JP2014144215A - Imaging device, method of controlling the same and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To feed back to a doctor on information based on the state of an affected part when a patient as a subject is imaged under imaging instructions from the doctor.SOLUTION: An imaging device 130 acquires imaging instructions including an imaged part of a subject, and displays on a display unit 135 the imaged part with information indicative of the subject. Then, the imaging device 130 accepts imaging commands with the imaged part and the information indicative of the subject being displayed on the display unit 135. Then, an imaging unit 134 of the imaging device 130 performs imaging processing of the subject according to the acceptance of the imaging commands. Then, the imaging device 130 adds the information based on the state of the affected part of the subject imaged by the imaging unit 134 to the image data generated by the imaging processing.

Description

  The present invention relates to a technique for photographing a patient as a subject under a doctor's photographing instruction.

  In recent years, computerization has progressed in medical institutions such as hospitals, and an increasing number of institutions have introduced electronic medical records that manage patient diagnosis information. On the electronic medical record, patient diagnosis history information, medication information, surgery information, affected part image data, X-ray image data, etc. are centrally managed, and data (information) can be easily shared and reused. . In addition, with the recent increase in storage capacity, it has become possible to take a large amount of image data of affected areas and store it in an electronic medical record.

  In such an environment, a usage method is often used in which a patient is photographed using a digital camera and the photographed image data is stored in an electronic medical record as a medical record. In particular, in the field of dermatology, surgery, or nursing care, a patient's wound, surgical scar, or pressure ulcer (bed slip) is regularly photographed with a digital camera, and changes over time of the affected area are observed.

  In such a use scene of a digital camera, a doctor who has examined does not necessarily take a picture. Under the direction of a doctor, an in-hospital imaging staff or nurse or an out-of-hospital visiting nurse may take an image. In this case, it is necessary for the doctor to issue an imaging instruction including the imaging region and the number of images to be taken in addition to basic information such as the name and ID of the target patient, and the photographer needs to take an image while confirming the doctor's instruction.

  For such usage scenes, Patent Document 1 discloses that a 3D image data of a patient is displayed on a screen when a doctor's imaging order is issued, and a doctor directly designates an imaging region on the 3D image data. A technique for issuing an order is disclosed.

  Further, in Patent Document 2, image data of an affected area captured by a digital camera is transmitted via a communication network, and a corresponding disease name is obtained from accumulated skin disease data according to the content of the image data of the affected area. A technique for predicting and outputting a countermeasure is disclosed.

JP 2001-60239 A JP 2005-58398 A

  However, in the above-mentioned Patent Document 1, only the issue of a doctor's imaging order is mentioned, and it is not mentioned how the photographer performs imaging while confirming the imaging order. In home-visit nursing, there is a time lag between the time when the doctor gives a photographing instruction and the time when the home-visit nurse, who is the photographer, actually photographs the affected area at the site. For this reason, there is a high possibility that a sudden change in the affected area, for which an imaging instruction has been issued by the doctor, or an onset other than the part designated by the doctor. Therefore, the photographer must accurately send measures and diseased part information other than instructions from the doctor to the doctor in consideration of the situation and urgency. However, in the above-mentioned patent document 2, only the prediction of the disease name is mentioned from the affected part image data and the patient's chief complaint, and the feedback of the affected part information to the doctor is not mentioned.

  Accordingly, an object of the present invention is to feed back information based on the state of an affected area to a doctor when imaging a patient as a subject under a doctor's imaging instruction.

  The imaging apparatus of the present invention includes an acquisition unit that acquires an imaging instruction including an imaging region of a subject, a display unit that displays the imaging region together with information indicating the subject, information indicating the subject on the display unit, and the imaging In a state where the region is displayed, a receiving unit that receives a shooting command, a shooting unit that performs shooting processing of the subject in response to the receiving of a shooting command by the receiving unit, and an image of the subject shot by the shooting unit And an adding unit that adds information based on the state of the affected area to the image data generated by the imaging process.

  According to the present invention, it is possible to feed back information based on the state of an affected part to a doctor when photographing a patient as a subject under a doctor's photographing instruction.

