JP2018041419A - Hospital information system and data display program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a hospital information system and a data display program capable of individually using data described in a plurality of opinions or the like in an electronic medical chart regardless of the opinions or the like.SOLUTION: The hospital information system comprises a communication analysis part, a registration part, a search part and a control part. The communication analysis part acquires data including a measured value and a calculated value calculated on the basis of the measured value referable from an electronic medical chart in an independently available state. The registration part registers the acquired data in association with information related to a target patient in a database. The search part receives a reference request from a medical employee, and searches and acquires data corresponding to the reference request from the database. The control part causes a display to display the data acquired by the search part.SELECTED DRAWING: Figure 2

Description

  Embodiments described herein relate generally to a hospital information system and a data display program.

  In recent years, when a patient is examined, a modality that collects information inside the patient, images the inside of the subject based on the collected information, and generates a medical image may be used. As this modality, for example, an X-ray CT apparatus (computed tomography apparatus), a magnetic resonance diagnostic apparatus (MRI), and an ultrasonic image diagnostic apparatus are applicable. The generated medical image is used for an electronic medical record, for example.

  Further, measurement may be performed using a medical image acquired by a modality, and a measurement value may be acquired. In addition, for example, calculation may be performed based on a measurement value using a clinical application mounted on a modality or a workstation, and the calculation value may be acquired. These acquired data such as measured values and calculated values (hereinafter, these measured values and calculated values are collectively referred to as “data” as appropriate) are treated as information integrated with the medical image and are displayed on the findings and reports.

  These findings and reports (hereinafter collectively referred to as “findings, etc.”) are transmitted and registered, for example, to a medical image management system (PACS: Picture Archiving Communication System) that is a management system built in a medical institution. Is done. In addition, findings and the like are transmitted as reference information from the PACS to a hospital information management system (HIS) via a system constructed in each department.

  Here, the reference information is information that can be referred to in the electronic medical record by attaching a link to the electronic medical record. For example, findings are handled as reference information. When referring to these findings, etc., the medical staff accesses the location where the findings are stored from the link point provided in the electronic medical record, starts the reference viewer and browses the contents. .

JP 2013-242745 A

  However, findings and the like that can be referred to in the electronic medical record are referred to in registered units. Therefore, the medical staff must refer to the data shown in the findings and the like for each finding and cannot extract and use only the data. In addition, when a healthcare professional tries to refer to a plurality of data related to a point of view that is a problem in a case or patient, the findings and the like showing the corresponding data are searched and displayed each time. You have to browse the data.

  The problem to be solved by the present invention is to provide a hospital information system and a data display program that can individually use data described in a plurality of findings etc. in an electronic medical chart regardless of the findings etc. is there.

  The hospital information system in the embodiment includes a communication analysis unit, a registration unit, a search unit, and a control unit. A communication analysis part acquires the data containing the calculation value calculated based on the measured value and the measured value which can be referred from an electronic medical chart in the state which can be used independently. The registration unit registers the acquired data in the database in association with information about the target patient. In response to the reference request from the medical staff, the search unit searches and acquires data corresponding to the reference request from the database. The control unit displays the data acquired by the search unit.

The block diagram which shows the flow of the information between the hospital information system which concerns on embodiment, and the other apparatus connected with a communication network. The block diagram which shows the internal structure of the hospital information system which concerns on embodiment. The flowchart which shows roughly the flow which registers the test | inspection information acquired by modality in the database, and provides applicable information based on the reference request from a medical worker. The flowchart which shows in detail the flow in which the hospital information system which concerns on embodiment registers the test | inspection information acquired from modality in the database. The flowchart which shows the flow in which a processing circuit searches applicable information based on the reference request from a medical worker, and makes it display on a display. The example of a screen which shows the example as which the information which the medical worker requested was displayed on the electronic medical record. The other example of a screen which shows the example by which the information which the medical worker requested on the electronic medical record was displayed with the graph.

[Connection of hospital information system and information flow between devices]
FIG. 1 is a block diagram showing a flow of information between a hospital information system 1 according to an embodiment and another device connected via a communication network (not shown). First, the connection state of the hospital information system 1 will be described with reference to FIG.

