JP2013186651A - Conference support apparatus, conference support method, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To solve the problem in which a doctor cannot take a long time for preparation of a medical conference.SOLUTION: Patient checkup data and the agenda of a conference are set, and, in displaying a list of patient information to be the agenda of the conference, the preparation status of conference material about the agenda or its conclusion status is displayed as an icon.

Description

  The present invention relates to a conference support apparatus for medical conferences.

  In recent years, in the medical field, there has been an increase in the number of conferences (medical conferences) for discussions when determining diagnostic findings, treatment plans, or taking over nursing / nursing care. This is because current medical care is shifting from single medical care by individual doctors to team medical care by multiple people. On the other hand, in medical practice, a lot of time is still required for medical examinations and treatments, and it is actually difficult to secure time allocated for preparation and implementation of medical conferences.

  As for medical image management and communication system (hereinafter referred to as PACS), DICOM (Digital Imaging and Communication in Medicine) standards are widely used in many hospitals.

  On the other hand, regarding electronic medical records, standards such as the medical document standard HL7 CDA (Clinical Document Architecture) of HL7 (Health Level Seven) have been proposed but are not widely used.

  An examination report (hereinafter referred to as a report) management system manages reports created by an interpreting doctor or pathologist. In recent years, a lot of image data (non-DICOM images) other than DICOM images managed by PACS have been used even in the medical field. Typically, it is a photographic image of a trauma or an affected area before and after surgery taken with a digital camera. These are often managed by an image management system separately from PACS. In the medical conference described above, discussion is advanced by referring to information stored in each of these electronic medical records, PACS, report management system, or image management system in each application.

  Patent Document 1 describes a method for presenting patient examination data referred to during a medical conference. In particular, a point of displaying a conference date (a point where the inspection image and the conference material are handled in the same manner) is disclosed on an inspection result table (matrix view) including an axis of year and month and an axis of inspection items. This makes it possible to refer to the conference data on the time series referring to the examination data, and to present it to the user (medical staff such as a doctor) in an easy-to-understand manner.

JP 2005-43951 A

  However, information referred to at the medical conference is not limited to examination data. It is necessary to refer to a variety of information such as diagnostic findings and various reports recorded on an electronic medical record, or camera photographs (non-DICOM data) stored in an image database according to the request of doctors participating in the conference.

  In addition, since it is difficult to secure the medical conference time, it is necessary to support the proceedings of the medical conference so that a large amount of patient information can be shared in a short time and the conclusion can be agreed within a certain time. There is. Some healthcare professionals may not be able to participate in all cases from the start to the end of the medical conference, and may participate only in some cases related to them.

  In addition, from the aspect of hospital evaluation and treatment reward, there is a need for evidence records that medical conferences have been held reliably.

  The present invention has been made to solve the above-described problems, and an object of the present invention is to provide a conference support system and a conference support method for improving the efficiency of conference preparation / meeting progress / conference recording in a medical conference.

  In order to solve the above-described problems, the conference support apparatus of the present invention has the following configuration. That is, a conference support apparatus for supporting a conference in medical care, a means for setting patient examination data and a conference agenda, and a list of patient information on the agenda when a list of patient information as a conference agenda is displayed. Display control means for displaying the state as an icon.

According to the present invention,
It is possible for medical conference participants to easily understand the preparation status of conference materials and the progress of the conference, and it is possible to easily record the conference conclusion and the conference status. As a result, busy doctors can proceed smoothly with medical conferences.

