JP2010122781A - Small-scale diagnostic system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To enable understanding of whether or not an examination result of a patient having visited a hospital is displayed by each medical doctor. <P>SOLUTION: In a small-scale diagnostic system 1, a medical image management device 3 is connected to a client terminal 7 via a communication network 8 for enabling data communication therebewteen, and the medical image management device 3 displays examination status information indicating an examination state of the patient stored in a storage part 33, on a patient information list display screen 350 of a display part 35. An unread table 331b is stored in the storage part 33, and the examination result of an examination corresponding to the examination status information is stored for each medical doctor, to show whether or not the examination result is displayed on the display part 35 or a display part 75. The medical doctor understands that the examination is viewed by himself or the other medical doctor, based on the patient information list screen 350 displayed on the display part 35 or the display part 75. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a small-scale diagnosis system.

  In the medical field, a system that stores medical images taken by CT (Computed Tomography) or the like as digital data is used. This medical image is stored in a PC or server in the system in association with patient information input in a PC (Personal Computer) installed at a hospital reception.

The list of patients is displayed on a monitor of a PC installed in a hospital reception desk or examination room. By selecting a list of patients displayed on the monitor with a mouse or the like, past examination information, progress of examination, and the like can be displayed. The patient list is often displayed differently for each role of the device connected to the monitor. For example, a list of patients who visited that day is displayed at the reception, and a list of patients to be examined in the future is displayed in the examination room. In the interpretation room, a list of patients imaged by the imaging device (modality) is displayed.
Various techniques for displaying a list of patients displayed on a monitor in an easy-to-understand manner have been studied.

In Patent Literature 1, the input interpretation doctor ID is transmitted to the medical image DB, the medical image to be interpreted on the day and the imaging order information are received from the medical image DB, and the patient information corresponding to the medical image to be interpreted is medical image. A technique for displaying a list on a display screen is disclosed.
Patent Document 2 discloses a technique for storing a medical image and supplementary information in association with each other, displaying a medical image corresponding to the retrieved supplementary information, and displaying a state of interpretation of the medical image.
JP 2004-304387 A JP 2005-85200 A

  However, with the technique described in Patent Document 1, it is possible to display a list of medical images and patient information on the display screen, but it is impossible to notify whether or not the doctor has displayed the medical images on a monitor. The same applies to the technique described in Patent Document 2, and it is possible to display the interpretation state of a medical image related to a medical image that has been taken, but notify whether or not the doctor has displayed the medical image on a monitor. It is not possible.

  When a role is clearly divided for each doctor as in a large-scale hospital, the doctor only needs to grasp the examination status of the patient he is in charge of. However, in a relatively small hospital such as a clinic, it is necessary for a doctor to grasp the examination status of all the visiting patients. This is because in a small hospital, a doctor who has an available examination room examines the next patient in the order in which the patient visits, and often does not decide the doctor in charge for each patient. In addition, the director may want to know the viewing status of test results for all patients.

  It is also conceivable that a flag or the like for identifying whether or not the inspection result is displayed on the monitor is stored in association with the inspection result, and the inspection result not displayed on the monitor is notified on the monitor separately from other inspection results. . However, it is not possible to know which doctor has viewed the test result. Even if one doctor waits for the patient's test result to appear, the notification disappears because another doctor has displayed the test result on the monitor, and the doctor may not be aware that the test result has been output.

  The present invention has been made in view of the above-mentioned problems, and an object of the present invention is to grasp for each doctor whether or not a test result of a patient who has visited the hospital is displayed on a monitor.

In order to solve the above-mentioned problem, the invention described in claim 1
Data communication is possible via a communication network between a medical image management apparatus provided with storage means for storing doctor information for identifying a doctor, a test result of a patient, and a first display means, and a client terminal provided with a second display means. A small diagnostic system connected to
The storage means associates the examination result and the unread flag indicating whether or not the examination result is displayed on the first display means or the second display means for each doctor identified by the doctor information. Store more unread tables,
The medical image management apparatus includes:
Based on the doctor information stored in the storage means and the unread flag in the unread table, the doctor identified by the doctor information displays the examination result stored in the storage means as the first display means or the second Control means for determining whether or not to display on the display means, and displaying the result of the determination on the first display means;
It is characterized by providing.

The invention according to claim 2 is the invention according to claim 1,
When it is determined that all doctors identified by the doctor information stored in the storage means are not displaying the test results stored in the storage means on the first display means or the second display means, The first display means displays that the examination result is not displayed by all doctors on the first display means or the second display means.

The invention according to claim 3 is the invention according to claim 1,
It further comprises input means for inputting doctor information,
When it is determined that the doctor identified by the doctor information input by the input means has displayed the examination result stored in the storage means on the first display means or the second display means, the examination result is The first display means displays that the doctor has displayed on the first display means or the second display means.

The invention according to claim 4 is the invention according to claim 1,
It further comprises input means for inputting doctor information,
It is determined that one of the doctors other than the doctor identified by the doctor information input by the input unit has displayed the test result stored in the storage unit on the first display unit or the second display unit. In this case, the first display means displays that the examination result is displayed on the first display means or the second display means by any of the doctors.

The invention according to claim 5 is the invention according to any one of claims 1 to 4,
The control means causes the second display means to display the same display screen as the display screen displayed on the first display means.

  ADVANTAGE OF THE INVENTION According to this invention, it can be grasped | ascertained for every doctor whether the test result of the visiting patient was displayed on the monitor.

(First embodiment)
FIG. 1 is a block diagram showing a system configuration of a small-scale diagnosis system 1 according to 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. is there.

  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 (US: ultrasonography) 2a that is an image generation apparatus 2 , An electrocardiogram recording device 2b, a CR reading device 2c, a medical image management device 3, a receiving device 4, an imager 5, a general-purpose printer 6, and a client terminal (Personal Computer) 7. Each device constituting the small-scale diagnosis system 1 is connected to a communication network (hereinafter simply referred to as “network”) 8 such as a LAN (Local Area Network) via a switching hub (not shown), for example. The medical image management apparatus 3 is preferably a WS (workstation) provided in an examination room where a doctor is resident. The WS that operates as the medical image management apparatus 3 may be configured to control activation of each image generation apparatus 2, processing conditions, and the like.

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

In a small medical facility such as a practitioner or a clinic, each device is arranged as shown in FIG. 2, for example.
That is, when entering the entrance 10, there are a reception 11 and a waiting room 12 for receiving a patient. The receptionist 11 is arranged with a counter person in charge, and the person in charge gives a reception number tag printed with a reception number for distinguishing individual patients in the order of reception, for example. The reception device 11 is provided with a reception device 4, and the window manager listens to the patient's name, and inputs the correspondence between the reception number and the patient name to the reception device 4.

  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, a medical image management apparatus 3 for displaying a medical image or the like obtained by photographing a diagnosis target part of a patient for diagnosis by a doctor is arranged on a consultation desk (not shown) in the examination room 13. Yes. In the examination room 13, an imager 5 for printing medical images, a general-purpose printer 6, an ultrasonic diagnostic apparatus 2a that is less necessary in a space isolated from the viewpoint of privacy, and the like are installed.

  In addition, a radiation imaging room 15 for performing radiation imaging is provided on the opposite side of the examination room 13 across the corridor 14. In the radiation imaging room 15, a radiation imaging apparatus 22 that captures an image using a CR cassette, a CR reader 2c that reads an image from the CR cassette in which the image is recorded, and a client terminal 7 are disposed. . Further, an examination room 16 is provided next to the radiation imaging room 15, and an electrocardiogram recording apparatus 2 b and a client terminal 7 are disposed in the examination room 16.

