JP2015228103A - Medical information display system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To grasp contents of many examinations.SOLUTION: A pathology information storage unit 87 is configured to store pathology information having each of a plurality of examination events associated with a pathology or a medical diagnosis status, a modality category and an examination implementation date. A display screen preparation unit 93 is configured to prepare an examination check screen (or an examination/medical treatment check screen) on the basis of pathology information about a target patient of the pathology information stored in the pathology information storage unit 87. In the examination check screen (or the examination/medical treatment check screen), a time line display district is provided that indicates time-series the examination events for each target pathology about the target patient or for each medical treatment thereabout, and an examination period of time mark indicative of an examination period of time of the target pathology or medical treatment is added to a portion corresponding to the examination period of time in the time line display district. Further, as for each of the examination events, an examination event mark in accordance with the category of the modality provided to the examination event is added to a portion corresponding to the examination implementation date in the time line display district.

Description

  Embodiments described herein relate generally to a medical information display system.

  Diagnosis and treatment processes are becoming more complex, and diagnosis and treatment are being carried out in cooperation with multiple departments. In order to support cooperation among multiple departments, there is a technology for visualizing the history of patient examinations and sharing information. For example, Patent Document 1 discloses a technique for displaying a history of examination of a patient in time series. However, in the case of this time series display, the contents of each examination are indicated by characters in examination units, and it takes time to understand the contents of the examination. When a treatment is performed over a relatively long time such as cancer, a large number of tests are performed. In the case of the time series display of Patent Document 1, it is not possible to display all examinations in one screen, and it is impossible to grasp a large number of examination histories at a glance. Further, Patent Document 2 discloses an examination map indicating examination history from the viewpoint of lesions and medical status. The examination map is a screen in which the horizontal axis is defined as the medical status, the vertical axis is defined as the type of lesion, and thumbnail images of medical images are arranged in each column. In the case of the inspection map of Patent Document 2, since thumbnail images are arranged, all inspections cannot be displayed in one screen when a large number of inspections are performed. Further, the inspection map according to Patent Document 2 cannot grasp the date and time of each inspection and the time interval between inspections.

JP 2007-97909 A JP 2012-230672 A

  An object is to provide a medical information display system capable of easily grasping the contents of many examinations.

  The medical information display system according to the present embodiment includes a lesion information storage unit that stores lesion information in which each of a plurality of examination events is associated with a lesion or medical status, a modality type, and an examination date, and the lesion information storage unit A creation unit that creates a display screen based on lesion information related to the target patient among the lesion information stored in the target information, and the display screen includes the target for each target lesion or medical status regarding the target patient. A first display area indicating a test event performed on a lesion or medical status in time series is provided, and an inspection period mark indicating an inspection period of the target lesion or medical status is provided in the inspection period of the first display area. For each examination event added to the corresponding location and performed for the target lesion or medical status, the examination Test event marks corresponding to the type of test has been modalities vent is added to a portion corresponding to the inspection execution date of the first display area, characterized in that.

The figure which shows the structure of the medical information display system which concerns on this embodiment. The figure which shows the functional block of the medical information display system of FIG. The figure which shows the specific example of the treatment information memorize | stored by the treatment information storage part of FIG. The figure which shows the specific example of the treatment information memorize | stored by the lesion information storage part of FIG. The figure which shows an example of the inspection confirmation screen with which the inspection period mark was added produced by the display screen preparation part of FIG. The figure which shows an example of the inspection confirmation screen with which the inspection period mark and the inspection event mark which were created by the display screen creation part of FIG. 2 were added. The figure which shows an example of the test | inspection / treatment confirmation screen with which the treatment period mark was added produced by the display screen creation part of FIG. The figure which shows an example of the test | inspection / treatment confirmation screen with which the treatment period mark and treatment event mark which were created by the display screen creation part of FIG. 2 were added The figure which shows an example of the parallel display screen containing the test | inspection / treatment confirmation screen and test | inspection map produced by the display screen creation part of the application example 1 The figure which shows an example of the test | inspection / treatment confirmation screen produced by the display screen creation part of the application example 2 The figure which shows an example of the test | inspection / treatment confirmation screen produced by the display screen creation part of the application example 3

  The medical information display system according to this embodiment will be described below with reference to the drawings.

