JP2009172227A - Medical image system, report management server and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To dispense with any labor such as an operation of a user for creating a paper form for requesting an image reading to an image-reading doctor and for creating an image-reading order by a PC, and to improve the convenience of the image-reading doctor in referring to an image-reading work list. <P>SOLUTION: A report management server 20 transmits a request to acquire patient information and/or examination information to each image server such as a radiation-division image server 60, an endoscope-division image server 90 and the like provided for every examination division and acquires the patient information and/or examination information from each image server. The report management server creates a work object of a medical image corresponding to the patient information and/or the examination information based on the acquired patient information and/or examination information. When receiving an image-reading work list acquisition request from a PC terminal 40 for image-reading doctor, the report management server 20 creates the image-reading work list based on the created work object and transmits it to the PC terminal 40 for the image-reading doctor. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical image system, a report management server, and a program.

  In recent years, in the medical field, digitization of medical images taken of patients has been realized. For example, a medical image taken and digitized by an imaging device such as a CR (Computed Radiography) device, a CT (Computed Tomography) device, or an MRI (Magnetic Resonance Imaging) device is a PACS (Picture Archiving) together with patient information and examination information and communication system) are stored and managed. In connection with this, the image used for diagnosis has shifted from the image output on the film to the image displayed on the monitor.

  By the way, with the increase in the types of photographing devices and higher-resolution images being obtained, technological advancements have demanded more specialized expertise in doctor diagnosis. In addition, since the amount of images to be taken is increasing, it is difficult for a clinician to make an image diagnosis while facing a patient. Therefore, in a large-scale hospital, a doctor who specializes in interpretation (an interpretation doctor) diagnoses an image, creates an interpretation report (report), and a clinician often diagnoses a disease name based on the result.

  In addition, when a clinician requests an interpretation to the interpretation doctor, a paper slip is handed over, or at the time of imaging, the interpretation order information is sent to a report management server for managing the interpretation report through an electronic medical record server or ordering system. Is sending.

  For example, the RIS issues an interpretation order, the interpretation report server stores the interpretation order, the interpretation report creation device is in progress of the interpretation report creation (unread interpretation, interpretation in progress, already read interpretation), and examination is awaiting definitive diagnosis A technique for displaying whether or not a state is present has been proposed (see Patent Document 1).

  In a large hospital, a system is constructed for each examination department such as a radiology department and an endoscopic department, and a report management server is also installed for each examination department.

  FIG. 12 shows an example of the system configuration of the medical image system 5 in the hospital. As shown in FIG. 12, the medical image system 5 includes an electronic medical record server 510, a clinician PC terminal 520, an interpretation medical PC terminal 530, a radiation department system 6, an endoscope department system 7, a pathology department system 8, and the like. Each apparatus and each system are connected via a communication network N so that data communication is possible.

  The radiation department system 6 is a system in the radiology department. The radiation department system 6 includes an RIS 540, a radiation department image server 550, a modality 560, and a report management server 570, and each device is connected via a communication network N so that data communication is possible.

  The RIS 540 is an information management apparatus that performs information management such as medical appointment reservation, results management, and material inventory management in the radiology department. The modality 560 images a patient and generates DICOM image data in accordance with the DICOM standard (Digital Imaging and Communication in Medicine). The radiation department image server 550 stores and manages the DICOM image data generated in the modality 560. The report management server 570 has a report management function for managing the interpretation report of the medical image, and stores the interpretation report created by the client terminal such as the interpretation medical PC terminal 530.

  The endoscopic department system 7 is a system in the endoscopic department. The endoscope department system 7 includes an EIS (Endoscopy Information System) 580, an endoscope department image server 590, an endoscope apparatus 600, and a report management server 610. Each apparatus is a communication network N. It is connected so that data communication is possible.

  The EIS 580 is an information management apparatus that performs information management such as medical appointment reservation, results management, and material inventory management in the endoscopic department. The endoscope apparatus 600 images a patient and generates DICOM image data in accordance with DICOM standards (Digital Imaging and Communication in Medicine). The endoscope department image server 590 stores and manages DICOM image data generated in the endoscope apparatus 600. The report management server 610 has a report management function for managing an interpretation report, and stores an interpretation report created by a client terminal such as the interpretation medical PC terminal 530.

  The pathological department system 8 is a system in the pathological department. The pathology department system 8 has the same configuration as the radiation department system 6 and the endoscope department system 7 described above, and a description thereof will be omitted.

  The electronic medical record server 510 has a medical record data management function for managing medical record data, and stores patient medical conditions, diagnosis results, and the like. Interpretation medical PC terminal 530 has a monitor for displaying a medical image, and is a terminal such as a PC (Personal Computer) installed mainly for the purpose of the interpretation doctor creating an interpretation report of a medical image. The clinician PC terminal 520 is a terminal such as a PC that is installed mainly for the purpose of a clinician creating medical record data.

