JP2010128865A - Image forming device, image display device, image forming method, and image display method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an examination result of an examination item to be noted in a repeatedly reproducible state without needing operation to specify the examination item. <P>SOLUTION: A control section 31 of an image display device 3 determines whether analyte examination data off reference values exists by comparing the analyte examination data of each examination item included in analyte examination data of the same examination of the same patient stored in a receiving message table T1 of a storage section 33, with the reference values. When the analyte examination data off the reference values exists, the analyte examination data of the examination item off the reference value is imaged to create an analyte examination image and stores it in an image DB 334 of the storage section 33. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an image creation device, an image display device, an image creation method, and an image display method.

  A specimen (blood, urine, etc.) collected from a patient is measured for a number of examination items by an examination device. The inspection result is stored as numerical data in a PC (Personal Computer) or the like. This test result is displayed on a PC monitor installed in the examination room or the like and used for informed consent by a doctor.

  In general, the inspection result is often graphed and displayed on a monitor. By graphing the inspection result, it becomes easy to understand the change in the inspection result from the previous measurement date, or to easily compare the inspection items with each other. Further, only the examination items necessary for explanation can be displayed in a graph by a doctor's input operation, and can be explained to the patient.

In order to make it easy to see the test results displayed on the monitor, Patent Document 1 displays a graph using relative values with the upper limit and lower limit of the test results as axes, and the same graph is used for test items with different numbers of digits. Techniques for displaying above are disclosed.
JP 2001-52082 A

  However, with the technique described in Patent Document 1, the result of the specimen test can be displayed in a graph, but this graph cannot be stored. Test items to be displayed on the graph, date of sample collection, setting of the maximum value and minimum value of the graph are variable, and it is very difficult to reproduce and display the graph used in the past diagnosis as it is.

  In addition, for example, inspection items to be noted are limited such as inspection items whose inspection results are out of the reference value. However, in the technique described in Patent Document 1, every time a graph is created, a doctor must set a test item to be graphed from a large number of test items, and the operation is complicated. Also, it is difficult to understand the items to be noted.

  The present invention has been made in view of the above-described problems, and the object of the present invention is to be able to repeatedly reproduce the inspection result of a notable inspection item without requiring an operation for designating the inspection item. It is to be able to provide.

In order to solve the above problems, an image creating apparatus according to claim 1 is provided.
Storage means for storing sample test data of each test item related to a sample collected from a patient;
When there is sample test data that deviates from a predetermined reference value in the sample test data of each test item stored in the storage means, the sample test data of the test item that deviates from the reference value A control means for creating a specimen test image image by imaging and storing the created specimen test image image in the storage means;
Is provided.

The invention according to claim 2 is the invention according to claim 1,
The control means determines whether or not a specimen examination image image of a past examination of the patient is already stored in the storage means when creating the specimen examination image image, and determines that it is not stored. In this case, a sample test image is created by imaging sample test data of test items that are out of the reference value.

The invention according to claim 3 is the invention according to claim 2,
The control means determines whether or not a specimen examination image image of a past examination of the patient has already been stored in the storage means when creating the specimen examination image image. In this case, the sample test data of the test item imaged with the past sample test image image stored in the storage means is imaged.

The invention according to claim 4 is the invention according to any one of claims 1 to 3,
The sample test image image created by the control means includes a graph of sample test data of the test item to be imaged.

The image display device of the invention according to claim 5
Display means;
Storage means for storing sample test data of each test item related to a sample collected from a patient;
When there is sample test data that deviates from a predetermined reference value in the sample test data of each test item stored in the storage means, the sample test data of the test item that deviates from the reference value A control means for creating a specimen test image image by imaging and storing the created specimen test image image in the storage means;
Is provided.

The invention according to claim 6 is the invention according to claim 5,
The control means determines whether or not a specimen examination image image of a past examination of the patient is already stored in the storage means when creating the specimen examination image image, and determines that it is not stored. In this case, a sample test image is created by imaging sample test data of test items that are out of the reference value.

The invention according to claim 7 is the invention according to claim 6,
The control means determines whether or not a specimen examination image image of a past examination of the patient has already been stored in the storage means when creating the specimen examination image image. In this case, the sample test data of the test item imaged in the past sample test image image stored in the storage means is imaged.

The invention according to claim 8 is the invention according to any one of claims 5 to 7,
The sample test image image created by the control means includes a graph of sample test data of the test item to be imaged.

The invention according to claim 9 is:
An image creation method in an image creation device comprising a storage means for storing specimen test data of each test item related to a specimen collected from a patient,
Determining whether or not there is sample test data deviating from a predetermined reference value in the sample test data of each test item stored in the storage means;
As a result of the determination, when there is sample test data that deviates from the reference value, a step of imaging the sample test data of the test item that deviates from the reference value and creating a sample test image image;
Storing the created specimen test image in the storage means;
including.

The invention according to claim 10 is:
An image display method in an image display device comprising: display means; and storage means for storing sample test data of each test item related to a sample collected from a patient,
Determining whether or not there is sample test data deviating from a predetermined reference value in the sample test data of each test item stored in the storage means;
As a result of the determination, when there is sample test data that deviates from the reference value, a step of imaging the sample test data of the test item that deviates from the reference value and creating a sample test image image;
Storing the created specimen test image in the storage means;
Displaying the created specimen test image on the display means;
including.

  According to the present invention, it is possible to provide the inspection result of the inspection item to be noted in a state where it can be repeatedly reproduced without requiring an operation for designating the inspection item.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

[Configuration of small-scale diagnostic system 1]
FIG. 1 is a block diagram showing a system configuration of a small-scale diagnosis system 1 in the present embodiment.

  The small-scale diagnosis system 1 is applied to a relatively small medical facility such as a practitioner or a clinic. The small-scale diagnosis system 1 includes a modality 2, an image display device 3, a reception device 4, an imager 5, a general-purpose printer 6, a client PC (Personal Computer) 7, and an inspection data management system 8. Each device constituting the small-scale diagnosis system 1 is connected to a communication network (hereinafter simply referred to as “network”) 9 such as a LAN (Local Area Network) via a switching hub (not shown), for example. The image display device 3 is preferably a WS (workstation) provided in an examination room where a doctor is resident. The WS that operates as the image display device 3 may be configured to control activation of each modality 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.