  FIG. 1 is a diagram showing a configuration of a medical information display system 1 according to the present embodiment. As shown in FIG. 1, the medical information display system 1 according to this embodiment includes an electronic medical record creation apparatus 100, an electronic medical record storage apparatus 200, a medical image observation apparatus 300, and a medical image storage apparatus 400 that are connected to each other via a network. A medical report creation apparatus 500, a medical report storage apparatus 600, a medical image photographing apparatus 700, a medical information providing apparatus 800, and a medical information browsing apparatus 900. The electronic medical record creation device 100 and the electronic medical record storage device 200 constitute a HIS (Hospital Information System), and the medical image observation device 300 and the medical image storage device 400 constitute a PACS (Picture and Archiving Communication System), and a medical report The creation device 500 and the medical report storage device 600 constitute a report system. As image communication between the devices included in the medical information display system 1, any existing standard such as DICOM standard that is a standard for medical images may be used. As information communication, industry standard TCP / IP (Transmission Control Protocol / Internet Protocol) communication is typically employed. Information is transmitted and received in units of packets (basic unit of information to be transferred) via the network.

  The electronic medical record creation apparatus 100 is installed in an examination room, for example. The electronic medical chart creation apparatus 100 creates a patient's electronic medical chart according to an operation by a clinician. The electronic medical record includes various information such as patient treatment information. The electronic medical record creation apparatus 100 transmits the issued electronic medical chart to the electronic medical record storage apparatus 200. The treatment information will be described later.

  The electronic medical record storage device 200 stores the electronic medical record transmitted from the electronic medical record creation device 100. In response to the acquisition request from the medical information providing apparatus 800, the electronic medical record storage apparatus 200 distributes the electronic medical record or treatment information corresponding to the acquisition request to the medical information providing apparatus 800.

  The medical image observation apparatus 300 is used for interpretation of a medical image by an interpretation doctor. The medical image observation apparatus 300 acquires a medical image from the medical image storage apparatus 400 in accordance with an operation by an interpreting doctor, and displays the acquired medical image.

  The medical image storage device 400 stores medical images generated by the medical image photographing device 700. In response to the acquisition request from the medical image observation apparatus 300, the medical image storage apparatus 400 distributes the medical image corresponding to the acquisition request to the medical image observation apparatus 300. Further, in response to the acquisition request from the medical information providing apparatus 800, the medical image storage apparatus 400 delivers a medical image or incidental information corresponding to the acquisition request to the medical information providing apparatus 800.

  The medical report creation apparatus 500 creates a report (hereinafter referred to as a medical report) as a result of interpretation by the interpretation doctor using the medical image observation apparatus 300 in accordance with an operation by the interpretation doctor. The medical report creation apparatus 500 transfers the created medical report to the medical report storage apparatus 600.

  The medical report storage device 600 acquires the medical report created by the medical report creation device 500 and stores the acquired medical report. In response to the acquisition request from the medical information providing apparatus 800, the medical report storage apparatus 600 transfers a medical report corresponding to the acquisition request to the medical information providing apparatus 800.

  The medical imaging apparatus 700 performs a medical examination of a patient according to an operation by a radiologist. Specifically, the medical image photographing apparatus 700 performs medical imaging on a patient and generates a medical image related to the patient. The medical image is associated with supplementary information by the medical image photographing apparatus 700 used for medical imaging. The medical image photographing apparatus 700 transfers the medical image and the accompanying information to the medical image storage apparatus 400.

  The medical information providing apparatus 800 sends the electronic medical record storage apparatus 200, the medical image storage apparatus 400, and the medical report storage apparatus 600 to a patient (hereinafter referred to as a target) for generating an inspection confirmation screen or an examination / treatment confirmation screen according to this embodiment. A request for acquiring information on the patient is transmitted. The acquisition request may be made when the browsing request from the medical information browsing apparatus 900 is received by the medical information providing apparatus 800. The medical information providing device 800 responds to the acquisition request from the electronic medical record or treatment information transmitted from the electronic medical record storage device 200, the medical image or supplementary information transmitted from the medical image storage device 400, and the medical report storage device 600. Receive the sent medical report. The medical information providing apparatus 800 selects medical information used for creating the examination confirmation screen or examination / treatment confirmation screen from the electronic medical record or treatment information, the medical image or supplementary information, and the medical report. The medical information providing apparatus 800 transmits the selected medical information to the medical information browsing apparatus 900.

  The medical information browsing apparatus 900 transmits a browsing request for an examination confirmation screen or examination / treatment confirmation screen regarding the target patient to the medical information providing apparatus 800. The browsing request is issued via an input device by a user such as a doctor or nurse. The medical information browsing apparatus 900 creates an examination confirmation screen or examination / treatment confirmation screen based on the medical information from the medical information providing apparatus 800, and displays the created examination confirmation screen or examination / treatment confirmation screen. Further, the medical information browsing apparatus 900 displays an examination map and the like side by side with the examination confirmation screen or the examination / treatment confirmation screen. The examination confirmation screen, examination / treatment confirmation screen, and examination map will be described later.