  The electronic medical record server 510 generates imaging order information and interpretation order information for requesting imaging of a patient based on an instruction signal from the clinician PC terminal 520 based on a user operation by a clinician or the like. Then, the electronic medical record server 510 transmits the generated imaging order information and interpretation order information to the information management apparatus of the corresponding examination department system.

  For example, if the radiation department system 6 is a corresponding department system, the electronic medical record server 510 transmits the generated imaging order information and interpretation order information to the RIS 540. Then, the RIS 540 transmits the imaging order information to the modality 560 and the radiation department image server 550, and the interpretation order information to the report management server 570. Then, the report management server 570 generates an interpretation work list indicating the interpretation work to be performed by the interpretation doctor based on the interpretation order information transmitted from the RIS 540.

  Similarly, assuming that the endoscope department system 7 is a corresponding department system, the electronic medical record server 510 transmits the generated imaging order information and interpretation order information to the EIS 580. The EIS 580 transmits the imaging order information to the endoscope apparatus 600 and the endoscope department image server 590, and the interpretation order information to the report management server 610. Then, the report management server 610 generates an interpretation work list based on the interpretation order information transmitted from the EIS 580.

Thus, the interpretation work list is generated for each inspection department system by the report management server (report management server 570, 610, etc.) installed in each inspection department system.
JP 2007-94515 A

  However, when the interpretation work list is generated for each examination department system, the interpretation doctor needs to access the report management server (report management server 570, 610, etc.) of each examination department system from the interpretation medical PC terminal 530. Met. In addition, since a report management server is installed for each examination department system, the interpretation doctor needs to create an interpretation report with different operability for each examination department.

  Furthermore, the user operation for creating the interpretation order information on the PC such as the clinician PC terminal 520 is a laborious operation for the clinician.

  Further, when a report system using interpretation order information is constructed, it has a large influence on the entire system in the hospital, so it is difficult to say that the report system is widely used outside large-scale hospitals. Therefore, the clinician has been forced to create a paper slip for requesting interpretation to the interpretation doctor.

  The present invention has been made in view of the above-described problems, and the object of the present invention is to create a paper slip for requesting an interpretation doctor to interpret, and to create an interpretation order on a PC. It is to eliminate the trouble of user operation and the like and to improve the convenience of referring to the interpretation work list by the interpretation doctor.

In order to solve the above problems, the invention described in claim 1
An image server having a storage means for storing medical images, patient information corresponding to the medical images and / or examination information and providing various kinds of information in response to external requests is provided for each examination department. A medical image system in which a server and a report management server that manages an interpretation report of the medical image are connected via a communication network so that data communication is possible,
The report management server
Acquisition request transmission means for transmitting an acquisition request for patient information and / or examination information stored in the storage means to each image server;
Obtaining means for obtaining patient information and / or examination information provided from each image server;
Generating means for generating a medical image interpretation work list corresponding to the patient information and / or examination information based on the acquired patient information and / or examination information;
Is provided.

The invention according to claim 2 is the invention according to claim 1,
The generation means sets items of urgency, interpretation doctors or work items included in the interpretation work list based on patient information and / or examination information acquired by the acquisition means.

The invention according to claim 3 is the invention according to claim 1 or 2,
The generation unit generates an interpretation work list corresponding to each interpretation doctor based on the patient information and / or examination information acquired by the acquisition unit.

The invention according to claim 4
A report management server for managing interpretation reports of medical images,
Each image server provided for each examination department has storage means for storing the medical image, patient information and / or examination information corresponding to the medical image, and provides various information in response to an external request. On the other hand, acquisition request transmission means for transmitting an acquisition request for patient information and / or examination information stored in the storage means;
Obtaining means for obtaining patient information and / or examination information provided from each image server;
Generating means for generating a medical image interpretation work list corresponding to the patient information and / or examination information based on the acquired patient information and / or examination information;
Is provided.

The invention according to claim 5 is the invention according to claim 4,
The generation means sets items of urgency, interpretation doctors or work items included in the interpretation work list based on patient information and / or examination information acquired by the acquisition means.

The invention according to claim 6 is the invention according to claim 4 or 5,
The generation unit generates an interpretation work list corresponding to each interpretation doctor based on the patient information and / or examination information acquired by the acquisition unit.

The program according to claim 7 is:
A computer that manages medical image interpretation reports,
Each image server provided for each examination department has storage means for storing the medical image, patient information and / or examination information corresponding to the medical image, and provides various information in response to an external request. On the other hand, acquisition request transmission means for transmitting an acquisition request for patient information and / or examination information stored in the storage means,
Acquisition means for acquiring patient information and / or examination information provided from each image server;
Generating means for generating a medical image interpretation work list corresponding to the patient information and / or examination information based on the acquired patient information and / or examination information;
To function as.

