient information. Thereby, without performing a new keyboard input operation | work etc. with respect to the existing workflow, patient information and the digitized receipt relevant information can be linked mutually, and these information can be utilized effectively.

  According to the second aspect of the present invention, for example, as in an electronic medical record system, various types of patient-related data such as imaging information and examination-related information are stored electronically and automatically associated with patient information such as a patient name. When the system that can be stored is installed, using the digitized data, the patient information is used as a key to extract the receipt related information including at least the examination related information about the patient and the receipt related information. Is stored in association with the patient information. Thereby, without performing a new keyboard input operation | work etc. with respect to the existing workflow, patient information and the digitized receipt relevant information can be linked mutually, and these information can be utilized effectively.

  According to the third aspect of the present invention, since the date information is included in the receipt related information, even if there is a patient who has visited the hospital multiple times, various information such as examination related information and captured images will be displayed later. Data can be referenced by date. Thereby, there is an effect that information on the patient can be arranged in time series and effectively used for later diagnosis.

  According to the fourth aspect of the present invention, since the receipt related information can be displayed superimposed on the corresponding captured image information, when the doctor interprets the image, the portion of the image is captured in which direction. It is possible to appropriately determine whether or not the image is being viewed. For this reason, there exists an effect that accurate diagnosis can be performed efficiently.

  According to the fifth aspect of the present invention, it is possible to reduce the doctor's input work and to make an accurate diagnosis while referring to the examination information together with the image.

  Hereinafter, a first embodiment of a diagnostic system according to the present invention will be described with reference to FIGS. 1 to 7. However, the present invention is not limited to the illustrated example.

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

  The diagnosis system 1 is applied to a relatively small medical facility such as a practitioner or a clinic, and is a system that mainly organizes and operates various types of information about a patient using a paper chart. As shown in FIG. 1, the diagnostic system 1 includes an ultrasonic diagnostic apparatus 2 a that is an image generation apparatus 2, an endoscope apparatus 2 b, a CR (Computed Radiography) apparatus 2 c, a control apparatus 3, a server 4, and a receptacle 5. Each device is connected to a communication network (hereinafter simply referred to as “network”) 7 such as a LAN (Local Area Network) via a switching hub (not shown), for example. The number of devices in the diagnostic system 1 is not particularly limited, but the control device 3 is included in the diagnostic system 1 from the viewpoint of consolidating control of the entire system in one place and saving the operator's movement. Preferably, only one is provided.

  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 the entrance 10 is entered, there are a reception 11 and a waiting room 12 for receiving a patient. The reception staff is assigned to the reception desk 11, and when the patient who has visited the hospital receives the reception desk 11, a reception number in the order of reception is given to the patient by the reception staff. At this time, for example, a receipt number tag (receipt slip or examination ticket) on which a receipt number is printed may be issued by a ticket issuing device (not shown). The reception 11 is provided with a receipt computer (hereinafter referred to as “Rececon”) 5 for calculating insurance points and accounting. For example, the contact person listens to the patient's name when receiving the patient, and inputs the correspondence between the reception number and the patient's name via the receptacle 5. Further, the contact person also performs a task of inputting necessary information regarding information on insurance score calculation (hereinafter referred to as “receipt related information”) to the receptacle 5 based on the medical record information after completion of the patient's examination.

  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 doctor can input information on the patient (patient information) and the like, and the photographed image can be displayed on the viewer for confirmation. A device 3 and a server 4 as storage means for storing various information such as image data of a photographed image are 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.

  As described above, in this embodiment, the waiting room 12, the examination room 13, the X-ray imaging room 15, and the examination room 16 with the reception 11 are located on the same floor, and patients who undergo examination, imaging, and examination are accepted. And move to the examination room 13, receive an inquiry from the doctor, move to the imaging room 15 and the examination room 16, perform imaging / inspection instructed by the doctor, and return to the examination room 13 again to be generated. On the basis of the captured images, a series of operations up to receiving a doctor's examination and diagnosis can be performed only by moving a relatively short distance between each room and the corridor 14. Note that the arrangement of each room and each device is not limited to that shown in FIG.

Hereinafter, the configuration of each device of the diagnostic 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 7 via the conversion device 21. It is connected to the. As described above, by using the conversion device 21, 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 7 is output from the ultrasonic diagnostic apparatus 2 a, the conversion is appropriately performed. Thus, data can be transmitted / received to / from an external device connected to the network 7.

  In the present embodiment, the conversion device 21 automatically converts an individual ID (hereinafter referred to as “UID” (Unique ID)) for specifying image data in the diagnostic system 1 in a format conforming to the DICOM standard into the image data. It has a function to give to. The UID is composed of identification information (hereinafter referred to as “modality ID”) of the image generation device 2, numbers indicating the shooting date and time, and the like. The UID assigned by the conversion device 21 is attached to the image data, and when the image data is transmitted to an external device, such information is also transmitted in association with the image data.

  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, a card reader that reads information written on a card by inserting a card or a barcode reader that reads a barcode may be used. The input operation unit 21a is an information ancillary means for inputting a search ID set in association with a patient to be imaged and attaching it to image data of a captured image.

  Here, the search ID is an identification mark for identifying an inspection object when searching for a photographed image after photographing, and is, for example, a reception number assigned when acceptance is performed. In the diagnostic system 1 in the present embodiment, the patient is imaged in advance without generating or issuing the order information (examination order information, imaging order information) for the patient in advance, and after the captured image is generated, the doctor performs patient information And a captured image are associated with each other, and the search ID is used at the time of the association.

  For example, when the input operation unit 21a inputs a reception number as a search ID, for example, when imaging a patient whose reception number given by the receptacle 5 is “1”, the input operation unit 21a sends a patient Enter “1” as the corresponding search ID.

  For general practitioners, the number of visits per day is usually about 10 to 40, and it is sufficient that the serial number of the examination ticket is two digits, and the input operation unit 21a only needs to be able to input these two-digit values, and is inexpensive. A numeric keypad is preferred.

  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.

  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. The identification number assigned to the image generation apparatus 2 that has performed the imaging, information that specifies the type of imaging, such as whether the imaging is a simple imaging that does not use a contrast agent or the like, or an imaging that uses a contrast agent, and the like are input. You may do it. 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. .

  In the present embodiment, the image generation device 2 is configured not to start the photographing operation until a search ID is input from the input operation unit 21a. In addition, when there is no possibility of continuously photographing a plurality of patients (when there is a sufficient interval between the patients), the doctor uses the modality ID automatically assigned to each image and the photographing date and time. Since the image data and the patient can be easily associated with each other based on the configured UID, it is not always necessary to input the search ID. Therefore, in such a case, each image generation device 2 may be set to start the shooting operation without inputting the search ID.

