JP2011081512A - Medical information management device, method, program, and medical information system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information management system and a medical information management technology, for improving task efficiency by validly using image data, managed to be distributed in a low order system with a large capacity, in a high order system. <P>SOLUTION: A medical information system 10 includes: an information accumulation part 14 for identifying and accumulating image data P of a patient and description data Q attached to the image data P for each group; an information acquisition means 30 for acquiring the description data Q from the information accumulation part 14; a browser 11 for displaying, by group, the image data P corresponding to the description data Q extracted from the information acquiring means 30 by retrieval with the patient as a key; and an image browsing means 50 for storing the description data Q selected by the browser 11, and for making the browser 11 display the corresponding image data P. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to a medical information management technique and a medical information management system, and particularly relates to a medical technique for making a diagnosis based on image information.

  The medical information system includes a host system for managing ordering and electronic medical records (for example, HIS; Hospital Information System) and a plurality of lower systems (for example, RIS) for managing data for each department such as the radiology department and the endoscope department. ; Radiology Information System).

In the past, test results (image data) measured by a medical device (modality) and managed by a lower system have been referred to through a medium such as a film, a photograph, or a form when diagnosing a patient.
On the other hand, with recent advances in electronic imaging technology and its distribution technology, large-scale hospitals digitize the test results, store them in a dedicated storage server (information storage unit), and manage them in association with the lower system. It is like that.
Furthermore, it is possible to access the examination result information storage unit from the medical terminal device (browser) of the host system and refer to the image data (for example, PACS; Picture Archiving and Communication System).

However, conventionally, when browsing image data by accessing an information storage unit managed by a lower system from a browser of a higher system, the user recognizes to which one of the lower systems having a plurality of desired image data belongs. There was a need to be.
If there is no such recognition, it is necessary to start and confirm the application for each lower system in the browser, and there is a problem that the speed of data access is lacking.

In order to solve such a problem and facilitate electronic reference of image data from a host system, a technique for introducing an interface device that integrally manages image data managed by a lower system is disclosed (for example, a patent). Reference 1).
In addition, a technique is disclosed in which necessary image data is automatically selected from information distributed and accumulated in a plurality of lower systems, and stored and managed as secondary data in one place (for example, patent literature). 2).

JP 2008-65688 A JP 2006-92028 A

By the way, recent image data is obtained by making full use of advanced imaging technology, and the data capacity per examination is extremely large. In the examination in the radiation department, there are cases where such a large amount of image data is shot as many as several hundred to several thousand frames per examination. Further, in diagnosis, there is a need to identify significant image data from a vast amount of examination data so that it can be referred to immediately at any time.
In some cases, it is necessary to make an edit that clearly indicates an abnormal portion of the referenced image data or adds a comment to the image data.

However, the functions that can be executed from the host system with respect to the image data managed by the lower system depend on whether or not the lower system implements that function (for example, “editing function”), excluding the image browsing function. To do.
For this reason, in the technique of Patent Document 1, if the desired function is not implemented in the lower system, or if the operability is different between the lower systems even if installed, the image data is effective from the upper system. It is virtually impossible to use.

  Further, in view of the fact that cases differ for each patient, it is difficult to automatically select necessary image data among a plurality of lower systems and store it in one place as in Patent Document 2. After all, the selection of necessary image data is ultimately left to the user, but it is not realistic considering the burden.

  The present invention has been made in consideration of such circumstances, and in an upper system in which a lower system for managing image data is integrated, not only information data having a small capacity but also image data having a large capacity can be effectively used. An object of the present invention is to provide a medical information management system and medical information management technology that improve business efficiency.

  The medical information management apparatus according to the present invention includes an information acquisition unit that acquires the description data from an information storage unit that identifies and stores patient image data and description data associated with the image data for each group, and searches from a browser Information list generating means for transmitting the description data extracted from the information acquisition means to the browser in units of groups for the specific patient to be stored, storing the description data selected by the browser, and corresponding Image browsing means for displaying image data on the browser.

  According to the present invention, when making a diagnosis based on image information, not only information data having a small capacity but also image data having a large capacity can be effectively used to improve business efficiency.

