JP2010128782A - Medical system, integrated management server, and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a server for integrally managing medical data of a plurality of types of data formats without causing information degradation. <P>SOLUTION: An integrated management server 30 receives DICOM reference image data from an image management server 50, and receives HL7-compliant inspection data from an inspection management server 70, and receives HL7-compliant pathology diagnostic data from a pathology department information management device 90. The integrated management server 30 analyzes the received medical data, and generates key information which is common to each of the data formats. The integrated management server 30 adds the key information to the medical data. The integrated management server 30 stores the medical data, and integrally manages the medical data as integrated management medical data based on the added key information. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a medical system, an integrated management server, and a program.

  Each examination such as an image examination, a specimen examination, and a pathological diagnosis is performed by an examination system (department system) in each department in the hospital or outside the hospital. Each department system manages information in a data format (protocol (standard) or data set) unique to the department system.

  In the electronic medical record system, each department system is requested to inspect, and the inspection result data (medical data) in each department system is referred to. At this time, the electronic medical record system refers to the medical data managed in each department using a data format uniquely adopted in each department system.

  Alternatively, in the electronic medical record system, each departmental system converts medical data into a file of a general data format such as JPEG format or PDF format, acquires the file of this general data format, and refers to the medical data. It was.

Recently, a technology has been disclosed in which each department system and an electronic medical record system provided in a hospital information system (HIS) communicate via a medical examination information integration system (see Patent Document 1). Specifically, this medical examination information integration system converts examination order information from the electronic medical chart system into a format corresponding to each department system and transmits it to each department system. In addition, this medical examination information integration system converts medical data from each department system into a format corresponding to the electronic medical record system and transmits it to the electronic medical record system.
JP 2008-65688 A

  However, the technique of Patent Document 1 has a problem that the medical data is deteriorated by converting the format (data format) of the medical data. Therefore, in the electronic medical record system, the doctor cannot refer to the original medical data in each examination department.

  The present invention has been made in view of the above-described problems, and provides a server that integrates and manages medical data in a plurality of types of data formats without causing information deterioration.

In order to solve the above problems, the invention described in claim 1
A medical system in which an integrated management server and a plurality of information processing devices are connected so that data communication is possible,
Each of the plurality of information processing devices is
Transmission control means for transmitting medical data in a data format that can be analyzed by the integrated management server to the integrated management server;
With
The integrated management server
Obtaining means for obtaining medical data in a plurality of types of data formats transmitted by each transmission control means;
Analyzing the medical data to generate key information common to the respective data formats, giving the key information to the medical data, and controlling means for managing the medical data based on the key information;
Is provided.

The invention according to claim 2 is the invention according to claim 1,
The control means extracts attribute information from the medical data, and generates key information based on the attribute information.

The invention according to claim 3 is the invention according to claim 1 or 2,
The key information includes at least one item among items of patient ID, patient name, reception date and time, or data type.

The invention according to claim 4 is the invention according to any one of claims 1 to 3,
One of the medical data is data including a medical image,
One of the information processing apparatuses is an image management server that stores and manages data including the medical image.

The invention according to claim 5 is the invention according to any one of claims 1 to 4,
One of the medical data is data including examination data,
One of the information processing apparatuses is an inspection management server that stores and manages data including the inspection data.

The invention according to claim 6 is the invention according to any one of claims 1 to 5,
One of the medical data is data including a pathological diagnosis report,
One of the information processing apparatuses is a pathological department information management apparatus that stores and manages data including the pathological diagnosis report.

The invention according to claim 7 is the invention according to any one of claims 4 to 6,
The information processing apparatus is a part of the integrated management server.

The integrated management server according to claim 8 is:
An acquisition means for acquiring medical data in a plurality of types of data formats;
Analyzing the medical data to generate key information common to the respective data formats, giving the key information to the medical data, and controlling means for managing the medical data based on the key information;
Is provided.

The invention according to claim 9 is the invention according to claim 8,
The control means extracts attribute information from the medical data, and generates key information based on the attribute information.

The invention according to claim 10 is the invention according to claim 8 or 9, wherein
The key information includes at least one item among items of patient ID, patient name, reception date and time, or data type.

The program according to claim 11 is:
Computer
An acquisition means for acquiring medical data in multiple types of data formats;
Control means for analyzing the medical data to generate key information common to the data formats, giving the key information to the medical data, and managing the medical data based on the key information;
To function as.

The invention according to claim 12 is the invention according to claim 11,
The control means extracts attribute information from the medical data, and generates key information based on the attribute information.

The invention according to claim 13 is the invention according to claim 11 or 12,
The key information includes at least one item among items of patient ID, patient name, reception date and time, or data type.

  According to the first, eighth, and eleventh aspects, the integrated management server acquires medical data in a plurality of types of data formats. The integrated management server analyzes the medical data and generates key information common to the data formats. The integrated management server gives this key information to the medical data. The integrated management server manages medical data based on this key information. Therefore, it is possible to perform integrated management of medical data in a plurality of types of data formats without causing information deterioration.

  According to the second, ninth, and twelfth aspects of the present invention, the integrated management server can efficiently integrate and manage medical data.