[Device configuration of each device of the small-scale diagnosis system 1]
Hereinafter, each apparatus which comprises the small-scale diagnosis system 1 is demonstrated.
The image generation apparatus 2 is an image generation unit (modality) that performs imaging using a patient's diagnosis target site (examination site) as a subject, and digitally converts the captured image to generate a medical image. A medical image is an image used for interpretation diagnosis in the medical field.

As shown in FIG. 1, in this embodiment, an ultrasonic diagnostic apparatus (US) 2a, an electrocardiogram recording apparatus 2b, and a CR reading apparatus 2c are provided as the image generating apparatus 2. Note that the image generation device 2 is not limited to this, and for example, an endoscope, MRI, or the like may be provided as the image generation device 2. In addition, a digital camera or the like that captures the appearance of the body such as skin may be used as the image generation device 2.
Furthermore, it is good also as a structure provided with two or more image generation apparatuses 2 of the same kind, for example including two CR readers 2c. Further, the combination of the image generation devices 2 provided in the small-scale diagnosis system 1 is not limited to the one exemplified here.

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

  The ultrasonic diagnostic apparatus 2 a is connected to a conversion device 21 that is a conversion means (converter) that performs conversion from an analog signal to a digital signal. The ultrasonic diagnostic apparatus 2 a is connected to the network 8 via the conversion device 21. It is connected to the. Thus, even when data in a format that does not conform to the standards (for example, communication protocol) of other external devices connected to the network 8 is output from the ultrasound diagnostic apparatus 2a, the conversion apparatus 21 appropriately converts the data. Thus, data can be transmitted / received to / from an external device connected to the network 8. The conversion device 21 includes an input unit (not shown) such as a keyboard having character input keys, numeric input keys, and the like, and inputs patient information for specifying a patient to be imaged.

  The electrocardiogram recording apparatus 2 b is for acquiring and recording waveform data by detecting an electrocardiogram waveform, and transmits the generated image data (waveform data) to the medical image management apparatus 3.

The CR reader 2c reads image data from a CR cassette (not shown) which is a radiographic image conversion medium in which radiographic image information obtained by photographing a subject is recorded. When the CR cassette in which the radiographic image information of the subject is recorded is loaded, the CR reader 2c irradiates the stimulable phosphor sheet in the CR cassette loaded in the apparatus and thereby emits the excitation light from the sheet. The stimulated light emitted is photoelectrically converted, and the obtained image signal is A / D converted to generate image data.
The CR reading device 2c may be an integrated device integrated with the radiation imaging device 22.

The electrocardiogram recording device 2b and the CR reading device 2c are provided with a function of giving the above-described image attribute information to the generated medical image.
The electrocardiogram recording device 2b and the CR reading device 2c include an input unit (not shown) such as a keyboard having character input keys, numeric input keys, and the like, and store patient information for specifying a patient to be imaged. Input is possible.
In addition, the patient information input in the input part of each apparatus is not specifically limited, It can also be set as not inputting patient information at all. In the case where the apparatus has a specification for inputting only a patient ID as patient information, the input unit may be a numeric keypad, for example.

  The medical image management apparatus 3 is installed, for example, in the examination room 13 and stores a medical image generated by the image generation apparatus 2 in association with patient information in an image DB (Data Base) 331, or a doctor displays an image or the like. Thus, it may be a device for performing interpretation diagnosis and the like, and may be provided with a monitor with a higher definition than a monitor (display unit) used in a general PC (Personal Computer).

  As shown in FIG. 3, the medical image management apparatus 3 includes a control unit 31, a RAM 32, a storage unit 33, an operation unit 34, a display unit 35, a communication unit 36, a media drive 37, and the like. They are connected by a bus 38.

  The control unit 31 is configured by a CPU (Central Processing Unit) or the like, reads various programs such as a system program and a processing program stored in the storage unit 33, expands them in the RAM 32, and an inspection status described later according to the expanded programs. Various processes including an information display process (see FIG. 9) are executed.

  The RAM 32 temporarily stores a work area for temporarily storing various programs, input or output data, parameters, and the like that can be executed by the control unit 31 read from the storage unit 33 in various processes controlled by the control unit 31. Form.

The storage unit 33 includes an HDD (Hard Disk Drive), a semiconductor nonvolatile memory, or the like. The storage unit 33 stores various programs as described above, and details on patient information and patient examination status information (hereinafter referred to as examination status information) received from the accepting device 4, as will be described in detail later. Store it in association. In addition, information that identifies the doctor performing the diagnosis, image processing parameters for adjusting the medical image to an image quality suitable for diagnosis (lookup table defining a gradation curve used for gradation processing, emphasis on frequency processing) Etc.) are stored.

  In addition, the storage unit 33 stores numerical data (hereinafter referred to as sample test data) of test results of test items related to a sample (blood, urine, etc.) collected from a patient, and various types of information related to the sample test data. It has inspection DB330. The various types of information related to the sample test data are information for identifying the patient from whom the sample is collected, and are attached to the sample test data and stored in the sample test DB 330. This sample test data is stored in the sample test DB 330 as a file in CSV format or the like.

  Specimen test data is obtained from a sample collected from a patient by an inspection apparatus (not shown). The sample test data may be input from the operation unit 34 of the medical image management apparatus 3 or the operation unit 74 of the client terminal 7 and stored in the sample test DB 330, or a system for managing the sample test data (particularly FIG. (Not shown) may be connected to the medical image management apparatus 3 via the network 8 so as to be able to transmit and receive data, and may be periodically transmitted from this system to the medical image management apparatus 3.

  Note that the sample test data stored in the sample test DB 330 may be imaged by the control unit 31 and stored in a later-described image DB 331 as a sample test image. The specimen test image is an image of specimen test data. The specimen test image is, for example, an image in which each test item of the specimen test data is graphed or represented in a table. In the process of imaging the specimen test data by the control unit 31, a specimen test image is automatically created based on the parameters of the screen configuration stored in the storage unit 33 at predetermined time intervals. In addition, when the doctor displays the sample test data on the display unit 35 in a graph, the image displayed on the display unit 35 may be stored as a sample test image.

  The storage unit 33 further stores a medical image (referred to as an original image) transmitted from the image generation device 2, a diagnostic image (described in detail later) generated from the original image, a specimen test image, and thumbnail images thereof. (Data Base) 331. Here, the diagnostic image is an image used when displayed in the image display field 53 (see FIG. 8) on the viewer screen 351. The original image is stored in the image DB 334 as received, whereas the diagnostic image is overwritten and stored by the image processed image when image processing is performed according to the operation of the doctor. .

  The image DB 331 includes an image information table 331a (not shown) that stores information related to medical images and specimen test images stored in the image DB 331. The image information table 331a stores, as one record, a UID uniquely assigned to a medical image or a specimen test image, image-related information, corresponding patient information, a file storage location, and the like. Based on various kinds of information stored in the image information table 331a, a medical image is displayed on the viewer screen 351 of the display unit 35.

  The operation 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 a key pressing signal pressed by the keyboard and an operation signal by the mouse. Is output to the control unit 31 as an input signal.

  The display unit 35 is configured to include 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 display signals input from the control unit 31.

  The communication unit 36 is configured by a network interface or the like, and transmits / receives data to / from an external device connected to the network 8 via a switching hub.

