JP2016189980A - Biological information report server and control method thereof - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a biological information report server that enables a user to easily grasp individual inspection states of analysis reports that can be inspected, and a control method thereof.SOLUTION: Analysis reports of biological information are stored in association with information on inspection states. Data for displaying a list display screen for the stored analysis reports is transmitted to an inspection terminal. The information on the inspection states associated with the analysis reports transmitted to an external device is caused to be the information indicating a read state. The list display screen includes the information indicating whether individual inspection states of the analysis reports displayed in a list are in an unread state or a read state.SELECTED DRAWING: Figure 5

Description

  The present invention relates to a biometric information report server that provides a biometric information analysis report browsing service and a control method thereof.

  Conventionally, biological information represented by blood pressure, an electrocardiogram, an X-ray image, and the like has been widely measured and used as information useful for diagnosis of a physical function of a subject. With the advancement and spread of computer and network technologies, such biological information is stored and used as digital data that can be handled by computers.

  For example, biometric information measured by a medical institution is transmitted to an external doctor through a network and requested for interpretation and diagnosis, or various information such as biometric information is managed for each patient by a server. It is known to share (Patent Document 1).

  Conventionally, when a doctor asks an examination department or an external organization to interpret the biometric information measured by the examination or the patient for his / her patient, automatic analysis items, analysis report format, specialist (interpretation doctor) It is common to specify whether or not to interpret. The client can then perform inspections and automatic analysis of the test results, generate an analysis report in the specified format, and can be accessed by the requester of the analysis (in charge physician) and the specialist who interprets the analysis report (interpreter). Save to a secure server or storage. The doctor in charge or the interpreter accesses the server through the analysis report viewing application that runs on the terminal, selects the analysis report that you want to view from the list display screen, and displays or prints it on the terminal. Check the contents of the report.

Japanese Patent No. 53566961

  However, conventionally, a server that provides a list display screen for the user to select an analysis report that he or she wants to browse provides information about the browsing status of each analysis report that can be viewed, such as whether it is unread or read. I did not. Therefore, a user who wants to view an analysis report cannot easily specify, for example, an unread analysis report from the list of analysis reports that can be browsed, and can display information such as a patient name and measurement date and time. I had to look for unread analysis reports from the list. In particular, when there are a large number of analysis reports that can be viewed, it takes time to search, and in some cases, the analysis reports may be overlooked.

  The present invention has been made in view of such problems of the prior art. An object of the present invention is to provide a report server and a control method therefor that allow a user to easily grasp the browsing status of each analysis report that can be browsed.

  The above-described object includes storage means for storing an analysis report of biological information in association with browsing status information, and control means for communicating with an external device for browsing the analysis report. In response to the request, data for displaying a list display screen of analysis reports stored in the storage unit is transmitted to the external device, and the analysis report selected on the list display screen is read from the storage unit to the external device. The browsing status information associated with the analysis report transmitted and transmitted to the external device is changed from the information indicating the unread status to the information indicating the read status, and the list display screen displays each of the analysis reports displayed as a list. This is achieved by a report server including information indicating whether the browsing state is an unread state or an already-read state.

  With such a configuration, according to the present invention, it is possible to provide a report server and a control method thereof that allow the user to easily grasp the browsing status of each browsable analysis report.

It is a mimetic diagram showing an example of composition of an electrocardiogram analysis system which has a report server concerning an embodiment of the present invention. It is a block diagram which shows the function structural example of the general purpose computer which can implement | achieve the management server, report server, analysis apparatus, and browsing terminal which concern on embodiment. It is a figure which shows the example of the data output screen which the analyzer which concerns on embodiment displays. It is a flowchart which shows the whole operation | movement of the report server which concerns on embodiment. It is a figure which shows typically the state which displayed the data of the list display screen which the report server which concerns on embodiment produced | generated with the browsing terminal. It is a figure which shows typically the example of the analysis report which the analysis apparatus which concerns on embodiment produces | generates. It is a flowchart for demonstrating the change process of the browsing condition which the report server which concerns on embodiment performs. It is a flowchart for demonstrating the change process of the browsing condition which the report server which concerns on another embodiment performs. It is a figure which shows typically the state which displayed the data of the list display screen which the report server which concerns on another embodiment produced | generated with the browsing terminal.

● (first embodiment)
Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the drawings. Hereinafter, an embodiment in which the present invention is applied to an electrocardiogram analysis system (FIG. 1) that generates an analysis report related to long-term electrocardiogram data measured using a Holter electrocardiograph and is used for browsing will be described. However, the present invention does not depend on the type of biological information to be analyzed, and can be applied to a biological information analysis system for any other biological information.

  In FIG. 1, the electrocardiogram analysis system 100 includes an analysis device 110, browsing terminals 120 and 140, a report server 130, and a management server 150. FIG. 1 shows a configuration in which the browsing terminal 140 exists in an external network, is connected through a router 145, and other devices exist on the same network. However, the network configuration is not limited as long as each device is communicably connected. For example, each device may exist on a separate network.

  The analysis device 110 performs automatic analysis processing on the biological information (electrocardiogram data in the present embodiment), and generates an analysis report having a predetermined format for the analysis result. In the present embodiment, the analysis report has a PDF (Portable Document Format) format, and the format is specified at the time of request for analysis. In addition, the analysis device 110 generates a text-format file in which incidental information such as information on patients and measurements, automatic analysis items, comments, and the like are recorded. The analysis device 110 associates the analysis report and the accompanying information (for example, includes them in the same folder) and transmits them to the report server 130.