It is a figure which shows the structure of the imaging | photography processing system which concerns on embodiment of this invention. It is a flowchart which shows the imaging | photography process in the imaging | photography processing system which concerns on embodiment of this invention. It is a figure which shows an example of the imaging | photography instruction | indication input by a doctor. It is a flowchart which shows the detail of the imaging | photography process in step S102 of FIG. It is a figure which shows an example of the imaging | photography information (metadata) provided by step S1026 of FIG. It is a figure which shows an example of the user interface for inputting affected part information. It is a figure which shows an example of the reference figure selected in step S1022 of FIG. It is a figure which shows the table used for the reference figure selection process in step S1022 of FIG. It is a figure which shows the example of the imaging | photography screen of an imaging | photography site | part. 5 is a flowchart showing details of reference diagram selection processing in step S1022 of FIG. It is a figure which shows an example of the user interface by which all the imaging | photography parts contained in an imaging | photography instruction | indication in step S1023 of FIG. It is a figure which shows the other example of the user interface by which live view image data is displayed in step S1024 of FIG. It is a figure which shows the example of a browsing priority management table. It is a figure which shows the example of a display of a patient name list and the detailed information of a patient. It is a figure which shows the example of a display of a patient name list.

  DESCRIPTION OF EXEMPLARY EMBODIMENTS Hereinafter, preferred embodiments to which the invention is applied will be described in detail with reference to the accompanying drawings.

  First, a first embodiment of the present invention will be described. In the first embodiment, it is assumed that a photographer such as a visiting nurse or a caregiver photographs a patient to be photographed using a digital camera that is a photographing device based on a photographing instruction from a doctor. Yes.

  FIG. 1 is a diagram showing a configuration of an imaging processing system according to the first embodiment of the present invention. As illustrated in FIG. 1, the imaging processing system 100 according to the first embodiment includes a client device 110, an image management server device 120, an imaging device 130, a wired network 140, and a wireless network 150. Here, the client device 110 and the image management server device 120 are connected via a wired network 140. The image management server device 120 and the imaging device 130 are connected via a wireless network 150. The client device 110 is a configuration that is an example of an information processing device.

  The client device 110 is a device used by a doctor. As illustrated in FIG. 1, the client device 110 includes a shooting instruction input unit 111, a display unit 112, and a display control unit 113. The imaging instruction input unit 111 receives an imaging instruction from a doctor. The display unit 112 displays photographed image data and diseased part information, and allows a doctor to view them. The display control unit 113 controls the list display of patient names and the image data display order of individual patients.

  The image management server device 120 is a device that manages captured image data. As shown in FIG. 1, the image management server device 120 includes a photographing instruction storage unit 121, an image storage unit 122, and an affected part information storage unit 123. The imaging instruction storage unit 121 stores an imaging instruction by a doctor accepted by the client device 110.

  The image storage unit 122 stores photographed image data photographed by the photographing device 130. The affected area information storage unit 123 stores the affected area information input by the imaging apparatus 130. The imaging device 130 is a general-purpose digital camera that captures an imaging subject patient as a subject.

  As illustrated in FIG. 1, the photographing apparatus 130 includes a storage unit 131, an input unit 132, a photographing instruction rearranging unit 133, a photographing unit 134, a display unit 135, and an information storage control unit 136. The storage unit 131 stores various information, various data, various tables, and the like. The input unit 132 allows the photographer to input information such as affected area information and various instructions. The imaging instruction rearrangement unit 133 is received by the client device 110 and rearranges the imaging instructions by the doctor stored in the imaging instruction storage unit 121. The imaging unit 134 includes an imaging sensor that converts an optical image of a subject formed through an optical system such as a lens into electronic captured image data. The display unit 135 includes a liquid crystal display screen that displays live view image data and captured image data obtained by the imaging sensor of the imaging unit 134. The information storage control unit 136 stores the captured image data captured by the imaging unit 134 in the image storage unit 122 of the image management server device 120 and the affected site information input by the input unit 132. The information is stored in the information storage unit 123.

  FIG. 2 is a flowchart showing a photographing process in the photographing processing system 100 according to the first embodiment of the present invention. Note that the process illustrated in FIG. 2 is a process that is started when a doctor instructs the client apparatus 110 to perform imaging. 2 is a process realized by the CPU reading and executing necessary data and programs from a recording medium such as an HDD in the corresponding apparatus in the imaging processing system 100.

