JP2012198732A - Image interpretation report preparation system and image interpretation report display method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To improve operability in preparation of an image interpretation report.SOLUTION: In an image interpretation report preparation system for preparing a plurality of image interpretation reports indicating image interpretation results inputted by respective different users in each of a plurality of image interpretation stages for a medical image, respective image interpretation report screens including each of the plurality of image interpretation reports are displayed so as to be switched by a 0-order image interpretation tab 41, a primary image interpretation tab 42, a secondary image interpretation tab 43 and an approval image interpretation tab 44. At the time, the image interpretation report screen of which image interpretation stage is to be displayed as an initial screen is selected on the basis of an image interpretation state in each of the plurality of image interpretation stages and the presence or absence of the preparation authority of the image interpretation reports in the plurality of image interpretation stages corresponding to a user during use, and the image interpretation report screen of the selected image interpretation stage is displayed as the initial screen.

Description

  The present invention relates to an interpretation report creation system and an interpretation report display method.

  In recent years, with the spread of PACS (Picture Archiving and Communication System), medical images taken with modalities such as CR (Computed Radiography), CT (Computed Tomography), and MR (Magnetic Resonance) are stored as digital images in an image server. ing.

  In large hospitals and the like, in order to improve diagnosis accuracy, a method in which a plurality of doctors interpret a single examination is taken. Specifically, after the first doctor interprets the medical image obtained by imaging the patient, the second doctor interprets it, and the doctor with approval authority (approval doctor) finalizes the final interpretation result. I am letting. Such an interpretation method is called double reading or overreading. In order to distinguish and display a plurality of interpretation results, an interpretation report system that creates an interpretation report filled with findings by a plurality of doctors has been proposed that extracts and displays findings for each doctor (Patent Literature). 1).

JP 2009-60945 A

  However, in double reading, interpretation progresses through a plurality of stages by a plurality of users, so it is necessary to manage an interpretation report for each interpretation stage. Therefore, it is necessary to select an interpretation report screen to be input or referred to by the user from a plurality of interpretation report screens for each interpretation stage, which is a complicated operation.

  The present invention has been made in view of the above problems in the prior art, and an object thereof is to improve the operability in creating an interpretation report.

  In order to solve the above-mentioned problem, the invention described in claim 1 is an interpretation report for creating a plurality of interpretation reports indicating interpretation results input by different users for each of a plurality of interpretation stages for a medical image. An interpretation state storage means for storing an interpretation state for each of the plurality of interpretation stages; an interpretation report storage means for storing the plurality of interpretation reports created for each of the plurality of interpretation stages; and the interpretation Display control means for displaying each interpretation report screen including each of a plurality of interpretation reports stored in the report storage means on the display means in a switchable manner by tabs, and a plurality of interpretation stages stored in the interpretation state storage means Selection means for selecting which interpretation report screen to display as an initial screen based on the interpretation state of each The display control means displays on said display means the image interpretation report screen interpretation stage selected by the selecting means as an initial screen.

  According to a second aspect of the present invention, in the interpretation report creating system according to the first aspect, the recognition means for recognizing the user of the interpretation report creating system and the authority to create the interpretation report in the plurality of interpretation stages for each user. Authority storage means for storing presence / absence, and the selection means further acquires, from the authority storage means, presence / absence of an authority to create an interpretation report in the plurality of interpretation stages corresponding to the recognized user, Based on the presence / absence of the interpretation report creation authority, it is selected which interpretation report screen to display as an initial screen.

  The invention according to claim 3 is the image interpretation report creation system according to claim 1 or 2, further comprising creator storage means for storing a user who has input an interpretation result for each of the plurality of interpretation reports, and the display control means. Is based on the user who has input the interpretation status for each of the plurality of interpretation stages stored in the interpretation status storage means and the interpretation results for each of the plurality of interpretation reports stored in the creator storage means, For the interpretation report screen at the interpretation stage where the interpretation of the medical image has been completed, the user who has input the interpretation result displayed on the interpretation report screen is displayed on the tab corresponding to the interpretation report screen.

  According to a fourth aspect of the present invention, in the interpretation report creation system according to any one of the first to third aspects, the display control unit is configured to provide a plurality of interpretation stages stored in the interpretation state storage unit. If the interpretation of the medical image has been completed up to the final stage based on the interpretation status, only the final interpretation report screen is displayed, and the tab for selecting the interpretation report screen at the other interpretation stage is not displayed. Display.