  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 examination target (not shown) 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 photostimulable fluorescence of the photostimulable phosphor sheet is arranged in the radiation image conversion medium so that the radiation dose according to the radiation transmittance distribution of the inspection object with respect to the radiation dose from the radiation source is arranged. It accumulates in the body layer and records the radiation image information to be inspected in this stimulable phosphor layer.

  The reading device 23 is a device that loads a radiographic image conversion medium in which radiographic image information to be inspected is recorded, reads radiographic image information to be inspected from the radiographic image conversion medium, and generates a captured image. The control device 3 Based on the control signal from the device, the stimulable phosphor sheet of the radiation image conversion medium loaded in the apparatus was irradiated with excitation light, and thereby the photostimulated light emitted from the sheet was photoelectrically converted and obtained. A captured image is generated by A / D converting the image signal.

  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. A built-in or externally-attached information-attaching means is provided, and the search data of the patient is attached to the generated image data of the captured image. Also in this case, in the case of the endoscope apparatus 2b, the photographing operation is not started until the search ID is input, and in the case of the reading device 23 of the CR apparatus 2c, the search ID is used. The reading operation is not started until is input.

  Note that, for example, the reception number is used as the search ID input from the information-accompanying means, similarly to the input operation unit 21a described above. As mentioned above, for medical practitioners, etc., the number of visits per day is usually about 10 to 40, and it is sufficient if the serial number of the examination ticket is two digits. An inexpensive numeric keypad is preferable.

  The reading device 23 of the endoscope device 2b and the CR device 2c has a function of automatically assigning the above-mentioned UID to the generated image data, and the assigned UID is attached to the image data. When image data is transmitted to an external device, these pieces of information are also transmitted in association with the image data.

  The control device 3 is a workstation (PC: Personal Computer) that is installed in, for example, the examination room 13 and allows a doctor to display an image or the like to perform interpretation diagnosis or the like. (Display part) may be provided. 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 a system program and a processing program stored in the storage unit 33 and expands them in the RAM 32. In accordance with the expanded programs, the captured image information and the patient information after image processing and image processing to be described later are completed. Various processes including the association process are 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.

  Further, the storage unit 33 temporarily stores image data of captured images generated by the various image generation apparatuses 2. When the image data is accompanied by a search ID, patient information, information regarding the type of imaging, information for identifying the image generation apparatus 2 that has performed imaging, and the like, the image data of the captured image and these information are included. Store in association with each other. In addition, the storage unit 33 stores various types of information sent to the control device 3 such as a patient list created in the order of patient acceptance.

  The input unit 34 includes, for example, a keyboard having cursor keys, numeric input keys, and various function keys (not shown), and a pointing device such as a mouse, and is patient information for specifying a patient to be imaged. A patient's name can be entered. The input unit 34 is configured to output an instruction signal input by a key operation on the keyboard or a mouse operation to the CPU 31.

  Here, examples of the patient information input from the input unit 34 include a patient's name, a medical examination ticket number, and the like, but the patient information is not limited to those exemplified here. The search ID is an identification number for identifying an inspection object when searching for a photographed image after photographing as described above, and is, for example, a reception number given when acceptance is performed. In the present embodiment, an example in which a patient name is input as patient information will be described.

  The display unit 35 includes, for example, a monitor such as a CRT (Cathode Ray Tube) or an LCD (Liquid Crystal Display). As described later, the display unit 35 includes a captured image, a confirmed captured image generated from the captured image, and various types. Display means for displaying patient information and the like. The display unit 35 displays various screens in accordance with display signal instructions input from the CPU 31.

  In the present embodiment, for example, an instruction signal for instructing a doctor or the like to display a captured image acquired from the ultrasound diagnostic apparatus 2a, the endoscope apparatus 2b, or the CR apparatus 2c, which are image generation apparatuses, is input from the input unit 34. Upon input, an image confirmation screen 35b as shown in FIG. 4 is displayed.

  As shown in FIG. 4, on the image confirmation screen 35b, an image display field 351 for displaying captured images generated by the various image generation devices 2 and an image for inputting an instruction to adjust image processing conditions. A processing condition adjustment field 352 is provided. The image display field 351 is provided corresponding to each display field of the image display field 351, confirms the captured image displayed in each display field, and sets the image data of the captured image as the image data after confirmation. An OK button 353 for storing, an NG button 354 for instructing to discard and re-output the image data of the captured image displayed in each display column, and which part of the patient is captured for each captured image. An imaging region display field 355 for displaying the imaging region determined as a result of the automatic region recognition is arranged. When image data of a captured image after confirmation is saved, a saved mark or the like may be displayed in each display field of the image display field 351.

  The image confirmation screen 35b is provided with a patient name column 356 for inputting and displaying a patient name as patient information. In the present embodiment, the case where the patient name field 356 is provided as an input / display field for patient information will be described below as an example. However, the input / display field for patient information is not limited to that illustrated here.

  In addition, the image confirmation screen 35b is provided with a diagnosis end button 357 for ending the diagnosis, a return button 358 for returning to the previous display screen, and the like. Note that the configuration of the image confirmation screen 35b is not limited to that illustrated in FIG. For example, display fields and buttons other than these may be provided, and a field for displaying a reception number corresponding to the patient list may be provided.

  Further, in the present embodiment, when an instruction signal is input from the CPU 31 to display accompanying information corresponding to the photographed image together with the photographed image, the display unit 35 displays the supplementary information at a predetermined position of the image information of the photographed image. And the captured image is displayed in a state where the accompanying information is superimposed. The position in the captured image on which the supplementary information is superimposed may be freely set from the input unit 34 or the like, or a predetermined overlapping position such as a lower margin may be set as a default.

  The communication unit 36 is configured by a network interface or the like, and transmits / receives data to / from an external device connected to the network 7 via a switching hub. In other words, the communication unit 36 receives the image data of the captured image generated by the image generation device 2 and, if necessary, the image data of the captured image after completion of the image processing to the external device such as the server 4. Functions as an output means for transmitting and outputting.

  Next, various processes performed by the CPU 31 will be described.

  In the present embodiment, the CPU 31 functions as an image extracting unit that extracts only a photographed image photographed for a specific patient from the photographed images stored in the storage unit 33 based on the search ID. That is, as described above, at the time of imaging, the search ID set in association with the patient information of the patient who is the subject of the imaging is input from the input operation unit 21a or the like, and this search ID is For example, it is attached as header information to image data of a photographed image. When an instruction signal for instructing an operator such as a doctor to extract a photographed image corresponding to a certain search ID is input from the input unit 34 or the like, the CPU 31 searches the photographed image stored in the storage unit 33 for the search. A photographed image accompanied by the use ID is searched and extracted and displayed on the image confirmation screen 35b of the display unit 35 or the like.