The medical information system and medical information management device which concern on embodiment of this invention, Comprising: The block diagram which shows the detail of the information acquisition means which comprises a medical information management device, and an information list production | generation means especially. FIG. 2 is a block diagram showing details of an image browsing unit and an image editing unit that are medical information systems and medical information management apparatuses according to an embodiment of the present invention, and particularly configure the medical information management apparatus. FIG. 2 is a block diagram showing details of a medical information system and a medical information management apparatus according to an embodiment of the present invention, in particular, a memo means and a search means that constitute the medical information management apparatus. The display screen of the initial screen which concerns on embodiment of the display screen of the browser which comprises the medical information system of this invention. The display screen of the image browsing screen which concerns on embodiment of the display screen of the browser which comprises the medical information system of this invention. The display screen of the image selection screen which concerns on embodiment of the display screen of the browser which comprises the medical information system of this invention. The display screen of the edit screen which concerns on embodiment of the display screen of the browser which comprises the medical information system of this invention. The display screen of the memo input screen which concerns on embodiment of the display screen of the browser which comprises the medical information system of this invention. The flowchart which shows embodiment of the medical information management method which concerns on this invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings.
As shown in FIG. 1, a medical information system 10 includes a plurality of browsers 11 (11A, 11B, 11C) connected to a network NW, a plurality of unit systems 12 (12A, 12B, 12C), and a medical information management system. The apparatus 20 is comprised.
The unit system 12 is classified into one upper system 12A (HIS_12A) and a plurality of lower systems 12B and 12C (RIS_12B and PACS_12C) linked with the HIS_12A.

In addition, the introduction time of these unit systems 12 to the medical information system 10 varies, and other lower systems 12 other than those shown are also connected, and other lower systems 12 may be introduced in the future. I am in the field of view.
For this reason, each of these unit systems 12 (12A, 12B, 12C) is used to function independently from the other unit systems 12 on the network.
Further, by integrating the specifications of the upper system 12A and the lower systems 12B, 12C, the data R, P, Q managed by the lower systems 12B, 12C can be electronically referred to from the browser 11 of the upper system 12A. it can.

The unit system 12 (12A, 12B, 12C) includes an information storage unit 14 (14A, 14B, 14C) and an I / F_15 (15A, 15B, 15C).
The information storage unit 14 stores data H, R, P, and Q managed by each unit system 12.
I / F_15 is an interface between each unit system 12 and the network NW. In response to a data transmission request from another device (browser 11 or management device 20) on the network NW, the I / F_15 transmits data specified to the specified device.

  HIS_12A is a hospital information system (HIS). This HIS_12A includes an electronic medical record system that records the results of medical examinations of doctors, an order system for equipment inspections for technologists and pharmaceutical prescriptions for pharmacists, and an automatic accounting system that links medical care performed in hospitals with medical accounting systems. Is included.

In other words, the HIS_12A inputs information about the patient from the browser 11 provided in each department in the hospital, and the information data H about the patient is crossed across hospital organizations such as the medical department, the office department, and the examination department. Functions as a higher system to share.
Such information data H is stored as character data in the information storage unit 14A of the HIS_12A.

RIS_12B is a radiation department system (RIS: Radiology Information System). This RIS_12B performs communication of information data R such as order information of equipment inspection from the HIS_12A, inspection result information to the HIS_12A, management of the image data P stored in the PACS_12C, and the like.
Such information data H is stored as character data in the information storage unit 14B of the RIS_12B.

PACS_12C is an image management system (PACS: Picture archiving and communication system) that stores image data P captured by various modalities 13 and description data Q attached to identify the image data P. It is.
Although not shown, the unit system 12 connected to the network NW includes, in addition, an endoscopy department information system, a physiological examination department information system, a pathology examination department information system, a cardiovascular department information system, and the like. Is mentioned.

Here, the modality 13 is a term indicating a unit of a medical device, and the one that generates the image data P includes a CT apparatus, an ultrasonic diagnostic apparatus (US), a magnetic resonance diagnostic apparatus (MRI), a nuclear medicine diagnostic apparatus ( NM), endoscope apparatus (ES), and the like.
In the modality 13, a large number of image data P is obtained in one inspection order. The PACS_12C accumulates a group of image data P obtained in one inspection order as one group. Further, the PACS_12C also stores description data Q (FIG. 5) accompanying the image data P in groups.

As described above, the reason why the image data P is centrally managed in the PACS_12C is that the modality 13 in recent years tends to increase the data size of the image data P to be generated. This is to avoid the problem of instability.
Further, the PACS_12C can distribute and display the stored image data P to the browser 11 in response to a transmission request from the network NW.

The browser 11 (11A, 11B, 11C) includes an initial screen 22 (FIG. 4), an image browsing screen 23 (FIG. 5), an image selection screen 24 (FIG. 6), and an editing screen 25 (FIG. 4) shown in FIGS. 7) and the memo input screen 26 (FIG. 8) is displayed.
The browser 11 is a human interface for browsing and editing data H, R, P, and Q managed by each unit system 12 through such screen displays (FIGS. 4 to 8).