  The media drive 37 is configured such that a portable recording medium M such as a CD-R (Compact Disk Recordable), a DVD-R (Digital Versatile Disk Recordable), or an MO (Magnet Optical) disk is detachable. A device that reads or writes data from and to M.

  The reception device 4 is a computer device for performing registration, accounting, insurance score calculation, etc. of patients who come to the hospital, and is composed of a storage unit composed of a CPU, ROM, RAM, etc., an input composed of a keyboard, a mouse, etc. , A display unit configured by a CRT, an LCD, and the like, a communication unit (none of which is shown) that controls communication with each device connected to the network 8, and the like. When receiving a reception input screen is instructed from the input unit, the reception device 4 displays a reception input screen (not shown) on the display unit in cooperation with the CPU and the program stored in the storage unit. When reception information (reception number + patient name, etc.) is input by the input unit via this reception input screen, a patient information list of the received patients is created (updated), stored in the storage unit, and transmitted by the communication unit. It transmits to the medical image management apparatus 3 as appropriate.

  The imager 5 records a latent image by laser exposure on a transmission type recording medium (film) based on the medical image transmitted from the medical image management device 3, and visualizes the latent image by thermal phenomenon processing. Printer.

  The general-purpose printer 6 is a printer that records an image on a reflective recording medium (paper medium, sticker, etc.) by an ink jet method or a laser method.

The client terminal 7 is, for example, a computer device that displays a medical image transmitted from the medical image management device 3, and as shown in FIG. 4, a control unit 71, a RAM 72, a storage unit 73, an operation unit 74, and a display unit 75. , A communication unit 76, a media drive 77, and the like, and each unit is connected by a bus 78.
Since the control unit 71 to bus 78 are substantially the same as the control unit 31 to bus 38, respectively, description thereof is omitted. However, the storage unit 73 is different from the storage unit 33 in that it does not have the specimen test DB 330 and the image DB 331.

[Diagnosis flow]
Next, the flow of diagnosis for one patient in a small-scale medical facility to which the small-scale diagnosis system 1 is applied will be described with reference to FIG.

  When the patient comes to the hospital, a reception number tag is given to the patient at the reception 11, and various patients constituting the patient information list such as the patient reception number and the patient name received by the operation of the input unit at the reception device 4. Information input (acceptance input) is performed. In the reception device 4, when a patient reception number, patient information, and the like are input, a list of patient information (patient information list) is generated (updated) and stored in a predetermined area of the storage unit in the reception device 4. . The patient information list is generated, for example, when the first patient of the day is received and input, and is updated to a new patient information list every time the next patient is received and input. The patient information list is appropriately transmitted from the storage unit in the reception apparatus 4 to the medical image management apparatus 3 and stored in the storage unit 33 of the medical image management apparatus 3.

  When the patient to whom the reception number is assigned moves to the examination room 13, the doctor makes an inquiry to the patient and determines whether or not to perform imaging and which image generation device 2 to perform imaging. When it is determined that imaging is necessary, the doctor displays a patient information list screen 350 that displays the patient information list transmitted from the accepting device 4 by a predetermined operation of the operation unit 34 in the medical image management device 3. 35.

  FIG. 5 shows an example of the patient information list screen 350. As shown in FIG. 5, in the patient information list screen 350, a search filter column 41 in which a search filter for searching patient information can be set, a patient ID column 42 for inputting a patient ID of a patient to be searched, a patient A patient name field 43 for inputting a name is provided, and the user presses a search start button 44 after inputting arbitrary information in each of these fields (click the search start button 44 on the screen with the mouse of the operation unit 34). The desired patient information can be searched and extracted. Further, when it is desired to perform a search by inputting more detailed conditions, a detailed search condition can be set by pressing a detailed search button 45.

As shown in FIG. 5, in the present embodiment, the patient information list screen 350 includes a patient list 46, and includes a reception number, patient name, gender, age, doctor in charge, Patient information such as a doctor, a state of a received patient, and columns (CR, electrocardiogram, specimen) indicating patient examination status information are displayed as a list. In the example shown in FIG. 5, the column indicating the examination status information of the patient includes a CR status column 46a, an electrocardiogram status column 46b, and a sample status column 46c. Hereinafter, the CR status column 46a, the electrocardiogram status column 46b, and the sample status column 46c are collectively referred to as an examination status information column.
The content displayed in the patient list 46 is stored in the storage unit 33. That is, the examination status information for each patient is stored in the storage unit 33 in association with the patient information.
Note that the examination status information corresponding to the examination status information column only needs to be displayed according to the examination handled by the equipment constituting the small-scale diagnosis system 1 or the clinic where the small-scale diagnosis system 1 is introduced. It is not limited to this. For example, in the case of a hospital equipped with CT or MRI, there may be a column indicating examination status information related to CT or MRI, and the ultrasonic diagnostic apparatus 2a is introduced as in the present embodiment. The examination status information of the ultrasonic diagnostic apparatus 2a may not be displayed in the examination status information column.

  In the inspection status information column, any of “Requesting”, “Inspecting”, “Update”, “Completed”, and blank is displayed. “Requesting” means that the corresponding inspection has not yet started. For example, if the CR status column 46a of a patient is “in request”, this patient will be examined using the radiation imaging apparatus 22, but imaging has not yet started. “Inspection” means that the corresponding inspection has been started and is currently being inspected. For example, if the CR status column 46 a of a patient is “under examination”, the patient is present in the radiation imaging room 15 and the examination site is being imaged using the radiation imaging apparatus 22.

“Update” is a state in which the corresponding inspection is started and the content of the inspection is updated. For example, if the CR status column 46 a of a patient is “updated”, the affected part of this patient is imaged by the radiation imaging apparatus 22, and a medical image is transmitted from the CR reading apparatus 2 c to the medical image management apparatus 3.
“Completed” is a state in which the result of the corresponding inspection has been output and all the inspections have been completed. For example, when the CR status column 46a of a patient is “completed”, all of the imaging of the patient by the radiation imaging apparatus 22 is completed, and all the medical images taken are from the CR reading apparatus 2c to the medical image management apparatus 3. Has been sent.

When the examination status information column is “update” or “completed”, the number of unread medical images is displayed together with the examination status information as “update (3)” or “completed (0)”. Similarly, when the sample test data is unread, “(1)” indicating that it has not been read is displayed, such as “update (1)” or “complete (1)”. “Unread” means whether a medical image or specimen test data is displayed on the display unit 35 or the display unit 75. In the case of sample test data, it may be determined whether the sample test data is unread depending on whether the sample test image is displayed on the display unit 35 or the like.
Information (for example, a flag or the like) indicating whether or not unread for each medical image taken by the examination is associated and stored in the storage unit 33, and the control unit 31 refers to this information to read unread medical information. Determine the number of images. The same applies to the specimen test data, and information indicating whether or not the specimen test data is unread is stored in the storage unit 33 in association with the sample test data, and the control unit 31 refers to this information to read the unread data. Can be displayed together with the sample test data on the display unit 35 or the like.