  In step S101, the imaging instruction input unit 111 of the client apparatus 110 receives an imaging instruction from a doctor. Then, the client device 110 transmits the shooting instruction to the image management server device 120 via the wired network 140. The image management server device 120 stores the shooting instruction received from the image management server device 120 in the shooting instruction storage unit 121.

  In step S <b> 102, the imaging apparatus 130 reads (loads) an imaging instruction from the imaging instruction storage unit 121 of the image management server apparatus 120 via the wireless network 150. Then, after rearranging the photographing instructions, the photographing apparatus 130 displays the rearranged photographing instructions on the display unit 135. Thereafter, when the photographer performs a photographing operation in accordance with the photographing instruction displayed on the display unit 135, the photographing apparatus 130 performs photographing processing on the photographing target patient to generate photographing image data of the photographing target patient. The photographer inputs the affected area information of the patient to be imaged from the input unit 132. The imaging device 130 transmits the captured image data and affected area information of the patient to be imaged to the image management server device 120 via the wireless network 150. When the image management server apparatus 120 receives the captured image data and the affected area information of the patient to be imaged from the imaging apparatus 130, the image management server apparatus 120 stores the captured image data in the image storage section 122 and stores the affected area information in the affected area information storage section 123.

  In step S <b> 103, the client device 110 acquires the captured image data stored in the image storage unit 122 of the image management server device 120, and the affected site information stored in the affected site information storage unit 123 of the image management server device 120. To get. Then, the client device 110 displays the captured image data and the affected part information on the display unit 112 so that the doctor can browse.

  FIG. 3 is a diagram illustrating an example of an imaging instruction input by a doctor. In the example shown in FIG. 3, the imaging instruction 300 includes patient basic information of an imaging target patient such as a patient name, patient ID, age, and sex, an instructing doctor name, an imaging method, an imaging position, an imaging site (imaging affected area), and And shooting information such as notes. In the example shown in FIG. 3, a plurality of imaging regions are simply listed, but the number of images, imaging angle, imaging reason, precautions, and the like may be set in detail for each imaging region.

  FIG. 4 is a flowchart showing details of the photographing process in step S102 of FIG. Note that the processing illustrated in FIG. 4 is realized by the CPU executing necessary data and programs from a recording medium such as a ROM in the photographing apparatus 130.

  In step S <b> 1021, the photographing apparatus 130 loads the photographing instruction stored in the photographing instruction storage unit 121 of the image management server apparatus 120, for example, into the storage unit 131 via the wireless network 150. Here, the image management server device 120 and the imaging device 130 are connected by a wireless network 150 such as short-range wireless communication or infrared communication represented by Bluetooth (registered trademark).

  In step S1022, the imaging device 130 selects a schema as a reference diagram from the schema (human body partial view) stored in the storage unit 131 based on the imaging part included in the imaging instruction loaded in step S1021. In this embodiment, the reference diagram selection process is performed by the imaging device 130. However, the image management server device 120 selects a schema as a reference diagram based on the imaging region included in the imaging instruction, and the imaging device. 130 may load the selected reference diagram from the image management server device 120 as part of the shooting instruction.

  In step S1023, the imaging apparatus 130 displays the imaging part included in the imaging instruction on the display unit 135. Here, for example, the imaging region included in the imaging instruction is superimposed and displayed on the schema as the reference diagram selected in step S1022.

  Subsequently, when the photographer selects one imaging region from the imaging regions displayed in step S1022, the imaging device 130 displays the imaging instruction loaded in step S1021 on the display unit 135 in step S1024. Here, for example, a shooting instruction is displayed superimposed on the live view image data. In addition, when photographing a part other than the imaging part included in the imaging instruction by the doctor, such as when a case is seen in a part other than the imaging part included in the imaging instruction by the doctor, the photographer sets the imaging target on the schema. Click on the part. Thereby, the imaging device 130 acquires the name of the part to be imaged.