  The hospital information system 1 is connected to a communication network (not shown), and is connected to the image server 2, the workstation 3, and the modality 4 via the communication network. The hospital information system 1 is an HIS as an example in the present embodiment. The HIS is a system that is constructed to improve the efficiency of medical treatment and accounting work for the entire medical institution. As described above, various systems and functions can be included in the HIS. However, in the present embodiment, it is assumed that a medical worker uses an electronic medical record.

  Here, “medical workers” are not limited to doctors and laboratory technicians, but are involved in some form of treatment for patients such as nurses, pharmacists and dietitians, and those involved in conducting team medical care. Any of those who handle data.

  The image server 2 is, for example, a PACS (hereinafter referred to as “PACS2”). The PACS 2 is a system that manages medical images acquired by various modalities and used for patient diagnosis. The workstation 3 is various devices such as a device used when an interpreting doctor interprets a medical image, or a device used when examining a patient. The workstation 3 is, for example, a PC. Note that the PACS 2 and the workstation 3 are equipped with a clinical application that performs calculations using measurement values in a medical image acquired by a modality 4 described later.

  The modality 4 collects information inside the patient such as the X-ray CT apparatus, MRI or ultrasonic image diagnostic apparatus described above, and generates a medical image by imaging the inside of the subject based on the collected information. Device. Although only one modality 4 is shown in FIG. 1, the number of modalities connected to the communication network is not limited to one. Each modality 4 may be implemented with a clinical application. In that case, the modality 4 can also calculate a calculated value based on the measured value obtained using the medical image.

  The communication network is a communication line and a communication device for connecting each connected device and exchanging medical images and various information between these devices. Examples of the communication network include a network such as a LAN (Local Area Network) and the Internet. In addition, the communication protocol when exchanged via this communication network may be any protocol such as DICOM (Digital Imaging and Communications in Medicine).

  In FIG. 1, the medical image acquired by the modality 4 and various information attached to the medical image are transmitted to the hospital information system 1, the PACS 2, and the workstation 3, respectively. Medical images and various information transmitted from the modality 4 to the PACS 2 are registered in the PACS 2. It is transmitted from the PACS 2 to the hospital information system 1 and the workstation 3.

  In addition, medical images and various types of information are transmitted to the workstation 3 from the modality 4 and the PACS 2. The workstation 3 acquires a calculated value from the measured value based on various information using a clinical application as appropriate. The acquired calculated value is transmitted to the hospital information system 1. As described above, in the present embodiment, the medical image acquired in the modality 4 and various information, measurement values, calculated values, and the like attached to the medical image are finally all collected in the hospital information system 1, Saved. However, this does not apply to medical images.

[Configuration of hospital information system]
Next, a configuration of the hospital information system 1 that allows a medical worker to use information described in a plurality of findings individually on the electronic medical chart regardless of the findings will be described. FIG. 2 is a block diagram showing an internal configuration of the hospital information system 1 according to the embodiment.

  Here, although various aspects can be considered about the apparatus and system which comprise the hospital information system 1 in this Embodiment, the structure shown in FIG. 2 is provided here, for example. Therefore, the hospital information system 1 may have a configuration other than the configuration shown in FIG. The hospital information system 1 may be, for example, a device or a device group fixed in a room, or may be portable.

  In the hospital information system 1, a processing circuit 11 and an input / output interface 12 are connected via a bus 13. An input circuit 14, a display 15, a storage circuit 16, a communication processing circuit 17, and a removable disk 18 are further connected to the input / output interface 12.

  The processing circuit 11 controls each part constituting the hospital information system 1 described above. As a specific configuration, for example, a CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access Memory) not shown in FIG. 2 are provided.

  In addition, the CPU controls various devices based on input signals from other external devices not shown in FIG. 2 via the input circuit 14 and the input / output interface 12. Further, the CPU reads out the program and data stored in the RAM, the storage circuit 16 and the like and loads them into the RAM. Then, the CPU, for example, a processing device that performs control to generate the data retrieved based on the command of the program read from the RAM and the reference request from the medical staff as display data and display it on the display 15 It is. Further, the processing device realizes a series of processing such as image generation processing, data calculation, and processing. Details will be described later.

  The input circuit 14 accepts various input operations by medical personnel. For example, the input circuit 14 accepts an input operation on a screen or the like for inputting an electronic medical record or a reference request for requesting display of necessary data. As this input circuit 14, for example, a GUI (Graphical User Interface) or an input device such as a button, a keyboard, or a trackball can be used.