  The invention according to claim 5 is an interpretation report display method for creating a plurality of interpretation reports indicating interpretation results inputted by different users for each of a plurality of interpretation stages for a medical image. Including a display control step for displaying each interpretation report screen including each of the plurality of interpretation reports created for each of the plurality of interpretation stages stored in the storage means on the display means so as to be switchable by tabs, and storing an interpretation state storage A selection step of selecting which interpretation report screen of which interpretation stage to display as an initial screen based on the interpretation state for each of the plurality of interpretation stages stored in the means, and in the display control step, the selection The interpretation report screen at the interpretation stage selected in the process is displayed on the display means as an initial screen.

  According to the first and fifth aspects of the present invention, since the interpretation report screen to be displayed as the initial screen is selected based on the interpretation state for each of the plurality of interpretation stages, the operability in creating the interpretation report can be improved. it can.

  According to the invention described in claim 2, since the interpretation report screen to be displayed as the initial screen is selected based on the presence or absence of the interpretation report creation authority corresponding to the recognized user, the operability in creating the interpretation report is improved. Can be improved.

  According to the invention described in claim 3, it is possible to display the creator corresponding to each interpretation report screen.

  According to the invention described in claim 4, since the tab for selecting an interpretation report screen other than the final stage is not displayed, misdiagnosis can be prevented.

It is a system configuration figure of an interpretation report creation system. It is a block diagram which shows the functional structure of a medical information management server. It is a conceptual diagram which shows the relationship of each TBL. It is a figure which shows the example of report TBL. It is a figure which shows the example of report document TBL. It is a figure which shows the example of report attached image TBL. It is a figure which shows the example of user TBL. It is a block diagram which shows the functional structure of a client terminal. It is a flowchart which shows the interpretation report screen display process performed in a client terminal. It is a flowchart which shows the interpretation report screen display process performed in a client terminal. It is a flowchart which shows the interpretation report screen display process performed in a client terminal. The example of the interpretation report screen in 1st Embodiment is shown. The example of the interpretation report screen in 2nd Embodiment is shown. The example of the interpretation report screen in 3rd Embodiment is shown.

[First Embodiment]
First, a first embodiment of the present invention will be described.
FIG. 1 shows a system configuration of an interpretation report creation system 100. As shown in FIG. 1, an interpretation report creation system 100 is configured by connecting a medical information management server 10 and a client terminal 20 via a network N such as a LAN (Local Area Network) so that data communication is possible. . The DICOM (Digital Imaging and Communications in Medicine) standard is applied to the network N.

  The interpretation report creation system 100 is a system for creating a plurality of interpretation reports indicating interpretation results input by different users for each of a plurality of interpretation stages for a medical image.

  The medical information management server 10 is configured by PACS, stores medical data image data files (hereinafter referred to as image files) generated by various modalities, image interpretation reports, and the like, from an external device such as the client terminal 20. Provide image files, interpretation reports, etc. upon request.

  FIG. 2 shows a functional configuration of the medical information management server 10. As shown in FIG. 2, the medical information management server 10 includes a CPU (Central Processing Unit) 11, an operation unit 12, a display unit 13, a communication unit 14, a ROM (Read Only Memory) 15, a RAM (Random Access Memory) 16, A storage unit 17 is provided, and each unit is connected by a bus 18.

  The CPU 11 comprehensively controls the processing operation of each unit of the medical information management server 10. Specifically, the CPU 11 reads out various processing programs stored in the ROM 15 in response to an operation signal input from the operation unit 12 or an instruction signal received by the communication unit 14, and a workpiece formed in the RAM 16. Expand to the area and perform various processes in cooperation with the program.

  The operation unit 12 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation signal input by the keyboard operation or the mouse operation is input to the CPU 11. Output.

  The display unit 13 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the CPU 11.

  The communication unit 14 is an interface that transmits and receives data to and from an external device such as the client terminal 20.

  The ROM 15 is composed of a nonvolatile semiconductor memory or the like, and stores a control program, parameters and files necessary for executing the program, and the like.

  The RAM 16 forms a work area that temporarily stores various programs, input or output data, parameters, and the like read from the ROM 15 in various processes controlled by the CPU 11.

  The storage unit 17 is composed of a hard disk or the like and stores various data. Specifically, the storage unit 17 stores an image file 30, a patient TBL (table) 31, an examination TBL32, a series TBL33, an image TBL34, a report TBL35, a report document TBL36, a report attached image TBL37, and a user TBL38. .