  The report server 130 is a server that provides an analysis report browsing service. The report server 130 stores the analysis report and accompanying information received from the analysis device 110 in a nonvolatile storage device (for example, HDD, SSD, etc.). At this time, the analysis report related to one measurement and the accompanying information are stored in association with each other. Although there is no limitation on the association method, it is assumed that all files related to the measurement are stored in a folder for each measurement as in the analysis apparatus 110.

  Although details will be described later, the report server 130 associates and stores information (browsing information) indicating the browsing status for each analysis report. However, when there are a plurality of analysis reports related to the same measurement, one browsing information is stored for the plurality of reports. In response to a request from the browsing terminals 120 and 140, the report server 130 generates data of a list display screen for displaying a list of analysis reports stored in the storage device in a list format, and transmits the data to the browsing terminals 120 and 140. The browsing terminals 120 and 140 request the report server 130 for an analysis report selected by the user on the list display screen. The report server reads the requested analysis report from the storage device and transmits it to the browsing terminals 120 and 140.

  The management server 150 is a so-called electronic medical record management device that stores and manages, for example, medical history from the first visit and data related to examinations for each patient.

  Each device except the router 145 can be realized by executing an application for realizing individual functions on a general-purpose computer device such as a personal computer.

  FIG. 2 is a block diagram illustrating a functional configuration example of a general-purpose computer capable of realizing the analysis apparatus 110, the browsing terminals 120 and 140, the report server 130, and the management server 150 according to the present embodiment. The CPU 1 that functions as a control unit reads out and executes, for example, a program stored in the storage device 10 to the RAM 3 and implements functions of each device described later. The storage device 10 is a hard disk drive (HDD), a solid state drive (SSD), or the like, and stores basic software (OS), device drivers, application programs, and the like. GUI data for displaying a menu screen, user setting data, application initial setting data, and the like are also stored in the storage device 10.

  The ROM 2 stores a program, firmware, various setting information, and the like necessary for starting the apparatus, such as a bootstrap loader. The ROM 2 may be at least partially rewritable.

  The RAM 3 is used as an area for developing a program executed by the CPU 1 and a temporary storage area for variables, data, and the like. The memory card 4 may be a recording medium used for data recording in another device, here, a portable measuring device such as a Holter electrocardiograph.

  The display unit 6 is a dot matrix type display device, and is typically a liquid crystal display (LCD) or an organic EL display. 2 shows a configuration in which the display unit 6 is built in the apparatus, it may be connected as an external apparatus. Further, the display unit 6 may be composed of both a built-in display and an external display.

  The operation unit 8 is a device for a user to input an instruction to the apparatus, and is typically one or more input devices such as a keyboard, a pointing device (such as a mouse), and a touch sensing device (such as a touch panel). The keyboard may be a hardware keyboard or a software keyboard. Note that the touch panel may be provided in the display unit 6 or may be in the form of a touch pad that is often found in notebook computers.

  The communication interface 20 is one or more communication interfaces for performing data communication with an external device 40 which is another device in the system, and is wired and / or wireless communication such as USB, Ethernet (registered trademark), IEEE802.11x. The configuration conforms to the standard.

Next, a series of operations related to generation and browsing of an analysis report of electrocardiographic data in the electrocardiogram analysis system 100 will be described with reference to FIGS. 1 and 2.
Here, it is assumed that the user of the browsing terminal 120 is a doctor in charge. The doctor in charge is a doctor who examines the patient, and determines the necessity of examination such as measurement of long-term electrocardiographic data using a Holter electrocardiograph. Then, the inspection department is requested to perform necessary inspections. Here, it is assumed that the measurement of electrocardiographic data for a long time is requested for a certain patient (subject) and the measurement is completed. In general, when the doctor in charge requests an examination, or requests an analysis of measurement data obtained by the examination, it is common to specify the items to be analyzed and the report format of the analysis results. .

(Analysis request)
In the present embodiment, a case will be described in which a doctor in charge requests an examination department to analyze electrocardiographic data. In this case, the doctor in charge who is the client needs the information of the doctor in charge, the patient identification information (name, ID, etc.), the items to be automatically analyzed, and the opinion of the specialist (reader or interpreter) on the analysis results. No, specify the analysis report format (analysis report). Here, it is assumed that the memory card recording the measured electrocardiogram data and the paper analysis request form are delivered to the analysis department, but the electrocardiogram data and the analysis request form are sent as data files from the viewing terminal 120 of the doctor in charge. It may be transmitted to the inspection department through the network.

(Analysis execution)
The engineer in the inspection department that has received the request for analysis executes the requested analysis processing using the analysis device 110. The operation of the analysis device 110 described below is realized by the CPU 1 executing an analysis application.
For example, when an instruction to read electrocardiogram data is input from the engineer through the operation unit 8, the CPU 1 of the analysis device 110 displays information on the electrocardiogram data file recorded in the memory card 4, the storage device 10, or the external device 40. 6 is displayed in a selectable manner. Then, the CPU 1 reads the electrocardiogram data file selected from the list display through the operation unit 8 into, for example, the RAM 3 and executes a predetermined automatic analysis process.