The figure which showed the typical usage form using this invention Schematic diagram of program structure The flowchart which showed operation | movement of the agenda list screen of the meeting progress part of the meeting client apparatus 1 The flowchart which showed operation | movement of the agenda patient detail screen of the meeting progress part of the meeting client apparatus 1 (A) The figure explaining the screen before the meeting start of the meeting progress part of the meeting client apparatus 1 (b) The figure explaining the meeting selection before the meeting start of the meeting client apparatus 1 (c) Before the meeting start of the meeting client apparatus 1 (D) explaining the start of the conference of the conference client device 1 (e) explaining the change of the agenda order of the conference client device 1 (f) before the start of the agenda number 4 of the conference client device 1 Figure explaining (A) The figure explaining the screen which the agenda number 4 of the conference client apparatus 1 started (b) The figure explaining the scroll of the material list (examination image tab) of the conference client apparatus 1 (A) The figure explaining the workspace display of the selected material of the conference client apparatus 1 (b) The figure explaining the drag and drop from the material list of the conference client apparatus 1 (A) The figure explaining the material list of the conference client apparatus 1 (b) The figure explaining the material list of the meeting client apparatus 1 (A) A diagram for explaining annotations and automatic summary setting for materials of the conference client device 1 (b) A diagram for explaining color selection of annotations of the conference client device 1 (c) A description of annotations of different colors of the conference client device 1 (D) The figure explaining the scale display of the agenda document of the conference client apparatus 1 (A) A diagram explaining materials set for the summary of the conference client device 1 (b) A diagram explaining non-display of the medical care information display area of the conference client device 1 (c) A document 2 screen division of the conference client device 1 (D) A diagram explaining the document 2 screen display of the conference client device 1 (e) A diagram explaining the non-display of the material list on the document 2 screen display of the conference client device 1 The figure explaining the non-DICOM image display of the conference client apparatus 1 (A) The figure explaining the simple conclusion input of the conference client apparatus 1 (b) The figure explaining the simple conclusion input completed of the conference client apparatus 1 (c) The figure explaining the comment addition of the conference client apparatus 1 (A) A diagram explaining the agenda of the conference client device 1 and the next agenda highlight (b) A diagram explaining the conference client device 1 being suspended (c) A conference client device 1 after the conference is resumed

  Hereinafter, the present invention will be described in detail based on the preferred embodiments with reference to the accompanying drawings. The configurations shown in the following embodiments are merely examples, and the present invention is not limited to the illustrated configurations.

<Embodiment 1>
In the present embodiment, an example in which a medical conference support system according to the present invention proceeds with a conference in cooperation with an electronic medical record / medical image management system / inspection report (report) system / image management system / file server in a hospital will be described. To do. In particular, the present embodiment is characterized by material preparation status display, conclusion status display, conference progress status display, external system reference, non-DICOM image reference, summary data recording, and simple conclusion input.

  FIG. 1 is a diagram showing a typical usage pattern of an embodiment using the present invention. The medical conference support system includes a conference client 1 and a conference server 2. Further, it is connected to various server groups in the hospital (file server 3, PACS server 4, diagnostic report server 5, electronic medical record server 6, ordering system 7, image management server 8). There may be a plurality of conference clients 1. Further, the function of the conference server 2 may be included in the conference client 1, and a peer-to-peer (P2P) configuration may be used. The conference client 1, the conference server 2, and various server groups (3 to 8) in the hospital are connected by a wired or wireless network 9.

  Since both the conference client 1 and the conference server 2 have the same hardware configuration, the conference client 1 will be described in detail. The UI device 101 is a mouse, digitizer, keyboard, or the like, and is used to input user instructions to the conference client 1. The CPU 102 and the RAM 103 exist, and various controls and calculations in the apparatus and UI display are possible by the CPU 102 interpreting and executing a program read from the program storage area 106 to the RAM 103. The communication IF 104 is connected to the network 9 and is a communication interface between the conference server 2 and various servers (3 to 8) in the hospital. The UI display unit 105 is an LED, a liquid crystal panel, or the like that displays the state of the apparatus and the processing content. Further, a program storage area 106 and a data storage area 107 exist. Specifically, these storage areas can be realized by using a hard disk or a flash memory, but it goes without saying that the present invention does not depend on a specific storage medium. In the conference client 1, the conference material 10 is placed in the data storage area 107. The conference material 10 may be placed on the file server 3. In the conference server 2, the material registration information 20 and the conference information 21 are placed in the data storage area 207.

  Meeting materials are collected for each patient or for each case and managed in units called binders. However, the substance of the conference material is not placed in the binder, but only the management information of the conference material is placed. A binder pool 301 is arranged in the file server 3, and a binder 302 is created for each patient or for each case. The binder pool 301 may be arranged in the data storage area 207 of the conference server 2. In each binder 302, a presentation image 30 and a thumbnail 31 are created for each registered material. Since medical images are large in size and difficult to handle, a presentation image 30 more suitable for display during a meeting is created. Information on handwritten memos performed on images during the meeting is stored as annotations 32 in each binder 302. Further, a summary of the conference and the used images as one document are stored in each binder 302 as a summary 33.