  FIG. 3 is a conceptual diagram showing the relationship between the TBLs 31 to 37. A report (interpretation report) is associated with a certain examination (medical image generated by the examination), and for each report, a report document (document / text content) and a report attached image constituting the report are provided. It is associated.

The patient TBL31 stores information related to the patient such as the patient name, date of birth, and sex in association with the patient LID (Link Identification).
The examination TBL 32 stores information related to the examination such as the examination instance UID, the examination date, and the name of the doctor in charge in association with the examination LID.
The series TBL 33 stores information related to the series such as a series instance UID, a modality name (examination type), an examination part, and a series number in association with the series LID.
The image TBL 34 stores information related to a medical image such as an SOP instance UID and an image number in association with the image LID.

  FIG. 4 shows an example of the report TBL35. The report TBL 35 stores the examination LID, the interpretation stage, the interpretation state, the creator ID, the creation date, the creation time, the reading authority group, the writing authority group, etc. in association with the report LID that is identification information of the interpretation report. ing.

The interpretation stage indicates a plurality of interpretation stages, and includes zero-order interpretation, primary interpretation, secondary interpretation, approval interpretation, and the like.
“0th-order interpretation” is performed by an engineer, and what is noticed at the time of image shooting and information to be communicated to a doctor are input as an interpretation report.
“Primary interpretation” is performed by the first doctor, and an interpretation result is input as an interpretation report.
“Secondary interpretation” is performed by the second doctor after interpretation by the first doctor, and the interpretation result is input as an interpretation report.
The “approval interpretation” is performed by a doctor who has an authorization authority after interpretation by the first doctor and the second doctor. Usually, the interpretation result of primary interpretation or secondary interpretation is adopted as the interpretation report, but other information may be included.

The interpretation state is information indicating the interpretation state at each interpretation stage, and includes uninterpreted, being interpreted, being interpreted, waiting for correction, and the like.
“Unread” is a state in which the target inspection image has not yet been read.
“Under interpretation” is a state in which the target inspection image is being interpreted by any user (a state in which the interpretation report screen is displayed or a state in which writing is performed on the interpretation report screen).
“Interpreted” is a state in which the interpretation of the target inspection image has been completed.
“Awaiting correction” is a state in which an interpretation report that has once been “interpreted” has been requested to be corrected by another user (a doctor who has more authority than the doctor who described the interpretation report).

The creator ID stores the user LID of the user who has input the interpretation result, that is, the user who created the interpretation report.
The creation date and creation time are the date and time when the interpretation report was created.

The reading authority group indicates a group of users who are permitted to read the interpretation report at each interpretation stage of the corresponding examination. That is, only the group designated in the read authority group can read the interpretation report.
The writing authority group indicates a group of users who are permitted to write to the interpretation report at each interpretation stage of the corresponding examination. That is, only the group designated in the writing authority group can write the interpretation report.

  FIG. 5 shows an example of the report document TBL36. The report document TBL 36 stores a report LID, text document information, and the like in association with the report document LID. In the text document information, an interpretation result actually written as an interpretation report is stored.

  FIG. 6 shows an example of the report attached image TBL37. The report attached image TBL 37 stores a report LID, a file path, and the like in association with the report attached image LID. The file path is information indicating a location where the image file 30 attached to the interpretation report is stored.

FIG. 7 shows an example of the user TBL38. The user TBL 38 stores a group to which the user belongs, a login name, and the like in association with the user LID.
It should be noted that an interpretation report is generated at a plurality of interpretation stages for each user by a group for the user LID of the user TBL38 and a writing authority group for each report LID of the report TBL35 (corresponding to the interpretation stage of a certain inspection image). An authority storage means for storing presence / absence of authority is configured.

  When there is a request for acquisition of the image file 30 from the client terminal 20, the CPU 11 reads the requested image file 30 from the storage unit 17 and transmits it to the client terminal 20.

  When there is an acquisition request for information on each TBL 31 to 38 from the client terminal 20, the CPU 11 reads the requested information from the storage unit 17 and transmits it to the client terminal 20.

  The client terminal 20 is a device for displaying a medical image based on the image file 30 acquired from the medical information management server 10 and interpreting the medical image, and is configured by a PC (Personal Computer) or the like.

