JP2007259920A - Small-scale diagnostic system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a diagnostic system which makes a work flow in a facility efficient in small-scale facilities. <P>SOLUTION: According to the small-scale diagnostic system 1, when a patient who visits a doctor's office is registered at a receipt computer 5 at a reception desk, a patient information list of patients who visit the doctor's office on the day is created, and a screen of a patient list is displayed on a display part 221 of a reading device 202. When the patient's information of the patient subjected to imaging is specified from the screen of the patient list of the reading device 202, and a cassette is mounted, a bar code labeled on the cassette is read out, and cassette information (plate type information and cassette size information) expressed by the bar code is acquired. Then, the acquired information with a cassette mounting notification and the specified patient's information is transmitted to the receipt computer 5. In the receipt computer 5, receipt-related information of the specified patient is created based on the information received from the reading device 202. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

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

  Conventionally, an image of a patient to be examined is imaged by a technician using an image generation device such as a CR (Computed Radiography) device or an FPD (Flat Panel Detector) device, and the obtained image is provided for diagnosis. There is known a diagnostic system that performs image processing such as gradation processing so that it can be performed, outputs an image-processed image, and provides it for interpretation by a doctor.

  Such a diagnostic system was able to receive the patient who came to the hospital and issue a test order (acceptance), actually take the patient in the radiographing room and generate image data (engineer), gradation, etc. Responsible for determining the availability of image diagnosis, and in some cases, responsible for correcting contrast and density (such as an engineer appointed from a general engineer), and interpreting in charge of determining (diagnosing) the presence or absence of disease based on images ( A plurality of persons in charge, such as doctors, share roles and diagnoses are advanced.

  In a large-scale facility where application of a conventional diagnostic system is assumed, there are a plurality of image generation apparatuses and engineers who operate the image generation apparatus, and a console or a doctor operating the image generation apparatus receives image data. Viewers and the like to be confirmed are also provided separately with respective roles. For this reason, there is a possibility that the patient and the image data are mistaken. Therefore, in order to prevent this, a system has been proposed in which each device is linked through a network, an ID is issued in each device, and the results of work processes performed in each device are associated with each other (for example, patents). Reference 1).

  In such a system, the locations in charge of each of the above roles are often located in large hospitals such as the reception floor 1F and the radiology department underground, and multiple patients within the radiology department. The situation where a plurality of engineers use a plurality of imaging devices to perform imaging simultaneously is stationary, and a plurality of patients are constantly staying in each process, and the generated images and individual patients are In order to ensure that there is no mistake in the mapping, an ID is assigned to each work in each process, via a network of HIS (Hospital Information System) or RIS (Radiology Information System) The association is performed (see, for example, Patent Document 2 and Patent Document 3).

  For example, at the 1F reception desk, the examination content (imaging content) is determined based on the patient's main complaint and is registered together with the patient name. As a result, a patient list as shown in FIG. The above patient list is added at any time and displayed on the 1F reception workstation (hereinafter referred to as “WS”). At the same time, the above patient list is stored in the radiology department of B1 via a network such as RIS / HIS (here, “console” is in the radiology department, setting of radiographing conditions and RIS / HIS radiographing order). This is a workstation that displays information and images of patients. In order to increase the efficiency of distributed processing, a plurality of consoles are usually provided, but these are also connected to each other via a network, and a predetermined inspection ID is selected by any console. In order to prevent duplicate shooting among multiple technicians, a method to notify the patient list that processing is in progress (change flashing display or color, or beep warning if the same examination is specified, etc.) Is used.

  A radiology engineer uses a console close to him / her, selects an examination ID to be taken from the displayed patient list, and registers an ID (cassette ID) of a CR plate (cassette) to be used. Thereby, as shown in FIG. 12B, the cassette ID registered in the “cassette ID” field of the patient list is displayed. An engineer, for example, takes three cassettes and moves to the imaging room to take an image of the patient. Thereafter, the photographed cassette is read by a reader. The reading device reads the cassette ID attached to the inserted cassette, attaches it to the image data and transmits the cassette ID, and finally the correspondence between the examination ID (patient ID) and the generated image data is attached. . The generated image data is transmitted to the console where the engineer has selected the examination ID, and displayed on the console. At this stage, the imaging positioning is confirmed. If the positioning is poor, the imaging is performed again, and it is also determined whether or not to apply density and contrast correction and frequency enhancement processing. Thereafter, the image is stored in a server waiting for interpretation (waiting for diagnosis). The image interpretation doctor extracts and displays an image related to a predetermined patient from an image stored in the image interpretation waiting workstation (often equipped with a high-definition monitor for the viewer function) and the image interpretation waiting server. Diagnosis).