  In addition, the CPU 31 performs image processing according to the imaging region on the image data of the captured image generated by the image generation device 2 and received by the communication unit 36, and generates an image for diagnosis suitable for diagnosis. Function as.

  Specifically, the CPU 31 first reads the part identification parameter from the storage unit 33 and automatically identifies the part to be photographed from the contour, shape, etc. of the photographing object that appears in the photographed image generated by the image generation device 2. I do. When the part of the captured image is identified, the CPU 31 reads out the image processing parameter corresponding to the captured part from the storage unit 33, determines the image processing condition based on the read parameter, and the image data under the determined image processing condition. Then, image processing such as gradation processing for adjusting the contrast of the image, processing for adjusting the density, frequency processing for adjusting the sharpness is performed. Further, when an operator such as a doctor inputs from the image processing condition adjustment field 352 to adjust the density or contrast of the photographed image, the CPU 31 performs image processing of the photographed image accordingly. When the image processing is completed and the OK button 353 is pressed, the CPU 31 determines the image data of the captured image after the image processing as the image data of the diagnostic captured image.

  Further, when the patient information specifying the imaged examination object is input, the CPU 31 replaces the patient information such as the patient name with a search ID, and the patient information is taken as the imaged image information after predetermined image processing. Is associated with each other and stores the captured image information and the patient information in association with each other. The CPU 31 writes and stores the captured image information associated with the patient information in the storage unit 33 or the image DB 41 of the server 4.

  Further, the CPU 31 sends an instruction signal to the receipter 5 so as to send information related to a predetermined patient from the receipt related information stored in the receipter DB 6 described later. And when the receipt relevant information extracted from the receptacle 5 is sent, it functions as an information matching means for associating the received patient information with the captured image information associated with the same patient information. Further, the CPU 31 writes and stores the patient information, the reception related information, and the captured image information that are associated with each other in the image DB 41 that is a correspondence information storage unit.

  Next, the server 4 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), an HDD, and the like, a storage unit for storing various programs, an input unit, a display unit, and each device connected to the network 7. A computer configured to include a communication unit (both not shown) and the like for transmitting and receiving information.

  The server 4 includes an image DB 41 as a database that stores image data of a captured image transmitted from the control device 3 via the communication unit. The server 4 performs processing in cooperation with the CPU and a program stored in the storage unit, whereby image data of the captured image instructed to be written from the control device 3 via the communication unit and its accompanying information (patient Information and information including a UID) are stored in the image DB 41 in association with each other, and the image DB 41 stores incidental information such as receipt-related information and patient information, which will be described later, and captured image information in association with each other. Corresponding image information storage means is configured.

  In addition, the server 4 searches the image DB 41 in response to a request from the control device 3, reads out image data in response to the request, and transmits the captured image information and accompanying information associated therewith to the control device 3.

  In addition, as shown in FIG. 5, the receptacle 5 includes a CPU (Central Processing Unit) 51, a RAM (Random Access Memory 52), an HDD, etc., and a storage unit 53 that stores various programs, a keyboard, a mouse, and the like. The computer is configured to include an input unit 54, a display unit 55 configured by a CRT, an LCD, and the like, a communication unit 56 that transmits / receives information to / from each device connected to the network 7, and the like. They are connected by a bus 57.

  The receptacle 5 includes a receipt DB (database) 6 that stores a patient-related information related to a patient input by an operator such as the counter in accordance with a paper chart from a doctor after diagnosis.

  The receipt DB 6 is a database that functions as a receipt information storage unit that stores receipt-related information related to a patient who visits in association with patient information. In the receipt DB 6, the reception date of each patient, the reception number that is a search ID given to the patient on the reception date, the patient name as patient information, the number of images captured for the patient on the same reception date, The number of contrasts that is the number of imaging using a contrast agent, the modality type that is the type of the image generation apparatus 2 that has performed imaging, the imaging part that indicates which part was imaged, and the same reception date Prescription drug dosing information (type of drug, daily dose, dosing period, etc.), test type indicating the type of test performed on the patient (for example, ECG, blood test, physiological test performed) (Urine test, stool test, tissue fragment test, etc.), test ID for identifying the test performed on the patient (specimen ID in the case of sample test), test results, etc. It is stored Te.

  When an instruction signal is input from the control device 3 or the like to transmit the receipt related information about a predetermined patient, the CPU 51 of the receipt computer 5 is based on the patient information from the receipt related information stored in the receipt DB 6. Thus, it functions as a receipt information extracting means for extracting desired receipt related information. The receipt related information extracted by the CPU 51 is sent to the control device 3 via the communication unit 56. In addition, when the instruction signal input from the control device 3 or the like is an extraction condition that includes not only the patient name but also the reception date and imaging region information, the receipt related information that matches these extraction conditions is displayed. You may make it extract.

  The input unit 54 of the receptacle 5 can input an instruction to display a screen for receiving. When the display of the screen for receiving is instructed, the CPU 51 stores the program stored in the storage unit 53. By performing the process in cooperation, a reception input screen 55a as shown in FIG. In addition, the reception input screen 55a is not limited to the one illustrated here, and may be a screen including only a reception date column, a reception number column, and a patient name column, for example. Of these, in the reception date column, when the reception number column, patient name column, etc. are input, the date on which the input operation was performed may be automatically input.

  The input unit 54 receives the reception number (search ID) and the patient as identification information that can identify each patient corresponding to each new visit patient via the reception input screen 55a displayed on the display unit 55. It is possible to input the patient name as information. A patient information input unit is configured by the reception input screen 55a and the input unit 54 of the receptacle 5. When the reception number and the patient name are input by the input unit 54, the reception number and the patient name are stored in the reception DB 6 together with the date when the input is performed (reception date).

  In addition, when receiving an instruction to display a screen for inputting receipt related information from the input unit 54, the receipt computer 5 displays a receipt related information input screen 55b as shown in FIG. 7 on the display unit. As shown in FIG. 7, for example, the receipt-related information input screen 55b is a list in which reception numbers and corresponding patient names are listed in order of reception numbers for each reception date. When the reception number and patient name are input from the input unit 54 via the reception input screen 55a, the display of the receipt related information input screen 55b is updated, and the newly input reception number and patient name are received for each reception date. They are added to the list in numerical order. The list is not limited to the case where the screen is automatically updated, and the list may be updated by inputting from the input unit 54 via the receipt related information input screen 55b. In this embodiment, when the patient's receipt process (accounting process) is completed, the display about the patient is deleted from the list, and the patient with the next reception number is sequentially advanced, and the list is updated. ing.