  FIG. 8 shows a functional configuration of the client terminal 20. As shown in FIG. 8, the client terminal 20 includes a CPU 21, an operation unit 22, a display unit 23, a communication unit 24, a ROM 25, a RAM 26, and a storage unit 27, and each unit is connected by a bus 28.

  The CPU 21 comprehensively controls the processing operation of each unit of the client terminal 20. Specifically, the CPU 21 reads various processing programs stored in the ROM 25 in response to an operation signal input from the operation unit 22 or an instruction signal received by the communication unit 24, and a work piece formed in the RAM 26. Expand to the area and perform various processes in cooperation with the program.

  The operation unit 22 is a functional unit that receives an operation instruction from the user. The operation unit 22 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation signal input by key operation or mouse operation on the keyboard is sent to the CPU 21. Output.

  The display unit 23 is a high-definition monitor device configured by an LCD, and displays various screens based on display data input from the CPU 21. For example, the display unit 23 displays a medical image or an interpretation report to be interpreted.

  The communication unit 24 is an interface that transmits / receives data to / from an external device such as the medical information management server 10.

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

  The RAM 26 forms a work area for temporarily storing various programs read from the ROM 25, input or output data, parameters, and the like in various processes controlled by the CPU 21.

  The storage unit 27 is configured by a hard disk or the like and stores various data.

  The CPU 21 transmits an acquisition request for the image file 30 of the medical image stored in the storage unit 17 to the medical information management server 10 via the communication unit 24, and the medical image image is transmitted from the medical information management server 10. The file 30 is acquired. The CPU 21 displays a medical image on the display unit 23 based on the image file 30 acquired from the medical information management server 10.

The CPU 21 acquires a plurality of interpretation reports for the medical image to be interpreted from the medical information management server 10 and causes each display report screen including each of the plurality of interpretation reports to be displayed on the display unit 23 so as to be switchable with a tab.
At this time, the CPU 21 acquires from the medical information management server 10 an interpretation state for each of a plurality of interpretation stages for the medical image to be interpreted. In addition, the CPU 21 determines whether or not there is an authority to create an interpretation report at a plurality of interpretation stages corresponding to a user (a user who is logged in from the client terminal 20) recognized as using the interpretation report creation system 100. Get from 10. The CPU 21 selects which interpretation report screen to display as an initial screen based on the interpretation state for each of the plurality of interpretation stages and the presence or absence of interpretation report creation authority. Then, the CPU 21 causes the display unit 23 to display the interpretation report screen at the selected interpretation stage as an initial screen.

Next, the operation will be described.
9 to 11 are flowcharts showing an interpretation report screen display process executed in the client terminal 20. This processing is realized by software processing through cooperation between the CPU 21 and the program stored in the ROM 25.

  First, when a login operation is performed on the interpretation report creation system 100 by an operation from the user operation unit 22, the CPU 11 recognizes the logged-in user (step S1). Specifically, the user login name is input from the operation unit 22, and the login name is transmitted to the medical information management server 10 by the CPU 21 via the communication unit 24. After login, the CPU 21 of the client terminal 20 and the CPU 11 of the medical information management server 10 recognize that the user of the user LID (see FIG. 7) corresponding to the login name is using the interpretation report creation system 100. ing.

  Next, the CPU 21 transmits an examination list acquisition request to the medical information management server 10 via the communication unit 24. Then, the CPU 21 acquires an examination list from the medical information management server 10 and displays an examination list screen on the display unit 23. Then, an interpretation target examination is selected by an operation from the operation unit 22 by the user (step S2).

Next, the CPU 21 acquires information corresponding to the examination LID from the report TBL 35 of the medical information management server 10 based on the examination LID of the selected examination (step S3). The acquired information includes a report LID corresponding to the examination LID, an interpretation stage for each report LID, an interpretation state, a creator ID, a creation date, a creation time, a reading authority group, and a writing authority group. Note that for an interpretation stage for which no interpretation report has been created, the creator ID, creation date, and creation time are blank. The acquired information is stored in the RAM 26 by the CPU 21.
Specifically, the CPU 21 transmits an acquisition request for information corresponding to the examination LID to the medical information management server 10 via the communication unit 24. In the medical information management server 10, the CPU 11 reads information corresponding to the examination LID from the report TBL 35 stored in the storage unit 17 and transmits the information to the client terminal 20 via the communication unit 14.