  With this configuration, the medical conference support system that operates on the conference client device and the conference server device can proceed with the conference in cooperation with an electronic medical record, a medical image management system, and the like that are connected to the network.

  The network shown in the figure may be an intranet operated in a hospital or organization, or may be the Internet. The network may be wireless or wired.

  Since the electronic medical record system / medical image management system / inspection report (report) system / image management system / file server / order system are widely used devices, explanations of hardware configuration examples and operation flows are omitted. .

  FIG. 2 is a diagram schematically showing the program configuration of the conference support apparatus. The conference client device 1 includes a conference preparation unit that prepares conference materials such as patient examination data and sets a conference agenda, a conference progress unit that supports conference progress by referring to the conference materials of the set agenda during the conference, and And a conference summary output unit for creating and distributing the conference results as a summary. These programs are stored in the memory or storage device of each device and executed by the CPU of each device. And it functions by controlling a network I / F, a USB interface, or various controllers as needed. These programs operate by detecting user operations and automatic operations based on communication commands via a network interface, mouse / keyboard / remote control operations via a peripheral controller, or voice commands via a microphone input. .

  With this configuration, the medical conference support system according to the present invention can proceed with a conference in cooperation with an electronic medical record / medical image management system / inspection report (report) system / image management system / file server in a hospital. Become. In particular, the present embodiment is characterized by material preparation status display, conclusion status display, conference progress status display, external system reference, non-DICOM image reference, summary data recording, and simple conclusion input.

  Hereinafter, the operation of each program will be described with reference to the drawings. In the following description of the program operation, setting information read when each program is started is read from a non-volatile storage device or network when each device is started and stored in the memory or storage device of each device. These set values are specified values at the time of factory shipment or user-specified values set using another tool or the like.

  FIG. 3 is a flowchart showing the operation of the agenda list screen of the conference progress unit of the conference client device 1. The conference advancing unit displays the conference information of the selected conference and the patient list as the agenda on the agenda list screen, receives the operation from the user (medical staff such as a doctor), and processes it according to the operation .

  First, in step S301, the setting information of the conference proceeding unit is read. In step S302, the agenda patient list screen is updated. In step S303, a user input or a communication message is acquired. Then, processing is executed according to the input content or the communication message content as follows. If it is an end instruction, the process of the conference advancing unit is ended in step S304. If it is a conference selection instruction, in step S305, a transition is made to a conference list screen (FIG. 6A) for conference selection, and the next instruction is awaited. If it is an agenda patient selection instruction, in step S306, a transition is made to the patient search screen (FIG. 5C) for patient selection, and the next instruction is awaited. If it is an agenda order change instruction, in step S307, the patient order indicated on the agenda patient list screen is changed (FIG. 5E), and the next instruction is awaited. If it is an agenda patient detailed instruction, in step S308, the screen changes to the agenda patient detail screen (FIG. 6A) and waits for the next instruction. If it is a meeting state change instruction, in step S309, the meeting state instructed on the agenda patient list screen is changed (FIG. 5 (d), FIG. 13 (b), FIG. 13 (c)). Wait for instructions. Then, after the processing from step S305 to step S309, the processing returns to step S302 and the above processing is repeated.

  FIG. 4 is a flowchart showing the operation of the agenda patient detail screen of the conference progress unit of the conference client device 1. The conference advancing unit displays medical information, examination images, various reports, non-DICOM images, etc. of the patient who is the selected agenda on the agenda patient detail screen, from the user (medical staff such as doctors). Receives an operation and processes it according to the operation.