In a system used in such a large-scale facility, for example, information on the insurance score calculation, such as whether the imaging performed on the patient is simple imaging or contrast imaging, the patient examination ID By registering the patient ID and the cassette ID and associating the patient with the captured image, all the information can be linked together and managed in a RIS / HIS server or the like.
US Pat. No. 5,334,851 JP 2002-159476 A JP 2002-311524 A

  However, according to a survey by the inventors of the present application, in the case of a relatively small facility such as a practitioner or clinic, the number of installed image generation devices is small, the assistant positions the patient, and the assistant completes the positioning. In many cases, the doctor himself / herself contacts the doctor to control the X-ray exposure switch, or the doctor himself performs all operations including patient positioning.

  Also, for example, in the case of a large-scale facility, it is assumed that the patient has to travel between multiple floors in the facility after taking a picture until receiving a doctor's diagnosis. In some cases, since the facilities are small, the distance traveled by the patient after taking a picture until receiving a doctor's diagnosis is short.

  Under such circumstances, it is difficult to confuse the captured image with the patient, and using a system similar to a large-scale facility requires the creation of test order information that begins with the input of the patient name, etc. On the contrary, the procedure becomes complicated and the medical efficiency is poor.

  In addition, in order to generate test order information such as patient information and test information of a patient in advance and associate the test order information with a captured image, each device is connected to a network corresponding to a core system such as HIS / RIS. A system that connects is necessary, but it is expensive to construct such a system, and there is a problem that it becomes a burden for a small-scale facility. Further, even if the number of devices is reduced while maintaining the above-described configuration concept in a large-scale facility, it is not optimal for a small-scale facility.

  On the other hand, even in small-scale facilities such as practitioners and clinics, the number of shots taken for patients, the size of the shots, whether they are mammography shots, etc. for accounting processing and insurance point calculation, etc. It is necessary to enter this information into the reception computer. These input operations are burdensome in small-scale facilities with a small number of workers. Also, when inputting necessary information for accounting processing, etc. while looking at the chart after the examination, the more input man-hours, the more accounting processing Etc. cause a delay in the workflow in the facility.

  Therefore, the present invention has been made to solve the above problems, and an object of the present invention is to provide a diagnostic system that can improve the workflow in a facility in a small-scale facility.

In order to solve the above-mentioned problem, the invention described in claim 1
An acceptance registration means for accepting and registering patient information of a patient who has visited,
List generation means for generating a list of patient information received and registered by the reception registration means;
A receipt means for generating receipt-related information related to the accounting and receipt of the patient who is registered for reception;
A radiation image of the examination target region of the patient recorded on the stimulable phosphor plate from a cassette having a built-in photostimulable phosphor plate and used for radiography of the examination target region of the registered patient A radiation image reading device that reads information and generates image data;
Is a small-scale diagnostic system connected,
The radiological image reader is
Detection means for detecting attachment of the cassette to the radiation image reading device;
Display means for displaying a list of patient information generated by the list generation means;
Patient designation means for accepting designation of patient information of a patient to be radiographed from patient information included in the list displayed on the display means;
When the patient information of the patient to be radiographed by the patient designating means is designated, and the attachment of the cassette is detected by the detecting means, the patient information designated by the patient designating means and the cassette wearing information are received in the receipt. A notification means for notifying the means;
With
The reception means generates receipt related information related to the patient corresponding to the notified patient information based on the patient information and cassette mounting information notified from the radiographic image reading apparatus.

The invention according to claim 2 is the invention according to claim 1,
The cassette is affixed with cassette information about the cassette,
The radiographic image reading apparatus includes a cassette information acquiring unit that acquires cassette information of a cassette mounted on the radiographic image reading apparatus,
The notifying means notifies the receipt means of the cassette information acquired by the cassette information acquiring means together with the patient information and the cassette mounting information.

The invention according to claim 3 is the invention according to claim 2,
The cassette information is cassette size information.

The invention according to claim 4 is the invention according to claim 2,
The cassette information is characterized by the type information of the photostimulable phosphor plate built in the cassette.

  According to the first aspect of the present invention, when the cassette is mounted in the radiographic image reading apparatus, the patient information and the cassette mounting information to be imaged are notified to the reception means, and the reception related information is automatically notified. An operator such as a counter operator can save time and effort to input the number of shots while looking at a paper chart, reduce the work man-hours in the medical facility, and perform processing after generating receipt-related information, for example, accounting calculation, insurance It becomes possible to speed up the execution of processing such as point calculation, and the workflow in the facility can be made more efficient.

  According to the second, third, and fourth aspects of the present invention, when the cassette is mounted in the radiation image reading apparatus, the cassette information is notified to the receiving means together with the patient information and the cassette mounting information to be imaged, and automatically. Since the receipt-related information is notified, the operator in charge of the counter can save the trouble of inputting the number of photographs and cassette information (for example, cassette size, photostimulable phosphor plate type information, etc.) while looking at the paper chart. , Work man-hours in medical facilities are reduced, and processing performed after receipt-related information is generated, for example, accounting calculation, insurance point calculation, etc., can be accelerated, and the workflow in the facility is made more efficient It becomes possible.