  Next, an operation example of the medical information display system 1 according to the present embodiment will be described. FIG. 2 is a diagram showing functional blocks of the medical information display system 1 according to the present embodiment.

  As shown in FIG. 2, a treatment information storage unit 21 and a transmission unit 23 are mounted on the electronic medical record storage device 200. The treatment information storage unit 21 stores treatment information described in the electronic medical record. The treatment information storage unit 21 may store the electronic medical record itself. The treatment information storage unit 21 supplies the treatment information regarding the target patient to the transmission unit 23 in response to the acquisition request from the medical information providing apparatus 800. The transmission unit 23 transmits the treatment information to the medical information providing apparatus 800. A medical image storage unit 41 and a transmission unit 43 are mounted on the medical image storage device 400. The medical image storage unit 41 stores the medical image in association with the incidental information. The incidental information includes, for example, patient information, examination information, series information, and image information. Specifically, the incidental information includes information (hereinafter referred to as a modality code) indicating the type of the medical image capturing apparatus 700 (modality) used for generating the medical image. In response to the acquisition request from the medical information providing apparatus 800, the medical image storage unit 41 supplies the modality code attached to the medical image related to the target patient to the transmission unit 43. The transmission unit 43 transmits the modality code to the medical information providing apparatus 800. The medical image storage unit 41 and the transmission unit 43 may be provided in the medical image photographing apparatus 700. The medical report storage device 600 includes a medical report storage unit 61 and a transmission unit 63. The medical report storage unit 61 stores a medical report. The medical report storage unit 61 supplies a medical report related to the target patient to the transmission unit 63 in response to the acquisition request from the medical information providing apparatus 800. The transmission unit 63 transmits the medical report to the medical information providing apparatus 800.

  As illustrated in FIG. 2, the medical information providing apparatus 800 includes a reception unit 81, a treatment information storage unit 83, a lesion information extraction unit 85, a lesion information storage unit 87, and a transmission unit 89. The reception unit 81 receives the treatment information from the transmission unit 23, the modality code from the transmission unit 43, and the medical report from the transmission unit 63. The treatment information storage unit 83 stores the treatment information for each patient. The treatment information is information related to treatment for the patient. Specifically, the treatment information is information that associates a treatment type, a continuous flag, and a treatment implementation date for each treatment event. The treatment information is managed in a record format for each treatment event, for example.

  FIG. 3 is a diagram illustrating a specific example of treatment information of a patient. As shown in FIG. 3, the treatment information includes items of treatment event ID, treatment type, continuous flag, start date, and end date for each treatment event. The treatment event ID is information for uniquely identifying a treatment event. The treatment type is information indicating the type of treatment. Examples of treatment types include surgery, radiation therapy, and chemotherapy. The continuous flag is information indicating whether or not treatment has been performed over a plurality of days. For example, the continuous flag has the value “1” if the treatment is performed over multiple days. Conversely, the continuous flag has the value “0” if the treatment has not been performed for multiple days. For example, surgery and radiation therapy are completed within one day. Therefore, the continuous flag for surgery or radiotherapy has a value “1” indicating that treatment has not been performed for a plurality of days. Dosing treatments such as chemotherapy are performed over multiple days. Therefore, the continuous flag of chemotherapy has a value “0” indicating that treatment is performed over a plurality of days. Note that the value “1” and the value “0” are examples, and the same value is used when the treatment is performed over a plurality of days and when the treatment is not performed over a plurality of days. Otherwise, any value may be assigned. The start date is the start date of treatment. The end date is the end date of treatment. When the continuous flag has the value “1”, the start date and the end date are the same date, and when the continuous flag has the value “0”, the start date and the end date are different. .

  The lesion information extraction unit 85 extracts lesion information related to the generation target patient of the examination confirmation screen or the examination / treatment confirmation screen from the medical report and the modality code. The lesion information is information relating to a lesion about the patient. Specifically, the lesion information is information in which an examination date, a modality code, and a lesion name are associated with each examination event. Extraction of lesion information may be performed by an existing method.

  The lesion information storage unit 87 stores the lesion information extracted by the lesion information extraction unit 85. The lesion information storage unit 87 manages lesion information in a record format for each examination event.

  FIG. 4 is a diagram illustrating a specific example of lesion information. As illustrated in FIG. 4, the lesion information includes items of an examination event ID, a report ID, an examination date, a modality code, and a lesion name for each examination event. The inspection event ID is information for uniquely identifying an inspection event. The report ID is information for uniquely identifying a medical report. The medical report ID is a serial number of a medical report created for each examination. When a plurality of lesions are interpreted in one examination, a plurality of examination event records are created with the same report ID. For example, a test event record with a report ID “1001” is created for each of the lesion name “lung cancer” and the lesion name “pneumonia”. The inspection date is the date when the inspection was performed. As described above, the modality code is information indicating the type of the medical image capturing apparatus 700 used for medical imaging. For example, the modality code of the X-ray computed tomography apparatus has the value “CT” and the modality code of the magnetic resonance diagnostic apparatus has the value “MR”. The lesion name is the name of the lesion to be interpreted in the medical report.