  First, in step S401, the agenda patient detail screen is updated. In step S402, a user input or a communication message is acquired. Then, processing is executed according to the input content or the communication message content as follows. If the instruction is to close, in step S403, the agenda patient detail screen is closed and the agenda patient list screen is displayed again. If it is a conference material selection instruction, in step S404, the designated material is selected and the next instruction is awaited. This includes tab switching of conference materials and drag and drop to the workspace (FIG. 6 (b), FIG. 7 (a), FIG. 7 (b), FIG. 8 (a), FIG. 8 (b). )). If it is a conference material display instruction, in step S405, the conference material is displayed and the next instruction is awaited. This includes enlargement / reduction in the workspace, display area movement, and two-screen division (FIGS. 9D, 10C, and 10D). If it is an annotation instruction, in step S406, an annotation (annotation) is added to the meeting material in the workspace, and the next instruction is awaited. This includes input of annotation and color change (FIGS. 9A, 9B, and 9C). If it is a summary material saving instruction, in step S407, the meeting material in the workspace is saved for summary, and the next instruction is awaited. This includes automatic summary setting and summary material display (FIG. 9 (a), FIG. 10 (a)). If it is an external system reference instruction, in step S408, an external system such as an electronic medical record or a PACS is called, and the next instruction is awaited. If it is a conclusion easy input instruction, in step S409, the conclusion of the discussion about the diagnosis findings and treatment plan of the subject patient is input (FIG. 12B), and the next instruction is awaited. If it is an agenda comment input instruction, in step S410, a comment regarding the discussion of the subject patient is input (FIG. 12C), and the next instruction is awaited. If it is an instruction to display / hide the patient details and document list, in step S411, the patient details and document list on the screen are switched between display and non-display (FIG. 10 (b), FIG. 10 (e)). Wait for the next instruction. Then, after the processing from step S404 to step S411, the processing returns to step S401 and the above processing is repeated.

  Hereinafter, the conference progress unit of the conference client device 1 will be described using a screen displayed on the UI display unit. These screens are displayed on the UI display unit (display controller) of the conference client apparatus 1 and operated by input from the UI device.

  FIG. 5A is a diagram for explaining a screen before the conference start of the conference progression unit of the conference client device 1. The conference client device 1 automatically presents the latest conference in which a user (medical worker such as a doctor) who uses the conference client device 1 is set as a participant by acquiring necessary information from the conference server. . Reference numeral 501 denotes a conference status display area. On the left side, a preset conference name, conference date and time, conference location, and participant list are displayed. On the right side, a conference status (here, before the conference is held) and a change button are displayed. When the change button is pressed, the conference preparation unit of the conference client device 1 is called, and the conference name, conference date and time, conference location, and participants can be changed. Reference numeral 502 denotes an agenda patient list display area. A patient list set as an agenda by the conference preparation unit in advance is displayed. Each patient information in the patient list includes patient basic information (patient ID, name, sex, age), doctor name in charge, document preparation status icon, agenda display button, conclusion display area, and summary creation button. .

  Reference numeral 503 denotes a conference list button. When the conference list button 503 is pressed, a transition is made to the screen described in FIG. Reference numeral 504 denotes a patient selection button. When the patient selection button 504 is pressed, a transition is made to the screen described in FIG. Reference numeral 505 denotes a conference start button. When the conference start button 505 is pressed, a transition is made to the screen described in FIG. Reference numeral 506 denotes a material preparation status icon. The agenda patient list display area 502 displays the material preparation status relating to each patient that is an agenda item. In this embodiment, in order from the left, chart information (diagnosis findings, treatment plans, etc.), examination image information (DICOM images, etc.), report information (interpretation reports, pathological diagnosis reports, etc.), and other information (camera images and Schema diagram). The preparation status of each type of meeting material regarding the patient is displayed in an easy-to-understand manner by icon display.

  These icons are external system call buttons for preparing each type of meeting material. The electronic chart is activated for the medical record information icon, the PACS viewer is activated for the examination image information icon, the report viewer is activated for the report information icon, and the file browser is activated for the other information icons. Reference numeral 507 denotes an agenda display button. When the open button 507 is pressed, a transition is made to the screen described in FIG. Reference numeral 508 denotes a conclusion display area. Reference numeral 509 denotes a summary creation button. When the summary creation button 509 is pressed, the conference summary output unit is called.

  FIG. 5B is a diagram for explaining conference selection before the conference starts by the conference client device 1. Reference numeral 601 denotes a conference selection panel. When the conference list button 503 is pressed, the conference selection panel 601 is slid in from the right and displayed. The conference selection panel 601 displays a list of conferences to which the user has been assigned as a participant. By selecting a desired conference from the list, the conference status display on the screen and the agenda patient list are switched. Reference numeral 602 denotes a conference list button. Displayed at the top of the meeting selection panel. When the conference list button 602 is pressed, the conference list of the conference preparation unit is displayed and the conference can be switched.