[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 modality 2 captures an image of a region to be diagnosed by a patient 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.

The modality 2 includes a CR (Computed Radiography) device, an ultrasonic diagnostic device (US), an FPD (Flat Panel Detector), and the like. The modality 2 is not limited to this. For example, an endoscope, MRI (Magnetic Resonance Imaging), or the like may be provided as the modality 2. A modality 2 may be a digital camera or the like that captures the appearance of the body such as the skin.
Furthermore, it is good also as a structure provided with two or more apparatuses of the same kind, for example, including two ultrasonic diagnostic apparatuses. Further, the combination of the devices constituting the modality 2 provided in the small-scale diagnosis system 1 is not limited to the above example.

In the present embodiment, the modality 2 has a function of giving image attribute information such as UID, imaging date / time, examination ID, and examination site to each medical image in a format conforming to the DICOM standard. That is, a medical image is input from the modality 2 to the image display device 3 in a state where these pieces of image attribute information are given.
The UID is a unique ID for specifying a medical image in the small-scale diagnosis system 1. Similarly, a UID is assigned to a specimen test image image created in a specimen test image image creation process to be described later.

The modality 2 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 from the input unit.
Patient information includes patient ID, patient name (kanji), patient name (kana), patient name (ASCII), gender, date of birth, age, etc., medical treatment date, imaging time, reception number, physician in charge, etc. The patient information input in Modality 2 includes, for example, patient ID, patient name (kanji), patient name (kana), patient name (ASCII), gender, and date of birth. is there. Note that it is not necessary to input all of them in the modality 2, and it is possible to not input any patient information. When the modality 2 has a specification for inputting only a patient ID as patient information, the input unit of the modality 2 may be a numeric keypad, for example.

The image attribute information and the patient information are incidental information attached to the medical image generated by the modality 2. The modality 2 transmits a medical image to the image display device 3 via the network 9 in a DICOM file format conforming to the DICOM standard. The DICOM file is composed of an image part and a header part. In the image portion, image data of a medical image is written, and in the header portion, incidental information related to the medical image is written.
If the modality 2 is a device that does not conform to the DICOM standard, such as a digital camera, the modality 2 transmits a medical image in the JPEG format to the image display device 3. In this case, the UID is given to the medical image on the image display device 3 based on the shooting date and time of the medical image.

  The image display device 3 is installed in, for example, an examination room, stores a medical image generated by the modality 2 in association with patient information in an image DB (Data Base) 334, or causes a doctor to display an image or the like to interpret an image. Or a device with a higher definition than a monitor (display unit) used in a general PC.

  As shown in FIG. 2, the image display 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. 38 is connected.

  The control unit 31 is configured by a CPU (Central Processing Unit) and 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 performs a specimen test described later according to the expanded programs. Various processes including an image image creation process (see FIG. 12) are executed.

  The RAM 32 forms a work area for temporarily storing various programs executable by the control unit 31 read from the storage unit 33, input or output data, and the like in various processes controlled by the control unit 31.

  The storage unit 33 includes an HDD (Hard Disk Drive), a semiconductor nonvolatile memory, or the like. In addition to storing various programs as described above, the storage unit 33 stores a default parameter table 331 for storing default parameters used in a specimen examination image creation process described later, and a standard for each examination item in specimen examination. A reference value table 332 for storing values, image processing parameters for adjusting a medical image to an image quality suitable for diagnosis (lookup table defining a gradation curve used for gradation processing, enhancement degree of frequency processing, etc.) It is remembered. Further, the storage unit 33 stores patient information input by the receiving device 4 or the like.

Although the detailed configuration example and the like will be described later, the sample test image image is obtained by imaging the sample test data included in the message received from the test data management system 8 based on the parameters. It is an image that is graphed or represented in a table.
The sample test data is numerical data (measurement value) indicating the test result of each test item for the sample collected from the patient.
The parameter is a parameter related to each item such as a graph constituting the specimen test image image. For example, information indicating the scale width of the vertical axis of the graph, the test item displayed in the graph, the test item displayed in the table, etc. It is.

More specifically, the default parameter table 331 includes default parameter tables 331a to 331c.
FIGS. 3A to 3C show examples of data storage of the default parameter tables 331a to 331c.
As shown in FIG. 3A, the default parameter table 331a stores parameters relating to the display form of the graph included in the specimen examination image. This parameter is, for example, the upper limit value and lower limit value of the normal zone of the graph, the maximum number of display days indicating the number of examinations of the collection date and time to be displayed simultaneously (hereinafter referred to as the number of extracted data), the vertical width of the graph, and the like.
As shown in FIG. 3B, the default parameter table 331b stores an inspection item to be displayed in a graph (referred to as a graph display inspection item) and a parameter relating to the color of a graph line indicating data of the inspection item.
As shown in FIG. 3C, the parameters of the inspection items (referred to as table inspection items) to be displayed in a table are stored in the default parameter table 331c.

  FIG. 4 shows a data storage example of the reference value table 332. As shown in FIG. 4, the reference value table 332 stores data indicating the reference value (normal value) of the sample test data for each test item of the sample test. The reference value may have a predetermined width.

  In addition, the storage unit 33 includes a sample test DB (Data Base) 333 that stores sample test data received from the test data management system 8 and various types of information related to the sample test data. The specimen test data and various information related to the specimen test data are stored in a specific format file (hereinafter referred to as a message) created in a CSV (Comma Separated Values) format or the like. The image display device 3 receives a message from the inspection data management system 8 via the network 9. The received message is stored in the specimen test DB 333.

[Message data format]
Hereinafter, the message received by the image display device 3 from the inspection data management system 8 will be described in detail.
FIG. 5A shows an example of the data format of the message. As shown in FIG. 5A, the message includes a “message ID” field, a “sample test ID” field, a “patient information” field, a “collection date” field, a “classification” field, a “test item” field, and a “measurement”. Value field "and the like. In the message, sample test data and patient information related to the sample test data are stored in association with each other. The patient information stored in the message is patient information registered in the examination data management system 8 and may not match the patient information registered in the modality 2 or the image display device 3. For example, in the case of a patient who did not shoot a medical image with modality 2 and only performed a blood test or urine test with test data management system 8, patient information is not registered in modality 2 or image display device 3, Patient information is registered only in the examination data management system 8. Hereinafter, in order to distinguish, the patient information registered in the modality 2 or the image display device 3 is referred to as patient information A, and the patient information registered in the examination data management system 8 is referred to as patient information B.