  The display 15 displays various images and various information such as an electronic medical record and an operation screen (for example, a GUI for receiving various instructions from the operator) according to the control of the processing circuit 11. As the display 15, for example, a liquid crystal display, an organic EL (Electroluminescence) display, or the like can be used.

  The memory circuit 16 is composed of, for example, a semiconductor or a magnetic disk. The storage circuit 16 stores programs and data executed by the processing circuit 11. The storage circuit 16 is stored in a patient database D1 (represented as “patient DB” in FIG. 2) and a table database D2 (also represented as “table DB” in FIG. 2), which will be described later. Various data may be temporarily or permanently stored separately from these databases.

  The communication processing circuit 17 includes a LAN card, a modem, and the like, and enables the hospital information system 1 to be connected to a communication network such as the Internet or a LAN described later. Data transmitted / received to / from devices connected to the communication network via the communication processing circuit 17 is transmitted / received to / from the processing circuit 11 via the input / output interface 12 and the bus 13 as input signals or output signals.

  The removable disk 18 is an optical disk or a flexible disk. A signal read / written by the disk drive is transmitted / received to / from the processing circuit 11 via the input / output interface 12 and the bus 13. For example, the data display program is stored in the removable disk 18, and the data display program is installed in the hospital information system 1 by being read from the removable disk 18. Note that the removable disk 18 may not be included in the hospital information system 1. Further, the removable disk 18 may be a flash memory or an HDD.

  The communication processing circuit 17 connects the hospital information system 1 to a communication network. In the present embodiment, the hospital information system 1 is connected to the patient database D1 and the table database D2 via a communication network, and enables exchange of patient information and medical image information between each other, for example. . Further, each modality 4 may be connected via the communication network.

  The patient database D1 stores basic patient information such as patient ID, name, sex, vital information, and medication history. In addition, information on patient symptoms (hereinafter referred to as “patient symptom information”) is also stored. Further, for example, in the hospital information system 1 in FIG. 2, a measurement value measured using a medical image or a calculation value calculated using the measurement value in the workstation 3 is also stored. The measured values and calculated values here are examples of data. And when the test | inspection regarding the same test | inspection item is performed in multiple times, the measured value and the calculated value regarding the said test | inspection item will be stored in multiple numbers for every test | inspection.

  These measured values and calculated values are information accompanying the medical image, but the measured values and calculated values are stored in the patient database D1 independently of the medical image. And these measured value and calculated value are linked | related with each of patient basic information and patient symptom information.

  The table database D2 stores, for example, a display definition table that defines, as display items, a part of a patient to be examined and examination items performed on the patient. These display items are displayed on the display 15. Examples of the test item include a test item related to a blood test when performing a sample test order and a test item regarding an imaging region using various modalities when performing a biological / image test order.

  The table database D2 also stores a data linkage table. In the data linkage table, for example, various types of information such as the type of information such as the symptoms, problems, organs, and parts of the patient to be examined, the type of modality 4 used for the examination, and the modality 4 are used. Inspection items and the like are stored in association with each other. Associating these items with each other, for example, the items may be associated with each other on the basis of a relationship defined in advance, such as an inspection item determined for the region. Or you may select and match the item with which a medical worker is associated.

  As described above, when the examination is performed on the patient in the modality 4, the examination information is transmitted from the modality 4 to the hospital information system 1 as shown in FIG. Here, “examination information” represents information transmitted from the modality 4 or the workstation 3 to the hospital information system 1 and includes “patient information” and “examination type information” described below. “Patient information” is information for identifying a patient who has been examined, such as a patient ID. That is, it is information corresponding to the basic patient information stored in the patient database D1. On the other hand, “examination type information” is information indicating the contents of an examination performed on a patient. For example, a measurement value or a clinical application that is a result of a measurement process using a medical image generated as a result of an examination. The calculated value calculated from the measured value using is included. Further, at least one of information on the modality 4 that has been inspected, inspection items, and conditions for performing the inspection may be included.