  Subsequently, the photographer presses the shooting button. Thereby, in step S1025, the imaging unit 134 of the imaging device 130 performs imaging processing for converting an optical image of a subject (imaging target patient) captured from the lens into electronic captured image data. In step S1026, the imaging device 130 (for example, the imaging unit 134) adds imaging information as metadata to the captured image data obtained by the imaging process in step S1025. As the imaging information given in this step, in addition to information obtained at the time of imaging such as the imaging date and time and the imaging location, the patient basic information of the imaging target patient, the imaging instruction such as the imaging site, and the input from the input unit 132 are input. Information on the state of the affected area (affected area information) and the like. In this way, by adding the shooting information to the shot image data, it is possible to search the shot image data by designating the shooting site with a keyword such as “right elbow” at a later date.

  FIG. 5 is a diagram illustrating an example of the shooting information (metadata) provided in step S1026 of FIG. In FIG. 5, reference numeral 501 denotes shooting information (metadata). As shown in FIG. 5, the imaging information 501 includes “part” 502, “imaging instruction” 503, “previous medical history” 504, “previous degree” 505, and information regarding the state of the affected area (“S (main complaint) 506 ”,“ O (difference of affected area from previous examination) 507 ”,“ A1 (suspicious disease name) 508 ”,“ A2 (degree) 509 ”,“ P (treatment policy) 510 ”).

  “Part” 502 is information indicating an imaging part extracted from an imaging instruction by a doctor. The “previous medical history” 504 and the “previous degree” 505 are information diverted from imaging information acquired by imaging before. Each element of the information 506 to 510 relating to {Yes, No} and the state of the affected part, which are elements of the “imaging instruction” 503, is information appropriately selected from the input unit 132. Note that the information 506 to 510 regarding the state of the affected area is input classification conforming to the SOAP format which is a general chart description method. However, the item name is not limited as long as it is information related to the affected part such as the main complaint obtained from the patient, information obtained by the photographer objectively (photographer findings), an assumed disease name, and a treatment policy.

  FIG. 6 is a diagram illustrating an example of a user interface for inputting diseased part information. The interface has a configuration corresponding to the input unit 132 in FIG. As shown in FIG. 6, the photographing apparatus 130 is provided with a liquid crystal display screen 601 and a selection button 602. The liquid crystal display screen 601 can select affected area information to be input by a touch panel operation. In addition, when the selection button 602 is rotated, the element name of the affected area information on the liquid crystal display screen 601 is also rotated in conjunction with the selection, and when the selection button 602 is pressed, the element name in the display area 1203 is selected. Is possible.

  In addition, the arrangement of the elements for each item in these user interfaces may be preferentially displayed at the top of the elements selected at the previous shooting in addition to the fixed order. Further, the arrangement of the elements of other items may be changed as appropriate based on the elements of the items set in advance. For example, when “itch” is selected in the chief complaint item 506, there is a method of preferentially displaying “insect bites”, “ashe”, etc. at the top of the display order of the item 508 when selecting a suspicious disease name. Conceivable.

  In step S1027, the imaging apparatus 130 determines whether imaging processing has been completed for all imaging regions. If the imaging process has not been completed for all imaging regions, the process returns to step S1023. Then, the imaging apparatus 130 performs the processing subsequent to step S1023 again for the imaging region for which imaging processing has not yet been completed. On the other hand, if the imaging process has been completed for all imaging regions, the process proceeds to step S1028.

  In step S1028, the information storage control unit 136 of the imaging apparatus 130 indicates the imaging part included in the imaging instruction shown in FIG. 3 instead of the imaging order by the operator, using the imaging image data obtained by the imaging process in step S1025. In order, the image data is stored in the image storage unit 122 of the image management server device 120.

  FIG. 7 is a diagram illustrating an example of a reference diagram selected in step S1022 of FIG. The imaging device 130 holds a partial human body diagram called a schema. As shown in FIG. 7, the schema is given classification names indicating the display range on the human body, such as “whole body” 701 and “head” 702, and each classification name is viewed from the front of the human body. It holds the schema name and the schema name seen from the back. Here, only “whole body” 701 and “head” 702 are shown as classification names, but other schemas such as “right forearm” and “right palm” are required depending on the assumed shooting scene. Prepared in advance.

  FIG. 8 is a diagram showing a table used for the reference diagram selection process in step S1022 of FIG. Note that the table shown in FIG. 8 is stored in the storage unit 131 of the photographing apparatus 130, for example.