  The input unit 54 can input the receipt related information about the patient corresponding to each item on the receipt related information input screen 55 b, and the receipt related information input screen 55 b and the input unit 54 of the receptacle 5 can receive the receipt information input means. Composed. The CPU 51 of the receptacle 5 calculates the insurance score based on the information input from the input unit 54, and stores the receipt number and the patient name in association with the receipt related information related to the patient in the receipt DB 6.

  In this embodiment, the reception number and patient name are input from the reception input screen 55a at the time of reception. However, at the time of reception, only the reception number issued to the patient is input, and the patient name is the receipt related information. You may make it input via the input screen 55b. That is, the receipt information input means may include a patient information input means. In addition, when inputting detailed information such as the patient's name, the patient's sex, age, insurance number, etc. as patient information, only the patient name is input from the reception input screen 55a at the time of reception. Detailed information may be input from the receipt related information input screen 55b.

  Next, operation | movement of the diagnostic system 1 in this embodiment is demonstrated.

  First, a reception number is given to a patient who visits at the reception 11, and a reception number tag is issued. The contact person listens to the patient's name, and inputs the reception number as the search ID and the patient name as the patient information from the input unit via the reception input screen (not shown) of the receptacle 5. When the receipt number and patient name are entered, a new record is added to the receipt DB 6 and the receipt number and patient information are written.

  When the patient to whom the reception number is assigned moves to the examination room 13, the doctor makes an inquiry to the patient, and decides the imaging and examination to be performed.

  If it is determined by the inquiry that the examination is necessary, the patient is taken to the examination room 16 or the like and the necessary examination is performed. At this time, an examination ID (specimen ID when a specimen is collected) is assigned for each examination, and an association between each patient's reception number (search ID) and patient name (patient information) and examination ID is an examination request. It will be written on the vote. In addition, since it may take time until the test result is obtained, such as when requesting the test result to the outside, it is preferable to associate the test ID with the test ID in addition to the search ID and patient information.

  In addition, when it is determined that the affected part needs to be photographed through an inquiry, a photographing person who performs photographing, such as a doctor or a photographing engineer, takes the patient to the image generation device 2 used for photographing, The receipt number (search ID) given to the patient is input from the input operation unit of the image generation device 2. For example, when the ultrasonic diagnostic apparatus 2a is used as the image generation apparatus 2, the imaging operator inputs a patient reception number as a search ID from the input operation unit, and the image generation operation of the image generation apparatus 2 becomes possible. Make preparations. Thereafter, imaging is performed using the region to be diagnosed of the patient as a subject, and image data of the captured image is generated by the image generation device 2. Further, for example, when the CR device 2c is used as the image generation device 2, the imaging operator inputs a patient reception number as a search ID from the numeric keypad of the input unit provided in the reading device after imaging. As a result, reading processing by the reading device becomes possible, and image data is generated by performing a reading operation. In addition, as described above, when an examination reservation is made in advance on that day, it may be moved directly from the reception to the imaging room 15 or the examination room 16 without receiving an inquiry by a doctor.

  In addition, after selecting a certain patient, you may further select another patient. In this case, the selected patients are photographed sequentially or in parallel using the image generation devices 2. Even in this case, since the search ID is input at the time of imaging with the image generation apparatus, it is possible to associate the patient with the image data after imaging by collating with the search ID attached to the image data. Is possible.

  When shooting is completed, the generated shot image data is sent to the control device 3 via the network 7 with the input search ID and UID attached thereto. When photographing patients who do not go through the reception, such as in an emergency, a predetermined code indicating an emergency interrupt, such as “99”, is set in advance so that it does not appear during normal photographing. By doing so, it is possible to extract the image data after photographing separately from other image data as in the normal flow.

  When image data of a photographed image is sent from the image generation device 2 to the control device 3, the CPU 31 automatically identifies the part that has been photographed. When the imaging region is identified, the CPU 31 determines an image processing condition according to the imaging region, and performs image processing according to the condition for the image data of the captured image. When the image processing is performed, the captured image is temporarily stored in the storage unit 33 together with various information attached to the image data.

  When the doctor examines the patient after imaging or examination, the doctor operates the input unit 34 of the control device 3 to display an image search screen (not shown) on the display unit 35, and the patient's receipt number (search ID) And the patient's receipt number is input from the input unit 34. When the reception number that is the search ID is input, the CPU 31 extracts the image corresponding to the patient from the storage unit 33 by using the reception number as a search key, and the extracted captured image is the image confirmation screen 35b ( (See FIG. 4). The doctor listens to the patient's name and inputs the patient name as patient information from the patient information input field 356. When patient information related to the patient is input from the input unit 34 via the patient information input field 356, the input patient information is written as supplementary information of the image data of the displayed captured image.

  The doctor confirms the image data of the photographed image on the image confirmation screen 35b, and if there is no problem, the doctor confirms the photographed image as a photographed image for diagnosis with the OK button 353. On the other hand, when there is a problem with the image processing of the captured image, an operator such as a doctor adjusts the density and contrast of the captured image in the image processing condition adjustment field 352. If the image processing according to the imaging region is not properly performed, the correction of the parameter is performed by reflecting the adjustment of the density and contrast of the captured image performed in the image processing condition adjustment field 352 in the image processing parameter. You may make it perform. In addition, when adjustment is not possible only by adjustment of density, contrast, etc., such as a photographed image displayed in each display field is unclear, an NG button 354 for instructing to discard and re-output image data of the photographed image is provided. By operating, the image data of the photographed image is discarded, and the image data is re-output from the image generation apparatus 2.

  In addition, the doctor inputs a search instruction from the input unit 34 as to whether or not there is an image taken when visiting in the past as necessary for making a diagnosis. When a search instruction is input, the CPU 31 searches the image DB 41 for image data with the same patient name (patient information), and if there is image data, and if there is image data, The image data is displayed on the display unit 35. If the patient has visited the hospital multiple times and it is known when the image to be referred to is known, the patient name and a specific date may be input from the input unit 34. By inputting and searching in this way, it is possible to narrow down a desired image and perform a search. In addition, for example, when it is desired to narrow down a captured image to be extracted according to the type of the image generation device 2 used for photographing, a photographing part, a photographing direction, etc., by inputting these conditions together with the patient name, a more detailed narrowing search It may be possible to perform.

  At this time, the image data read from the image DB 41 is accompanied with patient information and the receipt related information input by the receptacle 5, and when the captured image is displayed on the display unit 35, the captured image of the captured image is displayed. The date taken at a predetermined position, the type of the image generation device 2 used, the imaging region, the imaging direction, and the like are superimposed and displayed.

  After confirming the photographed image, the doctor makes a diagnosis while looking at the photographed image photographed on that day and the past photographed image read out from the image DB 41, and the patient's findings (name of the diagnosed wound, etc.) are prescribed to the patient. Dosing information indicating the medicine to be performed, information on imaging or examination performed on the patient (type of imaging apparatus, number of imaging, presence or absence of use of contrast medium, imaging site, imaging direction, examination type, examination ID, etc.) Record on a paper chart. The doctor enters the diagnostic findings on a paper chart and the like, and stores the image data of the captured image taken on the day in association with the inputted patient information (with the patient information as supplementary information) in the image DB 41 of the server 4 Store in the means.