  FIG. 5C is a diagram for explaining the patient search before the start of the conference by the conference client device 1. Reference numeral 701 denotes a patient selection panel. When the patient selection button 504 is pressed, the patient selection panel 701 is slid in from the right and displayed. A patient selection panel 701 can be used to search for a desired patient and add it to the agenda patient list display area 502. Reference numeral 702 denotes an input area for a patient ID patient name. Search conditions for searching for a desired patient can be specified. A patient whose input character string partially matches a patient ID and a patient name is searched. Further, below the input area of the patient ID patient name, there is a check box for limiting the search target to patients who have prepared the materials. Reference numeral 703 denotes a search button. By pressing the search button, a list of patients that meet the search conditions is displayed.

  Reference numeral 704 denotes a search result list. Patients that meet the search criteria are listed here. An add button is presented for each item in the search result list 704. By pushing this add button, the patient is added to the end of the agenda patient list display area 502. Further, by directly dragging and dropping from the search result list to the agenda patient list display area 502, the patient can be inserted at the position of the dropped agenda patient list.

  FIG. 5D is a diagram for explaining the conference start of the conference client device 1. When the conference start button 505 is pressed, the conference is started. Reference numeral 801 denotes a conference status (in the present conference). Reference numeral 802 denotes a patient selected in the agenda patient list display area 502. Select the patient who will be the first agenda immediately after the start of the meeting. The selected patient is surrounded by a highlighted frame and the open button 804 is highlighted. Reference numeral 803 denotes a conference interruption button. When the conference interruption button 803 is pressed, a transition is made to the screen described in FIG. Reference numeral 804 denotes a conference end button. When the conference end button 804 is pressed, the conference is ended.

  FIG. 5 (e) is a diagram for explaining the agenda order change of the conference client apparatus 1. By dragging and dropping the patient 802 selected in the agenda patient list display area 502 in the agenda patient list display area 502, the order of the agenda items discussed in the conference is changed. 901 shows the selected patient after the order has been changed.

  FIG. 5F is a diagram for explaining the start of the agenda item 4 of the conference client apparatus 1. In the meeting, the screen at the time of finishing discussion about the patient of the agenda items 1-3 is demonstrated. Reference numerals 1001, 1002, and 1003 indicate the conclusion states of the agenda items 1 to 3. Approval, approval, and additional writing are required for each. Display in an easy-to-understand manner without opening the contents of individual agenda items. On the right side of the conclusion state, a summary creation button is displayed in an enabled state. Note that a summary creation button for an undecided agenda (the conclusion state is empty) is displayed in a disabled state.

  1004 is the patient to be discussed next. The open button 804 is highlighted with a highlighted border. Here, when the open button 804 is pressed, a transition is made to the screen described with reference to FIG.

  FIG. 6A is a diagram for explaining a screen on which the agenda item 4 of the conference client apparatus 1 is started. When the open button 804 is pressed, detailed information about the subject patient is displayed. The doctor in charge refers to the display of this detailed information, and confirms the patient basic information, medical information (diagnosis findings and treatment plan of medical record information), and the examination data that is the basis of the diagnosis findings and treatment plan in order. I can explain it.

  1101 is an agenda state indicator. At the top of the agenda status indicator, the agenda order within the meeting is shown. In the present embodiment, it is the fourth agenda item out of 10 in the entire conference. The previous 3 cases are never discussed, and the remaining 6 cases are pending. At the bottom of the agenda status indicator, the name of the patient and the name of the doctor in charge are shown as the next agenda. Reference numeral 1102 denotes patient basic information. As with the agenda patient list 502, the patient ID, name, gender, age, and doctor name are displayed. Reference numeral 1103 denotes a medical information display area. The SOAP information extracted from the electronic medical record is displayed.

  Reference numeral 1104 denotes a conference material display area. A list of conference materials prepared by the conference preparation unit of the conference client device 1 is displayed. Each meeting material is one of inspection image information, report information, and other information, and is listed for each type. Each material on the list displays a thumbnail image, an inspection date, the name of a material preparation person in charge, and an external system call button. An external system call button can be used to start an external system such as an electronic medical record or a PACS viewer and refer to the original conference material.

  Reference numeral 1105 denotes a work area. The conference material selected by drag and drop from the conference material display area 1104 is displayed. Below the work area 1105, conference material display options in the work area are arranged. From the left, there are a single document display switching button, a two-material comparison display switching button, an annotation pen selection button, an annotation pen color change button, and an eraser button (FIG. 9A, FIG. 9B, FIG. 9). c)).