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

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

  The small-scale diagnosis system 1 is a system applied to a relatively small-scale medical facility such as a practitioner or a clinic. As shown in FIG. 1, an ultrasonic diagnostic apparatus 2a that is an image generation apparatus 2, an endoscope apparatus 2b, a CR device 2c, a control device 3, a server 4, and a reception computer (hereinafter referred to as a “recesecon”) 5. Each device is connected to a local area network (LAN) via a switching hub (not shown), for example. Connected to a communication network (hereinafter simply referred to as “network”) 6 such as an area network.

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

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

  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, an image for storing image data of the photographed image and a control device 3 for a doctor to display a photographed image of the patient and perform image diagnosis. A server 4 having a DB (Data Base) 40 is arranged. In the examination room 13, an ultrasonic diagnostic apparatus 2a which is less necessary in a space isolated from the viewpoint of privacy and the like is also installed.

  Further, an X-ray imaging room 15 for performing X-ray imaging is provided on the opposite side of the examination room 13 across the corridor 14. In the X-ray imaging room 15, a CR apparatus 2c including an imaging apparatus 201 and a reading apparatus 202 is disposed. Further, an examination room 16 is provided next to the X-ray imaging room 15, and an endoscope apparatus 2 b is disposed in the examination room 16.

Hereinafter, the small-scale diagnosis system 1 will be described in detail.
First, the configuration of each device will be described.
For example, the image generation apparatus 2 performs imaging using an examination target region of a patient, such as an ultrasonic diagnostic apparatus 2a, an endoscope apparatus 2b, or a CR apparatus 2c, and digitally converts the captured image to generate an image of the captured image. A modality that generates data.

  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 20 that is a conversion means (converter) that performs conversion from an analog signal to a digital signal. The ultrasonic diagnostic apparatus 2 a is connected to the network 6 via the conversion device 20. It is connected to the. Thus, even if data in a format that does not conform to the standards (for example, communication protocol) of other external devices connected to the network 6 is output from the ultrasonic diagnostic apparatus 2a, the conversion is performed as appropriate. Thus, data can be transmitted / received to / from an external device connected to the network 6.

The endoscope apparatus 2b is a tube in which a small imaging device is provided at the distal end portion of a flexible tube (both not shown), and the imaging device is an objective optical system configured by, for example, an optical lens or the like. 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 is, for example, a CCD (Charge Coupled Device), a CMOS (Complementary Metal-Oxide)
A solid-state imaging device such as a semiconductor) is provided, and when light is incident, photoelectric conversion is performed into an electrical signal having an amount 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 CR device 2c uses a photostimulable phosphor to radiograph the subject, stores the radiation energy transmitted through the subject in the photostimulable phosphor, and reads the image accumulated in the photostimulable phosphor. An apparatus for generating image data of an image. In the CR device 2c, the reading device (radiation image reading device) has a radiation source and a built-in photostimulable phosphor, and includes a type that performs imaging to reading with a single unit and a photostimulable phosphor plate. There is a type using a portable cassette. In the present embodiment, a cassette type CR device will be described as an example, but the present invention is not limited to this.

  The CR device 2c includes an imaging device 201 having a radiation source and a reading device 202 that reads an image from a photostimulable phosphor plate built in a cassette used for radiation imaging in the imaging device 201 and generates captured image data. It is configured (see FIG. 2). Note that a barcode representing the cassette information is affixed to the cassette. The cassette information is information indicating the attribute of the cassette. Specifically, the cassette size information indicating the size of the cassette, and information indicating the type of the stimulable phosphor plate incorporated in the cassette (plate type) Information). The plate type information is information indicating whether the plate is used for mammography imaging to be added to the insurance score or is a plate for imaging other parts.

  FIG. 3 is a block diagram illustrating a functional configuration of the reading device 202. As shown in FIG. 3, the reading device 202 includes a CPU 21, an operation display unit 22, a communication unit 23, a RAM 24, a storage unit 25, an image generation unit 26, a barcode reader 27, a mounting detection sensor 28, and the like. Connected by.

  The CPU 21 reads the control program stored in the storage unit 25, develops it in a work area formed in the RAM 24, and controls each unit of the reading device 202 according to the control program. Further, the CPU 21 reads various processing programs stored in the storage unit 25 in accordance with the control program, develops them in the work area, and starts the processing on the reading device 202 side shown in FIG. 7 in cooperation with the read programs. Various processes are executed to realize a notification means.