As shown in FIG. 4, the initial screen 22 displays a patient information area 35, a search condition setting area 94, an examination information list 36, and function buttons 23x, 24x, and 26x.
The initial screen 22 configured as described above is a screen that is displayed when a medical information management program is started in an arbitrary browser 11 and a search is performed using a patient ID that does not overlap in the system as a key.

  The patient information area 35 displays the name, sex, age, etc., which are unique information of the patient. These pieces of information are mainly extracted from information data H managed by HIS_12A.

The search condition setting area 94 includes a memo button 95 as a function button, a common button 96, and a search button 97.
The search condition setting area 94 configured in this manner is for further narrowing down and displaying the groups displayed in the examination information list 36 using the patient ID as a key in the primary request based on the memo input (see FIG. 8). .

When the memo button 95 is executed, only the group for which the processing by the input button 26 x is executed among the groups displayed in the examination information list 36 is displayed again in the examination information list 36.
When the common button 96 is executed, the same menu as the pull-down menu 26c on the memo input screen 26 (FIG. 8) is displayed. Then, only a group in which a memo is input is narrowed down using a fixed phrase common to that selected from the pull-down menu 26c, and redisplayed in the examination information list 36.

  When the search button 97 is executed, the keyword is prompted to be input, and among the groups displayed in the examination information list 36, only those that include the same keyword in the memo input are redisplayed in the examination information list 36. Thereby, the groups displayed on the examination information list 36 can be further narrowed down.

The inspection information list 36 displays a list of various types of information for each inspection order made from HIS_12A (FIG. 1) to RIS_12B. Information displayed in the examination information list 36 can be arbitrarily selected by a display item 36a.
Furthermore, groups and display items outside the frame of the examination information list 36 can be displayed in the frame by the scroll bars 36b and 36c.

The image button 23x is associated with a plurality of image data P captured by the modality 13 (FIG. 1), grouped in units of inspection orders.
When the image button 23x is executed, as shown in FIG. 5, a plurality of image data P imaged in one inspection order is developed (there may be only one image). Here, the plurality of image data P can be moved to the front of the group by a known method (such as mouse wheel operation).
Here, each image data P is accompanied by unique description data Q that does not overlap as shown in FIG. Since the description data Q is associated with the patient ID and the examination ID issued for each examination order, the browser 11 displays the desired image data P from a large amount distributed on the network NW. You can select and display.

When the selection button 24x (FIG. 4) is executed, the image selection screen 24 shown in FIG.
As shown in FIG. 6, the image selection screen 24 includes a registration list 24a and an edit list 24b. The image selection screen 24 configured in this way selects and registers several pieces of image data P useful for diagnosis from a group including a large amount of image data P created in one inspection order, It enables re-reading.

  The registration list 24a has a registration button 24c, a delete button 24d, and a display button 24e. The registration list 24a configured as described above is registered separately by selecting image data P determined to be important while the user is browsing a plurality of image data P on the image browsing screen 23 (FIG. 5). To do. And the image data P browsed by this registration list 24a is delivered directly from PACS_12C.

Specifically, first, the selection button 24x (FIG. 4) is executed to display the image selection screen shown in FIG. Next, when the registration button 24c on the image selection screen 24 is executed in a state where the image data P to be registered is displayed in front of the image browsing screen 23 (FIG. 5), the image data P to be registered is displayed in the registration list 24a. Will be.
Alternatively, registration can be performed by directly dragging and dropping the image data P to be registered from the image browsing screen 23 (FIG. 5) onto the registration list 24a.
Once the group of image data P registered in the registration list 24a is once displayed in this way, even if the image selection screen 24 is closed, the image button 23x (FIG. 4) on the initial screen 22 is executed again. It will be.

  When one of the image data P displayed in the registration list 24a is selected and the display button 24e is executed, the selected image data P is enlarged and displayed (not shown). ). When any one of the image data P displayed on the registration list 24a is selected and the delete button 24d is executed, the selected image data P is deleted from the registration list 24a.

Further, the group selection button 24x (FIG. 4) that has performed such image selection may be changed in color so that it can be understood when such selection processing is performed.
In this way, by selecting and registering important image data P in the registration list 24a, if it is desired to refer to the important image data P afterwards, the image data P is picked up from a large amount of image data P. You can find it immediately without spending time.

The edit list 24b has a copy button 24f and a display button 24e.
The edit list 24b configured in this manner displays a duplicate image U copied in an editable format by appropriately selecting from the image data P registered in the registration list 24a.

When the copy button 24f is executed, a duplicate image U of the image data P specified in the registration list 24a is created and displayed on the edit list 24b. Note that the duplicate image U can be selectively created instead of all the images listed in the registration list 24a.
This duplicated image U is obtained by converting image data P stored in PACS_12C into a general-purpose image file having an editing function such as jpeg or bmp.