  A blank is a state where there is no inspection status information of the corresponding inspection. For example, the CR status field 46a of a patient who has not been imaged by the radiation imaging apparatus 22 is blank. The inspection status information to be blank is not limited to this. For example, inspection status information to be blanked may be specified by a combination as shown in FIG. In the example shown in FIG. 6, when the examination status information of the examination one day before displaying the patient information list screen 350 is “update” or “completed” and there is no unread medical image (that is, the examination status information is “ In the case of “update (0)” or “complete (0)”), the examination status information column is made blank. When the inspection status information indicates another value, the value of the inspection status information is displayed as it is. In the storage unit 33, the date on which the examination was performed is stored in association with the examination status information, and whether or not the examination was performed on the day before the patient information list screen 350 was displayed by referring to this date. Is judged.

  The contents displayed in the examination status information column are not limited to the above example, and may be determined according to the operation of the clinic where the small-scale diagnosis system 1 is introduced. For example, in the case of an examination that requires imaging by a modality, “In imaging” is displayed in the examination status information column, or “In examination” in the examination status information column in the case of an examination that does not require imaging, such as a sample examination. They may be displayed and distinguished from each other.

  In addition, the patient information list screen 350 includes a medical doctor field 47 and an examination date display field 48. The doctor-in-charge field 47 is for inputting a doctor in charge of a patient to be displayed in the patient list 46. For example, when “doctor A” is designated in the doctor-in-charge column 47 by an input from the operation unit 34, only the patient whose doctor in charge is “doctor A” is displayed in the patient list 46.

  The examination date display field 48 is used to input whether or not to display the examination date in the examination status information field corresponding to the examination having no examination status information (that is, the blank examination status information field). In the patient list screen 350 shown in FIG. 5, “relative date” is entered in the examination date display field 48, and the date from the previous examination date is displayed in the field corresponding to the examination without examination status information. Information relating to the previous examination date is stored in the storage unit 33 in association with the examination status information of the patient. By referring to the information regarding the previous inspection date stored in the storage unit 33, the date from the previous inspection date is displayed in the inspection status information column. Whether or not to display the examination date in the examination status information field of the patient list 46 can be selected by inputting the examination date display field 48 from the mouse or the like of the operation unit 34.

  FIG. 7A shows an example of a patient information list screen 350 displayed on the display unit 35 when the examination date display field 48 is selected by the operation unit 34. When the examination date display field 48 is selected by the operation unit 34, a blank field 48a, a date field 48b, and a relative date field 48c are displayed on the display unit 35. When the blank list 48a is selected by the operation unit 34, the examination date is not displayed in the examination status information column corresponding to the examination having no examination status information, and the examination status information column becomes blank.

FIG. 7B shows an example of a patient information list screen 350 displayed on the display unit 35 when the date field 48 b is selected by the operation unit 34. As shown in FIG. 7B, the date of the previous examination date is displayed in the examination status information column corresponding to the examination without examination status information. The date of the previous examination date is stored in the storage unit or the storage unit 33 of the reception terminal 4 in the same manner as when the relative date is displayed in the examination status information column as in the patient information list screen 350 shown in FIG. It is displayed based on the information of the inspection date.
In the present embodiment, when the date column 48b or the relative date column 48c is selected in the examination date display column 48, the date is displayed only in the column having no examination status information in the examination status information column of the patient list 46. Or the relative date shall be displayed.

  In addition, the content displayed on the patient information list screen 350 is not limited to what was illustrated here. Various information about the patient stored in the storage unit or the like of the reception terminal 4 may be displayed, and only a part of them may be displayed, or more items may be displayed.

  When a patient is selected by selecting an arbitrary patient column from the patients displayed on the patient information list screen 350 (such as double-clicking an arbitrary patient column on the screen with the mouse of the operation unit 34). The display screen of the display unit 35 transitions to the viewer screen 351 (see FIG. 8) corresponding to the selected patient.

FIG. 8 shows an example of the viewer screen 351. The viewer screen is a diagnostic screen for displaying a medical image and a specimen test image used for diagnosis and for a doctor to perform interpretation diagnosis. As shown in FIG. 8, the viewer screen 351 has a patient display column 51 that displays the patient ID and patient name of the patient selected as the diagnosis target, and it is visually recognized which patient viewer screen 351 is currently displayed. It can be done. In addition, when the list screen button 52 is operated, the patient information list screen 350 can be returned.
On the viewer screen 351, the medical image and the specimen test image stored in the image DB 331 of the medical image management apparatus 3 are displayed in the image display field 53 and the thumbnail image is displayed in the thumbnail image display field 54.

Further, the viewer screen 351 is provided with an image capture button 61a and an image capture button 61b.
The image capture button 61a captures a medical image transmitted from the various image generation devices 2 connected to the network 8 as an image of a patient (a patient displayed in the patient display column 51) currently being diagnosed. It is a button for instructing. In the present embodiment, the image capture button 61a corresponds to the type of the image generation apparatus 2 connected to the network 8 (ultrasound diagnosis apparatus (US) 2a, electrocardiogram recording apparatus (ECG) 2b, CR reader 2c)). Then, three types “CR”, “US”, and “ECG” are arranged on the viewer screen 351. When the image generation apparatus 2 of another type (for example, an endoscope or MRI) is connected to the network 8, an image capture button 81a corresponding to the image generation apparatus 81 is provided.
The image capture button 61b is a medical image transmitted from the image generation device 2 such as a digital camera via an interface such as a USB (not shown) for a patient who is currently diagnosed (a patient displayed in the patient display column 71). This is a button for instructing to capture as an image.

  When any image capture button 61a or 61b is pressed (clicked) on the viewer screen 351 by the operation unit 34, the viewer screen 351 of the patient to be diagnosed is closed or the image capture button is released. The medical image transmitted from the image generation device 2 of the type corresponding to the pressed image capturing button 61a or 61b is captured as the medical image of the patient to be diagnosed, and the captured medical image is the original image. It is stored in the image DB 331 in association with the patient information of the patient. The captured medical image is displayed in the image display field 53 as a medical image used for diagnosis, and a thumbnail image is generated and displayed in the thumbnail image display field 54.

  When the viewer screen 351 is displayed, the doctor presses the image capture button 61a or 62b corresponding to the image generation apparatus 2 that performs imaging of the patient by the operation unit 34. An examination practitioner who performs imaging or examination such as a radiographer or nurse takes the patient in front of the image generation apparatus 2 (ultrasonic diagnostic apparatus 2a, electrocardiogram recording apparatus 2b) or radiographic apparatus 22 that performs imaging. Then, the patient's diagnosis target region is photographed as a subject. For example, the radiographer performs imaging with the radiation imaging apparatus 22, sets a cassette imaged in the radiation imaging apparatus 22 in the CR reader 2 c, and reads a radiation image recorded in the cassette. In the image generation device 2, a medical image is generated based on the photographing and is transmitted to the medical image management device 3.

  In the medical image management apparatus 3, when the medical image transmitted from the image generation apparatus 2 is received, the image of the transmission source of the medical image is referred to by the reference of the UID attached to the received medical image, the reception path, or the like. It is determined whether the image capture button 61a or 61b corresponding to the type of the generation device 2 has been pressed in advance. When the image capture button 61a or 61b corresponding to the type of the image generation apparatus 2 as the transmission source is pressed in advance, the received medical image is used as the patient medical image displayed in the patient display field 51 of the viewer screen 351. The image is captured and displayed in the image display field 53.

  When the imaging is completed, the patient returns to the examination room 13, and the doctor performs image diagnosis of the patient based on the diagnostic image displayed on the viewer screen 351.