  According to the invention described in claims 3, 10, and 13, the integrated management server can efficiently manage medical data in an integrated manner.

  According to the invention described in claim 4, the integrated management server can integrally manage the medical image as one of the medical data.

  According to the invention described in claim 5, the integrated management server can integrally manage the examination data as one of the medical data.

  According to the invention described in claim 6, the integrated management server can integrally manage the pathological diagnosis report as one of the medical data.

  According to the invention described in claim 7, the integrated management server includes an image management server, an examination management server, a pathological department information management device, or a combination thereof.

[First embodiment]
Hereinafter, a first embodiment of the present invention will be described.

[System configuration of medical system]
FIG. 1 shows a system configuration of the medical system 100.

  The medical system 100 includes an electronic medical record server 10, a client terminal 20, an integrated management server 30, a radiation department system 200, an examination department system 300, and a pathology department system 400. Each of the above devices and systems are connected to each other via a communication network N such as a LAN (Local Area Network) so that data communication is possible.

  The radiation department system 200 includes a DICOM-compliant imaging device 40, an image management server 50, and other devices (not shown), and each device is connected via a communication network N so that data communication is possible.

  The DICOM-compliant imaging device 40 performs imaging using a patient's diagnosis target region as a subject, and generates DICOM-compliant image data. Specifically, the DICOM-compliant imaging device 40 performs imaging using a patient's diagnosis target part as a subject, and digitally converts the captured image to generate actual image data (medical image). The DICOM compliant imaging device 40 generates DICOM supplementary information including patient information and examination information based on an input from the operation unit. The DICOM compliant photographing apparatus 40 adds the DICOM supplementary information to the generated actual image data, and generates DICOM compliant image data in accordance with the DICOM standard. The DICOM compliant imaging device 40 transmits the generated DICOM compliant image data to the image management server 50. As the DICOM-compliant imaging device 40, imaging devices that capture various types of medical images, such as CR devices, CT devices, and MRI devices, are applicable.

  The image management server 50 stores and manages (stores and manages) DICOM-compliant image data generated by the DICOM-compliant imaging device 40. As the image management server 50, PACS (Picture Archiving and Communication System) or the like is applicable.

  When the image management server 50 receives a medical image acquisition request conforming to the DICOM standard from an external device, the image management server 50 transmits (provides) DICOM-compliant image data corresponding to the acquisition request to the external device.

  The inspection department system 300 includes an inspection device 60, an inspection management server 70, and other devices (not shown), and each device is connected via a communication network N so that data communication is possible.

  The inspection device 60 analyzes (inspects) a sample such as blood or urine collected from a patient, and generates actual inspection data (inspection data) as an analysis result. The actual inspection data includes one or more inspection items. For example, when the specimen is blood, the test actual data includes items such as “total protein”, “GOT”, “GPT”, and “LDH”. The inspection device 60 transmits the generated actual inspection data to the inspection management server 70.

  The inspection management server 70 generates HL7 compliant inspection data based on the actual inspection data transmitted from the inspection device 60, and stores and manages this HL7 compliant inspection data. Specifically, the examination management server 70 generates HL7 supplementary information including this patient attribute information based on input of patient attribute information from the operation unit by a user such as a doctor. The inspection management server 70 adds the HL7 incidental information to the actual inspection data transmitted from the inspection device 60, and generates HL7 compliant inspection data in accordance with the HL7 standard.

  When the inspection management server 70 receives an inspection data acquisition request conforming to the HL7 standard from an external device, the inspection management server 70 transmits (provides) HL7-compliant inspection data corresponding to the acquisition request to the external device.

  The pathological department system 400 includes a microscope 80, a pathological department information management apparatus 90, and other apparatuses (not shown), and each apparatus is connected via a communication network N so that data communication is possible.

  The microscope 80 captures an image of a tissue or a cell collected from a patient as a subject, and digitally converts the captured image to generate actual image data (medical image). The microscope 80 transmits the generated actual image data to the pathological department information management apparatus 90.

  The pathological department information management device 90 performs information management such as medical appointment reservation, results management, inventory management, etc. in the pathological department. Based on the actual image data received from the microscope 80, the pathological department information management device 90 displays medical images of tissues, cells, etc. on the monitor. The pathological department information management device 90 generates pathological diagnosis report actual data (pathological diagnosis report) for medical images such as tissues and cells based on input from an operation unit by a user such as a doctor and actual image data. This pathological diagnosis report includes medical images such as tissues and cells. The pathological department information management device 90 generates HL7 incidental information based on an input from the operation unit or the like. The pathological department information management device 90 appends HL7 supplementary information to the pathological diagnosis report actual data, and generates HL7-compliant pathological diagnosis data in accordance with the HL7 standard.

  When receiving a pathological diagnosis data acquisition request conforming to the HL7 standard from an external device, the pathological department information management device 90 transmits (provides) HL7-compliant pathological diagnosis data corresponding to the acquisition request to the external device.