When the display button 24e is executed in a state where the duplicate image U is selected in the edit list 24b, the duplicate image U is expanded and the screen shifts to the edit screen 25 shown in FIG.
As shown in FIG. 7, the edit screen 25 includes an additional writing toolbar 25a, a delete button 25b, a registration button 25c, and a save extension button 25d.
The editing screen 25 configured in this way is for performing editing processing on the selected duplicate image U.

Each additional writing toolbar 25a executes editing processing such as arrow or line insertion, marking by color area display, basic figure insertion, scale change such as partial enlargement / reduction, text input, etc. on the duplicate image U It is.
When the registration button 25c is executed, the copy image U is re-saved by reflecting the editing process performed with the additional writing toolbar 25a, and the editing process 24 is also displayed in a state where the executed editing process is reflected. Even if the editing screen 25 and the image selection screen 24 are closed and these screens are displayed again, they are displayed again in a state in which the executed editing process is reflected.

When the delete button 25b is executed, the corresponding duplicate image U is deleted and the display disappears from the edit list 24b.
The storage extension button 25d sets the storage period of the duplicate image U, and when the set period elapses, the corresponding duplicate image U is deleted. It should be noted that an initial value is determined for this set period, and the initial value can be appropriately extended or shortened. Alternatively, it is possible to reduce a user's operation burden by selecting either short-term (default) / long-term or by setting a plurality of storage periods in stages.

In this way, the storage resource is not compressed by setting the storage period of the duplicated image U to be finite.
Further, when the selection process is executed on the image selection screen 24, if the color of the corresponding selection button 24x is changed, the group including the duplicate image U is displayed with the initial screen 22 being displayed. Recognized by the user.

When the input button 26x (FIG. 4) is executed, a memo input screen 26 shown in FIG.
The memo input screen 26 configured in this way is provided corresponding to each order information displayed in the examination information list 36 (FIG. 4). When the memo process is executed on the memo input screen 26, the color of the corresponding input button 26x changes so that the user can recognize it.

  As shown in FIG. 8, the memo input screen 26 includes a plurality of input areas 26a (three in the figure), a common button 26b corresponding to each of the input areas 26a, and a registration button 26d.

The input area 26a is an area where character information is freely input and displayed, and examples of the input information include supplementary information at the time of examination, primary diagnosis results, communication items, and the like.
The common buttons 26b are provided corresponding to the input areas 26a, respectively, and are used to insert various fixed phrases registered in the pull-down menu 26c into the input area 26a.
When the registration button 26d is executed after character information is input to the input area 26a, the character information is registered, and when the delete button is checked and executed, the character information input to the corresponding input area 26a is cleared. .

  By configuring the memo input screen 26 in this manner, it is possible to share examination information and observations across the upper system and a plurality of lower systems, and improve the quality of information cooperation between doctors. Can be planned. Further, by making it possible to perform text search for memo information, it is possible to obtain a desired examination finding from the initial screen 22 without expanding the memo input screen 26.

Returning to FIG. 1, the description will be continued.
The medical information management apparatus 20 includes an interface 21, an information acquisition unit 30, an information list generation unit 40, an image browsing unit 50, an image editing unit 60, a memo unit 80, and a search unit 90. .
Further, the medical information management device 20 includes a case where the medical information management device 20 is a computer that executes a specified calculation or data processing based on a program including such an execution unit.

  The medical information management apparatus 20 (hereinafter also simply referred to as “management apparatus 20”) configured as described above does not integrate specifications between the lower systems 12B and 12C, and manages the information data managed by each of them. These are linked with each other and used in the browser 11 of the host system 12A. As a result, the image data P can be managed in an integrated manner across departments in the hospital, so that an overall picture of the patient can be grasped and the disease can be efficiently treated.

The information acquisition unit 30 includes an information monitoring unit 31, an information receiving unit 32, a patient information storage unit 33, and an examination information storage unit 34.
The information acquisition means 30 configured as described above is displayed in the patient information area 35 (FIG. 4) and the character data displayed in the examination information list 36, the image browsing screen 23 (FIG. 5), and the registration list 24a (FIG. 6). The description data Q accompanying the displayed image data P is acquired.

The data acquired by the information acquisition means 30 includes information data H related to the inspection order from the HIS_12A, information data R related to the inspection execution result from the RIS_12B, and description data Q from the PACS_12C.
Then, the information receiving unit 32 analyzes these information H, R, and Q, and decomposes them into patient information S (patient information area 35; see FIG. 4) and examination information T (examination information list 36; see FIG. 4). They are registered in the patient information storage unit 33 and the examination information storage unit 34, respectively.