  The classification name 801 indicates a display range on the human body such as “whole body” 701 and “head” 702 shown in FIG. Further, as shown in a schema name 803 in FIG. 8, for each classification name 801, a schema name viewed from the front of the human body and a schema name viewed from the back of the human body are stored.

  The element 805 stores a part name on the human body displayed on the schema corresponding to the schema name 803. Note that the part stored in the element 805 does not necessarily have to be accurately displayed on the human body structure. For example, the element “right elbow” included in the “front of the whole body” of the schema name 803 should be included in the “back of the whole body” to be precise, but at the time of photographing, as shown in FIG. It will be taken with the elbows bent. Therefore, the element “right elbow” is arranged on the “front of the whole body” in order to give priority to easy understanding of the display for the photographer. The number of elements 804 is the number of elements 805 included in the schema name 803, and the number of elements 802 is the number of elements 805 included in the classification name 801.

  FIG. 10 is a flowchart showing details of the reference diagram selection process in step S1022 of FIG. Note that the processing illustrated in FIG. 10 is realized by the CPU executing necessary data and programs from the ROM or the like in the photographing apparatus 130.

  In step S10221, the imaging apparatus 130 searches for a schema name 803 including all imaging parts from the table shown in FIG. In addition, all the imaging | photography site | parts here mean all the imaging | photography site | parts included in the imaging | photography instruction | indication loaded by step S1021. In step S10222, the imaging apparatus 130 determines whether there is a schema name 803 that includes all imaging regions. If there is a schema name 803 that includes all imaging regions in the element 805, the process proceeds to step S10226. On the other hand, if there is no schema name 803 that includes all imaging regions in the element 805, the process proceeds to step S10223.

  In step S10223, the imaging apparatus 130 acquires a classification name 801 that includes all imaging regions in the element 805. If it is determined in step S10222 that there is no schema name 803 including all imaging parts in the element 805, it means that not all imaging parts can be displayed using only the front or back schema of the human body. means. For example, when the table element 805 shown in FIG. 8 is searched for the imaging part {right olecranon, left elbow, right gluteal area, left patella} of the imaging instruction shown in FIG. 3, the right gluteal area shows the back of the human body. The right elbow head and the left elbow head exist only in the schema showing the front of the human body. That is, there is no schema that includes all imaging regions. Therefore, the search range is expanded for the classification name 801 having a pair of schemas on the front of the whole body and the back of the whole body.

  In step S10224, when there are a plurality of classification names 801 acquired in step S10223, the imaging apparatus 130 refers to the number of elements 802 illustrated in FIG. 8 and acquires the classification name 801 having the smallest number of elements. This means that the minimum schema that can display all shooting instructions is acquired. In the example of FIG. 8, the classification name 801 including all of the imaging parts {right elbow head, left elbow head, right gluteal region, left patella} included in the imaging instruction shown in FIG. "Is acquired.

  In step S10225, the imaging device 130 acquires the schema included in the classification name 801 acquired in step S10224 as a reference diagram. In the example of FIG. 8, schemas whose schema names 803 correspond to “front of whole body” and “back of whole body” are acquired as reference diagrams.

  In step S10226, the imaging apparatus 130 acquires a schema name 803 that includes all imaging regions in the element 805. For example, when the imaging region included in the imaging instruction is {frontal, right cheek}, the imaging device 130 searches for the element 805 shown in FIG. 8 and the schema name “whole body” including all the imaging regions in the element 805. Get the “front” and schema name “front of head”.

  In step S10227, the imaging device 130 acquires the schema name 803 having the smallest number of elements 804 shown in FIG. 8 among the schema names 803 acquired in step S10226. In the example described above, the number of elements 804 of the schema name “front of the whole body” is compared with the number of elements 804 of the schema name “front of head”, and the schema name “front of head” having a smaller number of elements 804 is acquired.

  In step S10228, the imaging apparatus 130 acquires a schema corresponding to the schema name 803 acquired in step S10227. As a result, a schema that includes all the imaging regions and can display the most details is acquired as a reference diagram.