  The integrated management server 30 stores medical data in various data formats (DICOM standard, HL7 standard, etc.) transmitted from each department such as the radiation department system 200, the examination department system 300, and the pathology department system 400, and centrally manages them. Device. Here, medical data refers to medical images (DICOM compliant image data), examination data (HL7 compliant examination data), pathological diagnosis reports (HL7 compliant pathological diagnosis data), and the like.

  The integrated management server 30 transmits a medical image acquisition request conforming to the DICOM standard to the image management server 50 of the radiation department system 200, and receives DICOM-compliant image data corresponding to the acquisition request. The integrated management server 30 transmits an inspection data acquisition request conforming to the HL7 standard to the inspection management server 70 of the inspection department system 300, and receives HL7-compliant inspection data according to the acquisition request. The integrated management server 30 transmits a pathological diagnosis data acquisition request conforming to the HL7 standard to the pathological department information management device 90 of the pathological department system 400, and receives HL7-compliant pathological diagnosis data according to the acquisition request.

  The integrated management server 30 sends a medical image acquisition request, an examination data acquisition request, and a pathological diagnosis data acquisition request to each server (image management server 50, examination management server 70, pathology department information) at predetermined time intervals (for example, every hour). To the management device 90) and receives (acquires) newly added medical data in each server.

  The integrated management server 30 analyzes the medical data (DICOM-compliant image data, HL7-compliant examination data, HL7-compliant pathological diagnosis data) acquired from each department, and generates key information. The integrated management server 30 gives this key information to the medical data. The integrated management server 30 stores the medical data and centrally manages the medical data as integrated management target medical data based on the assigned key information.

  When the integrated management server 30 receives a medical data acquisition request from the client terminal 20, the integrated management server 30 transmits (provides) the integrated management target medical data corresponding to the acquisition request to the client terminal 20. The medical data acquisition request includes key information.

  The client terminal 20 is a client (dedicated viewer) of the integrated management server 30. The client terminal 20 transmits a medical data acquisition request to the integrated management server 30. The client terminal 20 receives (acquires) the integrated management target medical data corresponding to the acquisition request from the integrated management server 30.

  The client terminal 20 displays medical images, examination data, pathological diagnosis reports, and the like on a monitor based on the integrated management target medical data.

  The client terminal 20 is also a client of the electronic medical record server 10. The client terminal 20 has a medical record data creation function. The client terminal 20 generates medical record data based on an operation signal generated by a user operation. The client terminal 20 transmits the generated medical record data (information such as a patient's medical condition and diagnosis result) to the electronic medical record server 10.

  The electronic medical record server 10 stores and manages (stores and manages) medical record data generated in the client terminal 20.

  FIG. 2 shows a data flow of medical data (DICOM-compliant image data, HL7-compliant examination data, HL7-compliant pathological diagnosis data, etc.). The actual inspection data generated in the inspection device 60 is transmitted to the inspection management server 70. Then, this inspection actual data is transmitted to the integrated management server 30 as HL7 compliant inspection data. The DICOM compliant image data generated by the DICOM compliant imaging device 40 is transmitted to the integrated management server 30 via the image management server 50. The actual image data generated in the microscope 80 is transmitted to the pathological department information management device 90. The pathological department information management apparatus 90 generates pathological diagnosis report actual data for the actual image data and transmits the actual pathological diagnosis report data to the integrated management server 30 as HL7-compliant pathological diagnosis data.

  In the integrated management server 30, DICOM-compliant image data, HL7-compliant examination data, and HL7-compliant pathological diagnosis data are stored and managed as medical data to be integratedly managed. The integrated management target medical data is transmitted from the integrated management server 30 to the client terminal 20 in response to an acquisition request from the client terminal 20.

[Functional configuration of Master Management Server]
FIG. 3 shows a functional configuration of the integrated management server 30.

  As shown in FIG. 3, the integrated management server 30 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, and a storage unit 35, and each unit is connected by a bus 36.

  The control unit 31 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 integrated management server 30. Specifically, the CPU reads various processing programs stored in the storage unit 35 in accordance with an operation signal input from the operation unit 32 or an instruction signal received by the communication unit 34, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 32 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 32 controls operation signals input by key operations or mouse operations on the keyboard. To 31.

  The display unit 33 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 31.

  The communication unit 34 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Adapter), and the like, and is connected via the communication network N, the client terminal 20, the image management server 50, the examination management server 70, and pathology department information. Data is transmitted to and received from an external device such as the management apparatus 90.

  The storage unit 35 is composed of a hard disk or the like, and stores a control program, parameters and files necessary for executing the program. The storage unit 35 stores an integrated management program 351. The storage unit 35 stores a common key information DB 352. Further, the storage unit 35 stores one or a plurality of DICOM-compliant image data. The storage unit 35 stores one or a plurality of HL7 compliant inspection data. The storage unit 35 stores one or more HL7-compliant pathological diagnosis data.

  The control unit 31 functions as follows in cooperation with the integrated management program 351 stored in the storage unit 35. That is, when acquiring medical data (DICOM compliant image data, HL7 compliant test data, HL7 compliant diagnostic data, etc.) from an external device via the communication unit 34, the control unit 31 analyzes the medical data and generates key information. To do. The control unit 31 stores the key information in the storage unit 35 in association with the medical data. The control unit 31 manages medical data as integrated management target medical data based on the key information. The key information generated by the control unit 31 is stored in the storage unit 35 as a record of the common key information DB 352.