  In response to the browsing request transmitted from the medical information browsing apparatus 900, the transmission unit 89 transmits medical information regarding the target patient, that is, treatment information and lesion information.

  As illustrated in FIG. 2, the medical information browsing apparatus 900 includes a reception unit 91, a display screen creation unit 93, and a display unit 95. The receiving unit 91 receives medical information regarding the target patient transmitted from the medical information providing apparatus 800, that is, treatment information and lesion information. The display screen creation unit 93 creates an examination confirmation screen based on the lesion information, or creates an examination / treatment confirmation screen based on the lesion information and treatment information. The display unit 95 displays the examination confirmation screen or examination / treatment confirmation screen created by the display screen creation unit 93 on the display device.

  Next, the creation process of the examination confirmation screen and the examination / treatment confirmation screen by the display screen creation unit 93 will be described in detail. First, an inspection confirmation screen creation process will be described. The examination confirmation screen is a screen that schematically shows examination events for the target patient in time series for each lesion.

  First, the display screen creation unit 93 determines an examination period for each lesion based on the lesion information regarding the target patient. For example, in the case of the lesion information shown in FIG. 4, examples of the lesion include “lung cancer”, “pneumonia”, and “fracture”. The display screen creation unit 93 searches for values of examination dates in a plurality of examination event records, and specifies the oldest date for each of the plurality of lesions as the examination start date of the lesion. In the case of the lesion information in FIG. 4, the examination start date of “lung cancer” is “2010/5/10”, the examination start date of “pneumonia” is “20111/2/3”, and the examination of “fracture” is started. The day is identified as “2012/6/7”. Thereby, the examination period of each lesion is specified. That is, the examination period of each lesion is set to a period from the examination start date to the reference time (typically, the current date, that is, the creation date of the examination confirmation screen). When the inspection end date is assigned to the inspection event record, a period from the inspection start date to the inspection end date may be set as the inspection period.

  When the examination period of each lesion is specified, the display screen creation unit 93 adds a mark indicating the examination period (hereinafter referred to as an examination period mark) to the examination confirmation screen. FIG. 5 is a diagram illustrating an example of the inspection confirmation screen I1 to which the inspection period mark Msp is added. As shown in FIG. 5, the examination confirmation screen I1 is provided with a time axis (timeline) for each lesion. The time axis is provided such that time elapses from left to right. Thus, the examination confirmation screen I1 has a timeline display area Rtl for each lesion. For example, in FIG. 5, a timeline display area Rtl1 for “lung cancer”, a timeline display area Rtl2 for “pneumonia”, and a timeline display area Rtl3 for “fracture” are provided. A character string for grasping the date is attached above the timeline display area Rtl1. In FIG. 5, the 12 months for each year are divided into four groups from January to March, April to June, July to September, and October to December. Yes. In FIG. 5, the inspection period mark Msp is indicated by a dotted line. The starting point (leftmost point) of the dotted line corresponds to the inspection start date. The end point (right end point) of the dotted line corresponds to the inspection end date. For example, since the examination period of “lung cancer” is from “2010/5/10” to the present, it corresponds to the period from “2010/5/10” to the present in the timeline display area Rtl1 for “lung cancer”. The inspection period mark Msp is drawn by a dotted line at the location.

  Further, the display screen creation unit 93 adds a mark indicating an inspection event (hereinafter referred to as an inspection event mark). The examination event mark is a mark that expresses the examination contents of the examination corresponding to each examination event of each lesion so as to be visually distinguishable. The examination content identified by the examination event mark may be any item included in the supplementary information of the medical image, for example. Specifically, the modality type (that is, the modality code) is given as the inspection content.

  FIG. 6 is a diagram illustrating an example of the inspection confirmation screen I1 to which the inspection period mark Msp and the inspection event mark Msi are added. As shown in FIG. 6, the inspection event mark Msi is added to a corresponding portion in the timeline display area Rtl corresponding to the inspection date of the inspection event. For example, the inspection event mark Msi has a different shape depending on the modality type. Specifically, the examination event mark Msi1 whose modality type is an X-ray computed tomography apparatus (that is, modality code is CT) has a round shape, and the modality type is a magnetic resonance diagnostic apparatus (that is, modality code is The inspection event mark Msi2 which is MR) has a triangular shape, and the inspection event mark Msi3 whose modality type is the X-ray diagnostic apparatus (that is, the modality code is CR) has a rhombus shape. Note that the shape of the inspection event mark Msi is not limited to a round shape, a triangular shape, and a rhombus shape, and may be any geometric shape. The type and modality code of the inspection event mark Msi are stored in advance in association with each other by the display screen creation unit 93.