  After describing the findings on the paper chart, the doctor gives the paper chart to the reception desk in the reception 11, which displays the examination information input screen on the display unit 55 of the receipt computer 5, via the examination information input screen. Based on the paper chart, the receipt related information for insurance score claim processing is input from the input unit. The CPU 31 of the receptacle 5 captures image data of the captured image, such as the number of images captured for the patient, the type of imaging such as simple X-ray imaging or contrast medium imaging, and the type of the image generation device 2 that has performed imaging. Accounting related information related to the calculation of insurance points, etc. is calculated based on the information attached to. The input receipt-related information, the calculated insurance score, and the like are written and stored in the reception DB 6 in association with the patient name as patient information. Further, when an inspection result or the like is sent later, these pieces of information are additionally input as receipt related information and stored in association with other information.

  In addition, when there is image data to which no receipt-related information is attached among the captured images input to the receptacle 5, an instruction signal for instructing the association with the receipt-related information is input to the control device 3 by the doctor or the like. Input from the unit 34. Thereby, CPU31 of the control apparatus 3 transmits an instruction | indication signal with respect to the receptacle 5 so that the receipt relevant information matched with the same patient information as the patient information matched with the said picked-up image may be extracted. The CPU 51 of the receptacle 5 searches the receipt DB 6 and extracts the instructed receipt related information. The extracted receipt related information is also transmitted to the control device 3 via the network 7, and the control device 3 temporarily stores the receipt related information in the storage unit 33. As a result of the extraction, when there are a plurality of pieces of receipt related information associated with the same patient information, all the relevant receipt related information is transmitted to the control device 3 and displayed on the display unit 35. The doctor looks at the reception date displayed on the display unit 35 and selects the receipt related information corresponding to the captured image. Thereafter, the CPU 31 associates the extracted and selected receipt related information with the captured image information. When the receipt related information and the patient information are associated with the image data of the captured image, the CPU 31 writes and stores the associated information in the image DB 41.

  As described above, after the receipt-related information and the patient information are stored in a state of being associated with the image data of the captured image, when the doctor wants to refer to the visit history of the patient, the patient name is input from the input unit 34 of the control device 3. If it inputs, the visit history of the same patient can be displayed on the display part 35 as a list display. In addition, after the receipt-related information and the patient information are stored in a state of being associated with the image data of the captured image, incidental information such as the receipt-related information is displayed when the captured image is displayed on the display unit 35. It is possible to display in a state of being superimposed at a predetermined position.

  As described above, according to the diagnosis system 1 according to the present embodiment, by using the receipt related information input from the receptacle 5, the patient information can be specified to identify the patient without forcing the doctor or the like to perform the input operation. Based on this, the image data of the photographed image and the receipt related information including the examination related information can be associated with each other, and can be stored in the associated state. Therefore, it is possible to make a diagnosis by comparing the current and past images of patients who have visited in the past without having to input and generate order information in advance before imaging or examination, It becomes easy to search the history.

  In addition, when displaying the captured image on the display unit, it is possible to superimpose and display the imaging part, the imaging direction, etc. of the receipt related information on the image, so that the part of the captured image was taken from which direction. It is easy to know if it is a thing, etc., and the medical efficiency increases.

  Furthermore, since the photographed image is displayed on the display unit 35 of the control device 3 and diagnosis is performed, it is not necessary to use a film for diagnosis and storage of the photographed image, and cost saving can be realized.

  Further, since a plurality of types of image generation apparatuses 2 such as the ultrasonic diagnostic apparatus 2a, the endoscope apparatus 2b, and the CR apparatus 2c are provided, it is possible to perform minimum necessary imaging and inspection. Moreover, it is possible to perform imaging | photography with respect to a some patient simultaneously, and can raise the efficiency of a medical examination.

  Furthermore, since the converting means 21 is connected to the ultrasonic diagnostic apparatus 2a which is the image generating apparatus 2, the ultrasonic diagnostic apparatus 2a is a standard for existing apparatuses and the like provided in each facility to which the diagnostic system 1 is applied. Even when image data that does not meet the above requirements is output, the image data can be appropriately converted and applied. For this reason, the existing apparatus can be used as it is, and the burden of capital investment etc. is not required.

  Further, since it is impossible to generate image data such as image capture and reading until patient information is input by the input operation unit 21a of the conversion device 21, the association between the image and the patient to be imaged and the image capture. Therefore, it is possible to reliably associate the information such as the type with image data at the time of photographing, and avoid the risk of misunderstanding in the later diagnosis.

  In addition, since the receipt related information associated with the patient information and the captured image information includes date information, even when there is a patient who has visited the hospital multiple times, the receipt related information and the associated information are associated with this. The image data of the captured image can be distinguished and can be effectively used for patient follow-up.

  In addition, when a photographed image is searched and extracted with a search ID associated with patient information for identifying a patient, and the photographed image and the patient are associated with each other. However, it is possible to appropriately generate accounting-related information such as how many images have been taken for the patient.

  In the present embodiment, the patient information of the patient and the search ID corresponding thereto are input from the input unit 34, and the patient ID and the captured image are added to the image data of the captured image at the time of imaging. However, the configuration for associating a patient with a captured image is not limited to this.

  For example, before imaging or examination, by selecting a patient from the patient list, the search ID assigned to each patient, such as an acceptance number, is set, and patient information such as patient name is taken or examined. Thereafter, the input may be performed when diagnosing the patient while viewing the captured image or examination information corresponding to the patient on the display unit 35 of the control device 3.

  Further, before imaging, the patient is first imaged without selecting any patient, and at that time, an operator ID such as a doctor images a search ID arbitrarily defined as identifying the patient to be imaged. You may make it input with the production | generation apparatus 2. FIG. In this case, image data obtained by photographing from the unconfirmed folder is opened by the control device 3 after photographing, and a search ID of a patient whose photographed image is to be extracted is input from the input unit 34. And after extracting the picked-up image image | photographed about the said patient based on this ID for search, and displaying on the display part 35 of the control apparatus 3, while diagnosing a patient while seeing the said picked-up image, the said patient Patient information may be entered.

  When a plurality of patients are not photographed in parallel, when the patient is selected from the patient list on the display unit 35 of the control device 3, the display screen of the display unit 35 is automatically displayed as an image. When the screen is switched to the confirmation screen 35b and photographing is performed, a photographed image obtained by photographing the patient may be displayed on the image confirmation screen 35b. In this case, since the patient selected from the patient list and the patient who has taken an image are associated with each other on a one-to-one basis, the patient and the photographed image are mistaken without inputting a search ID or the like before photographing. There is no risk of generating. For this reason, it is possible to reduce the burden on the doctor by minimizing the input operation.