  FIG. 11 is a diagram showing an example of a user interface in which all the imaging parts included in the imaging instruction are displayed in step S1023 of FIG. In the example of FIG. 11, the photographing apparatus 130 is provided with a liquid crystal display screen 1101 and a photographing button 1102. On the liquid crystal display screen 1101, a touch panel operation is possible. The liquid crystal display screen 1101 is provided with the following display areas 1103 to 1105.

  Reference numeral 1103 denotes a display area for displaying that the current screen is a screen showing the imaging region. Reference numeral 1104 denotes an area for displaying a reference diagram (schema) acquired by the processing shown in FIG. For example, when a schema corresponding to the schema name “front of the whole body” and a schema corresponding to the schema name “back of the whole body” are acquired in the process shown in FIG. 10 in response to the shooting instruction shown in FIG. It is displayed in the display area 1104. Reference numeral 1105 denotes a display area for displaying an imaging region on the schema displayed in the display area 1104. For example, the imaging device 130 stores a plurality of schema sets in the storage unit 131 and also stores, in the storage unit 131, a combination of coordinates and parts on each schema included in each schema set as an index. Then, the imaging apparatus 130 marks an imaging region on the schema by referring to the index of the corresponding schema from the storage unit 131. Thereby, the display area 1105 is displayed. When the photographer touches the display area 1105 (text or marking part of the imaging part name), the imaging apparatus 130 displays an imaging screen of the selected imaging part as shown in FIG.

  FIG. 9 is a diagram illustrating an example of a user interface on which live view image data is displayed in step S1024 of FIG. In FIG. 9, the photographing apparatus 130 is provided with a liquid crystal display screen 901 and a photographing button 902. The liquid crystal display screen 901 displays an image that can be seen through the lens as live view image data, and can be input by a touch panel operation. When the photographer presses the photographing button 902, the photographing apparatus 130 performs photographing processing for converting an optical image of a subject (a subject to be photographed) captured from the lens into electronic photographed image data.

  The liquid crystal display screen 901 is provided with the following display areas 903 to 905. Reference numeral 903 denotes a display area for displaying the imaging part to be imaged next by the photographer, and the imaging part selected from the display area 1105 in FIG. 11 is displayed. Reference numeral 904 denotes a display area for displaying an imaging instruction corresponding to the imaging region shown in the display area 903 on the schema displayed in the display area 1104 in FIG. Note that either one of the display areas 903 and 904 may be displayed. Reference numeral 905 denotes a display area for displaying which imaging part corresponding to which imaging part is currently being performed among all the imaging parts. Each time the imaging button 902 is pressed and the designated imaging region is imaged, the number of images already displayed in the display area 905 is counted up.

  FIG. 12 is a diagram showing another example of a user interface on which live view image data is displayed in step S1024 of FIG. In FIG. 12, a display area 1201, a shooting button 1202, a display area 1203, and a display area 1205 are the same as the display area 901, the shooting button 902, the display area 903, and the display area 905 of FIG.

  Reference numeral 1204 denotes a display area for displaying captured image data having an imaging part similar to the imaging part displayed in the display area 1203. The captured image data displayed in the display area 1204 is retrieved from the image storage unit 122 of the image management server apparatus 120 using the captured region displayed in the display area 1203 as a keyword in the reference diagram acquisition process in step S1022 of FIG. The search result may be selected. For example, when the same person is photographed regularly as in home-visit nursing, the photographed image data of the same photographing part in the previous photographing process of the same patient may be displayed.

  Hereinafter, the captured image data display process in step S103 of FIG. 2 will be described in detail. The display control unit 113 controls the display unit 112 during the captured image data display process. The display unit 112 emphasizes the patient name and the affected part based on the affected part information acquired from the affected part information storage unit 123 of the image management server device 120, and displays the captured image data, so that these are given priority to the doctor. Encourage proper browsing. In addition, the display control unit 113 performs control for displaying a patient list based on the affected part information acquired from the affected part information storage unit 123 of the image management server device 120, and displays captured image data stored in the image storage unit 122. Control the order.

  Furthermore, the display control unit 113 includes a table for managing the viewing priority of the affected area information associated with the captured image data. When the patient name list is displayed or when the detailed information of the individual patient is displayed, weighting is performed on the captured image data for each patient based on the browsing priority table. In addition, for the weighting of the viewing priority for each patient, the average value or the total value of the viewing priorities of the affected part image data that has been updated within the past few days is used.