  The operation display unit 22 includes a display unit 221 and a touch panel 222. The display unit 221 includes a display screen made up of an LCD (Liquid Crystal Display) or the like, and displays a patient list or the like on the display screen in accordance with an instruction of a display signal input from the CPU 21.

  The touch panel 222 is installed so as to cover the upper surface of the display unit 221, detects a desired input position pressed by an operation using a user's finger or the like, and outputs a detection signal to the CPU 21.

  The communication unit 23 is configured by a network interface or the like, and transmits / receives data to / from an external device connected to the network 6.

  The RAM 24 forms a work area for temporarily storing various programs, input or output data, parameters, and the like that can be executed by the CPU 21 read from the storage unit 25 in various processes that are executed and controlled by the CPU 21.

  The storage unit 25 is configured by a non-volatile semiconductor memory or the like, and stores a control program executed by the CPU 21, various programs, various data, and the like.

  The image generation unit 26 is configured to be capable of mounting a cassette that has been used for radiography. The image generating unit 26 takes out the photostimulable phosphor plate from the mounted cassette, scans it with excitation light, and stores / stores it in the photostimulable phosphor plate. The stored radiation image information is stimulated to emit light, and image data is generated based on an image signal obtained by photoelectrically reading the stimulated emission light.

  The barcode reader 27 reads the barcode displayed on the cassette and outputs it to the CPU 21.

  The attachment detection sensor 28 detects whether or not the cassette is attached to the image generation unit 26 and outputs a detection signal to the CPU 21.

The control device 3 is installed in, for example, the examination room 13, and associates the image data transmitted from the image generation device 2 with patient information, or allows a doctor to display an image or the like to perform interpretation diagnosis. The workstation may be provided with a monitor with a higher definition than a monitor (display unit) used in a general PC (Personal Computer).

  FIG. 4 is a block diagram showing a functional configuration of the control device 3. As shown in FIG. 4, the control device 3 includes a CPU 31, a RAM 32, a storage unit 33, an input unit 34, a display unit 35, a communication unit 36, and the like, and each unit is connected by a bus 37.

  The CPU 31 reads out various programs such as system programs and processing programs stored in the storage unit 33 and expands them in the RAM 32. According to the expanded programs, the CPU 31 performs various processes including the control device 3 side processing shown in FIG. Execute.

  The RAM 32 forms a work area for temporarily storing various programs, input or output data, parameters, and the like that can be executed by the CPU 31 read from the storage unit 33 in various processes that are executed and controlled by the CPU 31. For example, the RAM 32 forms a patient information area that temporarily stores patient information received from the reading device 202.

  The storage unit 33 includes an HDD (Hard Disc), a semiconductor nonvolatile memory, or the like. The storage unit 33 stores a system program executed by the CPU 31 and various programs, and identifies an imaging part as disclosed in the specifications of JP-A-H11-85950 and JP-A-2001-76141. Region identification 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 (tone processing) for performing image processing according to the identified imaged region A look-up table that defines tone curves used for the above, a degree of emphasis of frequency processing, etc.) are stored.

  The storage unit 33 includes a temporary storage unit 331 that temporarily stores the image data transmitted from the image generation apparatus 2.

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

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

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

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

  The receipt computer 5 is a computer device for performing reception registration, accounting calculation, insurance score calculation, and the like of a patient who has visited the hospital.

  FIG. 5 is a block diagram showing a functional configuration of the receptacle 5. As shown in FIG. 5, the receptacle 5 includes a CPU 51, a RAM 52, a storage unit 53, an input unit 54, a display unit 55, a communication unit 56, a receipt DB 57, and the like, and each unit is connected via a bus 58. .

The CPU 51 reads out various programs such as system programs and processing programs stored in the storage unit 53, expands them in the RAM 52, and executes various processes including the processing on the side of the receptacle 5 shown in FIG. 7 according to the expanded programs. In addition, a reception registration unit, a list generation unit, and a reception unit are realized.
To do.

  The storage unit 53 is configured by an HDD (Hard Disc), a semiconductor nonvolatile memory, or the like, and stores a system program executed by the CPU 51, various processing programs, various data, and the like.

  The input unit 54 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and includes a key pressing signal pressed by the keyboard and an operation signal by the mouse. To the CPU 51 as an input signal.

  The display unit 55 is configured to include a monitor such as a CRT or LCD, for example, and displays various screens in accordance with display signal instructions input from the CPU 51.

  The communication unit 56 is configured by a network interface or the like, and transmits / receives data to / from an external device connected to the network 6 via a switching hub.