In the “message ID” field, an ID uniquely assigned to the message is stored. The “specimen test ID” field stores an ID uniquely assigned to the sample test performed on the patient.
In the “patient information” field, various types of patient information related to the specimen test are stored. Further, the “patient ID” field, the “patient name (kanji)” field, the “patient name (kana)” field, the “patient name (ASCII)”. ) "Field," gender "field, and" birth date "field.
The date and time when the sample is collected is stored in the “collection date and time” field.
The “classification” field stores a classification corresponding to the specimen test data included in the message. The classification is a test corresponding to the collected sample, for example, a blood test if the sample is blood, and a urine test if the sample is urine.
In the “inspection item” field, an inspection item corresponding to the classification is stored. In other words, when the value of the “classification” field is “urine test”, each test item (“urine light white qualitative”, “urine occult blood”, etc.) that produces a result by the urine test is stored, and the classification is “blood” In the case of “test”, each test item (“total protein”, “inorganic phosphorus”, etc.) for which a result is obtained by the blood test is stored.
The “measurement value” field stores the measurement value of the inspection result of each inspection item.

  The message is composed of one or a plurality of records, and each record stores sample test data for each test item of the sample classification. For example, as shown in FIG. 5A, at the message transmission timing, the result of the urine test of the patient “Test Taro” and the result of the blood test of the patient “Saburo Yamada” are the test data management system 8. If a new message is registered, a record corresponding to these two inspection results is included in one message.

Even when samples are collected at the same date and time, the date and time when a test result is obtained may vary depending on the classification and the test item. For example, even when blood and urine are collected in one test, the date and time when the blood test results are obtained may be different from the date and time when the urine test is performed. In this case, since the timing at which the blood test result and the urine test result are registered in the test data management system 8 is different, a message including the blood test result and a message including the urine test result are sent to the image display device 3. The transmission timing is also different.
For example, a patient named “Test Taro” performs a blood test and a urine test at “10:00 on June 15, 2008”, and when the message shown in FIG. However, if the result of the blood test is not obtained, as shown in FIG. 5A, the message includes only the record corresponding to the test result of the urinalysis of “Test Taro”.

FIG. 5B shows a message transmitted to the image display device 3 when a new inspection result is obtained. The example illustrated in FIG. 5B illustrates a case where the blood test result of “Test Taro” is obtained after the message illustrated in FIG. 5A is transmitted to the image display device 3. Although the blood test results are newly available, they are collected at the same collection date and time as the urine tests for which results have already been obtained and are the same test, so the “sample test ID” field, “patient information” field, and In the “collection date / time” field, the same value as the record of “test Taro” in the message shown in FIG. In the “Category” field, the value of “blood test” that is newly obtained this time is stored, and in the “Message ID” field, a value different from the message shown in FIG.
That is, a test performed on the same patient at the same collection date and time is a single test, and in the received message, the values of “patient ID” and “collection date and time” (“sample test ID”) match each other. Indicates the same inspection.

  Returning to FIG. 2, the sample test DB 333 stores a message received from the test data management system 8 via the network 9. The specimen test DB 333 stores a received message table T1 for storing the message ID of the received message, a specimen test data table T2 for storing specimen test data included in the message, and parameters used for creating the specimen test image image. Parameter table T4 and the like.

FIG. 6 shows an example of the received message table T1. As shown in FIG. 6, the received message table T1 includes a “message ID” field, an “unacquired flag” field, and the like. Each time a new message is received from the test data management system 8, the received message table T1 stores a message ID associated with the message ID of this message.
The unacquired flag is a flag that indicates whether or not the specimen test data included in the message has been imaged by a specimen test image image creation process to be described later and a specimen test image image has been created, and is given for each message ID. The
In the data storage example shown in FIG. 6, the sample test data included in the message with the message ID “3” is generated by the sample test image image generation process, but the message ID is “4”. The included specimen test data indicates that a specimen test image has not yet been created.
The received message table T1 may store information such as the date and time when the examination data management system 8 transmits a message to the image display device 3 and the date and time when the image display device 3 receives the message.

  FIG. 7A shows an example of the specimen test data table T2. As shown in FIG. 7A, the sample test data table T2 includes a “sample test ID” field, a “patient information” field, a “collection date / time” field, a “classification” field, a “test item” field, and a “test item”. It has an “unread flag” field, a “measurement value” field, and the like. In the sample test data table T2, the sample test data included in the message in which the sample test image image is created by the sample test image image creation process to be described later is stored in the patient corresponding to the message ID stored in the reception message table T1. Corresponding to the information A, it is sequentially stored for each specimen test ID.

In the “inspection item unread flag” field, an inspection item unread flag indicating whether or not the measurement value (inspection result) of each inspection item is displayed on the display unit 35 is stored.
When the specimen test image image created in the specimen test image image creation process described later is displayed on the display unit 35, the value of the “test item unread flag” field corresponding to the test item included in the specimen test image image is “Unread” is changed to “Read”. The test items included in the sample test image image are test items imaged by the sample test image image. In this embodiment, the test items included in the parameter graph display test item and the test items included in the table test item It is an item.

FIG. 8 shows an example of the parameter table T4. As shown in FIG. 8, the parameter table T4 includes a “UID” field, a “patient ID” field, an “image unread flag” field, a “graph display inspection item” field, a “table inspection item” field, and a “normal zone upper limit value”. ”Field,“ normal zone lower limit value ”field,“ maximum display days ”field,“ vertical width ”field, and the like. The parameter table T4 stores parameters of each specimen test image image created by the specimen test image image creation process.
Of the values stored in the “graph display inspection item” field shown in FIG. 8, the values shown in parentheses are the line colors of the graph.