The information monitoring unit 31 constantly monitors the information storage unit 14 (14A, 14B, 14C) for the addition of new data. When new data is added to the information storage unit 14, only the character data (information data H, R, description data Q) is instructed to be transmitted to the information acquisition means 30 (image data P). Is not included).
Here, the purpose of causing only the character data to be transmitted to the information acquisition means 30 is to not use data storage resources of the management device 20 and to provide for character search described later.

The attribute of the character data stored in the patient information storage unit 33 is mainly patient information S (name, date of birth, sex, blood type) managed by the HIS. These patient information S are managed under patient IDs without duplication.
The attribute of the character data stored in the inspection information storage unit 34 is mainly managed by the inspection information T (implementation date, modality, inspection site, requested department, doctor in charge, etc.) related to the device inspection managed by the HIS, and the PACS. Description data Q accompanying the image data P.
The inspection information T and description data Q are managed under the inspection ID issued for each inspection order by the modality 13. Since this examination ID is also associated with the patient ID, all of the examination information R and the image description data Q are managed under the patient ID.

The information list generation means 40 includes a search request reception unit 42, an information search unit 43, an extraction list generation unit 44, and an extraction list transmission unit 45.
The information list generation unit 40 configured as described above extracts information managed under the patient ID from the information acquisition unit 30 for a specific patient searched from the browser 11.
A plurality of description data Q managed by the patient information S, the examination information T, and the common examination ID are listed as one group unit and transmitted to the browser 11.

  The search request receiving unit 42 receives this patient ID when information (hereinafter referred to as patient ID) for specifying a patient is input on a search screen (not shown) of the browser 11. Note that the information for specifying the patient is not limited to the patient ID, and a name and other attribute information can be input. However, for the sake of explanation, the patient ID is used.

  The information search unit 43 accesses the patient information storage unit 33 and the examination information storage unit 34 and searches for information related to the received patient ID from the accumulated data. Information (patient information S, examination information T, description data Q) that has been found in this search is extracted and sent to the extraction list generator 44.

The extraction list generation unit 44 stores various information (patient information S, examination information T, description data Q) extracted based on one patient ID at predetermined positions on the display screens shown in FIGS. The markup process is executed so that it is displayed in the hierarchy.
The extraction list transmitting unit 45 transmits desired information (patient information S, examination information T, description data Q) to the browser 11 in accordance with the operation of the browser 11.

The image browsing unit 50 includes a distribution unit 51 and a registration unit 52.
As shown in FIG. 2, the distribution unit 51 includes a transfer request reception unit 53 and a transmission instruction unit 54.
The distribution means 51 configured as described above distributes the image data P associated with the image button 23x (FIG. 4) of the browser 11 from the PACS_14C to the browser 11 in units of groups.
The distribution unit 51 is not an essential component for the management apparatus 20, and the browser 11 directly accesses the PACS_14C based on the description data Q received from the information list generation unit 40, and the image data P in groups. Can also be delivered.

As shown in FIG. 2, the registration unit 52 includes a selection request receiving unit 55, a registration list storage unit 56, and an image transmission instruction unit 57.
The registration means 52 configured as described above has a function of acquiring and storing description data Q corresponding to data arbitrarily selected by the browser 11 from the image data P distributed to the browser 11.
When the image button 23x on the initial screen 22 of the browser 11 is executed, the transfer request receiving unit 53 receives a request to transfer all the image data P included in the corresponding group to the browser 11.

The transmission instruction unit 54 acquires the description data Q accompanying the image data P requested to be transferred from the examination information storage unit 34 of the information acquisition unit 30. Then, the transmission instructing unit 54 adds destination information with the transfer destination being the browser 11 to the acquired description data Q, and transmits it to the PACS_12C.
The PACS_12C that has received the description data Q extracts the corresponding image data P from the information storage unit 14C and transfers it to the browser 11 based on the destination information. Then, the browser 11 displays the received image data P on the image browsing screen 23 (FIG. 5).

When the registration button 24c on the image selection screen 24 (FIG. 6) of the browser 11 is executed, the selection request receiving unit 55 describes the description data Q of the image data P displayed on the front of the image browsing screen 23 (FIG. 5). Is stored in the registration list storage unit 56 in association with the group selection button 24x (FIG. 4).
When the selection button 24x on the initial screen 22 is executed, the selection request receiving unit 55 extracts the description data Q stored in the registration list storage unit 56 in association with the selection button 24x.

The image transmission instruction unit 57 adds destination information with the transfer destination as the browser 11 to the description data Q extracted from the registration list storage unit 56, and transmits it to the PACS_12C.
The PACS_12C that has received the description data Q extracts the corresponding image data P from the information storage unit 14C and transfers it to the browser 11 based on the destination information. Then, the browser 11 displays the received image data P on the registration list 24a of the image selection screen 24 (FIG. 6).