  The receipt DB 57 is a database that stores receipt-related information related to a patient who visits in association with patient information. FIG. 6 shows an example of data storage in the receipt DB 57. The receipt DB 57 is a database for storing the receipt related information of each patient who visits. As shown in FIG. 6, the “reception date” item for storing the reception date of the patient, and the “reception” for storing the reception number given to the patient. “Number” item, “patient information” item for storing patient information (here, patient name), “number of images” item for storing the number of images taken by the patient on the reception date, and contrast agent Stores the “contrast number” item for storing the number of shots, the “modality” item for storing the type of the image generation apparatus 2 that has performed the image capture, the “part” item for storing the captured region information, and the plate type information used for the image capture. "Plate type" item, "Cassette size" item for storing cassette size information used for imaging, and "Medication" item for storing information on medicines prescribed to patients on the reception date “Wound and sickness name” item for storing the name of the sickness diagnosed by the doctor on the reception date, “Comment” item for storing a comment input from the control device 3 to be described later, “Insurance score” item for storing the calculated insurance score, etc. have.

Next, the operation of the small-scale diagnosis system 1 will be described.
FIG. 7 is a flowchart showing the flow of processing executed in the small-scale diagnosis system 1 from the time when one patient visits the hospital to the time of exit. Hereinafter, referring to FIG. 7, the flow of a series of processes in the small-scale diagnosis system 1 from the time when one patient visits the hospital to the time of exit, together with the workflow of the staff in the facility (doctor, radiographer, and contact person) I will explain.

First, at the reception 11, a reception number is given to the patient who comes to the hospital by the counter in charge, and the patient's name is heard. Next, the input unit 54 of the receptacle 5 is operated to display a reception input screen 551 (see FIG. 8). The input unit 54 inputs patient information such as a reception number and a patient name.
In the receipt computer 5, when an instruction to display the reception input screen 551 is input from the input unit 54, the reception input screen 551 for inputting the reception number and patient information is displayed on the display unit 55. When patient information such as a reception number and patient name is input by the input unit 54 via 551 (step S1), a new record is added to the receipt DB 57, and the current date is input to the “reception date” item. The reception number is written in the “reception number” item, and the inputted patient information is written in the “patient information” item, and is received and registered (step S2). FIG. 8 shows an example of the reception input screen 551.

  In the receipt computer 5, when registration is performed, patient list information of the registered patient is created (or updated) (step S3). The patient list information is created, for example, when the first patient is accepted and registered, stored in a predetermined area of the RAM 52, and updated with new patient list information every time the next patient is accepted and registered. In the patient list information, for example, the current date from the receipt DB 57 is stored in the “reception date” item, and no data is stored in items other than “reception date”, “reception number”, and “patient information”. Records are extracted and created based on the extracted records. The patient list information includes at least patient information such as a reception number indicating a reception order and a patient name. The created or updated patient list information is transmitted to the reading device 202 by the communication unit 56 (step S4). When the reading device 202 receives patient list information via the communication unit 23, a patient list screen 223 is displayed on the display unit 221 based on the received patient list information (step S5).

  The patient to whom the reception number is assigned waits in the waiting room 12 and then moves to the examination room 13. In the examination room 13, the patient is inquired by a doctor, and imaging (type of image generation device 2, imaging region, imaging direction, number of images, etc.) to be performed on the patient is determined. The patient moves in front of the image generating apparatus 2 (the ultrasonic diagnostic apparatus 2a, the endoscope apparatus 2b, or the CR apparatus 2c) that performs imaging under the instruction of the imaging operator who performs imaging such as a doctor or a radiographer. To do.

The imaging practitioner moves the patient in front of the image generating apparatus 2 that performs imaging, then goes to the reading apparatus 202 and designates patient information to be imaged from the patient list screen 223 displayed on the display unit 221. Do.
Specify.

  9A and 9B show examples of the patient list screen 223. FIG. The patient list screen 223 functions as patient specifying means for displaying patient information of patients as a list and receiving specification of patient information of patients to be imaged from the patient list.

  FIG. 9A is a patient list screen in which the reception number and patient information for each patient are displayed from the top information of the patient list information. In the patient list screen 223, when the patient list information is received, the first information is displayed first, and when the “Skip” button is touched, the next information in the patient list information is displayed. When the screen is touched in a state where the patient information of the patient to be imaged is displayed, the displayed patient information is designated as patient information of the patient to be imaged. The patient list screen 223 shown in FIG. 9A can be displayed in an easy-to-read manner when the screen of the display unit 221 is small.

  FIG. 9B is a patient list screen in which patient list information is displayed as a list. When the patient information of the patient to be imaged is touched and selected, and the “select” button is touched, the selected patient information is designated as the patient information of the patient to be imaged. The patient list screen 223 shown in FIG. 9B can display the patient list in an easy-to-see manner when the screen of the display unit 221 is large. In addition, since the display area of each patient information becomes small when the screen of the display part 221 is small, it becomes difficult to select patient information by a touch panel. Therefore, instead of the touch panel 222, when a numeric keypad or the like is provided separately and a search ID (here, a reception number) corresponding to patient information designated as an imaging target with reference to the patient list is input via the numeric keypad. The patient information corresponding to the input search ID may be designated as patient information to be imaged.