  Even when a specimen test image is created by the control unit 31 and stored in the image DB 331, the specimen test image is displayed in the image display field 53 of the viewer screen 351 as in the case of a medical image. Information on the date of sample collection is stored in the image information table 331a of the image DB 331 in association with the sample test image. The date of collection is designated on the viewer screen 351 by input from the operation unit 34 or the like, and the image display field 53 is displayed. It is also possible to display a sample test image corresponding to the sample test on the collection date specified in the above.

[Operation of small-scale diagnostic system 1]
Next, the operation of the small-scale diagnosis system 1 will be described in detail.
FIG. 9 shows a flow of examination status information display processing executed by the control unit 31 of the medical image management apparatus 3 and the control unit 71 of the client terminal 7.

First, a patient information list screen 350 is displayed on the display unit 35 by an input from the operation unit 34 (step S1). Also in the client terminal 7, the same patient information list screen 350 is displayed on the display unit 75 by an input from the operation unit 74 (step S2).
In the medical image management apparatus 3, it is determined whether or not an instruction to change examination status information is input from the operation unit 34 (step S3). The examination status information change instruction is an instruction to change examination status information corresponding to the patient displayed in the patient list 46 by an input from the operation unit 34. For example, the CR status column 46a and the electrocardiogram status column 46b. In this case, the sample status column 46c is right-clicked with the mouse of the operation unit 34, or the like.
When it is determined that the inspection status information change instruction has been input (step S3; YES), a change window 49 is displayed on the display unit 35 (step S4).

  FIG. 11A shows an example of a patient information list screen 350 displayed on the display unit 35 in step S4. In the example shown in FIG. 11A, the CR status column 46 a corresponding to “Patient B” in the patient list 46 is right-clicked with the mouse of the operation unit 34, and an examination status information column in which a change instruction is input. A change window 49 is displayed at a position corresponding to (CR status column 46a corresponding to “patient B”). The change window 49 further includes various buttons (requesting button 49a, in-progress button 49b, update button 49c, and complete button 49d) for instructing to change the inspection status information. Note that the change window 49 only needs to be configured with buttons corresponding to the items of the inspection status information, and is not limited to the illustrated example.

Returning to FIG. 9, it is determined whether or not the requesting button 49a is selected by an input from the operation unit 34 (step S5). Here, the selection of the requesting button 49a means that the requesting button 49a is clicked with the mouse of the operation unit 34. The same applies to the subsequent processing.
When it is determined that the requesting button 49a is selected by input from the operation unit 34 (step S5; YES), the examination status information corresponding to the requesting button 49a is changed to “requesting” (step S6). As described above, the storage unit 33 stores the patient information and the examination status information in association with each other. In step S6, the value of the examination status information of the patient corresponding to the requesting button 49a is “requesting”. And is stored in the storage unit 33.

On the other hand, when it is not determined that the requesting button 49a is selected by the input from the operation unit 34 (step S5; NO), the process returns to step S3, and whether or not an instruction to change the inspection status information is input from the operation unit 34. Is judged.
If it is not determined that the inspection status information change instruction has been input (step S3; NO), it is determined whether there is an automatic input of inspection status information change (step S7). The automatic input of examination status information change refers to an instruction input for changing examination status information other than the input from the operation unit 34 or the operation unit 75 on the patient information list 350. For example, one of the capture buttons 61 a of the viewer screen 351 displayed on the display unit 35 or the display unit 75 is pressed by an input from the operation unit 34 or the operation unit 74. That is, when the capture button 61a corresponding to “CR” on the viewer screen 351 displayed on the display unit 35 or the display unit 75 is pressed, the examination status of the patient's CR displayed in the patient display column 51 is displayed. It is determined that there was an automatic input of information change. The example of the automatic input is not limited to this, and may be determined based on a predetermined input to the control unit 31. In addition, the capture button 61a from the client terminal 7 other than the client terminal 7 in the photographing room 15 may be used. Only when is pressed, it may be determined in step S7 that an automatic change of inspection status information has been made.

  When it is determined that the inspection status information change is automatically input (step S7; YES), the process proceeds to step S6, and the corresponding inspection status information stored in the storage unit 33 is changed to “Requesting”.

  Next, the display in the examination status information column of the display unit 35 to which the change has been input is changed to “requesting” (step S8). A display change instruction is transmitted from the medical image management apparatus 3 to the client terminal 7, and the display in the examination status information column of the display unit 75 is changed to “in request” (step S9).

FIG. 11B shows an example of a patient information list screen 350 displayed on the display unit 35 in step S8. The example shown in FIG. 11B is a patient information list screen 350 displayed when the requesting button 49a shown in FIG. 11A is selected from the operation unit 34. The CR status column 46 a corresponding to “Patient B” in the patient list 46 is changed to “Requesting” and displayed on the display unit 35.
In step S9, the patient information list screen 350 shown in FIG. 11B is also displayed on the display unit 71 of the client terminal 7.

  By repeating the processes in steps S3 to S9 described above, the examination status information of the patient is changed to “Requesting”. After the patient's examination status information is changed to “Requested”, the patient moves to the radiation imaging room 15 or the examination room 16 and the examination status information is “Requested” by the accompanying doctor or nurse. Inspection begins.

  In the client terminal 7, it is determined whether or not an inspection status information change instruction has been input from the operation unit 73 (step S10). When it is determined that the inspection status information change instruction has been input (step S10; YES), the change window 49 is displayed on the display unit 75 (step S11).

  FIG. 12A shows an example of the patient information list screen 350 displayed on the display unit 75 in step S10. Similarly to the patient information list screen 350 shown in FIG. 11A, a change window 49 is displayed at the position of the CR status column 56a corresponding to “Patient B”.

Next, it is determined whether or not the in-examination button 49b is selected by an input from the operation unit 73 (step S12). When it is determined that the in-examination button 49b is selected by an input from the operation unit 73 (step S12; YES), an instruction to change the corresponding examination status information to “under examination” is sent to the medical image management apparatus 3. Is transmitted (step S13).
If it is not determined by the input from the operation unit 73 that the in-examination button 49b has been selected (step S12; NO), the process returns to step S10, and it is determined whether an instruction to change the inspection status information is input from the operation unit 73. Is done.

  On the other hand, if it is not determined that the inspection status information change instruction has been input from the operation unit 73 (step S10; NO), it is determined whether or not the inspection status information change has been automatically input (step S14). The automatic input of the examination status information change is, for example, that one of the capture buttons 61a on the viewer screen 351 displayed on the display unit 75 of the client terminal 7 is pressed. Similarly to step S7, step S14 is also determined to be an automatic input of inspection status information change corresponding to the capture button 61a.

  If it is determined that there is an automatic input for changing the examination status information (step S14; YES), the process proceeds to step S13, and the examination status information corresponding to the patient list 46 displayed on the display unit 75 is “under examination”. Is sent to the medical image management apparatus 3. If it is not determined that the inspection status information change has been automatically input (step S14; NO), the process returns to step S10, and it is determined whether or not an inspection status information change instruction has been input from the operation unit 73.

  In the medical image management apparatus 3, an instruction to change the examination status information is received, and the corresponding examination status information is changed to “under examination” (step S15). The display in the inspection status information column of the display unit 35 to which the change has been input is changed to “under inspection” (step S16). A display change instruction is transmitted from the medical image management apparatus 3 to the client terminal 7, and the display in the examination status information column of the display unit 75 is changed to “under examination” (step S17).