Thereby, even when the lower system 12 is retrofitted to the existing medical information system 10, the image data P managed by the lower system 12 can be effectively used from the browser 11 of the higher system (HIS_12A). .
That is, whenever the image data P is added to the PACS_12C, only the accompanying description data Q is acquired by the information acquisition unit 30 as needed. As a result, the browser 11 can acquire the desired image data P from the PACS_12C by directly accessing the management apparatus 20 and performing a search or the like narrowing down with the description data Q.
Accordingly, since the browser 11 does not need to directly access the PACS_12C in which the image data P is stored, the burden on the PACS_12C is reduced, and the throughput when the image data P is displayed on the browser 11 is improved.

Further, the information list generating means 40 causes the browser 11 to group a plurality of image data P by a single examination by the modality 13 using the patient ID as a key, and the list is made into the examination information list 36 (FIG. 4). Will be displayed.
The display of the examination information list 36 covers everything related to a specific patient without depending on the modality 13 in which the examination is performed and the lower system 12 in which the image data P is stored.
The image browsing means 50 facilitates effective use of the image data P distributed and managed by the plurality of lower systems 12 using the browser 11 of the upper system 12. That is, important image data P among a large amount of image data P stored in the lower system 12 can be immediately displayed on the browser 11 by a user operation.

As shown in FIG. 1, the image editing means 60 includes a duplicating means 61 and a deleting means 70.
The image editing means 60 configured in this way stores the duplicate image U of the image data P selected by the browser 11 so that it can be edited, and redisplays it on the browser 11.

As shown in FIG. 2, the duplication unit 61 includes an edit request receiving unit 62, an image transmission instructing unit 63, an image duplicating unit 64, an edit information adding unit 65, and an edit list saving unit 66. Yes.
The duplicating means 61 configured as described above acquires image data P corresponding to the description data Q selected by the browser 11 from the PACS_12C, and creates, edits, and saves the duplicated image U.

  When the copy button 24f on the image selection screen 24 of the browser 11 is executed, the edit request receiving unit 62 receives a request for copying the image data P selected in the registration list 24a.

The image transmission instructing unit 63 adds destination information whose destination is the duplicating means 61 to the description data Q accompanying the image data P requested to be duplicated, and transmits it to the PACS_12C.
The PACS_12C that has received the description data Q extracts the corresponding image data P from the information storage unit 14C and transfers it to the image duplication unit 64 of the duplication unit 61 based on the destination information.

The image duplicating unit 64 saves the duplicated image U obtained by converting the image data P transferred from the PACS_12C into an image file such as jpeg or bmp in the edit list saving unit 66 in association with the group selection button 24x (FIG. 4).
When the registration button 25c on the editing screen 25 (FIG. 7) is executed, the editing information adding unit 65 stores the duplicate image U reflecting the editing content executed by the additional writing toolbar 25a in the editing list saving unit 66. .
When the selection button 24x on the initial screen 22 is executed, the edit list storage unit 66 extracts the duplicate image U stored in association with the selection button 24x, transfers it to the browser 11, and edits the edit list 24b (FIG. 6).

As shown in FIG. 2, the deletion unit 70 includes a storage information reception unit 71, a storage information storage unit 72, and an information deletion unit 73.
The deleting unit 70 configured in this way can prevent the created duplicate image U from increasing and the resources of the management apparatus 20 from being compressed, and can maintain the soundness of the apparatus. Further, by making the storage period of the duplicated image U variable, the possibility of user operation can be expanded.

  The storage information receiving unit 71 receives information related to the storage period of the input duplicated image U at the storage extension button 25d of the editing screen 25 (FIG. 7) and stores it in the storage information storage unit 72. If the user does not set a storage period in the storage extension button 25d, a preset storage period is stored as initial information.

  The information deletion unit 73 displays the corresponding duplicate image U as an edit list storage unit of the copy unit 61 when the delete button 25b of the editing screen 25 is executed and when the period of the storage information of the storage information storage unit 72 has elapsed. 66 to be deleted.

As shown in FIG. 3, the memo means 80 includes a standard text request receiving unit 81, a transmission instruction unit 82, a standard text registration unit 83, a memo information receiving unit 84, and a memo information storage unit 85. The
The memo means 80 configured in this way associates memo information created by the browser 11 with each group displayed in the examination information list 36 (FIG. 4).
As a result, a result of pathological diagnosis from the image data P included in the group (one examination by the modality 13) can be recorded in association with the group.