  FIG. 4 shows the data structure of the common key information DB 352. The common key information DB 352 includes one or a plurality of records corresponding to the key information. The record, that is, key information is composed of items “data type”, “reception date / time”, “patient ID”, “patient name”, “storage address”, and the like.

  The item “data type” indicates the type of medical data. The type of medical data is a combination of standards (DICOM standard, HL7 standard, etc.), result types (images, reports, etc.), modality types (CT, MR, CR, etc.). The item “reception date” indicates the date when the integrated management server 30 received the medical data. In other words, the item “reception date and time” indicates the date and time when the control unit 31 acquires the medical data. The item “storage address” indicates an address in the storage unit 35 in which medical data is stored.

  FIG. 5 shows a storage image of medical data stored in the storage unit 35. When receiving the DICOM-compliant image data via the communication unit 34, the control unit 31 sets this reception date and time as the “reception date and time” of the key information. The control unit 31 analyzes the received DICOM-compliant image data. As a result of the analysis, the control unit 31 determines the data type and sets it as the “data type” of the key information. Further, the control unit 31 extracts “patient ID” and “patient name” from the DICOM supplementary information included in the DICOM-compliant image data, and sets them as “patient ID” and “patient name” in the key information. The control unit 31 stores the DICOM-compliant image data in the storage unit 35, and sets the stored address as the “storage address” of the key information. In this manner, the control unit 31 associates the key information with the medical data by using the stored address as the “storage address” of the key information. The control unit 31 registers this key information in the common key information DB 352. The control unit 31 manages DICOM-compliant image data as integrated management target medical data based on the key information.

  Further, when receiving the HL7 compliant inspection data via the communication unit 34, the control unit 31 sets the reception date and time as the “reception date and time” of the key information. The control unit 31 analyzes the received HL7 compliant inspection data. As a result of the analysis, the control unit 31 determines the data type and sets it as the “data type” of the key information. In addition, the control unit 31 extracts “patient ID” and “patient name” from the HL7 incidental information included in the HL7-compliant test data, and sets them as “patient ID” and “patient name” in the key information. The control unit 31 stores the HL7-compliant inspection data in the storage unit 35 and uses the stored address as the “storage address” of the key information. The control unit 31 registers this key information in the common key information DB 352. The control unit 31 manages the HL7-compliant test data as integrated management target medical data based on the key information.

  Further, when receiving the HL7-compliant pathological diagnosis data via the communication unit 34, the control unit 31 sets the reception date and time as the “reception date and time” of the key information. The control unit 31 analyzes the received HL7-compliant pathological diagnosis data. As a result of the analysis, the control unit 31 determines the data type and sets it as the “data type” of the key information. In addition, the control unit 31 extracts “patient ID” and “patient name” from the HL7 incidental information included in the HL7-compliant pathological diagnosis data, and sets them as “patient ID” and “patient name” in the key information. The control unit 31 stores the HL7-compliant pathological diagnosis data in the storage unit 35, and uses the stored address as the “storage address” of the key information. The control unit 31 registers this key information in the common key information DB 352. The control unit 31 manages the HL7-compliant pathological diagnosis data as integrated management target medical data based on the key information.

  Returning to FIG. 3, when the control unit 31 receives a medical data acquisition request from the client terminal 20 via the communication unit 34 in cooperation with the integrated management program 351, the control unit 31 associates it with the key information included in the medical data acquisition request. The obtained medical data (integrated management target medical data) is read from the storage unit 35. The control unit 31 transmits the read medical data to the client terminal 20 via the communication unit 34.

  Specifically, it is assumed that the control unit 31 receives a medical data acquisition request including key information with a patient ID “400” and a reception date “2008/11/15”. In this case, the control unit 31 refers to the common key information DB 352 and reads from the storage unit 35 the medical data associated with the key information having the patient ID “400” and the reception date and time “2008/11/15”. . Then, the control unit 31 transmits the read medical data to the client terminal 20 via the communication unit 34.

[Specific operation of each device in the medical system]
Next, specific operations of each device executed in the medical system 100 will be described with reference to FIGS. FIG. 6 is a ladder chart when the integrated management server 30 receives DICOM-compliant image data. FIG. 7 is a ladder chart when the integrated management server 30 receives HL7 compliant inspection data. FIG. 8 is a ladder chart when the integrated management server 30 receives HL7-compliant pathological diagnosis data.

  First, specific operations of each device in the medical system 100 when the integrated management server 30 receives DICOM-compliant image data will be described with reference to FIG.

  As shown in FIG. 6, the DICOM compliant imaging device 40 images a patient and generates actual image data (medical image) (step S1). Then, the DICOM compliant imaging device 40 attaches DICOM supplementary information to the actual image data, and generates DICOM compliant image data (step S2). Then, the DICOM compliant imaging device 40 transmits the generated DICOM compliant image data to the image management server 50 (step S3).

  When the image management server 50 receives the DICOM compliant image data from the DICOM compliant imaging device 40, the DICOM compliant image data is registered in the database and stored and managed (step S4).