Next, based on the acquired report LID, the CPU 21 acquires information corresponding to the report LID from the report document TBL36 and the report attached image TBL37 of the medical information management server 10 (step S4). The acquired information includes text document information and a file path corresponding to the report LID. The acquired information is stored in the RAM 26 by the CPU 21.
Specifically, the CPU 21 transmits an acquisition request for information corresponding to the report LID to the medical information management server 10 via the communication unit 24. In the medical information management server 10, the CPU 11 reads information corresponding to the report LID from the report document TBL 36 and the report attached image TBL 37 stored in the storage unit 17, and transmits the information to the client terminal 20 via the communication unit 14. The

  Next, the CPU 21 constructs a screen displayed on the display unit 23 (step S5). Specifically, the CPU 21 determines an area for displaying a medical image to be interpreted and an input / display area for an interpretation report.

Next, the CPU 21 acquires a group corresponding to the login name (user LID) from the user TBL 38 of the medical information management server 10, and determines whether the login user is an engineer or a doctor (step S6).
Specifically, the CPU 21 transmits a group acquisition request corresponding to the login name to the medical information management server 10 via the communication unit 24. In the medical information management server 10, the CPU 11 reads the group corresponding to the login name from the user TBL 38 stored in the storage unit 17 and transmits the group to the client terminal 20 via the communication unit 14.

If the logged-in user is an engineer (step S6; engineer), the CPU 21 determines whether the interpretation target inspection has been approved and interpreted (step S7).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26, the CPU 21 determines whether or not the interpretation state of the record whose interpretation stage is “approval interpretation” is “interpretation”. The

If the interpretation target inspection is not already approved (step S7; NO), the CPU 21 selects the 0th-order interpretation tab as the initial screen (step S8).
On the other hand, when the interpretation target examination has been approved for interpretation (step S7; YES), the CPU 21 selects an approved interpretation tab as an initial screen (step S9).

In step S6, when the logged-in user is a doctor (step S6; doctor), the process proceeds to FIG. 10, and the CPU 21 determines whether or not the primary interpretation of the interpretation target examination is uninterpreted (step S10). ).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26 by the CPU 21, it is determined whether or not the interpretation state of the record whose interpretation stage is “primary interpretation” is “uninterpreted”. Is done.

If the primary interpretation of the interpretation target inspection is uninterpreted (step S10; YES), the CPU 21 determines whether or not the login user has the write authority for the primary interpretation of the interpretation target inspection (step S11). ).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26 by the CPU 21, it is determined whether or not “doctor” is included in the writing authority group of the record whose interpretation stage is “primary interpretation”. To be judged.

  If the logged-in user has the write authority for the primary interpretation of the interpretation target inspection (step S11; YES), the CPU 21 selects the primary interpretation tab as the initial screen (step S12).

If the primary interpretation of the interpretation target inspection is not uninterpreted in step S10 (step S10; NO), or if the logged-in user does not have write authority for the primary interpretation of the interpretation target inspection in step S11 (step S11). NO), the CPU 21 determines whether or not the primary interpretation of the interpretation target examination is being interpreted, waiting for correction, or having been interpreted (step S13).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26 by the CPU 21, the interpretation state of the record whose interpretation stage is “primary interpretation” is “under interpretation”, “waiting for correction” or “ It is determined whether or not it has been “interpreted”.

If the primary interpretation of the interpretation target examination is being interpreted, waiting for correction, or having been interpreted (step S13; YES), whether or not the interpretation report of the primary interpretation is the content described by the logged-in user by the CPU 21. Is determined (step S14).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26 by the CPU 21, it is determined whether or not the creator ID of the record whose interpretation stage is “primary interpretation” matches the login user. Is done. When the creator ID of the record whose interpretation stage is “primary interpretation” matches the logged-in user, it is assumed that the logged-in user has the write authority for the interpretation report of the primary interpretation.

  When the interpretation report of the primary interpretation is the content described by the login user (step S14; YES), the primary interpretation tab is selected as the initial screen by the CPU 21 (step S12).

In step S13, when the primary interpretation of the interpretation target examination is being interpreted, not yet corrected or has not been interpreted (step S13; NO), or in step S14, the interpretation report of the primary interpretation is described by the logged-in user. If not (step S14; NO), the process proceeds to FIG. 11, and the CPU 21 determines whether or not the secondary interpretation of the interpretation target inspection is uninterpreted (step S15).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26 by the CPU 21, it is determined whether or not the interpretation state of the record whose interpretation stage is “secondary interpretation” is “uninterpreted”. Is done.