  Further, the workstation 3 calculates a calculated value using a clinical application based on examination information such as a measured value acquired in the modality 4. Therefore, the calculated value calculated in the workstation 3 is transmitted from the workstation 3 to the hospital information system 1. When the hospital information system 1 receives the examination information from the modality 4 or the workstation 3 via the communication processing circuit 17, the received examination information is transmitted to the processing circuit 11.

  The processing circuit 11 executes a communication analysis function, a registration function, and a search function. In the claims, the communication analysis unit corresponds to the communication analysis function, the registration unit corresponds to the registration function, and the search unit corresponds to the search function.

  The communication analysis function of the processing circuit 11 is a function for receiving and analyzing inspection information transmitted from the modality 4 or the workstation 3. Thereby, for example, patient information of a patient who is an object of a test result is acquired. Also, examination type information including measurement values and calculation values for each examination item is acquired. The measurement value and the calculated value acquired by the communication analysis function are not information integrated with the medical image in finding or the like, and are in a state where they can be used independently from the medical image.

  Note that the timing at which the processing circuit 11 receives the inspection information from the modality 4 or the like using the communication analysis function is, for example, a predetermined time, and is periodically performed. Moreover, you may make it receive based on the instruction | indication from a medical worker, for example not regularly.

  Further, the processing circuit 11 converts the acquired examination information into a data format handled by the hospital information system 1 by the communication analysis function. The inspection information received by the processing circuit 11 is transmitted from various devices such as the modality 4, the PACS 2 and the workstation 3. For this reason, it is conceivable that the format of information handled for each device is different. Therefore, the data format is converted so that information transmitted from any device can be handled integrally. If the data format is unified, this processing is not necessary.

  The registration function of the processing circuit 11 is a function for registering acquired data. Specifically, the processing circuit 11 extracts basic patient information stored in the above-described patient database D1 based on the patient information obtained by analyzing the received examination information using the communication analysis function. Then, the processing circuit 11 associates the examination type information with the patient basic information and registers it in the patient database D1.

  At this time, the processing circuit 11 does not register the examination type information in association with the patient symptom information. As described above, the processing circuit 11 uses the communication analysis function to analyze the examination information transmitted from the modality 4 or the like into patient information and examination type information. The data included in the examination type information is analyzed for each patient symptom. This is because there is no analysis. On the other hand, after data is retrieved and displayed in accordance with a reference request from a healthcare professional, the relationship between the patient's symptoms and the data is clear. Therefore, the processing circuit 11 retrieves data in accordance with a reference request from a medical worker, and when the data is displayed on the display 15, the processing circuit 11 associates the data with the patient symptom information and registers them in the patient database D1.

  The search function of the processing circuit 11 is a function that receives a reference request for examination type information as an examination result from a medical staff, searches the patient database D1 and the table database D2 for information corresponding to the reference request, and acquires the information. is there. That is, the processing circuit 11 first searches the display definition table stored in the table database D2 by a reference request based on the reference condition input by the medical worker, and acquires the display definition corresponding to the reference condition. Here, the reference condition is, for example, a condition used when searching for a measured value or a calculated value requested by a medical worker.

  Examples of the conditions are display items displayed on the electronic medical record, such as a symptom, an organ, a region, and a test item of a target patient. Alternatively, it may be a keyword entered with characters. Next, display items defined in the display definition table are extracted based on the acquired display definition. The reason why the display items are extracted here is to acquire various information associated with the display items in the data linkage table using the display items.

  Then, the processing circuit 11 searches the data linkage table based on the extracted display item. When the display item extracted in the data linkage table is stored, the inspection item stored in association with the display item is specified. Further, the measurement value and calculation value required by the medical staff are retrieved and acquired from the patient database D1 using the examination item. The processing circuit 11 generates display data to be displayed on the display 15 based on the acquired measurement value and calculation value.

  In this manner, the processing circuit 11 receives a reference request for information that is a test result from a medical staff, and starts a search using the search function. Specifically, the medical staff opens a tab of the test result displayed on the display 15, for example, via the input circuit 14. The processing circuit 11 reads the format of the screen for requesting reference and displays the screen. When one of the parts displayed on the screen for requesting reference through the input circuit 14 is selected by the medical staff, the processing circuit 11 specifies the selected part. Then, the processing circuit 11 generates a reference request with the specified part as a reference condition in response to the button of the part that requests information being pressed.