  The control unit 31 of the integrated management server 30 transmits a medical image acquisition request conforming to the DICOM standard to the image management server 50 via the communication unit 34. Upon receiving this medical image acquisition request, the image management server 50 transmits DICOM-compliant image data corresponding to the acquisition request to the integrated management server 30. And the control part 31 of the integrated management server 30 receives (acquires) this DICOM conformity image data via the communication part 34 (step S5, S6).

  The control unit 31 analyzes the acquired DICOM-compliant image data (step S7). Specifically, the control unit 31 determines the standard of medical data based on the data reception port in the communication unit 34 at the start of acquisition. Or the control part 31 determines the specification of medical data based on the terminal (transmission source application) of the transmission source of medical data. The control unit 31 analyzes the medical data based on the data configuration according to the standard, and determines the result type, modality type, and the like of the medical data.

  The control unit 31 generates key information based on the data type (analysis result) determined by the analysis, DICOM supplementary information, reception date and time, and the like (step S8). Then, the control unit 31 assigns (associates) key information to the DICOM-compliant image data, and stores and manages (saves) the DICOM-compliant image data as integrated management target medical data (step S9).

  Next, specific operations of each device in the medical system 100 when the integrated management server 30 receives HL7-compliant test data will be described with reference to FIG.

  As shown in FIG. 7, the inspection apparatus 60 analyzes the sample, acquires the result for each inspection item, and generates inspection actual data (examination data) (step S101). Then, the inspection device 60 transmits the generated inspection actual data to the inspection management server 70 (step S102).

  The examination management server 70 receives input of patient attribute information and the like from the operation unit (step S103), and generates HL7 incidental information including this patient attribute information. The inspection management server 70 attaches HL7 incidental information to the received inspection actual data, and generates HL7 compliant inspection data (step S104).

  The inspection management server 70 registers the HL7 compliant inspection data in the database and stores and manages it (step S105).

  The control unit 31 of the integrated management server 30 transmits an inspection data acquisition request conforming to the HL7 standard to the inspection management server 70 via the communication unit 34. When receiving the inspection data acquisition request, the inspection management server 70 transmits HL7-compliant inspection data corresponding to the acquisition request to the integrated management server 30. And the control part 31 of the integrated management server 30 receives (acquires) this HL7 conformity inspection data via the communication part 34 (step S106, S107).

  The control unit 31 analyzes the acquired HL7 compliant inspection data (step S108).

  The control unit 31 generates key information based on the data type (analysis result) determined by the analysis, the HL7 incidental information, the reception date and time, etc. (step S109). Then, the control unit 31 assigns (associates) key information to the HL7 compliant test data, and stores and manages (saves) the HL7 compliant test data as integrated management target medical data (step S110).

  Next, specific operations of each device in the medical system 100 when the integrated management server 30 receives HL7-compliant pathological diagnosis data will be described with reference to FIG.

  As shown in FIG. 8, the microscope 80 captures cells, tissues, and the like, and generates actual image data (medical image) (step S201). Then, the microscope 80 transmits the generated actual image data to the pathological department information management apparatus 90 (step S202).

  Based on the actual image data received from the microscope 80, the pathological department information management device 90 displays medical images of tissues, cells, etc. on the monitor. The pathological department information management apparatus 90 generates pathological diagnosis report actual data based on input from the operation unit, actual image data, and the like (step S203).

  The pathological department information management device 90 adds HL7 supplementary information to the actual pathological diagnosis report actual data, and generates HL7-compliant pathological diagnosis data (step S204).

  The pathological department information management device 90 registers this HL7-compliant pathological diagnosis data in the database and stores and manages it (step S205).

  The control unit 31 of the integrated management server 30 transmits a pathological diagnosis data acquisition request conforming to the HL7 standard to the pathological department information management device 90 via the communication unit 34. When receiving the pathological diagnosis data acquisition request, the pathological department information management device 90 transmits HL7-compliant pathological diagnosis data corresponding to the acquisition request to the integrated management server 30. Then, the control unit 31 of the integrated management server 30 receives (acquires) the HL7-compliant pathological diagnosis data via the communication unit 34 (steps S206 and S207).

  The control unit 31 analyzes the acquired HL7-compliant pathological diagnosis data (step S208).

  The control unit 31 generates key information based on the data type (analysis result) determined by the analysis, the HL7 incidental information, the reception date and time, etc. (step S209). Then, the control unit 31 assigns (associates) key information to the HL7-compliant pathological diagnosis data, and stores and manages (saves) the HL7-compliant pathological diagnosis data as integrated management target medical data (step S210).

  As described above, according to the first embodiment, the integrated management server 30 receives DICOM-compliant image data from the image management server 50, HL7-compliant examination data from the examination management server 70, and HL7-compliant pathology from the pathological department information management device 90. Receive diagnostic data. The integrated management server 30 analyzes the received medical data and generates key information common to these data formats. The integrated management server 30 gives this key information to the medical data. The integrated management server 30 stores these medical data, and centrally manages these medical data as integrated management target medical data based on the assigned key information.