FIG. 12B shows an example of a patient information list screen 350 displayed on the display unit 35 in step S17. The example shown in FIG. 12B is a patient information list screen 350 that is displayed when the in-examination button 49 b of the patient information list screen 35 shown in FIG. 12A is selected from the operation unit 73. The display in the CR status column 46a of “Patient B” in the patient list 46 has changed to “under examination”.
In step S17, the patient information list screen 350 shown in FIG. 11B is also displayed on the display unit 75 of the client terminal 7.

  By repeating the processes in steps S10 to S17 described above, the examination status information of the patient is changed to “under examination”. After the patient examination status information is changed to “under examination”, imaging of the affected area is started by the radiation imaging apparatus 22 or the like.

  Next, in the medical image management apparatus 3, it is determined whether or not an examination result has been received (step S18). The reception of the examination result means that the medical image management apparatus 3 receives the examination result whose examination status information is “under examination”. For example, if the test is CR, a medical image is transmitted from the CR reading device 2c to the medical image management device 3, or if the test is a sample test, sample test data is stored in the medical image management device 3. is there. Since patient information is attached to medical images and specimen examinations, it is possible to identify which patient the received examination results belong to. In addition, the examination can be specified from the modality information included in the header information of the medical image. In the case of a sample test, it is possible to identify that it is a sample test from the data format (CSV format or the like) of the received test.

If it is not determined that the requested inspection result has been received (step S18; NO), the process returns to step S18, and it is determined again whether the requested inspection result has been received.
If it is determined that the requested inspection result has been received (step S18; YES), the inspection status information corresponding to this inspection is changed to “update” (step S19). The display in the examination status information column of the display unit 35 is changed to “update” (step S20). A display change instruction is transmitted from the medical image management apparatus 3 to the client terminal 7, and the display in the examination status information column of the display unit 75 is changed to "update" (step S21).

FIG. 13A shows an example of the patient information list 350 displayed on the display unit 35 in step S20. FIG. 13A illustrates an example in which “patient B” is captured by the radiation imaging apparatus 22 and displayed on the display unit 35 when the captured medical image data is received by the medical image management apparatus 3. The CR status column 46a corresponding to “patient B” is updated from “under examination” to “update (1)”.
In step S19, it is determined which patient's medical image has been received from the patient ID included in the received header information of the medical image, and the display of the examination status information corresponding to this patient is changed.

In the radiation imaging apparatus 22, when imaging of the patient is performed a plurality of times, Steps S19 to S21 are repeatedly performed.
FIG. 13B shows an example of the patient information list 35 displayed on the display unit 35. FIG. 13B shows an example in which “patient B” is imaged three times by the radiation imaging apparatus 22, and the medical image management apparatus 3 receives the medical image data for three times from the CR reading apparatus 2c. The CR status column 46a of “Patient B” becomes “update (3)”, and the number of received medical image data is reflected in the CR status column.

  By repeating the processes in steps S18 to S21 described above, the examination status information of the patient is changed to “update”. Note that the patient's examination status information is changed to “update” when the update button 49c of the change window 49 is selected with the mouse of the operation unit 34, as in step S3 and step S10. It may be.

  FIG. 10 shows the subsequent processing flow. In the client terminal 7, it is determined whether or not an instruction for changing the inspection status information has been input (step S22). When it is determined that the inspection status information change instruction has been input (step S22; YES), the change window 49 is displayed on the display unit 75 (step S23).

  FIG. 14A shows an example of a patient information list screen 350 displayed on the display unit 75 in step S23. A change window 49 is displayed on the display unit 75 in the same manner as the patient information list screen 350 shown in FIG.

  Next, it is determined whether or not the completion button 49d is selected by an input from the operation unit 73 (step S24). When it is determined that the completion button 49d is selected by input from the operation unit (step S24; YES), the display of the position of the corresponding examination status information in the patient list 46 displayed on the display unit 75 is changed to “completed”. An instruction to do so is transmitted to the medical image management apparatus 3 (step S25).

When it is not determined that the completion button 49d has been selected by input from the operation unit 73 (step S24; NO), the process returns to step S22, and it is determined whether or not an instruction to change examination status information has been input.
On the other hand, when it is not determined that the inspection status information change instruction has been input (step S22; NO), it is determined whether or not the inspection status information change has been automatically input (step S26). The automatic input of the examination status information change means that the viewer screen 351 displayed on the display unit 75 of the client terminal 7 is closed or the list screen button 52 is pressed.

  If it is determined that the examination status information change is automatically input (step S26; YES), the process proceeds to step S25, and an instruction to update the patient information list screen 350 displayed on the display unit 35 is issued as a medical image. It is transmitted to the management device 3.

  In the medical image management apparatus 3, the corresponding examination status information is changed to “completed” based on the received instruction (step S27). The display in the examination status information column of the display unit 35 is changed to “completed” (step S28). A display change instruction is transmitted from the medical image management apparatus 3 to the client terminal 7, and the display in the examination status information column of the display unit 75 is changed to "completed" (step S29).

FIG. 14B shows an example of the patient information list screen 350 displayed on the display unit in step S28. The example shown in FIG. 14B is a patient information list screen 350 displayed when the completion button 49d of the patient information list screen 35 shown in FIG. 14A is selected from the operation unit. The display in the CR status column 46a of “Patient B” in the patient list 46 has changed to “completed”. That is, this “patient B” is in a state in which imaging in the radiation imaging room 15 has been completed.
In step S29, the patient information list screen 350 shown in FIG. 14B is also displayed on the display unit 71 of the client terminal 7.

  Next, it is determined whether or not all requested inspections have been completed (step S30). In step S30, if there is an examination whose examination status information is “Requested” for each patient, it is determined that all requested examinations are not complete, and the examination status information becomes “Requested”. If there is no inspection, it is determined that all the inspections requested are complete.

If it is not determined that all requested inspections have been completed (step S30; NO), the process returns to step S10, and the requested inspection is executed.
When it is determined that all the requested examinations have been completed (step S30; YES), the background color of the patient list 46 corresponding to the patient who has completed all the requested examinations displayed on the display unit 35 is changed ( Step S31). An instruction to change the background color of the patient list 46 is transmitted from the medical image management apparatus 3 to the client terminal 7, and the background color of the patient list 46 is changed based on this instruction in the client terminal 7. (Step S32).

FIG. 15 shows an example of a patient information list screen 351 displayed on the display unit 35 or the like in step S30. FIG. 15 shows an example of a patient information list screen 351 displayed when examinations of “patient A” and “patient B” in the patient list 46 are completed. In the examination status information of “patient A” and “patient B”, the CR status column 46a, the electrocardiogram status column 46b, and the sample status column 46c are all “completed”, and since the examinations are complete, the background color is changed. The The determination of whether or not all the requested tests are complete is not limited to this. For example, the result of the sample test related to the sample status column 46c often appears several days later, so that the sample status column 46c is excluded. It may be determined based on whether or not the inspection status information is “completed”.
In step S <b> 32, the patient information list screen 350 shown in FIG. 15 is displayed on the display unit 75 of the client terminal 7.

  As described above, according to the small-scale diagnosis system in the present embodiment, examination status information can be displayed on the patient information list screen, and the examination status information can be changed by an input from the operation unit. Since it is possible to instruct changing of the examination status information from the patient information list screen, it is not necessary to display the separate screen and change the examination status information. Since the changed examination status information is reflected on the display unit of the medical image management apparatus and the display unit of the client terminal, it becomes easier to grasp the examination status information of the patient.