In the “UID” field, a UID assigned to the created specimen test image is stored. The “image unread flag” field stores a flag for identifying whether or not the created specimen test image is displayed on the display unit 35. When the specimen test image image (see FIG. 11) displayed in the image display field 73 of the viewer screen 351 is displayed on the display unit 35 by clicking the input from the operation unit 34 or the like, the image of the sample test image image is unread. The flag is changed from “unread” to “read”.
In the “graph display test item” field to “vertical width” field, parameters (graph display test item, table test item, normal zone upper limit value, normal value) used when creating the specimen test image image specified by the UID are displayed. Zone lower limit, maximum display days, vertical width) are stored.

  Returning to FIG. 2, the storage unit 33 includes an image DB 334 that stores a specimen test image image created by the specimen test image image creation process, a medical image transmitted from the modality 2, and a thumbnail image.

The image DB 334 includes an image information table T3 that stores various types of information related to medical images stored in the image DB 334. FIG. 9 shows an example of the image information table T3. As shown in FIG. 9, the image information table T3 includes a “record number” field, a “UID” field, an “imaging date” field, an “examination ID” field, an “examination site” field, a “patient ID” field,. -It has an “image storage destination” field and the like. The image information table T3 includes a medical image transmitted from the modality 2, a specimen test image image created by a specimen test image image creation process to be described later, and various information related thereto (image related information, patient information A, image storage destination, etc.) Are stored as one record in association with each other. In the “examination ID” field, an ID uniquely assigned to a taken examination is stored in the case of a medical image, and a specimen examination ID is stored in the case of a specimen examination image.
The image information table T3 may store storage destination folder information for medical images and thumbnail images of specimen examination images.

  Based on the information stored in the image information table T3, the medical image and the sample examination image are associated with the UID for identifying the patient information A, each medical image, and the like, and the patient information A, the photographing date (the specimen examination image image). In this case, the date and time of collection) are stored as key information so as to be searchable. When registering the medical image transmitted from the modality 2 and the specimen test image image created in the image display device 3 in the image DB 334, each information is also registered in the image information table T3.

  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.

  FIG. 10 shows an example of the viewer screen 351 displayed on the display unit 35. The viewer screen is a screen that displays medical images and specimen test image images used for diagnosis, and is displayed when a doctor performs diagnostic interpretation or informed consent for a patient. As shown in FIG. 10, the viewer screen 351 has a patient display column 71 for displaying the patient ID and patient name of the patient selected as the diagnosis target, and it is visually recognized which viewer screen 351 is currently displayed. It can be done. When the list screen button 72 is operated, the screen can be changed to a patient information list screen (not shown).

  The viewer screen 351 includes an image display field 73 for displaying a medical image and a specimen test image image used for diagnosis, among a medical image and a specimen test image image of the patient to be diagnosed, and a medical image and a specimen test image of the patient to be diagnosed A thumbnail image display field 74 for displaying a list of thumbnail images of images is provided.

In addition, the viewer screen 351 is provided with an image capture button 81a and an image capture button 81b.
The image capture button 81a instructs to capture a medical image transmitted from various modalities 2 connected to the network 9 as an image of a patient who is currently diagnosed (patient displayed in the patient display column 71). It is a button to do. In the present embodiment, the image capture button 81 a is arranged on the viewer screen 351 corresponding to the type of the modality 2 connected to the network 9.
The image capture button 81b is a medical image transmitted from the modality 2 such as a digital camera via an interface such as a USB (not shown) as an image of a patient who is currently diagnosed (a patient displayed in the patient display column 71). It is a button for instructing to capture.

When any of the image capture buttons 81a or 81b 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. In the meantime, the medical image transmitted from the modality 2 of the type corresponding to the pressed image capture button 81a or 81b is captured as a medical image of the patient to be diagnosed, and is associated with the patient information A of this patient in the image DB 334. Is remembered. The captured medical image is displayed in the image display field 73 as a medical image used for diagnosis, and the thumbnail image is generated and displayed in the thumbnail image display field 74 (see FIG. 11). The generated thumbnail image is stored in the image DB 331 in association with the UID, imaging date, and patient information A.
When a medical image is transmitted from the type of modality 2 in which the image capture button 81a or 81b is not pressed, an unconfirmed image storage unit (not shown) provided in the storage unit 33 as an unconfirmed image. Is remembered. An indeterminate image refers to a medical image that is not associated with patient information A. The unconfirmed image stored in the unconfirmed image storage unit is associated with the patient by a user input from the operation unit 34. For example, a list of unconfirmed images and a list of patient information A are displayed on the display unit 35 (not shown), and the patient information A to be associated with the unconfirmed images is selected from the operation unit 34. Patient information A is associated.

The viewer screen 351 is provided with a date button 75. When any one of the date buttons 75 is pressed by an input from the operation unit 34, a medical image taken on the date indicated by the date button pressed for the diagnosis target patient from the image DB 334 and a sample examination image whose collection date is this date A thumbnail image of the image is read, and the read thumbnail image is additionally displayed in the thumbnail image display field 74. By dragging and dropping the thumbnail image displayed in the thumbnail image display field 74 to the image display field 73 with the mouse of the operation unit 34, the medical image and the specimen examination image can be displayed in the image display field 73.
The information related to the medical image and the information related to the specimen test image image input from the operation unit 34 are not limited to the date information as described above, and various types of information stored in the image information table T3 are selected by the operation unit 34. Thus, the medical image and the specimen test image image to be displayed on the display unit 35 may be designated. For example, other buttons for designating the examination region and patient information A are displayed on the viewer screen 351 (not shown in particular), this button is selected by input from the operation unit 34, and the image information table T3 is selected. By referencing, a medical image and a specimen examination image may be displayed on the viewer screen 351.

  The viewer screen 351 is provided with various tool buttons 83 for displaying the images displayed in the image display field 73 in an easy-to-see manner.

  Further, the viewer screen 351 has an image output button 82a for designating the imager 5 as the output destination of the medical image, an image output button 82b for designating the general-purpose printer 6 as the output destination of the medical image and the specimen test image image, An image output button 82c for designating a recording medium as a medical image output destination and an image output button 82d for designating an external device (in this case, the client PC 7 or the like) as a medical image output destination are provided.