  Therefore, it is possible to perform integrated management of medical data in a plurality of types of data formats without causing information deterioration.

  A user such as a doctor can search medical data based on key information common to each data format without considering the difference between the data formats.

  Moreover, since the medical data is centrally managed by the integrated management server 30 and the medical data can be referred to by the client terminal 20, it is not necessary to use a system such as a HIS and can be operated even in a facility with few human resources such as a clinic. is there.

[Second Embodiment]
Next, a second embodiment of the present invention will be described. In the second embodiment, the integrated management server 30 has a function of the image management server 50 (image management server function unit 55). Here, the configuration different from the first embodiment will be mainly described.

[System configuration of medical system]
FIG. 9 shows a system configuration of the medical system 500.

  The medical system 500 includes an electronic medical record server 10, an imager 25, a client terminal 20, an integrated management server 30, an imaging device 45, a DICOM conversion device 46, a DICOM-compliant imaging device 40, an examination department system 300, And a pathological department system 400. The above devices and systems are connected to each other via a communication network N such as a LAN so that data communication is possible.

  Since the examination department system 300 and the pathology department system 400 have the same configuration as that of the first embodiment, description thereof is omitted.

  The DICOM-compliant imaging device 40 performs imaging using a patient's diagnosis target region as a subject, and generates DICOM-compliant image data. The DICOM compliant imaging device 40 transmits the generated DICOM compliant image data to the integrated management server 30.

  The imaging device 45 captures an image of a patient's diagnosis target region as a subject, digitally converts the captured image, and generates actual image data (medical image). The imaging device 45 transmits the generated actual image data to the DICOM conversion device 46.

  The DICOM conversion device 46 is a device that converts the actual image data received from the photographing device 45 into DICOM-compliant image data. The DICOM conversion device 46 generates DICOM supplementary information including patient information and examination information based on an input from the operation unit. The DICOM conversion device 46 adds the DICOM supplementary information to the actual image data received from the photographing device 45, and generates DICOM-compliant image data in accordance with the DICOM standard. That is, the actual image data is converted into DICOM-compliant image data. The DICOM conversion device 46 transmits the generated DICOM-compliant image data to the integrated management server 30.

  The integrated management server 30 stores and manages (stores and manages) DICOM-compliant image data generated by the DICOM-compliant imaging device 40 and the DICOM conversion device 46. When the integrated management server 30 receives a medical image acquisition request conforming to the DICOM standard from an external device, the integrated management server 30 transmits (provides) DICOM-compliant image data corresponding to the acquisition request to the external device. In other words, the integrated management server 30 has the function (image management server function unit 55) of the image management server 50 in the first embodiment.

  The integrated management server 30 stores medical data in various data formats (HL7 standard, etc.) transmitted from each department such as the examination department system 300 and the pathological department system 400 together with medical data in DICOM format (DICOM-compliant image data). And centralized management.

  The integrated management server 30 transmits an inspection data acquisition request conforming to the HL7 standard to the inspection management server 70 of the inspection department system 300, and receives HL7-compliant inspection data according to the acquisition request. The integrated management server 30 transmits a pathological diagnosis data acquisition request conforming to the HL7 standard to the pathological department information management device 90 of the pathological department system 400, and receives HL7-compliant pathological diagnosis data according to the acquisition request.

  The integrated management server 30 analyzes the DICOM-compliant image data stored and managed by the image management server function unit 55 and generates key information. The integrated management server 30 gives this key information to the DICOM-compliant image data. Then, the integrated management server 30 manages this DICOM-compliant image data as integrated management target medical data based on the assigned key information.

  The integrated management server 30 analyzes the medical data (HL7 compliant examination data, HL7 compliant pathological diagnosis data) acquired from each department, and generates key information. The integrated management server 30 gives this key information to the medical data. Then, the integrated management server 30 manages this medical data as integrated management target medical data based on the assigned key information. That is, the integrated management server 30 centrally manages medical data such as DICOM-compliant image data, HL7-compliant examination data, and HL7-compliant pathological diagnosis as medical data to be integratedly managed.

  When the integrated management server 30 receives a medical data acquisition request from the client terminal 20, the integrated management server 30 transmits (provides) the integrated management target medical data corresponding to the acquisition request to the client terminal 20.

  The integrated management server 30 is stored and managed by the image management server function unit 55 in accordance with a data structure defined by PHE (Portable Data for Imaging) of IHE (Integrating Healthcare Enterprise) and IHE-J (Integrating Healthcare Enterprise-Japan). The written DICOM-compliant image data is written into the medium M which is a portable storage medium. As the medium M, DVD-R, CD-R, etc. are applicable.

  In response to an acquisition request from the electronic medical record server 10, the integrated management server 30 transmits the actual image data of DICOM-compliant image data stored and managed by the image management server function unit 55 to the electronic medical record server 10.

  The integrated management server 30 transmits the DICOM-compliant image data and the imager output request signal stored and managed by the image management server function unit 55 to the imager 25.

  The imager 25 is a device that prints a medical image on a film (imager output) based on DICOM-compliant image data. When the imager 25 receives the DICOM-compliant image data and the imager output request signal from the integrated management server 30, the imager 25 outputs a medical image based on the received DICOM-compliant image data.