  According to the first, fourth, and seventh aspects of the invention, patient information and / or examination information is acquired from each image server provided for each examination department, and interpretation is performed based on the patient information and / or examination information. Automatically generate worklist. For this reason, there is no need to create a paper slip for requesting an interpretation doctor to interpret, a user operation for creating an interpretation order on a PC, and the convenience of referring to the interpretation work list by the interpretation doctor. Can be improved.

  According to the second and fifth aspects of the present invention, an interpretation work list including items of urgency, interpretation doctor, and work item is automatically generated, and the convenience of referring to the interpretation work list by the interpretation doctor is further improved. be able to.

  According to the third and sixth aspects of the invention, an interpretation work list for each interpretation doctor is automatically generated, and the convenience of referring to the interpretation work list by the interpretation doctor can be further improved.

  Hereinafter, an embodiment of a medical image system according to the present invention will be described with reference to the drawings.

[System configuration of medical imaging system]
FIG. 1 shows a system configuration of the medical image system 1. As shown in FIG. 1, the medical image system 1 includes an electronic medical record server 10, a report management server 20, a clinician PC terminal 30, an interpretation medical PC terminal 40, a radiation department system 2, and an endoscope department system 3. In addition, each apparatus and each system are connected via a communication network N so that data communication is possible.

  The radiation department system 2 is a system in the radiology department. The radiation department system 2 includes an RIS 50, a radiation department image server 60, and a modality 70, and each apparatus is connected via a communication network N so that data communication is possible.

  The RIS 50 is an information management apparatus that performs information management such as medical appointment reservation, results management, and material inventory management in the radiology department. The RIS 50 transmits the imaging order information received from the electronic medical record server 10 to the modality 70 and the radiation department image server 60.

  The modality 70 is an imaging device that images a patient according to the imaging order information received from the RIS 50 and generates image data of a medical image (hereinafter referred to as medical image data). Further, the modality 70 generates supplementary information related to the medical image data based on the imaging order information. Then, the modality 70 attaches supplementary information to the medical image data, generates DICOM image data that conforms to the DICOM standard, and transmits the DICOM image data to the radiation department image server 60. The incidental information includes patient information, examination information, series information, and the like. Patient information is information about a patient, such as patient ID, patient name, date of birth, and sex. The examination information is information relating to imaging such as an examination instance UID that identifies an examination, an examination date, an examination time, a reception number, an examination part, an imaging technique, a body position, an imaging apparatus, a requesting doctor, a requested department, and an examination description. The series information is data including a series instance UID indicating a unit (series) of a series of medical images for each imaging apparatus generated in one examination and a type of imaging apparatus. As the modality 70, an imaging apparatus that captures various types of medical images such as a CR apparatus, a CT apparatus, and an MRI apparatus can be applied.

  The radiation department image server 60 stores and manages DICOM image data and the like. In response to a data acquisition request received from another apparatus, the radiation department image server 60 provides the other apparatus with patient information, examination information, and the like included in the supplementary information of the DICOM image data and DICOM image data.

  The endoscopic department system 3 is a system in the endoscopic department. The endoscopic department system 3 includes an EIS (Endoscopy Information System) 80, an endoscopic department image server 90, and an endoscopic apparatus 100. Each apparatus transmits data via a communication network N. It is connected so that it can communicate.

  The EIS 80 is an information management apparatus that performs information management such as medical appointment reservation, results management, and material inventory management in the endoscopic department. The EIS 80 transmits the imaging order information received from the electronic medical record server 10 to the endoscope apparatus 100 and the endoscope department image server 90.

  The endoscope apparatus 100 is an imaging apparatus that images a patient according to imaging order information received from the EIS 80 and generates medical image data. Further, the endoscope apparatus 100 generates supplementary information related to the medical image data based on the imaging order. Then, the endoscope apparatus 100 attaches supplementary information to the medical image data, generates DICOM image data conforming to the DICOM standard, and transmits the DICOM image data to the endoscope department image server 90.

  The endoscope department image server 90 stores and manages DICOM image data and the like. In response to a data acquisition request received from another device, the endoscope department image server 90 provides the other device with DICOM image data, patient information, examination information, and the like included in the incidental information of the DICOM image data.

  The pathological department system 4 is a system in the pathological department. The pathological department system 4 has the same configuration as the radiation department system 2 and the endoscope department system 3 described above, and a description thereof will be omitted.

  The electronic medical record server 10 has a medical record data management function for managing medical record data, and stores patient medical conditions, diagnosis results, and the like. The electronic medical record server 10 stores medical record data created in the clinician PC terminal 30 and other client terminals (not shown). The electronic medical record server 10 generates imaging order information for requesting imaging of a patient based on an instruction signal from the clinician PC terminal 30 or the like, and information management apparatuses (RIS50 and EIS80 of the corresponding examination department system). ). The imaging order information includes patient information and examination information.