When the common button 26b on the memo input screen 26 (FIG. 8) is executed, the fixed phrase request receiving unit 81 receives the request. Then, the transmission instruction unit 82 transmits the title of the fixed phrase registered in the fixed phrase registration unit 83 to the browser 11. The title received by the browser 11 is displayed in the pull-down menu 26c.
Further, the fixed phrase request receiving unit 81 receives the selection information of the title selected from the pull-down menu 26 c, extracts the corresponding fixed phrase from the fixed phrase registration unit 83, and transmits it to the browser 11. This fixed phrase received by the browser 11 is displayed in the input area 26a.

The memo information receiving unit 84 receives character information when character information is input to the input area 26a and the registration button 26d is executed.
The memo information storage unit 85 stores the received character information in association with the corresponding input area 26a. When the input button 26x of the initial screen 22 is executed and the memo input screen 26 is displayed, the memo information storage unit 85 displays the associated character information in the corresponding input area 26a.

As shown in FIG. 3, the search means 90 includes a keyword receiving unit 91, a word search unit 92, and an information transmission unit 93.
The search means 90 configured as described above searches for memo information including a keyword created by the browser 11, extracts a corresponding group, and displays it on the examination information list 36 (FIG. 4).
As a result, even when a large number of groups are displayed in the examination information list 36 displayed on the browser 11 due to the patient performing a large number of tests, only the desired group is displayed immediately. be able to. As a result, when the diagnosis result is explained to the patient via the browser 11, only the group that has been analyzed in advance for this explanation is displayed as a list, thereby improving the efficiency of the medical work.

  The keyword receiving unit 91 receives keyword information input in the search condition setting area 94 (FIG. 4) of the browser 11. Here, in addition to the character string input by the search button 97, the keyword includes a fixed phrase selected by the common button 96 among those registered in the fixed phrase registration unit 83.

The word search unit 92 accesses the memo information storage unit 85 and extracts memo information including the received keyword.
The information transmission unit 93 transmits group information (examination ID) to which the memo information extracted by the word search unit 92 belongs to the browser 11.
Then, the browser 11 that has received this group information (inspection ID) displays only the corresponding group in the inspection information list 36.

The operation of the medical information management system and the medical information management method according to the present embodiment will be described based on the flowchart of FIG.
The attending doctor inquires the patient and inputs the examination order by the modality 13 from the browser 11 of the HIS_12A (FIG. 1) (S11). Then, the engineer inputs the inspection execution result to RIS_12B, and executes the inspection with the designated modality 13 (S12).

The image data P imaged by the modality 13 and the description data Q associated therewith are identified in groups for each examination order and stored in the information storage unit 14C of the lower system 12C (S13).
The information acquisition means 30 of the management apparatus 20 acquires and stores the description data Q stored in the lower system 12C (S14).
The information list generation means 40 extracts patient information S, examination information T, and description data Q stored in the information acquisition means 30 by a search using the patient ID input by the browser 11 as a key (S15).

On the initial screen 22 of the browser 11, the patient information S extracted from the information acquisition means 30 is displayed in the patient information area 35, and the examination information T is displayed in the examination information list 36 (S16).
When the image button 23x on the initial screen 22 is pressed, the image browsing screen 23 (FIG. 5) is displayed on the browser 11, and image data P corresponding to the description data Q extracted from the information acquisition means 30 is received from the information storage unit 14C. It is distributed and can be browsed in groups (S17).
From the image data P displayed on the image browsing screen 23, an important one for diagnosis is selected in the browser 11 (S18).
The description data Q accompanying the image data P selected by the browser 11 is stored in the image browsing means 50 (S19).
Thereby, in the registration list 24a (FIG. 6) of the browser 11, the image data P related to the selection is distributed from the lower system 12C, and only the important data can be selected and browsed (S22).

The image data P displayed in the registration list 24a is duplicated in the image editing means 60, and this duplicated image U is stored (S20).
Further, the duplicate image U can be edited on the editing screen 25 (FIG. 7) and stored in the image editing means 60 (S21).
Thereby, in the edit list 24b (FIG. 6) of the browser 11, the duplicate image U stored in the image editing means 60 can be browsed in a form including image analysis (S22).

The present invention is not limited to the above-described embodiments, and can be applied to other embodiments.
Specifically, the image data P employed in the above-described embodiment is exemplified as a plurality of still images, but a moving image is employed in the endoscopic examination. When the image data P captured in this way is a moving image, the registered list 24a may be used to browse a stopped image among the continuous images of the moving image, or a moving image in which a playback section is defined by a time code. You may browse.
When a duplicate image of a moving image is registered in the edit list 24b, it can be added to the moving image using a known editing means.