  FIG. 10 shows a data flow of medical data (DICOM-compliant image data, HL7-compliant examination data, HL7-compliant pathological diagnosis data, etc.). The actual inspection data generated in the inspection device 60 is transmitted to the inspection management server 70. Then, this inspection actual data is transmitted to the integrated management server 30 as HL7 compliant inspection data. The DICOM compliant image data generated by the DICOM compliant imaging device 40 is transmitted to the integrated management server 30. Further, the actual image data generated in the photographing device 45 is transmitted to the DICOM conversion device 46. In the DICOM conversion device 46, the actual image data is converted into DICOM-compliant image data. The converted DICOM-compliant image data is transmitted to the integrated management server 30. The actual image data generated in the microscope 80 is transmitted to the pathological department information management device 90. The pathological department information management apparatus 90 generates pathological diagnosis report actual data for the actual image data and transmits the actual pathological diagnosis report data to the integrated management server 30 as HL7-compliant pathological diagnosis data.

  In the integrated management server 30, DICOM compliant image data transmitted from the DICOM compliant imaging device 40 or the DICOM conversion device 46 is stored and managed by the image management server function unit 55. In the integrated management server 30, the HL7 compliant examination data transmitted from the examination management server 70, the HL7 compliant pathological examination data transmitted from the pathological department information management device 90, and the DICOM compliant image stored and managed by the image management server function unit 55 The data is stored and managed as integrated management target medical data.

  The integrated management target medical data is transmitted from the integrated management server 30 to the client terminal 20 in response to an acquisition request from the client terminal 20. The actual image data included in the DICOM-compliant image data managed by the image management server function unit 55 is transmitted to the electronic medical record server 10 in response to an acquisition request from the electronic medical record server 10. The DICOM-compliant image data managed by the image management server function unit 55 is transmitted to the imager 25. The DICOM-compliant image data managed by the image management server function unit 55 is output to the medium M in accordance with the data structure defined by PDI.

[Functional configuration of Master Management Server]
FIG. 11 shows a functional configuration of the integrated management server 30.

  As shown in FIG. 11, the integrated management server 30 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, a storage unit 35, and a media drive 37, and each unit is connected by a bus 36. Yes.

  The control unit 31 is configured by a CPU, a RAM, and the like, and comprehensively controls processing operations of each unit of the integrated management server 30. Specifically, the CPU reads various processing programs stored in the storage unit 35 in accordance with an operation signal input from the operation unit 32 or an instruction signal received by the communication unit 34, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 32 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 32 controls operation signals input by key operations or mouse operations on the keyboard. To 31.

  The display unit 33 is configured by an LCD, and displays various screens based on display data input from the control unit 31.

  The communication unit 34 includes a LAN adapter, a router, a TA, and the like, and is connected via the communication network N, the client terminal 20, the electronic medical record server 10, the imager 25, the examination management server 70, the pathology department information management device 90, and DICOM compliant. Data is transmitted / received to / from external devices such as the imaging device 40 and the DICOM converter 46.

  The media drive 37 writes various data to the medium M based on a control signal from the control unit 31. In addition, the media drive 37 reads data stored in the media M based on a control signal from the control unit 31.

  The storage unit 35 is composed of a hard disk or the like, and stores a control program, parameters and files necessary for executing the program. The storage unit 35 stores an integrated management program 351. The storage unit 35 stores a common key information DB 352. The storage unit 35 stores a DICOM image management program 353. Further, the storage unit 35 stores one or a plurality of DICOM-compliant image data. The storage unit 35 stores one or a plurality of HL7 compliant inspection data. The storage unit 35 stores one or more HL7-compliant pathological diagnosis data.

  The control unit 31 functions as follows in cooperation with the DICOM image management program 353 stored in the storage unit 35. That is, when receiving (acquiring) DICOM-compliant image data from an external device via the communication unit 34, the control unit 31 stores the DICOM-compliant image data in the storage unit 35 for management. When receiving a medical image acquisition request conforming to the DICOM standard from an external device, the control unit 31 transmits (provides) DICOM-compliant image data corresponding to the acquisition request to the external device. That is, the control unit 31 functions as the image management server function unit 55. Further, the control unit 31 writes DICOM-compliant image data into the medium M via the media drive 37 based on the operation signal from the operation unit 32. Further, the control unit 31 transmits DICOM-compliant image data to the imager 25 via the communication unit 34 based on an operation signal from the operation unit 32. Further, the control unit 31 transmits the actual image data of DICOM-compliant image data to the electronic medical record server 10 via the communication unit 34 in response to an acquisition request from the electronic medical record server 10.

  The control unit 31 functions as follows in cooperation with the integrated management program 351 stored in the storage unit 35. That is, when the control unit 31 acquires medical data (HL7 compliant test data, HL7 compliant diagnosis data, etc.) from an external device via the communication unit 34, the control unit 31 analyzes the medical data and generates key information. The control unit 31 stores the key information in the storage unit 35 in association with the medical data. In addition, the control unit 31 generates key information by analyzing DICOM-compliant image data managed in cooperation with the DICOM image management program 353. The control unit 31 associates this key information with DICOM-compliant image data. Based on the key information, the control unit 31 manages these medical data (HL7 compliant test data, HL7 compliant diagnostic data, DICOM compliant image data, etc.) as integrated management target medical data. The key information generated by the control unit 31 is stored in the storage unit 35 as the common key information DB 352.