When the secondary interpretation of the interpretation target inspection is uninterpreted (step S15; YES), the CPU 21 determines whether or not the login user has the write authority for the secondary interpretation of the interpretation target inspection (step S16). ).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26 by the CPU 21, it is determined whether or not “doctor” is included in the writing authority group of the record whose interpretation stage is “secondary interpretation”. To be judged.

  When the logged-in user has the write authority for the secondary interpretation of the interpretation target inspection (step S16; YES), the secondary interpretation tab is selected as the initial screen by the CPU 21 (step S17).

If the secondary interpretation of the interpretation target inspection is not uninterpreted in step S15 (step S15; NO), or if the logged-in user does not have write authority for the secondary interpretation of the interpretation target inspection (step S16). NO), the CPU 21 determines whether or not the secondary interpretation of the interpretation target examination is during interpretation, waiting for correction, or having been interpreted (step S18).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26 by the CPU 21, the interpretation state of the record whose interpretation stage is “secondary interpretation” is “under interpretation”, “waiting for correction” or “ It is determined whether or not it has been “interpreted”.

When the secondary interpretation of the interpretation target examination is being interpreted, waiting for correction or having been interpreted (step S18; YES), whether or not the interpretation report of the secondary interpretation is the content described by the logged-in user by the CPU 21. Is determined (step S19).
Specifically, based on the information acquired from the report TBL 35 stored in the RAM 26, the CPU 21 determines whether or not the creator ID of the record whose interpretation stage is “secondary interpretation” matches the login user. Is done. If the creator ID of the record whose interpretation stage is “secondary interpretation” matches the logged-in user, it is assumed that the logged-in user has the right to write on the interpretation report of the secondary interpretation.

  When the interpretation report of the secondary interpretation is the content described by the logged-in user (step S19; YES), the secondary interpretation tab is selected as the initial screen by the CPU 21 (step S17).

  In step S18, if the secondary interpretation of the interpretation target examination is being interpreted, waiting for correction or not yet interpreted (step S18; NO), or in step S19, the interpretation report of the secondary interpretation is the content described by the login user. If not (step S19; NO), the CPU 21 selects an approved interpretation tab as the initial screen (step S20).

After step S8, step S9, step S12, step S17 or step S20, the CPU 21 displays an interpretation report screen of the selected tab on the display unit 23 as an initial screen (step S21).
Specifically, the CPU 21 acquires a report LID corresponding to the selected tab (interpretation stage) based on information acquired from the report TBL 35 stored in the RAM 26. Then, the CPU 21 reads the text document information corresponding to the report LID based on the information acquired from the report document TBL 36 stored in the RAM 26, and displays the interpretation result. Further, the CPU 21 reads the file path corresponding to the report LID based on the information acquired from the report attached image TBL 37 stored in the RAM 26, and the image file is read from the medical information management server 10 based on the file path. 30 is acquired, and a medical image is displayed based on the image file 30.
This completes the interpretation report screen display process.

FIG. 12 shows an example of the interpretation report screen. A zero-order interpretation tab 41, a primary interpretation tab 42, a secondary interpretation tab 43, and an approval interpretation tab 44 are displayed in a switchable manner. FIG. 12 shows a state in which the 0th-order interpretation tab 41 is selected and an interpretation report screen 45 corresponding to the 0th-order interpretation is displayed as an initial screen. The interpretation report screen 45 selected on the 0th-order interpretation tab 41 includes an interpretation report input / display area 46 and a reference image display area 47 for the 0th-order interpretation. In the interpretation report input / display area 46, an interpretation report of zero-order interpretation is displayed based on the text document information acquired from the report document TBL36. In the reference image display area 47, a medical image attached to the report is displayed based on the image file 30 specified by the file path acquired from the report attached image TBL37.
When the primary interpretation tab 42 is selected, an interpretation report screen corresponding to the primary interpretation is displayed, and when the secondary interpretation tab 43 is selected, an interpretation report screen corresponding to the secondary interpretation is displayed. When the approval interpretation tab 44 is selected, an interpretation report screen corresponding to the approval interpretation tab is displayed.

  As described above, according to the interpretation report creating system 100 in the first embodiment, based on the interpretation state for each of the plurality of interpretation stages and the presence or absence of the interpretation report creation authority corresponding to the recognized user. Since the interpretation report screen to be displayed as the initial screen is selected, the operability in creating the interpretation report can be improved.