In the image display device 3, when the medical image transmitted from the modality 2 is received, the type of the modality 2 that is the transmission source of the medical image is determined by referring to the UID attached to the received medical image, the reception path, or the like. It is determined whether the image capture button 81a or 81b corresponding to is previously pressed. When the image capture button 81a or 81b corresponding to the type of the modality 2 of the transmission source has been pressed in advance, the received medical image is captured as the medical image of the patient displayed in the patient display column 71 of the viewer screen 351. Are displayed in the image display field 73.
Similarly, when the specimen test image image of the patient displayed in the patient display field 71 of the viewer screen 351 is created and saved in the image information table T3 by the specimen test image image creation process described later, the image display field 73 also has the same result. This specimen inspection image is displayed.

  The communication unit 36 includes a network interface or the like, and transmits and receives data to and from an external device connected to the network 9 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 9, and the like. When receiving the reception input screen is instructed from the input unit, the reception device 4 displays a reception input screen (not shown) on the display unit by software processing in cooperation with the CPU and the program stored in the storage unit. When reception information (reception number + patient name, etc.) is input through the reception input screen, the patient information A of the received patient is created (updated) and stored in the storage unit. It transmits to the image display device 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 image display 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 PC 7 is, for example, a computer device that displays a medical image transmitted from the image display device 3.

  The examination data management system 8 manages the examination result of the sample collected from the patient. The inspection data management system 8 includes an inspection device (not shown) for inspecting blood, urine and the like collected from a patient, and manages sample inspection data obtained by the inspection device. Every time a predetermined time elapses, a message created by the inspection data management system 8 is transmitted to the image display device 3 via the network 9. The message only needs to be transmitted from the test data management system 8 to the image display device 3 at a predetermined timing, and is transmitted every time the sample test data is registered in the test data management system 8. Alternatively, it may be transmitted by an instruction input from an operation unit (not shown) of the inspection data management system 8.

[Operation of Image Display Device 3]
Next, the operation of the image display device 3 will be described in detail.
FIG. 12 shows a flowchart of a specimen test image image creation process executed by the control unit 31 at time intervals stored in the storage unit 33 in advance. The specimen test image creation process is executed in cooperation with the control unit 31 and a program stored in the storage unit 33.

  First, the message stored in the sample examination DB 333 of the storage unit 33 and the received message table T1 are read (step S1). Next, the received message table T1 is referred to, and it is determined whether there is new specimen test data (step S2). In step S2, the “unacquired flag” field of the received message table T1 read in step S1 is referred to. If there is a record whose value is “unacquired”, a new sample is obtained. If it is determined that there is examination data and all the values of this field are “acquired”, it is determined that there is no new specimen examination data.

  When it is determined that there is new sample test data (step S2; YES), the number of new sample test data is acquired (step S3). The new sample test data is a sample test having the same sample test ID among the sample test data included in the message in which the value of the “not loaded flag” field of the received message table T1 is “not loaded”. It is a collection of data, and the number of new specimen test data is the number of specimen test IDs with different values included in this message. In the case of the message data storage example in FIG. 5B and the data storage example in the reception message table T1 in FIG. 6, the number of new specimen test data is one specimen test ID “40”.

  Next, 1 is substituted into the counter variable i (step S4), and it is determined whether there is unprocessed extracted data (step S5). The unprocessed extracted data is new sample test data in which a sample test image is not created in step S7 to be described later among the new sample test data. In step S5, if the counter variable i is larger than the number of new specimen test data, it is determined that there is no unprocessed extracted data. If the counter variable i is equal to or less than the number of new specimen test data, the unprocessed extracted data is determined. It is judged that there is.

  When it is determined that there is unprocessed extracted data (step S5; YES), a captured patient determination process is executed (step S6).

  FIG. 13 shows a flowchart of the acquisition patient determination process executed by the control unit 31 in step S6 of FIG. The acquisition patient determination process is executed in cooperation with the control unit 31 and a program stored in the storage unit 33.

  First, patient information A stored in the storage unit 33 is acquired (step S601). Next, it is determined whether or not the patient ID corresponding to the unprocessed extracted data has been registered (step S602). In step S602, if a patient ID corresponding to unprocessed extracted data exists in the patient information A stored in the storage unit 33, it is determined that the patient ID has been registered. It is determined that the ID has not been registered.

  When it is determined that the patient ID has been registered (step S602; YES), it is determined whether or not to compare the patient information A stored in the storage unit 33 with the patient information B corresponding to the unprocessed extracted data. (Step S603). In step S603, a value indicating whether or not to compare patient information is stored in the storage unit 33 in advance, and by referring to this value, it is determined whether or not to compare patient information. This value can be changed by an input from the operation unit 34.

  When it is determined that the patient information A stored in the storage unit 33 is compared with the patient information B corresponding to the unprocessed extracted data (step S603; YES), the patient information A and the patient information B are compared ( Step S604). Specifically, the patient name (kanji), patient name (kana), patient name (ASCII), gender, and date of birth corresponding to the unprocessed extracted data, and the patient information A stored in the storage unit 33 Of these, the patient name (kanji), patient name (Kana), patient name (ASCII), gender, and date of birth of the patient with the matching patient ID are compared.

As a result of the comparison of the patient information in step S604, it is determined whether or not the patient information matches (step S605). If it is determined that the patient information matches (step S605; YES), a return value indicating that the sample test image image created based on the unprocessed extracted data is the sample test image image corresponding to this patient (this patient Are stored in the RAM 32 (step S606).
If it is not determined that the patient information matches (step S605; NO), a return value indicating that the specimen test image image created based on the unprocessed extracted data is an undetermined image is stored in the RAM 32 (step S607). .

  On the other hand, when it is not determined that the patient ID has been registered (step S602; NO), it is determined whether or not a new patient is registered (step S608). Here, the registration setting for a new patient refers to a setting for whether or not to newly store (register) patient information B corresponding to unprocessed extracted data as patient information A in the storage unit 33. In step S608, a value indicating whether or not to register a new patient is stored in advance in the storage unit 33, and it is determined whether or not new patient registration is set by referring to this value. This value can be changed by input from the operation unit 34.