  When receiving the medical data acquisition request from the client terminal 20 via the communication unit 34, the control unit 31 stores the medical data (integrated management target medical data) associated with the key information included in the medical data acquisition request. Read from. The control unit 31 transmits the read medical data to the client terminal 20 via the communication unit 34.

  As described above, according to the second embodiment, the integrated management server 30 has the function of the image management server 50 (image management server function unit 55). Therefore, the integrated management server 30 can centrally manage medical data as integrated management target medical data, and can manage DICOM-compliant image data separately from the integrated management target medical data.

  The descriptions in the first and second embodiments are examples of the integrated management server according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of the system and each device can be changed as appropriate.

  For example, in the second embodiment, the integrated management server 30 is configured to have the function of the image management server 50. However, instead of the image management server 50, the functions of the examination management server 70 and the pathological department information management apparatus 90 are used. It is good also as a structure to have. The integrated management server 30 may be configured to have the functions of the examination management server 70 and / or the pathological department information management device 90 in addition to the functions of the image management server 50.

  In this embodiment, an example in which a portable storage medium or a hard disk is used as a computer-readable medium storing a program is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a non-volatile memory such as a flash memory can be applied. Also, a carrier wave can be applied as a medium for providing program data via a communication line.

It is a system configuration figure of the medical system in a 1st embodiment of the present invention. It is a figure which shows the data flow of the medical data in the 1st Embodiment of this invention. It is a block diagram of the integrated management server in the 1st Embodiment of this invention. It is a data block diagram of common key information DB. It is an image figure of the medical data memorize | stored in the memory | storage part. It is a ladder chart which shows the process performed in a medical system. It is a ladder chart which shows the process performed in a medical system. It is a ladder chart which shows the process performed in a medical system. It is a system configuration figure of a medical system in a 2nd embodiment of the present invention. It is a figure which shows the data flow of the medical data in the 2nd Embodiment of this invention. It is a block diagram of the integrated management server in the 2nd Embodiment of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Electronic medical record server 20 Client terminal 25 Imager 30 Integrated management server 31 Control part 32 Operation part 33 Display part 34 Communication part 35 Storage part 36 Bus 40 DICOM conformity imaging device 45 Imaging device 46 DICOM conversion apparatus 50 Image management server 55 Image management server Functional unit 60 Inspection apparatus 70 Inspection management server 80 Microscope 90 Pathology department information management apparatus 100 Medical system 200 Radiation department system 300 Inspection department system 351 Integrated management program 352 Common key information DB
400 Pathology department system 500 Medical system N Communication network

Claims (13)

A medical system in which an integrated management server and a plurality of information processing devices are connected so that data communication is possible
Each of the plurality of information processing devices is
Transmission control means for transmitting medical data in a data format that can be analyzed by the integrated management server to the integrated management server;
With
The integrated management server
Obtaining means for obtaining medical data in a plurality of types of data formats transmitted by each transmission control means;
Analyzing the medical data to generate key information common to the respective data formats, giving the key information to the medical data, and controlling means for managing the medical data based on the key information;
A medical system comprising: The control means extracts attribute information from the medical data and generates key information based on the attribute information.
The medical system according to claim 1. The key information includes at least one item among items of patient ID, patient name, reception date and time, or data type,
The medical system according to claim 1 or 2. One of the medical data is data including a medical image,
One of the information processing apparatuses is an image management server that stores and manages data including the medical image.
The medical system as described in any one of Claims 1-3. One of the medical data is data including examination data,
One of the information processing devices is an inspection management server that stores and manages data including the inspection data.
The medical system as described in any one of Claims 1-4. One of the medical data is data including a pathological diagnosis report,
One of the information processing devices is a pathological department information management device that stores and manages data including the pathological diagnosis report.
The medical system as described in any one of Claims 1-5. The information processing apparatus is a part of the integrated management server.
The medical system as described in any one of Claims 4-6. An acquisition means for acquiring medical data in a plurality of types of data formats;
Analyzing the medical data to generate key information common to the respective data formats, giving the key information to the medical data, and controlling means for managing the medical data based on the key information;
Integrated management server comprising The control means extracts attribute information from the medical data and generates key information based on the attribute information.
The integrated management server according to claim 8. The key information includes at least one item among items of patient ID, patient name, reception date and time, or data type,
The integrated management server according to claim 8 or 9. Computer
An acquisition means for acquiring medical data in multiple types of data formats;
Control means for analyzing the medical data to generate key information common to the data formats, giving the key information to the medical data, and managing the medical data based on the key information;
Program to function as. The control means extracts attribute information from the medical data and generates key information based on the attribute information.
The program according to claim 11. The key information includes at least one item among items of patient ID, patient name, reception date and time, or data type,
The program according to claim 11 or 12.

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