  When there is no need to select electrocardiographic data to be analyzed (for example, when an electrocardiographic data file for one examination is recorded in the memory card 4), the electrocardiogram is displayed without displaying a list. Data file reading and automatic analysis processing may be executed. Further, when the automatic analysis process is executed on the electrocardiogram data file recorded in the memory card 4, the electrocardiogram data file (measured raw data) is separately stored in the storage device 10 in parallel with the automatic analysis process. May be saved. The automatic analysis processing includes, for example, filter processing represented by waveform shaping processing such as noise removal and baseline fluctuation removal, waveform recognition using templates, detection of feature points of electrocardiographic data, classification of heartbeat waveforms, Calculation of defined parameters (electrocardiographic parameters) is included.

  There are no limitations on the type of heartbeat waveform classification method and the number and number of electrocardiographic parameters to be measured, and it is possible to change them according to user settings. In the present embodiment, for example, the normal heart rate (N), ventricular extrasystole (V), supraventricular extrasystole (S), paced heartbeat (P), fusion (F), leg block (B) , Supplementary contraction (E), and other (?). In addition, as an electrocardiographic parameter, for example, RR interval (time interval between adjacent R wave vertices), QT interval (time from Q wave start point (QB) to T wave end point (Tend)), RT interval, heart rate The number and parameters derived therefrom (for example, QT dispersion (difference between the maximum value and minimum value of the QT interval), QTc (value obtained by correcting the QT interval by the RR interval)), and the like can be calculated. In the automatic analysis, the CPU 1 attaches a flag corresponding to the type of abnormality to the heartbeat in which the abnormality is recognized.

  The analysis device 110 has a waveform editing function. The waveform editing function is a function for an engineer to check an automatic analysis result and correct the automatic analysis result as necessary. For example, the editing function provides a function for checking whether the automatic waveform classification result is correct while viewing the waveform and changing the classification as necessary.

  The analysis device 110 has an analysis report creation function. The analysis report creation function prints a report in a predetermined format from a printer or outputs it in an electronic data format such as PDF using, for example, electrocardiogram data after waveform editing and subject information It is a function to do. In addition, a preview function for displaying the analysis result or the like in the same manner as the report on the display unit 6 before the actual output is provided.

(Analysis report generation / output)
FIG. 3 is a diagram illustrating an example of the data output screen 200 in the analysis apparatus 110 according to the present embodiment. The data output screen 200 is an output condition setting screen used when various data generated by automatic analysis, analysis reports, measurement data, and the like are output to an external device such as the management server 150 or the report server 130. The CPU 1 automatically displays the data output screen 200 at the end of the automatic analysis process or displays it in response to an instruction from the operation unit 8.

  In the analysis apparatus 110 of the present embodiment, since the types of data that can be output are different between the report server 130 and other output destinations, the data output screen 200 is also divided into areas corresponding to the respective output destinations. Specifically, it has a setting area 230 for the report server and setting areas 210 and 220 for other (general) output destinations.

  To the report server 130, an analysis report and accompanying information (request contents and comments to be described later) used by the report server 130 in the analysis report browsing process are transmitted, and the measurement data itself and the heart obtained by automatic analysis are transmitted. Electric parameters (such as intervals of RR, ST, QT, and variations thereof) are not transmitted. On the other hand, for the management server 150, the interpreting doctor's terminal 140, the storage device 10 of the analysis device 110, etc., in addition to the data output to the report server 130, the measurement data itself and numerical data obtained by automatic analysis are also included. Output is possible.

  A setting area for a general output destination includes an output destination setting area 210 and an output content setting area 220. The output destination setting area 210 has a pull-down menu 211 for selecting an output destination registered in advance and designating the output destination, and an area 212 for designating the output destination by inputting a file path. When the reference button 213 is selected from the operation unit 8, the CPU 1 displays an output destination browse screen and automatically inputs a file path such as a folder designated on the browse screen into the area 212.

  The output content setting area 220 is an area for designating the content of data to be output, and the CPU 1 executes output processing with the data corresponding to the check box checked here as an output target. If “PDF” is not checked, the analysis report is not output. “Print program No.” is a pull-down menu for designating the type of analysis report to be output.

  The report server setting area 230 includes a check box 231 for designating whether or not an analysis report is to be output, a pull-down menu 232 for designating the type of analysis report to be output, and a comment area 233. Here, it is assumed that the report server 130 is set in advance as the transmission destination, but the output destination may be set by specifying a plurality of pre-registration destinations and file paths as in the output destination setting area 210.

  The comment area 233 is an area for an engineer who is a user of the analysis apparatus 110 to input special notes or the like that the analysis report viewer (for example, a reading doctor or a doctor in charge) wants to know. The engineer can input a desired comment using the operation unit 8 of the analysis apparatus 110. As described above, the conventional analysis apparatus can designate an attribute indicating whether or not it is necessary to urgently read, but does not provide a function for notifying a reading doctor of an arbitrary comment. For this reason, when it is unavoidable to convey a comment, it was originally necessary to employ a special method such as using a finding input function for use by a reading doctor and including an engineer's comment in the finding column of the analysis report. However, the comment described in the observation column cannot be confirmed unless the analysis report is displayed, and the presence or absence of the comment cannot be known on the analysis report list display screen.