If it is determined that registration of a new patient is set (step S608; YES), unprocessed extracted data and corresponding patient information B are stored as new patient information A in the storage unit 33, and the patient information is registered. (Step S609). Next, a return value (including the registered patient ID of the registered patient) indicating that the sample test image image created based on the unprocessed extracted data is the sample test image image corresponding to the registered patient is stored in the RAM 32. (Step S610).
On the other hand, if it is not determined that the registration setting for the new patient is made (step S608; NO), the process proceeds to step S607, and the specimen test image image created based on the unprocessed extracted data is set as an unconfirmed image. A return value indicating that is to be stored is stored in the RAM 32.

Returning to FIG. 12, when the capture patient determination process described above is performed, an image creation process is executed (step S7).
FIG. 14 is a flowchart of the image creation process executed by the control unit 31 in step S7 of FIG. The image creation process is executed in cooperation with the control unit 31 and a program stored in the storage unit 33.

  First, it is determined whether or not the specimen examination image of the past examination of the patient determined in step S6 is stored in the image DB 334 (step S701). Specifically, the patient ID of the patient determined in step S6 matches the value of the “patient ID” field, and the collection date corresponding to the unprocessed extracted data and the value of the “collection date” field are different. Is retrieved from the specimen test data table T2. When a record satisfying the above condition exists in the sample test data table T2, it is determined that a sample test image image of a patient's past test determined in step S6 is stored in the image DB 334.

When it is determined that the specimen examination image image of the patient's past examination determined in step S6 is stored in the image DB 334 (step S701; YES), the specimen examination image of the past examination stored in the image DB 334 The parameters used when creating the image are acquired from the parameter table T4 (step S702), and the process proceeds to step S709.
In step S702, first, in the image information table T3, the record having the latest collection date and time among the records searched in step S701 matches the value of the “patient ID” field, and the value of the “imaging date and time” field is the above-described value. A record that matches the value of the “collection date / time” field of the record having the latest collection date / time is retrieved, and the UID of the retrieved record is acquired. Then, the parameter of the record having the acquired UID is acquired from the parameter table T4.

  On the other hand, if it is determined that the patient specimen image determined in step S6 is not stored in the image DB 334 (step S701; NO), the parameters from the default parameter tables 331a to 331c stored in the storage unit 33 are determined. Is acquired (step S703). In the present embodiment, the parameters of the graph display inspection item and the table inspection item in the default parameter tables 331b to 331c are not set.

  Next, it is determined whether or not there is an abnormal value test item in the unprocessed extracted data and the sample test data of the same test (step S704). An abnormal value refers to sample test data that deviates from a reference value. In step S704, each test included in the record in which the unprocessed extracted data and the values of the “patient ID” field and the “collection date” field match among the unprocessed extracted data and the message stored in the specimen test DB 333. The specimen test data of the item is compared with the reference value of the corresponding test item in the reference value table 332 of the storage unit 33. Then, it is determined whether there is sample test data that is out of the reference value. If there is sample test data that deviates from the reference value, it is determined that there is an abnormal value test item.

When it is determined that there is no abnormal value in the unprocessed extracted data and the sample test data of the same test (step S704; NO), the parameters of the graph display test item and the table test item are determined as “no target item”. In step S705, the process proceeds to step S709.
When it is determined that there is an abnormal value in unprocessed extracted data and sample test data of the same test (step S704; YES), the number of abnormal value test items is counted. When the number of the abnormal value inspection items counted is 10 or less (step S706; 10 or less), the parameters of the graph display inspection item and the table inspection item are changed to the abnormal value inspection item (step S707). The process proceeds to step S709. When the number of abnormal value inspection items is 11 or more (step S706; 11 or more), the parameters of the graph display inspection item and the table inspection item are changed to 10 items whose sample inspection data values are farthest from the reference value. (Step S708), the process proceeds to Step S709. Note that the number used in the determination in step S706 is the maximum number of examination items that can be represented in the graph or table of the specimen examination image image. Although the number is 10 here, it is not particularly limited.

  In step S709, a specimen test image image and a thumbnail image are created based on the acquired parameters (or changed parameters if there is a change), and are stored as temporary files in the RAM 32 (step S709).

Hereinafter, the specimen test image image created in step S709 and specific processing in step S709 will be described.
FIG. 15 shows an example of the specimen test image image 352 created in step S709. The specimen test image 352 includes a collection date / time 201, a graph legend 202, a graph 203, a test item list 204, a table 205, and the like.
The collection date / time 201 is the value of the “collection date / time” field of the message corresponding to the unprocessed extracted data. The graph legend 202 displays a graph legend corresponding to the parameter graph display inspection item. In the graph 203, a graph representing the inspection result of each inspection item corresponding to the graph display inspection item of the parameter in time series is drawn and displayed with a line of a predetermined color. The examination item list 204 shows a list of specimen examination data. The table 205 displays a table in which inspection results of inspection items corresponding to parameter table inspection items are arranged in time series.

In step S709, first, a record in which the patient ID and the patient ID corresponding to the unprocessed extracted data match is extracted from the records stored in the specimen test data table T2. Of the extracted records, the number of records obtained by subtracting 1 from the number of parameter extraction data is further extracted in the order of the value of the “collection date” field. Specimen test data and unprocessed extracted data included in these records are imaged according to parameters to create a specimen test image. When there is a record in the sample test data table T2 in which the collection date corresponding to the unprocessed extracted data and the value of the “collection date / time” field are the same, both the sample test data and the unprocessed extracted data of this record are stored. The included specimen test data is imaged and a specimen test image is created.
In the example of the specimen test image image 352 illustrated in FIG. 15, the number of extracted data is 3. That is, the test results of the most recent three sample tests including unprocessed extracted data are shown in the graph 203 and the table 205 in time series.

  Returning to FIG. 14, the parameters used to create the specimen test image in step S709 are stored in the RAM 32 as a temporary file (step S710).