  The display screen creation unit 93 searches for lesion information related to the target patient, and specifies an examination date, a modality code, and a lesion name for each examination event. The display screen creation unit 93 reads the examination event mark associated with the identified modality code, and places the read examination event mark corresponding to the examination date in the timeline display area corresponding to the lesion name. Append to For example, in the examination event with ID “4” in FIG. 4, the examination date is “2011/10/7”, the modality code is “MR”, and the lesion name is “pneumonia”. in this case. The display screen creation unit 93 adds a triangular examination event mark to a location corresponding to “2011/10/7” in the timeline display area corresponding to “pneumonia”. As described above, the inspection event mark corresponding to the inspection event is added to the inspection confirmation screen for each of the inspection events related to the target patient. Thereby, the inspection confirmation screen is completed. The inspection confirmation screen is displayed on the display device by the display unit 95.

  In the above description, the inspection event mark has a different shape depending on the modality type. However, this embodiment is not limited to this. For example, the inspection event mark may have a different color depending on the modality type.

  As described above, the examination confirmation screen schematically shows the examination date of the examination event for each disease of the target patient on the timeline by distinguishing the examination contents such as the modality type provided for the examination. . Therefore, by observing the inspection confirmation screen, the user can easily grasp the inspection history and inspection contents as compared with the time-series display described in Patent Document 1 in which the contents of each inspection are indicated by characters in inspection units. can do. In addition, since the time-series display described in Patent Document 1 indicates the contents of each inspection in units of inspection, it is difficult to display all inspection contents in one screen when the number of inspections is large. However, in the inspection confirmation screen according to the present embodiment, the inspection content is not expressed by characters but is expressed by the shape or color of the mark. Therefore, the examination confirmation screen according to the present embodiment can be displayed in a manner in which a lot of examination contents can be recognized as compared with the time-series display described in Patent Document 1. In the examination map described in Patent Document 2, since thumbnail images are arranged in a table format according to the medical status and the type of lesion, it is impossible to grasp the date of each examination and the time interval between examinations. However, since the inspection event mark is arranged along the time axis on the inspection confirmation screen according to the present embodiment, it is possible to easily grasp the execution date of each inspection and the time interval between inspections. In addition, in order to display all thumbnail images of a large number of examinations on one screen, the scale of the examination map must be reduced. However, in the examination map described in Patent Document 2, since thumbnail images of medical images are arranged, details of the thumbnail images are displayed on a scale that can be identified by the user in actual operation. Therefore, the inspection map described in Patent Document 2 can be displayed only in a relatively narrow time range. On the other hand, in the inspection confirmation screen according to the present embodiment, simple marks that are easy to identify are arranged along the time axis. Therefore, the inspection confirmation screen according to the present embodiment can be displayed in a manner in which many inspection contents can be recognized as compared with the inspection map described in Patent Document 2.

  Next, an examination / treatment confirmation screen creation process will be described. The examination / treatment confirmation screen is created based on the lesion information and the treatment information. The examination / treatment confirmation screen is a display screen capable of confirming the treatment history in addition to the examination history. In other words, the examination / treatment confirmation screen is a display screen in which a timeline display area for treatment is incorporated in the examination confirmation screen.

  In the examination / treatment confirmation screen creation process, the display screen creation unit 93 first determines the treatment period based on the treatment information related to the target patient. Specifically, the display screen creation unit 93 searches for values of examination dates in a plurality of treatment event records related to the target patient, and identifies the oldest date as the treatment start date. In the case of the treatment information in FIG. 3, the treatment start date is specified as “2010/10/9”. This identifies the treatment period. In other words, the treatment period is set to a period from the treatment start date to the reference time (typically, the current date, that is, the creation date of the examination / treatment confirmation screen). When the treatment end date is assigned to the examination event record, a period from the treatment start date to the treatment end date may be set as the treatment period. The inspection period is specified by the same method as described above.

  When the treatment period is specified, the display screen creation unit 93 adds a mark indicating the treatment period (hereinafter referred to as a treatment period mark) to the examination / treatment confirmation screen in addition to the examination period mark. FIG. 7 is a diagram illustrating an example of the examination / treatment confirmation screen I2 to which the examination period mark Msp and the treatment period mark Mtp are added. As shown in FIG. 7, the examination / treatment confirmation screen I2 is provided with a time axis (timeline) for treatment. As described above, the examination / treatment confirmation screen I2 includes the timeline display area Rtt for treatment in addition to the timeline display area Rtl for each lesion. For example, in FIG. 7, a timeline display area Rtt for treatment is provided below the timeline display area Rtl3 for “fracture”. For example, since the treatment period is from “2010/10/9” to the present, the treatment period mark Mtp is indicated by a dotted line at a position corresponding to the period from “2010/10/9” to the present in the timeline display area Rtt. It is drawn.