  On the other hand, in the analysis apparatus 110 according to the present embodiment, a function for an engineer to notify a viewer of an analysis report of an arbitrary comment is provided through the data output screen 200. The engineer can specifically notify the viewer of points that should be particularly noted when interpreting and using the analysis report, for example, by inputting an arbitrary comment in the comment area 233 and instructing the output. . A comment input using this function is transmitted to the report server 130 as accompanying information or a comment file separately from the analysis report. Therefore, the report server 130 can easily determine whether or not a comment exists in the analysis report, and can easily acquire the content of the comment. In the analysis report list display screen, whether or not a comment exists in each analysis report. It is possible to include information or present specific comment contents in response to a request from a browsing user. These operations of the report server 130 will be described later.

  When the output button 240 on the data output screen 200 is selected from the operation unit 8, the CPU 1 executes an output process according to the contents set on the data output screen 200. Note that if both the general output destination and the report server are set, the CPU 1 executes output processing for both.

  In the present embodiment, the CPU 1 generates a specified type of analysis report as a PDF file. Even when there are a plurality of types and / or a plurality of pages of analysis reports, the entire report is generated as one file. In addition, the CPU 1 uses the accompanying information (patient information, request date / time, examination date / time, analysis date / time, output date / time, order number, engineer name, medical doctor name, interpretation doctor name (specified by the report server 130). If there are automatic analysis items, comments input on the data output screen 200, etc.) are described in a separate file from the analysis report. For example, a file in a format in which the contents of the file can be easily extracted, such as a text format file in which item names and corresponding contents are separated by delimiters, is generated. The comment may be generated as an independent text file.

  In addition, the CPU 1 transmits the analysis report and the accompanying information to the report server 130 in a format in which the analysis report and the accompanying information are associated with each other, for example. The analysis report and the accompanying information may be associated using other methods such as compressing them together. The CPU 1 also generates a file corresponding to each designated data for the general output destination, and transmits it to the designated output destination. Since the output processing to the general output destination in the analysis apparatus 110 is well-known, the description about the detail beyond this is abbreviate | omitted.

(Report server operation)
Next, the operation of the report server 130 will be described with reference to FIGS. FIG. 4 is a flowchart showing the overall operation of the report server 130. In this embodiment, the report server 130 is a Web server, and the operation of the report server 130 described below is realized by the CPU 1 executing a browsing service application that uses the Web server function. In the browsing terminals 120 and 140, the CPU 1 executes the Web browser application, thereby realizing the operation of the browsing terminal described below.

In S101, the report server 130 determines whether an analysis report has been received from the analysis device 110. If not, the report server 130 proceeds to S105. If it has been received, the process proceeds to S103.
In step S <b> 103, the report server 130 stores the received analysis report in a predetermined directory in the storage device 10. As described above, the analysis device 110 transmits the analysis report, the accompanying information, and the comment (if the comment is a separate file) in association with each other. Therefore, the report server 130 maintains these associations. Save as you want.

  In S105, the report server 130 determines whether an access request for a predetermined URL (here, the URL of a list display screen of analysis reports that can be browsed) is received, and if not received, returns the process to S101 and receives it. If so, the process proceeds to S107.

  In S107, the report server 130 executes user authentication processing for the viewing terminal that has requested access. In the user authentication, for example, the report server 130 transmits user identification information and authentication screen data having a password input area to the viewing terminal, and the combination of the identification information and password transmitted from the viewing terminal through the authentication screen is the registered user information. This can be done by determining whether or not they match. This is an example of authentication processing, and other methods such as fingerprint authentication may be used.

  In the present embodiment, it is assumed that registered user information is stored in the storage device 10. The registered user information includes information related to the attribute or type of the user in addition to information necessary for authentication (here, user identification information and password). Information on whether or not to have the authority to read the analysis report, which will be described later, is also included in the registered user information. If the user authentication is not successful, the report server 130 can execute general error processing such as repeatedly transmitting the authentication screen data to the viewing terminal together with the error message.

  When the user authentication is completed in S107, the report server 130 generates data for displaying the browsing analysis report list display screen on the browsing terminal in S109, and transmits the data to the requesting browsing terminal in S111. FIG. 5A shows an example of a state in which data on the list display screen transmitted by the report server 130 in S111 is received by the browsing terminal 120 or 140 and displayed by the Web browser application. The report server 130 generates data for such display in S109.

Here, the data of the list display screen generated by the report server 130 in S109 will be described with reference to FIG.
In S113, the report server 130 determines whether an analysis report transmission request has been received from the viewing terminal. If not, the report server 130 proceeds to S119. If it has been received, the process proceeds to S115.
In S115, the report server 130 reads out the requested analysis report file from the storage device 10 and transmits it to the viewing terminal, and advances the process to S117.
In S117, the report server 130 performs a process of changing information (browsing information) indicating the browsing status for the transmitted analysis report, and advances the process to S119. Details of the processing performed in S117 will be described later.

In S119, the report server 130 determines whether or not a comment transmission request has been received from the viewing terminal. If not received, the report server 130 returns the process to S113, and if received, advances the process to S121.
In S121, the report server 130 reads the content (or comment file) of the requested comment from the storage device 10, transmits it to the viewing terminal, and advances the process to S123. When the comment is generated as a single file, the comment file is transmitted to the viewing terminal. On the other hand, when a comment is described in the accompanying information file, the comment part is read from the accompanying information file and transmitted to the viewing terminal.