  In addition, patients who have completed the examination can easily understand the patients who have completed the examination by changing the background color of the patient list. Since the screen can be changed from the patient information list screen to the viewer screen, it is possible to quickly confirm the test result of the patient who has completed the test.

  In addition, when the results of the test status information other than the test status information corresponding to the sample test that takes several days to obtain the test result are collected in the test status information, it is determined in step S30 that the test results are ready. , It will be easier to determine whether or not the test results are available on the day of the patient's visit.

  In addition, since the examination status information can be changed from both the operation unit of the medical image management apparatus and the operation unit of the client terminal, the examination status information can also be changed at the client terminal installed in the imaging room or the like. it can.

  In addition, by setting the inspection status information to "Requesting", "Inspecting", "Updating", or "Completed", it is possible to grasp whether or not the inspection result is obtained by the inspection status information displayed on the display unit. It becomes easy. Since the screen can be changed from the patient information list screen to the viewer screen, it is possible to efficiently check a test that has a new result (that is, a test whose test status information is “updated” or “completed”). . In addition, the number of unread medical images and whether or not the sample examination is unread can be displayed in the examination status information, so that the medical treatment efficiency is improved.

  In addition, because the examination status information and patient information are displayed in association with each other on the same line of the patient information list screen, the latest information on the patient in the hospital and the latest information on various examinations such as image examination, specimen examination, and ECG This makes it easier to understand and prevents oversight of information necessary for diagnosis.

In addition, the description in this Embodiment mentioned above is an example of the suitable small-scale diagnosis system which concerns on this invention, and is not limited to this.
For example, if the automatic input instruction to change the examination status information in steps S7, S14, and S26 is determined based on a predetermined operation corresponding to the examination status information displayed on the patient information list screen. Good. For example, when there is examination status information related to a modality other than CR, when an import button on the viewer screen corresponding to this modality is pressed, it is determined in step S7 that automatic input is not performed, and step S14 is performed. May be determined to be automatic input. For example, a combination as shown in FIG. 16 can be considered. FIG. 16 shows a case where the value of the inspection status information takes any of “requesting”, “inspection”, “update”, “completed”, and blank as in the present embodiment. “Manual only” shown in FIG. 16 indicates that only button selection by the operation unit is accepted from the change window, and inspection status information is not automatically input. For example, when the examination is “CR”, when the import button is pressed, the examination status information is determined to be an automatic input for changing to “inspection”. Only “inspection”.

  In addition, the patient who has completed the examination changes the background color of the patient list in step S31. However, the present invention is not limited to this as long as it can be notified by a predetermined method that the examination has been completed. For example, patients who have completed the examination may be displayed in a large size in the patient list or notified by a beep sound.

  In the above description, an example in which a hard disk, a semiconductor nonvolatile memory, or the like is used as a computer-readable medium of the program according to the present invention is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a portable recording medium such as a CD-ROM can be applied. A carrier wave is also applied as a medium for providing program data according to the present invention via a communication line.

  In addition, the detailed configuration and detailed operation of each device constituting the small-scale diagnosis system can be changed as appropriate without departing from the spirit of the present invention.

(Second Embodiment)
Next, a second embodiment of the small-scale diagnosis system 1 according to the present invention will be described with reference to FIGS. The second embodiment is different from the first embodiment in that an unread state display process is executed in the medical image management apparatus 3 or the client terminal 7. Hereinafter, differences from the first embodiment will be described.

The storage unit 33 is different from the first embodiment in that it stores an unread table 331b that stores information indicating whether or not a patient examination is unread in association with each doctor.
FIG. 17 shows a data storage example of the unread table 331b. As shown in FIG. 17, the unread table 331b has a “patient ID” field, a “patient name” field, a “CR” field, an “electrocardiogram” field, and a “specimen” field. The “CR” field, the “electrocardiogram” field, and the “specimen” field each further have a “doctor” field and an “unread flag” field.
The “doctor” field stores the name of the doctor of the clinic where the small-scale diagnosis system 1 is installed. The “unread flag” field stores information indicating whether or not the doctor corresponding to the record has not read the patient examination. The value stored in the “unread flag” field is updated by causing the display unit 35 or the display unit 75 to display the inspection result. The value of the “unread flag” field is updated when the doctor logs in by inputting from the operation unit 34 from the login screen (not shown) before displaying the examination result on the display unit 35 or the like. This is performed based on this doctor's information stored in the storage unit 33. That is, when the logged-in doctor displays the examination on the display unit 35 or the like, the value of the “unread flag” field corresponding to this doctor is already read. When there are a plurality of medical images corresponding to the examination as in CR, when any one of the plurality of medical images is displayed, a numerical value in the parenthesis of the examination status information (for example, the examination status information is “ In the case of “update (3)”, the value “3”) is decreased by 1, and when this value becomes “0”, the value of the “unread flag” field is read.

  FIG. 18 shows a flowchart of an unread state display process executed by the control unit 31 when the patient information list screen 351 is displayed on the display unit 35. The unread state display process is executed in cooperation with the control unit 31 and the program stored in the storage unit 33.

  First, the information of the doctor who displays the patient information list screen 351 on the display unit 35 is acquired (step S101). Before displaying the patient information list screen 351, user authentication for displaying the patient information list screen 351 is performed by the operation unit 34 from a login screen (not shown) displayed on the display unit 35. In step S <b> 101, user information input from the operation unit 34 at that time is read from the storage unit 33 and stored in the RAM 32. Hereinafter, the doctor information acquired in step S101 is simply referred to as a login user.

  Next, the unread table 331b stored in the storage unit 33 is read (step S102). By referring to the first patient record in the unread table 331b and referring to the unread flag of each examination in this record, it is determined for each examination whether or not nobody has seen the examination corresponding to the record ( Step S103). “No one has seen the examination” means a state in which all the values of the “unread flag” field of a certain examination are “unread” among the referenced records.

  When it is determined that no one is looking at the examination corresponding to the record (step S103; YES), the background color of the examination status information corresponding to this examination is a background color indicating that nobody is looking at the examination (for example, The background is changed to a polka dot pattern or the like (step S104).

  On the other hand, when it is not determined that no one has seen the inspection corresponding to the record (step S103; NO), it is determined whether or not the login user has viewed the inspection (step S105). In step S105, determination is made based on the value of the “unread flag” field of the record in which the value of the “doctor” field matches the login user among the records referred to in step S103. For example, when the logged-in user is “doctor B”, the “unread flag” corresponding to the record in which each “doctor” field of the “CR” field, “electrocardiogram” field, and “specimen” field is “doctor B”. It is determined whether or not the logged-in user has viewed the examination based on the value of the “” field.

If it is not determined that the logged-in user has seen the examination (step S105; NO), the background color of the examination status information corresponding to this examination is that one of the other users has seen the examination, but the logged-in user has seen this examination. The background color is changed to a background color indicating that the background is not present (for example, the background is hatched) (step S106).
On the other hand, when it is determined that the doctor displaying the patient information list screen 351 on the display unit 35 has seen the test (step S105; YES), the background color of the test status information corresponding to this test is the other user's When one of them sees the examination, the logged-in user is changed to a background color indicating that he / she has seen the examination (for example, the background is white) (step S107).

FIG. 19 shows an example of the patient information list 351 displayed on the display unit 35 when the background color of the examination status information is changed in step S104, step S106, or step S107.
In FIG. 19, among the examination status information of the patient list 46, examination status information whose background color has been changed in step S104 is indicated by a polka dot pattern, and examination status information whose background color has been changed in step S106 is indicated by diagonal lines. The inspection status information whose background color has been changed in step S107 is shown in white.