  In the present embodiment, the case where the image generation apparatus 2 includes the ultrasonic diagnostic apparatus 2a, the endoscope apparatus 2b, and the CR apparatus 2c has been described as an example. However, the image generation apparatus 2 determines a patient to be examined. Any device may be used as long as it is provided with an image generation unit that captures an image and generates a captured image based on image data obtained by the image capture, and is not limited to the one exemplified here. Those that use other radiographic image conversion media, those that acquire image data without using radiographic image conversion media and generate captured images based on this, and those that directly extract radiographic images as digital signals using a radiation detector Any apparatus that generates a captured image can be applied. Specifically, in addition to the ultrasonic diagnostic apparatus 2a, the endoscope apparatus 2b, and the CR apparatus 2c shown in the present embodiment, for example, CT (Computed Tomografhy), MRT (Magnetic Resonance Imaging), FPD (Flat Panel Detector) Mammography apparatus (mammography) and the like, but is not limited thereto.

  In the present embodiment, the input unit 34 of the control device 3 functions as an input unit for inputting patient information. However, the input unit is not limited to this, and for example, each image generation device 2 or conversion device. 21 may be configured to include input means for inputting patient information.

  In the present embodiment, the patient information, the receipt related information, and the captured image information associated with them are stored in the image DB 41 of the server 4, but the patient information, the receipt related information, and these are associated with each other. The corresponding image information storage unit that stores the captured image information is not limited to this, and for example, the storage unit 33 of the control device 3 may be configured as the corresponding image information storage unit.

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

  Next, a second embodiment of the diagnostic system according to the present invention will be described with reference to FIGS. The second embodiment is different from the first embodiment in that an electronic medical record system is introduced, and therefore, the following description will be specifically made on differences from the first embodiment.

  FIG. 8 shows the system configuration of the diagnostic system in the present embodiment. The diagnostic system in the present embodiment is a system in which various information related to a patient is organized and operated using an electronic medical record.

  As shown in FIG. 8, the diagnostic system includes an ultrasonic diagnostic apparatus 2 a that is an image generation apparatus 2, an endoscope apparatus 2 b, a CR (Computed Radiography) apparatus 2 c, a control apparatus 3, a server 4, and a receipt computer 5. The chart management server 8 is connected to a communication network (hereinafter simply referred to as “network”) 7 such as a LAN (Local Area Network) via a switching hub (not shown). The number of devices in the diagnostic system 1 is not particularly limited, but the control device 3 is included in the diagnostic system 1 from the viewpoint of consolidating control of the entire system in one place and saving the operator's movement. Preferably, only one is provided. The server 4 may also serve as the chart management server 8.

  Since the arrangement of each apparatus and the configuration of the image generation apparatus 2 are the same as those in the first embodiment, description thereof is omitted.

  In this embodiment, the CPU 31 of the control device 3 replaces the patient information such as the patient name with a search ID when patient information specifying the imaged examination target is input, and the patient information is subjected to predetermined image processing. It performs an associating process for associating the later captured image information with each other, and functions as an associating unit that associates and stores the captured image information and patient information. The CPU 31 writes and stores the captured image information associated with the patient information in at least one of the storage unit 33, the image DB 41 of the server 4, and the electronic medical record information DB 81 of the medical record management server 8.

  Further, the CPU 31 sends an instruction signal to the receipter 5 so as to send information related to a predetermined patient from the receipt related information stored in the receipter DB 6 described later. And when the receipt relevant information extracted from the receptacle 5 is sent, it functions as an information matching means for associating the received patient information with the captured image information associated with the same patient information. Further, the CPU 31 writes and stores the patient information, the receipt related information, and the captured image information that are associated with each other in at least one of the image DB 41 and the electronic medical record information DB 81 that are correspondence information storage means. Yes.

  Next, the server 4 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), an HDD, and the like, a storage unit for storing various programs, an input unit, a display unit, and each device connected to the network 7. A computer configured to include a communication unit (both not shown) and the like for transmitting and receiving information.

  Similarly to the first embodiment, the server 4 stores the image data of the captured image instructed to be written from the control device 3 and the associated information (information including patient information and UID) in the image DB 41 in association with each other. The image DB 41 constitutes corresponding image information storage means for storing incidental information such as receipt related information and patient information, which will be described later, and captured image information in association with each other.

  In addition, the server 4 searches the image DB 41 in response to a request from the control device 3, reads out image data in response to the request, and transmits the captured image information and accompanying information associated therewith to the control device 3.

  In addition, the receipt computer 5 includes a receipt DB (database) 6 that is a database functioning as a receipt information storage unit that stores the receipt related information related to the patient who has visited the hospital in association with the patient information, as in the first embodiment. .

  In the present embodiment, the receipt computer 5 and the medical record management server 8 can transmit and receive information to and from each other via the network 7, and an instruction signal is displayed to display an electronic medical record screen related to a predetermined patient from the input unit 54. Is input, the CPU 51 transmits a signal instructing the medical record management server 8 to transmit electronic medical record information relating to a desired patient. As a result, the electronic medical record information relating to a desired patient is read out from the electronic medical record information stored in the electronic medical record information DB 81 via the medical record management server 8 and sent to the receptacle 5. The CPU 51 can cause the display unit 55 to display the electronic medical chart information sent via the medical chart management server 8. The operator in charge of the counter, etc., copies the electronic medical record information displayed on the display unit 55 and pastes it in a predetermined item field on the receipt related information input screen 55b, thereby inputting the patient related information to the receptacle 5 To do. The receipt related information input to the receptacle 5 is stored in the receipt DB 6 in association with the patient information.

  When an instruction signal is input from the control device 3 or the like to transmit the receipt related information about the predetermined patient, the CPU 51 of the receipt computer 5 is based on the patient information from the receipt related information stored in the receipt DB 6. Thus, it functions as a receipt information extracting means for extracting desired receipt related information. The receipt related information extracted by the CPU 51 is sent to the control device 3 via the communication unit 56. In addition, when the instruction signal input from the control device 3 or the like is an extraction condition that includes not only the patient name but also the reception date and imaging region information, the receipt related information that matches these extraction conditions is displayed. You may make it extract.

  Since the control device 3, the server 4, and the receipt computer 5 are the same as those of the first embodiment in other points, description thereof is omitted.

  Next, the chart management server 8 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), an HDD, and the like, each of which is connected to the storage unit, the input unit, the display unit, and the network 7 for storing various programs. It is a computer configured to include a communication unit (none of which is shown) that transmits and receives information to and from the apparatus.