  FIG. 13A shows an example of a table for managing the browsing priority described above (hereinafter referred to as a browsing priority management table). This table is designed based on the intention to preferentially prompt the doctor to see where a symptom has occurred regarding a part other than the doctor's imaging instruction, or where the doctor's imaging instruction has occurred but the affected area has suddenly changed. Has been.

  FIG. 14A shows an example in which a patient name list is displayed on the display unit 112 based on the browsing priority management table shown in FIG. The patient names are displayed in ascending order of the patient IDs, and among these displayed patients, a pop-up display 1401 is displayed on the patient ID “003” and the patient name “Taro Kimura” determined to have the highest viewing priority. And the doctor is encouraged to view it prior to other patients.

  FIG. 14B also shows another example in which a patient name list is displayed on the display unit 112 based on the browsing priority management table shown in FIG. Here, the patient name list is displayed in ascending order of the viewing priority of each patient. In this example, the patient ID “003” and the patient name “Taro Kimura” determined to have the highest browsing priority are displayed on the top 1402 of the patient name so that the doctor browses with priority over other patients. Inspired by Further, the affected part image data having the highest viewing priority may be displayed as thumbnail image data 1403 in the vicinity of each patient's name, among the affected part image data taken on the latest photographing date of the patient. In addition, a patient who exceeds the prescribed browsing priority may be displayed in a different color from other patients, or may be changed to a display that draws the doctor's attention, such as increasing the displayed characters.

  FIG. 14C shows an example in which detailed information about a patient is displayed on the display unit 112. Detailed patient information is displayed by transition when a patient name is selected from a patient name list display screen. In 1404, captured image data having the highest viewing priority of the patient is displayed. Reference numeral 1405 displays patient information and diseased part information associated with captured image data having the highest browsing priority.

  As described above, according to the present embodiment, when an imaging target patient is imaged by the imaging device 130, information such as the presence / absence of an imaging instruction from a doctor and the state of an affected area is also added to the captured image data. Based on the browsing priority management table described above, with respect to an imaging region that is not included in the imaging instruction by the doctor, a location where some symptom has occurred, or an imaging region that is included in the imaging instruction by the doctor but the state of the affected area has suddenly changed , The doctor can be preferentially urged to browse. As a result, the state of the affected area can be reliably fed back from the photographer to the doctor.

  Next, a second embodiment of the present invention will be described. In addition, below, description is abbreviate | omitted about the content similar to 1st Embodiment, and the part different from the content of 1st Embodiment shall be demonstrated.

  In the first embodiment, the browsing priority management table provided in the display control unit 113 is a part where some symptom has occurred with respect to a part other than the doctor's imaging instruction, or the doctor's imaging instruction has been given, but the state of the affected area has suddenly changed. The location is designed based on the intention of prompting the doctor to view the site preferentially. In addition, the viewing priority of the captured image data may be determined according to the disease name of the affected part and the specialty of the doctor. For example, in elderly care, bedsores occur once and are difficult to cure once they become severe, and therefore treatment at an early stage of onset and subsequent preventive measures are important. For this reason, in the browsing priority management table shown in FIG. 13 (b), if the suspicious disease name is bed slippage, and if it is outside the doctor's imaging instruction, the browsing priority is increased even if the affected area is mild. Designed with intention.

  In addition, the conditions for preferentially prompting the doctor to browse vary depending on the doctor's specialty. For example, a doctor who specializes in rehabilitation needs to instruct a change in the rehabilitation program in accordance with the improvement of the affected area. For this reason, it is assumed that the photographer gives priority to the case where the state of the affected area has improved and wants the doctor to browse the affected area image. Therefore, a browsing priority management table may be prepared for each doctor and the display content may be changed.