  Further, the display screen creation unit 93 adds a mark indicating a treatment event (hereinafter referred to as a treatment event mark). The treatment event mark can be visually distinguished according to the type of treatment corresponding to the treatment event.

  FIG. 8 is a diagram illustrating an example of an examination / treatment confirmation screen I2 to which a treatment event mark Mti is added in addition to the examination event mark Msi. As shown in FIG. 8, the treatment event mark Mti is added to a location corresponding to the implementation date of the treatment event in the timeline display area Rtt. For example, the treatment event mark Mti has a different shape depending on the treatment type. Specifically, the treatment event mark Mti1 whose treatment type is chemotherapy has a square shape, the treatment event mark Mti2 whose treatment type is surgery has a round shape, and the treatment type is radiotherapy. A certain treatment event mark Mti3 has a triangular shape. Note that the shape of the treatment event mark Mti is not limited to a square shape, a round shape, and a triangular shape, and may be any geometric shape. The type of treatment event mark Mti and the type of treatment are stored in advance by the display screen creation unit 93.

  The display screen creation unit 93 searches for treatment information related to the target patient, and identifies the treatment type, continuous flag, start date, and end date for each lesion event. When the continuous flag is the value “0”, the display screen creation unit 93 reads the treatment event mark associated with the identified treatment type and displays the read treatment event mark in the timeline display area for treatment. It is added to the location corresponding to the start date (or end date). For example, in the treatment event with ID “1” in FIG. 3, the treatment type is “surgery”, the continuous flag is “0”, the start date is “2012/10/9”, and the end date is “2012”. / 10/9 ". In this case, as shown in FIG. 8, the display screen creation unit 93 adds a round treatment event mark Mti1 to a location corresponding to “2012/10/9” in the timeline display area Rtt for treatment. . When the continuous flag is a value “1”, the display screen creation unit 93 reads the treatment event mark associated with the identified treatment type, and displays the read treatment event mark in the timeline display area for treatment. It is added to the location corresponding to the period between the start date and the end date. At this time, the treatment event mark may be expanded so as to cover a portion corresponding to a period between the start date and the end date. For example, in the treatment event with ID “3” in FIG. 3, the treatment type is “chemotherapy”, the continuous flag is “1”, the start date is “2012/3/10”, and the end date is “ 2012/10/2 ". In this case, as shown in FIG. 8, the display screen creation unit 93 expands the rectangular treatment event mark Mti3 and displays “2012/3/10” and “2012/10/2” in the timeline display area Rtt. It is added to the part corresponding to the period between. In this way, treatment event marks are added to the examination / treatment confirmation screen for all treatment events. The examination event mark is also added to the examination / treatment confirmation screen by the same method as described above. Thereby, the examination / treatment confirmation screen is completed. The examination / treatment confirmation screen is displayed by the display unit 95.

  In the above description, the treatment event mark has a different shape depending on the treatment type. However, this embodiment is not limited to this. For example, the treatment event mark may have a different color depending on the treatment type.

  As described above, the examination / treatment confirmation screen is displayed graphically on the timeline by distinguishing the treatment event of the target patient in addition to the examination event for each lesion so that the treatment contents such as the treatment type of the treatment event can be visually recognized. It shows. Therefore, by observing the examination / treatment confirmation screen, the user can easily grasp the treatment history and the treatment content of the target patient. In the examination / treatment confirmation screen according to the present embodiment, the content of treatment is not expressed in characters, but is expressed in the shape or color of the mark. Therefore, the examination / treatment confirmation screen according to the present embodiment can be displayed on one screen in a manner in which many treatment contents can be recognized. Further, the examination / treatment confirmation screen according to the present embodiment displays examination events and treatment events in time series on the same time scale. Therefore, the examination / treatment confirmation screen according to the present embodiment can easily grasp the anteroposterior relation between the examination event and the treatment event and the relevance of the contents in time series.

[Application Example 1]
The display screen creation unit 93 according to the present embodiment has a display screen (hereinafter, referred to as an examination confirmation screen (or examination / treatment confirmation screen)) and an examination map incorporated in one screen in order to grasp the examination contents in more detail. (Referred to as a parallel display screen). The parallel display screen may include an examination confirmation screen and an examination map, or may include an examination / treatment confirmation screen and an examination map. However, for the sake of specific description, the parallel display screen includes an examination / treatment confirmation screen and an examination map.