  The report management server 20 has a report management function for managing a medical image interpretation report, and stores an interpretation report created by a client terminal such as the interpretation medical PC terminal 40. Further, the report management server 20 transmits a request for acquiring patient information and examination information (DICOM Query) to the image server of each examination department system such as the radiation department image server 60 and the endoscope department image server 90, and the patient information and Get inspection information. Then, an interpretation work list is generated based on the patient information and the examination information.

  The interpretation medical PC terminal 40 is a terminal such as a PC (Personal Computer) that has a monitor for displaying a medical image and is installed mainly for the purpose of the interpretation doctor creating an interpretation report of the medical image. The interpretation medical PC terminal 40 creates an interpretation report based on a user operation by the interpretation doctor and transmits it to the report management server 20. Then, the report management server 20 stores the transmitted interpretation report. Further, the interpretation medical PC terminal 40 transmits a DICOM image data acquisition request to the radiation department image server 60, the endoscope department image server 90, and the like based on a user operation by the interpretation doctor, and acquires the DICOM image data. Then, a medical image is displayed on the monitor based on the DICOM image data.

  The clinician PC terminal 30 is a terminal such as a PC that is installed mainly for the purpose of a clinician creating medical record data. The clinician PC terminal 30 creates medical record data based on a user operation by the clinician and transmits it to the electronic medical record server 10. Then, the electronic medical record server 10 stores the transmitted medical record data.

[Functional configuration of the radiation department image server]
FIG. 2 shows a functional configuration of the radiation department image server 60. As shown in FIG. 2, the radiation department image server 60 includes a control unit 61, an operation unit 62, a display unit 63, a communication unit 64, a ROM (Read Only Memory) 65, and a storage device 66. 67 is connected.

  The control unit 61 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and the like, and comprehensively controls the processing operation of each unit of the radiation department image server 60. Specifically, the CPU reads various processing programs stored in the ROM 65 in response to an operation signal input from the operation unit 62 or an instruction signal received by the communication unit 64, and a work piece formed in the RAM. Expand to the area and perform various processes in cooperation with the program.

  The operation unit 62 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 62 controls operation signals input by key operations or mouse operations on the keyboard. To 61.

  The display unit 63 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 61.

  The communication unit 64 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Adapter), and the like, and includes an RIS 50, a modality 70, a report management server 20, an interpretation medical doctor PC terminal 40, and the like connected via the communication network N. Send and receive data to and from external devices.

  The ROM 65 is configured by a nonvolatile semiconductor memory or the like, and stores a control program, parameters and files necessary for executing the program, and the like.

  The storage device 66 is composed of a hard disk or the like, and stores DICOM image data and the like generated by the modality 70.

  When receiving the DICOM image data from the modality 70 via the communication unit 64, the control unit 61 saves (stores) the DICOM image data in the storage device 66.

  Further, the control unit 61 is included in the incidental information of the DICOM image data stored in the storage device 66 based on the search condition in response to the acquisition request of patient information and examination information transmitted from the report management server 20. Search patient information and examination information. Then, the control unit 61 controls the communication unit 64 to cause the report management server 20 to transmit patient information and examination information that match the search conditions.

  In addition, the control unit 61 controls the communication unit 64 in response to the DICOM image data acquisition request transmitted from the interpretation medical PC terminal 40, and reads the DICOM image data stored in the storage device 66. 40 is transmitted.

[Functional configuration of the endoscope department image server]
FIG. 3 shows a functional configuration of the endoscope department image server 90. As shown in FIG. 3, the endoscope department image server 90 includes a control unit 91, an operation unit 92, a display unit 93, a communication unit 94, a ROM 95, and a storage device 96, and each unit is connected by a bus 97. ing.

  The control unit 91 includes a CPU, a RAM, and the like, and comprehensively controls processing operations of the respective units of the endoscope department image server 90. Specifically, the CPU reads various processing programs stored in the ROM 95 in response to an operation signal input from the operation unit 92 or an instruction signal received by the communication unit 94, and a work piece formed in the RAM. Expand to the area and perform various processes in cooperation with the program.

  The operation unit 92 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation unit 92 controls operation signals input by key operations or mouse operations on the keyboard. To 91.

  The display unit 93 is configured by an LCD, and displays various screens based on display data input from the control unit 91.

  The communication unit 94 includes a LAN adapter, a router, a TA, and the like, and is connected to external devices such as the EIS 80, the endoscope apparatus 100, the report management server 20, and the image interpretation medical PC terminal 40 connected via the communication network N. Send and receive data.

  The ROM 95 is configured by a nonvolatile semiconductor memory or the like, and stores a control program, parameters and files necessary for executing the program, and the like.

  The storage device 96 is composed of a hard disk or the like, and stores DICOM image data and the like generated by the endoscope apparatus 100.