  9A and 9B, a list screen of the patients who have been registered and have not yet exited, that is, the patients staying in the facility, is displayed on the reader 202 in the X-ray imaging room 15. By doing so, the radiographer can easily check and grasp the updated status of the patient staying in the facility, and can improve the medical efficiency.

  In the reading device 202, when patient information is designated from the patient list screen 223 by the touch panel 222 (step S6), the designated patient information is transmitted to the control device 3 via the communication unit 23 (step S7). In the control device 3, when the patient information is received from the reading device 202, the received patient information is stored (overwritten) in the patient information area of the RAM 32 (step S8).

  When the designation of the patient information is completed, the imaging operator moves to the image generating apparatus 2 that performs imaging, images the patient's examination target region as a subject, and generates image data of the captured image. When the image generation apparatus 2 that performs imaging is the CR apparatus 2 c, the imaging apparatus 201 performs imaging, and the imaged cassette is mounted on the reading apparatus 202. In the reading device 202, when the mounting of the photographed cassette is detected by the mounting detection sensor 28 as the detecting means (step S9; YES), the bar attached to the cassette by the bar code reader 27 as the cassette information acquiring means. The code is read to acquire the cassette information (step S10), and the cassette mounting notification, the patient information currently specified from the patient list screen and the acquired cassette information are transmitted to the receptacle 5 via the communication unit 23 ( Step S11). Next, the image generation unit 26 reads the radiographic image recorded in the attached cassette, generates image data (step S12), and transmits the image data to the control device 3 via the communication unit 23 (step S13). ). In addition, it is preferable to attach to the generated image data the patient information of the patient who is the subject, that is, the patient information specified in step S7 as supplementary information to the control device 3. When a plurality of images of one patient are photographed under a plurality of photographing conditions, steps S9 to S13 are repeatedly executed.

  In the receptacle 5, when the cassette mounting notification, the patient information, and the cassette information are received from the reading device 202 by the communication unit 56, receptacle related information is generated based on the received information (step S14). Specifically, in the reception DB 57, the reception date is today, a record having the received patient information is searched, the “number of imaging” item of the record is incremented by 1, and the “modality” item includes the CR device. Is written, the plate type information included in the cassette information is written in the “plate type” item, and the cassette size information included in the cassette information is written in the “cassette size” item.

  When the image generation apparatus 2 that performs imaging is other than the CR apparatus 2c, that is, when the imaging apparatus 2 is the ultrasonic diagnostic apparatus 2a or the endoscope apparatus 2b, imaging is instructed by the imaging operator from the input unit (step S15). YES), photographing is performed (step S16), and image data obtained by photographing is transmitted to the control device 3 (step S17). When a plurality of images of one patient are captured under a plurality of imaging conditions, all generated image data is transmitted to the control device 3.

  In the control device 3, when image data is received from the reading device 202 or another image generation device 2, the received image data is associated with the patient information stored in the patient information area of the RAM 32 and temporarily stored. It is stored in 331 (step S18). That is, in the control device 3, patient information is designated in the reading device 202, and after the designated patient information is received by the control device 3, until the next patient information is designated from the reading device 202. Image data received from the reading device 202 or another image generating device 2 is stored in association with patient information in a state designated by the reading device 202.

  When the imaging is completed, the patient moves to the examination room 13. By operating the input unit 34 of the control device 3, the doctor displays an image search screen (not shown) on the display unit 35 and inputs patient information of the target patient. In the control device 3, an image search screen is displayed according to the operation of the input unit 34, and patient information input is received via the input unit 34. When an image search screen is displayed and patient information is input from this screen via the input unit 34 (step S19), image data corresponding to the input patient is extracted from the temporary storage unit 331, and the extracted image The data is subjected to image processing such as gradation processing and frequency emphasis processing, and a thumbnail image is generated by reducing the image processed image data, and is displayed on the captured image display screen 351 of the display unit 35 (step S20).

  FIG. 10 shows a display screen example of the captured image display screen 351 displayed on the display unit 35. As shown in FIG. 10, the photographed image display screen 351 has image display fields 351a to 351d for displaying a list of extracted images. When any of the image display fields 351a to 351d is selected by the mouse or the like of the input unit 34, the selected image is displayed alone in the life size. Using this single display image, the doctor can observe the details of the image and make an interpretation diagnosis. In addition, an image processing adjustment field 351e is provided at the upper right of the screen, and the doctor can adjust the density and contrast by operating the image processing adjustment field 351e with a mouse or the like. When the OK button 351h displayed corresponding to each image is pressed, the displayed image can be determined as an image to be stored in the image DB 40. The captured image display screen 351 is provided with a patient information display field 351f for displaying patient information associated with the displayed captured image.