  In addition, depending on the patient, there is a case where there is one diagnosis target, and information to be displayed is determined without the medical worker selecting a part for displaying data. In this case, for example, the processing circuit 11 may generate a reference request by pressing a button for requesting information without selecting a region by a medical staff.

  Here, for example, for the communication analysis function, registration function, and search function of the processing circuit 11, the processor (processing circuit 11) executes a program stored in a predetermined memory (storage circuit 16), the removable disk 18 or the like. It is assumed to be realized by software. Here, the term “processor” in this specification refers to, for example, a dedicated or general-purpose CPU (Central Processing Unit) or an application specific integrated circuit (Application Specific Integrated Circuit). (For example, Simple Programmable Logic Device (SPLD), Complex Programmable Logic Device (CPLD), and Field Programmable Gate Array (FPLD) It means the circuit of A)) and the like.

  The processor implements a function by reading and executing a program stored in the storage circuit 16 or directly incorporated in the circuit of the processor. The storage circuit 16 for storing the program may be provided individually for each processor, or, for example, a program corresponding to the communication analysis function, registration function, and search function performed by the processing circuit 11 in FIG. You may memorize. The configuration of the memory circuit 16 is as described above.

[Flow of data provision]
Next, when a medical worker wants to refer to data related to a patient, desired data is searched and finally the data is provided to the medical worker. It explains using.

  First, a general flow until a medical worker acquires desired data, that is, until the desired data is displayed on the display 15 will be described. FIG. 3 is a flowchart roughly showing the flow of registering the examination information acquired by the modality 4 in the database and providing the corresponding information based on the reference request from the medical staff.

  The medical staff stores the above-described various types of information in the data linkage table of the table database D2. Specifically, the medical staff stores the examination items corresponding to the measurement values and the calculated values (examination type information) in the data linkage table in association with the types of the various information. Further, the processing circuit 11 receives an instruction from the medical staff and registers the type of patient symptom information, which is the input patient symptom, in association with the examination item (ST1). By making such a preparation in advance, the processing circuit 11 can use the examination type information such as the measured value and the calculated value acquired from the modality 4 and the like separately from the findings.

  Next, the processing circuit 11 of the hospital information system 1 receives examination information from the modality 4, the workstation 3, etc., and registers examination type information in the patient database D1 (ST2). In step ST2 shown in FIG. 3, the hospital information system 1 is represented as “HIS”. The detailed processing flow in step ST2 will be described with reference to FIG. FIG. 4 is a flowchart showing in detail the flow of registering the examination information acquired from the modality 4 by the hospital information system 1 according to the embodiment in the database.

  First, the processing circuit 11 uses the communication analysis function to check whether inspection information has been received from the modality 4, the PACS 2 or the workstation 3 (ST21).

  That is, the processing circuit 11 is in a standby state until receiving inspection information (NO in ST21). On the other hand, when the processing circuit 11 receives the inspection information (YES in ST21), first, the data format of the information related to the inspection received using the communication analysis function is converted (ST22).

  The processing circuit 11 classifies the examination information received from the modality 4 into patient information and examination type information (ST23).

  The processing circuit 11 extracts the measured value and the calculated value for each inspection item included in the inspection type information from the divided inspection type information (ST24). However, depending on the inspection item, only one of the measured value or the calculated value may be acquired. In this case, either the measured value or the calculated value is extracted.

  In the processing circuit 11, after extracting at least one of the measured value and the calculated value, these are registered in the database. That is, the processing circuit 11 extracts the basic patient information stored in the patient database D1, associates the measured value and the calculated value for each examination item, and stores them in the patient database D1 (ST25).

  Through such a registration process, the processing circuit 11 can associate data such as measured values and calculated values acquired using the communication analysis function with the basic patient information stored in the patient database D1. This completes the process of storing the measurement values acquired by the hospital information system 1 from the modality 4 and the like in the patient database D1 in association with the patient basic information.

  This process is performed for every examination information acquired by the hospital information system 1 from the modality 4 or the like. In this way, examination information can be acquired and registered separately from medical images, so that medical professionals can use information on multiple medical records on electronic medical records regardless of findings and image data. It can be used individually.

  The detailed processing flow in step ST2 has been described above. Here, it returns to the flow shown in FIG. 3 anew.