  When the control unit 91 receives DICOM image data from the endoscope apparatus 100 via the communication unit 94, the control unit 91 stores (stores) the DICOM image data in the storage device 66.

  In response to a request for acquiring patient information and examination information transmitted from the report management server 20, the control unit 91 includes patient information included in incidental information of DICOM image data stored in the storage device 96 based on a search condition. And search for inspection information. And the control part 91 controls the communication part 94, and transmits the patient information and test | inspection information which match search conditions to the report management server 20. FIG.

  In addition, the control unit 91 controls the communication unit 94 in response to the DICOM image data acquisition request transmitted from the interpretation medical PC terminal 40, and reads the DICOM image data stored in the storage device 96. 40 is transmitted.

[Functional configuration of the report management server]
FIG. 4 shows a functional configuration of the report management server 20. As shown in FIG. 4, the report management server 20 includes a control unit 21, an operation unit 22, a display unit 23, a communication unit 24, a ROM 25, and a storage unit 26, and each unit is connected by a bus 27.

  The control unit 21 includes a CPU, a RAM, and the like, and comprehensively controls the processing operation of each unit of the report management server 20. Specifically, the CPU reads various processing programs stored in the ROM 25 in response to an operation signal input from the operation unit 22 or an instruction signal received by the communication unit 24, and a work piece formed in the RAM. Expand to the area and perform various processes in cooperation with the program.

  The operation unit 22 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 22 controls operation signals input by key operations or mouse operations on the keyboard. To 21.

  The display unit 23 is configured by an LCD, and displays various screens based on display data input from the control unit 21.

  The communication unit 24 includes a LAN adapter, a router, a TA, and the like, and is connected via a communication network N to a clinician PC terminal 30, an interpretation medical PC terminal 40, a radiation department image server 60, an endoscope department image server 90, and the like. Send and receive data to and from external devices.

  The ROM 25 is configured by a nonvolatile semiconductor memory or the like, and stores a control program, parameters and files necessary for executing the program, and the like.

  The storage unit 26 includes a hard disk or the like, and stores data such as an urgency level setting table 261, an interpretation doctor setting table 262, and a work item setting table 263.

  The urgency level setting table 261 is a table for associating an imaging device with which an image has been taken with an urgency level, and interpreting each imaging device such as “within 3 hours”, “within 1 day”, “within 3 days” The deadline is set as the urgency level. For example, for an imaging apparatus used in an emergency room, the urgency level is set so that the interpretation is completed within “3 hours”.

  The interpretation doctor setting table 262 is a table that associates the imaging apparatus, examination site, day of the week, and interpretation doctor with each radiographing doctor. The interpretation doctor is set for each imaging apparatus, examination site, and day combination. For example, a doctor corresponding to a specialized field for each imaging device or examination region, or a doctor who is scheduled to work according to the working status of each doctor is set.

  The work item setting table 263 is a table for associating the imaging device and the examination site where the imaging was performed with the work item, and a work item is set for each combination of the imaging device and the examination site. The work item indicates the type of interpretation order, such as "interpretation" that describes what has been noticed by diagnosing a medical image, "double interpretation" in which two doctors individually interpret the same medical image, etc. There is. For example, in the case of PET (Positron Emission Tomography) inspection or the like, when “high skill” is required, “double interpretation” is set.

  The control unit 21 controls the communication unit 24 to transmit an acquisition request for patient information and examination information included in incidental information of DICOM image data stored in the storage device 66 to the radiation department image server 60. In addition, the control unit 21 acquires patient information and examination information provided from the radiation department image server 60 via the communication unit 24.

  In addition, the control unit 21 controls the communication unit 24 to acquire the patient information and examination information included in the incidental information of the DICOM image data stored in the storage device 96 with respect to the endoscope department image server 90. To send. In addition, the control unit 21 acquires patient information and examination information provided from the endoscope department image server 90 via the communication unit 24. In addition, the control unit 21 performs the same processing for image servers of other department systems (such as the pathological department system 4).

  The control unit 21 generates a work object corresponding to the patient information and the examination information based on the patient information and the examination information acquired from the image server of each department system (hereinafter, the process is referred to as “work object generation process”). "). The work object is data indicating information related to interpretation work for a series of medical images taken in one examination, and includes items of “urgency”, “interpretation doctor”, “work item”, and “interpretation situation”. When generating the work object, the control unit 21 sets the values of the items of “urgency”, “radiogram interpretation”, and “work item” based on the patient information and the examination information. In addition, the control unit 21 sets “not yet” as the initial value of the “interpretation status” item.

  Further, the control unit 21 generates an interpretation work list. The interpretation work list is a work list indicating the interpretation work to be performed by the interpretation doctor. The interpretation work list is composed of one or a plurality of work objects.

  The control unit 21 controls the communication unit 24 to transmit the generated interpretation work list to the interpretation medical PC terminal 40 or the like.