  After image processing adjustment and image confirmation are performed from the captured image display screen 351 via the input unit 34 (step S21), the end button of the captured image display screen 351 is pressed by the input unit 34, thereby making a diagnosis. Is instructed (step S22; YES), the image data corresponding to the patient information of the patient is transmitted to the server 4 via the communication unit 36, and stored in the image DB 40 (step S23). The image data written in the image DB 40 of the server 4 is deleted from the temporary storage unit 331 (step S24).

  When the examination of the patient is completed in the examination room, the patient moves to the reception 11 and performs accounting or the like. The doctor may provide information regarding the patient's findings (diagnosed injury and illness), medication information indicating the medicine prescribed to the patient, information regarding imaging performed on the patient (type of imaging apparatus, number of imaging, imaging, etc. The presence or absence of the agent, the imaging region, the imaging direction, etc.) are recorded on a paper chart. Then, the paper chart is sent to the receptionist 11 in charge.

  The person in charge displays a receipt related information input screen (not shown) in the receipt computer 5, and from the receipt related information input screen, based on the description of the paper chart, the receipt number of the target patient and the receipt related information that has not yet been registered. Input. Here, when shooting is performed with the CR device 2c, the modality type, the number of shots with the CR device 2c, the plate type, and the cassette size information have already been registered, and the person in charge needs to input these information. Because there is no, input work is simplified and accounting can be accelerated.

  In the receptacle 5, the information input from the receipt related information input screen is additionally registered and stored in the corresponding item of the record having the reception number of the target patient in the receipt DB 57 (step S25). Further, based on the received receipt-related information, the accounting information / insurance score calculation process for the patient is performed (step S26). The contact person charges the patient for medical expenses based on the calculated accounting information and performs accounting. The patient leaves after paying.

  In the receipt computer 5, when the accounting information / insurance score calculation processing is completed, it is determined that the patient has left, and the receipt related information is registered from the patient list information stored in the RAM 52 to calculate the accounting information / insurance score. The target patient information is deleted and updated (step S27), and the updated patient list information is transmitted to the reading device 202 via the communication unit 56 (step S28). In the reading device 202, a patient list screen is displayed based on the updated patient list information for the next imaging (step S29).

  As described above, according to the small-scale diagnosis system 1, when a patient who visits the hospital is registered in the receipt computer 5, a patient information list of the patient who visited today is generated, and the patient is displayed on the display unit 221 of the reading device 202. The list screen is displayed. When the patient information of the patient to be imaged is specified from the patient list screen of the reading device 202 and the cassette is attached, the barcode attached to the cassette is read, and the cassette information (plate type information and Cassette size information) is acquired, and the acquired information is transmitted to the receptacle 5 together with the cassette mounting notification and the designated patient information. In the receptacle 5, the receipt related information for the designated patient is generated based on the information received from the reader 202.

  Therefore, the number of shots, plate type information, and cassette size information required as receipt-related information are automatically notified to the receptacle 5 when photographing with the CR device, and the receipt-related information is automatically generated in the receptacle 5. The staff in charge of the counter can save the trouble of inputting these information while looking at the paper chart, input errors can be prevented, man-hours can be reduced, and processing performed after generating receipt-related information, for example, accounting information, insurance score calculation, etc. Can be expedited. As a result, the overall workflow in the facility can be made more efficient.

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

  For example, in the above embodiment, when the receipt and withdrawal of a patient are registered in the receptacle 5, the patient list information is updated, and the updated patient list information is transmitted to the reading device 202, so that The patient list screen of the patients existing in the patient is displayed on the reading device 202. When the patient is accepted and registered, information on the added patient (for example, the receipt number, patient information, etc.) is displayed. When the patient is sent out from the receptacle 5 and is added to the patient list screen of the display unit 221, and the patient is registered for exit, information about the exited patient (for example, the receipt number, patient information, etc.) is received from the receptacle 5. It may be transmitted to the reading device 202 and deleted from the display unit 221 patient list screen. In addition, the reception 11 is provided with a terminal for the patient to input check-in and check-out, and input information (entry / exit information) from this terminal is transmitted to the reading device 202, and the reading device 202 is currently in the facility. The patient list screen of the patients existing in may be displayed.

  In addition, corresponding to each patient information on the reception input screen, a check column and an icon etc. for designating that the patient does not add information to the patient list are displayed. For example, if you have just received a drug, or if it is determined that shooting is not necessary based on the name of the most recent patient's injury or illness, specify that the patient will not be added to the patient list when registering for the patient. The receptacle 5 may generate the patient list by excluding the designated patient information.