  The hospital information system 1 (processing circuit 11) determines whether or not a reference request from a medical worker has been received (ST3). When there is no reference request from the medical staff (NO in ST3), the processing circuit 11 is on standby. On the other hand, when the processing circuit 11 receives a reference request from the input circuit 14 (YES in ST3), the processing circuit 11 is based on the reference request, for example, measurement for each test item required by the medical staff. Information such as values and calculated values are searched and extracted from the patient database D1 with reference to the table database D2 (ST4).

  Next, the flow of searching for and extracting information required by the medical staff based on the reference request performed in step ST4 will be described with reference to FIG. FIG. 5 is a flowchart showing in detail a flow in which the processing circuit 11 searches for the corresponding information and displays it on the display 15 based on the reference request from the medical staff.

  When displaying the desired information on the display 15, the medical worker causes the hospital information system 1 (processing circuit 11) to search for information. In the hospital information system 1, the reference condition input via the input circuit 14 is acquired.

  The processing circuit 11 searches the display definition table stored in the table database D2 based on the input reference condition, and acquires the display definition corresponding to the reference condition (ST41).

  Next, the processing circuit 11 extracts display items defined in the display definition table based on the acquired display definition (ST42). Further, the processing circuit 11 searches the data linkage table of the table database D2 based on the extracted display item (ST43).

  As a result of the search, the processing circuit 11 specifies the inspection item stored in association with the display item (ST44). Subsequently, the processing circuit 11 acquires information on the examination item in the patient database D1 based on the identified examination item and information for identifying the patient (ST45).

  The processing circuit 11 determines whether or not all measured values and calculated values related to the examination item associated with the information for identifying the patient have been acquired (ST46). If all the measured values and calculated values have not been acquired (NO in ST46), the measured values and calculated values relating to the inspection item specified in step ST44 are acquired (ST45) and judged (ST46). On the other hand, when all measured values and calculated value data have been acquired (YES in ST46), the processing circuit 11 displays the acquired data on the display 15 in accordance with the definition defined in the display definition table. It generates as business data (ST47). The processing circuit 11 displays the display data on the display 15 (ST48).

  FIG. 6 is a screen example showing an example in which data requested by a medical worker is displayed on the electronic medical record. A medical worker makes a reference request from a state where an electronic medical record of a specific patient is open. As a result of the reference request made by the medical staff, the above-described search process by the hospital information system 1 is performed (ST41 to ST44), and desired data is displayed on the display 15 (ST45 to ST48). FIG. 6 is a screen example of the display 15 in a state where the search is completed and data is displayed.

  In the screen example of the display 15, data related to the patient such as name, date of birth, and sex is displayed in the upper region R <b> 1. In addition, an end button to be pressed down when the screen display is ended is also provided. In the lower area R2, data as a search result is displayed.

  “CT lung nodule to 2016/07/13” is displayed in the upper part of the region R2 in the screen example. This is to display the title of the list indicating what kind of data is displayed in the lower part of the region R2. Displayed on the display 15 shown in FIG. 6 is a display of “CT lung nodule”, which indicates “an examination for confirming a lung nodule using a CT apparatus”. Therefore, what is displayed on the display 15 is “data of test results in a test for confirming a pulmonary nodule using a CT apparatus”. The period of data to be displayed is data up to “2016/07/13”.

  When a medical worker makes a reference request to the hospital information system 1, it is possible to specify a period as a reference condition. Here, after displaying data under the title display, it is data related to the same “CT lung nodule”, but it is used when requesting data with a different period from the data displayed so far Possible "Specify period" is displayed.

  An “acquire” button is displayed beside the period designation display. This “acquire” button is a button used when a medical worker makes a reference request to the hospital information system 1.

  Further, a graph button is displayed on the right side of the display. Using the data acquired by the reference request, the data can be displayed numerically for each item as shown in FIG. In addition, it is also possible for the processing circuit 11 to display data in a graph for each item in response to an input signal from a graph button to be described later. An example of a screen on which a graph is displayed will be described later with reference to FIG. In FIG. 6, no graph display is performed, and data is displayed numerically for each item.