[Specific operation of each device in the medical imaging system]
Next, a specific operation of processing executed in the medical image system 1 will be described.

  FIG. 5 is a ladder chart showing processing executed in the medical image system. First, in the modality 70, the patient to be examined is photographed, and additional information is attached to the medical image data to generate DICOM image data. When the DICOM image data is transmitted from the modality 70 to the radiation department image server 60, the radiation department image server 60 receives the DICOM image data by the communication unit 64, and the control unit 61 stores the DICOM image data in the storage device 66. (Step S1).

  Further, in the endoscope apparatus 100, a patient to be examined is photographed, and additional information is attached to medical image data to generate DICOM image data. Then, when the DICOM image data is transmitted from the endoscope apparatus 100 to the endoscope department image server 90, the endoscope department image server 90 receives the DICOM image data by the communication unit 94, and the control unit 91 The DICM image data is stored in the storage device 96 (step S2).

  In the report management server 20, under the control of the control unit 21, the communication unit 24 transmits an acquisition request for acquiring patient information and examination information that match a predetermined search condition to the radiation department image server 60 ( DICOM Query) (step S3). The search condition is determined by an inspection date and an imaging device, such as an inspection by “CR” of “today”. Acquisition requests from the report management server 20 to the radiation department image server 60 are made periodically, such as every five minutes.

  In the radiation department image server 60, when the communication unit 64 receives an acquisition request for patient information and examination information from the report management server 20, the control unit 61 stores it in the storage device 66 based on the search condition. Patient information and examination information are retrieved (step S4). Note that only the patient information and examination information corresponding to the newly added DICOM image data since receiving the previous acquisition request is searched. 6 (a) and 6 (b) show examples of search results when the examination date is “August 12, 2007” and the imaging device is “CR”. As shown in FIGS. 6 (a) and 6 (b), patient information such as patient ID, patient name, date of birth, gender, etc. that match the examination date and imaging apparatus set as the search conditions, the requested department, and the requesting doctor The inspection number such as the reception number, the inspection date, the inspection description, the imaging apparatus, and the inspection site are extracted. And according to control of the control part 61, the patient information and test | inspection information which match search conditions are transmitted to the report management server 20 by the communication part 64 (step S5).

  In the report management server 20, the control unit 21 acquires patient information and examination information provided from the radiation department image server 60 via the communication unit 24 (step S6). Then, based on the acquired patient information and examination information, the control unit 21 performs a work object generation process of a medical image corresponding to the patient information and examination information (step S7). Then, the generated work object is stored in the storage unit 26 by the control unit 21.

  Here, the work object generation processing will be described with reference to FIG. First, the order number of the work object is assigned by the control unit 21 (step T1), and the contents of the patient information and examination information acquired from the radiation department image server 60 are described as the work object (step T2).

  Next, the controller 21 refers to the urgency level setting table 261 based on the imaging device included in the examination information, and sets the urgency level corresponding to the imaging device that has performed imaging (step T3).

  Next, the interpretation unit setting table 262 is referred to by the control unit 21 based on the imaging device, the examination site, and the examination date included in the examination information, and the interpretation corresponding to the imaging device, the examination site, and the day of the week on which imaging was performed A doctor is set (step T4).

  Next, the control unit 21 refers to the work item setting table 263 based on the imaging device and the examination site included in the examination information, and sets the imaging device and the work item corresponding to the examination site for which imaging has been performed. (Step T5).

  FIG. 8 shows an example of a work object generated based on the search results (patient information and examination information) shown in FIG.

  Returning to FIG. 5, in the report management server 20, according to the control of the control unit 21, an acquisition request for acquiring patient information and examination information that match a predetermined search condition is issued by the communication unit 24. It is transmitted to the server 90 (DICOM Query) (step S8). The search condition is, for example, an inspection by “upper digestive tract” of “today”. Acquisition requests from the report management server 20 to the endoscope department image server 90 are periodically made, such as every five minutes.

  In the endoscopic department image server 90, when the communication unit 94 receives an acquisition request for patient information and examination information from the report management server 20, the control unit 91 stores the request in the storage device 96 based on the search condition. Patient information and examination information are retrieved (step S9). Note that only the patient information and examination information corresponding to the newly added DICOM image data since receiving the previous acquisition request is searched. And according to control of the control part 91, the patient information and test | inspection information which meet search conditions are transmitted to the report management server 20 by the communication part 94 (step S10).

  In the report management server 20, patient information and examination information provided from the endoscope department image server 90 are acquired by the control unit 21 via the communication unit 24 (step S11). Then, based on the acquired patient information and examination information, the control unit 21 performs a work object generation process of a medical image corresponding to the patient information and examination information (step S12). Then, the generated work object is stored in the storage unit 26 by the control unit 21.