In S123, the report server 130 determines whether a search, update, or delete request has been received from the viewing terminal. If not, the report server 130 proceeds to S127. If received, the process proceeds to S125.
In S125, the report server executes the requested process, returns the process to S109, generates list display screen data corresponding to the latest state, and transmits the data to the viewing terminal in S111.

In S127, the report server 130 determines whether or not a logout request is received from the browsing terminal. If not received, the process returns to S101, and if received, advances the process to S129.
In S129, the report server 130 executes logout processing, and returns the processing to S101. The above is the overall operation flow of the report server 130. Note that when a new analysis report is received from the analysis apparatus 110 during the processing of S109 to S125, the report server 130 executes the same processing as S101 and S103 in parallel.

(List display screen and browsing terminal operation)
Next, the list display screen displayed on the browsing terminal based on the data of the list display screen generated by the report server 130 in S109 and the operation of the browsing terminal in response to the operation of the list display screen will be described with reference to FIG.

  The list display screen 500 includes a search condition setting area 510, a list display area 520, a comment display area 530, and various buttons 541 to 543. In the initial state, the search condition setting area 510 is set to browse all cases, so that the report server 130 has a list display screen that is a target for displaying a list of predetermined conditions, for example, the latest 100 analysis reports. Generate data. FIG. 5A shows a state in which a part (the latest 12 items) is displayed because the list display area 520 does not fit in the application window. The rest of the list display area 520 can be displayed by scrolling the window.

  When some search condition is specified in the search condition setting area 510 and the search button is selected by clicking or touching, a search request based on the specified search condition is transmitted from the viewing terminal to the report server 130. The report server 130 searches for an analysis report that matches the search request, generates data of a list display screen that displays a list of matching analysis reports in the list display area 520, and transmits the data to the browsing terminal. Thereby, the screen display of the browsing terminal is updated, and the search result is reflected in the list display area 520.

  The list display area 520 displays a list of information of analysis reports that can be browsed. In the list display area 520, a check box 521 for instructing deletion of each analysis report, a serial number, a browsing state 522, a report display link 523 for transmitting an analysis report browsing request, analysis report information 524, A comment display link 525 is displayed. The heading portion of the list display area 520 is a clickable link, and the browsing terminal executes sorting using the clicked item as a key to update the display of the list display area 520. Each time the same item is clicked, the sort order is switched between ascending order and descending order.

  When the delete button 543 is operated, the viewing terminal transmits a delete request for the analysis report checked in the check box 521 to the report server 130. The report server 130 deletes the requested analysis report and associated and stored data from the storage device 10, generates updated list display screen data, and transmits the data to the viewing terminal.

  The browsing status 522 indicates whether each analysis report is in an unread state (a state that has never been browsed) or an already read state (a state that has been browsed) by a mark or the like. In the example of FIG. 5A, the unread state is indicated by ●, the read state is indicated by a blank, the latest six analysis reports are unread, and the seventh to twelfth are already read. I understand. The analysis report information 524 is information extracted from the accompanying information items associated with the analysis report, and the items to be displayed are determined in advance. Here, the patient name (only the last name is shown in FIG. 5 but may be a name), the patient ID, the measurement date and time, and the doctor in charge (requester) name are selected as display items.

  The comment display link 525 is displayed only in the analysis report with which the comment is associated, and when selected, a comment data request (a transmission request for data described in the link) is transmitted from the viewing terminal to the report server 130. When the report server 130 receives the comment data request, the report server 130 reads out the entire comment and transmits it to the viewing terminal. In the viewing terminal, the received comment is displayed in the comment display area 530. The comment display link 525 may be in a form of displaying a link indicating the presence or absence of a comment, but in this embodiment, a part of the comment (here, the beginning) is displayed in a link form. Thereby, the user of a browsing terminal can guess the content and importance of a comment.

  In FIG. 5B, the comment link 5251 displayed for the first analysis report in FIG. 5A is selected and operated, whereby the entire comment 531 is acquired from the report server 130 and the comment display area 530 is displayed. The state displayed in is shown.

  When the report display link 523 is operated, the browsing terminal transmits a transmission request for the analysis report file described in the link to the report server 130. The report server 130 reads out the requested analysis report file (in this case, a file in PDF format) from the storage device 10 and transmits it to the viewing terminal. The viewing terminal displays the analysis report in a window different from the list display screen 500 using a PDF reader application or a PDF display plug-in of the browser application. FIG. 6 shows an example of an analysis report. Although FIG. 6 shows a case where the analysis report is one type and one page, it may be a plurality of types and / or a plurality of pages. When the report display link 523 is operated, the browsing terminal transmits a display update request to the report server 130 so that the browsing status of the displayed analysis report is reflected in the list display area.

  When the logout button 541 is operated, the viewing terminal transmits a logout processing request regarding the user of the viewing terminal to the report server 130. The report server 130 executes logout processing in response to the request, and transmits data for displaying, for example, an initial screen (login screen) to the viewing terminal.

  When the update button 542 is operated, the viewing terminal requests the latest list display screen data from the report server 130. In response to the request, the report server 130 transmits data for displaying the list display screen 500 reflecting the latest browsing status to the browsing terminal. In this manner, the latest state in the report server 130 can be confirmed by operating the update button 542 to update the display.

  In addition, the display of the comment according to the operation of the comment display link 525 is not limited to the comment display area 530, and another window such as a pop-up window may be used or may be performed by another method.