  The graph button is a button for switching from the screen example shown in FIG. 6 to the screen example shown in FIG. When the button is pressed, the processing circuit 11 reads a program for creating a graph based on the screen format of the graph and a numerical value from the storage circuit 16 or the like. The processing circuit 11 creates a graph to be described later based on these, the acquired measurement value, and the calculated value.

  The acquired data is displayed numerically in chronological order under the period specification item. In the data display, here, it is divided into four large items. First, the date when the patient was examined and data was acquired or some kind of treatment was performed on the patient is displayed at the top. Further, the date is displayed so that the data becomes new as it moves from left to right in time series.

  In the screen example of FIG. 6, the date data “2016/06/01” is displayed as the latest data. However, when the operation of moving the scroll bar displayed at the bottom is performed via the input circuit 14, the processing circuit 11 displays up to the data of "2016/07/13" which is a specified period. 15 screens can be displayed.

  Below the date column, major items of “Key Image”, “Order”, and “Document” are shown. Each of these large items has a small item.

  In the large item of “Key Image”, “Vol”, “Mean Diam”, “Max Diam”, “Short Axis”, and “Shape” are also displayed as sub-items including the respective units. Here, “Vol” indicates the volume of the lung nodule and is a calculated value. “Mean Diam”, “Max Diam”, and “Short Axis” indicate the average diameter of the lung nodule, the major axis of the lung nodule, and the minor axis length of the lung nodule, respectively, and are measured values. “Shape” indicates the shape of a pulmonary nodule.

  The large item of “order” indicates the inspection method requested by the medical staff when the lung nodule is inspected. Here, each item of “specimen test”, “image test”, and “injection (1) to (3)” is displayed as a small item. For example, when a pulmonary nodule inspection is performed, it is determined that there is a high possibility that the inspection shown in these sub-items is required.

  Furthermore, the major item of “document” indicates information related to the document created by the medical staff regarding the point displayed in the title.

  For example, when looking at the column indicated by the date “2016/04/06” in FIG. 6, numerical values and the like are displayed in the major item columns of “Key Image” and “Order”. Therefore, it can be seen that the patient was inspected at “2016/04/06”. Specifically, in the item “Key Image”, a representative medical image is displayed among the medical images generated by the X-ray CT apparatus in the examination performed on this date.

  As values measured and calculated using the medical image, the lung nodule volume “Vol” is “1079.7 mm 3” and the average diameter of the lung nodule “Mean Diameter” is “13.2 mm”. In addition, the value of the major diameter “Max Diam” of the lung nodule is “15.9 mm”, and the minor axis length “Short Axis” of the lung nodule is “11.4 mm”. The shape of the lung nodule “Shape” is “Spherical”.

  On the other hand, the order of the examination performed on the patient is displayed in the “Order” column. That is, when the screen example shown in FIG. 6 is viewed, the test performed on “2016/04/06” is displayed as “specimen test” as “blood test” and “image test” as the display is interrupted. However, it can be seen that an examination "imaging the chest with a CT device using a contrast medium" has been ordered. It is also displayed that three injections have been made.

  Looking further at the screen example shown in FIG. 6, “2016/04/07” and “2016/04/08” are further subjected to a treatment for injecting the patient, and then “2016/05/10”. It can be seen that the same inspection as “2016/04/06” was performed again. Further, “2016/05/12” displays that progress records have been created as documents (1) and (2).

  FIG. 7 is another screen example showing an example in which the data requested by the medical staff is displayed on the electronic medical record together with the graph. Comparing the screen example of FIG. 7 with the screen example of FIG. 6, it can be seen that in the screen example of FIG. 7, data indicated by numerical values in the screen example of FIG. 6 is displayed in a graph. In the screen examples of FIGS. 6 and 7, a “graph button” is provided on the right side of the “period specification” display. The “graph button” displayed in FIG. 6 is displayed with a downward triangle. When a medical worker looking at the display 15 depresses the graph button, the data can be displayed in a graph as shown in FIG. When the graph is displayed, the graph button is displayed as an upward triangle.

  Further, since the graph display is displayed on the data indicating the inspection date and the inspection result, only the graph display and the data are displayed in FIG. 7, and the display of the items of “order” and “document” is hidden. Yes. However, since a scroll bar is provided, these “order” and “document” items can be displayed on the screen by scrolling the screen.