  Returning to FIG. 12, it is determined whether or not a specimen test image image having the same collection date and time as the specimen test image image created in step S7 (ie, the same test) has been created (step S8). Specifically, from the messages stored in the sample examination DB 333, a record corresponding to the unprocessed extracted data in which the sample examination image image is created in step S7, the “patient ID” field, and the “collection date” field Records with the same value of are retrieved, and in the received message table T1, a record in which the value of the “unacquired flag” field associated with the message ID of the retrieved record is “acquired” In some cases, it is determined that a sample examination image image with the same collection date and time has been created. If there is no such record, it is determined that a sample examination image image with the same collection date and time has not been created.

  When it is determined that the sample examination image image with the same collection date and time has been created (step S8; YES), the UID of the sample examination image image with the same collection date and time is acquired from the image information table T3, and the parameter table T4 is obtained. By referring to this, it is determined whether or not this specimen test image is unread (step S9). Specifically, among the records in the parameter table T4, the record corresponding to the UID of the specimen test image image with the same collection date and time is referred to, and the value of the “image unread flag” field of this record is referred to, thereby making the same It is determined whether or not the sample test image image at the collection date is unread. The UID of the specimen examination image image with the same collection date / time corresponds to the specimen examination image image in the “patient ID” field and the “imaging date / time” field of the image information table T3 (that is, corresponding to unprocessed extracted data). It is acquired by referring to the “UID” field of the record that matches the patient ID and the collection date and time.

  Returning to FIG. 12, when it is determined that the sample test image images of the same collection date and time are unread (step S9; YES), the unprocessed extracted data and the unprocessed extracted data are stored in the sample test data table T2. Various corresponding information (specimen test ID, patient information A, etc.) is stored (step S10).

  FIG. 7B shows an example of the specimen test data table T2 in which unprocessed extracted data is stored. The example shown in FIG. 7B is a case where the sample examination image image creation processing is executed in the case of the data storage example of the message shown in FIG. 5B and the data storage example of the reception message table T1 shown in FIG. An example in which unprocessed extracted data is stored in step S10 is shown. Sample test data of “blood test” of “Test Taro” shown in FIG. 6 is stored in the sample test data table T2.

Next, the specimen test image image and the thumbnail image created in step S709 in FIG. 14 are overwritten and saved in the storage unit 33 (step S11). Specifically, the specimen test image image and thumbnail image of the UID acquired in step S9 stored in the image DB 334 are overwritten and saved with the specimen test image image and thumbnail image created in step S709.
Further, the parameter is updated by storing the parameter saved as a temporary file in the RAM 32 in step S710 of FIG. 14 in the parameter table T4 (step S12). In step S12, the parameter table T4 is referred to, and each parameter of the record having the UID acquired in step S9 is replaced with the parameter stored as a temporary file in the RAM 32 in step S710.

  Next, various types of information related to the specimen test image image overwritten and stored in step S11 are registered in the image information table T3 (step S13). Specifically, registration is performed by overwriting various types of information (examination site) related to the specimen examination image of the record in which the UID acquired in step S9 matches the “UID” field of the image information table T3.

On the other hand, when it is not determined that the sample examination image image with the same collection date / time already exists in the storage unit 33 (step S8; NO), or when it is determined that the sample examination image image with the same collection date / time is not unread ( Step S9; NO), unprocessed extracted data and various information (sample test ID, patient information A, etc.) corresponding to the unprocessed extracted data are stored in the sample test data table T2 (step S14). In addition, a UID is assigned to the specimen test image image created in step S7, and is stored in the storage unit 33 together with the thumbnail image according to the return value of step S6 (step S15). If the return value stored in the RAM 32 in the captured patient determination process in step S6 indicates “corresponding patient data” or “registered patient data”, the specimen test image image is stored in a predetermined folder of the image DB 334. If an “indeterminate image” is indicated, it is stored in the indeterminate image region of the image DB 334.
Next, the parameter saved as a temporary file in the RAM 32 in step S710 of FIG. 14 is associated with the UID attached to the specimen examination image and stored as a new record in the parameter table T4, thereby adding a parameter. Is performed (step S16).

  Next, various pieces of information related to the specimen test image image newly stored in step S15 are registered in the image information table T3 (step S17). Specifically, a new record is created in the image information table T3, and the UID given in step S15 is associated with various information (patient ID, etc.) related to the sample examination image and stored in this record. . If the return value stored in the RAM 32 in the captured patient determination process in step S6 indicates “corresponding patient data” or “registered patient data”, the patient ID of this patient is stored, and the “indeterminate image” ", No value is stored in the patient ID. The “image storage destination” stores the location (storage destination) where the image is stored in step S11 or step S15.

Next, the counter variable i is incremented by 1 (step S18), and the process returns to step S5.
On the other hand, if it is not determined in step S5 that there is unprocessed extracted data (step S5; NO), the unacquired flag in the received message table T1 corresponding to the message ID of the unprocessed extracted data is “acquired”. (Step S19), and the process ends.
If it is not determined in step S2 that there is new specimen test data (step S2; NO), the process ends.

  As described above, according to the small-scale diagnosis support system in the present embodiment, the control unit 31 of the image display device 3 includes each test included in the sample test data of the same test stored in the storage unit 33. By comparing the sample test data of the item and the reference value, it is determined whether there is sample test data that deviates from the reference value. When there is sample test data that deviates from the reference value, the sample test data of the test item that deviates from the reference value is imaged to create a sample test image and store it in the image DB 334 of the storage unit 33.

  Therefore, if the value of the specimen test data is out of the predetermined reference value (that is, an abnormal value), an operation for designating the test result of the test item to be noted and the parameters of the test item is required. It is possible to provide an image that can be repeatedly reproduced.

  Further, by managing the sample test data as a sample test image image and managing it as an image that is difficult to edit, it is possible to prevent falsification of the sample test data.

  Further, when creating the sample examination image, the control unit 31 determines whether or not the sample examination image image of the past examination of the target patient is already stored in the image DB 334 of the storage unit 33 and stored. If it is determined that the specimen inspection data of the examination item is imaged with the specimen examination image image of the past examination stored in the image DB 334, the specimen examination data is imaged. Therefore, after the second test, specimen test image images of test items that were abnormal values for the first time are automatically created, so doctors can easily grasp changes over time in test items that should be noted. Can be used to help follow up.

  Specimen test image image includes a graph of specimen test data of the test items to be imaged in chronological order, allowing doctors to more easily grasp changes over time in test items to be noted Can be used to help follow up.