Reference numeral 1106 denotes a summary material display area. List thumbnails of conference materials to be reflected in the summary. Meeting materials in this area are held with annotations and passed to the summary creation section. Reference numeral 1107 denotes a conclusion input area. It is possible to easily input the conclusion when the discussion is performed by the doctor regarding the diagnosis and treatment policy of the patient and the examination data as the basis. In this embodiment, selection is made from approval, additional writing required, and continuation.

Reference numeral 1108 denotes a material switching button. The type of material displayed in the conference material display area 1104 is selected and switched from inspection image information, report information, and other information. Reference numeral 1109 denotes a conference material display toggle button. The display / non-display of the conference material display area 1104 is switched (FIG. 10E). Reference numeral 1110 denotes a medical information display toggle button. The display / non-display of the medical treatment information display area 1103 is switched (FIG. 10B). Reference numeral 1111 denotes a conference memo display toggle button. Display / non-display of the input area of the conference memo concerning the patient is switched.
Reference numeral 1112 denotes an update reflection button. Reflect the information changed by operations other than the screen display (background jobs, etc.) on the screen.

  Reference numeral 1113 denotes an electronic medical chart activation button. Arranged in the medical information display area 1103. Start the electronic medical record and refer to the patient's original information on the electronic medical record system). Reference numeral 1114 denotes a material addition button. It is arranged in the conference material display area 1104. Start the file selection dialog to add missing data. Reference numeral 1115 denotes a summary creation button. The conference summary output unit is called to create a summary about the patient's discussion. Reference numeral 1116 denotes a close button. The detailed information on the agenda patient is closed, and a transition is made to the agenda list display described with reference to FIG.

  FIG. 6B is a diagram for explaining scrolling of the material list (inspection image tab) of the conference client apparatus 1. Reference numeral 1201 denotes a conference material display area. When a vertical drag operation is performed in this area, the list item is scrolled in the vertical direction. In addition, when a vertical flick operation is performed, the list item is scrolled inertially in the vertical direction.

  FIG. 7A is a view for explaining the workspace display of the material selected by the conference client apparatus 1. Reference numeral 1301 denotes a material selected in the conference material display area. Displays a highlighted border on the thumbnail portion of the selected material. Reference numeral 1302 denotes the selected material displayed in the workspace. A method of displaying the selected material in the workspace will be described with reference to FIG. In the workspace, a reference image of the selected material (the amount of information is larger than that of the thumbnail) is displayed. Reference numeral 1303 denotes an annotation all deletion button. The eraser button at the bottom of the work area 1105 deletes only the selected annotation, whereas the delete all annotation button deletes all annotation information attached to the material.

  Reference numeral 1304 denotes a summary saving check box. The summary saving check box is used to specify whether or not the material can be reflected in the summary. The specified material is displayed in the summary material display area when the material is closed. Reference numeral 1305 denotes an external reference button. Start an external system (such as an electronic medical record or PACS viewer) to refer to the original document.) Reference numeral 1306 denotes a close button for the workspace display material. Close the material and remove it from the work area.

  FIG. 7B is a diagram for explaining drag and drop from the material list of the conference client apparatus 1. Reference numeral 1401 denotes an operation thumbnail display of the material selected in the conference material display area. Drag and drop the selected material to display it in the workspace. In the operation thumbnail display, a “+” (plus mark) icon indicating that an operation is being performed is superimposed on a semi-transparent thumbnail image.

  FIG. 8A is a diagram for explaining a material list (report tab) of the conference client apparatus 1. Reference numeral 1501 denotes a report tab in the document switching button. When the report tab is pressed, the materials classified as reports (inspection reports) among the materials prepared as conference materials are displayed in a list in the conference material display area. In the system of the present embodiment, reports are handled in the same manner as inspection images. The procedure for displaying the materials in the conference material display area in the workspace is similarly drag and drop.

  FIG. 8B is a view for explaining a material list (non-DICOM image tab) of the conference client apparatus 1. Reference numeral 1601 denotes a non-DICOM image tab in the document switching button. When the non-DICOM image tab is pressed, the materials that are classified as non-DICOM images (camera images and PC images) and documents (text and various office documents) are displayed as conference materials. List in area. In the system of this embodiment, non-DICOM images and documents are handled in the same manner as inspection images. The procedure for displaying the materials in the conference material display area in the workspace is similarly drag and drop.