[Specific operation between the report management server and the medical interpretation PC terminal]
Next, a specific operation of processing executed between the report management server 20 and the interpretation medical PC terminal 40 will be described.

  FIG. 9 is a ladder chart showing processing executed between the report management server 20 and the interpretation medical PC terminal 40. First, an interpretation work list acquisition request is generated in the interpretation doctor PC terminal 40 based on the operation of the interpretation doctor. Here, the interpretation work list acquisition request includes interpretation doctor specifying information for specifying the interpretation doctor who performed the user operation. For example, the login name from the interpretation medical PC terminal 40 to the report management server 20 is the interpretation doctor specifying information. Then, the interpretation worklist acquisition request is transmitted to the report management server 20 (step S101).

  In the report management server 20, when an interpretation work list acquisition request is received from the interpretation medical PC terminal 40 by the communication unit 24, the control unit 21 determines based on the interpretation doctor identification information included in the interpretation work list acquisition request. A work object stored in the storage unit 26 is searched (step S102). Specifically, the interpretation doctor specifying information is compared with “interpretation doctor” included in the work object, and the corresponding work object is extracted. Then, based on the extracted one or a plurality of work objects (work object group), the control unit 21 generates an interpretation doctor's interpretation work list specified by the interpretation doctor identification information (step S103). And according to control of the control part 21, the said interpretation work list is transmitted to the interpretation medical PC terminal 40 by the communication part 24 (step S104).

  The interpretation medical PC terminal 40 displays the interpretation work list screen 431 (see FIG. 10) on the monitor based on the interpretation work list received from the report management server 20 (step S105).

  FIG. 10 shows a screen example of the interpretation work list screen 431. The interpretation work list screen 431 includes an update button d1, a display interpretation work list d2, and the like. The display interpretation work list d2 includes items of “patient ID”, “patient name”, “examination date”, “part”, “examination type”, and “interpretation situation”. Each item corresponds to the “patient ID”, “patient name”, “examination date”, “examination site”, “imaging device”, and “interpretation status” of the work object. One record in the display interpretation work list d2 corresponds to one work object.

  The update button d1 is a button for updating the display interpretation work list d2. When the update button d1 is clicked, an interpretation work list acquisition request is transmitted to the report management server 20, and the display interpretation work list d2 is updated.

  When a record in the display interpretation work list d2 is double-clicked, an interpretation report input screen 432 (see FIG. 11) for creating an examination interpretation report corresponding to the work object corresponding to the record is displayed on the monitor. Is displayed.

  FIG. 11 shows a screen example of the interpretation report input screen 432. The interpretation report input screen 432 includes a save button d11, a finding input field d12, and the like. When an interpretation report of the examination corresponding to the work object is input to the finding input field d12 by the interpretation doctor, and further when the save button d11 is clicked by the interpretation doctor, the interpretation report created by the input is transmitted to the report management server. 20 is transmitted.

  Returning to FIG. 9, as described above, the interpretation medical PC terminal 40 creates an interpretation report (step S106), and transmits the created interpretation report to the report management server 20 (step S107).

  In the report management server 20, when an interpretation report is received from the interpretation medical PC terminal 40 by the communication unit 24, the interpretation report is stored (step S108). Then, the value of the item “interpretation status” of the corresponding work object is updated from “not yet” to “completed” by the control unit 21 (step S109).

  As described above, according to the present embodiment, the report management server 20 includes the radiation department image server 60 and the endoscope department image server 90 provided for each examination department (radiation department system 2, endoscope department system 3 and the like). The acquisition request of patient information and / or examination information is transmitted to each image server. Then, the report management server 20 acquires patient information and / or examination information from each image server. Then, based on the acquired patient information and / or examination information, the report management server 20 automatically generates a medical image work object corresponding to the patient information and / or examination information. When receiving the interpretation work list acquisition request from the interpretation medical PC terminal 40, the report management server 20 automatically generates an interpretation work list based on the generated work object and transmits it to the interpretation medical PC terminal 40.

  Therefore, the interpretation report creation work for a plurality of inspection departments can be managed in the report management server 20 with one interpretation work list. Therefore, an interpreting doctor can know a list of interpretation work that he / she is in charge of by simply logging in (accessing) the report management server 20 from a PC such as the interpreting doctor's PC terminal 40.

  Further, the report management server 20 is not installed for each examination department, but is installed in the medical image system 1. And the said report management server 20 manages the interpretation report of each inspection department with one unit. Therefore, an interpreting physician can create an interpretation report for each examination department with the same operability.

  In addition, the report management server 20 automatically generates an interpretation work list instead of the interpretation order based on patient information and / or examination information acquired from each image server (radiation department image server 60, endoscope department image server 90, etc.). Generate automatically. Therefore, the clinician does not need to perform manual input for creating the interpretation order information on a PC such as the clinician PC terminal 520, and the labor of the clinician can be reduced and erroneous input can be avoided.