  FIG. 9 is a diagram illustrating an example of a parallel display screen I4 including an examination / treatment confirmation screen I2 and an examination map I3. As shown in FIG. 9, the parallel display screen I4 has a display window Wi2 for the examination / treatment confirmation screen I2 and a display window Wi3 for the examination map I3. The examination / treatment confirmation screen I2 is displayed on the display window Wi2, and the examination map I3 is displayed on the display window Wi3. The examination map I3 is a map in which thumbnail images Si of medical images are arranged in time series for each lesion to be examined. In other words, the examination map I3 is a screen in which the horizontal axis is defined as the examination date, the vertical axis is defined as the type of lesion, and thumbnail images of medical images are arranged in each column. The examination map I3 is created for one patient. The inspection map I3 is created by a known method. Therefore, the description of the method for creating the inspection map I3 is omitted.

  As shown in FIG. 9, a thumbnail image Si is arranged on the inspection map I3. Therefore, the user can grasp the contents of individual examinations in more detail by observing the examination map I3. However, displaying the examination map I3 on a wide time scale such as the examination / treatment confirmation screen I2 is not preferable in actual operation. This is because when the examination map I3 is displayed on a wide time scale similar to the examination / treatment confirmation screen I2, the thumbnail image Si is excessively reduced, and the user cannot identify details of the thumbnail image Si. Therefore, the display unit 95 does not display the entire inspection map I3 in the display window Wi3, but displays the local range of the inspection map in the display window Wi3 at a predetermined magnification that allows the details of the thumbnail image Si to be identified by the user or the like. indicate. On the other hand, the examination / treatment confirmation screen I2 can be displayed on a relatively wide time scale as described above. Accordingly, the display unit 95 displays the examination / treatment confirmation screen I2 so that a wide range, typically, the whole fits in the display window Wi2. As a result, the user grasps the general contents of the examination history and the treatment history over a wide range by observing the examination / treatment confirmation screen I2, and observes the examination map I3 to determine the local area of the examination / treatment confirmation screen I2. It is possible to grasp the detailed contents of the inspection history within the range.

  The display unit 95 may display on the examination / treatment confirmation screen I2 a display range mark Md indicating which range on the examination / treatment confirmation screen I2 the display range of the examination map I3 is. Thereby, the user can easily grasp the temporal relationship between the examination map I3 and the examination / treatment confirmation screen I2. The display range mark Md is displayed by the display unit 95 so as to be movable within the screen. The user can move the display range mark Md limited to the range of the examination / treatment confirmation screen via the input device. The display unit 95 displays a display range corresponding to the display range mark Md in the entire inspection map I3 on the display window Wi3 in conjunction with the movement of the display range mark Md via the input device. Alternatively, the display unit 95 may move the display range mark Md in the examination / treatment confirmation screen I2 in conjunction with an operation for changing the display range of the examination map I3 in the display window Wi3 via the input device. .

[Application Example 2]
In the above embodiment, the examination / treatment confirmation screen arranges a plurality of treatment events on a single time axis. However, this embodiment is not limited to this. When the lesion to be treated is known, it is better to provide a treatment time axis for each lesion.

  FIG. 10 is a diagram illustrating an example of the examination / treatment confirmation screen I5 according to the application example 2. As shown in FIG. 10, on the examination / treatment confirmation screen I5, for each of a plurality of timeline display areas Rtl related to a plurality of lesions, the timeline display area Rtt for the treatment for the lesions shows the time for the lesions. It is provided adjacent to the line display area Rtl. For example, as shown in FIG. 10, a timeline display area Rtt1 for “treatment for lung cancer” is provided adjacent to a timeline display area Rtl1 for “lung cancer”, and for “treatment for pneumonia” A timeline display area Rtt2 is provided adjacent to the timeline display area Rtl2 for pneumonia, and a timeline display area Rtt3 for “treatment for fracture” is adjacent to the timeline display area Rtl3 for “fracture”. Is provided.

  In the application example 2, it is assumed that the correspondence between the treatment and the lesion to be treated is known. For example, the treatment information storage unit 83 associates the lesion names of the lesions to be treated for each treatment event. In the timeline display area Rtt for each treatment, a treatment period mark Mtp and a treatment event mark Mti are added in the same manner as described above. That is, the display screen creation unit 93 first identifies the lesion name and treatment date of the lesion to be treated for each of the plurality of treatment events, determines the treatment period for each lesion, and treats the treatment for each lesion. A treatment period mark Mtp is added to the timeline display area Rtt for. Next, the display screen creation unit 93 adds a treatment event mark to the timeline display area Rtt for treatment for each of the plurality of lesions.