As described above, according to the medical information system and the medical information management device, method, and program according to the present invention, the following effects can be obtained.
That is, the patient doctor can browse all images of the modality examination performed on the patient from one initial screen 22 on the browser 11 and perform pathological analysis or the like.
And when explaining the result of this pathological analysis to a patient or other third parties, it is possible to select only a small number of necessary images from a group of many images and display them on a browser.

Note that the selected small number of image data P can be distributed from the information storage unit 14 and displayed on the browser 11 based on the small-capacity description data Q stored in the information acquisition unit 30.
Furthermore, the selected small number of image data P can be copied to the image editing unit 60 different from the information storage unit 14 and the copied image U can be freely edited. Since the duplicate image U is stored in the image editing means 60 in an edited state, when it is read out by the browser 11, it is displayed in an edited state.

Since the capacity of the duplicate image U is smaller than the capacity of all the image data P, system resources are not compressed. If the duplicate image U is displayed on the browser 11 and the result of the pathological analysis is explained to the patient or other third party, the content is further enhanced.
Furthermore, it is possible to browse the image data P distributed to a plurality of lower systems 12 and managed in units of inspection without being aware of the accumulated location.

  DESCRIPTION OF SYMBOLS 10 ... Medical information system 11, 11A, 11B, 11C ... Browser, 12, 12A ... HIS (higher system), 12, 12B ... RIS (lower system), 12, 12C ... PACS (lower system), 13 ... Modality, 14, 14A, 14B, 14C ... information storage unit, 20 ... medical information management device (management device), 21 ... interface, 22 ... initial screen, 23 ... image browsing screen, 23x ... image button, 24 ... image selection screen, 25 ... Edit screen, 25d ... Save extension button, 26 ... Memo input screen, 26b ... Common button, 26x ... Input button, 30 ... Information acquisition means, 35 ... Patient information area, 36 ... Examination information list, 40 ... Information list generation means 42 ... Search request receiving unit 50 ... Image browsing means 51 ... Distribution means 52 ... Registration means 60 ... Image editing means 61 ... Manufacturing means 70 ... Deletion means 73 ... Information deletion means 80 ... Memo means 90 ... Search means H, R ... Information data, NW ... Network, P ... Image data, Q ... Description data, S ... Patient information, T: Inspection information, U: Duplicate image.

Claims (10)

Information acquisition means for acquiring the description data from an information storage unit that identifies and stores patient image data and description data associated with the image data for each group;
Information list generating means for transmitting the description data extracted from the information acquisition means to the browser in units of groups for a specific patient searched from the browser;
An image browsing means for storing the description data selected by the browser and displaying the corresponding image data on the browser.   The medical information management apparatus according to claim 1, further comprising image editing means for storing a duplicate image of the image data selected by the browser and displaying the duplicate image on the browser. The image browsing means includes:
The medical information management according to claim 1, further comprising a distribution unit that distributes all the image data included in the group selected by the browser from the information storage unit to the browser. apparatus.   The medical information management apparatus according to any one of claims 1 to 3, further comprising a memo unit that associates memo information created by the browser with the group.   The medical information management apparatus according to claim 4, further comprising a search unit that searches the memo information including the keyword created by the browser and extracts a corresponding group. The memo means has a fixed sentence registration unit that pre-registers a fixed sentence adopted to create the memo information,
The medical information management apparatus according to claim 5, wherein the search unit executes the search using the fixed sentence adopted as the keyword. An information storage unit for identifying and storing patient image data and description data associated with the image data for each group;
Information acquisition means for acquiring the description data from the information storage unit;
A browser for displaying image data corresponding to the description data extracted from the information acquisition means by the search using the patient as a key in units of groups;
The medical information system comprising: image browsing means for storing the description data selected by the browser and displaying the corresponding image data on the browser.   The medical information system according to claim 7, further comprising image editing means for storing a duplicate image of the image data selected by the browser and displaying the duplicate image on the browser. An information accumulating step for identifying and accumulating patient image data and description data accompanying the image data for each group;
An information acquisition step of acquiring the accumulated description data;
A display step of displaying image data corresponding to the description data extracted by the search using the patient as a key from the acquired description data in the group unit;
A registration step of registering the description data corresponding to the one selected from the displayed image data;
An image browsing step for displaying the image data corresponding to the registered description data. Computer
Information acquisition means for acquiring the description data from an information storage unit that identifies and stores patient image data and description data associated with the image data for each group;
Information list generating means for transmitting the description data extracted from the acquired description data to the browser in units of groups for a specific patient searched from the browser;
A medical information management program that functions as image browsing means for storing the description data selected by the browser and displaying the corresponding image data on the browser.

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