  In the above embodiment, the cassette size information and the barcode indicating the plate type information indicating whether or not the mammography is taken are attached to the cassette, and the reading device 202 reads the barcode with the barcode reader. Thus, the cassette size information and the plate type information are acquired, but the reading device 202 analyzes the generated image data, for example, generates a histogram of the image data to obtain the maximum value and the minimum value. Thus, information on whether or not mammography photographing is performed may be acquired.

  Further, in the reading device 202, when the cassette is mounted, the display unit 221 displays, for example, a human body part icon that can select each part of the human body as shown in FIG. (Selected) imaging part information may be acquired, and the acquired imaging part information may be transmitted to the receptacle 5 together with the cassette mounting notification, patient information, and cassette information. As a result, the information on the imaging part of the receptacle related information is also automatically generated, so that it is not necessary for the person in charge to input it, and the workflow in the facility can be made more efficient.

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

It is a figure showing the example of whole composition of small scale diagnostic system 1 concerning the present invention. It is a figure which shows the example of arrangement | positioning in the medical facility of each apparatus at the time of applying the small-scale diagnosis system 1 shown in FIG. It is a principal part block diagram which shows the functional structure of the reader 202 applied to the small-scale diagnosis system 1 shown in FIG. It is a principal part block diagram which shows the functional structure of the control apparatus 3 applied to the small-scale diagnosis system 1 shown in FIG. It is a principal part block diagram which shows the functional structure of the receptacle 5 applied to the small-scale diagnosis system 1 shown in FIG. It is a figure which shows the example of data storage of the receipt DB57 shown in FIG. It is a flowchart which shows the flow of the process performed in the small-scale diagnosis system 1 after one patient visits and leaves. It is a figure which shows an example of the reception input screen 551 displayed on the display part 55 of FIG. It is a figure which shows an example of the patient list screen 223 displayed on the display part 221 of FIG. FIG. 5 is a diagram illustrating an example of a captured image display screen 351 displayed on the display unit 35 of FIG. 4. It is a figure which shows an example of the human body part icon displayed on the display part 221 of FIG. (A) is a figure which shows an example of the list registered in the reception desk in the conventional diagnostic system, (b) is an example which the radiology engineer registered in the list shown in (a) in the conventional diagnostic system. FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Small-scale diagnostic system 2 Image generation apparatus 2a Ultrasonic diagnostic apparatus 20 Conversion apparatus 2b Endoscope apparatus 2c CR apparatus 201 Imaging apparatus 202 Reading apparatus 21 CPU
22 Operation display unit 221 Display unit 222 Touch panel 223 Patient list screen 23 Communication unit 24 RAM
25 Storage Unit 26 Image Generation Unit 27 Barcode Reader 28 Wearing Detection Sensor 29 Bus 3 Control Device 31 CPU
32 RAM
33 Storage Unit 331 Temporary Storage Unit 34 Input Unit 35 Display Unit 351 Captured Image Display Screen 36 Communication Unit 37 Bus
4 Server 40 Image DB
5 Reckon 51 CPU
52 RAM
53 Storage Unit 54 Input Unit 55 Display Unit 551 Acceptance Input Screen 56 Communication Unit 57 Receipt DB
58 bus 6 network

Claims (4)

An acceptance registration means for accepting and registering patient information of a patient who has visited,
List generation means for generating a list of patient information received and registered by the reception registration means;
A receipt means for generating receipt-related information related to the accounting and receipt of the patient who is registered for reception;
A radiation image of the examination target region of the patient recorded on the stimulable phosphor plate from a cassette having a built-in photostimulable phosphor plate and used for radiography of the examination target region of the registered patient A radiation image reading device that reads information and generates image data;
Is a small-scale diagnostic system connected,
The radiological image reader is
Detection means for detecting attachment of the cassette to the radiation image reading device;
Display means for displaying a list of patient information generated by the list generation means;
Patient designation means for accepting designation of patient information of a patient to be radiographed from patient information included in the list displayed on the display means;
When the patient information of the patient to be radiographed by the patient designating means is designated, and the attachment of the cassette is detected by the detecting means, the patient information designated by the patient designating means and the cassette wearing information are received in the receipt. A notification means for notifying the means;
With
The receipt means generates a receipt related information related to a patient corresponding to the notified patient information based on the patient information and cassette mounting information notified from the radiological image reading apparatus. . The cassette is affixed with cassette information about the cassette,
The radiographic image reading apparatus includes a cassette information acquiring unit that acquires cassette information of a cassette mounted on the radiographic image reading apparatus,
The small-scale diagnosis system according to claim 1, wherein the notifying unit notifies the receipt unit of the cassette information acquired by the cassette information acquiring unit together with the patient information and the cassette mounting information.   The small-scale diagnosis system according to claim 2, wherein the cassette information is cassette size information.   The small-scale diagnosis system according to claim 2, wherein the cassette information is type information of a photostimulable phosphor plate built in the cassette.

Images