The description in the present embodiment is an example of a suitable small-scale diagnosis system according to the present invention, and the present invention is not limited to this.
For example, in the above embodiment, the storage unit 33 stores the reference value table 332 indicating the reference value of the specimen test data of each test item, and the control unit 31 refers to the reference value table 332 to check each test item. Although it has been described that it is determined whether or not the sample test data is an abnormal value, the message transmitted from the test data management system 8 may include the reference value of the sample test data of each test item. Further, the examination data management system 8 may determine whether or not the specimen test data of each test item is an abnormal value, and the determination result may be included in a message and transmitted to the image display device 3.

  Further, in the above embodiment, the display items of the graph and the table are the inspection items whose sample test data is the abnormal value, but only the display item of either the graph or the table is the abnormal value test item, and the other The display item may be set by an input from the operation unit 34. In this case, it may be possible to set from the operation unit 34 whether the abnormal value inspection item is assigned to the graph or the table.

  In step S5 of the specimen test image creation process shown in FIG. 12, it is determined whether there is unprocessed extracted data using the counter variable. However, the specimen test data for which the specimen test image is to be created is determined. It is sufficient if it can be determined whether or not there is another method. For example, EOF (End Of File) data may be attached to the last record of the new specimen test data, and it may be determined whether there is unprocessed extracted data based on this data.

  Further, the unincorporated flag corresponding to the message for which the specimen test image has been created is updated in step S19. However, it is only necessary that the unincorporated flag can be updated when the specimen test image for the message has been created. The present embodiment is not limited to the example.

  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 support 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 principal part block diagram which shows the functional structure of the image display apparatus of FIG. It is a figure which shows an example of the default parameter table of FIG. It is a figure which shows an example of the reference value table of FIG. It is a figure which shows the data storage example of the message transmitted with respect to a small-scale diagnostic system from the test | inspection data management system of FIG. It is a figure which shows an example of the reception message table of sample test DB of FIG. It is a figure which shows an example of the sample test data table of sample test DB of FIG. It is a figure which shows an example of the parameter table of sample test DB of FIG. It is a figure which shows an example of the image information table of image DB of FIG. It is a figure which shows an example of the viewer screen displayed on the display part of FIG. It is a figure which shows an example of a display at the time of displaying the medical image and specimen test | inspection image image which were taken in to the viewer screen shown in FIG. 3 is a flowchart showing a specimen test image image creation process executed by a control unit in FIG. 2. It is a flowchart which shows the acquisition patient determination process performed in step S6 of FIG. It is a flowchart which shows the image creation process performed in step S7 of FIG. It is a figure which shows an example of the specimen test | inspection image image produced | generated by the image creation process of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Small diagnostic system 2 Modality 3 Image display apparatus 4 Reception apparatus 5 Imager 6 General-purpose printer 7 Client PC
8 Inspection data management system 9 Network 31 Control unit 32 RAM
33 Storage unit 331 Default parameter table 332 Reference value table 333 Specimen inspection DB
T1 reception message table T2 specimen test data table T4 parameter table
334 Image DB
T3 Image information table 34 Operation unit 35 Display unit 351 Viewer screen 352 Sample examination image 36 Communication unit 37 Media drive 38 Bus 73 Image display column 74 Thumbnail image display column

Claims (10)

Storage means for storing sample test data of each test item related to a sample collected from a patient;
When there is sample test data that deviates from a predetermined reference value in the sample test data of each test item stored in the storage means, the sample test data of the test item that deviates from the reference value A control means for creating a specimen test image image by imaging and storing the created specimen test image image in the storage means;
An image creating apparatus.   The control means determines whether or not a specimen examination image image of a past examination of the patient is already stored in the storage means when creating the specimen examination image image, and determines that it is not stored. The image creation apparatus according to claim 1, wherein a specimen test image is created by imaging specimen test data of a test item that deviates from the reference value.   The control means determines whether or not a specimen examination image image of a past examination of the patient has already been stored in the storage means when creating the specimen examination image image. In this case, the image creating apparatus according to claim 2, wherein the specimen test data of a test item imaged with a past specimen test image image stored in the storage unit is imaged.   The image creating apparatus according to claim 1, wherein the specimen test image image created by the control unit includes a graph of specimen test data of the test item to be imaged. Display means;
Storage means for storing sample test data of each test item related to a sample collected from a patient;
When there is sample test data that deviates from a predetermined reference value in the sample test data of each test item stored in the storage means, the sample test data of the test item that deviates from the reference value A control means for creating a specimen test image image by imaging and storing the created specimen test image image in the storage means;
An image display device comprising:   The control means determines whether or not a specimen examination image image of a past examination of the patient is already stored in the storage means when creating the specimen examination image image, and determines that it is not stored. The image display apparatus according to claim 5, wherein a specimen test image is created by imaging specimen test data of a test item that deviates from the reference value.   The control means determines whether or not a specimen examination image image of a past examination of the patient has already been stored in the storage means when creating the specimen examination image image. In this case, the image display apparatus according to claim 6, wherein the sample test data of the test item imaged in the past sample test image image stored in the storage unit is imaged.   The image display apparatus according to claim 5, wherein the specimen test image image created by the control unit includes a graph of specimen test data of the test item to be imaged. An image creation method in an image creation device comprising a storage means for storing specimen test data of each test item related to a specimen collected from a patient,
Determining whether or not there is sample test data deviating from a predetermined reference value in the sample test data of each test item stored in the storage means;
As a result of the determination, when there is sample test data that deviates from the reference value, a step of imaging the sample test data of the test item that deviates from the reference value and creating a sample test image image;
Storing the created specimen test image in the storage means;
An image creation method including: An image display method in an image display device comprising: display means; and storage means for storing sample test data of each test item related to a sample collected from a patient,
Determining whether or not there is sample test data deviating from a predetermined reference value in the sample test data of each test item stored in the storage means;
As a result of the determination, when there is sample test data that deviates from the reference value, a step of imaging the sample test data of the test item that deviates from the reference value and creating a sample test image image;
Storing the created specimen test image in the storage means;
Displaying the created specimen test image on the display means;
An image display method including:

Images