  The medical record management server 8 is an electronic device that associates image data transmitted from each image generation device 2 via the communication unit, receipt related information including various examination related information transmitted from the receptacle 5 as an electronic medical record for each patient. An electronic medical record information DB 81 is provided as a database for storing medical chart information. The medical record management server 8 performs processing in cooperation with the CPU and the program stored in the storage unit, so that the image data of the captured image associated with the same patient information and the accompanying information (patient information and Information including a UID), imaging related information such as an imaging region and imaging direction, examination related information, and the like are associated with each other and stored in the electronic medical record information DB 81. As described above, the electronic medical record information DB 81 constitutes corresponding image information storage means for storing incidental information such as receipt-related information and patient information and captured image information in association with each other, like the image DB 41. When the electronic medical record information DB 81 functions as a corresponding image information storage unit, the image DB 41 stores only images, and only the electronic medical record information DB 81 includes incidental information such as receipt related information and patient information, and imaging. It may be configured to function as corresponding image information storage means for storing image information in association with each other.

The medical record management server 8 searches the electronic medical record information DB 81 in response to a request from the control device 3 and the receiving device 5, reads the electronic medical record information in response to the request, and sends the electronic medical record information to the controlling device 3 or the receiving device 5. Send. The transmitted electronic medical chart information can be displayed on the display unit 35 of the control device 3 or the display unit 55 of the receptacle 5.
FIG. 9 shows an example of an electronic medical record screen displayed on the display unit 35 of the control device 3 or the display unit 55 of the receptacle 5. For example, in the electronic medical record information, information relating to imaging, information relating to medication, information relating to examinations, and the like are associated with patient information (patient name). By pasting on a predetermined item field of the information input screen 55b, it is possible to input the receipt related information about the patient into the receptacle 5.

  The information stored in the receipt DB 6 and the electronic medical record information DB 81 can be additionally input through the electronic medical record screen or the receipt related information input screen of the receptacle 5 or the control device 3 thereafter. As a result, when information such as the results of examinations entrusted to the outside is additionally input at a later date, these pieces of information are also associated with information about the patient as part of the receipt related information.

  Since other configurations are the same as those shown in the first embodiment, the same portions are denoted by the same reference numerals and description thereof is omitted.

  Next, the operation of the diagnostic system in this embodiment will be described.

  First, a reception number is given to a patient who visits at the reception 11, and a reception number tag is issued. The contact person listens to the patient's name, and inputs the reception number as the search ID and the patient name as the patient information from the input unit via the reception input screen (not shown) of the receptacle 5. When the receipt number and patient name are entered, a new record is added to the receipt DB 6 and the receipt number and patient information are written.

  When photographing a patient, the image generation apparatus 2 captures the patient after inputting the receipt number (search ID) given to the patient from the input operation unit of the image generation apparatus 2. Image data of the image is generated.

  When shooting is completed, the generated shot image data is sent to the control device 3 via the network 7 with the input search ID and UID attached thereto.

  When image data of a photographed image is sent from the image generation device 2 to the control device 3, the CPU 31 performs predetermined image processing and then temporarily stores the photographed image in the storage unit 33 together with various types of information attached to the image data. Let

  When the doctor examines the patient after imaging or examination, the doctor operates the input unit 34 of the control device 3 to display an image search screen (not shown) on the display unit 35, and the patient's receipt number (search ID) And the patient's receipt number is input from the input unit 34. When the reception number that is the search ID is input, the CPU 31 extracts the image corresponding to the patient from the storage unit 33 by using the reception number as a search key, and the extracted captured image is the image confirmation screen 35b ( (See FIG. 4). The doctor listens to the patient's name and inputs the patient name as patient information from the patient information input field 356. When patient information related to the patient is input from the input unit 34 via the patient information input field 356, the input patient information is written as supplementary information of the image data of the displayed captured image.

  When the doctor confirms the image data of the photographed image on the image confirmation screen 35b and confirms it as a photographed image for diagnosis, the image data of the confirmed photographed image is stored in the image DB 41 together with the accompanying information.

  In addition, the doctor inputs a search instruction from the input unit 34 as to whether or not there is an image taken when visiting in the past as necessary for making a diagnosis. When a search instruction is input, the CPU 31 searches the image DB 41 for image data with the same patient name (patient information), and if there is image data, and if there is image data, The image data is displayed on the display unit 35.

  At this time, the image data read from the image DB 41 is accompanied with patient information and the receipt related information input by the receptacle 5, and when the captured image is displayed on the display unit 35, the captured image of the captured image is displayed. The date taken at a predetermined position, the type of the image generation device 2 used, the imaging region, the imaging direction, and the like are superimposed and displayed.

  After confirming the photographed image, the doctor makes a diagnosis while viewing the photographed image photographed on that day and the past photographed image read from the image DB 41. Then, the patient's electronic medical record is read from the electronic medical record information DB 81 via the medical record management server 8 using the patient information (patient name) as a key, and the electronic medical record screen (see FIG. 9) is displayed on the display unit 35, thereby relating to the patient. Findings (names of diagnosed wounds, etc.), medication information indicating the drug prescribed to the patient, information on imaging and examination performed on the patient (type of imaging device, number of images taken, presence / absence of contrast medium use, The imaging part, imaging direction, examination type, examination ID, etc.) are input from the input unit 34 via the electronic medical record screen. Thereafter, when the doctor presses a diagnosis end button or the like (not shown), the patient information such as the patient name such as the imaging information and examination related information input from the input unit 34 and the image of the captured image captured on the day are displayed. The data is sent to and stored in the image DB 41 and the electronic medical record DB 81 of the server 4 in a state of being associated with each other.

  Information input from the electronic medical record screen can be searched and extracted by the medical record management server 8 using patient information as a key. The person in charge of the window displays an input screen of inspection information etc. on the display unit 55 of the receptacle 5 and also inputs an instruction signal to transmit desired electronic chart information to the receptacle 5 from the input unit 54 of the receptacle 5, and the desired electronic chart Information is displayed on the display unit 55. Then, necessary information is copied from the screen of the electronic medical record information, and pasted to a predetermined item field on the examination information input screen, thereby inputting the receipt related information for insurance score claim processing. The CPU 51 of the receptacle 5 captures image data of the captured image, such as the number of images captured for the patient, the type of imaging such as simple X-ray imaging or contrast agent imaging, and the type of the image generation device 2 that has performed imaging. Accounting related information related to the calculation of insurance points, etc. is calculated based on the information attached to. The input receipt-related information, the calculated insurance score, and the like are written and stored in the reception DB 6 in association with the patient name as patient information.