  FIG. 15A shows that the state of the affected area of the displayed patient has deteriorated in the patient name display state of the doctor A using the browsing priority management table designed with the intention of displaying the improvement preferentially. An example of displaying an intended pop-up is shown. FIG. 15 (b) uses the browsing priority management table designed with the intention of preferentially displaying the deterioration, and the state of the affected part of the displayed patient has improved in the patient name list display state of the doctor B. An example of displaying a popup intended for

  FIG. 15 (c) uses a browsing priority management table designed with the intention of preferentially displaying the improvement and a browsing priority management table designed with the intention of displaying the deterioration preferentially. In this table, a pop-up is displayed beside a patient name determined to have a high browsing priority. Thereby, the state of the affected part can be reliably fed back from the photographer to the doctor according to the disease name of the affected part and the specialty of the doctor.

  The present invention can also be realized by executing the following processing. That is, software (program) that realizes the functions of the above-described embodiments is supplied to a system or apparatus via a network or various storage media, and a computer (or CPU, MPU, or the like) of the system or apparatus reads the program. It is a process to be executed.

  100: photographing processing system, 110: client device, 111: photographing instruction input unit, 112: display unit, 113: display control unit, 120: image management server device, 121: photographing instruction storage unit, 122: image storage unit, 123 : Affected part information storage unit, 130: imaging device, 131: storage unit, 132: input unit, 133: imaging instruction rearranging unit, 134: imaging unit, 135: display unit, 136: information storage control unit, 140: wired network 150: Wireless network

Claims (9)

Acquisition means for acquiring an imaging instruction including an imaging region of the subject;
Display means for displaying the imaging region together with information indicating the subject;
Receiving means for receiving an imaging command in a state in which the information indicating the subject and the imaging region are displayed on the display means;
Photographing means for performing photographing processing of the subject in response to acceptance of a photographing instruction by the accepting means;
An imaging apparatus comprising: an adding unit that adds information based on a state of an affected part of the subject imaged by the imaging unit to image data generated by the imaging process.   The subject is a human body, and the information based on the state of the affected area of the subject includes at least one of a patient's chief complaint, a photographer's findings, a difference of the affected area from the previous examination, a degree of the affected area, and a treatment method The imaging device according to claim 1, comprising one.   The imaging device according to claim 1, wherein the display unit displays a human body diagram as information indicating the subject, and displays the imaging region on the human body diagram.   The photographing according to any one of claims 1 to 3, wherein the display means displays at least one of the number of photographing, a photographing angle, and a photographing posture included in the photographing instruction. apparatus. An imaging processing system comprising: the imaging device according to any one of claims 1 to 4; and an information processing device.
The information processing apparatus includes:
Input means for inputting the shooting instruction;
Transmitting means for transmitting the photographing instruction input by the input means;
Receiving means for receiving the image data provided with information based on the state of the affected area of the subject;
An imaging processing system comprising: display control means for causing the display unit to display the image data or information related to the image data in a display mode according to information based on the state of the affected area of the subject. The information processing apparatus includes:
A determination means for determining a priority according to information based on the state of the affected area of the subject;
6. The display control unit according to claim 5, wherein the display control unit displays the image data or information related to the image data on the display unit in a display mode according to the priority determined by the determination unit. Shooting processing system.   The display mode according to the priority determined by the determining unit includes at least one of the presence / absence of pop-up display, the presence / absence of thumbnail image data, and the display order of the image data or information related to the image data. The imaging processing system according to claim 6, comprising any one of them. A method for controlling an imaging apparatus,
An acquisition step of acquiring an imaging instruction including an imaging region of the subject;
A display step of displaying the imaging region together with information indicating the subject;
A reception step of receiving an imaging command in a state where the information indicating the subject and the imaging region are displayed;
A shooting step for performing shooting processing of the subject in response to a shooting command being received by the receiving step;
A method for controlling an imaging apparatus, comprising: an adding step for adding information based on a state of an affected part of the subject imaged in the imaging step to image data generated by the imaging process. A program for causing a computer that controls the photographing apparatus to execute the program,
An acquisition step of acquiring an imaging instruction including an imaging region of the subject;
A display step of displaying the imaging region together with information indicating the subject;
A reception step of receiving an imaging command in a state where the information indicating the subject and the imaging region are displayed;
A shooting step for performing shooting processing of the subject in response to a shooting command being received by the receiving step;
A program for causing a computer to execute an adding step of adding information based on the state of an affected area of the subject imaged in the imaging step to image data generated by the imaging process.

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