  Next, it is determined whether or not all the examinations referenced in step S102 have been displayed (step S108). Whether or not all the examinations are displayed is determined by whether or not all the records stored in the unread table 331b are referred to. If it is not determined that all the examinations are displayed (step S108; NO), the next record is referred to (step S109), the process returns to step S103, and whether or not nobody has seen the examination corresponding to this record. To be judged.

  On the other hand, when it is determined that all examinations are displayed (step S108; YES), it is determined whether or not the contents of the unread table 331b have been changed (step S110). When the inspection result is displayed on the display unit 35 or the display unit 75, the value of the “unread flag” field of the logged-in user record of the unread table 331b corresponding to the inspection is changed to “read”. In step S110, a flag indicating whether or not the content of the unread table 331b has been changed is stored in the storage unit 33, and a determination is made by referring to this.

If it is determined that the contents of the unread table 331b have been changed (step S110; YES), the process returns to step S102, and the unread table 331b after the change is read.
If it is not determined that the contents of the unread table 331b have been changed (step S110; NO), it is determined whether or not the login user has been changed (step S111). In step S111, it is determined whether or not the login user has been changed, for example, by comparing the login user information stored in the RAM 32 with the login user information stored in the storage unit 33.
If it is determined that the login user has been changed (step S111; YES), the process returns to step S101, and information on the login user is acquired.

  On the other hand, if it is not determined that the logged-in user has been changed (step S111; NO), it is determined whether an instruction to end the patient information list screen 351 displayed on the display unit 35 has been input from the operation unit 34 (step S112). ). When it is not determined that an instruction to end the patient information list screen 351 displayed on the display unit 35 is input from the operation unit 34 (step S112; NO), the process returns to step S102. When it is determined that an instruction to end the patient information list screen 351 displayed on the display unit 35 is input from the operation unit 34 (step S112; YES), the process ends.

  As described above, according to the small-scale diagnosis system in the second embodiment, the unread state of the examination corresponding to each examination status information can be displayed on the patient information list screen. It becomes easy to grasp.

  In addition, since the unread state is managed in the unread table for each doctor, it can be displayed on the patient information list screen by distinguishing between the case where a user other than the logged-in user displays and the case where the logged-in user displays. Therefore, it is possible to easily grasp the examination performed by another doctor in charge. For example, when another doctor happens to see a patient whose doctor in charge is a logged-in user, the doctor in charge can easily check the test result later.

  In addition, the detailed configuration and detailed operation of each device constituting the small-scale diagnosis system can be changed as appropriate without departing from the spirit of the present invention.

It is a figure which shows the example of whole structure of the small-scale diagnosis system in this Embodiment. 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 shown in FIG. It is a principal block diagram which shows the functional structure of the medical image management apparatus of FIG. It is a principal part block diagram which shows the functional structure of the client terminal of FIG. It is a figure which shows an example of the patient information list displayed on the medical image management apparatus and client terminal of FIG. It is a figure which shows the correspondence of the inspection status information of the viewer screen displayed on the display part of FIG. It is a figure which shows an example of the patient information list screen displayed on the medical image management apparatus and client terminal of FIG. 1, (a) is an example at the time of selecting an examination date display column, (b) is an examination date display. This is an example when a date is selected in the column. It is a figure which shows an example of the viewer screen displayed on the medical image management apparatus and client terminal of FIG. It is a figure which shows the flow of a process of the examination status information display process performed by the medical image management apparatus and client terminal of FIG. It is a figure which shows the flow of a process of the examination status information display process performed by the medical image management apparatus and client terminal of FIG. It is a figure which shows an example of the patient information list screen displayed on the medical image management apparatus and client terminal of FIG. 1, (a) is an example when a change window is displayed, (b) is a requesting button. This is an example when selected. It is a figure which shows an example of the patient information list screen displayed on the medical image management apparatus and client terminal of FIG. 1, (a) is an example when a change window is displayed, (b) is an examination button. This is an example when selected. It is a figure which shows an example of the patient information list screen displayed on the medical image management apparatus and client terminal of FIG. 1, (a) is an example when test | inspection status information is updated, (b) is image | photographed by CR This is an example in which the medical image thus obtained is further taken into the medical image management apparatus. It is a figure which shows an example of the patient information list screen displayed on the medical image management apparatus and client terminal of FIG. 1, (a) is an example when a change window is displayed, (b) is a completion button selected. This is an example of the case. It is a figure which shows an example of the patient information list screen displayed on the medical image management apparatus of FIG. 1 when all the tests are completed. It is a figure which shows an example of the automatic input of the change instruction | indication of inspection status information. It is a figure which shows the data storage example of the unread table memorize | stored in the memory | storage part of the medical image management apparatus shown in FIG. It is a figure which shows the flowchart of the unread state display process performed in the medical image management apparatus of FIG. It is a figure which shows an example of the patient information list screen displayed on the medical image management apparatus and client terminal of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Small scale diagnostic system 2 Image generation apparatus 2a Ultrasound diagnostic apparatus 2b Electrocardiogram recording apparatus 2c CR reader 3 Medical image management apparatus 4 Reception apparatus 5 Imager 6 General-purpose printer 7 Client terminal 8 Network 21 Conversion apparatus 22 Radiography apparatus 31 Control part 32 RAM
33 Storage Unit 330 Sample Inspection DB
331 Image DB
34 Operation unit 35 Display unit 350 Patient information list screen 351 Viewer screen 36 Communication unit 37 Media drive 38 Bus 71 Control unit 72 RAM
73 Storage Unit 74 Operation Unit 75 Display Unit 76 Communication Unit 77 Media Drive 78 Bus

Claims (5)

Data communication is possible via a communication network between a medical image management apparatus provided with storage means for storing doctor information for identifying a doctor, a test result of a patient, and a first display means, and a client terminal provided with a second display means. A small diagnostic system connected to
The storage means associates the examination result and the unread flag indicating whether or not the examination result is displayed on the first display means or the second display means for each doctor identified by the doctor information. Store more unread tables,
The medical image management apparatus includes:
Based on the doctor information stored in the storage means and the unread flag in the unread table, the doctor identified by the doctor information displays the examination result stored in the storage means as the first display means or the second Control means for determining whether or not to display on the display means, and displaying the result of the determination on the first display means;
A small-scale diagnostic system comprising:   When it is determined that all doctors identified by the doctor information stored in the storage means are not displaying the test results stored in the storage means on the first display means or the second display means, The small scale according to claim 1, wherein the first display means displays that all the doctors do not display the test result on the first display means or the second display means. Diagnostic system. It further comprises input means for inputting doctor information,
When it is determined that the doctor identified by the doctor information input by the input means has displayed the examination result stored in the storage means on the first display means or the second display means, the examination result is The small-scale diagnosis system according to claim 1, wherein the first display means displays that the doctor has displayed on the first display means or the second display means. It further comprises input means for inputting doctor information,
It is determined that one of the doctors other than the doctor identified by the doctor information input by the input unit has displayed the test result stored in the storage unit on the first display unit or the second display unit. In this case, the fact that the doctor has displayed the test result on the first display means or the second display means is displayed on the first display means. Small diagnostic system.   The said control means displays the same display screen as the display screen currently displayed on the said 1st display means on the said 2nd display means, The Claim 1 characterized by the above-mentioned. Small diagnostic system.

Images