  In the graph shown in FIG. 7, two types of data, the volume of the lung nodule “Vol” and the major diameter of the lung nodule “Max Diam”, are displayed on the same screen. The vertical axis is a numerical value indicating each data, and the horizontal axis indicates the date. From the graph, it can be seen that both the volume of the lung nodule and the major axis are gradually becoming smaller (shorter).

  Here, FIGS. 6 and 7 have been described as examples of screens showing data requested to be referred to by medical personnel. However, the display on the display 15 shown in FIGS. 6 and 7 is merely an example, and the display layout, the graph display method, and the like can be freely changed.

  In the description so far, regarding the communication analysis function, registration function, and search function performed by the processing circuit 11, a program stored in a predetermined memory (storage circuit 16), the removable disk 18 or the like is executed by the processor (processing circuit 11). It is assumed that it will be realized by software. However, they can be configured as a communication analysis circuit, a registration circuit, and a search circuit, respectively.

  The communication analysis circuit is a processor that analyzes information related to a test transmitted from a modality or the like connected via a communication network and acquires patient information and test type information including data such as a measurement value and a calculation value. The communication analysis circuit implements the analysis function by calling a program corresponding to the analysis function from the storage circuit and executing it. The communication analysis circuit is connected to the registration circuit, and outputs information related to the examination analyzed by the analysis function to the registration circuit.

  The registration circuit is a processor that registers patient information and examination type information acquired from a modality or the like in a patient database or a table database. The registration circuit executes processing corresponding to the registration function.

  The search circuit realizes a search function for searching the patient database and the table database based on a reference request from a medical staff and searching for desired data. The search circuit is connected to the processing circuit, and outputs the data searched by the search function to the processing circuit.

  Note that at least one of the communication analysis function, registration function, and search function performed by the processing circuit 11 may be a dedicated circuit, and the other functions may be performed by the processing circuit 11.

  As described above in the embodiment, information related to examinations not associated with findings or the like is acquired from modalities and stored in association with basic patient information. Based on the reference request from the medical staff, the necessary data is retrieved and displayed on the display, so that the data described in a plurality of findings and the like are extracted from the findings and medical images, and a manual operation is performed. It is possible to use it individually on the electronic medical record.

  Thus, it is not necessary to repeatedly perform a plurality of findings and operations for confirming medical images in order to acquire necessary data as in the conventional case, and necessary information can be acquired collectively. In addition, since data, information on treatments performed on patients, medication history, etc. can be aggregated and displayed in time series, it is possible to easily grasp the patient's treatment progress and the relationship between medication and test results. it can.

  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 embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 1 Hospital information system 11 Processing circuit 14 Input circuit 15 Display 16 Storage circuit 17 Communication processing circuit 18 Removable disk D1 Patient database D2 Table database

Claims (7)

Acquired data that can be referred to from the electronic medical record, including measurement values that are test results obtained by using modalities for patients and calculation values calculated based on the measurement values, in a state where they can be used independently A communication analysis unit,
A registration unit for registering the acquired data in a database in association with information on the subject patient;
In response to a reference request from a medical staff, a search unit that searches and acquires the data corresponding to the reference request from the database;
A control unit for displaying the data acquired by the search unit;
A hospital information system characterized by comprising:   The hospital information system according to claim 1, wherein the control unit displays the data acquired from the search unit on a display in time series.   The hospital information system according to claim 1, wherein the control unit displays the data acquired from the search unit on a display in a graph format.   4. The database according to claim 1, wherein the database includes a patient database and a table database, and the registration unit registers the data in the patient database in association with basic patient information stored in the patient database. Kani hospital information system.   5. The display item specified by the medical staff and the examination item related to the display item are associated with each other and stored in the table database, when displaying the data. Hospital information system.   The said search part searches and acquires the said data which match the said reference request from the said table database and the said patient database based on the said display item designated in the reference request from the said medical worker. Hospital information system. In hospital information system
A step of acquiring a measurement value, which is data of a test result obtained using a modality for a patient recorded in an electronic medical record, and a calculation value calculated based on the measurement value in a state where it can be used independently When,
Registering the acquired data in a database in association with information about the subject patient;
Receiving a reference request from a medical staff, and retrieving and acquiring the data that matches the reference request from the database;
Displaying the acquired data;
A data display program for executing a process including:

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