  In the first embodiment, the initial screen is based on the interpretation state for each of the plurality of interpretation stages for the medical image to be interpreted and the presence or absence of the interpretation report creation authority at the plurality of interpretation stages corresponding to the user. The case of selecting the interpretation report screen to be displayed has been explained, but either the interpretation status for each of the multiple interpretation stages for the medical image to be interpreted, or whether there is an authority to create an interpretation report at multiple interpretation stages corresponding to the user Based on the above, it is possible to select which interpretation report screen to display as the initial screen.

[Second Embodiment]
Next, a second embodiment to which the present invention is applied will be described.
Since the interpretation report creation system in the second embodiment has the same configuration as the interpretation report creation system 100 shown in the first embodiment, FIGS. 1 to 8 are used, and the configuration is illustrated and described. Is omitted. The selection method of the initial screen of the interpretation report screen is the same as in the first embodiment, but in the interpretation state for each of the plurality of interpretation stages for the medical image to be interpreted, or in the plurality of interpretation stages corresponding to the user. Based on whether or not there is an interpretation report creation authority, it is possible to select which interpretation report screen to display as an initial screen. Hereinafter, a configuration and processing characteristic of the second embodiment will be described.

Based on the interpretation state for each of the plurality of interpretation stages and the user (creator) for each of the plurality of interpretation reports, the CPU 21 interprets the interpretation report screen for the interpretation stage for which the interpretation of the medical image has been completed. The user who inputs the interpretation result displayed on the interpretation report screen is displayed on the tab corresponding to the screen.
Specifically, the CPU 21 uses information acquired from the report TBL35 and the user TBL38 of the medical information management server 10 for the interpretation target examination. The CPU 21 acquires the creator ID for the interpretation stage in which the interpretation state is “interpreted” based on the information acquired from the report TBL 35, and sets the creator ID (user LID) based on the information acquired from the user TBL 38. Get the corresponding user name (login name). Then, the CPU 21 displays the name of the user who has input the interpretation result of each tab on the tab corresponding to each interpretation stage.

  FIG. 13 shows an example of an interpretation report screen that has been completed up to the secondary interpretation. On the 0th interpretation tab 51, the user name of the creator of the interpretation report for the 0th interpretation is displayed as “tanaka”, and on the primary interpretation tab 52, the user name of the creator of the interpretation report for the primary interpretation is “ yamada ”is displayed, and the secondary interpretation tab 53 displays the user name of the creator of the interpretation report for secondary interpretation as“ hayashi ”.

  As described above, according to the interpretation report creating system in the second embodiment, in addition to the same effects as those in the first embodiment, the tabs corresponding to the interpretation report screens are displayed on the tabs of the interpretation report screens. The creator can be displayed. Therefore, the user can easily grasp the creator of each interpretation report screen.

[Third Embodiment]
Next, a third embodiment to which the present invention is applied will be described.
Since the interpretation report creation system in the third embodiment has the same configuration as the interpretation report creation system 100 shown in the first embodiment, FIGS. 1 to 8 are used, and the configuration is illustrated and described. Is omitted. The selection method of the initial screen of the interpretation report screen is the same as that of the first embodiment except that the interpretation is finished up to the final stage. However, the interpretation is performed for each of the plurality of interpretation stages for the medical image to be interpreted. Based on either the state or the presence or absence of the interpretation report creation authority at a plurality of interpretation stages corresponding to the user, it is possible to select which interpretation report screen to display as the initial screen. Hereinafter, a configuration and processing characteristic of the third embodiment will be described.

When the interpretation of the medical image has been completed up to the final stage based on the interpretation state for each of the plurality of interpretation stages corresponding to the interpretation target examination, the CPU 21 displays only the final-stage interpretation report screen, The tab for selecting the interpretation report screen at the interpretation stage is hidden.
Specifically, the CPU 21 determines whether or not the interpretation state of the record whose interpretation stage is “approval interpretation” is “interpretation” based on the information acquired from the report TBL 35 of the medical information management server 10 regarding the examination to be interpreted. Determine whether. Then, when the interpretation state of the record in which the interpretation stage is “approval interpretation” is “interpretation”, the CPU 21 displays only the interpretation report screen corresponding to the approval interpretation, and displays 0-order interpretation, primary interpretation, The tab for selecting the interpretation report screen corresponding to the next interpretation is not displayed.