(Browsing status change process)
Next, browsing state change processing executed by the report server 130 in S117 of FIG. 4 will be described with reference to the flowchart of FIG.
In S1171, the report server 130 determines whether the browsing status information associated with the analysis report transmitted to the browsing terminal in S115 is in an unread state (a value representing). If it is not in an unread state (if it is in a read state), the process ends without changing the browsing state. On the other hand, if it is in an unread state, the report server 130 changes the browsing state to a read state (a value representing) in S1712 and ends the process. In addition, you may comprise so that determination of S1171 may not be performed but S1712 may be performed irrespective of the browsing condition linked | related with the analysis report transmitted to the browsing terminal by S115.
Through the above processing, when the list display screen is updated, it is displayed as an analysis report in the read state.

  As described above, according to the present embodiment, a comment can be input when an analysis report is generated in the biological information analysis apparatus. For this reason, it has become possible for the engineer to notify the reader (doctor) of the analysis report of useful information such as points of concern and urgency in the analysis result. Furthermore, by displaying the presence / absence of a comment on the analysis report list display screen, it is possible to easily identify an analysis report to be confirmed with priority from among a plurality of analysis reports that can be viewed by a viewer.

  In addition, according to the present embodiment, information on the browsing status of each analysis report is included in the list display screen that displays a list of analysis reports that can be browsed on the browsing terminal. Therefore, it becomes possible to easily identify an analysis report to be confirmed with priority from among a plurality of analysis reports that can be browsed by the viewer, and to suppress forgetting to see.

● (Second Embodiment)
Next, a second embodiment of the present invention will be described. This embodiment differs from the first embodiment in the details of the browsing status change process (FIG. 4, S117). Therefore, description of other configurations and operations is omitted. Also in this embodiment, the operation of the report server 130 described below is realized by the CPU 1 executing a browsing service application that uses a Web server function.

In the present embodiment, the browsing status is managed not in two ways, an unread state and a read state, but in three ways: an unread state, a read (reading doctor) state, and a read (in-charge doctor) state. Also, the browsing status is changed in consideration of the type of browsing user (reading doctor, doctor in charge).
The already-read (reading doctor) state is a state read by a reading doctor (different from the attending doctor). The already-read (in-charge doctor) state corresponds to the already-read state in the first embodiment, but in this embodiment, the state in which the attending doctor browses after viewing by the interpreting doctor, and the attending doctor who also serves as the interpreting doctor views This corresponds to a state in which the doctor in charge has browsed an analysis report that has not been designated by an interpreter.

FIG. 8 is a flowchart showing another embodiment of the browsing status change process executed by the report server 130 in S117 of FIG.
In S1171, the report server 130 determines whether the browsing status information associated with the analysis report transmitted to the browsing terminal in S115 is in an unread state (a value representing). If it is not in the unread state (if it is already read), the process proceeds to S1173. If it is not yet read, the process proceeds to S1781.

  In S <b> 1173, the report server 130 determines whether or not the browsing status information associated with the analysis report transmitted to the browsing terminal in S <b> 115 is an already-read (reading doctor) state (a value indicating). If it is in the read (reading doctor) state, the process proceeds to S1175, and if it is not in the read (reading doctor) state (that is, if it is in the read (in-charge doctor) state), the process proceeds to S1179.

  In S <b> 1175, the report server 130 determines whether the user who has logged in at the viewing terminal (viewing user) is a doctor in charge of the analysis report transmitted to the viewing terminal in S <b> 115. The type of the browsing user is included in the registered user information as described above, and can be determined in the user authentication process (FIG. 4, S107). The report server 130 advances the process to S1177 if the viewing user is a doctor in charge, and advances to S1179 if it is not a doctor in charge.

  In S1179, the report server 130 ends the process without changing the browsing status of the analysis report transmitted to the browsing terminal in S115. S1179 is executed because the browsing status of the analysis report transmitted to the browsing terminal in S115 is already read (in-charge doctor), or the interpretation doctor designated in the analysis report has been browsed (read). However, this is a case where the browsing user is not a doctor in charge. In the former case, it is not necessary to change the read (in-charge doctor) state, and in the latter case, the in-read doctor (reading doctor) state is not changed because the doctor in charge needs to browse.

  In S <b> 1177, the report server 130 changes the browsing status of the analysis report transmitted to the browsing terminal in S <b> 115 to “read” (in charge doctor), and ends the process. S1177 is executed when the browsing status of the analysis report transmitted to the browsing terminal in S115 is a read (reading doctor) state, and when the browsing user is a doctor in charge and the browsing status is an unread state. This is a case where the user is a doctor in charge who has authority to read. In this case, since the attending doctor browses (or is in an equivalent state) after browsing (interpretation) by the interpretation doctor, the state is changed to the already-read (in-charge doctor) state and is set to the browsed state.

  In S1181, the report server 130 determines whether or not there is an interpretation doctor designation in the analysis report transmitted to the viewing terminal in S115. Designation of the interpreting doctor is performed by the doctor in charge at the time of request for analysis or by the engineer at the time of generation of the analysis report. Whether or not an interpreting doctor is designated can be determined from the accompanying information. The report server 130 advances the process to S1183 if the interpretation doctor is designated, and advances to S1191 if the interpretation doctor is not designated.