  FIG. 9A is a diagram for explaining annotations and automatic summary setting for materials of the conference client apparatus 1. Reference numeral 1701 denotes an annotation designation button. Switch between annotation input mode and pointing mode in workspace by toggle operation. 1702 is an example of an annotation input result. A stroke input result input with a mouse or a touch device is superimposed on the inspection image data. Reference numeral 1703 denotes a summary saving check box. The material in which this check box is set is stored in the summary material display area 1106 for summary creation. Note that the annotated document is automatically set with a check box to reduce the burden on the user. Conversely, when the user explicitly clears the automatically set check box, even the annotated material is not stored in the summary material display area 1106. Reference numeral 1704 denotes an eraser button. Delete the specified annotation part. Reference numeral 1705 denotes an all annotation deletion button. Delete all annotation information.

  FIG. 9B is a diagram illustrating annotation color selection of the conference client apparatus 1.

  Reference numeral 1801 denotes a color selection button. Specify the input color of the annotation using the color selection panel. Reference numeral 1802 denotes a color selection panel. Specify the input color of the annotation. As a result, color-coded annotation is possible, and the discussion process of the conference can be expressed in an easy-to-understand manner (FIG. 9C).

  FIG. 9D is a diagram for explaining the scale display of the agenda material of the conference client apparatus 1. 2001 is an example of conference material in which the vicinity of the annotation region of the conference material in FIG. 9C is enlarged by a user operation in the workspace. By detecting a pinch-in / pinch-out operation (a picking operation with two fingers) or a mouse wheel operation by the user in the designated area, the conference material is enlarged / reduced. Although not shown, the display area is moved by a user operation in the designated area of the workspace. Here, it moves by a drag operation.

  FIG. 10A is a diagram for explaining the material set for the summary of the conference client apparatus 1.

  Reference numerals 2101, 2102, and 2103 are lists of conference materials that are reflected in the summary held in the summary material display area 1106. The progress of the conference is visualized by displaying a list of materials that have been annotated during the conference or materials that have been explicitly designated for the summary. Here, the results of operations performed in the workspace during the meeting, such as annotation assignment, enlargement / reduction, or movement of the display area, are displayed as thumbnails. Similar to thumbnails, the summary reflects the results of operations performed during the meeting.

  FIG. 10B is a diagram for explaining that the medical care information display area of the conference client device 1 is not displayed. A screen in which the medical care information display area 1103 is hidden by the operation of the medical care information display toggle button 1110 is shown. At this time, the summary material display area 1106 moves horizontally in the left direction to enlarge the work space. This makes it possible to display and discuss the conference material in a larger space, improving the ease of understanding of the conference.

  FIG. 10C is a diagram for explaining the document 2 screen division of the conference client apparatus 1. Reference numeral 2301 denotes a two-screen division button. By this operation, the workspace area is divided into two screens. In the divided workspaces, meeting materials can be displayed and annotated or enlarged / reduced (FIG. 10D). This facilitates data comparison. Reference numeral 2302 denotes a one-screen button. Conversely, the number of divided screens is made one. In this embodiment, the left screen is left and the right screen is erased.

  FIG. 10E is a diagram for explaining the non-display of the material list on the material 2 screen display of the conference client device 1. A screen in which the conference material display area 1104 is hidden by the operation of the conference material display toggle button 1109 is shown. At this time, the workspace is expanded. This makes it possible to display and discuss the conference material in a larger space, improving the ease of understanding of the conference. In this figure, the medical treatment information display area 1103 is also hidden, but the conference material display toggle button 1109 and the medical treatment information display toggle button 1110 can operate independently. That is, only the conference material display area 1104 can be hidden, and the medical treatment information display area 1103 can be displayed.

  FIG. 11 is a diagram for explaining the non-DICOM image display of the conference client apparatus 1. When proceeding with discussions using non-DICOM images, annotating / enlarging / reducing / moving the display area / dividing the screen (comparison of materials) can be performed by dragging and dropping into the workspace by the same operation as the operation related to the inspection image. ).

  FIG. 12A is a diagram for explaining simple conclusion input of the conference client apparatus 1. As described above, the conclusion when the discussion is performed by the doctor is input using the conclusion input area 1107 regarding the diagnosis and treatment policy of the patient and the examination data as the basis. As a result, if it is an agreement, “Approve” (FIG. 12B), “Addition required” if additional comments need to be added, and “Continue” if further consideration is required. Simply select and enter. The conference summary output unit reflects the conclusion input here in the summary.