  Thus, by providing a timeline display area for treatment for each lesion, the user can grasp the causal relationship between the lesion event and the treatment event in time series.

[Application Example 3]
In the above embodiment, the examination confirmation screen is an image that schematically shows examination events in time series for each lesion. However, this embodiment is not limited to this. For example, the examination confirmation screen I6 may be a display screen that schematically shows examination events in time series for each medical status, as shown in FIG. In FIG. 11, the medical status includes screening, work-up inspection, and follow-up. However, the medical status according to the present embodiment is not limited to this, and any known medical status such as fine examination A, fine examination B, follow-up observation A, follow-up observation B can be adopted.

[effect]
As described above, the medical information display system 1 according to the present embodiment includes at least a lesion information storage unit 87, a display screen creation unit 93, and a display unit 95. The lesion information storage unit 87 stores lesion information in which each of a plurality of examination events is associated with a lesion or medical status, a modality type, and an examination execution date. The display screen creation unit 93 creates an examination confirmation screen (or examination / treatment confirmation screen) based on the lesion information regarding the target patient among the lesion information stored in the lesion information storage unit 87. The examination confirmation screen (or examination / treatment confirmation screen) is provided with a timeline display area showing examination events in time series for each target lesion or medical status regarding the subject patient. An examination period mark indicating the examination period of the target lesion or medical status is added to a location corresponding to the examination period in the timeline display area. In addition, for each of a plurality of examination events performed on the target lesion or medical status, an examination event mark corresponding to the type of modality provided for the examination event is inspected for the examination event in the timeline display area. Added to the location corresponding to the implementation date.

  Thus, according to the present embodiment, it is possible to provide a medical information display system capable of easily grasping the contents of many examinations.

  Note that the configuration of the medical information display system 1 is not limited to the form illustrated in FIGS. 1 and 2. For example, the function of the medical information providing apparatus 800 and the function of the medical information browsing apparatus 900 may be realized by a single computer apparatus. 2 may be mounted on any device included in the medical information display system 1.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  DESCRIPTION OF SYMBOLS 1 ... Medical information display system, 21 ... Treatment information storage part, 23 ... Transmission part, 41 ... Medical image storage part, 43 ... Transmission part, 61 ... Medical report storage part, 63 ... Transmission part, 81 ... Reception part, 83 ... Treatment information storage unit, 85 ... lesion information extraction unit, 87 ... lesion information storage unit, 89 ... transmission unit, 91 ... reception unit, 93 ... display screen creation unit, 95 ... display unit, 100 ... electronic medical record creation device, 200 ... Electronic medical record storage device, 300 ... medical image observation device, 400 ... medical image storage device, 500 ... medical report creation device, 600 ... medical report storage device, 700 ... medical image photographing device, 800 ... medical information providing device, 900 ... medical Information browsing device

Claims (7)

A lesion information storage unit that stores lesion information in which each of a plurality of examination events is associated with a lesion or medical status, a modality type, and an examination date;
A creation unit that creates a display screen based on lesion information related to a target patient among lesion information stored in the lesion information storage unit,
The display screen is provided with a first display area showing, in chronological order, examination events performed on the target lesion or medical status for each target lesion or medical status regarding the target patient. An examination period mark indicating an examination period is added to a location corresponding to the examination period in the first display area, and for each examination event performed on the target lesion or medical status, a modality provided to the examination event is displayed. An inspection event mark corresponding to the type is added to a location corresponding to the inspection date in the first display area.
A medical information display system characterized by that. A treatment information storage unit for storing treatment information in which each of the plurality of treatment events is associated with a treatment type and a treatment implementation date;
The creation unit displays a second display area indicating a treatment event related to the target patient in time series based on the treatment information related to the target patient in the treatment information stored in the treatment information storage unit. Place it on the display screen together with the display area,
A treatment period mark indicating the treatment period of the target patient is added to the second display area, and for each treatment event performed on the target patient, a treatment event mark corresponding to the type of treatment related to the treatment event is provided in the first display area. Added to the location corresponding to the treatment date in the display area of 2,
The medical information display system according to claim 1. The lesion or medical status regarding the target patient includes a plurality of lesions or medical status,
The creation unit arranges a second display area for a treatment vent for the lesion or medical status adjacent to the first display area for each of the plurality of lesions or medical status.
The medical information display system according to claim 2.   The medical information display system according to claim 1, further comprising a display unit configured to display the display screen and the examination map side by side.   The medical information display system according to claim 4, wherein the examination map is a map in which thumbnail images of medical images are arranged in time series for each lesion to be examined.   The medical information display system according to claim 5, wherein the display unit displays a mark indicating a display range of the examination map on the display screen.   The medical information display system according to claim 1, further comprising a display unit configured to display the display screen.

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