  When only the final-stage interpretation report screen is displayed, the interpretation results displayed on the final-stage interpretation report screen are displayed on the tab corresponding to the final-stage interpretation report screen, as in the second embodiment. The input user name may be displayed.

  FIG. 14 shows an example of an interpretation report screen that has been completed up to the approved interpretation. Only the approved interpretation tab 61 is displayed, and the interpretation report screen corresponding to the previous interpretation stage cannot be referred to. In addition, the approval interpretation tab 61 displays “takeda” as the user name of the creator of the interpretation report for approval interpretation.

  As described above, according to the interpretation report creation system in the third embodiment, in addition to the same effects as those in the first embodiment, a tab for selecting an interpretation report screen other than the final stage is not displayed. Since it is displayed, it is possible to prevent the user from seeing an interpretation report that has not been adopted for an inspection image that has been completed up to the approved interpretation. Therefore, misdiagnosis can be prevented.

  Note that the description in each of the above embodiments is an example of an interpretation report creating system according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be changed as appropriate without departing from the spirit of the present invention.

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

10 Medical Information Management Server 11 CPU
12 Operation unit 13 Display unit 14 Communication unit 15 ROM
16 RAM
17 Storage Unit 18 Bus 20 Client Terminal 21 CPU
22 Operation unit 23 Display unit 24 Communication unit 25 ROM
26 RAM
27 Storage unit 28 Bus 30 Image file 31 Patient TBL
32 Inspection TBL
33 series TBL
34 Image TBL
35 Report TBL
36 Report Document TBL
37 Report attached image TBL
38 User TBL
100 Interpretation Report Creation System N Network

Claims (5)

An interpretation report creation system for creating a plurality of interpretation reports indicating interpretation results inputted by different users for each of a plurality of interpretation stages for a medical image,
An interpretation state storage means for storing an interpretation state for each of the plurality of interpretation stages;
Interpretation report storage means for storing the plurality of interpretation reports created for each of the plurality of interpretation stages;
Display control means for displaying each interpretation report screen including each of the plurality of interpretation reports stored in the interpretation report storage means on the display means in a switchable manner by tabs;
Selection means for selecting which interpretation report screen to display as an initial screen based on the interpretation state for each of the plurality of interpretation stages stored in the interpretation state storage means;
With
The display control means causes the display means to display an interpretation report screen at the interpretation stage selected by the selection means as an initial screen;
Interpretation report creation system. Recognition means for recognizing the user of the interpretation report creation system;
Authority storage means for storing presence / absence of an authority to create an interpretation report in the plurality of interpretation stages for each user;
With
The selection means further acquires from the authority storage means whether or not there is an interpretation report creation authority in the plurality of interpretation stages corresponding to the recognized user, and based on the interpretation report creation authority or not Select which interpretation report screen to display as the screen.
The interpretation report creation system according to claim 1. Creator storage means for storing a user who has input an interpretation result for each of the plurality of interpretation reports,
The display control unit is a user who has input the interpretation state for each of the plurality of interpretation stages stored in the interpretation state storage unit and the interpretation result for each of the plurality of interpretation reports stored in the creator storage unit. For the interpretation report screen at the interpretation stage where the interpretation of the medical image has been completed, the user who has input the interpretation result displayed on the interpretation report screen is displayed on the tab corresponding to the interpretation report screen. ,
The interpretation report creation system according to claim 1 or 2. When the interpretation of the medical image has been completed up to the final stage based on the interpretation state for each of the plurality of interpretation stages stored in the interpretation state storage means, the display control means determines the final stage of the interpretation report. Display only the screen and hide the tab to select the interpretation report screen of other interpretation stage,
The interpretation report creation system according to any one of claims 1 to 3. An interpretation report display method for creating a plurality of interpretation reports indicating interpretation results inputted by different users for each of a plurality of interpretation stages for a medical image,
A display control step of displaying each interpretation report screen including each of the plurality of interpretation reports created for each of the plurality of interpretation stages stored in the interpretation report storage means on the display means in a switchable manner by a tab;
Based on the interpretation state for each of a plurality of interpretation stages stored in the interpretation state storage means, the method further includes a selection step of selecting which interpretation report screen of which interpretation stage is displayed as an initial screen,
In the display control step, an interpretation report screen at the interpretation stage selected in the selection step is displayed on the display means as an initial screen.
Interpretation report display method.

Images