  In addition, when there is image data to which no receipt-related information is attached among the captured images input to the receptacle 5, an instruction signal for instructing the association with the receipt-related information is input to the control device 3 by the doctor or the like. Input from the unit 34. Thereby, CPU31 of the control apparatus 3 transmits an instruction | indication signal with respect to the receptacle 5 so that the receipt relevant information matched with the same patient information as the patient information matched with the said picked-up image may be extracted. The CPU 51 of the receptacle 5 searches the receipt DB 6 and extracts the instructed receipt related information. The extracted receipt related information is transmitted to the control device 3 via the network 7, and the control device 3 temporarily stores the receipt related information in the storage unit 33. The doctor selects and determines the receipt related information corresponding to the photographed image information based on the patient information and the reception date. Thereafter, the CPU 31 associates the selected receipt related information with the captured image information. When the receipt related information and the patient information are associated with the image data of the captured image, the CPU 31 writes and stores the associated information in the image DB 41. When the receipt-related information and the patient information are associated with the image data of the captured image, these information may be sent to the medical chart management server 8 and stored in the electronic medical record information DB 81.

  Further, information added later, such as a result of an inspection entrusted to the outside, is additionally input via the electronic medical record screen or the receipt related information input screen of the receptacle 5 or the control device 3. After the additional input, these pieces of information are also associated with information about the patient as part of the receipt related information.

  As described above, after the receipt-related information and the patient information are stored in a state of being associated with the image data of the captured image, when the doctor wants to refer to the visit history of the patient, the patient name is input from the input unit 34 of the control device 3. If it inputs, the visit history of the same patient can be displayed on the display part 35 as a list display. In addition, after the receipt-related information and the patient information are stored in a state of being associated with the image data of the captured image, incidental information such as the receipt-related information is displayed when the captured image is displayed on the display unit 35. It is possible to display in a state of being superimposed at a predetermined position.

  As described above, according to the diagnostic system according to the present embodiment, by inputting the receipt related information from the receptacle 5 using the electronic medical record information, it is possible to efficiently identify the patient without duplication of the input operation. Based on the information, the image data of the captured image and the receipt related information can be associated with each other, and can be stored in an associated state. Therefore, it is possible to make a diagnosis by comparing the current and past images of patients who have visited in the past without having to input and generate order information in advance before imaging or examination, or search for past visit history. It becomes easy to do.

  In the present embodiment, the case where an electronic medical record system capable of transmitting and receiving information to and from the receptacle 5 has been described. However, for example, the receptacle 5 and the electronic medical record system mutually communicate information due to differences in system specifications. Even if there is no compatibility, information digitized by the electronic medical record system can be effectively used as receipt related information and the like by operating as follows.

  That is, in such a case, a data extraction program for extracting predetermined data is stored in the storage unit or the like of the medical record management server in the electronic medical record system, and the predetermined data extracted and transmitted to the storage unit or the like of the receptacle is stored in a predetermined manner. Stores the data allocation program to be allocated to the item column. Thus, when an instruction to extract information on a predetermined patient is input from the receipt computer, the CPU of the medical record management server extracts predetermined data from the electronic medical record information DB in cooperation with the data extraction program. Send to. The CPU of the receipt computer, in cooperation with the data assignment program, assigns predetermined items from the data sent from the medical record management server to the corresponding item fields on the receipt related information input screen, and the receipt computer 5 and the electronic medical record system cooperate with each other. Operation is almost the same as when

  In addition, the present invention is not limited to the above-described embodiment, but can be changed as appropriate as in the first embodiment.

It is a figure showing the system configuration of a 1st embodiment of the diagnostic system 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 diagnostic system shown in FIG. It is a principal part block diagram which shows schematic structure of the control apparatus applied to the diagnostic system shown in FIG. It is a figure which shows an example of the image confirmation screen in the diagnostic system shown in FIG. It is a principal part block diagram which shows schematic structure of the receptacle which is applied to the diagnostic system shown in FIG. It is a figure which shows an example of the receipt input screen of a receptacle in the diagnostic system shown in FIG. It is a figure which shows an example of the receipt related information input screen of a receptacle in the diagnostic system shown in FIG. It is a figure which shows the system configuration | structure of 2nd Embodiment of the diagnostic system which concerns on this invention. It is a figure which shows the example of a display of the electronic medical chart applied in 2nd Embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Diagnosis system 2 Image generation apparatus 2a Ultrasound diagnostic apparatus 2b Endoscope apparatus 2c CR apparatus 3 Control apparatus 4 Server 5 Reckon 6 Receipt DB
7 Network 8 Medical Record Management Server 5 Reception Device 21 Conversion Device 31 CPU
32 RAM
33 Storage Unit 34 Input Unit 35 Display Unit 35 Image Confirmation Screen 36 Communication Unit 41 Image DB
81 Electronic medical record information DB

Claims (5)

Based on image data obtained by imaging a patient, image generation means for generating captured image information of the patient;
Patient information input means for inputting patient information relating to the patient;
A control device that associates the captured image information generated by the image generation means with the patient information corresponding to the captured image information;
Receipt information input means for inputting receipt related information relating to accounting or receipt corresponding to a patient photographed by the image generation means including at least examination related information relating to the patient;
Receipt information storage means for storing the receipt related information generated by the receipt information input means together with the patient information of the patient corresponding to the receipt related information;
Receipt information extraction means for extracting desired receipt related information based on the patient information from the receipt related information stored in the receipt information storage means;
Information association means for associating the receipt related information extracted by the receipt information extraction means with the captured image information associated with the same patient information as the receipt related information;
Correspondence information storage means for storing the receipt related information and the captured image information associated with the information association means together with the patient information;
A diagnostic system comprising: Image generating means for generating a captured image of the patient based on image data obtained by imaging the patient;
Patient information input means for inputting patient information relating to the patient;
Means for automatically associating and storing the captured image information and the patient information corresponding to the captured image information;
Receipt information input means for inputting receipt related information relating to accounting or receipt corresponding to a patient photographed by the image generation means including at least examination related information relating to the patient;
Receipt information storage means for storing the receipt related information generated by the receipt information input means together with the patient information of the patient corresponding to the receipt related information;
Receipt information extraction means for extracting desired receipt related information based on the patient information from the receipt related information stored in the receipt information storage means;
Information association means for associating the receipt related information extracted by the receipt information extraction means with the captured image information associated with the same patient information as the receipt related information;
Correspondence information storage means for storing the receipt related information and the captured image information associated with the information association means together with the patient information;
A diagnostic system comprising:   The diagnosis system according to claim 1, wherein the receipt-related information includes date information.   The diagnostic system according to any one of claims 1 to 3, further comprising a display unit that superimposes and displays the receipt related information on an output image based on the captured image information.   The diagnostic system according to any one of claims 1 to 4, wherein the receipt information extraction unit is capable of extracting the examination related information.

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