  In S <b> 1183, the report server 130 determines whether the viewing user has the authority to read the analysis report. Whether or not the viewing user has the interpretation authority (whether or not the reading doctor different from the doctor in charge or the doctor in charge who also serves as the reading doctor) is included in the registered user information as described above, and the user authentication process (see FIG. 4, S107). The report server 130 advances the process to S1185 when the browsing user has the reading authority, and advances to S1189 when the reading user does not have the reading authority.

  In S1185, the report server 130 determines whether or not the viewing user is a doctor in charge of the analysis report transmitted to the viewing terminal in S115, as in S1175. If the viewing user is the attending doctor, the report server 130 proceeds to S1177, and if not, the process proceeds to S1187.

  In S <b> 1187, the report server 130 changes the browsing status of the analysis report transmitted to the browsing terminal in S <b> 115 to already read (reading doctor), and ends the process. S1187 is executed when the browsing status of the analysis report transmitted to the browsing terminal in S115 is in an unread state, and the browsing user is a reading doctor different from the doctor in charge. Accordingly, the report server 130 changes the browsing status to the read (reading doctor) state.

  In S1191, the report server 130 determines whether or not the viewing user is a doctor in charge of the analysis report transmitted to the viewing terminal in S115 in the same manner as in S1175 and S1183. The report server 130 advances the process to S1193 if the viewing user is a doctor in charge, and advances to S1189 if it is not a doctor in charge.

  In S1189, the report server 130 ends the process without changing the browsing status of the analysis report transmitted to the browsing terminal in S115. S1189 is executed when the browsing status of the analysis report transmitted to the viewing terminal in S115 is unread and the reading doctor is specified but the reading user does not have the reading authority or the reading doctor is not specified. Is the case where the browsing user is not the attending physician. In any case, since the doctor having the reading authority and the doctor in charge need to browse, the unread state is not changed.

  In S <b> 1193, the report server 130 changes the browsing status of the analysis report transmitted to the browsing terminal in S <b> 115 to “read” (in charge doctor), and ends the process. S1193 is executed when the browsing status of the analysis report transmitted to the browsing terminal in S115 is in an unread state, the interpreting doctor is not specified, and the browsing user is the doctor in charge. In this case, it is not necessary for the interpreting doctor to browse (interpret) and the attending doctor is viewing, so the state is changed to the already-read (responsible doctor) state and the viewing state is set.

  In the present embodiment, when the data of the list display screen 500 is generated, it is possible to distinguish three types from the display of the browsing status 522: an unread state, a read state (reading doctor), and a read state (in charge doctor). . For example, data of a list display screen for displaying the already-read state (reading doctor) unique to the present embodiment with a mark different from the unread state is generated.

  In the present embodiment, the browsing status is not managed in two ways, an unread state and a read state, but in three ways: an unread state, a read (reading doctor) state, and a read (in-charge doctor) state, and the browsing user's The browsing status is changed in consideration of the type (reading doctor, doctor in charge). Specifically, even if a third party browses before the attending doctor browses, or even if the attending doctor browses before the interpreting doctor browses, the viewing status is in the state that the attending doctor has viewed Do not change. Therefore, the possibility that the doctor in charge overlooks the analysis report to be viewed can be reduced as compared with the first embodiment.

● (Third embodiment)
Next, a third embodiment of the present invention will be described. The present embodiment is characterized in that, when the browsing user is a reading doctor, it is possible to input reading findings and / or comments. Also in this embodiment, the operation of the report server 130 described below is realized by the CPU 1 executing a browsing service application that uses a Web server function. In the browsing terminals 120 and 140, the CPU 1 executes the Web browser application, thereby realizing the operation of the browsing terminal described below.

  In the present embodiment, the report server 130 generates data of a list display screen in which a comment can be input in step S109 when the viewing user has the interpretation authority. FIG. 9 shows a state in which data on the list display screen generated by the report server 130 of the present embodiment for the viewing terminal of the viewing user who has the reading authority is displayed on the viewing terminal.

  The list display screen 500 ′ of FIG. 9 is different from the list display screen 500 of the first embodiment in that the contents of the comment display area 530 can be edited, and an edit completion button 533 and a finding input link 536 are added. It is a point.

  The viewing user can edit the comment through the operation unit 8 in a state where the comment display link 530 is displayed to display the full comment 531 in the comment display area 530. Here, a state is shown in which a comment user 532 adds a comment 532 to the full text 531 of the comment input by the engineer.

  When the edit completion button 533 is operated, the viewing terminal transmits the content currently input to the comment display area 530 to the report server 130 as a new comment. The report server 130 overwrites the comment with the received content. In addition, the report server 130 can add the information of the viewing user (that is, the comment editor) and the reception date / time information of the comment at the end of the comment. As a result, when the comment is displayed next time, as shown in FIG. 9B, the latest editor and the editing date and time are displayed. Similarly, when a comment is input by the analysis device 110, the information of the comment input person (user of the analysis device) and the input date / time may be automatically added to the end of the comment.

  When the finding input link 536 is operated, the viewing terminal displays a finding input screen including a finding input area 537 and an output button 538 in a pop-up window format, for example. The output button 538 is associated with information by which the report server 130 can specify an analysis report corresponding to the operated finding input link 536. The browsing user (reading doctor) can input the findings as a result of browsing the analysis report to the finding input area 537 through the operation unit 8. When the output button 538 is operated, the viewing terminal transmits the content input in the finding input area 537 at that time to the report server 130 as finding data together with data for specifying the analysis report associated with the output button 538. To do. The report server 130 stores the received content as an observation file in association with the analysis report corresponding to the observation link, or adds it as one of accompanying information.