  The report management server 20 can automatically generate an interpretation work list only by being connected to the image server. Therefore, even when there is no ordering system that generates an interpretation order or when the ordering system is disconnected from the network, the interpretation report creation work can be managed.

  The description in the above embodiment is an example of the medical image system according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be appropriately changed.

  In the above-described embodiment, an example in which a ROM is used as a computer-readable medium storing a program is disclosed, but the present invention is not limited to this example. As other computer-readable media, a non-volatile memory such as a flash memory and a portable recording medium such as a CD-ROM can be applied. A carrier wave (carrier wave) is also applicable as a medium for providing program data via a communication line.

1 is a system configuration diagram of a medical image system according to an embodiment of the present invention. It is a block diagram of a radiation department image server. It is a block diagram of an endoscope department image server. It is a block diagram of a report management server. It is a ladder chart which shows the process performed in a medical image system. It is an example of the result of having searched an inspection date and an imaging device as search conditions. It is a flowchart which shows a work object production | generation process. It is an example of a work object. It is a ladder chart which shows the process performed between a report management server and an interpretation medical PC terminal. It is a screen example of an interpretation work list screen. It is a screen example of an interpretation report input screen. It is a system block diagram of the medical image system in a prior art.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Medical image system 2 Radiology department system 3 Endoscope department system 4 Pathology department system 5 Medical image system 6 Radiology department system 7 Endoscope department system 8 Pathology department system 10 Electronic medical record server 20 Report management server 21 Control part 22 Operation part 23 Display unit 24 Communication unit 25 ROM
26 Storage Unit 27 Bus 30 Clinical PC Terminal 40 Interpretation Medical PC Terminal 50 RIS
60 Radiation Department Image Server 61 Control Unit 62 Operation Unit 63 Display Unit 64 Communication Unit 65 ROM
66 Storage device 67 Bus 70 Modality 80 EIS
90 Endoscope Division Image Server 91 Control Unit 92 Operation Unit 93 Display Unit 94 Communication Unit 95 ROM
96 Storage device 97 Bus 100 Endoscope device 261 Urgency setting table 262 Interpretation doctor setting table 263 Work item setting table 431 Interpretation work list screen 432 Interpretation report input screen 510 Electronic medical record server 520 Clinical medical doctor PC terminal 530 Interpretation medical PC terminal 540 RIS
550 Radiology department image server 560 Modality 570 Report management server 580 EIS
590 Endoscope image server 600 Endoscope device 610 Report management server d1 Update button d2 Interpretation work list for display d11 Save button d12 Finding input field N Communication network

Claims (7)

An image server having a storage means for storing medical images, patient information corresponding to the medical images and / or examination information and providing various types of information in response to external requests is provided for each examination department. A medical image system in which a server and a report management server that manages an interpretation report of the medical image are connected via a communication network so that data communication is possible,
The report management server
Acquisition request transmission means for transmitting an acquisition request for patient information and / or examination information stored in the storage means to each image server;
Obtaining means for obtaining patient information and / or examination information provided from each image server;
Generating means for generating a medical image interpretation work list corresponding to the patient information and / or examination information based on the acquired patient information and / or examination information;
A medical image system comprising: The generating means sets items of urgency, interpretation doctor or work item included in the interpretation work list based on patient information and / or examination information acquired by the acquisition means.
The medical image system according to claim 1. The generation means generates an interpretation work list corresponding to each interpretation doctor based on the patient information and / or examination information acquired by the acquisition means.
The medical image system according to claim 1 or 2. A report management server for managing a medical image interpretation report,
Each image server provided for each examination department has storage means for storing the medical image, patient information and / or examination information corresponding to the medical image, and provides various information in response to an external request. On the other hand, acquisition request transmission means for transmitting an acquisition request for patient information and / or examination information stored in the storage means;
Obtaining means for obtaining patient information and / or examination information provided from each image server;
Generating means for generating a medical image interpretation work list corresponding to the patient information and / or examination information based on the acquired patient information and / or examination information;
A report management server comprising: The generating means sets items of urgency, interpretation doctor or work item included in the interpretation work list based on patient information and / or examination information acquired by the acquisition means.
The report management server according to claim 4. The generation means generates an interpretation work list corresponding to each interpretation doctor based on the patient information and / or examination information acquired by the acquisition means.
The report management server according to claim 4 or 5. A computer that manages medical image interpretation reports,
Each image server provided for each examination department has storage means for storing the medical image, patient information and / or examination information corresponding to the medical image, and provides various information in response to an external request. On the other hand, acquisition request transmission means for transmitting an acquisition request for patient information and / or examination information stored in the storage means,
Acquisition means for acquiring patient information and / or examination information provided from each image server;
Generating means for generating a medical image interpretation work list corresponding to the patient information and / or examination information based on the acquired patient information and / or examination information;
Program to function as.

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