  FIG. 12C is a diagram for explaining the comment addition of the conference client apparatus 1. A conference memo display toggle button 1111 switches display / non-display of the conference memo input area regarding the patient. Reference numeral 2901 denotes a conference memo input area. You can enter text information. Reference numeral 2902 denotes a message type selection box. The type of remark can be easily specified such as question / answer / action item / comment / conclusion. Reference numeral 2903 denotes a speaker selection box. The speaker can be easily specified from among the conference participants. Reference numeral 2904 denotes a conference memo area. Lists the contents of each input comment. The comment memo recorded here is delivered to the summary creation unit together with the material referred to during the meeting held in the summary material display area 1106.

  FIG. 13A is a diagram for explaining the agenda after the agenda and the next agenda highlight of the conference client apparatus 1. When the user inputs a conclusion from the conclusion input area 1107 and operates the close button 1116 through the discussion using the screen of the agenda item 4 described above, as a result, the system operates as shown in FIG. Return to the agenda patient list display from the agenda screen. At this time, it is determined that the discussion on the agenda item 4 has been completed, and the agenda item 5 is automatically selected as the next agenda item. Then, in order to prompt the start of the agenda No. 5, the agenda is highlighted and the open button 804 is focused.

  FIG. 13B is a diagram for explaining that the conference client apparatus 1 is suspending the conference. When the conference suspension button 803 is pressed while the agenda patient list is displayed, the conference is suspended as shown in the figure. Reference numeral 3101 denotes a conference resumption button. Displayed when the meeting is suspended. The conference is resumed by operating this button (FIG. 13C).

  With the above configuration, the medical conference support system according to the present invention can proceed with a conference in cooperation with an electronic medical record / medical image management system / inspection report (report) system / image management system / file server in a hospital. It becomes. In particular, the present embodiment is characterized by material preparation status display, conclusion status display, conference progress status display, external system reference, non-DICOM image reference, summary data recording, and simple conclusion input.

  In the present embodiment, operations for enlargement / reduction to a workspace divided into two screens and movement of a display area are processed independently, but the processing in the workspace is not limited to this. For example, it can be easily imagined that the enlargement / reduction to one side of the workspace divided into two screens or the movement of the display area is linked with the other of the workspaces.

  In the present embodiment, when the discussion using the detailed screen of one agenda patient is finished, an example is described in which the next agenda patient is selected after returning to the patient list display. It is not limited to this. For example, it can be easily imagined that a detailed screen of a certain agenda patient directly transits to a detailed screen of the next agenda patient.

  In the present embodiment, the filter and sort function are not described in the document list display on the agenda patient detail screen, but it is easy to imagine that the document list display is filtered and sorted.

<Other embodiments>
The object of the present invention can also be achieved by supplying a storage medium storing a computer program code for realizing the above-described functions to the system, and the system reading and executing the computer program code. In this case, the computer program code itself read from the storage medium realizes the functions of the above-described embodiments, and the storage medium storing the computer program code constitutes the present invention. In addition, the operating system (OS) running on the computer performs part or all of the actual processing based on the code instruction of the program, and the above-described functions are realized by the processing. .

  Furthermore, you may implement | achieve with the following forms. That is, the computer program code read from the storage medium is written into a memory provided in a function expansion card inserted into the computer or a function expansion unit connected to the computer. Then, based on the instruction of the code of the computer program, the above-described functions are realized by the CPU or the like provided in the function expansion card or function expansion unit performing part or all of the actual processing. When the present invention is applied to the above storage medium, the computer program code corresponding to the flowchart described above is stored in the storage medium.

Claims (3)

A conference support device for supporting a medical conference,
Means for setting patient agenda data and meeting agenda;
A conference support apparatus, comprising: a means for displaying, as an icon, a preparation state or a conclusion state of conference materials related to the agenda when displaying a list of patient information as an agenda for the conference. A conference support method in a conference support device for supporting a conference in medical care,
Setting patient examination data and meeting agenda;
And a step of displaying, as an icon, a prepared state or a conclusion state of meeting material related to the agenda when displaying a list of patient information as an agenda of the meeting.   A program that causes a computer to function as the conference support apparatus according to claim 1 by being read and executed by the computer.

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