  When transmitting the analysis report data in S115, if the finding file is associated and saved, the report server 130 may also send the finding file and the finding text to the viewing terminal. Alternatively, when the data of the list display screen is generated in S109, the finding display link may be included in the analysis report in which the finding file is stored in association with the comment displaying link.

  According to the present embodiment, it is possible to edit a comment or add a finding when the interpretation doctor views the analysis report. Therefore, information can be easily and reliably transmitted between engineers, interpreters, and attending physicians, and in the end, useful information is obtained when the attending physician makes a diagnosis and explains analysis reports to patients. Can do. The third embodiment can be implemented in combination with the first and second embodiments.

(Other embodiments)
Each time the analysis report data is transmitted, the report server 130 may record information (for example, name and type) of the user who has requested browsing and the browsing date and time, and generate a browsing history for each analysis report. Also, when a comment is added or modified (also referred to as editing), it can be recorded in the browsing history. In this case, the edited user information (for example, name and type) and the editing date and time are recorded. The edited comment may be recorded together. The browsing history is stored in association with the analysis report. For example, when the analysis report data is transmitted, the browsing history at that time may be transmitted together. The browsing terminal displays browsing history information in a separate window from the analysis report, so that the browsing user can be notified of information such as the viewer of the analysis report, the date and time of browsing, and information related to comment editing.

  In the second embodiment, when the browsing user is a doctor in charge who has authority to read, the management and browsing status are changed in two ways, the unread state and the read state, as in the first embodiment. Also good. However, even if a person other than the attending physician views the analysis report in the unread state, the unread state is not changed.

  In the above-described embodiment, the configuration in which the analysis device 110 and the report server 130 are realized by separate hardware has been described. However, it is not necessary to separately configure the analysis device 110 and the report server 130, and the functions of the analysis device 110 and the report server 130 may be realized by the same computer as long as the browsing terminal cannot access the analysis device 110. .

DESCRIPTION OF SYMBOLS 100 ... Electrocardiogram analysis system 110 ... Analysis apparatus 120 ... Terminal 130 ... Report server 140 ... Terminal 145 ... Router 150 ... Management server

Claims (13)

Storage means for storing an analysis report of biological information in association with browsing status information;
Control means for communicating with an external device for viewing the analysis report, the control means,
Transmitting data for displaying a list display screen of the analysis report stored in the storage means to the external device;
The analysis report selected on the list display screen is read from the storage means and transmitted to the external device,
Change the browsing status information associated with the analysis report sent to the external device to information indicating the read status,
The report server, wherein the list display screen includes information indicating whether the browsing status of each analysis report displayed as a list is the unread state or the read state.   The report server according to claim 1, wherein the read state includes information indicating that the read state is viewed by a person who is not a designated reader but has read authority.   The report server according to claim 1, wherein the read state includes a state viewed by a designated reader.   The report server according to claim 2, wherein the read state further includes information indicating that a requester who has requested generation of the analysis report has browsed.   If the user of the external device is not a reader designated for the analysis report to be transmitted to the external device, the control means is configured to read the unread status information associated with the analysis report transmitted to the external device. The report server according to claim 4, wherein the report server is not changed from information indicating a state.   When the user of the external device is a reader designated for the analysis report, the control means confirms that the reader has browsed the browsing status information associated with the analysis report transmitted to the external device. The report server according to claim 5, wherein the report server is changed to information to be displayed.   The control means is that the user of the external device is a requester who requested the generation of the analysis report, and that the reader has browsed the browsing status information associated with the analysis report transmitted to the external device. The report server according to claim 5 or 6, wherein the report server is changed to information indicating that the client has browsed the information.   The control means, when the user of the external device is a requester who requested the generation of the analysis report and is registered as a person who has authority to read the analysis report, the analysis report transmitted to the external device The report server according to any one of claims 5 to 7, wherein the browsing status information associated with the information is changed to information indicating that the client has browsed.   The control means determines whether or not a user of the external device corresponds to at least one of the person having the reading authority, the reader, and the client in the information included in the analysis report or the analysis report. The determination is based on information associated with and stored in the storage means and information stored in advance indicating the type of each user of the external device. Report server as described in section.   The report server according to claim 9, wherein the information included in the analysis report or the information stored in the storage unit in association with the analysis report is received together with the analysis report. Furthermore, it has a recording means for recording the browsing history of the analysis report,
The report server according to claim 1, wherein the control unit transmits the browsing history corresponding to the analysis report to the external device. Storage means for storing an analysis report of biological information in association with browsing status information;
A control means for communicating with an external device for viewing the analysis report, and a control method for a report server,
The control means is
Transmitting data for displaying a list display screen of the analysis report stored in the storage means to the external device;
Reading the analysis report selected on the list display screen from the storage means and transmitting it to the external device;
The information of the browsing status associated with the analysis report transmitted to the external device, and the step of making information indicating the read state,
The method for controlling a report server, wherein the list display screen includes information indicating whether a browsing state of each analysis report displayed as a list is the unread state or the read state.   The program for functioning a computer as a report server of any one of Claim 1 to 11.